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Guidelines for competency based Postgraduate training programme
for M.Sc. in operation -Theatre Technology
Preamble:
The purpose of PG education is to create specialist technicians who would provide high quality health care and advance the cause of science through research & training. The competency-based
training programme aims to produce a post-graduate student who after undergoing the required training should be able to deal effectively with the needs of the community and should be competent to handle all problems related to his/her specialty including recent advances. The
student should also acquire skill in teaching of medical/para-medical students in the subject that he/she has received his/her training. He/she should be aware of his/her limitations. The student is
also expected to know the principles of research methodology and modes of accessing literature. The purpose of this document is to provide teachers and learners illustrative guidelines to achieve defined outcomes through learning and assessment.
An operation theatre (OT) technologist forms an intrinsic part of any hospital. He / she is
a member of a multidisciplinary team in operation theatres who plays an active role in smooth
functioning of operation theatre complex. He / she assists anaestheliologist and surgical team
during perioperative period and provides support to patients in PACU. He / she plays an
important role in advance preparation of equipments that are necessary for various anaesthesia /
surgical procedures. He/she also looks after all the work and management of the OT which
includes managing the patients in & out of operation theatre (including PACU), care and
maintenance of all the OT equipments as well as management of the staff and proper
documentation.
As the surgical branch has various subspecialties including General Surgery, Eye, ENT,
Obstetric and Gynaecology, Cardiac, Ortho , Genito-urinary, Neuro and Reconstructive
surgeries, the OT technologist needs to know about these various subspecialties. Moreover, a
variety of electrical and electronic equipments are in use in modern operation theatres for
monitoring anesthesia & surgical procedures. The success of the procedures and safety of
patients depend largely on the reliability, smooth and trouble free performance of these
equipments and ability of skilled manpower to operate the same. Thus, there is increased need
for qualified and trained OT technologists not only in India, but also in other developing
countries. This course is aimed at satisfying this need.
At present, in our country, very few universities are generating health professionals
specialized in OT technology. This OT technology Programme promises to generate OT
professionals having extensive and elaborate knowledge in the fields of OT technology, both in
theory and practical, with emphasis on handling and maintenance of costly electro-medical
equipments.
Subject Specific Objectives
• Hands on training on all anaesthesia and surgical equipments like anaesthesia machine, monitors, different surgical instruments, laparoscopy equipments, ventilator etc.
• Training in aseptic techniques. • Exercise empathy and a caring attitude towards patients. • Maintain professional integrity, honesty and high ethical standards.
• Capability of handling adverse reactions and emergencies in OT and PACU. • Demonstrate skills in maintenance of equipments and proper documentation.
• Be a motivated „teacher‟ - defined as one keen to share knowledge and skills with a colleague or a junior or any learner.
Subjects Specific Competences
• Cognitive Domain By the end of the course, the student should have acquired knowledge, professionalism and skills as given below;-
1st Semester:
Basics of Human Anatomy & physiology, like - Surface anatomy , various viscera,
important structures/ organs , locations and functions of different systems of body. Also, basic idea about different pathological and microbiological aspects. Basics of biochemistry like- Fluids and Electrolyte, Acid Base Balance, Nutrients and Minerals, etc. They should also know basics
of clinical pharmacology with emphasis on applied aspects . Apart from this, knowledge of basic principles of physics relevant to OT & ICU and basic training on computers will also be
imparted .
2nd
Semester:
Basics of anaesthesia , drugs and equipments including handling and maintenance, basic
knowledge of functioning of CSSD and proper handling of machines used in CSSD. Basics of surgery: Genral surgical procedures ,instruments ,and aseptic technique in operation theatre.
Basic knowledge of medicine including diseases associated with organs and systems and also important aspects of medical ethics.
Knowledge of Biostatistics including data collection , sampling, compiling, etc to help
them to do research work, making graphs, diagrams etc. Knowledge Hospital Management will help them to build self confidence level and they will be aware of their responsibilities and thus
can provide good quality patient care.
3rd
Semester :
Basic knowledge of Anaesthesia Delivery System and Devices so they can handle the anaesthesia equipments confidently. They should know how to handle other equipments like OT
lights, OT table, C –arm, diathermy, etc. Knowledge of Basic Procedures and Techniques like IV canulation, central venous catheterization, arterial cannulation, intubation, assisting in various anaesthetic procedures, bandaging , tourniquet system, making of various dilutions of drugs used
in in OT and ICU. Basic knowledge of instruments used in various specialities of surgery , laying of
trolley and careful handling of specialised equipments. A proposal for research project defining the methodology, and design of the experiments needed, etc will be submitted in the third semester.
4th
Semester
Special training on anaesthesia related to advanced surgical procedures, ICU procedures, etc will be imparted. The student should submit a draft of the completed research project to the
advisor before the end of the fourth semester. Research project improves the skills of the student in a particular field of interest, and can help in his future growth.
• Affective Domain
1. Should be able to function as a part of a team, develop an attitude of cooperation with colleagues, and interact with the patient and the clinician or other colleagues to provide
the best possible management. 2. Always adopt ethical principles and maintain proper etiquette in dealings with
patients, relatives and other health care personnel and to respect the rights of the patient including the right to information, privacy and second opinion.
3. Develop communication skills to interact efficiently with patients, relatives, peers and superiors.
• Psychomotor domain
Clinical Procedures Handlings – Development of skill , precision, speed, and coordination
Basic Anaesthesia Techniques and Monitoring:
-Preparations of Drugs used for premedication, GA, RA, pain relief and periop care. -Skilled use of laryngoscope, endotracheal tubes, airways, LMAs, AMBU bag ,suction
catheters, etc. -Preop preparation of patients and checklist of anaesthesia trolley.
-Handling and maintenance of various equipments used in OT -Handling and maintenance of multi parameter monitors, setting alarm limits.
Basic Surgical Techniques:
-Skill in management of haemorrhage, tourniquet application, skin preparation
-Identification and use of various surgical instruments, suture materials, cautery machine etc. -Aseptic techniques, drainage of abscess.
Sterilisation Procedures:
-Techniques of sterilisation of OT: Fumigation, fogging, Disinfection, carbolisation, -Handling and maintenance of various machines used in CSSD, aseptic storage, documentation.
-Practical training on different methods of decontamination of instruments.
Anaesthesia delivery Systems and Basic Procedures:
-Handling of anaesthesia machine, monitors, cylinders, ventilators, Breathing systems, etc
-Expertise in using NG tube, LMA, airways, masks, AMBU bag, IV cannula. Foley‟s catheter.
-Assisting in inserting CVP line, arterial line, intubation, resuscitation. defibrillation. -Pre op and post op care of patients, Check list of Do‟s and Don‟ts, GA & RA trays.
Preparation for various surgeries:
-Preparation of trolleys for all types of surgeries, Positioning of patients
-Handling of OT table, OT lights, C arm, specialised surgical instruments. -Handling, Maintenance and disinfection of endoscopic equipments
Anaesthesia for Speciality surgeries and Intensive Care:
-Special preparations for anaesthesia for patients with co-morbidities.
-Precautions during ECT, MRI, angiography, extremes of age, unstable patient -Use of specialised equipments for specialised surgeries, Emergency drugs used in ICU.
-Care of unconscious patient, patient on ventilator, use of infusion pumps, IV fluids -Preparing various drug dilutions, setting infusion rates, drip rates; ABG analysis
TEACHING AND LEARNING METHODS
Apart from didactic lectures, seminars, journal clubs (Understanding of Articles),
reviews, guest lectures and CME should also get priority for acquiring theoretical knowledge. On the spot teaching, equipment handling, interactive group discussions and clinical demonstrations play important role in practical learning. Students should have hands-on training in performing
various procedures and ability to interpret results of various tests/investigations. Exposure to newer specialized diagnostic/therapeutic procedures should be given even outside the campus if
required. Use of audio visual aids should be done as and when required. The training techniques and approach should be based on principles of andragogy. It
should provide opportunities initially for practicing skills in controlled or simulated situations.
The more realistic the learning situation, the more effective will be the learning. Clinical Postings/training should include measures for assessing competence in skills being taught and
providing feedback on progress towards a satisfactory standard of performance.
The following guideline to various teaching/learning activities that may be employed:
• Dedicated Lectures on PPTs. • Student-Interactive Session
• Problem Based Learning. • Project Based Learning. • Focus/Spot Group Discussion
• Students Seminars • Demonstrations of equipment‟s
• Taking or Handling classes of Graduate Students
• Intradepartmental CME‟s, Guest Lectures etc. • Twice/Thrice Students Presentations on Different subjects related Topics
• Taking them in Conferences, Seminars. • Skills Training
• Article Learning • Research Projects • Assignments
• Weekly rotational clinical postings. • Weekly and Monthly Tests.
