JKSSB: Syllabus for the Post of Technical Assistant / Technician (014)

Jammu and Kashmir Services Selection Board has advertised various Posts via Notifications 01, 02, 03, 04 and 05 of 2019. Syllabus for the Post of Junior Staff Nurse is given as Under:

• BASIC ANATOMY

 

Introduction to Anatomy

• THEORY

 

Basic Anatomical terminology

ü  Osteology-

• Upper limb – clavicle,
• scapula, humerous,
• radius,
• ulna
• Lower limb – femur,
• hipbone,
• sacrum,
• tibia,
• fibula
• Vertebral column

ü  Thorax –

• Intercostal space,
• pleura,
• bony thoracic cage,
• ribs sternum & thoracic vertebrae

ü  Lungs –

• Trachea,
• bronchial tree

ü  Heart –

• Surface anatomy of heart,
• chambers of the heart,
• valves of the heart,
• major blood vessels of heart,
• pericardium,
• coronary

ü  Skeleto-muscular system –

 

• Muscles of thorax,
• muscles of upper limb (arm & fore arm) Flexor and extensor group of muscles (origin, insertion, action)

ü  Excretory sytem –

• Kidneys,
• ureters,
• bladder

PRACTICALS

• Osteology – Bones identification (right and left side) and prominent features and muscle attachment of the bone, clavicle, scapula, radius, ulna, humerous, femur, hip bone, sacrum, tibia,

Ø PHYSIOLOGY

 

• The Cell:
  • Cell Structure and functions of the various
  • Acid base balance and disturbances of acid base balances (Alkalosis, Acidosis)

 

• The Blood:
  • Composition of Blood, functions of the blood and plasma proteins, classification and
  • Pathological and Physiological variation of the
  • Function of Hemoglobin
  • Erythrocyte Sedimentation
  • Detailed description about WBC-Total count (TC), Differential count (DC) and
  • Platelets – formation and normal level and functions
  • Blood groups and Rh factor

 

 

• Cardio-Vascular System:
  • Physiology of the heart
  • Heart sounds
  • Cardiac cycle, Cardiac
  • Auscultatory
  • Arterial pressures, blood pressure
  • Hypertension
  • Electro cardiogram (ECG)

 

4. Respiratory system:
   • Respiratory
   • Definitions and Normal values of Lung volumes and Lung

 

5. Excretory system:
   • Normal Urinary output
   • Micturation
   • Renal function tests, renal disorders.

 

6. Reproductive system:

 

• Formation of semen and
• Brief account of menstrual

 

7. Central Nervous system:
   • Functions of CSF.

 

8. Endocrine system:
   • Functions of the pituitary, thyroid, parathyroid, adrenal and pancreatic

 

9. Digestive system (for the students of Diploma in Scope Support Technology)
   • Physiological Anatomy of the
   • Food Digestion in the mouth, stomach, intestine
   • Absorption of foods
   • Role of bile in the

 

PRACTICALS

• Determination of Blood

 

• Measurement of human blood

 

• Examination of Respiratory system to count respiratory rate and measure inspiration and respiration

 

Ø BIO-CHEMISTRY

ü  Carbohydrates

• Glucose and Glycogen Metabolism

 

ü  Proteins:

• Classification of proteins and functions

 

ü  Lipids:

• Classification of lipids and functions

 

ü  Vitamins & Minerals:

Fat soluble vitamins(A,D,E,K) – Water soluble vitamins – B-complex

vitamins- principal elements(Calcium, Phosphorus, Magnesium, Sodium, Potassium, Chlorine and sulphur)- Trace elements – Calorific value of foods – Basal metabolic rate(BMR) – respiratory quotient(RQ) Specific dynamic action(SDA) – Balanced diet – Marasmus – Kwasoirkar

 

BIOCHEMISTRY PRACTICALS

• Benedict’s test
• Heat coagulation tests

 

• PATHOLOGY
  • Cellular adaptation, Cell injury & cell
  • Introduction to pathology.
  • Overview: Cellular response to stress and noxious
  • Cellular adaptations of growth and
  • Overview of cell injury and cell
  • Causes of cell
  • Mechanisms of cell
  • Reversible and irreversible cell

 

• Examples of cell injury and necrosis

 

ü  Inflammation.

 

• General features of inflammation
• Historical highlights
• Acute inflammation
• Chemical mediators of inflammation
• Outcomes of acute inflammation
• Morphologic patterns of acute inflammation
• Summary of acute inflammation
• Chronic inflammation

 

 

ü  Immunity disorders.

 

• General features of the immune system
• Disorders of the immune system

 

ü  Infectious diseases.

