Nurse

Ethiopian TVET-System Model Curriculum Learning level III Based on Occupational Standard (OS)

TVET System

This curriculum has been developed by a group of experts from different Regional TVET-Authorities based on the occupational standard for Nursing level III. It has the character of a model curriculum and is an example on how to transform the occupational requirements as defined in the respective occupational standard into an adequate curriculum.

The curriculum development process has been actively supported and facilitated by the Ministry of health and Federal TEVET agency in line with one of its mandates to provide technical support to the regions.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Preface

The reformed TVET-System is an outcome-based system. It utilizes the needs of the labor market and occupational requirements from the world of work as the benchmark and standard for TVET delivery. The requirements from the world of work are analyzed and documented taking into account international benchmarking as occupational standards (OS). In the reformed TVET-System, curricula and curriculum development play an important role with regard to quality driven TVET-Delivery. Curricula help to facilitate the learning process in a way, that trainees acquire the set of occupational competences (skills, knowledge and attitude) required at the working place and defined in the occupational standards (OS). Responsibility for Curriculum Development will be given to the Regional TVET-Authorities and TVET-Providers.

Ethiopian Model Curriculum

The prime objective of this training program is to equip the learners with the identified competences specified in the OS. Graduates are therefore expected to Collect, Maintain and Utilize Community Health Data, Provide Compassionate, Respectful and Caring Service, Apply Infection Prevention Techniques and Workplace OHS, Provide Basic First Aid and Emergency Care, Prepare and Maintain Beds, Undertake Routine Inventory Maintenance, Perform Basic Nursing Care Procedures and Techniques, Provide Palliative Care and Maintain Mortuary Service, Transport and Assist Patient by Safe Handling Practice, Administer Range of Medication, Undertake Basic Wound Care, Promote and Manage Comprehensive Family Planning Service, Apply Computer and Mobile Technology, Monitor Implementation of Work Plan/Activities, Apply Quality Control, Lead Workplace Communication, Lead Small Teams, Improve Business Practice, Prevent and Eliminate MUDA in accordance with the performance criteria described

Ethiopian TVET System Model Curriculum Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency TVET-Program Design 1.1. TVET-Program Title: nursing Level III 1.2. TVET-Program Description

in the OS. 1.3. TVET-Program Learning Outcomes The expected outputs of this program are the acquisition and implementation of the following units of competence HLT NUR3 02 1218 Provide Compassionate, Respectful and Caring Service HLT NUR3 03 1218 Apply Infection Prevention Techniques and Workplace OHS HLT NUR3 05 1218 Prepare and Maintain Beds HLT NUR3 04 1218 Provide Basic First Aid and Emergency Care HLT NUR3 09 1218 Transport and Assist Patient by Safe Handling Practice HLT NUR3 07 1218 Perform Basic Nursing Care Procedures and Techniques HLT NUR3 11 1218 Undertake Basic Wound Care HLT NUR3 08 1218 Provide Palliative Care and Maintain Mortuary Service HLT NUR3 10 1218 Administer Range of Medication HLT NUR3 06 1218 Undertake Routine Inventory Maintenance HLT NUR3 12 1218 Promote and Manage Comprehensive Family Planning Service HLT NUR3 16 1218 Lead Workplace Communication HLT NUR3 17 1218 Lead Small Teams HLT NUR3 13 1218 Apply Computer and Mobile Technology HLT NUR3 01 1218 Collect, Maintain and Utilize Community Health Data HLT NUR3 18 1218 Improve Business Practice HLT NUR3 14 1218 Monitor Implementation of Work Plan/Activities HLT NUR3 15 1218 Apply Quality Control HLT NUR3 19 1218 Prevent and Eliminate MUDA

The Program is designed to develop the necessary knowledge, skills and attitude of the learners to the standard required by the occupation. The contents of this program are in line with the occupational standard. Learners who successfully completed the Program will be qualified to work as a Nurse with competencies elaborated in the respective OS. Graduates of the program will have the required qualification to work in the Health sector in the field of Nursing.

Ethiopian TVET System Model Curriculum Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency 1.4. Duration of the TVET-Program

1.7 Entry Requirements

Citizen without disability who meets the entry requirements under items 1.7 and capable of participating in the learning activities is entitled to take part in the Program.

Based on the descriptors elaborated on the Ethiopian National TVET Qualification Framework (NTQF) the qualification of this specific TVET Program is “Level III . ”

This TVET-Program is characterized as a formal Program on middle level technical skills. The mode of delivery is co-operative training. The TVET-institution and identified companies have forged an agreement to co-operate with regard to implementation of this program. The time spent by the trainees in the industry will give them enough exposure to the actual world of work and enable them to get hands-on experience. The co-operative approach will be supported with school-based lecture-discussion, simulation and actual practice. These modalities will be utilized before the trainees are exposed to the industry environment.

The learner will not be awarded any certificate before completion of all the modules in health sector training. 1.6. Target Groups

1.8 Mode of Delivery

The prospective participants of this program are required to possess the requirements or directive of the Federal TVET Agency

The Program will have duration of 2243 hours including the on-the-job practice or cooperative training time. 1.5. Qualification Level and Certification

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 1.9. TVET-Program Structure Unit of Competence Module Code & Title Learning Outcomes Duration (In Hours) HLT NUR3 02 1218 Serviceand,CompassionateProvideRespectfulCaring HLT NUR3 M01 0219 ServiceandRespectfulate,CompassionProvidingCaring  Apply professionalism and ethical practice principles  Apply humanistic care to clients  Demonstrate effective health care communication  Provide respectful care for clients  Comply with legal and ethical framework accountabilityresponsibilitythroughand 48 HLT NUR3 03 1218 Apply OHSandTechniquesPreventionInfectionWorkplace HLT NUR3 M02 0219 OHSWorkplaceandTechniquesPreventionInfectionApplying  Apply infection prevention techniques  Establish and maintain participative arrangements  Assess and control risks and hazards 148 HLT NUR3 05 1218 Prepare BedsMaintainand HLT NUR3 M03 0219 BedsMaintainingandPreparing  Prepare area for bed making  Make bed  Leave bed ready for occupancy or continued occupancy  Collect and manage Linen Stock at User-Locations 95

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum HLT NUR3 04 1218 Provide Basic First Aid CareEmergencyand HLT NUR3 M04 0219 CareEmergencyAidBasicProvidingFirstand  Introduce to general human anatomy and physiology  Apply pharmacology in the field of Nursing practice  Provide First Aid  Perform assessmentpatient/client  Apply basic patient/client care 238 HLT NUR3 09 1218 Transport and Assist Patient by PracticeHandlingSafe HLT NUR3 M05 0219 PracticeHandlingSafePatientAssistingandTransportingby  Follow taskproceduresOrganizationalforaparticulartominimizeriskofinjury  Utilize and implement strategies as directed to improve organizationworkplace  Prepare for transport  Transport client  Deliver client  Prepare to assist with client movement  Complete assistance with client movement 110 HLT NUR3 07 1218 Perform Basic Nursing TechniquesandProceduresCare HLT NUR3 M06 0219 TechniquesandProceduresCareNursingBasicPerforming  Identify clients need to Individualize nursing care.  Manage patient safety and comfort  Provide hygienic care for patients  Feed helpless patient  Apply therapeutic procedures 700

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum  Collect patient specimen from admitted patient  Assist therapeutic and diagnostic procedures  Perform wound care HLT NUR3 11 1218 CareBasicUndertakeWound HLT NUR3 M07 0219 WoundBasicUndertakingCare  Undertake assessmentwound  Contribute to planning appropriate care for the client with a wound  Implement wound care strategies in conjunction with wound management team  Assist in evaluating the outcomes of nursing actions 115 HLT NUR3 08 1218 PalliativeProvide Care and ServiceMortuaryMaintain HLT NUR3 M08 0219 ServiceMortuaryMaintainCarePalliativeProvidingand  Receive bodies at mortuary  Prepare bodies for viewing  Maintain the mortuary environment  Release bodies to Funeral Director/ Conveyors  Follow security requirements 40

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum HLT NUR3 10 1218 MedicationRangeAdministerof HLT NUR3 M09 0219 MedicationgAdministerinRangeof  Minimise potential risk to the safe administration of medications  Prepare for administration of medications  Administer medications within the legal parameters  Respond appropriately to the signs of pain  Monitor and report clients ’ response to administer medication 410 HLT NUR3 06 1218 MaintenanceInventoryRoutineUndertake HLT NUR3 M10 0219 MaintenanceInventoryRoutineUndertaking  Maintain and monitor stock levels  Prepare order lists and forward stock  Receive and store goods 25 HLT NUR3 12 1218 Promote and ServicePlanningeComprehensivManageFamily HLT NUR3 M11 0219 ServicePlanningiveComprehensManagingandPromotingFamily  Plan family planning services  Promote family planning services  Provide family planning services  Monitor family planning services 94

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum HLT NUR3 16 1218 CommunicationWorkplaceLead HLT NUR3 M12 0219 onCommunicatiWorkplaceLeading  Communicate information about workplace processes  Lead workplace discussion  Identify and communicate issues arising in the workplace 16 HLT NUR3 17 1218 Lead TeamsSmall HLT NUR3 M13 0219 SmallLeadingTeams  Provide team leadership  Foster individual and organizational growth  Monitor and evaluate workplace learning  Develop team commitment and cooperation  Facilitate accomplishment of organizational goals 20 HLT NUR3 13 1218 ComputerApply and TechnologyMobile HLT NUR3 M14 0219 TechnologyandComputerApplyingMobile  Apply infection prevention techniques  Establish and maintain participative arrangements  Assess and control risks and hazards 30 HLT NUR3 01 1218 MaintainCollect, and HealthCommunityUtilizeData HLT NUR3 M15 0219 HealthCommunityandMaintainingCollecting,UtilizingData  Plan and prepare the necessary resources for data collection  Interpret and utilize necessary health data  Prepare and submit reports  Use intervention measures 40 HLT NUR3 18 1218 PracticeBusinessImprove HLT NUR3 M16 0219 PracticeBusinessImproving  Diagnose the business  Benchmark the business  Develop plans to improve 40

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum business performance  Develop marketing plans  Develop business growth plans  Implement and monitor plans HLT NUR3 14 1218 Plan/ActivitiesofImplementationMonitorWork HLT NUR3 M17 0219 sPlan/ActivitieonImplementatiMonitoringofWork  Monitor and improve workplace operations  Plan and organize workflow  Maintain workplace records  Solve problems and make decisions 24 HLT NUR3 15 1218 Apply ControlQuality HLT NUR3 M18 0219 ControlQualityApplying  Implement quality standards  Assess quality of service delivered  Record information  Study causes of quality deviations  Complete documentation 30 HLT NUR3 19 1218 Prevent MUDAEliminateand HLT NUR3 M19 0219 MUDAEliminatingandPreventing  Prepare for work.  Identify MUDA.  Eliminate wastes/MUDA.  Prevent occurrence of wastes/MUDA. 20 *The time duration (Hours) indicated for the module should include all activities in and out of the TVET institution.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 1.10

Institutional Assessment

The formative assessment is incorporated in the learning modules and form part of the learning process. Formative evaluation provides the trainee with feedback regarding success or failure in attaining learning outcomes. It identifies the specific learning errors that need to be corrected, and provides reinforcement for successful performance as well. For the teacher, formative evaluation provides information for making instruction and remedial work more effective.

Techniques or tools for obtaining information about trainees achievement include’ oral or written test, demonstration and on-site observation.

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Two types of evaluation will be used in determining the extent to which learning outcomes are achieved. The specific learning outcomes are stated in the modules. In assessing them, verifiable and observable indicators and standards shall be used.

Summative Evaluation the other form of evaluation is given when all the modules in the program have been accomplished. It determines the extent to which competence have been achieved. And, the result of this assessment decision shall be expressed in the term competent or not yet competent.

