Logbook BSC Ns G

KERALA UNIVERSITY OF HEALTH SCIENCES
BACHELOR OF SCIENCE IN NURSING
LOG BOOK
(2021 scheme)
Name of student:
Period of Study:
1
Clinical Logbook for B.Sc. Nursing(Procedural Competencies/Skills)
I & II SEMESTER
NURSING FOUNDATIONS - I & II
Sl. No. Procedural Competencies Performs Assists/ DATE Signature
/ Skills independently Observes of the
procedures Skill Lab/ Clinical Tutor /
Simulation Area Faculty
A/O Lab
I SEMESTER
I Communication and Documentation

1 Maintaining Communication
and interpersonal relationship
with patient and families
2 Verbal Report
3 Recording/Documentation of
patient care(Written Report)
II Monitoring Vital Signs

Temperature
4 Oral
5 Axillary
6 Rectal
7 Tympanic
Pulse
8 Radial
9 Apical
10 Respiration
11 Blood Pressure
III Hot & Cold Application

12 Cold Compress
13 Hot Compress
14 Ice Cap
15 Tepid sponge
IV Health Assessment (Basic–First year level)

16 Health History
17 Physical Assessment–General &
system-wise
18 Documentation of findings
V Infection Control in Clinical

Settings
19 Hand hygiene (Hand washing &
Hand rub)
20 Use of personal protective
equipment
2
Sl. No. Procedural Competencies/ Performs Assists/ DATE Signature
Skills independently Observes of the
procedures Skill Lab/ Clinical Tutor /
A/O Lab
VI Comfort
21 Open Bed
22 Occupied Bed
23 Post-operative Bed
24 Supine Position
25 Fowler ‘s Position
26 Lateral Position
27 Prone Position
28 Semi-Prone Position
29 Trendelenburg Position
30 Lithotomy Position
31 Changing Position of
helpless patient
(Moving/Turning/Logrolling)
32 Cardiac table/Over-bed table
33 Back Rest
34 Bed Cradle
35 Pain Assessment (Initial

&Reassessment)
VII Safety
36 Side rail
37 Restraint (Physical)
38 Fall risk assessment & post

fall assessment
VIII Admission & Discharge

39 Admission
40 Discharge
41 Transfer (within hospital)
IX Mobility
42 Ambulation
43 Transferring patient from & to bed

& wheelchair
44 Transferring patient from &
to bed & stretcher
45 Range of Motion
Exercises (ROM)
X Patient Education
46 Individual Patient Teaching
3
Sl. Procedural Competencies/ Performs Assists/ DATE Signature of
No. Skills independently Observes the Tutor /
procedures Skill Lab/ Clinical Faculty
Simulation Area
A/O Lab
II SEMESTER
XI Hygiene
47 Sponge bath/Bed bath
48 Pressure Injury Assessment
49 Skin care and care of pressure
points
50 Oral hygiene
51 Hair wash
52 Pediculosis treatment
53 Perineal Care/Meatal care
54 Urinary Catheter care
XII Nursing Process-Basic level
55 Assessment and formulating
nursing diagnosis
56 Planning the nursing care
57 Implementation of Care
58 Evaluation of Care (Reassessment

& Modification)
XIII Nutrition & Fluid Balance
59 24 Hours Dietary Recall
60 Planning well balanced diet
61 Making fluid plan
62 Preparation of nasogastric tube

feed
63 Nasogastric tube feeding
64 Maintaining intake & output chart
65 Intra venous Infusion Plan
XIV Elimination
66 Providing Bed pan
67 Providing Urinal
68 Enema
69 Bowel Wash
XV Diagnostic Tests-Specimen collection

70 Urine Specimen for Routine
Analysis
71 Urine Specimen for Culture
72 Timed urine specimen collection
73 Feces specimen for routine
74 Sputum Culture
4
Sl. No. Procedural Competencies/ Performs Assists/ DATE Signature of the
Skills independently Observes Tutor/Faculty
procedures Skill Lab / Clinic
Simulation al
A/O Lab Area
Urine Testing
75 Ketone
76 Albumin
77 Reaction
78 Specific Gravity
XVI Oxygenation Needs/Promoting Respiration

79 Deep Breathing &
Coughing Exercises
80 Steam inhalation
81 Oxygen administration using

facemask
82 Oxygen administration using
nasal prongs
XVII Medication Administration
83 Oral Medications
84 Intramuscular
85 Subcutaneous
86 Rectal Suppositories
XVIII Death and dying
87 Death care/ Last Office
XIX First Aid and Emergencies

Bandages &Binders
88 Circular
89 Spiral
90 Reverse Spiral
91 Recurrent
92 Spica
93 Figure of eight
94 Eye
95 Ear
96 Capelin
97 Jaw
98 Arm Sling
99 Abdominal Binder
100 Basic CPR (first aid module)
5
CLINICAL REQUIREMENTS I & II SEMESTER
NURSING FOUNDATIONS – I &II
Sl. Signature of
No. Clinical Requirements Date
the Faculty
1 History Taking-2
1.
2.
2 Physical Examination –2
1.
2.
3 Fall risk assessment –2

1.
2.
4 Pressure Sore Assessment –2

1.
2.
5 Nursing Process –2
1.
2.
6 Clinical presentation 2
1. Nutritional Assessment
2. Care of patients-altered vital signs, constipation
7 Individualized Teaching-1
8 Nursing Rounds- 1
Care of patients with altered sensorium
9 Lab Value- interpretation
10 Completion of first aid module
11 Completion of Health assessment module
6
III & IV SEMESTER ADULT HEALTH NURSING I & II
Sl. No. Specific Procedural Performs Assists/ DATE Signature of

