1

MAHARASHTRA STATE BOARD OF NURSING

AND PARAMEDICAL EDUCATION
Directorate of Medical Education & Research,
4thFloor, St. George’s Hospital Compound,
P. D’Melo Road, MUMBAI-400001
Tel.No. + 91-22-22620360
E-mail-info@msbnpe.org
Website:-www.msbnpe.org

PRACTICAL RECORD BOOK

AUXILIARY-NURSE-MIDWIFE (FHW)

MSBNPE PRACTICAL RECORD BOOK 2018

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AUXILIARY-NURSE-MIDWIFE/FEMALE
HEALTHWORKER (2 Years)
NAME OF THE STUDENT NURSE :
NAME OF THE INSTITUTION :
DATE OF ADMISSION TO THE COURSE:
DATE OF COMPLETION OF THE COURSE:

PRACTICAL EXAMINATION RECORD

Sr. Date Year Examination Sign of the
No. Seat No. Examiners
1 First Year Practical – I 1.
Community Health Nursing & 2.
Health Promotion.
Practical – II
1.
Child Health Nursing
2.
Area Of Exam
Either at Paediatric Ward or in
community 1.
2.
2 Second Year 1.
Practical - I 2.
Midwifery
Practical – II 1.
Health Centre Management 2.
Area Of Exam
Maternity ward/RH/PHC
1.
2.

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FIRST YEAR
Sr. Human body & Hygiene Date of Sign of Nursing Date of Sign of Nursing
No. Personal hygiene Demonstration Teacher Redemons Teacher
tration
I 1 Sponge bath
2 Back care of pressure points
3 Care of Nails
4 Mouth care
5 Care of Hair
6 Pediculosis tretment

II Comfort measures
1 Simple Bed making
2 Operation bed
3 Use of Bed blocks
4 Use of Heart table & Back
reset
5 Use of bed cradle
6 Use of sand bags
7 Active / Passive exercises
8 Changing position of helpless
patient
9 Body support to prevent
contractures

III Positions
1 Dorsal
2 Fowlers
3 Sims
4 Prone
5 Lithotomy
6 Lateral

IV Hot & Cold Applications

1 Application of hot water bag
2 Application of ice cap
3 Cold or tepid sponge

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Sr. Date of Sign of Nursing Date of Sign of Nursing

No. Demonstration Teacher Redemonst Teacher
ration
4 Cold Compresses
5 Simple fomentation
6 Ayush practices

V Inhalations
1 Steam inhalation
Oxygen inhalation
Nebulisation

VI Vital Signs
1 Taking Temperature & Charting
A axilla
B Oral
C Rectal
D Digital
2 Counting Pulse & Charting
A Radial
B Femoral
C Jugular
3 Counting Respiration & Charting
4 Taking Blood Pressure & Charting

VII Infection & Immunization

Collection of Specimens
1 Urine
2 Stool
3 Sputum
4 Blood

VIII Investigations
1 Urine test
For Albumin
For Sugar
2 Blood for Hb%
3 Preparation of Malaria Slide
4 Showing pathogens under microscope

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Sr. Date of Sign of Nursing Date of Sign of Nursing

No. Demonstration Teacher Redemonstration Teacher
5 Cold Chain ILR
A Recording Termol ILR
B Deep Freezer
C Ice Packs
D Vaccine Carriers
IX Eliminations
1 Simple Catheterization
2 Simple Enema
3 Readymade Enema
X Primary Medical Care
Medications
1 Calculations & Administration
2 Oral
3 Injections
A Intradermal
B Subcutaneous
C Intramuscular
D Assisting Intravenous infusion
E Local Applications of Medications
F AYUSH Medications
G Installation of drops
Eye
Ear
Nasal

XI IV Fluids
Antibiotics
Cotrimaxzol (Septran)
Deriphylline
Antipyretic
Antihistamine
Anti Diarrheal
Anti Malarial
DOTS Therapy
ART
Vitamin K
Anti rabies
Anti Snake Venoms
Recording of Drugs
Observation of Drug effects

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Sr. Date of Sign of Date of Sign of Nursing

No. Demonstration Nursing Redemons Teacher
Teacher tration
XII Disinfections & Sterilization
1 Disinfection
Use of Antiseptic
2 Use of Disinfectant
3 Lysol
4 Sodium Hypo chloride
B Sterilization
Placing of Drums
Autoclave Procedure
Recording Signolock
OT Fumigation

XIII Biomedical Waste Disposal

XI First Aid & Referral Emergency

V Care
1 Wound care
2 Splints
3 Slings
4 Bandages (All types)
5 Nasal pack
6 Application of Tourniquet
7 Insertion of Nasogastric Tube
8 Basic Life Support (BLS)
9 Preparation of First Aid kit
10 Transportation of Casualty

XV CHILD HEALTH NURSING

1 Breast feeding techniques
2 Assessment of Growth &
Development
3 Assessment of Health Status of
Children
4 Assessment of Nutritional Status