1.11 TVET Teachers Profile

The teachers conducting this particular TVET Program are B Level and have satisfactory practical experiences or equivalent qualifications.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum LEARNING MODULE- 01 Logo of TVET Provider TVET-PROGRAMME TITLE: Nursing Level III MODULE TITLE: Providing Compassionate, Respectful and Caring Service MODULE CODE: HLT NUR3 M01 0219 NOMINAL DURATION: 48Hours. MODULE DESCRIPTION: This Module aims to describe skills knowledge and attitude required to effectively perform professional duties and responsibilities with compassionate, caring and respectful manner by applying basic principles of professional, ethical and legal .aspects of the profession. LEARNING OUTCOMES At the end of the module the learner will be able to: LO1: Apply professionalism and ethical practice principles LO2: Apply humanistic care to clients LO3: Demonstrate effective health care communication LO4: Provide respectful care for clients LO5: Comply with legal and ethical framework through responsibility and accountability MODULE CONTENTS: LO1: Apply professionalism and ethical practice principles 1.1. Definition of 1.1.3.Theorists1.1.2.Professional1.1.1.Legalnursingdefinitiondefinitiondefinition ’ 1.2.Historical Development of Nursing 1.2.1.Nursing in ancient Civilization 1.2.2.Modern 1.81.7.Profession1.6.Definition1.5.Nursing1.4.Important1.3.Role1.2.4.Future1.2.3.ContemporaryNursingnursingNursingofReligioninNursingDevelopmentpersonsinNursingdevelopmentTheoriesofEthicaltermsvsOccupation1.7.1.CriteriaofProfession1.7.1.1Professionandprofessionalism1.7.1.2Roleofaprofessionalnurse1.7.2.ProfessionalDevelopmentinNursingSocializationtoNursingandNursingAssociations1.8.1GeneralConceptsofsocialization1.8.1.1.Definitionofsocialization1.8.1.2.Criticalvaluesofsocializationinprofessional Nursing 1.8.1.3.Educational preparations and Career opportunities for Nurses 1.8.1.4.Re-socialization in employment 1.8.2.National and International Nursing associations 1.8.2.1.Definition of association 1..8.2.2Historical development of Nursing association

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 1.8.2.3.Aims of Nursing association 1.8.2.4.Requirements for National(ENA) and International (ICN, CNA, ANA) association membership 1.8.2.5 Importance of membership 2.1.Ethical principles and issues in Nursing 2.1.1. Autonomy 2.1.2. Beneficence 2.1.3. Non-maleficence 2.1.4. Justice 2.2.Nursing professional code of conducts 2.2.1. Medico- legal principle 2.2.2. Nursing code of conduct 2.3.Professional values 2.3.1. Responsiveness 2.3.2. Compassion 2.3.3. Trustworthiness 2.3.4. Integrity 2.3.5. Honesty LO2: Apply humanistic care to clients 2.1.Humanistic2.1.1.Patientscare concern 2.1.2.Patient and clients feelings and emotions 2.1.3.Patients/clients innate needs 2.1.3.1.Personal feeling 2.1.3.3.Affection2.1.3.2.Respect2.1.3.4.Care LO3: Demonstrate effective health care communication 3.1.Work relationship ( Positive, respectful and collaborative) 3.2.Compassion and concern for the patient 3.3.Effective communication LO4: Provide respectful care for clients 4.1. Communication techniques 4.2.Respect the clients and family socio cultural back ground 4.3.Patients rights to Consent, information and decision making and access’ services LO5: Comply with legal and ethical framework through responsibility and accountability 5.1.Medical ethics and morality 5.2.Unethical 5.3.Legislationbehaviorandcommon laws related to maternal health 5.4.Comply with policies and procedures 5.6.Privacy5.5.Confidentiality

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 5.7.Ethical issues and ethical dilemma 5.8.Handling Emergency patients LEARNING METHODS:  Interactive Lecture and Group discussion  Role play  Video show  Case study ASSESSMEN METHODS:  Observation ( Real or simulated cases)  Written test  Review of task( Assignment, project, report, portfolio) Assessment Criteria LO1: Apply professionalism and ethical practice principles  Ethical principles and issues of the profession are identified and executed  Professional code of conducts are identifies and executed  Professional values are recognized and demonstrated  Adherence to ethical principles of the profession are maintained and evaluated  Practice according to applicable standards for the professional practice LO2: Apply humanistic care to clients  Patients concern are understood and addressed  Patient and clients feelings and emotions are considered  Patients innate needs are addressed and communicated LO3: Demonstrate effective health care communication  Positive, respectful and collaborative working relationship is established(Rapport)  Compassion and concern for the patient is recognized, anticipated and expressed.  Information clearly and effectively elicited  Proper information is gathered in order to facilitate accurate diagnosis,  Appropriate non-verbal communication is used  Patient concern is actively listened  Clients are effectively informed, educated and Counseled  Effective interaction with other people working within the health system is established  Therapeutic instructions are provided compassionately  Non-violent communication techniques are used and implemented LO4: Provide respectful care for clients  Communication techniques effectively demonstrated  Patient and family knowledge, values, beliefs and cultural backgrounds are incorporated into the planning and delivery of care  Health care practitioners communicate and share complete and unbiased information with patients and families in ways that are affirming and useful  Patients and families receive timely, complete, and accurate information in order to effectively participate in care and decision-making.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum  Patients and families are encouraged and supported in participating in care and decision-making at the level they choose  Patients, families, health care practitioners, and hospital leaders collaborate in policy and program development, implementation, and evaluation; in health care facility design; and in professional education, as well as in the delivery of care.  Patients rights to access care, transfer and continuity of care are respected.’ LO5: Function with legal and ethical framework through responsibility and accountability  Legislation and common laws relevant to work role is understood  Comply with policies and procedures  Confidentiality of individuals record is ensured.’  Disclosure of patients information to another person without patients consent is’’ prevented.  Ethical issues and ethical dilemma in the workplace is recognized  Patients who are not able to communicate in case of emergency or other conditions are handled.  Patient-specific data are released to only authorized users.  Ethical standards related to patient privacy rights are publicized.  Assessments are conducted and solutions on privacy issues/problems recommended.  Training programs for health care providers and other staff on privacy and confidentiality of patient information are conducted  Unethical conduct is recognized and reported

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum Annex: Resource Requirements HLT NUR3 M010219 Applying Compassionate, Respectful and Caring Service ItemNo. Category/Item Description/ Specifications Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM To be prepared by trainer 25 1:1 2. Reference Books 2.1 forceCaringRespectfulCompassionate,andHealthworktrainingmodule FMOH,2017 1:5 3. MagazinesPublication/Journals/ 3.1 management,Health Ethics and research FMOH with HEAT in Africa 1:10 3.2 National health policy of Ethiopia FMOH,1993 1:10 B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 3. (etc.) C. MaterialsConsumable 1. Paper A4 5rim 1:5 2. Pencil HB 5 1:5 3. Pen Ball point 5 1:5 4. Marker Standard 5. Flipchart Standard 6. Whiteboard marker Standard D. Tools Equipmentsand ’ 1. Whiteboard Magnetic whiteboard with mobile stand Wall thickness of iron stand is 1.2mm 2. Computer Standard 5 1:5 3. Printer Standard 4. Photocopy machine Standard 5. LCD projector Standard

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 6. blackboard Standard LEARNING MODULE:-02 Logo of ProviderTVET TVET-PROGRAMME TITLE: Nursing Level III MODULE TITLE: Applying Infection Prevention Techniques and Workplace OHS MODULE CODE: HLT NUR3 M02 0219 NOMINAL DURATION: 148Hours MODULE DESCRIPTION: This module describes the knowledge, skills and attitude required to establish and maintain infection prevention and OHS management system to ensure the workplace is safe and without risks to the health of employees, clients and/or visitors. LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Apply infection prevention techniques LO2. Establish and maintain participative arrangements LO3. Assess and Control risk and hazards LO4. Establish and maintain an OHS induction and training program LO5. Establish and maintain system for OHS records MODULE CONTENTS: LO1.Apply infection prevention techniques 1.1. Introduction to disease transmission 1.1.1. Basic concepts in transmission of communicable disease 1.1.2. Disease transmission cycle 1.2. Infection prevention techniques 1.2.1. Hand washing 1.2.2. Personal protective barriers 1.2.3. Proper handling of sharp items 1.2.4. Proper processing of instruments and materials 1.2.5. Environmental cleanliness 1.2.6. Proper infectious-waste disposal 1.2.7. Aseptic technique LO2. Establish and maintain participative arrangements 2.1. Definition of terms 2.2. Introduction to occupational health hazards 2.2.1. Create an effective safety team and facilitate productive safety meetings. LO3. Assess and Control risk and hazards 3.1. Principles of occupational safety and health 3.2. Environmental health hazards LO4 Establishment of an OHS induction and training program 4.1. Training need identification 4.2. Safety orientation program 4.3. Evaluation of the training program

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LO3. Assess and Control risk and hazards Workplace procedures are developed for hazard identification, assessment and Control of risks as well as dealing with hazardous events.

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Procedures are developed and maintained for selection and implementation of risk Control measures in accordance with the hierarchy of Control. Inadequacies are identified in the existing risk Control measures in accordance with the hierarchy of Control .And provide resources that enable the implementation of new measures.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum LO5. Establishment and maintenance of system for OHS records 5.1. Uses and benefits of recordkeeping 5.2. Occupational safety health requirements LEARNING METHODS:  Lecture and discussion  Role play  Group discussions  Demonstration  Case discussions and seminars ASSESSMENT METHODS:  Practical assessment  Written exam/test  Questioning or interview ASSESSMENT CRITERIA: LO1.Apply infection prevention techniques  Basic components of disease transmission are identified  Essential elements of infection prevention are implemented LO2. Establish and maintain participative arrangements 

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Identification of all hazards at the planning, design and evaluation stages of any changes in the workplace are addressed to ensure that new hazards are not created by the proposed changes.

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Appropriate participative processes are established and maintained with employees and their representative in accordance with the relevant OHS legislation, regulations and relevant industry standards that are consistent with the enterprise procedures. Issues raised are dealt and resolved through participation and consultation promptly and effectively. Information is provided to employees about the outcomes of participation and consultation in a manner accessible to employees.

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LO4 Establish and maintain an OHS induction and training program Training needs are identified. An OHS induction and training program are developed and maintained to identify and fulfill employees OHS training needs. Training management system is maintained, so that training attendance monitored and non-attendance followed up. Training is coordinated with relevant training experts as necessary. Outcomes are evaluated to ensure that the training objectives are met.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum LO5. Establish and maintain system for OHS records  Systems are established and monitored for keeping Organizational Health and Safety (OHS) records to meet regulatory requirements.  Identification of patterns of hazardous incidents, occupational injuries and diseases are allowed within the area of managerial responsibility.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum Annex: Resource Requirements HLT NUR3 M03 0219 Applying Infection Prevention Techniques and Workplace OHS ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM 2. Textbooks 3. Reference Books 3.1 5 1:5 3.33.2 Abreham A.,Basic (2002) Nursing Art For Nursing Students Lecture Note Series, Dilla college of health sciences 3.4 Craven, R.F & Hirnle, G.J. (1996) Fundamentals of Nursing: Human Health and Functions. 2nd Edition. Philadelphia.Hippincott. 3.5 FMOH,Ethiopia Infection Prevention And Patient Safety Reference Manual, June 2011 3.6 Kozier, B, Erb, G. & Oliveieri, R. California.Addison-Welseypractice.Concepts,Fundamentals(1991)ofNursing:processand4thEdition. 3.7 Centralized school of Nursing. Manual of Nursing Art. 3.8 Smetzer, Suzanne C Brunner and Suddarths (1995) Text Book of Medical Surgical Nursing 10th edition. Lippincott company. Philadelphia. Stuck Vivien A. (1993) Microbiology for Nurses. W.B. Saunders. Co. 7th

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum ed. 4. Publication/MagazinesJournals/ B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library C. MaterialsConsumable 1. paper A4 5rim 1:5 2. pencil HB 5 1:5 3. pen Ball point 5 1:5 D. Tools Equipmentsand 1. Auger LEARNING MODULE 03 Logo of ProviderTVET

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum TVET-PROGRAMME TITLE: Nursing level III MODULE TITLE: Preparing and Maintaining Beds MODULE CODE: HLT NUR3 M03 0219 NOMINAL DURATION: 95Hours MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge, skills and right attitude required to apply bed making and cleaning practices to a range of beds to ensure that clients can safely occupy a clean bed.‘’ LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Prepare area for bed making LO2. Make bed LO3. Leave bed ready for occupancy or continued occupancy LO4. Collect and manage Linen Stock at User-Locations MODULE CONTENTS: LO1. Prepare area for bed making 1.1. 1.1.1IntroductionDefinition of terms 1.2. Organizational policy 1.3. Personal protective equipment 1.4. Adjusting height of the bed. 1.5. Clearing bed and surrounding areas of medical and other equipment. 1.4.1Clearing a client area 1.6. Checking bed linen for displaced personal items, aids and equipment 1.7. Placing aids and equipment in the appropriate area/container. LO2. Make bed 2.1. Maintaining clients dignity and privacy’ 2.2. Striping bed linen 2.3. Removing clinical waste, soiled linen and place in the appropriate container. 2.4. Cleaning the bed is according to the established procedures 2.5. Re-positioning the existing bed linen. 2.6. Asking the client whether they are comfortable, or if they have any specific bed needs. 2.7. Handling reusable clean bed linen 2.8. Cleaning mattresses and pillows regularly and on discharge LO3. Leave bed ready for occupancy or continued occupancy 3.1. Adjusting bed height for occupancy 3.2. Appling brakes according to bed type. 3.3. Keeping bed and equipment/aids accessible 3.4. leaving bed ready for occupancy 3.5. Appropriate personnel

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 3.6. Reporting damaged and/or faulty beds, equipment, mattresses, pillows and lines. 3.7. Cleaning /disposing all cleaning implements and returned to storage area. LO4. Collect and manage Linen Stock at User-Locations 4.1.Oorganization procedures 4.1.1 Collecting soiled linen 4.1.2 Replacing bag 4.2.Using the appropriate equipment and safe handling techniques. 4.3.Transporting soiled linen to the designated holding area 4.4.Identifying and reporting hazard 4.5.Re-stocking linen 4.6.Rotating linen stock 4.7.Returning old stock for reprocessing. 4.8.Maintaining optimum stock levels 4.9.Requisitioning linen to the pre-determined quantity levels. 4.10. Maintaining storage and security of linen. 4.11. Maintaining linen stock records . LEARNING METHODS  Lecture-discussion  Demonstration  Group discussion  Individual assignment ASSESSMENT METHODS  Interview  Written test  Demonstration/Observation ASSESSMENT CRITERIA: LO.1. Prepare area for bed making  Personal protective equipment is used according to the organizational policy.  The height of the bed is adjusted when necessary.  The bed and surrounding areas of medical and other equipment are cleared before stripping the bed, where necessary.  Bed linen is checked for displaced personal items, aids and equipment, and place aids and equipment in the appropriate area/container. LO.2. Make bed  The clients dignity and privacy are maintained.’  Bed linen is striped, where necessary.

