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Regulations and Curriculum For

Bachelor of Science in Anaesthesia and


Operation Theatre Technology
B.Sc (A & OTT)

Amended up to 2018

(Deemed to be University under Section 3 of UGC Act, 1956)


(Placed under Category ‘A’ by MHRD, Govt. of India, Accredited with ‘A’ Grade by NAAC)
University Enclave, Deralakatte, Mangaluru – 575 018
Tel: +91-824-2204300/01/02/03 | Fax: 91-824-2204305
Website: www.nitte.edu.in E-mail: info@nitte.edu.in

14AHSS02D
Regulations and Curriculum – B.Sc (A & OTT)

VISION

To build a humane society through excellence in education and healthcare

MISSION

To develop
Nitte (Deemed to be University)
As a centre of excellence imparting quality education,
generatingcompetent, skilled manpower to face the scientific and social
challenges with a high degree of credibility, integrity,
ethical standards and social concern
Regulations and Curriculum – B.Sc (A & OTT)

CONTENTS
Notification ii
Regulations 01 - 14
Programme Outcomes 15

I Year B. Sc. Anaesthesia and Operation Theatre Technology

Human Anatomy 16 - 20
Physiology 21 - 26
Biochemistry 27 - 30
Operation Theatre Management 31 - 40
Communicative English 41 - 43
Constitution of India 44 - 46
Kannada 47 - 48

II Year B. Sc. Anaesthesia and Operation Theatre Technology

Pathology 49 - 53
Microbiology 54 - 57
Pharmacology 58 - 61
Basics of Anaesthesia 62 - 68
Medicine 69 - 72
Surgery - Basics 73 - 77
Human Rights, Gender Equity and Environmental Studies 78 - 80

III Year B. Sc. Anaesthesia and Operation Theatre Technology

Applied Anaesthesia 81 - 87
Applied Surgery 88 - 97
Emergency Medicine and Critical Care 98 - 103
Speciality Anaesthesia 104 - 110
Biostatistics 111 - 113

i
Nitte University
(Deemed University under Section 3 of UGC Act, 1956)
(Placed under Category ‘A’ by MHRD, Govt. of India, Accredited with ‘A’ Grade by NAAC)
University Enclave, Deralakatte, Mangalore – 575 018
Tel: +91-824-2204300/01/02/03 Fax: +91-824-2204305
Website: www.nitte.edu.in E-mail: info@nitte.edu.in

Ref: NU/REG/S3/2014-15/252A Date: 31-07-2014

NOTIFICATION

Sub: Regulations and Course Curriculum pertaining to B.Sc. (Anaesthesia &Operation


Theatre Technology) Course.

In exercise of the powers conferred under Rule No. R. 9 of the MoA, the Academic Council
in its 22ndmeeting held on 24-07-2014 under the agenda item No. AC/10-22/14 has been
pleased to approve the regulations and course curriculum for Annual Scheme pertaining to
B.Sc (Anaesthesia & Operation Theatre Technology) Course in K.S. Hegde Medical
Academy.

The Regulations, scheme and syllabus shall come into force from the academic year 2013-14.

By order,

REGISTRAR

ii
Regulations and Curriculum –B.Sc (A & OTT)

(Deemed to be University under section 3 of UGC Act 1956)


Placed under Category ‘A’ by MHRD, Govt. of India
Accredited as ‘A’ Grade University by NAAC
Mangaluru, Karnataka, India

Regulations and Curriculum for


Bachelor of Science in Anaesthesia and
Operation Theatre Technology
B.Sc (A & OTT)
(Annual Scheme)
Preamble:
K. S. Hegde Medical Academy established in 1999 has been imparting graduate
(MBBS),B. Sc. (MIT and B.Sc. (A&OTT) and post graduate (MD/MS) education and training
in medical sciences and health science technology. Consequent to the K. S. Hegde Medical
Academy becoming a constituent college of Nitte (Deemed to be University) from 2009, the
Bachelor of Science in Anaesthesia and Operation Theatre Technology (B. Sc. A & OTT) has
also come under the purview of the university. With the effect from the academic
year 2014-15, regulations for annual scheme are formulated as under.

1. Introduction:
1.1 These regulations shall be called Nitte (Deemed to be University) Regulations for
B.Sc.(Anaesthesia & Operation Theatre Technology) course (annual scheme) and
govern the policies and procedures including selection, admission, imparting of
instructions, conduct of examinations, evaluation and certification of candidate's
performance and all amendments there to, leading to the award of B.Sc.
(Anaesthesia& Operation Theatre Technology) degree. The regulations shall come
into effect from the academic year 2018-19.
1.2 This set of regulations shall be binding on all the candidates undergoing the said
degree programme.
1.3 These regulations may be modified from time to time as mandated by the statutes of
the University.
1.4 This set of regulations may evolve and get refined or updated or amended or modified
or changed through appropriate approvals from the Academic Council or the Board

1
Regulations and Curriculum –B.Sc (A & OTT)

of Management from time to time and shall be binding on all parties concerned
including the Candidates, Faculty, Staff, Departments, and College Authorities.
1.5 All disputes arising from this set of regulations shall be addressed to the Board of
Management. The decision of the Board of Management is final and binding on all
parties concerned. Further, any legal disputes arising out of this set of regulations
shall be limited to jurisdiction of Courts of Mangalore only.

2. Definitions:
Unless the context otherwise requires,
• BOM means Board of Management of Nitte (Deemed to be University);
• BOS means Board of Studies (UG and PG) in Health Sciences Technology.
• College means K. S. Hegde Medical academy.
• He includes both genders He and She; similarly his and / or him, himself includes her,
as well in all cases.
• Head of the Institution means the Dean/Principal of the college (K. S. Hegde Medical
academy).
• Institution/college means K. S. Hegde Medical academy.
• Regulations means this set of academic regulations.
• Regulatory authority- Authority appointed/ constituted by the central / state
government/s to regulate Health Science Education.
• Teaching hospital means Justice K. S. Hegde Charitable Hospital or any other hospital
owned by, or under the management of, the university.
• University means Nitte (Deemed to be University).

3. Duration of the course:


The Candidate shall undergo a period of study extending over 3 academic years followed
by 6 months compulsory rotatory Internship.

4. Medium of Instruction and Examinations:


The medium of instruction and examination shall be English.

5. Maximum period for completion of the course:


The maximum period for completion of B.Sc. Anaesthesia and Operation Theatre
Technology course is six years.

6. Eligibility for Admissions:


No candidate shall be admitted to the Curriculum of the first year of the B.Sc Anaesthesia
and Operation Theatre Technology course until:

2
Regulations and Curriculum –B.Sc (A & OTT)

1. He has completed the age of 17 years on or before the 31st December of the year of
admission and
2. He passed the qualifying examination as under:
a. Two year Pre University examination of the government of Karnataka or an
examination recognized as equivalent by Nitte (Deemed to be University) with
Physics, Chemistry, and Biology as principal subjects of study and English as
one of the language (Course) with 40% of average marks in the aggregate of
these subjects.
OR
b. Vocational higher secondary education course conducted by Vocational Higher
Secondary Education, Government of Kerala with five subjects including
Physics, Chemistry, Biology and English in addition to vocational subjects
conducted, is considered equivalent to PUC (10+2) examinations of Government
of Karnataka Pre University Course.

Note:
i. The candidate shall have passed individually in each of the principal subjects.
ii. Candidates who have completed Diploma or Vocational course through
correspondence shall not be eligible for admission.
A Candidate with a pass in two/ three years full time Diploma in Operation Theatre Technology
or Anaesthesia and Operation Theatre Technology issued by a Government Board is eligible for
lateral entry to the second year.

Note:
• Candidates with two years full-time diploma in Operation Theatre Technology or
Anaesthesia and Operation Theatre Technology from a recognized Government Board
shall have passed PUC/’plus-two’ [10+2] with Physics, Biology and Chemistry as
principal subjects OR Candidates with three years full-time diploma from a recognized
Government Board in Operation Theatre Technology/Anaesthesia and Operation Theatre
Technology should have studied Physics, Biology and Chemistry as principal subjects
during the tenure of the course.

For SC/ST/category I Candidates, the minimum average marks in the aggregate of


Physics, Chemistry and Biology is a pass.

Foreign nationals and candidates who have qualified from a foreign university/Board
should obtain permission from Nitte (Deemed to be University) prior to the admission
for equivalence of the qualification.

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Regulations and Curriculum –B.Sc (A & OTT)

7. Selection of eligible candidates:


Selection to the course shall be based on the basis of merit obtained in the qualifying
Examination.

8. Withdrawal – Temporary and Permanent:


8.1. Temporary:
8.1.1. A candidate who has been admitted to the course may be permitted to withdraw
temporarily for a period of six months or more up to one year on the grounds of
prolonged illness, grave calamity in the family etc.., provided:
a. He applies stating the reason of withdrawal with supporting documents
and endorsement by parent/guardian.
b. The Institution is satisfied that, without counting the period of withdrawal
candidate is likely to complete his requirement of the degree within
maximum time specified.
c. There are no outstanding dues or demands with the department, library,
hostel, Institution or other sections of the University.
8.1.2. The tuition fee for the subsequent year may be collected in advance based on
the severity of the case before giving approval for any such temporary
withdrawal.
8.1.3. Scholarship holders are bound by the appropriate rules applicable.
8.1.4. The decision of the Institution /University regarding withdrawal of a candidate
is final and binding.
8.2. Permanent withdrawal:
8.2.1. A candidate who withdraws admission before closing date of admission for the
academic session is eligible for the refund of the deposit only. The fees once
paid will not be refunded on any account.
8.2.2. Once the admission for the year is closed, and if a candidate wants to leave the
institution, he will be permitted to do so and take the Transfer Certificate from
the institution, if required only after remitting all the tuition fees for the
remaining years.
8.2.3. Those candidates who have received any scholarship/stipend/other forms of
assistance from the Institute shall repay all such amounts in addition to those
mentioned in the clause above.
8.2.4. The decision of the Institution/University regarding withdrawal of a candidate
is final and binding.

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Regulations and Curriculum –B.Sc (A & OTT)

9. Conduct and discipline:


9.1 Candidates shall conduct themselves within and outside the premises of the Institution
in a manner befitting the student of an educational Institution.
9.2 As per the order of Honourable Supreme Court of India, ragging in any form is
considered as a criminal offence and is banned. Any form of ragging will be
severely dealt with.
9.3 The following act of omission and/or commission shall constitute gross violation of
the code of conduct and are liable to invoke disciplinary measures:
9.3.1 Ragging as defined and described by the Supreme Court/Government.
9.3.2 Lack of courtesy and decorum; indecent behaviour anywhere within or outside
the campus.
9.3.3 Willful damage or stealthy removal of any property/belongings of the
Institution/Hostel or of fellow students/citizens.
9.3.4 Possession, consumption or distribution of alcoholic drinks or any kind of
hallucinogenic drugs.
9.3.5 Mutilation or unauthorized possession of library books.
9.3.6 Noisy or unseemly behaviour, disturbing studies of fellow students.
9.3.7 Hacking in computer systems (such as entering into other person’s domain
without prior permission, manipulation and/or damage to the computer
hardware and software or any other cybercrime etc.)
9.3.8 Plagiarism of any nature.
9.3.9 Any other act of gross indiscipline as decided by the Board of Management
from time to time.
9.4 Commensurate with the gravity of offense, the punishment may be: reprimand, fine,
expulsion from the hostel, debarment from an examination, disallowing the use of
certain facilities of the Institution, rustication for a specific period or even outright
expulsion from the institution, or even handing over the case to appropriate law
enforcement authorities or the judiciary, as required by the circumstances.
9.5 For any offence committed in (i) a hostel (ii) a department or in a classroom and (iii)
elsewhere, the Chief Warden, the Head of the Department and the Head of the
Institution (Student Affairs), respectively, shall have the authority to reprimand or
impose fine.
9.6 All cases involving punishment other than reprimand shall be reported to the Vice-
Chancellor.
9.7 Cases of adoption of unfair means and/or any malpractice in an examination shall be
reported to the Controller of Examinations for taking appropriate action.

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Regulations and Curriculum –B.Sc (A & OTT)

10. Graduation Requirements:


A Candidate shall be declared eligible for the award of the degree if he has:
• Fulfilled degree requirement.
• No dues to the Institute, departments, hostels, library or other sections of the
University.
• No disciplinary action pending against him.
The award of the degree must be recommended by the Board of Management.

11. Convocation:
Degrees will be awarded in person for the candidates who have graduated during the
preceding academic year. Degrees will be awarded in absentia to such candidates who
are unable to attend the convocation. Candidates are required to apply for the convocation
along with prescribed fee within the specified date, after having satisfactorily completed
all the requirements of the course.
Provisional pass certificate will be issued by the university provided the candidate fulfils
requirements mentioned in clause (10) above. The provisional certificate will be issued
on submission of an application through the college and will be valid until the
convocation.

12. Academic Appeals Board (AAB):


There shall be an Academic Appeals Board constituted by the University
Constitution:
• Head of the institution of a constituent college … Chairman
(By seniority)
• A Professor from a constituent college … Member
(Nominated by the Vice-Chancellor)
• Three faculty members … Members
(Nominated by the Vice-Chancellor)
• The Controller of Examinations … Member Secretary

Note:
• The Chairman may co-opt and/or invite more members.
• Depending on the prevailing circumstances, the senior most member in the Board shall act as
Chairman instead of Chair person.
• The quorum of each meeting shall be minimum of four.

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Regulations and Curriculum –B.Sc (A & OTT)

Functions of the Board:


• To receive grievance/ complaints in writing from the students regarding anomaly in
award of marks due to bias, victimization, erratic evaluation, etc. and redress the
complaints.
• To interact with the concerned teacher and the student separately, before taking the
decision.
• The decision of the AAB will be based on simple majority.
• The recommendation of the AAB shall be communicated to the Controller of
Examinations for further appropriate action as required.

13. Subjects of study, Training and Hours of Instruction:


First year:
Total Hours of Instruction
Sl. Practical
Subject Total
No Theory Clinical
Demonstration
Posting
1. Human Anatomy 60 30 ---- 90
2. Physiology 80 20 ---- 100
3. Biochemistry 55 05 ---- 60
Operation Theatre
4. 96 30 622 748
Management
Communicative
i. 30 ---- ---- 30
English
ii. Constitution of India 30 ---- ---- 30
iii. Kannada 30 ---- ---- 30
Total 381 85 622 1088

Second year:
Total Hours of Instruction
Practical
Sl. No Subject Total
Theory Clinical
Demonstration
Posting
1 Pathology 40 20 ---- 60
2 Microbiology 64 32 ---- 96
3 Pharmacology 64 ---- ---- 64
4 Basics of Anaesthesia 96 30 268 394
5 Medicine 50 ---- ---- 50

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Regulations and Curriculum –B.Sc (A & OTT)

6 Surgery- Basics 96 30 268 394


Human Rights, Gender
i. Equity and 30 ---- ---- 30
Environmental Studies
Total 440 112 536 1088

Third year:
Total Hours of Instruction
Practical
Sl. No Subject Total
Theory Clinical
Demonstration
Posting
1. Applied Anaesthesia 96 30 138 264
2. Applied Surgery 96 30 138 264
Emergency medicine and
3. 96 30 139 265
critical care
4. Speciality Anaesthesia 96 30 139 265
i. Biostatistics 30 ---- ---- 30
Total 414 120 554 1088

13.1 Compulsory rotatory internship:


13.1.1 Every candidate after passing the final year examination is required to undergo
compulsory rotatory internship to the satisfaction of the college authorities and
University for a period of six months (180 hospital working days) so as to be
eligible for the award of the degree.
13.1.2 Internship is in partial fulfilment of the requirements of the course and no
candidate shall be declared to have completed the course otherwise.
13.1.3 All parts of the internship shall be done in the teaching hospital of the college.
13.1.4 The internship shall be completed within one year of the date of passing final
examination.
13.1.5 Distribution of posting:

Sl. No Subject Duration


1. General surgery OT 30 Days
2. OBG OT 15 Days
3. ENT and Ophthalmology OT 15 Days
4. Maxillofacial OT 15 Days

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Regulations and Curriculum –B.Sc (A & OTT)

5. Orthopaedics OT 15 Days
6. Urology OT 15 Days
7. Neuro surgery OT 15 Days
8. Paediatric/ Plastic surgery 15 Days
9. Cardiothoracic surgery OT 15 Days
10. ICU 15 Days
11. Emergency OT 15 Days
13.1.6 Assessment of Internship:
The intern shall maintain a record book which is to be verified and certified by
the faculty under whom he works. Apart from scrutiny of the record work,
assessment and evaluation of training shall be undertaken by an objective
approach using situation tests in knowledge, skills and attitude during and at the
end of training. Based on the record of work and date of evaluation, the Head
of the Institution will issue a certificate of satisfactory completion of training,
following which the university will award the B.Sc. (A&OTT) degree or declare
him eligible for it.
13.1.7 Satisfactory completion shall be determined on the basis of the following:
Sl. No Parameter Score

1. Proficiency of knowledge required for each case 0-5


The competency in skills expected to manage each case 0-5
a. Competency for performance of self performance
b. Of having assisted in procedures and
2. c. Of having observed
Responsibility , punctuality, work up of case, involvement in 0-5
3. follow-up reports
Capacity to work in a team(Behaviour with colleagues, 0-5
4. technicians, nursing staff and other paramedics)
5. Initiative , participation in discussions, research aptitude 0-5
0: Extremely dissatisfied 3: somewhat satisfied
1: Very dissatisfied 4: Very satisfied
2: Somewhat dissatisfied 5: Extremely satisfied

Note: A score less than 3 in any of above items will represent unsatisfactory completion of internship

9
Regulations and Curriculum –B.Sc (A & OTT)

14. Attendance
14.1 A Candidate pursuing B. Sc. (A & OTT) course shall study in the concerned
departments of the Institute for the entire period as a full time candidate. No
candidate is permitted to run a clinic / laboratory work in any laboratory /
college/hospital / pharmacy, etc., during the period of study (including internship).
No candidate should join any other course of study or appear for any other degree
examination conducted by this university or any other universities in India or
abroad during the period of registration (including internship).
14.1.2. Each year shall be taken as a unit for the purpose of calculating attendance
in every subject.
14.1.3. 75% attendance separately in theory and in practical / clinical, in each
subject, including subsidiary subjects, for appearing in the examination is
compulsory, excluding attendance in non- lecture teaching i.e. Seminars,
group discussions, tutorials, demonstrations, hospital (Tertiary, Secondary
and Primary) postings etc. A candidate who does not fulfil the attendance
requirements shall repeat the year.

