1

HARSH SCHOOL OF NURSING

KHAMGAON

GENERAL NURSING & MIDWIFERY

NAME OF STUDENT NURSE.....................................................

DATE OF COMPLETION OF THE COURSE.................................

 2

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

GENERAL NURSING & MIDWIFERY
(3 YEARS) COURSE
 3

MAHARASHTRA STATE BOARD OF NURSING

&
PARAMEDICAL BOARD

NAME OF STUDENT NURSE.....................................................

NAME OF INSTITUTION.............................................................

NAME OF ADMISSION TO THE COURSE.................................

DATE OF COMPLETION OF THE COURSE.................................

MSBNPE PRACTICAL RECORD BOOK 2018

 4

Sr. Date Year Examination Sign. of the

No. Seat No. Examiners
1 First Year 1.
Practical-l
Fundamental of Nursing 2.
1.

2.
2 Second Year 1.
Practical- I
Medical Surgical Nursing 2.
1.
Practical-ll
Child Health Nursing 2.
1.
Practical- IlI
Mental Health Nursing 2.
(Only Internal Examination) 1.

2.
3 Third Year 1.
Practical-l
Midwifery 2.
1.
Practical- Il
Community Health Nursing 2.

1.

2.

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MSBNPE PRACTICAL RECORD BOOK

FIRST YEAR Date of Signature Date of return Signature of

Demonstration of Teacher demonstration Teacher

Bio-sciences (Anatomy,
Physiology, Microbiology)

Behavioral sciences-(Psychology &

sociology )

Nursing Foundation

Community Health Nursing-1

Admission of patient

Preparation Of Unit

Nursing interview

Recording and Reporting

Nursing Process

Assessment

Planning

Implementation

Evaluation

Nursing Care plan

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Transfer/ Referral / Discharge

Procedure

Counseling

Bed Makings

 Open bed

 Occupied bed

 Closed bed

 Admission bed

 Operation bed

 Cardiac bed

 Divided bed : (Burn, Plaster

and Amputation)

 Fracture bed

 Fowler’s bed

 Renal bed

 Digitally Operated bed

Positioning

MSBNPE PRACTICAL RECORD BOOK 2018

 6

 Recumbent (Supine)

 Semi Recumbent

 Lateral (side lined)

 Fowler’s

 Knee chest position

 Prone

 Lithotomy

 Trendelenburg

 Sim’s

 Head low

MSBNPE PRACTICAL RECORD BOOK 2018

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FIRST YEAR Date of Signature of Date of return Signature

Demonstration Teacher demonstration of
Teacher

Comfort Devices

 Bed cradle

 Foot rest/ bed blocks

 Air cushion

 Cardiac table

 Sand bags

 Pillows
 (Uses of extra pillows)
 Back rest

 Water Mattress

 Air Mattress

 Bolsters

Personal Care

1. Hand Washing

2. Mouth Care

 Conscious Patients

 Unconscious Patients

3. Sponge Bath with

medicated wet tissue
4. Care of Hair

 Combing

 Hair wash

 Pediculosis Treatment

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5. Care of hand, nails & Feet

6. Eye Care

Body Mechanics

 Lifting & moving patient

in bed
 Ambulation

 From bed to chair/wheel

chair & Vice versa
 From bed to
trolley/stretcher &
vice versa
 Range of motion exercises

 Active & passive exercise

MSBNPE PRACTICAL RECORD BOOK 2018

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FIRST YEAR Date of Signature of Date of return Signature of

Demonstration Teacher demonstration Teacher

Preparation of Lotions

 Calculation of strength

 Preparation of lotions

Assessment of Patient

1.Observations

 Head to toe examination

 Weight

 Height

 Eye

 Ear

 Nose

 Throat

 Rectal

 Vaginal in female patient

 Skin



2.Breast palpation in female

patient

3.Chest (Auscultation &

percussion)

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4. Abdomen (Palpation &

Percussion)

5. Reflexes & sensations

Physiological assessment &

recording

1. Vital Signs

a)Temperature

 Oral

 Rectal (new born)

