Certificate in Bridge Course for Diploma Nurses – Apollo Bhutan Institute of Nursing

Duration and mode of study: six months bridging course, full time
Planned student numbers: The annual intake will be 50 students per batch.
Curricular Structure: The programme is structured so as to facilitate the diploma nurses’ seeking employment in India. The diploma nurses will be awarded certificates after six months of an extensive refresher training programme at the Apollo Bhutan Institute of Nursing. The curriculum is broadly divided into two sections (A and B).

Section A focuses on advanced clinical nursing with 120 theoretical hours and 640 practical hours.

Section B focuses on nursing management, nursing education, and nursing research with 120 theoretical hours and 80 practical hours.

The overall curriculum structure is shown below

Course of Instruction

Sl.No	Subjects	Theory (hours)	Practical (hours)
1	Advanced Clinical Nursing	120	640
2	Nursing Management, Education & Research	120	80
	Total	240	720

Award Granting Body

The award will be granted by Apollo Bhutan Education Private Limited.

Career related Opportunities

The Diploma Nurses after completion of six-months Bridging program will have an opportunity for direct employment in Apollo Hospitals in India.

Entry Requirements

The program will enroll Nurses with minimum qualification of Diploma in Nursing and Midwifery.

DETAIL CURRICULUM FOR BRIDGE COURSE

SECTION A: Advanced Clinical Nursing
COURSE CONTENTS Theory-120 Hours

Unit	Hours	Content
I	5	Current status of health and disease burden Current concept of health and disease Vital statistics, Mortality and Morbidity rates and indicators National health programs National health policy, special laws &ordinances relating to health of people Epidemiology of communicable and non-communicable diseases.
II	5	Nursing Theories Theory of nursing practice Meta paradigm of nursing- characterized by four central concepts i.e. nurse, person (client/patient) health and environment. Application of nursing theories into practice
III	5	Nursing Process / Problem Solving Approach Nursing process Assessment Tools, Assessment methods Types of care plans, Care Pathways/Clinical pathways Implementation Different approaches to care, organizations and implementation of care Documentation, reporting Process of Evaluation
IV	20	Nursing Policies and Protocols Standard Operating procedures in nursing Nursing protocols in Emergency department Medical Surgical Operation room ICU/CCU Blood bank/ Blood transfusion Transplant UnitsOncolo gy units OBG Units Paediatric units Psychiatric units Other specialty units like Neuro, Nephro, Eye, ENT, Ortho etc.
V	5	Investigations and diagnostics – Role of nurses Types of investigations and diagnostic methods Preparation of patients for different types of investigations and diagnostic procedures Precautions to be followed for investigations and diagnostic procedures Collection of samples from patients Monitoring of patients during diagnostic procedures Critical values of investigations and immediate interventions Post procedure care of patients
VI	15	Hospital acquired infections & infection control initiatives Concepts of Hospital infection prevention and control Hand Hygiene, standard safety measures Hospital acquired infections Care bundles for prevention of HAI – Ventilator Assisted Pneumonia, Surgical Site Infection, Catheter Associated Urinary Tract Infection, Catheter Associated Blood Stream Infection, Vascular care, wound care, care of system and indwelling devices. Antibiotic Policy and surveillance Infection control in OT and CSSD Sterilization and disinfection practices of hospital equipments, instruments Linen management with regard to infection control Hospital infection control committee Surveillance of High-Risk areas and High-Risk Procedures – General Principles to be Followed in High-Risk Areas, ICU, OT, Obstetrics and labor room, ER, Haemodialysis unit and Renal transplantation, Laboratories – Gastro-endoscopy unit, Blood bank, Dental clinic, Mortuary practices Bio-medicalwastemanagement
VII	10	Medication Management Hospital drug formulary Recently advancements in pharmacology – newer drugs speciality wise Different types of medications and routes of administration High risk/ high alert medications Emergency medications Look alike/ sound alike medications Use of medications in divided doses Dosage calculation of drugs and fluids Medications errors – Types, monitoring, corrective and preventive actions
VIII	5	Patient safety International Patient safety goals Informed consent process Management of vulnerable patients Prevention of patient falls Preventing thrombo-embolism Prevention of pressure ulcers Surgical safety Standard precautions
IX	10	Diet Therapy Introduction to diet therapy Routine hospital diets Fluid & electrolyte management Total parenteral and enteral nutrition Therapeutic diet under each unit i.e. Cardiovascular diseases Gastrointestinal diseases Renal disorders Endocrine and metabolic disorders Allergy Infections and fevers Pre and post-operative stage, Deficiency diseases and malnutrition overweight and underweight.
X	10	Computer applications for patient care delivery system and nursing practice Use of computers in teaching,learning,research and nursing practice Windows, MSoffice: Word,Excel,PowerPoint Internet, literature search Statisticalpackages Hospital management information system: softwares Eletronic documentation of patient care Electronic medication managemnt system Indenting, inventory managemnt, error capturing, monitoring quality indicators through HIMS softwares
XI	10	Communication and soft skills Therapeutic communication Handing over and taking over Communication with physicians, Helath care team, patients and family members Age specific communication Culture specific communication Managing patients with difficuly to communicate Meeting Patient expectations Communication of bad news Grooming standards and personal appearance
XII	10	Psychological aspects and Human relations Human behavior, Life processes &growth and development, personality development, defense mechanisms Communication, interpersonal relationships individual and group, group dynamics, and organizational behavior. Basic human needs, Growth and development (Conception through reschool, School age through adolescence,Young & middle adult , and Older adult) Sexuality and sexual health Stress and adaptation , crisis and its intervention Coping with loss, death and grieving Principles and techniques of Counseling Techniques of counseling :Interview, casework characteristics of counselor, problems in counseling
XIII	10	Disaster nursing and Emergency nursing Disaster preparedness and management Hospital emergency codes – Code Blue, red, pink, purple, oranage, grey Mass casualty mangement Communication during disasters BLS, ACLS, ATLS, PALS, NALS