Competencies/Skills independently Observes the Tutor /
Skill Lab/ Clinical
Procedures Simulation Area Faculty
A/O Lab
III SEMESTER - ADULT HEALTH NURSING I
I MEDICAL
Intravenous therapy
1 IV cannulation
2 IV maintenance & monitoring
3 Administration of IV medication
4 Care of patient with Central Line
Preparation, assisting, and after-care of patients undergoing diagnostic procedures

5 Thoracentesis
6 Abdominal paracentesis
Respiratory therapies and monitoring

7 Administration of oxygen
using venturi mask
8 Nebulization
9 Chest physiotherapy
10 Postural drainage
11 Oropharyngeal suctioning
12 Care of patient withchest

drainage
Planning therapeutic diet
13 High protein diet
14 Diabetic diet
15 Performing and monitoring

GRBS
16 Insulin administration
II SURGICAL
17 Pre-operative care
18 Immediate Post-operative care
19 Post-operative exercise
20 Pain assessment and management
Assisting diagnostic procedures and after-care of patients undergoing

21 Colonoscopy
22 ERCP
7
Competencies/Skills independently Observes the
Procedures Skill Lab/ Clinical Tutor/Faculty
Simulation Area
A/O Lab
23 Endoscopy
24 Liver Biopsy
25 Nasogastric aspiration
26 Gastrostomy/Jejunostomy feeds
27 Ileostomy/Colostomy care
28 Surgical dressing
29 Suture removal
30 Surgical soak
31 Sitz bath
32 Care of drain
III CARDIOLOGY
33 Cardiac monitoring
34 Recording and interpreting ECG
35 Arterial blood gas analysis–

Interpretation
36 Administration of cardiac drugs
37 Preparation and after care of

patients undergoing cardiac
Catheterization
38 Performing BCLS
Collection of blood sample for
39 Blood grouping/cross-matching
40 Blood sugar
41 Serum electrolytes
42 Assisting with blood transfusion
43 Assisting for bone

marrow aspiration
44 Application of
anti-embolism stockings
(TED hose)
45 Application/maintenance of
sequential compression device
IV DERMATOLOGY
46 Application of topical
medication
47 Intradermal injection-Skin allergy
testing
48 Medicated bath
8
Specific Procedural Performs Assists/ DATE Signature of
Sl. No. Competencies/Skills independently Observes the Tutor/
Procedures Skill Lab/ Clinical
A/O Lab
V COMMUNICABLE DISEASES
49 Intradermal injection-BCG and

Tuberculin skin test or Mantoux
test
50 Barrier nursing & Reverse

barrier nursing
51 Standard precautions-Hand
hygiene, use of PPE, needle
stick and sharp injury
prevention, Cleaning and
disinfection, Respiratory
hygiene, waste disposal and safe
injection practices
VI MUSCULOSKELETAL DISORDERS
52 Preparation of patient
with Myelogram/CT/MRI
53 Assisting with application

& removal of POP/Cast
54 Preparation, assisting and

aftercare of patient with skin
traction/skeletal traction
55 Care of orthotics
56 Muscle strengthening exercises
57 Crutch walking
58 Rehabilitation
VII OPERATION ROOM
59 Position and draping
60 Preparation of operation table
61 Setup of trolley with instrument
62 Assisting in major and

minor operation
63 Disinfection and sterilization of

equipment
64 Scrubbing procedures
– Gowning, masking
andgloving
65 Intra-operative monitoring
9
CLINICAL REQUIREMENTS-III SEMESTER
ADULT HEALTH NURSING I
Sl. Clinical Date Signature of the
No. Requirements Faculty
Medical
1 Care Study –1
2 Health education–1
3 Clinical presentation/care note–1
Surgical
4 Care study–1
6 Clinical Presentation/Care note –1
Cardiac
7 Cardiac assessment –1
8 Drug presentation –1
Communicable diseases
9 Clinical presentation/Care note –1
Musculoskeletal Disorders
10 Clinical presentation/Care note –1
Operation Room
11 Assist as circulatory nurse- 5
i.
ii.
iii.
iv.
v.
12 Assist as scrub nurse in minor surgeries – 5

i.
ii.
iii.
iv.
v.
13 Positioning & draping – 5

i.
ii.
iii.
iv.
v.
14 Assist as scrub nurse in major surgeries – 5
i.
ii
iii.
iv.
v.
15 Completion of BCLS module
10
Sl. No. Specific Procedural Performs Assists DATE Signature
Competencies/Skills independently / Observes of theTutor
Procedures Skill Lab/ Clinical / Faculty
Simulation Lab Area
A/O
IV SEMESTER - ADULT HEALTH NURSING- II
I ENT
1 History taking and examination
of ear, nose& throat
2 Application of bandages
to Ear & Nose
3 Tracheostomy care
Preparation of patient, assisting and monitoring of patients undergoing diagnostic procedures

