8446 GI/2024

(1)

रजिस्ट्री सं. डी.एल.- 33004/99

REGD. No. D. L.-33004/99

xxxGIDHxxx

xxxGIDExxx

असाधारण

EXTRAORDINARY

भाग III—खण् ड 4

PART III—Section 4

प्राजधकार से प्रकाजित

PUBLISHED BY AUTHORITY

अजधसूचना

नई दिल्ली, 18 दिसम् बर, 2024

&

फा.सं.

(VI)

––le;≤ ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947

¼1947 dk XLVIII½ dh èkkjk 16¼1½ ds vèkhu çnÙk 'kfDr;ksa dk ç;ksx djrs gq,] Hkkjrh; mip;kZ ifj"kn~ ,rí~okjk

fuEufyf[kr fofu;e cukrh gS] ;Fkk &

1.

i. ;s fofu;e

&

dgs tk,axsA

ii. ;s fofu;e Hkkjr ds jkti= esa budh vfèklwpuk dh frfFk ls çHkkoh gksaxsA

2.

bu fofu;eksa esa] tc rd fd lanHkZ ls vU;Fkk visf{kr u gks]

i. ^vfèkfu;e* dk vfHkçk; le;≤ ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~] 1947 ¼1947 dk XLVIII½ ls gS(

ii. ^ifj"kn~* dk vfHkçk; vfèkfu;e ds rgr xfBr Hkkjrh; mip;kZ ifj"kn~ ls gS(

सं. 1081]

नई दिल्ली, िुक्रवार, दिसम् बर 27, 2024/पौष 6, 1946

No. 1081]

NEW DELHI, FRIDAY, DECEMBER 27, 2024/PAUSHA 6, 1946

सी.जी.-डी.एल.-अ.-03012025-259878

CG-DL-E-03012025-259878

2

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

iii. ^,l,uvkjlh* dk vfHkçk; lacafèkr jkT; ljdkjksa }kjk fdlh Hkh uke ls xfBr jkT; mip;kZ ,oa çlkfodk

iathdj.k ifj"kn~ ls gS(

iv. ^vkj,u ,aM vkj,e* dk vfHkçk; ,d iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½ ls gS vkSj ,d

,sls ulZ dks n'kkZrk gS ftlus ekU;rk çkIr uÉlx Lukrd ¼ch-,llh- uÉlx½ ;k fMIyksek bu tujy uÉlx ,aM

feMokbQjh ¼th,u,e½ ikBîØe] tSlk fd ifj"kn~ }kjk fuèkkZfjr fd;k x;k gks] lQyrkiwoZd iwjk dj fy;k gks

vkSj fdlh ,d ,l,uvkjlh esa iathÑr mip;kZ ,oa iathÑr çlkfodk ds :i esa iathÑr gks(

v. ^ulZ iathdj.k ,oa VªSÇdx ç.kkyh ¼,uvkjVh,l½* dk vfHkçk; ifj"kn~ }kjk jk"Vªh; lwpuk foKku dsaæ ¼,uvkbZlh½]

Hkkjr ljdkj ds lg;ksx ls fodflr lkW¶Vos;j ç.kkyh ls gS] ftls Hkkjrh; mip;kZ jftLVj ds j[kj[kko o

lapkyu ds fy, ,uvkbZlh }kjk gkWLV fd;k x;k gSA blesa iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM

vkj,e½@iathÑr lgk;d ulZ feMokbQ ¼vkj,,u,e½@iathÑr efgyk LokLF; ifjnÆ'kdk ¼vkj,y,poh½ ds

vkadM+ksa ds laxzg ds fy, ^vkèkkj* ck;ksesfVªd çek.khdj.k ij vkèkkfjr ekudhÑr çk:i gSa(

vi. ^,u;wvkbZMh* dk vfHkçk; ,uvkjVh,l ç.kkyh }kjk çR;k'kh dks fn;k tkus okyk ulsZt ;wfud vkbMsafVfQds'ku

uacj ls gS(

vii. ^tujy uÉlx ,aM feMokbQjh ¼th,u,e½* dk vfHkçk; ifj"kn~ }kjk vfèkfu;e dh èkkjk 10 ds rgr LohÑr rFkk

vfèkfu;e dh vuqlwph ds Hkkx&I esa 'kkfey fMIyksek bu tujy uÉlx ,aM feMokbQjh çf'k{k.k ls gSA

&

I.

Hkkjr esa] LokLF; ds lHkh vk;keksa esa LokLF; ç.kkfy;ksa dks u;k :i nsus dks jk"Vªh; LokLF; uhfr] 2017 ¼,u,pih

2017½ esa ,d egRoiw.kZ vko';drk ds :i esa ekU;rk nh xbZ gSA ;g fofu;eu vkSj dkuwu ds lkFk&lkFk f'k{kk vkSj

çf'k{k.k ds {ks=ksa esa ekuo lalkèku fodkl ij tksj nsrh gSA ljdkj lkoZtfud vkSj futh LokLF; nksuksa {ks=ksa esa fof'k"V vkSj

vfr fof'k"V lsokvksa esa egRoiw.kZ o`f) dks ekU;rk nsrh gSA ;g vR;ar egRoiw.kZ gS fd LokLF; ns[kHkky dfeZ;ksa dks fof'k"V

ns[kHkky çnku djus esa viuh {kerk ds fuekZ.k ds fy, mUur 'kSf{kd rS;kjh dh vko';drk gksrh gSA ns[kHkky ds {ks= esa

çf'k{k.k dk;ZØe vkSj ikBîØe fodflr djuk le; dh vko';drk ds :i esa igpkuk tkrk gSA ulZ çSfDV'kuj bl ekax

dks iwjk djus esa l{ke gksaxs] c'krsZ os vPNh rjg ls çf'kf{kr gksa vkSj vH;kl djus ds fy, vfèkÑr gksaA dsaæ vkSj jkT; Lrj

ij u, laoxZ dh LFkkiuk ds lkFk] ijkLukrd Lrj ij rS;kj ,uih fo'ks"k :i ls ulZ çSfDV'kuj bu Qsfeyh gSYFk fofHkUu

lkeqnkf;d lek;kstuksa esa jksfx;ksa dks ykxr çHkkoh] mfpr] lqjf{kr vkSj xq.koÙkk ijd çkFkfed LokLF; ns[kHkky çnku djus

esa l{ke gksaxsA ulZ çSfDV'kulZ la;qDr jkT; vesfjdk ¼;w,l,½ esa 1960 ds n'kd ls] fczVsu ¼;wds½ esa 1980 ds n'kd ls]

vkWLVªsfy;k esa 1990 ds n'kd ls o uhnjySaM esa 2010 ls rS;kj fd, tk jgs gSa rFkk dk;Zjr gSaA

ulZ çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½ dks çkFkfed vkSj f}rh;d ns[kHkky lek;kstuksa esa dk;Z djus ds fy,

rS;kj fd;k tk ldrk gSA lgh 'kSf{kd rS;kjh mUgsa jksdFkke o LokLF; laoèkZu nksuksa esa xaHkhj vkSj th.kZ jksxksa ls ihfM+r

jksfx;ksa dk vkadyu djus rFkk muds mipkj esa Hkkx ysus esa l{ke cuk,xhA ijkLukrd Lrj ij ulZ çSfDV'kuj bu Qsfeyh

gSYFk ¼,uih,Q,p½ rS;kj djus ds fy, ifj"kn~ }kjk ,d ikBîp;kZ lajpuk@:ijs[kk çLrkfor dh xbZ gSA bl dk;ZØe dh

fof'k"V y{k.k ;g gS fd ;g ,d uSnkfud vkoklh; dk;ZØe gS tks 15% lS)kafrd funsZ'k vkSj 85% O;kogkfjdrk ds lkFk

,d etcwr uSnkfud ?kVd ij cy nsrk gSA bldk çeq[k n`f"Vdks.k n{krk vkèkkfjr çf'k{k.k gS vkSj ,uih f'k{kk baVjus'kuy

dkmafly vkWQ ulsZt ¼vkbZlh,u] 2020½ rFkk ,uvks,uih,Q daihVsalht ¼2022½ ls yh xbZ n{krkvksa ij vkèkkfjr gSA çR;sd

ikBîØe ulZ çSfDV'kuj n{krkvksa dh miyfCèk ij vkèkkfjr gSA

ulZ çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½ & vkoklh; dk;ZØe dk mís'; iathÑr ch-,llh- ulks± dks

ifjokj&dsafær n`f"Vdks.k dk mi;ksx djds xaHkhj vkSj th.kZ jksxksa ls ihfM+r jksfx;ksa dks mUur uÉlx ns[kHkky çnku djus

ds fy, rS;kj djuk gSA uÉlx ns[kHkky jksfx;ksa dh fLFkfr dks fLFkj djus] tfVyrkvksa dks de djus vkSj LokLF; dh

vfèkdre cgkyh ij dsafær gSA ulZ çSfDV'kuj bu Qsfeyh gSYFk dks çkFkfed ;k f}rh;d LokLF; ns[kHkky lek;kstuksa esa

vH;kl djuk vko';d gSA dk;ZØe esa vè;;u ds fofHkUu ikBîØe 'kkfey gSa tks lk{; vkèkkfjr vH;kl vkSj tfVy

LokLF; ç.kkfy;ksa ds çcaèku lfgr etcwr oSKkfud uÈo ij vkèkkfjr gSaA ;s ch-,llh- çf'kf{kr ulks± dh lS)kafrd vkSj

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

3

O;kogkfjd n{krkvksa ij vkèkkfjr gSaA dk;ZØe ds iwjk gksus vkSj lacafèkr ,l,uvkjlh esa iathÑr gksus ij] mUgsa ifj"kn~

ikBîØe dh ykWx cqd esa lwphc) lHkh n{krkvksa dk vH;kl djus vkSj laLFkkxr çksVksdkWy@LFkk;h vkns'kksa ds vuqlkj

Lora= :i ls vkS"kfèk;ksa dk çcaèku djus vkSj uSnkfud ijh{k.kksa] çfØ;kvksa] fpfdRlk midj.kksa vkSj mipkjksa dk vkns'k nsus

dh vuqefr nh tkrh gSA

ulZ çSfDV'kuj bu Qsfeyh gSYFk] bl vfèkdkj dk ç;ksx djrs le;] bu n{krkvksa dk çn'kZu djus ds fy, tokcnsg

gksrs gSa

a) ikfjokfjd LokLF; lacaèkh uÉlx vH;kl esa oSKkfud tkudkjh vkSj lS)kafrd vkèkkj dk mi;ksx djukA

b) fofHkUu LokLF; ns[kHkky lek;kstuksa esa jksxh dk p;u@HkrhZ vkSj NqV~VhA

c) mfpr vkadyu }kjk leL;k dh igpkuA

d) vkS"kfèk ;k midj.kksa ;k mipkj dk p;u@ç'kkluA

e) fpfdRlh; mi;ksx ds fy, jksxh f'k{kkA

f) vkS"kfèkvksa@fpfdRlk dh ikjLifjd fØ;k dh tkudkjhA

g) ifj.kkeksa dk fu:i.kA

h) tfVyrkvksa vkSj çfrdwy çfrfØ;kvksa dh igpku vkSj çcaèkuA

i) ikfjokfjd LokLF; ns[kHkky ds lacaèk esa Nk=a] ulZ vkSj vU; LokLF; dfeZ;ksa dks ekxZn'kZu] ijke'kZ] lykg vkSj

'kSf{kd vuqHko çnku djukA

j) ikfjokfjd LokLF; uÉlx vH;kl esa lk{;&vkèkkfjr uokpkjksa esa ;ksxnkuA

ulZ çSfDV'kuj bu Qsfeyh gSYFk viuh ns[kjs[k esa ifjokj dh ns[kHkky ds fy, ftEesnkjh vkSj tokcnsgh ysus ds fy,

rS;kj vkSj ;ksX; gksrs gSaA

mDr LukrdksÙkj mikfèk dks ,l,uvkjlh }kjk vfrfjDr ;ksX;rk ds :i esa iathÑr fd;k tk,xkA

ifj"kn dk ekuuk gS fd fofHkUu ikfjokfjd LokLF; ns[kHkky lek;kstuksa esa xaHkhj vkSj th.kZ jksxksa ls ihfM+r jksfx;ksa vkSj

muds ifjtuksa dks xq.koÙkkiw.kZ ns[kHkky çnku djus gsrq Hkkjr esa çkFkfed vkSj f}rh;d LokLF; ns[kHkky lsokvksa dh

pqukSfr;ksa rFkk ekaxksa dks iwjk djus ds fy, ulZ çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½ uked LukrdksÙkj dk;ZØe

LFkkfir djuk vR;fèkd vko';d gS] tSlk fd jk"Vªh; LokLF; uhfr] 2017 esa ifjyf{kr gSA

ifj"kn~ dk ekuuk gS fd lqn`<+ uSnkfud ?kVd vkSj n{krk&vkèkkfjr çf'k{k.k ij dsafær ,d vkoklh; dk;ZØe ls çkIr

Bksl lS)kafrd vkSj lk{;&vkèkkfjr Kku ds vkèkkj ij LukrdksÙkj dks uSnkfud {kerk çnf'kZr djus esa l{ke gksuk pkfg,A

f'k{k.k&vfèkxe n`f"Vdks.k dks o;Ld vè;;u fl)karksa] n{krk&vkèkkfjr f’k{kk] lg;ksxh vè;;u] fpfdRlh; o uÉlx

çhlsIVjksa }kjk uSnkfud vè;;u] vuqHkokRed vè;;u vkSj Lo&funsZf'kr vè;;u ij dsafær gksuk pkfg,A f'k{kk

çnkrkvksa@çhlsIVlZ@esaVlZ dks vius orZeku Kku vkSj çFkkvksa dks v|ru j[kuk pkfg,A çf'k{k.k esa çhlsIVjksa ds :i esa Hkkx

ysus ds fy, fpfdRlk ladk; dks vkeaf=r fd;k tkrk gSA

ifj"kn~ dk ;g Hkh ekuuk gS fd ;ksX; Qsfeyh gSYFk uÉlx ladk; dh deh dks nwj djus ds fy, uSnkfud lek;kstuksa esa

fofHkUu çdkj dh 'kS{kf.kd j.kuhfr;ksa dk mi;ksx fd;k tk ldrk gSA vk'kk dh tkrh gS fd iathdj.k@ykblsal dh fn'kk

esa uhfr;ksa dks fodflr djus esa enn feysxh vkSj bu LukrdksÙkj ulZ çSfDV'kuj bu Qsfeyh gSYFk dks çkFkfed LokLF;

ns[kHkky lek;kstuksa esa dk;Z djus ds fy, inksa dk l`tu fd;k tk,xkA

ulZ çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½ ikBîØe ds fy, ,d 'kS{kf.kd :ijs[kk fuEukuqlkj çLrkfor gS%

¼ns[ksa

½A

4

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• Qsfeyh gSYFk uÉlx

esa vuqç;qDr mUur

iSFkksfQft;ksykWth

• Qsfeyh gSYFk uÉlx

esa vuqç;qDr mUur

QkekZdksykWth

• mUur LokLF;@

'kkjhfjd

vkadyu

• mUur vH;klh; uÉlx

ds fy, lS)kafrd vkèkkj

• Qsfeyh gSYFk uÉlx esa

'kksèk vuqç;ksx rFkk lk{;

vkèkkfjr vH;kl

• usr`Ro] çcaèku rFkk f'k{k.k

esa mUur dkS'ky

• Qsfeyh gSYFk

uÉlx vH;kl

ds ewy vkèkkj

• Qsfeyh gSYFk

uÉlx I

• Qsfeyh gSYFk

uÉlx II

&

II.

ulZ çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½ dk;ZØe ,d vkoklh; uÉlx dk;ZØe gS ftlesa eq[;r% n{krk vkèkkfjr

çf'k{k.k ij cy fn;k tkrk gSA lS)kfUrd ?kVd ds lkFk ikBîØe dh vofèk nks o"kZ gS ftlesa ewy ikBîØe] mUur vH;kl

ikBîØe vkSj uSnkfud ikBîØe ds vykok uSnkfud vH;kl 'kkfey gSa tks fd ,d çeq[k ?kVd gS ¼

esa ns[ksa½A

III.

,uih,Q,p dk;ZØe] iathÑr ch-,llh- ulks± dks mUur vH;kl Hkwfedkvksa tSls uSnkfud fo'ks"kK] çcaèkd] f'k{kd vkSj

lykgdkj ds fy, ulZ çSfDV'kuj ds :i esa rS;kj djrk gS] tks vkxs pydj ,e-,llh- uÉlx ¼,uih bu Qsfeyh gSYFk½

curs gSaA

IV.

dk;ZØe ds iwjk gksus ij] ,uih,Q,p fuEufyf[kr dk;ks± ds laiknu esa l{ke gksaxs &

1. çkFkfed vkSj f}rh;d ns[kHkky dsaæksa@lek;ktuksa esa ifjokj dsafær n`f"Vdks.k dk mi;ksx djds xaHkhj vkSj th.kZ

jksxksa ls ihfM+r jksfx;ksa vkSj ifjtuksa dks l{ke ns[kHkky çnku djus ds fy, ftEesnkjh vkSj mÙkjnkf;Ro ysukA

2. ns[kHkky çnku djus esa uSnkfud {kerk@fo'ks"kKrk çnÆ'kr djuk ftlesa fu:i.k] uSnkfud rdZ] fuxjkuh] mipkj]

?kjsyw ns[kHkky vkSj iquokZl 'kkfey gSaA

3. ns[kHkky dks ykxw djus esa lS)kafrd] iSFkksfQft;ksykWftdy o QkekZdksykWftdy fl)karksa vkSj lk{; vkèkkj dks ykxw

djukA

4. jksxh ds LokLF; dks fLFkj vkSj cgky djus ds fy, xaHkhj jksxksa ls ihfM+r jksfx;ksa dk fu:i.k djuk rFkk muds

mipkj esa Hkkx ysuk vkSj ny ds lnL; ds :i esa Lora= :i ls ;k lg;ksxkRed :i ls tfVyrkvksa dks de

djuk ;k çcafèkr djukA

5. ns[kHkky dh fujarjrk esa ny esa 'kkfey vU; LokLF; ns[kHkky dÆe;ksa ds lkFk lg;ksx djukA

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

5

V.

laLFkk dks ,uih,Q,p dk;ZØe vkSj mlds Nk=ksa ds çfr tokcnsgh Lohdkj djuh gksxh vkSj dk;ZØe dh is'kd'k

ifj"kn~ ds ekudksa ds vuq:i djuh gksxhA bls fuEufyf[kr vgZrkvksa dks iwjk djuk gksxk%

1. vfuok;Zrk çek.ki=

a. tks dksbZ Hkh laLFkku ulZ çSfDV'kuj bu Qsfeyh gSYFk dk;ZØe 'kq: djuk pkgrs gSa] mUgsa jkT; ls vfuok;Zrk

çek.ki=@ljdkjh vkns'k ysuk gksxkA

b. fuEufyf[kr laLFkkuksa dks vfuok;Zrk çek.ki= ysus ls NwV nh xbZ gS%

i. ifj"kn~ }kjk vfèkfu;e dh èkkjk 13 vkSj 14 ds rgr mi;qDr ik, x, rFkk ch-,llh- uÉlx ;k ,e-,llh-

uÉlx dk;ZØeksa dh igys ls gh is'kd'k djus okys laLFkku@fo'ofo|ky;(

ii. ,echch,l@Mh,uch dk;ZØe dk lapkyu djus okys laLFkku@fo’ofo|ky;A

2. uSnkfud lqfoèkk,a

•

vLirky ,d r`rh;d ns[kHkky dsaæ gksuk pkfg,] ftlesa des ls de 200 'k¸;k miyCèk gksaA

•

lqLFkkfir lkeqnkf;d fpfdRlk@ikfjokfjd fpfdRlk foHkkx gksuk pkfg,A

•

vkJqr lkeqnkf;d LokLF; {ks= & f}rh;d LokLF; ns[kHkky lqfoèkk ds lkFk 30]000 vkcknh okys xzkeh.k@

'kgjh@tutkrh; lek;kstuA

•

lac) xzkeh.k vLirky@lh,plh@ih,plh vkSj LokLF; ,oa dY;k.k dsaæ ¼mi dsaæ½A

•

lkekU; jksx] lapkjh ,oa xSj&lapkjh jksx] f’k’kq jksx] çlwfr o L=h jksx vkSj ekufld LokLF; fLFkfr;ksa ds mipkj

ds fy, cká jksxh lqfoèkk,aA

•

f’k’kq jksx] tjkjksx] lapkjh ,oa xSj&lapkjh jksx] çlwfr o L=h jksx lacaèkh fLFkfr;ksa ds fy, var% jksxh lqfoèkk,aA

•

ekr` ,oa uotkr f’k’kq bdkb;kaA

•

8&10 Lrj II uotkr f'k'kq 'k¸;kA

•

lqLFkkfir lkekU; fpfdRlk vkSj f’k’kq fpfdRlk foHkkxA

•

r`rh;d ns[kHkky vLirky ds fy, jsQjy ÇydA

•

Lrj III uotkr f'k'kq 'k¸;k ds lkFk lac)rkA

•

fof'k"V fDyfud% vkjlh,p fDyfud] Vhch fDyfud] dq"B jksx fDyfud] eysfj;k fDyfud] eèkqesg fDyfud vkSj

euksjksx fDyfudA

3. ladk;@LVkQ lalkèku

a.

i. uÉlx çhlsIVj% çkFkfed LokLF; ns[kHkky@ikfjokfjd ns[kHkky uÉlx esa 6 o"kZ vuqHko ds lkFk iw.kZdkfyd

th,u,e ;k çkFkfed LokLF; ns[kHkky@ikfjokfjd ns[kHkky uÉlx esa 2 o"kZ vuqHko ds lkFk ch-,llh- uÉlx

;k çkFkfed LokLF; ns[kHkky@ikfjokfjd ns[kHkky uÉlx esa 1 o"kZ vuqHko ds lkFk ,e-,llh- ¼fof’k"Vrk &

lkeqnkf;d LokLF; uÉlx] esfMdy lftZdy uÉlx@ihfM;kfVªd uÉlx@vkWCLVsfVªDl ,aM xkbukdksykWth

uÉlx½A

ii. esfMdy çhlsIVj% ikfjokfjd fpfdRlk] lkeqnkf;d fpfdRlk vkSj f’k’kq jksx] çlwfr] tjkjksx] lkekU; fpfdRlk

esa esfMdy ihth@lykgdkjA

iii. çhlsIVj Nk= vuqikr% uÉlx 1 % 10] esfMdy 1 % 10 ¼çR;sd Nk= ds fy, ,d esfMdy vkSj ,d uÉlx

çhlsIVj gksuk pkfg,½A

b.

i. çksQslj@,lksfl,V çksQslj% 1 ¼'kS{kf.kd vuqHko% LukrdksÙkj&,e,llh ds ckn 5 o"kZ] fof’k"Vrk & ulZ

çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½@lkeqnkf;d LokLF; uÉlx] esfMdy lftZdy uÉlx@ ihfM;kfVªd

uÉlx@vkWCLVsfVªDl ,aM xkbukdksykWth uÉlx½ ¼çR;sd 10 Nk=ksa ds fy, ,d ladk;½A

ii. lgk;d çksQslj% 1 ¼3 o"kZ ’kS{kf.kd vuqHko ds lkFk ,e-,llh- uÉlx½A

c. mijksDr ladk; nksgjh Hkwfedk fuHkk,axs ;k fof’k"Vrk esa ,e-,llh- uÉlx ;ksX;rk ds lkFk ,d ofj"B ulZ gksaxsA

d. QkekZdksykWth] iSFkksfQft;ksykWth vkSj ikfjokfjd fpfdRlk ds fy, vfrfFk çkè;kidA

4. vLirky@dkWyst esa HkkSfrd vkSj f'k{k.k lalkèku

a. uSnkfud {ks= esa ,d vè;;u d{k@lEesyu d{kA

b. flE;qysVsM vè;;u ds fy, dkS'ky ç;ksx'kkyk ¼vLirky@dkWyst½A

c. vkWuykbu@vkWQykbu if=dkvksa rd igqap ds lkFk iqLrdky; vkSj daI;wVj lqfoèkk,aA

d. bZ&yÆud lqfoèkk,aA

5. mUur uSnkfud vkadyu@lkeqnkf;d LokLF; uÉlx dkS'ky ç;ksx'kkyk gsrq midj.k lwph ¼layXu

½

6. Nk= HkrÊ@ços'k lacaèkh vgZrk,a

a. ukekadu ls igys vkosndksa dks vfèkekur% fdlh lkeqnkf;d@ikfjokfjd LokLF; ns[kHkky lek;kstu esa de ls de

1 o"kZ uSnkfud vuqHko ds lkFk iathÑr ch-,llh-@ih-ch-ch-,llh- ulZ gksuk pkfg,A

6

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

b. ifj"kn~ }kjk mi;qDr ik, x, laLFkku ls ch-,llh- uÉlx dh gksuh pkfg, vkSj lacafèkr ,l,uvkjlh }kjk iathÑr

gksuk pkfg,A

c. ch-,llh- uÉlx dk;ZØe esa dqy çkIrkad 55% ls de ugÈ gksus pkfg,A

d. p;u ,d ços'k ijh{kk dh Js"Brk vkSj l{ke çkfèkdkjh }kjk vk;ksftr lk{kkRdkj ds vkèkkj ij gksuk pkfg,A

e. 'kkjhfjd :i ls LoLFk gksuk pkfg,A

vH;fFkZ;ksa dh la[;k% 10]000 vkcknh dh lsok djus okys ,d ikfjokfjd ns[kHkky dsaæ ds fy, 1 vH;FkhZ ;k ikfjokfjd

fpfdRlk çf'k{k.k ds lkFk 40]000&50]000 vkcknh dh lsok djus okys ikfjokfjd fpfdRlk dsaæ ds fy, 4 vH;FkhZA

1. lsokjr vH;FkhZ dks fu;fer osru feysxkA

2. vU; vH;fFkZ;ksa ds fy, o`fÙkdk@osru ml vLirky dh osru lajpuk ds vuqlkj gksxk tgka dk;ZØe lapkfyr fd;k

tk jgk gSA

VI.

ijh{kk esa cSBus ds fy, ik=rk

mifLFkfr% fo'ofo|ky; dh vafre ijh{kk esa cSBus ls igys lS)kafrd vkSj ç;ksxkRed ds fy, U;wure 80%] ysfdu

fMxzh çnku djus ls igys ç;ksxkRed esa 100% iwjh djuh vfuok;Z gSA

vkarfjd vkadyu vadksa ds fy, dksbZ U;wure lhek ugÈ gS] D;ksafd mÙkh.kZ ?kksf"kr djus ds fy, vkarfjd vkSj cká vad

,d lkFk tksM+s tkrs gSaA

ijh{kk lapkyu ,oa fMxzh çnkrk çkfèkdj.k% lacafèkr fo'ofo|ky;A

ifj.kkeksa dh ?kks"k.kk

;fn çkIrkad 60% ;k mlls vfèkd gSa rks vH;FkhZ dks ijh{kk esa mÙkh.kZ ?kksf"kr dj fn;k tkrk gSA ;g çkIrkad çR;sd

ikBîØe@fo"k; esa lS)kafrd vkSj ç;ksxkRed dh vkarfjd ,oa cká fo'ofo|ky;h nksuksa ijh{kkvksa dk dqy ;ksx gS vkSj 60%

ls de vuqÙkh.kZ ekuk tk,xkA

Js.kh dh x.kuk ds fy,] nksuksa o"kZ ds dqy vadksa dks ekuk tk,xkA

;fn dksbZ vH;FkhZ lS)kfUrd vFkok ç;ksxkRed ijh{kk esa vuqÙkh.kZ gks tkrk gS] rks mls og ç'u&i= fQj ls nsuk gksxk

ftlesa og vuqÙkh.kZ gqvk gSA

fdlh Hkh fo"k; esa vuqÙkh.kZ gksus okys vH;FkhZ dh Js.kh ?kksf"kr ugÈ dh tk,xhA dk;ZØe dks iwjk djus dh vfèkdre

vofèk 4 o"kZ gksxhA

çk;ksfxd ijh{kk

vks,llhbZ ijh{kk ds lkFk&lkFk ekSf[kd ijh{kk gksxh &

esa fn, x, vks,llhbZ fn'kkfunsZ'k ns[ksaA

çk;ksfxd ijh{kk ds fy, çfr fnu Nk=ksa dh vfèkdre la[;k 10 gksxhA ijh{kk dsoy uSnkfud {ks= esa gh vk;ksftr

djuh gksxhA

rhu&lnL;h; çk;ksfxd ijh{kd ny esa fuEufyf[kr lnL; 'kkfey gksaxs &

i. ,d vkarfjd ijh{kd ¿,uih,Q,p dk;ZØe i<+kus ds 2 o"kZ vuqHko ds lkFk ,e-,llh- uÉlx ladk;@ LukrdksÙkj

ds mijkar 5 o"kZ vuqHko ds lkFk lkeqnkf;d LokLF; uÉlx fof’k"Vrk esa ,e-,llh- uÉlx ladk; ¼vfèkekur%

,uih,Q,p½ÀA

ii. ,d cká ijh{kd ¼mijksDr ds leku½A

iii. ,d fpfdRlh; vkarfjd ijh{kd] ftlus ,uih,Q,p dk;ZØe ds fy, çhlsIVj ds :i esa dk;Z fd;k gksA

'kksèk fucaèk*

'kksèk xkbM% eq[; xkbM & LukrdksÙkj ds mijkar ,uih,Q,p dk;ZØe i<+kus ds 3 o"kZ vuqHko okyk uÉlx ladk;]

lg&xkbM% esfMdy çhlsIVjA

'kksèk çLrko dh çLrqfr% çFke o"kZ esa ços'k dh frfFk ds 6&9 ekg mijkarA

xkbM Nk= vuqikr% 1 % 5

'kksèk lfefr% dkWyst@vLirky esa 'kksèk ds ekxZn'kZu vkSj mldh çxfr dk i;Zos{k.k djus ds fy, ,d vyx 'kksèk

lfefr gksxh ¼çèkkukpk;Z ;k lh,uvks] tks ,e-,llh- uÉlx mikfèk èkkjd gksuk pkfg,] ds lkFk U;wure 5 lnL;½A

uSfrd eatwjh% pqwfd blesa uSnkfud 'kksèk 'kkfey gS] laLFkkxr leh{kk cksMZ@vLirky vkpkj lfefr }kjk uSfrd eatwjh

çkIr djuh gksxhA

fo"k; dk p;u% fo"k; Qsfeyh gSYFk uÉlx ds fy, çklafxd gksuk pkfg, tks uÉlx eè;orZu esa tkudkjh ;k lk{;

tksM+sA 'kksèk fdlh Hkh ikfjokfjd LokLF; ns[kHkky lek;kstu@çkFkfed ;k f}rh;d ns[kHkky lek;kstu esa vk;ksftr fd;k

tkuk pkfg,A

MsVk laxzg.k% MsVk laxzg.k ds fy, 7 lIrkg vkoafVr fd, tkrs gSa] ftls igys o"kZ esa 6 ekg ds ckn vkSj nwljs o"kZ esa 6

ekg ls igys uSnkfud vuqHko ds nkSjku ,dhÑr fd;k tk ldrk gSA

'kksèk fjiksVZ ys[ku% nwljs o"kZ ds 6&9 ekg esaA

'kksèk fucaèk dh çLrqfr% nwljs o"kZ ds iwjk gksus ls 3 ekg igysA

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

7

'kksèk fucaèk ijh{kk

vkarfjd vkadyu% ekSf[kd ijh{kk vkSj 'kksèk fucaèk fjiksVZ ¾ 50 vad

fo'ofo|ky;h ijh{kk% ekSf[kd vkSj 'kksèk fucaèk fjiksVZ ¾ 50 vad

¼vkadyu gsrq vU; ,e-,llh- uÉlx fof'k"Vrkvksa ds fy, mi;ksx esa yk, tkus okys vad fn'kkfunsZ'kksa dk mi;ksx fd;k

tk ldrk gSA½

*

VII.

• ç'uksÙkjh

• lsfeukj

• fyf[kr fufgr dk;Z@vkofèkd ijh{kk i=

• ekeys dh çLrqfr@uSnkfud çLrqfr

• uSnkfud ;k ns[kHkky ekxZ@ns[kHkky vè;;u fjiksVZ

• uSnkfud çn'kZu fu:i.k

• esfMdy@uÉlx ladk;@çhlsIVj }kjk çfrgLrk{kfjr ykWx cqd ¼çfØ;kRed n{krk lwph rFkk uSnkfud vgZrk,a½

• oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ½

• ç'u i=

• vafre ijh{kk

¼vkadyu fn'kkfunsZ'kksa ds fy,

ns[ksa½

%

%

1 mUur vH;klh; uÉlx ds fy, lS)kafrd vkèkkj

2

50

2

Qsfeyh gSYFk uÉlx esa 'kksèk vuqç;ksx rFkk lk{; vkèkkfjr

vH;kl

3

30

70

3 usr`Ro] çcaèku rFkk f'k{k.k esa mUur dkS'ky

3

30

70

4 Qsfeyh gSYFk uÉlx esa vuqç;qDr mUur iSFkksfQft;ksykWth

rFkk mUur QkekZdksykWth

3

30

70

5 mUur LokLF;@'kkjhfjd vkadyu

3

30

70

50

50

1 Qsfeyh gSYFk uÉlx vH;kl ds ewy vkèkkj

3

30

70

100

100

2 Qsfeyh gSYFk uÉlx I

3

30

70

100

100

3 Qsfeyh gSYFk uÉlx II

3

30

70

100

100

4 'kksèk fucaèk@bZchih ifj;kstuk vkSj ekSf[kd ijh{kk

50

50

VIII.

I

mUur vH;klh; uÉlx ds fy, lS)kafrd vkèkkj

40

II

Qsfeyh gSYFk uÉlx esa 'kksèk vuqç;ksx rFkk lk{;

vkèkkfjr vH;kl

56

24

336 ¼7 lIrkg½

III usr`Ro] çcaèku rFkk f'k{k.k esa mUur dkS'ky

56

24

192 ¼4 lIrkg½

IV Qsfeyh gSYFk uÉlx esa vuqç;qDr mUur

iSFkksfQft;ksykWth

60

336 ¼7 lIrkg½

V

Qsfeyh gSYFk uÉlx esa vuqç;qDr mUur QkekZdksykWth

54

336 ¼7 lIrkg½

8

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

VI mUur LokLF;@'kkjhfjd vkadyu

70

48

576 ¼12 lIrkg½

dqy ;ksx ¾ 2208 ?kaVs

336 ¼7 lIrkg½

96 ¼2 lIrkg½

1776 ¼37 lIrkg½

VII Qsfeyh gSYFk uÉlx vH;kl ds ewy vkèkkj

96

48

576 ¼12 lIrkg½

VIII Qsfeyh gSYFk uÉlx I

96

48

576 ¼12 lIrkg½

IX Qsfeyh gSYFk uÉlx II

96

48

624 ¼13 lIrkg½

dqy ;ksx ¾ 2208 ?kaVs

288 ¼6 lIrkg½

144 ¼3 lIrkg½

1776 ¼37 lIrkg½

,d o"kZ esa miyCèk lIrkgksa dh la[;k ¾ 52 & 6 ¼okÆ"kd vodk'k] vkdfLed vodk'k] #X.krkodk'k ¾ 6 lIrkg½ ¾ 46

lIrkg × 48 ?kaVs ¾ 2208 ?kaVs ¼ijh{kk uSnkfud inLFkkiu ds nkSjku½

nks o"kZ ¾ 4416 ?kaVs

lS)kafrd ¾ 624 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 240 ?kaVs] uSnkfud ¾ 3552 ?kaVs

dqy ;ksx ¾ 4416 ?kaVs

çFke o"kZ% 336&96&1776 ?kaVs ¼lS)kfUrd&dkS'ky ç;ksx'kkyk&uSnkfud½ ¿lS)kfUrd¾15%] O;kogkfjd ¼dkS’ky ç;ksx’kkyk

,oa uSnkfud¾85%½À

f}rh; o"kZ% 288&144&1776 ?kaVs ¼lS)kfUrd&dkS'ky ç;ksx'kkyk&uSnkfud½ ¼lS)kfUrd¾15%] O;kogkfjd¾85%½

çFke o"kZ ¾ 46 lIrkg@2208 ?kaVs ¼46×48 ?kaVs½ ¼lS)kfUrd $ ç;ksx'kkyk% 44 lIrkg ds fy, 7-5 ?kaVs çfr lIrkg ¾

330@336 $ 96 ?kaVs*½

*lS)kfUrd $ ç;ksx'kkyk ¾ ifjp;kRed CykWd d{kkvksa vkSj dk;Z'kkykvksa ds :i esa 2 lIrkg ds fy, 96 ?kaVs fn, tk

ldrs gSa

f}rh; o"kZ ¾ 46 lIrkg@2208 ?kaVs ¼46×48 ?kaVs½ ¼lS)kfUrd $ ç;ksx'kkyk% 45 lIrkg ds fy, 8-5 ?kaVs çfr lIrkg ¾

384$48 ?kaVs½

¼1 lIrkg CykWd d{kk,a ¾ 48 ?kaVs½

A.

