8447 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, 18दिसम् बर, 2024

(VIII)

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. 1082]

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

No. 1082]

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

सी.जी.-डी.एल.-अ.-06012025-259945

CG-DL-E-06012025-259945

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.

lHkh uotkr f'k'kqvksa dh LoLFk mÙkjthfork lqfuf'pr djuk Li"V :i ls cky LokLF; esa lqèkkj ds fy, ,d egRoiw.kZ {ks=

ds :i esa mHkjk gSA oSf’od leqnk; us 2035 rd lHkh ns'kksa esa ikap o"kZ ls de mez ds cPpksa dh e`R;q nj 20 çfr 1000 ls

de j[kus ds fy, çfrc)rk trkbZ gSA fo’o LokLF; laxBu ds vuqeku ds vuqlkj] cgqr ls fodkl'khy ns'kksa esa çf'kf{kr

LokLF; dÆe;ksa dh Çprktud deh gSA Hkkjr ljdkj }kjk 'kq: dh xbZ vk;q"eku Hkkjr ;kstuk dk mís'; nks çeq[k ?kVdksa

& LokLF; ,oa dY;k.k dsaæ ¼,pMCY;wlh½ vkSj jk"Vªh; LokLF; lqj{kk ;kstuk] ds lkFk LokLF; ns[kHkky ij è;ku nsuk gSA

;|fi LokLF; ç.kkyh dks mUur djus ds dk;ZØe dk bjknk lHkh ds fy, LokLF; ds y{; dks çkIr djus dh mEehn gS]

ysfdu çHkkoh dk;kZUo;u ds fy, dq'ky LokLF; dk;Zcy dh mfpr la[;k ds dksbZ lcwr ugÈ gSaA egRo ds iSekus dks è;ku

esa j[krs gq,] ,d dq'ky LokLF; dk;Zcy LokLF; ns[kHkky forj.k ç.kkfy;ksa ds fijkfeM esa lcls Åij gSA ljdkj

lkoZtfud vkSj futh LokLF; nksuksa {ks=ksa esa r`rh;d ns[kHkky lsokvksa esa egRoiw.kZ foLrkj dk lEeku djrh gSA ;g cgqr gh

egRoiw.kZ gS fd LokLF; ns[kHkky dfeZ;ksa dks viuh {kerk ds fuekZ.k esa fof'k"V vkSj vfr&fof'k"V lsokvksa esa mUur 'kS{kf.kd

rS;kjh dh vko';drk gksrh gSA fof'k"V vkSj vfr&fof'k"V LokLF; ns[kHkky lsokvksa dk leFkZu djus gsrq] mUur rS;kjh ds

lkFk fo'ks"kK uls± vko';d gSaA r`rh;d ns[kHkky {ks= esa çf'k{k.k dk;ZØe vkSj ikBîØe fodflr djuk le; dh

vko';drk ds :i esa igpkuk x;k gSA ulZ çSfDV'kuj ¼,uih½ bl ekax dks iwjk djus esa l{ke gksaxs c'krsZ os vPNh rjg ls

çf'kf{kr vkSj vH;kl djus ds fy, l'kDr gksaA dsaæ vkSj jkT; Lrj ij u, laoxks± dh LFkkiuk ds lkFk] LukrdksÙkj Lrj

ij rS;kj ulZ çSfDV'kuj r`rh;d ns[kHkky dsaæksa dh fofHkUu uotkr f’k’kq ns[kHkky bdkbZ;ksa esa uotkr शििुओंsa dks ykxr

çHkkoh] l{ke] lqjf{kr vkSj xq.koÙkk lapkfyr fo'ks"k uÉlx ns[kHkky çnku djus esa l{ke gksaxsA ulZ çSfDV'kuj] ;w,l, esa

1960 ds n'kd ls] ;wds esa 1980 ds n'kd ls] vkWLVªsfy;k esa 1990 ds n'kd ls vkSj uhnjySaM esa 2010 ls dke dj jgs gSaA

r`rh;d ns[kHkky lek;kstuksa esa dk;Z djus ds fy, ulZ çSfDV'kuj bu fu;ksusVy uÉlx ¼,uih,ubZvks,u½ rS;kj fd, tk

ldrs gSaA n`<+ 'kS{kf.kd rS;kjh mUgsa xaHkhj :i ls chekj uotkr f'k'kqvksa dk] jksx jksdFkke o LokLF; laoèkZu nksuksa ds fy,]

lg;ksxkRed funku vkSj mipkj djus esa l{ke cuk,xhA ifj"kn~ }kjk LukrdksÙkj Lrj ij ulZ çSfDV'kuj bu fu;ksusVy

uÉlx ¼,uih,ubZvks,u½ rS;kj djus dh fn'kk esa ,d ikBîp;kZ dh lajpuk@:ijs[kk çLrkfor gSA bl dk;ZØe dh [kkl

ckr ;g gS fd ;g ,d uSnkfud vkoklh; dk;ZØe gS ftlesa 15% lS)kafrd funsZ'k vkSj 85% vH;kl ds lkFk ,d lqn`<+

uSnkfud ?kVd ij cy fn;k x;k gSA n{krk vkèkkfjr çf'k{k.k çeq[k n`f"Vdks.k gS vkSj ulZ çSfDV'kuj f'k{kk baVjus'kuy

dkmafly vkWQ ulsZt ¼vkbZlh,u] 2020½] dkmafly vkWQ baVjus’kuy fu;ksusVy ulsZt ¼lhvksvkbZ,u,u½ daihVsalht ¼2021½

vkSj us'kuy vkWxZukbts'ku vkWQ ulZ çSfDV'kuj QSdYVht ¼,uvks,uih,Q] 2022½ ls :ikarfjr n{krkvksa ij vkèkkfjr gSA

çR;sd ikBîØe n{krkvksa dh miyfCèk ij vkèkkfjr gSA

ulZ çSfDV'kuj bu fu;ksusVy uÉlx ¼,uih,ubZvks,u½ & vkoklh; dk;ZØe dk mís'; iathÑr ch-,llh- ulks± dks xaHkhj

:i ls chekj uotkr f'k'kqvksa dks mUur uÉlx ns[kHkky çnku djus ds fy, rS;kj djuk gSA uÉlx ns[kHkky] uotkr

f’k’kqvksa dh fLFkfr dks fLFkj djus] xaHkhj tfVyrkvksa dks de djus vkSj b"Vre U;wjks fodklkRed ifj.kkeksa dks vfèkdre

djus ij dsafær gSA uotkr f'k'kqvksa dh 80% ls vfèkd ekSr rhu jksdFkke ;ksX; vkSj mipkj ;ksX; fLFkfr;ksa &

varxZHkkZ'k;h&lacafèkr ekSr ftlesa tUe ds le; 'okl vojksèk 'kkfey gS] le; ls igys tUe ds dkj.k gksus okyh tfVyrk,a

vkSj uotkr शििुq laØe.k] ds dkj.k gksrh gSaA çR;sd eq[; dkj.k dks jksdus vkSj mldk mipkj djus ds fy, ykxr

çHkkoh] çekf.kr eè;orZu fo|eku gSaA tUe ds le; ns[kHkky dh xq.koÙkk esa lqèkkj ls vfèkdka'k dh tku cpkbZ tk ldsxh]

ysfdu blds fy, l{ke LokLF; dfeZ;ksa vkSj vko';d cqfu;knh <kaps dh miyCèkrk gksuk vko';drk gSA bu fu;ksusVy

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

3

,uih dks r`rh;d ns[kHkky dsaæksa dh uotkr शििुq ns[kHkky bdkb;ksa vkSj ,l,ulh;w esa vH;kl djus dh vko';drk gksrh

gSA dk;ZØe esa vè;;u ds fofHkUu ikBîØe 'kkfey gSa tks lqn`<+ oSKkfud uÈo ij vkèkkfjr gSa ftuesa lk{; vkèkkfjr vH;kl

vkSj tfVy LokLF; ç.kkfy;ksa dk çcaèku 'kkfey gSA bUgsa ch-,llh- çf'kf{kr ulks± dh lS)kafrd vkSj vH;kl n{krkvksa ds

vkèkkj ij rS;kj fd;k x;k gSA dk;ZØe ds iwjk gksus vkSj lacafèkr ,l,uvkjlh ds lkFk iathdj.k gksus ij] os laLFkkxr

çksVksdkWy ds vuqlkj Lora= :i ls vkS"kf/k nsus vkSj uSnkfud ijh{k.k] çfØ;k] fpfdRlk midj.k o mipkj dk vkns'k nsus

ds fy, vfèkÑr gksaxsA

fu;ksusVy ,uih bl vfèkdkj dk ç;ksx djrs le;] fuEufyf[kr n{krkvksa ds fy, tokcnsg gksaxs &

a) uotkr f'k'kq dk p;u@uotkr शििुq ns[kHkky bdkbZ ¼,ulh;w½ esa HkrhZ vkSj NqV~Vh(

b) mfpr vkadyu }kjk leL;k dh igpku(

c) vkS"kf/k ;k midj.kksa ;k mipkjksa dk p;u@ç'kklu(

d) çlo] tUe vkSj uotkr vofèk ds nkSjku ns[kHkky dk lqn`<+hdj.k vkSj mlesa fuos'k(

e) ekr` ,oa uotkr शििुq ns[kHkky dh xq.koÙkk esa lqèkkj(

f) fpfdRlh; mi;ksx ds fy, uotkr शििुq ds ekrk&firk@ns[kHkkydrkZ dk l'kfDrdj.k(

g) fpfdRlh; var%fØ;kvksa dh tkudkjh] ;fn dksbZ gks(

h) ifj.kkeksa dk fu:i.k( vkSj

i) tfVyrkvksa vkSj vfç; çfrfØ;kvksa dh igpku vkSj çcaèkuA

fu;ksusVy ,uih viuh ns[kHkky ds rgr xaHkhj :i ls chekj uotkr f’k’kqvksa dh ns[kHkky dh ftEesnkjh ysus vkSj

mÙkjnkf;Ro fuHkkus ds fy, rS;kj vkSj n{krk çkIr 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 xaHkhj :i ls chekj uotkr f'k'kqvksa vkSj ifjtuksa dks xq.koÙkkiw.kZ ns[kHkky çnku djus gsrq Hkkjr esa

r`rh;d LokLF; ns[kHkky lsokvksa dh pqukSfr;ksa vkSj ekaxksa dks iwjk djus ds fy, ulZ çSfDV'kuj bu fu;ksusVy uÉlx

¼,uih,ubZvks,u½ uked LukrdksÙkj dk;ZØe LFkkfir djus dh vR;fèkd vko';drk 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 dk çn'kZu djus esa l{ke gksuk pkfg,A

f'k{k.k vè;;u n`f"Vdks.k dk è;ku o;Ld vè;;u fl)karksa] n{krk&vkèkkfjr शिक्षा lg;ksxh vè;;u] fpfdRlh; o uÉlx

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

çnkrkvksa@çhlsIVjksa@xq#vksa dks vius orZeku Kku vkSj vH;kl 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; fu;ksusVy uÉlx ladk; dh deh dks nwj djus ds fy, uSnkfud lek;kstuksa esa

fofHkUu '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 fu;ksusVy ,uih dks r`rh;d ns[kHkky dsaæksa dh uotkr शििु

qns[kHkky bdkbZ;ksa esa dk;Z djus ds fy, inksa dk l`tu fd;k tk,xkA

ulZ çSfDV'kuj bu fu;ksusVy uÉlx ¼,uih,ubZvks,u½ 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]

II.

ulZ çSfDV'kuj bu fu;ksusVy uÉlx ¼,uih,ubZvks,u½ dk;ZØe ,d uÉlx vkoklh; dk;ZØe gS ftlesa n{krk vkèkkfjr

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

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

½A

III.

,uih,ubZvks,u dk;ZØe] iathÑr ch-,llh- ulks± dks uSnkfud fo'ks"kK] çcaèkd] f'k{kd vkSj lykgdkj ds :i esa mUur

vH;kl Hkwfedkvksa ds fy, rS;kj djrk gS] tks vkxs pydj ,e-,llh- uÉlx ¼ulZ çSfDV'kuj bu fu;ksusVy uÉlx½ curs gSaA

IV.

dk;ZØe ds iwjk gksus ij] fu;ksusVy ,uih fuEufyf[kr dk;ks± ds laiknu esa l{ke gks tk,axs &

1. r`rh;d ns[kHkky ,ulh;w esa xaHkhj :i ls chekj uotkr f'k'kqvksa vkSj muds ifjtuksa dks l{ke ns[kHkky çnku

djus ds fy, ftEesnkjh vkSj mÙkjnkf;Ro ysukA

2. uotkr f'k'kqvksa dks fNækUos’kh ns[kHkky çnku djus esa uSnkfud {kerk@fo'ks"kKrk çnÆ'kr djuk ftlesa uSnkfud

rdZ] tfVy fuxjkuh vkSj mipkj 'kkfey gSaA

3. fNækUos’kh ns[kHkky dh vko';drk okys uotkr f'k'kqvksa ds fy, mipkj@e/;orZu dks ykxw djus esa lS)kafrd]

iSFkksfQft;ksykWftdy o QkekZdksykWftdy fl)karksa vkSj lk{; vkèkkj dks ykxw djukA

15%

III.

fof’k"V

ikBîØ

e

çk;ksfxd

85%

I. ewy ikBîØe

II.

mUur

vH;kl

ikBîØ

e

• fu;ksusVy ds;j esa

vuqç;qDr mUur

iSFkksfQft;ksykWth

• fu;ksusVy ds;j esa

vuqç;qDr mUur

QkekZdksykWth

• fu;ksusVy uÉlx esa

mUur

LokLF;@'kkjhfjd

vkadyu

• mUur vH;klh; uÉlx

ds fy, lS)kafrd vkèkkj

• fu;ksusVy ds;j esa 'kksèk

vuqç;ksx rFkk lk{;

vkèkkfjr vH;kl

• usr`Ro] çcaèku rFkk f'k{k.k

esa mUur dkS'ky

• fu;ksusVy

uÉlx vH;kl

ds ewy vkèkkj

• fu;ksusVy

uÉlx I

• fu;ksusVy

uÉlx II

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

5

4. fo’ks"kKrk lwpd funku dk mi;ksx djrs gq, xaHkhj fLFkfr;ksa dh igpku djuk rFkk uotkr f’k’kq ds LokLF; dks

fLFkj vkSj cgky djus ds fy, mipkj@e/;orZu djuk vkSj ,ulh;w ny ds ,d lnL; ds :i esa Lora= :i ls

;k lg;ksxkRed :i ls tfVyrkvksa dks de djuk ;k çcafèkr djukA

5. uotkr f'k'kq ns[kHkky dh fujarjrk esa ,ulh;w ny esa vU; LokLF; ns[kHkky dÆe;ksa ds lkFk lg;ksx djukA

V.

laLFkku dks ,uih,ubZvks,u dk;ZØe vkSj mlds Nk=ksa ds çfr tokcnsgh Lohdkj djuh gksxh vkSj ifj"kn~ ds ekudksa ds

vuq:i dk;ZØe dh is'kd'k djuh gksxhA bls fuEufyf[kr vko';drkvksa dks iwjk djuk gksxk%

1. vfuok;Zrk çek.ki=

a. ;fn ,uih,ubZvks,u dk;ZØe 'kq: djus dk bPNqd dksbZ laLFkku igys ls gh ifj"kn }kjk ekU;rk çkIr ch-,llh-

uÉlx ;k ,e-,llh- uÉlx dk;ZØe lapkfyr dj jgk gS] rks mls ,uih,ubZvks,u LukrdksÙkj vkoklh; dk;ZØe ds

fy, jkT; ljdkj ls ,uvkslh ¼vukifÙk çek.ki=½@vfuok;Zrk çek.ki= ysus ls NwV nh tk,xhA

b. ;fn laLFkku igys ls gh ulks± o MkWDVjksa dks çf'kf{kr djus ds fdlh fo’ofo|ky;h çf'k{k.k dk;ZØe ;k Mh,uch

dk;ZØe dk lapkyu dj jgk gS] rks ,uih dk;ZØe 'kq: djus ds fy, ,uvkslh dh vko';drk ugÈ gksxhA

2. vLirky

a. laLFkku dk de ls de 200 'k¸;k okyk viuk ewy vLirky@r`rh;d ns[kHky dsaæ gksuk pkfg,A

b. ewy vLirky vfèkekur% ,d esfMdy d‚yst@uÉlx d‚yst ls lac) gksuk pkfg,A

3. ,ulh;w 'k¸;k

vLirky esa cqfu;knh ns[kHkky] mUur ns[kHkky vkSj fof'k"V ns[kHkky uke ls U;wure 20 ,ulh;w 'k¸;k gksuh pkfg,A

4. ,ulh;w LVkQ

a. çR;sd ,ulh;w esa vfèkekur% ch-,llh- uÉlx ;k iksLV csfld fMIyksek bu fu;ksusVy uÉlx ;k ,e-,llh- uÉlx

vgZrkèkkjd ,d çHkkjh ulZ gksuk pkfg,A

b. osafVysVsM uotkr f'k'kqvksa ds fy, çR;sd f'k¶V esa ulZ uotkr f'k'kq vuqikr 1 % 1 gksuk pkfg,A

c. 'ks"k ,ulh;w 'k¸;kvksa ds fy, çR;sd f'k¶V esa ulZ uotkr f'k'kq vuqikr 1 % 2 gksuk pkfg,A

d. vkjf{kr vodk'k ds fy, vfrfjDr 45% LVkQ dk çkoèkkuA

5. ladk;@LVkQ lalkèku

a.

i. uÉlx çhlsIVj% fu;ksusVy uÉlx esa 6 o"kZ vuqHko ds lkFk iw.kZdkfyd th,u,e ;k fu;ksusVy uÉlx esa 2 o"kZ

vuqHko ds lkFk ch-,llh- uÉlx ;k fu;ksusVy uÉlx esa 2 o"kZ vuqHko ds lkFk iksLV csfld fMIyksek bu

fu;ksusVy uÉlx ;k fu;ksusVy uÉlx esa 1 o"kZ vuqHko ds lkFk ,e-,llh- ¼ihfM;kfVªd uÉlx@ vkWCLVsfVªDl

,aM xkbukdksykWth uÉlx½A

ii. esfMdy çhlsIVj% ,eMh fu;ksusVksykWth@ihfM;kfVªDlA

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 ¼LukrdksÙkj ds ckn 5 o"kZ iw.kZdkfyd 'kS{kf.kd vuqHko ds lkFk ulZ çSfDV'kuj

bu Lis'kfyVh@,e-,llh- bu ihfM;kfVªd uÉlx@fu;ksusVy uÉlx@,uih,ubZvks,u½] 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

6

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

c. mijksDr ladk; nksgjh Hkwfedk fuHkk,axs ;k ,e-,llh- uÉlx ;ksX;rk ds lkFk r`rh;d vLirky dh ihfM;kfVªd

uÉlx bdkbZ esa dk;Zjr ,d ofj"B ulZ gksaxsA

d. uotkr f'k'kq ns[kHkky ls lacafèkr QkekZdksykWth] iSFkksfQft;ksykWth vkSj fu;ksusVksykWth ds fy, vfrfFk çkè;kidA

6. 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 if=dkvksa rd igqap ds lkFk iqLrdky; vkSj daI;wVj lqfoèkk,aA

d. bZ&yÆud lqfoèkk,aA

7. ,ulh;w ds fy, midj.kksa dh lwph ¼layXu

½

8. Nk= HkrÊ@ços'k lacaèkh vko';drk,a

a. ukekadu ls igys vkosndksa dks vfèkekur% iathÑr ch-,llh- uÉlx@ih-ch-ch-,llh- uÉlx vgZrk ds lkFk fdlh

uotkr f’k’kq ns[kHkky bdkbZ ¼,ulh;w½ esa de ls de 1 o"kZ dk uSnkfud vuqHko gksuk pkfg,A

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% 5 ,ulh;w 'k¸;kvksa ds fy, 1 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 ikBîØe 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 &

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

7

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

LukrdksÙkj ds mijkar 5 o"kZ vuqHko ds lkFk ,e-,llh- uÉlx ladk; ¼vfèkekur% fof’k"Vrk&ihfM;kfVªd

uÉlx&,uih,ubZvks,u½ÀA

ii. ,d cká ijh{kd ¼mijksDr ds leku½A

iii. ,d fpfdRlh; vkarfjd ijh{kd] ftlus ,uih,ubZvks,u dk;ZØe ds fy, çhlsIVj dh rjg dk;Z fd;k gksA

'kksèk fucaèk

'kksèk xkbM% eq[; xkbM & LukrdksÙkj ds mijkar ,uih,ubZvks,u dk;ZØe esa i<+kus ds 3 o"kZ ds 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 dh çxfr dk ekxZn'kZu vkSj 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; fu;ksusVy uÉlx ds fy, çklafxd gksuk pkfg, tks uÉlx eè;orZu esa tkudkjh ;k lk{; tksM+sA 'kksèk

fdlh Hkh uotkr शििुq ns[kHkky lek;kstu esa vk;ksftr fd;k tk ldrk gSA

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

'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.

• प्रस्नोत्तरी

• lsfeukj

• fyf[kr fufgr dk;Z@vkofèkd ijh{kk i=

• ekeys dh çLrqfr@uSnkfud çLrqfr

• uÉlx çfØ;k fjiksVZ@ns[kHkky vè;;u fjiksVZ@ns[kHkky ekxZ

• vkS"kfèk vè;;u

• uSnkfud çn'kZu fu:i.k

• ykWx cqd ¼n{krk lwph rFkk uSnkfud vko';drk,a½ esfMdy@uÉlx ladk; ds çhlsIVj }kjk çfrgLrk{kfjr

• oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ@vks,lihbZ½

• प्रश्न i=

• vafre ijh{kk

¼vkadyu fn'kkfunsZ'kksa ds fy,

ns[ksa½

%

%

1

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

2

50

8

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

2

fu;ksusVy ds;j 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

fu;ksusVy ds;j esa vuqç;qDr mUur iSFkksfQft;ksykWth rFkk

mUur QkekZdksykWth

3

30

70

5

fu;ksusVy uÉlx esa mUur LokLF;@'kkjhfjd vkadyu

3

30

70

50

50

1

fu;ksusVy uÉlx vH;kl ds ewy vkèkkj

3

30

70

100

100

2

fu;ksusVy uÉlx I

3

30

70

100

100

3

fu;ksusVy uÉlx II

3

30

70

100

100

4

'kksèk fucaèk vkSj ekSf[kd ijh{kk

50

50

VIII.

I

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

40

II

fu;ksusVy ds;j 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 fu;ksusVy ds;j esa vuqç;qDr mUur iSFkksfQft;ksykWth

60

336 ¼7 lIrkg½

V

fu;ksusVy ds;j esa vuqç;qDr mUur QkekZdksykWth

54

336 ¼7 lIrkg½

VI fu;ksusVy uÉlx esa mUur LokLF;@'kkjhfjd vkadyu

70

48

576 ¼12 lIrkg½

dqy ;ksx ¾ 2208 ?kaVs

336 ¼7 lIrkg½

96 ¼2 lIrkg½

1776 ¼37 lIrkg½

VII fu;ksusVy uÉlx vH;kl ds ewy vkèkkj

96

48

576 ¼12 lIrkg½

VIII fu;ksusVy uÉlx I

96

48

576 ¼12 lIrkg½

IX fu;ksusVy 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

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 ¼lS)kfUrd$ç;ksx'kkyk¾15%] uSnkfud¾85%½

f}rh; o"kZ% 288&144&1776 ?kaVs ¼lS)kfUrd&dkS'ky ç;ksx'kkyk&uSnkfud½ ¼lS)kfUrd$ç;ksx'kkyk¾15%] uSnkfud¾85%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

336 $ 96 ?kaVs*½

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

MîwVh djus ds ckn Nqêh ds vkèkkj ij ifjorZu'khy gSA

B.

