Faculty of Allied Health Sciences

Master of Science in

operation-theatre

Technology

Syllabus

Guidelines for competency based Postgraduate training programme

for M.Sc. in operation -Theatre Technology

Preamble:

The purpose of PG education is to create specialist technicians who would provide high quality health care and advance the cause of science through research & training. The competency-based

training programme aims to produce a post-graduate student who after undergoing the required training should be able to deal effectively with the needs of the community and should be competent to handle all problems related to his/her specialty including recent advances. The

student should also acquire skill in teaching of medical/para-medical students in the subject that he/she has received his/her training. He/she should be aware of his/her limitations. The student is

also expected to know the principles of research methodology and modes of accessing literature. The purpose of this document is to provide teachers and learners illustrative guidelines to achieve defined outcomes through learning and assessment.

An operation theatre (OT) technologist forms an intrinsic part of any hospital. He / she is

a member of a multidisciplinary team in operation theatres who plays an active role in smooth

functioning of operation theatre complex. He / she assists anaestheliologist and surgical team

during perioperative period and provides support to patients in PACU. He / she plays an

important role in advance preparation of equipments that are necessary for various anaesthesia /

surgical procedures. He/she also looks after all the work and management of the OT which

includes managing the patients in & out of operation theatre (including PACU), care and

maintenance of all the OT equipments as well as management of the staff and proper

documentation.

As the surgical branch has various subspecialties including General Surgery, Eye, ENT,

Obstetric and Gynaecology, Cardiac, Ortho , Genito-urinary, Neuro and Reconstructive

surgeries, the OT technologist needs to know about these various subspecialties. Moreover, a

variety of electrical and electronic equipments are in use in modern operation theatres for

monitoring anesthesia & surgical procedures. The success of the procedures and safety of

patients depend largely on the reliability, smooth and trouble free performance of these

equipments and ability of skilled manpower to operate the same. Thus, there is increased need

for qualified and trained OT technologists not only in India, but also in other developing

countries. This course is aimed at satisfying this need.

At present, in our country, very few universities are generating health professionals

specialized in OT technology. This OT technology Programme promises to generate OT

professionals having extensive and elaborate knowledge in the fields of OT technology, both in

theory and practical, with emphasis on handling and maintenance of costly electro-medical

equipments.

Subject Specific Objectives

• Hands on training on all anaesthesia and surgical equipments like anaesthesia machine, monitors, different surgical instruments, laparoscopy equipments, ventilator etc.

• Training in aseptic techniques. • Exercise empathy and a caring attitude towards patients. • Maintain professional integrity, honesty and high ethical standards.

• Capability of handling adverse reactions and emergencies in OT and PACU. • Demonstrate skills in maintenance of equipments and proper documentation.

• Be a motivated „teacher‟ - defined as one keen to share knowledge and skills with a colleague or a junior or any learner.

Subjects Specific Competences

• Cognitive Domain By the end of the course, the student should have acquired knowledge, professionalism and skills as given below;-

1st Semester:

Basics of Human Anatomy & physiology, like - Surface anatomy , various viscera,

important structures/ organs , locations and functions of different systems of body. Also, basic idea about different pathological and microbiological aspects. Basics of biochemistry like- Fluids and Electrolyte, Acid Base Balance, Nutrients and Minerals, etc. They should also know basics

of clinical pharmacology with emphasis on applied aspects . Apart from this, knowledge of basic principles of physics relevant to OT & ICU and basic training on computers will also be

imparted .

2nd

Semester:

Basics of anaesthesia , drugs and equipments including handling and maintenance, basic

knowledge of functioning of CSSD and proper handling of machines used in CSSD. Basics of surgery: Genral surgical procedures ,instruments ,and aseptic technique in operation theatre.

Basic knowledge of medicine including diseases associated with organs and systems and also important aspects of medical ethics.

Knowledge of Biostatistics including data collection , sampling, compiling, etc to help

them to do research work, making graphs, diagrams etc. Knowledge Hospital Management will help them to build self confidence level and they will be aware of their responsibilities and thus

can provide good quality patient care.

3rd

Semester :

Basic knowledge of Anaesthesia Delivery System and Devices so they can handle the anaesthesia equipments confidently. They should know how to handle other equipments like OT

lights, OT table, C –arm, diathermy, etc. Knowledge of Basic Procedures and Techniques like IV canulation, central venous catheterization, arterial cannulation, intubation, assisting in various anaesthetic procedures, bandaging , tourniquet system, making of various dilutions of drugs used

in in OT and ICU. Basic knowledge of instruments used in various specialities of surgery , laying of

trolley and careful handling of specialised equipments. A proposal for research project defining the methodology, and design of the experiments needed, etc will be submitted in the third semester.

4th

Semester

Special training on anaesthesia related to advanced surgical procedures, ICU procedures, etc will be imparted. The student should submit a draft of the completed research project to the

advisor before the end of the fourth semester. Research project improves the skills of the student in a particular field of interest, and can help in his future growth.

• Affective Domain

1. Should be able to function as a part of a team, develop an attitude of cooperation with colleagues, and interact with the patient and the clinician or other colleagues to provide

the best possible management. 2. Always adopt ethical principles and maintain proper etiquette in dealings with

patients, relatives and other health care personnel and to respect the rights of the patient including the right to information, privacy and second opinion.

3. Develop communication skills to interact efficiently with patients, relatives, peers and superiors.

• Psychomotor domain

Clinical Procedures Handlings – Development of skill , precision, speed, and coordination

Basic Anaesthesia Techniques and Monitoring:

-Preparations of Drugs used for premedication, GA, RA, pain relief and periop care. -Skilled use of laryngoscope, endotracheal tubes, airways, LMAs, AMBU bag ,suction

catheters, etc. -Preop preparation of patients and checklist of anaesthesia trolley.

-Handling and maintenance of various equipments used in OT -Handling and maintenance of multi parameter monitors, setting alarm limits.

Basic Surgical Techniques:

-Skill in management of haemorrhage, tourniquet application, skin preparation

-Identification and use of various surgical instruments, suture materials, cautery machine etc. -Aseptic techniques, drainage of abscess.

Sterilisation Procedures:

-Techniques of sterilisation of OT: Fumigation, fogging, Disinfection, carbolisation, -Handling and maintenance of various machines used in CSSD, aseptic storage, documentation.

-Practical training on different methods of decontamination of instruments.

Anaesthesia delivery Systems and Basic Procedures:

-Handling of anaesthesia machine, monitors, cylinders, ventilators, Breathing systems, etc

-Expertise in using NG tube, LMA, airways, masks, AMBU bag, IV cannula. Foley‟s catheter.

-Assisting in inserting CVP line, arterial line, intubation, resuscitation. defibrillation. -Pre op and post op care of patients, Check list of Do‟s and Don‟ts, GA & RA trays.

Preparation for various surgeries:

-Preparation of trolleys for all types of surgeries, Positioning of patients

-Handling of OT table, OT lights, C arm, specialised surgical instruments. -Handling, Maintenance and disinfection of endoscopic equipments

Anaesthesia for Speciality surgeries and Intensive Care:

-Special preparations for anaesthesia for patients with co-morbidities.

-Precautions during ECT, MRI, angiography, extremes of age, unstable patient -Use of specialised equipments for specialised surgeries, Emergency drugs used in ICU.

-Care of unconscious patient, patient on ventilator, use of infusion pumps, IV fluids -Preparing various drug dilutions, setting infusion rates, drip rates; ABG analysis

TEACHING AND LEARNING METHODS

Apart from didactic lectures, seminars, journal clubs (Understanding of Articles),

reviews, guest lectures and CME should also get priority for acquiring theoretical knowledge. On the spot teaching, equipment handling, interactive group discussions and clinical demonstrations play important role in practical learning. Students should have hands-on training in performing

various procedures and ability to interpret results of various tests/investigations. Exposure to newer specialized diagnostic/therapeutic procedures should be given even outside the campus if

required. Use of audio visual aids should be done as and when required. The training techniques and approach should be based on principles of andragogy. It

should provide opportunities initially for practicing skills in controlled or simulated situations.

The more realistic the learning situation, the more effective will be the learning. Clinical Postings/training should include measures for assessing competence in skills being taught and

providing feedback on progress towards a satisfactory standard of performance.

The following guideline to various teaching/learning activities that may be employed:

• Dedicated Lectures on PPTs. • Student-Interactive Session

• Problem Based Learning. • Project Based Learning. • Focus/Spot Group Discussion

• Students Seminars • Demonstrations of equipment‟s

• Taking or Handling classes of Graduate Students

• Intradepartmental CME‟s, Guest Lectures etc. • Twice/Thrice Students Presentations on Different subjects related Topics

• Taking them in Conferences, Seminars. • Skills Training

• Article Learning • Research Projects • Assignments

• Weekly rotational clinical postings. • Weekly and Monthly Tests.