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Damaged and/or faulty beds, equipment, mattresses, pillows and lines are reported to appropriate personnel.

The client is asked whether they are comfortable, or if they have any specific bed needs. Reusable clean bed linen is handled in accordance to with the organizational procedures.

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LO.3 Leave bed ready for occupancy or continued occupancy Bed height is adjusted for occupancy and brakes are applied according to bed type. Bed and equipment/aids accessible are kept and bed is leaved ready for occupancy.

Mattresses and pillows are cleaned regularly and on discharge, in accordance with the organizational procedures

The existing bed linen is re-positioned.

Clinical waste is removed, and linen soiled and placed in the appropriate container

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Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 

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Soiled linen is transported to the designated holding area using the appropriate equipment and safe handling techniques. Hazards are identified and reported to supervisor Clean linen is transported periodically to user-locations using the appropriate equipment and safe handling techniques. Linen is re-stocked to ensure adequate supply to users Linen stock is rotated and old stock returned for reprocessing. Optimum stock levels are maintained to ensure the productivity and linen is available. Linen is requisitioned to the pre-determined quantity levels. Storage and security of linen is maintained according to the organizational requirements. Linen stock records are maintained according to the organizational requirements.

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The bed is cleaned according to the established procedures, where necessary Clean bed linen is placed on bed in accordance with the organizational procedures.

All cleaning implements are cleaned (or disposed of appropriately) and returned to storage area

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LO.4. Collect and manage Linen Stock at User-Locations Soiled linen is collected periodically from user locations and bag is replaced in according with the organization procedures.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum Annex: Resource Requirements HLT NUR3 M03 0219 Preparing and Maintaining Beds ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM Prepared by the trainer 25 1:1 2. Reference materials 2.14. MagazinesJournals/Publication/ B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 1 1:25 3. Demonstration room SDL guideline 1 1:25 C. Consumable Materials 1. Linen pair 5 1:5 2. Blanket each 5 1:5 3. Glove pair 25 1:1 D. Tools and Equipments

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 1. Computer Lap top 1 2. LCD projector LCD Projector Epson 1 3 Laundry Standard 1 1:25 4 Printer HP Laser Jet 1 1:25 5 White board 120X80mm 1 1:25 6 Choalk board 120X80mm 1 1:25 7 Bed 1.2 cm x2m 5 1:25 8 Trolley Standard 5 1:25 LEARNING MODULE-04 Logo of ProviderTVET TVET-PROGRAMME TITLE: Nursing Level III MODULE TITLE: Providing Basic First Aid and Emergency Care MODULE CODE: HLT NUR3 M04 0219 NOMINAL DURATION: 238 Hours MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge, skills and right attitudes related with patient/client care that enables them to provide basic and emergency care. It provides the KAP required for basic and emergency patient or client care LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Introduce to general human anatomy and physiology LO2. Apply pharmacology in the field of Nursing practice LO3. Provide First Aid LO4. Perform patient/client assessment LO5. Apply basic patient/client care MODULE CONTENTS: LO1. Introduce to general human anatomy and physiology 1.1. Introduction to Anatomy and physiology of integumentary system 1.2. Anatomy and physiology of musculoskeletal system

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 1.3. Anatomy and physiology of respiratory system 1.4. Anatomy and physiology of digestive system 1.5. Anatomy and physiology of cardiovascular system 1.6. Anatomy and physiology of genitourinary system 1.7. Anatomy and physiology of endocrine system 1.8. Anatomy and physiology of nervous system 1.9. Anatomy and Physiology of Head, Eye, Ear, Nose and Trout (HEENT) 1.10. Anatomy and physiology of the reproductive system LO2. Apply pharmacology in the field of Nursing practice 2.1. Basic pharmacology 2.2. Application of basic pharmacology 2.2.1. Drug calculation 2.1.1. Route of drug administration 2.1.2. Side effect 2.1.3. Mechanism of action 2.1.4. Toxicity 2.3. Checking/maintaining drug administration LO3. Provide First Aid 3.1. Introduction to first aid and accident prevention 3.2. Physical hazards to self and casualtys health’ 3.3. Principles of first aid 3.4. Managing and transferring accidental injuries LO4. Perform patient/client assessment 4.1. History taking 4.2. Physical examination 4.3. Documenting complete patient data LO5 Apply basic patient/client care 5.1 Patient/client care procedures 5.2 Basic patient care 5.3 Advanced patient care 5.4 Basic first aid and patient care tools LEARNING METHODS:  Lecture-discussion  Group discussion  Demonstration  Practical exercise  Case study/project ASSESSMENT METHODS  Interview  Written test  Demonstration/Observation ASSESSMENT CRITERIA:

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum LO1. Introduce to general human anatomy and physiology  Introduction to anatomy is done  Anatomy and physiology of integumentary system is described  Anatomy and physiology of musculoskeletal system is explained  Anatomy and physiology of respiratory system is described  Anatomy and physiology of digestive system is described  Anatomy and physiology of cardiovascular system is described  Anatomy and physiology of genitourinary system is described  Anatomy and physiology of endocrine system is described  Anatomy and physiology of nervous system is described  Anatomy and Physiology of Head, Eye, Ear, Nose and Trout (HEENT)is described  Anatomy and physiology of the reproductive system is described LO2. Apply pharmacology in the field of Nursing practice  Basic pharmacological knowledge is explained  Basic pharmacology is applied  Knowledge about drug calculations, correct route of administration, side effects, mechanism of action, toxicity are given  Drug before, during and after administration is checked/maintained LO3. Provide First Aid  Introduction to first aid and accident prevention are explained  Physical hazards to self and casualtys health and safety are identified’ and controlled  Casualtys condition’ is monitored and responded to in accordance with the effective First Aid principles  Accidental injuries are managed and transferred safely LO4. Perform patient/client assessment  Patient/client history is taken  Principles of Physical Examination are described  Patient/client physical examination is performed  Vital sign is measured  Complete patient data is documented LO5 Apply basic patient/client care  Patient/client care procedure (Bed making, catheterization, NG-tube

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum insertion, vital sign taking, specimen collection, medication administration, body mechanics and patient transport, cold/cold compression) are provided.  Basic patient care are provided (Oral care, pressure area care, Bed bath, Back care, Wound care, Perineal Care, Caring for fingernails and toe nails, Hair washing)  Advanced patient cares are identified (e.g. colostomy care, tracheostomy care, lumbar puncture, postural drainage, thoracentesis, paracenthesis)  Basic first aid and patient care tools and equipments are identified’ HLT NUR3 M04 0219 Providing Basic First Aid and Emergency Care ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM Prepared by the trainer 25 1:1 2. Reference materials 2.14. Journals/Publication/Magazines B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 1 1:25 3. Demonstration room SDL guideline 1 1:25 C. Consumable Materials 1. Gauze 5 1:5 2 Doll, CPR 3 Bandage 4. Blanket each 5 1:5 5 Glove pair 25 1:1 6 Splint

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum D. Tools and Equipments 1. Computer Lap top 1 2. LCD projector LCD Projector Epson 1 3 Laundry Standard 1 1:25 4 Printer HP Laser Jet 1 1:25 5 White board 120X80mm 1 1:25 6 Choalk board 120X80mm 1 1:25 7 Bed 1.2 cm x2m 5 1:25 8 Trolley Standard 5 1:25 LEARNING MODULE -05 Logo of ProviderTVET TVET-PROGRAMME TITLE: Nursing Level III MODULE TITLE: Transporting and Assisting Patient by Safe Handling MODULE CODE: HLT NUR3 M05 0219 NOMINAL DURATION: 110 Hours MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge, skills and right attitudes required to carry out their work in a safe manner while handling manual practice within the health care environment and safe, timely and efficient transport of clients/patients from one location to another at a particular site, or to other sites and assist with Clients/patients movement who require assistance with basic physical movement due to incapacity. LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Follow Organizational procedures for a particular task to minimize risk of injury LO2.Utilize and implement strategies as directed to improve workplace organization LO3. Prepare for transport LO4. Transport client LO5. Deliver client LO6. Prepare to assist with client movement

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum LO7. Complete assistance with client movement MODULE CONTENTS: LO1. Follow Organizational procedures for a particular task to minimize risk of injury 1.1Introduction1.1.1Definition of terms 1.2 Posture and handling techniques 1.3Workplace policies and procedures 1.4 Managing work tasks involving vibration 1.5Manual handling techniques and equipment 1.6 Packing loads 1.7 Guidelines for lifting 1.8 Lifting limitations 1.9 Safe work practices in handling loads 1.10 Personal protective equipment LO2. Utilize and implement strategies as directed to improve workplace organization 2.1. OHS hazards 2.2. workplace design and task analysis 2.3. Workplace policies and procedures 2.3.1. Equipment and environmental maintenance 2.3.2. Documentation and reporting of injures LO3. Prepare for transport 3.1. Transportation requirements 3.2. Explaining procedures and responding to questions 3.3. Patient preparations 3.4. Equipment for transportation 3.5. Patient/client confidentiality LO4. Transport client 4.1Patient/client handling 4.2Client transportation 4.3 Mmaneuver equipment LO5. Deliver client 5.1. Delivering clients 5.2. Informing clients needs’ 5.3. Returning equipment

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 5.4. Reporting LO6. Prepare to assist with client movement 6.1. Assisting client movement 6.2. Communication protocols 6.3. Patient/client consent and cooperation LO7. Complete assistance with client movement 7.1. Cleaning equipment 73. Reporting faults in equipment LEARNING METHODS  Lecture-discussion  Demonstration  Group discussion  Individual assignment ASSESSMENT METHODS  Interview  Written test  Demonstration/Observation

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Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum ASSESSMENT CRITERIA: LO1.Follow Organizational procedures for a particular task to minimize risk of injury  Appropriate posture and handling techniques are used to reduce muscle load on exertion. 

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Work tasks involving vibration are managed in accordance with workplace policies and procedures. Appropriate manual handling techniques and equipment are used to meet customer needs within own scope of responsibility. Loads are packed appropriately for easy handling.

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Lifting limitations prescribed within relevant guidelines are followed. Safe work practices are used in handling loads. Appropriate personal protective Equipment is worn LO2. Utilize and implement strategies as directed to improve workplace organization OHS hazards are identified, risk assessed and reported to supervisor. Contributions are made to workplace design and task analysis to ensure appropriate work areas are developed Work place policies and procedures are followed in relation to pacing and scheduling of tasks. Equipment and environmental maintenance is carried out in accordance with a workplace preventive maintenance schedule. Workplace procedures for reporting symptoms and injuries to self and or others are followed.

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Workplace procedures for any return to work program are followed LO3. Prepare for transport Transportation requirements are confirmed with relevant personnel.

Procedure is explained to client or relevant personnel and questions answered as required Preparations are made for the safe and timely transportation of the patient or client. Equipment for transportation is selected according to transportation requirements and checked to ensure that it is clean, complete and correctly functioning. Any other Equipment is checked to ensure that it is attached correctly and safely to transportation equipment.