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

9

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

,l,ulh;w

6

,uvkÃlh;w ysoy II

6

,uvkÃlh;w ysoy III

6

çloiwoZ fDyfud

2

vkuqoaf'kd ijke'kZ fDyfud

2

ekuo nqXèk cSaÇdx@Lruiku lacaèkh ijke'kZ

1

uotkr f'k'kq vuqorÊ fDyfud

2

çloiwoZ okMZ

2

çloksÙkj okMZ

2

çlwfr vkikrdky vkSj vksVh lfgr çlo d{k ¼yscj :e½

4

cky jksx vksihMh

2

Vhdkdj.k fDyfud

2

,,,e ¼vk;q"eku vkjksX; eafnj½@,pMCY;wlh ¼LokLF; dY;k.k dsaæ½

2

lh,plh@ih,plh

2

uotkr@cky fpfdRlk vkikrdky

1

cky 'kY; fpfdRlk okMZ

2

¼CykWd d{kkvksa dk ,d lIrkg NksM+dj½

,l,ulh;w

6

,uvkÃlh;w ysoy II

6

,uvkÃlh;w ysoy III

6

çloiwoZ fDyfud

2

vkuqoaf'kd ijke'kZ fDyfud

2

ekuo nqXèk cSaÇdx@Lruiku lacaèkh ijke'kZ

1

uotkr f'k'kq vuqorÊ fDyfud

2

çloiwoZ okMZ

2

çloksÙkj okMZ

2

çlwfr vkikrdky vkSj vksVh lfgr çlo d{k ¼yscj :e½

2

cky jksx vksihMh

2

Vhdkdj.k fDyfud

2

,,,e ¼vk;q"eku vkjksX; eafnj½@,pMCY;wlh ¼LokLF; dY;k.k dsaæ½

2

lh,plh@ih,plh

2

uotkr@cky fpfdRlk vkikrdky

2

cky 'kY; fpfdRlk vkbZlh;w@vksVh

4

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 laxksf"B;ka

10

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

•

tuZy Dyc

•

ekeys dk vè;;u@uÉlx çfØ;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

D.

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

dkS'ky½

3a rFkk 3b

vkSj uSnkfud vgZrk,a

ij çR;sd i[kokM+s çhlsIVj@ladk; }kjk gLrk{kj

fd, tkus pkfg,A

E.

1- uSnkfud fu.kZ; ysus esa fl)kar] 'kks/k lk{;] voyksdu vkSj vuqHko dk mi;ksx djrk gSA

2- uotkr शििु vH;kl dks çHkkfor djus okyh is'ksoj] dkuwuh vkSj uSfrd ftEesnkfj;ksa ds vuqlkj vH;kl djrk gSA

3- uÉlx is'ks ds fy, vkpj.k dh vko';drk dks iwjk djrk gSA

4- vkadyu dk nLrkosthdj.k] funku] çcaèku vkSj uotkr f'k'kqvksa ds mipkj vkSj vuqorÊ ns[kHkky dh fuxjkuh

djrk gSA

5- laLFkkxr çksVksdkWy ds vuqlkj vkS"kf/k;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 is'ksojksa dks lanÆHkr djrk gS vkSj muls jsQjy

Lohdkj djrk gSA

8- tgka uotkr f'k'kq] ifjtuksa vkSj leqnk; ds fgr esa çkfèkdj.k vkSj fu;ked <kapk vuqefr nsrk gS] Lora= :i ls

vH;kl djrk gSA

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

10- uotkr f’k’kqvksa 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 gSa rFkk uotkr f'k'kq] ifjtuksa vkSj

leqnk; ds LokLF; çcaèku esa 'kkfey gSaA

12- lk{;&vkèkkfjr vH;kl dk ifjp;] ijh{k.k] ewY;kadu vkSj çcaèku djrk gSA

13- lqjf{kr vkSj çHkkoh uotkr f’k’kq ns[kHkky çnku djus ds fy, lger ekinaMksa ds Hkhrj vH;kl djrk gS]

tkudkjh dks ykxw djrk gS] uSnkfud fu.kZ; vkSj dkS'kyksa dh ,d J`a[kyk dk vH;kl djrk gSA

14- pkyw uotkr शििु tkudkjh dks cuk, j[krk gSA

15- vius vH;kl ds nk;js esa uotkr f'k'kqvksa dh dfe;ksa ds {ks=ksa dks ifjHkkf"kr djrk gS vkSj mu dfe;ksa dks de

djus ds rjhds <wa<rk gSA

16- ns[kHkky dh ,d ;kstuk fodflr vkSj dk;kZfUor djrk gS tks bdkbZ uhfr;ksa vkSj fn'kkfunsZ'kksa ds vuqlkj

uotkr@ifjokj ds fy, O;fDrxr gksrh gSA

17- lqfuf'pr djrk gS fd fyf[kr nLrkost Li"V gksa rFkk LFkkuh; fn'kkfunsZ'kksa vkSj ekudksa dk ikyu djrk gSA

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

11

18- fu;ksusVy uÉlx esa miyCèk orZeku çFkkvksa ds ckjs esa tkx:drk çnÆ'kr djrk gSA

19- lk{;&vkèkkfjr uotkr f'k'kq ns[kHkky çnku djrk gSA

20- fu;ksusVy uÉlx ds lHkh igyqvksa esa xq.koÙkk cuk, j[krk gS vkSj lqèkkjrk gSA

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

lk{;&vkèkkfjr vH;kl dk mRiknu djus ds fy, 'kks/k dk mi;ksx djrk gSA

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

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

24- 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

25- 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

26- LokLF; ns[kHkky ç.kkfy;ksa esa uotkr f'k'kqvksa ds fy, odhy ds :i esa dk;Z djrk gS vkSj oS;fDrd uotkr f’k’kq]

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

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

F.

Nk=ksa

dks laLFkkxr çksVksdkWy@LFkk;h vkns'kksa ds vuqlkj Lora= :i ls vkS"kf/k 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 × 32 ¾ 32 ?kaVs

• lsfeukj@lS)kafrd vuqç;ksx

• O;k[;ku ¼ladk;½

2- fu;ksusVy ds;j esa 'kksèk

vuqç;ksx rFkk lk{; vkèkkfjr

vH;kl ¼56 $ 24½

8 ?kaVs

40 ¼5 fnu½

$ 8 ?kaVs

1 × 24 ¾ 24 ?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 × 26 ¾ 26 ?kaVs

2-5 × 16 ¾ 40 ?kaVs

• uSnkfud lEesyu

• lsfeukj

• vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½

4- fu;ksusVy ds;j esa vuqç;qDr

mUur iSFkksfQft;ksykWth ¼60½

1-5 × 40 ¾ 60 ?kaVs • ekeys dh çLrqfr

• lsfeukj

• uSnkfud lEesyu

5- fu;ksusVy ds;j esa vuqç;qDr

mUur QkekZdksykWth ¼54½

10 ?kaVs

1 × 44 ¾ 44 ?kaVs

• uÉlx jkmaM~l

• vkS"kfèk vè;;u çLrqfr

• LFkk;h vkns'k@çLrqfr

6- fu;ksusVy uÉlx esa mUur

LokLF;@'kkjhfjd vkadyu ¼70 $

48½

8 ?kaVs

2 × 26 ¾ 52 ?kaVs

1-5 × 18 ¾ 27 ?kaVs

1 × 15 ¾ 15 ?kaVs

2 × 6 ¾ 12 ?kaVs

2 × 2 ¾ 4 ?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

12

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

¼48 ?kaVs½

1-

fu;ksusVy 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-

fu;ksusVy 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-

fu;ksusVy 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-

fu;ksusVy ds;j 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-

fu;ksusVy ds;j 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

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

ykxw djrs gq, lqjf{kr vkSj l{ke ns[kHkky djukA

10-

xaHkhj :i ls chekj uotkr f’k’kq dks l{ke ns[kHkky çnku djus esa uÉlx fl)karksa dh tkudkjh dks ykxw djukA

11-

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

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

13

5- uÉlx lwpuk foKku lfgr LokLF; lwpuk ç.kkyh ¼daI;wVj 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 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- fu;ksusVy ,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- r`rh;d dsaæksa ds fofHkUu ,ulh;w esa ik, tkus okys fu;ksusVy ,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

•

dkmafly vkWQ baVjus'kuy fu;ksusVy ulsZt] bad- oÉdx xzqi ¼lhvksvkbZ,u,u&MCY;wth½

•

Lis’kfyLV uÉlx isuy vkWQ n dkmafly vkWQ baVjus'kuy fu;ksusVy ulsZt] bad- ¼lhvksvkbZ,u,u½ ¼2019½

•

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

•

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

•

uan ,y- ,aM vfuydqekj ,- ¼2021½ jksy vkWQ ulZ çSfDV’kulZ fofnu gSYFk flLVe bu bafM;k% v dsl vkWQ vuVSIM

iksVsaf’k;y] tuZy vkWQ+ Q+Sfeyh esfMflu ,aM çkbejh ds;j 10¼8½ 2751&2756

•

esgjcku Çlg ¼2017½ vlsaf'k;Yl vkWQ ihfM;kfVªd uÉlx ¼prqFkZ laLdj.k½ lhch,l ifCy’klZ

•

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

•

lL=s&Qqykuk ih-] xzs Mh-lh-] dkf'ku ,-] czk;aV&yqdksfl;l Mh-] 'kqeu ,y-] xht+ ,Q- ,aM cMZ ch- ¼2021½ fotqvy

vusysfll vkWQ Xykscy daisjsfVo eSfiax voWQ n çSfDVl Mksesu vkWQ n ulZ çSfDV'kuj@,MokaLM çSfDVl uÉlx jksy

bu jsliksaMsaV daVªht] tuZy vkWQ+ n vesfjdu ,lksfl,'ku vkWQ+ ulZ çSfDV'kulZ 33¼7½ 496&505

•

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

II.

1-

fu;ksusVy uÉlx esa Lora= 'kksèk djus esa xgu 'kksèk tkudkjh vkSj dkS'ky dks ykxw djukA

2-

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

3-

bZchih dk mRiknu djus ds fy, mUur vH;kl esa 'kksèk fu"d"kks± dh O;k[;k vkSj mi;ksx djukA

4-

fu;ksusVy uÉlx 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

14

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

5-

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

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

6-

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

1- 'kksèk vkSj mUur uÉlx vH;kl% 'kksèk vkSj fu;ksusVy uÉlx Hkwfedk ls lacafèkr iwNrkN dk egRo ¼n{krk 1½

2

2- ,ih,u ds fy, 'kksèk ,tsaMk% loksZÙke vH;kl fodflr djus ds fy, orZeku vH;kl dk ijh{k.k] LokLF;

ifj.kke vkSj fu;ksusVy uÉlx vH;kl esa xq.koÙkkiw.kZ ns[kHkky ds ladsrd ¼n{krk 3] 4] 5½]

'kksèk laLÑfr dks c<+kok nsuk

5

3- 'kksèk dk Kku 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

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 dk;Z ¼n{krk 3] 4] 5½

• voèkkj.kk,a] fl)kar] egRo vkSj pj.k

• ,ulh;w lek;kstu esa bZchih dks ,dhÑr djuk

• fu;ksusVy ds;j esa lk{; ds {ks=

• bZchih dks ykxw djus esa ckèkk,a

• c<+kok nsus dh j.kuhfr;ka

4

24 ?kaVs

•

'kksèk çkFkfedrkvksa dh igpku djuk

•

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

•

'kksèk çLrko@bZchih ifj;kstuk çLrko ys[ku

•

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

•

O;ofLFkr leh{kk ys[ku & fdlh Hkh ,ulh;w lek;kstu esa fn, x, uÉlx eè;orZu ds lk{; dk fo'ys"k.k djuk

•

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

•

xzs ts- ,aM xzkso ,l-ds- ¼2020½ cUlZ ,aM xzksOl% n çSfDVl vkWQ uÉlx fjlpZ% vçsty] ÇlFksfll ,aM tsujs'ku vkWQ

,foMsal ¼9oka laLdj.k½ lsaV yqbl% ,Ylsfo;j lkWUMlZ

•

esgjcku Çlg ¼2017½ vlsaf'k;Yl vkWQ ihfM;kfVªd uÉlx ¼prqFkZ laLdj.k½ lhch,l ifCy’klZ

•

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

III.

1-

uotkr शििुq ns[kHkky bdkbZ esa usr`Ro vkSj çcaèku ds fl)karksa dks ykxw djukA

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

15

2-

fl)karksa ds csgrj Kku dk mi;ksx djds fu;ksusVy uÉlx esa ruko o la?k"kks± dks çHkkoh <ax ls çcafèkr djukA

3-

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

4-

usr`Ro çnku djus esa egRoiw.kZ Çpru vkSj lapkj dkS'ky dk mi;ksx djuk rFkk ,ulh;w esa uotkr f’k’kq ns[kHkky

dk çcaèku djukA

5-

ny cukuk vkSj uotkr f’k’kq ns[kHkky lek;kstu 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-

uotkr f’k’kq ns[kHkky esa i{kèkj Hkwfedk fodflr djuk] ,ulh;w lek;kstu esa xq.koÙkk vkSj uSfrdrk cuk, j[kukA

10- uotkr f'k'kqvksa ds ekrk&firk vkSj ifjtuksa dks ladV dh fLFkfr esa fo'ks"k :i ls thou ds var dh ns[kHkky esa ijke'kZ

çnku djukA

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

2

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

2

3- uotkr f’k’kq ns[kHkky lek;kstu esa vuqç;qDr usr`Ro vkSj çcaèku ds fl)kar

4

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

çcaèku

4

5- xq.koÙkk lqèkkj ,oa ijh{k.k

4

6- fu;ksusVy fØfVdy ds;j uÉlx vH;kl esa vuqç;qDr leL;k lekèkku] egRoiw.kZ Çpru o fu.kZ;] lapkj

dkS'ky

5

7- ,ulh;w lek;kstu esa ny cukuk] çsfjr djuk vkSj lykg nsuk

2

8- ekuo lalkèku lfgr ctV o lalkèku çcaèku & ,ulh;w ctV] lkexzh çcaèku] LVkQ] fufgr dk;Z

5

9- cnyko vkSj uokpkj

2

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

6

11- fu;ksusVy 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% uotkr f’k’kq ns[kHkky lek;kstu esa 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- uotkr f’k’kq ns[kHkky okrkoj.k esa leFkZu Hkwfedk,a

2

•

LVkQ uotkr f’k’kq 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@ekrk&firk çf’k{k.k l=

•

uotkr f’k’kq ds ekrk&firk rFkk deZpkfj;ksa ds fy, çf'k{k.k i)fr vkSj ehfM;k rS;kj djuk

16

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

•

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

•

ijh{k.k fuekZ.k

,ulh;w dk;Z&LFky fgalk

•

gkWuZVosM ,e-Vh-] ukWMZLVhu ,-] Q+eZu Vh- ,aM lsosfjalu bZ- ¼2018½ LVªkVstht QkWj Vhfpax ,ohMsal csLM çSfDVl bu

uÉlx ,Mwds’ku% v FkhesfVd fyVjspj fjO;w] ch,elh esfMdy ,Mwds’ku 18¼1½ 172] https://doi.org/10.1186/s12909-

018-1278-

•

yhcyj ts-th- ,aM eSddksusy lh-vkj- ¼2008½ eSustesaV fçafliYl QkWj gSYFk çksQs'kuYl] tksal ,aM ckVZysV yfu±x

•

esgjcku Çlg ¼2017½ vlsaf'k;Yl vkWQ ihfM;kfVªd uÉlx ¼prqFkZ laLdj.k½ lhch,l ifCy’klZ

•

lL=s&Qqykuk ih-] xzs Mh-lh-] dkf'ku ,-] czk;aV&yqdksfl;l Mh-] 'kqeu ,y-] xht+ ,Q- ,aM cMZ ch- ¼2021½ fotqvy

vusysfll vkWQ Xykscy daisjsfVo eSfiax voWQ n çSfDVl Mksesu vkWQ n ulZ çSfDV'kuj@,MokaLM çSfDVl uÉlx jksy

bu jsliksaMsaV daVªht] tuZy vkWQ+ n vesfjdu ,lksfl,'ku vkWQ+ ulZ çSfDV'kulZ 33¼7½ 496&505

•

oht+ ,l-,-] VSisu vkj-,e- ,aM fxzeyh ds- ¼2019½ vlsaf’kYl vkWQ uÉlx yhMjf’ki ,aM esustesaV] ,Q, Msfol

IV. A.

I

1-

uktqd fLFkfr esa funku vkSj ns[kHkky ;kstuk fodflr djus esa iSFkksfQft;ksykWftdy çfØ;k dh tkudkjh dks

,dhÑr djukA

2-

xaHkhj jksxksa ds y{k.k çcaèku vkSj ekè;fed jksdFkke esa iSFkksfQft;ksykWftdy fl)karksa dks ykxw djukA

3-

funku] mipkj] ns[kHkky vkSj jksx funku ds ewY; dks igpkurs gq, çR;sd xaHkhj jksx dh vko’;drk okyh fLFkfr

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

I

8

• ’olu ç.kkyh dk Hkzw.ktU; Hkzw.k fodkl

• uotkr f'k'kqvksa esa ’olu lacaèkh ijs'kkuh@gkbyhu f>Yyh jksx

• ’olu ra= lacaèkh fodkj

• esdksfu;e ,fLijs'ku ÇlMªkse

• varxZHkkZ'k;h vkSj çloksÙkj fueksfu;k

• Hkkjh Qq¶Qqlh; jDrlzko

• U;weksFkksjSDl

• Qq¶Qql cgko

• uotkr f'k'kq dk Vªkaft,aV VSphifu;k

• czksadksiYeksujh fMlIysfl;k

• ’olu lacaèkh 'kY; fpfdRlk lacaèkh vkikrfLFkfr;ka

II

6

• ân; ç.kkyh dk Hkzw.ktU; Hkzw.k fodkl

• Hkzw.k vkSj uotkr ifjlapj.k

• ijflLVsaV iYeksujh gkbijVsa’ku ¼Qq¶Qqlh; mPp jDrpki½

• datsfuVy daiyhV gVZ CykWd ¼tUetkr iw.kZ ân; vojksèk½

• lqijosafVªdy VsdhdkÆM;k

• tUetkr ân; foÑfr ¼oh,lMh] ,,lMh] ihMh,] ,oh dusky fMQSDV] egkèkeuh dk ladqpu] ,cLVhu

vukseyh] bZlsuesatj ÇlMªkse] isVsaV Qksjkesu vksosy] iYeksujh,Vªsfl;k] Vhvks,Q] Vh,ihohvkj] egkèkefu;ksa dk

LFkkukarj.k] Vªadl vkVsZfj;ksll½

• lnek ¼’kkWd½

III

4

• tuukax ç.kkyh dk Hkzw.ktU; Hkzw.k fodkl

• ,D;wV jhuy Q+sY;j

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

17

• xqnsZ dh foÑfr

• datsfuVy usÝksfVd flUMªkse

• ew= iFk ds laØe.k

• isV dk æO;eku

• usÝksdSYlhuksfll

• vLi"V cká tuukax

• gkbiksLisfM;k vkSj ,fiLisfM;k

• vufMlsaMsM VSfLVt ¼u mrjk gqvk o`"k.k½

IV

4

• raf=dk ç.kkyh dk Hkzw.ktU; Hkzw.k fodkl

• baVªkØsfu;y jDrlzko

• baVªkosafVªdqyj jDrlzko

• U;wjksykWftdy lhDosy vkWQ gkbiksfDld&bLdsfed ,UlsQSyksiSFkh isjhosafVªdqyj Y;wdksekysf'k;k

• cFkZ VªkWek Vq lh,u,l

• lh,u,l foÑfr;ka

• ftVjhusl ¼?kcjkgV@ruko½

• fu;ksusV lhtlZ ¼uotkr शििुq dks iM+us okys nkSjs½

• ¶ykWih fu;ksusV

V

4

• tBjka= ç.kkyh dk Hkzw.ktU; Hkzw.k fodkl

• nLr

• thbZvkjMh

• VhbZ,Q ¼VªSpsvkslksQsft;y ,Vªsfl;k½

• dVs gksaB@dVk rkyq

• ,DlksEQSyksl ¼vksEQkykslsys½

• xSLVªksfLdfll

• datsfuVy Mk;kÝkfed gÆu;k

• ihfy;k

• fcfyvjh ,Vªsfl;k ¼fiÙk vfoojrk½

• fg'kZLçqax jksx

• tUetkr vka= #dkoV@osèk

• gkbijVªkWfQd ikbyksfjd LVsuksfll

• NksVh vkar dh xfrghurk

• vUrokZluk

• esdksfu;e bfy;l

• fu;ksusVy dksysLVsfll

• ,uksjsDVy folaxfr;ka

• usØksVkbZÇt+x ,aVªksdksykbfVl

VI

4

• var%lzkoh ra= dk Hkzw.ktU; Hkzw.k fodkl

• Vªkaft,aV fu;ksusVy gkbiksXykbdsfe;k ,aM gkbijXykbdsfe;k

• vfèko`Dd xzafFk dh leL;k,a ¼lkis{k vfèko`Dd vi;kZIrrk] tUetkr vfèko`Dd gkbijIykfl;k½

• Fkk;jkbM dh leL;k ¼ Vªkaft,aV gkbiksFkk;jk;fMTe vkSj gkbijFkk;jk;fMTe] Vªkaft,aV fu;ksusVy

gkbijFkk;jksVªksfiufe;k] gkbiksFkk;jksfDlufe;k vkWQ fçesP;qfjVh½

• tuukax vkSj ew= lacaèkh leL;k,a ¼gkbMªksdksYiksl vkSj gkbMªksesVªksdksYiksl vksosfj;u gkbijfLVE;wys'ku

ÇlMªkse fç;kfiT+e½

• ,Dus fu;ksusVksje

• Vªkaft,aV gkbiksdSYlhfe;k ,aM gkbijdSYlhfe;k

IV. B.

II

18

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

I

8

• gsesVksykWftd ç.kkyh dk Hkzw.ktU; Hkzw.k fodkl

• jDrlzko fodkj

o yky jDr dksf'kdkvksa ds fodkj

▪ fldy lsy jksx

- ,uhfe;k

- FkzksEckslkbVksisfu;k

- vfr&fpifpikiu

o 'osr jDr dksf'kdkvksa ds fodkj

▪ Y;wdksisfu;k

▪ fu;ksIykfLVd fodkj

o gseksLVsfll ds fodkj

▪ IysVysV fodkj

▪ dks,xwys’ku fodkj

▪ fMLlsfeusVsM baVªkokLdqyj dks,xwys’ku

o fu;ksusVy gheksQhfy;k

• uotkr f'k'kq dk jDrlzkoh jksx

• foVkfeu ds çksfQySfDll

• fMLlsfeusVsM baVªkokLdqyj dks,xwys’ku ¼NksVh ulksa esa [kwu ds NksVs&NksVs FkDds cuuk½