Section B: Nursing management, Nursing Education and Nursing Research
COURSE CONTENTS Theory-120 Hours

Unit	Hours	Content
I	5	Professional trends and issues Perspective of nursing profession – national, global. autonomy and accountability, assertiveness, legal considerations, Role of regulatory bodies Professional organizations, trends and issues in nursing Code of ethics, code of professional conduct and practice standards of Nursing Ethical issues Educational preparations, continuing education, career opportunities, professional advancement & role and scope of nursing education. Expanding role of the nurse: Specialist nurse, Nurse Practitioner etc.
II	10	Human Resource for health Staffing Nursing manpower planning Norms: Staffinspectionunit(SIU), Baja Committee, High power committee, Indian nursing council(INC) Recruitment: credentialing, selection, privileging, competency mapping Performance appraisal, placement promotion,Retention Personnel policies, rewards and recognition Disciplinary issues handling, grievance redressal, Termination Staff development programme
III	10	Quality Assurance Programme Quality assurance nursing standards Total quality Management Accreditation process of nursing college/ hospital Tools and techniques for continuous quality improvement Key performance indicators and Nursing audit Role of council and professional bodies in maintenance of standards
IV	5	Performance Appraisal Principles of performance evaluation Tools of performance appraisal Rating scales Checklists Self-appraisals
V	10	Fiscal planning Steps Types of budget Audit Effectiveness Cost accounting Health insurance
VI	10	Nursing informatics General purpose Use of computers in hospital and community Patient record system Nursing records and reports Management information and evaluation system(MIES) E-nursing,Telemedicine telenursing Electronic medical records
VII	5	Medico- legal aspects Legislations and regulations Consumer Protection Act(CPA) Negligence and Malpractice Legal responsibilities of nurses Case studies of judgment with regard to negligence of services in the Hospital Medico legal aspects Role of the nurse in legal issues
VIII	10	Nursing Education Concepts, Aims and objectives of Education Principles of teaching and learning Philosophy of Education Formulation of learning objectives Blooms Taxonomy of Education Curriculum Development Master plan, Clinical rotation plan, Course, Unit and Lesson planning
IX	5	Methods of Teaching Lecture Demonstration, Simulation Discussion Clinical teaching methods Micro teaching Self-learning
X	5	Methods of evaluation of teaching- learning process Assessment of students Purposes Types Steps Tools for assessing knowledge skill and attitude Use of media in teaching learning process
XI	5	Guidance and counseling Concept, principles, need, difference between guidance and counseling, trends and issues. Guidance and counseling services: diagnostic and remedial Coordination and organization of services Techniques of counseling: Interview, casework characteristics of counselor, problems in counseling Professional preparation and training for counseling
XII	25	Research Introduction to Research and research process Types of Research Research Problem/Question Variables and Hypothesis Review of Literature Conceptual framework Research approaches and designs Sampling Data collection :Tools and techniques Analysis and interpretation of data Communication and utilization of Research
XIII	15	Statistics Sources and presentation of Data Qualitative and quantitative Data Tabulation; frequency distribution, percentiles Graphical presentation Measures of central tendency –Mean, median and mode Measures of variance Normal Probability and tests of significance Co-efficient of correlation Statistical packages and its application Preparing a research proposal Application of computers and Statistical packages