FACILITY BASED NEWBORN CARE (FBNBC) AND ESSENTIAL

NEWBORN CARE (ENBC), PLS AND IMNCI MODULES (Child

Health Nursing I)
FBNBC & ENBC: Can be offered as a single module
[Link]. MODULE NUMBER & TITLE
HOURS
I. FBNBC & ENBC II. IMNCI III. PLS TOTAL

1 Theory Hours 10 10 3 23

2 Lab Hours 8 5 4 17

3 Clinical Hours 25 25 10 60

Total 43 40 17 100

FACILITY BASED NEWBORN CARE (FBNBC) AND ESSENTIAL

NEWBORN CARE (ENBC) (Child Health Nursing)
PLACEMENT: V SEMESTER

THEORY & SKILL LAB: 18 hours

Theory: 10 Hours
Skill Lab: 8 hours

MODULE OVERVIEW: This course is designed to help students to demonstrate the cognitive and psychomotor
skills necessary for ensuring healthy survival of neonates.

COMPETENCIES (Learning outcomes): The student will be able to

1. Describe evidence based routine care of newborn baby at birth and everyday care of the newborn baby
2. Enlist the factors which contribute to heat loss in newborn
3. Demonstrate methods to keep the baby warm after birth and at home
4. Discuss Kangaroo mother care and develop skill in assisting for Kangaroo Mother Care
5. Recognize different methods to feed normal and low birth weight babies
6. Demonstrate skill in assisting the mother for breastfeeding the newborn baby
7. Identify and manage at-risk and sick neonates
8. Perform resuscitation of newborn baby and provide aftercare
9. Demonstrate skill in using and maintaining neonatal equipment, doing common procedures, emergency
triaging and preparing common medications
10. Enumerate key points in prevention of infection in hospitals and waste disposal

CONTENT OUTLINE T - Theory, L - Lab/Skill lab

Unit Time Learning Content Teaching/ Learning Assessment
(Hours) Outcomes Activities Methods
1 1 (T) Describe evidence Evidence based care of • Lecture • Questioning
1 (L) based routine care newborn • Discussion • Tests
of newborn baby at • Basic needs of a normal baby at
birth and everyday birth
care of the • Immediate care of the normal
newborn baby newborn at the time of birth
• Monitoring the baby in the first
hour after birth

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Unit Time Learning Content Teaching/ Learning Assessment
(Hours) Outcomes Activities Methods
• Care of the baby in special
situations
• Postnatal care of normal baby

2 1 T) Enlist the factors Temperature regulation in • Discussion  OSCE

1(L) which contribute to newborn • Demonstration
heat loss in • Handicaps of newborn in
newborn temperature regulation
• Warm chain
Demonstrate • Assessment of temperature and
methods to keep management of hypothermia
the baby warm • Hyperthermia
after birth and at
home
3 1 (T) Discuss Kangaroo Kangaroo mother care  Discussion  OSCE
1 (L) mother care and • KMC - Components and
develop skill in benefits
assisting for • Requirements and eligibility
Kangaroo Mother • Procedure
Care
4 1 (T) Recognize different Feeding the newborn • Discussion • Tests
1 (L) methods to feed • Breast feeding • Demonstration • Questioning
normal and low • Feeding of low birth weight and • OSCE
birth weight babies sick newborns

Demonstrate skill
in assisting the
mother for
breastfeeding the
newborn baby
5 2 (T) Identify and Care of sick neonates • Discussion • Tests
1 (L) manage at-risk and • Care of at-risk neonates • Demonstration • Questioning
sick neonates • Care of sick neonates
6 1 (T) Perform Newborn Resuscitation  Demonstration and • Questioning
2 (L) resuscitation of • Preparation for resuscitation return • OSCE
newborn baby and • Assessing the need for demonstration
provide aftercare resuscitation
• Steps of resuscitation
• Follow up care after successful
resuscitation
7 2 (T) Demonstrate skill Common nursing procedures • Discussion • Tests
1 (L) in using and • Use and maintenance of • Demonstration • Questioning
maintaining neonatal equipments • OSCE
neonatal • Common procedures done in
equipments, doing newborn
common • Preparation of common
procedures, medications
preparing Common • Emergency triage assessment
medications and and treatment
emergency triaging

