In exercise of the powers conferred by sub section (1) of Section 16 of Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations

REGD. No. D. L.-33004/99 xxxGIDExxx EXTRAORDINARY PART III—Section 4 PUBLISHED BY AUTHORITY No. 84] NEW DELHI, THURSDAY, JANUARY 30, 2025/MAGHA 10, 1946 CG-DL-E-04022025-260753 INDIAN NURSING COUNCIL NOTIFICATION New Delhi,the 8th January,2025 INDIAN NURSING COUNCIL {NURSE PRACTITIONER IN PEDIATRIC NURSING (NPPN) - POSTGRADUATE RESIDENCY PROGRAM} REGULATIONS, 2024 F.No. 11-1/2024-INC (XI):—In exercise of the powers conferred by sub-section (1) of Section 16 of Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations, namely:— 1. SHORT TITLE AND COMMENCEMENT i. These Regulations may be called the Indian Nursing Council {Nurse Practitioner in Pediatric Nursing (NPPN) - Postgraduate Residency Program} Regulations, 2024. ii. These shall come into force on the date of notification of the same in the Official Gazette of India. 2. DEFINITIONS In these Regulations, unless the context otherwise requires, i. ‘the Act’ means the Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time; ii. ‘the Council’ means the Indian Nursing Council constituted under the Act; iii. ‘SNRC’ means the State Nurse and Midwives Registration Council, by whichever name constituted, by the respective State Governments; iv. ‘RN & RM’ means a Registered Nurse and Registered Midwife (RN & RM) and denotes a nurse who has completed successfully, recognised Bachelor of Nursing (B.Sc. Nursing) or Diploma in General Nursing and Midwifery (GNM) course, as prescribed by the Council and is registered in a SNRC as Registered Nurse and Registered Midwife; v. ‘Nurses Registration & Tracking System (NRTS)’ means a system developed by the Council and software developed in association with National Informatics Centre (NIC), Government of India, and hosted by NIC for the purpose of maintenance and operation of the Indian Nurses Register. It has standardised forms for collection of the data of Registered Nurse and Registered Midwife (RN & RM)/Registered Auxiliary Nurse Midwife (RANM)/Registered Lady Health Visitor (RLHV) upon Aadhar based biometric authentication; vi. ‘NUID’ is the Nurses Unique Identification Number given to the registrants in the NRTS system; vii. ‘General Nursing and Midwifery (GNM)’ means Diploma in General Nursing and Midwifery qualification recognized by the Council under Section 10 of the Act and included in Part-I of the Schedule of the Act. NURSE PRACTITIONER IN PEDIATRIC NURSING (NPPN) - POSTGRADUATE RESIDENCY PROGRAM I. Introduction and Background 1.1 Introduction WHO defines the children within the age group from birth to 18 years. India is home to over 444 million children, which is one of the world’s largest child and adolescent populations (Children in India: Statistics & Facts, 2023). Children are a vulnerable and at-risk age group. The health and well-being of children are central to commitments made by the Government of India as children are the future of the country. In 2015, India became one of the 193 countries to commit to the Sustainable Development Goals (SDGs) and aims to transform the world by 2030 to a more prosperous, more equal, and more secure planet for all. India’s responsibility is immense as these ambitious goals cannot be achieved without addressing the major health indicators. The current infant mortality rate is as high as 26.62 deaths per 1000 live births with a 3.89% decline in 2022 (United Nations' Projections, 2023). Enhancing the health systems in all dimensions of health in the country has been recognized as an important need in the National Health Policy, 2017. Accelerating advances in shaping the health system and empowering the health personnel caring for children will improve the quality of health services in the pediatric age group. The Government of India recognizes significant expansion in the health care services of children in all settings, both in public and private health sectors. Capacity building of pediatric health care professionals is highly significant in managing children and it requires advanced educational preparation/training for the health care and management of this population. To support the health system, pediatric nurses with advanced preparation as Nurse Practitioner in Pediatric Nursing (NPPN) can contribute significantly to the care and management of children in the respective health facilities. Developing pediatric nursing professional in the advanced role is critical. The preparation/training focuses on child survival, child health, child well-being, child safety, reduction in child morbidity and mortality and improved health and illness outcomes. 1.2 Preparing Nurse Practitioner in Pediatric Nursing (NPPN) with advanced roles for the future of India Quality education is essential to prepare nurses with competencies, knowledge, and skills to function within the full scope of nursing practice. The professional role of the nurse has been advancing in developed countries with the specialized extended and expanded roles. Pediatric nurses with advanced preparation as Nursing Practitioners in Pediatric Care will be able to meet this demand for the health and disease management of children, provided they are well-trained and empowered to practice. With the establishment of new cadres in the Center and State level, master level prepared NPPN will be able to provide cost-effective, competent, safe, and quality-driven specialized nursing care to children in a variety of facilities/settings, where children are admitted. Nurse practitioners have been prepared and functioning in the USA and Canada since the 1960s, UK since the 1980s, Australia since the 1990s, and the Netherlands since 2010. It is timely that in India we move ahead with our partners in the nursing profession as in developed countries. The Nurse Practitioner in Pediatric Nursing can be prepared by rigorous educational preparation/training which will enable them to assess and manage children for prevention and promotion and curative domains of health and function in outpatient services and acute care settings in collaboration and coordination with the medical team. A curricular structure/framework is proposed by the Council for the preparation of NPPN at the master’s level. The special feature of the NPPN program is that it is a clinical residency program emphasizing a strong clinical component with 15% theoretical instruction and 85% practicum. The major approach for the NPPN program will be Competency Based Training. The NPPN education is based on competencies adapted from the International Council of Nurses (ICN, 2020), Society of Pediatric Nurses (2020) and National Organization of Nurse Practitioners U.S. (NONPF) Competencies (2022). Every course is based on achievement of competencies. Scope of Practice The Nurse Practitioner in Pediatric Nursing (NPPN) Program is intended to prepare registered B.Sc. Nurses to provide advanced nursing care to children in Pediatric OPDs, Pediatric wards, Emergency units/PICUs, Community Health Centers and District Hospital settings. Nurse Practitioners are required to practice both in the community and clinical care settings such as Pediatric OPDs, Pediatric wards, Community Health Centers and District Hospitals. Nursing care is focused on in-depth assessment of children, stabilization of the child in acute conditions, performing basic investigations, diagnosis of the condition in consultation with doctors, and therapeutic management of the child minimizing acute complications and maximizing restoration of health. On completion of the program and registration with the respective State Council, they are permitted to practice all competencies listed in the logbook of the Council syllabus and independently prescribe, administer drugs, and order diagnostic tests, procedures, medical equipment, and therapies as per institutional protocols/standing orders at an advanced level. The NPPN when exercising this authority with accepted levels of autonomy, are highly accountable for the following competencies: The NPPN will be competent to a) Perform in-depth comprehensive assessment and problem identification of children b) Diagnose the condition by consulting with the pediatrician/physician c) Perform the required diagnostic tests and interpretation of the diagnostic tests d) Manage the illness according to the therapeutic protocol in collaboration with the pediatricians/physicians e) Transfer patients from OPD to the wards using the criteria of selection/admission of the child from OPD and Pediatric emergencies to the wards f) Discharge in consultation with the pediatrician/physician g) Select/administer of medication or devices or therapies h) Educate child and parents for use of therapeutics i) Demonstrate knowledge of interactions of therapeutics j) Provide health education to children and their families k) Evaluate outcomes l) Recognize and manage complications and untoward reactions m) Conduct clinical projects for contribution towards evidence-based innovations in clinical practice. The NPPN is prepared and qualified to assume responsibility and accountability for the care of children under his/her care. The said postgraduate degree will be registered as an additional qualification by the SNRC. Philosophy The Council believes that strengthening education to International Standards in nursing is a key step to address the challenges and demands of health care needs of children and thereby improve the health care of children in India. Establishing the Nurse Practitioner in Pediatric Nursing Program at postgraduate level with an advanced level of preparation will be able to meet the aspiration of the Government of India reflected in the National Health Policy 2017 (NHP, 2017) to provide safe and quality care to children and their families in their autonomous role. The Council believes that the NPPN program focused on strong clinical components and competency-based training must be able to demonstrate clinical competence based on sound theoretical and evidence-based knowledge. The teaching-learning approach should focus on adult learning principles, competency-based education, collaborative learning, clinical learning with medical and nursing preceptors, experiential learning, and self-directed learning. Education providers/preceptors/mentors must update their current knowledge and practices. Medical faculty are involved in participating as preceptors in the training. The Council also believes that a variety of educational strategies can be used in clinical settings to address the lack of qualified and specialized pediatric nursing clinical practitioners who will provide safe and quality patient care to the pediatric population. It is hoped to facilitate developing policies towards registration/licensure and create cadre positions for appropriate placement of these postgraduate level NPPN to function in OPDs, acute and chronic care units of primary, secondary, and tertiary care settings. An educational framework for the NPPN curriculum is proposed (See Figure 1). Figure 1. Nurse Practitioner in Pediatric Nursing (NPPN) - An Educational Curricular Framework +-----------------------------------------------------------------------+ | Strong | | Clinical | | Component | | (Clinical | | Residency) | | | | Theory-15% | | | | | | | | I. Core Courses | | | | • Theoretical Basis for | | Advanced Practice | | Nursing | | • Research Application | | and Evidence Based | | Practice in Pediatric Care | | • Advance Skills in | | Leadership, Management | | and Teaching | | | | NPPN | | | | | | • Foundations | | of Pediatric | | Nursing | | Practice | | • Pediatric | | Nursing I | | • Pediatric | | Nursing II | | | | Practicum - 85% | | | | | | | | Advanced Advanced | | Knowledge and Knowledge and | | Ethics Ethics | | | | • Advanced | | Pathophysiology | | applied to | | Pediatric Care | | • Advanced | | Pharmacology | | applied to | | Pediatric Care | | • Advanced | | Health/Physical | | Assessment | | in Pediatric | | Nursing | | | +-----------------------------------------------------------------------+ Registered B.Sc./P.B.B.Sc. Nurse with 1 year Clinical Experience in Pediatric Units (Entry requirement) II. Program Description The Nurse Practitioner in Pediatric Nursing (NPPN) program is a nursing residency program with a focus on competency based training. The duration is of two years with the curriculum consisting of theory that includes core courses, advanced practice courses and clinical practicum which is a major component (Refer Curricular framework). III. Aim The NPPN program prepares registered B.Sc. nurses for advanced practice roles as clinical experts, managers, educators and consultants leading to M.Sc. Nursing (Nurse Practitioner in Pediatric Nursing-NPPN). IV. Objectives On completion of the program, the Nurse Practitioner in Pediatric Nursing will be able to - 1. Assume responsibility and accountability to provide competent care to children and their families in the primary, secondary and tertiary care settings. 2. Demonstrate clinical competence/expertise in providing care to children which includes diagnostic reasoning, monitoring, and therapeutic management. 3. Apply theoretical, pathophysiological, and pharmacological principles and evidence base in implementing therapies/interventions in the care of children. 4. Assess and participate in treating pediatric patients, stabilize and restore towards improved clinical outcomes and minimize or manage complications independently or collaboratively in partnership with the health care team. 5. Collaborate with other health care professionals, across the illness to health continuum of care of the children. V. Minimum requirements to start the Nurse Practitioner in Pediatric Nursing (NPPN) Program The institution must accept the accountability for the NPPN program and its students and offer the program congruent with the Council standards. It must fulfill the following requirements - 1. Essentiality Certificate a. Institution who wishes to start the NPPN program shall obtain an essentiality certificate/Government order from State. b. The following institutions are exempted from obtaining an essentiality certificate - (i) Institutions/Universities already offering B.Sc. Nursing or M.Sc. Nursing programs approved by the Council. (ii) Institutions/Universities offering MBBS/DNB programs. 2. Hospital The hospital should be a parent tertiary care center, with a minimum of 200 beds with pediatric wards, emergency unit/PICU, pediatric OPD and pediatric operating room. It may be attached to either a Medical College or Nursing College. 3. Pediatric Beds The parent hospital should have a minimum of 50 pediatric beds, run a pediatric OPD preferably a pediatric emergency unit with 3-5 beds and PICU/PHDU with a minimum of 5 beds as well. 4. OPD and Ward staffing a. OPD needs to have one charge nurse or staff in charge with B.Sc. or M.Sc. qualification. b. The nurse-patient ratio should be 1:4 for every shift in general wards and 1:2 in sick cubicles in the wards. c. The staffing for PICU is 1:1 for ventilated patients and in PHDU 1:2. d. In pediatric emergency services it should be 1:2. e. There must be provision of additional 45% trained nursing staff towards leave reserve. 5. Faculty/Staff resources a) Clinical area i. Nursing Preceptor: Full-time qualified GNM (preferably qualification in Post Basic Diploma in Pediatric Nursing/Neonatal Nursing) with 6 years of experience in Pediatric Unit or B.Sc. Nursing with 2 years of experience in Pediatric Unit or M.Sc. (Pediatric Nursing) with one year experience in Pediatric Unit. ii. Medical Preceptor: MD Pediatrics. iii. Preceptor Student Ratio: Nursing 1:10, Medical 1:10 (Every student must have a medical and a nursing preceptor). b) Teaching faculty: Fulltime faculty qualified M.Sc. in Pediatric Nursing (1 faculty for every 10 students): i. Professor/Associate Professor: 1 {Teaching experience: 5 years post PG-M.Sc. (Pediatric Nursing)} (One faculty for every 10 students) ii. Assistant Professor: 1 (Teaching experience: 3 years post M.Sc. Nursing) iii. The above faculty shall perform dual role or be a senior nurse with the above qualification and experience employed in the same hospital iv. Guest Lecturers for Pharmacology, Pathophysiology, Pediatric Surgery, Neonatology, Pediatric emergencies/critical care and therapies 6. Physical and Learning Resources at the Institute/Hospital a. One classroom/conference room in the clinical setting b. Skill lab for simulated learning (hospital/college) c. Library and computer facilities with access to online/offline journals d. E-learning facilities 7. List of equipment for Pediatric ward (enclosed Appendix 1) 8. Student Recruitment/Admission Requirements a. The applicants must be a registered nurse with B.Sc. Nursing/P.B.B.Sc. Nursing qualification and have a minimum of one-year clinical experience, preferably in any pediatric care setting prior to enrollment. b. Must have undergone B.Sc. Nursing in an institution found suitable by the Council and have been registered by the respective SNRC. c. Must have scored not less than 55% aggregate marks in the B.Sc. Nursing program. d. Selection must be based on the merit of an entrance examination and interview held by the competent authority. e. Must be physically fit. Number of candidates: One candidate for every 10 pediatric beds. Salary 1. In-service candidates will get regular salary. 