APPLIED ANATOMY AND PHYSIOLOGY RELATED TO DIALYSIS TECHNOLOGY

COURSE CODE- PDT121T

II SEMESTER(Ist YEAR)

OBJECTIVE:

Through this course the students will understand the

a)      the detailed anatomy of kidney, bladder, urethra, urethra, prostrate

b)      working of the urinary system

c)      various disorders related to urinary system

Topics to be covered up:

UNIT- 1

  • Basic anatomy of urinary system : structural anatomy of kidney, bladder, ureter, urethra, prostrate
  •  Histology of kidney
  •  Blood supply of kidney
  • Development of kidney in brief
  • Anatomy of peritoneum including concept of abdominal hernias

UNIT –II

  •  Mechanism of urine formation
  •  Glomerular filtration rate
  •  Clearance studies

UNIT-III

  •   Physiological values of urea, creatinine, electrolytes, calcium, phosphorous, uric acid, magnesium, glucose, 24 hours urinary indices- urea, creatinine, electrolytes, calcium, magnesium
  • Physiology of renal circulation
- Factors contributing and modifying renal circulation

 - Auto -regulation              

  •  Hormones produced by kidney and physiologic alterations in pregnancy

UNIT-IV

  • Diseases of kidney, pelvis, ureter, urinary bladder and urethra

 UNIT-V

  •  Haemostasis, coagulation cascade, coagulation factors, auto regulation , Bleeding time, Clotting time, prothrombin time, PPT, thrombin time
  •  Acid base balance; basic principles and common abnormalities like hypokalemia, hyponatremia, hyperkalemia, hypernatremia, hypocalcaemia, hypercalcaemia, pH etc
  • Basic nutrition in renal diseases.

  EVALUATION:

  •  Internal 1-   10%
  •  Internal 2-   10%
  • Mid- term – 30%
  • End Term – 50%

REFERENCES:

              * B D Chaurasia’s -Human Anatomy

              *Ross and Wilson- Human Anatomy and Physiology in Health and illness



Course Title: Applied Cardiac Care Therapy Technology 

Course Code: PCCT221T

Course Description:

The course contains the basics of  Electrocardiogram (ECG), Echocardiography, TMT, Halter, Catheterization technique and Cardio Respiratory fitness. Basically how ECG and echocardiography instrument are functioning it is incorporate in this applied cardiac care technology part. Not only the function of different cardio respiratory instruments it also deals with the lead used in the specific instrument, its type, even the waves (in case of ECG) also incorporate here. Similarly in case of Echocardiography, Halter monitoring, Cardiac Catheterization the different types, functioning that is the principal, mode of action also include in this course content.

Course Objective: 

Applied cardiac care therapy technology aims to teach the first steps of cardiac care technology in a systemic way to the B. Sc students from the paramedic or allied health science point of view.
The subject applied cardiac care therapy technology deals with  how well a heart is functioning and can monitor heart rate.  Cardiac care technicians measure how well a patient's heart is functioning. Cardiac care technicians assist physicians during invasive cardiovascular testing, where a tube is inserted into one of the blood vessels that carry blood into the heart. Cardiac care technicians monitor patients' heart rates and blood pressure, looking for any signs of trouble or distress. At the end of the course students will learn how to interpret ECG, TMT and other cardio pulmonary fitness technique.

Course Outcome:

After successful completion of the course the students acquires strong base of Electrocardiogram, Echocardiography, TMT, Cardiac catheterization, and cardio respiratory fitness status also.  Students expected to answer the question related to the above mentioned topic. Students are expected to apply the theoretical knowledge in case of hands on laboratory class i.e. during the practical class. Students are expected to learn the basic life support skills and the role of cardiac care technologists in paramedical science and the techniques of ECG, echocardiography, Halter, TMT and Cardiac Catheterization.

Course Structure:
Module I: Introduction about cardiac care technology, ECG, Importance of ECG, Leads of ECG, Waves of ECG, Segments  of ECG , Interval of ECG, Revision of Module I and/or Surprise Test/ Group Discussion.
•Module II: ECG anatomy - Chambers enlargement, Technical artefacts, ECG reporting, ECG reporting, Pretest ECG, Introduction to Treadmill Test - Indications and Safety, Revision of Module II and/or Surprise Test/ Group Discussion.
•Module III: Equipment and Protocols, exercise End Points, Basics of Interpretation of the Exercise Test, Exercise Testing to Diagnose Obstructive Coronary Artery Disease, Pre-test Probability (true positive, false positive, true negative and false negative ST-Segment Interpretation, Confounders of Stress ECG Interpretation. Result Reporting, Revision of Module II and/or Surprise Test/ Group Discussion.
•Module IV:  Echocardiography, Echocardiographic views, Imaging modes - two-dimensional (2D) imaging, M-mode imaging, Doppler imaging, Orientation to the Cath - Lab and biomedical equipments, Radiation safety and protocols, Vascular access - arterial in femoral, radial and ulnar, venous in femoral, Revision of Module IV I and/or Surprise Test/ Group Discussion.
•Module V: Catheterization left heart and right heart, Angiography – Chambers, Transducers balancing, measurement of pressures, Calculations of gradients, Blood flows, cardiac output and Calculations of cardio shunts, resistances, Management of patient in the Cath - Lab, coronary angiogram views, Cardio respiratory techniques, tests, TMT test, Maintaining sterility, Revision of Module IV I and/or Surprise Test/ Group Discussion.