Structured training

Time Period Description/ Levels Content Responsibilities

1st Month Orientation Basic Skills , technical terms

Combined Duties Supervise Procedures

1st Semester Average applied

knowledge of basic Subjects

Knowledge of Basic

anatomy, physiology, pathology,

microbiology, physics, computer

Learning the basic

sciences related to OT. Learning through

individual departments

2nd Semester -Basic knowledge of Applied medicine,

Anaesthesia techniques, surgical

procedures, sterilisation, statistics - CSSD procedures,

storage of sterile equipments,

documentation. -Lessons on Biostatistics, Hospital

management

Periop care, drugs, equipments, setting of

trolleys, sterilisation, emergency drugs

-Basic surgical techniques, instruments and

handling. -Functioning of

CSSD, sterilization techniques, Methods of decontamination,

Lectures, Independent Posting/Duties,

practical training, seminars,

Weekly presentations

3rd Semester Knowledge of various equipments used in

OT, instruments and trolleys for various sub specialities of

surgery. -Common procedures

-Life saving skills -Role of technician in various sections of OT

Theory and practical training on

Anaesthesia techniques, various types of surgeries.

-Types of surgeries and equipments used,

-Maintenance of equipments

Lectures, Independent Postings/Duties, -

Practical training, -Seminars, -Weekly presentations

-Monthly tests -Allocation of

Research Project

4th Semester Familiarisation with

Advanced anaesthesia techniques, ICU care

-Special skills in OT

and ICU -Specialised training

on preparations for anaesthesia for speciality surgeries.

Research Project completion

-Lectures /

demonstrations, -Practical training.

-Research Projects under adviser, Literature Reviews

Scope of the Ordinance:

• M.Sc. (Operation Theatre Technology)

• Duration of the Courses:

The duration of all M.Sc. courses mentioned above shall be of two academic years consisting of

four (4) semesters (15-17 weeks) under Choice Based Credit System (CBCS). On successful completion of all the four semesters, the student will be awarded M.Sc. degree with the

nomenclature given under Clause (1) above. The student shall complete the course within a

maximum period of 4 years from the date of admission to the first semester, failing which he/she will be disqualified from the course.

• Admission to the Course:

Admission to the Allied Health Sciences courses shall be made in accordance with the terms and conditions as prescribed in Chapter 2 of the First Ordinance of SGT University, Gurugram as amended from time to time.

• Eligibility for Admission:

For admission to the 1st Semester of M.Sc. courses, the candidate shall fulfill the following criteria:

M.Sc. (Operation

Theatre Technology)

Must have passed B.Sc. (Operation Theatre Technology)/ B.Sc.

(Anesthesia Technology) or equivalent degree course from recognized University

(ii) Schedule of admission and payment of fees:

The admission schedule, along with last date for submission of admission forms and payment of fees, shall be fixed by the Vice-Chancellor from time to time.

• Mode of Selection of Candidates for Admission:

The admissions will be made as per the following criteria:

Sr. No. Criteria Condition

1 On the Basis of the Merit of the qualifying

Examination.

If the no. of applicants is up to 3

times of the intake

2 On the Basis of the Merit of the Entrance Examination.

If the no. of applicants is more than 3 times of the intake

• Scheme of Examinations, distribution of marks, credit system and syllabus:

The Scheme of Examinations, distribution of marks in various papers along with the credit system and the syllabi of the M.Sc. courses shall be as approved the by Board of Studies/ Academic

Council from time to time.

• Medium of Instruction:

The medium of instruction and examination shall be English for all the courses.

• Attendance Requirements/Eligibility to Appear in Examination: The student should fulfill the following criteria to be eligible for appearing in the End Term

Semester Examination: • He/She should bear a good moral character. • He/She should be on the rolls of the Faculty during the Semester.

• He/She should have 75% of the attendance during the respective year. • The deficiency in the attendance, both in theory and practical may be condoned by

the Dean/ Director of the Faculty up to 5%. • The deficiency may be further condoned by the Vice Chancellor in cases of

exigencies/ extreme circumstances.

• The student, who fulfills the conditions laid down under (i) to (ii) above for one or more subjects and not for the other(s), will be allowed to take examination only in

such subject(s) in which he/she fulfills the conditions.

• He/she should not be a defaulter in payment of any dues of the SGT University and no disciplinary action is pending against the student.

• Exemption from Attendance / Shortage of attendance to be condoned:

The relaxation in shortage of attendance shall be given as per the following rules:

Sr. No Exemptible No. of Lecture

Ground of Exemption Competent Authority

1 All periods of the day

of donation

Voluntarily blood donation to the

Blood Bank.

Dean of the

Faculty

2 All periods of the day of Examination

For appearing in the supplementary examinations (Theory/ Practical/ Viva-

voce)

-do-

3 10 days attendance during a semester

For participation in University or Inter-Collegiate Sports Tournaments/ Youth Festivals, Cultural events/NCC/

NSS Camps/ University Educational Excursions/ Mountaineering Courses

-do-

4 15 days attendance

during a semester

For participation in Inter-University

Sports Tournaments/ Youth Festivals

-do-

Provided:

• that he/she has obtained prior approval of the Dean, Faculty of Allied Health Sciences;

• that credit may be given only for the days on which lectures were delivered or

tutorials or practical work done during the period of participation in the aforesaid events.

• Attendance Shortage Warning:

Attendance shortage warning will be displayed on the Faculty‟s Notice Board and/or University

Website regularly.

10. Detained students:

If a student has less than 75% attendance in any course / paper during the respective semester, as

provided in Clauses 7-8 he/she will not be eligible for appearing in the End Term Semester

Examination in that particular paper and will be deemed as Detained in that paper. Such student

will repeat the course/paper along with the regular students of the subsequent batch to

qualify/fulfil prescribed conditions to appear in the “End Term” examination of the course/

paper.

11. Submission of Examination Forms and Payment of Examination Fee:

The Dean, Faculty of Allied Health Sciences shall submit the examination admission fo rms of

those students who satisfy the eligibility criteria to appear in the examinations along with the prescribed examination fee to the Controller of Examinations as per schedule of examination circulated by the Controller of examinations from time to time.

12. University Examinations:

(i) End Term Semester Examinations: The examination for the 1st and 3rd semesters (Odd Semesters) shall ordinarily be held in the month of December and of the 2nd and 4thsemesters (Even Semesters) in the month of May/June.

(ii) Fail/ Reappear candidates:

Fail / re-appear candidate of the odd semesters (1st& 3rd) will take re-appear exams as an ex-student in the subsequent exams of the odd semesters (1st & 3rd). Similarly, for the even semesters (2nd & 4th), he/she will take re-appear exams in the subsequent exams of the even

semesters (2nd&4th). However, a candidate appearing in the 4thsemester examination (Regular) may appear simultaneously in his/her re-appear paper(s) of lower semesters.

(iii) Improvement Examination:

After passing all the semesters, a student may appear as an ex-student for improvement of his CGPA for the following purpose:

• Improvement of CGPA equal to 2nd division. • Improvement of the CGPA equal to 55% (aggregate of all the semester) • Improvement of CGPA equal to 1st division.

• For improvement, only one chance for each semester will be given within a period of two years of initially passing of the final examination.

• If a candidate appears for improvement and the status/nature of his/her

final result does not improve, his/her improvement result will be declared “PRS” (Previous Result Stands).

• The candidate shall be allowed to appear in the improvement

examination(s) along with regular candidates as and when the course is offered. No separate examination will be held for improvement of

division/grade. In case of change of syllabi, the student shall have to appear for improvement in accordance with the changed syllabi of the concerned course applicable to the regular students of that exam.

13. Distribution of Marks:

The distribution of marks shall be as prescribed in the Scheme of Examinations approved by the Board of Studies/Academic Council of the University.

14. Setting of Question Papers:

• (i) The Dean of the Faculty shall supply the panel of internal and external examiners

duly approved by the Board of Studies to the Controller of Examinations. The

paper(s) will be set by the examiner(s) nominated by the Vice-Chancellor from the

panel of examiners. Internal question bank will also be created and submitted to the

controller of examination sticking to the domain of syllabus for use in regular and

supplementary examination.

• The question paper will be moderated by committee who are proficient in the subject

in the office of controller of examination. The moderation will be done to assure that

no question is out of syllabus and there is no mistake in the question and the

committee will amend/correct the paper accordingly.

(iii) Papers of subsidiary subjects will be set and evaluated by the internal examiners.

• An examiner shall be allowed to set not more than three papers in a semester examination.

• The examiner(s) will set the question papers as per criteria laid down in the Scheme of Examinations as approved by the Board of Studies/Academic Council of the University.

15. Appointment of Examiners:

The examiners will be appointed as per the following guidelines with the approval of the Vice-

Chancellor: • An internal/external examiner should be of the level of an Assistant

Professor/consultant/equivalent or above in the respective subject in a University/Institute/College/hospitals with a minimum experience of 02 years.

• One external and one internal examiner will jointly conduct the practical examination.

• External examiners shall not be from the same University and should preferably be from outside the State/University.

• External examiners shall rotate at an interval of 2 years.

16. Evaluation Process – Theory, Practical, project & Internal Assessment Exams:

(A) Evaluation of Answer Books:

The answer books shall be evaluated either by the paper setter or any other internal or external

examiner to be nominated by the Controller of Examiners with the approval of the Vice-

Chancellor from the panel of examiners approved by the Board of Studies.

Centralized assessment programme (CAP) may be adopted for evaluation of the answer papers at

central area in the examination branch.