15 Examination:
There shall be a University examination at the end of each academic year, in addition to
periodical tests conducted by the college for internal assessment.
15.1 Scheme of Examination:
Evaluation is based on formative evaluation (internal assessment) and summative
evaluation (University examination).
15.1.1 Internal Assessment:
Internal Assessment marks will be calculated on the basis of sessional tests
conducted by the college, seminars and assignments. There shall be at least
three sessional tests. The marks of the best two sessional tests along with
marks obtained in seminars and assignments will be considered, to
calculate the Internal Assessment mark. A candidate must appear for all
sessional tests conducted in order to get the benefit of ‘Average of best
two‘. In case of failure to attempt all three sessional tests, final marks in
internal assessment shall be calculated taking average of three attempts.
15.1.2 University Examination:
A candidate who satisfies the requirements of attendance, progress and
conduct shall be eligible to appear for the university examinations. There
shall be a University Examination at the end of each academic year.

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Regulations and Curriculum –B.Sc (A & OTT)

First Year:

Theory Practical
Grand
Sl. No Subject
Univ. Univ. Total
IA Total IA Total
Exam Exam
1. Human Anatomy 80 20 100 --- ---- --- 100
2. Physiology 80 20 100 --- --- --- 100
3. Biochemistry 40 10 50 --- --- --- 50
Operation theatre
80 20 100 --- --- --- 100
4. Management
Total 350
Communicative
i 100 - 100 --- --- --- 100
English*
Constitution of
ii 100 - 100 --- --- --- 100
India*
iii Kannada* 100 100 --- --- ---- 100

Second year:
Theory Practical
Univ. Univ. Grand
Sl. No Subject Exam IA Total Exam IA Total Total
1. Pathology 40 10 50 --- --- --- 50
2. Microbiology 40 10 50 --- --- --- 50
3. Pharmacology 40 10 50 --- --- --- 50
Basics of
4. 80 20 100 40 10 50 150
Anaesthesia
5. Medicine 40 10 50 --- --- --- 50
6. Surgery -Basics 80 20 100 --- --- --- 100
Total 450
Human Rights,
Gender Equity and
i 100 - 100 --- --- --- 100
Environmental
studies*

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Regulations and Curriculum –B.Sc (A & OTT)

Third year:
Theory Practical
Univ. Univ. Grand
Sl. No Subject Exam IA Total Exam IA Total Total
1. Applied
anaesthesia 80 20 100 40 10 50 150
2. Applied Surgery 80 20 100 40 10 50 150
3. Emergency
Medicine and
Critical care 80 20 100 --- --- --- 100
4. Speciality
Anaesthesia 80 20 100 --- --- --- 100
Total 500
i Biostatistics* 100 --- --- --- --- --- 100

Note: * College exams only:


The College level examination will be held before the commencement of the University
examination. A pass in the subject with a minimum of 40 marks (40% of the total 100) is
compulsory in order to be eligible for the award of the degree. These marks will not be
considered for the award of class. There shall not be supplementary examination in these
subjects. Failed candidates will have to appear for the examination in respective subsidiary
subjects at the end of next academic year.

15.2 Criteria for pass:


A candidate shall be declared as pass if he secures 40% of marks (including internal
assessment) in each subject in theory and practical examination separately.
A candidate who fails in theory or practical exam in a subject, shall appear for both
theory and practical in that subject in the subsequent examination.
The candidate should also satisfactorily complete rotatory internship.
15.3 Carry over Benefit:
A candidate of I year is permitted to carryover all the failed subjects and proceed
to II year and appear for II year examination concurrently along with failed subjects
of the I year. However, he has to pass all the failed subjects of I year to become
eligible to proceed to III year.
A candidate of II year is permitted to carry over all the failed subjects and proceed
to III year and appear for III year examination concurrently along with failed
subjects of the II year. However, he has to pass all the subjects of II year before the
announcement of III year results.

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Regulations and Curriculum –B.Sc (A & OTT)

15.4 Rules for grace marks:


Grace marks up to 1% of the maximum total marks in the examination subject to a
maximum of 5 marks shall be awarded to the failed subject(s), provided on award
of grace marks the candidate passes in that subject(s)/ examination.
There shall be no provision to award grace marks for improvement of class.
15.5 Re-totalling:
Re-totalling of marks is permitted for theory papers only. The University, on
application `within the stipulated time and remittance of a prescribed fee, shall
permit a recounting of marks, for the subject(s) applied. The marks obtained after
re-totalling will be the final marks awarded.

16. Declaration of Results and Classification:


Class will be awarded only to those candidates who pass the entire examination in the first
attempt. Class shall be declared at the end of every year and will be on the basis of the
aggregate of marks scored in that year.
70% and above - First Class with Distinction
60% and above but less than 70% - First class
50% and above but less than 60% - Second class
40% and above but less than 50% - Pass class
Candidates who pass the examinations in more than one attempt shall be declared as
passed in ‘Pass’ class irrespective of the percentage of marks secured.
• An attempt means the appearance of a candidate for one or more courses either in part
or full in a particular examination.
• A candidate who fails in main examination and passes one or more subjects or all
subjects in the supplementary examination is not eligible for award of class or
distinction. Passing in supplementary examination by such candidates shall be
considered as attempt.
• If a candidate submits application for appearing for the regular examination but does
not appear for any of the courses/subjects in the regular University examination, he
can appear for supplementary examination provided other conditions such as
attendance requirement, internal assessment marks, etc. are fulfilled and his appearing
in the supplementary examination shall be considered as the first attempt.
• Candidates who pass the subjects in the supplementary examinations are not eligible
for the award of Gold Medal or Merit Certificate.

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Regulations and Curriculum –B.Sc (A & OTT)

17. Supplementary examinations


Supplementary examination shall be conducted by the university for the benefit of
unsuccessful candidates. Supplementary examinations will be conducted within six weeks/six
months from the date of announcement of results.
• A candidate detained for lack of attendance, internal assessment marks will be barred
from appearing in any one or all course/s for the supplementary examination.
• A candidate dropping from appearance in any or all subjects /courses at regular
examination is disallowed from taking dropped subject(s)/course(s) at the
supplementary examinations.
• If a candidate submits application for appearing for the examination but does not
appear for any of the subjects in the university examination, he can appear for
supplementary examination provided other conditions such as attendance requirement,
internal assessment marks, etc. are fulfilled.
• A candidate who is promoted to the next higher class as per carry over regulations
(except where apex bodies do not permit), if he clears the lower year/semester/phase
examinations in the main examination is allowed to appear for the higher class
examination during supplementary examinations provided other conditions such as
attendance requirement, internal assessment marks, etc. are fulfilled.
A candidate permitted to appear for the supplementary examination can improve his
internal assessment marks before he takes the supplementary examination by subjecting
himself to internal assessment procedure as practiced in the college.

18. Award of Ranks:


Ranks shall be awarded on the basis of aggregate marks of I year to III year VI
examinations. Only those candidates who have completed the course and fulfilled all the
in the minimum number of years prescribed (3 years) and who have passed all the 6
semesters in the first attempt are eligible for the award of ranks.

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Regulations and Curriculum –B.Sc (A & OTT)

Programme Outcomes:

At the end of the program, graduates will be able to…

1. Demonstrate basic knowledge of pathophysiology of common conditions requiring


surgical procedures
2. Prepare the operation theatre, load and label requested drugs, gather and assemble the
surgical equipment for common surgical procedures as per the complexity and duration.
3. Recognize the anxiety of patients in peri-operative state and appropriately assist to shift,
induce anaesthesia and position patient for surgical procedure.
4. Assist consultant in emergency department while receiving acutely ill patients, stabilize
them and transport in or out of hospital as per the individual needs.
5. Organise drugs, equipment and monitors for procedures outside operation theatre
including endoscopies, imaging, electro convulsive therapy and transport etc. and monitor
through the procedure.
6. Function as a member of rescue / code blue team in recognising cardiac arrest and
participate in revival cum cardiopulmonary resuscitation inside and outside hospital.
7. Manage the overall upkeep of the equipment used in intensive care unit and transport of
critically ill patients and assist the specialist in resuscitation, management and transfer of
such patients with appropriate paraphernalia.
8. Contribute in planning, setting up, commissioning, maintaining and managing operation
theatre, emergency departments, and intensive care unit, cardiac catheterization lab and
emergency response services as a team member.
9. Engage oneself in self-assessment and structure their continuing professional education to
refine existing skills and acquire new skills for patient care and professional advancement.
10. Practice professional and ethical responsibilities with high degree of credibility, integrity
and social concern.

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Regulations and Curriculum –B.Sc (A & OTT)

I Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Human Anatomy

Theory hours 90
Practical/ Demonstration hours 30
Lecture 2 Hours per week
Practical/ Demonstration 1 Hour per week
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to...


CO1: Describe the general anatomy of human body
CO2: Explain normal disposition of various structures and organs in the body and its clinical
correlation
CO3: Describe the microscopic structure of various tissues
CO4: Determine the topography of various structures on the surface of the body
CO5: Identify and locate structures of the body
CO6: Identify organs and tissues under microscope
CO7: Point out various features of appearance of normal body in skiagrams

Objectives:
Students at the end of the course should have knowledge about the following aspects of Human
Anatomy:
1. Comprehend the normal disposition, clinically relevant interrelationship and functional
anatomy of various structures in the body.
2. Identify the microscopic structure and correlate ultra-structure of various tissues and
organs with the functions.
3. Demonstrate knowledge of principles and sequential development of the organs and
systems. He/she should be able to explain the developmental basis of major abnormalities.
4. Point out the features of various appearance of normal human body in the skiagrams and
other radiological investigations and understand basis of some common clinical
procedures.

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Regulations and Curriculum –B.Sc (A & OTT)

5. Understand different types of biomedical waste, their potential risks and their
management.

Unit- I 19 hours
Introduction: Human Body As A Whole
• Definition of anatomy and its subdivisions
• Terms of location, positions and planes
• Cell and its organelles
• Epithelium – definition, classification, describe with examples, functions
• Glands – classification, describe serous and mucous glands with examples
• Basic tissues – classification with example
Locomotion And Support
• Cartilage – types, examples and histology
• Bone – classification, examples and histology. Parts of long bone, names of all bones,
vertebral column and intervertebral disc. Fontanel’s of fetal skull.
• Joints – classification of joints with examples, typical synovial joint (in detail).
• Muscular system – classification of muscular tissue and histology
• Important muscles of the body- Sternocleidomastoid, Trapezius, Muscles of tongue,
Deltoid, Biceps brachii, Intercostal muscles, Thoracic diaphragm, Rectus abdominis,
External oblique, Internal oblique, Transversusabdominis, Pelvic diaphragm, Gluteus
maximus, Gluteus medius, Gluteus Minimus, Quadriceps femoris, Soleus.

Unit - II 20 hours
Cardiovascular System
• Heart – size, location, chambers, exterior and interior
• Blood supply of heart
• Pericardium
• Systemic and pulmonary circulation
• Branches of aorta - common carotid artery, subclavian artery,
• Axillary artery, brachial artery, radial artery, superficial palmar arch, femoral artery,
popletial artery, dorsalispedis artery.
• Peripheral pulse.
• Inferior venacava, portal vein, Porto systemic anastomosis.
• Great saphenous vein, median cubital vein.
• Dural venous sinuses
• Lymphatic system – cisterna chyli and thoracic duct
• Lymphatic tissues and its histology.
• Regional lymph nodes – cervical, axillary and inguinal lymph nodes.

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Regulations and Curriculum –B.Sc (A & OTT)

Respiratory System
• Parts of RS – nose, nasal cavity, paranasal air sinuses, larynx, trachea, lungs, pleura and
Broncho pulmonary segments.
• Histology of trachea and lungs.

Unit- III 14 hours


Gastro-Intestinal System
• Parts of GIT- oral cavity (lip, cheek, tongue, salivary glands, palate, dentition) pharynx
(Waldeyer’s ring) oesophagus, stomach, small and large intestine and appendix.
• Liver, gall bladder, pancreas and spleen.
• Histology of oesophagus, stomach, small and large intestine, liver, gall bladder and
pancreas.
Peritoneum
• Description of reflection, folds and pouches in brief.

Unit- IV 15 hours
Urinary System
• Kidney, ureter, urinary bladder, male and female urethra.
• Histology of kidney, ureter and urinary bladder.
Reproductive System
• Parts of male reproductive system- testis, vas deferens, epididymis, prostate.
• Parts of female reproductive system- uterus, fallopian tubes, ovary, mammary gland.
• Histology of testis, vas deferens, epididymis, prostate, uterus, fallopian tube and ovary.
Endocrine Glands
• Names of all endocrine glands, describe in detail on pituitary gland, thyroid
gland and parathyroid gland, suprarenal gland.
• Histology of pituitary, thyroid, parathyroid, suprarenal gland.

Unit -V 22 hours
Nervous System
• Neuron
• Classification of nervous system
• Cerebrum, cerebellum, brain stem, spinal cord & spinal nerve
• Meninges, ventricles and cerebrospinal fluid
• Blood supply of the brain
• Cranial nerves(in brief)
• Nerve plexus (Brachial & lumbar)

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Regulations and Curriculum –B.Sc (A & OTT)

Sensory Organs
• Skin and its appendages.
• Eye – parts of eye ball and lacrimal apparatus.
• Extra-ocular muscles.
• Histology of cornea and retina
• Ear – parts of ear- external, middle and inner ear and contents
Embryology
• Spermatogenesis and oogenesis
• Ovulation, fertilization
• Placenta

Scheme of Theory Examination


There shall be one theory paper of three hours duration carrying 80 marks. Distribution of
type of questions and marks for Human Anatomy shall be as given under.
Type of questions No. Of questions Marks Sub-total
Long Essay(LE) 3 ( To answer 2) 10 20
Short Essay(SE) 8 (To attempt 6) 5 30
Short Answer(SA) 12 (to attempt 10) 3 30
Total marks 80

Theory Internal Assessment - 20 marks

No practical examination

Recommended books
1. Shobha Rawlani and ShivlalRawlani, Text Book of General Anatomy, 2nd edition, 2013,
Jaypee brothers.
2. SampathMadhyastha, Manipal Manual of Anatomy, 2nd edition, 2012, CBS publishers &
distributors Pvt.Ltd.