Evaluation: 

  • Internal 1-   10%
  • Internal 2-   10%
  • Mid- term – 30%
  • End Term – 50%
References:
1) A text book of Electrocardiography - Goldberger
2) Essential of Medical Physiology, K Sembulingam
3) Ganong’s Review of Medical Physiology
4) A Text of Cardiac Catheterization & Interventions. Dr. W. Grossman's D. Baim



 




Course Title: Applied Emergency Care Technology Part I

Course Code: PECT221T

Course Description:

The course contains the basics of ambulance system, triage, role of triage, role of paramedic personnel and the basic life support skills during critical condition. Basically how the emergency medical care technicians handle the situation in critical care unit e.g. when carrying the patient, lifting the patient all these are include here. Not only the function of different cardio respiratory instruments but this course also deals with the lead used in the specific instrument, its type, even the waves (in case of ECG). Similarly in case of ambulance how to communicate or how to response a call and how to give proper life support skills in absence of a doctor, even pre hospital care techniques and the parameters records or monitor before the admission in a hospitals also include in this syllabus.

Course Objective:

Applied emergency care technology aims to teach the first steps of emergency medical care technology in a systemic way to the B. Sc students from the paramedic or allied health science point of view.
The subject applied emergency care technology deals with  how emergency medical technologists work during a critical condition whether it is in ambulance or it will be in ICU. Emergency medical technicians also need to know the basic life support skills. At the end of the course students will learn CPR, ECG, cardio pulmonary fitness assessment which will be helpful  for providing proper medical support.

Course Outcome:

After successful completion of the course the students acquires strong base of Triage system, ambulance system, basic life support skills like CPR. Students expected to answer the question related to the above mentioned topic. Students are expected to apply the theoretical knowledge in case of hands on laboratory class i.e. during the practical class. Students are expected to learn the basic life support skills and the role of emergency medical care technologists in paramedical science.
Course Structure:
•Module I: Structure and organization of a hospital and its departments, Functioning of an ideal       emergency medicine department, Concept of triage, Components of triage Triage officer,  Triage procedure.
•Module II: Ambulance services (A), Preparation of an ambulance a. Equipment Medical, Basic supplies, Patient transfer equipment, Airways, Suction equipment, Artificial ventilation devices, Oxygen inhalation equipment, Cardiac compression equipment, Basic wound care supplies, Splinting supplies, Childbirth supplies, Medications, Automated external defibrillator, Non-Medical, Personal safety equipment as per local, state, and central standards, Pre-planned routes or comprehensive street maps, Daily inspection, Inspection of vehicle systems b. Equipment  Utilization of safety precautions and seat belts.
•Module III:  Responding to a call, Emergency vehicle operations, Position and Transport of patient,  Patient position, prone, lateral, dorsal, dorsal recumbent, Fowler's positions, comfort measures, bed making, rest and sleep, Lifting and transporting patients: lifting patients up in the bed, transferring from bed to wheel chair, transferring from bed to stretcher, Loading patients to an ambulance, Wheeled ambulance stretcher, Portable ambulance stretcher, Scoop stretcher Long spine board, Transferring patients, The phases of an ambulance call, Disinfection of ambulance following ambulance usage, Air ambulances.
•Module IV:  Pre hospital care -  Introduction, Vehicles, Communications, Patient record, Personal protective equipment, Multiple/ mass casualty - pre-hospital life support.
•Module V: Communication- Communication with doctors, colleagues and other staffs, Non-verbal communication, Inter-personnel relationships, Patient contact techniques, communication with patients and their relatives.
Evaluation: 

  • Internal 1-   10%
  • Internal 2-   10%
  • Mid- term – 30%
  • End Term – 50%

References

1) Fundamentals of Respiratory Care- Egan's - Craig l. Scanlon

2) Essential of Medical Physiology- K Sembulingam

3) Ganong’s Review of Medical Physiology

4) Handbook of Emergency Care - Suresh David




Course Title- Clinical procedures and instruments emergency services

                                                       Course Code-  PECT121T

COURSE DESCRIPTION- The course is designed to help the students to develop an understanding of the philosophy, objectives, theories and process of accident and emergency care technology in various supervised clinical setting. It is aimed at helping the students to acquire knowledge; understanding and skills in techniques of practice them in supervised clinical settings.