• ikWyhflFksfe;k

• èkeuh vkSj f'kjkijd ?kukL=rk

II

3

• p;kip;h fodkj dk Hkzw.ktU; Hkzw.k fodkl

• QsfuydsVksuqfj;k

• gkbiksXyslhfe;k

• gkbijXyslsfe;k

• gkbiksdSYlhfe;k

• vkWfLV;ksisfu;k vkWQ fçesP;qfjVh

• gkbijdSYlhfe;k

• gkbikseSXuslhfe;k

• ysV esVkckWfyd ,flMksfll

• p;kip; dh tUetkr =qfV;ka ¼vkbZbZ,e½

• uotkr f'k'kq dh tkap

• uotkr f’k’kq dh Fkk;jkW;M tkap

III

2

• vkFkksZisfMd fodkj dk Hkzw.ktU; Hkzw.k fodkl

• VSfyIl bfDouksosjl ¼Dyc Q+qV½

• dSYdsuksokyxl foÑfr

• tsuq fjdoZVe

• dwYgksa dh tUetkr vO;oLFkk ¼datsfuVy fMLyksds’ku vkWQ fgIl½

IV

4

vè;koj.kh; fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k

• Vªkaft,aV oLdqyj fQuksfeuk

• ,jhFksek VkWfDlde fu;ksusVksje

• Vªkaft,aV fu;ksusVy iLVqyj esykuksfll

• fu;ksusVy isfEQxl

• dksyksfM;u csch

• vfEcfydy xzSuqyksek

• Mk;ij MesZVkbfVl

• fefyfj;k

• fefy;k

• fu;ksusVy ,Dus

• ,ØksiLVqyksfll vkWQ buQSalh

V

4

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

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

19

• ,pvkbZoh@,M~l

• ekrk&firk ls cPps esa ,pvkbZoh vkSj vU; laØe.k dk lapj.k

• VkWpZ

• VsVul

• lklZ

• fjdsfV~l;ksfll

• ysIVksLik;jksfll

• Msaxw

• eysfj;k

• fu;ksusVy lsfIll

• jscht+

• ,fo;u ¶yw

• dksfoM&19

VI

4

• lnek ¼VªkWek½

• iwfr ¼lsfIll½

• lnek ¼’kkWd½

• eYVhiy vkWxZu fMLQaD;ku ¼,dkfèkd vaxksa dh f'kfFkyrk½

• flLVsfed bu¶ysesVjh fjliksal ÇlMªkse

• ,ukfQysfDll

• vU; pksVsa ¼xeÊ] fctyh] yVdus ds fudV] yxHkx Mwcus ds dkj.k½

• fo"kgj.k

• ek=k ls vfèkd vkS"kf/k

• tgj nsuk

VII

5

• fofoèk fodkjksa dk Hkzw.ktU; Hkzw.k fodkl

• cFkZ batqjht

• lk;uksfll

• vkWDlhtu Fksjsih ds fy, ladsr

• jsfVuksiSFkh vkWQ fçesP;qfjVh

• ,fMek vkSj gkbMªksIl QsVsfyl

• ,lkbV~l ¼tyksnj½

• Ldsysjsek

• osfldqykscqyl fLdu bji’kUl

• fu;ksusVy ,fjFkzksMekZ

• bpF;ksfll

• oLdqyj usoh

• jatdrk ds fodkj

• ,dkfèkd xHkZèkkj.k

• vk;Vªkstsfud fodkj

•

dsuj lh-] ysLyh vYVhfe;j Mh-,u-ih- ,aM ckW;dksok ,e-oh- ¼,M~l½ ¼2019½ dafçgsaflo fu;ksusVy uÉlx ds;j] ÇLçxj

ifCyÇ'kx daiuh

•

dqVyqcs t+sM-] Vudksy ,-] baftu ch-] vksusy lh-] flelsd bZ-] lsMkZjksXyw ,l-] rqt+qu okbZ-] f;yekt+ bZ- ,aM ,jsu ch-

U;wcksuZ fLdu% dkWeu fLdu çksCysEl] eSfMdk ¼cqdqj½ 2017 tuojh 12¼1½% 42&47] ih,evkbZMh% 28878836(

ih,elhvkbZMh% ih,elh5574071

•

dqrksZXyq ,l-] Mk;jsd th-] VSVyh tsM-;w- ,aM gkfriksXyq ,u- ¼2019½ Vªkaft,aV ,aMksfØuksykWftd çksCysEl bu n U;wcksuZ

ihfj;M] rqdZ ihfM;kfVªvkjflfo 54¼1½ 3&12] https://doi.org/10.14744/TurkPediatriArs.2019.04810

•

yh okbZ-] fye okbZ-,l-] yh ,l-Vh- ,aM pks ,p- ¼2018½ ihfM;kfVªd jsuksoLdwyj gkbijVsa’ku% VªhVesaV vkmVde ,dksfM±x

Vq vaMjykbax fMlht] ihfM;kfVªDl baVjus'kuy 60¼3½ 264&269

20

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

•

esgjcku Çlg ¼2017½ vlsaf'k;Yl vkWQ ihfM;kfVªd uÉlx ¼prqFkZ laLdj.k½ lhch,l ifCy’klZ

•

ukWfjl Vh-,y- ,aM ykypankuh vkj- ¼2018½ iksFlZ iSFkksfQft;ksykWth% dulsIV~l vkWQ vYVMZ gSYFk LVsV~l] fyÇidkWV

fofy;El ,aM foÇYdl

•

mMsZu ,y-Mh-] LVslh ds-,e- ,aM ykWQ ,e-bZ- ¼2014½ fu;ksusVy uÉlx% Mk;Xuksfll ,aM esustesaV ¼7oka laLdj.k½

,Ylsfo;j% felkSjh

V.

1-

xaHkhj :i ls chekj uotkr f’k’kqvksa vkSj ifjtuksa dks ns[kHkky çnku djus esa vkS"kèkh; fl)karksa dks ykxw djukA

2-

uotkr शििुq fLFkfr;ksa 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 ds vkèkkj ij lqjf{kr vkS"kfèk nsukA

4-

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

5-

uotkr शििुq ns[kHkky lek;kstuksa esa xaHkhj :i ls chekj uotkr f’k’kqvksa ds fy, vkS"kfèk;ksa ds çcaèku esa vkS"kfèk 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

II

4

• ifjp;

• uotkr q ns[kHkky esa 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

▪ vkarfjd vkS"kfèk nsuk

▪ lkef;d vkS"kfèk nsuk

▪ iSjsaVsjy vkS"kfèk nsuk

III

5

• oklks,fDVo vkS"kf/k;ka

▪ oklksfMysVj

▪ oSlksçslj

▪ vkbuksVªksIl

- dkÆM;d XykbdkslkbM~l & fMxkWfDlu

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

- QkWLQksfM,LVjst+ bufgfcVlZ & ,fezuksu] fefyzuksu

• ,aVhfjFkfed vkS"kf/k;ka

• dkfMZ;d fu;ksusVy ds;j daMh’kal

• ân; ladqpu esa lqèkkj ds fy, vkS"kf/k;ka

▪ uotkr f’k’kq ns[kHkky esa mPp jDrpki ds çcaèku dh vkS"kf/k;ka

▪ ân; vojks/k ds çcaèku dh vkS"kf/k;ka

▪ ,utkbuk isDVksfjl vkSj ek;ksdkÆM;y buQkjsD’ku ds çcaèku dh vkS"kf/k;ka

▪ vrkyrk] gVZ CykWd vkSj pkyu lacaèkh xM+cM+h ds çcaèku dh vkS"kf/k;ka

▪ Qq¶Qqlh; mPp jDrpki] tUetkr foÑfr;ksa] dkÆM;ksek;ksiSFkh ds çcaèku dh vkS"kf/k;ka

• dkÆM;d fu;ksusVy ds;j ,ejtsalh ds fy, laLFkkxr çksVksdkWy@LFkk;h vkns'k

IV

4

• eSdsfudy osafVys'ku

▪ ifjp;

▪ eSdsfudy osaVhysVj yxs uotkr f'k'kqvksa ij mi;ksx dh tkus okyh vkS"kf/k;ka

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

21

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

CykWdst] iks"k.k

• iYeksujh fu;ksusVy ds;j daMh’kal

• LVsVl vLFkek ds çcaèku dh vkS"kf/k;ka

• iYeksujh ,fMek ds çcaèku dh vkS"kf/k;ka

• ,D;wV jsfLijsVjh QsY;j vkSj ,D;wV jsfLijsVjh fMLVªSl ÇlMªkse ds çcaèku dh vkS"kf/k;ka

• pSLV VªkWek ds çcaèku dh vkS"kf/k;ka

• jsfLijsVjh fMLVªSl ÇlMªkse ds çcaèku dh vkS"kf/k;ka

• fueksfu;k ds çcaèku dh vkS"kf/k;ka

• Iywjy ,¶;qtu ds çcaèku dh vkS"kf/k;ka

• ,VsysDVSfll ds çcaèku dh vkS"kf/k;ka

• iYeksujh fu;ksusVy ds;j ,ejtsalh 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

▪ QsaVsfuy

▪ ,uYxkslsMs'ku

• çyki

▪ gsyksisfjMksy

▪ ,fVfidy ,aVhlkbdksfVDl

• Yksdy rFkk tujy ,usLFkhfl;k ds fy, mi;ksx dh tkus okyh vkS"kf/k;ka

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

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

▪ ltZjh esa lgk;d xSj laosnukgkjh vkS"kf/k;ka

▪ iSjsykbfVd esfMds’kal

▪ xSj&foèkzqo.k vkSj foèkzqo.k ,tsaV

▪ ,afDlvksfyfVDl

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

▪ ,MªhuÆtd ,tsaV@flEisFkksfeesfVDl

▪ ,MªhuÆtd CykWfdax ,tsaV

▪ dksyhuÆtd ,tsaV

▪ ,aVh&dksyhuÆtd ,tsaV

• Çprk vkSj vfuæk ds çcaèku dh vkS"kf/k;ka

▪ volknjksèkd

▪ csatksMk;tsikbu

▪ ckÆcVqjsV~l

• U;wjksykWth fu;ksusVy ds;j ,ejtsalh ds fy, LFkk;h vkns'k

VI

5

• ew=y ¼Mkb;wjsfVDl½

• ¶Y;wM çfrLFkkiu

▪ fØLVyksbM~l

▪ dksykbM~l

• bysDVªksykbV~l

▪ lksfM;e

▪ iksVSf'k;e

▪ dSfY'k;e

▪ eSXuhf'k;e

▪ QkLQksjl

• usÝksykWth fu;ksusVy ds;j daMh’kal

▪ ,D;wV@Øksfud jhuy QsY;j ds çcaèku dh vkS"kf/k;ka

▪ ;wVhvkbZ çcaèku dh vkS"kf/k;ka

▪ datsfuVy usÝksfVd ÇlMªkse ds çcaèku dh vkS"kf/k;ka

▪ bysDVªksykbV vlarqyu ds çcaèku dh vkS"kf/k;ka

▪ ,flM csl vlarqyu ds çcaèku dh vkS"kf/k;ka

▪ Mk;fyfll ds nkSjku mi;ksx dh tkus okyh vkS"kf/k;ka

22

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• usÝksykWth fu;ksusVy ds;j ,ejtsalh ds fy, LFkk;h vkns'k

VII

5

• ,aVh,esfVDl ¼oeujksèkh½

• iSafØ;kfVd ,atkbe

• iks"kd rRoksa dh [kqjkd] foVkfeu vkSj [kfut

• xSLVªks baVsLVkbuy fu;ksusVy ds;j daMh’kal

▪ thbZvkjMh ds çcaèku dh vkS"kf/k;ka

▪ Mk;fj;k ds çcaèku dh vkS"kf/k;ka

▪ fu;ksusVy dksysLVsfll ds çcaèku dh vkS"kf/k;ka

▪ datsfuVy ckWoy vkWVLVªD’ku@ijQksjs’ku ds çcaèku dh vkS"kf/k;ka

▪ xSLVªksbaVsLVkbuy ltZjh ds nkSjku mi;ksx dh tkus okyh vkS"kf/k;ka

• xSLVªksbaVsLVkbuy fu;ksusVy ds;j ,ejtsalh ds fy, LFkk;h vkns'k

VIII

4

• balqfyu vkSj vU; gkbiksXykblsfed ,tsaV

• ,aMksØkbu fu;ksusVy ds;j daMh’kal

▪ fjysfVo ,fMªuy bulQhf’k,alh ds çcaèku dh vkS"kf/k;ka

▪ gkbiksXykblhfe;k ds çcaèku dh vkS"kf/k;ka

▪ Vªkaft,aV fu;ksusVy gkbijFkk;jksVªksfiufe;k ds çcaèku dh vkS"kf/k;ka

▪ gkbiksFkk;jksfDlusfe;k vkWQ fçesP;qfjVh ds çcaèku dh vkS"kf/k;ka

▪ Vªkaft,aV gkbiksdSYlhfe;k ds çcaèku dh vkS"kf/k;ka

• ,aMksØkbu fu;ksusVy ds;j ,ejtsalh ds fy, LFkk;h vkns'k

IX

5

• ,aVh&dks,xqysaV~l

• ,aVhIysVysV vkS"kf/k;ka

• FkzksEcksykbfVDl

• gseksLVSfVd@,aVhQkbfczuksfyfVDl

• 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&de 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"kf/k;ka & ,YdkbysÇVx ,tsaV] ,aVh&esVkcksykbV~l] ,aVh&Vîwej ,aVhck;ksfVDl]

,YdykWbM~l] gkeksZu vkSj gkeksZu ,aVkxksfuLV~l] dkWÆVdksLVsjkWbM~l] xksukMy gkeksZu] ,aVh&,LVªkstsu] ,.Mªkstu

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

• gsesVksykWth fu;ksusVy ds;j daMh’kal

▪ xaHkhj chekjh esa ,uhfe;k ds çcaèku dh vkS"kf/k;ka

▪ MhvkbZlh ds çcaèku dh vkS"kf/k;ka

▪ FkzksEckslkbVksisfu;k vkSj ,D;wV Y;wdsfe;k ds çcaèku dh vkS"kf/k;ka

▪ gsifju buMîwLM FkzksEckslkbVksisfu;k ds çcaèku dh vkS"kf/k;ka

▪ fldy lsy ,uhfe;k ds çcaèku dh vkS"kf/k;ka

• gsesVksykWth fu;ksusVy ds;j ,ejtsalh ds fy, LFkk;h vkns'k

X

3

• gsesVksykWth fu;ksusVy ds;j daMh’kal

▪ çcaèku esa mi;ksx dh tkus okyh vkS"kf/k;ka

• Vªkaft,aV oLdwyj fQuksesuk esa mi;ksx dh tkus okyh vkS"kf/k;ka

▪ ,jhFksek VkWfDlde fu;ksusVje esa mi;ksx dh tkus okyh vkS"kf/k;ka

▪ Vªkaft,aV fu;ksusVy iLVqyj esykuksfll esa mi;ksx dh tkus okyh vkS"kf/k;ka

▪ fu;ksusVy isfEQxl esa mi;ksx dh tkus okyh vkS"kf/k;ka

▪ vfEcfydy xzSuqyksek esa mi;ksx dh tkus okyh vkS"kf/k;ka

▪ Mk;ij MesZVkbfVl esa mi;ksx dh tkus okyh vkS"kf/k;ka

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

23

• fLdu fu;ksusVy ds;j ,ejtsalh ds fy, LFkk;h vkns'k

XI

5

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

çcaèku dh vkS"kf/k;ka

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

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

• uotkr f’k’kq ns[kHkky uÉlx esa cq[kkj ds çcaèku dh vkS"kf/k;ka

▪ Tojuk'kd

▪ ,u,l,vkbZMh,l

▪ dkWÆVdksLVsjkWbM~l

• eYVhflLVe fu;ksusVy ds;j ,ejtsalh ds fy, LFkk;h vkns'k

XII

5

• thok.kqjksèkh vkS"kf/k;ka

▪ ifjp;

▪ chVk ySDVe & isfuflfyu] lsQyksLiksfju] eksukscSDVe] dkckZisusEl

▪ vehuksXykbdkslkbM~l

▪ ,aVh&,evkj,l,

▪ eSØksykbM~l

▪ d+qbuksyksal

▪ fofoèk & fyUdkslsekbM xzqi] ukbVªksbfeMkt+ksy] VsVªklkbfDyu vkSj DyksjSEQsfudkWy] ikWyhehfDlu]

,aVheysfj;y] ,aVhQaxy] ,aVhok;jy

• ,aVh&Qaxy vkS"kf/k;ka

• ,aVh&çksVkst+ksvy vkS"kf/k;ka

• ,aVh&ok;jy vkS"kf/k;ka

• jksxk.kqjksèkdksa dk p;u

• buQSfD’k;l fu;ksusVy ds;j daMh’kal

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

¶yw vkSj Lokbu ¶yw ds çcaèku dh vkS"kf/k;ka

• buQSfD’k;l fu;ksusVy ds;j ,ejtsalh ds fy, LFkk;h vkns'k

XIII

1

•

duh'k vkj-] xqIrk ds-] tqustk ,l-] cSal ,p-,l- ,aM dkS'ky ,l- ¼2014½ çSfLØkbfcax iSVuZ vkWQ ,aVhck;ksfVDl bu n

fMikVZesaV vkWQ ihfM;kfVªDl bu v VlZjh ds;j esfMdy dkWyst gkWfLiVy bu uknZuZ bafM;k] ,f'k;u ts esM lkbal

5¼4½ 69&72

•

esgjcku Çlg ¼2017½ ,lsaf'k;Yl vkWQ ihfM;kfVªd uÉlx ¼pkSFkk laLdj.k½ lhch,l ifCy'klZ

•

rk;y ,p-] jkW; oh-] Çl?ky ,l- ,aM nqcs ,-ih- ¼2020½ ihfM;kfVªd çSfLØkbfcax bu VlZjh ds;j Vhfpax gkWfLiVy vkWQ

Mygh ¼bafM;k½% ÝsxesaV esfMflal QkWj ;wt] ;wjksfi;u tuZy vkWQ ihfM;kfVªDl] 179] 1435&1443

•

mek ,y-MCY;w-] bZlk ,-] ewlk ,l- ,aM mej ch- ¼2020½ vkmVis’ksaV çSfLØkbfcax ,aM ,aVhck;ksfVd ;wt QkWj fpYMªu bu

v VlZjh gkWfLiVy] lkgsy esfMdy tuZy 23¼2½ 109

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, LokLF; vkadyu dkS'ky dk mi;ksx

djukA

3-

ijh{k.k ds fu"d"kks± ds vkèkkj ij LØhÇux vkSj uSnkfud ijh{k.k ds vkns'k nsukA

4-

fofHkUu tkapksa ds ifj.kkeksa dk fo'ys"k.k djuk vkSj uSnkfud fodklksa ds lkFk feydj dke djukA

5-

LokLF; ns[kHkky ny ds lnL;ksa] uotkr f’k’kqvksa vkSj ifjtuksa dh lk>snkjh esa nLrkost vkadyu] funku] rFkk

çcaèku djuk vkSj vuqorÊ ns[kHkky dh fuxjkuh djukA

24

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

I

4

• bfro`Ùk ysuk

• xHkkZoLFkk] çlo vkSj çtuu çfØ;k dh leh{kk] ftlesa çloiwoZ tkap ijh{k.k vkSj lsfIll ds tksf[ke

dkjd 'kkfey gSa

• fiNys xHkZèkkj.k dh leh{kk] ftlesa tUetkr folaxfr;ksa] e`r tUe] vkSj@;k vkuqoaf'kd ;k flUMªksfed

fLFkfr;ksa dk bfro`Ùk 'kkfey gS

• 'kkjhfjd tkap

II

6

• flj dh ifjfèk ¼gSM ldZeÝsal½

• eqdqV ls nqe rd dh yackbZ ¼dkzmu Vq n jEi ysaXFk½

• flj ls ,M+h rd dh yackbZ

• tUe ds le; otu

• rkieku] ,fDlyjh ¼97-7°&98°½

• ân; nj

• ’olu nj

• jDrpki

• vklu & flj vkSj gkFk&ikao dk yphykiu] tks Nkrh vkSj isV ij fVdk gksrk gS

III

4

• tUe ds le;] pednkj yky] Qwyk gqvk] fpduk

• nwljs&rhljs fnu] xqykch] ijrnkj] lw[kk

• ousZDl dslkslk

• ySuqxks

• vka[kksa] psgjs] iSjksa] gkFkksa] iSjksa ds fiNys fgLls vkSj vaMdks'k ;k ysfc;k ds vklikl lwtu

• ,Økslk;uksfll

• dfVl ekeksZjkVk

• ,fDpekslsl ;k isVhfp;k

• fefy;k

• fefyfj;k ;k lqnkfeuk

• ,jhFksek VkWfDlde

• eaxksfy;kbZ èkCcs

• usol flEIysDl ¼lkjl na'k ;k lSYeu iSp½

IV

2

• ,aVhfj;j QkWUVkusy & ghjs ds vkdkj dk

• iksLVhfj;j QkWUVkusy & f=dks.kh;

V

4

• iydsa vkerkSj ij lwth gqbZ gksrh gSa

• jax & LysV xzs] xgjk uhyk] Hkwjk

• vkalw ugha vkuk

• jsM fj¶ysDl

• Li'kZ dh çfrfØ;k esa dkWÆu;y fj¶ysDl

• çdk'k ds çfr çfrfØ;k esa I;wfiyjh fj¶ysDl

• çdk'k ;k Li'kZ dh çfrfØ;k esa iyd >idkuk

• oLrqvksa ij çkjafHkd fuèkkZj.k vkSj eè; js[kk dk vuqlj.k djus@eè; js[kk dks ikj djus dh {kerk

VI

2

• fLFkfr & vka[k ds ckgjh dSUFkl ds lkFk {kSfrt js[kk ij fiUuk dk 'kh"kZ

• rst+] vpkud 'kksj ;k mÙkstuk ls mRiUu pkSadk nsus okyk ¼eksjks½ çfrorZ

• fiUuk yphyk] mikfLFk ekStwn

VII

6

• v{kq..k] mPp èkuq"kkdkj rkyq

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

25

• eè; js[kk esa moqyk

• thHk dk Ýsuqye

• Åijh gksaB dk Ýsuqye

• Lfax fj¶ysDl & etcwr vkSj lefUor

• :ÇVx fj¶ysDl

• xSx fj¶ysDl

• ,DlVªwt+u fj¶ysDl

• ykj dk u gksuk ;k cgqr de gksuk

• t+ksj ls jksuk

• tUe ds nkar

VIII

2

• NksVk] eksVk] vkerkSj ij Ropk dh ijrksa ls f?kjk gqvk

• VkWfud usd fj¶ysDl

• VkWÆVdksfyl ¼lw[kh xnZu½ & flj ,d rjQ gksrk gS vkSj Bqìh foijhr fn'kk dh vksj gksrh gS

• ukd dk èkS;Z

• ukd ls lzko & iryk lQsn cyxe

• NÈd vkuk

IX

4

• vxzi'p vkSj ik’oZ O;kl cjkcj

• çsj.kk ds nkSjku FkksM+k lk LVuZy fjVªSD'ku Li"V gksrk gS

• tkbQksbM çfØ;k Li"V

• Lru oèkZu

• Q+uy pSLV ¼isDVl ,DokosVe½

• fitu pSLV ¼isDVl dSfjuSVe½

• lqijU;wejsjh fuiYl

• Lruksa ls nwfèk;k inkFkZ dk lzko ¼^^fop feYd**½

X

2

• eq[;r% isV ls ’olu

• tUe ds le; [kkalh dh çfrfØ;k ugha gksrh] 1&2 fnu ckn çdV gksrh gS

• f}i{kh; leku czksfUd;y ’okl èofu;ka

XI

2

• 'kh"kZ & pkSFkk&ikapoka baVjdksLVy Lisl] ik’oZ ls ckb± LVuZy lhek rd

• ,l1 dh rqyuk esa ,l2 FkksM+k rst+ vkSj fip esa Åapk gS

XII

6

• vkdkj esa csyukdkj

• ;Ñr & Li'kZuh; 2&3 lseh ¼0-8&1-8 bap½

• nk,a dkWLVy ekÆtu ds uhps

• Iyhgk & mez ds igys lIrkg ds var esa fljk Qwyus yxrk gS

• xqnsZ & ukfHk ls 1&2 lseh ¼0-4&0-8 bap½ Åij Li'kZuh;