U;wure 48 ?kaVs çfr lIrkg fuèkkZfjr gS] gkykafd] ;g f}rh;d LokLF; ns[kHkky lqfoèkk esa

vyx&vyx ikfj;ksa vkSj vkWu dkWy MîwVh djus ds ckn Nqêh ds vkèkkj ij ifjorZu'khy gSA

B.

¼ifjp;kRed CykWd d{kkvksa vkSj dk;Z'kkyk ds 2 lIrkg dks NksM+dj½

•

esfMdy okMZ & 10 lIrkg

•

lÆtdy okMZ & 6 lIrkg

•

dkÆM;ksykWth okMZ & 2 lIrkg

•

vkWUdksykWth okMZ & 2 lIrkg

•

U;wjksykWth okMZ & 2 lIrkg

•

usÝksykWth okMZ & 2 lIrkg

•

vkikrdkyhu foHkkx & 2 lIrkg

•

iquokZl bdkbZ & 2 lIrkg

•

çlwfr okMZ & 2 lIrkg

•

f'k'kw fpfdRlk okMZ & 4 lIrkg ¼ f'k'kw fpfdRlk vkikrdkyhu bdkbZ ds 1 lIrkg lfgr½

•

xgu ns[kHkky bdkb;ka & 4 lIrkg

•

f'k'kw fpfdRlk vksihMh & 2 lIrkg

•

çlwfr vksihMh & 2 lIrkg

•

euksjksx vksihMh & 2 lIrkg

¼CykWd d{kkvksa dk ,d lIrkg NksM+dj½

•

vkikrdkyhu foHkkx & 2 lIrkg

•

vkbZlh;w & 2 lIrkg

•

QhYM çSfDVl ds fy, lkeqnkf;d {ks= ¼?kjsyw ns[kHkky½ & 6 lIrkg

o 'kgjh & 2 lIrkg

o xzkeh.k & 2 lIrkg

o tutkrh; & 2 lIrkg

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

9

•

vkmVjhp@eksckby Dyhfud & 2 lIrkg

o xzkeh.k & 1 lIrkg

o 'kgjh & 1 lIrkg

•

midsaæ & 2 lIrkg

•

çkFkfed LokLF; dsaæ & 2 lIrkg

•

lkeqnkf;d LokLF; dsaæ & 2 lIrkg

•

ftyk vLirky & 2 lIrkg

•

cká jksxh foHkkx ¼'kkfey djus ds fy,½ & 3 lIrkg

o f'k'kw fpfdRlk vksihMh & 1 lIrkg

o çlwfr vksihMh & 2 lIrkg

•

f}rh;d LokLF; ns[kHkky lqfoèkk@leqnk;&vkèkkfjr vLirky & 4 lIrkg

•

lapkjh jksx okMZ & 2 lIrkg

•

ç'kked ns[kHkky dsaæ vkSj gkWLikbl & 3 lIrkg

•

çlwfr d{k & 3 lIrkg

•

euksjksx okMZ & 2 lIrkg

•

Ldwy & 2 lIrkg

•

O;kolkf;d LokLF; bdkb;ka & 1 lIrkg

•

tjkjksxh okMZ@?kj & 2 lIrkg

•

{ks=h; nkSjs & 3 lIrkg

C.

f'k{k.k & lS)kafrd] ç;ksx'kkyk rFkk uSnkfud fuEufyf[kr rjhdksa ls fd;k tk ldrk gS vkSj uSnkfud inLFkkiu ds

nkSjku ,dhÑr fd;k tk ldrk gS &

•

vuqHkokRed vè;;u

•

Çpru'khy vè;;u

•

fleqys’ku

•

uSnkfud lEesyu

•

ekeys dh çLrqfr@uSnkfud çLrqfr

•

xgu vkS"kfèk vè;;u] çLrqfr vkSj fjiksVZ

•

uÉlx jkmaM~l

•

uSnkfud lsfeukj

•

tuZy Dyc

•

ekeys dk vè;;u@uSnkfud ;k ns[kHkky ekxZ

•

mUur LokLF; vkadyu

•

uSnkfud {ks= esa ladk; O;k[;ku

•

funsZf'kr iBu

•

fufgr dk;Z

•

ekeys ds vè;;u dk fo'ys"k.k

•

dk;Z'kkyk,a

•

egkekjh tkap

•

jksx fuxjkuh

•

uSnkfud ifj;kstuk

•

vkbZbZlh xfrfofèk;ka

•

,QthMh & ihvkj, dk mi;ksx djuk

D.

çR;sd uSnkfud inLFkkiu ds var esa] uSnkfud ykWx cqd ¼fof'k"V çfØ;kRed n{krk,a@uSnkfud dkS'ky½

3

vkSj uSnkfud vgZrk,a

ij çR;sd i[kokM+s çhlsIVj@ladk; }kjk gLrk{kj fd, tkus pkfg,A

E.

1- mUur O;kid vkadyu] funku] mipkj ;kstuk] dk;kZUo;u vkSj fu:i.k dkS'ky dk mi;ksx djrk gSA

2- th.kZ vkSj@;k vfLFkj okrkoj.k esa mUur dkS'ky dks ykxw djrk gS vkSj viukrk gSA

3- O;ogkj esa lwfpr djus] ekxZn'kZu djus vkSj fl[kkus ds fy, Bksl mUur uSnkfud rdZ vkSj fu.kZ; ykxw djrk gSA

4- nLrkostksa dk vkadyu] funku] çcaèku vkSj jksfx;ksa dh Hkkxhnkjh eas mipkj vkSj vuqorÊ ns[kHkky dh fuxjkuh

djrk gSA

10

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

5- laLFkkxr çksVksdkWy ds vuqlkj vkS"kfèk;ksa vkSj mipkjksa dk çcaèku djrk gSA

6- fpfdRlh; lacaèkksa dks 'kq: djus] fodflr djus vkSj can djus ds fy, vuqç;qDr lapkj] ijke'kZ] odkyr vkSj

ikjLifjd dkS'ky dk mi;ksx djrk gSA

7- ns[kHkky dh fujarjrk cuk, j[kus ds fy, vU; LokLF; ns[kHkky dfeZ;ksa dks jsQj djrk gS vkSj muls jsQjy

Lohdkj djrk gSA

8- jksxh] ifjtuksa vkSj leqnk; ds fgr esa çkfèkdj.k vkSj fu;ked <kapk tgka vuqefr nsrk gS] Lora= :i ls vH;kl

djrk gSA

9- vU; LokLF; ns[kHkky dfeZ;ksa vkSj vU; yksxksa ds lkFk ijke'kZ djrk gS vkSj muls ijke'kZ ysrk gSA

10- jksxh ds fgr esa LokLF; ny ds lnL;ksa ds lkFk feydj dk;Z djrk gSA

11- ,d ,slh çFkk fodflr djrk gS tks orZeku oSKkfud lk{;ksa ij vkèkkfjr gks rFkk uotkr f'k'kq] ifjtuksa vkSj

leqnk; ds LokLF; çcaèku esa 'kkfey gksA

12- Lora= vkSj var%is'ksoj 'kksèk ds }kjk ns[kHkky dh lqj{kk] n{krk vkSj çHkko'khyrk esa lqèkkj ykus ds fy,

lk{;&vkèkkfjr vH;kl dk çn'kZu djus ds fy, 'kksèk dk mi;ksx djrk gSA

13- ,ih,u Hkwfedk vkSj ftEesnkjh ds lHkh igyqvksa esa uSfrd vH;kl esa layXu jgrk gSA

14- vius mUur is'ksoj fu.kZ;] dk;ks± vkSj fujarj {kerk ds fy, tokcnsgh vkSj ftEesnkjh Lohdkj djrk gSA

15- tksf[ke çcaèku j.kuhfr;ksa vkSj xq.koÙkk lqèkkj ds mi;ksx }kjk ,d lqjf{kr fpfdRlh; okrkoj.k cukrk gS vkSj

cuk, j[krk gSA

16- cnyrh LokLF; ns[kHkky ç.kkyh esa dq'ky mUur vH;kl uÉlx lsokvksa ds forj.k esa usr`Ro vkSj çcaèku dh

ftEesnkfj;ka laHkkyrk gSA

17- LokLF; ns[kHkky ç.kkfy;ksa esa jksfx;ksa ds fy, vfèkoDrk ds :i esa dk;Z djrk gS vkSj oS;fDrd jksxh] ifjtuksa vkSj

leqnk; dks c<+kok nsus vkSj mudh j{kk djus okyh LokLF; uhfr;ka fodflr djrk gSA

18- vH;kl dks çklafxd vkSj lkaLÑfrd ifjos'k ds vuq:i <kyrk gSA

F.

,uih,Q,p ds fy, vH;kl dk nk;jk dkQh O;kid gS] D;ksafd ,uih,Q,p lHkh mez ds jksfx;ksa

dk çcaèku djrk gS vkSj vDlj çkFkfed@f}rh;d ns[kHkky lek;kstuksa esa dk;Z djrk gS] u fd fof'k"V ns[kHkky

lek;kstu esaA ,d ulZ çSfDV'kuj dh ftEesnkjh dk nk;jk f'k'kw ns[kHkky ls ysdj o`)koLFkk ns[kHkky rd gks ldrk

gSA ,uih,Q,p dh ftEesnkfj;ksa ds fy,

ns[ksaA

G.

Nk=ksa

dks laLFkkxr çksVksdkWy@LFkk;h vkns'kksa ds vuqlkj Lora= :i ls vkS"kfèk nsus vkSj uSnkfud ijh{k.k] çfØ;k] fpfdRlk

midj.k o mipkj dk vkns'k nsus ds fy, çf'kf{kr fd;k tk,xk ¼

LFkk;h vkns'k½A vkikrdkyhu vkS"kfèk;ka

lacafèkr fpfdRld ds ijke'kZ ls nh tkrh gSa vkSj ckn esa fyf[kr vkns'k }kjk leÆFkr dh tkrh gSaA

&

1- mUur vH;klh; uÉlx ds

fy, lS)kafrd vkèkkj ¼40½

8 ?kaVs

1×32¾32 ?kaVs

• lsfeukj@lS)kafrd vuqç;ksx

• O;k[;ku ¼ladk;½

2- Qsfeyh gSYFk uÉlx esa 'kksèk

vuqç;ksx rFkk lk{; vkèkkfjr

vH;kl ¼56$24½

8 ?kaVs

40 ¼5 fnu½

$ 8 ?kaVs

1×24¾24 ?kaVs

• 'kksèk vè;;u fo'ys"k.k

• vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½

3- usr`Ro] çcaèku rFkk f'k{k.k esa

mUur dkS'ky ¼56$24½

12$2 ?kaVs

¼CykWd d{kk,a½

1×26¾26 ?kaVs

2-5×16¾40 ?kaVs

• uSnkfud lEesyu

• lsfeukj

• vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½

4- Qsfeyh gSYFk uÉlx esa

vuqç;qDr mUur

iSFkksfQft;ksykWth ¼60½

1-5×40¾60 ?kaVs

• ekeys dh çLrqfr

• lsfeukj

• uSnkfud lEesyu

5- Qsfeyh gSYFk uÉlx esa

vuqç;qDr mUur QkekZdksykWth

¼54½

10 ?kaVs

1×44¾44 ?kaVs

• uÉlx jkmaM~l

• vkS"kfèk vè;;u çLrqfr

• LFkk;h vkns'k@çLrqfr

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

11

6- mUur LokLF;@'kkjhfjd

vkadyu ¼70$48½

8 ?kaVs

2×26¾52 ?kaVs

1-5×18¾27 ?kaVs

1×15¾15 ?kaVs

2×6¾12 ?kaVs

2×2¾4 ?kaVs

• uSnkfud çn'kZu ¼ladk;½

• okilh çn'kZu

• uÉlx jkmaM~l

• 'kkjhfjd vkadyu ¼lHkh ç.kkfy;ka½

• ekeys dk vè;;u

& ifjp;kRed d{kk,a ¾ 1 lIrkg ¼48 ?kaVs½] dk;Z'kkyk ¾ 1 lIrkg ¼48 ?kaVs½] 44 lIrkg ¾ 7-5 ?kaVs çfr lIrkg

¼330@336 ?kaVs½

¼48 ?kaVs½

1- Qsfeyh gSYFk uÉlx vH;kl ds

ewy vkèkkj

¼96$48½ ¾ 144 ?kaVs

9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½

• okilh çn'kZu ¼ç;ksx'kkyk½

• uSnkfud çf'k{k.k

• ekeys dk vè;;u

• lsfeukj

• uSnkfud lEesyu

• ladk; O;k[;ku

2- Qsfeyh gSYFk uÉlx I

¼96$48½ ¾ 144 ?kaVs

9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½

• okilh çn'kZu ¼ç;ksx'kkyk½

• uSnkfud lEesyu@tuZy Dyc

• lsfeukj

• ekeys dh çLrqfr

• vkS"kfèk vè;;u ¼vkS"kèkh; ikjLifjd çHkko lfgr½

• uÉlx jkmaM~l

• ladk; O;k[;ku

3- Qsfeyh gSYFk uÉlx II

¼96$48½ ¾ 144 ?kaVs

9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½

• okilh çn'kZu

• uÉlx jkmaM~l

• uSnkfud lEeysu@tuZy Dyc

• lsfeukj

• ladk; O;k[;ku

CykWd d{kk,a & 1 lIrkg] 45 lIrkg & 8-5@9 ?kaVs çfr lIrkg

çR;sd f'k{k.k i)fr gsrq fo"k; dks lacafèkr f'k{kd@laLFkku }kjk foLr`r ;kstuk esa fuÆn"V fd;k tk,xkA

I.

1- oSf'od LokLF; ns[kHkky ço`fÙk;ksa vkSj pqukSfr;ksa dk fo'ys"k.k djukA

2- Hkkjr esa LokLF; ns[kHkky rFkk f'k{kk uhfr;ksa ds uÉlx ij çHkko dk miyCèk nLrkostksa ls ijke'kZ djds fo'ys"k.k

djukA

3- Hkkjr esa LokLF; lsok forj.k ç.kkyh vkSj bldh pqukSfr;ksa dh xgu le> fodflr djukA

4- Qsfeyh gSYFk uÉlx esa LokLF; lsokvksa ds forj.k ds fy, çklafxd vkÆFkd fl)karksa dks ykxw djukA

5- ykxr] xq.koÙkk rFkk larqf"V tSls LokLF; ifj.kkeksa dks çHkkfor djus ds fy, LokLF; tkudkjh dk çcaèku vkSj

:ikarj.k djukA

6- ulZ çSfDV’kuj dh Hkwfedkvksa rFkk n{krkvksa dk vH;kl djus esa tokcnsgh vkSj ftEesnkjh Lohdkj djukA

7- ikfjokfjd LokLF; ns[kHkky esa LokLF; ns[kHkky ny ds lHkh lnL;ksa dks 'kkfey djrs gq, lg;ksxh vH;kl esa lfØ;

:i ls Hkkx ysuk vkSj vfèkÑr nk;js ds vanj funsZ'kkRed Hkwfedk fuHkkukA

8- fofèkd] uSfrd vkSj mUur uÉlx vH;kl ds fu;eu dk vPNk Kku j[kus okys uSfrd vH;kl esa layXu gksukA

12

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

9- lqfu;ksftr çhlsIVjf'ki ds ekè;e ls çnku fd, x, çf'k{k.k ds voljksa dk mi;ksx djuk rFkk uÉlx çfØ;k@ds;j

ikFkos ;k fDyfudy ikFkos ykxw djrs gq, lqjf{kr vkSj l{ke ns[kHkky djukA

10- fofHkUu LokLF; ns[kHkky lek;kstuksa esa xaHkhj vkSj th.kZ jksxksa ls ihfM+r jksfx;ksa dks l{ke ikfjokfjd LokLF; uÉlx

ns[kHkky çnku djus esa uÉlx fl)karksa dh tkudkjh dks ykxw djukA

11- fo'ks"k :i ls Hkkjr esa fofHkUu LokLF; ns[kHkky lek;kstuksa esa ulZ çSfDV'kuj dh Hkwfedkvksa esa vkxkeh pqukSfr;ksa dk

iwokZuqeku yxkukA

1- oSf'od LokLF; ns[kHkky pqukSfr;ka vkSj #>ku ¼n{krk 1½

2

2- Hkkjr esa LokLF; ç.kkyh & Hkkjr esa LokLF; ns[kHkky forj.k ç.kkyh & cnyrs ifjn`'; ¼n{krk 3½

2

3- jk"Vªh; LokLF; ;kstuk & iapo"kÊ; ;kstuk,a vkSj jk"Vªh; LokLF; uhfr ¼n{krk 2½

2

4- LokLF; vFkZ'kkL= vkSj LokLF; ns[kHkky foÙkiks"k.k ¼n{krk 4½

4

5- uÉlx lwpuk foKku lfgr LokLF; lwpuk ç.kkyh ¼daI;wVj rFkk rduhdh dk mi;ksx½ ¼n{krk 5½

4

6- ,ih,u & ifjHkk"kk] nk;jk] n'kZu] tokcnsgh] Hkwfedk vkSj ftEesnkfj;ka ¼lg;ksxh vH;kl vkSj ulZ fuèkkZfjr

Hkwfedk,a½ ¼n{krk 6 o 7½

3

7- fofu;eu ¼çf'k{k.k laLFkkuksa dh ekU;rk vkSj çek.ki=½ vkSj mUur vH;klh; uÉlx Hkwfedk ds uSfrd

vk;ke ¼n{krk 8½

3

8- ulZ çSfDV'kuj% Hkwfedk] çdkj] n{krk] vH;kl ds fy, uSnkfud lek;kstu] lkaLÑfrd {kerk ¼n{krk 6½

3

9- ,uih ds fy, çf'k{k.k & çhlsIVjf'ki ¼n{krk 9½

2

10- ,uih vH;kl dh Hkfo"; dh pqukSfr;ka ¼n{krk 11½

4

11- ,ih,u esa vuqç;qDr uÉlx ds fl)kar ¼n{krk 10½

3

12- ,ih,u esa vuqç;qDr uÉlx çfØ;k@ds;j ikFkos ¼n{krk 9½

2

6

1- LokLF; ns[kHkky rFkk f'k{kk uhfr;ksa dh igpku djuk vkSj uÉlx ij blds çHkko dk fo'ys"k.k djuk

2- ,uih vH;kl ds fy, Hkkjr esa dkuwuh fLFkfr dk o.kZu djukA vU; ns'kksa esa bu uhfr;ksa dh çklafxdrk ds

lkFk Hkkjr esa uhfr fuèkkZfjr djus okyh ulZ dk Hkfo"; D;k gS\

3- ns'k ds vanj vkSj ckgj laLFkkuksa esa ik, tkus okys ,uih vH;kl ls lacafèkr uÉlx çksVksdkWy dh tkap

djuk

•

,,lh,u ¼2021½ n ,lsaf'k;Yl% dksj daihVsalht QkWj çksQs'kuy uÉlx ,twds'ku & ,aVªh ysoy ,aM ,MokaLM ysoy

uÉlx ,twds'ku] vesfjdu ,lksfl,'ku vkWQ dkWystst vkWQ uÉlx

•

MsfuLdks ,aM ckdZlZ ,-,e- ¼2015½ ,MokaLM çSfDVl uÉlx% ,lsaf'k;y uksyst QkWj n çksQs'ku ¼r`rh; laLdj.k½

eSlkpqlsV~l% tksal ,aM ckVZysV ifCy'klZ bad

•

fgdh ts-oh-] vksbesV vkj-,e- ,aM osusxksuh ,l-,y- ¼1996½ ,MokaLM çSfDVl uÉlx% psaÇtx jksYl ,aM fDyfudy

,Iyhds'kUl] fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl

•

vkbZlh,u ¼2020½ xkbMykbal vkWu ,MokaLM çSfDVl uÉlx] ftusok% vkbZlh,u

•

,uvks,uih,Q ¼2022½ ulZ çSfDV'kuj jksy daihVsalht] us'kuy vkWxsZukbts'ku vkWQ ulZ çSfDV'kuj QSdYVht

•

'kkWcj ,e- ,aM vQkjk ,Q-,- ¼2006½ ,MokaLM uÉlx çSfDVl] vkWDlQksMZ% CySdosy ifCyÇ'kx

•

LVhoVZ th-ts- ,aM MsfuLdks ,l-,e- ¼2015½ jksy MsoyiesaV QkWj n ulZ çSfDV'kuj] ;w,l,% ÇLçxj ifCyÇ'kx daiuh

II.

1- Qsfeyh gSYFk uÉlx esa Lora= 'kksèk djus esa xgu 'kksèk tkudkjh vkSj dkS'ky dks ykxw djukA

2- jksxh ns[kHkky xq.koÙkk esa lqèkkj ykus ds fy, lg;ksxh 'kksèk esa Hkkx ysukA

3- bZchih dks c<+kok nsus ds fy, mUur vH;kl esa 'kksèk fu"d"kks± dh O;k[;k vkSj mi;ksx djukA

4- mUur vH;kl esa loksZÙke vH;klksa vkSj LokLF; ifj.kkeksa rFkk xq.koÙkkijd ns[kHkky dks fodflr djus ds fy, orZeku

vH;kl dk ijh{k.k@vkadyu djukA

5- ns[kHkky dh lqj{kk vkSj çHkko'khyrk dks c<+kus ds fy, Qsfeyh gSYFk uÉlx vH;kl esa fd, x, uÉlx eè;orZu ds

fy, lk{; dk fo'ys"k.k djukA

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

13

6- oSKkfud 'kksèk fjiksVZ ys[ku esa dkS'ky fodflr djukA

1- 'kksèk vkSj mUur uÉlx vH;kl%

mUur uÉlx Hkwfedk ls lacafèkr 'kksèk vkSj iwNrkN dk egRo ¼n{krk 1½

2

2- ,ih,u vH;kl ds fy, 'kksèk ,tsaMk%

loksZÙke vH;kl fodflr djus ds fy, orZeku vH;kl dk ijh{k.k] LokLF; ifj.kke vkSj mUur vH;kl

esa xq.koÙkkiw.kZ ns[kHkky ds ladsrd ¼n{krk 3] 4] 5½] 'kksèk laLÑfr dks c<+kok nsuk

5

3- 'kksèk tkudkjh vkSj dkS'ky%

,ih,u ds fy, vko';d 'kksèk n{krk,a ¼'kksèk dh O;k[;k vkSj mi;ksx] vH;kl dk vkadyu] lg;ksxh

'kksèk esa Hkkxhnkjh½

lk{; vkèkkfjr vH;kl ¼bZchih½ ifj;kstuk dk ifjp; & PiCOT ç'u] ;kstuk ds pj.k] dk;kZUo;u]

vkadyu vkSj çlkj ¼ifj;kstuk çLrko vkSj ifj;kstuk fjiksVZ½

'kksèk fØ;kfofèk

pj.k@lksiku ¼'kksèk ç'u] lkfgfR;d leh{kk] oSpkfjd lajpuk] 'kksèk fMtkbu] uewukdj.k] MsVk laxzg.k]

i)fr;ka vkSj midj.k] fo'ys"k.k vkSj fjiksÉVx½

'kksèk çLrko vkSj 'kksèk fjiksVZ ys[ku ¼n{krk 1 vkSj 2½

40

¼5 fnolh;

dk;Z'kkyk½

4- çdk'ku ds fy, ys[ku

¼ys[ku dk;Z'kkyk & ik.Mqfyfi rS;kj djuk vkSj foÙk iks"k.k ds lzksr <wa<uk½ ¼n{krk 6½

5

¼dk;Z'kkyk½

5- lk{; vkèkkfjr vH;kl

• voèkkj.kk,a] fl)kar] egRo vkSj pj.k

• Qsfeyh gSYFk uÉlx ns[kHkky lek;kstu esa bZchih dks ,dhÑr djuk

• Qsfeyh gSYFk uÉlx ns[kHkky esa lk{; ds {ks=

• bZchih dks ykxw djus esa ckèkk,a

• bZchih dks c<+kok nsus okyh j.kuhfr;ka ¼n{krk 3] 4] 5½

4

24 ?kaVs

•

'kksèk çkFkfedrkvksa dh igpku djuk

•

'kksèk ç'u] mís'; vkSj ifjdYiuk ij vH;kl ys[ku

•

'kksèk çLrko ys[ku

•

oSKkfud i= ys[ku & çdk'ku ds fy, ikaMqfyfi rS;kj djuk

•

O;ofLFkr leh{kk@lkfgfR;d leh{kk ys[ku & ikfjokfjd LokLF; ns[kHkky lek;kstu esa fn, x, uÉlx eè;orZu ds

lk{; dk fo'ys"k.k djuk

•

O;kogkfjd 'kksèk% fucaèk ¼336 ?kaVs ¾ 7 lIrkg½@lk{; vkèkkfjr vH;kl ifj;kstuk ¼bZchih ifj;kstuk½

•

xzs ts- ,aM xzkso ,l-ds- ¼2020½ n çSfDVl vkWQ uÉlx fjlpZ% vçsty] ÇlFksfll ,aM tujs'ku vkWQ ,foMsal ¼9oka

laLdj.k½ lsaV yqbl% ,Ylsfo;j lkWUMlZ

•

iksfyr Mh-,Q- ,aM csd lh-Vh- ¼2021½ uÉlx fjlpZ% tsusjsÇVx ,aM ,lsÇlx ,foMsal QkWj uÉlx çSfDVl ¼11oka laLdj.k½

ubZ fnYyh% okWYVlZ ,aM Dywoj

•

f'eV ,u-,- ,aM czkmu ts-,e- ¼2021½ ,foMsal&csLM çSfDVl QkWj ulsZl vçsty ,aM ,fIyds'ku vkWQ fjlpZ] ,lMh%

tksal ,aM ckVZysV ifCy'klZ bad

III.

1- ikfjokfjd LokLF; ns[kHkky lek;kstu esa usr`Ro vkSj çcaèku ds fl)karksa dks ykxw djukA

2- fl)karksa dh csgrj tkudkjh dk mi;ksx djds Qsfeyh gSYFk uÉlx lek;kstu esa ruko o la?k"kks± dks çHkkoh <ax ls

çcafèkr djukA

3- leL;k lekèkku vkSj fu.kZ; ysus okys dkS'ky dks çHkkoh <ax ls ykxw djukA

14

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

4- çkFkfed vkSj f}rh;d ns[kHkky@ikfjokfjd LokLF; ns[kHkky lek;kstuksa esa usr`Ro çnku djus vkSj jksxh ns[kHkky ds

çcaèku esa egRoiw.kZ fparu vkSj lapkj dkS'ky dk mi;ksx djukA

5- ny cukuk vkSj ikfjokfjd LokLF; ns[kHkky esa nwljksa dks çsfjr djukA

6- bdkbZ dk ctV rS;kj djuk] vkiwÆr vkSj LVkQ dk çHkkoh <ax ls çcaèku djukA

7- uokpkj vkSj cnyko ds le; mfpr :i ls Hkkx ysukA

8- f'k{k.k ds Bksl fl)karksa ds vkèkkj ij çHkkoh f'k{k.k fofèk;ksa] ehfM;k vkSj vkadyu dk mi;ksx djukA

9- jksxh ns[kHkky esa i{kèkj Hkwfedk fodflr djuk] ikfjokfjd LokLF; ns[kHkky lek;kstu esa xq.koÙkk vkSj uSfrdrk cuk,

j[kukA

1- fl)kar] usr`Ro 'kSyh vkSj orZeku #>ku

2

2- fl)kar] çcaèku 'kSyh vkSj orZeku #>ku

2

3- ikfjokfjd LokLF; ns[kHkky lek;kstu esa vuqç;qDr usr`Ro vkSj çcaèku ds fl)kar

4

4- ruko çcaèku ,oa Vdjko çcaèku & çkFkfed ns[kHkky okrkoj.k ds fl)kar vkSj vuqç;ksx] çHkkoh le;

çcaèku

4

5- xq.koÙkk lqèkkj ,oa ijh{k.k

4

6- ikfjokfjd LokLF; uÉlx vH;kl esa vuqç;qDr leL;k lekèkku] egRoiw.kZ Çpru o fu.kZ;] lapkj

dkS'ky

5

7- ikfjokfjd LokLF; ns[kHkky lek;kstu esa ny cukuk] çsfjr djuk vkSj lykg nsuk

2

8- ctV o lalkèku çcaèku ftlesa ekuo lalkèku & ctV] lkexzh çcaèku] LVkQ] fufgr dk;Z ’kkfey gSa

5

9- cnyko vkSj uokpkj

2

10- LVkQ çn'kZu vkSj vkadyu ¼çn'kZu vkadyu½

6

11- Qsfeyh gSYFk uÉlx esa vuqç;qDr f'k{k.k&vè;;u fl)kar vkSj fu;e

2

12- n{krk vkèkkfjr f'k{kk vkSj ifj.kke vkèkkfjr f'k{kk

2

13- f'k{k.k fofèk;[email protected];ka] ehfM;k% ikfjokfjd LokLF; ns[kHkky lek;kstu esa jksxh] ifjtuksa vkSj

deZpkfj;ksa dks f'kf{kr djuk

8

14- deZpkjh f'k{kk vkSj vkadyu esa midj.kksa dk mi;ksx

4

15- ,ih,u & ,d f'k{kd ds :i esa Hkwfedk

2

16- ikfjokfjd LokLF; ns[kHkky lek;kstu esa leFkZu Hkwfedk,a

2

•

LVkQ jksxh fufgr dk;Z rS;kj djuk

•

bdkbZ dk ctV rS;kj djuk

•

LVkQ MîwVh jksLVj rS;kj djuk

•

jksxh ns[kHkky ijh{k.k

•

uÉlx ns[kHkky ekud vkSj çksVksdkWy rS;kj djuk

•

midj.k vkSj vkiwÆr çcaèku

•

laØe.k fu;a=.k vH;klksa dh fuxjkuh] vkadyu vkSj fjiksVZ ys[ku

•

f'k{k.k ;kstuk dk fodkl

•

lw{e f'k{k.k@jksxh çf’k{k.k l=

•

jksxh rFkk deZpkfj;ksa ds fy, çf'k{k.k i)fr vkSj ehfM;k rS;kj djuk

•

vks,llhbZ@vks,lihbZ dh ;kstuk cukuk vkSj lapkyu djuk

•

ijh{k.k fuekZ.k

dk;Z&LFky fgalk@HkhM+ }kjk fgalk

•

ckLVscy ,l-ch- ¼2019½ ulZ ,t ,tqdsVj% ÇçfliYl vkWQ VhÇpx ,aM yÉux QkWj uÉlx çSfDVl ¼5oka laLdj.k½ ubZ

fnYyh% tksal ,aM ckVZysV ifCy'klZ bad-

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

15

•

fcÇyXl Mh-,e- ,aM gYLVhM ts-,- ¼2019½ VhÇpx bu uÉlx% , xkbM QkWj QSdYVh ¼6oka laLdj.k½ lsaV yqbl felkSjh%

lkWUMlZ ,Ylsfo;j

•

DykdZ lh-lh- ¼2010½ fØ,fVo uÉlx yhMjf'ki ,aM eSustesaV] ubZ fnYyh% tksal ,aM ckVZysV ifCy'klZ bad-

•

yhcyj ts-th- vkSj eSddksusy lh-vkj- ¼2008½ esustesaV fçafliYl QkWj gSYFk çksQs’kuYl] lMcjh ,e-,-% tksal ,aM

ckVZysV ifCy'klZ bad-

•

jlSy ,y- ,aM LokalcxZ vkj-lh- ¼2010½ esustesaV ,aM yhMjf’ki QkWj ulZ ,MfefuLVªsVlZ ¼5oka laLdj.k½ ubZ fnYyh%

tksal ,aM ckVZysV ifCy'klZ bad-

IV. A.

1- rhoz vkSj th.kZ fLFkfr esa funku vkSj ns[kHkky ;kstuk fodflr djus esa iSFkksfQft;ksykWftdy çfØ;k dh tkudkjh dks

,dhÑr djukA

2- rhoz vkSj th.kZ jksxksa ds y{k.k çcaèku vkSj çkFkfed ,oa f}rh;d jksdFkke esa iSFkksfQft;ksykWftdy fl)karksa dks ykxw

djukA

3- funku] mipkj] ns[kHkky vkSj jksx funku ds ewY; dks igpkurs gq, çR;sd rhoz vkSj th.kZ jksx dh vko';drk okyh

fLFkfr ds fy, çklafxd iSFkksfQft;ksykWftdy ifjorZuksa dk fo'ys"k.k djukA

I

8

ân; lacaèkh fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k

• mPp jDrpki fodkj

• ifjèkh; èkeuh fodkj

• f'kjkijd fodkj

• dksjksujh èkeuh jksx

• okfgdk ân; jksx

• dkÆM;ksek;ksiSFkh vkSj ân; dh èkM+du #duk

• dkfMZ;kd VSEiskusM ¼ân; rhozlEihM+u½

• vrkyrk

• dkWjiYeksusy ¼ Qq¶QqltU; ân; jksx½

• gVZ CykWd vkSj pkyu esa xM+cM+h

II

4

Qq¶Qqlh; fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k

• QsQM+ksa esa yacs le; ls #dkoV

• Qq¶Qqlh; okfgdk ds fodkj

• laØked jksx

• lkal #duk

• lhus dh pksV

III

6

raf=dk lacaèkh fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k

• lhtj fMlvkWMZj

• lsjhczksoLdwyj fMlht ¼jDr èkeuh dk jksx½

• laØe.k

• jh<+ dh gìh ds fodkj

• vi{k;h raf=dk lacaèkh jksx

• raf=dk lacaèkh pksV

• dksek] csgks'kh

IV

4

xqnsZ lacaèkh fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k

• ,D;wV jhuy QsY;j

• Øksfud jhuy QsY;j

• ew=k'k; dh pksV

• laØe.k ¼Xykses#yksusÝkbfVl½

16

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• us¶jksfVd ÇlMªkse

V

4

gsisVksfcyjh fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k

• tBjka= esa jDrlzko

• varfM+;ksa esa #dkoV

• isafØ;kfVfVl ¼vXuk'k;'kksFk½

• gsisfVd QsY;j

• tBjka= fNæ

VI

4

var%lzkoh fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k

• Mk;csfVd dhVks,flMksfll

• gkbij&vkWLeksyj ukWudhVksfVd dksek

• gkbiksXykblhfe;k

• Fkk;jkbM LVkWeZ

• ek;DlsMsek dksek

• ,fMªuy Økbfll

• ÇlMªkse vkWQ bu,çksfç,V ,fUVMk;;wjsfVd gkeksZu lsfØ’ku

IV. B.

I

8

#fèkj lacaèkh fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k

• yky jDr dksf'kdkvksa ds fodkj

& ikWyhflFksfe;k

& ,uhfe;k

& fldy lsy jksx

• 'osr jDr dksf'kdkvksa ds fodkj

& Y;wdksisfu;k

& fu;ksIykfLVd fodkj

• gseksLVsfll ds fodkj

& IysVysV fodkj

& dks,xqys'ku fodkj

& NksVh ulksa esa jDr ds NksVs&NksVs FkDds cuuk

II

2

vè;ko.khZ; fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k

• ?kko Hkjuk

• tyuk

• LVhou tkWulu ÇlMªkse

III

8

eYVhflLVe fMlQaD'ku dh mUur iSFkksfQft;ksykWftdy çfØ;k

• 'kkWd ¼lnek½

& gkbiksoksysfed

& dkÆM;kstsfud

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

17

& fMLVªhC;wfVo

• flLVsfed bu¶ysesVjh ÇlMªkse

• eYVhiy vkWxZu fMlQaD'ku ÇlMªkse

• VªkWek

& o{kjksx

& mnj

& eLdqyksLdsysVy

& eSfDlyksQsf'k;y

• vkS"kfèk dh vfèkd ek=k vkSj fo"kkDrrk

• fo"kgj.k

IV

6

fof'k"V laØe.kksa dh mUur iSFkksfQft;ksykWftdy çfØ;k

• ,pvkbZoh

• VsVul

• lklZ

• fjdsVf~l;ksfll

• ysIVksfLijksfll

• Msaxw

• eysfj;k

• fpduxqfu;k

• jscht

• ,fo;u ¶yw

• Lokbu ¶yw

V

6

çtuu fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k

• çloiwoZ jDrlzko

• xHkkZoLFkk çsfjr mPp jDrpki

• ckfèkr çlo

• xHkkZ'k; dk QV tkuk

• çloksÙkj jDrlzko

• tPpk iwfr

• ,efu;ksfVd ¶Y;wbM ,EcksfyTe

• ,pbZ,y,yih ¼gseksfyfll] ,yhosVsM fyoj ,atkbe] yks IysVysV dkmaV½

• VªkWek ¼lnek½

•

cdksZfoV~t ,- ¼2021½ fDyfudy iSFkksfQft;ksykWth ¼nwljk laLdj.k½ esMekLVj bad-

•

áwFkj ,l-bZ-] eSDdSal ds-,y- ,aM czk'klZ oh-,y- ¼2019½ vaMjLVsafMax iSFkksfQft;ksykWth ¼7oka laLdj.k½ lsaV yqbl]

felkSjh% ,Ylsfo;j

•

ukWfjl Vh-,y- ¼2020½ iksFlZ ,lsafl;Yl vkWQ iSFkksfQft;ksykWth ¼5oka laLdj.k½ okYVlZ ,aM Dywoj

•

iksFkZ lh-,e- ¼2014½ ,lsaf'k;Yl vkWQ iSFkksfQft;ksykWth% dkWUlsIV~l vkWQ vYVMZ gSYFk LVsV~l ¼pkSFkk laLdj.k½

fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl

18

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

•

LVksjh ,y- ,aM Myqxk'k ,y- ¼2019½ ,MokaLM iSFkksfQft;ksykWth QkWj n ,MokaLM çSfDVl ulZ ¼igyk laLdj.k½ tksal

,aM ckVZysV ifCy'klZ bad-

•

fofyl ,y-,e- ¼2019½ çksQs'kuy xkbM Vw iSFkksfQft;ksykWth ¼pkSFkk laLdj.k½ ,yMCY;wMCY;w

V.