 Auxiliary

 ther advance method

b) Pulse

c) Respiration

d) Blood Pressure

2. Excretion & Secretions

 Sputum

 Vomits’

 Urine

 Faeces

MSBNPE PRACTICAL RECORD BOOK 2018

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FIRST YEAR Date of Signature of Date of return Signature of

Demonstration Teacher demonstration Teacher

Psychological assessment

 Appearance

 Emotions

 Rest & sleep

Collection of specimen

1. Urine

 Routine

 Culture

 24 hours

2. Sputum

3. Swabs for culture

4. Vomitus

5. Faeces

6. Blood

7. Biopsy

8. CSF

9. Gastric contents

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Investigation

1. Urine

 Sugar-Benedict and uristix

 Albumin=Acetic and
uristix
2. Blood

 Hemoglobin-sahli method

 Blood sugar with

glucometer

Nutritional Needs

1. Serving General diet

Special diet

2. Making diet requisition

3. Dietary management in
disaster
4. Feeding helpless patient

5. Nasogastric feeding

MSBNPE PRACTICAL RECORD BOOK 2018

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FIRST YEAR Date of Signature of Date of return Signature of

Demonstration Teacher demonstration Teacher

Recording & Reporting

1. Reports

 Oral

 Written

2. Nursing Care Plan

Sterilization & Disinfection

 Soiled linen

 Mattress

 Dressing

 Rubber articles

 Sharp & Blunt Instruments

 Needles

 Plastic wares

 Glass wares

 Enamel steel wares

 Duster, sponge cloth

 Carbonization

 Fumigation

Bio-medical waste management

 Collection

 Segregation

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 Transportation

 Disposal

 Incineration

Therapeutic Measures

1. Heat Application

 Hot water bag/Eclectic

pads
 Heating pads

 Sitz bath

 Fomentation(Simple,
Medical , Surgical)
2. Cold Application

 Ice pack Application

 Cold compress

 Tepid Sponge

 Cold pack

MSBNPE PRACTICAL RECORD BOOK 2018

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FIRST YEAR Date of Signature of Date of return Signature of

Demonstration Teacher demonstration Teacher

Inhalations

1. Steam Inhalation

2. Nebulization

3. Electric inhaler

 Oxygen Inhalation

 Nasal catheter

 Face mask

 Nasal sponge

 Hood

 Venturi mask

Elimination

1. Changing of urinary bags

2. Perineal care

3. Enema

 Cleansing

 Retention

 Proctoclysis

4. Bowel wash

5. Suppository

6. Flatus tube

Cauterization

1. Simple/Foley’s Catheter

2. Catheter care

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3. Bladder irrigation

4. Condom drainage

1. Admission &Discharge

 Procedure

 Counselling

2. Transfer

3. MLC/DAMA/Abscond

MSBNPE PRACTICAL RECORD BOOK 2018

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FIRST YEAR Date of Signature of Date of return Signature of

Demonstration Teacher demonstration Teacher

Bandaging

 Roller

 Triangular

 Thumb

 Hand

 Forearm

 Elbow

 Shoulder

 Head

 Jaw

 Neck

 Eye-Single& Double

 Ear- Single& Double

 Toes

 Foot

 Heel

 Lower leg

 Knee

 Stump

 Thigh

 Hip

 Breast- Single& Double

 Readymade bandages

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 Kneecap, Wrist band,

Cervical Collar
 L.S Belt, Crepe Bandage

Medications

Calculating, Measuring,

Administering & Recording)

Oral Medicine

 Liquid

 Tablets

 Powder

1. Rectal medicine

2. Nasal/Eye/Ear drop
instillation
3.Recording

Care of Dead

1. Death Pack

 General/MLC

MSBNPE PRACTICAL RECORD BOOK 2018

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FIRST YEAR Date of Signature of Date of return Signature of