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Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum LO4 Transport client  Client is transported to designated location in accordance with transportation requirements and organizational policy  Equipment is maneuvered to ensure comfort to ensure client comfort and safety and minimal risk to self LO5. Deliver client  Client is delivered to designated location and relevant personnel are informed of clients needs as required.’  Relevant personnel are informed of clients needs as required.’  Equipment is returned as required.  Reporting requirements are carried out as appropriate LO6. Prepare to assist with client movement  Requirements for assisting with client movement are confirmed with relevant personnel and care plan.  Equipment is selected according to client requirements.  Environment is appropriately prepared.  Procedure is explained to client and questions answered as required and according to appropriate communication protocols.  Patient/Client consent and cooperation is sought.  Client movement is carried out using appropriate safe handling method and equipment as required.  Appropriate action is taken to ensure client comfort and safety throughout positioning or transfer.  Communication with client during movement is undertaken according to appropriate protocols LO7. Complete assistance with client movement  Equipment is returned to appropriate place as required.  Equipment is cleaned in accordance with organizational policy and procedures.  Equipment faults are reported immediately in accordance with organizational procedures HLT NUR3 M05 0219 Transporting and Assisting Patient by Safe Handling

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM Prepared by the trainer 25 1:1 2. Reference materials 2.22.1 B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 1 1:25 3. Demonstration room SDL guideline 1 1:25 C. Consumable Materials 1. Linen pair 5 1:5 2 Wheel chair each 5 1:5 3. Stretcher each 5 1:5 4. Glove pair 25 1:1 D. Tools and Equipments 1. Computer Lap top 1 2. LCD projector LCD Projector Epson 1 3 Laundry Standard 1 1:25 4 Printer HP Laser Jet 1 1:25 5 White board 120X80mm 1 1:25 6 Choalk board 120X80mm 1 1:25 7 Bed 1.2 cm x2m 5 1:25 8 Trolley Standard 5 1:25 LEARNING MODULE 6 Logo of ProviderTVET

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum TVET-PROGRAMME TITLE: Nursing Level III MODULE TITLE: Performing Basic Nursing Care Procedures and Techniques MODULE CODE: HLT NUR3 M06 0219 NOMINAL DURATION: 700 Hours MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge, skills and right attitudes required to perform basic nursing care procedures and techniques in health facilities and community service. LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Identify clients need to Individualize nursing care. LO2. Manage patient safety and comfort LO3. Provide hygienic care for patients LO4. Feed helpless patient LO5. Apply therapeutic procedures LO6. Collect patient specimen from admitted patient LO7. Assist therapeutic and diagnostic procedures LO8. Perform wound care MODULE CONTENTS: LO1. Identify clients need to Individualize nursing care. 1.1. Personal skill development 1.2. Developing strategies and care plan 1.3. Indications and contraindication 1.4. Identification of materials and tools 1.5. Clean and tidy patient unit and equipments 1.6. Client and provider relation ships 1.7. Nursing care procedures 1.8. Aseptic techniques 1.9. Client consent and cooperation 1.10. Patient privacy 1.11. OHS procedures LO2. Manage patient safety and comfort 2.1. Patient assessment 2.1.1. History taking 2.1.2. Physical examination 2.2. Bed making 2.3. Patient safety and comfort device 2.4. Documentation LO3. Provide hygienic care for patients 5.1. Hygienic care 3.1.1 General principles and purpose 3.1.2 Types of hygienic care 3.1.3 Precautions and contraindications 5.2. Bathing LO4. Feeding a helpless patient

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 4.1Patient/client feeding 4.1.1. Purposes of feeding a helpless patient 4.1.2. Types of feeding 4.1.3. Instruction and precautions 4.1.4. General principles and methods 4.2 LO5- Apply therapeutic procedures 5.1. Hot and Cold application 5.2. Applying hot water bottle 5.3. Precautions and contra indications LO6. Collect patient specimen from admitted patient 6.1. Specimen collection 6.1.1 Urine specimen 6.1.2 Stool specimen 6.1.3 Blood specimen 6.1.4 Sputum specimen 6.1.5 Other body discharges LO7- Assist and perform therapeutic and diagnostic procedures 7.1. Enemas 7.2. Securing IV cannula 7.3. Vein cut down 7.4. Thoracentesis 7.5. postural drainage 7.6. chest water seal drainage system 7.7. Suctioning the airway 7.8. Coughing and deep-breathing exercise 7.9. Steam inhalation 7.10. Oxygen therapy 7.11. Tracheotomy 7.12. Bronchoscopy 7.13. Gastric analysis 7.14. Endoscope examination 7.15. Gastric aspiration 7.16. Gastrostomy feeding 7.17. Gastric Lavage 7.18. Gastric gavages 7.19. Colostomy 7.20. Catheterization 7.21. Bladder irrigation 7.22. diagnostic procedures of, eye, ear, nose and throat LO8 Perform wound care 8.1. Introduction to wound care 8.2. principles of wound care 8.3. Types of wound care 8.4. Aseptic technique 8.5. Dressing

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 8.6. Wound healing LEARNING METHODS  Lecture-discussion  Group discussion  Demonstration  Practical exercise  Role play ASSESSMENT METHODS  Interview  Written test  Demonstration/Observation Assessment Criteria LO1. Identify clients need to Individualize nursing care  Available options are identified for professional skill development  Strategies are developed and care plan outlined based on procedure guide  Patient condition and purpose of care are defined  Indication of procedures and contraindication is understood  Procedures and policies are correctly implemented  Necessary material and tools are identified and organized  Patient unit and equipment are cleaned and tidy.  Client provider relationship through appropriate language, and recognize cultural, spiritual and religious backgrounds are established and maintained.  Nursing care procedures and safety appliances are identified  Procedures that need aseptic technique and clean techniques are well identified.  Client cooperation and consent are sought  Patient privacy policy is insured  Verbal communication of patient before, intra and end of procedure is insured  Occupational health and safety procedures and safe working practices are applied LO2. Manage patient safety and comfort  Patient condition is carefully assessed and identified  Appropriate bed making type is identified based on clinical condition of

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General principles of patient bed making are understood and applied equipment are correctly identified vital signs are checked and recorded of vital sign is defined and common errors identified safety and comfort applications are identified and indication of safety and comfort applications are defined is informed on procedure and consent given by step procedure is applied procedure is provided and patient information recorded and reported hygienic care for patients condition and purpose of hygienic care are defined principles and purpose of hygienic care are clarified Types of hygienic care are identified are understood and contraindications identified is informed on procedure and consent is given Step by step procedure Is applied nursing tools and equipment are cleaned based on Infection prevention guideline Every procedure done is reported and documented. . Feed helpless patient Procedure is followed condition and purpose of feeding are defined principles and method of feeding are understood and applied Types of feeding are identified instructions and precautions are followed Apply therapeutic procedures Procedure is followed and indication of therapeutic procedures are identified Therapeutic procedures are identified and contraindication are followed Collect patient specimen from admitted patient Specimen collection is defined

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Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum  Scope of practice is clarified  Purpose of specimen collection is justified  Types and method of specimen collection are defined  Precautions and aseptic technique are followed  Procedure is documented and reported LO7. Assist therapeutic and diagnostic procedures  Types and purpose of therapeutic and diagnostic procedures are identified  Necessary instrument is identified and made ready  Precautions and aseptic technique is followed  Used instruments are cleaned based on infection prevention guideline  Procedure is followed LO8. Perform wound care  Types and classification of wound are defined  Principles of wound healing are understood  Asepsis of wound is done  Dressing material is identified and made ready  Wound care is provided on aseptic technique  Factors of wound healing are understood   Used instruments are cleaned based on infection  prevention guideline  Procedure is followed HLT NUR3 M06 0219 Performing Basic Nursing Care Procedures and Techniques

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM Prepared by the trainer 25 1:1 2. Reference materials 2.1 Fundamental of nursing 2.2 B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 1 1:25 3. Demonstration room SDL guideline 1 1:25 C. Consumable Materials 1. Trolley 5 1:5 2 IV set 3 IV cannula 4 IV stand 5 Catheter each 5 1:5 6 towel 7 Glove pair 25 1:1 D. Tools and Equipments 1. Computer Lap top 1 2. LCD projector LCD Projector Epson 1 3 Laundry Standard 1 1:25 4 Printer HP Laser Jet 1 1:25 5 White board 120X80mm 1 1:25 6 Choalk board 120X80mm 1 1:25 7 Bed 1.2 cm x2m 5 1:25 8 Trolley Standard 5 1:25 LEARNING MODULE-07 Logo of ProviderTVET

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum TVET-PROGRAMME TITLE: Nursing Level III MODULE TITLE: Undertaking Basic Wound Care MODULE CODE: HLT NUR3 M07 0219 NOMINAL DURATION: 115 Hours MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge, skills and right attitudes of the principles of infection prevention, in relation to wound care processes in a variety of health care contexts. This will include assisting wound assessment and contemporary wound care working with the wound management health care team. LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Undertake wound assessment LO2 Contribute to planning appropriate care for the client with a wound LO3. Implement wound care strategies in conjunction with wound management team LO4 Assist in evaluating the outcomes of nursing actions MODULE CONTENTS: LO1. Undertake wound assessment 1.1 Introduction to wound care 1.1. Definition of terms 1.2. Immune system 1.3. Skin 1.2. Chain of infection 1.3. Wound 1.4. Types /Classification 4.1.1. Cause of wound 4.1.2. wound irrigation 4.1.3. Wound debridement 4.1.4. Phase of wound healing 4.1.5. Factor affecting wound healing 4.1.6. Types of dressing material 4.1.7. Wound suturing and removal 4.1.8. Complications of wound healing LO2. Contribute to planning appropriate care for the client with a wound 2.1. Discussing wound care 2.2. Nursing care plan for wound care 2.3. Physiology of wound healing processes 2.4. Client comfort needs 2.5. Potential impact of wound LO3 Implement wound care strategies in conjunction with wound

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum management team 3.1. Client privacy and dignity 3.2. Standard procedure of wound care 3.3. Dressing 3.4. Aseptic technique 3.5. Disposal of hazardous waste 3.6. Equipment processing LO4. Assist in evaluating the outcomes of nursing actions 4.1. Involvement of client in evaluation 4.2. Documentation and reporting LEARNING METHODS  Lecture-discussion  Demonstration  Group discussion  Individual assignment ASSESSMENT METHODS  Interview  Written test  Demonstration/Observation ASSESSMENT CRITERIA LO1. Undertake wound assessment  Necessary medical information is acquired from appropriate person.  Wound condition is evaluated in accordance with the standard procedures.  Feedback on the condition of the wound is given to patient.  Client cooperation is secured following the medical manual.  Strategies are utilized to minimise cross-infection during assessment and implementation.  Findings are appropriately recorded.  Wound care is identified, after the approval of registered nurse, is agreed for implementation LO2. Contribute to planning appropriate care for the client with a wound  Wound care is discussed with the client in conjunction with the registered nurse.  The sequencing, timing and client needs are taken into account when

LO3. Implement wound care strategies in conjunction with wound management team information is delivered to the patient or relatives All requirements are collected for the procedure.

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LO4. Assist in evaluating the outcomes of nursing actions Client is involved in the evaluation process. Documentation records of the on-going progress are ensured. Progress is reported to and discussed with a registered nurse. Resource Requirements 0219 Basic Wound Care

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Dressing is performed following the standard procedure. Follow aseptic technique for clean surgical wound and use clean techniques for clean wounds by application of the principles of infection prevention. Client is made comfortable. Hazardous waste is disposed of in line with the organisation policies and procedures. Used tools are cleaned and sterilized according to the infection prevention procedure and documentation is completed.

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Knowledge of physiological processes associated with normal wound healing in planning and delivering treatments is utilized Client comfort needs are identified (e.g. pain relief) before undertaking wound care.

Awareness of the potential impact of wound on client and/or family is developed

Client privacy and dignity is maintained throughout the process.