(B) Re-evaluation of Answer Books:

Re-evaluation/ rechecking of any paper is allowed. The students can apply for Re-evaluation/

Re-checking of any paper through the HoD/ Dean of the Faculty within 10 days of the

declaration of the result by paying prescribed fee.

(C) Internal Assessment:

• Theory paper: The internal assessment marks shall be assigned to each theory paper as per scheme of examination which shall be awarded as per the criteria given below:

Distribution of 25 marks: Distribution of marks (e.g. 20):

• Attendance/discipline = 20% marks (4)

• Weekly/monthly Test = 20% marks (4)

• Sessional 1 = 20% marks (4)

• Sessional 2 = 20% marks (4)

• Tutorials/Quiz/ =20% marks (4)

seminars/regular

observations--

• Practical paper: The Internal Assessment for practical paper shall be awarded as per

the criteria given below:

Sr.

No.

Criteria Weightage Distribution of marks of Internal

Assessment (As per scheme of examination)

Out of 10 Out of 25 Out of 40

1 Attendance/Discipline 20% 2 5 8 2 Regular day to day l performance 20% 2 5 8

3 1st Sessional Practical Exam including

Viva-voce 20% 2 5 8

4 2nd

Sessional Practical Exam including Viva-voce

20% 2 5 8

5 OT work report / clinical training 20% 2 5 8

iii) Project/ Dissertation (out of 50): The Internal Assessment for project/ dissertation

shall be awarded as per the criteria given below: (a) Attendance/Discipline = 10 marks

(b) Regular performance assessment = 14 marks (c) Pre-submission report = 14 marks (d) Pre-submission presentation = 12 marks

(iv) In case of ex-students, those appearing for re-appear/ improvement examination, their previous Internal Assessment marks will be counted or they may be reassessed if they so desire, but this relief will be for one time only and he will be assessed for forty percent of marks and his assessment on account of attendance/discipline , weekly Test / Monthly test/Assignment/Quiz/Seminar etc. will stand same as before. If his internal assessment does not improve, previous internal assessment will be counted.

(v) The concerned teacher shall preserve records on the basis of which the Internal

Assessment has been awarded and shall make the same available to the Controller of Examinations whenever required.

(vi) The Head of the Department/ Dean of the Faculty shall ensure that the internal assessment marks are submitted to the Controller of Examinations as per schedule circulated by Controller of Examination.

(D) Practical Examinations:

(i) Appointment of Examiner: (1) The practical examinations shall be conducted by a Board of two

Examiners consisting of one internal and one external examiner to be

nominated by the Vice-Chancellor from the panel of examiners recommended by the Board of Studies.

(2) Marks Distribution: The distribution of marks in examination of the practical paper will be as per the criteria given below:

(a) Experimental performance = 60% marks (b) Viva-Voce = 30% marks

(c) OT work report = 10% marks

(ii) Comprehensive Viva-Voce:

The comprehensive Viva-Voce for Project/dissertation shall be conducted by a Board of Two Examiners consisting of one internal and one external examiner to be nominated by the Vice-Chancellor from the panel of examiners recommended

by the Board of Studies. Evaluation of the Project Report /Dissertation will be done by the External examiner.

(E) Evaluation of Project:

(i) Topic and Appointment of Guide/Supervisor

Each student who opts for a Research Paper /Project Report etc. will be assigned a Teacher as Guide/ Supervisor from the Faculty of Allied Health Sciences. Topic

of the Research Paper/ Project Report will be as approved by the Dean of the Faculty on the recommendation of the Teacher Guide/Supervisor.

(ii) Evaluation /Viva Voce:

The student will submit the Project Report in the form of Dissertation on completion of the 4thsemester but before 15th April, failing which it will be acceptable only with late fee of Rs. 1000/- up to30th April. It will be got evaluated

in accordance with above mentioned 16D (ii).

17. Criteria for Promotion to Higher Semester:

The student shall be promoted to 2nd and 4th semester automatically without any condition of passing minimum number of papers. For promotion from 2nd to 3rd Semester, the student shall

have to clear at least 50% papers of 1st and 2nd semesters taken together.

18. Credit Based Grading System:

• Grading Method

• The grading system will be adopted on a 10 point scale. The grades will be awarded

based on marks out of 100 and will be converted into grades as under:

S.No. Relative grading w.r.t. the marks obtained

in a paper/course

Letter Grade Value

(Corresponding performance )

Grade Point

1 90% or more O (Outstanding) 10

2 80% or more but less than 90% A+ (Excellent) 9

3 70% or more but less than 80% A (Very Good) 8

4 60% or more but less than 70% B+ (Good) 7

5 50% or more but less than 60% B (Above Average) 6

6 45% or more but less than 50% C (Average) 5

7 40% or more but less than 45% P (Pass) 4

8 Less than 40% F (Fail) 0

9 Absent / Detained Ab (Absent) /Detained 0

Grade „F‟ student may re-appear in that paper in the subsequent examination for that semester

(ii) Calculation of SGPA & CGPA

SGPA is calculated by dividing the sum of „Credit Points‟ in a Semester divided by the sum of „Course Credits‟ in that Semester.

CGPA is calculated by dividing the sum of „Credit Points‟ by the sum of „Course Credits‟ of the current semester + all pervious semesters.

Hypothetical Example for Computation of SGPA and CGPA:

Let us assume that Mr. X has registered for four courses in the 1st semester and his performance in these courses in this semester is given in the Table below:

Course/Paper Code

Course Credit Grade Awarded to the Student

Grade Value Credit Points

Course/Paper I 4 A+ 9 36

Course/Paper II 4 A 8 32

Course/Paper III 4 B 6 24

Course/Paper IV 4 B+ 7 28

TOTAL 16 30 120

Calculation of SGPA:

„Credits‟ of the Courses registered by Mr. X in 1stSemester = 16 „Credit Points‟ of Mr. X in 1stSemester = 120

SGPA of 1stSemester (120/16) = 7.5

Calculation of CGPA:

„Credits‟ of the courses registered by Mr. X in 2ndSemester = 16 „Credit Points‟ of Mr. X in 1stSemester = 120

CGPA of 1stSemester (120/160) = 7.5

Let us, now, assume that the Mr. X has performed in 2ndSemester as under :

Course/Paper Code

Course Credit Grade Awarded to the Student

Grade Value Credit Points

Course/Paper V 4 C+ 5 20

Course/Paper VI 4 C 4 16

Course/Paper VII 4 A+ 9 36

Course/Paper VIII 4 B+ 7 28

TOTAL 16 25 100

Calculation of SGPA of 2ndSemester: „Credits‟ of the courses registered by Mr. X in 2nd Semester = 16

„Credit Points‟ of Mr. X in 2ndSemester = 100 SGPA of 2nd Semester (100/16) = 6.25

Calculation of CGPA upto 2ndSemester: „Credits‟ of the courses registered Mr. X in

1st& 2nd Semesters (16+16) = 32 „Credit Points‟ of Mr. X in 1st& 2ndSemesters (120+100) = 220

CGPA upto2nd Semester (220/32) = 6.87

19. Pass criteria and grading system:

The minimum percentage of marks to pass the examination will be 40% in theory examination and practical examination separately (including internal assessment).

20. Declaration of Results: (i) As soon as possible, after the semester examinations are over, the Controller of

Examinations shall publish the results of those students who had appeared in the examinations.

(ii) Each successful student/ the student placed in reappear shall receive a copy of the

Detailed Marks Certificate/ Grade Card Sheet of each semester examination. (iii) The student whose result is declared late without any fault on his/her part

may attend classes for the next higher semester provisionally at his /her own risk and responsibility, subject to his /her passing the concerned semester examination. In case, the student fails to pass the concerned semester examination, he/she will be governed by

the clause 16 & 17 of these regulations.

21. Classification of Performance:

The successful students after the 4th semester examination shall be placed classified in five divisions on the basis of final CGPA obtained by him / her in the 1st to 4thsemester examinations

as under:

CGPA Classification of Performance

Those who obtain CGPA of 8.25 or more First Division with Distinction

Those who obtain CGPA of 6.75 or more but less

than 8.25 First Division

Those who obtain CGPA of 5.75 or more but less than 6.75

Second Division

Those who obtain CGPA above Pass Grade but

less than 5.75 Third Division

Those who obtain CGPA less than Pass Grade Fail

• Grace Marks:

Maximum 1% of total marks excluding internal assessment marks can be awarded to a student in one academic year.

• Clinical Training

All the candidates shall complete the recommended hours (Given in scheme of examination) in

Clinical Training during the course. All the students shall go for the compulsory rotatory hospital training each year as approved by the Board of Studies in parent Institution/Hospital. Internship, wherever applicable, will be carried out at the parent Faculty/hospital of Shree Guru Govind

Singh Tricentenary (SGT) University. The students may be permitted to undergo internship training for not more than six months (50% of total period of internship) in the hospitals

empaneled by the SGT University for this purpose or the hospitals approved by MCI/DNB.

24. Other Provisions:

• Nothing in the Ordinance shall debar the University from amending the Ordinance and the same shall be applicable to all the students whether old or new.

• Any other provision not contained in the Ordinance shall be governed by the rules and regulations framed by the University from time to time.