4 Auditory screening tests
5 Audiometric tests
6 Preparing and assisting in special
procedures like
Anterior/posterior nasal packing,
Ear Packing and Syringing
7 Preparation and after care of
patients undergoing ENT surgical
procedures
8 Instillation of ear/nasal
medication
II EYE
9 History taking and examination
of eyes and interpretation
Assisting procedures
10 Visual acuity
11 Fundoscopy, retinoscopy,
ophthalmoscopy, tonometry
12 Refraction tests
13 Pre and postoperative care of

patient undergoing eye surgery
14 Instillation of eye
drops/medication
15 Eye irrigation
16 Application of eye bandage
17 Assisting with foreign body

removal
III NEPHROLOGY&UROLOGY
18 Assessment of kidney and urinary
system
● History taking and
physical examination
● Testicular self-examination
● Digital rectal exam
11
Sl. No. Specific Procedural Performs Assists/ DATE Signature
Competencies/Skills independently Observes of the
Procedures Skill Lab/ Clinical Tutor/
Simulation Area
A/O Lab Faculty
Preparation and assisting with diagnostic and therapeutic procedures
19 Cystoscopy, Cystometrogram
20 Contrast studies–IVP
21 Peritoneal dialysis
22 Hemodialysis
23 Lithotripsy
24 Renal/Prostate Biopsy
25 Specific tests–Semen analysis,

gonorrhea test
26 Catheterization care
27 Bladder irrigation
28 Intake and output recording

and monitoring
29 Ambulation and exercise
IV BURNS & RECONSTRUCTIVE SURGERY

30 Assessment of burns wound
–area/degree/percentage of
wound using appropriate scales
31 First aid of burns
32 Fluid & electrolyte
replacement therapy
33 Skin care
34 Care of Burn wounds

o Bathing
o Dressing
35 Pre-operative and post-operative
care of patient with burns
36 Caring of skin graft and
post- cosmetic surgery
37 Rehabilitation
V NEUROLOGY
38 History taking, neurological
Examination–Use of Glasgow
coma scale
39 Continuous monitoring
the patients
40 Preparation and assisting for
various invasive and
non-invasive diagnostic
procedures
41 Care of patient undergoing
neurosurgery including
rehabilitation
12
Competencies/Skills independently Observes the Tutor/
Procedures Skill Lab/ Faculty
Clinical
Simulation
A/O Area
Lab
VI IMMUNOLOGY
42 History taking and

Physical examination
43 Immunological status
assessment and interpretation of
specific test(e.g. HIV)
44 Care of patient with
low immunity
VII ONCOLOGY
45 History taking & physical
examination of cancer patients
46 Screening for common cancers

–TNM classification
Preparation, assisting and after care patients undergoing diagnostic procedures

47 Biopsies/FNAC
48 Bone-marrow aspiration
Preparation of patients and assisting with various modalities of treatment

49 Chemotherapy
50 Radiotherapy
51 Hormonal therapy/
Immunotherapy
52 Gene therapy/any other
53 Car e of patients treated

with nuclear medicine
54 Rehabilitation
VIII EMERGENCY CARE
55 Practicing ‘triage’
56 Primary and secondary survey

in emergency
57 Examination, investigations &
their interpretations, in
emergency & disaster situations
58 Emergency care of medical and
traumatic injury patients
59 Documentation, and assisting
in legal procedures in
emergency unit
60 Managing crowd
61 Counseling the patient and

family in dealing with grieving &
bereavement
13
Simulation Lab Area Faculty
A/O
IX CRITICAL CARE
62 Assessment of critically ill

patients
63 Assisting with arterial puncture
64 Assisting with ET tube intubation

& extubation
65 ABG analysis and interpretation
–respiratory acidosis, respiratory
alkalosis, metabolic acidosis,
metabolic alkalosis
66 Setting up of ventilator modes

and settings and care of
patients on ventilator
67 Setting up of trolley
with instruments
68 Monitoring and maintenance

of chest drainage system
69 Bag and mask ventilation
70 Assisting with starting and

maintenance of central and
peripheral lines invasive
71 Setting up of infusion pump ,and

defibrillator
72 Administration of drugs via

infusion, intra cardiac,
intra thecal, epidural
73 Monitoring and maintenance
of pacemaker
74 ICU care bundle
75 Management of the dying patient

in the ICU
X Geriatrics
76 History taking and Assessment of

Geriatric patient
77 Geriatric counseling
78 Comprehensive Health
Assessment (adult) after
module completion
14
CLINICAL REQUIREMENTS – IV SEMESTER
ADULT HEALTH NURSING II

ENT
1 ENT assessment of an adult – 2

i.
ii.
2 Observation and activity report of OPD
3 Clinical presentation –1
4 Drug Book
EYE
5 Eye assessment
i. Adult–1
ii. Geriatric–1
6 Patient-teaching–1
7 Clinical Presentation–1
NEPHROLOGY & UROLOGY
Assessment of adult – 1
8
Assessment of Geriatric –1
10 Care study/Clinical presentation–1
BURNS AND RECONSTRUCTIVE SURGERY

11 Burn wound assessment–1
12 Clinical presentation –1
13 Observation report of Burns unit
14 Observe cosmetic/reconstructive procedures
NEUROLOGY
Neuro-assessment –2
i.
15
ii.
16 Unconscious patient–1
17 Care study/case presentation–1
15
SL. Clinical Date Signature of the
IMMUNOLOGY
19 Assessment of immune status
20 Teaching of isolation to patient and family caregivers
21 Nutritional management
22 Care Note –1
ONCOLOGY
23 Observation report of cancer unit
24 Assessment of each system cancer patients–2
25 Care study/clinical presentation –1
26 Pre and post-operative care of patient with various modes of cancer

treatment such as chemotherapy, radiation therapy, surgery, BMT, etc.
at least 3
i.
ii.
iii.
27 Teaching on BSE to family members
EMERGENCY CARE
28 Primary assessment of adult–1
29 Immediate care (IV access establishment, assisting in intubation,

suction, etc.)
30 Use of emergency trolley
CRITICAL CARE
31 Assessment of critically ill
i. Adult
ii. Geriatric
32 Care note/Clinical presentation–1
GERIATRIC
33 Geriatric assessment–1
34 Care note/clinical presentation –1
35 Fall risk assessment1
36 Functional status assessment–1
37 Completion of Fundamentals of Prescribing Module