Demonstration Teacher demonstration Teacher

 HIV/AIDS infectious body

2. Death report

3. Counseling for grieving

4. Counseling for organ

donation

Cookery

1. Beverages

 Tea

 Coffee

 Fruit Juice

 Barley water

2. Milk Preparations

 Curd

 Butter Milk

 Whey water

 Oral Rehydration Solution

–Formula
 Preparation of Kanji

 Sage/oats

 Ragi

 Suji

 Bajra

 Porridges

3. Vegetable Soup

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 Tomato soup

 Mixed vegetable soup

 Dal soup

 Palak soup

 Beat/Carrot soup

 Non veg.Soup

 Liver/Bone soup

4. Mutton/chicken soup

5. Egg Preparations

 Half Boiled

 Full Boiled

 Egg Custard

 Poached Egg

 Simple Omelet

 Albumin Water

MSBNPE PRACTICAL RECORD BOOK 2018

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FIRST YEAR Date of Signature Date of return Signature

Demonstration of Teacher demonstration of Teacher

6. Low Cost Food

Mixed Chikki

 Laddoo

 Idli

 Pulses

 Mixed Salads

 Thalipith

7. Khichadi

 Steam rice

 Multi grain food

 Community Health
Nursing
 Posting at Primary Health
center
 Use of home visiting bag

 Health Assessment

 Infant

 Pre- schooler

 Toddler

 Adolescent

 Immunization clinic

Cold chain



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 Antenatal & Postnatal

 Hb Estimation/Weight

 Weighing infant

 Breast feeding teaching

5. Well baby clinic

 Health Teaching



Preparation & Use of A.V.Aids

 Posters

 Charts

 Flash Cards

 Flip Chart

 Power Point Presentation







MSBNPE PRACTICAL RECORD BOOK 2018

 23

EDUCATIONAL VISITS
S.No Place Date of Visit Signature of
Tutor

1. Milk dairy (Pasteurization)

2. Water purification plant

3. Sewage Disposal Plant

4. Garbage Disposal

5. Bio-medical waste plant/Incinerator

6. Community Kitchen

7. Hospital Kitchen

9. Block Development Office

10. Village Development Office

11. ICDS Anganwadi

Sign of Teacher Sign of Principal

With Official Nursing School/College Seal

MSBNPE PRACTICAL RECORD BOOK 2018

 24

SECOND YEAR Date of Signature of Date of return Signature of

Demonstration Teacher Demonstration Teacher

Medical Surgical Nursing –I

(including Pharmacology) –

Medical Surgical Nursing –II

(Specialties)

Mental Health Nursing

Child Health Nursing

Health Assessment

 General Physical
Assessment
 General Clinical
Investigations
 Nutritional
Assessment

Operation Theatre

1. Operation theater
preparation
 Carbolization

 Sterilization

 ETO sterilization

 Fumigation

 OT Swab

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 Bacilloid Sterilization

2. Theatre Techniques

 Scrubbing Surgical

 Gowning

 Gloving

3. Positioning of Patient
for various
 Surgical procedures

 Draping of patient

4. Packing & Sterilization

of
 Dressing

 Linen

 Rubber ware

 Suture material

 Instruments, Needles

 Other Material

MSBNPE PRACTICAL RECORD BOOK 2018

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SECOND YEAR Date of Signature of Date of return Signature of

Demonstration Teacher Demonstration Teacher

Setting and assisting for An

aesthesia

 Local Anesthesia

 Spinal anesthesia

 General a aesthesia

 Emergency drugs tray

Pre-Operative Patient
Preparation (ABCDE as per
*M*M*)

 A=Anesthesia
preparation/
 NBM/Pre-medication
 B=Bladder/Bowel
evacuation
 Consent
/Counseling/Check
list/Investigation
report
 D=Draping after Skin
 Preparation/
Sponge/bath
 E- Escort the pt. to
O.T.