 

• Definitions Nomenclature

 

• General principles of microbial pathogenesis
• Viral infections
• Bacterial infections-Rheumatic heart
• Fungal infections
• Parasitic infections
• Biology of tumor growth benign and malignant neoplasms Epidemiology
• Carcinogenic agents and their cellular interactions Clinical features of tumors

 

• BASICS OF COMPUTER

 

ü  COURSE CONTENT:

Introduction to computer – I/O devices – memories – RAM and ROM – Different kinds of ROM – kilobytes. MB, GB their conversions – large computer –Medium, Micro, Mini computers – Different computer languages . Typing text in MS word Manipulating text – Formatting the text – using different font sizes, bold, italics – Bullets and numbering – Pictures, file insertion – Aligning the text and justify – choosing paper size – adjusting margins – Header and footer, inserting page No’s in a document – Printing a file with options – Using spell check and grammar – Find and replace – Mail merge – inserting tables in a document. Introduction to Internet – Using search engine – Google search – Exploring the next using Internet Explorer and Navigator – Uploading and Download of files and images – E-mail ID creation – Sending messages – Attaching files in E-mail – Introduction to “C” language – Different variables, declaration, usage – writing small programs using functions and sub – functions.

 

 

 

1. Applied Anatomy and Physiology
2. Clinical Pharamacology
3. Clinical microbiology
4. Medical Ethics.

 

5. Medicine outline
6. Principles of Anaesthesia
7. Basic Anaesthetic techniques

 

 

Ø APPLIED ANATOMY AND PHYSIOLOGY RELATED TO ANAESTHESIA

RESPIRATORY SYSTEM

 

• A Structure and function of the respiratory tract in relation to respiratory system

 

Nose                –           Role in humidification Pharynx           –           Obstruction in airways

Larynx            –           Movement or vocal cords, cord palsies.

Trachea & Bronchial tree – vessels, nerve supply, respiratory tract, reflexes, bronchosparm

Alveoli            –           Layers, Surfactants.

 

ü B. Respiratory Physiology

 

• Control or breathing
  • Respiratory muscles – diaphragm,intercostals
  • Lung volumes – dead space, vital capacity, FRC
  • Pleural cavity – intrapleural pressure,
  • Work of breathing – airway resistance, compliance
  • Respiratory movements under
  • Tracheal tug – signs, hiccup

 

ü  C. Pulmonary Gas Exchange And Acid Base Status

 

• Pulmonary circulation
• Pulmonary oedema,
• Pulmonary hypertension
• Pulmonary function
• Transfer of gases – oxygen & Carbondioxide
• Acid base status, definitions, acidosis types, Alkalosis types, buffers in the

 

ü  D. Oxygen: properties, storage, supply, hypoxia

 

• Respiratory failure, type, clinical features, causes.

 

• CARDIOVASCULAR SYSTEM
• Anatomy –
• Chambers of the heart, major
• Coronary supply,
• Conduction
• Cardiac output – determinants, heart rate, preload, after
• Coronary blood flow& myocardial oxygen supply

 

·        ECG

• Arrhythmias cardiovascular response to
• Anaesthetic & surgical
• Hypotension – causes, errects,
• Cardio pulmonary
• Myocardial infarction,

 

·        FLUIDS AND ELECTROLYTES

• Body Fluids – Composition
• Water, sodium and potassium balance
• Fluids – composition & administration

 

·        BLOOD TRANSFUSION

• Blood grouping, storage, administration

 

Ø Clinical Pharmacology

 

ü  ANTISIALAGOGUES

• Atropine,
• Glycophyrrolate

 

ü  SEDATIVES I ANXIOLYTICS

• Diazepam,
• Midazolam,
• Phenergan,
• Lorazepam,
• Chloropromazine,
• Trichlopho

ü  NARCOTICS

• Morphine, Pethidine, Fentanyl, Pentazozine

ü  ANTIEMETICS

• Metaoclopramide,Ondanseteron, Dexamethasone

ü  ANTACIDS

• Na citrate, Gelusil, Mucaine
• H2 BLOCKERS
• Cimetidine, Ranitidine, Famotidine

ü  INDUCTION AGENT

• Thiopentone , Diazepam, Midazolam, Ketamine, Propofol,
• MUSCLE RELAXANTS
• Depolarising – Suxamethonium,
• Non depolar:sing -Pancuronium, Vecuronium, Atracurium, rocuranium

ü  INHALATIONAL GASES

• Gases – 02, N20, Air
• Agents – Ether-, Halothane, Isofllurane, Saevoflurane, Desflurane
• REVERSAL AGENTS
• Neostigmine, Glysopyrrolate, Atropine,
• Nalorphine, Naloxone, Flumazenil (Diazepam)

ü  LOCAL ANAESTHETICS

• Xylocaine, Preparation, Local – Bupivacaine – Topical, Prilocaine-jelly, Emla – Ointment, Etidocaine. Ropivacaine

 

ü  . EMERGENCY DRUGS

• Adrenaline : Mode or administration, dilution, dosage,
• Effects, Isoprenaline
• Atropine, bicarbonate, calcium, ephedrine, xylocard,
• Ionotropes : dopamine, dobutamine, amidaron
• Aminophylline, hydrocortisone, antihistamlnics,
• Cardlovascular drugs
• Antihypertensives
• Antiarhythmics
• Beta – Blockers
• Ca – Channel

 

