Placement : II Year
Hour of Instruction
Theory : 150 Hours
Practical : 950 Hours
Total : 1100 Hours
Course DescriptionThis course is designed to assist students in developing expertise and indepth
understanding in the field of Nephro and urological Nursing. It will
help students to develop advanced skills for nursing intervention in various
nephro and urological conditions. It will enable the student to function as
nephro and urology nurse practitioner/specialist and provide quality care. It
will further enable the student to function as educator, manager, and
researcher in the field of nephro and urology nursing
Objectives
At the end of the course the students will be able to:
1. Appreciate trends and issues related to nephro and urological
nursing
2. Describe the epidemiology, etiology, pathophysiology and diagnostic
assessment of nephro and urological conditions
3. Perform physical, psychosocial & spiritual assessment
4. Assist in various diagnostic, therapeutic and surgical interventions
5. Provide comprehensive nursing care to patients with nephro and
urological conditions
6. Describe the various drugs used in nephro and urological conditions
and nurses responsibility
7. Demonstrate skill in handling various equipments/gadgets used for
patients with nephro and urological conditions
8. Appreciate team work & coordinate activities related to patient care.
9. Practice infection control measures.
10. Identify emergencies and complications & take appropriate measures
11. Assist patients and their family to cope with emotional distress, grief,
anxiety and spiritual needs
12. Discuss the legal and ethical issues in nephro and urological nursing
13. Identify the sources of stress and manage burnout syndrome among
health care providers
14. Appreciate the role of alternative system of medicine in the care of
patient
15. Incorporate evidence based nursing practice and identify the areas of
research in the field of nephro and urological nursing
16. Teach and supervise nurses and allied health workers.
17. Design a layout of kidney transplant unit and dialysis unit
18. Develop standards of nephro urological nursing practice
Course Content
Unit Hours Content
I 5 Introduction
Historical development: trends and issues in the field of nephro
and urological nursing.
nephro and urological problems
Concepts, principles and nursing perspectives
Ethical and legal issues
Evidence based nursing and its application in nephro and
urological nursing(to be incorporated in all the units)
II 5 Epidemiology
Major health problems- urinary dysfunction, urinary tract
infections, Glomuerular disorders, obstructive disorders ad other
urinary disorders
Risk factors associated with nephro and urological conditions
conditions- Hereditary, Psychosocial factors, smoking, alcoholism,
dietary habits, cultural and ethnic considerations
Health promotion, disease prevention, life style modification and
its implications to nursing
Alternate system of medicine/complementary therapies
III 5 Review of anatomy and physiology of urinary system
Embryology
Structure and functions
Renal circulation
Physiology of urine formation
Fluid and electrolyte balance
Acid base balance
Immunology specific to kidney
IV 20 Assessment and diagnostic measures
History taking
Physical assessment, psychosocial assessment
Common assessment abnormalities-dysurea, frequency, enuresis,
urgency, hesistancy, hematuria, pain, retention, burning on
urination, pneumaturia, incontinence, nocturia, polyurea, anuria,
oliguria,
Diagnostic tests-urine studies, blood chemistry, radiological
procedures-KUB, IVP,nephrotomogram, retrograde pylogram, renal
arteriogram, renalultrasound, CT scan, MRI, cystogram, renal
scan, biopsy, endoscopy-cystoscopy, urodynamics studiescystometrogram,
urinary flow study, sphincter electromyography,
voiding pressure flow study, videourodynamics, Whitaker study
Interpretation of diagnostic measures
Nurse’s role in diagnostic tests
V 5 Renal immunopathy/Immunopathology
General Concept of immunopathology
Immune mechanism of glomerual vascular disease
Role of mediater systems in glomerula vascular disease
VI 15 Urological Disorders and Nursing Management
Etiology, clinical manifestations, diagnosis, prognosis, related
pathophysiology, medical , surgical and nursing management of
Urinary tract infections- pyelonephritis, lower urinary tract
infections,
Disorders for ureters, bladder and urethera
Urinary tract infections-
Urinary dysfunctions- urinary retention, urinary incontinence,
urinary reflux,
Bladder disorders- neoplasms, calculi, neurogenic bladder, trama,
congenital abnormalities
Benign prostrate hypertrophy(BPH)
Ureteral disorders: ureteritis, ureteral trauma, congenital
anomalies of ureters
Uretheral disorders- tumours, trauma, congenial anomalies of
ureters,
VII 25 Glomueral disorders and nursing management
Etiology, clinical manifestations, diagnosis, prognosis, related
pathophysiology, medical , surgical and nursing management of
Glomueralo nephritis- chronic, acute , nephritic syndrome
Acute Renal failure and chronic renal failure.