38 Completion of Palliative Care Module
16
V & VI SEMESTER
CHILD HEALTH NURSING - I & II
Skill Lab/
Procedures Clinical
A/O Lab
V&VI SEMESTER –CHILD HEALTH NURSING- I & II
I PEDIATRIC MEDICAL & SURGICAL
Health assessment–Taking history &Physical examination and nutritional assessment of
1 Neonate
2 Infant
3 Toddler
4 Preschooler
5 Schooler
6 Adolescent
Administration of medication/fluids–Calculation, preparation and administration of medication
7 Oral, Rectal
8 I/M
9 I/V
10 Intradermal
11 Subcutaneous
12 Calculation of fluid requirements
- Dehydration
- Burns
13 Preparation of different strengths
of I/V fluids
14 Administration of IV fluids
15 Application of restraints
Administration of O2 inhalation by different methods
16 Nasal Catheter/Nasal Prong/

HHNFC
17 Mask
18 Oxygen hood
19 Baby bath/sponge bath
20 Feeding children by Katori

& spoon / paladai, cup
Collection of specimens for common investigations
21 Urine
22 Stool
23 Blood
24 Assisting with
common diagnostic
procedures
(Lumbar puncture, bone
marrow aspiration)
17
Sl. Specific Procedural Performs Assists/ DATE
No. Competencies/Skills independently Observes Signature of
Procedures the Tutor/
Skill Lab/ Clinical
A/O Simulation Area Faculty
Lab
Health education to mothers/parents–Topics
25 Prevention and management of

Malnutrition
26 Prevention and management
of diarrhea (Oral rehydration
therapy)
27 Feeding &
Complementary feeding
28 Immunization schedule
29 Play therapy
30 Conduct individual and
group play therapy sessions
31 Prevention of accidents
32 Bowel wash
33 Administration of suppositories
Care for ostomies:
34 Colostomy Irrigation
35 Ureterostomy
36 Gastrostomy
37 Enterostomy
38 Urinary catheterization
& drainage
Feeding
39 Naso-gastric
40 Gastrostomy
41 Jejunostomy
Care of surgical wounds
42 Dressing
43 Suture removal
II PEDIATRIC OPD / IMMUNIZATION ROOM
Growth and Developmental assessment of children
44 Infant
45 Toddler
46 Preschooler
47 Schooler
48 Adolescent
49 Administration of vaccines/
vaccination
50 Health/ Nutritional education
18
Sl . Specific Procedural Performs Assists/ DATE Signature of
No. Competencies/Skills independently Observes the Tutor/
A/O Lab
III NICCU /PICU
51 Assessment of newborn
52 Care of preterm/LBW newborn
53 Kangaroo care
54 Neonatal resuscitation
55 Assisting in neonatal
diagnostic procedures
56 Feeding of high-risk newborn

–EBM (spoon / paladai)
57 Insertion/removal/feeding–
Naso/oro-gastric tube
58 Administration of
medication–oral/parenteral
59 Neonatal drug calculation
60 Assisting in exchange transfusion

Care of newborn on
Phototherapy
61 Organizing different levels of

neonatal care
62 Care of a child on
ventilator/ CPAP
63 Endotracheal Suction
64 Chest Physiotherapy
65 Administration of fluids
with infusion pumps
66 Total Parenteral Nutrition
67 Recording & reporting
68 Cardio pulmonary
Resuscitation–PLS
19
CLINICAL REQUIREMENTS -V & VI SEMESTER
CHILD HEALTH NURSING - I & II

Pediatric –Medical
1 Nursing care plan–1
2 Case study/presentation –1
3 Health talk–1
Pediatric –Surgical
4 Nursing care plan–1
5 Case study/presentation–1
OPD/Immunization Room
6 Growth and Developmental study:

i. Infant– 1
ii. Toddler– 1
iii. Preschooler–1
iv. Schooler -1
v. Adolescent -1
NICCU/PICU
7 Newborn assessment–1
8 Nursing Care Plan–1
9 Kangaroo mother care–2
10 Nursing care plan of high risk newborn –1
11 Completion of ENBC module
12 Completion of FNBC module
13 Completion of IMNCI module
14 Completion of PLS module
20
V & VI SEMESTER
MENTAL HEALTH NURSING - I & II
Sl .No. Specific Procedural Performs DA
Assists/ Signature of
Competencies/ Skills independently TE
Observes the Tutor/
Procedures
Skill Lab/ Clinical Faculty
A/O Simulation Area
Lab
V &VI SEMESTER –MENTAL HEALTH NURSING – I & II
PSYCHIATRY OPD
1 History taking
2 Mental status examination (MSE)
3 Psychometric assessment
(Observe/practice)
4 Neurological examination
5 Observing & assisting in therapies
Individual and group psycho-education
6 Mental hygiene practiceeducation
7 Family psycho-education
CHILD GUIDANCE CLINIC
8 History Taking & mental status
examination
9 Psychometric assessment
(Observe/ Practice)
10 Observing and assisting in
various therapies
11 Parental teaching for child with
mental deficiency
IN-PATIENTWARD
12 History taking
13 Mental status examination (MSE)
14 Neurological examination
15 Assisting in psychometric
assessment
16 Recording therapeutic
communication
17 Administration of medications
18 Assisting in Electro-convulsive
Therapy (ECT)
19 Participation in all therapies
20 Preparation of patients for Activities
of Daily living (ADL)
21 Conducting admission and
discharge counseling
22 Counseling and teaching patients
and families
COMMUNITY PSYCHIATRY & DEADDICTION CENTRE
23 Conducting home visit and
casework
24 Identification of individuals with
mental health problems
25 Assisting in organizations of
Mental Health camp
26 Conducting awareness meetings
for mental health & mental illness
27 Counseling and Teaching family
members, patients and community
28 Observation of de-addiction care
21
CLINICAL REQUIREMENTS --V & VI SEMESTER
MENTAL HEALTH NURSING I & II
SL. Clinical Requirement Date Signature of the

No. Faculty
Psychiatry OPD
1 History taking and Mental status examination – 2

i.
Ii
3 Observation report of OPD
Child guidance clinic
4 Casework –1
Observation report – Different therapies
In-patient Ward
5 Case study –1
6 Care plan– 2
7 Clinical presentation-1
8 Process recording-2
9 Maintain drug book
Community psychiatry & De-addiction center
10 Case work –1
11 Observation report on field visits: -Visits to

i. Mental Health Rehabilitation centers
ii. Therapeutic community
iii. Children’s home
iv. Correction home
v. Juvenile home
vi. De-addiction center
vii. Alternative method of treatment/therapy center
viii. Special schools (Intellectually Disabled children)
ix. Day care center for mentally ill
x. Home for Destitute
22
V SEMESTER – COMMUNITY HEALTH NURSING - I
INCLUDING ENVIRONMENTAL SCIENCE & EPIDEMIOLOGY

Skill Lab/
Procedures Clinical
A/O Lab
V SEMESTER – COMMUNITY HEALTH NURSING I
INCLUDING ENVIRONMENTAL SCIENCE & EPIDEMIOLOGY
1. 1Interviewing skills (using

communication and interpersonal
skills)
2. 2Conducting community needs

assessment/survey
3. 3Observation skills
4. 4Nutritional assessment skills
5. 5Teaching individuals and families

on nutrition-food hygiene and
safety, healthy lifestyle and
health promotion
6. 6BCC (Behavior change

communication) skills
7. 7Nursing care plan

(Rural / urban) – 1
8. 7Health assessment including

nutritional assessment-different
age groups
● Children under five
● Adolescent
● Woman
9. 8Investigating an epidemic –
Community health survey
10. 9Performing lab tests –

Hemoglobin, blood sugar, blood
smear for malaria, etc.
11. 1Screening, diagnosis and

0primary management of
common health problems in the
community and referral of
high-risk clients (Communicable
Diseases & NCD)
12. 1Documentation skills
1
13. 1Home visit
2
14. 1Participation in national
3health programs
15. 1Participation in school health
4programs
23
CLINICAL REQUIREMENTS -V SEMESTER
COMMUNITY HEALTH NURSING- I INCLUDING ENVIRONMENTAL SCIENCE &
EPIDEMIOLOGY
1 Community needs assessment/survey (Rural/Urban) –1
2 Nursing care plan (Rural / urban) - 1
3 Visits to
– SC/HWC
– PHC
– CHC
4 Observation of nutritional
program-Anganwadi
5 Observation visits
I. Water purification site and Water quality tests
ii. Milk diary/milk processing plant
iii. Slaughter-house/meat processing unit
iv. Market
v. Sewage disposal /waste disposal treatment site
vi. Rain water harvesting unit
vii. Home of destitute/physically challenged
viii. Communicable diseases hospital
ix. Entomology office
x. District TB center
6 Nutritional assessment–Adult (1)
7 Individual health teaching –Adult (1)
8 Use of AV aids – flash cards/posters/flannel graphs/flip charts (Any

Two)
i.
ii.
9 Health assessment of
i. Woman–1
ii. Infant/under-five child– 1
iii. Adolescent–1
iv. Adult–1
10 Growth monitoring of children (under-five)–1
11 Documentation
i. Individual records– 1
ii. Family records –1
12 Investigation of an epidemic –1
13 Screening and primary management of

i. Communicable diseases–1
ii. NCD–1
14 Home visits–2
15 Participation in national health programs–2
16 Participation in school health program–1
24
V SEMESTER
EDUCATIONAL TECHNOLOGY/ NURSING EDUCATION
SL. Specific Procedural Performs Assists/ DATE Signature of

No. Competencies/Skills independently Observes the Tutor/
A/O Lab
V SEMESTER–EDUCATIONAL TECHNOLOGY / NURSING EDUCATION
1 Writing learning outcomes
2 Preparation of lesson plan
3 Practice Teaching/Microteaching
4 Preparation of teaching aids/

media
Preparation of assessment tools
5 Construction of MCQ tests
6 Preparation of
observation checklist
CLINICAL REQUIREMENTS - V SEMESTER