Structured training
Time Period Description/ Levels Content Responsibilities
1st Month Orientation Basic Skills , technical terms
Combined Duties Supervise Procedures
1st Semester Average applied
knowledge of basic Subjects
Knowledge of Basic
anatomy, physiology, pathology,
microbiology, physics, computer
Learning the basic
sciences related to OT. Learning through
individual departments
2nd Semester -Basic knowledge of Applied medicine,
Anaesthesia techniques, surgical
procedures, sterilisation, statistics - CSSD procedures,
storage of sterile equipments,
documentation. -Lessons on Biostatistics, Hospital
management
Periop care, drugs, equipments, setting of
trolleys, sterilisation, emergency drugs
-Basic surgical techniques, instruments and
handling. -Functioning of
CSSD, sterilization techniques, Methods of decontamination,
Lectures, Independent Posting/Duties,
practical training, seminars,
Weekly presentations
3rd Semester Knowledge of various equipments used in
OT, instruments and trolleys for various sub specialities of
surgery. -Common procedures
-Life saving skills -Role of technician in various sections of OT
Theory and practical training on
Anaesthesia techniques, various types of surgeries.
-Types of surgeries and equipments used,
-Maintenance of equipments
Lectures, Independent Postings/Duties, -
Practical training, -Seminars, -Weekly presentations
-Monthly tests -Allocation of
Research Project
4th Semester Familiarisation with
Advanced anaesthesia techniques, ICU care
-Special skills in OT
and ICU -Specialised training
on preparations for anaesthesia for speciality surgeries.
Research Project completion
-Lectures /
demonstrations, -Practical training.
-Research Projects under adviser, Literature Reviews
Scope of the Ordinance:
• M.Sc. (Operation Theatre Technology)
• Duration of the Courses:
The duration of all M.Sc. courses mentioned above shall be of two academic years consisting of
four (4) semesters (15-17 weeks) under Choice Based Credit System (CBCS). On successful completion of all the four semesters, the student will be awarded M.Sc. degree with the
nomenclature given under Clause (1) above. The student shall complete the course within a
maximum period of 4 years from the date of admission to the first semester, failing which he/she will be disqualified from the course.
• Admission to the Course:
Admission to the Allied Health Sciences courses shall be made in accordance with the terms and conditions as prescribed in Chapter 2 of the First Ordinance of SGT University, Gurugram as amended from time to time.
• Eligibility for Admission:
For admission to the 1st Semester of M.Sc. courses, the candidate shall fulfill the following criteria:
M.Sc. (Operation
Theatre Technology)
Must have passed B.Sc. (Operation Theatre Technology)/ B.Sc.
(Anesthesia Technology) or equivalent degree course from recognized University
(ii) Schedule of admission and payment of fees:
The admission schedule, along with last date for submission of admission forms and payment of fees, shall be fixed by the Vice-Chancellor from time to time.
• Mode of Selection of Candidates for Admission:
The admissions will be made as per the following criteria:
Sr. No. Criteria Condition
1 On the Basis of the Merit of the qualifying
Examination.
If the no. of applicants is up to 3
times of the intake
2 On the Basis of the Merit of the Entrance Examination.
If the no. of applicants is more than 3 times of the intake
• Scheme of Examinations, distribution of marks, credit system and syllabus:
The Scheme of Examinations, distribution of marks in various papers along with the credit system and the syllabi of the M.Sc. courses shall be as approved the by Board of Studies/ Academic
Council from time to time.
• Medium of Instruction:
The medium of instruction and examination shall be English for all the courses.
• Attendance Requirements/Eligibility to Appear in Examination: The student should fulfill the following criteria to be eligible for appearing in the End Term
Semester Examination: • He/She should bear a good moral character. • He/She should be on the rolls of the Faculty during the Semester.
• He/She should have 75% of the attendance during the respective year. • The deficiency in the attendance, both in theory and practical may be condoned by
the Dean/ Director of the Faculty up to 5%. • The deficiency may be further condoned by the Vice Chancellor in cases of
exigencies/ extreme circumstances.
• The student, who fulfills the conditions laid down under (i) to (ii) above for one or more subjects and not for the other(s), will be allowed to take examination only in
such subject(s) in which he/she fulfills the conditions.
• He/she should not be a defaulter in payment of any dues of the SGT University and no disciplinary action is pending against the student.
• Exemption from Attendance / Shortage of attendance to be condoned:
The relaxation in shortage of attendance shall be given as per the following rules:
Sr. No Exemptible No. of Lecture
Ground of Exemption Competent Authority
1 All periods of the day
of donation
Voluntarily blood donation to the
Blood Bank.
Dean of the
Faculty
2 All periods of the day of Examination
For appearing in the supplementary examinations (Theory/ Practical/ Viva-
voce)
-do-
3 10 days attendance during a semester
For participation in University or Inter-Collegiate Sports Tournaments/ Youth Festivals, Cultural events/NCC/
NSS Camps/ University Educational Excursions/ Mountaineering Courses
-do-
4 15 days attendance
during a semester
For participation in Inter-University
Sports Tournaments/ Youth Festivals
-do-
Provided:
• that he/she has obtained prior approval of the Dean, Faculty of Allied Health Sciences;
• that credit may be given only for the days on which lectures were delivered or
tutorials or practical work done during the period of participation in the aforesaid events.
• Attendance Shortage Warning:
Attendance shortage warning will be displayed on the Faculty‟s Notice Board and/or University
Website regularly.
10. Detained students:
If a student has less than 75% attendance in any course / paper during the respective semester, as
provided in Clauses 7-8 he/she will not be eligible for appearing in the End Term Semester
Examination in that particular paper and will be deemed as Detained in that paper. Such student
will repeat the course/paper along with the regular students of the subsequent batch to
qualify/fulfil prescribed conditions to appear in the “End Term” examination of the course/
paper.
11. Submission of Examination Forms and Payment of Examination Fee:
The Dean, Faculty of Allied Health Sciences shall submit the examination admission fo rms of
those students who satisfy the eligibility criteria to appear in the examinations along with the prescribed examination fee to the Controller of Examinations as per schedule of examination circulated by the Controller of examinations from time to time.
12. University Examinations:
(i) End Term Semester Examinations: The examination for the 1st and 3rd semesters (Odd Semesters) shall ordinarily be held in the month of December and of the 2nd and 4thsemesters (Even Semesters) in the month of May/June.
(ii) Fail/ Reappear candidates:
Fail / re-appear candidate of the odd semesters (1st& 3rd) will take re-appear exams as an ex-student in the subsequent exams of the odd semesters (1st & 3rd). Similarly, for the even semesters (2nd & 4th), he/she will take re-appear exams in the subsequent exams of the even
semesters (2nd&4th). However, a candidate appearing in the 4thsemester examination (Regular) may appear simultaneously in his/her re-appear paper(s) of lower semesters.
(iii) Improvement Examination:
After passing all the semesters, a student may appear as an ex-student for improvement of his CGPA for the following purpose:
• Improvement of CGPA equal to 2nd division. • Improvement of the CGPA equal to 55% (aggregate of all the semester) • Improvement of CGPA equal to 1st division.
• For improvement, only one chance for each semester will be given within a period of two years of initially passing of the final examination.
• If a candidate appears for improvement and the status/nature of his/her
final result does not improve, his/her improvement result will be declared “PRS” (Previous Result Stands).
• The candidate shall be allowed to appear in the improvement
examination(s) along with regular candidates as and when the course is offered. No separate examination will be held for improvement of
division/grade. In case of change of syllabi, the student shall have to appear for improvement in accordance with the changed syllabi of the concerned course applicable to the regular students of that exam.
13. Distribution of Marks:
The distribution of marks shall be as prescribed in the Scheme of Examinations approved by the Board of Studies/Academic Council of the University.
14. Setting of Question Papers:
• (i) The Dean of the Faculty shall supply the panel of internal and external examiners
duly approved by the Board of Studies to the Controller of Examinations. The
paper(s) will be set by the examiner(s) nominated by the Vice-Chancellor from the
panel of examiners. Internal question bank will also be created and submitted to the
controller of examination sticking to the domain of syllabus for use in regular and
supplementary examination.
• The question paper will be moderated by committee who are proficient in the subject
in the office of controller of examination. The moderation will be done to assure that
no question is out of syllabus and there is no mistake in the question and the
committee will amend/correct the paper accordingly.
(iii) Papers of subsidiary subjects will be set and evaluated by the internal examiners.
• An examiner shall be allowed to set not more than three papers in a semester examination.
• The examiner(s) will set the question papers as per criteria laid down in the Scheme of Examinations as approved by the Board of Studies/Academic Council of the University.
15. Appointment of Examiners:
The examiners will be appointed as per the following guidelines with the approval of the Vice-
Chancellor: • An internal/external examiner should be of the level of an Assistant
Professor/consultant/equivalent or above in the respective subject in a University/Institute/College/hospitals with a minimum experience of 02 years.
• One external and one internal examiner will jointly conduct the practical examination.
• External examiners shall not be from the same University and should preferably be from outside the State/University.
• External examiners shall rotate at an interval of 2 years.
16. Evaluation Process – Theory, Practical, project & Internal Assessment Exams:
(A) Evaluation of Answer Books:
The answer books shall be evaluated either by the paper setter or any other internal or external
examiner to be nominated by the Controller of Examiners with the approval of the Vice-
Chancellor from the panel of examiners approved by the Board of Studies.
Centralized assessment programme (CAP) may be adopted for evaluation of the answer papers at
central area in the examination branch.