Renal calculi
Renal tumours-benign and malignant
Renal trauma
Renal abscess
Diabetic nephropathy
Vascular disorders
Renal tuberculosis
Polycystic
Congenital disorders
Hereditary renal disorders
VIII 10 Management of Renal emergencies
Anuria
Acute Renal failure
Poisoning
Trauma
Urine retention
Acute graft rejection
Hematuria
Nurse’s role
IX 10 Drugs used in urinary disorders
Classification
Indications, contraindications, actions and effects, toxic effects
Role of nurse
X 10 Dialysis
Dialysis- Historical, types, Principles, goals
• Hemodialysis- vascular access sites- temporary and permanent
• Peritoneal dialysis
Dialsyis Procedures- steps, equipments, maintenance,
Role of nurse- pre dialysis, intra and post dialysis
Complications-
Counseling
patient education
Records and reports
XI 10 Kidney transplantation
Nursing management of a patient with Kidney transplantation
Kidney transplantations- a historical review
Immunology of graft rejections
The recipient of a renal transplant
Renal preservations
Human Leucocytic Antigen(HLA) typing matching and cross
matching in renal transplantation
Surgical techniques of renal transplantations
Chronic renal transplant rejection
Complication after KTP: Vascular and lymphatic, Uroloical,
cardiovascular, liver and neurological, infectious complication
KTP in children and management of pediatric patient with KTP
KTP in developing countries
Results of KTP
Work up of donor and recipient for renal transplant
Psychological aspect of KTP and organ donations
Ethics in transplants
Cadaveric transplantation
XII 5 Rehabilitation of patient with nephrological problems
Risk factors and prevention
Rehabilitation of patients on dialysis and after kidney transplant
Rehabilitation of patients after urinary diversions
Family and patient teaching
XIII 10 Pediatric urinary disorders
Etiology, clinical manifestations, diagnosis, prognosis, related
pathophysiology, medical , surgical and nursing management of
children with Renal Diseases -UTI, ureteral reflux, glomerulo
nephritis, nephrotic syndrome infantile nephrosis, cystic kidneys,
familial factors in renal diseases in childhood, Haemolytic uraemic
syndrome. Benign recurrent haemturia, nephropathy, wilms’
tumour
XIV 5 Critical care units- dialysis , KTP unit
Philosophy, aims and objectives
Policies, staffing pattern, design and physical plan of Dialysis and
KTP units
Team approach, functions
Psychosocial aspects in relation to staff and clients of ICU, dialysis
unit
In-service education
Ethical and legal issues
XV 5 Quality assurance in nephrological nursing practice
Role of advance practioner in nephrological nursing
Professional practice standards
Quality control in nephrological nursing
Nursing audit
Practicals
Total = 960 Hours
1 Week = 30 Hours
S. No. Deptt./ Unit No. of Week Total Hours
1 Nephrology Ward 6 180 Hours
2 Pediatrics 2 60 Hours
3 Critical Care Unit 2 60 Hours
4 Urology Ward 6 180 Hours
5 Dialysis Unit 4 120 Hours
6 Kidney Transplantation Unit 2 60 Hours
7 URO OT 2 60 Hours
8 Emergency Wards 2 60 Hours
9 Uro Nephro OPDs 4 120 Hours
10 Diagnostic Labs 2 60 Hours
Total 32 Weeks 960 Hours
Procedures observed
I. Procedures Observed
1. CT Scan
2. MRI
3. Radiographic studies
4. Urodynamics
5. Hemodialysis
6. Renal Surgeries
II. Procedures Assisted
1. Blood transfusion
2. I V cannulation therapy
3. Arterial Catheterization
4. Insertion of central line/cvp line
5. Connecting lines for dialysis
6. Peritoneal dialysis
7. Renal biopsy
8. Endoscopies- Bladder, urethra
III. Procedure Performed
1. Health assessment
2. Insertion of uretheral and suprapubic catheters
3. Urine analysis