1- xaHkhj vkSj th.kZ jksxksa ls ihfM+r jksfx;ksa rFkk ifjtuksa dks ns[kHkky çnku djus esa vkS"kèkh; fl)karksa dks ykxw djukA

2- xaHkhj vkSj th.kZ jksxksa ds mipkj esa mi;ksx dh tkus okyh vkS"kfèk;ksa ls lacafèkr QkekZdksFksjsI;wfVDl vkSj

QkekZdksMk;usfeDl dk fo'ys"k.k djukA

3- fl)karksa rFkk laLFkkxr çksVksdkWy@LFkk;h vkns’kksa ds vkèkkj ij lqjf{kr vkS"kfèk nsukA

4- lVhd nLrkost rS;kj djuk vkSj vuqorÊ ns[kHkky çnku djukA

5- ikfjokfjd LokLF; ns[kHkky lek;kstuksa esa xaHkhj vkSj th.kZ jksxksa ls ihfM+r jksfx;ksa ds vkS"kfèk ç’kklu esa vkS"kfèk;ksa ds

ikjLifjd çHkko dh csgrj tkudkjh ykxw djuk vkSj muds ifjtuksa dk Lo&ns[kHkky çcaèku esa ekxZn'kZu djukA

I

2

• bfro`Ùk

• vkS"kfèk;ksa dk oxÊdj.k rFkk vuqlwph

• ikfjokfjd LokLF; ns[kHkky esa laLFkkxr çksVksdkWy@LFkk;h vkns'k

II

4

• ifjp;

• vkS"kfèk;ksa dk lekos'k.k] forj.k] p;kip; vkSj mRltZu

• IykTek dalaVªs'ku] gkQ ykbQ

• vkS"kfèk;ksa dh yksÇMx vkSj j[kj[kko

• fpfdRlh; lwpdkad vkSj vkS"kfèk lqj{kk

• {kerk vkSj çHkkodkfjrk

• vkS"kfèk nsus ds fl)kar

▪ vkS"kfèk nsus ds vfèkdkj

▪ eki ç.kkyh

▪ vkS"kfèk nsuk% vkarfjd] lkef;d] vkSj vka=srj ¼iSjsaVsjy½

III

5

• oSlks,fDVo vkS"kfèk;ka

▪ oSlksfMysVj

▪ oSlksçslj

▪ vkbuksVªksIl

- dkÆM;d XykbdkslkbM~l & fMxkWfDlu

- flEiSFkksfeesfVDl & Mksikekbu] MkscqVkekbu] ,fiusfÝu] vkblksçksVsjsukWy] uksjsfiusfÝu] fQukbyfÝu

- QkWLQksfM,LVjst bufgfcVlZ & ,fezuksu] fefyzuksu

• ,aVhfjFkfed vkS"kfèk;ka

• ân; lacafèkr xaHkhj ns[kHkky fLFkfr;ksa ds çcaèku dh vkS"kfèk;ka

• ân; ladqpu esa lqèkkj ds fy, vkS"kfèk;ka

▪ xaHkhj ns[kHkky esa mPp jDrpki

▪ gVZ QsY;j

▪ ,utkbuk isDVksfjl vkSj ek;ksdkÆM;y buQkjsD’ku

▪ vrkyrk] ân; vojksèk vkSj pkyu lacaèkh xM+cfM+;ka

▪ Qq¶Qqlh; mPp jDrpki] okYoqyj ân; jksx] dkÆM;ksek;ksiSFkh

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

19

▪ egkèkeuh dk ,FksjksLDyhjksfVd jksx vkSj ifjèkh; èkeuh jksx

▪ xgjh f'kjk ?kukL=rk ¼Mhi ohu FkzksEcksfll½

IV

4

• eSdsfudy osafVys'ku

• ifjp;

• eSdsfudy osaVhysVj yxs jksfx;ksa ij mi;ksx dh tkus okyh vkS"kfèk;ka

• QkekZdksFksjsih ij eSdsfudy osafVys'ku dk çHkko & csgks'k djus dh fØ;k vkSj ihM+k'kwU;rk] U;wjkseLdqyj

CykWdsM] iks"k.k

• Qq¶Qqlh; xaHkhj ns[kHkky fLFkfr;ksa ds çcaèku esa vkS"kfèk;ka

▪ LVsVl vLFkesfVdl

▪ iYeksujh ,fMek

▪ iYeksujh ,EcksfyTe

▪ ,D;wV jslfijsVjh QsY;j vkSj ,D;wV jslfijsVjh fMLVªSl ÇlMªkse ¼,vkjMh,l½

▪ lhus dh pksV

▪ ØkWfud vkWClVªfDVo iYeksujh fMtht

▪ fueksfu;k

▪ Qq¶Qqlh; cgko

▪ ,VsysDVSfll

• Qq¶Qqlh; vkikr fLFkfr ds fy, LFkk;h vkns'k

V

6

• nnZ

▪ ,u,l,vkbZMh

▪ vksfivksbM ,uYtsfl;k

• csgks'k djus dh fØ;k

▪ xkek vehuks C;wfVfjd ,flM fLVeqysaV

▪ MsDlesMsVksfeMkbu

▪ vuq:ihdj.k

• çyki

▪ gsyksisfjMksy

▪ ,fVfidy ,aVhlkbdksfVDl

• yksdy rFkk tujy ,usLFkhfl;k ds fy, mi;ksx dh tkus okyh vkS"kfèk;ka

▪ yksdy & ,ekbM~l] ,LVj vkSj fofoèk ,tsaV~l

▪ tujy & xSlsa] ok"i'khy ¶Y;wM~l] IV ,usLFksfVDl

▪ ltZjh esa lgk;d xSj laosnukgkjh vkS"kfèk;ka

• iSjsykbfVd esfMds’kal

▪ xSj&foèkzqo.k vkSj foèkzqo.k ,tsaV~l

▪ ,afDlvksfyfVDl

• vkWVksuksfed MªXl ¼Lok;Ùk vkS"kfèk;ka½

▪ ,MªhuÆtd ,tsaV~l@flEisFkksfeesfVDl

▪ ,MªhuÆtd CykWfdax ,tsaV~l

▪ dksyhuÆtd ,tsaV~l

▪ ,aVh&dksyhuÆtd ,tsaV~l

• Çprk vkSj vfuæk ds çcaèku dh vkS"kfèk;ka

▪ volknjksèkd

20

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

▪ csatksMk;tsikbu

▪ ckÆcVqjsV~l

• U;wjksykWftdy lacafèkr xaHkhj ns[kHkky fLFkfr;ksa ds çcaèku dh vkS"kfèk;ka

▪ euksfodkj

▪ ,D;wV gSM ,aM Likbuy dkWMZ batjh fon ,yhosVsM baVªkØSfu;y çslj

▪ ekalisf'k;ksa esa ,saBu ¼ely LikLe½

▪ papyrk ¼LikLVhflVh½

▪ lsjsczksoLdqyj jksx vkSj lsjsczksoLdqyj nq?kZVuk

▪ ,UlsQSyksiSFkh

▪ fxfy;u cs;j ÇlMªkse vkSj ek;LFksfu;k xzsfol

▪ czsu gÆu;s'ku ÇlMªkse

▪ nkSjs dk fodkj ¼lhtj fMlvkWMZj½

▪ dksek] csgks'kh vkSj ijflLVsaV osftVsfVo LVsV

▪ jksxh dh lqj{kk ds fy, mfpr uÉlx ns[kHkky

• U;wjksykWftdy vkikr fLFkfr ds fy, LFkk;h vkns'k

VI

5

• ew=y ¼Mkb;wjsfVDl½

• ¶Y;wM çfrLFkkiu

▪ fØLVykbM~l

▪ dksykbM~l

• bysDVªksykbV~l

▪ lksfM;e

▪ iksVSf'k;e

▪ dSfY'k;e

▪ eSXuhf'k;e

▪ QkLQksjl

• usÝksykWth lacafèkr xaHkhj ns[kHkky fLFkfr;ksa ds çcaèku dh vkS"kfèk;ka

▪ ,D;wV@Øksfud jhuy QsY;j

▪ ,D;wV Vîwcwyj usØksfll

▪ CysMj VªkWek

▪ bysDVªksykbV vlarqyu

▪ ,flM csl vlarqyu

▪ Mk;fyfll ds nkSjku mi;ksx dh tkus okyh vkS"kfèk;ka

• usÝksykWth vkikr fLFkfr ds fy, LFkk;h vkns'k

VII

5

• vYlj jksèkh vkS"kfèk;ka

• jspd

• vfrlkj jksèkh

• ,aVh,esfVDl ¼oeujksèkh½

• iSafØ;kfVd ,atkbe

• iks"kd rRo] foVkfeu vkSj [kfut

• xSLVªksbaVsLVkbuy lacafèkr xaHkhj ns[kHkky fLFkfr;ksa ds çcaèku dh vkS"kfèk;ka

▪ rhoz thvkbZ jDrlzko] ;Ñr foQyrk

▪ rhoz vXuk'k;'kksFk

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

21

▪ isV esa pksV

▪ gsisfVd ,UlsQSyksiSFkh

▪ rhoz vka= #dkoV

▪ ijQksjsfVo isfjVksfufVl

▪ xSLVªksbaVsLVkbuy ltZjh vkSj yhoj çR;kjksi.k ds nkSjku mi;ksx dh tkus okyh vkS"kfèk;ka

• xSLVªksbaVsLVkbuy vkikr fLFkfr ds fy, LFkk;h vkns'k

VIII

4

• gkeksZuy Fksjsih

• balqfyu vkSj vU; gkbiksXykblsfed ,tsaV

• ,aMksØkbu lacafèkr xaHkhj ns[kHkky fLFkfr;ksa ds çcaèku dh vkS"kfèk;ka

▪ Mk;fcfVd dhVks,flMksfll] gkbij&vkWLeksyj ukWu&dsVksfud dksek

▪ gkbiksXykblhfe;k

▪ Fkk;jkbM LVkWeZ

▪ ek;DlsMsek dksek

▪ ,fMªuy Økbfll ¼vfèko`Dd ladV½

▪ ,lvkbZ,Mh,p

• ,aMksØkbu vkikr fLFkfr ds fy, LFkk;h vkns'k

IX

5

• ,aVh&dks,xqysaV~l

• ,aVhIysVysV vkS"kfèk;ka

• FkzksEcksykbfVDl

• gseksLVSfVDl@,aVhfQfczuksfyfVDl

• gsesVksiks,fVd xzksFk QSDVlZ

▪ ,fjFkzksiksbfVu

▪ dkWyksuh fLVeqysfVax QSDVlZ

▪ IysVysV ,ugkallZ

• jDr vkSj jDr mRikn

▪ laiw.kZ jDr] iSDM yky jDr dksf'kdk,a] Y;wdkslkbV&fjMîwLM yky dksf'kdk,a] èkqyh gqbZ yky jDr

dksf'kdk,a] rktk tes gq, IykTek] Øk;ksçsflfiVsV

▪ ,Ycqfeu

▪ vkèkku çfrfØ;k,a] vkèkku ç'kklu çfØ;k

• Vhds

• bE;wuksfLVeqysaV

• çfrj{kkneudkjh

• dheksFksjkI;wfVd vkS"kfèk;ka & ,YdkbysÇVx ,tsaV] ,aVh&esVkcksykbV~l] ,aVh&Vîwej ,aVhck;ksfVDl]

,YdykWbM~l] gkeksZu vkSj gkeksZu ,aVkxksfuLV] dkWÆVdksLVsjkWbM~l] xksukMy gkeksZu] ,aVh&,LVªkstsal]

,.Mªkstu ,aVkxksfuLV~l] tSfod çfrfØ;k la'kksèkd

• gsesVksykWth lacafèkr xaHkhj ns[kHkky fLFkfr;ksa ds çcaèku dh vkS"kfèk;ka

▪ xaHkhj chekjh esa ,uhfe;k

▪ MhvkbZlh

▪ FkzksEckslkbVksisfu;k vkSj ,D;wV Y;wdsfe;k

▪ gsifju buMîwLM FkzksEckslkbVksisfu;k

▪ fldy lsy ,uhfe;k

▪ Vîwej ,fyfll ÇlMªkse ¼Vîwej vi?kVu y{k.k½

22

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

X

3

• gsesVksykWth lacafèkr xaHkhj ns[kHkky fLFkfr;ka

▪ tyu çcaèku esa mi;ksx dh tkus okyh vkS"kfèk;ka

▪ ?kko çcaèku esa mi;ksx dh tkus okyh vkS"kfèk;ka

XI

5

• lnek ¼'kkWd½] lsfIll] fofHkUu vaxksa dh f'kfFkyrk] ç.kkyhxr lwtu çfrfØ;k ÇlMªkse] ,ukfQysfDll ds

çcaèku dh vkS"kfèk;ka

• vk?kkr] pksV ¼xeÊ] fctyh] yxHkx Qkalh] yxHkx Mwcuk½ ds çcaèku dh vkS"kfèk;ka

• dkVus ds çcaèku dh vkS"kfèk;ka] vkS"kfèk dh vfèkd ek=k vkSj fo"kkDrrk

• xaHkhj ns[kHkky lek;sktu esa Toj çcaèku vkS"kfèk;ka

▪ Tojuk'kd

▪ ,u,l,vkbZMh,l

▪ dkWÆVdksLVsjkWbM~l

XII

6

• thok.kqjksèkh vkS"kfèk;ka

▪ ifjp;

▪ chVk ySDVe & isfuflfyu] lhQkyksLiksfjal] eksukscSDVEl] dkckZisusEl

▪ vehuksXykbdkslkbM~l

▪ ,aVh&,evkj,l,

▪ eSØksykbM~l

▪ d+qbuksyksal

▪ fofoèk & fyUdkslsekbM xzqi] ukbVªksbfeMktksy] VsVªklkbfDyu vkSj DyksjSEQsfudkWy] ikWyhfefDlu] vkSj

,aVh&eysfj;y] ,aVh&Qaxy] ,aVh&ok;jy vkS"kfèk;ka

• jksxk.kqjksèkdksa dk p;u

• buQSfD’k;l fØfVdy ds;j daMh’kal

▪ ,pvkbZoh] VsVul] lklZ] fjdsVfl;ksfll] ysIVksLik;jksfll] Msaxw] eysfj;k] fpduxqfu;k] jscht] ,fo;u

¶yw vkSj Lokbu ¶yw ds çcaèku dh vkS"kfèk;ka

•

bZlsu ,p-ts- ¼2020½ QkekZdksykWth vkWQ bE;wukslçs'ku ¼çFke laLdj.k½ ÇLçxj

•

eSds th-,- ,aM okYVlZ ,e-vkj- ¼2021½ fDyfudy QkekZdksykWth ,aM FksjsI;wfVDl ¼10oka laLdj.k½ foyh&CySdosy

•

f=ikBh ds-Mh- ¼2019½ ,lsaf'k;Yl vkWQ esfMdy QkekZdksykWth ¼8oka laLdj.k½ tsih cznlZ esfMdy ifCy'klZ] ubZ fnYyh

•

fous ,-,y-] ow Vh-,e- ,aM vksY;kbZ ,-ts- ¼2007½ QkekZdksFksjsI;wfVDl QkWj ulZ çSfDV'kuj fçLØkbclZ ¼nwljk laLdj.k½

fQykMsfYQ;k% Msfol

VI.

1- mi;qDr ç.kkyh ds vuqlkj ijh{k.k dkS'ky fodflr djus esa 'kkjhfjd vkadyu fl)karksa dks ykxw djukA

2- lkekU; o vlkekU; fu"d"kks± dh fofoèkrkvksa ds chp varj djus ds fy, mUur LokLF; vkadyu dkS'ky dk mi;ksx

djukA

3- ijh{k.k ds fu"d"kks± rFkk laLFkkxr çksVksdkWy ds vkèkkj ij LØhÇux vkSj uSnkfud ijh{k.k ds vkns'k nsukA

4- 'kkjhfjd tkap fu"d"kks± vkSj fofHkUu tkapksa ds ifj.kkeksa dk fo'ys"k.k djuk rFkk uSnkfud fodkl ds fy, lkekU;

fpfdRlk@lkeqnkf;d fpfdRlk@ikfjokfjd fpfdRlk fpfdRldksa ds lkFk feydj dke djukA

5- LokLF; ns[kHkky ny ds lnL;ksa] jksfx;ksa vkSj ifjtuksa dh lk>snkjh esa nLrkost vkadyu] funku] rFkk çcaèku djuk

vkSj vuqorÊ ns[kHkky dh fuxjkuh djukA

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

23

I

4

• bfro`Ùk ysuk

• 'kkjhfjd tkap

II

6

• ân; lacaèkh bfro`Ùk

• 'kkjhfjd tkap

• ân; ç;ksx'kkyk vè;;u & tSo jklk;fud ekdZj] gseVksykWftdy vè;;u

• ân; uSnkfud vè;;u & bysDVªksdkÆM;ksxzke] bdksdkÆM;ksxzkQh] ruko ijh{k.k] jsfM;ksykWftdy besÇtx

III

6

• bfro`Ùk

• 'kkjhfjd tkap

• 'olu fuxjkuh & vkfVZfj;y CyM xSl] iYl vkWDlhesVªh] ,aM&VkbMy dkcZu MkbvkWDlkbM fuxjkuh

• 'olu uSnkfud ijh{k.k & pSLV jsfM;ksxzkQh] osafVys'ku ij¶;wtu LdSÇux] iYeksujh ,aft;ksxzkQh]

czksadksLdksih] FkksjSlsUVsfll] LiqVe dYpj] iYeksujh QaD’ku VSLV

IV

6

• raf=dk lacaèkh bfro`Ùk

• lkekU; 'kkjhfjd tkap

• laKkukRed dk;Z dk vkadyu

• diky raf=dk dk;Zç.kkyh dk vkadyu

• eksVj vkadyu & ekalisf'k;ksa dh rkdr] 'kfDr vkSj ltxrk

• laosnh vkadyu & Roph; vkadyu

• U;wjksMk;XuksfLVd vè;;u & lhVh LdSu] ,evkjvkbZ] ihbZVh

V

6

• bfro`Ùk

• 'kkjhfjd tkap

• xqnsZ dh dk;Zç.kkyh dk vkadyu

• bysDVªksykbV~l dk vkadyu vkSj ,flM csl cSysal

• æo larqyu dk vkadyu

VI

4

• bfro`Ùk

• 'kkjhfjd tkap

• iks"k.k lacaèkh vakdyu

• ç;ksx'kkyk vè;;u & ;Ñr dk;Z vè;;u] jDr iSjkehVj] ey ijh{k.k

• uSnkfud vè;;u & jsfM;ksykWftdy vkSj besÇtx vè;;u] ,aMksLdksfid vè;;u

VII

4

• bfro`Ùk

• 'kkjhfjd tkap

• fuEufyf[kr dk ç;ksx'kkyk vè;;u vkSj uSnkfud vè;;u

▪ gkbiksFkSysel vkSj fiVîwVjh XySaM

▪ Fkk;jkWbM XySaM

▪ iSjkFkkbjkWbM XySaM

▪ ,aMksØkbu XySaM

▪ ,fMªuy XySaM

VIII

4

• bfro`Ùk

• 'kkjhfjd tkap

• ç;ksx'kkyk vè;;u & jDr iSjkehVj

• uSnkfud vè;;u & cksu esjks ,lfijs’ku

IX

3

• bfro`Ùk

• 'kkjhfjd tkap

• iSFkksykWftdy ijh{k.k & Årdh; tkap

24

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

X

6

• bfro`Ùk

• 'kkjhfjd tkap & xsV vlslesaV] tkWbaV vlslesaV

• ç;ksx'kkyk vè;;u & jDr iSjkehVj ¼bu¶ysesVjh ,atkbe] ;wfjd ,flM½

• uSnkfud vè;;u & jsfM;ksykWftdy vkSj besÇtx vè;;u] ,aMksLdksfid vè;;u

XI

5

• bfro`Ùk

• 'kkjhfjd tkap

• ç;ksx'kkyk vè;;u

• uSnkfud vè;;u

XII

4

• bfro`Ùk

• 'kkjhfjd tkap

• ç;ksx'kkyk vè;;u

• uSnkfud vè;;u & jsfM;ksykWftdy vkSj besÇtx vè;;u] ,aMksLdksfid vè;;u

XIII

6

• o`f) vkSj fodkl

• iks"k.k lacaèkh tkap

• fof'k"V ç.kkyh tkap

XIV

6

• bfro`Ùk

• 'kkjhfjd tkap

• euksoSKkfud tkap

¼48 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl 'kkfey

gS½

•

O;kid bfro`Ùk ysuk

•

dsafær bfro`Ùk ysuk ¼ç.kkyh okj½

•

O;kid 'kkjhfjd tkap

•

dsafær 'kkjhfjd tkap ¼ç.kkyh okj½

•

uSnkfud ekinaMksa dh fuxjkuh ¼ç.kkyh okj½

buosfto chih ekWfuVÇjx] eYVh&iSjkehVj ekWfuVlZ] bZlhth] iYl baMsDl daVhU;wvl dkÆM;d vkmViqV (PiCCO),

isfjQsjy oLdqyj LVsVl] ,chth] iYl vkWDlhesVªh] ,aM VkbMy CO2 (ETCO2), baVªkØSfu;y çs'kj (ICP), Xyklxks

dksek Ldsy (GCS), Øsfu;y uoZ vlslesaV] xaHkhj :i ls chekj dk nnZ vkSj csgks'kh Ldksj] eksVj vkadyu] laosnh

vkadyu] jhuy QaD’ku VSLV] ¶Y;wM larqyu] ,flM csl larqyu] bysDVªksykbV~l] ckWoy lkmaM] isV dk ncko] jsftMqvy

xSfLVªd okWY;we] fyoj QaD'ku VSLV] GRBS, ySc VSLV] jsfM;ksykWftdy rFkk besÇtx VSLV ¼ç.kkyh okj½

•

LØhÇux vkSj Mk;XuksfLVd ijh{k.kksa dh O;k[;k ¼ç.kkyh okj½

•

f'k'kw vkadyu & f'k'kw rFkk cPpk

•

o`)tu vkadyu

•

xHkZorh efgykvksa dk vkadyu

•

fcdyh ,y-,l- ,aM fLtykxh ih-th- ¼2018½ csV~l xkbM Vq fQftdy ,Xtkfeus'ku ,aM fgLVªh VsÇdx] lkmFk ,f'k;u

laLdj.k] oksYVlZ Dywoj bafM;k çkbosV fyfeVsM

•

jksM~l ts- ¼2013½ ,MokaLM gSYFk vlslesaV ,aM Mk;XuksfLVd jhtfuax ¼nwljk laLdj.k½ fQykMsfYQ;k% fyÇidkWV

fofy;El ,aM foÇYdl

•

foYlu ,l-,Q- ,aM fxMsal ts-,Q- ¼2021½ gSYFk vlslesaV QkWj uÉlx çSfDVl ¼7oka laLdj.k½ ,Ylsfo;j% gSYFk lkbalst

fMfotu

I

II

1. bu voèkkj.kkvksa dh Bksl tkudkjh ds vkèkkj ij Qsfeyh gSYFk uÉlx dh mUur voèkkj.kkvksa dks ykxw djrk gSA

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

25

2. 'kkjhfjd fLFkjrk dk vkadyu] fuxjkuh vkSj c<+kok nsus ds fy, buosftl vkSj ukWu&buosfto VSDuksykWth vkSj

eè;orZuksa dk mi;ksx djrk gSA

3. LokLF; ns[kHkky ny ds vU; lnL;ksa ds lkFk feydj dke djrk gS vkSj xaHkhj o th.kZ jksxksa ls ihfM+r jksfx;ksa ds

vkadyu vkSj çcaèku esa ns[kHkky@uSnkfud ekxZ rS;kj djrk gSA

4. vU; LokLF; ns[kHkky dfeZ;ksa ds lkFk ijke'kZ djrk gS vkSj os muls ijke'kZ ysrs gSaA

5. LokLF; lqj{kk] jksx jksdFkke] vfxze ekxZn'kZu] ijke'kZ] xaHkhj jksx dk çcaèku] mi'kked ns[kHkky vkSj thou ds var dh

ns[kHkky ls lacafèkr uÉlx ns[kHkky çnku djrk gSA

6. tfVy vkSj vfLFkj okrkoj.k esa mUur dkS'ky dk mi;ksx djrk gSA

7. O;fDr] leqnk; o ns[kHkky ç.kkfy;ksa ls lacafèkr tfVy eqíksa ds fy, uSfrd :i ls lqn`<+ lekèkku ykxw djrk gSA

8. Qsfeyh gSYFk uÉlx ds çklafxd laØe.k fu;a=.k fl)karksa dk ikyu djrk gSA

9. jksxh] ifjtuksa vkSj leqnk; ds fgr esa ns'k ds dkuwuh <kaps ds Hkhrj Lora= :i ls vH;kl djrk gSA

10. ,sls vH;kl fodflr djrk gS tks oSKkfud çek.kksa ij vkèkkfjr gksaA

11. fpfdRlh; lacaèkksa dks 'kq: djus] fodflr djus vkSj can djus ds fy, ykxw lapkj] ijke'kZ] odkyr vkSj ikjLifjd

dkS'ky dk mi;ksx djrk gSA

12. tksf[ke çcaèku j.kuhfr;ksa vkSj xq.koÙkk lqèkkj dk mi;ksx djds ,d lqjf{kr fpfdRlh; okrkoj.k cukrk gS vkSj cuk,

j[krk gSA

13. vH;kl dks lkekftd] lkaLÑfrd vkSj çklafxd ifjos'k ds vuq:i <kyrk gSA

VII.

I

10

• ikBîØe dk ifjp;

• egRoiw.kZ vaxksa ¼efLr"d] jh<+ dh gìh] QsQM+s] ân;] xqnsZ] ;Ñr] vXU;k'k;] Fkk;jkW;M] vfèko`Dd vkSj

fiVîwVjh xzafFk½ dh 'kkjhfjd jpuk vkSj dkf;Zdh dh leh{kk

• ,sfrgkfld leh{kk & ulZ çSfDV'kuj bu Qsfeyh gSYFk

• ikfjokfjd LokLF; uÉlx vH;kl dh voèkkj.kk,a vkSj fl)kar

• ikfjokfjd LokLF; uÉlx vH;kl dk nk;jk

• ikfjokfjd LokLF; uÉlx vH;kl lek;kstu ¼ftlesa xzkeh.k] 'kgjh] cLrh o tutkrh;] midj.k]

vkiwÆr vkSj i;kZoj.k 'kkfey gSa½

• ny ds lnL;

▪ uÉlx deZpkjh

▪ lgk;d deZpkjh

▪ LokLF; dk;ZdrkZ@,,u,e@LokLF; Lo;alsod

▪ lkekftd dk;ZdrkZ

▪ ijke'kZnkrk

▪ LokLF; f'k{kk

▪ lkekftd&vkÆFkd fodkl dk;ZdrkZ

▪ ikfjokfjd fpfdRlk fpfdRld

• mi;qDr çkS|ksfxdh dk mi;ksx

• LoLFk dk;Z okrkoj.k

• ikfjokfjd LokLF; uÉlx vH;kl esa Hkfo"; dh pqukSfr;ka

II

5

• xaHkhj vkSj th.kZ jksxksa ls ihfM+r jksfx;ksa dh ns[kHkky esa uÉlx çfØ;k vkSj ,dhÑr ns[kHkky@ uSnkfud

ekxks± dk vuqç;ksx

• ifjokj dh ifjHkk"kk

• ifjokj ds dk;Z ,oa mldh lajpuk

• ikfjokfjd tulkaf[;dh

• ikfjokfjd LokLF; uÉlx ds n`f"Vdks.k

• ikfjokfjd LokLF; uÉlx ds fl)kar

• ikfjokfjd LokLF; tksf[ke vkadyu

• ikfjfLFkfrdh ekufp=

• fodkl ,oa ikfjokfjd thou'kSyh

• thou'kSyh tksf[ke vkSj vkadyu

26

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• O;kogkfjd tksf[ke

• i;kZoj.kh; tksf[ke

• lkekftd tksf[ke

III

10

• lkekU; vkadyu

• 'olu vkadyu

• ân; dk vkadyu

• xqnsZ dk vkadyu

• U;wjksykWftdy vkadyu

• tBjka= vkadyu

• var%lzkoh vkadyu

• eLdqyksLdsysVy vkadyu

• vè;koj.kh vkadyu

• gseksMk;ukfeDl

• bysDVªksdkÆM;ksxzkQh ¼bZlhth½

• Xyklxks dksek Ldsy ¼thlh,l½

• fjpeaM ,thVs’ku lhMs’ku Ldsy ¼vkj,,l,l½

• nnZ Ldksj

• czSMsu Ldksj

• xaHkhj jksxksa dk vkadyu

• th.kZ jksxksa dk vkadyu

• ifj.kke vkSj LdksÇjx ç.kkyh

▪ ,D;wV fQft;ksykWth vkSj Øksfud gSYFk bosY;q,’ku (APACHE I-IV)

▪ eksVZfyVh çkscsfcfyVh ekWMy (MPM I, II)

▪ flaIyhQkbM ,D;wV fQft;ksykWth Ldksj (SAPS I, II)

▪ vkWxZu flLVe QsY;j

▪ Qqy vkmVykbu vkWQ vufjliksaflousl (FOUR)

▪ ekWMy QkWj ,aM&LVst fyoj fMlht (MELD)

IV

14

• dkÆM;ks&iYeksujh&czsu fjllhVs’ku ds fl)kar

• çkFkfed vkSj ekè;fed LokLF; ns[kHkky esa vkikr fLFkfr% lhihvkj

▪ ch,y,l

▪ ,lh,y,l

• ok;qekxZ çcaèku

• vkWDlhtus'ku vkSj vkWDlhesVªh] vkWDlhtu forj.k midj.kksa ds lkFk jksxh dh ns[kHkky

• osafVys'ku vkSj osafVysVj liksVZ ¼vkæÊdj.k vkSj bugsYM Mªx Fksjsih lfgr½] buosfto vkSj ukWu&buosfto

osafVys'ku ds lkFk jksxh dh ns[kHkky

• ldqZys’ku vkSj ij¶;wtu ¼gseksMk;ukfed ewY;kadu vkSj rjax :i xzkfQDl lfgr½

• ¶Y;wM~l vkSj bysDVªksykbV~l ¼leh{kk½] ¶Y;wM~l vkSj bysDVªksykbV~l ds vlarqyu okys jksxh dh ns[kHkky

• ,flM csl fLFkfr dk ewY;kadu

• FkeksZjsX;wys'ku] gkbij@gkbiksFkÆe;k okys jksxh dh ns[kHkky

• Xykblsfed fu;a=.k] Xykblsfed vlarqyu okys jksxh dh ns[kHkky

V

8

• jksfx;ksa esa nnZ

• nnZ & çdkj] fl)kar

• fQft;ksykWth] nnZ ds çfr ç.kkyhxr çfrfØ;k,a vkSj nnZ dk euksHkko & leh{kk

• xaHkhj nnZ lsok,a

• nnZ dk vkadyu & nnZ ds iSekus] O;ogkj vkSj ekSf[kdhdj.k

• nnZ çcaèku & vkS"kèkh; ¼vksfi;ksbM] csatksMk;tsikbu] çksiksQksy] vYQk ,xksfuLV] VªSafDoykbtj]

U;wjkseLdqyj CykWÇdx ,tsaV½

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

27

• xSjvkS"kèkh; çcaèku

• VªkalD;wVsfu;l bysfDVªdy uoZ fLVeqys’ku (TENS)