Reference books:
1. B.D. Chaurasia’s- Human Anatomy, Vol.1, 2&3 , 5th edition, 2010, CBS publishers &
distributors Pvt.Ltd.
2. ESTER. M. Grishcimer- Physiology & Anatomy with Practical Considerations, J. P.
Lippincott. Philadelphia

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Regulations and Curriculum –B.Sc (A & OTT)

3. T.W Sadler, Langman’s Medical Embryology, 11th edition, 2009, Wolters Kluwer.
4. Inderbir Singh, G.P. Pal, Human Embryology, 9th edition, 2012, Macmillan India Ltd.
5. Latha V Prabhu, Arunachalam Kumar, Mangala M. Pai, T.B. of Histology, 2 nd edition,
2011, EMMESS Medical Publishers.

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Regulations and Curriculum –B.Sc (A & OTT)

I Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Physiology

Theory hours 80
Practical/ Demonstration hours 20
Lecture 2 Hours per week
Practical/ Demonstration 1 Hour per week
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to...

CO1: Explain the normal functioning of organs and systems.


CO2: Understand the interrelationships and interactions among various organs and systems
for maintaining homeostasis.
CO3: Assess the relative contribution of each organ systems toward the maintenance of
constant internal environment
CO4: Differentiate between normal and abnormal functioning of organs and systems,
CO5: Understand physiological basis of pathogenesis and treatment of diseases and disorders.
CO6: Apply the physiological basis in the field of allied health care

Learning objectives:
• To recognize the basic physiological principles behind different body functions.
• To understand the relative contribution of each organ system to the maintenance of milieu
interior.
• Have an intuitive understanding of the role of physiology, especially in life processes and
diseases.
• To know the physiological principles underlying pathogenesis and management of
diseases

Unit-1 23Hrs.
1. General physiology 4Hrs.
1. Introduction to Physiology, Concept of Homeostasis.
2. Cell – Morphology – Functions of organelles and Cell membrane.
3. Transport mechanisms,

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Regulations and Curriculum –B.Sc (A & OTT)

4. Body fluid compartments.

2. Muscle nerve physiology 4 Hrs.


1. Neurons: Morphology, Action Potential
2. Neuroglia: Types & functions.
3. Muscles: Types, structure of sarcomere. Neuromuscular junction, sliding filament
mechanism of contraction.

3. Blood 15 Hrs.
1. Composition, properties, functions. Plasma proteins: Concentrations and functions.
2. RBC: Morphology, functions, count, physiological variations and life span
Erythropoiesis – stages, essential factors, regulation of Erythropoiesis.
3. Hemoglobin: Functions, concentration, physiological variations. Fate of Hemoglobin
– Jaundice, types.
4. Color index, MCH, MCV, MCHC, PCV – normal values.
5. WBC: Morphology, functions of all types including T & B lymphocytes, total and
differential counts, physiological variations.
6. Platelets: Morphology, count, functions, thrombocytopenia & bleeding time.
7. Blood groups: Basis of blood grouping. Landsteiner’s laws, ABO system,
determination of blood groups, blood transfusion, complications of incompatible
blood transfusion, Rh group, erythroblastosis foetalis, prevention and treatment,
Blood bank.
8. Haemostasis: Mechanisms. Clotting mechanism: factors, intrinsic and extrinsic
pathways, Disorders of clotting – hemophilia, vitamin K deficiency. Anticoagulants –
mechanism of action and their uses.
9. Anemia: Classification – Morphological and Etiological.
10. Blood volume: normal values.

Unit- 2 18 Hrs.
4. Cardiovascular system 10 Hrs.
1. Organization of cardiovascular system, greater and lesser circulation.
2. Physiological anatomy of the heart, nerve supply.
3. Junctional tissues of heart (pacemaker).
4. Cardiac cycle: Mechanical events.
5. Heart sounds, causes, characteristics and significance.
6. Normal ECG, clinical significance of ECG.
7. Heart rate – Physiological variations.
8. Cardiac output: Definitions, normal values, physiological variations.

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Regulations and Curriculum –B.Sc (A & OTT)

9. Arterial blood pressure: Definitions, normal values, physiological variations, factors


maintaining blood pressure. Role of baroreceptors in regulation of blood pressure.
5. Respiratory system 8 Hrs.
1. Respiratory and Non respiratory function of respiratory system. Physiological
anatomy of respiratory system Functions of respiratory tract. Respiratory membrane.
Respiratory muscles. Surfactant: functions, respiratory distress syndrome.
2. Definitions of terms used in respiratory physiology: Eupnoea, Hyperpnoea,
Tachypnea, Apnoea, Dyspnea.
3. Mechanics of breathing – intrapulmonary and Intrapleural pressure changes during a
respiratory cycle.
4. Spirometry – Lung volumes and capacities. Vital capacity.
5. Oxygen transport: Role of hemoglobin, factors affecting, oxygen carrying capacity.
6. Carbon dioxide transport: forms, chloride shift (Hamburgers phenomenon).
7. Respiratory centers. Role of chemoreceptors in regulation of respiration.
8. Pulmonary ventilation and alveolar ventilation.
9. Partial pressure of gases, Calculation of partial pressure of gasses in mixture.
10. Arterial and venous blood gas concentrations and contents.
11. Hypoxia: Types and effects. Cyanosis, Asphyxia, Periodic Breathing,
Acclimatization.
12. Hyperbaric O2 therapy, Artificial respiration and Ventilators.

Unit- 3 21 Hrs.
6. Excretory system 06 Hrs.
1. Functions of kidneys. Nephrons – Juxta glomerular apparatus – functions.
2. Steps in Urine formation – Ultra filtration, Tubular Reabsorption, Tubular Secretion
3. GFR – Definition, normal values, factors affecting GFR, measurement of GFR
4. Renal threshold for glucose, tubular load for glucose.
5. Role of aldosterone and ADH in urine formation.
6. Micturition, Innervation of bladder. Diuresis.
7. Renal functions tests – Based on analysis of urine and analysis of blood.
8. Skin: Functions of skin. Sweat glands.
7. Digestive system 7 Hrs.
1. Introduction, structure of alimentary canal.
2. Saliva: Composition, functions.
3. Stomach: Functions. Gastric Juice: composition, functions.
4. Pancreatic Juice: Composition and function.
5. Liver: Functions, Bile: composition, functions, Gall bladder: functions.

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Regulations and Curriculum –B.Sc (A & OTT)

6. Succusentericus: Composition, functions. Functions of large intestine.


7. Movements of small intestines, Deglutition.
8. Endocrine system 8 Hrs.
1. Major endocrine glands- Hormone: Definition.
2. Anterior pituitary: hormones and their functions, disorders – Giganitism, acromegaly,
dwarfism.
3. Posterior pituitary: Hormones – diabetes insipidus.
4. Thyroid: Hormones, normal values, functions, role of TSH. Disorders: simple goitre,
myxoedema, cretinism, Grave’s disease.
5. Adrenal cortex: hormones, functions of cortisol and aldosterone. Addison’s
disease, Cushing’s syndrome.
6. Adrenal medulla: actions of adrenaline and noradrenaline.
7. Endocrine pancreas: Insulin & glucagon, functions, Regulation of blood glucose level,
diabetes mellitus.
8. Parathyroid: Functions of PTH.

Unit- 4 18 Hrs.
9. Nervous system 10 Hrs.
1. Synapse: Types, Transmission
2. Sensory receptors: Definition, Classification Organization of spinal cord.
3. Functions of Dorsal column and Spinothalamic tract.
4. Functions of Corticospinal tract.
5. Reflex Action: Definition, reflex arc.
6. Functions of Cerebellum, Basal ganglia, Thalamus, Hypothalamus.
7. Cerebral cortex: Lobes & functions. EEG – Definition and uses.
8. Autonomic nervous system: Organization & functions.
9. Cerebrospinal fluid: Composition and function.
10. Special senses 4 Hrs.
1. Vision: Physiological anatomy of eye ball, rods & cones.
2. Refractive errors: Myopia, hypermetropia, presbyopia & astigmatism.
3. Audition: Functions of outer, middle & inner ear, cochlea.
4. Deafness – types.
5. Taste: Taste buds, primary taste sensation.
6. Smell: Receptors, modalities of smell
11. Reproductive system 4 Hrs.
1. Male reproductive system: functions of testes, puberty, spermatogenesis functions
of testosterone, semen.

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Regulations and Curriculum –B.Sc (A & OTT)

2. Female reproductive system: Ovarian hormones functions – Menstrual cycle,


Hormonal basis of changes in menstrual cycle.
3. Family Planning.
Practicals (Demonstrations) in Physiology 20 Hours
Hours
1. Study of Microscope and its uses 02
2. Collection of blood and study of haemocytometer 02
3. Determination of RBC count 02
4. Determination of WBC count 01
5. Determination of blood groups 01
6. Determination of bleeding time 01
7. Determination of clotting time 01
8. Recording of Arterial Blood Pressure 02
9 Clinical examination of Radial pulse 02
10. Recording of spirogram and determination of vital capacity 02
11. Artificial respiration, CPR 02
12. Demonstration of ECG recording 02

Scheme of Theory Examination


There shall be one theory paper of three hours duration carrying 80 marks. Distribution of
type of questions & marks for Physiology shall be as given under:

Type of questions No. Of questions Marks Sub-total


Long Essay(LE) 3( To answer 2) 10 20
Short Essay(SE) 8(To attempt 6) 5 30
Short Answer(SA) 12(to attempt 10) 3 30
Total marks 80
Theory Internal Assessment-20marks

No practical examination

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Regulations and Curriculum –B.Sc (A & OTT)

Physiology books
1. Text Book of Physiology – A.P.Krishna

Reference books
1. Text Book of Physiology – A.K.Jain.

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Regulations and Curriculum –B.Sc (A & OTT)

I Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Biochemistry

Theory hours 55
Practical/ Demonstration hours 05
Lecture including 2 Hours per week
Practical/ Demonstration
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to...

CO1: Understand the responsibility of health care personals and hazards faced in the clinical
laboratory
CO2: Explain the different types, use, care and maintenance of laboratory apparatus and
instruments.
CO3: Understand the fundamental chemistry and knowledge of different solutions
CO4: Understand what are acids, bases, salts and indicators and also know about acid base
balance
CO5: Describe the sample collection procedure to analyse various biochemical parameters
CO6: Describe assimilation of nutrients and consequences of malnutrition
CO7: Understand the different functional tests like LFT (Liver function test), RFT (Renal
function test)
CO8: Understand the overview of tumor markers, cardiac markers, blood sugar and GTT,
lipid profile and diagnostic enzymology
CO9: Describe the applications of radioisotopes

Objectives:
Students at the end of the course should have knowledge about the following aspects of
biochemistry.
• Brief account of glasswares and equipments used in the clinical laboratory and hazards
faced in the clinical laboratory
• Preparation of different types of solution
• Specimen collection and handling
• Importance of nutrients

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Regulations and Curriculum –B.Sc (A & OTT)

• Application of radioisotopes along with the possible hazards caused by it.


• Routine laboratory investigations

Unit I 11 hrs
I Introduction to Clinical Biochemistry: 2 hrs
• Hazards in the clinical chemistry laboratory
• Brief account of the glass ware and equipments used in clinical biochemistry
laboratory
• Conventional and SI units

II Chemicals & Reagents 6hrs


Preparation of solution
• Saturated, Percent, Molar, Molal, Normal, Standard
• Dilution
• Acids, Bases &Buffers
• Ph and Ph scale
• Indicator

III Specimen collection and handling 3 hrs


• Sample collection – blood, urine, CSF and other fluids
• Routinely used anticoagulants
• Preservatives used for urine specimens

Unit II 10 hrs
IV Nutrition 10 hrs
• Calorific value
• Nitrogen Balance
• Respiratory quotient
• BMR
• Nutritional importance of carbohydrate, lipids, proteins, vitamins and minerals
• Emphasis on parenteral nutrition

Unit III 11 hrs


V Acid –Base Balance 8 hrs
• Henderson Hasselbach equation
• Buffers of the body fluids

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Regulations and Curriculum –B.Sc (A & OTT)

• Phregulation
• Disturbance in acid base balance
• Anion gap
• Basic principles & estimation of blood gases and ph.

VI Water & Electrolyte balance 3 hrs


• Over view of water and electrolyte balance
• Basic principles in estimation of Electrolyte
• Normal values and interpretation

Unit IV 23 hrs
VII Clinical chemistry 20hrs
Brief over view of normal values and interpretation of results
• Renal function tests
• Liver function tests
• Tumor markers
• Cardiac markers
• Diagnostic Enzymology
• Lipid profile
• Blood sugar and GTT
• Normal &Abnormal urine analysis

VIII Radioisotopes: Definition, Application &Hazards 3 hrs


Practicals (demonstration only) 5 hrs
• Normal and abnormal urine analysis
• Clinical charts on LFT, RFT, and diagnostic enzymology

Scheme of Examination
No practical Examination
Internal Assessment
Theory Internal Assessment-10 marks

Scheme of Theory Examination:


There shall be one theory paper of 1 hour 30 minutes duration carrying 40 marks.
Distribution of type of questions & marks for Biochemistry shall be as given under:

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Regulations and Curriculum –B.Sc (A & OTT)

Type of questions No. Of questions Marks Sub-total


Short Essay(SE) 7(To attempt 5) 5 25
Short Answer(SA) 7(to attempt 5) 3 15
Total marks 40

Recommended books:
1. Vasudevan (DM) Sreekumari(s) text book of biochemistry for dental students latest
Edition

Reference books:
1. Biochemistry for Physiotherapy and allied health sciences students - Nandini M, Beena
V Shetty, VinithaRamanath Rai
2. Varley - Clinical chemistry
3. Teitz - Clinical chemistry

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Regulations and Curriculum –B.Sc (A & OTT)

I Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Operation Theatre Management
Theory hours 96
Practical/ Demonstration 30
Clinical posting 622
Lecture 03 Hours per week
Practical/ Demonstration/ clinics 01 Hour per week
Clinical Posting 19 Hours per week
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to...

CO1: Understand and plan the structural framework of the operation theatre zones.
CO2: Describe measures to prevent and control sepsis in operation theatre.
CO3: Operate equipment used for sterilization and practice methods of sterilization
including fumigation.
CO4: Understand practice of universal precautions and management of needle stick injury.
CO5: Know the significance of disposal of biomedical wastes and understand its
management
CO6: Know various applications of advanced airway equipments
CO7: Practise the management of difficult airway.
CO8: Describe the anaesthesia workstation and standards.
CO9: Operate the monitoring devices.

Objectives:
Students at the end of the course should have knowledge about the following aspects of
Operation Theatre Management.
• To have general idea about the plan, the structural framework and outline of the operation
theatre zones.
• The broad outline about prevention and control of sepsis in operation theatre.
• The required equipment like autoclave and methods of sterilization including fumigation.
• The knowledge of the anaesthesia machine, airway equipments, difficult airway
management devices, monitors, breathing systems, oxygen therapy devices, gas

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Regulations and Curriculum –B.Sc (A & OTT)

monitoring devices, suction machine, warming devices, anaesthesia ventilators, peripheral


nerve stimulator, defibrillator, infusion pump and nerve locator.