MSBNPE PRACTICAL RECORD BOOK 2018

 27

Post-Operative care

Immediate care

5. Taking over of a
patient from O.T.
 Check state of
consciousness
 Air way

 Breathing

 Vital signs

Respiratory System

Nebulization

Breathing Exercises

Chest Physiotherapy

MSBNPE PRACTICAL RECORD BOOK 2018

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SECOND YEAR Date of Signature of Date of return Signature of

Demonstration Teacher Demonstration Teacher

Special Investigation in
Cardiothoracic

ECG

Echo(3D/2D)

Spirometry

Stress Test

Angiography

1. Thoracentesis

2. Assisting for chest

drainage
3. Care of patient with
chest drainage
4. Change of Chest
drainage system
Care of Patient on
Ventilator

1. Tracheostomy care &

Suctioning
2. Endotracheal
Suctioning
 Open

MSBNPE PRACTICAL RECORD BOOK 2018

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 Closed

3. Pulmonary Function test

4. Bronchoscopes

 Endotracheal
Intubation
 Defibrillator

 Cardioversion

 Central Venous/Arterial
Lines
 ABG Analysis

 Cardiac monitoring

 Pulse Oxymetry

 Monitoring of CVP

 Ventilators

 Pulmonary Function test

 Bronchoscopes

 CPR

MSBNPE PRACTICAL RECORD BOOK 2018

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SECOND YEAR Date of Signature of Date of return Signature of

Demonstration Teacher Demonstration Teacher

Gastro-Intestinal System

1. Ryle’s tube
insertion
2. Barium Meal

3. Barium Enema

4. Abdominal
Paracentesis
5. Gastric Analysis

6. Gastric Suction

7. Stomach wash

8. Colostomy care

9. Care of stoma

10 Proctoscopy

11.Sigmoid Scopy

Genitourinary

Preparing, assisting &

witnessing

1. KUB

2. Catheterization

 Male

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
Female

3. Catheter care

Male

Female

4. Intravenous
Pyelography
5. Kidney Biopsy

6. Bladder wash

7. Bladder irrigation

8. Assisting & care of

 Hemodialysis

 Peritoneal
dialysis
9. Assisting for Shunt
Insertion
10. Care of patient with
AV fistula


MSBNPE PRACTICAL RECORD BOOK 2018

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SECOND YEAR Date of Signature of Date of return Signature of

Demonstration Teacher Demonstration Teacher

Neurology

 Setting tray for

neurological
examination
 Checking common
neurological reflexes
 Use of Glasgow Coma
Scale
 Assisting for lumbar
puncture
 Physiotherapy

Orthopedics

 Range of motion
exercise
 Care of patient with
Skin traction
 Care of patient with
Skeletal traction
 Orthopedic Splints

 POP application &

removal


 Preparation for bone

surgery
 Electromyography

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Use of Orthopedic Devices

 Crutches

 Canes/splints/slink/Bandages

 Walker

Setting Trolleys and Assisting for

Operation

Endoscopy

Ophthalmic Operations

ENT Operations

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SECOND YEAR Date of Signature of Date of return Signature of

demonstration teacher demonstration teacher

Abdominal operation

Observation of thoracic
operation

Orthopedic operation








Hematology

 Preparing & assisting

for

MSBNPE PRACTICAL RECORD BOOK 2018

 35

Common Blood
Investigation

 Blood Collection

 Blood Culture

 Bone Marrow Biopsy/

Aspiration
 Blood Transfusion

 Blood Derivatives
Transfusions
 (i.e. Pack cells, platelets)
 Blood Transfusion

 Blood Derivatives
Transfusions
 ( i.e. Pack cells, platelets)

MSBNPE PRACTICAL RECORD BOOK 2018

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SECOND YEAR Date of Signature of Date of return Signature

Demonstration Teacher Demonstration of Teacher

Oncology

1. Demonstration of BSE

2. Demonstration of TSE

3. Mammography

4. Fine needle aspiration

cytology/ Lymph Node
Biopsy
5. Special Investigations
in Oncology(C T
Scan/MRI/PET Scan if
Available)
6. Assisting & care of
patient on
 Chemotherapy

