Syllabus for Patient Assistant (C55) SUMMARY Course No. Of Code workbooks HSC011 Workbook- 1 HSC012 Workbook- 1 HSC013 Workbook -1 No. Of Books Book 1 Book 1 Book 2 Book 1 Book 2 Theory Practical Assignment Total Gruharugnasahayyak 20 30 50 100 Clinics, dispensaries, OPDs, day care centers 20 30 50 100 Maternity homes, General hospitals Specialist Hospitals 30 40 80 150 30 40 80 150 Emergencies 30 40 80 150 130 21 180 30 340 56 650 107 say 110 30 Hours Days Preparation and examination Total Days Approximately Total credit points 24 Weeks= 24 1 Week= 1 Credit point Student will receive 5 books and 3 workbooks from University. 1. HSC011 Book1: GruharugnasahayyakTotal 100 hours= Theory-20, Practical- 30, Assignments- 50 hours 1.1. Hygiene- 1.2. Patient psychology- 1.3. Body mapping- 1.4. Basic pharmacology- 1.5. Rugnasahayyak- Personal hygiene, Patient hygiene, Environmental hygiene Observation of behavior of patient, Causes of behavior, Past history study, Family history, Behavior with patient Basic anatomy Skeletal, Myology, Arthrology, Systems, Major organs Oral Medication Recognition of drugs, expiry dates, contents Doses, timings, abbreviations Inj. Insulin bed making, Sponging, D:\Dr sawkar on Cpu-229\Rugnasahayyak\tentitive_syllabus[1]Rignasahayak.doc/22/07/2009/1 140 Days 140/6 1.6. PNC and baby care- 1.7. Danger signs1.8. Home remedies Enema, Wound care (dressing), Feeding (RT, oral), Care of catheter, Back care (prevention of bed sores), Respiration, Temperature, Pulse, Exercises Hand wash, Head wash Mouth wash, mouth care, Nail cutting, Use of Eye drops, I/O chart, etc. massage, Oils for massage, Bath, Precautions, etc. Pulse, Respiration and unconsciousness for calling Doctor, referral Preparation of home remedies, Application of Ayurvedic medicines- lepan, chatan, bahya snehan, etc., Ayurvedic diet concepts List of Practicals for Book 1 1. Bed making- 2 Practicals (cases) 2. Mouth Care/ Mouth Wash- 2 Practicals (cases) 3. Skin Care/ Sponging in bed- 2 Practicals 4. Hair care/ hair wash- 2 Practicals 5. Back Care- 2 Practicals 6. Nail care/ Nail cutting- 2 Practicals 7. Enema- 2 Practicals 8. To give medicines orally to patient- 2 Practicals 9. To give injection insulin- 2 Practicals 10. To give vaporization- 2 Practicals 11. Use of Rotahaler- 2 Practicals 12. Use of Spray inhaler- 2 Practicals 13. Oral feeding to patient in bed- 2 Practicals 14. Temperature measurement - 2 Practicals 15. Pulse measurement - 2 Practicals 16. Respiration rate measurement - 2 Practicals 17. RT feeding to patient- 2 Practicals 18. I/O chart filling- 2 Practicals 19. Dressing- 2 Practicals 2 Practicals (cases) of each = 19*2= 38 Total Practicals 2 HSC012 Book1- clinics, dispensaries, OPDs, day care centersTotal 100 hours= Thoery-20, Practical- 30, Assignments- 50 hours 2.1 Personal hygiene 2.2 Communication skills- manners, etiquettes, basic computer knowledge, English, Medical English, relations with doctors, patient, patient relatives and collogues, etc. 2.3 Rugnasahayyak- Height, weight, blood pressure, respiration- (characteristics of normal respiration, types of abnormal respiration), pulse- (rhythm, volume, tension, tachycardia, bradycardia), D:\Dr sawkar on Cpu-229\Rugnasahayyak\tentitive_syllabus[1]Rignasahayak.doc/22/07/2009/2 Temperature- (rigors, measures for reducing temperature), head circumference, abdominal girth, chest measurements, eye wash, foreign bodies in ear, nose and eye, etc. 2.4 Records keeping- Billings, cash handling, Account keeping, stock maintenance of medicines and other articles, investigative reports keeping, etc. 2.5 Sterilization of instruments, linen, Details of methods of sterilization, physical and chemical sterilization 2.6 Dispensing of medicines in clinic- types of doses, routes, explanation to patient about medicine, separate packing and labelling of medicines, etc. List of Practicals for Book 2 1. General structure and parts of computer- 1 practical 2. To start and shut down of computer- 1 practical 3. Basic use (Data Entry) of computer- 1 practical 4. Height measurement- 2 Practicals 5. Weight measurement- 2 Practicals 6. Blood Pressure measurement- 2 Practicals 7. Temperature measurement- 2 Practicals 8. Pulse measurement- 2 Practicals 9. Respiration measurement- 2 Practicals 10. Head Circumference measurement- 2 Practicals 11. Chest measurement- 2 Practicals 12. Abdominal Girth measurement- 2 Practicals 13. Eye Wash- 2 Practicals 14. Sterilization of Metal Instruments- 2 Practicals 15. Sterilization of Plastic Instruments- 2 Practicals 16. Sterilization of Glass Instruments- 2 