• In case of any interpretation, The Vice-Chancellor is empowered in this regard and his

interpretation shall be the final. • Notwithstanding the integrated nature of this course which is spread over more than one academic

year, the Ordinance in force at the time a student joins the course shall hold good only for the examination held during or at the end of the academic year.

Recommended Books

Journal References

• American Journal

• British Journal

• European Journals

• Indian Open Journal

• Anaesthesiology journal (ISA, etc)

• Pubmed

M.Sc. OTT

SEMESTER-I

Paper -1

Paper Code -

ANATOMY

TotaHours 50

S.

No. Topic Teaching Guidelines

Teaching

Hours

1. Introduction Must Know

Human body- Overview & Organization, Anatomical terminology.

3 Hours

2. Skeletal Muscles Desirable to know

Major skeletal muscles of the Head, Neck, Thorax, Abdomen & upper

and lower limbs.

4 Hours

3. Upper Limb Must Know

Regional and surface anatomy of the shoulder, axilla, and upper limb 2 Hours

4. Lower Limb

Must Know

Regional & surface anatomy of the hip, thigh, legs 2 Hours

5. Thorax Anatomy

Must Know

Regional & surface anatomy of Intercostals space, Pleura, Bony

thoracic cage, Rib , Sternum

4 Hours

6. Respiratory

system Must Know

Regional & surface anatomy of Nose, Larynx, Trachea, Lungs,

Bronchial tree.

4 Hours

7. Heart

Must know

Regional & surface anatomy of heart, chambers of heart,

Desirable to know

Regional & surface anatomy of Valves of heart, Major arteries and

veins of heart, Pericardium.

6 Hours

8. Alimentary

System

Must know

Regional & surface anatomy of Pharynx, Esophagus, Stomach, Small

Intestine, Large Intestine, Spleen, Liver, Gall Bladder, Pancreas.

4 Hours

9. Central Nervous

System Must know

Regional & surface anatomy of Spinal Cord, Meningeal Covering

Desirable to know

Regional & surface anatomy of brain

4 Hours

10. Sensory Organs Must know

Regional & surface anatomy of Eyes, Ear, Tongue, Nose. 5 Hours

11. Urinary System Must know

Regional & surface anatomy of Kidney, Ureters, Urinary

bladder,Urethra.

4 Hours

12. Male

Reproductive

System

Must know

Anatomy of the scrotum, Prostate gland, penis & testis.

Desirable to know

Epididymis, Ducts deferens, Inguinal canal, Seminal vesicles, Bulb

urethral gland

4 Hours

13. Female

Reproductive

System

Must know

Anatomy of the ovaries, fallopian tubes, Uterus,

Desirable to know

Vagina and external genitalia; functions of ovary.

4 Hours

SEMESTER-I

Paper - II

Paper code –

PHYSIOLOGY AND BIOCHEMISTARY

Total Hours - 40

S.

No. Topic Teaching Guidelines Teaching

Hours

1. General

Physiology Must Know

-Introduction to the structure and function of cell organelles,

Desirable to know

Transport across cell membrane.

Nice to know

Blood Propagation of nerve impulse, Muscle- properties-classification –

excitation /contraction coupling.

3 Hours

2.

Blood

Must know

-Blood groups and Rh factor

- Composition of blood, -Functions of the blood, plasma proteins

Desirable to know

-Function of hemoglobin

- Detailed description about WBC-total count (TC), differential count (DC)

and functions.

-Platelets – formation and normal level and functions

Nice to know

- Erythrocyte sedimentation rate (ESR)

5 Hours

3.

Cardio-

Vascular

System:

Must know

-Structure & properties of cardiac muscle.

-Cardiac cycle, Heart rate regulation-factors affecting Heart Rate,

-BP: Definition, regulation, factors affecting BP,

Desirable to know

-Cardiac output- Regulation & function affecting Cardiac output.

4 Hours

4. Respiratory

system

Must know

-General organization,

-Mechanics of respiration,

5 Hours

- Definitions and normal values of lung volumes and lung capacities.

-Exchange of Gases

-Respiratory Failure 5.

Excretory

System

Must to know

-Kidneys: structure & function.

-Maturation - neural control- neurogenic bladder,

-Normal urinary output

Desirable to know

- Temperature Regulation, Circulation of the skin- body fluid-electrolyte

balance

4 Hours

6.

Nervous system

Must know

-Brain and spinal cord

Desirable to know

-Conduction of nerve impulse

-Autonomic Nerves system

4 Hours

7. Endocrine

System

Desirable to know

Physiology of Thyroid, Parathyroid, Suprarenal glands, Pineal gland and

organs with a minor endocrine function, Thyroid gland, Bulbourethral

glands.

4 Hours

8. Digestive

System

Must know

Physiology of the Mouth, Salivary glands, Pharynx, esophagus, stomach,

intestine, liver pancreas, biliary system & peritoneal cavity, esophagus,

stomach, small intestine, pancreas & liver.

4 Hours

9. Fluids and

Electrolyte,

Acid Base

Balance

Must know

-Composition of body fluids.

-Acid base balance

-Disturbances of acid base balances(PH, alkalosis, acidosis

4 Hours

10.

Nutrients and

Minerals

Desirable to know

Cover to Carbohydrate, -Protein,

-Lipid,

-Vitamin,

-Minerals

3 Hours

Practicals: demonstration of ph meter.

Acid base titration & validation of normality equalion.

Urine analysis.

Genral tests of carbohydrates.

Genral tests of proteins.

Making of blood smear.

Dlc ,Tlc,Rbc,Esr.

Blood pressure ,Pulse.

Effect of posture on BP.

Effect of exercise on BP.

SEMESTER-I

Paper - III

Paper code –

CLINICAL PHARMACOLOGY

Total Hours - 40

S.

No. Topic Teaching Guidelines Teaching

Hours

1. Antisialagogues

Must Know

Atropine, Glycopyrrolate

1 Hours

2. Sedatives anxiolytics

Must know

Diazepam, Midazolam, Phenergan, Lorazepam,

Chloropromazine, Trichlophos

4 Hours

3. Narcotics

Must know

Morphine, Pethidine, Fentanyl, Pentazozine, Nalbuphine,

Butorphanol, Buprinorphine,

Tramadol

6 Hours

4. NSAIDs

Must know

Diclofenac, Ketorolac, COX-2 inhibitors

1 Hours

5. Antiemetics

Must know

Ondansetron, Dexamethasone

Metoclopramide,

2 Hours

6. Prokinetics

Must know

Metoclopromide

1 Hour

7. H2 Blockers and Proton Pump

Inhibitors

Desirable to know

Ranitidine, Famotidine, Omeprazole, Pentoprazole

2 Hours

8.

Induction agent

Must know

Thiopentone,, Ketamine,

Propofol,

Etomidate

2 Hours

9.

Muscle relaxants

Must know

Depolarising - Suxamethonium,

Non depolarizing -Pancuronium, Vecuronium, Atracurium,

Rocuranium

3 Hours

10.

Inhalational anaesthetics

Must Know

N20, Ether,

Halothane,

Isofllurane, Sevoflurane, Desflurane,

Enflurane

6 Hours

11 Reversal agents

Must know

Neostigmine, Glycopyrrolate, Atropine,

Nalorphine, Naloxone, Flumazenil

4 Hours

12 Local anaesthetics

Must Know

Lignocaine, Bupivacaine, Ropivacine, Prilocaine-jelly,

Proparacaine,Emla - Ointment, Etidocaine

4 Hours

13.

Emergency drugs

Must know

Adrenaline and its mode of administration, dilution, dosage

- Dopamine,

-Dobutamine,

-Isoprenaline,

-Nor Adrenaline, Mephenteramine

-Sodium Bicarbonate,

-Xylocard,

-Aminophylline, derriphyline

-Hydrocortisone,

-Antihistamlnics

-Antiarhythmics

-Vasodilators – Nitroglycerin, SNP,

- Bronchiolytic agents,

-Furosemide

-Mannitol

-Oxoytocin

-Methergin

-Diclofenac – I. V.

-Various Fluids – Crystalloids & colloids - Nacl, Ringer

lacatate, Haemaccel, Hetastarch

10Hours

SEMESTER-I

Paper – IV

CLINICAL PATHOLOGY AND MICROBIOLOGY

Total Hours - 40

S.

No. Topic Teaching Guidelines

Teaching

Hours

1. Cellular Adaptation

Must Know

Cellular adaptation,

-Cell injury & cell death,

-Cellular response to stress and noxious stimuli,

-Reversible and irreversible cell injury,

4 Hours

2.

Blood

Must Know

Blood Groups,

-Blood Transfusion,

-Blood components

-BT,CT,

-Transfusion Reactions

5 Hours

3.

Infectious diseases.

