BANGLADESH TECHNICAL EDUCATION BOARD AGARGAON, DHAKA-1207 CERTIFICATE-IN-MEDICAL TECHNOLOGY SYLLABUS OF CERTIFICATE-IN-PATIENT CARE-TECHNOLOGY Sl No Subject Code 1 2 1721 1722 3 4 1723 1724 5 6 1725 1726 Name of the Subject Arts of Nursing Family & Community Health Nursing Medical & Surgical Nursing Nursing Care of Gynecology and Obstetric Patients First Aid Field Training Total T P C Theory Cont Final assess exam 50 50 50 50 Marks Practical Cont Final assess exam 60 40 60 40 Total 2 2 6 6 4 4 2 2 6 6 4 4 50 50 50 50 60 60 40 40 200 200 2 0 10 6 6 33 3 2 21 50 250 50 250 30 60 330 20 40 220 150 100 1050 200 200 Arts of Nursing Sub-Code:-1721 T P C 2 6 4 Course objectives: At the end of the course the students will be able to: 1. explain nursing process 2. assess health and physical status of the patient 3. take history of patient's illness 4. explain common laboratory investigations 5. identify patients need 6. adopt aseptic measure 7. explain method of sterilization 8. maintain nursing records and documents Sl No Topic/Lesson 1 Introduction to health assessment - Significance & sources of data - Assessment strategies - Legal and ethical considerations of data collection (privacy/confidentiality/inform consent) Identifying patients' need/expectations/responses to actual or potential health problems - Interpreting/analyzing available data - Formulating statements relative to the collected/ available data - Principle of prioritizing patients' need/expectation/response - interpreting data, formulating need/expectation/ problem statement and prioritizing statements - planning, intervening and evaluating patients' need, expectation/responses History taking of patient's illness - Significance - Communication skill required for health assessment - Establish a nurse-patient relationship - Framework for history taking (from chief complaints to current biophysical, psychosocial and spiritual data) - Method and process of history taking Physical assessment 2 3 4 Teaching/Learning Theory Practical (No of Classes) (No of Classes) 3 - 4 4 5 8 5 7 - 5 6 Preparation for physical assessment: setting, consent - Basic assessment skills: inspection/observation, palpation, percussion, auscultation, interpretation General assessment: pulse, blood pressure, anemia, jaundice, dehydration, oedema, body temperature, cyanosis, clubbing, respiratory rate Aseptic Measures - Cleaning Methods - Sterilization Disinfection - Isolation Precautions Nursing records/documentation - Significance - Data collection form (patient history) - Admission of patient into ward - Legal issues pertaining to nursing records - Admission to the ward - Transfer of patient to another ward Total 2 2 5 3 24 24 Family and Community Health Nursing Sub-Code:-1722 T P C 2 6 4 Course objectives: At the end of the course the students will be able to: 1. identify the basic health needs of families & community and provide nursing care accordingly 2. provide nursing care for promotion of maternal health during antenatal and postnatal periods including identification and referral of high risk mothers and early intervention for common maternal health problems 3. describe use of family planning methods and techniques for motivation and education of mothers and family members 4. provide nursing care for promotion of child health with an emphasis on growth & development and MCH care in Bangladesh Course Contents SL. No 01 02 03 04 05 Topic/Lesson Introduction to community-oriented nursing and community health nursing - Definition: community, community-oriented nursing, community health nursing - Characteristics of community-oriented nurses - Common community health problems in Bangladesh: communicable diseases, noncommunicable diseases Introduction to family health nursing - Definition - Family nursing - Roles and responsibilities of a nurse in family health nursing Primary Health Care (PHC) - Basic principles of primary health care (PHC) - Elements of PHC - PHC approach in Bangladesh - PHC and nursing in Bangladesh Immunization - Immunization program in Bangladesh: national policy, EPI, vaccination program, - Active immunization - Passive immunization - Essential supply and equipment - Records - Follow up Health Education Teaching/Learning (Class) Theory Practical 2 1 2 1 3 2 4 4 3 3 06 07 08 - Concept of Health Education - Health Education in PHC - Role of Nurse as Health Education - Methods of Health Education - Communication Process in Health Education Maternal health care, family planning and contraception - Antenatal care - Care during delivery - Post-natal care - Family planning - Contraception and contraceptives Child health care - Growth and development - Growth monitoring in children - Infant feeding: breast feeding - Indicators of MCH care - MCH program in Bangladesh - Nutrition related health problems: Protein energy malnutrition (PEM), Anaemia, Night blindness Geriatric Health Care - Common diseases - Preventive aspects Total 4 7 4 4 2 2 24 24 Medical and Surgical Nursing Sub-Code:-1723 T P C 2 6 4 Course objectives: At the end of the course the students will be able to: 1. provide nursing care to the patients with medical and surgical emergencies in the hospital and community settings 2. ensure nursing care towards patients with medical and surgical diseases in the hospital and community settings Course Contents SL. No Topic/Lesson 01 Concepts in nursing care for adults with acute and chronic illness - Nature of acute and chronic illness - Patient-centered and holistic care - Nurses' roles and intervention - Ethical issues related to adult clients Nursing care of adult patients undergone surgical intervention and anesthesia - Pre-operative care: pre-operative assessment, preoperative psychosocial problems/concern, preoperative teaching, pre-operative preparation, patient's right and informed consent - Intra-operative care: surgical asepsis (including gowning, hand washing and gloving), surgical positioning, transferring, assisting the surgeons (roles & functions) - Anesthesia: anesthetic agents, types of anesthesia (local, general, spinal), intra-operative monitoring procedures, care during recovery period, complications and management - Post-operative care: post-operative assessment and monitoring, post-operative complications, prevention & management (fluid electrolyte imbalance, bleeding, pneumonia, renal insufficiency) - Case analysis: care of adult patients with general anesthesia, care of adult patients with spinal anesthesia, (with ethical considerations in the scenario) 02 03 Nursing care of adult patients with alterations in following disease: etiology, signs & symptoms, nursing problems and intervention of: Teaching/Learning (Class) Theory Practical 2 2 4 4 3 3 04 05 06 07 08 - Scabies, Psoriasis - Burn - Diabetes Mellitus - Conjunctivitis - Hypertension - Heart failure Nursing care of adult patients with infectious disease: etiology, signs & symptoms, nursing problems and intervention of: - Malaria - Cholera - Typhoid fever - Leprosy Nursing care of adult patients with alterations in digestive system: etiology, signs & symptoms, nursing problems and intervention of: - Peptic ulcer disease - Bowel obstruction and intestinal perforation - Acute appendicitis - Cirrhosis - Cholecystitis, pancreatitis & cholelithiasis Nursing care of adult patients with alterations in genito-urinary system: etiology, signs & symptoms, nursing problems and intervention of: - UTI: upper and lower - Urinary tract obstruction - Nephrotic syndrome - Acute and chronic renal failure Nursing care of adult patients with alterations in male and female reproductive system: etiology, signs & symptoms, nursing problems and intervention of: - Dysmenorrhoea, menorrhagia, metrorrhagia - Breast mass - Benign prostatic hyperplasia - Sexually transmitted disease (STD) Nursing care of adult patients with alterations in respiratory system: etiology, signs & symptoms, nursing problems and intervention of: - Chronic obstructive pulmonary disease: bronchitis, emphysema, asthma - Pneumonia - Pulmonary Tuberculosis - Lung abscess Total 2 2 3 3 2 2 4 4 4 4 24 24 Nursing Care of Gynaecological and Obstetric Patients Sub-Code:-1724 T P C 2 6 4 At the end of the course the students will be able to: 3. provide nursing care to the patients with gynaecological and obstetric emergencies in the hospital and community settings 4. ensure nursing care towards patients with gynaecological and obstetric problems in the hospital and community settings Course Content: Sl. No 1 Topics/Lessons Nursing care of adult patients with gynaecological problems: etiology, signs & symptoms, nursing problems and intervention of: - Normal menstruation, Dysmenorrhoea, Menorrhagia, - 2 Teaching/Learning (Class) Theory Practical 10 10 Cryptomenorrhoea, Dysfunctional uterine bleeding Adenomyosis and fibroid uterus Endometritis, endometrial polyp Vesico-vaginal fistula (VVF) Genital prolapse: 1st degree, 2nd degree, 3rd degree, decubital ulcer - Cervicitis, Ca-cervix, Cervical polyp - Infertility - Perineal tear - Pelvic inflammatory disease, Ovarian tumor - Pre, per and post-operative management Nursing care of adult patients with obstetric problems: etiology, signs & symptoms, nursing problems and intervention of: - Pregnancy: Para, Gravida, LMP, EDD, Signs, High risk 14 14 24 24 pregnancy, Ectopic pregnancy, complications, Twin pregnancy, Presentation, Lie, show, amniotic fluid, placenta - - Antenatal care Management of normal labor: management of different stages, cord clump and care of umbilicus of fetus, episiotomy, care of fetus Pre-eclampsia and Eclampsia APH and PPH Molar pregnancy Caesarian section: indication, pre-operative preparation, post-operative management, complications Total First Aid Sub-Code:-1725 T P C 2 6 3 Objectives: At the end of the course students will be able to – care of medical and surgical emergencies respond to manage life threatening situations provide first aid for minor injuries Sl. No Topic/Lesson Theory (No. Class) 1 General aspects: definition and objectives of first aid, principles of first aid, signs of life threatening conditions, role of first aid provider 04 2 Care of common life threatening emergencies: Respiratory distress/arrest, choking, Shock, unconsciousness, Bleeding (hemorrhage), Burn, Snake bite, Cardiopulmonary Resuscitation (CPR), drowning 04 3 Fracture: definition, sign & symptoms, transportation of patient with fracture, first aid, complication 04 4 Dislocation: definition, clinical feature and management of dislocation of shoulder joint and temperomandibular joint, complication 04 5 Care of minor injuries: wound, injury to bone including spinal injury, chest injury, burn & scald, eye injury 04 Poisoning: causes, how to avoid poisoning in children, general treatment of poisoning, kerosene oil poisoning, Dhutura poisoning, Organophosphorus poisoning, insecticide poisoning Total = Practical: 12 classes 1. Demonstration of CPR 2. Bandage 3. Collar and cuff sling 4. Repositioning of dislocated joints (shoulder joint, temperomandibular joint) 04 6 24 FIELD TRAINING