(B) Re-evaluation of Answer Books:
Re-evaluation/ rechecking of any paper is allowed. The students can apply for Re-evaluation/
Re-checking of any paper through the HoD/ Dean of the Faculty within 10 days of the
declaration of the result by paying prescribed fee.
(C) Internal Assessment:
• Theory paper: The internal assessment marks shall be assigned to each theory paper as per scheme of examination which shall be awarded as per the criteria given below:
Distribution of 25 marks: Distribution of marks (e.g. 20):
• Attendance/discipline = 20% marks (4)
• Weekly/monthly Test = 20% marks (4)
• Sessional 1 = 20% marks (4)
• Sessional 2 = 20% marks (4)
• Tutorials/Quiz/ =20% marks (4)
seminars/regular
observations--
• Practical paper: The Internal Assessment for practical paper shall be awarded as per
the criteria given below:
Sr.
No.
Criteria Weightage Distribution of marks of Internal
Assessment (As per scheme of examination)
Out of 10 Out of 25 Out of 40
1 Attendance/Discipline 20% 2 5 8 2 Regular day to day l performance 20% 2 5 8
3 1st Sessional Practical Exam including
Viva-voce 20% 2 5 8
4 2nd
Sessional Practical Exam including Viva-voce
20% 2 5 8
5 OT work report / clinical training 20% 2 5 8
iii) Project/ Dissertation (out of 50): The Internal Assessment for project/ dissertation
shall be awarded as per the criteria given below: (a) Attendance/Discipline = 10 marks
(b) Regular performance assessment = 14 marks (c) Pre-submission report = 14 marks (d) Pre-submission presentation = 12 marks
(iv) In case of ex-students, those appearing for re-appear/ improvement examination, their previous Internal Assessment marks will be counted or they may be reassessed if they so desire, but this relief will be for one time only and he will be assessed for forty percent of marks and his assessment on account of attendance/discipline , weekly Test / Monthly test/Assignment/Quiz/Seminar etc. will stand same as before. If his internal assessment does not improve, previous internal assessment will be counted.
(v) The concerned teacher shall preserve records on the basis of which the Internal
Assessment has been awarded and shall make the same available to the Controller of Examinations whenever required.
(vi) The Head of the Department/ Dean of the Faculty shall ensure that the internal assessment marks are submitted to the Controller of Examinations as per schedule circulated by Controller of Examination.
(D) Practical Examinations:
(i) Appointment of Examiner: (1) The practical examinations shall be conducted by a Board of two
Examiners consisting of one internal and one external examiner to be
nominated by the Vice-Chancellor from the panel of examiners recommended by the Board of Studies.
(2) Marks Distribution: The distribution of marks in examination of the practical paper will be as per the criteria given below:
(a) Experimental performance = 60% marks (b) Viva-Voce = 30% marks
(c) OT work report = 10% marks
(ii) Comprehensive Viva-Voce:
The comprehensive Viva-Voce for Project/dissertation shall be conducted by a Board of Two Examiners consisting of one internal and one external examiner to be nominated by the Vice-Chancellor from the panel of examiners recommended
by the Board of Studies. Evaluation of the Project Report /Dissertation will be done by the External examiner.
(E) Evaluation of Project:
(i) Topic and Appointment of Guide/Supervisor
Each student who opts for a Research Paper /Project Report etc. will be assigned a Teacher as Guide/ Supervisor from the Faculty of Allied Health Sciences. Topic
of the Research Paper/ Project Report will be as approved by the Dean of the Faculty on the recommendation of the Teacher Guide/Supervisor.
(ii) Evaluation /Viva Voce:
The student will submit the Project Report in the form of Dissertation on completion of the 4thsemester but before 15th April, failing which it will be acceptable only with late fee of Rs. 1000/- up to30th April. It will be got evaluated
in accordance with above mentioned 16D (ii).
17. Criteria for Promotion to Higher Semester:
The student shall be promoted to 2nd and 4th semester automatically without any condition of passing minimum number of papers. For promotion from 2nd to 3rd Semester, the student shall
have to clear at least 50% papers of 1st and 2nd semesters taken together.
18. Credit Based Grading System:
• Grading Method
• The grading system will be adopted on a 10 point scale. The grades will be awarded
based on marks out of 100 and will be converted into grades as under:
S.No. Relative grading w.r.t. the marks obtained
in a paper/course
Letter Grade Value
(Corresponding performance )
Grade Point
1 90% or more O (Outstanding) 10
2 80% or more but less than 90% A+ (Excellent) 9
3 70% or more but less than 80% A (Very Good) 8
4 60% or more but less than 70% B+ (Good) 7
5 50% or more but less than 60% B (Above Average) 6
6 45% or more but less than 50% C (Average) 5
7 40% or more but less than 45% P (Pass) 4
8 Less than 40% F (Fail) 0
9 Absent / Detained Ab (Absent) /Detained 0
Grade „F‟ student may re-appear in that paper in the subsequent examination for that semester
(ii) Calculation of SGPA & CGPA
SGPA is calculated by dividing the sum of „Credit Points‟ in a Semester divided by the sum of „Course Credits‟ in that Semester.
CGPA is calculated by dividing the sum of „Credit Points‟ by the sum of „Course Credits‟ of the current semester + all pervious semesters.
Hypothetical Example for Computation of SGPA and CGPA:
Let us assume that Mr. X has registered for four courses in the 1st semester and his performance in these courses in this semester is given in the Table below:
Course/Paper Code
Course Credit Grade Awarded to the Student
Grade Value Credit Points
Course/Paper I 4 A+ 9 36
Course/Paper II 4 A 8 32
Course/Paper III 4 B 6 24
Course/Paper IV 4 B+ 7 28
TOTAL 16 30 120
Calculation of SGPA:
„Credits‟ of the Courses registered by Mr. X in 1stSemester = 16 „Credit Points‟ of Mr. X in 1stSemester = 120
SGPA of 1stSemester (120/16) = 7.5
Calculation of CGPA:
„Credits‟ of the courses registered by Mr. X in 2ndSemester = 16 „Credit Points‟ of Mr. X in 1stSemester = 120
CGPA of 1stSemester (120/160) = 7.5
Let us, now, assume that the Mr. X has performed in 2ndSemester as under :
Course/Paper Code
Course Credit Grade Awarded to the Student
Grade Value Credit Points
Course/Paper V 4 C+ 5 20
Course/Paper VI 4 C 4 16
Course/Paper VII 4 A+ 9 36
Course/Paper VIII 4 B+ 7 28
TOTAL 16 25 100
Calculation of SGPA of 2ndSemester: „Credits‟ of the courses registered by Mr. X in 2nd Semester = 16
„Credit Points‟ of Mr. X in 2ndSemester = 100 SGPA of 2nd Semester (100/16) = 6.25
Calculation of CGPA upto 2ndSemester: „Credits‟ of the courses registered Mr. X in
1st& 2nd Semesters (16+16) = 32 „Credit Points‟ of Mr. X in 1st& 2ndSemesters (120+100) = 220
CGPA upto2nd Semester (220/32) = 6.87
19. Pass criteria and grading system:
The minimum percentage of marks to pass the examination will be 40% in theory examination and practical examination separately (including internal assessment).
20. Declaration of Results: (i) As soon as possible, after the semester examinations are over, the Controller of
Examinations shall publish the results of those students who had appeared in the examinations.
(ii) Each successful student/ the student placed in reappear shall receive a copy of the
Detailed Marks Certificate/ Grade Card Sheet of each semester examination. (iii) The student whose result is declared late without any fault on his/her part
may attend classes for the next higher semester provisionally at his /her own risk and responsibility, subject to his /her passing the concerned semester examination. In case, the student fails to pass the concerned semester examination, he/she will be governed by
the clause 16 & 17 of these regulations.
21. Classification of Performance:
The successful students after the 4th semester examination shall be placed classified in five divisions on the basis of final CGPA obtained by him / her in the 1st to 4thsemester examinations
as under:
CGPA Classification of Performance
Those who obtain CGPA of 8.25 or more First Division with Distinction
Those who obtain CGPA of 6.75 or more but less
than 8.25 First Division
Those who obtain CGPA of 5.75 or more but less than 6.75
Second Division
Those who obtain CGPA above Pass Grade but
less than 5.75 Third Division
Those who obtain CGPA less than Pass Grade Fail
• Grace Marks:
Maximum 1% of total marks excluding internal assessment marks can be awarded to a student in one academic year.
• Clinical Training
All the candidates shall complete the recommended hours (Given in scheme of examination) in
Clinical Training during the course. All the students shall go for the compulsory rotatory hospital training each year as approved by the Board of Studies in parent Institution/Hospital. Internship, wherever applicable, will be carried out at the parent Faculty/hospital of Shree Guru Govind
Singh Tricentenary (SGT) University. The students may be permitted to undergo internship training for not more than six months (50% of total period of internship) in the hospitals
empaneled by the SGT University for this purpose or the hospitals approved by MCI/DNB.
24. Other Provisions:
• Nothing in the Ordinance shall debar the University from amending the Ordinance and the same shall be applicable to all the students whether old or new.
• Any other provision not contained in the Ordinance shall be governed by the rules and regulations framed by the University from time to time.