VI

8

• ruko vkSj lkbdksU;wjksbE;wuksykWth

• vfHk?kkrt ds ckn dh ruko çfrfØ;k

• euksfoÑfr] Çprk] mÙkstuk] çyki

• vYdksgy fonMªkoy ÇlMªkse vkSj çyki daiu

• lg;ksxkRed çcaèku

• csgks'k djus okyh vkS"kfèk;ka vkSj vkjke nsus okyh vkS"kfèk;ka

• xaHkhj ns[kHkky esa vkè;kfRed pqukSfr;ka

• ruko vkSj chekjh ls fuiVuk

• xaHkhj vkSj th.kZ jksxksa ls ihfM+r jksfx;ksa ds ifjokj dh ns[kHkky

• ijke'kZ vkSj lapkj

VII

5

• jksxh vkSj ikfjokfjd f'k{kk dh pqukSfr;ka

• o;Ld vfèkxe çfØ;k

• f'k{k.k vfèkxe çfØ;k dks çHkkfor djus okys dkjd

• Qsfeyh gSYFk uÉlx esa ifjokjksa dh lwpukRed vgZrk,a

• jksxh vkSj ifjokj dh ijke'kZ lacaèkh vgZrk,a

• ijke'kZ rduhdsa

VIII

5

• iks"kd rRoksa dk p;kip; vkSj ifjorZu

• iks"k.k lacaèkh fLFkfr dk vkadyu djuk

• iks"k.k lacaèkh lgk;rk

• iks"k.k vkSj ç.kkyhxr ifjorZu

• ,aVsjy vkSj iSjsaVsjy iks"k.k ij jksxh dh ns[kHkky

IX

4

• lkekU; ekuo uÈn

• uÈn ds iSVuZ esa xM+cM+h

• Lyhi ,ifu;k ÇlMªkse

X

5

• ukslksdkWfe;y buQSD'ku ¼ vLirky esa HkrÊ gksus ds ckn 48 ?kaVs esa lkeus vkus okys laØe.k½( feFkkby

jsftLVsaV LVSfQyksdksdl vkWfj;l ¼,evkj,l,½ vkSj vU; gky gh esa igpkus x, miHksn

• dhVk.kq'kksèku] jksxk.kq'kksèku

• ekud lqj{kk mik;@lkoZHkkSfed lkoèkkfu;ka

• deZpkfj;ksa ds fy, çksfQySfDll

• jksxk.kqjksèkh fpfdRlk & leh{kk

• tSofpfdRlh; vif'k"V çcaèku

XI

6

• nhokuh eqdnesckth dks c<+kok nsus okys eqís

• Hkkjr esa lacafèkr dkuwu

• fpfdRlh; fujFkZdrk

• ç'kklfud dkuwu% O;kolkf;d fofu;eu

• viÑR; dkuwu ¼VkWVZ ykW½% ykijokgh] is'ksoj dnkpkj] tkucw>dj viÑR;] xyr ekSr] ekugkfu] geyk

vkSj fcuk lgefr ds tkucw>dj Nwuk

• laoSèkkfud dkuwu% èkS;ZiwoZd fu.kZ; ysuk

• lnkpkj vkSj uSfrdrk ds chp varj

• uSfrd fl)kar] xaHkhj ns[kHkky esa uSfrd fu.kZ; ysuk] uSfrd fu.kZ; ysus dks c<+kok nsus ds fy,

j.kuhfr;ka

• mipkj jksduk vkSj can djuk

• nqyZHk lalkèku çcaèku

28

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• efLr"d e`R;q] vax nku vkSj ijke'kZ

• iqutÊfor u djuk ¼Mh,uvkj½] bPNke`R;q] fyÇox foy

• ulks± dh Hkwfedk

XII

8

• LokLF; dsaæ@vLirky dh :ijs[kk

• xq.koÙkk vk’oklu ekWMy

• ekud] çksVksdkWy] uhfr;ka] çfØ;k,a

• laØe.k fu;a=.k uhfr;ka vkSj çksVksdkWy

• uÉlx laijh{kk

• LVkÇQx

• Hkkjrh; lkoZtfud LokLF; ekud

• ,uD;w,,l

XIII

3

• ikfjokfjd LokLF; xaHkhj ns[kHkky esa lk{; vkèkkfjr vH;kl

• dk;kZUo;u esa ckèkk,a

• dk;kZUo;u dks c<+kok nsus ds fy, j.kuhfr;ka

5

¼48 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl 'kkfey gS½

•

thou'kSyh tksf[ke vkSj vkadyu

•

O;kogkfjd tksf[ke vkadyu

•

i;kZoj.kh; tksf[ke

•

çkFkfedrk fuèkkZj.k

•

iks"k.k lacaèkh vkadyu

•

lhihvkj ¼ch,y,l vkSj ,lh,y,l½

•

ok;qekxZ çcaèku

o ySÇjft;y ekLd ,;jos

o dQ bu¶ys’ku ,aM ,adfjax n Vîwc

o bZVh&Vîwc dh ns[kHkky

o Vªsfd;ksLVkseh ns[kHkky

o lD'kÇux & [kqyk@can

o pSLV fQft;ksFksjsih

•

vkWDlhtus'ku vkSj vkWDlhesVªh] vkWDlhtu forj.k midj.kksa ds lkFk jksxh dh ns[kHkky

o vkWDlhtu@vkWDlhtus'ku ekiu midj.k

o ¶;wy lsy

o iSjk eSXusfVd vkWDlhtu ,usykbtj

o

PO2 bysDVªksM & DykdZ bysDVªksM

▪

VªkalD;wVsfu;l vkWDlhtu bysDVªksM

▪

vkWDlhesVªh & iYl vkWDlhesVªh] ohul vkWDlhesVªh

o dSIuksxzkQh

o ukWu&buosfto osafVys'ku

▪

de çokg okys ifjorZuh; fu"iknu midj.k% usly dSFksVj@dsuqyk@Mcy usly çksax] Qsl ekLd] fjtjok;j

cSx ds lkFk Qsl ekLd

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

29

▪

mPp çokg fuf'pr fu"iknu midj.k% ,aVªsuesaV ¼osapqjh½ midj.k] ,uvkbZoh@lhih,ih@,usLFksfVd ekLd] Vh

ihlst] czhfnax lÆdV

o iksLVqjy Mªsust

•

osafVys'ku vkSj osafVysVj liksVZ

o osafVysVj ls tksM+uk

o osaVhysVj ls gVkuk

o ,DlVîwcs'ku

o áwfefMQk;j

o usC;qykbtj & tsV] vYVªklksfud

•

bugsys'ku Fksjsih & ehVMZ Mkst bugsylZ ¼,eMhvkbZ½] MªkbZ ikmMj bugsylZ ¼MhihvkbZ½

•

ldqZys’ku vkSj ij¶;wtu ¼gseksMk;ukfed ewY;kadu vkSj osoQkWeZ xzkfQDl lfgr½

o buosfto CyM çSlj ekWfuVfjax

o ukWu&buosfto CyM çSlj ekWfuVfjax

o ohul çSlj ¼isfjQsjy] lsaVªy vkSj iYeksujh vkVZjh vkWDywtu çSlj½

o baVªkohul ykbu LVkfV±x ,aM bu¶;wtu

o bul'kZu ,aM fjewoy vkWQ vkfVZfj;y ykbu

o bul'kZu ,aM fjewoy vkWQ lsaVªy ykbu

o iYl baMsDl daVhU;wvl dkÆM;d vkmViqV ¼PiCCO½

o bysDVªksdkÆM;ksxzkQh ¼bZlhth½

o osoQkWeZ

•

¶Y;wM~l vkSj bysDVªksykbV~l

o ¶Y;wM x.kuk vkSj ç'kklu ¼fØLVykW;M vkSj dksykW;M½

o jDr vkSj jDr mRikn p<+kuk

o buksVªksi x.kuk] vuqekiu vkSj ç'kklu

▪

dkÆM,d XykbdkslkbM~l & fMxkWfDlu

▪

flEiSFkksesfVDl & Mksikekbu] MkscqVkekbu] ,fiusÝhu] vkblksçksVsjsukWy] ukWjisusÝkbu] fQukbyÝkbu

▪

QkWLQksfM,LVjst bufgfcVlZ & ,fezuksu] fefyzuksu

o bysDVªksykbV djsD’ku ¼lksfM;e] iksVsf'k;e] dSfY'k;e] QkWLQksjl] eSXuhf'k;e½

o ¶Y;wM fMLisalj vkSj bU¶;wtu iai dk mi;ksx

•

vEy {kkj fLFkfr dk ewY;kadu

o vkfVZfj;y CyM xSl ¼,chth½

•

FkeksZjsX;wys'ku] gkbij@gkbiksFkÆe;k okys jksxh dh ns[kHkky

o VSEçspj çksCl

o fØfVdy ds;j esustesaV vkWQ gkbij ,aM gkbiksFkÆe;k

•

Xykblsfed fu;a=.k] Xykblsfed vlarqyu okys jksxh dh ns[kHkky

o thvkjch,l dh fuxjkuh djuk

o balqfyu Fksjsih ¼LykbÇMx Ldsy vkSj bU¶;wtu½

o gkbijXykblsfe;k dk çcaèku & IV ¶Y;wM~l] balqfyu Fksjsih] iksVsf'k;e vuqiwj.k

o gkbiksXykblsfe;k dk çcaèku & MsDlVªkst IV

•

nnZ] csgks'kh] mÙkstuk vkSj çyki dk vkS"kèkh; çcaèku

30

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

o ekWÆQu] QsaVsfuy] feMktksye] yksjktsike] Mk;tsike] çksiksQksy] DyksfuMkbu] MsDlesMsVksfeMkbu] gsyksisfjMksy dh

x.kuk] yksÇMx vkSj bu¶;wtu

o ,fiMîwjy ,uYtsfl;k & lsaljh ,aM eksVj CykWd vlslesaV] mipkj can djus ds ckn ,fiMîwjy dSFksVj dks gVkuk]

,fiMîwjy dSFksVj lkbV MªsÇlx cnyuk] ,uYtsfld ç'kklu ds fy, Ropk ds uhps iksVZ yxkuk vkSj gVkuk]

,fiMîwjy ,uYtsfl;k@ihlh, ij jksfx;ksa ds fy, ew= çfrèkkj.k ds fy, vkarjkf;d dSFkhVsjkbts'ku] ,fiMîwjy

bU¶;wtu ds fy, [kqjkd vuqekiu] ,fiMîwjy dSFksVj dk leatu] dSFksVj dh lgu'khyrk dh tkap djus vkSj

,uYtsfl;k ds fy, ,fiMîwjy vkS"kfèk;ksa dks 'kq) djuk

•

ijke'kZ & O;fDrxr] ikfjokfjd vkSj lkewfgd

•

ikfjokfjd f'k{kk

•

tSo fpfdRlh; vif'k"V çcaèku

VIII.

I

I

10

• ,ukVkWeh vkSj fQft;ksykWthdy ifjorZuksa dh leh{kk

• efgykvksa ds fof'k"V jksxksa dk vkadyu] funku vkSj mipkj

• efgykvksa dh lkekU; LokLF; leL;k,a

• çtuu ,oa cky LokLF;

o xHkkZoLFkk

▪ lkekU; ifjorZu

▪ xHkkZoLFkk lacaèkh leL;k,a@çlwfr lacaèkh tfVyrk,a

▪ xHkZèkkj.k iwoZ] çloiwoZ] çlodkyhu vkSj çloksÙkj ns[kHkky

▪ ekr` e`R;q

o ifjokj fu;kstu & xHkZfujksèkd] ,eVhih

• vkbZ;wlhMh yxkuk vkSj gVkuk

• ;kSu LokLF;] ,lVhvkbZ ftlesa tuukax iFk laØe.k 'kkfey gS

• tuukax iFk ds ?kkrd jksx] jksdFkke] tkap] vkSj çkjafHkd mipkj & iSi ijh{k.k] ohvkbZ,

• jtksfuo`fÙk ds iwoZ] jtksfuo`fÙk] jtksfuo`fÙk ds i’pkr

• çtuu ra= ds lkekU; fodkj

• ekufld LokLF;

• lkekftd eqís & eknd æO;ksa dk lsou] ;kSu 'kks"k.k] Çglk

• efgyk LokLF; f'k{kk

• efgyk,a vkSj iks"k.k

II

15

• ,ukVkWeh vkSj fQft;ksykWth dh leh{kk

• lkekU; jksxksa dk vkadyu] funku vkSj mipkj

• gky dh çxfr vkSj fodkl

• o;Ldksa dh lkekU; LokLF; leL;k,a

o ân; lacaèkh leL;k,a

o 'olu lacaèkh jksx

o xSLVªks,aVsjksykWftdy jksx

o tsfuVks;wjhujh fodkj

o eLdqyksLdsysVy fodkj

o raf=dk lacaèkh fodkj

o iks"k.k lacaèkh fodkj & jksdFkke vkSj çcaèku

o fo"kdj.k

III

15

• ,ukVkWeh vkSj fQft;ksykWth dh leh{kk

• lkekU; o`f) vkSj fodkl

• uotkr f'k'kq dh ns[kHkky

• Lruiku lacaèkh leL;k,a vkSj çcaèku

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

31

• lkekU; tUe lacaèkh folaxfr;ksa dh igpku vkSj jsQjy

• Vhdkdj.k

• cky mRihM+u vkSj pksV ls cpko dh jksdFkke

• lkekU; jksxksa dk vkadyu] funku vkSj mipkj & f'k'kq] çh&Ldwyj vkSj Ldwy tkus okys cPps

o cpiu esa gksus okys lkekU; laØe.k

o cky iks"k.k ,oa iks"k.k lacaèkh fodkj ftlesa eksVkik 'kkfey gS

o Ldwy ds fy, rS;kjh] uÈn dh leL;k

o 'kkjhfjd xfrfofèk vkSj O;k;ke

o fo'ks"k vko';drk okys cPps

o ân; lacaèkh leL;k,a

o ’olu lacaèkh jksx

o xSLVªks,aVsjksykWftdy fodkj

o tsfuVks;wjhujh fodkj

o eLdqyksLdsysVy fodkj

o raf=dk lacaèkh fodkj

• lkekU; cpiu ds dSalj & tkap vkSj çcaèku

• lkekU; cky fpfdRlk vkikrdkyhu ifjfLFkfr;ka

• vkbZ,e,ulhvkbZ ¼leh{kk½

IV

15

• ;qokoLFkk ds ifjorZu & iq#"k o efgyk

• lkekU; fd'kksj LokLF; leL;k,a & vkadyu] funku vkSj çcaèku

• iks"k.k ,oa O;k;ke

• ;kSu LokLF;

• O;ogkj lacaèkh leL;k,a] ruko vkSj eukslkekftd leL;k,a

• fd'kksj vkSj dkuwu ¼POSH vkfn½

• fd'kksj ijke'kZ

V

25

• lapkjh jksxksa dh leh{kk

• lkekU; lapkjh jksx & vkadyu] funku vkSj çcaèku

o ok;q tfur jksx

o ty tfur jksx

o [kk| tfur jksx

o osDVj tfur jksx

o okgu tfur jksx

o mHkjrs vkSj nksckjk mHkjrs jksx

• fuokjd mik;

• lapkjh jksxksa dh egkekjh foKku

• lapkjh jksxksa ls lacafèkr jk"Vªh; dk;ZØe

VI

11

• LokLF; vkSj chekjh dh voèkkj.kk] çkFkfed LokLF; ns[kHkky vkSj bldk dk;kZUo;u

• egkekjh foKku vkSj egkekjh foKku ds rjhds & lapkjh vkSj xSj&lapkjh jksxksa dh egkekjh foKku

• egkekjh ,oa egkekfj;ksa dk çcaèku

• vkink çcaèku

• i;kZoj.kh; LokLF;

• LokLF; ns[kHkky forj.k ç.kkyh

• jk"Vªh; LokLF; dk;ZØe vkSj uhfr;ka

• Ldwy LokLF;

• tulkaf[;dh vkSj ifjokj fu;kstu

• LokLF; lwpuk vkSj LokLF; vkadM+s

• LokLF; chek ;kstuk,a & jk"Vªh; vkSj futh

• xSj ljdkjh laxBuksa dh Hkwfedk

5

32

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

¼48 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl 'kkfey gS½A

•

efgykvksa dh ekufld fLFkfr dh tkap

•

iSi ijh{k.k

•

ohvkbZ, LØhÇux

•

Lru Lo&ijh{kk ¼ch,lbZ½

•

vkbZ;wlhMh dks yxkuk vkSj gVkuk

•

ekSf[kd xHkZfujksèkd xksfy;ka 'kq# djus esa lgk;rk vkSj fuxjkuh djuk

•

uotkr f'k'kq dh vko';d ns[kHkky

•

uotkr f'k'kq dk iqutÊou

•

cPpksa dh o`f) vkSj fodkl dk vkadyu

•

fd'kksj LokLF;

o fd'kksj tksf[ke ewY;kadu

o fd'kksj ijke'kZ

•

?kjsyw ns[kHkky

o ?kko dh ns[kHkky

o ?kj ij Vªsfd;ksLVkseh ns[kHkky

o ?kj ij jaèkz dh ns[kHkky

o ?kj ij dSFksVj ns[kHkky

o fodykax O;fDr;ksa dh ns[kHkky

•

ikfjokfjd ijke'kZ

o oSokfgd ijke'kZ

o ifjokj fu;kstu ijke'kZ

o 'kksd ijke'kZ

•

egkekjh dh tkap

•

vkink ekWd fMªy

•

vkink rS;kjh vkSj çksVksdkWy

•

lapkjh jksxksa ls lacafèkr jk"Vªh; dk;ZØe & tkudkjh ,oa Hkkxhnkjh

IX.

II

I

18

• mez c<+us dh çfØ;k

• cqtqxks± esa leL;k dk ewY;kadu] funku vkSj çcaèku

• fodV leL;k,a

• th.kZ jksx

• cqtqxks± esa vkS"kèk foKku

• ekufld jksx

• lkekftd leL;k,a ,oa çcaèku

• cqtqxks± esa LokLF; laoèkZu vkSj jksx dh jksdFkke

• mez c<+us dh lkekU; euksoSKkfud fo'ks"krk,a

o tSfod eqís

o euksoSKkfud eqís

o mez c<+us dh voèkkj.kk,a vkSj fl)kar

o o`)ksa esa ruko vkSj mldk lkeuk djuk

o lkekU; LokLF; leL;k,a ,oa uÉlx çcaèku

• 'kkjhfjd pqukSfr;ka

o Jo.k ifjorZu

o n`f"V lacaèkh ifjorZu

o vU; laosnh ifjorZu

o Roph; ifjorZu

o ân; lacaèkh ifjorZu

o 'olu lacaèkh ifjorZu

o xqnsZ esa ifjorZu

o xSLVªksbuVsfLVuy ifjorZu

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

33

o eLdqyksLdsysVy ifjorZu

o var%lzkoh ifjorZu

o çfrj{kkfoKkuh ifjorZu

• euksoSKkfud pqukSfr;ka

o laKkukRed ifjorZu

o o`) O;fDr ds lkFk nqO;Zogkj

o 'kjkc lsou

• vkS"kfèk mi;ksx esa pqukSfr;ka

o vkS"kfèk vo'kks"k.k

o vkS"kfèk forj.k

o vkS"kfèk p;kip;

o vkS"kfèk mRltZu

• jk"Vªh; ekufld LokLF; uhfr;ka vkSj dk;ZØe

II

18

• lkekU; ekufld fodkjksa dk vkadyu] funku ,oa çcaèku

• Çprk

• volkn

• [kkus esa fnDdr

• O;fDrRo fodkj

• ,Mh,pMh

• lh[kus lacaèkh fodkj

• fVd fodkj

• euksjksx lacaèkh jksxksa esa vkS"kèk foKku

• dkuwuh vkSj uSfrd tokcnsgh

• ekufld LokLF; esa o`f)

• ,sls ifjokj ftuesa ekrk&firk vkSj cPpksa ds chp ckrphr dh leL;k dk mPp tksf[ke gS] f'kfFkyrk

• euksjksx lacaèkh vkikrfLFkfr;ka ftlesa vkRegR;k 'kkfey gS

III

15

• vlkè; jksxksa ls ihfM+r jksfx;ksa ds lkekU; y{k.k vkSj budk çcaèku

• nnZ çcaèku & vksfivksbM ,uYtsfld vkSj dks ,uYtsfld

• gkWLikbl ns[kHkky

• thou dh var%dkyhu ns[kHkky

• 'kksd çcaèku

IV

10

• 'kjhj jpuk foKku vkSj 'kjhj foKku

• iq#"kksa ls lacafèkr lkekU; LokLF; leL;k,a

• lkekU; ?kkrd jksx & jksdFkke] tkap] 'kh?kz mipkj

• iks"k.k

• tksf[ke O;ogkj

• ijke'kZ

V

10

• çoklh

• ;k=h

• ;k=h dk Vhdkdj.k

• cs?kj

• pqukSrhiw.kZ lewg & 'kkjhfjd] ekufld vkSj lkekftd :i ls

• lkeqnkf;d iquokZl

o fodykax jksfx;ksa ds çcaèku esa ,uih dh Hkwfedk

o ew=k'k; dh ns[kHkky

o 'k¸;k ij iM+s jksfx;ksa ds fy, ?kjsyw ns[kHkky

o iquokZl esa nyh; voèkkj.kk vkSj vU; mipkjksa dh Hkwfedk

VI

20

• eèkqesg

• mPp jDrpki

• eksVkik

34

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• gkbijfyfiMsfe;k

• fny dh èkeuh dk jksx

• ân; jksx

• vkj,pMh

• vk?kkr ¼LVªksd½

• fexÊ

• nek

• lhvksihMh

• var%lzkoh fodkj

• eqag ds jksx

• us= LokLF;

• nq?kZVuk vkSj pksVsa

• lkekU; dSalj vkSj dSalj LØhÇux

• xSj&lapkjh jksxksa ls ihfM+r xzkgdksa dh iks"k.k lacaèkh vgZrk,a

5

¼48 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl 'kkfey gS½

• o`)tu vkadyu

o bfro`Ùk

o 'kkjhfjd tkap

o iks"k.k lacaèkh vkadyu

o ,Mh,y vkadyu

o ÝsfxfyVh vlslesaV vkSj QkWy fjLd vlslesaV

o eukslkekftd vkadyu

o uSnkfud midj.k% xsfj;kfVªd fMçs’ku Ldsy] feuh dkWx VSLV] lh,,e vkbZlh;w Ldsy

• y?kq iks"k.k vkadyu

• fpfdRlh; vkgkj ;kstuk

• ekufld LokLF; losZ{k.k ,oa LØhÇux

• ekufld :i ls chekj yksxksa dh ?kjsyw ns[kHkky

• VsfLVdqyj lsYQ ,Xtkfeus'ku ¼Vh,lbZ½

• èkweziku lekfIr l=

• iSjksa dh ns[kHkky

• thou dh var%dkyhu ns[kHkky

• nnZ dk vkadyu vkSj LdksÇjx & MCY;w,pvks ysMj] oh,,l

• mi'kked xzkgd dk nnZ çcaèku

• ladVdkyhu ijke'kZ

• n`f"V tkap

• ekSf[kd tkap

• ,ulhMh dh jksdFkke vkSj fu;a=.k ij jk"Vªh; LokLF; dk;ZØe & tkudkjh vkSj Hkkxhnkjh

• vfHkyk"k ds-ih-ih- ¼2019½ ,ejtsalh esfMflu] cSLV çSfDVl ,V lh,elh ¼bZ,e,lh½ ¼nwljk laLdj.k½ tsih cznlZ

ifCyds'kal

• ,MsyeSu Mh-,l- ,aM fVeksFkh ts- ysx ¼2011½ fMtkLVj uÉlx% , gSaMcqd QkWj çSfDVl] ÇLçxj ifCyÇ'kx daiuh] U;w;kWdZ

I

II

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

35

• v#yjkt ,l-] t;yky ts-,-] vCnqy glu ds-,e- ,aM jfo'kadj Vh-,u- ¼2017½ VSDLV cqd vkWQ Qsfeyh esfMflu ¼rhljk

laLdj.k½ ,Ylsfo;j

• cVyj ts- FkkWel ¼2000½ fçafliYl vkWQ gSYFk ,twds’ku ,aM gSYFk çkseks’ku ¼rhljk laLdj.k½ oM~loFkZ ifCyÇ'kx daiuh

bad-

• dS'k fty ,aM Xykl psfj;k ¼2019½ ,MYV tsjksUVksykWth xkbMykbal ¼nwljk laLdj.k½ ÇLçxj ifCyds'ku] U;w;kWdZ

• DysesaV&LVksu] lqlku ¼2002½ dkWfEçgsaflo QSfeyh ,aM dE;qfuVh gSYFk uÉlx% QSfeyh] ,xzhxsV ,aM dE;qfuVh çSfDVl ¼6oka

laLdj.k½ lsaV yqbl% eksLch bad-

• MS'k ch- ¼2023½ , dkWfEçgsaflo VSDLV cqd vkWQ dE;qfuVh gSYFk uÉlx ¼nwljk laLdj.k½ tsih cznlZ esfMdy ifCy'klZ

çkbosV fyfeVsM

• QsaLVjekpj ds- ,aM gMlu ch-Vh- ¼2024½ çsfDVl xkbMykbal QkWj QSfeyh ulZ çSfDV'kulZ ¼6oka laLdj.k½ ,Ylsfo;j

• gksdsucsjh eÆyu ts-] jkWtlZ psfjy lh- ,aM foYlu MsfoM ¼2022½ oksaXl ,lsaf'k;Yl vkWQ ihfM;kfVªd uÉlx ¼11oka

laLdj.k½ lsaV yqbl% ,Ylsfo;j

• gksdsucsjh eÆyu ts- MQh ,fytkcsFk ,- ,aM fxCl djsu fMosysfj;ks ¼2024½ oksaXl uÉlx ds;j vkWQ bUQSaV~l ,aM fpYMªsu

¼12oka laLdj.k½ lsaV yqbl% ,Ylsfo;j

• b;ku Mh- isueSu] LVqvVZ ,p- jkYLVu] ekdZ MCY;w-ts- LVªspu ,aM fjpMZ ih- gkWClu ¼2022½ MsfoMlal Ççfliy ,aM çSfDVl

vkWQ esfMflu ¼24oka laLdj.k½ ,Ylsfo;j

• tSdc ,- ¼2023½ , dkWfEçgsaflo VSDLV cqd vkWQ feMokbQjh ,aM xk;uksdksykWftdy uÉlx ¼6oka laLdj.k½ tsih cznlZ

esfMdy ifCy'klZ

• djsu QsaLVjekpj ,aM ckjcjk Vksuh gMlu ¼2020½ çsfDVl xkbMykbal QkWj QSfeyh ulZ çSfDV'kulZ ¼5oka laLdj.k½

,Ylsfo;j ifCysds’ku] lsaV yqbl

• dkfdusu ts-vkj- ¼2009½ QSfeyh gSYFk ds;j uÉlx F;ksjh çSfDVl ,aM fjlpZ ¼pkSFkk laLdj.k½ MsfolQk

• fd'kksj ts- ¼2022½ us’kuy gSYFk çksxzkEl vkWQ bafM;k% us’kuy ikWfylht ,aM ysftLys’kal fjysVsM Vq gSYFk ¼14oka laLdj.k½

ubZ fnYyh% lsapqjh ifCysds’kal

• fdjkyky dksukj ¼2023½ Mh-lh- nÙkk*t VSDLV cqd vkWQ vkWCLVSfVªDl% buDyqfMax isfjusVksykWth ,aM daVªklsI’ku ¼10oka

laLdj.k½ tsih cznlZ

• yksLdkYtks QkSlh] dSLij gkmtj ,aM yksaxks ¼2022½ gSfjlal ÇçfliYl vkWQ baVjuy esfMflu ¼21oka laLdj.k½ okWY;we 1]

eSd xzk fgy

• ek'kZy ts- ,aM jsuksj ,e- ¼2020½ ekbYl VSDLV cqd QkWj feMokbOl ¼17oka laLdj.k½ ,Ylsfo;j

• LokLF; ,oa ifjokj dY;k.k ea=ky; ¼2022½ bafM;u ifCyd LVsaMMZ~l QkWj dE;qfuVh gSYFk lsaVlZ]

https://nhsrcindia.org/sites/default/files/CHC%20IPHS%202022%20Guidelines%20pdf.pdf ls fy;k x;k

• LokLF; ,oa ifjokj dY;k.k ea=ky; ¼2022½ bafM;u ifCyd LVsaMMZ~l QkWj dE;qfuVh gSYFk lsaVlZ] okWY;we II]

https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2022/03_PHC_IPHS_Guidelines-2022.pdf ls

fy;k x;k

• LokLF; ,oa ifjokj dY;k.k ea=ky; ¼2012½ bafM;u ifCyd LVsaMMZ~l QkWj gSYFk lc lsaVlZ] okWY;we II]

https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2012/sub-centers.pdf ls fy;k x;k

• ikdZ ds- ¼2023½ ikDlZ VSDLVcqd vkWQ lks'ky ,aM fçosafVo esfMflu ¼27oka laLdj.k½ cukjlhnkl HkuksV

• LVSugksi ,e- ,aM ySadsLVj ts- ¼2024½ ifCyd gSYFk uÉlx ¼11oka laLdj.k½

• Çlg esgjcku ¼2021½ ds;j vkWQ n U;wcksuZ ¼9oka laLdj.k½ ubZ fnYyh% lhch,l ifCy'klZ ,aM fMLVªhC;w'ku çkbosV fyfeVsM

• LVSugksi ,e- ,aM ySadsLVj ts- ¼2019½ ifCyd gSYFk uÉlx% iksiwys’ku lsaVMZ gSYFk ds;j bu n dE;qfuVh ¼10oka laLdj.k½

bokWYo

• lqjs'k ds-] 'kekZ ,l- ,aM ekèkoh ¼2022½ czwuj ,aM lqMkFlZ VSDLV cqd vkWQ esfMdy lÆtdy uÉlx] okWY;we 2 ¼14oka

laLdj.k½ lkmFk ,f'k;u laLdj.k] oksYVlZ Dyqoj

• foMscsd ,y-,l- ¼2019½ lkbfd;kfVªd esaVy gSYFk uÉlx] fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl

• fouksn ds- ikWy ,aM vjÇon cXxk ¼2023½ th,p,vkbZ ,lsaf'k;y ihfM;kfVªDl ¼10oka laLdj.k½ lhch,l ifCy'klZ çkbosV

fyfeVsM

• FkkWuZckW; xzsVk ¼2014½ daVsEijsjh vkWD;wis'kuy gSYFk uÉlx] , xkbM Vw çSfDV'kulZ] :Vyst] Vh ,aM ,Q xzqi] ;wds

36

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

dkWyst vkWQ uÉlx dh cqfu;knh dkS'ky ç;ksx'kkyk vgZrkvksa ds vykok] fuEufyf[kr vko';d gSa%

1-

,MYV eSfufdu & iq#"k

2

LokLF; vkadyu

2-

,MYV eSfufdu & tuu ra= okyh efgyk

3

3-

csM fon esVªsl

5

4-

fyusu lsV

5

5-

CyM çslj vijsVl

10

6-

osbax Ldsy

10

7-

gkbV Ldsy

10

8-

iks"k.k vkadyu di

10 lsV iks"kd vkgkj rS;kj djuk

vkSj mldk iks"k.k vkadyu

djuk

9-

iks"k.k çn'kZu ds fy, crZu ¼di] pEep] IysV] iSu vkfn½

5 lsV

10- xSl LVkso

2

11- flysaMj

2

12- vkbZbZlh lkexzh

13- iksLVj

10

vkbZbZlh lkexzh rS;kj

djuk vkSj mldk mi;ksx

djuk

14- iSEQysV

10

15- ¶ykusy xzkQ

10

16- ¶yS'k dkMZ

10

17- f¶yi pkVZ

10

18- LykbM çkstsDVj

1

19- ,ylhMh çkstsDVj

1

20- ih, flLVe

1

21- ySiVkWi

1

22- pkWd cksMZ

1

23- Xykl LykbM

10

uSnkfud çfØ;k,a

24- flÇjt

20

25- fuMYl ¼lqbZ½

20

26- osD;wVsulZ

20

27- Vªs

20

28- fuMy fMLisalj

20

29- vYdksgy csLM LoSc

20

30- osfuiaDpj ,aM batsD'ku Vªsfuax vkeZ

1

31-

iSfYod ,Dtkfeus’ku ekWMy

pkbYl cFkZ flE;qysVj

,fiflvksVkWeh flE;qysVj

U;wcksuZ esfufdu fjllhVs’ku flE;qysVj

vkbZ;wlhMh bul’kZu ekWMy

batsD'ku Vªsfuax vkeZ flE;qysVj QkWj baVªkMeZy ,aM lcD;wVsfu;l batsD'ku

csch Meh QkWj oSDlhus’ku

1

1

1

1

1

1

1

32- O;fDrxr lqj{kk midj.k

4 lsV laØe.k fu;a=.k

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

37

33- gkFk èkksus dk LFkku

2

34- tSofpfdRlh; vif'k"V fuiVku bdkbZ

1

35-

iSfYod ,Dtkfeus’ku Vªs

vkVZjh DySai & 1

vkVZjh QkslsZIl & 1

ckmy & 1

dkWVu ckWy & dqN

tsfQju lksY;w'ku

4

;ksfu ijh{k.k

36- isfYod ,Dtkfeus'ku Vscy

1

37- isfYod ,Dtkfeu'ku ekWMy

Lisdqye ijh{kk

38- isfYod ,Dtkfeus'ku Vscy

39- flEl@ckbokYo Lisdqye

1

40- LikWV ykbV

1

41- pkbYM cFkZ flE;qysVj

lkekU; çlo dk lapkyu

42-

dSaph

fuMy gksYMj

vkVZjh QkslsZIl@DySai

MkblsfDVax QkslsZIl

Liat QkslsZIl

osftuy Lisdqye

,çu@MªsIl

xkSxy

Qsl ekLd

xkmu

LVsjkby XyOl

dkWMZ Vkb

LVsjkby dkWVu

ckmy

4

1

1

1

1

1

1

1

1

1

1

1

1

dqN

2

43- ,fiflvksVkWeh Vªsfuax flE;qysVj

,fiflvksVkWeh ,aM lqVfjax

44- ,fiflvksVkWeh lsV

,fiflvksVkWeh dSaph & 1

fuMy gksYMj & 1

fuMy & 1

lhaou lkexzh & 1

ckmy & 1

4

45- isfYod ,Dtkfeus’ku ekWMy

vkbZ;wlhMh yxkuk vkSj

fudkyuk

46- isfYod ,Dtkfeus’ku Vªs

47- baVªk;wVhfju fMokbl

4

48- U;w cksuZ esfufdu fon fjllhVs’ku flE;qysVj

vko';d uotkr ns[kHkky

vkSj U;w cksuZ fjllhVs’ku

49- flÇjt

4

Vhdk ç'kklu

50- fuMy

4

51- Vªs

4

52- fuMy fMLisalj

1

38

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

53- 'kkiZ daVsuj

1

54- oSDlhu ds uewus

1 lsV

55- vYdksgy csLM LoSc

20

56- batsD'ku Vªsfuax vkeZ flE;qysVj QkWj baVªkMeZy ,aM lcD;wVsfu;l batsD'ku

57- csch Meh QkWj oSDlhus’ku

58- oSDlhu daVsuj

1

59- vksLVkseh ds;j lsV

1

60- QqV ds;j lsV

1

61- VscysV QkWj MsVk fjdkWÉMx

5

fMftVy fjdkWÉMx

62- fjiksVZ & nSfud] lkIrkfgd] ekfld] okÆ"kd] lsaVhusy] cFkZ] MSFk

20

fjdkWÉMx vkSj fjiksÉVx

1- ,MtLVscy csM fon esVªsl & 10

2- IV LVSaM & 20

3- csM lkbM ykWdj & 11 ¼10 & jksxh( 1 & LVkWd½

4- vksoj csM VªkWyh & 10

5- MªsÇlx VªkWyh ¼NksVh½ & 5

6- MªsÇlx VªkWyh ¼eè;e½ & 2

7- flÇjt iai & 10

8- bU¶;wtu iai & 10

9- ekWfuVj & 11 ¼10 & jksxh( 1 & LVkWd½

10- VªkaliksVZ ekWfuVj@iYl vkWDlhehVj & 2

11- osaVhysVj & 1

12- iksVsZcy osaVhysVj & 1

13- ,chth e'khu & 1

14- bZlhth e'khu & 1

15- vYVªklkmaM e'khu & 1

16- MkWIyj e'khu & 1 ¼;fn oLdwyj jksxh vkbZlh;w esa HkrÊ gSa½

17- fMfQfczysVj & 1

18- isjhQsjy uoZ fLVeqysVj & 1

19- CyM okeZj & 3

20- is'ksaV okeZj & 5

21- lhDosaf’k;y daçs’ku fMokbl & 10

22- vYQk esVªsl fon eksVj & 15

23- yhM 'khYM & 1

24- ØS'k dkVZ & 1

25- VªkalQj VªkWyh & 4

26- vksvkj VªkWyh & 2

27- lsQ LykbMj & 2

28- dEI;wVj & 4

29- ÇçVj & 2

30- cSu lÆdV & 12

31- vkWDlhtu ¶yksehVj & 10

32- lD'ku iksVZ fon tkj & 10

33- ,;j ¶yksehVj@iYeks,M & 10

34- jsfÝtjsVj & 2

35- esVy QqV LVsi@QqV LVwy & 10

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

39

36- ,Ecqys'ku ps;j & 5

37- ;wih,l & 1

38- ¶ySV VªkWyh & 1

39- LikWV ykbV & 2

40- XywdksehVj & 2

41- fofHkUu vkdkjksa okys vacq cSx & 10 lsV

42- fofHkUu çfØ;kvksa tSls bul’kZu vkWQ lsaVªy ohul dSFksVj] Vªsfd;ksLVkseh vkfn ds fy, LVsjkby lsV@fMLikstscy lsV

ds lkFk Vªs

LokLF; ,oa ifjokj dY;k.k ea=ky; ds lkeqnkf;d LokLF; dsaæksa ds fy,

Hkkjrh;

lkoZtfud

LokLF;

ekud

¼2022½

[kaM

II

dk

vuqyXud

10]

i`-

132

ns[ksaA

https://nhsrcindia.org/sites/default/files/CHC%20IPHS%202022%20Guidelines%20pdf.pdf ls fy;k x;kA