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Sr. Date of Sign of Nursing Date of Sign of Nursing

No. Demonstration Teacher Redemonstration Teacher
XVI 1 Immunization technique & precautions
2 Zero Polio / Oral Polio
3 BCG
4 DPT
5 Measles & MMR
6 Tetanus Toxoid
7 Hepatitis B
8 Vit A

XVII Nutrition
1 Exhibition raw food item showing balanced
diet
2 Breast Feeding
3 Weaning
Cookery Demonstration
4 Soup – Veg
- Non-Veg
5 Salad
Multipurpose food item

A- Paratha
B - Thalipith
C - Idli
D - Dosa
E – Laddu nachani
Moog
Haliv
Jaggery & Groundnut
F – Puranpoli
G – Mix Khichadi Pulav
7 Sprouted Cereals

Mataki
Moog

Chana
8 Sarbat/Juice
9 ORS
10 Milk Preparation

Butter milk

Curd
11 Egg Preparation
12 Meat Preparation
13 Nutrition Exhibition

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Sr. Date of Sign of Date of Sign of Nursing

No. Demonstration Nursing Redemons Teacher
Teacher tration
XVII School Health Programme.
1 Assessment of Health Status
2 Referral & Follow up
3 Health Education
4 Deworming
5 IFA Distribution

IXX C.H.N. Activities

1 Village Mapping
2 Survey
3 Organization
4 Master File
5 Home Visiting
6 Bag technique
7 Preparation of Questionnaire /
Interview
8 Interviewing technique at home
9 Assessment of Health/Nutritional
status
10 Minor treatment at home
11 AYUSH Practices
12 Health Education
13 Environmental Sanitation
A Disinfection of well & Tube well
B Purification of Domestic Drinking
water
C Bio medical Waste disposal

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VISITS
FIRST YEAR
Sr. place Visited on Sign of Supervisor
No.
1 Water Purification plant
2 Milk pasteurization plant
3 ICDS/ Community Kitchen
4 NGO, Grampanchayat,
5 BDO/ VDO
6 Mental Hospital/ Clinic
7 Old age home

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COURSE OF STUDY

FIRST YEAR

Nursing course Theory + Experience

Demonstration
Course title & description Prescribed Attended Prescribed Attended by Prescribed Attended
Sr. by the Hospital the student Community by the
No student student
I Community health nursing 180 10 120
II Health promotion 195 20 200
A. Nutrition 65
B. Human body & hygiene 55
C. Environmental 35
sanitation
D. Mental Health 40
III Primary health care nursing
I 305 120 320
(prevention of diseases &
restoration of health
A. Information & 45
Immunization
B. Communicable disease 75
C. Community Health 85
problems
D. Primary Medical care 40
E. First aid and referral 60
IV Child health nursing 180 80 120
TOTAL HOURS ... 860 230 760

Signature of Class Teacher Signature of Principal /Nursing officer

ANM 1st Year

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RESULT OF MAHARASHTRA STATE BOARD OF NURSING AND

PARAMEDICAL EDUCATION

FIRST YEAR ANM

Seat No. & Month
Sr.
No Subject
Marks Marks Obtained Marks Obtained Marks Obtained
Obtained
1 Community Health Nursing
2 Health Promotion
3 Primary Health Care Nursing
(Prevention of disease &
restoration of Health)
4 Child Health Nursing
5 Practical - I
6 Practical - II

TOTAL

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2nd YEAR
Sr. Date of Sign of Date of Sign of Nursing
No. Demonstratio Nursing Redemonstrati Teacher
n Teacher on
XX MIDWIFERY
1 Antenatal –
A Taking history & Physical
examination
B Taking weight
C Palpation
D Auscultation
E Urine testing
Albumin /Sugar
F Haemoglobin Estimation
G Identification of High Risk
Mothers
H Diet Planning
I Distribution of IFA tablets & Inj
T.T
J Health Education
Diet/Exercises/Rest/Breast care
2 INTRA NATAL
A Preparation of Labour
B Labour room
C Preparation of mother
D Delivery Tray
E P.V. Examination
F Episiotomy
G Conducting Normal Labour Using
5 'c' s
H Suturing Episiotomy/Repair of
tear
I Precautions
Administration of emergency
drugs
- Methergine
- Magnesium
- Sulphate
- Misoprostol
- Oxytocin
3 POST NATAL
A Postnatal Examination
B Perineal care

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Sr. Date of Sign of Date of Sign of Nursing

No. Demonst Nursing Redemonstrati Teacher
ration Teacher on
C Breast Feeding techniques
D Postnatal Exercises
I IUCD Insertion

XXI OBSTETRICAL SURGERY

(Preparation & Assisting)
1 Dilatation and Curettage
2 MTP (Medical Termination of
pregnancy)
3 Abdominal Tubectomy
4 Laparoscopic Sterilization
5 Vasectomy
6 LSCS delivery
7 Manual removal of placenta