• In case of any interpretation, The Vice-Chancellor is empowered in this regard and his
interpretation shall be the final. • Notwithstanding the integrated nature of this course which is spread over more than one academic
year, the Ordinance in force at the time a student joins the course shall hold good only for the examination held during or at the end of the academic year.
Recommended Books
Journal References
• American Journal
• British Journal
• European Journals
• Indian Open Journal
• Anaesthesiology journal (ISA, etc)
• Pubmed
M.Sc. OTT
SEMESTER-I
Paper -1
Paper Code -
ANATOMY
TotaHours 50
S.
No. Topic Teaching Guidelines
Teaching
Hours
1. Introduction Must Know
Human body- Overview & Organization, Anatomical terminology.
3 Hours
2. Skeletal Muscles Desirable to know
Major skeletal muscles of the Head, Neck, Thorax, Abdomen & upper
and lower limbs.
4 Hours
3. Upper Limb Must Know
Regional and surface anatomy of the shoulder, axilla, and upper limb 2 Hours
4. Lower Limb
Must Know
Regional & surface anatomy of the hip, thigh, legs 2 Hours
5. Thorax Anatomy
Must Know
Regional & surface anatomy of Intercostals space, Pleura, Bony
thoracic cage, Rib , Sternum
4 Hours
6. Respiratory
system Must Know
Regional & surface anatomy of Nose, Larynx, Trachea, Lungs,
Bronchial tree.
4 Hours
7. Heart
Must know
Regional & surface anatomy of heart, chambers of heart,
Desirable to know
Regional & surface anatomy of Valves of heart, Major arteries and
veins of heart, Pericardium.
6 Hours
8. Alimentary
System
Must know
Regional & surface anatomy of Pharynx, Esophagus, Stomach, Small
Intestine, Large Intestine, Spleen, Liver, Gall Bladder, Pancreas.
4 Hours
9. Central Nervous
System Must know
Regional & surface anatomy of Spinal Cord, Meningeal Covering
Desirable to know
Regional & surface anatomy of brain
4 Hours
10. Sensory Organs Must know
Regional & surface anatomy of Eyes, Ear, Tongue, Nose. 5 Hours
11. Urinary System Must know
Regional & surface anatomy of Kidney, Ureters, Urinary
bladder,Urethra.
4 Hours
12. Male
Reproductive
System
Must know
Anatomy of the scrotum, Prostate gland, penis & testis.
Desirable to know
Epididymis, Ducts deferens, Inguinal canal, Seminal vesicles, Bulb
urethral gland
4 Hours
13. Female
Reproductive
System
Must know
Anatomy of the ovaries, fallopian tubes, Uterus,
Desirable to know
Vagina and external genitalia; functions of ovary.
4 Hours
SEMESTER-I
Paper - II
Paper code –
PHYSIOLOGY AND BIOCHEMISTARY
Total Hours - 40
S.
No. Topic Teaching Guidelines Teaching
Hours
1. General
Physiology Must Know
-Introduction to the structure and function of cell organelles,
Desirable to know
Transport across cell membrane.
Nice to know
Blood Propagation of nerve impulse, Muscle- properties-classification –
excitation /contraction coupling.
3 Hours
2.
Blood
Must know
-Blood groups and Rh factor
- Composition of blood, -Functions of the blood, plasma proteins
Desirable to know
-Function of hemoglobin
- Detailed description about WBC-total count (TC), differential count (DC)
and functions.
-Platelets – formation and normal level and functions
Nice to know
- Erythrocyte sedimentation rate (ESR)
5 Hours
3.
Cardio-
Vascular
System:
Must know
-Structure & properties of cardiac muscle.
-Cardiac cycle, Heart rate regulation-factors affecting Heart Rate,
-BP: Definition, regulation, factors affecting BP,
Desirable to know
-Cardiac output- Regulation & function affecting Cardiac output.
4 Hours
4. Respiratory
system
Must know
-General organization,
-Mechanics of respiration,
5 Hours
- Definitions and normal values of lung volumes and lung capacities.
-Exchange of Gases
-Respiratory Failure 5.
Excretory
System
Must to know
-Kidneys: structure & function.
-Maturation - neural control- neurogenic bladder,
-Normal urinary output
Desirable to know
- Temperature Regulation, Circulation of the skin- body fluid-electrolyte
balance
4 Hours
6.
Nervous system
Must know
-Brain and spinal cord
Desirable to know
-Conduction of nerve impulse
-Autonomic Nerves system
4 Hours
7. Endocrine
System
Desirable to know
Physiology of Thyroid, Parathyroid, Suprarenal glands, Pineal gland and
organs with a minor endocrine function, Thyroid gland, Bulbourethral
glands.
4 Hours
8. Digestive
System
Must know
Physiology of the Mouth, Salivary glands, Pharynx, esophagus, stomach,
intestine, liver pancreas, biliary system & peritoneal cavity, esophagus,
stomach, small intestine, pancreas & liver.
4 Hours
9. Fluids and
Electrolyte,
Acid Base
Balance
Must know
-Composition of body fluids.
-Acid base balance
-Disturbances of acid base balances(PH, alkalosis, acidosis
4 Hours
10.
Nutrients and
Minerals
Desirable to know
Cover to Carbohydrate, -Protein,
-Lipid,
-Vitamin,
-Minerals
3 Hours
Practicals: demonstration of ph meter.
Acid base titration & validation of normality equalion.
Urine analysis.
Genral tests of carbohydrates.
Genral tests of proteins.
Making of blood smear.
Dlc ,Tlc,Rbc,Esr.
Blood pressure ,Pulse.
Effect of posture on BP.
Effect of exercise on BP.
SEMESTER-I
Paper - III
Paper code –
CLINICAL PHARMACOLOGY
Total Hours - 40
S.
No. Topic Teaching Guidelines Teaching
Hours
1. Antisialagogues
Must Know
Atropine, Glycopyrrolate
1 Hours
2. Sedatives anxiolytics
Must know
Diazepam, Midazolam, Phenergan, Lorazepam,
Chloropromazine, Trichlophos
4 Hours
3. Narcotics
Must know
Morphine, Pethidine, Fentanyl, Pentazozine, Nalbuphine,
Butorphanol, Buprinorphine,
Tramadol
6 Hours
4. NSAIDs
Must know
Diclofenac, Ketorolac, COX-2 inhibitors
1 Hours
5. Antiemetics
Must know
Ondansetron, Dexamethasone
Metoclopramide,
2 Hours
6. Prokinetics
Must know
Metoclopromide
1 Hour
7. H2 Blockers and Proton Pump
Inhibitors
Desirable to know
Ranitidine, Famotidine, Omeprazole, Pentoprazole
2 Hours
8.
Induction agent
Must know
Thiopentone,, Ketamine,
Propofol,
Etomidate
2 Hours
9.
Muscle relaxants
Must know
Depolarising - Suxamethonium,
Non depolarizing -Pancuronium, Vecuronium, Atracurium,
Rocuranium
3 Hours
10.
Inhalational anaesthetics
Must Know
N20, Ether,
Halothane,
Isofllurane, Sevoflurane, Desflurane,
Enflurane
6 Hours
11 Reversal agents
Must know
Neostigmine, Glycopyrrolate, Atropine,
Nalorphine, Naloxone, Flumazenil
4 Hours
12 Local anaesthetics
Must Know
Lignocaine, Bupivacaine, Ropivacine, Prilocaine-jelly,
Proparacaine,Emla - Ointment, Etidocaine
4 Hours
13.
Emergency drugs
Must know
Adrenaline and its mode of administration, dilution, dosage
- Dopamine,
-Dobutamine,
-Isoprenaline,
-Nor Adrenaline, Mephenteramine
-Sodium Bicarbonate,
-Xylocard,
-Aminophylline, derriphyline
-Hydrocortisone,
-Antihistamlnics
-Antiarhythmics
-Vasodilators – Nitroglycerin, SNP,
- Bronchiolytic agents,
-Furosemide
-Mannitol
-Oxoytocin
-Methergin
-Diclofenac – I. V.
-Various Fluids – Crystalloids & colloids - Nacl, Ringer
lacatate, Haemaccel, Hetastarch
10Hours
SEMESTER-I
Paper – IV
CLINICAL PATHOLOGY AND MICROBIOLOGY
Total Hours - 40
S.
No. Topic Teaching Guidelines
Teaching
Hours
1. Cellular Adaptation
Must Know
Cellular adaptation,
-Cell injury & cell death,
-Cellular response to stress and noxious stimuli,
-Reversible and irreversible cell injury,
4 Hours
2.
Blood
Must Know
Blood Groups,
-Blood Transfusion,
-Blood components
-BT,CT,
-Transfusion Reactions
5 Hours
3.
Infectious diseases.