 Radiotherapy

7. Post Mastectomy
exercises
7.Special Diet formula for RT

Feed Patients in Oral

Cancers

Ophthalmology

1. Setting of ophthalmic
tray
2. Snellen’s Test

3. Tonometry

4. Fundoscopy

5.Eye Immigration

6.Assisting for Sac

syringing

7.Eye dressing

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8.Removal of foreign body

Ear, Nose& Throat

1. Setting of ENT
examination tray
2. Nasal pack

3. Antral Puncture

4. Sp.Ear Irrigation

5. Audiometry

6. Use of Hearing Aid

MSBNPE PRACTICAL RECORD BOOK 2018

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SECOND YEAR Date of Signature of Date of return Signature

Demonstration Teacher Demonstration of Teacher

Radiology investigations
preparation and assisting

KUB

1. Ultrasonography/Color
Doppler
2. C.T.Scan

3 MRI

4. Echo(3D)

Wound Care

 Wound dressing

 Diabetic wound care

 Burns dressing

 Care of Surgical
drainage
 Assisting for suturing &
suture removal
 Lotions used for wound
dressing
Mental Health Nursing

3. History Taking

4. Mental Status
Examination
5. Interview Technique

6. Process Recording

7. Psycho social therapies

 Individual Therapy

 Group Therapies

8. Occupational therapy

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9. Behavioural Therapy

10.Family Therapy

11.Psychosocial Therapy

12.Melieu Therapy

13.Care of Patient

 Prior to ECT

 During ECT

 Post ECT

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SECOND YEAR Date of Signature of Date of return Signature

Demonstration Teacher Demonstration of Teacher

Emergency / Intensive Care

Nursing

 Triage

 EEG

 12-lead

 3-lead

 End tracheal Intubation

 EEG

 Drug Therapies

Child Health Nursing:

Growth & Developement

 Health Assessment
For Infant
 Toddler

 Pre Schooler

 School ager

 Adolscent

 Height

 Weight

 Head Circumference

Chest Circumference

 Plotting of Growth
Chart

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2.The Sick Child

 Collection of Specimen

 Urine

o Male Child

o Female Child

 Stool

 Rectal Swab

 Throat Swab

 Drug Administration

 Drug calculations

 Oral

 Intramuscular

 Intravenous

 Preparation Of different
Strengths of IV Fluids

MSBNPE PRACTICAL RECORD BOOK 2018

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SECOND YEAR Date of Signature of Date of return Signature

Demonstration Teacher Demonstration of Teacher

 ORS Therapy

 Calculation &
Preparation of Feeding
Formula
 Feeding of high risk
babies
 Weaning and Feeding

 Elimination

 Preparation & giving

enema
 Rectal Suppositories

 Catheterization and
Drainage


Administration and Analysis

of

 Oxygen Concentration

 Oxygen Inhalation

 Nebulization

 Steam Inhalation

 Inhalation by different
methods
 Pediatric
Resuscitation
Phototherapy

Play Therapy

Surgical procedures

Surgical dressing

Suture Removal

Care of Ostomies

MSBNPE PRACTICAL RECORD BOOK 2018

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 Gastrostomy

- Jejunostomy

 Bowel Wash

Immunization and Cold

Chain

l Polio

BCG

DPT/Penta

Measles

Booster

T.T.

MSBNPE PRACTICAL RECORD BOOK 2018

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EDUCATIONAL VISITS

Sr. Place Visited On Classroom Sign of

No Discussion Held Supervisor
on

1. Leprosy Rehabilitation
Center

2. Blind School

2. DOT’s Center

3. Cancer Hospital

4. Orphanage

5. Mentally Challenged
Children’s School

6. Remand Home

7. Day Care Centers

8. ICDS

9. Physiotherapy Center

10 Eye Bank

Sign of Teacher Sign of Principal

With Official Nursing School/College Seal

MSBNPE PRACTICAL RECORD BOOK 2018

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THIRD YEAR Date of Signature Date of return Signature

Demonstration of Teacher demonstration of Teacher

Midwifery & Gynecological

Nursing

Community Health Nursing-2

Nursing Education

Introduction to Research
Professional Trends and
Adjustment

Antenatal

 History Taking

 General Physical
examination
 Diagnosis of pregnancy with
pregnancy card
 Recording Weight and BP