Desirable to know

General principles of microbial pathogenesis

-Viral infections

-Bacterial infections

- Rheumatic heart disease

-Fungal infections

-Parasitic infections

6 Hours

4. Waste management

Must to know

Hospital waste disposals

2 Hours

5 Hospital acquired infection and prevention

Must to know

Hospital acquired infection and prevention,

4 Hours

6. Hepatitis B, C, HIV/AIDS

Must to know

Hepatitis B, C, HIV/AIDS

Causes & prevention

4 Hours

7. PPE, Universal Precautions

Must to know

Cover PPE(Personal Protective Equipments -

list) Universal Precautions- indications

3 Hours

8. Decontamination and Sterilization

Must to know

Methods of cleaning, Decontamination and

Sterilization

5 Hours

9. Sample collection, Labeling and sending to

Lab

Must to know

Cover Sample collection, Labeling and sending

to Lab

6 Hours

PRACTICALS:-MICROBIOLOGY &PATHOLOGY

Unit Unit Title Content

• Staining: • Grams staining

• ZN and modified ZN staining

• Capsular staining

• Parasitology: • Stool examination: S a l i n e mount, Iodine mount

• Stool concentration techniques

• Preparation of thick and thin smears

• Preparation and staining technique of Leishman‟s stain and

Giemsa stain • Demonstration of malarial parasite in peripheral smear

• Rapid test for malaria

• Mycology: • Demonstration of fungi using KOH , Lactophenol cotton blue

and India ink

• Colony characteristics and Microscopic examination and

identification tests for :

• Candida and Cryptococcus,

• Dermatophytes

• Aspergillus sp • Miscellaneous fungi

• Slide culture technique

• Virology: 1. Specimen collection, principle, methods, procedure of serological tests.

Spot tests/ELISA : HBV, HCV, HIV, Dengue

• Waste

Management:

• Use of Colour coded bags

• Sample collection • Collection of specimen

• From Outpatient

• Inpatient Unit

• Minor OT

• Major OT for sterility testing

• PPE, Universal

precautions

• Demonstrate correct Hand Hygiene technique

• Demonstration of Personal Protective Technique.

• Sterilization • Demonstration of Principle and working of an Autoclave, Hot

Air Oven.

• Visit to CSSD

PATHOLOGY- - Coombs test. - Cross metching - Bt /ct

SEMESTER-I

Paper – V

Paper code –

APPLIED PHYSICS AND BASIC COMPUTER

Total Hours – 40

S.

No. Topic Teaching Guidelines

Teaching

Hours

1.

Applied Physics

Must know

Basic p rinciple of electricity applied in OT, ICU,

and CSSD.

-Concept of static electricity, charge, potential

current power, resistance.AC /DC

-Basic princip les of heat, concept of temperature

its measurement, way of dispersion of heat.

Desirable to know

-Concept of volume, specific gravity, density,

concentration of solute.

-Gas laws and their practical implications in

field.

-Compressed gases, filling ratio, principles of

pressure regulator, flow of gases, flu id viscosity,

laminar flow, turbulent flow.

8 hours

2.

Introduction to Computer

Must know

-Computer basics, I/O devices

- Different operating system

– MS DOS

– Basic commands

– MD, CD, DIR,TYPE and COPY CON

commands

Desirable to know

– Networking

– LAN, WAN,MAN(only basic ideas)

Nice to know

– Memories, RAM and ROM, Different kinds of

ROM, kilobytes.

-MB, GB their conversions

6 Hours

3.

Typing text in MS word

Must know

– Manipulating text,Formatting the text

– using different font sizes, bold, italics

– Bullets and numbering

– Pictures, file insertion

– Aligning the text and justify

– choosing paper size , adjusting margins

– Header and footer, inserting page No‟s in a

document

5Hours

4.

Printing a File

Must know

– Using spell check and grammar option

– Find and replace

– Mail merge

– inserting tables in a document.

3 Hours

5.

Miscellaneous

Must know

-Creating table in MS, Excel

– Cell editing

– Drawing graphs and charts using data in excel

– Auto formatting

– Inserting data from other worksheets

Desirable to know

– Using formulas and functions

– Manipulating data with excel

– Using short functions to sort numbers and

alphabets

4Hours

6.

Slides

Must know

Preparing new slides using MS-POWERPOINT

– Inserting slides ,slide transition and animation

, Using templates, Different text and font sizes

5 Hours

7.

Slides with Special Features

Must know

Slides with sounds

– Inserting clip arts, pictures, tables and graphs

– Presentation using wizards

3 Hours

8.

Introduction to Internet

Must know

Introduction to Internet

– Using search engine – Google search

– Exploring the next using Internet Explorer and

Navigator

– Uploading and Download of files and images

– E-mail ID creation – Sending messages

– Attaching files in E-mail

– Writing small programs using functions and

sub – functions.

Desirable to know

– Introduction to “C” language – Different

variables, declaration, usage

6 Hours

SEMESTER-II

Paper – I

Paper code –

BASIC MEDICINE AND MEDICAL ETHICS

Total Hours - 40

S.

No. Topic Teaching Guidelines

Teaching

Hours

1.

Basic Disorder

Desirable to know

Disorder of haematopoiesis

- anaemias

- iron deficiency anaemia,

4 Hours

2.

Infections and Diseases

Must know

- Sepsis and septic stock,

-Fever of unknown origin,

-Infective endocarditis,

Desirable to know

-Infections of skin, muscle, soft tissue,

-Diseases caused by bacteria, viruses,

mycobacterium, fungi, protozoa and

helminthes,

Nice to know

- Common secondary infection in HIV

4 Hours

3.

Different Diseases of CVS

Desirable to know

Diseases of CVS

-CHF,

-Pulmonary Oedema,

-CAD,

-Peripheral vascular diseases (PVD)

3 Hours

4.

Disease of Respiratory system

Must know

Asthma,

-pneumonia,

-COPD,

-Restrictive Lungs Disease.

3 Hours

5.

Kidney & Urinary Tract Disease

Desirable to know

- Acute renal failure,

-Glomerulonephritis,

-Haemodialysis,

-Kidneytransplant,

-Urinary Tract Infection

3 Hours

6.

Liver and Biliary Tract Disease

Desirable to know

- Viral hepatitis,

-Alcoholism,

-Liver failure,

-Hepatic Coma

3 Hours

7. Endocrinology and Metabolism.

Must know

- Diabetes mellitus,

-Hyperthyroidism, hypothyroidism

2 Hours

8.

Medical Ethics

Must know

– Definition

-Basic principles of medical ethics

– Goal

– Scope

– Confidentiality

3 Hours

9.

Malpractice and Negligence

Must know

Malpractice, Types of medical malpractice.

-Negligence

2 Hours

10.

Rational and Irrational drug therapy.

Must know

Introduction to Rational and irrational drug

therapy.

Desirable to know

- Clinical implication of rational drug therapy.

- Reason and Impact of Irrational use of drug

therapy.

3 Hours

11.

Different type of Consent

Must know

Consent

-Different types of consents

- Right of patients

2 Hours

12 Care of terminally ill – Euthanasia

Must know

-What is terminally ill

-Care of terminally ill patients

1 Hours

13.

Organ transplantation

Must know

What is Organ transplantation

-Successfully transplanted organs

-Policies and procedures Of organ

transplantation

-Organ donor option

3 Hours

14

Medical Legal Aspects of Medical Records

Must know

– Medico – legal case and type

– Records and documents related to MLC

Desirable to know

– ownership of medical records

- Confidentiality Privilege communication

Nice to know

- Release of medical information

- Unauthorized disclosure

- retention of medical records

- Other various aspects.

4 Hours

SEMESTER-II

Paper – II

Paper code –

BASICS OF ANAESTHESIA

Total Hours - 50

S.

No. Topic Teaching Guidelines

Domain Teaching

Hours

1.

Technical terms / Documentation

Must to know

-Technical terms used in anaesthesia /OT

-Importance of Record keeping in OT / ICU

-Various registers and statistics

-PAC and Anaesthesia record

4 Hours

2.

Phase of GA

Must know

-Induction,

-Intubation,

-Maintenance,

-Reversal,

- Recovery / Emergence.

4 Hours

3. Premedication

Must know

Different drugs used for Premedication their

doses, effects and side effects.

4 Hours

4.

I.V. Induction agent

Inhalational Anaesthetic agents

Must know

I.V. Induction agent their doses, indication,

contra indication and management

Properties of Inhalational anaesthetic agents,

their role in GA.

Different volatile anaesthetic agents:

Advantages and disadvantages

7 Hours

5.

Neuromuscular Blockers

Types of drugs used for Neuromuscular blocks

their doses, indication and contra indications,

complications

4 Hours

6. Reversal Agents

Must know

Drugs used for Reversal Agents

their doses, indication and contra indication

3 Hours

7.

Steroids

Desirable to know

Steroids –

-Role of steroids in periop period

their doses, indication and contra indication

2 Hours

8.

Analgesics

Must know

Drugs used as Analgesics

their doses, indication and contra indication

– Opioids / Non opiods Analgesics

• Infusions, PCA

5 Hours

9.

Emergency Drugs

Must know

Emergency drug used in OT and ICU Their

uses, doses, indication and contra indication

-Vasopressors, inotropic agents, Vasodilators ,

Anticholinergics, Anticoagulants,

Antiarrhythmics,

-Syringe pumps and infusion pumps

6 Hours

10.

Different Airways / Endotracheal tubes

Must know

Types, parts, sizes of ETT

-Specialised ETT and uses

Must know

Oropharyngeal / Nasopharyngeal airways

4 Hours

– Sizes, colour coding , insertion techniques.