Desirable to know
General principles of microbial pathogenesis
-Viral infections
-Bacterial infections
- Rheumatic heart disease
-Fungal infections
-Parasitic infections
6 Hours
4. Waste management
Must to know
Hospital waste disposals
2 Hours
5 Hospital acquired infection and prevention
Must to know
Hospital acquired infection and prevention,
4 Hours
6. Hepatitis B, C, HIV/AIDS
Must to know
Hepatitis B, C, HIV/AIDS
Causes & prevention
4 Hours
7. PPE, Universal Precautions
Must to know
Cover PPE(Personal Protective Equipments -
list) Universal Precautions- indications
3 Hours
8. Decontamination and Sterilization
Must to know
Methods of cleaning, Decontamination and
Sterilization
5 Hours
9. Sample collection, Labeling and sending to
Lab
Must to know
Cover Sample collection, Labeling and sending
to Lab
6 Hours
PRACTICALS:-MICROBIOLOGY &PATHOLOGY
Unit Unit Title Content
• Staining: • Grams staining
• ZN and modified ZN staining
• Capsular staining
• Parasitology: • Stool examination: S a l i n e mount, Iodine mount
• Stool concentration techniques
• Preparation of thick and thin smears
• Preparation and staining technique of Leishman‟s stain and
Giemsa stain • Demonstration of malarial parasite in peripheral smear
• Rapid test for malaria
• Mycology: • Demonstration of fungi using KOH , Lactophenol cotton blue
and India ink
• Colony characteristics and Microscopic examination and
identification tests for :
• Candida and Cryptococcus,
• Dermatophytes
• Aspergillus sp • Miscellaneous fungi
• Slide culture technique
• Virology: 1. Specimen collection, principle, methods, procedure of serological tests.
Spot tests/ELISA : HBV, HCV, HIV, Dengue
• Waste
Management:
• Use of Colour coded bags
• Sample collection • Collection of specimen
• From Outpatient
• Inpatient Unit
• Minor OT
• Major OT for sterility testing
• PPE, Universal
precautions
• Demonstrate correct Hand Hygiene technique
• Demonstration of Personal Protective Technique.
• Sterilization • Demonstration of Principle and working of an Autoclave, Hot
Air Oven.
• Visit to CSSD
PATHOLOGY- - Coombs test. - Cross metching - Bt /ct
SEMESTER-I
Paper – V
Paper code –
APPLIED PHYSICS AND BASIC COMPUTER
Total Hours – 40
S.
No. Topic Teaching Guidelines
Teaching
Hours
1.
Applied Physics
Must know
Basic p rinciple of electricity applied in OT, ICU,
and CSSD.
-Concept of static electricity, charge, potential
current power, resistance.AC /DC
-Basic princip les of heat, concept of temperature
its measurement, way of dispersion of heat.
Desirable to know
-Concept of volume, specific gravity, density,
concentration of solute.
-Gas laws and their practical implications in
field.
-Compressed gases, filling ratio, principles of
pressure regulator, flow of gases, flu id viscosity,
laminar flow, turbulent flow.
8 hours
2.
Introduction to Computer
Must know
-Computer basics, I/O devices
- Different operating system
– MS DOS
– Basic commands
– MD, CD, DIR,TYPE and COPY CON
commands
Desirable to know
– Networking
– LAN, WAN,MAN(only basic ideas)
Nice to know
– Memories, RAM and ROM, Different kinds of
ROM, kilobytes.
-MB, GB their conversions
6 Hours
3.
Typing text in MS word
Must know
– Manipulating text,Formatting the text
– using different font sizes, bold, italics
– Bullets and numbering
– Pictures, file insertion
– Aligning the text and justify
– choosing paper size , adjusting margins
– Header and footer, inserting page No‟s in a
document
5Hours
4.
Printing a File
Must know
– Using spell check and grammar option
– Find and replace
– Mail merge
– inserting tables in a document.
3 Hours
5.
Miscellaneous
Must know
-Creating table in MS, Excel
– Cell editing
– Drawing graphs and charts using data in excel
– Auto formatting
– Inserting data from other worksheets
Desirable to know
– Using formulas and functions
– Manipulating data with excel
– Using short functions to sort numbers and
alphabets
4Hours
6.
Slides
Must know
Preparing new slides using MS-POWERPOINT
– Inserting slides ,slide transition and animation
, Using templates, Different text and font sizes
5 Hours
7.
Slides with Special Features
Must know
Slides with sounds
– Inserting clip arts, pictures, tables and graphs
– Presentation using wizards
3 Hours
8.
Introduction to Internet
Must know
Introduction to Internet
– Using search engine – Google search
– Exploring the next using Internet Explorer and
Navigator
– Uploading and Download of files and images
– E-mail ID creation – Sending messages
– Attaching files in E-mail
– Writing small programs using functions and
sub – functions.
Desirable to know
– Introduction to “C” language – Different
variables, declaration, usage
6 Hours
SEMESTER-II
Paper – I
Paper code –
BASIC MEDICINE AND MEDICAL ETHICS
Total Hours - 40
S.
No. Topic Teaching Guidelines
Teaching
Hours
1.
Basic Disorder
Desirable to know
Disorder of haematopoiesis
- anaemias
- iron deficiency anaemia,
4 Hours
2.
Infections and Diseases
Must know
- Sepsis and septic stock,
-Fever of unknown origin,
-Infective endocarditis,
Desirable to know
-Infections of skin, muscle, soft tissue,
-Diseases caused by bacteria, viruses,
mycobacterium, fungi, protozoa and
helminthes,
Nice to know
- Common secondary infection in HIV
4 Hours
3.
Different Diseases of CVS
Desirable to know
Diseases of CVS
-CHF,
-Pulmonary Oedema,
-CAD,
-Peripheral vascular diseases (PVD)
3 Hours
4.
Disease of Respiratory system
Must know
Asthma,
-pneumonia,
-COPD,
-Restrictive Lungs Disease.
3 Hours
5.
Kidney & Urinary Tract Disease
Desirable to know
- Acute renal failure,
-Glomerulonephritis,
-Haemodialysis,
-Kidneytransplant,
-Urinary Tract Infection
3 Hours
6.
Liver and Biliary Tract Disease
Desirable to know
- Viral hepatitis,
-Alcoholism,
-Liver failure,
-Hepatic Coma
3 Hours
7. Endocrinology and Metabolism.
Must know
- Diabetes mellitus,
-Hyperthyroidism, hypothyroidism
2 Hours
8.
Medical Ethics
Must know
– Definition
-Basic principles of medical ethics
– Goal
– Scope
– Confidentiality
3 Hours
9.
Malpractice and Negligence
Must know
Malpractice, Types of medical malpractice.
-Negligence
2 Hours
10.
Rational and Irrational drug therapy.
Must know
Introduction to Rational and irrational drug
therapy.
Desirable to know
- Clinical implication of rational drug therapy.
- Reason and Impact of Irrational use of drug
therapy.
3 Hours
11.
Different type of Consent
Must know
Consent
-Different types of consents
- Right of patients
2 Hours
12 Care of terminally ill – Euthanasia
Must know
-What is terminally ill
-Care of terminally ill patients
1 Hours
13.
Organ transplantation
Must know
What is Organ transplantation
-Successfully transplanted organs
-Policies and procedures Of organ
transplantation
-Organ donor option
3 Hours
14
Medical Legal Aspects of Medical Records
Must know
– Medico – legal case and type
– Records and documents related to MLC
Desirable to know
– ownership of medical records
- Confidentiality Privilege communication
Nice to know
- Release of medical information
- Unauthorized disclosure
- retention of medical records
- Other various aspects.
4 Hours
SEMESTER-II
Paper – II
Paper code –
BASICS OF ANAESTHESIA
Total Hours - 50
S.
No. Topic Teaching Guidelines
Domain Teaching
Hours
1.
Technical terms / Documentation
Must to know
-Technical terms used in anaesthesia /OT
-Importance of Record keeping in OT / ICU
-Various registers and statistics
-PAC and Anaesthesia record
4 Hours
2.
Phase of GA
Must know
-Induction,
-Intubation,
-Maintenance,
-Reversal,
- Recovery / Emergence.
4 Hours
3. Premedication
Must know
Different drugs used for Premedication their
doses, effects and side effects.
4 Hours
4.
I.V. Induction agent
Inhalational Anaesthetic agents
Must know
I.V. Induction agent their doses, indication,
contra indication and management
Properties of Inhalational anaesthetic agents,
their role in GA.
Different volatile anaesthetic agents:
Advantages and disadvantages
7 Hours
5.
Neuromuscular Blockers
Types of drugs used for Neuromuscular blocks
their doses, indication and contra indications,
complications
4 Hours
6. Reversal Agents
Must know
Drugs used for Reversal Agents
their doses, indication and contra indication
3 Hours
7.
Steroids
Desirable to know
Steroids –
-Role of steroids in periop period
their doses, indication and contra indication
2 Hours
8.
Analgesics
Must know
Drugs used as Analgesics
their doses, indication and contra indication
– Opioids / Non opiods Analgesics
• Infusions, PCA
5 Hours
9.
Emergency Drugs
Must know
Emergency drug used in OT and ICU Their
uses, doses, indication and contra indication
-Vasopressors, inotropic agents, Vasodilators ,
Anticholinergics, Anticoagulants,
Antiarrhythmics,
-Syringe pumps and infusion pumps
6 Hours
10.
Different Airways / Endotracheal tubes
Must know
Types, parts, sizes of ETT
-Specialised ETT and uses
Must know
Oropharyngeal / Nasopharyngeal airways
4 Hours
– Sizes, colour coding , insertion techniques.