EDUCATIONAL TECHNOLOGY / NURSING EDUCATION

V SEMESTER–EDUCATIONAL TECHNOLOGY / NURSING EDUCATION
1 Microteaching –2
i. Theory – 1
ii. Practical/lab– 1
2 Field Visit to nursing educational institution –

regional/national organization
25
VI SEMESTER
NURSING MANAGEMENT & LEADERSHIP
Skill Lab/ Clinical
Procedures
A/O Lab
VI SEMESTER–NURSING MANAGEMENT & LEADERSHIP
Hospital and Nursing Service Department
1 Preparation of organogram
(hospital/nursing department)
2 Calculation of staffing
requirements for a nursing
unit/ward
3 Formulation of Job description
of nursing officer (staff nurse)
4 Preparation of Patient
assignment plan
5 Preparation of duty roster for
staff/students at different levels
6 Preparation of log book/MMF
for specific equipment/ materials
7 Participation in Inventory
control and daily record keeping
8 Preparation and maintenance
of records & reports such as
incident reports/adverse
reports/audit reports
9 Participation in performance
appraisal/evaluation of
nursing staff
10 Participate in conducting
in-service education for the
staff
College & Hostel
11 Preparation of organogram of
college
12 Formulation of job
description for tutor
13 Participation in performance
appraisal of tutor
14 Preparation of Master plan,
time-table and clinical rotation
15 Preparation of student anecdotes
16 Participation in clinical
evaluation of students
17 Participation in planning and
conducting practical examination
OSCE– end of posting
CLINICAL REQUIREMENTS –
VI SEMESTERNURSING MANAGEMENT & LEADERSHIP
Sl . Clinical Date Signature of the
VI SEMESTER–NURSING MANAGEMENT & LEADERSHIP

1 Field visit to Hospital–regional/national
organization
26
VI &VII SEMESTER
MIDWIFERY/OBSTETRICS AND GYNECOLOGY (OBG) NURSING -I & II
A/O Lab
VI & VII SEMESTER–MIDWIFERY/OBSTETRICS AND GYNECOLOGY (OBG) NURSING –I & II
I ANTENATAL CARE
Health assessment of antenatal woman

1 History Taking including
obstetrical score, Calculation of
EDD, gestational age
2 Physical examination:
head to foot
3 Obstetrical examination
including Leopold’s maneuvers
& auscultation of Fetal heart
sound (fetoscope
/stethoscope/Doppler)
Diagnostic tests
4 Urine pregnancy test/card test
5 Estimation of hemoglobin using

Sahli’s hemoglobinometer
6 Advice/assist in
HIV/HBsAg/VDRL testing
7 Preparation of peripheral
smear for malaria
8 Urine testing for albumin
and sugar
9 Preparation of mother for USG
10 Kick chart/DFMC (Daily Fetal

Movement Count) chart
11 Preparation and recording of
CTG/NST
12 Antenatal counseling for each
trimester including birth
preparedness and
complication readiness
13 Child birth preparation classes
for couples/family
14 Administration of Td/TT
15 Prescription of iron & folic acid
and calcium tablets
27
A/O Lab
II INTRA NATAL CARE
16 Identification and assessment of

woman in labor
17 Admission of woman in labor
18 Performing/assisting CTG
19 Vaginal examination during

labor including Clinical
pelvimetry
20 Plotting and interpretation

of partograph
21 Preparation for birthing/delivery

–physical and psychological
22 Setting up of the birthing

room/delivery unit and
newborn corner/care
Area
23 Pain management during

labor-non-pharmacological
24 Supporting normal births/conduct

normal childbirth in upright
positions/evidence based
25 Essential newborn care
26 Basic newborn resuscitation
27 Management of third stage of

labor – Physiologic
management/active
management (AMTSL)
28 Examination of placenta
29 Care during fourth stage

of labor
30 Initiation of breastfeeding and
lactation management
31 Infection prevention
during labor and newborn
care
III POST NATAL CARE
32 Postnatal assessment and care
33 Perineal/episiotomy care
34 Breast care
35 Postnatal counseling-diet,
exercise & breastfeeding
28
A/O Lab
36 Preparation for discharge
IV NEW BORN CARE
37 Assessment of newborn
38 Weighing of newborn
39 Administration of Vitamin K
40 Neonatal immunization
–Administration of BCG,
Hepatitis B vaccine
41 Identification of minor disorders

of newborn and their
management
V CARE OF WOMEN WITH ANTENATAL, INTRANATAL & POSTNATAL COMPLICATIONS
42 High risk assessment -

identification of antenatal
complications such as
pre-eclampsia, anemia,
GDM, Antepartum
hemorrhage etc.
43 Post abortion care & counseling
44 Glucose challenge test/Glucose

Tolerance test
45 Identification of fetal distress and

its management
46 Administration of MgSo4
47 Administration of antenatal
corticosteroids for preterm
labor
48 Assisting with Medical
induction of labor
49 Assist in Surgical induction
–stripping and artificial rupture
of membranes
50 Episiotomy (only if required) and
repair
51 Preparation for
emergency/elective
caesarean section
52 Assisting in caesarean section
53 Preparation of mother and assist

in vacuum delivery
54 Identification and assisting in

management of
malpresentation and
malposition during labor
55 Preparation and assisting in low
forceps operation
29
Procedures Skill Lab / Clinical
A/O Lab
56 Preparation and assisting in
emergency obstetric surgeries
57 Prescription/administration of
fluids and electrolytes
through intravenous route
Assisting in procedures
58 Assisting in Manual removal