-Airways Adjuvants

- Stylette, GEB, Lighted wand,

- Supraglottic Airway Devices (SADs),

-Difficult intubation trolley

- Tracheostomy, Decannulation protocol

11.

Suction Catheters

Must know

Suction Catheters – types, sizes, colour coding,

techniques of suction

-Suction pressure

1 Hours

12.

Laryngoscope

Must know

Laryngoscope – Types, Size of blades,

-Fiberoptic intubation / video laryngoscopy

-Laryngoscopic view of larynx

2 Hours

13.

Spinal and Epidural needle

Must know

Spinal and Epidural needle – sizes, colour

coding, features, differences

- Epidural Catheters

2 Hours

14.

Asepsis in OT

Must know

Importance of OT Asepsis

Aseptic techniques, OT sterilization procedures

-How to handle HIV, HCV, HBsAg positive

cases in OT

-PPE

2 Hours

Practicals: Preparations of drugs and trolley for Anaesthesia

Dilutions of different drugs, proper labelling

Differences between subarachnoid and epidural anaesthesia

Calculation of doses of various important drugs used during perioperative period

Calculation of dose from various % strengths

Gram, mg, mcg; relationship and conversions

Insertion and care of airways, SADs, laryngoscope blade

Assessment of sizes of ETT, airways, suction catheters, Laryng -oscopic blades, SADs

SEMESTER-II

Paper – III

Paper code –

Basics of surgery

Total Hours - 40

S.

No. Topic Teaching Guidelines

Teaching

Hours

1. Basic Procedures Techniques.

Must know

Scrubbing Technique,

-Gowning Technique,

-Gloving techniques.

3 Hours

2. Surgical terminology and Incision

Must know

Surgical terminology,

-Types of incision

-indications for the use of particular incision;

4 hours

3. Haemorrhage

Must know

Signs and symptoms of internal and external

haemorrhage

-Classification of haemorrhage

-Management of haemorrhage

6 Hours

4. Tourniquets

Must know

Types of tourniquets

- Uses of tourniquet

- Duration of tourniquet application, -

Pneumatic tourniquet, application,

-Complication of tourniquet application

4Hours

5. Wounds and Abscess Must know

What is Wounds,

-Types of wounds,

- Wound healing,

-Treatment and complications of wound

- inflammation

- wound infections

-Causes and treatment; -Incision and drainage

of abscesses;

-Importance of personal cleanliness and aseptic

techniques

8 Hours

6 Skin Preparation for Invasive Procedures Must know

Skin preparation for invasive procedures

-Surgical asepsis

5 Hours

7 Classification of Surgical Instruments and

Their Uses Must know

Classification of surgical instruments and their

uses

5 Hours

8. Suture Material Must know

Suture Material: Types and uses.

-Different Suturing Techniques.

-Instruments used for suturing

5 Hours

PRACTICAL :

-Scrubbing, gowning, gloving techniques

-Instruments, suture materials,

-Application of tourniquets, Types of incisions,

-Bandaging of wounds, drainage of abscess

SEMESTER-II

Paper – IV

Paper code –

CSSD PROCEDURES, STERILIZATION PROCEDURES

Total Hours - 40

S.

No. Topic Teaching Guidelines

Teaching

Hours

1. Introduction of CSSD

Must know

Layout and location of CSSD and its role in hospital

functioning.

5 Hours

2.

Functions of CSSD Must know

-Collection of used items from user area,

-Use of disinfectants

–Sorting and classification of equipment for

cleaning purposes, sharps, blunt lighted etc,

contaminated high risk items, delicate instruments

or hot labile instruments.

-Documentation, staff, dress protocol

5 Hours

3. Cleaning process in CSSD

Must know

-Various methods of cleaning

-Use of detergents. -Mechanical cleaning apparatus,

-Cleaning instruments, Cleaning jars, receivers

bowls etc. trays, basins and similar hand ware

utensils.

-Cleaning of catheters and tubing,

- cleaning glass ware, cleaning syringes and

needles.

4 Hours

4. Packing in CSSD

Must know

Materials used for wrapping and packing –

Assembling pack contents.

-Types of packs prepared.

-Method of wrapping

- Labeling:Date , contents, initials

-Use of indications to show that a pack of container

has been through a sterilization process

8 Hours

5. Different Methods of Sterilization Must know

-Principles of sterilization and disinfection

-Methods of decontaminations

- Moist heat sterilization.

-Dry heat sterilization. -EO gas sterilization.

-H202 gas plasma sterilization

-Irradiation: Gamma sterilisation

- Sterilisation control: Indicator agents

8 Hours

6. Autoclaving Machine.

Must know

Uses and maintenance of autoclaving machine.

Nice to know

Mechanism of Autoclaving Machine

7 hours

7. Duties of CSSD Technician Must know

Duties of CSSD Technician

3 Hours

8 Disinfection and sterilization of OT and

equipments / Waste management Must know:

-Sterilisation of OT:

-Fumigation method, Fogging machine and agents

-Carbolisation

-Decontamination of spillage of infected material

-Monitoring protocols for sterilization of OT

-Critical, semicritical, noncritical equipments

-Methods of disinfection: High level and Low level

disinfection

-Various techniques of sterilization and

disinfections of items, Decontamination procedure

-Antiseptics, sterilants, sanitization,

-Segregation and disposal of hospital waste

PRACTICALS:

-Complete steps in operation of autoclave, its maintenance protocol

-Documents to be maintained in CSSD

-Various physical, chemical methods of sterilization

-Cleaning and sterilization of OT

-Methods to decrease infections in OT

SEMESTER-II

Paper – V

Paper code –

Research Methodology, Biostatistics and Hospital Management

Total Hours- 60

S.

No. Topic Teaching Guidelines

Teaching

Hours

1. Introduction research methodology

Must know

Introduction to research methods,

Variable in research

Reliability and validity in research

Conducting a literature review

Formulation of research problems and writing

research questions

10 Hours

Desirable to know

Hypothesis, Null and research Hypothesis, Type I

and type

II errors in Hypothesis testing

2. Data collection Must Know

Experimental and non experimental research

designs,

Sampling methods, data collection, observation

method,

Interview method, questionnaires and schedules

construction

5 Hours

3. Research Frame work Desirable to know

Ethical issues in research,

Principles and concepts in research ethics -

confidentiality and privacy informed consent,

Writing research proposals,

Development of conceptual framework in research

5Hours

4. Introduction to statistics Must Know

Introduction to statistics

Classification of data, source of data,

Nice to know

Method of scaling- nominal, ordinal, ratio and

interval scale

Measuring reliability and validity of scales

Hours

5. Data sampling

Must Know

Measures of central tendency,

Measures of dispersion, skewness and kurtosis,

sampling, sample size determination.

Desirable to know

Concept of probability and probality distributions-

binomial probability distribution, poison

probability distribution and normal probability

distribution

10 Hours

6. Data correlation

Desirable to know

Correlation-Karl person, spearman‟s rank

correlation methods regression analysis, testing

hypothesis-chi square test, student‟s test, NOVA

5Hours

7. Health care – an overview

.

Must Know

Functions of Hospital administration

Modern techniques in Hospital management

Challenges and strategies of Hospital management

Administrative Functions–

Planning, Organizing, Staffing, Leading and

Controlling Organizational Structure,

Motivation and leadership.

Designing health care organization

10 Hours

8. Hospital Management Must Know

Medical record, House-keeping services

Laboratory performance.

Management of biomedical waste.

Total patient care – indoor and outdoor.

Desirable to know

Nursing and ambulance resources.

10 Hours

Evaluation of hospital services

Nice to know

Quality assurance.

Record reviews and medical audit

SEMESTER-III

Paper – I

Paper code –

ANAESTHES IA DELIVERY SYSTEM & AND EQUIPMENTS USED IN OT

Total Hours - 45

S.

No. Topic Teaching Guidelines Domain Teaching

Hours

1. Medical Gas Supply

Must know

- Compressed gas cylinders, colour coding, Types of

cylinders (E&H), handling and storing of cylinders

- Cylinder valves; pin index safety system (PISS),

pressure regulator, safe handling of cylinders

- Gas piping system / Manifold Room / DISS

- Recommendations for piping system

- Alarms & safety devices.

- Oxygen Concentrator: Mechanism, functioning,

maintenance

-Liquid Oxygen

7 Hours

2. Modern Anaesthesia machine Must know

Different parts of Modern Anaesthesia machine

-Functioning of Anaesthesia WorkStation

8 hours

-Checklist of Modern Anaesthesia machine before

use

-Safety features in Modern Anaesthesia machine vs

Basic Boyles Apparatus

- Scavanging system: Role in modern anaesthesia

practice

- Anaesthesia Ventilator:

-Modes of ventilator

- Working principles

- Alarms and settings

3. Breathing Systems

Must know

-General considerations: humidity & heat

-Common components - connectors, adaptors,

reservoir bag, expiratory valve.

-Methods of humidification.