LokLF; ,oa ifjokj dY;k.k ea=ky; ds çkFkfed LokLF; dsaæksa ds fy,

Hkkjrh;

lkoZtfud

LokLF;

ekud

¼2022½

[kaM

II

ds

vuqyXud

7

,oa

8]

i`-

118

ns[ksaA

https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2022/03_PHC_IPHS_Guidelines-2022.pdf

ls

fy;k x;kA

LokLF; ,oa ifjokj dY;k.k ea=ky; ds LokLF; midsaæksa ds fy, Hkkjrh; lkoZtfud

LokLF; ekud ¼2012½ [kaM II] i`- 16 ns[ksaA https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-

2012/sub-centers.pdf ls fy;k x;kA

ç'u&i=@ç'uksÙkjh% 10 vad

fyf[kr dk;Z@vkofèkd ç'u&i=% 10 vad ¼oSf'od vkSj jk"Vªh; LokLF; ns[kHkky ds #>ku vkSj uhfr;ka½

uSnkfud lsfeukj% 5 vad ¼ fof'k"V uSnkfud fLFkfr esa uSnkfud@ns[kHkky ekxZ@fof'k"V uÉlx fl)kar dk vuqç;ksx½

ç'u&i=% 20 vad

fyf[kr dk;Z% 5 vad ¼lkfgR;d leh{kk@'kksèk midj.k dh rS;kjh½

tuZy Dyc% 5 vad ¼Qsfeyh gSYFk uÉlx n{krkvksa ds fy, 'kksèk lk{; dk fo'ys"k.k½

ç'u&i=% 15 vad

tuZy Dyc% 5 vad ¼usr`Ro@çcaèku@f'k{k.k esa #>ku½

fyf[kr dk;Z% 5 vad ¼tSls dk;ZLFky fgalk½

lw{e f'k{k.k% 5 vad

ç'u&i= vkSj ç'uksÙkjh% 20 vad ¼iSFkksfQft;ksykWth & 10] QkekZdksykWth & 10½

vkS"kfèk vè;;u% 5 vad ¼vkS"kfèk vè;;u ,oa çLrqfr½

40

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

ekeys dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ ¼iSFkksfQft;ksykWth½% 5 vad

ç'u&i=% 20 vad

fyf[kr dk;Z% 10 vad ¼uSnkfud@tkap fjiksVZ & O;k[;k vkSj fu"d"kks± dk fo'ys"k.k½

uSnkfud çn'kZu vkadyu% 10 vad

inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad

ekeys dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ% 5 vad

vkarfjd vks,llhbZ% 25 vad

ç'u&i= vkSj ç'uksÙkjh% 20

fyf[kr dk;Z% 10 vad ¼LokLF; dsaæ çksVksdkWy½

uSnkfud çn'kZu vkadyu% 20 vad

inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad

vkS"kfèk vè;;u ¼vkS"kfèk vè;;u vkSj çLrqfr½% 10 vad

ekeys dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ ¼ikfjokfjd f'k{kk@ijke'kZ½% 5 vad

ekeys dh çLrqfr ¼uSnkfud@ns[kHkky ekxZ dk vuqç;ksx½% 5 vad

vkarfjd vks,llhbZ% 50 vad

I

ç'u&i= vkSj ç'uksÙkjh% 20 vad

uSnkfud lsfeukj vkSj tuZy Dyc% 10 vad

uSnkfud çn'kZu vkadyu% 20 vad

inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad

uSnkfud çLrqfr% 10 vad

ekeys dh vè;;u fjiksVZ% 10 vad

vkarfjd vks,llhbZ% 50 vad

II

ç'u&i=% 20 vad

uSnkfud lsfeukj % 10 vad

uSnkfud çn'kZu vkadyu% 20 vad

inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad

uSnkfud çLrqfr% 10 vad

ekeys dh vè;;u fjiksVZ ¼fodflr uSnkfud@ns[kHkky ekxZ½% 10 vad

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

41

vkarfjd vks,llhbZ% 50 vad

çk;kSfxd% 50 vad

×

×

×

I.

1- o;Ld jksxh dk ldsafær bfro`Ùk ysuk rFkk 'kkjhfjd tkap djuk

2- f’k’kq jksxh dk ldsafær bfro`Ùk ysuk rFkk 'kkjhfjd tkap djuk

3- bfro`Ùk rFkk 'kkjhfjd tkap fu"d"kks± dh O;k[;k djuk

4- ç;ksx'kkyk rFkk uSnkfud ijh{k.k ifj.kkeksa dh O;k[;k djuk

5- uSnkfud ekinaMksa dh fuxjkuh djuk

×

1- o;Ld jksxh dk ldsafær bfro`Ùk ysuk

2- o;Ld jksxh dh ldsafær 'kkjhfjd tkap djuk

3- f'k'kw jksxh dk ldsafær bfro`Ùk ysuk

4- f'k'kw jksxh dh ldsafær 'kkjhfjd tkap djuk

5- bfro`Ùk rFkk 'kkjhfjd tkap fu"d"kks± dh O;k[;k djuk

6- ç;ksx'kkyk rFkk uSnkfud ijh{k.k ifj.kkeksa dh O;k[;k djuk

7- uSnkfud ekinaMksa dh fuxjkuh djuk

×

I.

42

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

1- o;Ld jksxh dk ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk fu"d"kks± ,oa ifj.kkeksa dh O;k[;k djuk

2- f'k'kw jksxh dk ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk fu"d"kks± ,oa ifj.kkeksa dh O;k[;k djuk

3- buosfto rFkk ukWu&buosfto {kerkvksa dh fuxjkuh djuk

4- ns[kHkky ;kstuk fodflr djuk

5- fpfdRlh; eè;orZu] ftlesa thou Hkj vkS"kfèk ç'kklu 'kkfey gS

6- vkikrdkyhu çfØ;kRed n{krk,a

7- ikfjokfjd f'k{kk ,oa ijke'kZ

8- ifjokj dsfUær ns[kHkky

×

1- o;Ld jksxh dk ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk ifj.kkeksa dh O;k[;k djuk

2- f'k'kw jksxh dk ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk ifj.kkeksa dh O;k[;k djuk

3- buosfto rFkk ukWu&buosfto {kerkvksa dh fuxjkuh djuk

4- ns[kHkky ;kstuk fodflr djuk

5- ikfjokfjd f'k{kk ,oa ijke'kZ

6- fpfdRlh; eè;orZu] ftlesa thou Hkj vkS"kfèk ç'kklu 'kkfey gS

7- ifjokj dsfUær ns[kHkky

×

I

II

1- o;Ld jksxh dk ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk ifj.kkeksa dh O;k[;k djuk

2- f'k'kw jksxh dk ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk ifj.kkeksa dh O;k[;k djuk

3- efgyk LokLF; & vkadyu rFkk fof'k"V çfØ;k,a

4- buosfto rFkk ukWu&buosfto {kerkvksa dh fuxjkuh djuk

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

43

5- ns[kHkky ;kstuk@ns[kHkky ekxZ fodflr djuk

6- ikfjokfjd f'k{kk ,oa ijke'kZ

7- fpfdRlh; eè;orZu] ftlesa thou Hkj vkS"kfèk ç'kklu 'kkfey gS

8- laØe.k fu;a=.k çFkk,a

9- ifjokj dsfUær ns[kHkky

×

1- o;Ld jksxh dk ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk ifj.kkeksa dh O;k[;k djuk

2- f'k'kw jksxh dk ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk ifj.kkeksa dh O;k[;k djuk

3- buosfto rFkk ukWu&buosfto {kerkvksa dh fuxjkuh djuk

4- efgyk LokLF; & vkadyu rFkk fof'k"V çfØ;k,a

5- ns[kHkky ;kstuk fodflr djuk

6- ikfjokfjd f'k{kk ,oa ijke'kZ

7- fpfdRlh; eè;orZu] ftlesa thou Hkj vkS"kfèk ç'kklu 'kkfey gS

8- laØe.k fu;a=.k çFkk,a

9- ifjokj dsfUær ns[kHkky

×

3

&

*

I

44

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

1

'kksèk midj.k dh rS;kjh

2

O;ofLFkr leh{kk@lkfgR;d leh{kk ys[ku

3

çdk'ku ds fy, ikaMqfyfi rS;kj djuk ¼çFke@f}rh; o"kZ½

4

'kksèk fucaèk@bZchih ifj;kstuk ¼f}rh; o"kZ½

fo"k;%

II

1

LVkQ jksxh fufgr dk;Z rS;kj djuk

2

bdkbZ dk ctV rS;kj djuk

3

LVkQ MîwVh jksLVj rS;kj djuk

4

bdkbZ esa jksxh ns[kHkky laijh{k.k

5

midj.k vkSj vkiwÆr çcaèku

6

laØe.k fu;a=.k fuxjkuh] vkadyu vkSj mlls lacafèkr fjiksVZ ys[ku

7

jksfx;ksa@deZpkfj;ksa ds çf’k{k.k ds fy, f'k{k.k ;kstuk rFkk ehfM;k rS;kj

djuk

8

lw{e f'k{k.k@ekrk&firk ds fy, f'k{kk l=

9

vks,llhbZ@vks,lihbZ ;kstuk cukuk vkSj lapkyu djuk

10 ijh{k.k fuekZ.k

III

1

O;kid bfro`Ùk ysuk

2

ldsafær bfro`Ùk ysuk ¼çfØ;kokj½

3

O;kid 'kkjhfjd tkap

4-1 'olu ra=

4-2 ân; ra=

4-3 tBjkU=

4-4 Luk;fod & ekufld fLFkfr dh tkap] diky raf=dk vkadyu

4-5 tuukax&ew= ra=

4-6 var%lzkoh

4-7 gsesVksykWftdy

4-8 eLdqyksLdsysVy

2-9 baVhxqesaVjh

2-10 laosnh vax & n`f"V ,oa JO;

5-1 uotkr f'k'kq

5-2 cPpk

5-3 o;Ld

5-4 o`)

6

IV

1-1 ck;ksdSfeLVªh

1-2 uSnkfud jksx funku

1-3 ekbØksck;ksykWth

1-4 ,chth

2-1 iSjklsUVsfll

2-2 FkkSjslsUVsfll

2-3 yqEcj iaDpj

2-4 fyoj ck;ksIlh

2-5 jhuy ck;ksIlh

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

45

2-6 cksu eSjks ,fLijs'ku

3-1 iSV LdSu

3-2 ,aMksLdksih

3-3 ,evkjvkbZ@lhVh

3-4 vYVªklkmaM

3-5 bdksdkÆM;ksxzke

4-1 èkeuh jDr xSl ¼,chth½

4-2 vkWDlhtu lar`fIr

4-3 ,aMksVªSfp;y Vîwc dQ ncko

4-4 dSIuksxzkQh

4-5 gseksMk;ukfeDl

4-6 bysDVªksdkÆM;ksxzke ¼bZlhth½

4-7 baVªkØSfu;y çSlj ¼vkbZlhih½

4-8 buosfto chih ekWfuVfjax

4-9 ukWu&buosfto chih ekWfuVfjax

4-10 PiCCO ¼iYl baMsDl daVhU;wvl dkÆM;d vkmViqV½

4-11 ifjèkh; laoguh fLFkfr

4-12 Xyklxks dksek Ldksj

4-13 lhMs’ku Ldksj

4-14 isu Ldksj

4-15 czSMsu Ldksj

4-16 ckWoy lkmaM

4-17 thvkjch,l

4-18 Nkrh dk ,Dl&js

V

1

ços'k

2

LFkkukarj.k

3

ifjogu

4

mPp dsaæ dks fufn"V djuk

5

NqV~Vh@ykek

6-1 ekWfuVj

6-2 VªkUlMîwlj@çSlj cSx

6-3 VSaijspj çksCl

6-4 SpO2 çksCl

6-5 lhVhth e’khu

6-6 12&yhM bZlhth ekWfuVj

6-7 CyM@¶Y;wM okeZj

6-8 flÇjt iai

6-9 bU¶;wtu iai

6-10 QksVksFksjsih

6-11 vkWDlhtu flysaMj ,oa esfuQksYM fLLVe

6-12 vYQk@,;j eSVªsl

*Nk= ds dkS'ky çn'kZu esa l{ke ik, tkus ij] ml ij çhlsIVj }kjk gLrk{kj fd, tk,axsA

Nk=ksa ls ;g vis{kk dh tkrh gS fd os lwphc) dkS'kyksa@n{krkvksa dks rc rd dbZ ckj djsa tc rd fd os Lrj 3

n{krk rd ugÈ igqap tkrs] ftlds ckn çhlsIVj çR;sd n{krk ds le{k gLrk{kj djsaxsA

;g lqfuf'pr djuk pkfg, fd çR;sd n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh fn, x, gSaA

•

Lrj 3 n{krk ;g n'kkZrh gS fd ,uih Nk= i;Zos{k.k ds fcuk ml n{krk dk laiknu djus esa l{ke gSA

46

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

•

Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk laiknu djus esa l{ke gSA

•

Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml n{krk@dkS'ky dk laiknu djus esa l{ke ugÈ gSA

&

I

1 xaHkhj ns[kHkky midj.kksa dh LFkkiuk] mi;ksx vkSj

j[kj[kko

1-1 osafVysVj

1-2 fMfQfczysVlZ

ih

1-3 islesdj

ih

1-4 ØS'k VªkWyh

ih

1-5 CPAP/BiPAP

2 çkFkfedrk fuèkkZj.k ¼Vªkb,t½

ih

3

IV ykbu bul’kZu

ih

4 ,;jos bul’kZu

5 lhihvkj & o;Ld

6 lhihvkj & f'k'kw

7 balqfyu Fksjsih & LykbÇMx Ldsy

ih

8 Vªsfd;ksLVkseh vkSj lD'kÇux

ih

9 uscqykbts'ku

ih

10 bysDVªksdkÆM;ksxzke ¼bZlhth½

11 psLV fQft;ksFksjsih

ih

12 bZVh Vîwc ds;j

ih

13 bZVh dQ çcaèku

ih

14 bZVh lD'kÇux

ih

15 esfMdksyhxy vuqikyu

ih

16 thou dh var%dkyhu ns[kHkky

ih

II

1 ohvkbZ,

ih

2 O;fDrxr lqj{kk midj.k dk mi;ksx

ih

3 laØe.k fu;a=.k çFkk,a

ih

4 ekud lkoèkkfu;ka

ih

5 ew= fo'ys"k.k

ih

6 LiqVe Leh;j

ih

7 fLdu Leh;j

ih

8 eaVkSDl VSLV

ih

9 n`f"V tkap ¼fotu LØhÇux½

ih

10 Jo.k ijh{k.k

ih

11 Lru Lo&ijh{k.k ¼ch,lbZ½

ih

12 o`"k.k Lo&ijh{k.k ¼Vh,lbZ½

ih

13 ekSf[kd tkap ¼vksjy ,Dtkfeus’ku½

ih

III

1 ,pvkbZoh eka

ih

2 cka> naifÙk

ih

3 xzkgd us vkRegR;k dk ç;kl fd;k

ih

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

47

4

fof{kIr cPpksa ds ekrk&firk

ih

5

ç'kked ns[kHkky ikus okys xzkgd

ih

6

ç'kked ns[kHkky ikus okys xzkgd ds ns[kHkkydrkZ

ih

IV

1

iks"k.k vkadyu] vkgkj ;kstuk rFkk iq"V vkgkj dh

rS;kjh

1-1

çloiwoZ

ih

1-2

çloksÙkj

ih

1-3

ç'kked xzkgd

ih

2 fpfdRlh; vkgkj ;kstuk

ih

V

1 fdlh egkekjh dh tkap

ih

VI

1

fjdkWM~lZ vkSj ikfjokfjd çksQkby dk j[kj[kko

ih

2

egRoiw.kZ ?kVukvksa dh fjdkWÉMx vkSj fjiksÉVx

ih

3

fMftVy LokLF; fjdkWÉMx

ih

VII

1

iYl iksfy;ks dk;ZØe esa Hkkxhnkjh

ih

2

Vhdksa dk ç'kklu

ih

VIII

1

'kkjhfjd tkap

1-1

& çloiwoZ eka

ih

1-2 & çloksÙkj eka

ih

2 çloiwoZ tkap

lkekU;@fuEu@mPp tksf[ke okyh xHkkZoLFkk

ih

2-1

lkekU;

ih

2-2 de tksf[ke

ih

2-3 mPp tksf[ke

ih

3 ikVksZxzkQ IykWÇVx vkSj O;k[;k

ih

4 ;ksfu tkap

ih

5 oh{kd tkap

ih

6 lkekU; çlo djkuk

ih

7 ;ka=dh; çlo esa lgk;rk

ih

8 oSD;we lD'ku esa lgk;rk

ih

9 ,y,llh,l esa lgk;rk

10 rhljs pj.k ds çlo dk lfØ; çcaèku

ih

11 ihih,p çcaèku

ih

12 ,ihflvksVkWeh vkSj Vkads yxkuk

ih

13 çloksÙkj ns[kHkky

ih

14 uotkr f'k'kq dh ns[kHkky & lkekU;

ih

15 mPp tksf[ke okys uotkr f'k'kqvksa dh ns[kHkky

ih

16 vkbZ;wlhMh yxkuk

ih

17 vkbZ;wlhMh gVkuk

ih

18 ekSf[kd xHkZfujksèkd xksfy;ka 'kq# djus esa lgk;rk

19 vkslhih ij efgykvksa dk vuqlj.k

20 VîwcsDVkseh esa lgk;rk

IX

1 vko';d uotkr f'k'kw ns[kHkky

ih

2 uotkr f'k'kw dks iqutÊou nsuk

ih

3 Dyhfud & fofHkUu Dyhfudksa ds vk;kstu esa Hkkx ysuk

ih

3-1 {k; jksx fDyfud

48

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

3-2 Vhdkdj.k fDyfud

3-3 ,ulhMh fDyfud

3-4 ifjokj fu;kstu f'kfoj@fDyfud

3-5 u'kk eqfDr fDyfud

3-6 euksjksx fDyfud

X

1 O;kolkf;d LokLF; vkadyu

ih

XI

1 vkink çcaèku ij ekWd fMªy

ih

5&10% nqyZHk çfØ;kvksa dk vH;kl dkS'ky ç;ksx'kkyk esa fd;k tkuk pkfg, vkSj Lrj 3 n{krk çkIr djuh

pkfg,A

&

*

fof'k"V uSnkfud fLFkfr esa uSnkfud ekxZ@

fof'k"V uÉlx fl)kar dk vuqç;ksx ¼uSnkfud lsfeukj½

fo"k; dk 'kh"kZd%

*

Qsfeyh gSYFk uÉlx n{krkvksa ds fy, lk{; dh [kkst

¼uSnkfud dkUÝsal@tuZy Dyc½

fo"k; dk 'kh"kZd%

*

usr`Ro@çcaèku@f'k{k.k esa #>ku ¼tuZy Dyc½

fo"k; dk 'kh"kZd%

¼uSnkfud çLrqfr½

uSnkfud fLFkfr dk uke%

¼uSnkfud çLrqfr½

ekeys dk vè;;u ¼fyf[kr fjiksVZ½

uSnkfud fLFkfr dk uke%

vkS"kfèk vè;;u

¼LFkk;h vkns'kksa ds rgr lwphc) vkS"kfèk;ka½ &

5 çLrqfr;ksa dh fyf[kr fjiksVZ

2-3-1 vkS"kfèk dk uke%

2-3-2

2-3-3

2-3-4

2-3-5

2-3-6

2-3-7

2-3-8

2-3-9

2-3-10

¼fyf[kr fjiksVZ tek djus gsrq gS½

¼o;Ld½ & bfro`Ùk vkSj 'kkjhfjd tkap

¼nks fyf[kr fjiksVZ½

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

49

3-1-1-

3-1-2-

3-1-3-

3-1-4-

3-1-5-

¼f’k’kq½ & bfro`Ùk vkSj 'kkjhfjd tkap

¼,d fyf[kr fjiksVZ½

3-2-1-

3-2-2-

3-2-3-

¼xHkZorh efgyk½ ¼,d fyf[kr fjiksVZ½

3-3-1-

3-3-2-

*mUur vH;klh; uÉlx & ,ih,u] 'kksèk vuqç;ksx & vkj,] usr`Ro] çcaèku rFkk f'k{k.k & ,y,e,aMVh

&

¼uSnkfud dkUÝsal½

fo"k; dk 'kh"kZd%

I ¼uSnkfud lsfeukj½

fo"k; dk 'kh"kZd%

I ¼tuZy Dyc½

50

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

fo"k; dk 'kh"kZd%

II ¼uSnkfud lsfeukj½

fo"k; dk 'kh"kZd%

II ¼tuZy Dyc½

fo"k; dk 'kh"kZd%

¼fyf[kr fjiksVZ tek djus ds fy, gSa½

¼ikfjokfjd f'k{kk@ijke'kZ½ & fyf[kr fjiksVZ

'kh"kZd dk uke%

¼uSnkfud@ns[kHkky ekxZ½

'kh"kZd dk uke%

I ¼uSnkfud çLrqfr½

uSnkfud fLFkfr dk uke%

I ¼ekeys dh vè;;u fjiksVZ½

uSnkfud fLFkfr dk uke%

II ¼uSnkfud çLrqfr½

uSnkfud fLFkfr dk uke%

II ¼ekeys dh vè;;u fjiksVZ½

uSnkfud fLFkfr dk uke%

2-7-1

¼ikap fyf[kr fjiksVZ½

2-7-2

2-7-3

2-7-4

2-7-5

2-7-6

2-7-8

2-7-9

2-7-10

3-1

I

uSnkfud fLFkfr dk uke%

3-2

3-3

3-4

3-5 ¼ekeys dh vè;;u fjiksVZ½

3-6

II

3-7

3-8

3-9 ¼ekeys dh vè;;u fjiksVZ½

3-10 fyf[kr fjiksVZ ¼fodflr uSnkfud@ns[kHkky ekxZ½

4-1 ftyk Vhch dsaæ

4-2 ,vkjVh dsaæ

4-3 vkapfyd dhV foKku dk;kZy;

4-4 ifjokj dY;k.k dk;kZy;

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

51

4-5 vkbZlhMh,l dsaæ

4-6 cky ekxZn'kZu dsUæ

4-7 mi'kked ns[kHkky dsaæ

4-8 iquokZl dsaæ

4-9 ih,plh esa jk"Vªh; eysfj;k mUewyu dk;ZØe ¼,u,ebZih½ lapkyu dh

la'kksfèkr ;kstuk dk voyksdu vkSj dkedkt

4-10 ,aVh&ykokZ vkWijs'ku dk voyksdu vkSj osDVj fu;a=.k mik;

uSnkfud çLrqfr dks ekeys dh vè;;u fjiksVZ ds fy, fy[kk tk ldrk gSA

ulZ çSfDV'kuj bu Qsfeyh gSYFk] jksfx;ksa dh thou Hkj ns[kHkky djus ds fy, ftEesnkjh vkSj mÙkjnkf;Ro ysus ds fy,

rS;kj vkSj ;ksX; gksrs gSaA os mPp rh{.krk dh vko';drk okys jksfx;ksa ds fy, lVhd fpfdRlk lqfuf'pr djus gsrq Qsfeyh

esfMflu fQthf'k;u] çkbZejh ds;j fQthf'k;u vkSj fo'ks"kKksa ds lkFk lg;ksx djrs gSaA dk;ZØe ds iwjk gksus ij] ulZ

çSfDV'kuj dks laLFkkxr LFkk;h vkns'kksa ds vuqlkj LFkk;h vkns'kksa esa lwphc) vkS"kfèk;ksa dks ç'kkflr djus dh vuqefr gksxhA

mUgsa laLFkkxr çksVksdkWy ds vuqlkj uSnkfud ijh{k.k@çfØ;kvksa vkSj mipkjksa dk vkns'k nsus dh Hkh vuqefr gksxhA

vkikrdkyhu le; esa ulZ çSfDV'kuj }kjk fuEufyf[kr baVªkosul batsD'ku ;k bU¶;wtu fn, tk ldrs gSa%

1- ,fMªusykbu

2- oSlksçsflu

3- vfe;ksMsjksu

52

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

4- ,QsfMªu

5- ,feuksQkbfyu

6- MsjhQkbfyu

7- fVvksok

8- ,foy

9- fXyljhu VªkbZukbVªsV

10- gkbMªksdkÆVlksu

11- ysfoVªslsVe

12- oSfy;e

13- lksMk ckbdkcksZusV 8-4%

14- lksMk ckbdkcksZusV 7-5%

15- 3% ukeZy lsykbu

16- 0-9% ukeZy lsykbu

17- ,aVhik;jsfVDl ¼Tojuk'kd½

18- ,aVhikÉdlal vkS"kfèk;ka

19- dSfY'k;e lIyhesaV~l & lSaMkdksy] 'ksYdy] vkWfLV;ksdSfY'k;e

20- vksjy ,aVhMk;csfVd ,tsaV~l & esVQkWÆeu] Xykbust] balqfyu

• ECG

• ABG

• pSLV ,Dl&js

• ewy tSojlk;fud tkap & Hb, PCV, TIBC, WBC

VksVy] WBC fMQjsaf'k;Yl] ESR, bysDVªksykbV~l]

IysVysV~l] PT, aPTT, CyhÇMx vkSj DykWÇVx Vkbe]

çksdSfYlVksfuu] D-fMej] fØ,fVukbu] HbA1c, AC, PC,

HDL, LDL, TIG, dksysLVªkWy VksVy] HIV, HbsAg,

HCV

• cqfu;knh ekbØksck;ksykWth tkap & CyM lsaiy QkWj dYpj

,aM lsaflfVfoVh

• uscqykbts'ku

• pSLV fQft;ksFksjsih

• fMLVy dksyksLVkWeh ok’k

• efgyk jksfx;ksa dks ;wfjujh dSFksVj yxkuk vkSj gVkuk

• VSLV QhM~l

• TEDS

• 'kY;&fpfdRlh; ejge&iêh

• Mk;fyfll 'kq# djuk vkSj can djuk

• ,Iyhds'ku vkWQ bPFkkeksy fXyljhu@eSXuhf'k;e lYQsV

MªsÇlx QkWj FkzksEcksf¶yfcfVl@,DlVªkokls'ku

• ckgjh fQDlsVlZ ij jksfx;ksa ds fy, fiu lkbV ns[kHkky

• vkblksesfVªd ,aM vkblksVksfud ,Dljlkbt

• fMftVy fudklh

çR;sd vLirky esa] vkikrdkyhu fLFkfr;ksa ds nkSjku nh tkus okyh fof'k"V [kqjkd ds lkFk vkS"kfèk ç'kklu ds LFkk;h

vkns'k ,uih,Q,p Lukrdksa ds fy, fn'kkfunsZ'kksa ds :i esa miyCèk djk, tk ldrs gSaA ,uih Nk=ksa dks bu vkS"kfèkvksa dks

nsus ds fy, çhlsIVlZ@,uih ladk; dh ns[kjs[k esa çf'kf{kr fd;k tk,xkA p;fur tkap ds vkns'k nsus vkSj fof'k"V

fpfdRlh; çfØ;kvksa dks djus ds çksVksdkWy ,uih,Q,p Nk=ksa dks çf'kf{kr djus okys çR;sd vLirky esa Hkh miyCèk gks

ldrs gSaA

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

53

43-

ulZ çSfDV'kulZ bu Qsfeyh gSYFk 'kkjhfjd tkap djrs gSa] fpfdRlh; bfro`Ùk ,d=

djrs gSa] vkSj vius jksfx;ksa dk funku djrs gSaA

44-

Qsfeyh ulZ çSfDV'kuj ds :i esa lQyrk ds fy, LokLF; tkap vkSj vkadyu ds

mi;ksx dh vko';drk gksrh gS] ftlls dSalj] eèkqesg ;k ân; jksx tSls iqjkus ;k th.kZ jksxksa dk 'kh?kz irk yxkus esa

enn feyrh gSA

45-

,d ckj funku gks tkus ij] Qsfeyh ulZ çSfDV'kuj ,d çHkkoh

mipkj rS;kj djrk gS] ftlesa thou'kSyh esa cnyko] QkekZL;qfVdy eè;orZu] fQthdy Fksjsih] ;k fdlh fo'ks"kK ds

ikl fufnZ"V djuk 'kkfey gks ldrk gSA

46-

vius vH;kl ds nkSjku] Qsfeyh ulZ çSfDV'kulZ ds ikl laHkor%

eèkqesg] xfB;k] ;k lwtu tSls iqjkus jksxksa ls tw>us okys jksxh+ vk,axsA muds dk;Z dk ,d fgLlk jksfx;ksa dks bu jksxksa

ls fuiVus vkSj çcaèku djuk lh[kus esa enn djuk gSA

47-

,uih,Q,p] jksfx;ksa dks LoLFk thou 'kSyh thus vkSj jksx ds tksf[ke dks de djus dh lykg Hkh nsrk

gSA blesa iks"k.k lacaèkh dksÇpx ;k çHkkoh ruko çcaèku ij ;qfDr;ka gks ldrh gSaA cPpksa ;k fd'kksjksa dk mipkj djrs

le;] ulZ çSfDV'kulZ bu Qsfeyh gSYFk dks ekrk&firk ;k vfHkHkkodksa dks ns[kHkky ;kstukvksa ds ckjs esa Hkh crkuk

pkfg,A

48-

ulZ çSfDV'kuj bu Qsfeyh gSYFk ds uSnkfud vH;kl dks ç;ksxkRed dk;Z ;k 'kksèk ds vU; :iksa

ds lkFk loafèkZr fd;k tk ldrk gS] ftlls çHkkoh jksxh ns[kHkky ds ckjs esa mudh le> dks xgjk djus esa enn

feysxhA

49-

,uih,Q,p tks lkeqnkf;d Dyhfudksa ;k tfVy ns[kHkky lqfoèkkvksa esa dke djrk

gS] leqnk; ds Hkhrj LoLFk thou dks c<+kok nsus ds fy, ftEesnkj gks ldrk gSA

50-

dqN ns[kHkky lanHkks± esa] mUur vH;kl uls± ns[kHkky ds mPp ekud çnku djus ds

fy, lk>snkjh djrs gq, fpfdRldksa ds lkFk feydj dke dj ldrs gSaA ,uih,Q,p dks vius jksfx;ksa dks çklafxd

fo'ks"kKksa] tSls lClVsal ,C;wt dksp] ekufld LokLF; ns[kHkky çnkrkvksa] vkWUdksykWftLV vkfn ds ikl Hkstus ds fy,

Hkh rS;kj jguk pkfg,A

1- xHkZèkkj.k iwoZ vkSj çloiwoZ ns[kHkky

2- LoLFk efgyk vkSj jksx dh ns[kHkky

3- LoLFk f’k’kq vkSj jksx dh ns[kHkky

4- NksVh&eksVh xaHkhj pksVksa lfgr lHkh mez ds yksxksa ds fy, xaHkhj jksxksa dh çklafxd ns[kHkky

5- mPp jDrpki] eèkqesg] vLFkek vkfn tSls iqjkus jksxksa dk çcaèku

6- ân; jksx vkSj U;wjkseLdqyj fLFkfr;ksa tSlh laHkkfor vfLFkj fLFkfr;ksa ds fy, ,d fo'ks"kK ds lkFk çkFkfed ns[kHkky

fLFkfr;ksa dh fuxjkuh vkSj lg&çcaèku

7- fdlh nh?kZdkfyd jksx ;k fLFkfr dk çcaèku vkSj iquokZl

[जवज्ञापन-III/4/असा./843/2024-25]

INDIAN NURSING COUNCIL

NOTIFICATION

New Delhi, the 18th December, 2024

INDIAN NURSING COUNCIL {NURSE PRACTITIONER IN FAMILY HEALTH (NPFH) -

POSTGRADUATE RESIDENCY PROGRAM} REGULATIONS, 2024

F.No. 11-1/2024-INC (VI):––In exercise of the powers conferred by sub-section (1) of Section 16 of Indian

Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby

makes the following regulations, namely:—

1. SHORT TITLE AND COMMENCEMENT

i. These Regulations may be called the Indian Nursing Council {Nurse Practitioner in Family Health

(NPFH) - Postgraduate Residency Program} Regulations, 2024.

ii. These shall come into force on the date of notification of the same in the Official Gazette of India.

54

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

2. DEFINITIONS

In these Regulations, unless the context otherwise requires,

i. ‘the Act’ means the Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time;

ii. ‘the Council’ means the Indian Nursing Council constituted under the Act;

iii. ‘SNRC’ means the State Nurse and Midwives Registration Council, by whichever name constituted, by the

respective State Governments;

iv. ‘RN & RM’ means a Registered Nurse and Registered Midwife (RN & RM) and denotes a nurse who has

completed successfully, recognised Bachelor of Nursing (B.Sc. Nursing) or Diploma in General Nursing and

Midwifery (GNM) course, as prescribed by the Council and is registered in a SNRC as Registered Nurse and

Registered Midwife;

v. ‘Nurses Registration & Tracking System (NRTS)’ means a system developed by the Council and software

developed in association with National Informatics Centre (NIC), Government of India, and hosted by NIC

for the purpose of maintenance and operation of the Indian Nurses Register. It has standardised forms for

collection of the data of Registered Nurse and Registered Midwife (RN & RM)/Registered Auxiliary Nurse

Midwife (RANM)/Registered Lady Health Visitor (RLHV) upon Aadhar based biometric authentication;

vi. ‘NUID’ is the Nurses Unique Identification Number given to the registrants in the NRTS system;

vii. ‘General Nursing and Midwifery (GNM)’ means Diploma in General Nursing and Midwifery qualification

recognized by the Council under Section 10 of the Act and included in Part-I of the Schedule of the Act.