2. Stipend/Salary for the other candidates as per the salary structure of the hospital where the course is conducted. VI. EXAMINATION REGULATIONS Eligibility for appearing for the examination Attendance: Minimum 80% for theory and practical before appearing for final University examination but must complete 100% in practical before the award of degree. There is no minimum cut off for the internal assessment marks, as internal and external marks are added together for declaring pass. Examining and Degree Awarding Authority: Respective University Declaration of Results The candidate is declared to have passed the exam if the score is 60% and above. This score is the aggregate of both internal and external university examination in theory and practical in every course/subject and less than 60% is fail. For calculating the rank, the aggregate of the two years’ marks will be considered. If a candidate fails in theory or practical, he/she must appear for the paper in which he/she has failed. Rank will not be declared for candidates who fail in any subject. Maximum period to complete the program is 4 years. Practical Examination OSCE type of examination is to be conducted alongside viva - Refer OSCE Guidelines found in Appendix 2. Maximum number of students per day will be 10 students. Examination should be held in the clinical area only. The team of practical examiners will include one internal examiner {M.Sc. Nursing faculty with two years of experience in teaching the Nurse Practitioner in Pediatric Nursing/M.Sc. (Pediatric Nursing Specialty) Nursing faculty with 5 years of post PG experience}, one external examiner (same as above) and one medical internal examiner who should be preceptor for Nurse Practitioner in Pediatric Nursing program. Dissertation Research Guide: Main guide: Nursing faculty (3 years post PG experience) teaching NPPN program Co-guide: Medical preceptor Submission of Research Proposal: 6 to 9 months after date of admission in the first year. Guide Student Ratio: 1:5 Research Committee There shall be a separate research committee in the college/hospital to guide and oversee the progress of the research (minimum of 5 members with principal or CNO who is M.Sc. Nursing qualified). Ethical Clearance: It must be obtained by the hospital ethics committee since it involves clinical research. Topic Selection: The topic should be relevant to pediatric nursing that will add knowledge or evidence for nursing intervention. The research should be conducted in pediatric care settings. Data Collection: 7 weeks are allotted for data collection, which can be integrated during clinical experience after 6 months in first year and before 6 months in second year. Writing the Research Report: 6-9 months in second year. Submission of Dissertation Final: 3 months before completion of the second year. Dissertation Examination Internal assessment: Viva and dissertation report = 50 marks. University Examination: Viva and dissertation report = 50 marks. (Marking guide used for other M.Sc. Nursing specialties can be used for evaluation). *EBP project can be conducted in place of dissertation and report submitted for evaluation. VII. Assessment (Formative and Summative) • Quiz • Seminar • Written assignments/Term papers • Case/Clinical presentation • Clinical or care pathway/Case study report • Clinical performance evaluation • Logbook (Procedural Competency list and clinical requirements) counter signed by the pediatric/nursing faculty preceptor • Objective Structured Clinical Examination (OSCE) • Test papers • Final examination Assessment Guidelines: Appendix 2 Scheme of Final Examination +---------+------------------------------------------------+----------+----------+-----------+-----------+ | S.No. | Title | Theory % | | Practical % | | | | | Hours | Internal | External | Hours | Internal | External | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | Ist year | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | Core Courses | | | | | | | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | 1 | Theoretical Basis for Advanced Practice | 2 hours | 50 | | | | | | | Nursing | | | | | | | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | 2 | Research Application and Evidence | 3 hours | 30 | 70 | | | | | | Based Practice in Pediatric Care | | | | | | | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | 3 | Advanced Skills in Leadership, | 3 hours | 30 | 70 | | | | | | Management and Teaching | | | | | | | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | Advanced Practice Courses | | | | | | | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | 4 | Advanced Pathophysiology & Advanced | 3 hours | 30 | 70 | | | | | | Pharmacology applied to Pediatric Care | | | | | | | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | 5 | Advanced Health/Physical Assessment in | 3 hours | 30 | 70 | 50 | 50 | | | | Pediatric Nursing | | | | | | | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | IInd year | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | Specialty Courses | | | | | | | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | 1 | Foundations of Pediatric Nursing | 3 hours | 30 | 70 | 100 | 100 | | | | Practice | | | | | | | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | 2 | Pediatric Nursing I | 3 hours | 30 | 70 | 100 | 100 | | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | 3 | Pediatric Nursing II | 3 hours | 30 | 70 | 100 | 100 | | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ | 4 | Dissertation/EBP Project and Viva | - | - | | 50 | 50 | | +---------+------------------------------------------------+----------+----------+----------+-----------+-----------+ VIII. COURSES OF INSTRUCTION +---------+------------------------------------------------+----------+-------------+-----------+ | S.No. | Title | Theory | Lab/Skill | Clinical | | | | (hours) | Lab (hours) | (hours) | +---------+------------------------------------------------+----------+-------------+-----------+ | Ist year | +---------+------------------------------------------------+----------+-------------+-----------+ | Core Courses | | | | +---------+------------------------------------------------+----------+-------------+-----------+ | I | Theoretical Basis for Advanced Practice Nursing| 40 | | | +---------+------------------------------------------------+----------+-------------+-----------+ | II | Research Application and Evidence Based Practice| 56 | 24 | 336 (7 weeks) | | | in Pediatric Care | | | | +---------+------------------------------------------------+----------+-------------+-----------+ | III | Advanced Skills in Leadership, Management and | 56 | 24 | 192 (4 weeks) | | | Teaching | | | | +---------+------------------------------------------------+----------+-------------+-----------+ | Advanced Practice Courses | | | | +---------+------------------------------------------------+----------+-------------+-----------+ | IV | Advanced Pathophysiology applied to Pediatric | 60 | | 336 (7 weeks) | | | Care | | | | +---------+------------------------------------------------+----------+-------------+-----------+ | V | Advanced Pharmacology applied to Pediatric Care| 54 | | 336 (7 weeks) | +---------+------------------------------------------------+----------+-------------+-----------+ | VI | Advanced Health/Physical Assessment in | 70 | 48 | 576 (12 weeks)| | | Nursing | | | | +---------+------------------------------------------------+----------+-------------+-----------+ | TOTAL | 2208 hours | 336 (7 | 96 (2 weeks)| 1776 (37 | | | | weeks) | | weeks) | +---------+------------------------------------------------+----------+-------------+-----------+ | IInd year | +---------+------------------------------------------------+----------+-------------+-----------+ | Specialty Courses | | | | +---------+------------------------------------------------+----------+-------------+-----------+ | VII | Foundations of Pediatric Nursing Practice | 96 | 48 | 576 (12 weeks)| +---------+------------------------------------------------+----------+-------------+-----------+ | VIII | Pediatric Nursing I | 96 | 48 | 576 (12 weeks)| +---------+------------------------------------------------+----------+-------------+-----------+ | IX | Pediatric Nursing II | 96 | 48 | 624 (13 weeks)| +---------+------------------------------------------------+----------+-------------+-----------+ | TOTAL | 2208 hours | 288 (6 | 144 (3 | 1776 (37 | | | | weeks) | weeks) | weeks) | +---------+------------------------------------------------+----------+-------------+-----------+ Number of weeks available in a year = 52-6 (Annual leave, Casual leave, Sick leave = 6 weeks) = 46 weeks × 48 hours = 2208 hours Two years = 4416 hours (Examination during clinical posting) Instructional Hours: Theory = 624 hours, Skill lab = 240 hours, Clinical = 3552 hours TOTAL= 4416 hours Ist year: 336-96-1776 hours (Theory-Skill Lab-Clinical) [Theory = 15%, Practicum (Skill Lab + Clinical) = 85%] IInd year: 288-144-1776 hours (Theory-Skill Lab-Clinical) [Theory = 15%, Practicum (Skill Lab + Clinical) = 85%] Ist year = 46 weeks/2208 hours (46×48 hours) (Theory + Lab: 7.5 hours per week for 44 weeks = 336 + 96 hours*) *Theory + Lab = 96 hours can be given for 2 weeks in the form of introductory block classes and workshops IInd year = 46 weeks/2208 hours (46×48 hours) (Theory + Lab: 8.5 hours per week for 45 weeks = 384 + 48 hours) (1 week Block classes = 48 hours) CLINICAL PRACTICE A. Clinical Residency experience: A minimum of 48 hours/week is prescribed, however, it is flexible with different shifts and week Off followed by on call duty. B. 8 hours duty with one day OFF in a week and ON CALL duty one per week. Clinical placements Ist year: 44 weeks (excludes 2 weeks of introductory block classes and workshop) • Pediatric Medical Wards - 10 weeks • Pediatric Surgical Wards - 6 weeks • Pediatric OPD - 6 weeks • Pediatric Emergency Unit - 4 weeks • Pediatric ICU - 2 weeks • Neonatal ICU - 2 weeks • Pediatric Orthopedics - 2 weeks • Immunization Clinic including Storage, Cold Chain Management - 2 weeks • Nursery - 4 weeks • Secondary Care Hospital/CHC - 3 weeks • District Hospital - 2 weeks • Field Visits - 1 week II year: 45 weeks (excludes one week of block classes) • Pediatric Medical Wards - 9 weeks • Pediatric Surgical Wards - 4 weeks • Pediatric OPD - 2 weeks • Pediatric Operation Theatre - 4 weeks • Pediatric Oncology Ward - 2 weeks • Pediatric Neurology Ward - 2 weeks • Pediatric Nephrology Ward - 2 weeks • Burns Unit/Ward - 2 weeks • Pediatric Psychiatry OPD - 1 week • Special School - 1 week • PICU - 2 weeks • NICU - 2 weeks • Pediatric Emergency Unit - 4 weeks • Communicable Diseases Ward/Isolation Ward - 3 weeks • Secondary Care Hospital/CHC - 2 weeks • District Hospital - 2 weeks • Field Visits - 1 week C. Teaching methods Teaching - theoretical, lab & clinical can be done in the following methods and integrated during clinical posting: • Experiential learning • Reflective learning • Simulation • Clinical conference • Case/clinical presentation • In depth drug study, presentation and report • Nursing rounds • Clinical seminars • Journal clubs • Case study/Clinical or care pathway • Advanced health assessment • Faculty lecture in the clinical area • Directed reading • Assignments • Case study analysis • Workshops D. Procedures/Logbook At the end of each clinical posting, clinical logbook (Specific Procedural Competencies/Clinical Skills) (Appendix 3) and Clinical Requirements (Appendix 4) have to be signed by the preceptor/faculty every fortnight. E. NPPN Competencies (Adapted from NONPF, 2022 & SPN, 2020) 1. Uses advanced comprehensive assessment, diagnostic, treatment planning, implementation and evaluation skills 2. Applies sound advanced clinical reasoning and decision making to inform, guide and teach in practice 3. Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and discontinue therapeutic relationships 4. Administer drugs and treatments according to institutional protocols 5. Practices independently where authorized and the regulatory framework allows in the interest of the patients, families and communities 6. Works in collaboration with other health care team members in the interest of the patient 7. Develops a practice that is based on current scientific evidence and incorporated into the health management of children and their families and communities 8. Uses research to produce evidence-based practice to improve the safety, efficiency and effectiveness of care through independent and inter-professional research 9. Engages in ethical practice having a sound knowledge of law, ethics and regulations in pediatric nursing practice 10. Accepts accountability and responsibility for own advanced professional judgement, actions, and continued competence 11. Creates and maintains a safe therapeutic environment through the use of risk management strategies and quality improvement 12. Assumes leadership and management responsibilities in the delivery of efficient advanced practice at all levels of health care services in a changing health care system 13. Acts as an advocate for children and their families in the health care systems and the development of health policies that promote, protect and empower the child, family and community 14. Adapts practice to the contextual and cultural milieu F. Institutional Protocol/Standing Orders-based administration of drugs & ordering of investigations and therapies The students will be trained to independently administer drugs and order diagnostic tests, procedures, medical equipment and therapies as per institutional protocols/standing orders (Appendix 5 Standing Orders). Administration of emergency drugs is carried out in consultation with concerned pediatrician/physician and endorsed later by written orders. Implementation of Curriculum - A tentative plan +---------+------------------------------------------------+-------------+-----------+--------------------------+--------------------------+ | I year | Courses | Introductory| Workshop | Theory integrated | Methods of teaching | | st | | classes | | into clinical | (Topic can be specified) | | | | | | practicum | | +---------+------------------------------------------------+-------------+-----------+--------------------------+--------------------------+ | 1. | Theoretical Basis for | 8 hours | | 1×32=32 hours | • Seminar/Theory application| | | Advanced Practice | | | | • Lecture (faculty) | | | Nursing (40) | | | | | +---------+------------------------------------------------+-------------+-----------+--------------------------+--------------------------+ | 2. | Research Application | 8 hours | 40 (5 days)| 1×24=24 hours | • Research study analysis| | | and Evidence Based | | + 8 hours | | • Exercise/Assignment (lab)| | | Practice in Pediatric | | | | | | | Care (56+24) | | | | | +---------+------------------------------------------------+-------------+-----------+--------------------------+--------------------------+ | 3. | Advanced Skills in | 12+2 hours | | 1×26=26 hours | • Clinical conference | | | Leadership, | | | 2.5×16=40 hours | • Seminar | | | Management and | | | | • Exercise/Assignment (lab)| | | Teaching (56+24) | | | | | +---------+------------------------------------------------+-------------+-----------+--------------------------+--------------------------+ | 4. | Advanced | | | 1.5×40=60 hours | • Case presentation | | | Pathophysiology | | | | • Seminar | | | applied to Pediatric | | | | • Clinical conference | | | Care (60) | | | | | +---------+------------------------------------------------+-------------+-----------+--------------------------+--------------------------+ | 5. | Advanced | 10 hours | | 1×44=44 hours | • Nursing rounds | | | Pharmacology applied | | | | • Drug study presentation| | | to Pediatric Care (54) | | | | • Standing orders/ | | | | | | | presentation | +---------+------------------------------------------------+-------------+-----------+--------------------------+--------------------------+ | 6. | Advanced Health/ | 8 hours | | 2×26=52 hours | • Clinical demonstration | | | Physical Assessment | | | 1.5×18=27 hours | (faculty) | | | in Pediatric Nursing | | | 1×15=15 hours | • Return demonstration | | | (70+48) | | | 2×6=12 hours | • Nursing rounds | | | | | | 2×2=4 hours | • Physical assessment | | | | | | | (all systems) | | | | | | | • Case study | +---------+------------------------------------------------+-------------+-----------+--------------------------+--------------------------+ | TOTAL | 48 hours | 48 hours | 336 hours | | +---------+------------------------------------------------+-------------+-----------+--------------------------+--------------------------+ Ist year: Introductory classes = 1 week (48 hours), Workshop = 1 week (48 hours), 44 weeks = 7.5 hours per week (330/336 hours) +---------+------------------------------------------------+--------------------------+--------------------------+ | I year | courses | Theory & skill lab | Methods of teaching | | IInd | 1 week Block classes (48 hours) | integrated | | | | | into clinical practicum | | +---------+------------------------------------------------+--------------------------+--------------------------+ | 7. | Foundations of Pediatric Nursing | 9×16=144 hours | • Demonstration (lab) | | | Practice | | • Return demonstration | | | (96+48) = 144 hours | | (lab) | | | | | • Clinical teaching | | | | | • Case study | | | | | • Seminar | | | | | • Clinical conference | | | | | • Faculty lecture | +---------+------------------------------------------------+--------------------------+--------------------------+ | 8. | Pediatric Nursing I | 9×16=144 hours | • Demonstration (lab) | | | (96+48 hours) = 144 hours | | • Return Demonstration | | | | | (lab) | | | | | • Clinical conference/ | | | | | journal club | | | | | • Seminar | | | | | • Case presentation | | | | | • Drug study (including | | | | | drug interaction) | | | | | • Nursing rounds | | | | | • Faculty lecture | +---------+------------------------------------------------+--------------------------+--------------------------+ | 9. | Pediatric Nursing II | 9×16=144 hours | • Demonstration (lab) | | | (96+48 hours) = 144 hours | | • Return Demonstration | +---------+------------------------------------------------+--------------------------+--------------------------+ IInd year: Block classes = 1 week, 45 weeks = 8.5/9 hours per week Topic for every teaching method will be specified in the detailed plan by the respective teacher/institution concerned. CORE COURSES I. Theoretical Basis for Advanced Practice Nursing COMPETENCIES 1. Analyses the global health care trends and challenges in child health 2. Analyses the impact of health care and education policies for children in India on nursing consulting the literature and documents available 3. Develops in depth understanding of the health care delivery system in India, and its challenges related to child care 4. Applies economic principles relevant to delivery of health care services in child health 5. Manages and transforms health information to impact health outcomes for children and their families such as cost, quality and consumer satisfaction 6. Accepts the accountability and responsibility in practicing the roles and competencies in child health settings 7. Participates in collaborative practice within the interdisciplinary health care team members in pediatric units and performs the prescriptive roles within the licensed scope of practice 8. Engages in ethical practice having a sound knowledge of law, ethics and regulations in pediatric nursing practice 9. Uses the training opportunities provided through well planned preceptorship and performs safe and competent care applying nursing process/care pathways or clinical pathways 10. Applies the knowledge of nursing theories in providing competent care to children and their families 11. Predicts future challenges of roles of Nurse Practitioners in Pediatric Nursing in variety of health care settings for children in India Hours of Instruction: Theory: 40 hours +---------+------------------------------------------------------------------------------------------------+-------+ | S.No. | Topic | Hours | +---------+------------------------------------------------------------------------------------------------+-------+ | 1. | Global Health Care Challenges and Trends in Pediatric Care (Competency 1) | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | 2. | Health System in India | | | | Health Care Delivery System in India - Changing Scenario (Competency 3) | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | 3. | National Health Planning - Five-Year Plans, National Health Policy and National Health | | | | Mission (Competency 2) | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | 4. | Health Economics and Health Care Financing (Competency 4) | 4 | +---------+------------------------------------------------------------------------------------------------+-------+ | 5. | Health Information System including Nursing Informatics (Use of Computers) | | | | (Competency 5) | 4 | +---------+------------------------------------------------------------------------------------------------+-------+ | Advanced Practice Nursing in Pediatric Care | | +---------+------------------------------------------------------------------------------------------------+-------+ | 6. | APN - Definition, Scope, Philosophy, Accountability, Roles and Responsibilities | | | | (Collaborative Practice and Nurse Prescribing Roles) (Competency 6 and 7) | 3 | +---------+------------------------------------------------------------------------------------------------+-------+ | 7. | Regulation (Accreditation of Training Institutions/Hospitals and Credentialing) and | | | | Ethical Dimensions of Advanced Practice Nursing Role (Competency 8) | 3 | +---------+------------------------------------------------------------------------------------------------+-------+ | 8. | Nurse Practitioner - Roles, Types, Competencies, Clinical Settings for Practice, | | | | Cultural Competence (Competency 6) | 3 | +---------+------------------------------------------------------------------------------------------------+-------+ | 9. | Training for NPs - Preceptorship (Competency 9) | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | 10. | Future Challenges of Practice by NPs (Competency 11) | 4 | +---------+------------------------------------------------------------------------------------------------+-------+ | 11. | Theories of Nursing applied to APN (Competency 10) | 3 | +---------+------------------------------------------------------------------------------------------------+-------+ | 12. | Nursing Process/Care Pathway applied to APN (Pediatric Nursing) (Competency 9) | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | Self-Learning Assignments | 6 | +---------+------------------------------------------------------------------------------------------------+-------+ | Total | | 40 | +---------+------------------------------------------------------------------------------------------------+-------+ Bibliography • AACN (2021) The Essentials: Core Competencies for Professional Nursing Education - Entry Level and Advanced Level Nursing Education, American Association of Colleges of Nursing • Barkers A.M. (2009) Advanced Practice Nursing, Massachusetts: Jones & Bartlett Publishers • Datta Parul (2023) Pediatric Nursing (6th ed), New Delhi: Jaypee Brothers Medical Publishers • Hockenberry Marilyn J., Duffy Elizabeth A. & Gibbs Karen Divalerio (2024) Wong’s Nursing Care of Infants and Children (12th ed), St. Louis: Elsevier • ICN (2020) Guidelines on Advanced Practice Nursing, retrieved from https://www.icn.ch/system/ files/documents/2020-4/ICN_APN%20Report_EN_WEB.pdf • National Organization of Nurse Practitioner Faculties (NONPF 2022), Nurse Practitioner Role Competencies, retrieved from https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20220825_nonpf_ np_role_core_.pdf • Schober M. & Affara F.A. (2006) Advanced Nursing Practice, Oxford: Blackwell Publishing • Stewart G.J. & DeNisco S.M. (2015) Role Development for the Nurse Practitioner, USA: Springer Publishing Company • Singh Meharban (2021) Care of the Newborn (9th ed), New Delhi: CBS Publishers & Distribution Pvt Ltd • Society of Pediatric Nurses - SPN (2018) Pediatric Nursing Residency Core Competencies, retrieved from https://www.pedsnurses.org/assets/core-competencies/SPN%20Pediatric%20Residency%20Core%20 Competencies%20%281%29.pdf II. Research Application and Evidence-based Practice in Pediatric Care COMPETENCIES 1. Applies sound research knowledge and skills in conducting independent research in pediatric settings 2. Participates in collaborative research to improve the safety and quality of care of children 3. Interprets and uses research findings in advanced practice in pediatric nursing to produce evidence based practice 4. Tests/Evaluates current practice to develop best practices and health outcomes and quality care in advanced practice in pediatric nursing 5. Analyzes the evidence for nursing interventions carried out in pediatric nursing practice to promote safety and effectiveness of care 6. Develops skill in writing scientific research reports by writing simple projects Hours of Instruction: Theory: 56 + Lab/Skill Lab: 24 hours = 80 hours +---------+------------------------------------------------------------------------------------------------+-------+ | S.No. | Topic | Hours | +---------+------------------------------------------------------------------------------------------------+-------+ | 1. | Research and Advanced Practice in Pediatric Nursing: Significance of Research and | | | | inquiry related to Advanced pediatric nursing role | 2 | | | (Competency 1) | | +---------+------------------------------------------------------------------------------------------------+-------+ | 2. | Research Agenda for APN practice: Testing current practice to develop best practice, | | | | health outcomes and indicators of quality care in Pediatric nursing practice | | | | (Competency 3,4,5), promoting research culture | 5 | +---------+------------------------------------------------------------------------------------------------+-------+ | 3. | Research Knowledge and Skills: | | | | - Research competencies essential for APNs (interpretation and use of research, | 40 | | | evaluation of practice, participation in collaborative research) | (5 days| | | - Introduction to Evidence Based Practice (EBP) Project - PICOT question, steps of | workshop)| | | planning, implementation, evaluation and dissemination (project proposal and project | | | | report) | | | | Research Methodology | | | | - Phases/steps (research question, review of literature, conceptual framework, research | | +---------+------------------------------------------------------------------------------------------------+-------+ | S.No. | Topic | Hours | +---------+------------------------------------------------------------------------------------------------+-------+ | | designs, sampling, data collection, methods & tools, Analysis and Reporting) | | | | - Writing research proposal and research report | | | | (Competency 1 & 2) | | +---------+------------------------------------------------------------------------------------------------+-------+ | 4. | Writing for Publication | | | | (writing workshop - Manuscript preparation and finding funding sources) (Competency 6) | 5 | | | | (workshop)| +---------+------------------------------------------------------------------------------------------------+-------+ | 5. | Evidence based practice | | | | - Concepts, principles, importance, and steps | 4 | | | - Integrating EBP to pediatric clinical environment | | | | - Areas of evidence in care of children | | | | - Barriers to implement EBP | | | | - Strategies to promote EBP | | | | (Competency 3,4,5) | | +---------+------------------------------------------------------------------------------------------------+-------+ | Total | | 56 | +---------+------------------------------------------------------------------------------------------------+-------+ Practical/Lab & Assignments: 24 hours • Identifying research priorities • Writing exercises on research question, objectives and hypothesis • Writing research proposal/EBP project proposal • Scientific paper writing - preparation of manuscript for publication • Writing systematic review/literature review - analyze the evidence for a given nursing intervention in pediatric settings Practicum • Research practicum: Dissertation (336 hours=7weeks) Bibliography • Burns N. & Grove S.K. (2014) Understanding nursing research: Building an evidence-based practice (6th ed), Ist Indian reprint 2012, New Delhi: Elsevier • Datta Parul (2023) Pediatric Nursing (6th ed), New Delhi: Jaypee Brothers Medical Publishers • Hockenberry Marilyn J., Rodgers Cheryl C. & Wilson David (2022) Wong’s Essentials of Pediatric Nursing (11th ed), St. Louis: Elsevier • Hockenberry Marilyn J., Duffy Elizabeth A. & Gibbs Karen Divalerio (2024) Wong’s Nursing Care of Infants and Children (12th ed), St. Louis: Elsevier • Polit D.F. & Beck C.T. (2021) Nursing Research: Generating and Assessing Evidence for Nursing Practice (9th ed.), Philadelphia: Lippincott Williams & Wilkins • Schmidt N.A. & Brown J.M. (2009) Evidence-based practice for nurses’ appraisal and application of research, Sd: Jones and Bartlet Publishers • Singh Meharban (2021) Care of the Newborn (9th ed), New Delhi: CBS Publishers & Distribution Pvt Ltd • Verklan T.M., Walden M. & Forest S. (2021) Core Curriculum for Neonatal Intensive Care Nursing (6th ed), St. Louis: Elsevier III. Advanced Skills in Leadership, Management and Teaching COMPETENCIES 1. Applies principles of leadership and management in pediatric units 2. Manages stress and conflicts effectively in a pediatric setting using sound knowledge of principles 3. Applies problem solving and decision-making skills effectively 4. Uses critical thinking and communication skills in providing leadership and managing family centered patient care in pediatric settings 5. Builds teams and motivates others in pediatric setting 6. Develops unit budget, manages supplies and staffing effectively 7. Participates appropriately in times of innovation and change 8. Uses effective teaching methods, media and evaluation based on sound principles of teaching 9. Develops advocacy role in children and their families, maintaining quality and ethics in pediatric clinical environment 10. Provides age specific counseling to children and their families particularly end of life care Hours of Instruction: Theory: 56 + Lab/Skill Lab: 24 hours = 80 hours +---------+------------------------------------------------------------------------------------------------+-------+ | S.No. | Topic | Hours | +---------+------------------------------------------------------------------------------------------------+-------+ | 1. | Theories, styles of leadership and current trends | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | 2. | Theories, styles of management and current trends | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | 3. | Principles of leadership and management applied to pediatric care settings | 4 | +---------+------------------------------------------------------------------------------------------------+-------+ | 4. | Stress management and conflict management - principles and application to pediatric | | | | clinical environment, effective time management | 4 | +---------+------------------------------------------------------------------------------------------------+-------+ | 5. | Quality improvement and audit | 4 | +---------+------------------------------------------------------------------------------------------------+-------+ | 6. | Problem solving, critical thinking and decision making, communication skills applied to | | | | pediatric nursing practice | 5 | +---------+------------------------------------------------------------------------------------------------+-------+ | 7. | Team building, motivating and mentoring within the pediatric set up | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | 8. | Budgeting and management of resources including human resources in the pediatric | | | | setting - budget, material management, staffing, assignments | 5 | +---------+------------------------------------------------------------------------------------------------+-------+ | 9. | Change and innovation | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | 10. | Staff performance and evaluation (performance appraisals) | 6 | +---------+------------------------------------------------------------------------------------------------+-------+ | 11. | Teaching-Learning theories and principles applied to pediatric Nursing | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | 12. | Competency based education and outcome-based education | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | 13. | Teaching methods/strategies, media: educating patients and staff in clinical settings for | | | | children | 8 | +---------+------------------------------------------------------------------------------------------------+-------+ | 14. | Staff education and use of tools in evaluation | 4 | +---------+------------------------------------------------------------------------------------------------+-------+ | 15. | NP in Pediatric Nursing - Role as a teacher | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | 16. | Advocacy roles of the NPs in Pediatric Nursing in pediatric clinical setting | 2 | +---------+------------------------------------------------------------------------------------------------+-------+ | Total | | 56 | +---------+------------------------------------------------------------------------------------------------+-------+ Practical/Lab: 24 hours • Preparation of staff patient assignment • Preparation of unit budget • Preparation of staff duty roster • Patient care audit • Preparation of nursing care standards and protocols • Management of equipment and supplies • Monitoring, evaluation, and writing report of infection control practices • Development of teaching plan • Micro teaching/patient education sessions • Preparation of teaching method and media for patients and staff • Planning and conducting OSCE/OSPE • Construction of tests • Child abduction mock drill • Conducting CPR mock drill Assignment • Work place violence: policies and protocols Bibliography • Bastable S.B. (2010) Nurse as educator: Principles of teaching and learning for nursing practice (3rd ed), New Delhi: Jones & Bartlett Publishers • Billings D.M. & Halstead J.A. (2009) Teaching in nursing: A guide for faculty (3rd ed), St. Louis, Missouri: Saunders Elsevier • Clark C.C. (2010) Creative nursing leadership and management, New Delhi: Jones and Bartlet Publishers • Datta Parul (2023) Pediatric Nursing (6th ed), New Delhi: Jaypee Brothers Medical Publishers • Hockenberry Marilyn J., Rodgers Cheryl C. & Wilson David (2022) Wong’s Essentials of Pediatric Nursing (11th ed), St. Louis: Elsevier • McConnel (2008) Management principles for health professionals, Sudbury, M.A: Jones and Bartlet Publishers • Roussel L. & Swansburg R.C. (2010) Management and leadership for nurse administrators (5th ed), New Delhi: Jones and Bartlet Publishers • Singh Meharban (2021) Care of the Newborn (9th ed), New Delhi: CBS Publishers & Distribution Pvt Ltd • Verklan T.M., Walden M. & Forest S. (2021) Core Curriculum for Neonatal Intensive Care Nursing (6th ed), St. Louis: Elsevier IV. A. Advanced Pathophysiology Applied to Pediatric Care COMPETENCIES 1. Integrates the knowledge of pathophysiological process in pediatric conditions in developing diagnosis and plan of care 2. Applies the pathophysiological principles in symptom management and secondary prevention of childhood illnesses 3. Analyzes the pathophysiological changes relevant to each disease condition, recognizing the value of diagnosis, treatment, care and prognosis Hours of Instruction: Theory: 30 hours +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | I | 4 | Pulmonary function | | | | Advanced pathophysiological process of pulmonary conditions | | | | • Respiratory infections - pneumonia, bronchopneumonia, laryngo-trachea bronchitis | | | | • Asthma | | | | • Cystic fibrosis | | | | • Tuberculosis | | | | • Pleural effusion | | | | • Lung abscess | | | | • Empyema, Emphysema | | | | • ENT conditions | | | | • Tonsillitis | | | | • Epistaxis | | | | • Otitis media | | | | • Choanal atresia | | | | • Respiratory distress and respiratory failure | | | | • Chest trauma | +------+-------+---------------------------------------------------------------------------------------------------+ | II | 6 | Gastrointestinal function | | | | Advanced pathophysiological process of GI conditions | | | | • Malnutrition - Protein - energy malnutrition, vitamin and mineral deficiencies, trace | | | | elements and antioxidants, iron deficiency anemia, obesity | | | | • Failure to thrive | | | | • Malabsorption Syndrome | | | | • GERD | | | | • Acute gastroenteritis | | | | • Lactose intolerance | | | | • Chronic diarrhea | | | | • Acute hepatitis, hepatitis, childhood cirrhosis. hepatic failure | | | | • Gastritis | | | | • Peptic ulcer | | | | • Celiac disease | | | | • IBD | | | | • Gastrointestinal bleeding | | | | • Intestinal obstruction | | | | • IBS | | | | • Pancreatitis | | | | • Helminthic infestations | +------+-------+---------------------------------------------------------------------------------------------------+ | III | 6 | Cardiovascular function | | | | Advanced pathophysiological process of cardiovascular conditions | | | | Acyanotic Heart Diseases | | | | • ASD | | | | • VSD | | | | • PDA | | | | • Coarctation of Aorta | | | | • Aortic stenosis | | | | Cyanotic Heart Diseases | | | | • TOF and Cyanotic Spell | | | | • Transposition of great vessels | | | | • Total Anomalous Pulmonary Venous Connection | | | | • Truncus arteriosus | | | | • Hypoplastic left heart syndrome | | | | Acquired Heart Disease | | | | • Infective Endocarditis | | | | • Rheumatic Fever | | | | • Rheumatic Heart Disease | | | | • Congestive Heart Failure (CHF) | +------+-------+---------------------------------------------------------------------------------------------------+ | IV | 4 | Neurological function | | | | Advanced pathophysiological process of neurological conditions | | | | • Meningitis | | | | • Encephalitis | | | | • Brain abscess | | | | • Febrile seizures | | | | • Seizure disorder | | | | • Degenerative neurological diseases | | | | • Head trauma | | | | • Tumors of the brain | | | | • Hydrocephalus | | | | • Coma, unconsciousness | | | | • Neural tube defects - spina bifida, meningocele, meningomyelocele | +------+-------+---------------------------------------------------------------------------------------------------+ | V | 4 | Renal function | | | | Advanced pathophysiological process of renal conditions | | | | • Urinary tract infections | | | | • Nephrotic Syndrome | | | | • Post Streptococcal Glomerular Nephritis | | | | • Lupus Nephritis | | | | • Hemolytic Uremic Syndrome | | | | • Renal tubular acidosis | | | | • Polycystic kidneys | | | | • Acute renal failure | | | | • Chronic renal failure | | | | • Bladder trauma | | | | • Incontinence | | | | • Hydronephrosis | | | | • Congenital conditions of urogenital system - PUV, Reflux, Cystoceles | +------+-------+---------------------------------------------------------------------------------------------------+ | VI | 6 | Endocrine functions | | | | Advanced pathophysiological process of endocrine conditions | | | | • Inborn Errors of metabolism | | | | Disorders of Pituitary function | | | | • Hypopituitarism | | | | • Pan hypopituitarism | | | | • Growth hormone deficiency | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | • Pituitary hyperfunction | | | | • Diabetic insipidus and syndrome of inappropriate antidiuretic hormone secretion | | | | • Precocious puberty | | | | Disorders of Thyroid function | | | | • Juvenile hypothyroidism | | | | • Lymphocytic thyroiditis | | | | • Hyperthyroidism | | | | Disorders of Parathyroid function | | | | • Hypoparathyroidism | | | | • Hyperparathyroidism | | | | Disorders of Adrenal function | | | | • Acute adrenocortical insufficiency | | | | • Chronic adrenocortical insufficiency (Addisons Disease) | | | | • Cushing syndrome | | | | • Congenital adrenal hyperplasia | | | | • Pheochromocytoma | | | | Disorders of Pancreatic Hormone Secretion | | | | • Insulin Dependent Diabetes Mellitus | | | | • Hyperglycemia | | | | • Hypoglycemia | | | | • Diabetic ketoacidosis | +------+-------+---------------------------------------------------------------------------------------------------+ | Total| 30 | hours | +------+-------+---------------------------------------------------------------------------------------------------+ IV. B. Advanced Pathophysiology applied to Pediatric Care Hours of Instruction: Theory: 30 hours +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | I | 8 | Hematological function | | | | • Advanced pathophysiological process of hematological conditions | | | | Disorders of red blood cells | | | | • Anemias | | | | • Polycythemia | | | | • Sickle cell diseases | | | | • Thalassemia | | | | Disorders of white blood cells | | | | • Leucopenia | | | | • Neoplastic disorders | | | | - Leukemias | | | | - Solid tumors | | | | Disorders of hemostasis | | | | • Platelet disorders | | | | • Coagulation disorders - hemophilia | | | | • Disseminated intravascular coagulation | +------+-------+---------------------------------------------------------------------------------------------------+ | II | 3 | Musculoskeletal disorders | | | | Advanced pathophysiological process of musculoskeletal disorders | | | | • Soft tissue injuries - contusions, dislocations, sprains and strains | | | | • Fractures | | | | • Osteomyelitis | | | | • Developmental Hip Dysplasia | | | | • Club foot | | | | • Osteogenesis/Imperfecta | | | | • Skeletal Limb deficiency | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | • Avascular necrosis of the femoral head (Legg - Calve - Perthes Disease) | | | | • Kyphosis and Lordosis | +------+-------+---------------------------------------------------------------------------------------------------+ | III | 2 | Immunological Disorders | | | | Advanced pathophysiological process of immunological disorders | | | | • Juvenile rheumatoid arthritis | | | | • Systemic lupus erythematosus | | | | • Allergies in children | +------+-------+---------------------------------------------------------------------------------------------------+ | IV | 4 | Integumentary function | | | | Advanced pathophysiological process of integumentary conditions | | | | • Scabies | | | | • Impetigo | | | | • Childhood psoriasis | | | | • Wound healing | | | | • Burns | | | | • Steven Johnson Syndrome | +------+-------+---------------------------------------------------------------------------------------------------+ | V | 6 | Multisystem dysfunction | | | | Advanced pathophysiological process of neurological conditions | | | | • Shock | | | | o Anaphylactic | | | | o Hypovolemic | | | | o Cardiogenic | | | | o Distributive | | | | o Neurogenic | | | | • Systemic inflammatory syndrome | | | | • Multiple organ dysfunction syndrome | | | | • Trauma | | | | o Thoracic | | | | o Abdominal | | | | o Musculoskeletal | | | | o Maxillofacial | | | | • Drug overdose and poisoning | | | | • Envenomation - stings and bites | | | | • Poisoning | +------+-------+---------------------------------------------------------------------------------------------------+ | VI | 5 | Specific infections | | | | Advanced pathophysiological process of specific communicable diseases | | | | Airborne infections | | | | • Diphtheria | | | | • HIV | | | | • Chicken pox | | | | • Measles | | | | • Mumps | | | | • SARS | | | | • Chikungunya | | | | • Avian flu | | | | • Swine flu | | | | • Covid 19 | | | | Water borne infections | | | | • Polio | | | | • Hepatitis A | | | | • Cholera | | | | • Typhoid | | | | Blood borne infections | | | | • HIV | | | | • Tetanus | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | • Rickettsiosis | | | | • Leptospirosis | | | | • Dengue | | | | • Malaria | | | | • Chikungunya | | | | • Rabies | +------+-------+---------------------------------------------------------------------------------------------------+ | VII | 2 | Child abuse | | | | Advanced concepts and processes in child abuse | | | | • Physical abuse | | | | • Psychological abuse | | | | • Sexual abuse | | | | • Child Protection Acts | | | | • POCSO Act | +------+-------+---------------------------------------------------------------------------------------------------+ | Total| 30 | hours | +------+-------+---------------------------------------------------------------------------------------------------+ Bibliography • Datta Parul (2023) Pediatric Nursing (6th ed), New Delhi: Jaypee Brothers Medical Publishers • Hockenberry Marilyn J., Rodger Cheryl C. & Wilson David (2022) Wong’s Essentials of Pediatric Nursing (11th ed), St. Louis: Elsevier • Hockenberry Marilyn J., Duffy Elizabeth A. & Gibbs Karen Divalerio (2024) Wong’s Nursing Care of Infants and Children (12th ed), St. Louis: Elsevier • Huether S.E. & McCance K.L. (2012) Understanding Pathophysiology (5th ed), St. Louis, Missouri: Elsevier • John G., Subramani K., Peter J.V., Pachaimuthu K. & Chacko B. (2011) Essentials of critical care (8th ed), Christian Medical College: Vellore • Porth C.M. (2007) Essentials of Pathophysiology: Concepts of Altered Health States (2nd ed), Philadelphia: Lippincott Williams and Wilkins • Singh Meharban (2021) Care of the Newborn (9th ed), New Delhi: CBS Publishers & Distribution Pvt Ltd • Urden L.D., Stacy K.M. & Lough M.E. (2014) Critical Care Nursing: Diagnosis and Management (7th ed), Elsevier: Missouri • Verklan T.M., Walden M. & Forest S. (2021) Core Curriculum for Neonatal Intensive Care Nursing (6th ed), St. Louis: Elsevier V. Advanced Pharmacology applied to Pediatric Care COMPETENCIES 1. Applies the pharmacological principles in providing care to children 2. Analyzes pharmaco-therapeutics and pharmacodynamics relevant to drugs used in the treatment of pediatric conditions 3. Performs safe drug administration based on principles and institutional protocols 4. Documents accurately and provides follow up care 5. Applies sound knowledge of drug interactions in administration of drugs to pediatric patients and guiding their families in self-care management 6. Analyzes the drug specific nursing interventions Hours of Instruction: Theory: 54 hours +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | I | 2 | Introduction to Pharmacology in Pediatrics | | | | • History | | | | • Classification of drugs and schedules | +------+-------+---------------------------------------------------------------------------------------------------+ | II | 4 | Pharmacokinetics and Pharmacodynamics | | | | • Introduction | | | | • Absorption, Distribution, Metabolism and Excretion | | | | • Plasma concentration, half life | | | | • Loading and maintenance dose | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | • Therapeutic index and drug safety | | | | • Potency and efficacy | | | | • Principles of drug administration | | | | ▪ The rights of drug administration | | | | ▪ Systems of measurement | | | | ▪ Enteral drug administration | | | | ▪ Topical drug administration | | | | ▪ Parenteral drug administration | +------+-------+---------------------------------------------------------------------------------------------------+ | III | 5 | Pharmacology and Cardiovascular alterations | | | | • Vasoactive Medications | | | | ▪ Vasodilator | | | | ▪ Vasopressor | | | | ▪ Inotropes | | | | - Cardiac glycosides - digoxin | | | | - Sympathomimetics - dopamine, dobutamine, epinephrine, isoproterenol, | | | | norepinephrine, phenylephrine | | | | - Phosphodiesterase inhibitors - amrinone, milrinone | | | | • Antiarrhythmic Medications | | | | • Medications used in cardiac conditions | | | | ▪ Hypertension | | | | ▪ Pulmonary hypertension | | | | ▪ Valvular heart disease, cardiomyopathy | | | | ▪ Peripheral artery disease | | | | ▪ Deep vein thrombosis | | | | • Standing orders for cardiac emergencies | +------+-------+---------------------------------------------------------------------------------------------------+ | IV | 4 | Pharmacology and Pulmonary alterations | | | | • Medications in the management of pulmonary conditions | | | | ▪ Pneumonia | | | | ▪ Pleural effusion | | | | ▪ Pulmonary edema | | | | ▪ Pulmonary embolism | | | | ▪ Acute respiratory distress | | | | ▪ Acute respiratory failure | | | | ▪ Acute respiratory distress syndrome | | | | ▪ Atelectasis | | | | • Standing orders for pulmonary emergencies | +------+-------+---------------------------------------------------------------------------------------------------+ | V | 6 | Pharmacology and Neurological alterations | | | | • Pain | | | | ▪ NSAID | | | | ▪ Opioid analgesia | | | | • Sedation | | | | ▪ Gamma amino butyric acid stimulants | | | | ▪ Dexmedetomidine | | | | ▪ Analgosedation | | | | • Delirium | | | | ▪ Haloperidol | | | | ▪ Atypical antipsychotics | | | | • Medications used for local and general anesthesia | | | | ▪ Local - Amides, esters and miscellaneous agents | | | | ▪ General - Gases, Volatile liquids, IV anesthetics | | | | ▪ Non anesthetic drugs adjuncts to surgery | | | | • Autonomic drugs | | | | ▪ Adrenergic agents/Sympathomimetics | | | | ▪ Adrenergic blocking agents | | | | ▪ Cholinergic agents | | | | ▪ Anti-cholinergic agents | | | | • Anxiety and insomnia | | | | • Antidepressants | | | | ▪ Benzodiazepines | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | ▪ Barbiturates | | | | • Medications in the management of neurological conditions | | | | ▪ Acute head and spinal cord injury with elevated intracranial pressure | | | | ▪ Muscle spasm | | | | ▪ Spasticity | | | | ▪ Encephalopathy | | | | ▪ Gillian Bare syndrome | | | | ▪ Brain herniation syndrome | | | | ▪ Seizure disorder | | | | ▪ Coma, unconsciousness and persistent vegetative state | | | | • Standing orders for neurological emergencies | +------+-------+---------------------------------------------------------------------------------------------------+ | VI | 5 | Pharmacology and Renal alterations | | | | • Diuretics | | | | • Fluid replacement | | | | ▪ Crystalloids | | | | ▪ Colloids | | | | • Electrolytes | | | | ▪ Sodium | | | | ▪ Potassium | | | | ▪ Calcium | | | | ▪ Magnesium | | | | ▪ Phosphorus | | | | • Medications in the management of renal conditions | | | | ▪ Acute/Chronic renal failure | | | | ▪ Acute tubular necrosis | | | | ▪ Bladder trauma | | | | ▪ Electrolyte imbalances | | | | ▪ Acid base imbalances | | | | ▪ Dialysis | | | | • Standing orders for nephrology emergencies | +------+-------+---------------------------------------------------------------------------------------------------+ | VII | 5 | Pharmacology and Gastrointestinal alterations | | | | • Anti-ulcer drugs | | | | • Laxatives | | | | • Anti diarrhea | | | | • Anti-emetics | | | | • Pancreatic enzymes | | | | • Nutritional supplements, vitamins and minerals | | | | • Medications in the management of GI conditions | | | | ▪ Acute GI bleeding, hepatic failure | | | | ▪ Acute pancreatitis | | | | ▪ Abdominal injury | | | | ▪ Hepatic encephalopathy | | | | ▪ Acute intestinal obstruction | | | | ▪ Perforation and peritonitis | | | | • Gastrointestinal therapeutic management | | | | • Gastrointestinal surgeries | | | | • Standing orders for gastrointestinal emergencies | +------+-------+---------------------------------------------------------------------------------------------------+ | VIII | 4 | Pharmacology and Endocrine alterations | | | | • Hormonal therapy | | | | • Insulin and other hypoglycemic agents | | | | • Medications in the management of Endocrine conditions | | | | ▪ Diabetic ketoacidosis, hyperosmolar non ketonic coma | | | | ▪ Hypoglycemia | | | | ▪ Hypo and hyperthyroidism | | | | ▪ Adrenal crisis | | | | ▪ SIADH | | | | • Standing orders for endocrine emergencies | +------+-------+---------------------------------------------------------------------------------------------------+ | IX | 5 | Pharmacology and Hematology alterations | | | | • Anticoagulants | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | • Antiplatelet drugs | | | | • Thrombolytics | | | | • Hemostatic/antifibrinolytics | | | | • Hematopoietic growth factors | | | | ▪ Erythropoietin | | | | ▪ Colony stimulating factors | | | | ▪ Platelet enhancers | | | | • Blood and blood products | | | | ▪ Whole blood, packed red blood cells, leukocyte-reduced red cells, washed red | | | | blood cells, fresh frozen plasma, cryoprecipitate | | | | ▪ Albumin | | | | ▪ Transfusion reactions, transfusion administration process | | | | • Vaccines | | | | • Immunostimulants | | | | • Immunosuppressant | | | | • Chemotherapeutic drugs - alkylating agents, anti-metabolites, anti-tumor antibiotics, | | | | alkaloids, hormones and hormone antagonist, corticosteroids, gonadal hormones, anti- | | | | estrogens, androgen antagonists, biologic response modifiers | | | | • Medications in the management of hematology conditions | | | | ▪ Anemia in critical illness | | | | ▪ DIC | | | | ▪ Thrombocytopenia and acute leukemia | | | | ▪ Heparin induced thrombocytopenia | | | | ▪ Sickle cell anemia | | | | ▪ Tumor lysis syndrome | | | | • Standing orders for hematology emergencies | +------+-------+---------------------------------------------------------------------------------------------------+ | X | 3 | Pharmacology and Dermatological alterations | | | | • Medications used in burn and wound management | | | | • Standing orders for skin emergencies | +------+-------+---------------------------------------------------------------------------------------------------+ | XI | 5 | Pharmacology and Multisystem alterations in acute conditions | | | | Medications in the management of | | | | • Shock, sepsis, | | | | • Systemic inflammatory response syndrome, anaphylaxis | | | | • Hanging, Near drowning | | | | • Bites, drug overdose and poisoning | | | | • Fever | | | | ▪ Antipyretics | | | | ▪ NSAIDS | | | | ▪ Corticosteroids | | | | • Standing orders for multisystem emergencies | +------+-------+---------------------------------------------------------------------------------------------------+ | XII | 6 | Pharmacology and Infections | | | | • Antibacterial drugs | | | | ▪ Introduction | | | | ▪ Beta lactams - penicillin’s, cephalosporins, monobactams, carbapenems | | | | ▪ Aminoglycosides | | | | ▪ Anti MRSA | | | | ▪ Macrolides | | | | ▪ Quinolones | | | | ▪ Miscellaneous - lacosamide group, nitroimidazole, tetracyclines and | | | | chloramphenicol, polymyxins, anti-malarial, anti-fungal, anti-viral | | | | • Anti-fungal drugs | | | | • Anti protozoal drugs | | | | • Anti-viral drugs | | | | • Choice of antimicrobials | | | | • Medications in the management of infectious conditions | | | | ▪ HIV, Tetanus, SARS, Rickettsiosis, Leptospirosis, Dengue, Malaria, | | | | Chikungunya, Rabies, Avian flu and Swine flu, Covid-19 | | | | • Standing orders for infectious emergencies | +------+-------+---------------------------------------------------------------------------------------------------+ Hours of Instruction: Theory: 70 hours + Lab/Skill Lab: 48 hours = 118 hours +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | I | 4 | Introduction | | | | • History taking | | | | • Physical examination | +------+-------+---------------------------------------------------------------------------------------------------+ | II | 6 | Respiratory system | | | | • History | | | | • Physical examination | | | | • Respiratory monitoring - arterial blood gases, pulse oximetry | | | | • Respiratory diagnostic tests - Gastric Juice AFB, sputum culture, preparing child for | | | | chest radiography (Xray), pulmonary function test | +------+-------+---------------------------------------------------------------------------------------------------+ | III | 6 | Nutritional status | | | | • Dietary history | | | | • Physical assessment of nutritional status | | | | • Monitoring of nutritional status | | | | • Lab tests for nutritional status | +------+-------+---------------------------------------------------------------------------------------------------+ | IV | 6 | Gastrointestinal system | | | | • History | | | | • Physical examination | | | | • Laboratory studies - liver function studies, blood parameters, stool test | | | | • Diagnostic studies - radiological and imaging studies, endoscopic studies | +------+-------+---------------------------------------------------------------------------------------------------+ | V | 6 | Cardiovascular system | | | | • Cardiac history | | | | • Physical examination | | | | • Cardiac laboratory studies - biochemical markers, hematological studies | | | | • Cardiac diagnostic studies - electrocardiogram, echocardiography, radiological | | | | imaging cardiac catheterization | +------+-------+---------------------------------------------------------------------------------------------------+ | VI | 4 | Nervous system | | | | • Neurological history | | | | • General physical examination | | | | • Assessment of cognitive function | | | | • Assessment of cranial nerve function | | | | • Motor assessment - muscle strength, power, and reflexes | | | | • Sensory assessment - dermatome assessment | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | • Neurodiagnostic studies - CT scan, MRI, PET | +------+-------+---------------------------------------------------------------------------------------------------+ | VII | 4 | Renal system | | | | • History | | | | • Physical examination | | | | • Assessment of renal function by lab tests | | | | • Assessment of electrolytes and acid base balance | | | | • Assessment of fluid balance | +------+-------+---------------------------------------------------------------------------------------------------+ | VIII | 4 | Endocrine system (hypothalamus and pituitary gland, thyroid gland, parathyroid gland, | | | | endocrine gland adrenal gland) | | | | • History | | | | • Physical examination | | | | • Laboratory studies | | | | • Diagnostic studies | +------+-------+---------------------------------------------------------------------------------------------------+ | IX | 3 | Hematological system | | | | • History | | | | • Physical examination | | | | • Laboratory studies - blood parameters | | | | • Diagnostic studies - bone marrow aspiration | | | | • Radiological assay | +------+-------+---------------------------------------------------------------------------------------------------+ | X | 6 | Musculoskeletal system (soft tissue, bones and joints) | | | | • History | | | | • Physical examination - gait assessment, joint assessment | | | | • Laboratory studies - blood parameters (inflammatory enzymes, uric acid) | | | | • Diagnostic studies - radiological and imaging studies, endoscopic studies | +------+-------+---------------------------------------------------------------------------------------------------+ | XI | 5 | Integumentary system | | | | • History | | | | • Physical examination | | | | • Pathological examination - tissue biopsy and examination | +------+-------+---------------------------------------------------------------------------------------------------+ | XII | 4 | Reproductive system (Male and Female - CSA) | | | | Relevant - | | | | • History | | | | • Physical examination | | | | • Laboratory studies | | | | • Diagnostic studies | +------+-------+---------------------------------------------------------------------------------------------------+ | XIII | 6 | Sensory Organs (vision, hearing, balance, touch and taste) | | | | Relevant - | | | | • History | | | | • Physical examination | | | | • Laboratory studies | | | | • Diagnostic studies - radiological and imaging studies, endoscopic studies | +------+-------+---------------------------------------------------------------------------------------------------+ | XIV | 6 | Assessment of Growth and Development of Children | | | | • Newborn | | | | • Infant | | | | • Toddler | | | | • Preschool | | | | • School age | | | | • Adolescent | +------+-------+---------------------------------------------------------------------------------------------------+ | Total| 70 | hours | +------+-------+---------------------------------------------------------------------------------------------------+ List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) ▪ Comprehensive history taking ▪ Focused history taking (system wise) ▪ Comprehensive physical examination ▪ Focused physical examination (system wise) ▪ Problem identification ▪ Monitoring clinical parameters (system wise) Invasive BP monitoring, multi-parameter monitors, ECG, Peripheral vascular status, ABG, Pulse Oximetry, Intracranial Pressure (ICP), Glasgow Coma Scale (GCS), Cranial nerve assessment, Pain and Sedation score for children, Motor assessment, Sensory assessment, Renal function tests, Fluid balance, Acid Base balance, electrolytes, Bowel sounds, Abdominal pressure, Residual gastric volume, Liver function tests, GRBS, Lab tests, Radiological and Imaging tests (system wise) ▪ Ordering and interpretation of screening and diagnostic tests (system wise) (enclosed Appendix 3) Bibliography • Bickley L.S. & Szilagyi P.G. (2013) Bates’ guide to physical examination and history taking (11th ed), New Delhi: Lippincott Williams and Wilkins • Datta Parul (2023) Pediatric Nursing (6th ed), New Delhi: Jaypee Brothers Medical Publishers • Hockenberry Marilyn J., Rodgers Cheryl C. & Wilson David (2022) Wong’s Essentials of Pediatric Nursing (11th ed), St. Louis: Elsevier • Hockenberry Marilyn J., Duffy Elizabeth A. & Gibbs Karen Divalerio (2024) Wong’s Nursing Care of Infants and Children (12th ed), St. Louis: Elsevier • Rhoads J. (2006) Advanced health assessment and diagnostic reasoning, Philadelphia: Lippincott Williams & Wilkins. • Singh Meharban (2021) Care of the Newborn (9th ed), New Delhi: CBS Publishers & Distribution Pvt Ltd • Wilson S.F. & Giddens J.F. (2006) Health assessment for nursing practice (4th ed), St. Louis, Missouri: Saunders Elsevier • Verklan Terese M., Walden Marlene & Forest Sharron (2021) Core curriculum for Neonatal Intensive Care Nursing (6th ed), St. Louis: Elsevier SPECIALTY COURSES (Foundations of Pediatric Nursing Practice, Pediatric Nursing I and Pediatric Nursing II) COMPETENCIES 1. Applies advanced concepts of pediatric nursing based on sound knowledge of these concepts 2. Uses noninvasive technology and interventions to assess, monitor and promote physiologic stability 3. Works in collaboration with other health care team members and prepares care/clinical pathways in assessment and management of pediatric patients 4. Consults with and is consulted by other health care professionals 5. Provides nursing care related to health protection, disease prevention, anticipatory guidance, counseling, therapeutic care, palliative care and end of life care 6. Uses advanced skills in complex and unstable environments 7. Applies ethically sound solutions to complex issues related to individual children, their families, populations and systems of care 8. Practices principles of infection control in pediatric units 9. Practices independently within the legal framework of the country towards the interest of children, their families and communities 10. Develops practice that is based on scientific evidence 11. Uses applicable communication, counseling, child and family advocacy and interpersonal skills to initiate, develop and discontinue therapeutic relationships 12. Creates and maintains a safe therapeutic environment using risk management strategies and quality improvement in pediatric settings 13. Adapts practice to the social, cultural and contextual milieu of the child and family VII. Foundations of Pediatric Nursing Practice Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | I | 10 | Introduction to Pediatric Nursing | | | | • Introduction to the course | | | | • Review of anatomy and physiology of all organ systems | | | | • Historical review of Child Health and Pediatric Nursing globally and in India | | | | • Differences of adults and children in physical, mental, social, spiritual & cultural | | | | domains | | | | • Concepts of advanced practice in pediatric nursing | | | | • Principles of advanced practice in pediatric nursing | | | | • Scope of the role of Nurse Practitioner in Pediatric Care | | | | • Designing and planning of a pediatric setting in the primary, secondary and tertiary | | | | centers (bed strength as per protocol, child friendly environment, play room, medication | | | | room, equipment, supplies, beds and accessories, use and care of various type of | | | | monitors & ventilators, flow sheets, supply lines and the environment) | | | | • Personnel in pediatric wards, units, emergency settings/PICUs, OPDs | | | | ▪ Nursing staff | | | | ▪ Doctors | | | | ▪ Ancillary staff | | | | • Technology in a pediatric unit | | | | • Healthy, positive, supportive work environment | | | | • Future challenges in the advancement in NP’s role | +------+-------+---------------------------------------------------------------------------------------------------+ | II | 7 | Concept of holistic care applied to care of children | | | | Application of nursing process and integrated care/clinical pathways in pediatric nursing in | | | | different disease conditions | | | | • Hospitalization of