2nd Year GNM Syllabus: Practical Work and Subjects List
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Practical work includes supervised clinical postings in Medical-Surgical wards, Operation Theatre, Psychiatric units, and Pediatric wards.
Below is the full breakdown of 2nd year subjects, unit plans, clinical rotation requirements, reference books, and admission procedures.
| Parameter | Details |
|---|---|
| Course Duration | 3 Years (Revised INC Curriculum) |
| Regulating Body | Indian Nursing Council (INC) |
| 2nd Year Theory Subjects | Medical-Surgical Nursing I, Medical-Surgical Nursing II, Mental Health Nursing, Child Health Nursing |
| 2nd Year Practical Subjects | Medical Surgical Nursing I & II Practical, Mental Health Nursing Practical, Child Health Nursing Practical |
| Passing Marks | 50% in each theory and practical subject |
GNM (General Nursing and Midwifery) Subjects Year-wise
| Year / Phase | Theory Subjects | Practical & Internships |
|---|---|---|
| 1st Year | Bio-Sciences, Behavioral Sciences, Nursing Foundations, Community Health Nursing-I, English, Computer Education | Nursing Foundations Practical, CHN-I Practical, Microbiology & Nutrition Labs |
| 2nd Year | Medical Surgical Nursing-I, Medical Surgical Nursing-II, Mental Health Nursing, Child Health Nursing | Medical Surgical Nursing Practical, Mental Health Nursing Practical, Child Health Nursing Practical |
| 3rd Year (Part-I) | Midwifery & Gynecological Nursing, Community Health Nursing-II | Midwifery & Gynecological Nursing Practical, CHN-II Practical |
The Indian Nursing Council reduced the total GNM course duration from 3.5 years to 3 years by integrating the 6-month internship into the framework. Students must secure 50% marks individually in theory and practical exams to clear each year.
Medical Surgical Nursing I Detailed Unit-Wise Syllabus
| Unit | Topic Name | Hours | Key Sub-Topics Covered |
|---|---|---|---|
| Unit I | Introduction to Medical Surgical Nursing | 2 | History of modern medicine/surgery, theories of illness, Nursing Process review |
| Unit II | Nursing Assessment | 4 | Health history taking, physical exam, nutritional assessment, clinical diagnostic tests |
| Unit III | Pathophysiological Mechanism of Disease | 2 | Stress adaptation, inflammation, defense mechanisms against injury |
| Unit IV | Altered Immune Response | 6 | Allergy disorders (Anaphylaxis, Rhinitis), Autoimmune diseases (RA, SLE) |
| Unit V | Fluid and Electrolyte Balance & Imbalance | 4 | Acid-Base balance, Homeostasis, fluid regulation mechanisms, management of imbalance |
| Unit VI | Operation Theatre Technique | 8 | OT environment, scrubbing, gowning, gloving, patient positioning, sterilization & CSSD |
| Unit VII | Management of Patient Undergoing Surgery | 8 | Pre-operative, intra-operative, and immediate post-operative nursing care |
| Unit VIII | Impaired Respiratory Function & Gaseous Exchange | 15 | Asthma, COPD, Pneumonia, Tuberculosis/DOTS, Mechanical Ventilation care |
| Unit IX | Gastrointestinal Disorders | 18 | GERD, Peptic Ulcer, Appendicitis, Colitis, GI intubation, Colorectal Cancer |
| Unit X | Metabolic & Endocrinal Disorders | 15 | Jaundice, Cirrhosis, Hepatitis, Diabetes Mellitus, Thyroid and Adrenal disorders |
Medical-Surgical Nursing I covers key areas such as health assessment, altered immune response, fluid-electrolyte balance, OT techniques, respiratory, GI, and endocrine disorders. Operation Theatre techniques include scrubbing, gowning, gloving, patient positioning, draping, and carbolization or fumigation sterilization.
GNM (General Nursing and Midwifery) Practicals and Projects
Practical training in the 2nd year focuses on applying classroom concepts directly in clinical environments. Operation Theatre techniques in GNM 2nd year include scrubbing, gowning, gloving, patient positioning, draping, and carbolization/fumigation sterilization.