Practicals 17. Sterilization of Linen- 2 Practicals 18. Packing and labelling of medicines- 2 Practicals Total 33 Practicals 3. HSC012 Book 2- Maternity homes, General hospitalsTotal 150 hours= Theory- 30, Practical- 40, Assignments- 80 hours 3.1 Record keeping- Admission (document completion and receiving of the patient), discharge (document completion and sending patient to home), take consent from patient, birth records, death records, MLC records 3.2 ANC, NC, PNC care- ANC card, Diet, exercises, precautions, perineal wash, care of caesarean section of patient, family planning methods etc. 3.3 Neonatal care- observation of baby, neonatal hygiene, baby cry, Baby wrapping, baby bath, massage, nappy rash, breast feeding, top feeding, vomiting, loose motions, immunization 3.4 Anatomy, physiology- body systems- skeleton, myology, arthrology, cardio-vascular system including lymph, digestive system, respiratory system, urinal system, Genital system, nervous system, special sense organs, endocrine glands 3.5 Labour room maintenance- instruments (names, handling, sterilization), drugs, baby tray, resuscitation tray, epiziotomy tray and labour room cleanings. 3.6 Diet- other patients- Types of diet- full diet, high protein diet, liquid diet, etc. Diet in diseasesdiseases of intestine (diarrhoeal diseases, constipation, peptic ulcer), diseases of liver (jaundice, liver cirrhosis), diseases of CVS (C.H.D., hypertension), diseases of endocrine glands (diabetes, goiter), diseases due to low intake (anaemia, protein, calorie malnutrition), diseases due to high intake (obesity) 3.7 Exercises- other patients- Active, Passive 3.8 Rugnasahayyak- preparation for physical examination of patient, Ryles tube, catheterization, ECG, flatus tube, blood transfusion 3.9 Injections assistance- route, readings, doses- observation of I/V, I/M, S/C, intra-dermal injections 3.10 Instruments used in general and gynaecology hospitals- names, maintenance 3.11 Waste management- collection, separation, disposal D:\Dr sawkar on Cpu-229\Rugnasahayyak\tentitive_syllabus[1]Rignasahayak.doc/22/07/2009/3 3.12 Linens management- stock maintenance and cleaning 3.13 Sample collection, labeling, sending to pathology lab within time 3.14 X- ray, sonography assistance- patient preparation List of Practicals for Book 3 ANC check up- from head to foot- 2 Practicals (cases) ANC card- 2 Practicals Perineal wash and care of stitches- 2 Practicals Preparation for epiziotomy and suturing-- 2 Practicals Preparation for normal labour- 2 Practicals Preparation for MTP- 2 Practicals Preparation for tubectomy- 2 Practicals Preparation for copper T- 2 Practicals Preparation for vaginal dushes- 2 Practicals Preparation for caesarean section- 2 Practicals Baby bath and massage in hospital- 2 Practicals Baby wrapping- 2 Practicals Preparation of skin for various injections- I/M, I/V, S/C, Intradermal- 2 Practicals Collection, labeling samples in various vials (Sugar, Plain, Urine) and sending to pathology lab- 2 Practicals 15. Preparation for Ryles tube insertion- 2 Practicals 16. Preparation for Catherization- 2 Practicals 17. Preparation for physical examination- 2 Practicals 18. Preparation for ECG- 2 Practicals 19. Preparation for blood transfusion- 2 Practicals 20. Preparation for flatus tube- 2 Practicals 2 Practicals (cases) of each = 20*2=40 Practicals 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 4 HSC013 Book 1- Specialty HospitalsTotal 150 hours= Theory- 30, Practical- 40, Assignments- 80 hours 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 Specialty Instruments used in general surgery, orthopedic, eye, ENT, cardiac hospitals names, use, maintenance O.T. management assistance- cleaning, fumigation, post operation care and maintenance of instruments Applying splint, plastering, removal of plastering Surgical procedures- Major, minor- assistance Pre-operative care assistance- psychological preparation, physical preparation, completion of consent and investigative reports filing, physical preparation on operative day, sending patient to operation theatre with all documents Post-operative care assistance- follow orders given by doctors, observation for respiration, wound, bleeding, oozing, I/V, B/T Asepsis - Definition of asepsis, sources of infections, types of microbes- (bacteria, viruses, fungus, parasites), communicable diseases (causative agents, mode of transmission, general symptoms, preventive measures, information of medicines)common cold, Cough, Jaundice, Pneumonia, Tuberculosis, chicken pox, measles, Influenza, Diarrhoea, Gastro- enteritis, Cholera, Typhoid, Tetanus, Leprosy, Food