the child - An overview | | | | • Overview of therapeutic management of the child | | | | ▪ Conducive, friendly and safe environment | | | | ▪ Child specific and age-appropriate approach | | | | ▪ Family centered care, family participant care and empowerment | | | | ▪ Atraumatic care | | | | ▪ Ongoing monitoring | | | | ▪ Adequate respiration, ventilation and tissue oxygenation | | | | ▪ Thermoregulation | | | | ▪ Nutritional support | | | | ▪ Therapeutic care | | | | ▪ Infection control | | | | ▪ Play and diversional needs of children | | | | ▪ Physiotherapy and rehabilitation | | | | ▪ Psychosocial support | | | | ▪ Information and health education | | | | ▪ Family visiting hours | | | | ▪ Spiritual support | | | | ▪ Quality indicators - prevention of falls, pressure sores, medication errors, | | | | extravasation | | | | • End of life care/care of dying and care of family at the death of their child, organ | | | | donation | | | | • Transportation during transfer in and out of the unit | | | | • Stress and coping among health team members | +------+-------+---------------------------------------------------------------------------------------------------+ | III | 10 | Appraisal of the acutely ill child | | | | Triaging concept, process and principles | | | | Assessment of the sick child | | | | • General assessment | | | | • Respiratory assessment | | | | • Cardiac assessment | | | | • Renal assessment | | | | • Neurological assessment | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | • Gastrointestinal assessment | | | | • Nutritional assessment | | | | • Endocrine assessment | | | | • Musculoskeletal assessment | | | | • Integumentary assessment | | | | Monitoring of the acutely ill child | | | | • Vital signs | | | | • PACS/PEWS | | | | • Arterial blood gas (ABG) | | | | • Electrocardiography (ECG) | | | | • Glasgow Coma Scale (GCS) | | | | • Richmond agitation sedation scale (RASS) | | | | • Pain score | | | | • Braden score | | | | Evaluation of the acutely ill child | | | | • Evaluation of progress of illness | | | | • Outcome related to scoring systems | +------+-------+---------------------------------------------------------------------------------------------------+ | IV | 14 | Advanced Concepts and Principles of Acute Care in Children | | | | • Principles of cardio-pulmonary-brain resuscitation | | | | • Emergencies | | | | ▪ CPR | | | | ▪ BLS | | | | ▪ PALS | | | | • Airway management | | | | • Oxygenation and oximetry, care of child with oxygen delivery devices | | | | • Assisting with intubation, bag and mask ventilation | | | | • Circulation and perfusion (including hemodynamic evaluation and waveform graphics) | | | | • Fluids and electrolytes (review), care of the fluid and electrolyte imbalance | | | | • Evaluation of acid base status | | | | • Thermoregulation, care of the child with hyper/hypothermia | | | | • Care of children with glycemic imbalances | +------+-------+---------------------------------------------------------------------------------------------------+ | V | 8 | Pediatric Pain and Management | | | | • Pain experience in children | | | | • Pain - Types, Theories | | | | • Physiology, Systemic responses to pain and psychology of pain - Review | | | | • Pain assessment - Pain scales, behavior and verbalization | | | | • Pain management - Pharmacological (Opioids, benzodiazepines, propofol, Alpha | | | | agonist, Tranquilizers, Neuromuscular blocking agents) | | | | • Nonpharmacological management | | | | • Acute pain services for children | +------+-------+---------------------------------------------------------------------------------------------------+ | VI | 4 | Nutrition Alterations and Management | | | | • Nutrient metabolism and alterations | | | | • Assessing nutritional status | | | | • Nutrition support for all pediatric conditions | | | | • Nutrition and systemic alterations | | | | • Care of patient on enteral and parenteral nutrition | +------+-------+---------------------------------------------------------------------------------------------------+ | VII | 4 | Psychosocial and spiritual alterations: Assessment and Management | | | | • Stress | | | | • Post traumatic stress reaction | | | | • Collaborative management | | | | • Sedation and Relaxants | | | | • Spiritual challenges in children and their parents and caregivers | | | | • Coping with stress and illness | | | | • Care of family in acute illness of the child | | | | • Counseling and communication | +------+-------+---------------------------------------------------------------------------------------------------+ | VIII | 4 | Family and age-related education and counseling | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | • Challenges of patient and family education | | | | • Process of adult learning | | | | • Factors affecting teaching learning process | | | | • Informational needs of families in pediatric unit | | | | • Counseling needs (age appropriate for the child) and family | | | | • Counseling techniques | +------+-------+---------------------------------------------------------------------------------------------------+ | IX | 4 | Sleep alterations and management | | | | • Sleep patterns in children | | | | • Sleep pattern disturbance | | | | • Sleep apnea syndrome | +------+-------+---------------------------------------------------------------------------------------------------+ | X | 5 | Infection control in pediatric unit | | | | • Nosocomial infection in pediatric care units; methyl resistant staphylococcus aureus | | | | (MRSA) and other recently identified strains | | | | • Disinfection, Sterilization | | | | • Standard safety measures | | | | • Prophylaxis for staff | | | | • Antimicrobial therapy - review | +------+-------+---------------------------------------------------------------------------------------------------+ | XI | 4 | Legal and ethical issues in pediatric settings - Role of the NPPN | | | | Legal issues | | | | • Issues giving raise to civil litigation | | | | • Related laws in India | | | | • Medical futility | | | | • Administrative law: professional regulation | | | | • Tort law: negligence, professional malpractice, intentional torts, wrongful death, | | | | defamation, assault and battery | | | | • Constitutional law: patient decision making | | | | Ethical issues | | | | • Difference between morals and ethics | | | | • Ethical principles | | | | • Ethical decision making in the care of children | | | | • Strategies for promoting ethical decision making | | | | • Ethical issues relevant to care of children: withholding and withdrawing treatment | | | | • Managing scarce resource | | | | • Brain death, Organ donation & Counseling | | | | • Do Not Resuscitate (DNR) - Role of NPPN | +------+-------+---------------------------------------------------------------------------------------------------+ | XII | 4 | Quality assurance | | | | • Design of pediatric unit | | | | • Quality assurance models applicable to pediatric settings | | | | • Standards, Protocols, Policies, Procedures | | | | • Infection control policies and protocols | | | | • Nursing audit relevant to pediatric nursing | | | | • Staffing | | | | • Patient satisfaction | +------+-------+---------------------------------------------------------------------------------------------------+ | XIII | 3 | Evidence based practice in pediatric nursing | | | | • Barriers to implementation | | | | • Strategies to promote implementation | +------+-------+---------------------------------------------------------------------------------------------------+ | XIV | 4 | IMNCI - Review | +------+-------+---------------------------------------------------------------------------------------------------+ | XV | 6 | Community health nursing practice roles include | | | | • Home based care for newborns and young children in the community | | | | • Educating families/community members about maintaining their health and preventing | | | | diseases | | | | • Administering vaccines and coordinating immunization clinics | | | | • Advocating Government health programs/schemes and disseminating health-related | | | | information | | | | • Conducting premarital, breastfeeding, and immunization counselling | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | • Organizing orientation/training of concerned groups | | | | • Performing clinical duties - mobile clinics | | | | • Community child health service programs | +------+-------+---------------------------------------------------------------------------------------------------+ | | 5 | Class tests | +------+-------+---------------------------------------------------------------------------------------------------+ | Total| 96 | hours | +------+-------+---------------------------------------------------------------------------------------------------+ List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) • CPR (BLS and PALS) • Airway Management o Nebulization o Tracheostomy care o Suctioning - open/closed o Chest physiotherapy o Laryngeal mask airway o Cuff inflation and anchoring the tube • Oxygenation and oximetry, care of child with oxygen delivery devices o Devices to measure oxygen/oxygenation ✓ Oximetry - Pulse oximetry o High flow oxygen ✓ Oxygen head box newborn and infant (6 liters and above) ✓ Non rebreathing mask with reservoir bag (15 liters of oxygen) o Low flow variable performance devices: ✓ Nasal catheters/cannula/double nasal prongs, face mask o Postural drainage • Circulation and perfusion (including hemodynamic evaluation) o Non-invasive BP monitoring o Insertion and removal of central line o Pulse index Continuous Cardiac output (PiCCO) o Electrocardiography (ECG) o Waveforms • Fluids and electrolytes o Fluid calculation and administration (crystalloids and colloids) o Administration of blood and blood products o Inotrope calculation, titration and administration ✓ Cardiac glycosides - Digoxin ✓ Sympathomimetics - Dopamine, dobutamine, epinephrine, isoproterenol, dobutamine, norepinephrine, phenylephrine o Electrolyte correction (Sodium, potassium, calcium, phosphorus, magnesium) o Use of fluid dispenser and infusion pumps • Evaluation of acid base status o Arterial blood gas (ABG) • Thermoregulation, care of patient with hyper/hypothermia o Temperature probes o Management of hyper and hypothermia • Glycemic control, care of patient with glycemic imbalances o Monitoring GRBS o Insulin therapy (sliding scale and infusion) o Management of Hyperglycemia - IV fluids, insulin therapy, potassium supplementation o Management of hypoglycemia - Dextrose IV • Pharmacological management of pain, sedation, agitation, and delirium o Calculation, loading and infusion of - Morphine, Fentanyl, Midazolam, Lorazepam, Diazepam, Propofol, Clonidine, Haloperidol o Epidural analgesia ✓ epidural PCA ✓ sensory and motor block assessment ✓ removal of epidural catheter after discontinuing therapy ✓ change of epidural catheter site dressing ✓ intermittent catheterization for urinary retention for children on epidural analgesia/PCA ✓ dose titration for epidural infusion o Counseling ▪ Family education ▪ Quality improvement audit VIII.Pediatric Nursing I Hours of Instruction: Theory: 96 hours + Practical: 48 hours = 144 hours +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | I | 6 | Introduction | | | | • Review of anatomy and physiology of vital organs specific to children | | | | • Review of system wise assessment and monitoring of children across age groups | +------+-------+---------------------------------------------------------------------------------------------------+ | II | 15 | Pulmonary alterations | | | | • Review of clinical assessment, pathophysiology and pharmacology | | | | • Special diagnostic studies | | | | • Pulmonary conditions and its management | | | | ▪ Pneumonia | | | | ▪ Bronchopneumonia | | | | ▪ Bronchiolitis | | | | ▪ Pleural effusion | | | | ▪ Cystic fibrosis | | | | ▪ Atelectasis | | | | ▪ Lung abscess | | | | ▪ Pyopneumothorax | | | | ▪ Status asthmaticus | | | | ▪ Pulmonary edema | | | | ▪ Pulmonary embolism | | | | ▪ Acute respiratory failure | | | | ▪ Acute respiratory distress syndrome | | | | ▪ Chest trauma | | | | ▪ Chronic obstructive pulmonary disease | | | | • Pulmonary therapeutic management | | | | ▪ Nebulization, spirometry chest physiotherapy, deep breathing and coughing | | | | exercise, and postural drainage | | | | ▪ Chest tube insertion and care of child with chest drainage | | | | • Recent trends and developments | +------+-------+---------------------------------------------------------------------------------------------------+ | III | 15 | Gastrointestinal alterations | | | | • Review of Clinical assessment, pathophysiology and pharmacology | | | | • Special diagnostic studies | | | | • Gastrointestinal conditions requiring acute care management | | | | ▪ Diarrhea and dehydration | | | | ▪ Acute GI bleeding | | | | ▪ Failure to thrive | | | | ▪ Acute pancreatitis | | | | ▪ Hepatic failure | | | | ▪ Abdominal injury | | | | ▪ Hepatic encephalopathy | | | | ▪ Acute intestinal obstruction | | | | ▪ Performative peritonitis | | | | • Gastrointestinal therapeutic management | | | | • Gastrointestinal surgeries | | | | • Recent trends and developments | +------+-------+---------------------------------------------------------------------------------------------------+ | IV | 15 | Neurological alterations | | | | • Review of clinical assessment, pathophysiology and pharmacology | | | | • Diagnostic studies | | | | • Neurological conditions requiring acute care management | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | ▪ Meningitis and encephalitis | | | | ▪ Active seizures | | | | ▪ Febrile seizures | | | | ▪ Encephalopathy | | | | ▪ Gillian Bare syndrome and Myasthenia gravis | | | | ▪ Brain herniation syndrome | | | | ▪ Seizure disorder | | | | ▪ Coma, unconsciousness | | | | ▪ Persistent vegetative state | | | | ▪ Head injury and first aid | | | | ▪ Spinal cord conditions - TB, injury | | | | ▪ Thermoregulation | | | | • Neurologic therapeutic management | | | | ▪ Increased intracranial pressure - assessment and management | | | | • Recent trends and developments | +------+-------+---------------------------------------------------------------------------------------------------+ | V | 15 | Nephrology alterations | | | | • Review of clinical assessment, pathophysiology and pharmacology | | | | • Special diagnostic studies | | | | • Nephrology conditions requiring acute and ongoing care and management | | | | ▪ Nephrotic syndrome | | | | ▪ Post Streptococcal Glomerular Nephritis | | | | ▪ Nephritis - in SLE | | | | ▪ UTI | | | | ▪ HUS | | | | ▪ Renal tubular acidosis | | | | ▪ Acute renal failure | | | | ▪ Chronic renal failure | | | | ▪ Acute tubular necrosis | | | | ▪ Hydronephrosis | | | | ▪ Bladder trauma | | | | ▪ Alport syndrome and renal vasculitis | | | | ▪ Congenital problems of the urinary system | | | | • Nephrology therapeutic management | | | | ▪ Renal replacement therapy: peritoneal dialysis, hemodialysis plasmapheresis | | | | ▪ Renal transplant | | | | • Recent trends and development | +------+-------+---------------------------------------------------------------------------------------------------+ | VI | 15 | Cardiovascular alterations | | | | • Review of clinical assessment, pathophysiology and pharmacology | | | | • Special diagnostic studies | | | | • Cardiac conditions in children and their management | | | | ▪ Cyanotic heart disease | | | | ▪ Acyanotic heart disease | | | | ▪ Acquired heart diseases | | | | ▪ Pericarditis | | | | • Cardiovascular therapeutic management | | | | ▪ Cardioversion with defibrillation | | | | ▪ Thrombolytic therapy | | | | ▪ Radiofrequency catheter ablation | | | | ▪ Mechanical circulatory assistive devices - Intra cardiac balloon pump | | | | ▪ Effects of cardiac medications | | | | • Recent advances and development | +------+-------+---------------------------------------------------------------------------------------------------+ | VII | 10 | Endocrine alterations | | | | • Review of clinical assessment, pathophysiology, and pharmacology | | | | • Special diagnostic studies | | | | • Endocrine conditions | | | | ▪ Pituitary - SIADH, hypopituitarism, craniopharyngioma | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | ▪ Thyroid - Hypothyroidism, hyperthyroidism, goiter | | | | ▪ Pancreas - IDDM, Diabetic ketoacidosis, hypoglycemia | | | | ▪ Adrenals - Congenital Adrenal Hyperplasia, | | | | Pheochromocytoma, adrenal crisis | | | | ▪ IEM | | | | • Endocrine therapeutic management - insulin therapy, hormone replacement, surgical | | | | management | | | | • Recent advances and development | +------+-------+---------------------------------------------------------------------------------------------------+ | | 5 | Class tests | +------+-------+---------------------------------------------------------------------------------------------------+ | Total| 96 | hours | +------+-------+---------------------------------------------------------------------------------------------------+ List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) • Pulmonary alterations ▪ High flow and low flow oxygen therapy ▪ Nebulization ▪ Chest physiotherapy ▪ Chest tube insertion ▪ Assisting with chest tube insertion ▪ Chest drainage ▪ Tracheostomy care • Gastrointestinal alterations ▪ Calculation of calorie and protein requirements ▪ 24 hour nutritional assessment ▪ Measurement of abdominal girth ▪ Assisting with abdominal paracentesis ▪ Special diets - malnutrition, hepatic failure, pancreatic diet ▪ Enteral feeding - Palade feeds, NG/Gastrostomy/Jejunostomy feeds, drip feeds ▪ Total parenteral nutrition (TPN) • Neurological alterations ▪ Monitoring GCS ▪ Conscious and coma monitoring ▪ Monitoring ICP ▪ Sedation score ▪ Assisting for Lumbar Puncture • Nephrology alterations ▪ Calculation of fluid and fluid plan ▪ Automated Peritoneal Dialysis ▪ Peritoneal Equilibrium Test ▪ Peritoneal dialysis ▪ PD site dressing ▪ Training of parents for PD ▪ Preparing child for renal biopsy ▪ Plasmapheresis ▪ Preparation for transplant ▪ Renal diet, nephrotic diet ▪ Dialysis o Priming of dialysis machine o Preparing patient for dialysis o Cannulating for dialysis o Starting and closing dialysis • Cardiovascular alterations ▪ ECG and reporting of ECG findings ▪ Preparation for cardiac catheterization ▪ Use of equipment and their settings +------+-------+---------------------------------------------------------------------------------------------------+ | | | o Defibrillator | | | | o Intra-aortic ballon pump (IABP) | +------+-------+---------------------------------------------------------------------------------------------------+ | | | • Endocrine alterations | | | | ▪ Collection of blood samples for cortisol levels, sugar levels, and thyroid hormone levels | | | | ▪ Calculation and administration of corticosteroids | | | | ▪ Calculation and administration of Insulin - Review | | | | ▪ Diabetic diet | | | | ▪ Teaching of diabetic regime | +------+-------+---------------------------------------------------------------------------------------------------+ IX. Pediatric Nursing II Hours of Instruction: Theory: 96 hours + Practical: 48 hours = 144 hours +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | I | 13 | Hematological alterations | | | | • Review of clinical assessment, pathophysiology and pharmacology | | | | • Special diagnostic studies | | | | • Hematology conditions requiring acute care management | | | | ▪ Hemophilia | | | | ▪ DIC | | | | ▪ Thrombocytopenia | | | | ▪ Pancytopenia | | | | ▪ Heparin induced thrombocytopenia | | | | ▪ Sickle cell anemia | | | | ▪ Tumor lysis syndrome | | | | ▪ Anemia | | | | • Hematology therapeutic management | | | | ▪ Administration of blood products | | | | ▪ Bone marrow transplantation | | | | • Recent trends and development | +------+-------+---------------------------------------------------------------------------------------------------+ | II | 8 | Skin alterations | | | | • Review of Clinical assessment, pathophysiology and pharmacology | | | | • Special diagnostic studies | | | | • Conditions requiring care management | | | | ▪ Scabies | | | | ▪ Atopic dermatitis | | | | ▪ Impetigo | | | | ▪ Psoriasis | | | | ▪ Epidermolysis bullosa | | | | ▪ Pruritis | | | | ▪ Pemphigus | | | | ▪ Hemangioma | | | | ▪ Tinea | | | | ▪ Steven Johnsons Syndrome | | | | ▪ Chicken pox | | | | ▪ Hyperimmunoglobulin E Syndrome | | | | ▪ Burns | | | | ▪ Wounds | | | | • Therapeutic management | | | | • Management of dermatological conditions | | | | ▪ Burn wound dressing | | | | ▪ Post op STSG management | | | | • Recent trends and development | +------+-------+---------------------------------------------------------------------------------------------------+ | III | 20 | Acute care in emergency conditions | | | | A. Systemic emergencies | | | | • Sepsis | | | | • Dehydration | | | | • Shock | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | • Systemic shock - hypovolemic, cardiogenic, obstructive | | | | • Distributive - septic anaphylaxis, neurogenic | | | | • Systemic inflammatory response syndrome | | | | B. Respiratory emergencies | | | | • ARDS | | | | • Foreign body aspiration | | | | • Stridor | | | | • Acute bronchopneumonia | | | | • Status asthmaticus | | | | C. Metabolic emergencies | | | | • Hypoglycemia | | | | • Diabetic ketoacidosis | | | | • Liver failure | | | | • Acute pancreatitis | | | | • Acute kidney injury | | | | D. CNS | | | | • Active seizures | | | | • Status epilepticus | | | | • Encephalopathy | | | | E. Cardiac emergencies | | | | • Hypertension | | | | • Hypotension | | | | • CCF | | | | • Cyanotic spell | | | | F. Gastrointestinal emergencies | | | | • Congenital hypertrophic pyloric stenosis | | | | • Tracheoesophageal fistula | | | | • Intestinal obstruction | | | | • Appendicitis | | | | • Imperforate anus | | | | G. Hematological emergencies | | | | • Severe anemia | | | | • DIC | | | | • Bleeding | | | | • Intracranial hemorrhage | | | | • Intra-abdominal | | | | H. Oncological emergencies | | | | • Febrile neutropenia | | | | • Tumor lysis syndrome | | | | • Spinal cord compression | | | | • Leukemic crisis | | | | • Superior vena cava syndrome | | | | I. Injuries | | | | • Near Hanging | | | | • Near drowning | | | | • Burn injuries (Heat, Electrical) | | | | • Trauma - RTA | | | | J. Envenomation | | | | • Snake bite | | | | • Scorpion sting | | | | K. Poisoning and drug overdose | | | | • Asphyxia neonatorum | | | | • Neonatal sepsis | | | | • Trauma in children | | | | L. Ophthalmic emergencies | | | | • Eye injuries | | | | • Glaucoma | | | | • Retinal detachment | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | M. Allergic reactions in children | | | | • Allergy related to foods | | | | • Allergy related to drugs | | | | • Other allergies | | | | I. Psychiatric emergencies | | | | • Abuse - emotional, physical sexual | | | | • Suicide | | | | • Out of control aggressive behavior | +------+-------+---------------------------------------------------------------------------------------------------+ | IV | 10 | Infectious Diseases in Children | | | | Respiratory | | | | • Tuberculosis | | | | • Measles | | | | • Diphtheria | | | | • Pertussis | | | | • Mumps | | | | • Chickenpox | | | | • Avian flu | | | | • Swine flu | | | | • Covid 19 | | | | • SARS | | | | Blood-borne | | | | • HIV | | | | • Hepatitis B | | | | • Tetanus | | | | • Ebola | | | | GI borne | | | | • Typhoid | | | | • Cholera | | | | • Hepatitis A, C | | | | Arthropod borne | | | | • Rickettsiosis | | | | • Leptospirosis | | | | • Dengue | | | | • Malaria | | | | • Chikungunya | | | | Neurological | | | | • Rabies | | | | Management of infectious conditions | +------+-------+---------------------------------------------------------------------------------------------------+ | V | 30 | Acute care in neonatal conditions | | | | • Essential newborn care | | | | • Characteristics of normal newborn | | | | • Congenital anomalies | | | | • High risk babies - preterm, LBW, SGA, LGA | | | | • Birth injuries | | | | • Respiratory - birth asphyxia and HIE | | | | • Bronchopulmonary dysplasia, ARDS hyaline membrane disease | | | | • Hypothermia | | | | • Metabolic disorders in newborn - hypoglycemia, hypothyroidism, infant of diabetic | | | | mother | | | | • Infections - HIV, neonatal sepsis and others infections | | | | • GI - NEC, poor feeding and lactational problems | | | | • Hyperbilirubinemia - physiological jaundice, pathological jaundice | | | | • Bleeding disorders in newborns | +------+-------+---------------------------------------------------------------------------------------------------+ | Unit | Hours | Content | +------+-------+---------------------------------------------------------------------------------------------------+ | | | • Neonatal seizures | +------+-------+---------------------------------------------------------------------------------------------------+ | VI | 10 | Other special situations in acute care | | | | • Resuscitation of the newborn and acutely ill child | | | | • Rapid response teams and transport of the sick child | | | | • Disaster management and intervention | +------+-------+---------------------------------------------------------------------------------------------------+ | | 5 | Class tests | +------+-------+---------------------------------------------------------------------------------------------------+ | Total| 96 | hours | +------+-------+---------------------------------------------------------------------------------------------------+ List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) • Hematological alterations ✓ Blood products transfusion ✓ Preparation for bone marrow transplantation ✓ Central line catheter site care ✓ Bone marrow aspiration • Skin alterations ✓ Burn wound assessment ✓ Burn fluid resuscitation ✓ Burn feeds calculation ✓ Burn dressing ✓ Burns bath ✓ Wound dressing • Emergency unit ✓ Triage ✓ BLS, PALS and NALS ✓ CART call activation ✓ IV access ✓ Fluid correction and maintenance ✓ Sample collection ▪ Blood ▪ Urine ▪ Stool ✓ GJ AFB ✓ Gastric lavage ✓ Administration of anti-snake venom ✓ Antidotes ✓ Emergency drugs ✓ Receiving and transporting sick child ✓ Trauma team activation • Specific infections in children ✓ Universal precautions ✓ Barrier and reverse barrier techniques ✓ Donning, doffing ✓ PPE ✓ Isolation precautions ✓ Disinfection and disposal of equipment ✓ Biomedical waste segregation • Availability, care, maintenance, cleanliness, safety and functioning of equipment and articles ➢ Electronic - Monitors, weighing scales, digital thermometer, torch light, infusion pumps, incubators, warmers, refrigerator, suction apparatus ➢ Non-electronic - Height scale, inch tape, manual BP apparatus, oxygen devises, wall oxygen, wall suction, oxygen cylinders, IV stand, wheel chairs, trolleys, alpha mattress, foot stool, side rails ➢ CART trolley articles - laryngoscope, ET tubes, stylet, ambu bag with mask • Other special situations in ▪ Disaster preparedness and protocols ▪ Child abduction ▪ Medico legal incidents ▪ Sentinel events ▪ CART call ▪ Fire ▪ Mob Violence Bibliography • Barkers AM (2009) Advanced Practice Nursing, Massachusetts: Jones & Bartlett Publishers • Datta Parul (2023) Pediatric Nursing (6th ed) New Delhi: Jaypee Brothers Medical Publishers • Hickey JV, Ouimette RM & Venegoni SL (1996) Advanced practice nursing: Changing roles and clinical applications, Philadelphia: Lippincott Williams and Wilkins • Hockenberry Marilyn J, Rodgers Cheryl C & Wilson David (2022) Wong’s Essentials of Pediatric Nursing (11th ed) St. Louis: Elsevier • Hockenberry Marilyn J, Duffy Elizabeth A & Gibbs Karen Divalerio (2024) Wong’s Nursing Care of Infants and Children (12th ed) St. Louis: Elsevier • Schober M & Affara FA (2006) Advanced nursing practice, Oxford: Blackwell publishing • Singh Meharban (2021) Care of the Newborn (9th ed) New Delhi: CBS Publishers & Distribution Pvt Ltd • Stewart GJ & DeNisco SM (2015) Role Development for the Nurse Practitioner, USA: Springer Publishing Company • Verklan Terese M, Walden Marlene & Forest Sharron (2021) Core curriculum for Neonatal Intensive Care Nursing (6th ed) St. Louis: Elsevier WEBSITES • https://main.mohfw.gov.in • https://medlineplus.gov • https://pubmed.ncbi.nlm.nih.gov The skills listed under the specialty courses such as Foundations of Pediatric Nursing Practice, Pediatric Nursing I and Pediatric Nursing II are taught by the faculty in skill lab. The students after practicing them in the lab, will continue to practice in the respective clinical areas. The log book specifies all the requirements to be completed and the list of skills that are to be signed by the preceptor/faculty once the students develop proficiency in doing the skills independently. APPENDIX 1 EQUIPMENT LIST FOR A PEDIATRIC WARD Equipment and articles 1. Pediatric and adult cots with mattress - 40 2. High cradle with warmer - 4 3. IV stand with basket - 25 4. Bed side locker - 40 (10 – patients, 1 - stock) 5. Over bed trolley - 8 6. Digital thermometer - 10 7. Thermometer tray - 8 8. Manual BP apparatus 9. Stethoscope pediatric size - 5 10. Stethoscope adult size - 2 11. Stainless steel injection trays (small) - 10 12. Electronic weighing scale (adult) - 1 13. Electronic weighing scale (child) - 2 14. Bathroom weighing scale - 2 15. Stainless steel injection trays (big) - 5 16. Plastic trays (for sterile cotton, gauze, dressing pack) 17. Injection trolleys - 4 18. Dressing trolley (small) - 5 19. Dressing trolley (medium) - 8 20. Monitor trolley 21. Theatre trolley 22. Stretcher adjustable - 1 23. Stretcher nonadjustable - 1 24. Syringe pump - 15 25. Infusion pump - 20 26. Monitors - 20 27. Transport monitor/pulse oximeter 28. ECG machine - 1 29. Defibrillator - 1 30. Blood warmer - 1 31. Radiant warmer - 3 32. Alpha mattress with motor - 5 33. LEAD shield - 1 34. Crash cart - 1 35. McGill’s forceps adult - 1 36. McGill’s forceps pediatric - 1 37. Transfer trolley - 3 38. OR trolley - 2 39. Safe slider - 1 40. Computer - 4 41. Printers - 2 42. Bain circuit - 2 43. Oxygen flowmeter with humidifier - 40 44. Suction port with jar - 40 45. Air flowmeter/pulmonic - 10 46. Refrigerator - 3 (1 - feeds, 1 - drugs, 1 - other use) 47. Metal foot step/foot stool - 10 48. Ambulation chair - 3 49. UPS - 4 50. Flat trolley - 1 51. Dialysis machine - 1 52. Spot light - 2 53. Labelling machine - 1 54. Glucometer - 4 55. Laryngoscope – adult - 3, pediatric - 3, Miller/Macintosh 0, 1, 2, 3 56. Stylet - 2 57. ET Tubes - 2.5 up to 8 (2 each) cuffed 3×3, 3.5×3, 4.5×2, 7.5×2 58. Ambu bag with different sizes - 10 sets 59. Trays with sterile sets/disposable sets for various procedures (e.g. insertion of central venous catheter, tracheostomy etc.) 60. Back rest 61. Plastic basin - 15 62. Stainless steel basin - 20 63. General notice board 64. White board - 4 65. Patient roster board 66. Key holder board 67. Bowls steel - 10 68. Plastic bowls - 8 69. Medication container (bread box) - 40 70. Breast pump - 2 71. Buckets aluminum (2 - big, 2 - small) 72. Plastic buckets (2 - big, 22 - medium) 73. Chart holder - aluminum - 40 74. Staff belonging cupboard 75. Fire extinguisher - 2 76. Geezer - 1 each unit 77. Hamper - 3 78. Pantry items 79. Mortar and pestle 80. Nail cutter 81. K Basin - 40 82. Ophthalmoscope 83. Otoscope 84. Proctoscope 85. Oxygen key - 1 86. Spanner - 1 87. Cylinder flowmeter - 3 88. Chart rack - 1 89. Sand bags - 8 90. Scissors - 4 91. Stainless steel jug - 4 92. Portable oxygen cylinder stands - 4 93. Chest drainage one way and two-way stand 94. Cardiac table - 2 95. Examination table - 1 96. Tin opener 97. Wall clock 98. Hand drier - 1 99. Dome light - 1 100. Emergency kit Minimum Standards for Pediatric unit 1. Bed space as per NABH standards Ward/Acute care unit ▪ minimum 2 meter distance between beds, and 100 sq ft per bed PES ▪ 125-200 sq ft per bed OPD ▪ 1-2 meter distance between beds 2. Mandatory for clinical work space ▪ Nurses’ office room ▪ Nurses’ station ▪ Medication room ▪ Laminar flow (for loading drugs and TPN in an aseptic environment) ▪ Play room ▪ Patient wash room (minimum 1 for 5 beds) ▪ Pantry ▪ Treatment room ▪ Store room for electronic items ▪ Store room for other storage items ▪ Doctors room and circulation space ▪ Clean utility room ▪ Dirty utility room ▪ Nurses lounge ▪ Staff rest rooms with lockers ▪ Breast feeding room ▪ Patient waiting room ▪ Counselling room ▪ Class room Other essential functioning facilities ▪ Oxygen outlets - 40 ▪ Vacuum outlets - 20 ▪ Compressed air outlets - 5 ▪ Electric outlets with 5-amp and 15-amp pins (2 on each side of patients) ▪ Computers - 2 ▪ Cupboards ▪ Essential furniture for the whole unit Recommended Drugs to be kept in Pediatric unit 1. Antibiotics (as per institution protocol) 2. Diuretics ▪ Frusemide 10 mg/ml (2 ml) × 5 ampules 3. Antihistamines ▪ Avil 22.75 mg/ml × 4 ampules 4. Steroids ▪ Hydrocortisone 100 mg × 4 vials ▪ Dexamethasone 4 mg/ml (2 ml) × 5 vials 5. Antiemetics ▪ Ondansetron 5 mg/ml (2 ml) × 5 ampules 6. Anticoagulant ▪ Vitamin K 10 mg/ml (1 ml) × 10 ampules 7. Adrenergic agent (Catecholamines) ▪ Adrenaline 1 mg/1 ml (1 ml) × 5 ampules 8. Antimuscarinic agent 9. Anticholinergic agent ▪ Atropine 0.6 mg/ml (1 ml) × 5 ampules 10. Cardiac smooth muscle counteractant ▪ Calcium gluconate 100 mg/ml (10 ml) × 2 ampules 11. Systemic alkalizer ▪ Sodium bicarbonate - 7.5% (25 ml) × 2 ampules 12. 