Child Health Nursing postings focus on growth monitoring, pediatric drug dosage calculations, newborn care, and child immunization schedules.
| Practical Subject | Clinical Area / Setting | Key Practical Skills Taught |
|---|---|---|
| Medical Surgical Nursing I & II Practical | Medical Wards, Surgical Wards, Operation Theatre, CSSD | Pre/Post-operative care, OT scrubbing, gowning, draping, catheterization, drug administration |
| Mental Health Nursing Practical | Psychiatric Wards / Mental Health Institutes | Mental Status Examination (MSE), history taking, therapeutic nurse-patient relationship, ECT assistance |
| Child Health Nursing Practical | Pediatric Wards, Pediatric ICU, Neonatal Care Units | Growth monitoring, pediatric drug dosage calculation, newborn care, immunisation |
Books for GNM (General Nursing and Midwifery)
Standard nursing textbooks provide foundational reading material across the curriculum subjects. Below are standard reference texts used by GNM students during their coursework.
| Subject Area | Recommended Book Title | Authors |
|---|---|---|
| Bio-Sciences | Bio-Sciences (Anatomy, Physiology & Microbiology) | Dr. Farukh Khan & Prof. Urmila Devi Bhardwaj |
| Behavioral Sciences | Textbook of Behavioural Sciences (Psychology & Sociology) | S.K. Maheshwari & Varinder Kaur |
| Nursing Foundations | Nursing Foundation-I | I. Clement |
| Community Health Nursing | Community Health Nursing | Keshav Swarnkar |
Top Colleges Offering GNM and Fee Structure
At least 755 colleges offer GNM (General Nursing and Midwifery) programs across India, comprising at least 29 government institutes and 407 private institutions. Government colleges report a median total course fee of ₹41,500, with the middle half falling between ₹16,345 and ₹1.34 lakh. Private colleges report a median total course fee of ₹2.23 lakh, with the middle half spanning ₹1.44 lakh to ₹3.00 lakh.
State distributions include Karnataka with 120 colleges, Uttar Pradesh with 103 colleges, Madhya Pradesh with 63 colleges, Gujarat with 56 colleges, Punjab with 54 colleges, and Tamil Nadu with 52 colleges.
| College | City | Ownership | Total course fee | NIRF rank |
|---|---|---|---|---|
| Christian Medical College Vellore | Vellore | Private | ₹1.12 lakh | 3 (Medical, 2025) |
| SRM Institute of Technology | Kanchipuram | Private | ₹1.80 lakh | 18 (Medical, 2025) |
| Datta Meghe Institute of Medical Sciences | Wardha | — | ₹2.59 lakh | 20 (Medical, 2025) |
| Institute of Post Graduate Medical Education and Research | Kolkata | Government | — | 23 (Medical, 2025) |
| St. John’s Medical College | Bangalore | Private | ₹3.19 lakh | 30 (Medical, 2025) |
| Maharishi Markandeshwar Ambala | Ambala | — | ₹2.08 lakh | 33 (Medical, 2025) |
| Jamia Hamdard University | Delhi | — | ₹2.91 lakh | 40 (Medical, 2025) |
| Government Medical College Thiruvananthapuram | Thiruvananthapuram | Government | — | 42 (Medical, 2024) |
| Sri Ram Chandra Bhanja Medical College and Hospital | Cuttack | Government | — | 44 (Medical, 2022) |
| College | City | Ownership | Total course fee |
|---|---|---|---|
| Anugrah Narayan Magadh Medical College and Hospital | Gaya | Government | ₹13,600 |
| Government Medical College Ernakulam | Ernakulam | Government | ₹15,120 |
| Murshidabad Medical College & Hospital | Murshidabad | Government | ₹20,020 |
| Government Medical College Jammu | Jammu | Government | ₹27,000 |
| Mother Teresa Post Graduate and Research Institute of Health Sciences | Pondicherry | Government | ₹56,000 |
| T.D. Medical College | Alappuzha | Government | ₹1.20 lakh |
| Netaji Subhash Chandra Bose Medical College | Jabalpur | Government | ₹1.39 lakh |
| Eklavya University | Damoh | Government | ₹2.41 lakh |
How to Apply for GNM (General Nursing and Midwifery) Admission in 2026: Step by Step
- Verify Eligibility Criteria: Pass 10+2 with English and a minimum of 40% aggregate marks from a recognized board (including Open Schools/NIOS) or complete an INC-recognized vocational ANM course.
- Register for Entrance Exams or Merit Selection: Apply for state-level entrance examinations or merit-based admission processes conducted by respective state governments.
- Select INC-Approved Colleges: Choose nursing institutes officially approved by the Indian Nursing Council (INC) to ensure valid qualification status and career options.
- Complete Final Admission and Enrollment: Secure seat allocation and pay required course fees, where government colleges have a median total fee of ₹41,500 and private colleges have a median fee of ₹2.23 lakh.
| What to do | Where | Link |
|---|---|---|
| Syllabus and Regulations for Diploma in General Nursing & Mi | Indian Nursing Council Official Portal | apnc.nic.in |
Candidates must verify that their chosen institute is INC-approved to preserve future career opportunities. State government guidelines determine whether final selection is based on entrance examination scores or academic merit lists.