Unit- I 15hrs
• Physical layout of the surgical 3hrs

Location

Space allocation & traffic patterns

Transition zones

Peripheral support areas

Layout of the operation theatre
- Size
- Doors
- Ventilation
- Floors
- Walls & ceiling
- Piped- In gases, computer lines & electrical system
- Lighting
- Radiograph view box
- Cabinets or carts
- Furniture & other equipment
- Communication system

Special procedure rooms
• Care of the perioperative environment 2hrs
• Standards for cleanliness in the surgical environment
Establishing the surgical environment
 Room turnover between patient
- Room turnover activities by the scrub person
- Room turnover activities by the team
• Cart system clean up
• Getting room ready for the next patient
• Prevention of infection in OT 2hrs
• Transportation of the patient to OT
• Sources of infections
• Prevention of infection
• Handling sterile items in OT
• Daily terminal cleaning 3hrs
• In the operating room

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Regulations and Curriculum –B.Sc (A & OTT)

• Outside the operating room


• Weekly or monthly cleaning
• Cart system clean up
• Getting room ready for the next patient
• Environmental responsibility
• Potential Sources of Injury to the Care giver & the Patient 3hrs
• Environmental hazards
• Physical hazards & safeguards
• Chemical hazards & safeguards
• Biologic hazards, safeguards & universal precautions
• Risk management
• Appropriate operating room attire 2hrs
• Definition
• Purpose
• Consideration for appropriate attire
• Components of appropriate attire
• Criteria for surgical attire

Unit-2 16hrs
• General care & testing of instruments 1hr
• Forceps, Hemostats, Needle holders
• Knife
• Blades
• Scissors
• Needle stick injury management 1hr
• Universal precautions 1hr

▪ Sterilization protocols 2hrs


▪ Decontamination & disinfection 3hrs
▪ Definition
▪ Methods
▪ Disinfectants
▪ Mechanical washing
▪ Ultrasonic cleaner

Sterilization of endoscopic instruments

Care of micro surgical instruments
▪ C.S.S.D 3hrs

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Regulations and Curriculum –B.Sc (A & OTT)


Aims & advantages of CSSD

Techniques

Assembly of instrument sets

Packaging instruments & other items for sterilization
▪ Methods of sterilization
- Physical
- Chemical
- Radiation
- New methods of sterilization
▪ Biomedical waste management 2hrs
▪ WHO check list (safe surgery) 1hr

Unit-3 18hrs
Airway equipments 8hrs

Supra glottic Airway Devices


• Face mask

Description

Parts

Specific masks

Technique of use

Advantages and disadvantages

Complications
• Airways

Purpose

Types

Uses
• LMAs

Descriptions

Types
• Classic
• Proseal
• Flexible
• C-Trach
• Fastrach

Parts

Technique

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Regulations and Curriculum –B.Sc (A & OTT)


Cleaning

Complications

Advantages & disadvantages

Uses

Others supraglottic airways

• Esophagealcombitube airway
• I gel
• Ambu LMA
• Laryngeal tube airway
• Descriptions
• Technique
• Uses
• Evaluation
• Perilaryngeal airway
• Streamlined pharynx airway

Intubation Devices 10hrs


▪ Laryngoscope with its modifications
▪ Rigid laryngoscopes
▪ Description
▪ Technique of use
▪ Parts
▪ Types
▪ Cleaning
▪ Endotracheal tubes
▪ Description
▪ Different types
- Portex
- Red Rubber
- Armoured
- RAE- Oral and Nasal
- Double lumen ET tube
▪ Different parts
▪ Technique of use
▪ Indications
▪ Flexible Fiberoptic bronchoscope

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Regulations and Curriculum –B.Sc (A & OTT)

▪ Description
▪ Technique of use
▪ Parts
▪ Types
▪ Advantages & disadvantages
▪ Indirect rigid fiberoptic laryngoscopes
▪ Optical intubating styllets
▪ Video laryngoscopes

Unit-4 26hrs
Difficult Airway Management Devices 10hrs
• Descriptions
• Indications
• Contraindications
• Uses
• Advantages & Disadvantages

Fibroptic Bronchoscope

Combitube

Retrograde Intubation

Cricothyrotomy

Percutaneous Dilatational Tracheostomy

Translaryngeal Tracheostomy

Bonfills

Jet ventilator

Devices in difficult airway cart

Video laryngoscopes

Airtraq

C-MAC

Glidescope
Airway management adjuncts 3hrs
Descriptions and Uses of
• Styllet
• Bougies
• Airway exchange catheter
• Forceps
Anaesthesia Machine 13hrs
• History
• The anaesthesia work station and standards

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Regulations and Curriculum –B.Sc (A & OTT)

• System components of anaesthesia machine



High pressure system -components

Intermediate pressure system- components

Low pressure system - components
• Power failure and service
• Medical gas cylinders :

Components

Testing

Safety features

Rules for safe use of cylinders
• Medical gas pipe line system

Components

Testing medical gas distribution systems
• Manifold, central gas supply
• Safety features of anaesthesia machine
• Vaporizers:

Physics

Vaporizer design

Vaporization method

Temperature compensation

Vaporizers & standards

Concentration calibrated vaporizers

In system vaporizers

Filling systems

Vaporizer mounting system

Interlock devices

Hazards
Check list

Unit-5 21hrs
Breathing System 8hrs
• General principle
• Common components
• Classification:
• Mapelson’s breathing system

Classification

Configurations

Details of Bain’s circuit and paediatric circuit

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Regulations and Curriculum –B.Sc (A & OTT)


Technique of use

Functional analysis

Advantages & disadvantages
• Circle System- CO2 absorber

Components

Arrangement of components

Gas flows through the breathing systems

Resistance & work of breathing in the circle system

Dead space of the circle system

Advantages & disadvantages

Importance & advantages of closed circuit

Self-inflating bag
Oxygen Therapy Devices 2hrs
• Conventional face mask
• Nasal Cannula
• Venturi mask
Monitors 10hrs
• Pulse oximetry
• ECG monitor
• Capnograph-ETCO2
• NIBP
• IBP
• CVP
• Temperature
• TEE
• BIS
Gas Monitoring Devices
• Definitions
• Monitor types
• Advantages & disadvantages
• Humidifier

General Considerations for anaesthesia

Sources of humidity

Advantages

Disadvantages

Hazards

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Regulations and Curriculum –B.Sc (A & OTT)

• Warming devices

Standards

Warming methods

Cost effectiveness

Hazards
• Suction equipment

General Principles

Equipment components

Suctioning techniques

Hazards associated with suctioning
• Anaesthesia Ventilators & working principles
• Peripheral Nerve Stimulator

Descriptions

Principle

Choice of monitoring site

Uses
• Defibrillator
• AED
• Infusion pump
• PCA
• Nerve Locator

Practical/Demonstration: 30hrs
• Checking of anaesthesia machine & drill (check list )
• Checking of breathing circuits , vaporizers , ventilators, defibrillators & suction machine
• Setting of intubation tray
• Setting of monitors
• Setting of airway management equipments
• Setting difficult airway equipments including difficult airway cart & fiberoptic
bronchoscope
• Checking and setting of closed circuit and soda lime mixture
• Setting of peripheral nerve stimulator, warming devices nerve locator and infusion pumps
• Demonstration of gas monitoring devices
• Setting and preparation of oxygen therapy devices
• Assembling of instruments for sterilization
• Packing of instruments & other items for sterilization
• Different methods of sterilization
• Autoclave – working & principle

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Regulations and Curriculum –B.Sc (A & OTT)

• OT cleaning & sterilization


• Maintenance of sterility in OT
• Measurement of sterility control

Scheme of Theory Examination


There shall be one theory paper of three hours duration carrying 80 marks. Distribution
of type of questions & marks for Operation theatre management shall be as given
under:
Type of questions No. Of questions Marks Sub-total
Long Essay(LE) 3( To answer 2) 10 20
Short Essay(SE) 8(To attempt 6) 5 30
Short Answer(SA) 12(to attempt 10) 3 30
Total marks 80

Theory Internal Assessment-20 marks

No Practical Examination

Recommended books:
Drugs & equipment in anaesthetic practice -Arun Kumar Paul 6th edition
Manual of Anaesthesia for operation theatre technicians-S Ashanatha Pillai 1st edition

Reference books:
Anaesthesia equipment – Dorsch&Dorsch 5th edition

40
Regulations and Curriculum –B.Sc (A & OTT)

I Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Communicative English

Theory hours 30
Practical/ Demonstration hours -----
Lecture 01 Hour per week
Practical/ Demonstration -------
Method of Assessment Written examination

Course Description: The course is designed to enhance the personality of the students by
introducing and improving their spoken knowledge and speaking skills apropos their
professional work.

COURSE OUTCOMES

At the end of the course students will be able to...


CO1: Analyze and restate the meaning of a text in English
CO2: Demonstrate the skill to write in English without grammatical error
CO3: Practice listening effectively to communication in English
CO4: Develop the ability to speak English language with the right way of pronunciation.
CO5: Express the viewpoints with confidence in English
CO6: Express values and skills gained through effective communication to other disciplines
CO7: Compose articles and compositions in English
CO8: Discuss and socialize effectively in English

Objectives: After completing this course the students will be able to:
• Read and write correct English.
• Communicate effectively in English language.
• Demonstrates skill in writing and speaking English language.

Unit I Language-Basic 05 hours


Content: Review of grammar, Remedial study of grammar, building vocabulary
Introduction
Parts of speech
Exercise on use of grammar
Tense, Number, Gender
Assessment methods: Objective type, Fill in the blanks.

41
Regulations and Curriculum –B.Sc (A & OTT)

Unit II 03 hours
Read and comprehend prescribed course books
Reading, Summarizing, Comprehension
Assessment methods: Fill in the blanks and One mark questions

Unit III 06 hours


Various Forms of Composition
Letter writing
Note taking
Precise writings
Diary writing
Reports on health problem etc
Official correspondence:
Outgoing correspondence, replying incoming correspondence, writing circulars, notices,
charge memos, note taking, writing summaries, observation reports.
Teaching learning activities: Exercise on writing: Letter writing, resume/CV Essay writing.
Assessment methods: Applications, short reports to be written.

Unit IV 10 hours
Objectives: Develop skill in spoken English
Content: English- Spoken mode, Debates, Telephonic conversion, formal & informal
conversation:
Agreeing emphasizing, interrupting, politely, opinions, interviews and visual
presentation.
Teaching learning activities: Participating in seminar, Telephonic conversion,
conversation in different situations, practice in public speaking
Assessment methods: Assessment of the skills.

Unit V 06 hours
Content: Listening to comprehension media, audio, video, speeches, definition of listening,
types of listening, purposes of listening, obstacles for listening, contexts of listening, to be a
good listener, listening to a lecture etc.
Teaching learning activities: Listening to audio, video tapes and identify the key points.
Assessment methods: Practical test of listening and filling out the blanks
There shall be examination for 100 marks at the end of the academic year, which will be
conducted by the college.

42
Regulations and Curriculum –B.Sc (A & OTT)

Reference Books:
1. Tom Koorkkakala, Communicative English for General Nursing Students, K.J.
Publications, 2008.
2. King’s English, Addone Publishing Group, Thiruvananthapuram.
3. John Ellison Kahn & others, How to write and speak Better, Reader’s

43
Regulations and Curriculum –B.Sc (A & OTT)

I Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Constitution of India

Theory hours 30
Practical/ Demonstration hours -----
Lecture 01 Hour per week
Practical/ Demonstration -------
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to...

CO1: Understand the meaning and importance of Constitution


CO2: Explain about making of Indian Constitution - contribution of Constituent assembly
on it.
CO3: Describe the Salient (Outstanding) features of Indian Constitution.
CO4: Describe the importance of Preamble of the Indian Constitution and its significance.

Unit 1 8hrs.
1. Constitution of India: 4hrs.
• An Introduction to Indian Polity
• Meaning and importance of Constitution
• Making of the Indian Constitution – The Constituent Assembly
• Salient features of the Indian Constitution
• Preamble of the Indian Constitution and Its significance
2. Fundamental Rights and Directive Principles 4hrs
• Fundamental Rights
• Directive Principles of the State Policy
• Fundamental Duties

Unit 2 9hrs.
1. Government of the Union 4hrs

• The Union Executive – The President and The Vice President – The Council of
Ministers and The Prime Minister

44
Regulations and Curriculum –B.Sc (A & OTT)

• The Union Legislature – The Parliament – The Lok Sabha and The Rajya
Sabha – Composition of Powers and Functions, Role of the Speaker
2. Government of the States 4hrs
• The Governor – The Council of Ministers and the Chief Minister
• The State Legislature – Composition of Powers and Functions
3. Democratic Decentralization or Panchayath Raj in India 1hr.

Unit 3 10hrs
1. Federalism in India 5hrs

• Federal features of Indian federalism


• Centre – State relations- distribution of legislative powers
• Administrative and Financial relations between the Union and the States
• National Development Council
2. The Judiciary 5hrs
• The Supreme Court – Organization, Jurisdiction and Role
• The High Court – Organization. Jurisdiction and Role
• Judicial Review, Judicial activism
• Independence of Judiciary in India

Unit 4 3hrs

1. Electoral Process in India- Election Commission,, Organization and Functions


2. Local Governments- Rural and Urban – Organization, Powers and Role

Examination:
There shall be an examination for 100 marks at the end of the academic year, which will be
conducted by the college

Books for Reference:


1. M V Pylee: An Introduction to the Constitution of India, Vikas Publishing House Pvt
Ltd, 2009
2. C K Jain (ed): Constitution of India in Precept and Practice, Lok Sabha Secretariat, New
Delhi
3. J C Johari: Indian Politics, Vishal Publications, Jalandhar
4. A P Avasthi: Indian Government and Politics, Lakshmi Narain Agarwal, Agra

45
Regulations and Curriculum –B.Sc (A & OTT)

5. J C Johari: The Constitution of India – A Politico-Legal Study- Sterling Publication Pvt.


Ltd, New Delhi
6. M Hidayatullah: Democracy in India and the Judicial Process, Metropolitan, New Delhi
7. K C Markandan: Directive Principles in the Indian Constitution, Allied Publishers,
Mumbai.

46
Regulations and Curriculum –B.Sc (A & OTT)

I Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Kannada

Enhancement of Language Skills (Kannada Syllabus)

Total Hours: 30

Course Description: The course is designed to enhance the personality of the students by
introducing and improving their spoken knowledge and speaking skills in regional language
apropos their professional work. /

F CzsÀåAiÀÄ£ÀªÀ£ÀÄß «zÁåyðUÀ¼À ªÀiÁvÀ£ÁqÀĪÀ ¨sÁµÉUÉ ºÉa£ Ñ À MvÀÄÛPÉÆlÄÖ, ¸ÀܽÃAiÀÄ ¨sÁµÉ PÀ°AiÀÄĪÀ ªÀÄÆ®PÀ
CªÀgÀ ªÀÈwÛ ªÀÄvÀÄÛ ªÀåQÛvÀé «PÀ¸À£ÀPÉÌ ¸ÀºÁAiÀÄ ªÀiÁqÀĪÀAvÉ gÀƦ¸À¯ÁVzÉ.

Local Spoken Language –Kannada/¸ÀܽÃAiÀÄ DqÀÄ ¨sÁµÉ-PÀ£ÀßqÀ


Topics:
Introduction /¥ÀjZÀAiÀÄ
Pronunciation/GZÁÑgÀuÉ
Key to transcription/°¦ÃPÀgÀtzÀ Qð
Kannada Letters- Vowels and Consonants/PÀ£ÀßqÀ CPÀg
ë ÀUÀ¼ÀÄ-¸ÀégÀUÀ¼ÀÄ ªÀÄvÀÄÛ ªÀåAd£ÀUÀ¼ÀÄ
Self-Introduction/ ¸Àé¥ÀjZÀAiÀÄ
Kannada Numbers and Vocabulary/PÀ£ÀßqÀ CAQUÀ¼ÀÄ ªÀÄvÀÄÛ ±À§Ý ¸ÀAUÀæºÀ
Colours and Parts of the body / §tÚUÀ¼ÀÄ ªÀÄvÀÄÛ zÉúÀzÀ ¨sÁUÀUÀ¼ÀÄ
Verbs and Tenses/ QæAiÀiÁ¥ÀzÀUÀ¼ÀÄ ªÀÄvÀÄÛ PÁ®¨ÉÃzsÀUÀ¼ÀÄ
Conversations: In Bus stand, In hospital, Athome/ ¸ÀA¨sÁµÀuÉ: §¸ï¸ÁÖ÷åAr£À°è, D¸ÀàvÉæAiÀÄ°è,
ªÀÄ£ÉAiÀÄ°è
Spoken Practice: ªÀiÁvÀ£ÁqÀĪÀ C¨sÁå¸À
Comprehension of Short Stories- Listening and Narration/ PÀvÉ PÉüÀÄ«PÉ ªÀÄvÀÄÛ ºÉüÀÄ«PÉ
Word Building/ ªÁPÀå ¸ÀAgÀZ£
À É
Building of Questions and Answers- Interrogative, by one word and statement answers /
¥Àæ±Éß GvÀÛgÀUÀ¼ÀÄ, MAzÀÄ ¥ÀzÀzÀ GvÀg
Û À, MAzÀÄ ªÁPÀåzÀ°è GvÀg
Û À EvÁå¢...
Learning Language and Proverbs/ ¨sÁµÉ PÀ°AiÀÄÄ«PÉ ªÀÄvÀÄÛ UÁzÉUÀ¼ÀÄ

47
Regulations and Curriculum –B.Sc (A & OTT)

Kannada Land and Language/PÀ£ÀßqÀ £ÁqÀÄ £ÀÄr ¥ÀjZÀAiÀÄ


Our Land/ £ÀªÀÄä HgÀÄ

The student groups are made with local students as the group leaders, so that they help the non-
Kannada students to improve the language skills outside the class and even after completion
of the course. All students should attend these classes and must have minimum 75%
attendance. It is mandatory that they pass the examination conducted at the end of the course
to become eligible to appear for the 1st Year University Examination.

vÀgÀUÀwUÀ¼À°è UÀÄA¥ÀÅUÀ¼À£ÀÄß ªÀiÁr, PÀ£ÀßqÀ w½¢gÀĪÀ «zÁåyðUÀ¼À£ÀÄß D UÀÄA¥ÀÅUÀ½UÉ £ÁAiÀÄPÀgÀ£ÁßV UÀÄgÀÄw¹,


vÀgÀUÀw¬ÄAzÀ ºÉÆgÀUÉ ªÀÄvÀÄÛ vÀgÀUÀwAiÀÄ CzsÀåAiÀÄ£À ªÀÄÄVzÀ §½PÀªÀÇ PÀ£ÀßqÉÃvÀgÀ «zÁåyðUÀ½UÉ ¨sÁµÁ «µÀAiÀÄzÀ°è
ªÀiÁUÀðzÀ±Àð£À ¤ÃqÀĪÀAvÉ gÀƦ¸À¯ÁVzÉ. F vÀgÀUÀwUÀ½UÉ J¯Áè «zÁåyðUÀ¼ÀÆ ºÁdgÁUÀĪÀÅzÀÄ PÀqÁØAiÀÄ. PÀ¤µÀ×
±ÉÃPÀqÁ 75 ºÁdgÁw EgÀ¯ÉèÉÃPÀÄ ªÀÄvÀÄÛ J¯Áè «zÁåyðUÀ¼ÀÆ CzsÀåAiÀÄ£ÁªÀ¢üAiÀÄ PÉÆ£ÉUÉ £ÀqɸÀĪÀ ¥ÀjÃPÉA ë iÀÄ°è
GwÛÃtðgÁUÀĪÀÅzÀgÀ ªÀÄÆ®PÀ ¤mÉÖ «±Àé«zÁå®AiÀÄzÀ ¥ÀæxÀªÀÄ ªÀµÀðzÀ ªÀÄÄRå ¥ÀjÃPÉU ë À½UÉ ºÁdgÁUÀ®Ä
CºÀðgÁUÀÄvÁÛgÉ.