ü  MEDICAL ETHICS

• Medical ethics – Definition – Goal – Scope
• Code of conduct – Introduction –
• Basic principles of medical ethics – Confidentiality
• Malpractice and negligence – Rational and irrational drug therapy

 

ü  MEDICINE OUTLINES

• Disorder of haemoporesis – Anaemias – iron deficience anaemia,
• Infections diseses – Sepsis and septic stock, fever of unknown origin, infective endocarditis, infective of skin, muscle, soft tissue, infection control in hospital, diseases caused by bacteria, viruses, myobacterm, viruses, fungi and protozoa and helminthes, common secondary infection in
• Diseases of CVS – congenital RHD – Rheumatic fever, CAD, Peripheral vascular diseases.
• Respiratory system – asthma pneumonia
• Kidney & Urinary tract – acute renal failure, Glomerulonephritis, Haemodialysis, Transplant, Urinary tract infection
• Liver and biliary tract disease – Viral hepatitis, alcoholism
• Endocrinology and metabolism – Diabetes mellitus, Hyper – and hypothyroidism

 

Ø CSSD Procedures

 

1. Waste disposal collection of used items from user area, reception protective clothing and disinfections sage gaurds,

 

2. use of disinfectionts sorting and classification of equipment for cleaning purposes, sharps, blunt lighted etc. contaminated high risk baby care – delicate instruments or hot care instruments,

 

3. cleaning process – use of detergents. Mechanical cleaning apparatus, cleaning instruments, cleaning jars, receivers bowls etc. trays, basins and similar hand ware utensils. Cleaning of catheters and tubings, cleaning glass ware, cleaning syringes and needles.

 

4. Materials used for wrapping and packing assembling pack contents. Types of packs prepared. Inclusion of trays ahd galliparts in packs. Method of wrapping and making use of indications to show that a pack of container has been through a sterilization process date stamping.

 

5. General observations principles of Moist heat sterlization. Dry heat sterlization. EO gas sterlization. H202 gas plasma vapo sterlization.

 

Ø PRINCIPLES OF ANAESTHESIA

o   MEDICAL GAS SUPPLY

• Compressed gas cylinders
• Colour coding
• Cylinder valves; pin
• Gas piping system
• Recommendations for piping system
• Alarms & safety

 

 

ü  ANAESTHESIA MACHINE

• Hanger and yoke system
• Cylinder pressure gauge
• Pressure regulator
• Flow meter assembly
• Vapourizers – types, hazards, maintenance, filling and draining,

 

ü  BREATHING SYSTEM

• General considerations: humidity & heat
• Common components – connectors, adaptors, reservoir
• Capnography ; etc02
• Pulse oximetry
• Methods of
• Classification of breathing system
• Mapleson system – a b c d e f
• Jackson Rees system, Bain circuit
• Non rebreathing valves – ambu valves
• The circle system
• Components
• Soda lime, indicators

 

ü  FACE MASKS & AIRWAY LARYNGOSCOPES

• Types, sizes
• Endotracheal tubes – Types,
• Cuff system
• Fixing, removing and inflating cuff, checking tube position

 

 

ü  ANAESTHESIA VENTILATOR AND WORKING PRINCIPLES.

• MONITORING
  • ECG
  • Sp02
  • Temperature
  • IBP
  • CVP

 

Ø BASIC ANAESTHETIC TECHNIQUES

ü  HISTORY OF ANAESTHESIA

 

• First successful clinical demonstration:

 

• Pre – historic ( ether) era
• Inhalational anaesthetic era
• Regional anaesthetic era
• Intravenous anaesthetic era

 

• Modem anaesthetic era
• Minimum standard of anaesthesia
• Who should give anaesthesia?

 

ü  PRE-OP PREPARATION:

• Pre anaesthetic assessment~ History – , past history – disease / Surgery / and personal history – Smoking / alcohol

 

ü  General physical assessment, systemic examination – CVS, RS, CNS INVESTIGATIONS

• Routine – Haematological – their significance
  • Urine
  • C.G.
  • Chest X – ray

 

ü  Special -Endocrine, hormonal assays

 

• Echocardiography
• Angiography
• Liver function test
• Renal function test
• Others

 

ü  PRE – ANAESTHETIC ORDERS:

 

• Patient – Informed consent
• NPO
• Premedication – advantages, drugs used
• Special instructions – if any

Machine

• Checking the machine
• 02, N20, suction apparatus
• Laryngoscops, et tubes, airways
• Things for IV accessibility
• Other monitoring systems

INTRAOPERATIVE MANAGEMENT

 

• Confirm the identification of the patient
• Monitoring – minimum
• Noninvasive & Invasive monitoring
• Induction – drugs used
• Endotracheal intubation
• Maintenance of anaesthesia
• Positioning of the patient
• Blood / fluid & electrolyte balance

 

• Reversal from anaesthesia – drugs used
• Transferring the patient
• Recovery room – set up and things needed

 

Ø REGIONAL ANESTHETIC TECHNIQUES.

• Local Anaesthetic Technique
• Nerve Blocks
• Spinal Anesthesia
• Epidural Anaesthesia

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