-Classification of breathing system

-Mapleson system – A, B, C, D, E, F

-Jackson Rees system,

- Bains circuit

-Non rebreathing valves - ambu valves

-The circle system – Components, advantages,

disadvantages

8 Hours

4. Diathermy / Cautery Must know

-Diathermy /Cautery machine

– Types, Uses,

-Precautions

3 Hours

5. Defibrillators Must know

Uses of Defibrillators / AED

-Types of defibrillators

-Selection of charge for defibrillation, Position of

Pads

-Precaution during defibrillation

-Care and handling

-Functioning of AED

4 Hours

6.

Monitors

Must know

-Multiparameter monitors

-ECG , -Temperature

-IBP / NIBP, -CVP

-Pulse oximeter: Types of probes, precautions

-ETCO2 monitor

-FIO2, inhalational gas analyser

-ABG machine, sampling of arterial blood

-Care of monitoring equipments

8 Hours

7. OT Table, OT lights, C Arm , HVAC

system Must know

-Types of OT tables, positions, care and handling

-Types of OT lights, specifications

-Functioning and handling of C arm

-Humidification, ventilation, Air conditioning

system (HVAC)

5 Hours

8. Suction machine Must know

Types of Suction machine,

-Pressure setting for various requirements

- Suction Catheter – Sizes, Colour coding

2 hours

PRACTICALS: (Anaesthesia Delivery system and Devices)

-Maintenance and upkeep of anaesthesia machine, monitors, accessories

-Recognising various breathing circuits, basic components, assembling

-Setting up of various alarms, functioning of ventilator, setting alarms, modes, etc.

-Checking for leaks, Cockpit drill, Safety features of modern anaesthesia machine

Parts of modern Anaesthesia work station, handling of gas cylinders

Safety features in Anaesthesia machine

Hazards in OT and their prevention

Handling of OT table, OT lights, C arm,

Air conditioning system in OT, HEPA filters, Laminar air flow

SEMESTER-III

Paper – II

Paper code –

BASIC PROCEDURES AND TECHNIQUES

Total Hours - 40

S.

No. Topic Teaching Guidelines

Teaching

Hours

1. I.V. Cannulation

Must know

Sizes, Colour Coding, Technique of i.v.

cannulation,

-Preparation of I.V. drip,

-Types of fluids,

-Precaution during IV cannulation

4 Hours

2 Central Venous Cathetrisation And

CVP

Must know

Role,

- Types, sizes

-Locations

-Positions, Technique, Precautions

-Complications

5 Hours

3 Arterial Cannulation

Must know

-Significance,

-Locations, types, sizes

Desirable to know

4 Hours

-Technique,

-Complications

4. Intubation

Must know

Technique of endotracheal intubation

Insertion of SGADs (LMA, I -Gel etc)

Cuff inflation and pressure

Difficult intubation kit

Sellick manoeuvre,

BURP Technique

2 Hours

5. Bandaging And Splinting

Must know

Types of bandages and various techniques

-Scalp bandage, Figure of 8, Bandages of Eye / Ear

-Splinting Techniques, Use of Splints / Crape

Bandage

-Pressure Points, Emergency Torniquet

6 Hours

6 Drainage Of Abscess

Must know

Cleaning,

-Incision,

- Drainage,

- Bandaging

3 Hours

7. Foley Catheter

Must know

- Types, sizes

- Insertion Technique

-Sterile precautions

2 Hours

8. Nasogastric Tube

Must know

-Size, uses

-Techniques of Insertion

2 Hours

9. Face Masks & Airways, ETT,

Laryngoscopes, CPR

Must know

• Types of masks: Open and closed

- Technique of holding Anaesthesia mask

-Airways – Types, Sizes, insertion technique

-Laryngoscopes – Types, Parts

-Endotracheal tubes - Types, sizes, Specialised ETT,

Double lumen tubes (DLT), bronchial blockers

-Supraglotic Airway Device (SGADs): Types, sizes

-Checking tube position, complications.

-Difficult Intubation Trolley / Tray

-Types of Oxygen masks

-Basic CPR Protocol: CAB

6 Hours

10. Making Of Various Dilution Of Drugs

Must know

• Meaning of % , 1:1000, 1:200000 etc.

• Macrodrip / Microdrip / mcg / ml

• Drop Factor

• Drops per min, infusion rate calculation

• Mcg / mg / gm Conversion

• Making 2.5 % solution from 1 gm / 0.5 gm

of Thiopentone powder.

4 Hours

12. Baby Resuscitation Trolley

Must know

Contents of baby resuscitation trolley

-Uses

-Check list

2 Hours

PRACTICAL:

-Procedure for IV cannulation, CV cannulation, arterial cannulation

-Technique of endotraceal intubation, insertion of Foley‟s catheter, NG tube

-Calculation of ml of drug required from a given % of drug

-Method of holding resuscitation mask, triple airway manoeuvre

-CPR protocol

SEMESTER-III

Paper – III

Paper code –

PERIOP ANAESTHETIC CARE AND PREPARATIONS

Total Hours - 40

S.

No. Topic Teaching Guidelines

Teaching

Hours

1. Types Of Anaesthesia

Must know

• General Anaesthesia Techniques

• Phases of GA,

• Balanced anaesthesia, TIVA

• Regional Anaesthesia Techniques

• IVRA, CNB, Plexus Block , Topical

• Sedation / MAC

• Complication of GA / RA

8 Hours

2. Pre-Op Check (PAC)

Must know

• Pre anaesthetic assessment.

• History – past history - disease / Surgery /

and personal history - Smoking / alcohol /

drugs / medication

• General physical assessment, systemic

examination – CVS, RS, CNS

• Investigations – Haematological, Urine,

ECG, Chest X- ray, Endocrine, Hormonal

assays, Echocardiography, angiography,

Liver function test, renal function test.

8 Hours

• ASA grading - I, II, III, IV, V

3. Duties Of OT Technician In Pre

Operatve Room

Must know

• Patient check List : Protocol

• Part preparation,

• Consent, PAC, Investigations,

• NPO Status, OT Dress,

• Lipstick/ Nailpolish,Premedication

• Basal parameters

• I.V. Line, Premedication

8 Hours

4. Pre Operative Checklist /Cockpit Drill

Must know

• Anaesthesia Machine / Gas Supply

• Suction Machine

• Monitors anaesthesia

• Airway Devices – Laryngoscope, Airways,

ETT, Stylette, tape gelly.

• I.V. Cannula, I.V.fluids

• Drugs – Anaesthesia related and

Emergency .

• Special preparation – As per specific

patient need.

• Difficult intubation tray: Contents

8 Hours

5. Post Operative Care

Must know

• PACU, Discharge Criteria

• Modified Aldrete Score

• Five Vital Signs

• PONV

• Bladder Distension

• Pain management

8 Hours

PRACTICALS:

-Setting of trolley for GA and Regional Anaesthesia

-Rapid sequence intubation, Sellick‟s manoeuvre (Cricoid pressure)

-Monitoring of patient in PACU, setting of alarms

-Post op management of pain, nausea, vomiting, bladder distension

SEMESTER-III

Paper – IV

Paper code –

PREPARATION FOR VARIOUS SURGERIES

Total Hours - 50

S.

No. Topic Teaching Guidelines

Domain Teaching

Hours

1. Preparation of OT Must know

• Preparation of OT before surgery

2 hours

2. Positions of patient Must know

• Positions of patient for different surgeries

2 Hours

3. Maintenance of Instruments.

Must know

• Handling of instruments

• Cleaning of instruments

-Maintenance of instruments

4 Hours

4. Instrument Requirement for Common

Surgical Procedures Must know

Instrument requirement for common

surgical procedures such as

• Herniorrhaphy,

• Appendicectomy,

• Laparotomy,

• Mastectomy,

• I&D,

• Hydrocele,

-Intestinal Obstruction

8 Hours

5. Instruments for Obstetric and

Gynecological surgeries Must know

-Instruments required for different obstetric

surgeries

-Instruments required for different Gynecological

4 Hours

surgeries

-Types of obstetric and Gynaecologic surgeries

6. Preparation and Position for Urological

Surgeries.

Must know

-Brief description of different Urological Surgeries.

-Preparation for different Urological Surgeries.

-Position for different Urological surgeries

4 Hours

7. Orthopedics surgeries Must know

Brief description of different orthopedics Surgeries.

-Preparation for different orthopedics Surgeries.

-Position for different orthopedics surgeries

-Instruments required for different orthopedics

surgeries

4 Hours

8. Neurological Surgeries Must know

Brief description of different Neurological

Surgeries.

-Preparation for different Neurological Surgeries.

-Position for different Neurological surgeries

-Instruments required for different Neurological

surgeries

4 Hours

9. Ophthalmology Surgeries Desirable to know

Brief description of different Ophthalmology

Surgeries.

Must know

-Preparation for different Ophthalmology Surgeries.

-Position for different Ophthalmology surgeries

-Instruments required for different Ophthalmology

surgeries

4 Hours

10 Otorhinolaryngologic Surgeries Must know

Various Otorhinolaryngologic Surgeries and

Instruments required for them

-Preparation of trolleys for ENT surgeries

-Preparation of different dilutions of adrenaline: 1:

50,000, 1: 100,000, 1: 200,000, etc

4 Hours

11. Reconstructive Surgeries.

Desirable to know

Brief description of different Reconstructive

Surgeries.

Must know

-Preparation for different Reconstructive Surgeries.