• xHkZuky & tUe ds le; 2 èkefu;ksa vkSj 1 f'kjk ds lkFk uhyk lQsn

• Å# ukM+h & leku f}i{kh;

XIII

2

• ysfc;k vkSj fDyVksfjl ;wtqvyh ,MsesVl

• ;wjhFkzy ehVl fcgkbaM fDyVksfjl

• oÆuDl dslkslk fcVohu ysfc;k

• 24 ?kaVs ds vanj is'kkc vkuk

• L;wMks esalqjs’ku & CyM&fVaTM vkWj eqdksbM fMLpktZ

• gkbesuy VSx

XIV

4

• ;wjhFkzy vksifuax ,V fVi vkWQ Xykal isful

• VsLVht iSYiscy bu bZp lSDjksVe

• vaMdks'k vkerkSj ij cM+k] ,MsesVl] yVdrk gqvk vkSj :xs ls <dk gqvk gksrk gS( vkerkSj ij xgjs jax

dh Ropk okys tkrh; lewgksa esa bldk jax xgjk gksrk gS

• LesXek

26

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• 24 ?kaVs ds vanj is'kkc vkuk

• ;wjhFkzy vksifuax doMZ ck; fçI;wl

• peM+h dks ihNs [kÈpus esa vleFkZrk

• ,fiFksfy;y iYlZ & çhI;wl dh uksd ij NksVs] n`<+] lQsn ?kko

• bjsD'ku ;k fç;kfiTe

• VsLVht iSYiscy bu bugqbuy dsuky

• lsØksVe ¼vaMdks'k½

XV

4

• jh<+ dh gìh cjdjkj( dksbZ [kqykiu] æO;eku ;k çeq[k oØ ugÈ

• Vªad bUD;wosZ'ku fj¶ysDl

• ,uy fj¶ysDl

• isVsaV ,uy vksifuax

• 48 ?kaVksa ds Hkhrj esdksfu;e dk fu"dklu

XVI

4

• 10 maxfy;ka vkSj iSj dh maxfy;ka

• iw.kZ xfr’khyrk

• uk[kwu xqykch] tUe ds rqjar ckn {kf.kd lk;uksfll ds lkFk

• ryos ds vxys nks&frgkbZ fgLls dh Ropk fldqM+ tkrh gS

• ryok vkerkSj ij likV

• pje lhekvksa dh le:irk

• f}i{kh; :i ls leku ekalis'kh Vksu] fo'ks"k :i ls foijhr yphysiu dk çfrjksèk

• leku f}i{kh; ckgq Lianu

XVII

4

• gkFk&iSj vkerkSj ij dqN gn rd yphysiu esa gksrs gSa

• yphysiu dh fiNyh fLFkfr ds ckn pje dk foLrkj

• cSBrs le; flj dk Vs<+k gks tkuk] ysfdu {kf.kd rkSj ij flj dks lhèkk j[kus dh {kerk

• >qdk gqvk gksus ij flj dks ,d rjQ ls nwljh rjQ eksM+us dh {kerk

• >qdk gqvk j[kus ij flj dks ihB ds lkFk {kSfrt js[kk esa j[kus dh {kerk

XVIII

8

• lfdax fj¶ysDl

• :ÇVx fj¶ysDl

• eksjks fj¶ysDl

• okWfdax@LVSfiax fj¶ysDl

• ,flesfVªdy VkWfud usd fj¶ysDl ¼,Vh,uvkj½

• lefer VkWfud usd fj¶ysDl

• VkWfud yscfjaFkkbu fj¶ysDl

• ikej xzSLi fj¶ysDl

• IykaVkj fj¶ysDl

• fLofeax fj¶ysDl

• ccfdu fj¶ysDl

• iSjk'kwV fj¶ysDl

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

gS½

•

O;kid bfro`Rr ysuk

•

dsafær bfro`Rr ysuk ¼ç.kkyh okj½

•

O;kid 'kkjhfjd tkap

•

uotkr f'k'kq dh tkap ¼ç.kkyh okj½

•

uSnkfud ekinaMksa dh fuxjkuh ¼ç.kkyh okj½

vfEcfydy dSuqys'ku@dSFkhVsjkbts'ku ,uvkbZchih] ihvkbZlhlh ykbUl] vkbZ,uvks Fksjsih] buosflo chih ekWfuVÇjx]

eYVh&iSjkehVj ekWfuVlZ] bZlhth] iYl baMsDl daVhU;wvl dkÆM;d vkmViqV ¼PiCCO½] isfjQsjy oLdqyj LVsVl] ,chth]

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

27

iYl vkWDlhesVªh] ,aM VkbMy CO2 ¼ETCO2½] baVªkØSfu;y çs'kj ¼vkbZlhih½] ihfM;kfVªDl Xyklxks dksek Ldsy ¼ihthlh,l½]

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] thvkjch,l] ySc VsLV] jsfM;ksykWftdy vkSj besÇtx VsLV ¼ç.kkyh okj½] bZlh,evks lqfoèkk,a

•

LØhÇux vkSj Mk;XuksfLVd ijh{k.kksa dk vkns'k vkSj O;k[;k ¼ç.kkyh okj½] ¼layXu

½

•

vlslesaV vkWQ fu;ksusV ekbyLVksUl

•

xHkZorh efgykvksa dk vkadyu

•

ckWy ts-MCY;w-] MsUl ts-bZ-] f¶yu ts-,-] lksykseu ch-,l- ,aM LVhoVZ vkj-MCY;w- ¼2021½ lhMsYl xkbM Vq fQftdy

,Xtkfeus'ku & bZ&cqd% ,u baVjçksQs'kuy vçksp] ,Ylsfo;j gsYFk lkbalst

•

fcdyh ,y-,l- ,aM fLt+ykxh ih-th- ¼2013½ csV~l xkbM Vq fQftdy ,Xtkfeus'ku ,aM fgLVªh VsÇdx ¼11oka laLdj.k½

ubZ fnYyh% fyÇidkWV fofy;El ,aM foÇYdl

•

MqMjLVsM ds-th- ¼2017½ ihfM;kfVªd fQftdy ,Dtkfus’ku & bZ&cqd% ,u bYyqLVªsVsM gSaMcqd] ,Ylsfo;j gsYFk lkbalst

•

ihVjlu ,l-MCY;w- ¼2016½ ,MokaLM gSYFk vlslesaV ,aM Mk;XuksfLVd jhtfuax] tksUl ,aM ckVZysV yÉux

I

II

1. bu voèkkj.kkvksa dh vPNh tkudkjh ds vkèkkj ij fu;ksusVy uÉlx dh mUur voèkkj.kkvksa dks ykxw djrk gSA

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

e/;orZuksa dk mi;ksx djrk gSA

3. LokLF; ns[kHkky ny ds vU; lnL;ksa ds lkFk feydj dke djrk gSA

4. vU; LokLF; ns[kHkky dfeZ;ksa ds lkFk ijke'kZ fd;k tkrk gS vkSj muls ijke'kZ fy;k tkrk gSA

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. uotkr f'k'kq dh ns[kHkky ds çklafxd laØe.k fu;a=.k fl)karksa dk ikyu djrk gSA

9. uotkr f'k'kq] 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;

• vge vaxksa dh ,usVkWeh vkSj fQft;ksykWth dh leh{kk

• Hkzw.k lacaèkh vkSj Hkzw.k dk fodkl] Hkzw.k dh o`f) vkSj fodkl dks çHkkfor djus okys tUeiwoZ dkjd

28

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• lkekU; cky fpfdRlk fodkjksa ds vkuqoaf'kd iSVuZ] xq.klw= foiFku] vkuqoaf'kd vkadyu vkSj ijke'kZ]

vkuqoaf'kd] dSfj;ksVkbÇix] LØhÇux vkSj ijke'kZ ds dkuwuh vkSj uSfrd igyw] vkuqoaf'kd ijke'kZ esa ulZ dh

Hkwfedk

• xHkkZofèk eèkqesg] Hkzw.k vkSj uotkr f'k'kq ij ekr` vkS"kf/k;ksa dk çHkko

• uotkr f’k’kq ns[kHkky esa dkuwuh vkSj uSfrd eqís & ulZ dh Hkwfedk

• fu;ksusVy uÉlx esa orZeku fl)kar] çFkk,a vkSj #>ku

• fofHkUu lek;kstuksa esa uotkr ulZ dh Hkwfedk & foLrkfjr vkSj foLrkfjr Hkwfedk,a

• fçosafVo fu;ksusVksykWth dh voèkkj.kk] mís'; vkSj nk;jk

• ekr` LokLF; vkSj Hkzw.k ds fodkl ij bldk çHkko] LokLF; vkSj fçosafVo fu;ksusVksykWth ds çloiwoZ igyq

• uotkr f’k’kq ns[kHkky bdkbZ dh LFkkiuk ¼,uvkbZlh;w dk Lrj] midj.k] vkiwÆr] 'k¸;k vkSj lgk;d

midj.k] fofHkUu çdkj ds ekWfuVj vkSj osafVysVj dk mi;ksx vkSj ns[kHkky] ¶yks 'khV] vkiwÆr ykbu vkSj

i;kZoj.k½

• ,ulh;w esa dkÆed

▪ uÉlx LVkQ

▪ MkWDVj

▪ fu;ksusVy ds;j rduhf'k;u

▪ lgk;d deZpkjh

• fu;ksusVy ds;j esa çkS|ksfxdh

• LoLFk dk;Z okrkoj.k

• fu;ksusVy uÉlx dh vkxkeh pqukSfr;ka

II

5

• xaHkhj :i ls chekj yksxksa dh ns[kHkky esa uÉlx çfØ;k dk vuqç;ksx

• ,ulh;w esa ços'k vkSj çxfr & ,d lexz n`';

• ,ulh;w çcaèku dk voyksdu

▪ i;kZIr Ård vkWDlhtus'ku lqfuf'pr djuk

▪ jklk;fud okrkoj.k cuk, j[kuk

▪ rkieku cuk, j[kuk

▪ vax lqj{kk

▪ iks"k.k lacaèkh lgk;rk

▪ laØe.k fu;a=.k

▪ ifjokj ls feyus dk le;

• fu;ksusVy ds;j esa vojks/k

• uotkr f’k’kq ns[kHkky bdkbZ esa e`R;q% thou ds var dh ns[kHkky@ejus okys dh ns[kHkky] ifjokj dh

ns[kHkky] vax nku

• xaHkhj :i ls chekj yksxksa dks gokbZ ,Ecqysal vkSj lrgh ,Ecqysal }kjk ys tkuk

• LokLF; ny ds lnL;ksa ds chp ruko vkSj cuZvkmV ÇlMªkse

III

10

• lkekU; vkadyu

• fodklkRed egRoiw.kZrk

• uotkr f'k'kq dh çfrfØ;k,a

• 'olu vkadyu

• ân; lacaèkh vkadyu

• xqnsZ dk vkadyu

• U;wjksykWftdy vkadyu

• xSLVªksbaVsLVkbuy vkadyu

• var%lzkoh vkadyu

• eLdqyksLdsysVy vkadyu

• lexz vkadyu

• vkfVZfj;y CyM xSl ¼,chth½

• dSIuksxzkQh

• ,ihth,vkj Ldksj

• U;w cSykMZ Ldksj

• ihfM;kfVªDl Xyklxks dksek Ldsy ¼ihthlh,l½

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

29

• le;iwoZ f'k'kq nnZ çksQ+kby ¼ihvkbZihih½

• uotkr nnZ mÙkstuk vkSj csgks'k djus dh fØ;k Ldsy ¼,u&ikl½

• uotkr f'k'kq nnZ Ldsy ¼,uvkbZih,l½

• jksus dk Ldsy ¼jksuk] vkWDlhtu lar`fIr dh vko';drk] foLrkfjr vge ladsr] vfHkO;fDr] uÈn u vkuk½

,Q,y,lhlh Ldsy] flYojeSu ,aMjlu 'olu xaHkhjrk Ldksj

• iwoZ xaHkhj chekjh dk ewY;kadu

• xaHkhj chekjh dk ewY;kadu

• ifj.kke vkSj LdksÇjx ç.kkyh

▪ lhvkjvkbZch ¼f'k'kqvksa dk uSnkfud tksf[ke lwpdkad½

▪ lhvkjvkbZch&II ¼f'k'kqvksa dk uSnkfud tksf[ke lwpdkad&II½

▪ LuSi ¼Ldksj QkWj fu;ksusVy ,D;wV fQft;ksykWth½

▪ SNAP-II ¼Ldksj QkWj fu;ksusVy ,D;wV fQft;ksykWth&II½

▪ SNAPPE ¼Ldksj QkWj fu;ksusVy ,D;wV fQft;ksykWth & isfjusVy ,DlVsa'ku½

▪ SNAPPE-II

IV

14

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

• fu;ksusVy ds;j esa vkikRdkyhu ifjfLFkfr;ka% ,uvkjih ¼fu;ksusVy fjllhVs’ku çksxzke½ vkSj ,u,,y,l

¼fu;ksusVy ,MokaLM ykbQ liksVZ½

• ok;qekxZ çcaèku

• vkWDlhtus'ku vkSj vkWDlhesVªh] vkWDlhtu forj.k midj.kksa ds lkFk uotkr f’k’kq dh ns[kHkky

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

osafVys'ku ds lkFk uotkr f’k’kq dh ns[kHkky

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

• ¶Y;wM~l rFkk bysDVªksykbV~l ¼leh{kk½] ¶Y;wM~l o bysDVªksykbV~l ds vlarqyu okys uotkr f’k’kq dh

ns[kHkky

• vEy {kkj fLFkfr dk ewY;kadu

• FkeksZjsX;wys'ku] gkbij@gkbiksFkÆe;k okys uotkr f’k’kq dh ns[kHkky

• fyczs’ku Ýkse ykbZ liksVZ ¼ohÇux½

• Xykblsfed fu;a=.k] Xykblsfed vlarqyu okys uotkr f'k'kqvksa dh ns[kHkky

V

8

• xaHkhj :i ls chekj uotkr f'k'kqvksa esa nnZ

• nnZ & çdkj] fl)kar

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

• rhoz nnZ lsok,a

• nnZ dk vkadyu & nnZ dk iSekuk] O;ogkj

• nnZ çcaèku & vkS"kèkh; ¼vksfivksbM ekWÆQu] QsaVsfuy] vkSj vU; tSls ,flVkfeuksQsu½

• xSj&vkS"kèkh; çcaèku n`f"Vdks.k esa daxk: ns[kHkky] lqfoèkktud VÇdx] xSj&iks"kd pw"k.k] lqØkst vkSj vU;

feBkl] ekfy'k vkSj ,D;wiaDpj Fksjsih 'kkfey gSa

VI

8

• vkadyu] oxÊdj.k vkSj mipkj dh igpku djuk

• NksVs f'k'kq dk bykt djuk vkSj eka dks lykg nsuka

• chekj ;qok f'k'kq dh vuqorÊ ns[kHkky djuk

• NksVs f'k'kqvksa vkSj uotkr f'k'kqvksa ds fy, Vhdkdj.k dk;ZØe

• ikfjokfjd f'k{kk vkSj ijke'kZ

VII

4

• o`f) vkSj fodkl ds fl)kar

• o`f) vkSj fodkl dh voèkkj.kk,a vkSj fl)kar]

• 'kS'kokoLFkk ls fodklkRed dk;Z vkSj fo'ks"k vko';drk,a] fodklkRed nsjh

• uotkr f'k'kqvksa dh o`f) vkSj fodkl dk vkdyu

• o`f) ,oa fodkl dks çHkkfor djus okys dkjd

VIII

5

• iks"kd rRoksa dk p;kip; vkSj çR;korZu

• uotkr f'k'kqvksa dh iks"k.k fLFkfr dk vkadyu djuk

• uotkr f'k'kqvksa dk iks"k.k vkSj iks"k.k lacaèkh vko';drk,a

30

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• Hkkstu ds cnyrs iSVuZ

• f'k'kq&vuqdwy vLirky igy vkSj fo'ks"k Lruiku

• LokLF; f'k{kk] fd'kksjksa ds fy, iks"k.k lacaèkh f'k{kk

• iks"k.k lacaèkh dk;ZØe

• uotkr f'k'kq ds LokLF; ls lacafèkr jk"Vªh; ,oa varjkZ"Vªh; laxBu

• uotkr f'k'kqvksa dh vka=h; vkSj iSjsaVsjy iks"k.k ij ns[kHkky

IX

4

• uotkr f'k'kqvksa esa uÈn dk fodkl

• ,ulh;w esa uÈn esa cnyko

• uÈn dh fuxjkuh ds fy, csMlkbM midj.k

• fu;ksusVy ,ClVhusal ÇlMªkse ¼,u,,l½

X

5

• uotkr xgu ns[kHkky bdkbZ esa ukslksdksfe;y laØe.k( feFkkby jsftLVsaV LVSfQyksdksdl vkWfj;l

¼,evkj,l,½ vkSj vU; gky gh esa igpkus x, ruko

• dhVk.kq'kksèku] jksxk.kquk’ku

• ekud lqj{kk mik;

• deZpkfj;ksa ds fy, çksfQySfDll

• jksxk.kqjksèkh fpfdRlk&leh{kk

• ikfjokfjd vkSj vkxarqd uhfr;ka

XI

6

• ladYiuk] y{;] vkadyu] fl)kar

• le;&iwoZ] xHkkoLFkk vk;q ls NksVh] ifjiDo gksus ds ckn vkSj eèkqesg rFkk eknd æO;ksa dk lsou djus okyh

ekrkvksa ds f'k'kqvksa dk uÉlx çcaèku

• 'olu lacaèkh fLFkfr;ka] ,fLQfDl;k fu;ksusVje] fu;ksusVy,ifu;k esdksfu;e ,fLijs'ku ÇlMªkse] U;weksFkksjSDl]

U;weksehfM;kfLVue

• bDVsjl fu;ksusVksje

• tUe dh pksVsa

• gkbiksfDld bLdsfed ,UlsQSyksiSFkh

• tUetkr folaxfr;ka

• uotkr f’k’kq dks iM+us okys nkSjs

• uotkr gkbiksdSYlhfe;k] gkbiksXykblhfe;k] gkbikseSXuslhfe;k

• uotkr शििु ds ân; jksx

• uotkr शििुq ds gseksfyfVd jksx

• uotkr laØe.k] uotkr lsfIll] vkIFksyfe;k fu;ksusVksje] tUetkr flQfyl] ,pvkbZoh@,M~l

• mUur uotkr çfØ;k,a

• ¶Y;wM vko';drk dh x.kuk

• gseVksykWftdy fLFkfr;ka & ,fjFkzksCykLVksfll QsVsfyl] uotkr f'k'kq esa jDrlzkoh fodkj

XII

8

• ,ulh;w dk fMt+kbu

• ,ulh;w ij ykxw xq.koÙkk vk’oklu ekWMy

• ekud] çksVksdkWy] uhfr;ka] çfØ;k,a

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

• ekud lqj{kk mik;

• uotkr f'k'kq dh ns[kHkky ls lacafèkr uÉlx vkWfMV

• LVkQ vfHkfoU;kl] çf'k{k.k vkSj fodkl

• lsokdkyhu f'k{kk dk;ZØe

• uSnkfud f'k{k.k dk;ZØe

XIII

4

• uotkr f'k'kq dh 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

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

31

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

gS½

• ,uvkjih ¼ch,y,l vkSj ,lh,y,l½

• ,;jos çcaèku

o ySÇjft;y ekLd ,;jo

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 uotkr f’k’kq dh ns[kHkky

o [email protected] dks ekius ds fy, midj.k

▪ ¶;wy lsy

▪ iSjk eSXusfVd vkWDlhtu ,usykbtj

▪ PO2 bysDVªksM & DykdZ bysDVªksM

▪ VªkalD;wVsfu;l vkWDlhtu bysDVªksM

▪ vkWDlhesVªh & iYl vkWDlhesVªh] osul vkWDlhesVªh

o dSIuksxzkQh

o ukWu&buosflo osafVys'ku

▪ de çokg okys ifjorZuh; çn'kZu midj.k% usly dSFksVj@dsuqyk@Mcy usly çksax] Qsl ekLd] fjtjok;j cSx

ds lkFk Qsl ekLd

▪ mPp çokg fuf'pr çn'kZu midj.k% ,aVªsuesaV ¼osapqjh½ midj.k] ,uvkbZoh@lhih,ih@,usLFksfVd ekLd] Vh ihlst+s]

czhfnax lÆdV

o iksLVqjy Mªsust

• osafVys'ku vkSj osafVysVj leFkZu

o osafVysVj ls dusDV djuk

o osaVhysVj ls gVkuk

o ,DlVîwcs'ku

o áwfefMQ+k;j

o usC;qykbt+j

• bugsys'ku Fksjsih

• ldqZys’ku vkSj ij¶;wtu ¼gseksMk;ukfed ewY;kadu vkSj oso QkWeZ xzkfQDl lfgr½

o buosflo CyM izSlj ekWfuVfjax

o ukWu&buosflo CyM izSlj ekWfuVfjax

32

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

o f'kjkijd ncko ¼ifjèkh;] dsaæh; vkSj iYeksujh vkVZjh vkWDywtu çSlj½

o bullZu ,aM fjewoy vkWQ vkfVZfj;y ykbu

o bullZu ,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

▪ QkWLQksfM,LVjst+ bufhfcVlZ &

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 uotkr f’k’kq dh ns[kHkky

o VSEçspj çksCl

o gkbij vkSj gkbiksFkÆe;k dh fu;ksusVy ds;j çca/ku

• Xykblsfed fu;a=.k] Xykblsfed vlarqyu okys uotkr f’k’kq dh ns[kHkky

o thvkjch,l dh fuxjkuh djuk

o balqfyu Fksjsih ¼LykbÇMx Ldsy vkSj bU¶;wtu½

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

o gkbiksXykblhfe;k dk çcaèku & MsDlVªkst+ IV

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

o ekWÆQu] QsaVsfuy] feMkt+ksye] yksjkt+sike] Mk;tsike] çksiksQksy] DyksfuMkbu] MsDlesMsVksfeMkbu] gsyksisfjMksy dh

x.kuk] yksÇMx vkSj bu¶;wtu

• ijke'kZ

• ikfjokfjd f'k{kk

VIII.