NURSE PRACTITIONER IN FAMILY HEALTH (NPFH) -

POSTGRADUATE RESIDENCY PROGRAM

I.

Introduction and Background

In India, reshaping health systems in all dimensions of health has been recognized as an important need in the

National Health Policy, 2017 (NHP, 2017). It emphasizes human resource development in the areas of education and

training alongside regulation and legislation. The government recognizes significant expansion in specialty and super

specialty services both in public and private health sectors. It is highly significant that the health care professionals

require advanced educational preparation in building their capacity in providing specialized care. Developing training

programs and curriculum in the area of care is recognized as the need of the hour. Nurse Practitioners will be able to

meet this demand provided they are well trained and empowered to practice. With establishment of new cadres in the

Centre and State level, master level prepared NPs particularly Nurse Practitioners in Family Health will be able to

provide cost effective, competent, safe and quality driven primary health care to patients in various community

settings. Nurse practitioners have been prepared and functioning in USA since 1960s, UK since 1980s, Australia since

1990s and Netherlands since 2010.

Nurse Practitioners in Family Health (NPFH) can be prepared to function in primary and secondary care settings.

Rigorous educational preparation will enable them to assess and participate in treating patients with acute and chronic

illnesses both for prevention and promotion of health. A curricular structure/framework is proposed by the Council

towards preparation of Nurse Practitioner in Family Health (NPFH) Program at Masters Level. The special feature of

this program is that it is a clinical residency program emphasizing a strong clinical component with 15% of theoretical

instruction and 85% of practicum. Competency based training is the major approach and NP education is based on

competencies adapted from International Council of Nurses (ICN, 2020), and NONPF Competencies (2022). Every

course is based on achievement of nurse practitioner competencies.

Nurse Practitioner in Family Health (NPFH) – Residency Program is intended to prepare registered B.Sc. Nurses

to provide advanced nursing care to patients who are acutely and chronically ill, using family centered approach. The

nursing care is focused on stabilizing patients’ condition, minimizing complications and maximizing restoration of

health. These Nurse Practitioners in Family Health are required to practice in primary or secondary health care

settings. The program consists of various courses of study that are based on strong scientific foundations including

evidenced based practice and the management of complex health systems. These are built upon the theoretical and

practice competencies of B.Sc. trained nurses. On completion of the program and registration with respective SNRC,

they are permitted to practice all competencies listed in the log book of the Council syllabus and also independently

administer drugs and order diagnostic tests, procedures, medical equipment and therapies as per institutional

protocols/standing orders.

The Nurse Practitioners in Family Health, when exercising this authority, are accountable for demonstrating the

competencies in

a) Using scientific knowledge and theoretical foundations in family health related nursing practice.

b) Patient selection/admission and discharge in various health care settings.

c) Problem identification through appropriate assessment.

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

55

d) Selection/administration of medication or devices or therapies.

e) Patients’ education for use of therapeutics.

f)

Knowledge of interactions of drugs/therapeutics.

g) Evaluation of outcomes.

h) Recognition and management of complications and untoward reactions.

i)

Providing guidance, consultation, mentorship and educational experiences to students, nurses and other

health professionals regarding family health care.

j)

Contribution towards evidence-based innovations in family health nursing practice.

The Nurse Practitioner in Family Health is prepared and qualified to assume responsibility and accountability for

the care of family under his/her care.

The said postgraduate degree will be registered as an additional qualification by the SNRC.

Philosophy

The Council believes that there is a great need to establish a postgraduate program titled Nurse Practitioner in

Family Health (NPFH) to meet the challenges and demands of primary and secondary health care services in India

which is reflected in the National Health Policy, 2017 in order to provide quality care to acutely and chronically ill

patients and families in various family health care settings.

The Council believes that postgraduates from a residency program focused on strong clinical component and

competency-based training must be able to demonstrate clinical competence based on sound theoretical and evidence-

based knowledge. The teaching learning approach should focus on adult learning principles, competency-based

education, collaborative learning, clinical learning by medical and nursing preceptors, experiential learning and self-

directed learning. Education providers/preceptors/mentors must update their current knowledge and practices. Medical

faculty are invited to participate as preceptors in the training.

The Council also believes that a variety of educational strategies can be used in the clinical settings to address the

deficit of qualified Family Health Nursing faculty. It is hoped to facilitate developing policies towards

registration/licensure and create cadre positions for appropriate placement of these postgraduate NPs in Family Health

to function in primary health care settings.

An educational framework for the Nurse Practitioners in Family Health (NPFH) curriculum is proposed as under

(See Figure 1).

56

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Figure 1. Nurse Practitioner in Family Health (NPFH) - An Educational Curricular Framework

II. Program Description

The Nurse Practitioner in Family Health (NPFH) program is a nursing residency program with a main focus on

competency-based training. The duration is of two years with the curriculum consisting of theory that includes core

courses, advanced practice courses and clinical courses besides clinical practicum which is a major component (Refer

Curricular Framework in Figure 1).

III. Aim

The NPFH program prepares registered B.Sc. nurses for advanced practice roles such as clinical experts,

managers, educators and consultants as nurse practitioners leading to M.Sc. Nursing (NP in Family Health).

IV. Objectives

On completion of the program, the NPFH will be able to

1. Assume responsibility and accountability to provide competent care to acutely and chronically ill patients and

families using family centered approach in primary and secondary care centers/settings.

2. Demonstrate clinical competence/expertise in providing care which includes assessment, diagnostic

reasoning, monitoring, therapies, home care and rehabilitation.

3. Apply theoretical, pathophysiological and pharmacological principles and evidence base in implementing

care.

4. Assess and participate in treating patients with critical illnesses to stabilize and restore patient’s health and

minimize or manage complications independently or collaboratively as a part of team.

5. Collaborate with other health care professionals in the team, across the continuum of care.

V. Minimum requirements to start the Nurse Practitioner in Family Health (NPFH) Program

The institution must accept the accountability for the NPFH program and its students and offer the program

congruent with the Council standards. It must fulfill the following requirements:

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

57

1. Essentiality Certificate

a.

Any institution who wishes to start Nurse Practitioner in Family Health Program shall obtain an Essentiality

Certificate/Government Order from the State.

b. The following institutions are exempted from obtaining Essentiality Certificate:

(i) Institutions/Universities already offering B.Sc. Nursing or M.Sc. Nursing programs and found suitable

by the Council under Sections 13 and 14 of the Act;

(ii) Institutions/Universities offering MBBS/DNB programs.

2. Clinical Facilities

Minimum Bed Strength and Other Clinical Facilities

•

The hospital should be a tertiary care centre, with a minimum of 200 beds.

•

There should be well established department of community medicine/family medicine.

•

Adopted Community Health Areas - Rural/Urban/Tribal Settings - 30,000 population with a secondary health

care facility.

•

Affiliated Rural Hospital/CHC/PHC and Health & Wellness Centre (Sub Centre).

•

Outpatient facilities to treat general illness, Communicable and Non-Communicable diseases, Pediatric,

Obstetric, Gynecological and mental health conditions.

•

In patient facility for Pediatrics, Geriatrics, Communicable and Non-Communicable diseases, Obstetrical and

Gynecological conditions.

•

Maternal and Neonatal units.

•

8-10 level II neonatal beds.

•

Well established departments of general medicine and pediatrics.

•

Referral links to tertiary care hospital.

•

Affiliation with level III neonatal beds.

•

Special Clinics: RCH clinic, TB clinic, leprosy clinic, malaria clinic, diabetic clinic and psychiatric clinic.

3. Faculty/Staff Resources

a.

Clinical Area

i. Nursing Preceptor: Full time qualified GNM with 6 years of experience in Primary Health Care/ Family

Health Nursing or B.Sc. Nursing with 2 years’ experience in Primary Health Care/Family Health

Nursing or M.Sc. (Specialty - Community Health Nursing, Medical Surgical Nursing/ Pediatric

Nursing/Obstetrics & Gynecology Nursing) with one year of Primary Health Care/Family Health

Nursing experience.

ii. Medical Preceptor: Medical PG/Consultant in Family Medicine, Community Medicine and Pediatrics,

Obstetrics, Geriatrics, General Medicine.

iii. Preceptor Student Ratio: Nursing 1:10, Medical 1:10 (Every student must have a medical and a nursing

preceptor).

b. Teaching Faculty

i. Professor/Associate Professor: 1 (Teaching experience: 5 years post PG-M.Sc. Specialty – Nurse

Practitioner in Family Health (NPFH) / Community Health Nursing / Medical Surgical Nursing /

Pediatric Nursing / Obstetrics & Gynecology Nursing) (One faculty for every 10 students).

ii. Assistant Professor: 1 (M.Sc. Nursing with 3 years of teaching experience).

c.

The above faculty shall perform dual role or be a senior nurse with M.Sc. Nursing qualification in the

specialty.

d. Guest Lecturers for Pharmacology, Pathophysiology, Family Medicine.

4. Physical and Learning Resources at Hospital/College

a.

One class room/conference room at the clinical area.

b. Skill lab for simulated learning (hospital/college).

c.

Library and computer facilities with access to online/offline journals.

d. E-learning facilities.

5. List of equipment for Advanced Clinical Assessment/Community Health Nursing Skill Lab (Appendix 1a).

6. Student Recruitment/Admission Requirements

a.

Applicants must be a registered B.Sc./P.B.B.Sc. nurse with a minimum of one year clinical experience,

preferably in any Community/Family Health Care setting prior to enrollment.

b. Must have undergone B.Sc. Nursing in an institution found suitable by the Council and have been registered

by the respective SNRC.

c.

Must have scored not less than 55% aggregate marks in the B.Sc. Nursing program.

d. Selection must be based on the merit of an entrance examination and interview held by the competent

authority.

e.

Must be physically fit.

58

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Number of Candidates: 1 candidate for one family care center serving 10,000 population or 4 candidates where there

is a family medicine department with family medicine training, serving 40,000-50,000 population.

Salary

1. In-service candidates will get regular salary.

2. Stipend/Salary for the other candidates as per the salary structure of the hospital where the program is conducted.

VI. Examination Regulations

Eligibility for appearing for the Examination

Attendance: Minimum 80% for theory and practical before appearing for final University examination but must

complete 100% in practical before the award of degree.

There is no minimum cut off for internal assessment marks, as internal and external marks are added together for

declaring pass.

Examining and Degree Awarding Authority: Respective University.

Declaration of Results

The candidate is declared to have passed the exam if the score is 60% and above. This score is the aggregate of

both internal and external University examination in theory and practical in every course/subject and less than 60% is

fail.

For calculating the rank, the aggregate of the two years’ marks will be considered.

If a candidate fails in theory or practical, he/she must appear for the paper in which he/she has failed.

Rank will not be declared for candidates who fail in any subject. Maximum period to complete the program is 4

years.

Practical Examination

OSCE type of examination is to be followed alongside viva (oral examination) - Refer OSCE Guidelines found in

Appendix 2.

Maximum number of students for practical exam per day is 10 students. Examination is to be held in clinical area

only.

The team of three practical examiners will include

i. one internal examiner {M.Sc. Nursing faculty with two years of experiences in teaching the NPFH program/

M.Sc. Nursing faculty with specialty - Community Health Nursing (NPFH preferable) and with 5 years of

post PG experience}.

ii. one external examiner (same as above).

iii. one medical internal examiner who should have served as preceptor for NPFH program.

Dissertation*

Research Guides: Main guide: Nursing faculty (3 years Post PG experience) teaching NPFH program,

Co-guide: Medical preceptor.

Submission of Research Proposal: 6-9 months after date of admission in the first year.

Guide Student Ratio: 1:5

Research Committee: There shall be a separate research committee in the college/hospital to guide and oversee

the progress of the research (minimum of 5 members with Principal or CNO who is M.Sc. Nursing qualified).

Ethical Clearance must be obtained by the Institutional Review Board/Hospital Ethics Committee since it

involves clinical research.

Topic Selection: The topic should be relevant to Family Health Nursing that will add knowledge or evidence for

nursing intervention. The research should be conducted in any of the family health care settings/primary or secondary

care settings.

Data Collection: 7 weeks are allotted for data collection, which can be integrated during clinical experience after

6 months in first year and before 6 months in second year.

Writing the Research Report: 6-9 months in second year.

Submission of Dissertation Final: 3 months before completion of the second year.

Dissertation Examination

Internal Assessment: Viva & Dissertation Report = 50 marks

University Examination: Viva & Dissertation Report = 50 marks

(Marking guide used for other M.Sc. Nursing specialties can be used for evaluation).

*EBP project may be conducted in place of dissertation and report submitted for evaluation.

VII. Assessment (Formative and Summative)

• Quiz

• Seminar

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

59

• Written assignments/Term papers

• Case/Clinical presentation

• Clinical or care pathway/Case study report

• Clinical performance evaluation

• Log Book (Procedural Competency list and clinical requirements) counter signed by the medical/nursing

faculty/preceptor

• Objective Structured Clinical Examination (OSCE)

• Test papers

• Final examination

(See Appendix 2 for Assessment Guidelines)

Scheme of Final Examination

S.No.

Title

Theory %

Practical %

Hours Internal External Hours Internal External

Ist year

Core Courses

1

Theoretical Basis for Advanced Practice

Nursing

2

50

2

Research Application and Evidence-based

Practice in Family Health Nursing

3

30

70

3

Advanced Skills in Leadership, Management

and Teaching

3

30

70

Advanced Practice Courses

4

Advanced Pathophysiology &

Advanced Pharmacology applied to Family

Health Nursing

3

30

70

5

Advanced Health/Physical Assessment

3

30

70

50

50

IInd year

Specialty Courses

1

Foundations of Family Health Nursing Practice

3

30

70

100

100

2

Family Health Nursing I

3

30

70

100

100

3

Family Health Nursing II

3

30

70

100

100

4

Dissertation/EBP Project and Viva

50

50

VIII. Courses of Instruction

S.No.

Title

Theory

(hours)

Lab/Skill Lab

(hours)

Clinical (hours)

Ist year

Core Courses

I

Theoretical Basis for Advanced Practice Nursing

40

II

Research Application and Evidence-based Practice in

Family Health Nursing

56

24

336 (7 weeks)

III

Advanced Skills in Leadership, Management and

Teaching

56

24

192 (4 weeks)

Advanced Practice Courses

IV

Advanced Pathophysiology applied to Family Health

Nursing

60

336 (7 weeks)

V

Advanced Pharmacology applied to Family Health

Nursing

54

336 (7 weeks)

60

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

S.No.

Title

Theory

(hours)

Lab/Skill Lab

(hours)

Clinical (hours)

VI

Advanced Health/Physical Assessment

70

48

576 (12 weeks)

TOTAL = 2208 hours

336 (7 weeks)

96 (2 weeks)

1776 (37 weeks)

IInd year

Specialty Courses

VII Foundations of Family Health Nursing Practice

96

48

576 (12 weeks)

VIII Family Health Nursing I

96

48

576 (12 weeks)

IX

Family Health Nursing II

96

48

624 (13 weeks)

TOTAL = 2208 hours

288 (6 weeks)

144 (3 weeks) 1776 (37 weeks)

Number of weeks available in a year = 52 - 6 (Annual leave, Casual leave, Sick leave = 6 weeks) = 46 weeks × 48

hours = 2208 hours (Examination during clinical posting)

Two years = 4416 hours

Instructional hours: Theory = 624 hours, Skill Lab = 240 hours, Clinical = 3552 hours

TOTAL = 4416 hours

Ist year: 336-96-1776 hours (Theory-Skill Lab-Clinical) [Theory = 15%, Practicum (Skill Lab & Clinical = 85%)]

IInd year: 288-144-1776 hours (Theory-Skill Lab-Clinical) [Theory = 15%, Practicum = 85%]

Ist year = 46 weeks/2208 hours (46 × 48 hours) (Theory + Lab: 7.5 hours per week for 44 weeks = 330/336+96

hours*)

*Theory + Lab = 96 hours can be given for 2 weeks in the form of introductory block classes and workshops

IInd year = 46 weeks/2208 hours (46 × 48 hours) (Theory + Lab: 8.5 hours per week for 45 weeks = 384+48 hours)

(1 week Block Classes = 48 hours)

CLINICAL PRACTICE

A. Clinical Residency Experience A minimum of 48 hours per week is prescribed, however, it is flexible with

different shifts and OFF followed by ON CALL duty in Secondary Health Care facility.

B. 8 hours duty with one day OFF in a week and ON CALL duty once per week.

Clinical Placements

Ist year: 44 weeks (excludes 2 weeks of introductory block classes and workshop)

•

Medical wards - 10 weeks

•

Surgical wards - 6 weeks

•

Cardiology ward - 2 weeks

•

Oncology ward - 2 weeks

•

Neurology ward - 2 weeks

•

Nephrology ward - 2 weeks

•

Emergency department - 2 weeks

•

Rehabilitation unit - 2 weeks

•

Obstetrics wards - 2 weeks

•

Pediatric wards - 4 weeks (including 1 week of Pediatric Emergency Unit)

•

Intensive Care units - 4 weeks

Outpatient Department (OPDs)

•

Pediatric OPD - 2 weeks

•

OG OPD - 2 weeks

•

Psychiatry OPD - 2 weeks

IInd year: 45 weeks (excludes one week of block classes)

•

Emergency Department - 2 weeks

•

ICU - 2 weeks

•

Community Area for field practice (Home care) - 6 weeks

o

Urban - 2 weeks

o

Rural - 2 weeks

o

Tribal - 2 weeks

•

Outreach/Mobile Clinics - 2 weeks

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

61

o

Rural - 1 week

o

Urban - 1 week

•

Sub centers - 2 weeks

•

Primary Health Centers - 2 weeks

•

Community Health Centers - 2 weeks

•

District Hospital - 2 weeks

•

Out Patient Department (to include) - 3 weeks

o

Pediatric OPD - 1 week

o

OG OPD - 2 weeks

•

Secondary Health Care Facility/Community-based Hospital - 4 weeks

•

Communicable Disease Ward - 2 weeks

•

Palliative Care Centers and Hospice - 3 weeks

•

Labor Room - 3 weeks

•

Psychiatry wards - 2 weeks

•

Schools - 2 weeks

•

Occupational health units - 1 week

•

Geriatric ward/homes - 2 weeks

•

Field Visits - 3 weeks

C. Teaching Methods

Teaching: Theoretical, Lab & Clinical can be done in the following methods and integrated during clinical

posting

•

Experiential learning

•

Reflective learning

•

Simulation

•

Clinical conference

•

Case/clinical presentation

•

In-depth drug study, presentation and report

•

Nursing rounds

•

Clinical seminars

•

Journal clubs

•

Case study/Clinical or care pathway

•

Advanced health assessment

•

Faculty lecture in the clinical area

•

Directed reading

•

Assignments

•

Case study analysis

•

Workshops

•

Epidemiological investigation

•

Disease surveillance

•

Clinical project

•

IEC activities

•

FGD - Using PRA

D. Procedures/Log Book

At the end of each Clinical Posting, Clinical Log Book (Specific Procedural Competencies/Clinical Skills)

(Appendix 3) and Clinical Requirements (Appendix 4) have to be signed by the preceptor/faculty every fortnight.

E. NPFH Competencies (Adapted from ICN, 2020)

1. Uses advanced comprehensive assessment, diagnosis, treatment planning, implementation and evaluation

skills.

2. Applies and adapts advanced skills in complex and/or unstable environments.

3. Applies sound advanced clinical reasoning and decision making to inform, guide and teach in practice.

4. Documents assessment, diagnosis, management and monitors treatment and follow-up care in partnership

with the patient.

5. Administer drugs and treatments according to institutional protocols.

62

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

6. Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and

discontinue therapeutic relationships.

7. Refers to and accepts referrals from other health care professionals to maintain continuity of care.

8. Practices independently where authorized and the regulatory framework allows in the interest of the patients,

families and communities.

9. Consults with and is consulted by other health care professionals and others.

10. Works in collaboration with health team members in the interest of the patient.

11. Develops a practice that is based on current scientific evidence and incorporated into the health management

of patients, families and communities.

12. Uses research to produce evidence-based practice to improve the safety, efficiency and effectiveness of care

through independent and inter-professional research.

13. Engages in ethical practice in all aspects of the APN role and responsibility.

14. Accepts accountability and responsibility for own advanced professional judgement, actions, and continued

competence.

15. Creates and maintains a safe therapeutic environment through the use of risk management strategies and

quality improvement.

16. Assumes leadership and management responsibilities in the delivery of efficient advanced practice nursing

services in a changing health care system.

17. Acts as an advocate for patients in the health care systems and the development of health policies that

promote and protect the individual patient, family and community.

18. Adapts practice to the contextual and cultural milieu.

F. Scope of Practice

The scope of practice for NPFH is fairly wide, as NPs in FH manages patients of all ages and often operate in

primary/secondary care setting rather than specialized care setting. The scope of responsibility for a nurse practitioner

may range from pediatric to geriatric care. Refer Appendix 6 for responsibilities of NPFH.

G. Institutional Protocol/Standing Order-based administration of drugs & ordering of investigations and

therapies

The students will be trained to independently administer drugs and order diagnostic tests, procedures, medical

equipment and therapies as per institutional protocols/standing orders (Appendix 5 Standing Orders). Administration

of emergency drugs is carried out in consultation with concerned physician and endorsed later by written orders.

Implementation of Curriculum - A Tentative Plan

Ist year Courses

Introductory

Classes

Workshop Theory integrated

into Clinical

Practicum

Methods of Teaching

(Topic can be specified)

1. Theoretical Basis for

Advanced Practice Nursing

(40)

8 hours

1×32=32 hours

• Seminar/Theory Application

• Lecture (Faculty)

2. Research Application and

Evidence-based Practice in

Family Health Nursing

(56+24)

8 hours

40 (5 days)

+8 hours

1×24=24 hours

• Research Study Analysis/

Exercise/Assignment (Lab)

3. Advanced Skills in

Leadership, Management

and Teaching (56+24)

12+2 hours

(Block

classes)

1×26=26 hours

2.5×16=40 hours

• Clinical Conference

• Seminar/Exercises/ Assignment

(Lab)

4. Advanced Pathophysiology

applied to Family Health

Nursing (60)

1.5×40=60 hours

• Case Presentation

• Seminar

• Clinical Conference

5. Advanced Pharmacology

applied to Family Health

Nursing (54)

10 hours

1×44=44 hours

• Nursing Rounds

• Drug Study Presentation

• Standing Orders/Presentation

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

63

6. Advanced Health/Physical

Assessment (70+48)

8 hours

2×26=52 hours

1.5×18=27 hours

1×15=15 hours

2×6=12 hours

2×2=4 hours

• Clinical Demonstration

(Faculty)

• Return Demonstration

• Nursing Rounds

• Physical Assessment

(all systems)

• Case Study

TOTAL

48 hours

48 hours

336 hours

Ist year: Introductory classes = 1 week (48 hours), Workshop = 1 week (48 hours), 44 weeks = 7.5 hours per week

(330/336 hours)

IInd year Courses

1 week Block Classes (48 hours)

Theory including Skill Lab

integrated into Clinical

Practicum

Methods of Teaching

1. Foundations of Family Health

Nursing Practice

(96+48) = 144 hours

9 hours × 16 weeks = 144 hours • Demonstration (Lab)

• Return Demonstration (Lab)

• Clinical Teaching

• Case Study

• Seminar

• Clinical Conference

• Faculty Lecture

2. Family Health Nursing 1

(96+48) = 144 hours

9 hours × 16 weeks = 144 hours • Demonstration (Lab)

• Return Demonstration (Lab)

• Clinical Conference/Journal Club

• Seminar

• Case Presentation

• Drug Study (including Drug Interaction)

• Nursing Rounds

• Faculty Lecture

3. Family Health Nursing II

(96+48) = 144 hours

9 hours × 16 weeks = 144 hours • Demonstration (Lab)

• Return Demonstration

• Nursing Rounds

• Clinical Conference/Journal Club

• Seminar

• Faculty Lecture

IInd year: Block classes = 1 week, 45 weeks = 8.5/9 hours per week

Topic for every teaching method will be specified in the detailed plan by the respective teacher/institution concerned.

CORE COURSES

I.

Theoretical Basis for Advanced Practice Nursing

COMPETENCIES

1. Analyses the global health care trends and challenges.

2. Analyses the impact of health care and education policies in India on nursing, consulting the documents available.

3. Develops in depth understanding of the health care delivery system in India, and its challenges.

4. Applies economic principles relevant to delivery of health care services in Family Health Nursing.

5. Manages and transforms health information to effect health outcomes such as cost, quality and satisfaction.

6. Accepts the accountability and responsibility in practicing the Nurse Practitioner’s roles and competencies.

7. Actively participates in collaborative practice, involving all health care team members in family health care and

performs the prescriptive roles within the authorized scope.

8. Engages in ethical practice having a sound knowledge of law, ethics and regulation of advanced nursing practice.

9. Uses the training opportunities provided through well planned preceptorship and performs safe and competent

care applying nursing process/care pathways or clinical pathways.

10. Applies the knowledge of nursing theories in providing competent family health nursing care to acutely and

chronically ill people in various health care settings.

11. Predicts future challenges of Nurse Practitioner’s roles in variety of healthcare settings particularly in India.

Hours of Instruction: Theory: 40 hours

64

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

S.No.

Topic

Hours

1.

Global Health Care Challenges and Trends (Competency 1)

2

2.

Health System in India -

Health Care Delivery System in India - Changing Scenario (Competency 3)

2

3.

National Health Planning - 5-Year Plans and National Health Policy (Competency 2)

2

4.

Health Economics & Health Care Financing (Competency 4)

4

5.

Health Information System including Nursing Informatics (Use of Computers & Technology)

(Competency 5)

4

Advanced Practice Nursing (APN)

6.

APN - Definition, Scope, Philosophy, Accountability, Roles & Responsibilities (Collaborative

Practice and Nurse Prescribing Roles) (Competency 6 & 7)

3

7.

Regulation (Accreditation of Training Institutions and Credentialing) & Ethical Dimensions of

Advanced Practice Nursing Role (Competency 8)

3

8.

Nurse Practitioner - Roles, Types, Competencies, Clinical settings for Practice, Cultural

Competence (Competency 6)

3

9.

Training for NPs - Preceptorship (Competency 9)

2

10. Future Challenges of NP Practice (Competency 11)

4

11. Theories of Nursing applied to APN (Competency 10)

3

12. Nursing Process/Care Pathway applied to APN (Competency 9)

2

Self-Learning Assignments

6

1.

Identify Health Care and Education Policies and analyze its impact on Nursing

2.

Describe the legal position in India for NP practice. What is the future of nurse prescribing policies

in India with relevance to these policies in other countries?

3.

Examine the nursing protocols relevant to NP practice found in institutions inside and outside the

country

Total

40 hours

Bibliography

•

AACN (2021) The Essentials: Core Competencies for Professional Nursing Education - Entry Level and

Advanced Level Nursing Education, American Association of Colleges of Nursing

•

DeNisco & Barkers A.M. (2015) Advanced Practice Nursing: Essential Knowledge for the Profession (3rd ed.)

Massachusetts: Jones & Bartlett Publishers Inc.

•

Hickey J.V., Ouimette R.M. & Venegoni S.L. (1996) Advanced Practice Nursing: Changing Roles and Clinical

Applications, Philadelphia: Lippincott Williams & Wilkins

•

ICN (2020) Guidelines on Advanced Practice Nursing, Geneva: ICN

•

NONPF (2022) Nurse Practitioner Role Competencies, National Organization of Nurse Practitioner Faculties

•

Schober M. & Affara F.A. (2006) Advanced Nursing Practice, Oxford: Blackwell Publishing

•

Stewart G.J. & DeNisco S.M. (2015) Role Development for the Nurse Practitioner, USA: Springer Publishing

Company

II. Research Application and Evidence-based Practice in Family Health Nursing

COMPETENCIES

1. Applies sound research knowledge and skills in conducting independent research in Family Health Nursing.

2. Participates in collaborative research to improve patient care quality.

3. Interprets and uses research findings in advanced practice to produce EBP.

4. Tests/evaluates current practice to develop best practices and health outcomes and quality care in advanced

practice.

5. Analyzes the evidence for nursing interventions carried out in Family Health Nursing practice to promote safety

and effectiveness of care.

6. Develops skill in writing scientific research reports.

Hours of Instruction: Theory: 56 hours + Lab/Skill Lab: 24 hours = 80 hours

S.No.

Topic

Hours

1.

Research and Advanced Practice Nursing

2

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

65

S.No.

Topic

Hours

Significance of research and inquiry related to advanced nursing role (Competency 1)

2.

Research Agenda for APN Practice

Testing current practice to develop best practice, health outcomes and indicators of quality care

in advanced practice (Competency 3, 4, 5), promoting research culture

5

3.

Research Knowledge and Skills

Research competencies essential for APNs (interpretation and use of research, evaluation of

practice, participation in collaborative research)

Introduction to Evidence Based Practice (EBP) project - PiCOT question, steps of planning,

implementation, evaluation and dissemination (project proposal and project report)

Research Methodology

Phases/steps (Research question, review of literature, conceptual framework, research designs,

sampling, data collection, methods & tools, Analysis and Reporting)

Writing research proposal and research report (Competency 1 & 2)

40

(5 days

workshop)

4.

Writing for Publication

(Writing workshop - Manuscript preparation and finding funding sources) (Competency 6)

5

(workshop)

5.

Evidence-based Practice

- Concepts, principles, importance and steps

- Integrating EBP to Family Health Nursing care settings

- Areas of evidence in Family Health Nursing care

- Barriers to implement EBP

- Strategies to promote EBP (Competency 3, 4, 5)

4

Total

56 hours

Lab/Skill Lab & Assignments: 24 hours

•

Identifying research priorities

•

Writing exercises on research question, objectives and hypothesis

•

Writing research proposal

•

Scientific paper writing - preparation of manuscript for publication

•

Writing systematic review/literature review - Analyze the evidence for a given nursing intervention in family

health care settings.

Practicum

•

Research Practicum: Dissertation ( 336 hours = 7 weeks)/Evidence Based Practice Project (EBP project)

Bibliography

•

Gray J. & Grove S.K. (2020) The Practice of Nursing Research: Appraisal, Synthesis and Generation of Evidence

(9th ed.) St. Louis: Elsevier Saunders

•

Polit D.F. & Beck C.T. (2021) Nursing Research: Generating and Assessing Evidence for Nursing Practice (11th

ed.) New Delhi: Wolters & Kluwer

•

Schmidt N.A. & Brown J.M. (2021) Evidence-based Practice for Nurses Appraisal and Application of Research,

Sd: Jones & Bartlett Publishers Inc.

III. Advanced Skills in Leadership, Management and Teaching

COMPETENCIES

1. Applies principles of leadership and management in Family Health Care settings.

2. Manages stress and conflicts effectively in a Family Health Nursing setting using sound knowledge of principles.

3. Applies problem solving and decision-making skills effectively.

4. Uses critical thinking and communication skills in providing leadership and managing patient care in primary and

secondary care/family health care settings.

5. Builds teams and motivates others in family health care.

6. Develops unit budget, manages supplies and staffing effectively.

7. Participates appropriately in times of innovation and change.

8. Uses effective teaching methods, media and evaluation based on sound principles of teaching.

9. Develops advocacy role in patient care, maintaining quality and ethics in Family Health Care settings.

66

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Hours of Instruction: Theory: 56 hours + Lab/Skill Lab: 24 hours = 80 hours

S.No.

Topic

Hours

1.

Theories, styles of leadership and current trends

2

2.

Theories, styles of management and current trends

2

3.

Principles of leadership and management applied to Family Health Care settings

4

4.

Stress management and conflict management - principles and application to primary care

environment, effective time management

4

5.

Quality improvement and audit

4

6.

Problem solving, critical thinking and decision making, communication skills applied to family

health nursing practice.

5

7.

Team building, motivating and mentoring within family health care settings

2

8.

Budgeting and management of resources including human resources - budget, material

management, staffing, assignments

5

9.

Change and innovation

2

10. Staff performance, and evaluation (performance appraisals)

6

11. Teaching-learning theories and principles applied to Family Health Nursing

2

12. Competency-based education and outcome-based education

2

13. Teaching methods/strategies, media: educating patients, families and staff in Family Health Care

settings

8

14. Staff education and use of tools in evaluation

4

15. APN - Roles as a teacher

2

16. Advocacy roles in Family Health Care settings

2

Total

56 hours

Lab/Skill Lab: 24 hours

•

Preparation of staff patient assignment

•

Preparation of unit budget

•

Preparation of staff duty roster

•

Patient care audit

•

Preparation of nursing care standards and protocols

•

Management of equipment and supplies

•

Monitoring, evaluation, and writing report of infection control practices

•

Development of teaching plan

•

Micro teaching/patient education sessions

•

Preparation of teaching method and media for patients and staff

•

Planning and conducting OSCE/OSPE

•

Construction of tests

Assignment: Work place violence/Mob violence

Bibliography

•

Bastable S.B. (2019) Nurse as Educator: Principles of Teaching and Learning for Nursing Practice (5th ed.) New

Delhi: Jones & Bartlett Publishers Inc.

•

Billings D.M. & Halstead J.A. (2019) Teaching in Nursing: A Guide for Faculty (6th ed.) St. Louis Missouri:

Saunders Elsevier

•

Clark C.C. (2010) Creative Nursing Leadership and Management, New Delhi: Jones & Bartlet Publishers Inc.

•

Liebler J.G. & McConnel C.R. (2008) Management Principles for Health Professionals, Sudbury M.A.: Jones &

Bartlett Publishers Inc.

•

Roussel L. & Swansburg R.C. (2010) Management and Leadership for Nurse Administrators (5th ed.) New Delhi:

Jones & Bartlett Publishers Inc.

ADVANCED PRACTICE COURSES

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

67

IV. A. Advanced Pathophysiology applied to Family Health Nursing

COMPETENCIES

1. Integrates the knowledge of pathophysiological process in acute and chronic conditions in developing diagnosis

and plan of care.

2. Applies the pathophysiological principles in symptom management, primary and secondary prevention of acute

and chronic illnesses.

3. Analyzes the pathophysiological changes relevant to each acute and chronic illness recognizing the value of

diagnosis, treatment, care and prognosis.