of the placenta
59 Assisting in Bimanual
compression of uterus
/Balloon tamponade for atonic
Uterus
60 Assisting in Aortic
compression or PPH
61 Identification and first aid

management of PPH & obstetric
shock
62 Assisting in management
of obstetric shock
63 Identification and assisting in

management of puerperal sepsis
and administration of
Antibiotics
64 Management of breast
engorgement and
infections
65 Management of thrombophlebitis
HIGH RISK NEWBORN (Some aspects of high-risk newborn care are included in Child Health Nursing)
66 Identification of high-risk
newborn
67 Care of neonate under

radiant warmer
68 Care of neonate on phototherapy
69 Referral and transportation

of high-risk newborn
70 Parental counselling–sick
neonate and neonatal loss
FAMILY WELFARE
71 Post- partum Family

planning counseling
72 Post-partum family planning-

Insertion and removal of
PPIUCD/PAIUCD
30
Competencies/ Skills independently Observes the Tutor/
A/O Lab
73 Counselling of the woman
for Postpartum sterilization
74 Preparation and assisting in

tubectomy
OTHER PROCEDURES
75 Preparation and assisting

for D&C/D&E operations
76 Observation/Assisting in
Manual Vacuum Aspiration
77 Assessment of women
with gynecological
disorders
78 Assisting/performing Pap smear
79 Performing Visual
inspection of cervix with
acetic acid
80 Assisting/observation of cervical
punch biopsy/ Cystoscopy/
Cryosurgery
81 Assisting in
gynecological surgeries
82 Postoperative care of
woman with gynecological
surgeries
83 Counsel on Breast
self-examination
84 Counseling couples
with infertility
85 Completion of safe delivery

app with certification
31
CLINICAL REQUIREMENTS - VI & VII SEMESTER
MIDWIFERY/OBSTETRICS AND GYNECOLOGY (OBG) NURSING-I & II

VI & VII SEMESTER–MIDWIFERY/OBSTETRICS AND GYNECOLOGY (OBG)NURSING- I & II

1 Antenatal assessment and care–20
2 Postnatal assessment and care –15
3 Assessment of labor using partograph–10
4 Per vaginal examination –10
5 Observing normal childbirths /deliveries–10
6 Assisting in conduction of normal childbirth –10
7 Conduction of normal deliveries –10
8 Assisting in abnormal/instrumental deliveries–5
9 Performing placental examination–5
10 Episiotomy and suturing (only if indicated)–3
11 Assist/observe Insertion of PPIUCD–2
12 Newborn assessment–10
13 Newborn resuscitation–5
15 Kangaroo mother care–2
Nursing Care Plan/Clinical presentation with Drug Study

16 Antenatal care
Normal (care plan) –1
High risk (case study/Clinical presentation)–1
17 Intra partum care
High risk (Clinical presentation) –1
18 Postnatal care
High risk (Clinical presentation) –1
19 Newborn care
20 Gynecological condition
Care plan – 1
21 Health talk–individual/group–2
22 Counseling mothers and family members
23 Visit to
● Peripheral health facility/Laqshya certified labor room
● Infertility Centre (Virtual/videos)
24 Completion of SBA Module
25 Completion of Safe Delivery App
32
VII SEMESTER
COMMUNITY HEALTH NURSING - II
Competencies/ Skills independently Observes the Tutor/
Skill Lab/
Procedures Clinical
A/O Lab
VII SEMESTER – COMMUNITY HEALTH NURSING II
1. 1Screening, diagnosing,
management and referral
of clients with common
conditions/emergencies
2. 2Antenatal and postnatal care at
home and health Centre
3. 3Nursing care plan
(Rural / urban) - 1
4. 3Conduction of normal
childbirth & newborn care at
health Centre
5. 4Tracking every pregnancy and
filling up MCP card
6. 5Maintenance of
records/registers/reports
7. 6Adolescent counseling &
participation in youth
friendly services
8. 7Counseling for safe
abortion services
9. 8Family planning counseling
10. 9Distribution of temporary
contraceptives – condoms,
OCP ‘s, emergency
contraceptives, Injectable MPA
11. 1Insertion of interval IUCD
0
12. 1Removal of IUCD
1
13. 1Participation in conducting
2vasectomy/tubectomy camp
14. 1Screening, diagnosis, primary
3management and referral of
clients with occupational
health problems
15. 1Health assessment of elderly
4
16. 1Mental Health screening
5
17. 1Participation in community
6diagnosis–data management
18. 1Writing health
7Centre activity
report
19. 1Participation in organizing
8and conducting clinic/health
camp
20. 1Participation in disaster mock
9drills
21. 2Co-ordinating with ASHAs and
0other community health
workers
33
CLINICAL REQUIREMENTS-VII SEMESTER
COMMUNITY HEALTH NURSING - II
VII SEMESTER –COMMUNITY HEALTH NURSING –II
1. Screening
1 and primary management of
i. Minor ailments–2
ii. Emergencies–1
iii. Dental problems–1
iv. Eye–1
v. ENT –1
2. Primary
2 management and care based on protocols approved by
MOH &FW (Home/health Centre)
3. Screening and primary management of
i. High risk pregnancy
ii. High risk neonate
4. Assessment
4 of
i. Antenatal–1
ii. Intra partum– 1
iii. Postnatal–1
iv. Newborn–1
5. Conduction
5 of normal child birth and documentation–2
6. Immediate new born care and documentation –1
7. Family
7 planning counseling–1
8. Group
8 health education (Rural/urban)–1
9. Adolescent
9 counseling–1
10. Family
1 case study (Rural/urban) –1
0
11. Nursing
1 care plan (Rural / urban) – 1
1
12. Screening,
1 diagnosis, primary management and referral of clients with
1
occupational health problems–2
i.
ii.
13. Health
1 assessment (physical & nutritional) of elderly–1
2
14. Mental
1 health screening survey–1
3
15. Group
1 project–Community diagnosis (data management)
4
16. Writing
1 report on health Centre activity–1
5
17. Participation
1 in organizing and conducting under five/antenatal
6
clinic/health camp – 2
i.
ii.
18. Participation
1 in disaster mock drills
7
19. Field
1 visits
8
- Biomedical waste management site
- AYUSH Centre
- Industry/Factory / Occupational Health Centre
- Geriatric home
20. Report
1 of interaction with MPHW/HV/ASHA/AWWs (Any 2)
1.9
2.
34
VII SEMESTER
NURSING RESEARCH & STATISTICS
Sl. No. Specific Procedural Performs Assists/ DATE Signature of the