I

I

6

• vge vaxksa dh ,ukVkseh vkSj fQft;ksykWth dh leh{kk

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

33

• xaHkhj :i ls chekj yksxksa ds vkadyu vkSj fuxjkuh dh leh{kk

II

16

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

• uotkr f’k’kq ns[kHkky çcaèku dh vko';drk okyh ân; lacaèkh fLFkfr;ka

• Hkzw.k vkSj fu;ksusVy ldqZys’ku

• ijfllVsaV iyEksujh gkbijVsa’ku

• isVsaV MDVl vkfVZfj;ksfll

• dutsfuVy daiyhV gVZ CykWd

• lqijosafVªdy VsdhdkÆM;k

• dutsfuVy dkfMZ;y ekyQksesZ’ku

• lnek ¼’kkWd½

III

15

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

• uotkr f'k'kq ns[kHkky çcaèku dh vko';drk okyh Qq¶Qqlh; fLFkfr;ka

• uotkr f'k'kqvksa esa 'olu lacaèkh ijs'kkuh

• स्विन ra= lacaèkh fodkj

• esdksfu;e ,fLijs'ku ÇlMªkse

• varxZHkkZ'k;h vkSj çloksÙkj fueksfu;k

• gkbfyu f>Yyh jksx

• Hkkjh Qq¶Qqlh; jDrlzko

• U;weksFkksjSDl

• uotkr f'k'kq dk Vªkaft,aV VSphifu;k

• czksadksiYeksujh fMlIysfl;k

• Qq¶Qqlh; cgko

IV

15

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

• uotkr f’k’kq ns[kHkky çcaèku dh vko';drk okyh U;wjksykWftdy fLFkfr;ka

• baVªkØsfu;y gsejst

• baVªkosafVªdqyj gsejst

• U;wjksykWftdy lhDosy vkWQ gkbiksfDld&bLdsfed ,UlsQSyksiSFkh

• isfjosafVªdqyj Y;wdksekysf'k;k

• cFkZ VªkWek Vq lh,u,l

• lh,u,l foÑfr;ka

• ftVjhusl

• fu;ksusVy lhtlZ

• ¶ykWih fu;ksusV

V

15

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

• uotkr f’k’kq ns[kHkky çcaèku dh vko';drk okyh usÝksykWth fLFkfr;ka

• ,D;wV jhuy Q+sY;j

• xqnsZ dh foÑfr

• dutsfuVy usÝksfVd flUMªkse

• ew= iFk ds laØe.k

• isV dk æO;eku

• ew= iFk ds laØe.k

• usÝksdSYlhuksfll

• gky dh çxfr vkSj fodkl

VI

12

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

34

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• uotkr शििु ns[kHkky çcaèku dh vko';drk okyh tBjka= lacaèkh fLFkfr;ka

• nLr

• xMZ

• VhbZ,Q ¼VªSfpvkslksQsft;y ,Vªsfl;k½

• dutsfuVy Mk;Ýkfed gÆu;k

• ihfy;k

• dutsfuVy ckoy vkWCLVªD’ku@ijQksjs’ku

• gkbijVªkWfQd ikbyksfjd LVsuksfll

• Lekk ckoy ,Vªsfl;k

• baVqllsI’ku

• esdksfu;e bfy;l

• fu;ksusVy dksysLVsfll

• ,uksjsDVy ,ukeyht

o usØksVkbZÇt+x ,aVªksdksykbfVl

VII

12

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

• uotkr f’k’kq ns[kHkky çcaèku dh vko';drk okyh var%lzkoh fLFkfr;ka

• Vªkaft,aV fu;ksusVy gkbiksXykblsfe;k vkSj gkbijXykblhfe;k

• vfèko`Dd xzafFk dh leL;k,a ¼lkis{k vfèko`Dd vi;kZIrrk] tUetkr vfèko`Dd gkbijIykfl;k

• Fkk;jkbM dh leL;k ¼Vªkaft,aV gkbiksFkk;jk;fMTe vkSj gkbijFkk;jk;fMTe] Vªkaft,aV fu;ksusVy

gkbijFkk;jksVªksfiufe;k] gkbiksFkk;jksfDlufe;k vkWQ fçesP;qfjVh½

• tuukax vkSj ew= lacaèkh leL;k,a ¼gkbMªksdksYiksl vkSj gkbMªksesVªksdksYiksl vksosfj;u gkbijfLVE;wys'ku

ÇlMªkse fç;kfiT+e

• ,Dus fu;ksusVksje

• Vªkaft,aV gkbiksdSYlhfe;k vkSj gkbijdSYlhfe;k

• gky dh çxfr vkSj fodkl

5

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

gS½A

•

o FkzksEcksykbfVd Fksjsih

o midj.k dk mi;ksx vkSj mudh lsÇVXl & fMQkbfczysVj] PiCCO] islesdj] baVªk&,vksfVZd cSywu iai ¼IABP½

•

o Vªsfd;ksLVkseh ns[kHkky

o uscqykbts'ku

o pSLV fQft;ksFksjsih

o pSLV Vîwc bul’kZu

o pSLV Mªsust

•

o ihthlh,l dh fuxjkuh djuk

o lpsru vkSj dksek dh fuxjkuh djuk

o vkbZlhih dh fuxjkuh djuk

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

35

o lsMs'ku Ldksj

o czsu MSFk bosY;w,’ku

•

o Mk;fyfll

▪ Mk;fyfll e'khu dh çkbÇex

▪ uotkr f’k’kq dks Mk;fyfll ds fy, rS;kj djuk

▪ Mk;fyfll ds fy, dSuqysÇVx

▪ Mk;fyfll 'kq: djuk vkSj can djuk

•

o isV ds ncko dh fuxjkuh

o dSyksjh vkSj çksVhu vko';drkvksa dh x.kuk

o fo'ks"k vkgkj & lsfIll] ’olu vojks/k] xqnkZ vojks/k] ;Ñr vojks/k] ân; vojks/k] nwèk NqM+kuk] vXuk'k;'kksFk

o ,aVsjy QhfMax & ,uth@xSLVªksLVkWeh@Qsfjaft;y@tstquksLVkWeh Q+hM

o laiw.kZ iSjsaVsjy iks"k.k

•

o dksÆVlksy Lrj] 'kdZjk Lrj vkSj Fkk;jkbM gkeksZu Lrj ds fy, jDr ds uewuksa dk laxzg.k

o dkWÆVdksLVsjkWbM~l dh x.kuk vkSj ç'kklu

o balqfyu dh x.kuk vkSj ç'kklu & leh{kk

IX.

II

I

12

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

• uotkr f’k’kq ns[kHkky çcaèku dh vko';drk okyh #fèkj foKku fLFkfr;ka

• yky jDr dksf'kdkvksa ds fodkj

o ikWyhflFksfe;k

o ,uhfe;k

o fldy lsy jksx

• ’osr jDr dksf'kdkvksa ds fodkj

o Y;wdksisfu;k

• fu;ksIykfLVd fodkj

• gseksLVsfll fodkj

• IysVysV fodkj

• dks,xwys’ku fodkj

o fMllsfeusVsM baVªkokLdqyj dks,xwys’ku

• uotkr f'k'kq dk jDrlzkoh jksx

o foVkfeu ds çksfQySfDll

o FkzksEckslkbVksisfu;k ;k IysVysV~l ds xq.kkRed nks"k

• ,uhfe;k] ikWyhflFksfe;k vkSj gkbij foLdksflVh

• vkfVZfj;y vkSj ohul FkzksEcksfll

• gky dh çxfr vkSj fodkl

36

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

II

8

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

• uotkr f’k’kq ns[kHkky çcaèku dh vko';drk okyh Roph; fLFkfr;ka

o cUlZ

o ?kko

• fpfdRlh; çcaèku

• tyus ds fy, iquÆuekZ.k ltZjh

• ?kkoksa dk çcaèku

• gky dh çxfr vkSj fodkl

III

12

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

• uotkr f’k’kq ns[kHkky çcaèku dh vko';drk okyh eYVhflLVe çR;korZu fLFkfr;ka

• lnek ¼VªkWek½

• iwfr ¼lsfIll½

• lnek ¼’kkWd½

• eYVhiy vkWxZu fMLQaD;ku ¼,dkfèkd vaxksa dh f'kfFkyrk½

• flLVsfed bu¶ysesVjh fjliksal ÇlMªkse

• ,ukfQysfDll

• MhvkbZlh

• vU; pksVsa ¼xeÊ] fctyh] yVdus ds fudV] yxHkx Mwcus ds dkj.k½

• fo"kgj.k

• ek=k ls vfèkd vkS"kf/k

• tgj nsuk

IV

10

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

• uotkr f’k’kq ns[kHkky çcaèku dh vko';drk okyh fof'k"V laØe.k fLFkfr;ka

• ,pvkbZoh@,M~l

• ekrk&firk ls cPps esa lapj.k

• VkWpZ

• VsVul

• lklZ

• fjdsfV~l;ksfll

• ysIVksLik;jksfll

• Msaxw

• eysfj;k

• fu;ksusVy lsfIll

• jscht+

• ,fo;u ¶yw

• dksfoM&19

V

9

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

• uotkr f’k’kq ns[kHkky çcaèku dh vko';drk okyh p;kip; lacaèkh fLFkfr;ka

• gkbiksXyslhfe;k

• gkbijXyslsfe;k

• gkbiksdSYlhfe;k

• vkWfLV;ksisfu;k vkWQ fçesP;qfjVh

• gkbijdSYlhfe;k

• gkbikseSXuslhfe;k

• ysV esVkckWfyd ,flMksfll

• p;kip; dh tUetkr =qfV;ka ¼vkbZbZ,e½ ¼QsfuydsVksuqfj;k½

• uotkr f'k'kq dh tkap

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

37

• uotkr f’k’kq dh Fkk;jkW;M tkap

VI

10

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

• uotkr f’k’kq ns[kHkky çcaèku dh vko';drk okyh lÆtdy fLFkfr;ka

• VSfyIl bfDouksosjl ¼Dyc Q+qV½

• dSYdsul oYxl foÑfr

• tsuq fjdoZVe

• dwYgksa dh tUetkr vO;oLFkk ¼datsfuVy fMLyksds’ku vkWQ fgIl½

VII

10

• uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk

• fo'ks"k uSnkfud vè;;u

• uotkr f’k’kq ns[kHkky çcaèku dh vko';drk okyh lÆtdy fLFkfr;ka

• cFkZ batqjht

• lk;uksfll

• vkWDlhtu Fksjsih ds fy, ladsr

• jsfVuksiSFkh vkWQ fçesP;qfjVh

• ,fMek vkSj gkbMªksIl QsVsfyl

• ,lkbV~l ¼tyksnj½

• Ldsysjsek

• osfldqykscqyl fLdu bji’kUl

• fu;ksusVy ,fjFkzksMekZ

• bpF;ksfll

• oLdqyj usoh

• jatdrk ds fodkj

• ,dkfèkd xHkZèkkj.k

• vk;Vªkstsfud fodkj

VIII

10

• lysD’ku vkWQ ,usLFkhfl;k

• tujy vusLFksfl;k

• vusLFksfVd,tsaV

• ,usLFksfl;k ds ckn dh leL;k,a vkSj uotkr f'k'kq dh ns[kHkky dh vko';drk okyh vkikr fLFkfr;ka

o ’olu & ,;jos vkWCLVªD’ku] ysfjafx;y ,fMek] ysfjaxksLikTe] czksadksLikTe] ukWudkÆM;kstsfud iYeksujh

,fMek] ,fLijs’ku] gkbiksfDl;k] gkbiksosafVys'ku

o dkÆM;ksokLdqyj & dkÆM;d Q+aD'ku] ek;ksdkÆM;y fMlQaD'ku] fMlfjFkfe;k] iksLVvkWijsfVo

gkbijVsa’ku] iksLVvkWijsfVo gkbiksVsa'ku ij ,usLFkhfl;k dk çHkko

o FkeksZjsxqysVjh & gkbiksFkÆe;k] daidaih] gkbijFkÆe;k] esfyxusaV gkbijFkÆe;k

o U;wjksykWth & fMysM ,ejtsal] ,ejtsal Msfyfj;e

o eryh vkSj mYVh

IX

10

• rhoz çfrfØ;k ny vkSj xaHkhj :i ls chekj yksxksa dk ifjogu

• vkink çcaèku

• us= lacaèkh vkikr fLFkfr & vka[k dh pksVsa]

• bZ,uVh vkikr fLFkfr & cká inkFkZ] fLVªMksj] jDrlzko] ÇDolh] ,D;wV,ytÊ dh fLFkfr

•

OAEs

•

5

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

gS½A

•

o jDrkèkku

38

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

o cksu esjks VªkalIykaVs’ku çR;kjksi.k

o dSFksVj lkbV dh ns[kHkky

o cksu esjks ,fLijs’ku

•

o cuZ ¶Y;wM fjllhVs’ku

o cuZ Q+hM x.kuk

o cuZ MªsÇlx

o cUlZ Luku

o ?kko dh MªsÇlx

•

o Vªkb,t

o VªkWek Vhe ,DVhos’ku

o lkai jksèkh tgj dk ç'kklu

o ,aVhMksV~l

•

o vyxko lacaèkh lkoèkkfu;ka

o midj.kksa dk dhVk.kq'kksèku vkSj fuiVku

•

o ikVksZxzke

o midj.k & buD;wcsVj] okeZj

•

o fu;ksftr baVqcS"ks.k esa lgk;rk djuk

o ,usLFkhfl;k ds rgr uotkr f'k'kqvksa dh fuxjkuh

o raf=dk CykWdksa dk ç'kklu

o vkS"kfèk;ksa dk vuqekiu & ,QsfMªu] ,Vªksfiu] ukyksDlksu] ,foy] vksUMsulsVªkWu

o lsaljh ,aM eksVj CykWd vlslesaV QkWj fu;ksusV~l vkWu ,fiMîwjy ,ukYtsfl;k

o flÇjt@bU¶;wtu iaiksa dh rduhdh leL;k fuokj.k

•

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

39

o vkink rS;kjh vkSj çksVksdkWy

• vyh ,-] vkfjQ ,l-] jtuh vkj-] [kksoktk MCY;w-,p-] ys?kkjh ,-,y-] oyh ,l-] cjdr vkj- ,aM jghe ,- ¼2021½ LuSi II

Ldksj ,t v fçMsVj vkWQ fu;ksusVy eksVZfyVh bu ,uvkbZlh;w ,V v V’kZjh ds;j gkWfLiVy bu ikfdLrku] D;wfj;l

13¼12½- e20427. https://doi.org/10.7759/cureus.20427

• ckjC;w Mh-okbZ- ,aM oht+ ,e-Mh- ¼2017½ Lyhi fMLVjcsal bu U;wcksUlZ] fpYMªu ¼csly] fLoV~tjySaM½ 4¼10½ 90-

https://doi.org/10.3390/children4100090

• gkWy vkj-MCY;w- ,aM vkuan ds-ts- ¼2014½ isu esustesaV bu U;wcksUlZ] fDyfuDl bu isfjusVksykWth 41¼4½ 895&924-

https://doi.org/10.1016/j.clp.2014.08.010

• dsuj lh- ,aM ckW;dksok ,e-oh- ¼2021½ fu;ksusVy uÉlx ds;j gSaMcqd% ,u ,ohMsal csLM vçksp Vq daMh’kal ,aM çlhtlZ]

ÇLçxj ifCyÇ'kx daiuh

• dsuj lh-] ysLyh vYVhfe;j Mh-,u-ih- ,aM ckW;dksok ,e-oh- ¼la-½ ¼2019½ dafçgsaflo fu;ksusVy uÉlx ds;j] ÇLçxj

ifCyÇ'kx daiuh

• DykWd ih-] cq'kj ,-] ,MZeSu ,-,y-] dksLVk vkj- ,aM lSaVksl ,l-oh- ¼2019½ cSLV çsfDVlsl bu fu;ksusVy uÉlx ds;j

esustesaV] VsDLVks vkSj dkWUVsDLVks&,uQesZtse] 28] e20170157

• okbdkWQ+ ,e-] gkWVu Mh- ,aM ysist lh- ¼2009½ fu;ksusVy ds;j] U;w;kWdZ% ÇLçxj ifCyÇ'kx daiuh

A.

1

[kqyh ns[kHkky ç.kkyh% jsfM;aV okeZj] fuf'pr ÅapkbZ] VªkWyh] njkt]

O2 cksryksa ds lkFk

bZ

1

2

fjlflVsVj] gLr lapkfyr] uotkr f'k'kq] 500 feyh

bZ

1

3

rksyus dk iSekuk] ÇLçx

4

iai lD'ku] iSj lapkfyr

bZ

1

5

FkekZehVj] fDyfudy] fMftVy] 32&34°C

bZ

1

6

tkap gsrq ykbV] eksckby] 220&12

bZ

1

7

flÇjt gc dVj

bZ

1

B.

1

[kqyh ns[kHkky ç.kkyh% jsfM;aV okeZj] fuf'pr ÅapkbZ] VªkWyh] njkt]

O2 cksryksa ds lkFk

bZ

3

2

QksVksFksjsih ;wfuV] ,dy flj] mPp rhozrk

bZ

1

3

fjlflVsVj] gLr lapkfyr] uotkr f'k'kq] 500 feyh

bZ

2

4

ysÇjtksLdksi lsV] uotkr

bZ

2

5

bysDVªkWfud f'k'kq&otu Ldsy 10 fdxzk <5 xzke>

bZ

1

6

lD'ku iai] iSj lapkfyr

bZ

1

7

FkekZehVj] fDyfudy] fMftVy] 32&34°C

bZ

4

8

tkap gsrq ykbV] eksckby] 220&12

bZ

4

I

II

40

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

9

flÇjt gc dVj

bZ

1

C.

1

f'k'kq ns[kHkky 'k¸;k

bZ

12

2

QksVksFksjsih ;wfuV] ,dy flj] mPp rhozrk

bZ

6

3

fjlflVsVj] gLr lapkfyr] uotkr f'k'kq] 250 feyh

bZ

2

4

fjlflVsVj] gLr lapkfyr] uotkr f'k'kq] 500 feyh

bZ

4

5

ysÇjtksLdksi lsV] uotkr

bZ

6

6

lD'ku iai] iksVsZcy] 220 oh] MCY;w@,Dlsl

bZ

2

7

lD'ku iai] iSj lapkfyr

bZ

2

8

lÆtdy midj.k] flouh@lsV

bZ

2

9

flÇjt iai] 10] 20] 50 feyh] ,dy pj.k

bZ

3

10 vkWDlhtu gqM] ,l ,aM ,e] çR;sd 3 dk lsV] dusÇDVx Vîwc ds lkFk

bZ

6

11 vkWDlhtu vkiwÆr ç.kkyh

bZ

1

12 vkWDlhtu lkaæd

Mh

4

13 FkekZehVj] fDyfudy] fMftVy] 32&43°C

bZ

12

14 bysDVªkWfud f'k'kq&otu Ldsy] 10 fdxzk <5 xzke >

bZ

4

15 iYl vkWDlhehVj] csMlkbM] uotkr

bZ

6

16 LVsFkksLdksi] ckbU;wjy] uotkr

bZ

12

17 jDrnkcekih] uotkr] bysDVªkWfud

bZ

6

18 çdk'k] ijh{k.k] eksckby] 220&12 oh

bZ

6

19 flÇjt gc dVj

bZ

2

20 ekius okyk Vsi] foukby&ysfir] 1-5 ehVj

bZ

2

21 fdMuh csflu] LVsuysl LVhy] 825 feyh

bZ

4

22 MªsÇlx Vªs] LVsuysl LVhy] 300 × 200 × 30 feeh

bZ

4

23 bU¶;wtu LVSaM] Mcy gqd] dSLVj ij

bZ

1

24 ladsrd] Vh,lVh fu;a=.k LFkku@ih,lh&300

Mh

1

25 QksVksFksjsih bdkb;ksa ds fy, fofdj.k ehVj

Mh

2

26 ekWfuVj] egRoiw.kZ

Mh

1

27 bZlhth ;wfuV] 3 pSuy

Mh

2

28 bUQSaVksehVj] IysDlh] 32 QhV@105 lseh

bZ

1

29 ,Dl&js] eksckby

Mh

1

30 VªkaliksVZ buD;wcsVj] csfld] cSVjh vkSj O2 ds lkFk] fcuk osafVysVj ds

Mh

1

31 vkVksDyso] LVhe] csap VkWi] 20 vkbZ] bysfDVªdy

Mh

1

32 ykWUMªh okW'kj Mªk;j] dkWEcks] 5 fdxzk

Mh

D.

1

,lh ¼1-5 Vu½

bZ

1

2

tsujsVj lsV 25&50 dsoh,

bZ

1

3

jsfÝtjsVj] xeZ {ks=] 110 ,y

bZ

1

4

oksYVst loksZ&LVscykbtj ¼rhu pj.k½% 25&50 dsoh,

bZ

1

5

:e ghVj ¼rsy½

Mh

4

6

daI;wVj ÇçVj ds lkFk

Mh

1

7

LikWV ySai

bZ

2

8

lsdaM okyh lqbZ okyh nhokj ?kM+h

bZ

2

E.

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

41

1

LVjykbÇt+x Mªe] 165 feeh O;kl

2

bysfDVªd LVjykbt+j

Mh

1

3

Mªk;j ds lkFk okWÇ'kx e'khu

4

deZpkfj;ksa vkSj ekrkvksa ds fy, xkmu

bZ

1

5

èkksus ;ksX; pIiysa

F.