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 8 1 (T) Enumerate key Infection prevention and control • Tests
points in • Principles of asepsis and • Questioning
prevention of universal precautions • OSCE
infection in • Handwashing
hospitals and waste
disposal
Unit Time Learning Content Teaching/ Learning Assessment
(Hours) Outcomes Activities Methods
• Skin preparation for
venipuncture and other
procedures
• Surveillance
• Safe disposal of hospital waste

CLINICAL: 25 hours

Clinical Practice Competencies: On completion of the course, the students will be able to:
1. Demonstrate immediate care of a newborn at the time of birth
2. Demonstrate methods to keep the baby warm after birth and at home
3. Encourage Kangaroo mother care
4. Recognize and practice different methods to feed normal and low birth weight babies
5. Identify and manage at-risk and sick neonates
6. Perform resuscitation of newborn baby and provide aftercare
7. Demonstrate skill in using and maintaining neonatal equipment, doing common procedures, emergency
triaging and preparing common medications
8. Practice key points in prevention of infection in hospitals and waste disposal

Learning Resources: (Latest version must be consulted as and when revised)

National guidelines-MOH&FW

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 IMNCI MODULE (Child Health Nursing I)
PLACEMENT: IV SEMESTER

THEORY: 10 hours
SKILL LAB: 5 hours
CLINICAL: 25 hours

DESCRIPTION: This course is designed to help students to develop knowledge and competencies required for
assessment, diagnosis, treatment, nursing care of infants and children with various diseases using guidelines as
per IMNCI in the hospital and home settings.

COMPETENCIES (Learning outcomes): The student will be able to

1. Trace the history and developments in the field of integrated management of child health and child health
nursing
2. Apply the concepts of IMNCI in providing care to the pediatric clients and their families
3. Identify effective management of young infants up to 2 months
4. Demonstrate skill in case management of young infants up to 2 months
5. Recognize effective management of children age 2 months to 5 years
6. Demonstrate skill in case management of children age 2 months to 5 years
7. Demonstrate skill in treatment procedures and referral of sick children
8. Demonstrate skill in counseling of the care takers

CONTENT OUTLINE T - Theory, L - Lab/Skill Lab

Unit Time Learning Content Teaching/Learning Assessment
(Hours) Outcomes Activities Methods
1 2 (T) Trace the history IMNCI - Introduction • Lecture • Written
and developments • Background and Objectives • Discussion assignment
in the field of • Components and principles • Tests
integrated • Rationale for an integrated
management of evidence based syndromic
child health and approach to case management
child health
nursing
2 2 (T) Apply the concepts Steps of case management process • Discussion  OSCE
1 (L) of IMNCI in • Assess the young infant/child • Demonstration
providing care to • Classify the illness
the pediatric clients • Identify treatment
and their families • Treat the young infant/ child
• Counsel the mother
• Provide follow up care
3 2 (T) Identify effective Assessment of sick young infants • Discussion  OSCE
1 (L) management of • History taking • Demonstration
young infants up to • Checking for possible bacterial
2 months infection/ jaundice
• Diarrhea
Demonstrate skill • Feeding problem/ malnutrition
in case • Immunization status
management of • Other problems
young infants up to
2 months
4 2 (T) Recognize Assessment of sick children • Discussion  OSCE
1 (L) effective • History taking • Demonstration
management of • Checking for general danger signs
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 Unit Time Learning Content Teaching/Learning Assessment
(Hours) Outcomes Activities Methods
children age 2 • Checking main symptoms
months to 5 years • Checking for malnutrition
• Checking for anaemia
Demonstrate skill • Assessment of feeding
in case • Checking immunization
management of • Assessing other problems
children age 2
months to 5 years
5 2 (L) Demonstrate skill Treatment procedures • Discussion  OSCE
in treatment • Identify treatment • Demonstration
procedures and • Inpatient and outpatient treatment
referral of sick • Home management
children • Referral
6 2 (T) Demonstrate skill Parental counseling • Discussion  OSCE
in counseling of • Advice regarding feeding and fluid • Role play
parents and care intake, and solving of feeding
takers problems
• Administration of oral drugs
• Advise when to return
Clinical: 25 hours