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Primary health care principles and holistic approach are taken into account when planning care.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum A. Learning Materials 1. TTLM Prepared by the trainer 25 1:1 2. Reference materials 2.22.1 B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 1 1:25 3. Demonstration room SDL guideline 1 1:25 C. Consumable Materials 1. Gauze pair 5 1:5 2. Bandage each 5 1:5 3. IV set pair 25 1:1 D. IV cannula 1. IV stand Lap top 1 2. LCD Projector Epson 1 3 Towel Standard 1 1:25 4 Glove HP Laser Jet 1 1:25 5 White board 120X80mm 1 1:25 6 Choalk board 120X80mm 1 1:25 7 Bed 1.2 cm x2m 5 1:25 8 Trolley Standard 5 1:25

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum LEARNING MODULE 08 Logo of ProviderTVET TVET-PROGRAMME TITLE: Nursing Level lII MODULE TITLE: Providing Palliative Care and Maintain Mortuary Service MODULE CODE: HLT NUR3 M08 0219 NOMINAL DURATION: 40 Hours MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge, skills and right attitudes required for a mortuary worker to maintain the day-to-day operation of a hospital or forensic mortuary involving the receipt and release of deceased persons, preparing deceased persons for viewing and maintaining the mortuary environment LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Receive bodies at mortuary LO2. Prepare bodies for viewing LO3. Maintain the mortuary environment LO4. Release bodies to Funeral Director/ Conveyors LO5. Follow security requirements MODULE CONTENTS: LO1. Receive bodies at mortuary. 1.1 Introduction palliative Care/ end-of-life care 1.1.1 Definition of terms 1.1.2 Palliative care programs and hospice 1.2 Physiologic changes 1.3 Checking process 1.4 Transferring 1.5 Body storage 1.6 Documentation and reporting 1.7 Infection control policy LO2. Prepare bodies for viewing 2.12.1.1.DeathStages of death and dying 2.1.2. After-death care 2.1.3. Loss and grief 2.2 Equipment and materials 2.3 Personal protective equipment 2.4 Organizational policy and procedures 2.5 Preparation and presentation of body 2.6 Treatment of body 2.7Postmortem care 2.8 Maintaining correct lines of communication 2.9 Storage of body 2.10 . legal requirements 2.11 Donation

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 2.12 Autopsy 2.13 Privacy and confidentiality LO3. Maintain the mortuary environment 3.1. Mortuary environment 3.2. Waste of disposal 3.3. Maintenance and replenishing of inventory LO4. Release bodies to Funeral Director/ Conveyors 4.1. Policy and procedures for handling and storage of bodies 4.1.1. Liaison with key personnel 4.1.2. Documentation 4.2. Cultural and religious considerations LO5. Follow security requirements 5.1. Handling and safeguarding 5.2. Security procedures 5.3. Maintenance and checking of visitors LEARNING METHODS:  Lecture-discussion  Demonstration  Group discussion  Case study/project  Individual assignment ASSESSMENT METHODS:  Interview  Written test  Continuous assessment  Practical assessment with standard checklist  Demonstration/Observation

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LO4. Release bodies to Funeral Director/ Conveyors Liaison is occurred with key internal and external personnel. Checking processes conducted are thorough and complete to ensure identification and confirmation with records Documentation is processed in accordance with the established procedures

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LO2. Prepare bodies for viewing Equipment and materials are selected and prepared Personal protective equipment are used Body is prepared and presented in accordance with the organizational policy and procedures Body are treated with respect and, where practicable, in accordance with the cultural requirements. Correct lines of communication with key personnel are maintained Empathy is shown to bereaved family and friends Body is stored in refrigeration cabinets in accordance with the organizational policy and procedures

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LO5. Follow security requirements Evidence or potential evidence is handled and safeguarded. Security procedures are followed. Liaise is done with internal and external personnel as required Visitor register is maintained as required and checked to ensure the accuracy.

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Transfer from trolley is undertaken according to the organizational policy and procedures Documentation and registration are processed in accordance with the legal requirements and established procedures. Body is stored in accordance with the organizational policy and procedures Infection control policy and procedures are strictly followed

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LO3. Maintain the mortuary environment The mortuary environment is cleaned according to the organizational policy and procedures Waste is disposed according to the organizational policy and procedures Inventory of linen, consumables and stock are maintained and replenished in accordance with the organizational policy and procedures

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum ASSESSMENT CRITERIA: LO1. Receive bodies at mortuary  Checking processes are thorough and completed to ensure the identification and confirmation with records. 

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum Annex: Resource Requirements HLT NUR3 M08 0219 Providing palliative care and maintain mortuary service ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM Prepared by the trainer 25 1:1 2. Reference materials 2.2.2.1 B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 1 1:25 3. Demonstration room SDL guideline 1 1:25 C. Consumable Materials 1. Linen pair 5 1:5 2 Cotton 3 Gauze 4. Blanket each 5 1:5 5. Glove pair 25 1:1 6 Stretcher D. Tools and Equipments 1. Computer Lap top 1 2. LCD projector LCD Projector Epson 1 3 Laundry Standard 1 1:25 4 Printer HP Laser Jet 1 1:25 5 White board 120X80mm 1 1:25 6 Choalk board 120X80mm 1 1:25 7 Bed 1.2 cm x2m 5 1:25 8 Trolley Standard 5 1:25

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum LEARNING MODULE- 09 Logo of ProviderTVET TVET-PROGRAMME TITLE: Nursing Level III MODULE TITLE: Administering Range of Medication MODULE CODE: HLT NUR3 M09 0219 NOMINAL DURATION: 410 Hours MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge, skills and right attitude required to administer a limited range of medications. LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Minimise potential risk to the safe administration of medications LO2. Prepare for administration of medications LO3 Administer medications within the legal parameters LO4. Respond appropriately to the signs of pain LO5 Monitor and report clients response to administer medication’ MODULE CONTENTS: LO1. Minimise potential risk to the safe administration of medications 1.1. Introduction to pharmacology 1.1.1 Definition of terms 1.1.2. Basic Principles of Pharmacology 1.1.2.1. Pharmaco-dynamics 1.1.2.2. pharmacokinetics 1.1.3. Naming, Sources and classification of drugs 1.1.4. Factors influencing medication action 1.2. Drugs affecting the Nervous System 1.2.1 Anatomy and physiology of Nervous System 1.2.2 Drugs affecting the Central Nervous System 1.2. Drugs affecting the Peripheral Nervous System 1.2.1. Cholinergic and anti-cholinergic drugs 1.2.2. Adrenergic and anti-adrenergic drugs 1.3. Drugs affecting the gastrointestinal system 1.4. Anti - inflammatory drugs 1.5. Anti-reheumatodal and Anti-gout drugs 1.6. Drugs that affected respiratory system 1.7.1 Anatomy and physiology of respiratory system 1.7. Drugs affecting the cardiovascular and renal system 1.7.1. Anatomy and physiology of cardiovascular and renal system 1.8. Drugs that affecting endocrine system 1.8.1. Anatomy and physiology of endocrine system 1.8.2. hypoglycaemic agents 1.8.3. Contraceptives 1.9. Chemotherapy of Infectious diseases 1.10. Parental fluids & other supplements

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum LO2. Prepare for administration of medications 2.1. Principle of medication administration 2.1.1. Forms of medication 2.1.2. The rule of fourteen Rs 2.1.3. Common abbreviation used during medication administration 2.1.4. Types of medication orders 2.1.5. Drug dose calculation 2.1.6. Storage and disposal of medication 2.2. Administering Oral medication 2.4. Administering intradermal medication 2.5. Administering Intramuscular medication 2.6. Administering intravenous medication 2.7. sublingual medication 2.8. Topical Administration 2.9. Subcutaneous (SC) Injections 2.10. Suppository administration 2.11. Pissiaries 2.12. Administering intravenous Infusion 2.13. Administering Blood transfusion 2.14. Medication error 2.14.Special skills for drug administration LO3. Administer medications within the legal parameters 3.1. Laws relating to administering medication 3.2. Legislation 3.4. Standards 3.5. Health care unit policies and procedures LO4. Respond appropriately to the signs of pain 4.1. Cause of pain 4.2. The VAS score/ appropriate pain scale 4.3. Report abnormal finding 4.4. Allying fear and anxiety LLO5. Monitor and report clients response to administer medication’ 5.1. Polices and procedure 5.2. Evaluating client understanding of information 5.3. Recognizing acute and delayed adverse reaction 5.4. Implementing emergency action 5.5. Recording and reporting response 5.6. Monitoring pain experience 5.7. reporting effectiveness of pain reliving medication LEARNING METHODS  Lecture-discussion  Group discussion  Demonstration  Practical exercise  Case study/project ASSESSMENT METHODS:

Common contraindications and adverse reactions of prescribed medications are checked, identified and referred to the registered nurse.

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The process of medication administration is explained to the client and ensures their readiness. The client is positioned appropriately prior to the administration of medication Medication administration route is correctly identified for each medication to be administered, using appropriate terminology.

LO2. Prepare for administration of medications

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LO1. Minimise potential risk to the safe administration of medications

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LO3. Administer medications within the legal parameters Medications are administered within scope of own role in line with the jurisdictional legislative requirements and organisational policy. Ensure infection control principles are applied in the administration of medication. Medications are stored in a safe manner according to the legislative

Expiry dates of medication are checked prior to administration. Client medication chart is checked in relation to timing and route of medication to be administered. Issues are raised related to drug and poison administration with the registered nurse or another appropriate person if the registered nurse is not available.

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The effect of commonly used medications is considered on the body prior to medication administration. Medications are prepared in accordance with the legislative requirements and organisational guidelines. Medication administration techniques are applied, and precautions are specified to each clients situation and as per the medication orders. Ensure medication is stored and disposed in accordance with the medical instructions and organisational policy and procedures.

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Client identity is confirmed and checked for any known allergies. Ensure infection control methods are applied correctly.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum  Interview  Written test  Continuous assessment  Practical assessment with standard checklist  Demonstration/Observation Assessment Criteria

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Any irregular or abnormal findings are reported to Registered Nurse. Allay any fears or anxiety experienced by the client.

LO5. Monitor and report clients response to administer medication’ Administration of medications is recorded in accordance with the relevant policy and procedures.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum requirements and organisational policy.

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The VAS score (or appropriate pain scale) is used to identify level of pain.

Client experiencing pain is monitored and undertaken appropriate medication and non-medication therapies in consultation/collaboration with Registered Nurse.

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Effectiveness of pain relieving medication is recorded and reported.

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Client understanding of information is provided and evaluated.

Acute and delayed adverse reactions are recognized to medications and act upon within role responsibility. Emergency actions are implemented to address acute and delayed adverse reactions within the role responsibility. Response is recorded and reported to emergency strategies.

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LO4. Respond appropriately to the signs of pain Cause of pain is identified if possible.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum Annex: Resource Requirements HLT NUR3 M09 0219 Administer Range of Medication ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM Prepared by the trainer 25 1:1 2. Reference materials 2.2.2.1 B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 1 1:25 3. Demonstration room SDL guideline 1 1:25 C. Consumable Materials 1. Syringe pair 5 1:5 2. IV stand each 5 1:5 3 IV cannula 4. Glove pair 25 1:1 5 Cotton D. Tools and Equipments 1. Computer Lap top 1 2. LCD projector LCD Projector Epson 1 3 Laundry Standard 1 1:25 4 Printer HP Laser Jet 1 1:25 5 White board 120X80mm 1 1:25 6 Choalk board 120X80mm 1 1:25 7 Bed 1.2 cm x2m 5 1:25 8 Trolley Standard 5 1:25

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum LEARNING MODULE- 10 Logo of ProviderTVET TVET-PROGRAMME TITLE: Nursing level III MODULE TITLE: Undertaking Routine Inventory Maintenance MODULE CODE: HLT NUR3 M10 0219 NOMINAL DURATION: 25 Hours MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge, skills and right attitudes attitude in the maintenance of predetermined stock levels of supplies, consumables, equipment and other store items at ward, unit, sub-store or departmental level LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Maintain and monitor stock levels LO2. Prepare order lists and forward stock LO3. Receive and store goods MODULE CONTENTS: LO1. Maintain and monitor stock levels 1.1Introduction1.1.1Definition of terms 1.2 Monitoring Quality of stock 1.3 Monitoring storage conditions 1.4 Determining Store requirements 1.5 Replenishing stored and stationary items 1.6 Rotating perishable stocks 1.7 Recording and reporting deviations LO2. Prepare order lists and forward stock 2.1 Completing Inventory list of stock requirements 2.2 Recording stock requirements in order book 2.3 Authorization for order 2.4 Forwarding order 2.5 Inventory list based on stock LO3. Receive and store goods 3.1. Receiving and checking stock 3.2. Recording order received 3.3. Notifying to supervisor LEARNING METHODS:  Lecture-discussion  Demonstration  Group discussion  Case study/project  Individual assignment ASSESSMENT METHODS:  Interview

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum  Written test  Continuous assessment  Practical assessment with standard checklist  Demonstration/Observation ASSESSMENT CRITERIA LO1. Maintain and monitor stock levels  Quality of stock and storage conditions are monitored including temperature, light, humidity, pest control and stock organization.  Store requirements are determined against the specified stock levels.  Stored and stationary items are replenished in the specified area.  Perishable stocks are rotated according to use by dates.  Deviations are recorded and reported to supervisor in accordance with the organizational procedures LO2. Prepare order lists and forward stock  Inventory list of stock requirements is completed accurately.  Stock requirements are recorded in order book using correct order number from catalogue.  Authorization for order is obtained from supervisor.  Order is forwarded to appropriate department.  Inventory list is updated based on stock usage and inventory changes LO3. Receive and store goods  Stock is received and checked against the number ordered.  Order received is recorded accurately in order book.“”  Supervisor is notified if order received is inaccurate.  Stock is unpacked safely and stored in correct location