Competencies/Skills independently Observes Tutor/
Skill Lab/
Procedures Clinical
A/O
Lab
VII SEMESTER–NURSING RESEARCH & STATISTICS
Research Process Exercise
1 Statement of the problem
2 Formulation of Objectives &

Hypotheses
3 Literature review of
research report/article
4 Annotated bibliography
5 Preparation of sample
research tool
Analysis & Interpretation of data –Descriptive statistics
6 Organization of data
7 Tabulation of data
8 Graphic representation of data
9 Tabular presentation of data
10 Research Project
(Group/Individual)
Title:
CLINICAL REQUIREMENTS - VII SEMESTER

NURSING RESEARCH & STATISTICS
Sl . Clinical Date Signature of the

VII SEMESTER–NURSING RESEARCH
1 Research Project–Group/Individual
Title:
35
VIII SEMESTER (INTERNSHIP)
Sl . Clinical Competencies Date Signature of

No. the
Faculty
VIII SEMESTER (INTERNSHIP)
1 ADULT HEALTH NURSING
2 CHILD HEALTH NURSING
3 MENTAL HEALTH NURSING
4 COMMUNITY HEALTH NURSING
5 MIDWIFERY/OBSTETRICS and GYNECOLOGY(OBG) NURSING
Note: Maximum of 30% of all skills/procedures can be performed by students in skill lab/simulation lab for all
clinical nursing courses except Community Health Nursing and Mental Health Nursing in which the percentage
allowed is only 10%
*–When the student is found competent to perform the skill, it will be signed by the faculty/tutor.
Students: Students are expected to perform the listed skills/competencies many times until they reach level 3 competency,
after which the preceptor signs against each competency.
Preceptors/faculty: Must ensure that the signature is given for each competency only after they reach level 3.
● Level 3 Competency denotes that the student is able to perform that competency without supervision.
● Level 2 Competency denotes that the student is able to perform each competency with supervision.
● Level 1 Competency denotes that the student is not able to perform that competency/skill even with supervision.
Signature of the Faculty Co-Ordinator Signature of the HOD/Principal
36
CLINICAL EXPERIENCE DETAILS
Name of ICU Clinical Condition Number of days care Signature of

given Faculty/Preceptor
Signature of the Faculty Co-Ordinator Signature of the HOD/Principal
37

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KERALA UNIVERSITY OF HEALTH SCIENCES

BACHELOR OF SCIENCE IN NURSING

I Communication and Documentation

II Monitoring Vital Signs

III Hot & Cold Application

IV Health Assessment (Basic–First year level)

V Infection Control in Clinical

35 Pain Assessment (Initial

38 Fall risk assessment & post

VIII Admission & Discharge

41 Transfer (within hospital)

43 Transferring patient from & to bed

46 Individual Patient Teaching

58 Evaluation of Care (Reassessment

60 Planning well balanced diet

61 Making fluid plan

62 Preparation of nasogastric tube

64 Maintaining intake & output chart

65 Intra venous Infusion Plan

XV Diagnostic Tests-Specimen collection

72 Timed urine specimen collection

73 Feces specimen for routine

XVI Oxygenation Needs/Promoting Respiration

81 Oxygen administration using

XVIII Death and dying

87 Death care/ Last Office

XIX First Aid and Emergencies

100 Basic CPR (first aid module)

3 Fall risk assessment –2

4 Pressure Sore Assessment –2

10 Completion of first aid module

11 Completion of Health assessment module

Sl. No. Specific Procedural Performs Assists/ DATE Signature of

2 IV maintenance & monitoring

4 Care of patient with Central Line

Preparation, assisting, and after-care of patients undergoing diagnostic procedures

Respiratory therapies and monitoring

12 Care of patient withchest

15 Performing and monitoring

18 Immediate Post-operative care

20 Pain assessment and management

Assisting diagnostic procedures and after-care of patients undergoing

34 Recording and interpreting ECG

35 Arterial blood gas analysis–

37 Preparation and after care of

Collection of blood sample for

43 Assisting for bone

49 Intradermal injection-BCG and

50 Barrier nursing & Reverse

53 Assisting with application

54 Preparation, assisting and

56 Muscle strengthening exercises

VII OPERATION ROOM

59 Position and draping

60 Preparation of operation table

61 Setup of trolley with instrument

62 Assisting in major and

63 Disinfection and sterilization of