1

lsaVªh¶;wt] gsesVksfØV] csap V‚i] 12000 vkjih,e ¼çfr feuV ifjØe.k½ rd]

jksVj ds lkFk

2

ekbØksLdksi] nwjchu] byqfeusVj ds lkFk

Mh

1

3

fcyh#fcuksehVj] VksVy fcyh#fcu] dsf'kdk&vkèkkfjr

4

MsDlVªksfLVDl ds lkFk XywdksehVj

bZ

3

•

vfrfjDr LFkku ¼HkaMkj.k] uÉlx LVs'ku] MkWDVj dk dejk vkSj ifjlapj.k LFkku½ & ’k¸;k LFkku dk 100% vfrfjDrA

•

çR;sd f'k'kq ns[kHkky LFkku esa Çld vkSj xfy;kjs dks NksM+dj] U;wure 120 oxZ QqV ¼11-2 oxZ ehVj½ gksuk pkfg,A

•

çR;sd f'k'kq ns[kHkky LFkku ds fudV ,d xfy;kjk gksuk pkfg, ftldh pkSM+kbZ vusd ’k¸;kvksa esa U;wure 4 QhV ¼1-2

ehVj½ gksuh pkfg,A

•

bdkbZ esa Lrj II esa çR;sd cPps ds fy, 50 oxZ QqV uotkr f’k’kq ns[kHkky LFkku gksuk pkfg,A

•

Lrj III ds fy,] 80&100 oxZ QqV dk uotkr f’k’kq ns[kHkky {ks=] 80&100 oxZ QqV dk lgk;rk lsok {ks= vkSj yxHkx

80 oxZ QqV dk lapyu {ks= mi;qDr {ks= ekuk tkrk gS &

o çfr ’k¸;k 500&600 oxZ QqV(

o çfr uotkr f’k’kq 100&120 oxZ QqV ns[kHkky {ks=(

o bUD;wcsVjksa ds chp dk varj 8 QhVA

•

ulZjh esa eka ds dejs dh miyCèkrk Lrj II ds fy, okaNuh; gS vkSj Lrj III ds fy, vko';d gSA

•

çR;sd f'k'kq ns[kHkky ’k¸;k ij fo|qr vkSj xSl vkmVysV tSlh ;kaf=d vko';drkvksa dks lqj{kk] vklku igqap vkSj

j[kj[kko lqfuf'pr djus ds fy, O;ofLFkr fd;k tkuk pkfg, &

o ,d lkFk lqyHk fo|qr vkmVysV & U;wure 20(

o ,d lkFk lqyHk xSl vkmVysV dh U;wure la[;k% ,;j] vkWDlh vkSj oSd & 3 çR;sd(

o lHkh fo|qr vkmVysVksa ds fy, vkikrdkyhu vkSj lkekU; fctyh dk feJ.kA

•

lrr ns[kHkky] eè;orhZ ns[kHkky ,oa vkSj xgu ns[kHkky {ks=ksa esa çR;sd 6&12 uotkr f’k’kqvksa ds fy, ,d

fu;ksusVksykWftLVA

•

mls ijke'kZ ds fy, 24 ?kaVs miyCèk jguk pkfg,A

•

vkn'kZr% 24&?kaVs xgu ns[kHkky dh vko';drk okys çR;sd 4&5 uotkr f’k’kqvksa ds fy, ,d fu;ksusVksykWftLVA

•

ekbØksck;ksykWftLV] gsesVksykWftLV] jsfM;ksykWftLV vkSj dkÆM;ksykWftLV tSls vU; fo'ks"kKksa dh lsok,a dkWy ij miyCèk

gksuh pkfg,A

•

uotkr f'k'kq dks ,usLFkhfl;k nsus esa l{ke ,d ,usLFksfVLVA

•

ihfM;kfVªd ltZu vkSj iSFkksyksftLV miyCèk gksus pkfg,A

42

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

1. iwjs fnu vkSj jkr esa ulZ uotkr f'k'kq vuqikr 1%1 cuk, j[kk tkrk gSA

2. osaVhysVj dh vko';drk ugÈ j[kus okys nks chekj f'k'kqvksa ds fy, ,d ulZ dk vuqikr i;kZIr gks ldrk gS &

-

vkn'kZ ulZ uotkr f'k'kq vuqikr ds fy,] çfr xgu ns[kHkky 'k¸;k ij pkj çf'kf{kr ulks± dh vko';drk gksrh gS(

-

vfrfjDr gsM ulZ tks lexz çHkkjh gS(

-

Lrj II ns[kHkky ds fy, cqfu;knh uÉlx çf'k{k.k ds vykok] r`rh;d ns[kHkky ds fy, mPpre] ;ksX; leÆir]

çfrc) vkSj çf'kf{kr deZpkfj;ksa dh vko';drk gksrh gSA muds çf'k{k.k esa midj.kksa dks laHkkyus dk çf'k{k.k]

osaVhysVj dk mi;ksx vkSj ekLd fjllhVs’ku dk mi;ksx vkSj ;gka rd fd ,aMksVªSfp;y baVqcS"ks.k] èkeuh uewukdj.k

vkfn 'kkfey gksuk pkfg,A

•

IV dSFksVj] IV lsV] cSDVhfj;y fQYVj] QhÇMx Vîwc] ,aMksVªSfp;y Vîwc

•

lD'ku dSFksVj] Fkzh&os ,MkWIVj] vacfydy vkfVZfj;y vkSj ohul dSFksVj

•

flÇjt] lqbZ osafVysVj V;wÇcx] Vªksdkj vkSj dSuqyk] çSlj VªkalMîwlj QkWj buosflo CyM çSlj

•

MkW- esgjcku Çlg] ,u,p,e Hkkjr ljdkj ,oa uotkr f'k'kq dh ns[kHkky

dkWyst ijh{kk & dsoy lS)kafrd % 50 vad

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 uSnkfud@fof'k"V uSnkfud fLFkfr esa 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 ¼uotkr f’k’kq ns[kHkky 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 ¼uotkr f’k’kq ns[kHkky bdkbZ 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 çLrqfrdj.k½

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

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

43

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 ¼,ulh;w 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

vkarfjd vks,llhbZ% 50 vad

44

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

çk;kSfxd% 50 vad

×

×

×

I.

eq[; n{krk {ks=

1-

uotkr f’k’kq dk ldsafær bfro`Ùk ysuk

2-

uotkr f’k’kq dh ldsafær 'kkjhfjd tkap

3-

xHkZorh efgyk dk ldsafær bfro`Ùk ysuk vkSj 'kkjhfjd tkap

4-

fu"d"kks± dh O;k[;k vkSj ifj.kke

5-

uSnkfud ekinaMksa dh fuxjkuh

×

eq[; n{krk {ks=

1-

uotkr f’k’kq dk dsafær bfro`Ùk ysuk

2-

uotkr f’k’kq dh dsafær 'kkjhfjd tkap

3-

xHkZorh efgyk dk ldsafær bfro`Ùk ysuk vkSj 'kkjhfjd tkap

4-

fu"d"kks± dh O;k[;k vkSj ifj.kke

5-

uSnkfud ekinaMksa dh fuxjkuh

×

II.

eq[; n{krk {ks=

1- uotkr f’k’kq dk ldsafær bfro`Ùk ysuk vkSj 'kkjhfjd tkap

2- fu"d"kks± dh O;k[;k vkSj ifj.kke

3- fuxjkuh n{krk,a ¼buosflo rFkk ukWu&buosflo½

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

45

4- fpfdRlh; eè;orZu ¼¼fof’k"V çfØ;kRed n{krk,a½ ftlesa vkS"kfèk ç'kklu 'kkfey gS

5- ikfjokfjd f'k{kk vkSj ijke'kZ

×

eq[; n{krk {ks=

1- uotkr f’k’kq dk ldsafær bfro`Ùk ysuk vkSj 'kkjhfjd tkap

2- fu"d"kks± dh O;k[;k vkSj ifj.kke

3- fuxjkuh n{krk,a ¼buosflo rFkk ukWu&buosflo½

4- ns[kHkky ;kstuk dk fodkl

5- fpfdRlh; eè;orZu ¼¼fof’k"V çfØ;kRed n{krk,a½ ftlesa vkS"kfèk ç'kklu 'kkfey gS

6- ikfjokfjd f'k{kk vkSj ijke'kZ

×

I

II

eq[; n{krk {ks=

1- uotkr f’k’kq dk ldsafær bfro`Ùk ysuk vkSj 'kkjhfjd tkap

2- fu"d"kks± dh O;k[;k vkSj ifj.kke

3- fuxjkuh n{krk,a ¼buosflo rFkk ukWu&buosflo½

4- fpfdRlh; eè;orZu ¼¼fof’k"V çfØ;kRed n{krk,a½ ftlesa vkS"kfèk ç'kklu 'kkfey gS

5- ikfjokfjd f'k{kk vkSj ijke'kZ

×

eq[; n{krk {ks=

1- uotkr f’k’kq dk ldsafær bfro`Ùk ysuk vkSj 'kkjhfjd tkap

2- fu"d"kks± dh O;k[;k vkSj ifj.kke

46

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

3- fuxjkuh n{krk,a ¼buosflo rFkk ukWu&buosflo½

4- ns[kHkky ;kstuk dk fodkl

5- fpfdRlh; eè;orZu ¼¼fof’k"V çfØ;kRed n{krk,a½ ftlesa vkS"kfèk ç'kklu 'kkfey gS

6- ikfjokfjd f'k{kk vkSj ijke'kZ

×

3a

*

I

1

'kksèk midj.k dh rS;kjh

2

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

3

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

4

'kksèk fucaèk@bZchih ifj;kstuk

fo"k;%

1

II

1

LVkQ uotkr f’k’kq fufgr dk;Z rS;kj djuk

2

bdkbZ dk ctV rS;kj djuk

3

LVkQ MîwVh jksLVj rS;kj djuk

4

jksxh ns[kHkky laijh{k.k

5

uÉlx ns[kHkky ekud vkSj çksVksdkWy rS;kj djuk

6

midj.k vkSj vkiwÆr çcaèku

7

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

8

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

9

uotkr f’k’kqvksa ds ekrk&firk vkSj deZpkfj;ksa ds fy, f'k{k.k

;kstuk rFkk ehfM;k rS;kj djuk

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

11 ijh{k.k fuekZ.k

III

1

2

2-1 'olu ra=

2-2 ân; ra=

2-3 tBjkU=

2-4 Luk;fod

2-5 tuukax&ew= ra=

2-6 var%lzkoh

2-7 gsesVksykWftdy

2-8 eLdqyksLdsysVy

2-9 baVhxqesaVjh

2-10 laosnh vax

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

47

*

3

3-1 Lfdax fj¶ysDl

3-2 eksjks fj¶ysDl

3-3 VkWfud usd fj¶ysDl

3-4 xzSLi fj¶ysDl

4

IV

1

1-1 ck;ksdSfeLVªh

1-2 uSnkfud jksx funku

1-3 ekbØksck;ksykWth

1-4 ,chth

2

2-1 iSjklsUVsfll

2-2 FkkSjslsUVsfll

2-3 yqEcj iaDpj

2-4 fyoj ck;ksIlh

2-5 jhuy ck;ksIlh

2-6 cksu eSjks ,fLijs'ku

3

3-1 pSLV ,Dl&js

3-2 bZlhvkjih

3-3 iSV LdSu

3-4 ,aMksLdksih

3-5 ,evkjvkbZ@lhVh

3-6 vYVªklkmaM

3-7 bZ,eth

3-8 bdksdkÆM;ksxzke

3-9 bZlhth

V

1

ços'k

2

LFkkukarj.k% ,;j ,acqysal vkSj tehuh ,acqysal }kjk LFkkukarj.k ds

nkSjku ns[kHkky

3

ifjogu

4

esfMdks&yhxy daiykbal

5

ikfjokfjd f’k{kk

6

6-1 ekWfuVj

6-2 VªkUlMîwlj@çSlj cSx

6-3 VSaijspj çksCl

6-4 SpO2 çksCl

6-5 vuqØfed laihM+u midj.k

6-6 12&yhM bZlhth ekWfuVj

6-7 flÇjt iai

6-8 bU¶;wtu iai

6-9 vYQk@,;j eSVªsl

VI

1

uotkr f'k'kqvksa dk iks"k.k vkadyu

2

LoLFk uotkr f'k'kq dk vkadyu

3

mPp tksf[ke okys uotkr f'k'kq dk vkadyu

4

uotkr f'k'kq dk vkadyu@ns[kHkky

5

vka= èofu ¼ckWoy lkmaM½

48

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

*

6

thvkjch,l

7

ikVksZxzke

8

ds,elh esa lgk;rk djuk

9

Lruiku esa lgk;rk djuk

10 ,uvkjih ¼uotkr fjllhVs’ku dk;ZØe½

11 vka[kksa dh ns[kHkky

12 xHkZuky dh ns[kHkky@vafcfydy dsU;qys'ku ;k dSFkhVsjkbts'ku

13 cPps dks Luku djkuk

14 dVs gksaB vkSj rkyq ds fy, dVksjh@pEep ls Hkkstu@iyknkbZ dk

ç'kklu] Hkkstu@lgk;rk

15

• ,uth@ekSf[kd

• xSLVªksLVkseh

• tstquksLVkWeh

16

16-1 bfro`Ùk ysuk

16-2 'kkjhfjd tkap

16-3 o`f) ,oa fodkl vkadyu

MhMh,lVh ¼Msuoj MsoyiesaVy LØhÇux VsLV½

16-4 lhvkjvkbZch ¼f'k'kqvksa dk uSnkfud tksf[ke lwpdkad½

lhvkjvkbZch&II ¼f'k'kqvksa dk uSnkfud tksf[ke lwpdkad&II½

16-5 LuSi ¼Ldksj QkWj fu;ksusVy ,D;wV fQft;ksykWth½

• SNAP-II ¼Ldksj QkWj fu;ksusVy ,D;wV fQft;ksykWth&II½

• SNAPPE ¼Ldksj QkWj fu;ksusVy ,D;wV fQft;ksykWth &

isfjusVy ,DlVsa’ku½

16-6

IV dSU;qys'ku lkbV dk vkadyu ¼¶ysfcfVl Ldsy½ vkSj ns[kHkky

16-7 gEIVh MEIVh Q+kWy vlslesaV Ldsy ds ekè;e ls uotkr f’k’kq dk

vkadyu

16-8 vIxj Ldksj

16-9 U;w cSykMZ Ldksj

16-10 ihfM;kfVªDl Xyklxks dksek Ldsy ¼ihthlh,l½

16-11 fçesP;qj buWsaV isu çksQ+kby ¼ihvkbZihih½

17

17-1 vkS"kf/k ç'kklu

• ekSf[kd

• baVªkohul

• baVªkeLD;qyj

• baVªkMeZy

17-2 ¶Y;wM dh x.kuk ,oa çokg nj

17-3 ÅapkbZ] otu] ch,evkbZ dh x.kuk

17-4 ¶Y;wM~l dk ç'kklu

17-5 fofHkUu 'kfDr;ksa ds ¶Y;wM~l rS;kj djuk

17-6 Vidkuk & vka[k] dku] ukd

17-8 vkS"kfèk x.kuk

17-9 jDr vkèkku

17-10 Vhih,u

18 ysfeuk dk çokg

19 pSLV fQft;ksFksjsih vkSj iksLVqjy Mªsust

20 ;wjhujh dSFkhVsjkbts'ku vkSj Mªsust

21 vka= èkksuk ¼ckWoy ok’k½

22 daMkse Mªsust

23 vksLVkseht+ dh ns[kHkky

• bZlksQSxksLVkWeh

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

49

*

• xSLVsjksLVkseh

• dksyksLVkWeh

• ;wjsVsjksLVkseh

24

• VSaV

• gqM

• ekLd

• usly çksaXl

25 LVhe bugsys’ku

*Nk= ds dkS'ky çn'kZu esa l{ke ik, tkus ij] ml ij çhlsIVj@ladk; }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@ladk; 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 dj ldrk gSA

•

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

•

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

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

pkfg,A

3b

*

I

1

1-1 osafVysVj

1-2 jsfM,aV okeZj

1-3 buD;qcsVj

1-4 bZVh dQ çslj ekWfuVj

1-5 fMfQfczysVlZ

1-6 islesdj

1-7 ØS'k VªkWyh

1-8 CPAP/BiPAP

1-9 QksVksFksjsih

2

çkFkfedrk fuèkkZj.k ¼Vªkb,t½

3

3-1 vkfVZfj;y CyM xSl ¼,chth½

3-2 vkWDlhtu lkaæhdj.k

3-3 ,aMksVªsfp;y Vîwc dQ çslj

3-4 dsuksxzkQh

3-5 PiCCO

3-6 gseksMk;usfeDl

3-7 bysDVªksdkfMZ;ksxzke ¼bZlhth½

3-8 baVªkØsfu;y çs’kj ¼vkbZlhih½

3-9 buosflo chih ekWfuVfjax

50

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

*

3-1`0 ukWu&buosflo chih ekWfuVfjax

3-11 VªkalFkksjsfdd bZdksdkfMZ;ksxzkQh

4

4-1 lhMs’ku

4-2 ely fjysDlsaV

4-3 bysDVªksykbV bu¶;wtu

4-4 balqfyu bu¶;wtu

4-5 buksVªksi ç'kklu

4-6 FkzksEcksykbfVd Mªx

4-7 dksfVZdksfLVjkWbM

5

5-1 ¶Y;wM ,MfefuLVªs'ku ¼dksyksbM@fØLVkyksbM½

5-2 jDr vkSj jDr mRikn ç'kklu

5-3 lhohih ykbu yxkuk vkSj ns[kHkky djuk

5-4 lhohih ykbu gVkuk

5-5 vkfVZfj;y ykbu yxkus esa lgk;rk djuk

5-6 vkfVZfj;y ykbu dh ns[kHkky

5-7 vkfVZfj;y ykbu dks gVkuk

5-8 Qq¶Qqlh; èkeuh dSFksVj yxkus esa lgk;rk djuk

5-9 islesdj yxs uotkr f’k’kq dh ns[kHkky

5-10 vkfVZfj;y ykbu ls jDr laxzg.k

6

6-1

vksjksQsfjaX;y ,;jos ,fIyds’ku

6-2

ysÇjX;y ekLd ,;jos

6-3

baVqcs'ku esa lgk;rk djuk

6-4 bZVh Vîwc dh ns[kHky djuk

6-5

,DlVîwcs'ku

6-6

Vªsfd;ksLVkseh yxkus esa lgk;rk djuk

6-7

Vªsfd;ksLVkseh ns[kHkky vkSj lD'kÇux

6-8

,aMksVªsfp;y lD’kfuax & [kqyk

6-9 ,aMksVªsfp;y lD’kfuax & can

6-10 pSLV Vîwc yxkus esa lgk;rk djuk

6-11 pSLV Mªsust yxs uotkr f’k’kq dh ns[kHkky djuk

6-12 pSLV Vîwc gVkuk

6-13 uscqykbts'ku

6-14 eSdsfudy osafVysVj yxs uotkr f’k’kq dh ns[kHkky djuk

6-15 ukWu&buosflo osafVys'ku

6-16 osafVysVj yxkuk

6-17 osafVysVj gVkuk

6-18 Vh&Vîwc vkSj osuVîqjh midj.k dk mi;ksx

6-19 iksLVqjy Mªsust

6-20 Vªsfd;ksLVkseh ls gVkuk

6-21 pSLV fQft;ksFksjsih

7

7-1 laosnh mÙkstuk

7-2 psruk@dksek fLFkfr dh fuxjkuh

8-1 dSU;qysfVax QkWj gseksMk;fyfll

8-2 gseksMk;fyfll dh 'kq#vkr vkSj lekiu

8-3 gseksMk;fyfll yxs uotkr f’k’kq dh ns[kHkky djuk

8-4 isfjVksfu;y Mk;fyfll 'kq: djuk

8-5 isfjVksfu;y Mk;fyfll yxs uotkr f’k’kq dh ns[kHkky djuk

8-6 ¶Y;wM çfrLFkkiu dh x.kuk

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

51

*

8-7 yxkrkj ew= fudklh yxs uotkr f’k’kq dh ns[kHkky djuk

9

9-1 vkgkj HkÙks dk vuqeku

9-2 fpfdRlh; vkgkj ;kstuk

9-3 vka= iks"k.k

10

10-1 balqfyu vuqekiu

10-2 LVsjkW;M ç'kklu dh x.kuk

11 laØe.k fu;a=.k çFkk,a

• loZxr lkoèkkfu;ka

• dhVk.kq'kksè[email protected]’ku

12 ekud@uhfr;ka@çksVksd‚y rS;kj djuk

13 ikfjokfjd ijke'kZ

14 ,u,,y,l

15 thou dh vardkyhu ns[kHkky

• efLr"d e`R;q ¼czsu MSFk½

• vax nku

16

16-1 bZlhth

16-2 ,chth

16-3 Nkrh dk ,Dl&js

16-4 vYVªklkmaM

17

17-1 uscqykbts'ku

17-2 pSLV fQft;ksFksjsih

17-3 fMLVy dksyksLVkWeh okW'k

17-4 uotkr cfPp;ksa dks ew= dSFksVj yxkuk vkSj gBkuk

17-5 ijh{k.k Q+hM

17-6 lÆtdy MªsÇlx

17-7 Mk;fyfll 'kq: djuk vkSj can djuk

*Nk= ds dkS'ky çn'kZu esa l{ke ik, tkus ij] ml ij çhlsIVj@ladk; }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@ladk; 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 dj ldrk gSA

•

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

•

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

5&10% nqyZHk çfØ;kvksa dk vH;kl dkS'ky ç;ksx'kkyk esa fd;k tk ldrk gS 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%

*

fu;ksusVy uÉlx n{krkvksa ds fy, lk{; dh [kkst

52

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

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 fLFkfr;ka½

uSnkfud fLFkfr dk uke%

¼uSnkfud fLFkfr;ka½

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

¼csMlkbM çLrqfr;ka½

vkS"kfèk dk uke%

¼fyf[kr fjiksVZ tek djus gsrq gS½

¼uotkr f’k’kq½ & bfro`Ùk vkSj 'kkjhfjd tkap

¼nks fyf[kr fjiksVZ½

3-1-1-

3-1-2-

3-1-3-

3-1-4-

3-1-5-

¼xHkZorh efgyk½

¼nks fyf[kr fjiksVZ½

3-2-1-

3-2-2-

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

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

53

¼uSnkfud lEesyu½

fo"k; dk 'kh"kZd%

I ¼uSnkfud lsfeukj½

fo"k; dk 'kh"kZd%

I ¼tuZy Dyc½

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%

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

¼ikap fyf[kr fjiksVZ½

vkS"kfèk dk uke%

54

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

I ¼uSnkfud çLrqfr½

uSnkfud fLFkfr dk uke%

¼ekeys dh vè;;u fjiksVZ½

II

¼ekeys dh vè;;u fjiksVZ½

¼fodflr uSnkfud@ns[kHkky ekxZ½

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

ulZ çSfDV'kuj] xaHkhj :i ls chekj uotkr f’k’kqvksa dh ns[kHkky ds fy, ftEesnkjh vkSj mÙkjnkf;Ro laHkkyus ds fy, rS;kj

vkSj ;ksX; gksrs gSaA os mPp rh{.k vko’;drk okys uotkr f’k’kqvksa ds fy, lVhd fpfdRlk lqfuf'pr djus gsrq fu;ksusVy

buVsaflfoLV] fQftf’k;u] ltZu] vkSj fo'ks"kKksa ds lkFk lg;ksx djrs gSaA dk;ZØe ds iwjk gksus ij] ulZ çSfDV'kuj dks

laLFkkxr çksVksdkWy@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

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

55

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

gSa%

1- ,fMªusykbu

2- Uksj,fMªusykbu

3- Mksikekbu

4- MksC;wVkekbu

5- ,Msukslkbu

6- vfe;ksMsjksu

7- fyMksdsu@tkbyks dkMZ

8- ,QsfMªu

9- ,feuksQkbfyu

10- MsjhQkbfyu

11- ,VªkD;wfj;e ¼osD;wjksfu;e] iSuD;wfj;e½

12- ,Vªksfiu lYQsV

13- ,foy

14- DyksfuMhu

15- fXyljhu VªkbZukbVªsV

16- vkblksIVhu

17- gkbMªksdkÆVlksu

18- MsDlkesFkklksu

19- ysfoV jsflVe

20- fQukbVksbu

21- oSfy;e

22- feMktksye

23- ekWÆQu lYQsV

24- isaVktkslhu ySDVsV ¼QksVZfou½

25- isfFkMhu gkbMªksDyksjkbM

56

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

26- çkWiksQksy

27- lksMk ckbdkcksZusV 8-4%

28- lksMk ckbdkcksZusV 7-5%

29- eSXuh'kh;e lYQsV

30- iksVsf'k;e DyksjkbM

1- uksjkM

2- fefyzuksu

3- flYMsukfQy

4- QsaVsfuy

5- ysflDl

6- ihthbZ 1

7- oSlksçsflu

8- 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] fVIl vkWQ oLdwyj

,lsl ,aM bZVh Vîwc QkWj dYpj

• uscqykbts'ku

• pSLV fQft;ksFksjsih

• fMLVy dksyksLVkWeh ok’k

• uotkr cPph dks ;wfjujh dSFksVj yxkuk vkSj gVkuk

• VSLV QhM~l

• TEDS

• 'kY;&fpfdRlh; ejge&iêh

• Mk;fyfll 'kq# djuk vkSj can djuk

• fyf[kr vkns’k ds lkFk TPN bu¶;wtu p<+kuk

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

FkzksEcksf¶yfcfVl@ ,DlVªkokls'ku

• fiu lkbV ds;j QkWj fu;ksusV~l vkWu ,DlVjuy fQDlplZ

• vkblksesfVªd ,aM vkblksVksfud ,Dljlkbt

[जवज्ञापन-III/4/असा./844/2024-25]

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

57

INDIAN NURSING COUNCIL

NOTIFICATION

New Delhi,18th December 2024

INDIAN NURSING COUNCIL {NURSE PRACTITIONER IN NEONATAL NURSING (NPNeoN) -

POSTGRADUATE RESIDENCY PROGRAM} REGULATIONS, 2024

F.No. 11-1/2024-INC (VIII):—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 Neonatal Nursing

(NPNeoN) - 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.