-Airways Adjuvants
- Stylette, GEB, Lighted wand,
- Supraglottic Airway Devices (SADs),
-Difficult intubation trolley
- Tracheostomy, Decannulation protocol
11.
Suction Catheters
Must know
Suction Catheters – types, sizes, colour coding,
techniques of suction
-Suction pressure
1 Hours
12.
Laryngoscope
Must know
Laryngoscope – Types, Size of blades,
-Fiberoptic intubation / video laryngoscopy
-Laryngoscopic view of larynx
2 Hours
13.
Spinal and Epidural needle
Must know
Spinal and Epidural needle – sizes, colour
coding, features, differences
- Epidural Catheters
2 Hours
14.
Asepsis in OT
Must know
Importance of OT Asepsis
Aseptic techniques, OT sterilization procedures
-How to handle HIV, HCV, HBsAg positive
cases in OT
-PPE
2 Hours
Practicals: Preparations of drugs and trolley for Anaesthesia
Dilutions of different drugs, proper labelling
Differences between subarachnoid and epidural anaesthesia
Calculation of doses of various important drugs used during perioperative period
Calculation of dose from various % strengths
Gram, mg, mcg; relationship and conversions
Insertion and care of airways, SADs, laryngoscope blade
Assessment of sizes of ETT, airways, suction catheters, Laryng -oscopic blades, SADs
SEMESTER-II
Paper – III
Paper code –
Basics of surgery
Total Hours - 40
S.
No. Topic Teaching Guidelines
Teaching
Hours
1. Basic Procedures Techniques.
Must know
Scrubbing Technique,
-Gowning Technique,
-Gloving techniques.
3 Hours
2. Surgical terminology and Incision
Must know
Surgical terminology,
-Types of incision
-indications for the use of particular incision;
4 hours
3. Haemorrhage
Must know
Signs and symptoms of internal and external
haemorrhage
-Classification of haemorrhage
-Management of haemorrhage
6 Hours
4. Tourniquets
Must know
Types of tourniquets
- Uses of tourniquet
- Duration of tourniquet application, -
Pneumatic tourniquet, application,
-Complication of tourniquet application
4Hours
5. Wounds and Abscess Must know
What is Wounds,
-Types of wounds,
- Wound healing,
-Treatment and complications of wound
- inflammation
- wound infections
-Causes and treatment; -Incision and drainage
of abscesses;
-Importance of personal cleanliness and aseptic
techniques
8 Hours
6 Skin Preparation for Invasive Procedures Must know
Skin preparation for invasive procedures
-Surgical asepsis
5 Hours
7 Classification of Surgical Instruments and
Their Uses Must know
Classification of surgical instruments and their
uses
5 Hours
8. Suture Material Must know
Suture Material: Types and uses.
-Different Suturing Techniques.
-Instruments used for suturing
5 Hours
PRACTICAL :
-Scrubbing, gowning, gloving techniques
-Instruments, suture materials,
-Application of tourniquets, Types of incisions,
-Bandaging of wounds, drainage of abscess
SEMESTER-II
Paper – IV
Paper code –
CSSD PROCEDURES, STERILIZATION PROCEDURES
Total Hours - 40
S.
No. Topic Teaching Guidelines
Teaching
Hours
1. Introduction of CSSD
Must know
Layout and location of CSSD and its role in hospital
functioning.
5 Hours
2.
Functions of CSSD Must know
-Collection of used items from user area,
-Use of disinfectants
–Sorting and classification of equipment for
cleaning purposes, sharps, blunt lighted etc,
contaminated high risk items, delicate instruments
or hot labile instruments.
-Documentation, staff, dress protocol
5 Hours
3. Cleaning process in CSSD
Must know
-Various methods of cleaning
-Use of detergents. -Mechanical cleaning apparatus,
-Cleaning instruments, Cleaning jars, receivers
bowls etc. trays, basins and similar hand ware
utensils.
-Cleaning of catheters and tubing,
- cleaning glass ware, cleaning syringes and
needles.
4 Hours
4. Packing in CSSD
Must know
Materials used for wrapping and packing –
Assembling pack contents.
-Types of packs prepared.
-Method of wrapping
- Labeling:Date , contents, initials
-Use of indications to show that a pack of container
has been through a sterilization process
8 Hours
5. Different Methods of Sterilization Must know
-Principles of sterilization and disinfection
-Methods of decontaminations
- Moist heat sterilization.
-Dry heat sterilization. -EO gas sterilization.
-H202 gas plasma sterilization
-Irradiation: Gamma sterilisation
- Sterilisation control: Indicator agents
8 Hours
6. Autoclaving Machine.
Must know
Uses and maintenance of autoclaving machine.
Nice to know
Mechanism of Autoclaving Machine
7 hours
7. Duties of CSSD Technician Must know
Duties of CSSD Technician
3 Hours
8 Disinfection and sterilization of OT and
equipments / Waste management Must know:
-Sterilisation of OT:
-Fumigation method, Fogging machine and agents
-Carbolisation
-Decontamination of spillage of infected material
-Monitoring protocols for sterilization of OT
-Critical, semicritical, noncritical equipments
-Methods of disinfection: High level and Low level
disinfection
-Various techniques of sterilization and
disinfections of items, Decontamination procedure
-Antiseptics, sterilants, sanitization,
-Segregation and disposal of hospital waste
PRACTICALS:
-Complete steps in operation of autoclave, its maintenance protocol
-Documents to be maintained in CSSD
-Various physical, chemical methods of sterilization
-Cleaning and sterilization of OT
-Methods to decrease infections in OT
SEMESTER-II
Paper – V
Paper code –
Research Methodology, Biostatistics and Hospital Management
Total Hours- 60
S.
No. Topic Teaching Guidelines
Teaching
Hours
1. Introduction research methodology
Must know
Introduction to research methods,
Variable in research
Reliability and validity in research
Conducting a literature review
Formulation of research problems and writing
research questions
10 Hours
Desirable to know
Hypothesis, Null and research Hypothesis, Type I
and type
II errors in Hypothesis testing
2. Data collection Must Know
Experimental and non experimental research
designs,
Sampling methods, data collection, observation
method,
Interview method, questionnaires and schedules
construction
5 Hours
3. Research Frame work Desirable to know
Ethical issues in research,
Principles and concepts in research ethics -
confidentiality and privacy informed consent,
Writing research proposals,
Development of conceptual framework in research
5Hours
4. Introduction to statistics Must Know
Introduction to statistics
Classification of data, source of data,
Nice to know
Method of scaling- nominal, ordinal, ratio and
interval scale
Measuring reliability and validity of scales
Hours
5. Data sampling
Must Know
Measures of central tendency,
Measures of dispersion, skewness and kurtosis,
sampling, sample size determination.
Desirable to know
Concept of probability and probality distributions-
binomial probability distribution, poison
probability distribution and normal probability
distribution
10 Hours
6. Data correlation
Desirable to know
Correlation-Karl person, spearman‟s rank
correlation methods regression analysis, testing
hypothesis-chi square test, student‟s test, NOVA
5Hours
7. Health care – an overview
.
Must Know
Functions of Hospital administration
Modern techniques in Hospital management
Challenges and strategies of Hospital management
Administrative Functions–
Planning, Organizing, Staffing, Leading and
Controlling Organizational Structure,
Motivation and leadership.
Designing health care organization
10 Hours
8. Hospital Management Must Know
Medical record, House-keeping services
Laboratory performance.
Management of biomedical waste.
Total patient care – indoor and outdoor.
Desirable to know
Nursing and ambulance resources.
10 Hours
Evaluation of hospital services
Nice to know
Quality assurance.
Record reviews and medical audit
SEMESTER-III
Paper – I
Paper code –
ANAESTHES IA DELIVERY SYSTEM & AND EQUIPMENTS USED IN OT
Total Hours - 45
S.
No. Topic Teaching Guidelines Domain Teaching
Hours
1. Medical Gas Supply
Must know
- Compressed gas cylinders, colour coding, Types of
cylinders (E&H), handling and storing of cylinders
- Cylinder valves; pin index safety system (PISS),
pressure regulator, safe handling of cylinders
- Gas piping system / Manifold Room / DISS
- Recommendations for piping system
- Alarms & safety devices.
- Oxygen Concentrator: Mechanism, functioning,
maintenance
-Liquid Oxygen
7 Hours
2. Modern Anaesthesia machine Must know
Different parts of Modern Anaesthesia machine
-Functioning of Anaesthesia WorkStation
8 hours
-Checklist of Modern Anaesthesia machine before
use
-Safety features in Modern Anaesthesia machine vs
Basic Boyles Apparatus
- Scavanging system: Role in modern anaesthesia
practice
- Anaesthesia Ventilator:
-Modes of ventilator
- Working principles
- Alarms and settings
3. Breathing Systems
Must know
-General considerations: humidity & heat
-Common components - connectors, adaptors,
reservoir bag, expiratory valve.
-Methods of humidification.
-Classification of breathing system
-Mapleson system – A, B, C, D, E, F
-Jackson Rees system,
- Bains circuit
-Non rebreathing valves - ambu valves
-The circle system – Components, advantages,
disadvantages
8 Hours
4. Diathermy / Cautery Must know
-Diathermy /Cautery machine
– Types, Uses,
-Precautions
3 Hours
5. Defibrillators Must know
Uses of Defibrillators / AED
-Types of defibrillators
-Selection of charge for defibrillation, Position of
Pads
-Precaution during defibrillation
-Care and handling
-Functioning of AED
4 Hours
6.