48
Regulations and Curriculum –B.Sc (A & OTT)

II Year B. Sc. Anaesthesia and Operation TheatreTechnology


Subject: Pathology

Theory 40
Practical/ Demonstration 20
Lecture/ Practical/ Demonstration 2 Hours per week
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to...


CO1: Define the term “Disease” or concepts of Diseases.
CO2: Define, classify diseases and the medical terms used.
CO3: Describe the cause and mechanism of a few common diseases they come across
during their routine work.
CO4: Describe Common changes seen in these diseased persons in different
organs/tissues/body fluids.
CO5: Name the common laboratory tests done to diagnose the diseases like examination of
urine, blood, other body fluids and tissues.
CO6: Enumerate the proper methods of collection, preservation and delivery of the samples
to the respective laboratories and.
CO7: Describe the procedures of procuring the whole blood or blood components from
blood bank and the complications of blood transfusion.

Objectives:
At the end of the course the student should know,
• What is “Disease” or concepts of Diseases?
• The Definition, classification of diseases and the medical terms used.
• The cause and mechanism of a few common diseases they come across during their routine
work.
• The common changes seen in these diseased persons in different organs/tissues/body
fluids.
• The names of the common laboratory tests done to diagnose the diseases like examination
of urine, blood, other body fluids and tissues.
• The proper methods of collection, preservation and delivery of the samples to the
respective laboratories and.

49
Regulations and Curriculum –B.Sc (A & OTT)

• The procedures of procuring the whole blood or blood components from blood bank and
the complications of blood transfusion.

Unit I 7 hrs
Introduction to Pathology, Cell membrane, Cytoplasm, contents and nucleus
Various injuries – Cell changes – Reversible changes, fatty liver, hydropic changes and
Irreversible changes
Irreversible changes – Necrosis. Types with examples.
Apoptosis Pigments – Classification. Bilirubin, melanin,
pathological calcification
Inflammation – Definition, classification, signs, vascular & cellular events in acute
inflammation
Repair and wound healing, fracture healing, complications, factors influencing healing
Infectious diseases – Tuberculosis, leprosy, fungal diseases, malaria

Unit II 9 hrs
Oedema – Definition, classification, causes, pathogenesis. Pulmonary oedema, cardiac
oedema, Renal oedema, Lymphedema
Thrombosis – Definition, classification, pathogenesis, venous and arterial thrombosis, fate of
thrombus
Embolism – Definition, classification and clinical manifestations – Infarction, gangrene
Cellular adaptations and Growth disorders: Atrophy, hypertrophy, hyperplasia, metaplasia,
dysplasia and neoplasia
Neoplasia (Tumors) – Definition, nomenclature, differences between benign and malignant
tumors metastasis Causes (carcinogens), clinical features and lab diagnosis of cancers Genetics
– Genetic diseases, cause.
Common cytogenic diseases – Klinefelter, Downs and Turners syndrome.
Complete urine examination – physical, chemical, microscopy of sediment
Liver function tests, Renal function tests
Cytology, FNAC, Surgical pathology, biopsy, resected specimen preservation, fixation and
filling of request forms

Unit III 9 hrs


Blood collection for investigations, anticoagulant. Sample collection, labeling, transportation
to labs Common hematological tests – Peripheral blood smear, Haemoglobin, Packed cell
volume, WBC count – variation of total and differential leukocyte count, Platelet count

50
Regulations and Curriculum –B.Sc (A & OTT)

Bone marrow Aspiration and biopsy; Indications, procedure, contraindications and


complications Anemias – Definition, classification.
Iron deficiency anemia, causes, clinical features and lab diagnosis
Megaloblastic anemia – cause, classification, diagnosis. Briefly hemolyticanemia
Leukemia – Definition, classification, lab diagnosis of Acute Leukemias (AML & ALL) and
Chronic Leukemias (CML & CLL)
Bleeding disorders – Classification, Vascular, Platelet and coagulation factors contribution in
clotting. Common Platelet disorders
Common coagulation disorders (Hemophilia, DIC). BT, CT, Prothrombin time and APTT for
diagnosis
Blood grouping, cross matching, collection of blood from blood donors. Mandatory tests done
in blood bank, blood components, complications of blood transfusion and its evaluation

Unit IV 8 hrs
Osteomyelitis – Acute and chronic, Tubercular, causes, pathology & its complications
Diseases of joints – Osteoarthritis and Rheumatoid arthritis – causes, aetiopathogenesis,
pathology, complications
Metabolic disease of bones – Osteoporosis, Osteomalacia, Rickets
Cardiovascular diseases – Introduction, Atherosclerosis – definition, risk factors, sites/ organs,
pathology manifestations, complications. Aneurysms – types, causes and complications
Ischemic heart disease (IHD) – Types, Pathogenesis of Angina, Myocardial infarctions and its
complications
Rheumatic heart disease – etiology, pathogenesis and morphology of
the heart Hypertension – definition, causes, complications
Heart failure – Causes, pathophysiology, clinical manifestations and complications

Unit V 7 hrs
Respiratory diseases – Chronic obstructive pulmonary airway diseases – causes, pathology and
complications of each (asthma, chronic bronchitis, emphysema, Broncheictasis in brief).
Pneumonia – classification, clinical features and morphology
Pulmonary tuberculosis – classification/ types, primary, complex, miliary TB and cavitatory
TB, complications
Pleural effusion – definition, causes, clinical features and diagnosis
Renal system; Glomerulonephritis, nephritic and nephrotic syndrome. Tubulo-interstitial
diseases, Renal failure – Acute and chronic
Pyelonephritis – Types, causes, organ changes and complications.

51
Regulations and Curriculum –B.Sc (A & OTT)

Renal stones – Causes, pathogenesis, clinical features. Hydronephrosis – causes, clinical


features and diagnosis

Demonstration Classes: 20 hours


Fatty liver – Gross & Microscopy
T.B. Lymphadenitis – Gross & Microscopy
Acute Appendicitis – Gross & Microscopy
Granulation tissue – Microscopy
Mechanism of thrombosis, Sites & complications and clinical features (effects)
Atrophy & Hypertrophy (Heart).
Benign tumors -
- Squamous papilloma – Gross & Microscopy
- Adenoma Colon – Gross & Microscopy
- Leiomyoma uterus – Gross &
Microscopy Malignant tumors -
- Squamous cell carcinoma – Gross & Microscopy
- Adenocarcinoma colon – Gross & Microscopy
- Malignant melanoma skin – Gross & Microscopy
- Osteosarcoma bone – Gross &
Microscopy Metastasis – Lung, liver,
lymph nodes (specimens) Blood
collections – Containers, Anticoagulants
Hb%, PCV, ESR, Peripheral smear and Bone marrow
aspiration Cytology – Body fluids, FNAC.
Histopathology – Specimens, biopsies, fixatives. Request form
writing. Blood grouping, Transfusion complications, and
components. Anemias – Microcytic hypochromic,
Megaloblastic (slides)
Leukemia – AML & CML (Slides)
Atherosclerosis, MI, Rheumatic
valvular lesions
Renal stones, hydronephrosis, chronic pyelonephritis (specimens)
Lung – Pneumonias, pulmonary tuberculosis cavitatory lung abscess (specimens).

52
Regulations and Curriculum –B.Sc (A & OTT)

Scheme of Examination
Scheme of Theory Examination:
There shall be one theory paper of 1 hour 30 minutes duration carrying 40 marks.
Distribution of type of questions & marks for Pathology shall be as given under:

Type of questions No. Of questions Marks Sub-total


Short Essay(SE) 7(To attempt 5) 5 25
Short Answer(SA) 7(to attempt 5) 3 15
Total marks 40

No practical Examination

Internal Assessment
Theory Internal Assessment-10marks

Books Recommended:
Harsh Mohan – Text Book of Pathology with Pathology Quick Review

53
Regulations and Curriculum –B.Sc (A & OTT)

II Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Microbiology

Theory hours 64
Practical/ Demonstration/ 32
Lecture 2 Hours per week
Practical/ Demonstration 01 Hour per week
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to...


CO1: Describe the structure, classification, morphology and growth of bacteria
CO2: Describe the methods sterilisation and disinfection and its applications
CO3: Explain the concepts of immunity, hypersensitivity and immunisation
CO4: Describe Nosocomial infections and methods for prevention of Hospital acquired
infections.
CO5: Describe the management of biomedical waste
CO6: List the common fungi and viruses and explain their importance

Objectives:
• Explain the concepts and principles of microbiology and its importance
• Describe the structure, classification, morphology growth of bacteria
• Describe the methods of infection control and role in hospital infection control program
• Describe different disease producing organisms
• Explain the concepts of immunity, hypersensitivity and immunization

Unit- I 21 Hours
Theory
Morphology of Bacteria: 6 Hours
(Structure, size, shape, arrangement cell wall, flagella, spore, capsule,
fimbria)
Physiology of Bacteria: 2 Hours
(Bacterial growth curve, Temp, O2, Co2, micro and macro nutrient growth
requirements)
Culture Media 1 Hour
Culture Methods 1 Hour

54
Regulations and Curriculum –B.Sc (A & OTT)

Antimicrobial sensitivity tests 3 Hours


Sterilization and Disinfection 8 Hours
• Definition
• Dry heat Sterilization
• Moist heat Sterilization
• Chemical disinfectants
• Gaseous disinfection
• Test for disinfection / Sterilization control

Unit –II 9 Hours


Infection 3 Hours
• Classification
• Sources of infection
• Modes of transmission
Nosocomial infection including biomedical waste management 3 Hours
• Definition
• Classification
• Significance
• Prevention and control
Biomedical waste management 3 Hours

Unit -III
Immunology 10 Hours
Immunity 2 Hours
Antigen 2 Hours
Antibody 2 Hours
Hypersensitivity 4Hours

Unit- IV 7 Hours
General Properties of fungi. 3 Hours
(General characters, classification, Morphology, Reproduction)
General Properties of Viruses. (General character, classification based on
Genome, 4 Hours
Capsid, Envelope & replication and cultivation of virus).

55
Regulations and Curriculum –B.Sc (A & OTT)

Unit- V - Applied Microbiology 17 Hours


Pyrexia of unknown origin 2 Hours
Meningitis 2 Hours
Zoonotic infections 2 Hours
Hepatitis 2 Hours
HIV infection and AIDS 3 Hours
Food poisoning 1 Hour
Diarrhoea 2 Hours
Urinary tract infections 1 Hour
Pulmonary Tuberculosis 2 Hours

Demonstration/tutorials/Assignment/ Practical Demonstration 32 Hours


History
Microscope
Staining
Simple
Gram – I
Gram – II
AFB – I
AFB – II
Sterilization – I
Sterilization – II
Sterilization – III
Media Preparation – I
Media Preparation – II
Media Preparation - III
Culture Methods - I
Culture Methods - II
Culture Methods – III
Spotter – I
Spotter – II
Serology – I Rapid tests
Serology – II, Agglutination
Serology – III
ELISA
Automated machines
Antibiotic sensitivity tests
OT Surveillance – I

56
Regulations and Curriculum –B.Sc (A & OTT)

OT Surveillance – II
Biomedical waste Management – I
Biomedical waste Management – I

Scheme of Examination

No practical Examination

Internal Assessment
Theory Internal Assessment-10 marks

Scheme of Theory Examination:


There shall be one theory paper of 1 hour 30 minutes duration carrying 40 marks.
Distribution of type of questions & marks for Microbiology shall be as given
under:
Type of questions No. Of questions Marks Sub-total
Short Essay(SE) 7(To attempt 5) 5 25
Short Answer(SA) 7(to attempt 5) 3 15
Total marks 40

Recommended Text book


• Text book of Microbiology, Ananthnarayana &Panikar University Press 8th Edition.
• Text book of Microbiology, Baveja, Arya Publications. 3rd edition 2009.
• Text book of Microbiology, SathishGupte, tenth edition 2010.

57
Regulations and Curriculum –B.Sc (A & OTT)

II Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Pharmacology

Theory hours 64
Practical/ Demonstration/ ---
Lecture 2 Hours per week
Practical/ Demonstration --
Method of Assessment Written examination

COURSE OUTCOMES
At the end of the course students will be able to...

CO1: Inculcate basic pharmacological understanding of rational and scientific basis of


usage of drugs therapeutics
CO2: Describe pharmacological actions and precautions to be exercised with commonly
used drugs
CO3: Relate specific adverse effect of commonly used drugs
CO4: Correlate specific contraindications of frequently used drug
CO5: Categorize major drug groups with their mechanism of action
CO6: Evaluate factors such as efficiency, safety, & suitability of medications to
appropriately manage patients OT set up.
CO7: Describe the specific adverse effects and drug interactions of prototype drugs
CO8: Acquire basic knowledge about drugs used in perfusion technology

Objectives:
• The objective of teaching Pharmacology to B. Sc. A & OTT students is to inculcate the
knowledge of rational and scientific basis of usage of drugs in therapeutics.
• At the end of the course student shall be able to describe the pharmacological aspects of
some of the commonly used drugs and must be in a position to list their indications,
therapeutic uses and adverse effects.
• Extra focus is laid on those essential drugs which are used in the OT setup.