-Position for different Reconstructive surgeries

-Instruments required for different Reconstructive

surgeries

4 Hours

12 Thoracic, Cardiac, Vascular surgeries.

Desirable to know

Brief description of different Thoracic, Cardiac,

Vascular Surgeries.

Must know

-Preparation for different Thoracic, Cardiac,

Vascular Surgeries.

-Position for different Thoracic, Cardiac, Vascular

surgeries

-Instruments required for different Thoracic,

Cardiac, Vascular surgeries

6 Hours

PRACTICALS:

-Preparation of OT for various surgeries

-Familiarisation with special instruments used for various sub specialities

-Carbolisation of OT

-Preparation of trolleys for various types of sub specialities of surgeries

-Cleaning , disinfection and storage of various instruments

SEMESTER-IV

Paper – I

Paper code –

ANAESTHES IA FOR SPECIALITY SURGERIES AND SITUATIONS

Total Hours -50

S.

No. Topic Teaching Guidelines

Teaching

Hours

1. NEURO ANAESTHESIA

Must know

Glassgow coma scale

-Special investigation -CT, Angiography and MRI

-Anaesthesia Techniques for Neuro surgeries

-Reinforced Endotracheal tubes

-Positioning in neuro surgery

-I.C.P.

-Air embolism

4 Hours

2. OBSTETRIC ANAESTHESIA

Must know

Differences between a pregnant and a normal lady

-Risks for anaesthesia.

-Precautions to be taken

-Check list

-Regional vs General anaesthesia

-Resuscitation of the new born, apgar score

-Preparation for emergency LSCS

Emergencies

-Manual removal of placenta

- A.P .H.

-P.P.H.

-Ruptured uterus

-Ectopic pregnancy

8 Hours

3. PAEDIATRIC ANAESTHESIA

Must know

Check list for pediatric Anaesthesia

-Premedication – modes, drugs, doses

-Pediatric circuit

-Pain management

4 Hours

4. ENT ANAESTHESIA

Must know

- Anaesthesia for adenotonsillectomy

-Anaesthesia for mastoidectomy

- Anaesthesia Bronchoscopy and oesophagoscopy

- Nasal Intubation – Preparation and Technique

-RAE endotracheal tubes : Indications

4 Hours

5. CARDIAC ANAESTHESIA

Must know

Arrhythmias

-Angina

-Dyspnoea

-Special investigations

-ECHO cardiography/ TEE

-Angiography

-Setting up of monitoring system

-Monitoring - invasive and non – invasive

- Transferring the patient to ICU.

- Chest tube management

Desirable to know

-NYHA classification

- Cardiopulmonary bypass

-Weaning of CPB

6 hours

6. ANAESTHESIA OUTSIDE THE

O.T.

Must know

• Cath Lab

• Radiology

• E.C.T.

• Risk and preventive measures

4 Hours

7. DAY CARE ANAESTHESIA

Must know

• Special features

• Patient selection

• Advantages

• Disadvantages

• Anaesthesia Techniques

4 Hours

8. GERIATRIC ANAESTHESIA

Must know

• Physiological changes

• Diseases of aging

• Nervous system

Desirable to know

• Geriatric pharmacodynamics /

pharmacokinetics

Postoperative cognitive dysfunction

4 Hours

9. ANAESTHESIA FOR TRAUMA

& SHOCK

Must know

-Resuscitation

-Pre-op investigation / assessment

-Circulatory management

-Management of anaesthesia

Rapid sequence induction – Cricoid pressure

-Other problems

4 Hours

10. THORACIC ANAESTHESIA

Desirable to know

-Pulmonary function tests and lung volume

- Bed side tests

-Vitallograph

- One lung Anaesthesia,

-Double lumen tubes, Bronchial blockers

3 Hours

11. POSTOPERATIVE PROBLEMS

Must know

-Nausea & Vomiting

-Sore throat

-Laryngeal granuloma

-Neurological complications.

-Awareness

-Vascular complications.

-Trauma to teeth

-Headache

-Backache

Desirable to know

-Ocular complications

-Auditory complications

5 Hours

PRACTICALS:

-Familiarisation with all instruments used in different types of surgeries

-Positions of patients and OT table for various surgeries

-Use of double lumen ETT, bronchial blockers,

-Preparations for anaesthesia and surgeries for different age groups

-Resuscitation in trauma, Care of patients in PACU

SEMESTER-IV

Paper – II

Paper code –

BASIC INTENS IVE CARE

Total Hours -50

S.

No. Topic Teaching Guidelines

Teaching

Hours

1. MONITORING AND

DIAGNOSTIC PROCEDURES IN

I.C.U.

Must know

- Clinical Monitoring

- Central Venous access.

- ECG monitoring.

- NIBP – Cuff sizes and application

- Multiparameter monitor – Normal values

-PCT, Surgical Tracheostomy

-ICD

-USG

Desirable to know

- Invasive hemodynamic monitoring, Cardiac Output

6 Hours

2. GENERAL CARE OF PATIENT

IN I.C.U.

Must know

-Care of unconscious patient

-Syringe pump / Infusion Pump uses, infusion rate.

-Vascular lines - arterial, venous line

- Radiography / USG

-Physiotherapy - chest physiotherapy

-Oxygen Therapy

– Sources of oxygen,

-Oxygen Delivery devices,

-Oxygen Toxicity,

-Monitoring Hypoxia

6 Hours

3 INFECTIONS IN ICU

Must know

Ventilator Associated Pneumonia (VAP)

-Prevention of infection in ICU

4 Hours

4. ACID - BASE DISORDERS AND

FLUID BALANCE

Must know

-ABG analysis, Normal ABG value

-Arterial cannulation

5 hours

-Crystalloid and colloids: Differences, indications

-Monitoring drip rate

-Fluid balance : Intake/output chart

5. COMMON DRUGS USED IN ICU

Must know

-Inotropic support

- Vaso dilator drugs.

-Vasopressor

-Antiarrhythamic drugs

-Bronchodilators

-Sedatives & Hypnotic

-Anticoagulant drugs

-Anticonvulsants

-Neuromuscular blockers

6 Hours

6. TRAUMA

Must know

-Head Injury

-Glasgo coma score (GCS)

-AVPU Assessment

Desirable to know

-Fluid Resuscitation in Trauma

-Polytrauma

3 Hours

7. BLOOD TRANSFUSION

Must know

-Blood Grouping and cross matching

-Whole blood, packed RBC

-Blood components and indications

-Technique of blood transfusion

-Complication of Blood Transfusion

-Anaphylactic reaction

5 Hours

8. ICU VENTILATORS

Must know

-Basic respiratory parameters

-Basic ventilators settings and modes

-Monitoring and alarms

-Weaning process

-Complications of ventilator

-Care of patient on ventilator

-Suctioning of ETT / Tracheotomy tube

-NIV : CPAP, BIPAP

- Handling and disinfection of ventilators

Desirable to know

-Tracheotomy – Indications, Technique,care

- Decannulation Procedure

6 Hours

9. NUTRITION ICU PATIENT

Must know

-NG tube insertion

-Parenteral Nutrition

– Types, Techniques, complications.

-Enteral Nutrition

4 Hours

10. CARDIOPULMONARY

RESUSISTATION

Must know

-Causes of cardiac arrest and types

-Basic life support outside hospital

-Triple Airway Manoeuvre

-AMBU Bag

-BLS Protocol for adult / children

-BLS Protocol for infants

-Chest compression technique

-Use of AED / Defibrillator

5 Hours

-Drugs used in Cardiac arrest

PRACTICALS:

Familiarisation with handling and use of various items and equipments used in ICU

Care of unconscious patients

Care of patient on ventilator, ventilator alarms

Preparation of trays for various emergency procedures

Modes of ventilation, , ventilator settings,

use of defibrillator and AED

Handling of ABG analyser, ABG analysis, normal values

Vital parameters, normal ranges, maintenance of monitors and other equipments

SEMESTER-IV

Paper – III

Paper code –

RESEARCH PROJECT

The research project is to be carried out over a period of approximately 6 months and will be carried out in the

hospitals, subject to approval by all concerned. Each student will select research project with their respective

supervisors. The projects will be selected such that a student can reasonably be expected to make an original

contribution to the chosen area of research within the time period allotted. The purpose of the project is to provide

the student with training in academic research and acquisition of practical skills, including the design of a research

project, planning of experiments, dealing with practical problems, recording of, presenting and analyzing data.

Unit I- Research Project Proposal Development is an independent tutorial conducted by the student‟s advisor,

and involves a comprehensive literature survey of the chosen research area. Through regular meetings, the student

and advisor discuss this literature in detail and the topic for research project will be finalized in the third semester.

Unit II- Research Project Each student must submit to the university with the signed approval of the advisor, a

research project proposal defining the research project project, the methods and design of the experiments needed

for completion, the progress to date and plans for completion in the third semester.

Unit III – Research Project preparation: Th is is involving preparat ion of the research pro ject. The research

project must include a cover page, abstract, table of contents, introduction of the thesis topic with a comprehensive

review of literature, appropriately organized methods, results and discussion section for the experiment performed

and final conclusions section summarizing the outcome of the project. The student should submit a draft of the

research project to the advisor by the end of the fourth semester.