Monitors
Must know
-Multiparameter monitors
-ECG , -Temperature
-IBP / NIBP, -CVP
-Pulse oximeter: Types of probes, precautions
-ETCO2 monitor
-FIO2, inhalational gas analyser
-ABG machine, sampling of arterial blood
-Care of monitoring equipments
8 Hours
7. OT Table, OT lights, C Arm , HVAC
system Must know
-Types of OT tables, positions, care and handling
-Types of OT lights, specifications
-Functioning and handling of C arm
-Humidification, ventilation, Air conditioning
system (HVAC)
5 Hours
8. Suction machine Must know
Types of Suction machine,
-Pressure setting for various requirements
- Suction Catheter – Sizes, Colour coding
2 hours
PRACTICALS: (Anaesthesia Delivery system and Devices)
-Maintenance and upkeep of anaesthesia machine, monitors, accessories
-Recognising various breathing circuits, basic components, assembling
-Setting up of various alarms, functioning of ventilator, setting alarms, modes, etc.
-Checking for leaks, Cockpit drill, Safety features of modern anaesthesia machine
Parts of modern Anaesthesia work station, handling of gas cylinders
Safety features in Anaesthesia machine
Hazards in OT and their prevention
Handling of OT table, OT lights, C arm,
Air conditioning system in OT, HEPA filters, Laminar air flow
SEMESTER-III
Paper – II
Paper code –
BASIC PROCEDURES AND TECHNIQUES
Total Hours - 40
S.
No. Topic Teaching Guidelines
Teaching
Hours
1. I.V. Cannulation
Must know
Sizes, Colour Coding, Technique of i.v.
cannulation,
-Preparation of I.V. drip,
-Types of fluids,
-Precaution during IV cannulation
4 Hours
2 Central Venous Cathetrisation And
CVP
Must know
Role,
- Types, sizes
-Locations
-Positions, Technique, Precautions
-Complications
5 Hours
3 Arterial Cannulation
Must know
-Significance,
-Locations, types, sizes
Desirable to know
4 Hours
-Technique,
-Complications
4. Intubation
Must know
Technique of endotracheal intubation
Insertion of SGADs (LMA, I -Gel etc)
Cuff inflation and pressure
Difficult intubation kit
Sellick manoeuvre,
BURP Technique
2 Hours
5. Bandaging And Splinting
Must know
Types of bandages and various techniques
-Scalp bandage, Figure of 8, Bandages of Eye / Ear
-Splinting Techniques, Use of Splints / Crape
Bandage
-Pressure Points, Emergency Torniquet
6 Hours
6 Drainage Of Abscess
Must know
Cleaning,
-Incision,
- Drainage,
- Bandaging
3 Hours
7. Foley Catheter
Must know
- Types, sizes
- Insertion Technique
-Sterile precautions
2 Hours
8. Nasogastric Tube
Must know
-Size, uses
-Techniques of Insertion
2 Hours
9. Face Masks & Airways, ETT,
Laryngoscopes, CPR
Must know
• Types of masks: Open and closed
- Technique of holding Anaesthesia mask
-Airways – Types, Sizes, insertion technique
-Laryngoscopes – Types, Parts
-Endotracheal tubes - Types, sizes, Specialised ETT,
Double lumen tubes (DLT), bronchial blockers
-Supraglotic Airway Device (SGADs): Types, sizes
-Checking tube position, complications.
-Difficult Intubation Trolley / Tray
-Types of Oxygen masks
-Basic CPR Protocol: CAB
6 Hours
10. Making Of Various Dilution Of Drugs
Must know
• Meaning of % , 1:1000, 1:200000 etc.
• Macrodrip / Microdrip / mcg / ml
• Drop Factor
• Drops per min, infusion rate calculation
• Mcg / mg / gm Conversion
• Making 2.5 % solution from 1 gm / 0.5 gm
of Thiopentone powder.
4 Hours
12. Baby Resuscitation Trolley
Must know
Contents of baby resuscitation trolley
-Uses
-Check list
2 Hours
PRACTICAL:
-Procedure for IV cannulation, CV cannulation, arterial cannulation
-Technique of endotraceal intubation, insertion of Foley‟s catheter, NG tube
-Calculation of ml of drug required from a given % of drug
-Method of holding resuscitation mask, triple airway manoeuvre
-CPR protocol
SEMESTER-III
Paper – III
Paper code –
PERIOP ANAESTHETIC CARE AND PREPARATIONS
Total Hours - 40
S.
No. Topic Teaching Guidelines
Teaching
Hours
1. Types Of Anaesthesia
Must know
• General Anaesthesia Techniques
• Phases of GA,
• Balanced anaesthesia, TIVA
• Regional Anaesthesia Techniques
• IVRA, CNB, Plexus Block , Topical
• Sedation / MAC
• Complication of GA / RA
8 Hours
2. Pre-Op Check (PAC)
Must know
• Pre anaesthetic assessment.
• History – past history - disease / Surgery /
and personal history - Smoking / alcohol /
drugs / medication
• General physical assessment, systemic
examination – CVS, RS, CNS
• Investigations – Haematological, Urine,
ECG, Chest X- ray, Endocrine, Hormonal
assays, Echocardiography, angiography,
Liver function test, renal function test.
8 Hours
• ASA grading - I, II, III, IV, V
3. Duties Of OT Technician In Pre
Operatve Room
Must know
• Patient check List : Protocol
• Part preparation,
• Consent, PAC, Investigations,
• NPO Status, OT Dress,
• Lipstick/ Nailpolish,Premedication
• Basal parameters
• I.V. Line, Premedication
8 Hours
4. Pre Operative Checklist /Cockpit Drill
Must know
• Anaesthesia Machine / Gas Supply
• Suction Machine
• Monitors anaesthesia
• Airway Devices – Laryngoscope, Airways,
ETT, Stylette, tape gelly.
• I.V. Cannula, I.V.fluids
• Drugs – Anaesthesia related and
Emergency .
• Special preparation – As per specific
patient need.
• Difficult intubation tray: Contents
8 Hours
5. Post Operative Care
Must know
• PACU, Discharge Criteria
• Modified Aldrete Score
• Five Vital Signs
• PONV
• Bladder Distension
• Pain management
8 Hours
PRACTICALS:
-Setting of trolley for GA and Regional Anaesthesia
-Rapid sequence intubation, Sellick‟s manoeuvre (Cricoid pressure)
-Monitoring of patient in PACU, setting of alarms
-Post op management of pain, nausea, vomiting, bladder distension
SEMESTER-III
Paper – IV
Paper code –
PREPARATION FOR VARIOUS SURGERIES
Total Hours - 50
S.
No. Topic Teaching Guidelines
Domain Teaching
Hours
1. Preparation of OT Must know
• Preparation of OT before surgery
2 hours
2. Positions of patient Must know
• Positions of patient for different surgeries
2 Hours
3. Maintenance of Instruments.
Must know
• Handling of instruments
• Cleaning of instruments
-Maintenance of instruments
4 Hours
4. Instrument Requirement for Common
Surgical Procedures Must know
Instrument requirement for common
surgical procedures such as
• Herniorrhaphy,
• Appendicectomy,
• Laparotomy,
• Mastectomy,
• I&D,
• Hydrocele,
-Intestinal Obstruction
8 Hours
5. Instruments for Obstetric and
Gynecological surgeries Must know
-Instruments required for different obstetric
surgeries
-Instruments required for different Gynecological
4 Hours
surgeries
-Types of obstetric and Gynaecologic surgeries
6. Preparation and Position for Urological
Surgeries.
Must know
-Brief description of different Urological Surgeries.
-Preparation for different Urological Surgeries.
-Position for different Urological surgeries
4 Hours
7. Orthopedics surgeries Must know
Brief description of different orthopedics Surgeries.
-Preparation for different orthopedics Surgeries.
-Position for different orthopedics surgeries
-Instruments required for different orthopedics
surgeries
4 Hours
8. Neurological Surgeries Must know
Brief description of different Neurological
Surgeries.
-Preparation for different Neurological Surgeries.
-Position for different Neurological surgeries
-Instruments required for different Neurological
surgeries
4 Hours
9. Ophthalmology Surgeries Desirable to know
Brief description of different Ophthalmology
Surgeries.
Must know
-Preparation for different Ophthalmology Surgeries.
-Position for different Ophthalmology surgeries
-Instruments required for different Ophthalmology
surgeries
4 Hours
10 Otorhinolaryngologic Surgeries Must know
Various Otorhinolaryngologic Surgeries and
Instruments required for them
-Preparation of trolleys for ENT surgeries
-Preparation of different dilutions of adrenaline: 1:
50,000, 1: 100,000, 1: 200,000, etc
4 Hours
11. Reconstructive Surgeries.
Desirable to know
Brief description of different Reconstructive
Surgeries.
Must know
-Preparation for different Reconstructive Surgeries.