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum Annex: Resource Requirements HLT NUR3 M10 0219 Undertaking Routine Inventory Maintenance ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM Prepared by the trainer 25 1:1 2. Reference materials 2.22.1 B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 1 1:25 3. Demonstration room SDL guideline 1 1:25 C. Consumable Materials 1. Linen pair 5 1:5 2. Stationary each 5 1:5 3. Drugs pair 25 1:1 D. Tools and Equipments 1. Computer Lap top 1 2. LCD projector LCD Projector Epson 1 3 Laundry Standard 1 1:25 4 Printer HP Laser Jet 1 1:25 5 White board 120X80mm 1 1:25 6 Choalk board 120X80mm 1 1:25 7 Bed 1.2 cm x2m 5 1:25 8 Trolley Standard 5 1:25

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum LEARNING MODULE- 11 Logo of ProviderTVET TVET-PROGRAMME TITLE: Nursing level III MODULE TITLE: Promoting and managing comprehensive Family Planning Service MODULE CODE: HLT NUR3 M011 0219 NOMINAL DURATION: 94 Hours MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge, skills and right attitudes required for planning, promoting, providing, monitoring and evaluating comprehensive family planning services LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Plan family planning services LO2. Promote family planning services LO3. Provide family planning services LO4. Monitor family planning services MODULE CONTENTS: LO1. Plan family planning services 1.1 Introduction to family planning 1.1. Concept of FP 1.2. History of family planning 1.2Resource mapping 1.3 Identification of WHO medical eligibility criteria 1.4 Developing plan of action LO2. Promote family planning services 2.1. Consultation of community representatives and voluntaries 2.2. Inter-sectoral collaboration 2.3. Family planning promotion and education 2.4. Supporting family planning Practices LO3. Provide family planning services 3.1. National family planning guideline 3.2. Describing REDI frame work“” 3.3. Family planning methods 3.4. Natural family planning methods 3.5. Artificial family planning methods 3.6. Permanent methods 3.7. Emergency family planning methods 3.8. Postpartum and post-abortal family planning 3.9. Managing side effects 3.10. Misconceptions, and compliance 3.11. Counseling and follow ups

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum LO4. Monitor family planning services 4.1 HMIS standards of FMOH 4.2Preparing action plan 4.3 Monitoring family planning practice 4.4.Documentation and reporting LEARNING METHODS:  Lecture-discussion  Demonstration  Group discussion  Case study/project  Individual assignment ASSESSMENT METHODS:  Interview  Written test  Continuous assessment  Practical assessment with standard checklist  Demonstration/Observation ASSESSMENT CRITERIA LO1. Plan family planning services  Resource mapping is conducted using the standard format of FMOH  Family planning eligible is identified and the number of expected target group for family planning Practice is calculated from the catchments using standard statistical method  A plan of action is developed to reach eligible LO2. Promote family planning services  Influential community representatives and voluntaries are identified and consulted  Family planning practice promotion and education are organized and promoted in partnership with the community and relevant organizations on the basis of inter-sectoral approach  Family planning Practice promotion and education activities are sustained involving the resources of the community on the basis of stakeholders’ genuine participation  Family planning Practices are supported to take self-care approach in line with individual needs for changing unhealthy behavior on the basis of healthy promotion and strategic behavioral change approach of FMOH LO3. Provide family planning services  Counsel on method mix for advantages, side effects, misconceptions, and compliance on continual usage is provided to clients based on national family planning guideline of FMOH  Method mix (OCP, injectables, implants, IUCD, barrier methods) is supplied for clients according to family planning protocol of FMOH and clients ’ preference.

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum  Manage side-effects and problems have been occurred from the method mix.  Clients preferred permanent methods are referred to the next higher health facility according to the standard procedure  Continuous follow up is provided to family planning clients based on the standard guidelines LO4. Monitor family planning services  Registration book for family planning services is prepared according to HMIS standards of FMOH  Family planning services data are collected, updated and sustained on the basis of HMIS guideline of FMOH  Family planning activities are reported and communicated to the higher level and relevant body on the basis of HMIS procedure of the FMOH  Plan on family planning for the catchments is revised for a specific period of time  Family planning practice at kebele is monitored against plan Annex: Resource Requirements HLT NUR3 M011 0219 Promoting and managing comprehensive Family Planning Service ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM Prepared by the trainer 25 1:1 2. Reference materials 2.22.1 B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 1 1:25 3. Demonstration room SDL guideline 1 1:25 C. Consumable Materials 1. IUCD pair 5 1:5 2. Implanol each 5 1:5 3 Injectables 4 Oral Syringecontraceptives 3. Glove pair 25 1:1 D. Tools and Equipments 1. Computer Lap top 1 2. LCD projector LCD Projector Epson 1

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 3 Laundry Standard 1 1:25 4 Printer HP Laser Jet 1 1:25 5 White board 120X80mm 1 1:25 6 Choalk board 120X80mm 1 1:25 7 Bed 1.2 cm x2m 5 1:25 8 Trolley Standard 5 1:25 LEARNING MODULE- 12 Logo of ProviderTVET TVET PROGRAM TITLE: Nursing LEVEL III MODULE TITLE: Leading Workplace Communication MODULE CODE: HLT NRS3 M012 0118 NOMINAL DURATION: 16 Hours MODULE DESCRIPTION: This module covers the knowledge, attitudes and skills to lead in the dissemination and discussion of information and issues in the workplace. LEARNING OUTCOMES: At the end of this module the trainees will be able to LO 1. Communicate information about workplace processes LO 2. Lead workplace discussion LO 3. Identify and communicate issues arising in the workplace MODULE CONTENTS: LO1 Communicate information about workplace processes 1.1. Selecting appropriate communication method 1.2. Communicating multiple operations. 1.3. Using questions 1.4. Identifying correct sources of information 1.5. Selecting and organizing information correctly 1.6. Requiring verbal and written report 1.7. Maintaining communication skills LO2 Lead workplace discussion 2.1 Seeking response to workplace issues 2.2 providing workplace response issues 2.3 Making Constructive contributions to workplace

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum 2.4 Communicating Goals/objectives and action plans LO 3 Identify and communicate issues arising in the workplace 3.1 Identifying issues and problem. 3.2 Organizing information regarding problems and issues 3.3 Initiating dialogue 3.4 Raising communication problems and issues LEARNING METHODS:  Lecture-discussion  Demonstration  Group discussion  Case study/project  Individual assignment ASSESSMENT METHODS:  Interview  Written test  Continuous assessment  Practical assessment with standard checklist  Demonstration/Observation

Nursing level III Version: 2 Page No.Copyright Info/Author: TEVET agency Ethiopian TVET System Model Curriculum ASSESSMENT Criteria LO 1 Communicate information about workplace processes  Appropriate communication method is selected  Multiple operations involving several topics areas are communicated accordingly  Questions are used to gain extra information  Correct sources of information are identified  Information is selected and organized correctly  Verbal and written reporting is undertaken when required  Communication skills are maintained in all situations LO 2 Lead workplace discussion  Response to workplace issues are sought  Response to workplace issues are provided immediately  Constructive contributions is made to workplace discussions on such issues as production, quality and safety  Goals/objectives and action plan undertaken in the workplace are communicated. LO 3 Identify and communicate issues arising in the workplace  Issues and problems are identified as they arise  Information regarding problems and issues are organized coherently to ensure clear and effective communication  Dialogue is initiated with appropriate staff/personnel  Communication problems and issues are raised as they arise

Annex: Resource RequirementsHLT NUR3 M12 0219 Leading Workplace Communication ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Trainee) A. Learning Materials 1. TTLM Preparing by trainer 5 1:5 2. Reference Book 5 1:5 3. magazinesJournals/publications/ 5 1:5 B. Learning Facilities and Infrastructure 1. Lecture Room Standard 1 1:25 2. Workshop Standard 1 1:25 3. Visual training media (LCD, laptops, whiteboard,blackboard,flipchart) Each 1 1:25

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author: LEARNING MODULE-13 Logo of ProviderTVET TVET PROGRAM TITLE: - Nursing LEVEL III MODULE TITLE: Leading Small Teams MODULE CODE: HLT NUR3 M13 0219 NOMINAL DURATION: 16 Hrs MODULE DESCRIPTION: This module covers the knowledge, attitudes and skills to lead small teams including setting and maintaining team and individual performance standards LEARNING OUTCOMES: At the end of this module the trainees will be able to LO1 Provide team leadership LO2. Assign responsibilities LO3 Set performance expectations for team members LO4 Supervised team performance MODULE CONTENTS: LO1. Provide team leadership 1.1.Identifying and presenting Work requirements 1.2.communicating reasons for instructions and requirements 1.3.Recognizing and discussing Team members queries and concerns’ LO2. Assign responsibilities 2.1Assigning duties and responsibilities 2.2Allocating duties LO3. Set performance expectations for team members 3.1Establishing Performance expectations 3.2Basic Performance expectations 3.3Discussing and disseminating Performance expectations LO4 Supervise team performance 4.1 Monitoring of performance 4.2 Providing team members with feedback 4.3 Referencing Performance issues 4.4 Informing and allocating team members 4.5 Monitoring team operations. 4.6 Providing follow-up communication on all issues 4.7 Completing all relevant documentation. Learning Methods  Lecture-discussion  Demonstration  Group discussion  Individual assignment  Exercise Assessment Methods  Interview  Demonstration/Observation  Written test ASSESSMENT Criteria

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author: LO 1 Provide team leadership  Work requirements are identified and presented to team members  Reasons for instructions and requirements are communicated to team members  Team members queries and concerns are recognized, discussed and dealt with’ LO 2 Assign responsibilities  Duties and responsibilities are allocated having regard to the skills, knowledge and aptitude required to properly undertake the assigned task and according to company policy  Duties are allocated having regard to individual preference, domestic and personal considerations, whenever possible LO 3. Set performance expectations for team members  Performance expectations are established based on client needs and according to assignment requirements  Performance expectations are based on individual team members duties and area of responsibility  Performance expectations are discussed and disseminated to individual team members LO 4. Supervised team performance  Monitoring of performance takes place against defined performance criteria and/or assignment instructions and corrective action taken if required  Team members are provided with feedback, positive support and advice on strategies to overcome any deficiencies  Performance issues which cannot be rectified or addressed within the team are referenced to appropriate personnel according to employer policy  Team members are kept informed of any changes in the priority allocated to assignments or tasks which might impact on client/customer needs and satisfaction  Team operations are monitored to ensure that employer/ client needs and requirements are met  Follow-up communication is provided on all issues affecting the team  All relevant documentation is completed in accordance with company procedures

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author: Annex: Resource RequirementsHLTNUR3 M13 0219 Leading Small Teams ItemNo. Category/Item SpecificationsDescription/ Quantity Recommended Ratio (Item: Learner) A. Learning Materials 1. TTLM 2. Textbooks 3. Reference Books 3.14. Journals/Publication/Magazines B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 3. (etc.) C. Consumable Materials 1. Paper A4 5rim 1:5 2. D. Tools and Equipments 2.1.