Unit – 1 12hrs
General pharmacology 6hrs
• Introduction& definitions
• Routes of drug administration
• Pharmacokinetics

58
Regulations and Curriculum –B.Sc (A & OTT)

• Pharmacodynamics
• Adverse drug reactions
Drugs acting on autonomic nervous system 6hrs
• Adrenergic drugs & blockers
• Cholinergic drugs & blockers
• Skeletal muscle relaxants

Unit – 2 12hrs
Drugs acting on central nervous system 12hrs
• Alcohols
• Sedatives& hypnotics
• Antiepileptic drugs
• General anaesthetics
• Local anaesthetics
• Antiparkinsonian drugs
• Opioid analgesics
• NSAIDS
• Drugs used in psychiatric disorders

Unit – 3 10hrs
Drugs used in cardiovascular disorders 8hrs
• Drugs used in congestive cardiac failure
• Drugs used in angina & MI
• Antihypertensive agents
• Antiarrhythmics agents
• Hypolipedemic agents
• Drugs used in shock
• Cardioplegic drugs
• IV fluids & drugs used in perfusion technology
Diuretics 2hrs
Classification
Mechanism of action
Therapeutic uses & adverse effects
Unit – 4 16hrs

Drugs affecting blood formation & coagulation 6hrs


Haematinics

59
Regulations and Curriculum –B.Sc (A & OTT)

Antiplatelet drugs
Coagulants & anticoagulants
Thrombolytics & antithrombolytics

Drugs used in respiratory disorders 4hrs


• Drugs for cough
• Drugs used in bronchial asthma
• Antihistamines
Drugs used in GIT disorders 6hrs
Antiemetics
Drugs for peptic ulcer
Laxatives
Antidiarrheal agents
14hrs
Unit – 5
Hormones and related drugs 6hrs
• Drugs used in thyroid disorders
• Drugs used in diabetes mellitus
• Glucocorticoids
Chemotherapy 8hrs
• Introduction & definitions
• Classification of antimicrobial agents
• General adverse effects of antimicrobial agents
• Individual groups of antimicrobial agents
• Antitubercular drugs
• Antimalarial drugs
• Antiamoebic drugs
• Immunosuppresants

Scheme of Examination

No practical Examination

Internal Assessment
Theory Internal Assessment-10marks

Scheme of Theory Examination:


There shall be one theory paper of 1 hour 30 minutes duration carrying 40 marks.
Distribution of type of questions & marks for Pharmacology shall be as given under:

60
Regulations and Curriculum –B.Sc (A & OTT)

Type of questions No. Of questions Marks Sub-total


Short Essay(SE) 7(To attempt 5) 5 25
Short Answer(SA) 7(to attempt 5) 3 15
Total marks 40

Books Recommended:
1. K.D. Tripathi- Essentials of medical pharmacology
2. Laurence and Bennet - Clinical pharmacology

61
Regulations and Curriculum –B.Sc (A & OTT)

II Year B. Sc. Anaesthesia and Operation TheatreTechnology


Subject: Basics of Anaesthesia

Theory hours 96
Practical/ Demonstration 30
Clinical Posting 268
Lecture 3 Hours per week
Practical/ Demonstration 01 Hour per week
Clinical Posting 08 Hours per week
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to…

CO1: Understand the preoperative evaluation, premedication and different anaesthesia


techniques, in general
CO2: Understand intraoperative fluid management and pain management
CO3: Explain technique of general anaesthesia and regional anaesthesia
CO4: Describe the pharmacology of anaesthesia and emergency drugs
CO5: Assemble Intubation and emergency airway equipments
CO6: Set up of intubation and drug tray
CO7: Operate the monitoring devices and record the vital signs
CO8: Prepare trolley for regional blocks
CO9: Manage the patient in post-operative ward

Objectives:
Students at the end of the course should have knowledge about the following aspects of Basics
of Anaesthesia.
• Overall knowledge of the preoperative evaluation, premedication and different anaesthesia
techniques.
• Basic pharmacology of anaesthesia and emergency drugs.
• Intubation and emergency airway equipments
• Techniques of anaesthesia
• The monitors and recording the vital signs.

62
Regulations and Curriculum –B.Sc (A & OTT)

Unit-1 28hrs
• Introduction 3hrs

History of anaesthesia

Scope of anaesthesia practice
• Pre-operative evaluation and medication 2hrs

Preoperative evaluation
- History
- General physical examination and systemic examination
- Overall assessment of perioperative risk and ASA classification

Preoperative medication 3hrs
- Psychological preparation
- Pharmacologic agents
• Sedatives
• Anticholinergics
• Antiemetics
• Antacids
• H2receptor blockers
• Choice of anaesthesia technique 20hrs

Anaesthesia techniques

General anaesthesia technique
• Induction
• Laryngoscopy
• Intubation
• Oral intubation
• Nasal intubation
• Fiberoptic intubation

Positioning

Maintenance and monitoring

Reversal

Post-operative care
• Fluid management
• Pain management

Regional anaesthesia technique
• Positioning
• Spinal anaesthesia
• Epidural Anaesthesia
• Caudal block
• Plexus block

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Regulations and Curriculum –B.Sc (A & OTT)

• Nerve blocks
• IVRA

Monitored anaesthesia care

Unit-2 16hrs
• Pharmacology of anaesthetic agents

Sedatives
- Midazolam
- Trichlofos
- Diazepam
- Clonidine
- Dexmedetomidine
- Lorazepam
- Promethazine

Induction Agents
- Thiopentone Sodium
- Propofol
- Ketamine
- Etomidate

Muscle relaxants
- Succinylcholine
- Atracurium
- Cisatracurium
- Vecuronium
- Pancuronium
- Rocuronium
• Analgesics
- Opioids
- Morphine
- Pethidine
- Fentanyl
- Sufentanyl
- Remifentanyl
- Buprenorphine
- Butorphenol
- Nalbuphine
- Nalaxone

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Regulations and Curriculum –B.Sc (A & OTT)

- Tramadol
- NSAIDS
- Paracetamol
- Diclofenac Sodium
- Ketorolac

Unit-3 20hrs
▪ Reversal agents
▪ Neostigmine
▪ Sugammadex
▪ Inhalational agents
▪ Nitrous oxide
▪ Halothane
▪ Isoflurane
▪ Sevoflurane
▪ Desflurane
▪ Local anaesthetic agents
▪ Lignocaine
▪ Bupivacaine
▪ Levobupivacaine
▪ Ropivacaine
▪ EMLA
▪ Antiemetics
▪ Metoclopromide
▪ Ondonseton
▪ Domperidone
▪ Granisetron
▪ Others
▪ Hyaluronidase
▪ Insulin
▪ Protamine sulphate
▪ Antibiotics
▪ IV fluids
▪ Crystalloids
▪ Colloids

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Regulations and Curriculum –B.Sc (A & OTT)

Unit-4 14hrs
Emergency drugs
• Oxygen
• Ionotropes

Adrenaline

Noradrenaline

Dopamine

Dobutamine

Isoprenaline

Vasopressine

Digoxin

Milrinone
• Sympathomemmetics

Mephenteramine

Phenylnephrine

Ephedrine
• Vasodilators

Sodium Nitroprusside

Nitro-glycerine

Nifedipine
• Anticholinergics

Atropine

Glycopyrrolate
• Bronchodilators

Deriphylline

Aminophylline

Salbutamol

Unit-5 18hrs
• Steroids

Hydrocortisone

Dexamethasone

Methylprednisolone
• Β Blockers

Esmolol

Metoprolol

Propranolol

Lebetolol

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Regulations and Curriculum –B.Sc (A & OTT)

• Antiarrhythmics

Lignocaine

Amiodarone

Adenosine

Phenytoin sodium
• Electrolytes

Sodium Bicarbonate

Calcium Gluconate

Calcium Chloride

Magnesium Sulphate

Potassium Chloride
• Others

Frusemide

Mannitol

Prostodin (PGE∝)

Oxytocin

Methyl ergometrine

Heparin

Low molecular weight heparin

Warfarin

Practicals/demonstration: 30hrs
• Preoperative evaluation of patient
• Consent taking
• Shifting the patient into the operation theatre
• Preparation of intubation tray
• Preparation and setting of drug tray
• Preparation and setting of monitor and ventilator
• Preparation and setting of drug tray
• Preparation of sets for Spinal Anaesthesia, Epidural Anaesthesia, Blocks
• IV Cannulation
• Connecting the monitors & recording baseline vitals
• Assisting during anaesthetization of patient
• Intraoperative anaesthesia management
• Anaesthesia record maintenance
• After recovery shifting the patient to post-operative ward
• Post-operative management of patient

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Regulations and Curriculum –B.Sc (A & OTT)

Scheme of Theory Examination


There shall be one theory paper of three hours duration carrying 80 marks. Distribution of
type of questions & marks for Basics of Anaesthesia shall be as given under:

Type of questions No. Of questions Marks Sub-total


Long Essay(LE) 3( To answer 2) 10 20
Short Essay(SE) 8(To attempt 6) 5 30
Short Answer(SA) 12(to attempt 10) 3 30
Total marks 80

Theory Internal Assessment-20 marks


Practical Examination-50marks
Marks pattern for practical exams:-

Practical Exercises Viva- Voce Internal assessment


30 10 10
Grand Total- 50

Books Recommended:
1. Short text book of anaesthesia –Ajay yadav 12th edition
2. Drugs & equipment in anaesthetic practice –Arun Kumar Paul
3. Text book for Operation Room Technicians- Pramila Bhalla 2nd edition

Reference books:
1. Lee’s synopsis of anaesthesia- 13th edition
2. Basics of anaesthesia- Robert k. Stoelting, Ronald d. Miller 6th edition

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Regulations and Curriculum –B.Sc (A & OTT)

II Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Medicine

Theory hours 50
Practical/ Demonstration/ clinics ------
Lecture 2 Hours per week
Practical/ Demonstration/ clinics ------
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to…

CO1: Discuss the Introduction to history taking and examination


CO2: Discuss How to perform general physical examination
CO3: Discuss definition, types, risk factors, clinical features, treatment, investigations of
diabetes Discuss definition, etiology, pathophysiology, clinical features,
investigations, treatment of acute MI
CO4: Describe definition, prevalence, etiology, risk factors, clinical features, investigations
and management, complications of OBESITY
CO5: Describe physiological changes in elderly patient
CO6: Describe definition types and etiology of shock
CO7: Describe definition, types, pathophysiology, clinical features, investigation,
complications, and treatment of COPD
CO8: Discuss, Types, symptoms and signs, investigations of anaemia
CO9: Discuss investigations, management of epilepsy

Objectives:
Students at the end of the course should have knowledge about the following aspects of
Medicine.
• Basic knowledge of clinical examination of patients.
• Understanding of common medical diseases like Diabetes Mellitus, Hypertension,
Ischemic Heart Disease, Anaemia, COPD, Chronic liver and kidney diseases.
• Principles of management of shock, sepsis and common medical emergencies.

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Regulations and Curriculum –B.Sc (A & OTT)

Unit-1 10hrs
• Introduction
• Clinical examination of patients

History

GPE

Systemic examination

Investigations
• Diabetes mellitus

Types

Pathophysiology

Clinical features

Investigations

Complications

Treatment
Special emphasis on
• Diabetic ketoacidosis
• Fluid management
• Measurement of blood sugar

Unit-2 8hrs
• Hypertension

Definition

Clinical features

Management

Complications

Investigations
• Ischemic heart disease

Itiopathology

Clinical features

Investigations

Management

Complications
Special emphasis on
• ECG
• TMT
• Echocardiography

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Regulations and Curriculum –B.Sc (A & OTT)

Unit-3 11hrs
• Obesity

Definition

Clinical features

Clinical implications
• Elderly patient

Definition

Clinical features

Clinical implications
• Shock

Definition

Types

Pathophysiology

Treatment

Details of each type

Ionotropes

Unit-4 10hrs
• Sepsis & septicemia
• COPD & Bronchial asthma

Pathophysiology

Clinical features

Treatment

Lung Function Tests
• Chronic renal failure

Acute renal failure

Causes of CRF

Complications

Treatment

Renal Transplantation

Unit-5 11hrs
• Chronic liver disease/failure

Hepatitis – Types & treatment

Cirrhosis: Pathophysiology and complications

Investigations: Liver function tests

Obstructive jaundice
• Anaemia

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Regulations and Curriculum –B.Sc (A & OTT)


Types

Diagnosis

Management
• Epilepsy & cerebrovascular accidents

Causes

Treatment

Status epilepticus

Drugs

Scheme of Examination
Scheme of Theory Examination:
There shall be one theory paper of 1 hour 30 minutes duration carrying 40 marks.
Distribution of type of questions & marks for Medicine shall be as given under:

Type of questions No. Of questions Marks Sub-total


Short Essay(SE) 7(to attempt 5) 5 25
Short Answer(SA) 7(to attempt 5) 3 15
Total marks 40

No practical Examination

Internal Assessment
Theory Internal Assessment-10marks

Books recommended:
1. Hutchison’s clinical method
2. Davidson’s principles and practice of mecicine-22nd edition

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Regulations and Curriculum –B.Sc (A & OTT)

IIYear B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Surgery - Basics
Theory hours 96
Practical/ Demonstration 30
Clinical posting 268
Lecture 3 Hours per week
Practical/ Demonstration 1Hour per week
Clinical posting 8 Hours per week
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to...

CO1: Scrubbing, gowning. Gloving and surgical assistance.


CO2: Basic knowledge of surgical asepsis.
CO3: Scrubbing, gowning. Gloving and surgical assistance.
CO4: Basic Knowledge of specialized surgical equipments like endoscopes, electrocautery.
Laser and microscope.
CO5: Wound site management.
CO6: Preparation of surgical trolley.

Objectives:
Students at the end of the course should have knowledge about the following aspects of
Surgery-Basics.

• Basic knowledge of surgical asepsis.


• Scrubbing, gowning. Gloving and surgical assistance.
• Basic Knowledge of specialized surgical equipments like endoscopes, electro cautery.
Laser and microscope.
• Wound site management.
• Preparation of surgical trolley.

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Regulations and Curriculum –B.Sc (A & OTT)

Unit-1 15 hrs
The Perioperative Environment 5hrs
• Basics of surgery

History of surgery

Role of surgeon

Importance of team work & anticipating the needs of surgeons
The Perioperative Patient Care Team 4hrs
• Non sterile team members
• Sterile team members
• The surgical first assistant

First assistants knowledge and skill level

What does the first assistant do?

Disciplines associated with first assisting in surgery
Surgical Asepsis & Sterile Technique 6hrs
• Principles of asepsis & sterile technique

Transmission of microorganisms

Human –borne sources of contamination

Non-human factors in contamination

Aseptic technique & environmental control

Standard precautions

Principles of sterile technique

Application of sterile technique

Unit-2 15 hrs
• Personal care & hand asepsis 3hrs

Appropriate operating room attire

Surgical hand & skin cleansing

Gowning & gloving
• Decontamination & disinfection 5hrs

Instrument cleaning & decontamination

Decontamination of items used in patient care

Methods of disinfection

Waste disposal

Sterilization 7hrs

Sterilization versus disinfection

Assembly of instrument sets

Packing instruments & other items for sterilization

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Regulations and Curriculum –B.Sc (A & OTT)

▪ Thermal sterilization
▪ Chemical sterilization
▪ Radiation sterilization
▪ Control measures

Unit-3 15hrs
Surgical Instrumentation & Equipment 12hrs
• Surgical Instrumentation

Fabrication of metal instruments

Classification of instruments

Powered surgical instruments

Handling instruments
• Specialized Surgical Equipment

Laparoscopic equipments

Endoscopic equipments

Electrocautery

Lasers

Operating microscope

Preoperative Patient Care 3hrs


• Preoperative preparation of all patients
• Transportation to the operating suite

Unit-4 29hrs
Intraoperative Patient Care
• Coordinated Roles of the scrub person & the circulating nurse 7hrs

Setting up the room

Scrub person duties

Circulating nurse duties

Sponges, sharps, & instrument Counts

Instruments

Efficiency of the operating room team
• Positioning , prepping & draping the patient 20hrs

Preliminary considerations

Anatomic & physiologic considerations

Equipment for positioning

Surgical positions

Principles of patient skin preparation

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Regulations and Curriculum –B.Sc (A & OTT)


Preliminary preparation of the patient’s skin

Surgical skin cleansing fundamentals

Antiseptic solutions

Skin preparation for specific anatomic areas

Draping

Draping materials

Principles of draping

Procedures for draping the patient

Draping of equipment

Plastic isolator
WHO check list 2hrs

Unit-5 22hrs
Surgical Site Mangement 11hrs
• Hemostasis
• Wound closure
• Suture materials

Absorbable

Non absorbable
• Wound healing

Mechanism of wound healing

Types of wounds

Factors influencing wound healing

Wound management

Complications of wound healing

Post-operative wound infections

Basic wound care

Surgical Terminology 1hr


Types of Incision and Its Indications 10hrs
• General principles in incision planning
• Method of making a good incision
• Instruments used in incision making
• Types of abdominal incisions

Practicals: 30hrs
• Preoperative preparation & consent taking
• Shifting the patient & checking the case records

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Regulations and Curriculum –B.Sc (A & OTT)

• Surgical asepsis- cleaning , scrubbing ,gowning & gloving


• Setting of OT lights
• Setting of the nurses instrument trolley
• Setting of different surgical equipments

Hemostats

Retractors

Scissors and forceps

Others
• Setting & management of laparoscopic trolley
• Care of endoscopic equipments
• Care and maintenance of microsurgical instruments
• Care and maintenance of specialized surgical equipment
• Instrument planning for various surgical procedures
• Decontamination of items used in patient care
• Packing instruments and other items for sterilization
• Management of post-operative wound infections

Scheme of Theory Examination:

There shall be one theory paper of three hours duration carrying 80 marks. Distribution
of type of questions & marks for Surgery-Basics shall be as given under:

Type of questions No. Of questions Marks Sub-total


Long Essay(LE) 3( To answer 2) 10 20
Short Essay(SE) 8(To attempt 6) 5 30
Short Answer(SA) 12(to attempt 10) 3 30
Total marks 80

Theory Internal Assessment-20marks


No practical examination

Books Recommended:
1. Berry & Kohn’s Operating Room Technique 12th edition
2. Pocket guide to the Operating Room- Jaypee 3rd edition
3. Text book for Operation Room Technicians- Pramila Bhalla 2nd edition

Reference books:
1. Text book of surgery – Bailey and Love

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Regulations and Curriculum –B.Sc (A & OTT)

II Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Human Rights, Gender Equity and Environmental Studies

Theory hours 30
Practical/ Demonstration hours -----
Lecture 01 Hour per week
Practical/ Demonstration -------
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to...