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 NEONATAL NURSING (NPNeoN) -

POSTGRADUATE RESIDENCY PROGRAM

I.

Introduction and Background

Ensuring healthy survival of all neonates has clearly emerged as a key area for improving child health. The global

community has committed itself to attain an under-five child mortality of less than 20 per 1000 lives birth in all

countries by 2035. According to the World Health Organization estimates, there is an alarmingly low level of trained

health personnel in many of the developing countries. The Ayushman Bharat Scheme launched by the Government of

India intended to address health care with two major components: Health and Wellness Centre (HWC) and National

Health Protection Scheme. Though the intent of the program to upgrade the health system is expected to achieve the

goal of Health for All, there is no evidence of a skilled health workforce in numbers for effective implementation.

Considering the scale of importance, a skilled health workforce tops the pyramid of health care delivery systems. The

government recognizes significant expansion in tertiary care services both in public and private health sectors. In

building their capacity, it is highly significant that the health care professionals require advanced educational

preparation in specialty and super-specialty services. To support specialized and super-specialized health care

services, specialist nurses with advanced preparation are essential. Developing training programs and curriculum in

the area of tertiary care is recognized as the need of the hour. Nurse Practitioners (NPs) will be able to meet this

demand provided they are well trained and empowered to practice. With establishment of new cadres in the Center

and State level, master level prepared NPs will be able to provide cost effective, competent, safe and quality driven

specialized nursing care to neonates in a variety of neonatal care units in tertiary care centres. Nurse Practitioners have

been prepared and functioning in USA since 1960s, UK since 1980s, Australia since 1990s and Netherlands since

2010.

58

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Nurse Practitioners in Neonatal Nursing (NPNeoN) can be prepared to function in tertiary care settings. Rigorous

educational preparation will enable them to collaboratively diagnose and treat neonates with critical illnesses both for

prevention and promotion of health. A curricular structure/framework is proposed by the Council towards preparation

of the Nurse Practitioner in Neonatal Nursing (NPNeoN) at master’s 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), Council of International Neonatal Nurses (CoINN)

Competencies (2021) and National Organization of Nurse Practitioner Faculties (NONPF, 2022). Every course is

based on achievement of competencies.

Nurse Practitioner in Neonatal Nursing (NPNeoN) – Residency Program is intended to prepare registered B.Sc.

Nurses to provide advanced nursing care to neonates who are critically ill. The nursing care is focused on stabilizing

neonate’s condition, minimizing acute complications and maximizing optimal neuro developmental outcomes. More

than 80% of all newborn deaths result from three preventable and treatable conditions - intrapartum-related deaths

(including birth asphyxia), complications due to prematurity and neonatal infections. Cost-effective, proven

interventions exist to prevent and treat each main cause. Improving quality of care around the time of birth will save

the most lives, but this requires competent health workers and availability of essential infrastructure. These Neonatal

NPs are required to practice in neonatal care units of tertiary care centers and SNCUs. 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

independently administer drugs and order diagnostic tests, procedures, medical equipment and therapies as per

institutional protocols.

The Neonatal NP when exercising this authority, they are accountable for the competencies in -

a) Neonate selection/admission into Neonatal Care Units (NCUs) and discharge;

b) Problem identification through appropriate assessment;

c) Selection/administration of medication or devices or therapies;

d) Strengthen and invest in care during labor, birth and the neonatal period;

e) Improve the quality of maternal and neonatal care;

f)

Neonate’s parental/care giver empowerment for use of therapeutics;

g) Knowledge of interactions of therapeutics, if any;

h) Evaluation of outcomes; and

i)

Recognition and management of complications and untoward reactions.

The Neonatal NP is prepared and qualified to assume responsibility and accountability for the care of critically ill

neonates 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

Neonatal Nursing (NPNeoN) to meet the challenges and demands of tertiary health care services in India, which is

reflected in the National Health Policy, 2017 to provide quality care to critically ill neonates and families.

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 experience with 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 Neonatal Nursing faculty. It is hoped to facilitate developing policies towards registration/licensure

and create cadre positions for appropriate placement of these postgraduate Neonatal NPs to function in neonatal care

units of tertiary care centers.

An educational framework for the Nurse Practitioner in Neonatal Nursing (NPNeoN) curriculum is proposed as

follows (See Figure 1).

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

59

II. Program Description

The Nurse Practitioner in Neonatal Nursing (NPNeoN) program is a nursing residency program with a 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).

III. Aim

The NPNeoN program prepares registered B.Sc. nurses for advanced practice roles as clinical experts, managers,

educators and consultants leading to M.Sc. Nursing (Nurse Practitioner in Neonatal Nursing).

IV. Objectives

On completion of the program, the Neonatal NP will be able to -

1. Assume responsibility and accountability to provide competent care to critically ill neonates and their family

in tertiary care NCUs.

2. Demonstrate clinical competence/expertise in providing critical care to neonates which includes diagnostic

reasoning, complex monitoring and therapies.

3. Apply theoretical, pathophysiological, and pharmacological principles and evidence base in implementing

therapies/interventions to neonates requiring critical care.

4. Identify the critical conditions using differential diagnosis and carry out treatment/interventions to stabilize

and restore neonate’s health and minimize or manage complications independently or collaboratively as a

Figure 1. Nurse Practitioner in Neonatal Nursing (NPNeoN) - An Educational Curricular Framework

Registered B.Sc. Nurse with 1-year Clinical Experience preferably in Neonatal Nursing Setting

(Entry requirement)

Strong

Clinical

Component

(Clinical Residency)

Competency Based

Education and

Training

• Foundations

of Neonatal

Nursing

Practice

• Neonatal

Nursing I

• Neonatal

Nursing II

• Theoretical Basis for

Advanced Practice Nursing

• Research Application and

Evidence-based Practice in

Neonatal Care

• Advanced Skills in Leadership,

Management and Teaching

I. Core Courses

NP

NEONATAL

NURSING

PROGRAM

II.

Adv

ance

d

Pract

ice

Cour

ses

III.

Specia

lty

Course

s

Theory-15%

Advanced

Knowledge

and Ethics

• Advanced

Pathophysiology

applied to

Neonatal Care

• Advanced

Pharmacology

applied to

Neonatal Care

• Advanced

Health/Physical

Assessment in

Neonatal

Practicum - 85%

60

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

part of NCU team.

5. Collaborate with other health care professionals in the NCU team, across the continuum of neonatal care.

V. Minimum requirements to start the Nurse Practitioner in Neonatal Nursing (NPNeoN) Program

The institution must accept the accountability for the NPNeoN program and its students and offer the program

congruent with the Council standards. It must fulfill the following requirements:

1.

Essentiality Certificate

a.

If any institution opting to start NPNeoN program already has B.Sc. Nursing or M.Sc. Nursing program

recognized by the Council, it will be exempted from NOC (No Objection Certificate)/Essentiality Certificate

for NPNeoN postgraduate residency program from State Government.

b. If the institution is having any University education program of training nurses and doctors or if they have

DNB program, NOC will not be required to start NP program.

2.

Hospital

a.

The institute should have a parent hospital/tertiary care centre with a minimum of 200 beds.

b. It is preferable to have a medical college/nursing college attached to the parent hospital.

3.

NCU Beds

The hospital should have a minimum of 20 NCU beds namely basic care, advanced care, and specialized care.

4.

NCU Staffing

a.

Every NCU should have a Charge Nurse preferably with B.Sc. Nursing or Post Basic Diploma in Neonatal

Nursing or M.Sc. Nursing qualification.

b. The nurse neonate ratio should be 1 : 1 for every shift for ventilated neonates.

c.

For the rest of NCU beds the nurse neonate ratio should be 1 : 2 for every shift.

d. Provision of additional 45% staff towards leave reserve.

5.

Faculty/Staff Resources

a.

Clinical Area

i. Nursing Preceptor: Full time qualified GNM with 6 years’ experience in Neonatal Nursing or B.Sc.

Nursing with 2 years of experience in Neonatal Nursing or Post Basic Diploma in Neonatal Nursing

with 2 years of experience in Neonatal Nursing or M.Sc. (Pediatric Nursing/Obstetrics & Gynaecology

Nursing) with one-year Neonatal Nursing experience.

ii. Medical Preceptor: MD Neonatology/Pediatrics.

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 full time faculty qualified

Nurse Practitioner in the Specialty/M.Sc. in Pediatric Nursing/Neonatal Nursing/NPNeoN),

(1 faculty for every 10 students).

ii. Assistant Professor: 1 (M.Sc. Nursing with teaching experience of 3 years).

c.

The above faculty shall perform dual role or be a senior nurse with M.Sc. Nursing qualification in Pediatric

Nursing employed in the neonatal units of tertiary hospital.

d. Guest Lecturers for Pharmacology, Pathophysiology and Neonatology relevant to neonatal care.

6.

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 journals.

d. E-learning facilities.

7.

List of equipment for NCU (enclosed Appendix 1).

8.

Student Recruitment/Admission Requirements

a.

Applicants must possess a registered B.Sc. Nursing/P.B.B.Sc. Nursing degree with a minimum of one-year

clinical experience, preferably in any Neonatal care Units (NCUs) 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.

Number of Candidates: 1 candidate for 5 NCU beds.

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

61

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 course 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 year’s 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 NPNeoN

program/M.Sc. Nursing faculty (with specialty-Pediatric Nursing-NPNeoN preferable) and with

5 years’ post PG experience}.

ii. one external examiner (same as above)

iii. one medical internal examiner who should have served as preceptor for NPNeoN program.

Dissertation

Research Guides: Main guide: Nursing faculty (3 years’ post PG experience) teaching NPNeoN 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 neonatal nursing that will add knowledge or evidence for nursing

intervention. The research should be conducted in any of the neonatal 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 and Dissertation report = 50 marks

University Examination: Viva and Dissertation report = 50 marks

(Marking guide used for other M.Sc. Nursing specialties can be used for evaluation).

VII. Assessment (Formative and Summative)

•

Quiz

•

Seminar

•

Written assignments/Term papers

•

Case/Clinical presentation

•

Nursing process report/Care study report/Care pathway

•

Drug studies

•

Clinical performance evaluation

•

Log Book (Competency list and clinical requirements) counter signed by the medical/nursing faculty

preceptor

•

Objective Structured Clinical Examination (OSCE)/OSPE

62

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

•

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 Neonatal Care

3

30

70

3

Advanced Skills in Leadership, Management

and Teaching

3

30

70

Advanced Practice Courses

4

Advanced Pathophysiology & Advanced

Pharmacology applied to Neonatal Care

3

30

70

5

Advanced Health/Physical Assessment in

Neonatal Nursing

3

30

70

50

50

IInd year

Specialty Courses

1

Foundations of Neonatal Nursing Practice

3

30

70

100

100

2

Neonatal Nursing I

3

30

70

100

100

3

Neonatal Nursing II

3

30

70

100

100

4

Dissertation 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

Neonatal Care

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 Neonatal Care

60

336 (7 weeks)

V

Advanced Pharmacology applied to Neonatal Care

54

336 (7 weeks)

VI Advanced Health/Physical Assessment in Neonatal

Nursing

70

48

576 (12 weeks)

TOTAL = 2208 hours

336 (7 weeks) 96 (2 weeks) 1776 (37 weeks)

IInd year

Specialty Courses

VII Foundations of Neonatal Nursing Practice

96

48

576 (12 weeks)

VIII Neonatal Nursing I

96

48

576 (12 weeks)

IX Neonatal Nursing II

96

48

624 (13 weeks)

TOTAL = 2208 hours

288 (6 weeks) 144 (3 weeks) 1776 (37 weeks)

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

63

Number of weeks available in a year = 52 - 6 (Annual leave, Casual leave, Sick leave = 6 weeks) = 46 weeks × 48

hours = 2208 hours

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 + Lab = 15%, Clinical = 85%]

IInd year: 288-144-1776 hours (Theory-Skill Lab-Clinical) [Theory + Lab = 15%, Clinical = 85%]

Ist year = 46 weeks/2208 hours (46×48 hours) (Theory + Lab: 7.5 hours per week for 44 weeks = 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.

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)

Clinical Areas

Weeks

SNCU

6

NICU Level II

6

NICU Level III

6

Antenatal Clinic

2

Genetic Counselling Clinic

2

Human Milk Banking/Lactational Counselling

1

Newborn Follow-up Clinic

2

Antenatal Ward

2

Postnatal Ward

2

Labour Room including Maternity Emergency and OT

4

Pediatrics OPD

2

Immunization Clinic

2

AAM (Ayushman Aarogya Mandir)/HWC (Health Wellness Center)

2

CHC/PHC

2

Neonatal/Pediatrics Emergency

1

Pediatric Surgical Ward

2

TOTAL

44 weeks

IInd year: 45 weeks (excludes one week of block classes)

Clinical Areas

Weeks

SNCU

6

NICU Level II

6

NICU Level III

6

Antenatal Clinic

2

Genetic Counselling Clinic

2

Human Milk Banking/Lactational Counselling

1

Newborn Follow-up Clinic

2

Antenatal Ward

2

Postnatal Ward

2

Labour Room including Maternity Emergency and OT

2

Pediatrics OPD

2

Immunization Clinic

2

AAM (Ayushman Aarogya Mandir)/HWC (Health Wellness Center)

2

CHC/PHC

2

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THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Neonatal/Pediatrics Emergency

2

Pediatric Surgery ICU/OT

4

TOTAL

45 weeks

C. Teaching Methods

Teaching: Theoretical, Lab and 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 studies, presentation and report

•

Nursing rounds

•

Clinical seminars

•

Journal clubs

•

Case study/Nursing process/Care pathway

•

Advanced health assessment

•

Faculty lecture in the clinical area

•

Directed reading

•

Assignments

•

Case study analysis

•

Workshops

D. Procedures/Log Book

At the end of each clinical posting, Clinical Log Book (Specific Procedural Competencies/Clinical Skills)

(Appendix 3a and 3b) and Clinical Requirements (Appendix 4) has to be signed by the preceptor/faculty every

fortnight.

E. Nurse Practitioner in Neonatal Nursing Competencies (Adapted from ICN, 2005)

1. Uses theory, research evidence, observations, and experience in clinical decision-making.

2. Practices in accordance with professional, legal, and ethical responsibilities affecting neonatal practice.

3. Fulfils the conduct requirement for the profession of nursing.

4. Documents assessment, diagnosis, management and monitors treatment and follow-up care of neonates.

5. Administers drugs and treatments according to institutional protocols.

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 authorizes and the regulatory framework allows in the interest of the neonates,

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 neonates.

11. Develops a practice that is based on current scientific evidence and incorporated into the health management

of neonates, families and communities.

12. Introduces, tests, evaluates and manages evidence-based practice.

13. Practices within agreed parameters, apply knowledge, clinical judgment, and a range of skills to provide safe

and effective neonatal care.

14. Maintains ongoing neonatal knowledge.

15. Defines areas of neonatal deficiencies within their scope of practice and find ways to alleviate those

deficiencies.

16. Develops and implements a plan of care that is individualized to the neonate/family according to unit policies

and guidelines.

17. Ensures that written documentation is clear and follows local guidelines and standards.

18. Demonstrates awareness of current practices available in neonatal nursing.

19. Provides evidence-based neonatal care.

20. Maintains and improves quality in all aspects of neonatal nursing.

21. Uses research to produce evidence-based practice to improve the safety, efficiency and effectiveness of care

through independent and inter-professional research.

22. Engages in ethical practice in all aspects of the APN role and responsibility.

23. Accepts accountability and responsibility for own advanced professional judgement, actions, and continued

competence.

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

65

24. Creates and maintains a safe therapeutic environment using risk management strategies and quality

improvement.

25. Assumes leadership and management responsibilities in the delivery of efficient advanced practice nursing

services in a changing health care system.

26. Acts as an advocate for neonates in the health care systems and the development of health policies that

promote and protect the individual neonate, family, and community.

27. Adapts practice to the contextual and cultural milieu.

F. 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 Neonatal Care (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 Neonatal Care (60)

1.5×40=60 hours • Case Presentation

• Seminar

• Clinical Conference

5. Advanced Pharmacology

applied to Neonatal Care

(54)

10 hours

1×44=44 hours

• Nursing Rounds

• Drug Study Presentation

• Standing Orders/ Presentation

6. Advanced Health/

Physical Assessment in

Neonatal Nursing (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 Neonatal Nursing Practice

(96+48=144 hours)

9×16=144 hours

• Demonstration (Lab)

• Return Demonstration (Lab)

• Clinical Teaching

• Case Study

• Seminar

• Clinical Conference

• Faculty Lecture

2. Neonatal Nursing I (96+48=144 hours)

9×16=144 hours

• Demonstration (Lab)

• Return Demonstration (Lab)

• Clinical Conference/Journal Club

• Seminar

66

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

IInd year Courses

1 week Block Classes (48 hours)

Theory including Skill Lab

integrated into Clinical

Practicum

Methods of Teaching

• Case Presentation

• Drug Study (including Drug

Interaction)

• Nursing Rounds

• Faculty Lecture

3. Neonatal Nursing II (96+48=144 hours)

9×16=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 neonatal care.

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 neonatal 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.

10. Applies the knowledge of nursing theories in providing competent care to critically ill neonates.

11. Predicts future challenges of Nurse Practitioner’s roles in variety of healthcare settings in India.

Hours of Instruction: Theory: 40 hours

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 and Health Care financing (Competency 4)

4

5.

Health Information System including Nursing Informatics (Use of Computers)

(Competency 5)

4

Advanced Practice Nursing (APN)

6.

APN - Definition, Scope, Philosophy, Accountability, Roles and Responsibilities

(Collaborative Practice and Nurse Prescribing Roles) (Competency 6 and 7)

3

7.

Regulation (Accreditation of Training Institutions and Credentialing) and

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 applied to APN (Competency 9)

2

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

67

S.No.

Topic

Hours

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 Neonatal 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 Neonatal NP practice found in various NCUs in

tertiary Centre

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

•

Council of International Neonatal Nurses, Inc. Working Group (CoINN-WG)

•

Specialist nursing panel of the Council of International Neonatal Nurses, Inc. (CoINN). (2019)

•

DeNisco & Barkers A.M. (2015) Advanced Practice Nursing: Essential Knowledge for the Profession (3rd ed.)

Massachusetts: Jones & Bartlett Publishers

•

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

•

Nand L. & Anilkumar A. (2021) Role of nurse practitioners within health system in India: A case of untapped

potential, Journal of family medicine and primary care 10(8) 2751-2756

•

Mehrban Singh (2017) Essentials of pediatric nursing (4th ed) CBS Publishers

•

NONPF (2022) Nurse practitioner role competencies, National Organization of Nurse Practitioner Faculties

•

Sastre-Fullana P., Gray D.C., Cashin A., Bryant-Lukosius D., Schumann L., Geese F. & Bird B. (2021) Visual

analysis of global comparative mapping of the practice domains of the nurse practitioner/advanced practice

nursing role in respondent countries, Journal of the American Association of Nurse Practitioners 33(7) 496-505

•

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 Neonatal Care

COMPETENCIES

1. Applies sound research knowledge and skills in conducting independent research in Neonatal Nursing.

2. Participates in collaborative research to improve neonatal 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 neonatal nursing

practice.

5. Analyzes the evidence of nursing interventions carried out in neonatal 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: Significance of Research and inquiry related to

neonatal nursing role (Competency 1)

2

2.

Research agenda for APN practice: Testing current practice to develop best practice, health

outcomes and indicators of quality care in neonatal nursing 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)

68

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

S.No.

Topic

Hours

4.

Writing for Publication

(writing workshop - Manuscript preparation and finding funding sources) (Competency 6)

5

(workshop)

5.

Evidence based practice (Competency 3, 4, 5)

Concepts, principles, importance and steps

Integrating EBP to NCU set-up

Areas of evidence in neonatal care

Barriers to implement EBP

Strategies to promote

4

Total

56 hours

Lab/Skill Lab & Assignments: 24 hours

•

Identifying research priorities

•

Writing exercises on Research question, objectives and hypothesis

•

Writing research proposal/EBP project proposal

•

Scientific paper writing - preparation of manuscript for publication

•

Writing systematic review - Analyze the evidence for a given nursing intervention in any NCU setting

Clinical Practicum

•

Research Practicum: Dissertation (336 hours=7 weeks)/Evidence Based Practice Project (EBP project)

Bibliography

•

Gray J. & Grove S.K. (2020) Burns & Groves: The Practice of Nursing Research: Appraisal, Synthesis and

Generation of Evidence (9th ed.) St. Louis: Elsevier Saunders

•

Mehrban Singh (2017) Essentials of Pediatric Nursing (4th ed.) CBS Publishers

•

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 nurse’s appraisal and application of research,

Sd: Jones & Bartlet Publishers

III. Advanced Skills in Leadership, Management and Teaching

COMPETENCIES

1. Applies principles of leadership and management in neonatal care units.

2. Manages stress and conflicts effectively in a Neonatal Nursing 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 neonatal care in NCU.

5. Builds teams and motivates others in neonatal care setting.

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 neonatal care, maintaining quality and ethics in NCU setting.

10. Provides counseling to parents and families of neonates in crisis situations particularly end of life care.

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 neonatal care settings

4

4.

Stress management and conflict management - principles and application to neonatal care

environment, effective time management

4

5.

Quality improvement and audit

4

6.

Problem solving, critical thinking and decision making, communication skills applied to

neonatal critical care nursing practice

5

7.

Team building, motivating and mentoring within NCU set up

2

8.

Budgeting and management of resources including human resources - NCU budget, material

management, staffing, assignments

5

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

69

S.No.

Topic

Hours

9.

Change and innovation

2

10. Staff performance, and evaluation (performance appraisals)

6

11. Teaching - Learning theories and principles applied to Neonatal Nursing

2

12. Competency based education and outcome-based education

2

13. Teaching methods/strategies, media: educating family and staff in neonatal care settings

8

14. Staff education and use of tools in evaluation

4

15. APN - Roles as a teacher

2

16. Advocacy roles in neonatal care environment

2

Total

56 hours

Lab/Skill Lab: 24 hours

•

Preparation of staff neonate 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/parent education sessions

•

Preparation of teaching method and media for parents of neonates and staff

•

Planning and conducting OSCE/OSPE

•

Construction of tests

Assignment: NCU work place violence

Bibliography

•

Horntvedt M.T., Nordsteien A., Fermann T. & Severinsson E. (2018) Strategies for teaching evidence-based

practice in nursing education: a thematic literature review, BMC medical education 18(1) 172,

https://doi.org/10.1186/s12909-018-1278-

•

Liebler J.G. & McConnell C.R. (2020) Management principles for health professionals, Jones & Bartlett Learning

•

Mehrban Singh (2017) Essential of pediatric nursing (4th ed.) CBS Publishers

•

Sastre-Fullana P., Gray D.C., Cashin A., Bryant-Lukosius D., Schumann L., Geese F. & Bird B. (2021). Visual

analysis of global comparative mapping of the practice domains of the nurse practitioner/advanced practice

nursing role in respondent countries. Journal of the American Association of Nurse Practitioners 33(7) 496-505

•

Weiss S.A., Tappen R.M. & Grimley K. (2019) Essentials of nursing leadership & management, FA Davis

ADVANCED NURSING COURSES

IV. A. Advanced Pathophysiology applied to Neonatal Care I

COMPETENCIES

1. Integrates the knowledge of pathophysiological process in critical conditions in developing diagnosis and plan of

care.