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author: LEARNING MODULE- 14 Logo of ProviderTVET TVET-PROGRAMME TITLE: Nursing level III MODULE TITLE: Applying Computer and Mobile Health Technology MODULE CODE: HLT NUR3 M14 0219 NOMINAL DURATION: 30 Hours MODULE DESCRIPTION: This module aims to provide the trainees the knowledge, skills and attitude required to use new or upgraded technology. The rationale behind this unit emphasizes the importance of constantly reviewing work processes, skills and techniques in order to ensure that the quality of the entire business process is maintained at the highest possible level through the appropriate application of new technology. LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Identify the existing Health technologies LO2. Apply the functions of technology LO3. Evaluate new or upgraded technology performance MODULE CONTENTS: LO1. Identify the existing Health technologies 1.1. Applying the existing knowledge and techniques 1.1.1. Definition of terms 1.1.2. Types and examples of Technology in laboratory 1.1.3. Advantages and disadvantages of Technology 1.1.4. How to solve problems using Technology 1.2. Utilizing computer operating systems 1.2.1. Definition and Types of Computers 1.2.2. Basic Components of a Computer 1.2.3. Introduction to Microsoft windows 1.2.4. Word Processing 1.2.5. Presentation 1.2.6. Types and Purposes of Software 1.3. Opening and manipulating Internet browsers to search for, send and receive information 1.3.1. Uses of Internet 1.3.2. Training need identification 1.3.3. Email 1.3.4. opening and manipulating Internet browsers 1.4. Identifying situations for the new knowledge and skill 1.5. Acquiring and using Mobile technology skills for health care 1.6. Using mhealth techniques 1.7. Identifying, classifying and using New and/or upgraded equipments LO2. Apply the functions of technology 2.1. Mobile/smart phones and tablets for solving organizational problems 2.2. Apply the function of technology for data management 2.3. Testing of new or upgraded equipment 2.4. Applying Features of new or upgraded equipment within the organization 2.5. Accessing, using and interpreting Sources of information

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author: LO3. Evaluate new or upgraded technology performance 3.1. Evaluating New or upgraded technology performance/determining service performance 3.1.1. Mobile 3.1.2. Mhealth 3.1.3. tablets 3.1.4. Automations 3.1.5. Microscopes 3.2. Evaluating Mobiles/Smart phones, tablets against OHS standard 3.3. Determining Environmental influence from new or upgraded equipment 3.4. Using Feedback from appropriate performance evaluation LEARNING METHODS:  Interactive lecture and discussion  Demonstration  Guided practice  Group discussions  Model laboratory visit ASSESSMENT METHODS:  Written exam/test  Questioning or interview  Observation during demonstrations ASSESSMENT CRITERIA: LO1. Identify the existing Health technologies  The existing knowledge and techniques to technology are applied  Computer operating systems are utilized.  Internet browsers are opened and manipulated to search, send and receive information  Situations are identified where existing knowledge can be used as the basis for developing new skills.  Mobile technology skills are acquired and used to enhance learning and provision of standard health care  mhealth techniques are used to enhance efficient utilization of resources and avoid duplication of efforts  New and/or upgraded equipments are identified, classified and used where appropriate, for the benefit of customers as well as the health care system. LO2. Apply the functions of technology  Mobile/smart phones and tablets are used for solving organizational problems  Apply the functions of technology to assist in solving the health and related data collection, organization, analysis and interpretation.  Testing of new or upgraded equipment is conducted according to the specification manual.  Features of new or upgraded equipment are applied within the organization  Sources of information is accessed, used and interpreted relating to new or upgraded equipment LO3. Evaluate new or upgraded technology performance

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author:  New or upgraded technology performance is evaluated/ service performance is determined by introduced technology (mobile/ mhealth, tablets)  Mobiles/Smart phones, tablets are evaluated for the performance, usability and against the OHS standards  Environmental considerations from new or upgraded equipment are determined.  Feedback is used from appropriate performance evaluation. Annex: Resource Requirements

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author: HLT NUR3 M14 0219 Applying Computer and Mobile Health Technology ItemNo. Category/Item SpecificationsDescription/ Quantity (Item:RecommendedRatioLearner) A. Learning Materials 1. TTLM To be prepared by the trainer 25 1:1 2. Textbooks Trainingmodule 25 1:1 3. Reference Books 3.1 5 1:5 4. Journals/Publication/Magazines B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library Standard 1 1:25 3. Internet class Standard 1 1:25 C. Consumable Materials 1.  Paper  Pencil & Rubber  Pen  Graph paper  Note book  Art line Marker  Printer ink  Bucher/flip chart  White board marker  Plaster 2. D. Tools and Equipments 1.  Laptop computer  Desktop computer  Scanner  Printer  Smart phone/tablets  Photo copy machine  AC ventilator  White board  LCD projector 2.

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author: LEARNING MODULE- 15 Logo of ProviderTVET TVET-PROGRAMME TITLE: Nursing Level III MODULE TITLE : Collecting, Maintaining and Utilizing Community Health Data MODULE CODE: HLT NUR3 M015 0219 NOMINAL DURATION: 40 Hours MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge, skills and right attitudes required to collect, summarize, maintain and use data to improve community health related activities. LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Plan and prepare the necessary resources for data collection LO2. Interpret and utilize necessary health data LO3. Prepare and submit reports LO4 Use intervention measures MODULE CONTENTS: LO1. Plan and prepare the necessary resources for data collection 1.1. Introduction 1.2. Definition of terms used in data collection 1.3. Preparing questionnaire and making available 1.4. Pre-testing, modifying and amending questionnaire 1.5. Data collection equipment/material 1.6. Informing the community about data collection date and time 1.7. Inviting community leaders to support data collection process LO2. Interpret and utilize necessary health data 2.1. Basic statistical concepts and procedures 2.2. Collecting necessary health data 2.3. Classifying and sorting out the collected information 2.3.1. Disease surveillance reporting formats 2.4. maintaining confidentiality 2.5. collecting Vital events continuously and consistently& updated timely 2.6. preparing and utilizing data LO3. Prepare and submit reports 3.1. standard reporting formats 3.1.1. HMIS reporting formats 3.1.2. Immediately reportable disease format 3.1.3. Weekly reportable reporting formats and others 3.2. Preparing Reports 3.3. communicating updates and reportable diseases to the Woreda,

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author: health office or health center LO4. Use intervention measures 4.1. Health problem, its causes and appropriate interventions or solutions 4.2. Stakeholders 4.2. Making discussions with key stakeholders 4.3. Consultation 4.4. Feedback 4.4. Positive contributions 4.5. Collecting further information and data when needed for better intervention LEARNING METHODS:  Lecture-discussion  Demonstration  Group discussion  Case study/project  Individual assignment ASSESSMENT METHODS:  Interview  Written test  Continuous assessment  Practical assessment with standard checklist  Demonstration/Observation ASSESSMENT CRITERIA: LO1. Plan and prepare the necessary resources for data collection  Questionnaire is prepared and made available  Questionnaire is pre-tested, modified and amended  Necessary personnel are trained on data collection procedures  The necessary equipment/material are identified to execute data collection  Member of community is informed about data collection dates and time  Community leaders are invited to support data collection process LO2. Interpret and utilize necessary health data  Basic statistical concepts and procedures are provided  Necessary health data is collected  Information collected is classified or sorted out on the basis of a clear understanding of the purpose for maintaining the database system.  Steps are taken to maintain confidentiality according to prescribed procedures.  Vital events are continuously and consistently collected and updated timely  Data are prepared and utilized according to prescribed procedures and guidelines LO3 Prepare and submit reports  Reports are prepared using standard reporting formats

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author:  Reports are submitted to health center and/ or Woreda health office  Updates and reportable diseases are communicated to the Woreda health office or health centre according to prescribed procedures and guidelines. LO4 Use intervention measures  Discussions are made with key stakeholders regarding the health problem, its causes and appropriate interventions or solutions  Briefing materials are provided throughout the consultation process to identify and clarify issues of interest/concern to stakeholders and own organization  Feedback is provided to the team leader or work team on the results of the consultation process  Positive contributions are made to activities that develop an understanding of the factors contributing to the health problem of the community  Further information and data are collected when needed for better interventions Annex: Resource Requirements

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author: HLT NUR3 M15 0219 Collecting, maintain utilizing community health data ItemNo. Category/Item Description/ Specifications QuantityndedRecommeRatio(Item:Learner) A. Learning Materials 1. TTLM To be prepared by trainer 1 1:1 2. Reference Books 2.22.13. MagazinesJournals/Publication/ 3.43.33.23.1 B. Learning Facilities & Infrastructure 1. 5*5m 1 1:25 3.2. C. Consumable Materials 1. Paper A4 5rim 1:5 2. Pencil HB 5 1:5 3. Pen Ball point 5 1:5 4. Marker Standard 5. Flipchart Standard 6. Whiteboard marker Standard D. Tools and Equipments 1. Computer Standard 2. Printer Standard 3. Photocopy machine Standard 4. LCD projector Standard 5. Megaphone Standard 6. Tape Recorder Standard 7. Whiteboard Magnetic whiteboard with mobile Wallstandthickness of iron stand is 1.2mm 8. Camera Standard 9. Blackboard Standard

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author: LEARNING MODULE- 16 Logo of ProviderTVET TVET-PROGRAMME TITLE: Nursing Level III MODULE TITLE: Improving Business Practice MODULE CODE: HLT NUR3 M16 0219 NOMINAL DURATION: 40 Hours MODULE DESCRIPTION: This module covers the knowledge, skills and attitudes required in promoting, improving and growing business operations. LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Diagnose the business LO2. Benchmark the business LO3. Develop plans to improve business performance LO4. Develop marketing plans LO5. Develop business growth plans LO6. Implement and monitor plans MODULE CONTENTS: LO1. Diagnose the business. 1.1. Identifying Sources data 1.2. Determining and acquiring data for diagnosis. 1.3. Conducting Value chain analysis. 1.4. Undertaking SWOT analysis of the data. 1.5. Determining Competitive advantage of the business. LO2. Benchmark the business. 2.1. sources of relevant benchmarking data. 2.2. Selecting Key indicators for benchmarking. 2.3. Comparing key indicators of own practice with benchmark indicators. 2.4. Identifying areas of improvements. LO3. Develop plans to improve business performance. 3.1. Developing a consolidated list of required improvements. 3.2. Determining Cost-benefit analysis. 3.3. Determining work flow changes.. 3.4. Ranking proposed improvements.. 3.5. Developing and agreeing an action plan. 3.6. Checking Organizational structures. LO4. Develop marketing plans. 4.1. Reviewing vision statement. 4.2. Developing/ reviewing objectives. 4.3. Identifying/refining target markets 4.4. Obtaining market research data. 4.5. Obtaining competitor analysis. 4.6. Developing/ reviewing market position. 4.7. Developing practice brand. 4.8.Identifying benefits of products or services. 4.9. Selecting and developing Promotion tools

Ethiopian TVET System Model Curriculum (TVET Program Title) Version: Page No.Copyright Info/Author: LO5. Develop business growth plans. 5.1. Planing to increase yield per existing client 5.2. Planing to add new clients 5.3. Ranking proposed plans.. 5.4. Developing and agreeing an action plan. 5.5. Reviewing business work practices. LO6. Implement and monitor plans 6.1. Relevant stakeholders 6.2. Developing implementation plan. 6.3. Agreeing success indicators. 6.4. Monitoring implementation. 6.5. Adjusting implementation LEARNING METHODS:  Lecture-discussion  Demonstration  Group discussion  Case study/project  Individual assignment ASSESSMENT METHODS:  Interview  Written test  Continuous assessment  Practical assessment with standard checklist  Demonstration/Observation

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LO2. Benchmark the business. Product or service to be benchmarked is identified and selected. Sources of relevant benchmarking data are identified. Key indicators are selected for benchmarking in consultation with key stakeholders. Key indicators of own practice are compared with benchmark indicators. Areas of improvements are identified.

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LO6. Implement and monitor plans. Implementation plan is developed in consultation with all relevant stakeholders. Success indicators of the plan are agreed. Implementation is monitored against agreed indicators. Implementation is adjusted as required. Resource Requirements

The practice vision statement is reviewed. Practice objectives are developed/ reviewed. Market research is conducted and result is obtained. Target markets are identified/ refined. Market position is developed/ reviewed. Practice brand is developed. Benefits of products or services are identified. Promotion tools are selected and developed.

(TVET Program Title) Version: Page No.Copyright Info/Author: Ethiopian TVET System Model Curriculum ASSESSMENT CRITERIA:

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Proposed improvements are ranked according to agreed criteria. An action plan is developed and agreed to implement the top ranked improvements. Organizational structures are checked to ensure they are suitable.

LO4. Develop marketing plans

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LO5 Develop business growth plans. Plans are developed to increase profitability Proposed plans are ranked according to agreed criteria. An action plan is developed and agreed to implement the top ranked plans. Business work practices are reviewed to ensure they support growth plans.

LO1. Diagnose the business. Sources data is identified; data required for diagnosis is determined and acquired based on the business diagnosis toolkit. Value chain analysis is conducted. SWOT analysis of the data is undertaken. Competitive advantage of the business is determined from the data.

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LO3. Develop plans to improve business performance. A consolidated list of required improvements is developed. Cost-benefit analysis is determined for required improvements. Work flow changes resulting from proposed improvements are determined.

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(TVET Program Title) Version: Page No.Copyright Info/Author: Ethiopian TVET System Model Curriculum HLT NUR3 M16 0219 Improve Business Practice ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM 2. Textbooks 3. Reference Books 4. Journals/Publication/Magazines B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 3. (etc.) C. Consumable Materials 1. Paper A4 5rim 1:5 D.2. Tools and Equipments 1. Auger 2.