CO1: Understand the very fact human rights system.

CO2: Understand the gender equity.

CO3: Understand the human rights advocacy.

CO4: Understand the concepts of women’s status in India

CO5: To explain about, what is environmental studies.

CO6: Know the values of natural resources.

CO7:Participate in conservation and preservation of environment discussion, and


contributing to the country by protecting.

Syllabus

Unit 1
Human rights 10 hours
1. Human Rights – Meaning; Universal Declaration of Human Rights 6 hours
2. Human Rights Advocacy: Global Advocacy of Human Rights;
Amnesty International and other organization; People’s Union for
Civil Liberty (PUCL);
Human Rights Commission in India; Minority Commission in India; Remedies against
violation of Human Rights in India 10 hours

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Regulations and Curriculum –B.Sc (A & OTT)

3. United Nations and Human Rights: Civil and Political Rights: Economic, Social and
Cultural Rights 4 hours

Unit 2
Gender equity 10 hours
1. Sex and Gender – Masculinity and Feminity – Patriarchy, Matriarchy, Gender Roles and
Attributes, Gender Division of Labour – Gender bias, Gender Stereotypes – Need for
Gender Sensitization
2. Women’s Status in India: Important indicators – sex ratio, education, health, nutrition,
maternal and infant mortality, work participation rates, political participation
3. Contemporary Women’s issues: Discrimination against girl child; Violence against
women; Problems of Health and Nutrition; Women’s Education and gender bias in
education; Trafficking of Women; Globalization and impact on women
4. State Initiative on Gender Issues: Constitution rights of women; Laws pertaining to
women; National and State Commission for women

Unit-3
Environmental studies 10hours
1. Environment: Components of Environment Concepts of Ecology; Ecological factors: Soil,
air, water; Eco System – Pond and Forest as Ecosystem; Human Population Growth
2. Environmental Pollutions: Types of Pollution – a) soil, air, water b) noise and
radioactive pollution; Sources of Pollution and their effects; Control measures: Legal and
administrative

Conservation and Preservation of Environment: Natural resources and their conservation –


water, soil and forest; Agencies involved in environmental protection in India; Environmental
Movements in India ; Legal and administrative measures for environmental protection

Examination;
There shall be an examination for 100 marks at the end of the academic year, which will be
conducted by the college.

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Regulations and Curriculum –B.Sc (A & OTT)

Recommended Books:

A. Human Rights
1. S. Davidson: Human Rights, Buckingham, Open University, Nirmal Chiranjivi: Human
Rights in India, New Delhi, Oxford University Press

B. Gender Equity
1. Usha Sharma (ed): Gender Mainstreaming and Women’s Rights, Authorspress, New
Delhi, 2004
2. Sushma Yadav and Anil Datta: Gender Issues in India, Radha Publications, New Delhi,
2003

C. Environmental Studies
1. N.K. Chakravarthy: Environmental Protection and Law, Ashis Publishing House, New
Delhi
2. Kumar N: Air Pollution and Environmental Protection, Mittal Publication, New Delhi
3. Erach Baruch: Text Book For Environmental Studies, UGC, New Delhi and Bharati
Vidyapeeth Institute Environment Education and Research, Pune
4. Jadhav H & Bhosale, VM: Environmental Protection and Laws, Himalaya Publishing
House, New Delhi

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Regulations and Curriculum –B.Sc (A & OTT)

III Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Applied Anaesthesia

Theory hours 96
Practical/ Demonstration/ clinics 30
Clinical Posting 138
Lecture 3 Hours per week
Practical/ Demonstration/ clinics 01 Hour per week
Clinical Posting 04 Hours per week
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to…

CO1: Learn to assess airway


CO2: Assemble gadgets used for managing obstructed airway
CO3: Describe management of obstructed airway in infants and children
CO4: Understand the application of monitoring devices
CO5: Understand fluid management, blood transfusion and blood products
CO6: Describe anaesthesia outside the operation theatre
CO7: Understand different medical emergencies and their management
CO8: set up emergency drug trolley, airway equipment trolley and difficult airway cart

Objectives:
Students at the end of the course should have knowledge about the following aspects of
Applied Anaesthesia.
• Knowledge of airway obstruction, airway management and difficult airway management
• Monitors and monitoring
• Fluid management, blood transfusion and blood products.
• Anaesthesia outside the operation theatre.
• Knowledge of different medical emergencies and their management.
• Setting of emergency drug trolley, airway equipment trolley and difficult airway cart.

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Regulations and Curriculum –B.Sc (A & OTT)

Unit-1 27hrs
• Airway management 15hrs
▪ Airway assessment

Management of obstructed airway
- Triple maneuver
- Gadgets to manage airway obstruction
- Laryngoscopy and intubation
- Surgical airway
▪ Airway management technique
- Ventilation with a face mask
- Endotracheal intubation
- Fiberoptic Endotracheal intubation
∙ Airway blocks
∙ Preparation
Technique of Fiberoptic intubation

Retrograde tracheal intubation

Blind nasotracheal intubation

Trans tracheal techniques
• Cricothyrotomy
• Trans tracheal jet ventilation

Complications of tracheal intubation

Airway management in infants and children
• Airway difference between infants and adults
• Managing the normal airway in infants and children
• Managing the difficult airways in infants and children
• Tracheal extubation in infants and children
• Anaesthetic monitoring 12hrs
▪ Electrocardiography
▪ Blood pressure monitoring
- Non invasive
- Invasive
▪ Pulseoximetry
▪ Capnography

Central venous pressure monitoring

Pulmonary artery pressure monitoring
▪ Trans Oesophageal Echocardiography
▪ Temperature monitoring

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Regulations and Curriculum –B.Sc (A & OTT)

▪ Blood gas analysis


▪ Airway pressure monitoring
▪ Neuromuscular monitoring
▪ BispectralIndex(BIS)

Unit -2 16hrs
• Anaesthesia outside the operating room 8hrs

Non invasiveradiographic procedure

Computed tomography

Magnetic resonance imaging
- Safety considerations
- Monitoring issues
- Compatible equipment
- Management of anaesthesia

Invasive radiographic procedure
- Angiography

Radiation therapy

Electro convulsive therapy

Extra corporeal shock wave lithotripsy

Dental surgery

Endoscopy

Colonoscopy

IVF procedure

Labour analgesia
• Acute post-operative pain management 8hrs

Analgesic delivery system
- Oral administration
- Intra muscular administration
- Intravenous administration
- Patient controlled analgesia
- Neuraxial analgesia

Alternative approach to management of Acute post operative pain
- Peripheral nerve blocks
- TENS

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Regulations and Curriculum –B.Sc (A & OTT)

Unit-3 13hrs
• Fluid management 5hrs

Pre operative considerations

Perioperative fluid therapy – quantitative considerations
- Pre existing fluid deficit
- Maintenance requirement
- Surgical fluid losses
Blood therapy 8hrs
• Assessment of blood loss

Blood groups

Cross matching

Blood components

Blood transfusion
- Indications
- Complications
• Autologous blood transfusion
• Mismatched blood transfusion

Unit-4 25hrs
• Medical emergencies in the intra operative period

Difficult airway
- Difficult mask ventilation
- Difficult intubation
- CVCI

Hypoxia

Tight bag

Bronchospasm

Laryngospasm

Hypertension

Hypotension

Bradycardia

Tachycardia

Hypothermia

Arrhythmia

Hyperthermia-Malignant hyperthermia

Shivering

Raised ICT

Hypercarbia

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Regulations and Curriculum –B.Sc (A & OTT)


Thyrotoxicosis

High spinal

Total spinal

Anaphylaxis

Pulmonary edema

DIC

Mismatched blood transfusion

TURP syndrome

LA toxicity

Emergency LSCS

PPH

Intraoperative cardiac arrest

Post-operative restlessness

OT fire & electrical mishap

Unit-5 15hrs
• Post Anaesthesia recovery

Admission to the post anaesthesia care unit (PACU)

Airway obstruction
- Loss of pharyngeal muscle tone
- Residual neuromuscular blockade
- Laryngospasm
- Airway edema
- Management of upper airway obstruction

Post-operative de saturation
- Hypoventilation

Pulmonary edema
- Post obstructive pulmonary edema
- Transfusion-related lung injury

Hemodynamic Instability
- Systemic hypertension
- Systemic hypotension
- Myocardial ischemia
- Cardiac disrhythmias

Post-operative restlessness

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Regulations and Curriculum –B.Sc (A & OTT)

- Risk factors
- Management

Renal dysfunction
- Oliguria secondary to depletion of intravascular fluid volume
- Intra- abdominal hypertension
- Rhabdomyolysis

Body temperature and shivering
- Mechanism
- Treatment
- Clinical effects

Post-operative nausea and vomiting
- High risk patients
- Prevention and treatment

Post-operative bleeding

Delayed recovery
- Treatment

Criteria for discharge from PACU

Practical and Demonstration: 30Hrs


• Preoperative assessment of patient
• Setting of emergency drug trolley
• Setting of airway equipment trolley
• Preparation of difficult airway cart
• Setting and preparation of Fiberoptic trolley
• Setting trolley for retrograde intubation
• Setting of airway management equipment trolley for infants and children
• Setting of monitors used in anaesthesia
• Setting of fluid management trolley
• Setting and preparation of trolley for general anaesthesia
• Setting and preparation of trolley for SA, epidural anaesthesia
• Intraoperative anaesthetic management and monitoring.

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Regulations and Curriculum –B.Sc (A & OTT)

Scheme of Theory Examination

There shall be one theory paper of three hours duration carrying 80 marks. Distribution
of type of questions & marks for Applied Anaesthesia shall be as given under:

Type of questions No. of questions Marks Sub-total


Long Essay(LE) 3( To answer 2) 2×10 20
Short Essay(SE) 8(To attempt 6) 6×5 30
Short Answer(SA) 12(to attempt 10) 10×3 30
Total marks 80

Theory Internal Assessment-20marks

Practical Examination-50marks

Marks pattern for practical exams:-


Practical Exercises Viva- Voce Internal assessment
30 10 10
Grand Total- 50

Books Recommended:
1. Short text book of anaesthesia –Ajay yadav 12th edition
2. Drugs & equipment in anaesthetic practice –Arun Kumar Paul
3. Basics of anaesthesia- Robert k. Stoelting, Ronald d. Miller 6th edition

Reference books:
1. Lee’s synopsis of anaesthesia- 13th edition
2. Morgan and Mikhail’s clinical anaesthesiology
3. Miller’s anaesthesia - Miller

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Regulations and Curriculum –B.Sc (A & OTT)

III Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Applied Surgery

Theory hours 96
Practical/ Demonstration/ clinics 30
Clinical posting 138
Lecture 3 Hours per week
Practical/ Demonstration/ clinics 01 Hour per week
Clinical Posting 04 Hours per week
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to…


CO1: Discuss about Breast procedure.
CO2: Describe about abdominal surgery
CO3:Knowledge about Biliary tract Procedure
CO4:Understand about Liver procedure
CO5: Discuss about Spleen Procedure and Pancreatic surgery
CO6:Discuss about Gastric Procedure and Intestinal Procedure
CO7: Learn about Laparoscopic surgeries
CO8:Discuss about Cancer surgeries
CO9: Understand about Neuro Surgery
CO10: Knowledge about Urology
CO11:Discuss about Cardio Thoracic surgery
CO12: Understand about Plastic, Re constructive, Vascular Surgery
CO13:Discuss about Paediatric Surgery

Objectives:
Students at the end of the course should have knowledge about the following aspects of
Applied Surgery.
• To have a basic knowledge of the different general surgical procedures.
• Their preparation, positioning, surgical assistance and management of equipments in
Intraoperative period.

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Regulations and Curriculum –B.Sc (A & OTT)

• To have a basic knowledge of Orthopaedic surgeries, Obstetrics & Gynaecology ENT,


Ortho, Ophthalmology, Neuro surgery, Urology, Plastic surgery, Paediatric surgery, &
Cardiothoracic surgery.

Unit-1 29hrs
• General surgery 4hrs
▪ Breast procedures
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care
Abdominal surgery 5hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

Biliary tract procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

Liver procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

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Regulations and Curriculum –B.Sc (A & OTT)


Spleen procedures 2hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

Pancreatic procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

Oesophageal procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

Gastric procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

▪ Intestinal procedures 3hrs


- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments

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Regulations and Curriculum –B.Sc (A & OTT)

- Technique
- Special considerations
- Post-operative care

Unit-2 25hrs
▪ Colorectal procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

Anorectal procedures 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

Hernia procedures 2hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

Amputation of extremities 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

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Laparoscopic surgeries 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

Cancer surgeries 3hrs
- General principles
- The surgical procedures & preparation
- Positioning
- Surgical instruments
- Technique
- Special considerations
- Post-operative care

Orthopaedics Surgery 8hrs
- General principles
- The surgical preparation and technique
- Positioning
- Surgical equipments
- Wound debridement
- Tendon repair
- Excision of ganglion
- Carpal tunnel release
- Open reduction
- Nailing of femoral shaft fracture
- Internal fixation
- Amputation
- Arthroplasty
- Arthroscopy
- TKR
- THR

Unit-3 16hrs
• Obstetrics & Gynaecology 5hrs

General principles

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Regulations and Curriculum –B.Sc (A & OTT)


The surgical preparation and technique

Positioning

Surgical equipments

Normal labour

LSCS

Dilatation of the cervix and curettage

Hysterectomy
- Vaginal
- Total abdominal

Dilatation and Evacuation

Ectopic Pregnancy

Post-partum female sterilization

Myomectomy

IVF
• ENT Surgery 6hrs

General principles

The surgical preparation and technique

Positioning

Surgical equipments

Tonsillectomy

Adenoidectomy

Tracheostomy

Myringoplasty

Mastoidectomy

Tympanoplasty

Radical neck dissection

Turbinectomy

Septoplasty

Rhinoplasty

FESS

Thyroidectomy
• Ophthalmic Surgery 5hrs
▪ General principles

The surgical preparation and technique
▪ Positioning
▪ Surgical equipments
▪ Exicision of Chalazion

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Regulations and Curriculum –B.Sc (A & OTT)

▪ Iridectomy
▪ Corneal transplants
▪ Cataract
▪ Glaucoma
▪ Refractive keratoplasty
▪ Lacrimal duct dilation

Unit-4 26hrs
• Neurosurgery 5hrs

General principles

The surgical preparation

Positioning

Surgical instruments

Technique

Special considerations

Post-operative care

Craniotomy

VP shunt

Burr hole

Awake craniotomy

Spine surgeries

Aneurysm surgeries
• Urology 6hrs

General principles

The surgical preparation

Positioning

Surgical instruments

Technique

Special considerations

Post-operative care

PCNL

ESWL

Renal transplantation

TURP

Cystoscopy

Nephrectomy

AV Fistula

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Regulations and Curriculum –B.Sc (A & OTT)

• Cardio Thoracic surgery 5hrs



General principles

The surgical preparation

Positioning

Surgical instruments

Technique

Special considerations

Post-operative care

CABG

Valve replacement surgeries

Lung isolation

Chest injury

ICD

Pulmonary lobotomy

Thoracoplasty

ASD and VSD closure
• Plastic , Reconstructive & Vascular surgery 5hrs

General principles

The surgical preparation

Positioning

Surgical instruments

Technique

Special considerations

Post-operative care

Cleft lip

Cosmetic Rhinoplasty

Lipo suction

Scar excision /revision Z plasty

Skin grafting

Burns- Acute & reconstructive management
• Paediatric surgery 5hrs

General principles

The surgical preparation

Positioning

Surgical instruments

Technique

Special considerations

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Regulations and Curriculum –B.Sc (A & OTT)


Post-operative care

Urethroplasty

Colostomy

Cystoscopy

Appendicectomy

Practicals: 30 hrs
• Preoperative preparation & consent taking
• Shifting the patient & checking the case records
• Surgical asepsis- Cleaning, scrubbing, gowning & gloving
• Setting of the nurses instrument trolley
• Assisting the surgical management of cases posted for general surgery
• Assisting the surgical management of cases posted for obstetrics & gynaecology
• Assisting the surgical management of cases posted for ophthalmology
• Assisting the surgical management of cases posted for ENT
• Assisting for surgical management of cases posted for Neuro surgery
• Assisting for surgical management of cases posted for Urology
• Assisting for surgical management of cases posted for Cardio thoracic surgery
• Assisting for surgical management of cases posted for Plastic, reconstructive & vascular
surgeries
• Assisting for surgical management of cases posted for Paediatric surgery
• Assisting the surgical management of cases posted for orthopaedics

Scheme of Theory Examination

There shall be one theory paper of three hours duration carrying 80 marks.Distribution of type
of questions & marks for Applied Surgery shall be as given under:

Type of questions No. of questions Marks Sub-total


Long Essay(LE) 3( To answer 2) 2×10 20
Short Essay(SE) 8(To attempt 6) 6×5 30
Short Answer(SA) 12(to attempt 10) 10×3 30
Total marks 80

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Regulations and Curriculum –B.Sc (A & OTT)

Theory Internal Assessment-20marks

Practical Examination-50marks

Marks pattern for practical exams:-


Internal
Practical Exercises Viva- Voce assessment
30 10 10
Grand Total- 50

Books Recommended:
Berry & Kohn’s Operating Room Technique 12th edition Pocket guide to the Operating Room-
Jaypee 3rd edition

Reference books:
Text book of surgery – Bailey and Love

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Regulations and Curriculum –B.Sc (A & OTT)

III Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Emergency Medicine and Critical Care

Theory hours 96
Practical/ Demonstration 30
Clinical posting 139
Lecture 3 Hours per week
Practical/ Demonstration 1 Hour per week
Clinical Posting 4 Hour per week
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to…

CO1: Learn to interact with patient families and break the bad news to the families
CO2: Understand the reactions of patient and family
CO3: Understand universal precautions
CO4: Report patient vital signs with different monitoring systems
CO5: Know the techniques, procedures and treatment of intensive care unit patients
CO6: Understand general care, nutrition and respiratory care of intensive care unit patients
CO7: Learn to manage the hospital acquired infections
CO8: Participate in disaster and triage management and trauma management
CO9: Perform basic life support (BLS) and advanced cardiac life support (ACLS)
CO10: Learn to monitor the patient during inter hospital and intra hospital transport

Objectives:
Students at the end of the course should have knowledge about the following aspects of
Emergency Medicine and Critical Care.
• Overall idea of ICU care, emergency care, and transport of patients.
• Knowledge of techniques, procedures and monitoring of ICU patients.
• General care, nutrition and respiratory care of ICU patients.
• Basic Life Support and some knowledge of ACLS.