Practice Competencies: On completion of the course, the students will be able to:
1. Demonstrate skill in case management of young infants up to 2 months
2. Demonstrate skill in case management of children age 2 months to 5 years
3. Demonstrate skill in treatment procedures and referral of sick children
4. Demonstrate skill in counseling of the care takers and follow up care

Learning Resources: (Latest version must be consulted as and when revised)

National guidelines-MOH&FW
PLS MODULE (Child Health Nursing I)
PLACEMENT: V SEMESTER

Theory: 3 hours

Skill Lab: 4 Hours

Clinical: 10 Hours

COMPETENCIES (Learning outcomes): The student will be able to

1. Recognize early signs of critical illness in children
2. Identify early signs of cardiopulmonary arrest
3. Demonstrate the use of the various airway and oxygen adjuncts and methods for optimum ventilation & airway
control.
4. Differentiate between respiratory distress and failure
5. Intervene respiratory distress and failure at the earliest
6. State the indications & dosages of medications used in cardiopulmonary arrest and the effects on the
cardiovascular system.
7. Demonstrate skill in CPR
8. Provide Post-cardiac arrest management

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 CONTENT OUTLINE T - Theory, L - Lab/Skill lab
Unit Time Learning Content Teaching/Learning Assessment
(Hours) Outcomes Activities Methods
1 2 (T) Recognize early Identification of critical illness • Lecture • Questioning
signs of critical in children • Discussion • Tests
illness in children • Early signs of critical illness in
children
Identify early signs • Early signs of cardiopulmonary
of cardiopulmonary arrest
arrest • Assessment of appearance
based on AVPU scale
2 1 (T) Differentiate • Respiratory distress  Discussion  OSCE
between respiratory • Respiratory failure
distress and failure
3 1 (L) Intervene  Prompt Interventions for • Discussion  OSCE
respiratory distress Respiratory distress and • Demonstration
and failure at the Respiratory failure
earliest
4 1 (L) State the indications Medications used in • Discussion  OSCE
& dosages of cardiopulmonary arrest • Demonstration
medications used in  Indications & dosages of
cardiopulmonary medications used in
arrest and the cardiopulmonary arrest and the
effects on the effects on the cardiovascular
cardiovascular system
system
5 1 (L) Demonstrate skill in CPR  Demonstration and  OSCE
CPR  Steps in carrying out Child return
CPR demonstration
6 1 (L) Provide Postcardiac Post-cardiac arrest • Discussion  OSCE
arrest management management • Demonstration

Clinical Practice Competencies: 10 hours

On completion of the course, the students will be able to:
1. Recognize early signs of critical illness in children
2. Demonstrate the use of the various airway and oxygen adjuncts and methods for optimum ventilation & airway
control.
3. Differentiate between respiratory distress and failure
4. Intervene respiratory distress and failure at the earliest
5. State the indications & dosages of medications used in cardiopulmonary arrest and the effects on the
cardiovascular system.
6. Demonstrate skill in CPR
7. Provide Post-cardiac arrest management

LEARNING ACTIVITIES: Specified in the above table.

ASSESSMENT METHODS:
• Test paper (Objective type/short answers) - 20 marks
• Assignments - 10 marks
• OSCE - 20 marks

Weightage to Internal Assessment: 10 marks to be added to internal marks to make up the total of 40 marks.

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Learning Resources: (Latest version must be consulted as and when revised)

1. National guidelines - MOH&FW

2. AHA guidelines

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