10% Dextrose (10 ml ) × 5 vial 13. Neuromuscular blocking agent ▪ Atracurium 25 mg/ml (2,5 ml) × 3 ampules 14. Sedative ▪ Midazolam 5 mg/ml (1 ml) × 5 ampules 15. Opioid ▪ Ketamine 1 ml (50 mg) × 5 ampules ▪ Propofol 16. Inotropes ▪ Dopamine 200 mg/5 ml (5 ml) × 2 ampule 17. Antiarrhythmic agent ▪ Adenosine 3 mg/ml (2 ml) × 2 ampules ▪ Amiodarone 5 mg/ml (2 ml) × 2 ampules ▪ Xylo card/Lidocaine × 1 ampule 18. Bronchodilators ▪ Aminophylline ▪ Deriphyllin 19. IV FLUIDS - (Plasmalytes, Dextrose Normal Saline, 5% Dextrose, Normal Saline) 20. Colloids: Human Albumin 2% 25 ml bottle 21. Anticonvulsants: ▪ Sodium valproate ▪ Phenytoin ▪ Phenobarbitone ▪ Levetiracetam 22. Other drugs: ▪ Magnesium sulphate ▪ KCL APPENDIX 2 ASSESSMENT GUIDELINES (including OSCE guidelines) INTERNAL ASSESSMENT (Theory and Practical) Ist year 1. Theoretical Basis for Advanced Nursing Practice College examination of theory only: 50 marks Internal assessment: Test paper/Quiz: 10 marks Written assignment/term paper: 10 marks (Global and national health care trends & policies for children) Clinical seminar: 5 marks (Clinical/Care pathway in specific clinical condition/Application of specific nursing theory) Final theory college exam: 25 marks Total: 50 marks 2. Research Application and Evidence Based Practice in Pediatric Care Theory: Test papers: 20 marks Written assignment: 5 marks (Literature review/Preparation of research instrument) Journal club: 5 marks (Analysis of research evidence for OPD, Acute Care and Pediatric Emergency nursing competencies) Total: 30 marks 3. Advanced Skills in Leadership, Management and Teaching Theory: Test paper: 15 marks Journal club: 5 marks (Trends in Leadership/Management/Teaching) Written assignment: 5 marks (Standards of Care in Pediatric Nursing and Quality Indicators) Microteaching: 5 marks Total : 30 marks 4. Advanced Pathophysiology & Advanced Pharmacology applied to Advanced Practice in Pediatric Care Theory: Test papers and Quiz: 20 marks (Pathophysiology - 10, Pharmacology - 10) Drug studies: 5 marks (Drug study and presentation) Case presentation and case study report (Pathophysiology): 5 marks Total : 30 marks 5. Advanced Health/Physical Assessment in Pediatric Nursing Theory: Test papers: 20 marks Written assignment: 10 marks (Diagnostic/investigatory reports - interpretation and analysis of findings) Total: 30 marks Practicum: Clinical performance evaluation: 10 marks End of posting exam (OSCE): 10 marks Case presentation and case study report: 5 marks Internal OSCE: 25 marks Total Internal practical: 50 marks End of posting exam can be conducted in Pediatric Emergency Services (PES)/Acute Pediatric care setting in the ward. IInd year 1. Foundations of Pediatric Nursing Practice Theory: Test papers and Quiz: 20 marks Written assignment: 10 marks (protocols in acute pediatric care settings - Ward and PES) Total: 30 marks Practicum: Clinical Performance evaluation: 20 marks End of posting exam (OSCE): 10 marks Drug studies (Drug study and presentation): 10 marks Case presentation and case study report (Family education/counseling): 5 marks Case presentation (Application of Clinical/Care Pathway): 5 marks Internal OSCE: 50 marks Total Internal practical: 100 marks 2. Pediatric Nursing I Theory: Test papers and Quiz: 20 marks Clinical seminar and Journal club: 10 marks Total: 30 marks Practicum: Clinical performance evaluation: 20 marks End of posting exam (OSCE): 10 marks Clinical presentation: 10 marks Case study report: 10 marks Internal OSCE: 50 marks Total Internal practical: 100 marks 3. Pediatric Nursing II Theory: Test papers: 20 marks Clinical Seminar: 10 marks Total: 30 marks Practicum: Clinical performance evaluation: 20 marks End of posting exam (OSCE): 10 marks Clinical presentation: 10 marks Case study report (Developed clinical/care pathway): 10 marks Internal OSCE: 50 marks Total Internal practical: 100 marks End of posting exam can be conducted in the PES or ward. Dissertation/EBP project Practicum: 50 marks EXTERNAL (FINAL) EXAMINATION (As per schedule in syllabus) Theory: Short answer and essay type questions (Weightage can be decided by the University) {Essay 2×15 = 30 marks, Short answers 5×6 = 30 marks, Very short 5×2 = 10 marks} OSCE GUIDELINES FOR INTERNAL AND EXTERNAL PRACTICAL EXAMINATION Ist year I. ADVANCED HEALTH/PHYSICAL ASSESSMENT INTERNAL OSCE: 25 marks CORE COMPETENCY DOMAINS TO BE EXAMINED 1. Focused history taking and physical examination of pediatric patient 2. Interpretation of findings and results 3. Monitoring of clinical parameters Number of stations: 5 (4+1 Rest station) Time for each station: 10 minutes Marks for each station: 5 marks (As per competency Check list and allotted marks) Total: 4×5 = 20 marks Oral exam = 5 marks Total = 25 marks EXTERNAL OSCE: 50 marks CORE COMPETENCY DOMAINS 1. Focused history taking of pediatric patient 2. Family assessment 3. Focused physical examination of pediatric patient 4. Interpretation of history and physical exam findings 5. Interpretation of results of lab and diagnostic tests 6. Monitoring clinical parameters Number of stations: 10 (8+2 Rest stations) Time for each station: 10 minutes Marks for each station: 5 marks (As per competency check list and allotted marks) Total: 8×5 = 40 marks Oral exam = 10 marks Total = 50 marks IInd year On completion of procedural competencies in log book and clinical requirements, the NPPN student is qualified to appear for final practical examination. PEDIATRIC NURSING I & II INTERNAL OSCE: 50 marks CORE COMPETENCY DOMAINS 1. Focused history and physical examination and interpretation of findings and results 2. Monitoring competencies 3. Development of plan of care/care pathway 4. Therapeutic interventions (Emergency procedural competencies) including drug administration Number of stations: 5 (4+1 Rest station) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 10×4 = 40 marks Oral exam = 10 marks Total = 50 marks EXTERNAL OSCE: 100 marks CORE COMPETENCY DOMAINS 1. Focused history taking, physical examination and interpretation of results of pediatric patient 2. Family assessment 3. Monitoring competencies (Invasive and noninvasive) 4. Family education and counseling 5. Development of plan of care/care pathway 6. Drug administration Number of stations: 10 (8+2 Rest stations) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 8×10 = 80 marks Oral exam = 20 marks Total = 100 marks APPENDIX 3 CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN PEDIATRIC NURSING (NPPN) - POSTGRADATE RESIDENCY PROGRAM (Specific Procedural Competencies/Clinical Skills) Ist year +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | I | RESEARCH APPLICATION AND EVIDENCE BASED PRACTICE | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 1 | Preparation of research instrument | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2 | Writing systematic review/literature review | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3 | Preparation of a manuscript for publication (Ist or IInd year) | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4 | Research Project/EBP project (IInd year) | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | | Topic: | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | II | LEADERSHIP, MANAGEMENT AND TEACHING | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 1 | Preparation of staff patient assignment | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2 | Preparation of unit budget | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3 | Preparation of staff duty roster | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4 | Nursing care audit in the unit | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5 | Management of equipment and supplies | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 6 | Monitoring, evaluation, and writing report related | | | | | | to infection control | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 7 | Preparation of teaching plan and media for | | | | | | teaching patients/staff | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 8 | Micro teaching/patient education sessions | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 9 | Planning and conducting OSCE/OSPE | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 10 | Construction of tests | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | III | HEALTH ASSESSMENT | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 1 | Comprehensive history taking | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2 | Comprehensive physical examination | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3 | Focused history taking (system wise) | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4 | Focused physical examination (system wise) | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.1 | Respiratory system | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.2 | Cardiac system | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.3 | Gastrointestinal | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.4 | Nervous | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.5 | Genitourinary | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.6 | Endocrine | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.7 | Hematological | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.8 | Musculoskeletal | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.9 | Integumentary | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.10 | Sensory organs | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5 | Age specific history & physical examination | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.1 | Neonate | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.2 | Infant | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.3 | Toddler | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.4 | Preschooler | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.5 | School age | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.6 | Adolescent | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 6 | Assessment of growth and development | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 6.1 | New born | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 6.2 | Infant | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 6.3 | Toddler | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 6.4 | Preschooler | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 6.5 | School age | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 6.6 | Adolescent | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | IV | DIAGNOSTIC PROCEDURES | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 1 | Collecting blood sample for laboratory tests | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 1.1 | Biochemistry | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 1.2 | Clinical pathology | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 1.3 | Microbiology | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 1.4 | ABG | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2 | Assisting procedures | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2.1 | Paracentesis | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2.2 | Thoracentesis | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2.3 | Insertion of ICD | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2.4 | Lumbar puncture | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2.5 | Liver biopsy | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2.6 | Renal biopsy | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2.7 | Bone marrow aspiration | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2.8 | Suprapubic puncture | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | | Any other if assisted | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2.9 | | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3.0 | | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3.1 | | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3.2 | | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3.3 | | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3 | Witnessing procedures | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3.1 | Interventional cardiac procedure (cardiac | | | | | | catheterization) | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3.2 | Endoscopy | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3.3 | MRI/CT | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3.4 | Ultrasound | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3.5 | EMG | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3.6 | Echocardiogram | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | V | BASIC COMPETENCIES | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 1 | Admission | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 2 | Transfer | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 3 | Transport | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4 | Setting up, performing and maintenance of basic | | | | | | critical care equipment | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.1 | Monitor/s | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.2 | Transducer/pressure bag | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.3 | Temperature probes | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.4 | SpO probes | | | | | | 2 | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.5 | Sequential compressing device | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.6 | Perform 12-lead ECG | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.7 | Radiant Warmer | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.8 | Phototherapy | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.9 | Fluid warmer | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.10 | Syringe pump | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.11 | Infusion pump | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 4.12 | Alpha mattress | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5 | Performing, monitoring and interpretation of | | | | | | clinical parameters | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.1 | Arterial Blood Gas (ABG) | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.2 | Oxygen saturation | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.3 | Endotracheal tube cuff pressure | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.4 | Hemodynamics by Monitors | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.5 | Electrocardiogram (ECG) | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.6 | Intracranial pressure (ICP) | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.7 | Non-invasive BP monitoring | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.8 | Peripheral vascular status | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.9 | Glasgow Coma Score | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.10 | Sedation Score | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.11 | Pain Score | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.12 | Braden Score | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.13 | Bowel sounds | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.14 | GRBS | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.15 | Chest Xray | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.16 | Pediatric Early Warning Score | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | 5.17 | Neonatal Early Warning Score | | | | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ * - When the student is found competent to perform the skill, it will be signed by the preceptor/faculty. 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 NP 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 Program Coordinator/Faculty Signature of the HOD/Principal IInd year +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | 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+---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | 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+---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | 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+---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | | | Performed | | Preceptor*/Faculty | +---------+---------------------------------------------------------+-----------------+------+-----------------------------+ | S.No. | Specific Competencies/Skills | Number | Date | Signature of the | | |