 Hemoglobin Estimation

 Examination Of Abdomen
and Breast
 Urine Examination
 Albumin
 Sugar
 Immunization

 Assessment of Risk Status

 Antenatal Counseling

 Health Advice

i)Nutrition

ii)Diet

iii)Exercise

iv)

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Intranatal

 History taking

 Per Vaginal Examination

 Assessment using Partograph

 Preparing for labour

Contraction

Frequency

Intensity

Duration

 Conducting Normal delivery

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THIRD YEAR Date of Signature Date of return Signature

Demonstration of Teacher demonstration of Teacher

 Episiotomy

 Immediate care of New Born

 Apgar Scoring

 Resuscitation of newborn

 Fetal heart sound

 Active management of Third

Stage of labour
i) Methods of removing
placenta

ii) Assessment of placenta

iii) Episiotomy & suturing

iv)Administration of Uterotonic

Drugs

 Oxytocin

 Misoprostol

 Administration of MgSO4

Postnatal

 Postnatal examination

 Perineal care

 Breastfeeding Techniques

 Breast Care

 Exercises

 Kangaroo Mother care

 Immunization

MSBNPE PRACTICAL RECORD BOOK 2018

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 Observation & assessment

of Placenta
New Born Care

 New Born assessment

 APGAR score
 Suctioning

 Cord Care/Eye care

 Thermal Management

 Vital Signs

 Breast feeding management

 Baby Bath

Care of High Risk Newborn/NICU

 Incubator/Warmer

 Thermal Management

 Intubation/Suctioning

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THIRD YEAR Date of Signature Date of return Signature

Demonstration of Teacher demonstration of Teacher

 Care of Child on
 Ventilator
 Incubator

 Radiant Warmer

 Venesection

 Intravenous Therapy

 Total Parenteral Nutrition

 Exchange Transfusion

 Tube Feeding

 Phototherapy

 Health education to Parents



Gynaecological Nursing

 Tray set up for vaginal

examination
 Vaginal douche

 Insertion of Tampon

 Insertion of Vaginal tablets

& Suppositories
 Self Breast examination

 Pap’s smear

 Cervical Biopsies

 Cauterization

Community Health Nursing

 Conducting Survey

 Planning for Home visiting

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 Maintaining Health Records

 Preparing Master file

 National Health Programme

 Preparing Malaria slide

 Collection of specimen

 DOTS therapy

 MIES reporting system

 Health teaching

 Domestic nursing care



Research

 Project work assignment

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Third Year Part II

Date of Signature Date of return Signature
(Internship}
Demonstration of Teacher demonstration of Teacher

Ward Administration

 Planning of in-service
education
 Assisting with
performance appraisal
 Making duty roaster

 Organizing clinics in
hospital
 Organizing camps in
community
 Orientation for new
nurses
 Taking rounds &
assessment of patient
needs
 Supervisory round

 Planning work

 Assignment of ward
duties
 Organization of ward
duties
 Diet sheet

 Instructions to patient on
discharge
Indent

 General Stock articles

 Medical stock articles

 Replacement of articles

 Repair of articles

 Condemnation of articles

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Dangerous Drugs

 Care of dangerous drugs

 Usage of dangerous drugs

 Special record of
dangerous drugs

Inventories

 Dead Stock

 Linen

 Medical Appliances

Introduction to different
government Schemes

 Diff. State Govt. Schemes

 Rajiv Gandhi Yojana

 Help of NGO’s

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EDUCATIONAL VISITS

Sr.No. Place Visited on Classroom Sign of

discussion held on Supervisor

1. Home for the aged

2. Industrial visit with hospital

3 Panchayat Samiti Office

4 Block Development Office

5 District Training Team

6 Health and Family welfare

training Center

7 Maharashtra Nursing Council

Sign of Teacher Principal

With Official Nursing School/College Seal

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Co -Curricular Activities
Type of Professional Social Recreational Sports/
activities activities activities
activities Competitions
First Year

Second year

Third Year

Special
awards
if any

Sign of Teacher Principal

With Official Nursing School/College Seal

MSBNPE PRACTICAL RECORD BOOK 2018