(TVET Program Title) Version: Page No.Copyright Info/Author: Ethiopian TVET System Model Curriculum ASSESSMENTLEARNINGCRITERIA: MODULE- 17 Logo of TVET Provider TVET-PROGRAMME TITLE: Nursing Level III MODULE TITLE:Monitoring Implementation of Work Plan/Activities MODULE CODE: HLT NRS3 M17 0219 NOMINAL DURATION: 24Hours MODULE DESCRIPTION: This Module aims to provide the trainees with the knowledge, skills and attitude required to oversee and monitor the quality of work operations within an enterprise may be carried out by team leaders or supervisors. LEARNING OUTCOMES At the end of the module the learner will be able to: LO 1 Monitor and improve workplace operations LO 2 Plan and organise workflow LO 3 Maintain workplace records LO 4 Solve problems and make decisions MODULE CONTENTS: LO 1Monitor and improve workplace operations 1.1 Monitoring efficiency and service levels on an ongoing basis 1.2 Supporting operations of overall enterprise goals and quality assurance initiatives 1.3 Identifying and adjusting quality problems and issues promptly 1.4 Changing procedures and systems in consultation with colleagues 1.5 Consulting colleagues about ways of improving efficiency and service levels LO 2 Plan and organise workflow 2.1 Assessing current workload of colleagues accurately 2.2 Scheduling work in manner of enhancing efficiency and customer service quality 2.3 Delegating work to appropriate people with principle of delegation 2.4 Assessing workflow against agreed objectives and timelines 2.5 Assisting colleagues in prioritization of workload 2.6 Providing input of appropriate management regarding staffing needs LO 3 Maintain workplace records 3.1 Completing and submitting workplace records within required timeframes 3.2 Delegating and monitoring appropriate completion of records prior to submission LO 4 Solve problems and make decisions 4.1 Identifying and considering workplace problems from 4.1.1 Operational perspective 4.1.2 Customer service perspective 4.2 Initiating short term actions of resolving immediate problem 4.3 Analyzing problems long term impact 4.4 Assessing potential solutions of consultation with relevant colleagues 4.5 Encouraging participation of team members solving of raised problem 4.6 Taking follow up action of monitoring effectiveness of solutions in the workplace

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Operations in the workplace support overall enterprise goals and quality assurance initiatives. Quality problems and issues are promptly identified and adjustments are made accordingly. Procedures and systems are changed in consultation with colleagues to improve efficiency and effectiveness. Colleagues are consulted about ways to improve efficiency and service levels.

LO 4 Solve problems and make decisions Workplace problems are promptly identified and considered from an operational and customer service perspective. Short term action is initiated to resolve the immediate problem where appropriate. Problems are analyzed for any long term impact and potential solutions are assessed and actioned in consultation with relevant colleagues. Where problem is raised by a team member, they are encouraged to participate in solving the problem. Follow up action is taken to monitor the effectiveness of solutions in the workplace.

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LO 2 Plan and organise workflow Current workload of colleagues is accurately assessed. Work is scheduled in a manner which enhances efficiency and customer service quality. Work is delegated to appropriate people in accordance with principles of delegation. Workflow is assessed against agreed objectives and timelines and colleagues are assisted in prioritization of workload. Input is provided to appropriate management regarding staffing needs.

LO 1 Monitor and improve workplace operations

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LO 3 Maintain workplace records Workplace records are accurately completed and submitted within required timeframes. Where appropriate completion of records is delegated and monitored prior to submission

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Efficiency and service levels are monitored on an ongoing basis.

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(TVET Program Title) Version: Page No.Copyright Info/Author: Ethiopian TVET System Model Curriculum Annex: Resources requirement HLT NUR3 M17 0219 Monitoring Implementation of Work Plan/Activities ItemNo. Category/Item SpecificationsDescription/ QuantityRecommendedRatio(Item:Learner) A Learning Materials 1 TTLM Prepared by Trainer 25 1:25 2 Textbooks By College 5 1:5 3. Reference Books By College 5 1:5 4 MagazinesJournals/Publication/ By College 5 1:5 B Learning Facilities & Infrastructure 1 Lecture Room Standard 1 1:25 2 Library Standard 1 1:25 3 Computer lab standard 1 1:25 C Consumable Materials 1 Paper A4 5rim 1:5 5 Pencil length:7 inches, lead color: black 25 1:1 6 Flip Chart 2332”” 5 1:5 D Tools and Equipment 1 Computer Core i3,500 GB HARD DISK,2 GB RAM 12 1:2

(TVET Program Title) Version: Page No.Copyright Info/Author: Ethiopian TVET System Model Curriculum LEARNING MODULE 18 Logo of ProviderTVET TVET-PROGRAMME TITLE: Nursing Level III MODULE TITLE: Applying Quality Control MODULE CODE: HLT NUR3 M18 0219 NOMINAL DURATION:30 Hours MODULE DESCRIPTION: This module covers the knowledge, attitudes and skills required in applying quality control in the workplace. LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Implement quality standards. LO2. Assess quality of service delivered. LO3. Record information. LO4. Study causes of quality deviations. LO5. Complete documentation. MODULE CONTENTS: LO1. Implement quality standards. 1.1. Acquiring and confirming agreed quality standard and procedures. 1.2. Introducing standard procedures. 1.3. Providing quality standard and procedures documents. 1.4.Revising / updating standard procedures. LO2. Assess quality of service delivered. 2.1.Quality standards and specifications 2.2.Checking quality services delivered. 2.3. Evaluating service delivered using quality parameters. 2.4.Identifying causes of any faults. 2.5. Taking corrective actions. LO3. Record information. 3.1.Recording basic information on the quality performance. 3.2. Maintaining records of work quality. LO4. Study causes of quality deviations 4.1. Investigating and reporting causes of deviations from final outputs or services. 4.2. Recommending suitable preventive action. 4.3. Identifying causes of deviation from specific quality standards LO5. Complete documentation. 5.1. Recording information on quality and other indicators of service performance. 5.2. Recording all service processes and outcomes.

Causes of any identified faults are identified and corrective actions taken in accordance with organization policies and procedures. Record information.

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Basic information on the quality performance is recorded in accordance with organization procedures. Records of work quality are maintained according to the requirements of the organization.

LO4. Study causes of quality deviations. Causes of deviations from final outputs or services are investigated and reported in accordance with organization procedures. Suitable preventive action is recommended based on organization quality standards and identified causes of deviation from specified quality standards of final service or output. Complete documentation Information on quality and other indicators of service performance is recorded. All service processes and outcomes are recorded.

(TVET Program Title) Version: Page No.Copyright Info/Author: Ethiopian TVET System Model Curriculum ASSESSMENT CRITERIA: LO1. Implement quality standards.  Agreed quality standard and procedures are acquired and confirmed.  Standard procedures are introduced to organizational staff/personnel.  Quality standard and procedures documents are provided to employees in accordance with the organization policy.  Standard procedures are revised / updated when necessary. LO2. Assess quality of service delivered.  Services delivered are quality checked against organization quality standards and specifications.  Service delivered are evaluated using the appropriate evaluation quality parameters and in accordance with organization standards. 

(TVET Program Title) Version: Page No.Copyright Info/Author: Ethiopian TVET System Model Curriculum Annex: Resources requirement HLT NUR3 M18 0219 Apply Quality Control ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM 2. Textbooks 3. Reference Books 4. Journals/Publication/Magazines B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library 3. (etc.) C. Consumable Materials 1. Paper A4 5rim 1:5 D.2. Tools and Equipments 2.1

(TVET Program Title) Version: Page No.Copyright Info/Author: Ethiopian TVET System Model Curriculum LEARNING MODULE- 19 Logo of ProviderTVET TVET-PROGRAMME TITLE: Nursing Level III MODULE TITLE: Preventing and Eliminating MUDA MODULE CODE: HLT NUR3 M19 0219 NOMINAL DURATION: 20 Hours MODULE DESCRIPTION: This module of competence covers the knowledge, skills and attitude required by a worker to prevent and eliminate MUDA/wastes in his/her their workplace. It covers responsibility for the day-to-day operation of the work and ensures Kaizen elements are continuously improved and institutionalized. LEARNING OUTCOMES At the end of the module the learner will be able to: LO1. Prepare for work. LO2 Identify MUDA. LO3. Eliminate wastes/MUDA. LO4 Prevent occurrence of wastes/MUDA. MODULE CONTENTS: LO1. Prepare for work 1.1Using work instructions. 1.2Reading and interpreting Job specification 1.3Observing OHS requirements 1.4Selecting appropriate material 1.5Safety equipment and tools LO2. Identify MUDA. 2.1 Preparing and implementing Plan of MUDA. 2.2 Causes and effects of MUDA. 2.3 Tools and techniques to draw &analyze current situation. 2.4 Identifying and measuring waste/Muda. 2.5 Relevant procedures of identifying &measuring MUDA. 2.6 Reporting Identified and measured wastes LO3. Eliminate wastes/MUDA. 3.1 Preparing and implementing elimination plan of MUDA 3.2 Necessary attitude to eliminate MUDA 3.3The ten basic principles to eliminate MUDA 3.4 Tools and techniques to eliminate wastes/Muda. 3.5 Reducing and eliminating Wastes/MUDA. 3.6 Reporting Improvements. LO4. Prevent occurrence of wastes/MUDA. 4.1 Preparing and implementing prevention plan of MUDA. 4.2 Discussing and preparing standards for 4.2.1 Machines 4.2.2 Operations 4.2.3 Defining normal and abnormal conditions.

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(TVET Program Title) Version: Page No.Copyright Info/Author: Ethiopian TVET System Model Curriculum 4.2.4 Clerical procedures and procurement. 4.3 Visual and auditory control methods. 4.4 Using 5W and 1H sheet for waste-free workplace 4.5 Doing completion of required operation. 4.6 Updating of standard procedures and practices. 4.7 Ensuring capability of the work team ASSESSMENT CRITERIA:

Lo3. Eliminate wastes/MUDA. Plan of MUDA elimination is prepared and implemented. Necessary attitude and the ten basic principles for improvement are adopted to eliminate waste/MUDA. Tools and techniques are used to eliminate wastes/MUDA based on the procedures and OHS. Wastes/MUDA are reduced and eliminated in accordance with OHS and organizational requirements. Improvements gained by elimination of waste/MUDA are reported to relevant bodies.

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LO4. Prevent occurrence of wastes/MUDA. Plan of MUDA prevention is prepared and implemented. Standards required for machines, operations, defining normal and abnormal conditions, clerical procedures and procurement are discussed and prepared. Occurrences of wastes/MUDA are prevented by using visual and auditory control methods. Waste-free workplace is created using 5W and 1Hsheet. The completion of required operation is done in accordance with standard procedures and practices. The updating of standard procedures and practices is facilitated. The capability of the work team that aligns with the requirements of the procedure is ensured.

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LO1.Prepare for work. Work instructions are used to determine job requirements, including method, material and equipment. Job specifications are read and interpreted following working manual. OHS requirements, including dust and fume collection, breathing apparatus and eye and ear personal protection needs are observed throughout the work. Appropriate material is selected for work. Safety equipment and tools are identified and checked for safe and effective operation.

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LO2. Identify MUDA Plan of MUDA identification is prepared and implemented. Causes and effects of MUDA are discussed. Tools and techniques are used to draw and analyze current situation of the work place.

Wastes/MUDA are identified and measured based on relevant procedures. Identified and measured wastes are reported to relevant personnel.

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(TVET Program Title) Version: Page No.Copyright Info/Author: Ethiopian TVET System Model Curriculum Annex: Resources requirement HLT NUR3 M19 0219 Prevent and Eliminate MUDA ItemNo. Category/Item SpecificationsDescription/ Quantity RecommendedRatio(Item:Learner) A. Learning Materials 1. TTLM 2. Textbooks 3. Reference Books 4. Journals/Publication/Magazines B. Learning Facilities & Infrastructure 1. Lecture Room 5*5m 1 1:25 2. Library with books. C. Consumable Materials 1. Paper A4 5rim 1:5 D. Tools and Equipments 1. Dust masks/goggles 25 1:1 2 Glove 25 1:1 3 Working cloth 25 1:1 4 First aid and safety shoes 5 1:5

(TVET Program Title) Version: Page No.Copyright Info/Author: Ethiopian TVET System Model Curriculum Acknowledgement The Ministry of Health and Federal TVET Agency wishes to extend thanks and appreciation to the many representatives of business, industry, academe and government agencies who donated their time and expertise to the development of this Model Curriculum for the TVET Program Nursing Level III. The teachers (who developed the curriculum) 1. Abenezer Baye 2. Zinash Tantu The (School name represented by the teacher) 1. Dessie health science college 2. Arbamench health science college We would like also to express our appreciation to the following Staff and Officers of Ministry of Health and Federal TVET Agency who facilitated the development of this Thiscurriculum.model curriculum was developed on February 2019 at Adama