poisoning, AIDS, Venereal diseases, Malaria, Conjunctivitis, Ward infections Immunity and immunization Information of Medicines of systemic diseases- General Information, gastro-Intestinal System (Gastritis, Ulcer, Diarrhoea, Dysentery, Vomiting, Pain in Abdomen, Flatulence, Constipation), Respiratory System (Asthma, Pneumonia), Cardiovascular System (Hypertension, Chest pain), Urinary System (Urinary stone, Nephritis), Central Nervous System (Epilepsy, Convulsions, Unconsciousness), Skin Diseases (Scabies, Ring Worms, Allergic Rash) D:\Dr sawkar on Cpu-229\Rugnasahayyak\tentitive_syllabus[1]Rignasahayak.doc/22/07/2009/4 4.10 Procedures in Ayurvedic hospitals- Oil Massage, Herbal Scrub (Udvartana), Dhoopana, Swedana, Introduction of Panchakarma, Preparation of Patient for Panchakarma, Panchakarma Assistance, Post care after Panchakarma, Dispensing and compounding of Ayurvedic Medicines List of Practicals for Book 4 1. Dressing of various minor wounds- 2 Practicals 2. Preparation of tray for abscess drain- 1 Practicals 3. Preparation of tray for P/V examination- 1 Practicals 4. Preparation of tray for rectal examination- 1 Practicals 5. O2 Inhalation- 1 Practicals 6. Application of splints to various parts- 2 Practicals 7. Plastering to various parts- 2 Practicals 8. Removal of plastering- 2 Practicals 9. Sending patient to Operation Theatre- 2 Practicals 10. Post operative care of various types of patients- 4 Practicals 11. Preparation of tray for Basti (Ayurvedic Enema) - 2 Practicals 12. Preparation of tray for Raktamokshan- 1 Practicals 13. Ayurvedic nasal drop preparation (Nasya)- 1 Practicals Total 22 Practicals 5 HSC013 Book 2 Emergency First Aid Total 150 hours= Theory- 30, Practical- 40, Assignments- 80 hours 5.1. Causes, Signs, Symptoms, First Aid before reaching hospital (like artificial respiration), positions, use of available resources in following emergencies - Asphyxia, drowning, shock, hemorrhage, fractures, convulsions, unconsciousness, burns, bites (only Crape Bandage), poisonings (Vomiting), wounds, hysteria. 5.2. Rugnasahayyak- legal management, Relative management, Medical Management, I/V, I/M, S/C injections- information and assistance, 5.3. First Aid in Hospital- positions in emergencies, O2 management, suction management, neubulization assistance, inhalations, inunctions, etc. 5.4. Medicine- Names and identification of First Aid and emergency medicines List of Practicals for Book 5 1. Artificial Respiration- 3 types (Mouth to mouth, Shaffer’s, Sylvester’s)- 3 Practicals 2. Types of positions- head low, Prone, Probe-up- 3 Practicals 3. Direct and Indirect pressure- 2 Practicals 4. First Aid- convulsion management- 2 Practicals 5. First Aid- Bytes of different positions (Crape bandage application)- 2 Practicals 6. First Aid- Poisoning (Vomiting)- 1 Practicals 7. O2 Management- 2 Practicals 8. Suction management- 2 Practicals 9. Stomach wash- Observation and assistant for the procedure- 2 Practicals 10. Neubulization- 2 Practicals 11. Inuction- 2 Practicals 12. Inhalation- 2 Practicals Total 25 Practicals Total- 650 hours 6 hours per day= 110 days + 30 Exam and pre exam preparation = 140 days -say 144 tentative days 6 days= 1 week= 1 credit point =144/6 = 24 weeks = 24 credit points D:\Dr sawkar on Cpu-229\Rugnasahayyak\tentitive_syllabus[1]Rignasahayak.doc/22/07/2009/5 Examination Pattern: A) Continuous workbook assessment only for admissions of course HSC 011 B) Admissions for full programme (HSC011-013), evaluation pattern is as followsThe university will conduct examination. 50% passing is necessary in Theory and Practical of each course. Course code HSC011 Name Gruharugnasahayyak HSC012 HSC013 Theory 100 Practical 50 Practical Oral Workbook 20 30 200 Clinics, Maternity 100 50 20 30 200 homes, General hospitals Speciality Hospitals, Emergencies First Aid 100 50 20 30 200 Total 600 List of Reference books: • • • • • • • • • • • • • Vaidyakiya Vidnyana Shabdakosh- Anant Deshpande Vaidya Shalya Chikitsa- Sophia Momin Prasutishastra, Kala- Sophia Momin Paricharya- Shastra, Tantra, Kala- Sophia Momin Mulabhota Paricharya- Tara Pethe Bharat Vaidyak- Dr. Shyam Ashtekar Gharaguti Arogya Seva Ani Prathamopchar- Leela Madiwale Sharir Vidynana Parichaya- Leela Madiwale Sulabha Prasutishastra- Leela Madiwale Karyalayina Shista Ani Patravyavahara- Leela Madiwale Jantushastra- Sophia Momin Sansargajanya Roga- Sophia Momin Vaiyaktaka Aani Samajika Arogya- Leela Madiwale D:\Dr sawkar on Cpu-229\Rugnasahayyak\tentitive_syllabus[1]Rignasahayak.doc/22/07/2009/6 Total marks