Hours of Instruction: Theory: 30 hours

Unit

Hours

Content

I

8

Cardiovascular function

Advanced pathophysiological process of cardiovascular conditions

• Hypertensive disorder

• Peripheral artery disorder

• Venous disorders

• Coronary artery diseases

• Valvular heart disease

• Cardiomyopathy and heart failure

• Cardiac tamponade

• Arrythmias

• Corpulmonale

• Heart block and conduction disturbances

II

4

Pulmonary function

Advanced pathophysiological process of pulmonary conditions

• Chronic obstructive pulmonary disease

• Disorders of the pulmonary vasculature

• Infectious diseases

• Respiratory failure

• Chest trauma

III

6

Neurological function

Advanced pathophysiological process of neurological conditions

• Seizure disorder

• Cerebrovascular disease

• Infections

• Spinal cord disorder

• Degenerative neurological diseases

• Neurological trauma

• Coma, unconsciousness

IV

4

Renal function

Advanced pathophysiological process of renal conditions

• Acute renal failure

• Chronic renal failure

• Bladder trauma

• Infections (Glomerulonephritis)

• Nephrotic syndrome

V

4

Gastrointestinal and hepatobiliary function

Advanced pathophysiological process of hepatobiliary conditions

• Gastrointestinal bleeding

• Intestinal obstruction

• Pancreatitis

• Hepatic failure

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[PART III—SEC.4]

• Gastrointestinal perforation

VI

4

Endocrine functions

Advanced pathophysiological process of endocrine conditions

• Diabetic ketoacidosis

• Hyperosmolar nonketotic coma

• Hypoglycemia

• Thyroid storm

• Myxedema coma

• Adrenal crisis

• Syndrome of inappropriate antidiuretic hormone secretion

Total 30 hours

IV. B. Advanced Pathophysiology applied to Family Health Nursing

Hours of Instruction: Theory: 30 hours

Unit

Hours

Content

I

8

Hematological function

Advanced pathophysiological process of hematological conditions

• Disorders of red blood cells

- Polycythemia

- Anemia

- Sickle cell diseases

• Disorders of white blood cells

- Leucopenia

- Neoplastic disorders

• Disorders of hemostasis

- Platelet disorders

- Coagulation disorders

- Disseminated intravascular coagulation

II

2

Integumentary function

Advanced pathophysiological process of integumentary conditions

• Wound healing

• Burns

• Steven Johnson syndrome

III

8

Multisystem dysfunction

Advanced pathophysiological process of multisystem dysfunction

• Shock

- Hypovolemic

- Cardiogenic

- Distributive

• Systemic inflammatory syndrome

• Multiple organ dysfunction syndrome

• Trauma

- Thoracic

- Abdominal

- Musculoskeletal

- Maxillofacial

• Drug overdose and poisoning

• Envenomation

IV

6

Specific infections

Advanced pathophysiological process of specific infections

• HIV

• Tetanus

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

69

• SARS

• Rickettsiosis

• Leptospirosis

• Dengue

• Malaria

• Chikungunya

• Rabies

• Avian flu

• Swine flu

V

6

Reproductive functions

Advanced pathophysiological process of reproductive conditions

• Antepartum hemorrhage

• Pregnancy induced hypertension

• Obstructed labor

• Ruptured uterus

• Postpartum hemorrhage

• Puerperal sepsis

• Amniotic fluid embolism

• HELLP (Hemolysis, Elevated Liver enzymes, Low Platelet count)

• Trauma

Total 30 hours

Bibliography

•

Berkowitz A. (2021) Clinical Pathophysiology (2nd ed.) MedMaster Inc.

•

Huether S.E., McCance K.L. & Brashers V.L. (2019) Understanding Pathophysiology (7th ed.) St. Louis,

Missouri: Elsevier

•

Norris T.L. (2020) Porth’s Essentials of Pathophysiology (5th ed.) Walters & Kluwer

•

Porth C.M. (2014) Essentials of Pathophysiology: Concepts of Altered Health States (4th ed.) Philadelphia:

Lippincott Williams & Wilkins

•

Story L. & Dlugasch L. (2019) Advanced Pathophysiology for the Advanced Practice Nurse (1st ed.) Jones &

Bartlett Publishers Inc.

•

Willis L.M. (2019) Professional Guide to Pathophysiology (4th ed.) LWW

V. Advanced Pharmacology applied to Family Health Nursing

COMPETENCIES

1. Applies the pharmacological principles in providing care to acutely and chronically ill patients and families.

2. Analyzes pharmacotherapeutics and pharmacodynamics relevant to drugs used in the treatment of acute and

chronic diseases.

3. Performs safe drug administration based on principles and institutional protocols/standing orders.

4. Documents accurately and provides follow up care.

5. Applies sound knowledge of drug interactions in administration of drugs to acutely and chronically ill patients in

the family health care settings and guiding their families in self-care management.

Hours of Instruction: Theory: 54 hours

Unit

Hours

Content

I

2

Introduction to Pharmacology in Family Health Nursing

• History

• Classification of drugs and schedules

• Institutional Protocols/Standing Orders in Family Health Care

II

4

Pharmacokinetics and Pharmacodynamics

• Introduction

• Absorption, distribution, metabolism, and excretion of drugs

• Plasma concentration, half-life

• Loading and maintenance dose

• Therapeutic index and drug safety

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[PART III—SEC.4]

• Potency and efficacy

• Principles of drug administration

▪ The rights of drug administration

▪ Systems of measurement

▪ Drug administration: Enteral, topical, and parenteral

III

5

Pharmacology and Cardiovascular alterations in Family Health Nursing

• Vasoactive medications

▪ Vasodilator

▪ Vasopressor

▪ Inotropes

- Cardiac glycosides - digoxin

- Sympathomimetics - dopamine, dobutamine, epinephrine, isoproterenol, norepinephrine,

phenylephrine

- Phosphodiesterase inhibitors - amrinone, milrinone

• Antiarrhythmic medications

• Medications in the management of cardiac critical care conditions

• Medications to improve cardiac contractility

▪ Hypertension in critical care

▪ Heart failure

▪ Angina pectoris and myocardial infarction

▪ Dysrhythmias, heart block and conduction disturbances

▪ Pulmonary hypertension, valvular heart disease, cardiomyopathy

▪ Atherosclerotic disease of aorta and peripheral artery disease

▪ Deep vein thrombosis

IV

4

Pharmacology and Pulmonary alterations in Family Health Nursing

• Mechanical ventilation

• Introduction

• Medications used on patients with mechanical ventilator

• Mechanical ventilation impact on pharmacotherapy - sedation and analgesia, neuromuscular

blockade, nutrition

• Medications in the management of pulmonary critical care conditions

▪ Status asthmaticus

▪ Pulmonary edema

▪ Pulmonary embolism

▪ Acute respiratory failure and Acute Respiratory Distress Syndrome (ARDS)

▪ Chest trauma

▪ Chronic obstructive pulmonary disease

▪ Pneumonia

▪ Pleural effusion

▪ Atelectasis

• Standing Orders for pulmonary emergencies

V

6

Pharmacology and Neurological alterations in Family Health Nursing

• Pain

▪ NSAID

▪ Opioid analgesia

• Sedation

▪ Gamma amino butyric acid stimulants

▪ Dexmedetomidine

▪ Analogizations

• Delirium

▪ Haloperidol

▪ Atypical antipsychotics

• Medications used for local and general anesthesia

▪ Local - amides, esters, and miscellaneous agents

▪ General - gases, volatile liquids, IV anesthetics

▪ Non anesthetic drugs adjuncts to surgery

• Paralytic medications

▪ Non-depolarizing and depolarizing agents

▪ Anxiolytics

• Autonomic drugs

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

71

▪ Adrenergic agents/sympathomimetics

▪ Adrenergic blocking agents

▪ Cholinergic agents

▪ Anti-cholinergic agents

• Medications in the management of anxiety and insomnia

▪ Antidepressants

▪ Benzodiazepines

▪ Barbiturates

• Medications in the management of neurological critical care conditions

▪ Psychoses

▪ Acute head and spinal cord injury with elevated intracranial pressure

▪ Muscle spasm

▪ Spasticity

▪ Cerebrovascular disease and Cerebrovascular accident

▪ Encephalopathy

▪ Gillian Bare syndrome and myasthenia gravis

▪ Brain herniation syndrome

▪ Seizure disorder

▪ Coma, unconsciousness and persistent vegetative state

▪ Appropriate nursing care to safeguard patient

• Standing Orders for neurological emergencies

VI

5

Pharmacology and Nephrology alterations in Family Health Nursing

• Diuretics

• Fluid replacement

▪ Crystalloids

▪ Colloids

• Electrolytes

▪ Sodium

▪ Potassium

▪ Calcium

▪ Magnesium

▪ Phosphorus

• Medication in the management of nephrology critical care conditions

▪ Acute/Chronic renal failure

▪ Acute tubular necrosis

▪ Bladder trauma

▪ Electrolyte imbalances

▪ Acid base imbalances

▪ Medications used during dialysis

• Standing Orders for nephrology emergencies

VII

5

Pharmacology and Gastrointestinal alterations in Family Health Nursing

• Anti-ulcer drugs

• Laxatives

• Anti-diarrheal

• Anti-emetics

• Pancreatic enzymes

• Nutritional supplements, vitamins and minerals

• Medications in the management of gastrointestinal critical care conditions

▪ Acute GI bleeding, hepatic failure

▪ Acute pancreatitis

▪ Abdominal injury

▪ Hepatic encephalopathy

▪ Acute intestinal obstruction

▪ Perforative peritonitis

▪ Medications used during gastrointestinal surgeries and liver transplant

• Standing Orders for gastrointestinal emergencies

VIII

4

Pharmacology and Endocrine alterations in Family Health Nursing

• Hormonal therapy

• Insulin and other hypoglycemic agents

• Medications in the management of endocrine critical care conditions

72

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

▪ Diabetic ketoacidosis, hyperosmolar non-ketonic coma

▪ Hypoglycemia

▪ Thyroid storm

▪ Myxedema coma

▪ Adrenal crisis

▪ SIADH

• Standing Orders for endocrine emergencies

IX

5

Pharmacology and Hematology alterations in Family Health Nursing

• Anticoagulants

• Antiplatelet drugs

• Thrombolytics

• Haemostatics, antifibrinolytics

• Hematopoietic growth factors

▪ Erythropoietin

▪ Colony stimulating factors

▪ Platelet enhancers

• Blood and blood products

▪ Whole blood, packed red blood cells, leukocyte-reduced red cells, washed red blood cells,

fresh frozen plasma, cryoprecipitate

▪ Albumin

▪ Transfusion reactions, transfusion administration process

• Vaccines

• Immunostimulants

• Immunosuppressant

• Chemotherapeutic drugs - alkylating agents, anti-metabolites, anti-tumor antibiotics, alkaloids,

hormones and hormone antagonist, corticosteroids, gonadal hormones, anti-estrogens, androgen

antagonists, biologic response modifiers

• Medications in the management of hematology critical care conditions

▪ Anemia in critical illness

▪ DIC

▪ Thrombocytopenia and acute leukemia

▪ Heparin induced thrombocytopenia

▪ Sickle cell anemia

▪ Tumor lysis syndrome

X

3

Pharmacology and Skin alterations in Family Health Nursing

• Hematology critical care conditions

▪ Medications used in burn management

▪ Medications used in wound management

XI

5

Pharmacology and Multisystem alterations in Family Health Nursing

• Medications in the management of shock, sepsis, multiple organ dysfunction, systemic

inflammatory response syndrome, anaphylaxis

• Medications in the management of trauma, injuries (heat, electrical, near hanging, near

drowning)

• Medications in the management of bites, drug overdose and poisoning

• Medications in the management of fever in critical care setting

▪ Antipyretics

▪ NSAIDS

▪ Corticosteroids

XII

6

Pharmacology and Infections in Family Health Nursing

• Anti-bacterial drugs

▪ Introduction

▪ Beta lactams - penicillin, cephalosporins, monobactams, carbapenems

▪ Aminoglycosides

▪ Anti MRSA

▪ Macrolides

▪ Quinolones

▪ Miscellaneous - lincosamide group, nitroimidazole, tetracycline and chloramphenicol,

polymyxins, and anti-malarial, anti-fungal, anti-viral drugs

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

73

• Choice of antimicrobials

• Infectious critical care conditions

▪ Medications in the management of HIV, Tetanus, SARS, Rickettsiosis, Leptospirosis,

Dengue, Malaria, Chikungunya, Rabies, Avian flu and Swine flu

Total 54 hours

Bibliography

•

Eisen H.J. (2020) Pharmacology of Immunosuppression (1st ed.) Springer

•

McKay G.A. & Walters M.R. (2021) Clinical Pharmacology and Therapeutics (10th ed.) Wiley-Blackwell

•

Tripathi K.D. (2019) Essentials of Medical Pharmacology (8th ed.) Jaypee Brothers Medical Publishers,

New Delhi

•

Wynne A.L., Woo T.M. & Olyaei A.J. (2007) Pharmacotherapeutics for Nurse Practitioner Prescribers

(2nd ed.) Philadelphia: Davis

VI. Advanced Health/Physical Assessment

COMPETENCIES

1. Applies the physical assessment principles in developing appropriate system wise examination skills.

2. Uses advanced health assessment skills to differentiate between variations of normal and abnormal findings.

3. Orders screening and diagnostic tests based on the examination findings and institutional protocols.

4. Analyzes the physical examination findings and results of various investigations and works collaboratively with

General Medicine/Community Medicine/Family Medicine physicians for development of diagnoses.

5. Documents assessment, diagnosis, and management and monitors follow up care in partnership with health care

team members, patients, and families.

Hours of Instruction: Theory: 70 hours + Lab/Skill Lab: 48 hours = 118 hours

Unit

Hours

Content

I

4

Introduction

• History taking

• Physical examination

II

6

Cardiovascular system

• Cardiac history

• Physical examination

• Cardiac laboratory studies - biochemical markers, hematological studies

• Cardiac diagnostic studies - electrocardiogram, echocardiography, stress testing, radiological

imaging

III

6

Respiratory system

• History

• Physical examination

• Respiratory monitoring - arterial blood gases, pulse oximetry, end-tidal carbon dioxide

monitoring

• Respiratory diagnostic tests - chest radiography, ventilation perfusion scanning, pulmonary

angiography, bronchoscopy, thoracentesis, sputum culture, pulmonary function test

IV

6

Nervous system

• Neurological history

• General physical examination

• Assessment of cognitive function

• Assessment of cranial nerve function

• Motor assessment - muscle strength, power, and reflexes

• Sensory assessment - dermatome assessment

• Neurodiagnostic studies - CT scan, MRI, PET

V

6

Renal system

• History

• Physical examination

74

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• Assessment of renal function

• Assessment of electrolytes and acid base balance

• Assessment of fluid balance

VI

4

Gastrointestinal system

• History

• Physical examination

• Nutritional assessment

• Laboratory studies - liver function studies, blood parameters, stool test

• Diagnostic studies - radiological and imaging studies, endoscopic studies

VII

4

Endocrine system

• History

• Physical examination

• Laboratory studies and diagnostic studies of

▪ Hypothalamus and pituitary gland

▪ Thyroid gland

▪ Parathyroid gland

▪ Endocrine gland

▪ Adrenal gland

VIII

4

Hematological system

• History

• Physical examination

• Laboratory studies - blood parameters

• Diagnostic studies - bone marrow aspiration

IX

3

Integumentary system

• History

• Physical examination

• Pathological examination - tissue examination

X

6

Musculoskeletal system

• History

• Physical examination - gait assessment, joint assessment,

• Laboratory studies - blood parameters (inflammatory enzymes, uric acid)

• Diagnostic studies - radiological and imaging studies, endoscopic studies

XI

5

Reproductive system (Male & Female)

• History

• Physical examination

• Laboratory studies

• Diagnostic studies

XII

4

Sensory Organs

• History

• Physical examination

• Laboratory studies

• Diagnostic studies - radiological and imaging studies, endoscopic studies

XIII

6

Assessment of children

• Growth and development

• Nutritional assessment

• Specific system assessment

XIV

6

Assessment of older adults

• History

• Physical assessment

• Psychological assessment

Total 70 hours

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

75

List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the

students)

▪

Comprehensive history taking

▪

Focused history taking (system wise)

▪

Comprehensive physical examination

▪

Focused physical examination (system wise)

▪

Monitoring clinical parameters (system wise)

Invasive BP monitoring, Multi-parameter Monitors, ECG, Pulse index Continuous Cardiac Output (PiCCO),

Peripheral vascular status, ABG, Pulse Oximetry, End Tidal CO2 (ETCO2), Intracranial Pressure (ICP), Glasgow

Coma Scale (GCS), Cranial nerve assessment, Pain and Sedation score of critically ill, Motor assessment, Sensory

assessment, Renal function tests, Fluid balance, acid base balance, electrolytes, Bowel sounds, Abdominal

pressure, Residual gastric volume, Liver function tests, GRBS, Lab tests, Radiological and Imaging tests (system

wise)

▪

Interpretation of screening and diagnostic tests (system wise)

▪

Assessment of children - neonate and child

▪

Assessment of older adults

▪

Assessment of pregnant women

Bibliography

•

Bickley L.S. & Szilagyi P.G. (2018) Bates’ guide to physical examination and history taking, South Asian

edition, Wolters Kluwer India Pvt. Ltd.

•

Rhoads J. (2013) Advanced health assessment and diagnostic reasoning (2nd ed.) Philadelphia: Lippincott

Williams & Wilkins

•

Wilson S.F. & Giddens J.F. (2021) Health assessment for nursing practice (7th ed.) Elsevier: Health Sciences

Division

FAMILY HEALTH NURSING SPECIALTY COURSES

(Foundations of Family Health Nursing Practice, Family Health Nursing I and Family Health Nursing II)

COMPETENCIES

1. Applies advanced concepts of Family Health Nursing based on sound knowledge of these concepts.

2. Uses invasive and noninvasive technology and interventions to assess, monitor and promote physiologic stability.

3. Works in collaboration with other health care team members and prepares care/clinical pathways in assessment

and management of patients with acute and chronic conditions.

4. Consults with and is consulted by other health care professionals.

5. Provides nursing care related to health protection, disease prevention, anticipatory guidance, counseling,

management of critical illness, palliative care and end of life care.

6. Uses advanced skills in complex and unstable environments.

7. Applies ethically sound solutions to complex issues related to individuals, populations and systems of care.

8. Practices principles of infection control relevant to Family Health Nursing.

9. Practices independently within the legal framework of the country towards the interest of patients, families and

communities.

10. Develops practice that is based on scientific evidence.

11. Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and discontinue

therapeutic relationships.

12. Creates and maintains a safe therapeutic environment using risk management strategies and quality improvement.

13. Adapts practice to the social, cultural and contextual milieu.

VII. Foundations of Family Health Nursing Practice

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours

Unit

Hours

Content

I

10

Introduction to Family Health Nursing Practice

• Introduction to the course

• Review of anatomy and physiology of vital organs (Brain, Spinal Cord, Lungs, Heart, Kidney,

Liver, Pancreas, Thyroid, Adrenal and Pituitary gland)

• Historical review - Nurse Practitioner in Family Health

• Concepts and principles of Family Health Nursing Practice

• Scope of Family Health Nursing Practice

• Family Health Nursing Practice Settings (including rural, urban, slum and tribal, equipment,

supplies, and the environment)

76

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[PART III—SEC.4]

• Personnel in the team

▪ Nursing staff

▪ Ancillary staff

▪ Health workers/ANM/Health volunteers

▪ Social worker

▪ Counsellors

▪ Health education

▪ Socio-economic development workers

▪ Family medicine physicians

• Use of appropriate technology

• Healthy work environment

• Future challenges in Family Health Nursing Practice

II

5

Concept of Holistic Care applied to Family Health Nursing Practice

• Application of nursing process and integrated care/clinical pathways in the care of acutely and

chronically ill

• Definition of family

• Functions of family and its structure

• Family demography

• Approaches of family health nursing

• Theories of family health nursing

• Family health risk assessment

• Eco map

• Development and family lifestyle

• Lifestyle risk and assessment

• Behavioral risk

• Environmental risk

• Social risk

III

10

Appraisal of the Acutely and Chronically Ill

Triaging concept, process and principles

Assessment of the acutely and chronically ill

• General assessment

• Respiratory assessment

• Cardiac assessment

• Renal assessment

• Neurological assessment

• Gastrointestinal assessment

• Endocrine assessment

• Musculoskeletal assessment

• Integumentary assessment

Monitoring of the acutely and chronically ill

• Hemodynamics

• Electrocardiography (ECG)

• Glasgow Coma Scale (GCS)

• Richmond Agitation Sedation Scale (RASS)

• Pain score

• Braden score

Evaluation of the acutely and chronically ill

• Evaluation of acute illness

• Evaluation of chronic illness

• Outcome and scoring systems

▪ Acute Physiology and Chronic Health Evaluation (APACHE I-IV)

▪ Mortality probability model (MPM I, II)

▪ Simplified acute physiology score (SAPS I, II)

▪ Organ system failure

▪ Full outline of unresponsiveness (FOUR)

▪ Model for end-stage liver disease (MELD)

IV

14

Advanced Concepts and Principles of Family Health Nursing

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

77

• Principles of cardio-pulmonary-brain resuscitation

• Emergencies in Primary and Secondary Health Care: CPR

▪ BLS

▪ ACLS

• Airway management

• Oxygenation and oximetry, care of patient with oxygen delivery devices

• Ventilation and ventilator support (including humidification and inhaled drug therapy), care of

patient with invasive and non-invasive ventilation

• Circulation and perfusion (including hemodynamic evaluation and waveform graphics)

• Fluids and electrolytes (review), care of patient with imbalances of fluid and electrolytes

• Evaluation of acid base status

• Thermoregulation, care of patient with hyper/hypothermia

• Glycemic control, care of patient with glycemic imbalances

V

8

Pain and Management

• Pain in patients

• Pain - types, theories

• Physiology, systemic responses to pain and psychology of pain - Review

• Acute pain services

• Pain assessment - pain scales, behavior and verbalization

• Pain management - pharmacological (opioids, benzodiazepines, propofol, alpha agonist,

tranquilizers, neuromuscular blocking agents)

• Nonpharmacological management

• Transcutaneous electrical nerve stimulation (TENS)

VI

8

Psychosocial and Spiritual alterations: Assessment and Management

• Stress and psychoneuroimmunology

• Post-traumatic stress reaction

• Psychosis, anxiety, agitation, delirium

• Alcohol withdrawal syndrome and delirium tremens

• Collaborative management

• Sedation and relaxants

• Spiritual challenges in critical care

• Coping with stress and illness

• Care of family of the acutely and chronically ill

• Counseling and communication

VII

5

Patient and Family Education and Counseling

• Challenges of patient and family education

• Process of adult learning

• Factors affecting teaching learning process

• Informational needs of families in Family Health Nursing

• Counseling needs of patient and family

• Counseling techniques

VIII

5

Nutrition alterations and Management in Family Health Nursing

• Nutrient metabolism and alterations

• Assessing nutritional status

• Nutrition support

• Nutrition and systemic alterations

• Care of patient on enteral and parenteral nutrition

IX

4

Sleep alterations and Management

• Normal human sleep

• Sleep pattern disturbance

• Sleep apnea syndrome

X

5

Infection Control in Hospital/Health Center

• Nosocomial infection; methyl resistant staphylococcus aureus (MRSA) and other recently

identified strains

• Disinfection, sterilization

• Standard safety measures/universal precautions

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THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• Prophylaxis for staff

• Antimicrobial therapy - review

• Biomedical waste management

XI

6

Legal and Ethical Issues in Family Health Nursing – Nurses’ Role

Legal issues

• Issues giving raise to civil litigation

• Related laws in India

• Medical futility

• Administrative law: Professional regulation

• Tort law: Negligence, professional malpractice, intentional torts, wrongful death, defamation,

assault and battery

• Constitutional Law: Patient decision making

Ethical issues

• Difference between morals and ethics

• Ethical principles, ethical decision making in critical care, strategies for promoting ethical

decision making

Ethical issues relevant to critical care

• Withholding and withdrawing treatment

• Managing scarce resource

• Brain death, organ donation & counseling

• Do Not Resuscitate (DNR), Euthanasia, Living will

• Nurses’ Role

XII

8

Quality Assurance

• Design of health center/hospital

• Quality assurance models

• Standards, Protocols, Policies, Procedures

• Infection control policies and protocols

• Nursing audit

• Staffing

• Indian Public Health Standards

• NQAS

XIII

3

Evidence-based Practice in Family Health Nursing

• Evidence based practice in family health critical care

• Barriers to implementation

• Strategies to promote implementation

5

Class tests

Total 96 hours

List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the

students)

•

Lifestyle risk and assessment

•

Behavioral risk assessment

•

Environmental risk

•

Triaging

•

Nutritional assessment

•

CPR (BLS and ACLS)

•

Airway Management

o

Laryngeal mask airway

o

Cuff inflation and anchoring the tube

o

Care of ET tube

o

Tracheostomy care

o

Suctioning - open/closed

o

Chest physiotherapy

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

79

•

Oxygenation and oximetry, care of patient with oxygen delivery devices

o

Devices to measure oxygen/oxygenation

▪ Fuel cell

▪ Para magnetic oxygen analyzer

▪ PO2 electrodes - Clark electrodes

▪ Transcutaneous oxygen electrodes

▪ Oximetry - Pulse oximetry, Venous oximetry

o

Capnography

o

Non-invasive ventilation

▪ Low flow variable performance devices: nasal catheters/cannulae/double nasal prongs, face mask, face

mask with reservoir bags

▪ High flow fixed performance devices: Entrainment (Venturi) devices, NIV/CPAP/Anesthetic masks, T

pieces, breathing circuits

o

Postural drainage

•

Ventilation and ventilator support

o

Connecting to ventilator

o

Weaning from ventilator

o

Extubation

o

Humidifiers

o

Nebulizers - jet, ultrasonic

o

Inhalation therapy - metered dose inhalers (MDI), dry powder inhalers (DPI)

•

Circulation and perfusion (including hemodynamic evaluation and waveform graphics)

o

Invasive blood pressure monitoring

o

Non-invasive blood pressure monitoring

o

Venous pressure (Peripheral, Central and Pulmonary artery occlusion pressure)

o

Intravenous line starting and infusion

o

Insertion and removal of arterial line

o

Insertion and removal of central line

o

Pulse index Continuous Cardiac output (PiCCO)

o

Electrocardiography (ECG)

o

Waveforms

•

Fluids and electrolytes

o

Fluid calculation and administration (crystalloids and colloids)

o

Administration of blood and blood products

o

Inotrope calculation, titration and administration

▪

Cardiac glycosides - digoxin

▪

Sympathomimetics - dopamine, dobutamine, epinephrine, isoproterenol, norepinephrine, phenylephrine

▪

Phosphodiesterase inhibitors - amrinone, milrinone

o

Electrolyte correction (sodium, potassium, calcium, phosphorus, magnesium)

o

Use of fluid dispenser and infusion pumps

•

Evaluation of acid base status

o

Arterial blood gas (ABG)

•

Thermoregulation, care of patient with hyper/hypothermia

o

Temperature probes

o

Critical care management of hyper and hypothermia

•

Glycemic control, care of patient with glycemic imbalances

o

Monitoring GRBS

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THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

o

Insulin therapy (sliding scale and infusion)

o

Management of hyperglycemia - IV fluids, insulin therapy, potassium supplementation

o

Management of hypoglycemia - Dextrose IV

•

Pharmacological management of pain, sedation, agitation, and delirium

o

Calculation, loading and infusion of - Morphine, Fentanyl, Midazolam, Lorazepam, Diazepam, Propofol,

Clonidine, Dexmedetomidine, Haloperidol

o

Epidural analgesia - sensory and motor block assessment, removal of epidural catheter after discontinuing

therapy, change of epidural catheter site dressing, insertion and removal of subcutaneous port for analgesic

administration, intermittent catheterization for urinary retention for patients on epidural analgesia/PCA, dose

titration for epidural infusion, epidural catheter adjustment, purging epidural drugs to check patency of

catheter and also for analgesia

▪

Counseling - Individual, Family and Group

▪

Family education

▪

Biomedical waste management

VIII. Family Health Nursing I

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours

Unit

Hours

Content

I

10

Maternal and Women’s Health

• Review of anatomy and physiological changes

• Assessment, diagnosing and treating diseases specific to women

• Common women health problems

• Reproductive and child health

o Pregnancy

▪ Normal changes

▪ Pregnancy related problems/obstetric complications

▪ Preconception, antenatal, intranatal and postnatal care

▪ Maternal Mortality

o Family Planning - Contraception, MTP

• Insertion of IUCDs and Removal

• Sexual health, STIs including genital tract infections

• Genital tract malignancies, prevention, screening, and early treatment - Pap test, VIA

• Perimenopause, Menopause, Post menopause

• Common disorders of reproductive system

• Mental health

• Social issues - Substance abuse, Sexual abuse, Violence

• Women health education

• Women and Nutrition

II

15

Primary Care of Adult

• Review of anatomy and physiology

• Assessment, diagnosing and treating of common diseases

• Recent advances and development

• Common adult health problems

o Cardiovascular problems

o Respiratory diseases

o Gastroenterological diseases

o Genitourinary disorders

o Musculoskeletal disorders

o Neurological disorders

o Nutritional Disorders - Prevention and Management

o Poisoning

III

15

Primary Care of Well Child

• Review of anatomy and physiology

• Normal growth and development

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

81

• Care of newborn

• Breast feeding problems and management

• Recognition and referral of common birth anomalies

• Immunization

• Child abuse and injury prevention

• Assessment, diagnosis and treatment of common diseases - Infants, Pre-schooler & School going

children

o Common childhood infections

o Child nutrition & nutrition disorders including obesity

o School readiness, sleep problems

o Physical activity and exercises

o Children with special needs

o Cardiovascular problems

o Respiratory diseases

o Gastroenterological disorders

o Genitourinary disorders

o Musculoskeletal disorders

o Neurological disorders

• Common childhood cancers - screening and management

• Common pediatric emergencies

• IMNCI (Review)

IV

15

Primary Care of Adolescents

• Pubertal changes - male and female

• Common Adolescent health problems - assessment, diagnosis and management

• Nutrition & Exercises

Adolescent Risk Assessment

• Sexual health

• Behavioral problems, stress and psychosocial problems

• Adolescents and laws (POSH etc.)

• Adolescent counselling

V

25

Communicable Diseases

• Review of communicable diseases

• Common communicable diseases - assessment, diagnosis and management of

o Air borne diseases

o Water borne diseases

o Food borne diseases

o Vector borne diseases

o Vehicle borne diseases

o Emerging and re-emerging diseases

• Preventive measures

• Epidemiology of communicable diseases

• National programs related to communicable diseases

VI

11

Community Health relevant for Family Health Nursing

• Concept of health and disease, primary health care and its implementation

• Epidemiology and epidemiological methods - epidemiology of communicable and non-

communicable diseases

• Management of epidemics and pandemics

• Management of disaster

• Environmental health

• Health care delivery system

• National health programs and policies

• School health

• Demography and family planning

• Health information and health statistics

• Health insurance schemes - National and Private

• Role of NGOs

5

Class tests

82

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Total 96 hours

List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the

students)

•

Mental status examination of women

•

Pap test

•

VIA screening

•

Breast Self-Examination (BSE)

•

Insertion and removal of IUCDs

•

Assisting in initiation of oral contraceptive pills and monitoring

•

Essential newborn care

•

Newborn resuscitation

•

Assessment of growth and development of children

•

Adolescent health

o

Adolescent risk assessment

o

Adolescent counseling

•

Home-based care

o

Wound care

o

Tracheostomy care at home

o

Stoma care at home

o

Catheter care at home

o

Care of persons with disabilities

•

Family counselling

o

Marital counseling

o

Family planning counseling

o

Bereavement counseling

•

Investigation of an epidemic

•

Disaster mock drills

•

Disaster preparedness and protocols

•

National programs related to communicable diseases - knowledge and participation

IX. Family Health Nursing II

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours

Unit

Hours

Content

I

18

Geriatric Care

• Aging process

• Assessment, diagnosis and management of problem in the elderly

• Acute problems

• Chronic illness

• Pharmacology in elderly

• Mental Illness

• Social Problems & Management

• Health promotion and disease prevention in elderly

• Normal psycho biological characteristics of aging

o Biological issues

o Psychological issues

o Concepts and theories of ageing

o Stress & coping in older adults

o Common Health Problems & Nursing Management

• Physical challenges

o Auditory changes

o Visual changes

o Other sensory changes

o Skin changes

o Cardiovascular changes

o Respiratory changes

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

83

o Renal changes

o Gastrointestinal changes

o Musculoskeletal changes

o Endocrine changes

o Immunological changes

• Psychological challenges

o Cognitive changes

o Abuse of the older person

o Alcohol abuse

• Challenges in medication use

o Drug absorption

o Drug distribution

o Drug metabolism

o Drug excretion

• National Mental Health Policies and Programs

II

18

Mental Health

• Assessment, diagnosis and management of common mental disorders

• Anxiety

• Depression

• Eating disorders

• Personality disorder

• ADHD

• Learning disorders

• Tic disorder

• Pharmacology in psychiatric illness

• Legal and ethical accountability

• Enhancement of mental health

• Families with high risk for parent child interaction problems, dysfunctions

• Psychiatric emergencies including suicidality

III

15

Palliative Care

• Common symptoms in terminally ill patients and its management

• Pain management - opioid analgesics and co analgesics

• Hospice care

• End of life care

• Management of grief

IV

10

Men’s Health

• Anatomy and physiology

• Common health problems related to men

• Common malignancies - prevention, screening, early treatment

• Nutrition

• Risk behaviors

• Counseling

V

10

Health Care of Special Groups

• Migrants

• Travelers

• Traveler’s vaccination

• Homeless

• Challenged group - physically, mentally and socially

• Community-based Rehabilitation

o Role of NPs in management of patients with disabilities

o Bladder care

o Home based care for bed ridden patients

o Team concept in rehabilitation and role of other therapies

84

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

VI

20

Non-Communicable Diseases

• Diabetes Mellitus

• Hypertension

• Obesity

• Hyperlipidemia

• Coronary artery disease

• Cardiovascular diseases

• RHD

• Stroke

• Epilepsy

• Bronchial asthma

• COPD

• Endocrine disorders

• Oral diseases

• Eye health

• Accident and injuries

• Common cancers and cancer screening

• Nutritional needs of clients with non-communicable diseases

5

Class tests

Total 96 hours

List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the

students)

•

Older adult assessment

o

History

o

Physical examination

o

Nutritional assessment

o

ADL assessment

o

Fragility assessment & fall risk assessment

o

Psychosocial assessment

o

Diagnostic tools: Geriatric depression scale, mini cog test, CAM ICU scale

•

Mini nutritional assessment

•

Therapeutic diet planning

•

Mental health survey & screening

•

Home based care of mentally ill

•

Testicular Self Examination (TSE)

•

Smoking cessation sessions

•

Podiatric care

•

End of life care

•

Pain assessment and scoring - WHO ladder, VAS

•

Pain management of palliative client

•

Grief counseling

•

Vision screening

•

Oral examination

•

National health programs on NCD prevention and control - knowledge and participation

The skills listed under the specialty courses such as Foundations of Family Health Nursing Practice, Family

Health Nursing I and Family Health Nursing II are taught by the faculty in skill lab. The students after

practicing them in the lab, will continue to practice in the respective hospital/health centers. The log book

specifies all the requirements to be completed and the list of skills are to be signed by the preceptor/faculty once

the students develop proficiency in doing the skills independently.

Recommended Reference Books

•

Abilash K.P.P. (2019) Emergency Medicine, Best Practices at CMC (EMAC) (2nd ed.) Jaypee Brothers

Publications

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

85

•

Adelman D.S. & Timothy J. Legg (2011) Disaster Nursing: A Handbook for Practice, Springer Publishing Co.,

New York

•

Arulraj S., Jayalal J.A., Abdul Hasan K.M. & Ravishanker T.N. (2017) Text Book of Family Medicine (3rd ed.)

Elsevier

•

Butler J. Thomas (2000) Principles of Health Education and Health Promotion (3rd ed.) Wadsworth Publishing

Co. Inc.

•

Cash Jill & Glass Cherya (2019) Adult Gerontology Guidelines (2nd ed.) Springer Publication, New York

•

Clement-Stone, Susan (2002) Comprehensive Family & Community Health Nursing: Family, Aggregate and

Community Practice (6th ed.) St. Louis: Mosby Inc.

•

Dash B. (2023) A Comprehensive Text Book of Community Health Nursing (2nd ed.) Jaypee Brothers Medical

Publishers Pvt. Ltd.