COURSE OBJECTIVES-

•      Students will learn how to handle different instrument used in emergency situations.

•      Students will learn about the clinical procedures in emergency room.

•      Students will learn how to handle patients in emergency Situations.

•      Students also learn about the infections control protocols.

LEARNING OUTCOMES-

·        Improve the handling skill, knowledge regarding emergency medical instruments.

·        Build the carrier as a emergency medical technician.   

·        Students will acquire knowledge regarding various medical instruments,

·        Create the job opportunity in the healthcare industry as emergency technician.

COURSE STRUCTURE-

Unit I-INSTRUMENTATION IN EMERGENCY SERVICES

Introduction to biomedical engineering, ECG, DC Defibrillator, Intravenous pumps

Laryngoscope, ambubag, suction machine,SPO2 monitoring, Temperature monitoring

BP apparatus, BP monitoring-NIBP, IBP, Ventilators-Intensive care, portable, power generation, transmission & distribution

Manual resuscitator, Radiology equipment & radiation hazards, suction machine

Nebuliser, medical gases, ambulance and its power supply, dialysis machine, infant warmer & incubator

Unit II- CLINICAL PROCEDURE IN EMEREGENCY ROOM

Pulse assessment

Respiratory assessment

Temperature assessment

Blood pressure assessment

Endotracheal  intubation and extubation and drugs through ET tube

Tracheostomy insertion and management

Suctioning an artificial airway, nasotracheal suctioning, insertion of nasopharyngeal and oropharyngeal airway

Mechanical ventilation

Intercostal drain

Thoracocentesis

Unit III-

Pulse oximetry

Carbon dioxide monitoring, capnometry

Oxygen therapy

Delivery systems for inhaled medication

Nebulizers

Metered dose inhaler

Cardiac monitoring, Central venous pressure monitoring

Insertion of arterial line

Central venous cannulation Transcutaneous cardiac pacing, Percardiocentesis, Cardioversion, Defibrillation

Cannulating umbilical vein, Indication, procedure, drugs through umbilical vein, complication

Intraosseous  Infusion, Indication, Procedure, Drugs through intraosseous line, complication

UnitIV-

Gastrointestinal procedures, Insertion of nasogastric tube, Insertion of enteral feeding tube and initiation of feedings, Gastric lavage, upper gastrointestinal endoscopy

Insertion of rectal tube, paracentesis,peritoneal lavage.

Poison decontamination, activated charcoal. whole bowl irrigation

Genitourinary procedures, urethral catheterization ,peritoneal dialysis

Placement and management of external arteriovenous shunt,contionous arteriovenous hemofiltration

Intravenous therapy,Insertion of intravenous catheter

administration of parenteral nutrition

Blood administration

Evaluation-

·        Internal I-     10%

·        Internal II-    10%

·        Mid –term-   30%

·        End –term-   50%

References-

·        Waugh-Ross & Wilson Anatomy &Physiology,2008,Elsevier

·        Biochemistry for Nurses-Raju.S.M,Maddali Bindu




Course Title-Health promotion

Course code-NHP111

Course description:

The course is designed to assist the students to acquire an understanding of the importance of nutrition in health and sickness, Promote nutrition of an individual, family and community. Explain principles of hygiene and its effect on health, Describe hygiene for self and individuals, Describe importance of environmental sanitation and waste management, Promote mental health of individual, family and community to improve the quality of nursing practice.

Course objectives

•      This course in Health Promotion is framed to help the students learn the concepts of understand

•      The importance of nutrition in health and sickness.

•      Promote nutrition of an individual, family and community.

•      Explain principal of hygiene and its effect on health.

•      Describe hygiene for self and individuals.

•      Describe importance of environmental sanitation and waste management.

•      Promote mental health of individual ,family and community

Learning outcomes

•      Developed nursing skill especially in nursing profession.

•      Developed Identify the ethical considerations associated with planning, implementing, and evaluating health programs.

•      Improve Demonstrate an overarching understanding of research in the nursing field.