-Position for different Reconstructive surgeries
-Instruments required for different Reconstructive
surgeries
4 Hours
12 Thoracic, Cardiac, Vascular surgeries.
Desirable to know
Brief description of different Thoracic, Cardiac,
Vascular Surgeries.
Must know
-Preparation for different Thoracic, Cardiac,
Vascular Surgeries.
-Position for different Thoracic, Cardiac, Vascular
surgeries
-Instruments required for different Thoracic,
Cardiac, Vascular surgeries
6 Hours
PRACTICALS:
-Preparation of OT for various surgeries
-Familiarisation with special instruments used for various sub specialities
-Carbolisation of OT
-Preparation of trolleys for various types of sub specialities of surgeries
-Cleaning , disinfection and storage of various instruments
SEMESTER-IV
Paper – I
Paper code –
ANAESTHES IA FOR SPECIALITY SURGERIES AND SITUATIONS
Total Hours -50
S.
No. Topic Teaching Guidelines
Teaching
Hours
1. NEURO ANAESTHESIA
Must know
Glassgow coma scale
-Special investigation -CT, Angiography and MRI
-Anaesthesia Techniques for Neuro surgeries
-Reinforced Endotracheal tubes
-Positioning in neuro surgery
-I.C.P.
-Air embolism
4 Hours
2. OBSTETRIC ANAESTHESIA
Must know
Differences between a pregnant and a normal lady
-Risks for anaesthesia.
-Precautions to be taken
-Check list
-Regional vs General anaesthesia
-Resuscitation of the new born, apgar score
-Preparation for emergency LSCS
Emergencies
-Manual removal of placenta
- A.P .H.
-P.P.H.
-Ruptured uterus
-Ectopic pregnancy
8 Hours
3. PAEDIATRIC ANAESTHESIA
Must know
Check list for pediatric Anaesthesia
-Premedication – modes, drugs, doses
-Pediatric circuit
-Pain management
4 Hours
4. ENT ANAESTHESIA
Must know
- Anaesthesia for adenotonsillectomy
-Anaesthesia for mastoidectomy
- Anaesthesia Bronchoscopy and oesophagoscopy
- Nasal Intubation – Preparation and Technique
-RAE endotracheal tubes : Indications
4 Hours
5. CARDIAC ANAESTHESIA
Must know
Arrhythmias
-Angina
-Dyspnoea
-Special investigations
-ECHO cardiography/ TEE
-Angiography
-Setting up of monitoring system
-Monitoring - invasive and non – invasive
- Transferring the patient to ICU.
- Chest tube management
Desirable to know
-NYHA classification
- Cardiopulmonary bypass
-Weaning of CPB
6 hours
6. ANAESTHESIA OUTSIDE THE
O.T.
Must know
• Cath Lab
• Radiology
• E.C.T.
• Risk and preventive measures
4 Hours
7. DAY CARE ANAESTHESIA
Must know
• Special features
• Patient selection
• Advantages
• Disadvantages
• Anaesthesia Techniques
4 Hours
8. GERIATRIC ANAESTHESIA
Must know
• Physiological changes
• Diseases of aging
• Nervous system
Desirable to know
• Geriatric pharmacodynamics /
pharmacokinetics
Postoperative cognitive dysfunction
4 Hours
9. ANAESTHESIA FOR TRAUMA
& SHOCK
Must know
-Resuscitation
-Pre-op investigation / assessment
-Circulatory management
-Management of anaesthesia
Rapid sequence induction – Cricoid pressure
-Other problems
4 Hours
10. THORACIC ANAESTHESIA
Desirable to know
-Pulmonary function tests and lung volume
- Bed side tests
-Vitallograph
- One lung Anaesthesia,
-Double lumen tubes, Bronchial blockers
3 Hours
11. POSTOPERATIVE PROBLEMS
Must know
-Nausea & Vomiting
-Sore throat
-Laryngeal granuloma
-Neurological complications.
-Awareness
-Vascular complications.
-Trauma to teeth
-Headache
-Backache
Desirable to know
-Ocular complications
-Auditory complications
5 Hours
PRACTICALS:
-Familiarisation with all instruments used in different types of surgeries
-Positions of patients and OT table for various surgeries
-Use of double lumen ETT, bronchial blockers,
-Preparations for anaesthesia and surgeries for different age groups
-Resuscitation in trauma, Care of patients in PACU
SEMESTER-IV
Paper – II
Paper code –
BASIC INTENS IVE CARE
Total Hours -50
S.
No. Topic Teaching Guidelines
Teaching
Hours
1. MONITORING AND
DIAGNOSTIC PROCEDURES IN
I.C.U.
Must know
- Clinical Monitoring
- Central Venous access.
- ECG monitoring.
- NIBP – Cuff sizes and application
- Multiparameter monitor – Normal values
-PCT, Surgical Tracheostomy
-ICD
-USG
Desirable to know
- Invasive hemodynamic monitoring, Cardiac Output
6 Hours
2. GENERAL CARE OF PATIENT
IN I.C.U.
Must know
-Care of unconscious patient
-Syringe pump / Infusion Pump uses, infusion rate.
-Vascular lines - arterial, venous line
- Radiography / USG
-Physiotherapy - chest physiotherapy
-Oxygen Therapy
– Sources of oxygen,
-Oxygen Delivery devices,
-Oxygen Toxicity,
-Monitoring Hypoxia
6 Hours
3 INFECTIONS IN ICU
Must know
Ventilator Associated Pneumonia (VAP)
-Prevention of infection in ICU
4 Hours
4. ACID - BASE DISORDERS AND
FLUID BALANCE
Must know
-ABG analysis, Normal ABG value
-Arterial cannulation
5 hours
-Crystalloid and colloids: Differences, indications
-Monitoring drip rate
-Fluid balance : Intake/output chart
5. COMMON DRUGS USED IN ICU
Must know
-Inotropic support
- Vaso dilator drugs.
-Vasopressor
-Antiarrhythamic drugs
-Bronchodilators
-Sedatives & Hypnotic
-Anticoagulant drugs
-Anticonvulsants
-Neuromuscular blockers
6 Hours
6. TRAUMA
Must know
-Head Injury
-Glasgo coma score (GCS)
-AVPU Assessment
Desirable to know
-Fluid Resuscitation in Trauma
-Polytrauma
3 Hours
7. BLOOD TRANSFUSION
Must know
-Blood Grouping and cross matching
-Whole blood, packed RBC
-Blood components and indications
-Technique of blood transfusion
-Complication of Blood Transfusion
-Anaphylactic reaction
5 Hours
8. ICU VENTILATORS
Must know
-Basic respiratory parameters
-Basic ventilators settings and modes
-Monitoring and alarms
-Weaning process
-Complications of ventilator
-Care of patient on ventilator
-Suctioning of ETT / Tracheotomy tube
-NIV : CPAP, BIPAP
- Handling and disinfection of ventilators
Desirable to know
-Tracheotomy – Indications, Technique,care
- Decannulation Procedure
6 Hours
9. NUTRITION ICU PATIENT
Must know
-NG tube insertion
-Parenteral Nutrition
– Types, Techniques, complications.
-Enteral Nutrition
4 Hours
10. CARDIOPULMONARY
RESUSISTATION
Must know
-Causes of cardiac arrest and types
-Basic life support outside hospital
-Triple Airway Manoeuvre
-AMBU Bag
-BLS Protocol for adult / children
-BLS Protocol for infants
-Chest compression technique
-Use of AED / Defibrillator
5 Hours
-Drugs used in Cardiac arrest
PRACTICALS:
Familiarisation with handling and use of various items and equipments used in ICU
Care of unconscious patients
Care of patient on ventilator, ventilator alarms
Preparation of trays for various emergency procedures
Modes of ventilation, , ventilator settings,
use of defibrillator and AED
Handling of ABG analyser, ABG analysis, normal values
Vital parameters, normal ranges, maintenance of monitors and other equipments
SEMESTER-IV
Paper – III
Paper code –
RESEARCH PROJECT
The research project is to be carried out over a period of approximately 6 months and will be carried out in the
hospitals, subject to approval by all concerned. Each student will select research project with their respective
supervisors. The projects will be selected such that a student can reasonably be expected to make an original
contribution to the chosen area of research within the time period allotted. The purpose of the project is to provide
the student with training in academic research and acquisition of practical skills, including the design of a research
project, planning of experiments, dealing with practical problems, recording of, presenting and analyzing data.
Unit I- Research Project Proposal Development is an independent tutorial conducted by the student‟s advisor,
and involves a comprehensive literature survey of the chosen research area. Through regular meetings, the student
and advisor discuss this literature in detail and the topic for research project will be finalized in the third semester.
Unit II- Research Project Each student must submit to the university with the signed approval of the advisor, a
research project proposal defining the research project project, the methods and design of the experiments needed
for completion, the progress to date and plans for completion in the third semester.
Unit III – Research Project preparation: Th is is involving preparat ion of the research pro ject. The research
project must include a cover page, abstract, table of contents, introduction of the thesis topic with a comprehensive
review of literature, appropriately organized methods, results and discussion section for the experiment performed
and final conclusions section summarizing the outcome of the project. The student should submit a draft of the
research project to the advisor by the end of the fourth semester.
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