•

Fenstermacher K. & Hudson B.T. (2024) Practice Guidelines for Family Nurse Practitioners (6th ed.) Elsevier

•

Hockenberry Marilyn J., Rodgers Cheryl C. & Wilson David (2022) Wong’s Essentials of Pediatric Nursing (11th

ed.) St. Louis: Elsevier

•

Hockenberry Marilyn J., Duffy Elizabeth A. & Gibbs Karen Divalerio (2024) Wong’s Nursing Care of Infants

and Children (12th ed.) St. Louis: Elsevier

•

Ian D. Penman, Stuart H. Ralston, Mark W.J. Strachan & Richard P. Hobson (2022) Davidsons Principle and

Practice of Medicine (24th ed.) Elsevier

•

Jacob A. (2023) A Comprehensive Text Book of Midwifery & Gynecological Nursing (6th ed.) Jaypee Brothers

Medical Publishers

•

Karen Fenstermacher & Barbara Toni Hudson (2020) Practice Guidelines for Family Nurse Practitioners (5th ed.)

Elsevier Publication, St. Louis

•

Kaakinen J.R. (2009) Family Health Care Nursing Theory Practice and Research (4th ed.) Davisfa

•

Kishore J. (2022) National Health Programmes of India: National Policies and Legislations related to Health (14th

ed.) New Delhi: Century Publications

•

Kiralal Konar (2023) D.C. Dutta’s Text Book of Obstetrics: Including Perinatology and Contraception (10th ed.)

Jaypee Brothers

•

Loscalzo Fauci, Kasper Hauser & Longo (2022) Harrison’s Principles of Internal Medicine (21st ed.) Vol. 1, Mc

Graw Hill

•

Marshall J. & Raynor M. (2020) Myles Text Book for Midwives (17th ed.) Elsevier

•

Ministry of Health & Family Welfare (2022) Indian Public Health Standards for Community Health Centers,

retrieved from https://nhsrcindia.org/sites/default/files/CHC%20IPHS%202022%20Guidelines%20pdf.pdf

•

Ministry of Health & Family Welfare (2022) Indian Public Health Standards for Primary Health Centers. Vol. II,

retrieved

from

https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-

2022/03_PHC_IPHS_Guidelines-2022.pdf

•

Ministry of Health & Family Welfare (2012) Indian Public Health Standards for Health Sub Centers, Vol. II,

retrieved from https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2012/sub-centers.pdf

•

Park K. (2023) Park’s Textbook of Social and Preventive Medicine (27th ed.) Banarsidas Bhanot

•

Stanhope M. & Lancaster J. (2024) Public Health Nursing (11th ed.)

•

Singh Meharban (2021) Care of the Newborn (9th ed.) New Delhi: CBS Publishers & Distribution Pvt. Ltd.

•

Stanhope M. & Lancaster J. (2019) Public Health Nursing: Population Centered Health Care in the Community

(10th ed.) Evolve

•

Suresh K., Sharma S. & Madhavi (2022) Brunner & Suddaarth’s Text Book of Medical Surgical Nursing, Vol. 2

(14th ed.) South Asian Edition, Wolters Kluwer

•

Videbeck L.S. (2019) Psychiatric Mental Health Nursing, Philadelphia: Lippincott Williams and Wilkins

•

Vinod K. Paul & Arvind Bagga (2023) GHAI Essential Pediatrics (10th ed.) CBS Publishers Pvt. Ltd.

•

Thornboy Greta (2014) Contemporary Occupational Health Nursing, A Guide to Practitioners, Routledge,

T & F Group, UK

APPENDIX 1a

SKILL LAB REQUIREMENTS

Note: In addition to the basic skill lab requirement of College of Nursing, the following are necessary:

S.No.

Skill Lab Requirements

No.

Skill

1.

Adult manikin - male

2

Health assessment

2.

Adult manikin - female with reproductive system

3

3.

Bed with mattress

5

4.

Linen set

5

5.

Blood pressure apparatus

10

86

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

6.

Weighing scale

10

7.

Height scale

10

8.

Nutritional assessment cups

10 sets Nutritional assessment

and preparation of

nutritional diet

9.

Vessels for nutritional demonstration (cups, spoons, plates, pans etc.)

5 sets

10.

Gas stove

2

11.

Cylinder

2

12.

IEC materials

13.

Poster

10

Preparation and use of

IEC materials

14.

Pamphlets

10

15.

Flannel graph

10

16.

Flash card

10

17.

Flip chart

10

18.

Slide projector

1

19.

LCD projector

1

20.

PA system

1

21.

Laptop

1

22.

Chalk board

1

23.

Glass slides

10

Diagnostic procedures

24.

Syringes

20

25.

Needles

20

26.

Vacutainers

20

27.

Trays

20

28.

Needle dispenser

20

29.

Alcohol based swabs

20

30.

Venipuncture and injection training arm

1

31.

Models

Pelvic examination model

Child birth simulator

Episiotomy simulator

New born manikin resuscitation simulator

IUCD insertion model

Injection training arm simulator for intradermal & subcutaneous injections

Baby dummy for vaccination

1

1

1

1

1

1

1

32.

Personal protective equipment

4 set Infection control

33.

Hand washing area

2

34.

Biomedical waste disposal unit

1

35.

Vaginal examination model

Pelvic examination tray

Artery clamp - 1

Artery forceps-1

Bowl - 1

Cotton ball - few

Zephiran solution

4

Vaginal examination

36.

Pelvic examination table

1

37.

Pelvic examination model

Speculum examination

38.

Pelvic examination table

39.

Sims/Bivalve speculum

1

40.

Spot light

1

41.

Child birth simulator

Conduction of normal

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

87

42.

Delivery set

Scissors

Needle holder

Artery forceps/clamps

Dissecting forceps

Sponge forceps

Vaginal speculum

Apron/drapes

Goggle

Face mask

Gown

Sterile gloves

Cord tie

Sterile cotton

Bowls

4

1

1

1

1

1

1

1

1

1

1

1

1

Few

2

deliveries

43.

Episiotomy training simulator

Episiotomy and

suturing

44.

Episiotomy set

Episiotomy scissors - 1

Needle holder - 1

Needle - 1

Suture materials - 1

Bowl - 1

4

45.

Pelvic examination model

IUCD insertion and

removal

46.

Pelvic examination tray

47.

Intrauterine device

4

48.

New born manikin with resuscitation simulator

Essential new born

care and new born

resuscitation

49.

Syringes

4

Vaccine administration

50.

Needles

4

51.

Trays

4

52.

Needle dispenser

1

53.

Sharps container

1

54.

Samples of vaccine

1 set

55.

Alcohol based swabs

20

56.

Injection training arm simulator for intradermal & subcutaneous injections

57.

Baby dummy for vaccination

58.

Vaccine container

1

59.

. Ostomy Care set

1

60.

Foot Care set

1

61.

6 Tablets for data recording

5

Digital recording

62.

Reports - daily, weekly, monthly, annual, sentinel, birth, death

20

Recording & reporting

APPENDIX 1b

EQUIPMENT LIST FOR A SECONDARY HOSPITAL

1. Adjustable cot with mattress - 10

2. IV stand - 20

3. Bed side locker - 11 (10 - patients; 1 - stock)

4. Over bed trolley - 10

5. Dressing trolley (Small) - 5

6. Dressing trolley (medium) - 2

7. Syringe pump - 10

8. Infusion pump - 10

9. Monitors- 11 (10 - patients; 1- stock)

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THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

10. Transport monitor/pulse oximeter - 2

11. Ventilators - 1

12. Portable ventilators - 1

13. ABG machine - 1

14. ECG machine - 1

15. Ultrasound machine - 1

16. Doppler machine - 1 (if vascular patients are admitted in ICU)

17. Defibrillator - 1

18. Peripheral Nerve Stimulator - 1

19. Blood warmer - 3

20. Patient warmer - 5

21. Sequential Compression Device - 10

22. Alpha mattress with motor - 15

23. LEAD shield - 1

24. Crash cart - 1

25. Transfer trolley - 4

26. OR trolley - 2

27. Safe slider - 2

28. Computer - 4

29. Printers - 2

30. Bain circuit - 12

31. Oxygen flowmeter - 10

32. Suction port with jar - 10

33. Air flowmeter/pulmoaid - 10

34. Refrigerator - 2

35. Metal foot step/foot stool - 10

36. Ambulation chair - 5

37. UPS - 1

38. Flat trolley - 1

39. Spot light - 2

40. Glucometer - 2

41. Ambu bag with different sizes - 10 sets

42. Trays with sterile sets/disposable sets for various procedures (e.g. insertion of central venous catheter,

tracheostomy etc.)

APPENDIX 1c

EQUIPMENT LIST FOR CHC - Refer Annexure 10 of the Indian Public Health Standards for Community Health

Centers (2022) by Ministry of Health & Family Welfare Vol. II, p. 132, retrieved from https://nhsrcindia.org/sites/

default/files/CHC%20IPHS%202022%20Guidelines%20pdf.pdf

EQUIPMENT LIST FOR PHC - Refer Annexure 7 & 8 of the Indian Public Health Standards for Primary Health

Centers

(2022)

by

Ministry

of

Health

&

Family

Welfare

Vol.

II,

p.

118,

retrieved

from

https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2022/03_PHC_IPHS_Guidelines-2022.pdf

EQUIPMENT LIST FOR SUB-CENTERS - Refer the Indian Public Health Standards for Health Sub Centers

(2012)

by

Ministry

of

Health

&

Family

Welfare

Vol.

II,

p.

16,

retrieved

from

https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2012/sub-centers.pdf

APPENDIX 2

ASSESSMENT GUIDELINES (including OSCE Guidelines)

INTERNAL ASSESSMENT (Theory and Practical)

Ist year

1. Theoretical Basis for Advanced Practice Nursing

College examination of theory only: 50 marks

Internal Assessment:

Test paper/Quiz: 10 marks

Written assignment/term paper: 10 marks (Global and national health care trends & policies)

Clinical seminar: 5 marks (Clinical/Care pathway in specific clinical condition/Application of specific nursing

theory)

Final theory college exam: 25 marks

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

89

Total: 50 marks

2. Research Application and Evidence-based Practice in Family Health Nursing

Theory:

Test papers: 20 marks

Written assignment: 5 marks (Literature review/Preparation of research instrument)

Journal club: 5 marks (Analysis of research evidence for Family Health Nursing competencies)

Total: 30 marks

3. Advanced Skills in Leadership, Management and Teaching

Theory:

Test papers: 15 marks

Journal club: 5 marks (Trends in Leadership/management/teaching)

Written assignment: 5 marks (Ex. work place violence)

Microteaching: 5 marks

Total: 30 marks

4. Advanced Pathophysiology & Advanced Pharmacology applied to Family Health Nursing

Theory:

Test papers and Quiz: 20 marks (Pathophysiology - 10, Pharmacology - 10)

Drug studies: 5 marks (Drug study and presentation)

Case presentation and case study report (Pathophysiology): 5 marks

Total: 30 Marks

5. Advanced Health/Physical Assessment

Theory:

Test papers: 20 marks

Written assignment: 10 marks (Diagnostic/investigatory reports - interpretation and analysis of findings)

Total: 30 marks

Practicum:

Clinical performance evaluation: 10 marks

End of posting exam (OSCE): 10 marks

Case presentation and case study report: 5 marks

Internal OSCE: 25 marks

Total Internal practical: 50 marks

End of posting exam can be conducted in secondary hospital/health center

IInd year

1. Foundations of Family Health Nursing Practice

Theory:

Test papers and Quiz: 20

Written assignment: 10 marks (Health Center protocols)

Total: 30 marks

Practicum:

Clinical Performance evaluation: 20 marks

End of posting exam (OSCE): 10 marks

Drug studies (Drug study and presentation): 10 marks

Case presentation and case study report (Family education/counseling): 5 marks

Case presentation (Application of Clinical/Care Pathway): 5 marks

Internal OSCE: 50 marks

Total Internal practical: 100 marks

2. Family Health Nursing I

Theory:

Test papers and Quiz: 20 marks

Clinical seminar and Journal club: 10 marks

Total: 30 marks

Practicum:

Clinical performance evaluation: 20 marks

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[PART III—SEC.4]

End of posting exam (OSCE): 10 marks

Clinical presentation: 10 marks

Case study report: 10 marks

Internal OSCE: 50 marks

Total Internal practical: 100 marks

3. Family Health Nursing II

Theory:

Test papers: 20 marks

Clinical Seminar: 10 marks

Total: 30 marks

Practicum:

Clinical performance evaluation: 20 marks

End of posting exam (OSCE): 10 marks

Clinical presentation: 10 marks

Case study report (developed clinical/care pathway): 10 marks

Internal OSCE: 50 marks

Total Internal practical: 100 marks

End of posting exam can be conducted in any secondary hospital/health center

4. Dissertation

Practicum: 50 marks

EXTERNAL (FINAL) EXAMINATION (As per schedule in syllabus)

Theory: Short answer and essay type questions (Weightage can be decided by the University) {Essay 2×15

marks = 30, Short answers 5×6 marks = 30, Very short 5×2 marks = 10}

OSCE GUIDELINES FOR INTERNAL AND EXTERNAL PRACTICAL EXAMINATION

Ist year

I.

ADVANCED HEALTH/PHYSICAL ASSESSMENT

INTERNAL

OSCE: 25 marks

CORE COMPETENCY DOMAINS TO BE EXAMINED

1. Focused history taking and physical examination of adult patient

2. Focused history taking and physical examination of pediatric patient

3. Interpretation of history and physical examination findings

4. Interpretation of results of lab and diagnostic tests

5. Monitoring of clinical parameters

Number of stations: 5 (4+1 Rest station)

Time for each station: 10 minutes

Marks for each station: 5 marks (As per competency check list and allotted marks)

Total: 4×5 = 20 marks

Oral exam = 5 marks

Total = 25 marks

EXTERNAL

OSCE: 50 marks

CORE COMPETENCY DOMAINS

1. Focused history taking of adult patient

2. Focused physical examination of adult patient

3. Focused history taking of pediatric patient

4. Focused physical examination of pediatric patient

5. Interpretation of history and physical exam findings

6. Interpretation of results of lab and diagnostic tests

7. Monitoring clinical parameters

Number of stations: 10 (8+2 Rest stations)

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

91

Time for each station: 10 minutes

Marks for each station: 5 marks (As per competency check list and allotted marks)

Total: 8×5 = 40 marks

Oral exam = 10 marks

Total = 50 marks

IInd year

I.

FOUNDATIONS OF FAMILY HEALTH NURSING PRACTICE

INTERNAL

OSCE: 50 Marks

CORE COMPETENCY DOMAINS TO BE EXAMINED

1. Focused history taking, physical examination and interpretation of findings & results of adult patient

2. Focused history taking, physical examination and interpretation of findings & results of pediatric patient

3. Monitoring competencies (invasive and noninvasive)

4. Development of care plan

5. Therapeutic interventions including drug administration across the lifespan

6. Emergency procedural competencies

7. Family education and counseling

8. Family centered care

Number of stations: 5 (4+1 Rest station)

Time for each station: 10 minutes

Marks for each station: 10 marks (As per competency check list and allotted marks)

Total: 10×4 = 40 marks

Oral exam = 10 marks

Total = 50 marks

EXTERNAL

OSCE: 100 marks

CORE COMPETENCY DOMAINS

1. Focused history taking, physical examination and interpretation of results of adult patient

2. Focused history taking, physical examination and interpretation of results of pediatric patient

3. Monitoring competencies (invasive and noninvasive)

4. Development of care plan

5. Family education and counseling

6. Therapeutic interventions including drug administration across the lifespan

7. Family centered care

Number of stations: 10 (8+2 Rest stations)

Time for each station: 10 minutes

Marks for each station: 10 marks (As per competency check list and allotted marks)

Total: 8×10 = 80 marks

Oral exam = 20 marks

Total = 100 marks

FAMILY HEALTH NURSING I & II

INTERNAL

OSCE:50 marks

CORE COMPETENCY DOMAINS

1. Focused history taking, physical examination and interpretation of results of adult patient

2. Focused history taking, physical examination and interpretation of results of pediatric patient

3. Women’s health - assessment and specific procedures

4. Monitoring competencies (invasive and noninvasive)

5. Development of care plan/care pathway

6. Family education and counseling

On completion of procedural competencies in log book and clinical requirements, the NP student is

qualified to appear for final practical examination.

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THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

7. Therapeutic interventions including drug administration across the lifespan

8. Infection control practices

9. Family centered care

Number of stations: 5 (4+1 Rest station)

Time for each station: 10 minutes

Marks for each station: 10 marks (As per competency check list and allotted marks)

Total: 10×4 = 40 marks

Oral exam = 10 marks

Total = 50 marks

EXTERNAL

OSCE: 100 marks

CORE COMPETENCY DOMAINS

1. Focused history taking, physical examination and interpretation of results of adult patient

2. Focused history taking, physical examination and interpretation of results of pediatric patient

3. Monitoring competencies (invasive and noninvasive)

4. Women’s health - assessment and specific procedures

5. Development of care plan

6. Family education and counseling

7. Therapeutic interventions including drug administration across the lifespan

8. Infection control practices

9. Family centered care

Number of stations: 10 (8+2 Rest stations)

Time for each station: 10 minutes

Marks for each station: 10 marks (As per competency check list and allotted marks)

Total: 8×10 = 80 marks

Oral exam = 20 marks

Total = 100 marks

APPENDIX 3

CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN FAMILY HEALTH (NPFH) -

POSTGRADUATE RESIDENCY PROGRAM

(Specific Procedural Competencies/Clinical Skills)

Ist year

S.No.

Specific Competencies/Skills

Number

Performed

Date

Signature of the

Preceptor*/Faculty

I

RESEARCH APPLICATION AND EVIDENCE BASED PRACTICE

1

Preparation of research instrument

2

Writing systematic review/literature review

3

Preparation of a manuscript for publication (Ist or IInd year)

4

Dissertation/EBP project (IInd year)

Topic:

II

LEADERSHIP, MANAGEMENT AND TEACHING

1

Preparation of staff patient assignment

2

Preparation of unit budget

3

Preparation of staff duty roster

4

Patient care audit in the unit

5

Management of equipment and supplies

6

Monitoring, evaluation, and writing report related to

infection control

On completion of procedural competencies in log book and clinical requirements, the NP student is

qualified to appear for final practical examination

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

93

7

Preparation of teaching plan and media for teaching

patients/staff

8

Micro teaching/patient education sessions

9

Planning and conducting OSCE/OSPE

10

Construction of tests

III

HEALTH ASSESSMENT

1

Comprehensive history taking

2

Focused history taking (system wise)

3

Comprehensive physical examination

4

Focused physical examination (system wise)

4.1 Respiratory system

4.2 Cardiac system

4.3 Gastrointestinal

4.4 Nervous - Mental Status Examination, Cranial Nerve

Assessment

4.5 Genitourinary

4.6 Endocrine

4.7 Hematological

4.8 Musculoskeletal

4.9 Integumentary

4.10 Sensory organs - vision & hearing

5

Age specific history & physical examination

5.1 Neonate

5.2 Child

5.3 Adult

5.4 Geriatric

6

History & physical examination of a pregnant woman

IV

DIAGNOSTIC TESTS/PROCEDURES

1

Collecting blood sample for laboratory tests and

inferring result

1.1 Biochemistry

1.2 Clinical pathology

1.3 Microbiology

1.4 ABG

2

Assisting procedures

2.1 Paracentesis

2.2 Thoracentesis

2.3 Lumbar puncture

2.4 Liver biopsy

2.5 Renal biopsy

2.6 Bone marrow aspiration

3

Witnessing procedures

3.1 PET scan

3.2 Endoscopy

3.3 MRI/CT

3.4 Ultrasound

3.5 Echocardiogram

94

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

4

Monitoring and interpretation of critical parameters

4.1 Arterial Blood Gas (ABG)

4.2 Oxygen saturation

4.3 Endotracheal tube cuff pressure

4.4 Capnography

4.5 Hemodynamics

4.6 Electrocardiogram (ECG)

4.7 Intracranial pressure (ICP)

4.8 Invasive BP monitoring

4.9 Non-invasive BP monitoring

4.10 PiCCO (Pulse index Continuous Cardiac Output)

4.11 Peripheral vascular status

4.12 Glasgow Coma Score

4.13 Sedation Score

4.14 Pain Score

4.15 Braden Score

4.16 Bowel sounds

4.17 GRBS

4.18 Chest X-Ray

V.

BASIC COMPETENCIES

1

Admission

2

Transfer

3

Transport

4

Referral to higher center

5

Discharge/LAMA

6

Setting up, use and maintenance of basic critical care

equipment

6.1 Monitor/s

6.2 Transducer/pressure bag

6.3 Temperature probes

6.4 SpO2 probes

6.5 CTG machine

6.6 12-lead ECG monitor

6.7 Blood/Fluid Warmer

6.8 Syringe pump

6.9 Infusion pump

6.10 Phototherapy

6.11 Oxygen cylinder and manifold system

6.12 Alpha/Air mattress

* - When the student is found competent to perform the skill, it will be signed by the preceptor.

Students: Students are expected to perform the listed skills/competencies many times until they reach level 3

competency, after which the preceptor signs against each competency.

Preceptors/Faculty: Must ensure that the signature is given for each competency only after they reach level 3.

• Level 3 Competency denotes that the NP student is able to perform that competency without supervision.

• Level 2 Competency denotes that the student is able to perform each competency with supervision.

• Level 1 Competency denotes that the student is not able to perform that competency/skill even with supervision.

Signature of the Program Coordinator/Faculty

Signature of the HOD/Principal

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

95

CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN FAMILY HEALTH (NPFH) -

POSTGRADUATE RESIDENCY PROGRAM

(Specific Procedural Competencies/Clinical Skills)

IInd year

S.No.

Specific Competencies/Skills

Number

Performed/Assisted/Observed

(P/A/O)

Date

Signature of the

Preceptor/Faculty

I

ADVANCED COMPETENCIES

1

Setting up, use and maintenance of critical

care equipment

1.1 Ventilator

1.2 Defibrillator

P

1.3 Pacemaker

P

1.4 CRASH trolley

P

1.5 CPAP/BiPAP

2

Triage

P

3

IV Line insertion

P

4

Airway insertion

5

CPR - Adult

6

CPR - Pediatrics

7

Insulin therapy - sliding scale

P

8

Tracheostomy and suctioning

P

9

Nebulization

P

10 Electrocardiogram (ECG)

11 Chest Physiotherapy

P

12 ET tube care

P

13 ET cuff management

P

14 ET suctioning

P

15 Medicolegal compliance

P

16 End of life care

P

II. PERFORMING PROCEDURES

1

VIA

P

2

Use of Personal Protective Equipment

P

3

Infection control practices

P

4

Standard precautions

P

5

Urine Analysis

P

6

Sputum Smear

P

7

Skin Smear

P

8

Mantoux Test

P

9

Vision Screening

P

10 Hearing Test

P

11 Breast Self-Examination (BSE)

P

12 Testicular Self-Examination (TSE)

P

13 Oral Examination

P

III COUNSELING OF SPECIAL GROUPS

1

HIV mother

P

2

Infertile couple

P

3

Client attempted suicide

P

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THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

S.No.

Specific Competencies/Skills

Number

Performed/Assisted/Observed

(P/A/O)

Date

Signature of the

Preceptor/Faculty

4

Parents of Challenged Children

P

5

Client on Palliative Care

P

6

Caregiver of Palliative Client

P

IV NUTRITION, NUTRITIONAL ASSESSMENT AND FOOD SAFETY

1

Nutritional assessment, diet planning and

preparation of nutritional diet

1.1 Antenatal

P

1.2 Postnatal

P

1.3 Palliative Client

P

2

Therapeutic Diet Planning

P

V

EPIDEMIOLOGY

1

Investigation of an epidemic

P

VI VITAL STATISTICS & DOCUMENTATION

1

Maintenance of Records and Family

Profiles

P

2

Recording and reporting of vital events

P

3

Digital Health Recording

P

VII NATIONAL HEALTH PROGRAMMES

1

Participation in Pulse Polio Program

P

2

Administration of vaccines

P

VIII REPRODUCTIVE CHILD HEALTH & FAMILY PLANNING

1

Physical assessment

1.1 - Antenatal mother

P

1.2 - Postnatal mother

P

2

Antenatal Examination

Normal/Low/High Risk Pregnancy

P

2.1 Normal

P

2.2 Low risk

P

2.3 High risk

P

3

Plotting and interpretation of partograph

P

4

Vaginal examinations

P

5

Speculum examinations

P

6

Conduct normal deliveries

P

7

Assist for instrumental deliveries

P

8

Assist in vacuum suction

P

9

Assist in LSCS

10 Active management of Third Stage Labor

P

11 PPH management

P

12 Episiotomy and suturing

P

13 Postnatal Care

P

14 Newborn Care - Normal

P

15 Care of High-Risk Neonates

P

16 IUCD Insertion

P

17 Removal of IUCD

P

18 Assist in Initiation of Oral Contraceptive

Pills

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

97

Note: 5-10% of procedures that are rare should be practiced in skill lab and attained level 3 competency.

Signature of the Program Coordinator/Faculty

Signature of the HOD/Principal

APPENDIX 4

CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN FAMILY HEALTH (NPFH) -

POSTGRADUATE RESIDENCY PROGRAM

Ist year

S.No.

Clinical Requirements

Date

Signature of the

Preceptor/Faculty

1

Clinical Seminar/Journal Club/Clinical Conference

1.1 *APN - Clinical pathway in specific clinical condition/ Application

of specific nursing theory) (Clinical Seminar)

Title of the topic:

1.2 *RA - Evidence search for family health nursing competencies

(Clinical Conference/Journal Club)

Title of the topic:

1.3 *LM&T - Trends in Leadership/Management/Teaching

(Journal Club)

Title of the topic:

2

Clinical Rounds (with Physicians, Nursing Staff, Faculty, Students)

- Case/Clinical Presentation

2.1

Pathophysiology (Clinical Presentation)

Name of clinical condition:

2.2

Pathophysiology (Clinical Presentation)

Case Study (Written Report)

Name of clinical condition:

2.3

Pharmacology - Drug Studies

(drugs listed under Standing Orders) -

written report of 5 presentations

2.3.1 Drug name:

2.3.2

2..3.3

S.No.

Specific Competencies/Skills

Number

Performed/Assisted/Observed

(P/A/O)

Date

Signature of the

Preceptor/Faculty

19 Following up of women on OCP

20 Assist in Tubectomy

IX CHILD HEALTH - IMNCI MODULE

1

Essential New Born Care

P

2

New born resuscitation

P

3

Clinics - Participate in organizing various

clinics

P

3.1 Tuberculosis Clinic

3.2 Immunization Clinic

3.3 NCD Clinic

3.4 Family Planning Camp/Clinic

3.5 Deaddiction Clinic

3.6 Psychiatry Clinic

X

SPECIALIZED ROLE OF COMMUNITY HEALTH NURSES

1

Occupational Health Assessment

P

XI DISASTER MANAGEMENT

1

Mock drill on disaster management

P

98

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

2..3.4

2..3.5

2.3.6

2.3.7

2.3.8

2.3.9

2.3.10

3

Interdisciplinary Clinical Rounds (with Physicians, Nursing Staff,

Faculty, Students) - Case/Clinical Presentation

(Written reports are for submission)

3.1 Health Assessment (Adult) - History & Physical Examination (Two

written reports)

3.1.1.

3.1.2.

3.1.3.

3.1.4.

3.1.5.

3.2 Health Assessment (Pediatric) - History & Physical Examination

(One written report)

3.2.1.

3.2.2.

3.2.3.

3.3 Health Assessment (Pregnant Woman) (One written report)

3.3.1.

3.3.2.

*Advanced Practice Nursing - APN, Research Application - RA, Leadership, Management and Teaching - LM&T

Signature of the Program Coordinator/Faculty

Signature of the HOD/Principal

CLINICAL EXPERIENCE DETAILS

Name of the Area

Clinical Condition

Number of days

care given

Signature of

Faculty/Preceptor

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

99

Signature of the Program Coordinator/Faculty

Signature of the HOD/Principal

CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN FAMILY HEALTH (NPFH) -

POSTGRADUATE RESIDENCY PROGRAM

IInd year

S.No.

Clinical Requirement

Date

Signature of the

Preceptor/Faculty

1

Clinical Seminar/Journal Club/Clinical Conference

1.1 Foundations of Family Health Nursing Practice

(Clinical Conference)

Title of the topic:

1.2 Family Health Nursing I (Clinical Seminar)

Title of the topic:

1.3 Family Health Nursing I (Journal Club)

Title of the topic:

1.4 Family Health Nursing II (Clinical Seminar)

Title of the topic:

1.5 Family Health Nursing II (Journal Club)

Title of the topic:

2

Clinical Rounds (with Physicians, Nursing Staff, Faculty, Students)

- Clinical/Case Presentation

(Written reports are for submission)

2.1 Foundations of Family Health Nursing

(Family Education/Counselling) - Written Report

Name of the topic:

2.2 Foundations of Family Health Nursing

(Clinical/Care Pathway)

Name of the topic:

2.3 Family Health Nursing I (Clinical Presentation)

Name of clinical condition:

2.4 Family Health Nursing I (Case Study Report)

Name of clinical condition:

2.5 Family Health Nursing II (Clinical Presentation)

Name of clinical condition:

2.6 Family Health Nursing II (Case Study Report)

Name of clinical condition:

2.7 Drug Studies (drugs listed under Standing Orders)

2.7.1 Bedside Presentation

(Five written reports)

Name of Drug

2.7.2 Name of Drug

2.7.3

2.7.4

2.7.5

2.7.6

2.7.7

2.7.8

2.7.9

2.7.10

3

Interdisciplinary Clinical Rounds (with Physicians, Nursing Staff,

Faculty, Students) - Clinical/Case Presentation

3.1 Family Health Nursing I

Name of clinical condition:

100

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

3.2

3.3

3.4

3.5 (Case Study Report)

3.6 Family Health Nursing II

3.7

3.8

3.9 (Case Study Report)

3.10 Written Report (Developed Clinical/Care Pathway)

4

Visits

4.1 District TB Centre

4.2 ART Centre

4.3 Zonal Entomology Office

4.4 Family Welfare Office

4.5 ICDS Centre

4.6 Child guidance center

4.7 Palliative care center

4.8 Rehabilitation center

4.9 Observation and functioning of modified plan of operation in

National Malaria Eradication Program (NMEP) at PHC

4.10 Observation of anti-larval operation and vector control measures

Note: Clinical presentation can be written for case study report.

Signature of the Program Coordinator/Faculty

Signature of the HOD/Principal

CLINICAL EXPERIENCE DETAILS

Signature of the Program Coordinator/Faculty

Signature of the HOD/Principal

APPENDIX 5

STANDING ORDERS AND PROTOCOLS

Name of the Area

Clinical Condition

Number of days

care given

Signature of

Faculty/Preceptor

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

101

Nurse Practitioners in Family Health are prepared and qualified to assume responsibility and accountability for

the care of patients across the life span. They collaborate with family medicine physicians, primary care physicians

and specialists to ensure accurate therapy for patients with high acuity needs. On completion of the program, the

Nurse Practitioners will be permitted to administer drugs listed in standing orders as per the institutional standing

orders. They will also be permitted to order diagnostic tests/procedures and therapies as per institutional protocols.

STANDING ORDERS

The following intravenous injections or infusions may be administered by the Nurse Practitioner during

emergency.

Catecholamines

1. Adrenaline

2. Vasopressin

Antidysrhythmic

3. Amiodarone

Adrenergic agent

4. Ephedrine

Bronchodilators

5. Aminophylline

6. Deriphylline

7. Tiova

Antihistamine

8. Avil

Antihypertensives

9. Glycerine trinitrate

Corticosteroid

10. Hydrocortisone

Antiepileptic

11. Levitracetam

Sedatives & relaxants

12. Valium

Electrolytes & acid base correction agents

13. Soda bicarbonate 8.4%

14. Soda bicarbonate 7.5%

15. 3% normal saline

16. 0.9% normal saline

17. Antipyretics

18. Anti Parkinson’s drugs

Repeat medications

19. Calcium supplements - Sandacol, Shelcal, Osteocalcium

20. Oral antidiabetic agents - Metformin, Glynase, Insulin

Additional Standing Orders for Home-based Care (Refer GoI protocols)

The following investigations and therapies may be ordered by the Nurse Practitioners

Ordering Investigations

Ordering Therapies

▪ ECG

▪ ABG

▪ Chest X ray

▪ Basic Biochemistry investigations - Hb, PCV,

TIBC, WBC Total, WBC differentials, ESR,

Electrolytes, platelets, PT, aPTT, bleeding and

clotting time, procalcitonin, D-dimer, creatinine,

HbA1c, AC, PC, HDL, LDL, TIG, Cholesterol

total, HIV, HbsAg, HCV,

▪ Nebulization

▪ Chest physiotherapy

▪ Distal colostomy wash

▪ Insertion and removal of urinary catheter for female patients

▪ Test feeds

▪ TEDS

▪ Surgical dressing

▪ Starting and closing dialysis

▪ Application of ichthammol glycerin/magnesium sulphate

102

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Ordering Investigations

Ordering Therapies

▪ Basic Microbiology investigations - blood

samples for culture and sensitivity

dressing for thrombophlebitis/extravasation

▪ Pin site care for patients on external fixators

▪ Isometric and isotonic exercises

▪ Digital evacuation

INSTITUTIONAL STANDING ORDERS AND PROTOCOLS

In every hospital, the standing orders for drug administration with specific dosage to be administered during

emergency situations can be made available as guidelines for NPFH graduates. The NP students will be trained to

administer these drugs under supervision by preceptors/NP faculty. The protocols for ordering selected investigations

and carrying out specific therapeutic procedures can also be available in every hospital that trains NPFH students.

APPENDIX 6

RESPONSIBILITIES OF NPFH

1. Evaluating and diagnosing patients: Nurse Practitioners in Family Health perform physical examinations,

collect medical histories, and diagnose their patients.

2. Screening and disease prevention: Success as a family nurse practitioner requires the use of health screenings

and evaluations, helping with early detection of chronic or acute conditions such as cancer, diabetes, or

cardiovascular disease.

3. Developing and implementing treatment plans: Once a diagnosis has been made, the family nurse practitioner

formulates an effective treatment, which may include lifestyle changes, pharmaceutical intervention, physical

therapy, or a referral to a specialist.

4. Management of chronic conditions: In the course of their practice, family nurse practitioners will likely have

patients who struggle with chronic conditions, such as diabetes, arthritis, or inflammation. Part of their job is

helping patients learn to cope with and manage these conditions.

5. Patient education: The NPFH also advise patients on how to live healthy lifestyles and minimize their risk of

illness. This might include nutritional coaching or tips on effective stress management. When treating children or

adolescents, nurse practitioners in family health must also communicate care plans to parents or guardians.

6. Conducting research: The clinical practice of Nurse Practitioner in Family Health may be augmented with

experimental work or other forms of research, helping to deepen their understanding of effective patient care.

7. Public health advocacy: The NPFH who work in community clinics or acute care facilities may be responsible

for promoting healthy living within the community.

8. Collaboration with other professionals: In some care contexts, advanced practice nurses may work in

collaboration with physicians, partnering to provide high standards of care. The NPFH must also be prepared to

refer their patients to relevant specialists, such as substance abuse coaches, mental health care providers,

oncologists, etc.

Specific Responsibilities of NPs in FH

1. Preconception and prenatal care

2. Well-woman and illness care

3. Well-child and illness care

4. Episodic care for acute illnesses for all ages, including minor acute injuries

5. Management of chronic conditions such as hypertension, diabetes, asthma, etc.

6. Monitoring and co-management of primary care conditions with a specialist for potentially unstable conditions

such as cardiac diseases and neuromuscular conditions

7. Case management for any long-term illness or condition and rehabilitation

Dr. T. DILEEP KUMAR, President, INC

[ADVT.-III/4/Exty./843/2024-25]

Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064

and Published by the Controller of Publications, Delhi-110054. RAVINDER

KUMAR

Digitally signed by

RAVINDER KUMAR

Date: 2025.01.03

11:48:36 +05'30'