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Regulations and Curriculum –B.Sc (A & OTT)

Unit -1 20hrs
Introduction/ General Concepts 10hrs
• Life & death in ICU: Ethical consideration
• Understanding reactions of patients & families
• Breaking bad news to patients
• Informed consent
• Judicial involvement in end of life decisions
• Collaborative care: Physician & nursing interactions & the fundamentals of a successful
unit
• Universal precautions : Protecting the practitioner
• Intra hospital transport of critically ill patients
• ICU planning: space & personnel

Monitoring & Diagnostic Procedures in ICU 10 Hrs


• Invasive pressure monitoring: general principles
• Non-invasive cardiovascular monitoring
• Hemodynamic monitoring :Arterial& Pulmonary artery catheters
• Monitoring tissue perfusion & oxygenation
• Bedside assessment & monitoring of pulmonary function & power of breathing in the
critically ill
• Echocardiography- point of care
• Blood volume measurements in critical care
• Radiologic imaging & bedside ultrasound in the intensive care unit
• Neuro imaging of the critical care patient
• Intensive care unit, point –of –care testing

Unit-2 20hrs
Techniques, Procedures & Treatment 9hrs
• Clean & aseptic techniques at the bed side
• Vascular Cannulation

Central venous

Arterial
• Temporary cardiac pacemakers
• Important intensive care procedures
• Feeding tube placement
• Urinary catheter & Endotracheal tube care
• Blood & blood products transfusion

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Regulations and Curriculum –B.Sc (A & OTT)

• Tracheostomy & care of tracheotomised patient


General Care of the Patient in ICU 5hrs
• Bed care
• Eye care
• Bladder care
• Care of mechanically ventilated patient
• Vascular lines- arterial, venous line
• Intensive spirometry
Nutrition and Toxicology 6hrs
• Nutritional issues
• Fluid balance
• Parenteral nutrition
• Practical aspects of TPN & enteral nutrition
• Toxicology
• Substance abuse &withdrawal : Alcohol ,cocaine, opioids & other drugs
• Transfusion reactions

Unit-3 15hrs
The Surgical Patient 7hrs
• Initial management of the trauma patient
• Secondary & tertiary triage of the trauma patient
• Surgical & post-surgical bleeding
• Abdominal trauma: Nonoperative management & postoperative considerations
• Evaluating the acute abdomen
• Burn injury : Thermal & electrical
• Daily dressing of the infected wounds
Infectious Disease 8hrs
• The role of antibiotics in the management of serious hospital acquired infections
• An approach to the febrile ICU patient
• Surgical infections
• Skin wounds & musculoskeletal infection
• Catheter related Blood stream infections
• Human immune deficiency virus in the intensive care intensive care unit
• Bed sore management

Unit-4 15hrs
Respiratory Disorders 6hrs
• Mechanical ventilation

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Regulations and Curriculum –B.Sc (A & OTT)

• Non-invasive ventilatory support modes


• Invasive ventilatory support modes-basic modes
• Weaning from mechanical ventilation-criteria
• Oxygen therapy & basic respiratory care
• Aspiration
• Severe asthma
• Acute respiratory failure in chronic obstructive pulmonary disease
• Chest physiotherapy, positioning for drainage & respiratory exercises
Neurologic Disease & Dysfunction 4hrs
• Sedation score
• Elevated intracranial pressure
• Altered consciousness & coma in the ICU
• Seizures & status epilepticus
• Neurological evaluation /monitoring

Glasgow coma scale
Cardiovascular Disease & Dysfunction 3hrs
• Cardiovascular failure

Ionotropic support

Vasodilator drugs
• Evaluation of chest pain & acute coronary syndrome in the ICU
• Arrhythmias
Specialized Management Issues: Disaster Management 2hrs
• Mass casualty incidents: Organizational & triage management issues that impact critical
care
• Disaster response
• Code yellow

Unit-5 20hrs
• Resuscitation 5hrs

ABC

BLS-CAB

ACLS

Algorrhythms

• Transportation 15hrs

Basic principles & management

Trauma management

Disaster management

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Regulations and Curriculum –B.Sc (A & OTT)

- Primary & secondary survey


- Triaging

Prehospital care

Indications for transfer

Modes of transfer

Patient safety during transport

Monitoring during transfer

Cervical spine injury & patient transfer

Patient transfer
Types- Interhospital & Intrahospital

Transport personnel, preparation, Hand over

Practical/Demonstration: 30hrs
• Universal precautions in ICU
• Hand hygiene
• Understanding reactions of patients and families
• Informed consent
• Patient care in ICU
• Setting of peripheral line 102atheterization tray
• Setting of emergency airway equipments trolley
• Setting of emergency drug trolley
• Setting of ventilator
• Setting of Infusion pumps
• Setting of defibrillator
• Setting and preparation for arterial blood pressure monitoring line
• Setting and preparation of tracheostomy set
• Setting of CVP monitoring set
• BLS and ACLS in ICU
• Parenteral nutrition in ICU

Scheme of Theory Examination

There shall be one theory paper of three hours duration carrying 80 marks. Distribution of
type of questions & marks for Emergency medicine and critical care shall be as given
under:

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Regulations and Curriculum –B.Sc (A & OTT)

Type of questions No. of questions Marks Sub-total


Long Essay(LE) 3( To answer 2) 2×10 20
Short Essay(SE) 8(To attempt 6) 6×5 30
Short Answer(SA) 12(to attempt 10) 10×3 30
Total marks 80

Theory Internal Assessment-20marks

No practical examination

Books Recommended:
Civetta, Taylor &Kirbey’s Critical care
Critical care- Paul Marino
The ICU book-Schumacher
Text book for Operation Room Technicians- Pramila Bhalla

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Regulations and Curriculum –B.Sc (A & OTT)

III Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Speciality Anaesthesia

Theory hours 96
Practical/ Demonstration 30
Clinical Posting 139
Lecture 03 Hours per week
Practical/ Demonstration 01 Hour per week
Clinical Posting 04 Hours per week
Method of Assessment Written examination

COURSE OUTCOMES

At the end of the course students will be able to...

CO1: Assist in anaesthetic management of different surgical procedures


CO2: Know anaesthetic implications in different medical conditions
CO3: Understand the anaesthetic implications in laparoscopic surgeries
CO4: Understand the anaesthetic implications in major gastro intestinal surgeries
CO5: Know anaesthetic implications in plastic and reconstructive surgeries
CO6: Understand the anaesthetic implications in orthopaedic surgeries
CO7: Know anaesthetic implications in endocrine diseases
CO8: Learn special considerations and postoperative care in thoracic surgeries
CO9: Know anaesthetic implications in cardio vascular diseases

Objectives:
Students at the end of the course should have knowledge about the following aspects of
Speciality Anaesthesia.
• Assistance in anaesthetic management of different surgical procedures.
• Basic knowledge of anaesthetic implications in different medical conditions.

Unit-1 14hrs
• Anaesthesia for Laparoscopic surgeries

Preanaesthetic evaluation

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Regulations and Curriculum –B.Sc (A & OTT)


Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care
• Major GI surgeries

Preanaesthetic evaluation

Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post - operative care
• Gynaecological & obstetric procedures

Preanaesthetic evaluation

Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care
• Urologic procedures

Preanaesthetic evaluation

Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care

Unit-2 13hrs
• Orthopaedic surgery including replacements & arthroscopies

Preanaesthetic evaluation

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Regulations and Curriculum –B.Sc (A & OTT)


Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care
• Neurosurgery traumatic head injuries, craniotomies & aneurysm surgeries

Preanaesthetic evaluation

Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care
• Ophthalmic surgery including phaecoemulsification & retinal surgeries

Preanaesthetic evaluation

Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care

Unit-3 18hrs
• Plastic, Reconstructive & Vascular surgery

Preanaesthetic evaluation

Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care
• ENT surgeries including microsurgeries & laser surgeries

Preanaesthetic evaluation

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Regulations and Curriculum –B.Sc (A & OTT)


Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care
• Thoracic surgery

Preanaesthetic evaluation

Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care
• Cardiac surgeries on bypass & on beating heart

Preanaesthetic evaluation

Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care

Unit-4 15hrs
• Organ procurement & transplantation

Preanaesthetic evaluation

Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care
• Paediatric surgeries

Preanaesthetic evaluation

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Regulations and Curriculum –B.Sc (A & OTT)


Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication
• Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care
• Maxillofacial surgeries

Preanaesthetic evaluation

Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care
• Major cancer surgeries

Preanaesthetic evaluation

Preoperative preparation

Planning for anaesthesia techniques

Pre anaesthetic medication

Intra operative anaesthetic management

Special considerations

Recovery

Post-operative care

Unit-5 30hrs
• Anaesthetic implications in medical conditions

Anaesthesia and Obesity

Anaesthesia and geriatrics

Anaesthesia and endocrine diseases (including DM)

Anaesthesia and trauma

Anaesthesia and burns

Anaesthesia and haematological disorders

Anaesthesia for Renal diseases

Anaesthesia for Respiratory diseases

Anaesthesia for Cardio vascular diseases(including hypertension)

Anaesthesia for Liver diseases

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Regulations and Curriculum –B.Sc (A & OTT)


Anaesthesia for Central nervous system diseases

Anaesthesia for Neuromuscular diseases

Practicals: 30 hrs
• Preparation & loading of common anaesthesia drugs
• Preparation & loading of emergency drugs including infusions
• Dosage of common anaesthesia & emergency drugs
• Setting of emergency drug trolley
• Setting of airway management equipments
• Setting difficult airway equipments including difficult airway cart & Fiberoptic
bronchoscope
• Checking of anaesthesia machine & drill ( check list )
• Checking of breathing circuits, vaporisers, ventilators, defibrillators & suction machine
• Positioning for different surgical procedures
• Fluids
• Positioning for spinal , epidural anaesthesia and general anaesthesia
• Care of anaesthetized patient
• Assisting the anaesthesiologists in anaesthesia management of different specialized
surgical procedures

Scheme of Theory Examination

There shall be one theory paper of three hours duration carrying 80 marks. Distribution of
type of questions & marks for Speciality Anaesthesia shall be as given under:

Type of questions No. of questions Marks Sub-total


Long Essay(LE) 3( To answer 2) 2×10 20
Short Essay(SE) 8(To attempt 6) 6×5 30
Short Answer(SA) 12(to attempt 10) 10×3 30
Total marks 80

Theory Internal Assessment-20 marks

No Practical Examination

Books Recommended:
Short text book of anaesthesiology- Ajay yadav
Stoelting’s Anaesthesia & Co-existing diseases

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Regulations and Curriculum –B.Sc (A & OTT)

Handbook of clinical anaesthesia- Paul


Lee a. Fleisher’s Anaesthesia and uncommon diseases
Reference books:
Miller’s anaesthesia-Miller
Wylie and Churchill- A practice in anaesthesia –Thomas E J Healy,
Paul R Kight Morgan and Mikhail's Clinical Anesthesiology

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Regulations and Curriculum – B.Sc (A & OTT)

III Year B. Sc. Anaesthesia and Operation Theatre Technology


Subject: Biostatistics
Theory hours 30
Practical/ Demonstration/ clinics ----
Lecture 01Hour per week
Practical/ Demonstration/ clinics -----
Method of Assessment Written examination

Course Description:
Introduction to Basic Statistical Concepts.
Methods of Statistical Analysis; And Interpretation of Data
Behavioural Objectives
Understands Statistical Terms.
Possess Knowledge and Skill in the use of Basic Statistical and Research Methodology.

COURSE OUTCOMES
At the end of the course students will be able to...

CO1: Understand the Importance of statistics course in the curriculum


CO2: Possess Knowledge and Skill in the use of Basic Statistics in the analysis and
interpretation of data

Unit 1 2Hrs.
Introduction: Meaning, Definition, Characteristics of Statistics; Importance of the Study of
Statistics. Branches of Statistics; Descriptive and Inferential Statistics; Variables and their
Types. Different Measurement Scales

Unit 2 3Hrs.
Tabulation of Data: Raw Data, the Array, Frequency Distribution .Basic Principles of
Graphical Representation; Types of Diagrams - Histograms, Frequency Polygons, Smooth
Frequency Polygon, Commutative Frequency Curve, Ogive, Normal Probability Curve.

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Regulations and Curriculum – B.Sc (A & OTT)

Unit 3 7Hrs.
Measure of Central Tendency: Need for Measures of Central Tendency; Definition and
Calculation of Mean; Ungrouped and Grouped Meaning, Interpretation and Calculation of
Median Ungrouped and Grouped data; Meaning and Calculation of Mode; Comparison of
Mean, Median and Mode; Guidelines for the Use of Various averages.

Unit 4 8Hrs.
Measure of Variability: Need for Measure of Dispersion. The Range, the Average Deviation,
Variance Standard Deviation and relative measures each measures; Calculation of Variance
and Standard Deviation, Ungrouped and Grouped. Properties and Uses of Variance

Unit 5 4Hrs.
Probability and Standard Distributions: Meaning of Probability of Standard Distribution,
Binominal Distribution. Normal Distribution; Divergence from Normality – Skewness,
Kurtosis.

Unit 6 4Hrs.
Sampling Techniques: Need For Sampling - Criteria for Good Samples. Application of
Sampling in Community studies, Simple and stratified sampling.

Unit 7 2Hrs.
Health Indicator: Importance of Health Indicators in Population study, Morbidity, Mortality,
Health Services. Calculation of Rates and Rations of Health indicators.

Examination:
There shall be an examination for 100 marks at the end of the academic year, which will be
conducted by the college.

Scheme of Theory Examination:


There shall be an examination for three hours duration carrying 100 marks.

Internal Assessment:
There shall be no internal assessment in the subject of Biostatistics.

Recommended Books:
1. Rao.N.S.N: Elements of Health Statistics
2. Sunder Rao.P.S.S: An introduction of Biostatistics:
3. B.K. Mahajan: Methods in Bio-Statistics

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Regulations and Curriculum – B.Sc (A & OTT)

4. Inderbir Singh: Elementary Statistics in Medical Workers


5. Gupta C.B: An Introduction to. Statistical Methods, Ram Prasad & Sons
6. B.K. Mahajan & M. Gupta : Text Book of Preventive & Social Medicine, Jaypee Brothers

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