XXII NEW BORN CARE

1 New-born Resuscitation
2 New-born assessment
3 Suctioning
4 APGAR Score
5 Eye Care
6 Cord Care
7 Checking Congenital abnormalities
8 Kangaroo Mother Care
9 Temperature Maintenance
10 Birth weight
11 Breast feeding
12 Burping
13 Zero Polio Vaccine
14 AYUSH practices

XXIII IDENTIFICATION OF HIGH

RISK BABIES CARE OF
1 LBW / Preterm
2 Asphyxia

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Sr. Date of Sign of Date of Sign of

No. Demon Nursing Redemonstr Nursing
stration Teacher ation Teacher
3 Convulsion
4 Vomiting
5 Thrush
6 Cord sepsis
7 Diarrhoea
8 Referral

XXIV HEALTH CENTER

MANAGEMENT
1 Participation in sub – centre
management
2 Organizing various clinics
3 Indenting
4 Maintaining stock books
5 Storage of drugs
6 MIE System
7 Vital statistics
8 Family folders
9 Eligible Couple registers
10 Records and reports at sub
centre
11 Home visits records
12 Inventories
13 Dead stock
14 Linen
15 Medical appliances
16 Instruments
17 Miscellaneous
18 Specific Surveys

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VISITS

Sr. Place Visited On Sign of Supervisor

No.
1 Waste and Sewage Disposal Plant
and Sanitary Latrine
2 Sterilization department of Hospital
3 Isolation Unit / Infectious diseases
Hospital
4 Rehabilitation centre

COURSE OF STUDY
SECOND YEAR
Nursing course Theory + Experience
Demonstration
Sr. Course title & Prescribed Attended Prescri Atten Prescribe Attended
No. description by bed ded d by
students Hospita by the Commun students
l studen ity
ts
1 Midwifery 360 320 240
2 Health Centre 75 60
Management
435 320 300
TOTAL HOURS

Signature of Class Teacher Signature of Principal /

ANM 2nd Year Nursing officer

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INTERSHIP AND MONTHS

Sr. Title Posting Place Total Weeks From To Sign. of

No. Supervisor
1 Hospital Experience

2 Primary Health Centre

3 Sub centre posting

4 Preparatory Leave &

Exam
5 Vacation

Signature of Class Teacher Signature of Principal /

Nursing officer

I) Co-curricular Activities

Sr. Activities FIRST YEAR SECOND YEAR

No.
1 Recreational Activities 1
2
2 Games 1
- Indoor
2
- Outdoor 1

2
3 Competitions 1
2
4 Professional Activities 1
2

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II) COMMUNITY EMERGENCIES (Floods, Explosion, Wars, Earthquake, Fire,

Accidents)

Sr. Date Place Type of Emergencies Sign. of supervisor

No.
1
2

III) CLINIC ATTENDED

Sr. Date Name of the Clinic Place Sign. of Supervisor

No.
1
2
3

IV) PARTICIPATION IN NATIONAL HEALTH PROGRAMM & FAMILY

WEFARE PROGRAMM

Sr. Date Name of the National Health Program Sing. of

N Supervisor
O.
1
2
3
4

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RESULTS OF MAHARASHTRA STATE BOARD OF NURSING AND

PARAMEDICAL EDUCATION

SEAT NO. MONTH

Sr. Subject
No.

Mark Obtained Mark Obtained Mark Obtained Mark Obtained

1 Midwifery
2 Health Centre Management
3 Practical - I
4 Practical - II

NAME OF THE STUDENT NURSE: ........................................................................................................

NAME OF THE INSTITUTION: ................................................................................................................
DATE OF ADMISSION TO COURSE: ......................................................................................................
DATE OF COMPLETION: .........................................................................................................................

Signature of the teacher

With official Stamp
Signature of Principal Nursing Officer
with official Stamp

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SUGGESTION REGARDING THE USE OF RECORD OF PRACTICAL WORK

The purpose of maintaining a record of practical work is to ensure that the student
nurse has been instructed in the various types of nursing procedures and to record whether
or not she has performed the procedure to the satisfaction of sister tutor. This record
provides useful information to the appointing authorities regarding the practical
experience during training of the individual nurse.
In the record sheet the procedures are placed in the different period of training. This
has been done for guidance as adjustment will be necessary in any individual school blank
space has been left for entry of working in special wards or of procedures not particular
shown in the sheet.
The student nurse herself should be responsible for getting the sheet filled in and
should realise that it is part of her training to seek opportunities for new experience and
practice.
Scrutiny of the record sheet by the examiners in the State Examinations and at least a
question or two on the procedure for which student is signed up will emphasize the
importance of a true record which can also be a teaching guide.

INSTRUCTION FOR MARKING THE COLUMNS

The date should be entered in the appropriate columns whether it is

demonstration or Return demonstration in the class room as well as in the ward the
Clinical Instructor/ Sister tutor will enter the date of the procedure performed.

MSBNPE PRACTICAL RECORD BOOK 2018