Create the job opportunity in the healthcare industry as registrar nurse

Course structure

•      Basic knowledge regarding nutrition

•      Introduction regarding human body and hygiene

•      Concept regarding the environmental sanitation

•      Basic Concept regarding the mental health

Assessment

·         Internal marks-25%

                               - Activity participation -5%

                              -Base of performance on practical field-5%

                             -1st internal examination -7.5%

                             -2nd internal examination -7.5%

·         Nursing council final examination-75%

References:

Health promotion S S  Randhaya, R.K Gupta

Community Health Nursing K park


MEDICAL TERMINOLOGY AND RECORD KEEPING

COURSE CODE- PMS121

II SEMESTER (IST YEAR)


OBJECTIVES:

  • through this course the students will have thorough knowledge of roots, prefixes and suffixes
  • they will learn terminologies related to human anatomy
  • they will be able to read medical orders and reports and terminologies specific to the students field of study

LEARNING OUTCOMES

  •  Developing an ability to read and understand medical records and the medical literature;
  • Writing terms correctly when abstracting medical records
  • Establishing accuracy in International Classification of Diseases, Surgical procedures which will be useful in statistics, medical billing, and auditing medical insurance claims.

Topics to be covered:

UNIT –I

        Derivation of Medical Terms

        Define word roots, prefixes and suffixes

UNIT-II

        Basic Medical terms

        Form Medical Terms utilizing roots, suffixes, prefixes and combining roots

UNIT-III

      Interpret basic medical abbreviation/ symbols

UNIT-IV

     Utilise diagnostic , surgical and procedural terms and abbreviations related to

-          Integumentary system

-          Musculoskeletal system

-          Respiratory system

-          Cardiovascular system

-          Nervous system

-          Endocrine system

UNIT-V

    Interpret Medical orders /reports

    Data entry and management in electronic and health record system

 

EVALUATION

  •  Internal 1-   10%
  •  Internal 2-   10%
  •  Mid- term – 30%
  •  End Term – 50%

REFERENCES:

  • GD Mogli- Paramedics 6-in-1 Handbook

MEDICAL TERMINOLOGY II
COURSE CODE- PHIM121
II SEMESTER ( 1ST YEAR)
OBJECTIVE

This includes the fundamentals of clinical science.

  •  To know the elements of medical words.
  •  To develop sense of correctness of medical terms.
  •  To gain an understanding of standard medical abbreviations.
  •  To understand the relationship between medical terms and their synonyms in common usage.
  • To spell correctly the medical terms, to detect the meaning of unfamiliar medical terms, by analysis into their elements, and to follow directions given in medical phraseology
  • To appreciate the logical order of medical terms, the exactness of concepts in medical terms, and the importance of medical terminology consciousness and continuous study

LEARNING OUTCOMES

  • Developing an ability to read and understand medical records and the medical literature;
  • Writing terms correctly when abstracting medical records
  •  Establishing accuracy in International Classification of Diseases, Surgical procedures which will be useful in statistics, medical billing, and auditing medical insurance claims.

Topics to be covered

 I.   Introduction to Medical Terminology


1.      Definition and Origin of Medical Terms.

2.      Components of Medical Terms

3.      Prefixes

4.      Suffixes

5.      Roots and Combining forms

6.      External Anatomy and Internal Anatomy

7.      Additional Lists and their combining forms grouped as:

·         Verbs

·         Adjectives

·         Body Fluids

·         Body Substances

·         Chemicals

·         Colours

·         Phobias

 

II.   Terms Relating to the Body as a Whole

1.      Study of the Body

2.      Basic Structures

3.      Cells

4.      Tissues

5.      Organs

6.      Systems

7.      Directions

8.      Anatomic Planes and Position

 

III.    The Skeletal System, The Muscular System

1.      Pathologic conditions (Inflammations and Infections)

2.      Hereditary, Congenital and Developmental Disorders

3.      Fractures

4.      Metabolic and Deficiency Diseases

5.      Symptomatic Terms

6.      Diagnostic Terms

7.      Oncology Terms

8.      Operative Terms

9.      Laboratory Tests and Procedures

10.  Standard Abbreviations

 

IV.  Integumentary System,  The Cardiovascular System, The Respiratory system, The Gastrointestinal system

 1.      Pathologic Conditions Pathologic Conditions

2.      Fungal, Viral and Parasitic Infections

3.      Hereditary, Congenital and Developmental Disorders

4.      Symptomatic Terms

5.      Diagnostic Terms

6.      Oncology Terms

7.      Operative Terms

8.      Laboratory Tests and Procedures

9.      Standard Abbreviations

  V. The Genito-Urinary System, The Endocrine System, The Nervous System including Psychiatric disorders, Sense   organs

 1.      Pathologic Conditions

2.      Hereditary, Congenital and Developmental Disorders

3.      Symptomatic Terms

4.      Diagnostic Terms

5.      Oncology

6.      Surgical Procedures

7.      Laboratory Tests and Procedures

8.      Standard Abbreviations

EVALUATION

  • Internal 1-   10%
  • Internal 2-   10%
  • Mid- term – 30%
  • End Term – 50%

REFERENCES:

 *GD Mogli- Paramedica 6-in-1 Handbook