2. Applies the pathophysiological principles in symptom management and secondary prevention of critical illnesses.

3. Analyzes the pathophysiological changes relevant to each critical illness recognizing the value of diagnosis,

treatment, care and prognosis.

Hours of Instruction: Theory: 30 hours

Unit

Hours

Content

I

8

Respiratory disorders

• Embryogenic foetal development of respiratory system

• Respiratory distress in newborn babies/hyaline membrane disease

• Respiratory system disorders

• Meconium aspiration syndrome

• Intrauterine and postnatal pneumonia

70

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Unit

Hours

Content

• Massive pulmonary hemorrhage

• Pneumothorax

• Pleural effusion

• Transient tachypnea of the newborn

• Bronchopulmonary dysplasia

• Respiratory surgical emergencies

II

6

Cardiovascular disorders

• Embryogenic foetal development of cardiovascular system

• Foetal and neonatal circulation

• Persistent pulmonary hypertension

• Congenital complete heart block

• Supraventricular tachycardia

• Congenital cardiac malformation (VSD, ASD, PDA, AV canal defect, coarctation of aorta,

Ebstein anomaly, Eisenmenger syndrome, patent foramen ovale, pulmonary atresia, TOF,

TAPVR, transposition of great arteries, truncus arteriosus)

• Shock

III

4

Genitourinary disorders

• Embryogenic foetal development of genitourinary system

• Acute renal failure

• Renal malformation

• Congenital nephrotic syndrome

• Urinary tract infection

• Abdominal masses

• Nephrocalcinosis

• Ambiguous external genital

• Hypospadias and epispadias

• Undescended testis

IV

4

Neurological disorders

• Embryogenic foetal development of neurological system

• Intracranial haemorrhage

• Intraventricular haemorrhage

• Neurological sequelae of hypoxic-ischemic encephalopathy periventricular leukomalacia

• Birth trauma to CNS

• CNS malformations

• Jitteriness

• Neonatal seizures

• Floppy neonate

V

4

Gastrointestinal disorders

• Embryogenic foetal development of gastrointestinal system

• Diarrhoea

• GERD

• TEF (Tracheooesophageal atresia)

• Cleft lip/cleft palate

• Exomphalos (omphalocele)

• Gastroschisis

• Congenital diaphragmatic hernia

• Jaundice

• Biliary atresia

• Hirschsprung disease

• congenital bowel obstruction/perforation

• Hypertrophic pyloric stenosis

• Small bowel atresia

• Intussusception

• Meconium ileus

• Neonatal cholestasis

• Anorectal anomalies

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

71

Unit

Hours

Content

• Necrotizing enterocolitis

VI

4

Endocrine disorders

• Embryogenic foetal development of endocrine system

• Transient neonatal hypoglycaemia and hyperglycaemia

• Adrenal gland problems (relative adrenal insufficiency, congenital adrenal hyperplasia)

• Thyroid problem (transient hypothyroidism and hyperthyroidism, transient neonatal

hyperthyrotropinemia, hypothyroxinaemia of prematurity)

• Genital and urinary problems (hydrocolpos and hydrometrocolpos ovarian hyperstimulation

syndrome priapism)

• Acne neonatorum

• Transient hypocalcaemia and hypercalcemia

Total 30 hours

IV. B. Advanced Pathophysiology applied to Neonatal Care II

Hours of Instruction: Theory: 30 hours

Unit

Hours

Content

I

8

Hematologic Problems

• Embryogenic fetal development of hematologic system

• Bleeding disorders

o Disorders of red blood cells

▪ Sickle cell diseases

- Anemia

- Thrombocytopenia

- Hyper-viscosity

o Disorders of white blood cells

▪ Leucopenia

▪ Neoplastic disorders

o Disorders of hemostasis

▪ Platelet disorders

▪ Coagulation disorders

▪ Disseminated intravascular coagulation

o Neonatal Hemophilia

• Hemorrhagic disease of the newborn

• Vitamin K prophylaxis

• Disseminated intravascular coagulation

• Polycythemia

• Arterial and venous thromboses

II

3

Metabolic Disorders

• Embryogenic fetal development of metabolic disorder

• Phenylketonuria

• Hypoglycemia

• Hyperglycemia

• Hypocalcemia

• Osteopenia of prematurity

• Hypercalcemia

• Hypomagnesemia

• Late metabolic acidosis

• Inborn errors of metabolism (IEM)

• Newborn screening

• Neonatal thyroid screening

III

2

Orthopedic Conditions

• Embryogenic fetal development of orthopedic disorder

• Talipes equinovarus (club foot)

• Calcaneovalgus deformity

• Genu recurvatum

• Congenital dislocation of hips

72

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Unit

Hours

Content

IV

4

Integumentary Function

Advanced pathophysiological process of integumentary conditions

• Transient Vascular Phenomena

• Erythema toxicum neonatorum

• Transient Neonatal Pustular Melanosis

• Neonatal Pemphigus

• Collodion Baby

• Umbilical Granulomas

• Diaper Dermatitis

• Miliaria

• Milia

• Neonatal Acne

• Acropustulosis of infancy

V

4

Specific Infections

Advanced pathophysiological process of specific infections

• HIV/AIDS

• Parent to child transmission of HIV and other infection

• TORCH

• Tetanus

• SARS

• Rickettsiosis

• Leptospirosis

• Dengue

• Malaria

• Neonatal sepsis

• Rabies

• Avian flu

• COVID-19

VI

4

Multi-system Alterations requiring Neonatal Care

• Trauma

• Sepsis

• Shock

• Multiple Organ Dysfunction

• Systemic inflammatory response syndrome

• Anaphylaxis

• Other injuries (Heat, Electrical, Near hanging, Near drowning)

• Envenomation

• Drug overdose

• Poisoning

VII

5

Miscellaneous Conditions

• Embryogenic fetal development of miscellaneous disorders

• Birth injuries

• Cyanosis

• Indications for oxygen therapy

• Retinopathy of prematurity

• Edema and hydrops fetalis

• Ascites

• Sclerema

• Vesiculobullous skin eruptions

• Neonatal erythroderma

• Ichthyosis

• Vascular nevi

• Disorders of pigmentation

• Multiple pregnancy

• Iatrogenic disorders

Total 30 hours

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

73

Bibliography

•

Kenner C., Leslie Altimier D.N.P. & Boykova M.V. (Eds.) (2019) Comprehensive neonatal nursing care,

Springer Publishing Company

•

Kutlubay Z., Tanakol A., Engýn B., Onel C., Sýmsek E., Serdaroglu S., Tuzun Y., Yilmaz E. & Eren B. Newborn

Skin: Common Skin Problems, Maedica (Bucur) 2017 Jan. 12(1): 42-47, PMID: 28878836; PMCID:

PMC5574071

•

Kurtoğlu S., Direk G., Tatlı Z.U. & Hatipoğlu N. (2019) Transient endocrinologic problems in the newborn

period, Turk pediatriarsivi 54(1) 3-12, https://doi.org/10.14744/TurkPediatriArs.2019.04810

•

Lee Y., Lim Y.S., Lee S.T. & Cho H. (2018) Pediatric renovascular hypertension: Treatment outcome according

to underlying disease, Pediatrics International 60(3) 264-269

•

Mehrban Singh (2017) Essentials of pediatric nursing (4th ed.) CBS Publishers

•

Norris T.L. & Lalchandani R. (2018) Porth’s pathophysiology: concepts of altered health states. Lippincott

Williams & Wilkins

•

Urden L.D., Stacy K.M. & Lough M.E. (2014) Neonatal Nursing: Diagnosis and management (7th ed.) Elsevier:

Missouri

V. Advanced Pharmacology applied to Neonatal Care

COMPETENCIES

1. Applies the pharmacological principles in providing care to critically ill neonates and families.

2. Analyzes pharmaco-therapeutics and pharmacodynamics relevant to drugs used in the treatment of neonatal

conditions.

3. Performs safe drug administration based on principles and institutional protocols.

4. Documents accurately and provides follow up care.

5. Applies sound knowledge of drug interactions in administration of drugs to critically ill neonates in the neonatal

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 Neonatology

• History

• Classification of drugs and schedules

II

4

Pharmacokinetics and Pharmacodynamics

• Introduction

• Absorption, distribution, metabolism and excretion in neonatal care

• Plasma concentration, half-life

• Loading and maintenance dose

• Therapeutic index and drug safety

• Potency and efficacy

• Principles of drug administration

▪ The rights of drug administration

▪ Systems of measurement

▪ Enteral drug administration

▪ Topical drug administration

▪ Parenteral drug administration

III

5

Pharmacology and Cardiovascular Alterations in Neonatology

• Vasoactive Medications

▪ Vasodilator

▪ Vasopressor

▪ Inotropes

- Cardiac glycosides - digoxin

- Sympathomimetics - dopamine, dobutamine, epinephrine, isoproterenol,

norepinephrine, phenylephrine

- Phosphodiesterase inhibitors - amrinone, milrinone

• Antiarrhythmic Medications

• Cardiac neonatal care conditions

▪ Medications to improve cardiac contractility

▪ Medications in the management of hypertension in neonatal care

▪ Medications in the management of heart failure

74

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Unit

Hours

Content

▪ Medications in the management of angina pectoris and myocardial infarction

▪ Medications in the management of dysrhythmias, heart block and conduction

disturbances

▪ Medications in the management of pulmonary hypertension, congenital malformations,

cardiomyopathy

• Institutional Protocols/Standing orders for cardiac neonatal care emergencies

IV

4

Pharmacology and Pulmonary Alterations in Neonatology

• Mechanical Ventilation

▪ Introduction

▪ Medications used on neonates with mechanical ventilator

▪ Mechanical ventilation impact on pharmacotherapy - sedation and analgesia,

Neuromuscular blockage, nutrition

• Pulmonary neonatal care conditions

• Medications in the management of status asthma

• Medications in the management of pulmonary edema

• Medications in the management of acute respiratory failure and acute respiratory distress

syndrome

• Medications in the management of chest trauma

• Medications in the management of respiratory distress syndrome

• Medications in the management of Pneumonia

• Medications in the management of Pleural effusion

• Medications in the management of Atelectasis

• Standing orders for pulmonary neonatal care emergencies

V

6

Pharmacology and Neurological Alterations in Neonatology

• Pain

▪ NSAID

▪ Opioid analgesia

• Sedation

▪ Gamma amino butyric acid stimulants

▪ Fentanyl

▪ Analgosedation

• 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

▪ Adrenergic agents/sympathomimetics

▪ Adrenergic blocking agents

▪ Cholinergic agents

▪ Anti-cholinergic agents

• Medications in the management of anxiety and insomnia

▪ Antidepressants

▪ Benzodiazepines

▪ Barbiturates

• Standing orders for neurology neonatal care emergencies

VI

5

Pharmacology and Nephrology Alterations in Neonatology

• Diuretics

• Fluid replacement

▪ Crystalloids

▪ Colloids

• Electrolytes

▪ Sodium

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

75

Unit

Hours

Content

▪ Potassium

▪ Calcium

▪ Magnesium

▪ Phosphorus

• Nephrology neonatal care conditions

▪ Medications in the management of acute/chronic renal failure

▪ Medications in the management UTI

▪ Medications in the management of congenital nephrotic syndrome

▪ Medications in the management of electrolyte imbalances

▪ Medications in the management of acid base imbalances

▪ Medications used during dialysis

• Standing orders for nephrology neonatal care emergencies

VII

5

Pharmacology and Gastrointestinal Alterations in Neonatology

• Antiemetics

• Pancreatic enzymes

• Nutritional supplements, vitamins and minerals

• Gastro intestinal neonatal care conditions

▪ Medications in the management of GERD

▪ Medications in the management of diarrheal

▪ Medications in the management of neonatal cholestasis

▪ Medications in the management of congenital bowel obstruction/perforation

▪ Medications used during gastrointestinal surgeries

• Standing orders for gastrointestinal neonatal care emergencies

VIII

4

Pharmacology and Endocrine Alterations in Neonatology

• Insulin and other hypoglycemic agents

• Endocrine neonatal care conditions

▪ Medications in the management of relative adrenal insufficiency

▪ Medications in the management of hypoglycemia

▪ Medications in the management of transient neonatal hyperthyrotropinemia

▪ Medications in the management of hypothyroxinemia of prematurity

▪ Medications in the management of transient hypocalcemia

• Standing orders for endocrine neonatal care emergencies

IX

5

Pharmacology and Hematology Alterations in Neonatology

• Anticoagulants

• Antiplatelet drugs

• Thrombolytics

• Hemostatic/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

• Hematology neonatal care conditions

▪ Medications in the management of anemia in critical illness

▪ Medications in the management of DIC

▪ Medications in the management of thrombocytopenia and acute leukemia

▪ Medications in the management of heparin induced thrombocytopenia

▪ Medications in the management of sickle cell anemia

76

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Unit

Hours

Content

• Standing orders for hematology neonatal care emergencies

X

3

Pharmacology and Skin Alterations in Neonatology

• Hematology neonatal care conditions

▪ Medications used in management

• Medications used in Transient Vascular Phenomena

▪ Medications used in Erythema Toxicum Neonatorum

▪ Medications used in Transient Neonatal Pustular Melanosis

▪ Medications used in Neonatal Pemphigus

▪ Medications used in Umbilical Granulomas

▪ Medications used in Diaper Dermatitis

• Standing orders for skin neonatal care emergencies

XI

5

Pharmacology and Multisystem Alterations in Neonatology

• 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 Neonatal Care Nursing

▪ Antipyretics

▪ NSAIDS

▪ Corticosteroids

• Standing orders for multisystem neonatal care emergencies

XII

5

Pharmacology and Infections in Neonatology

• Anti-bacterial drugs

▪ Introduction

▪ Beta lactams - penicillin, cephalosporins, monobactams, carbapenems

▪ Aminoglycosides

▪ Anti-MRSA

▪ Macrolides

▪ Quinolones

▪ Miscellaneous - lincosamide group, nitroimidazole, tetracycline and chloramphenicol,

polymyxins, antimalarials, antifungals, antivirals

• Anti-fungal drugs

• Anti-protozoal drugs

• Anti-viral drugs

• Choice of antimicrobials

• Infectious neonatal care conditions

▪ Medications in the management of HIV, Tetanus, SARS, Rickettsiosis, Leptospirosis,

Dengue, Malaria, Chikungunya, Rabies, Avian flu and Swine flu

• Standing Orders for infectious neonatal care emergencies

XIII

1

Miscellaneous

Total 54 hours

Bibliography

•

Kanish R., Gupta K., Juneja S., Bains H.S. & Kaushal S. (2014) Prescribing pattern of antibiotics in the

department of pediatrics in a tertiary care medical college hospital in Northern India, Asian J Med Sci 5(4) 69-72

•

Mehrban Singh (2017) Essentials of pediatric nursing (4th ed.) CBS Publishers

•

Tayal H., Roy V., Singhal S. & Dubey A.P. (2020) Pediatric prescribing in tertiary care teaching hospital of Delhi

(India): fragmenting medicines for use, European Journal of Pediatrics, 179, 1435-1443

•

Uma L.W., Isah A., Musa S. & Umar B. (2020) Outpatient prescribing and antibiotic use for children in a tertiary

hospital, Sahel Medical Journal 23(2) 109

VI. Advanced Health/Physical Assessment in Neonatal Nursing

COMPETENCIES

1. Applies the physical assessment principles in developing appropriate system wise examination skills.

2. Uses health assessment skills to differentiate between variations of normal and abnormal findings.

3. Orders screening and diagnostic tests based on the examination findings.

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

77

4. Analyzes the results of various investigations and works collaboratively for development of diagnoses.

5. Documents assessment, diagnosis, and management and monitors follow up care in partnership with health care

team members, neonates, and families.

Hours of Instruction: Theory: 70 hours + Lab/Skill Lab: 48 hours = 118 hours

Unit

Hours

Content

I

4

Introduction

• History taking

Review of this pregnancy, labour, and delivery, including prenatal screening tests and risk

factors for sepsis

• Review of past pregnancies, including a history of congenital anomalies, still births, and/or

genetic or syndromic conditions

• Physical examination

Appropriate of Gestational Age (AGA)

SGA, LGA

- New Ballard Scoring

- Dubowitz Scoring

II

6

General Measurements

• Head circumference

• Crown-to-rump length

• Head-to-heel length

• Birth weight

Vital Signs

• Temperature, axillary (97.7°-98°)

• Heart rate

• Respiratory rate

• Blood pressure

General Appearance

• Posture - flexion of head and extremities, which rest on chest and abdomen

III

4

Skin

• At birth, bright red, puffy, smooth

• 2nd-3rd day, pink, flaky, dry

• Vernix caseosa

• Lanugo

• Edema around eyes, face, legs, dorsa of hands, feet, and scrotum or labia

• Acrocyanosis

• Cutis marmorata

• Ecchymoses or petechiae

• Milia

• Miliaria or sudamina

• Erythema toxicum

• Mongolian spots

• Nevus simplex (stork bite or salmon patch)

IV

2

Head

• Anterior fontanel - diamond shaped

• Posterior fontanel - triangular

V

4

Eyes

• Lids usually oedematous

• Colour - slate grey, dark blue, brown

• Absence of tears

• Red reflex

• Corneal reflex in response to touch

• Pupillary reflex in response to light

• Blink reflex in response to light or touch

• Rudimentary fixation on objects and ability to follow to midline/cross the midline

VI

2

Ears

• Position - top of pinna on horizontal line with outer canthus of eye

78

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Unit

Hours

Content

• Startle (Moro) reflex elicited by loud, sudden noise or stimulus

• Pinna flexible, cartilage present

VII

6

Mouth and Throat

• Intact, high-arched palate

• Uvula in midline

• Frenulum of tongue

• Frenulum of upper lip

• Sucking reflex - strong and coordinated

• Rooting reflex

• Gag reflex

• Extrusion reflex

• Absent or minimum salivation

• Vigorous cry

• Natal teeth

VIII

2

Neck

• Short, thick, usually surrounded by skinfolds

• Tonic neck reflex

• Torticollis (wry neck) - head held to one side with chin pointing to opposite side

Nose

• Nasal patency

• Nasal discharge - thin white mucus

• Sneezing

IX

4

Chest

• Anteroposterior and lateral diameters equal

• Slight sternal retractions evident during inspiration

• Xiphoid process evident

• Breast enlargement

• Funnel chest (pectus excavatum)

• Pigeon chest (pectus carinatum)

• Supernumerary nipples

• Secretion of milky substance from breasts (“witch’s milk”)

X

2

Lungs

• Respirations chiefly abdominal

• Cough reflex absent at birth, present by 1-2 days

• Bilateral equal bronchial breath sounds

XI

2

Heart

• Apex - 4th-5th intercostal space, lateral to left sternal border

• S2 slightly sharper and higher in pitch than S1

XII

6

Abdomen

• Cylindric in shape

• Liver - palpable 2-3 cm (0.8-1.8 inches)

• Below right costal margin

• Spleen - tip palpable at end of 1st week of age

• Kidneys - palpable 1-2 cm (0.4-0.8 inches) above umbilicus

• Umbilical cord - bluish white at birth with 2 arteries and 1 vein

• Femoral pulses - equal bilateral

XIII

2

Female Genitalia

• Labia and clitoris usually oedematous

• Urethral meatus behind clitoris

• Vernix caseosa between labia

• Urination within 24 hours

• Pseudo menstruation - Blood-tinged or mucoid discharge

• Hymenal tag

XIV

4

Male Genitalia

• Urethral opening at tip of glans penis

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

79

Unit

Hours

Content

• Testes palpable in each scrotum

• Scrotum usually large, oedematous, pendulous, and covered with rugae; usually deeply

pigmented in dark-skinned ethnic groups

• Smegma

• Urination within 24 hours

• Urethral opening covered by prepuce

• Inability to retract foreskin

• Epithelial pearls - small, firm, white lesions at tip of prepuce

• Erection or priapism

• Testes palpable in inguinal canal

• Scrotum

XV

4

Back and Rectum

• Spine intact; no openings, masses, or prominent curves

• Trunk incurvation reflex

• Anal reflex

• Patent anal opening

• Passage of meconium within 48 hours

XVI

4

Extremities

• 10 fingers and toes

• Full range of motion

• Nail beds pink, with transient cyanosis immediately after birth

• Skin creases on anterior 2/3rd of sole

• Sole usually flat

• Symmetry of extremities

• Equal muscle tone bilaterally, especially resistance to opposing flexion

• Equal bilateral brachial pulses

XVII

4

Neuromuscular System

• Extremities usually in some degree of flexion

• Extension of extremity followed by previous position of flexion

• Head lag while sitting, but momentary ability to hold head erect

• Ability to turn head from side to side when prone

• Ability to hold head in horizontal line with back when held prone

XVIII

8

Newborn Reflexes

• Sucking reflex

• Rooting reflex

• Moro reflex

• Walking/stepping reflex

• Asymmetrical tonic neck reflex (ATNR)

• Symmetrical tonic neck reflex

• Tonic labyrinthine reflex

• Palmar grasp reflex

• Plantar reflex

• Swimming reflex

• Babkin reflex

• Parachute reflex

Total 70 hours

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

•

Newborn examination (system wise)

•

Monitoring clinical parameters (system wise)

Umbilical cannulation/catheterization NIBP, PICC lines, INO therapy, Invasive BP monitoring, multi-parameter

monitors, ECG, Pulse index Continuous Cardiac Output (PiCCO), Peripheral vascular status, ABG, Pulse

80

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Oximetry, End Tidal CO2 (ETCO2), Intracranial Pressure (ICP), Pediatrics Glasgow coma scale (PGCS), 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), ECMO facilities

•

Ordering and interpretation of screening and diagnostic tests (system wise) (Enclosed Appendix 3)

•

Assessment of neonate milestones

•

Assessment of pregnant women

Bibliography

•

Ball J.W., Dains J.E., Flynn J.A., Solomon B.S. & Stewart R.W. (2021) Seidel’s Guide to Physical Examination -

E-Book: An Interprofessional Approach, Elsevier Health Sciences

•

Bickley L.S. & Szilagyi P.G. (2013) Bate’s guide to physical examination and history taking (11th ed.) New

Delhi: Lippincott Williams & Wilkins

•

Duderstadt K.G. (2017) Pediatric Physical Examination - E-Book: An Illustrated Handbook, Elsevier Health

Sciences

•

Petersen S.W. (2016) Advanced health assessment and diagnostic reasoning, Jones & Bartlett Learning

NEONATAL NURSING SPECIALTY COURSES

(Foundations of Neonatal Nursing Practice, Neonatal Nursing I and Neonatal Nursing II)

COMPETENCIES

1. Applies advanced concepts of Neonatal 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 healthcare team members.

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 neonatal care.

9. Practices independently within the legal framework of the country towards the interest of neonates, 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 Neonatal Nursing Practice

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours

Unit

Hours

Content

I

10

Introduction to Neonatal Nursing

• Introduction to the course

• Review of anatomy and physiology of vital organs

• Embryological and fetal development, prenatal factors influencing growth and development

of fetus

• Genetic patterns of common pediatric disorders, chromosomal aberrations, genetic

assessment and counseling, legal and ethical aspects of genetic, karyotyping, screening and

counseling, role of nurse in genetic counseling

• Gestational diabetes, effect of maternal medicine on fetus and newborn

• Legal and ethical issues in neonatal care - Nurse’s role

• Current principles, practices and trends in neonatal nursing

• Role of neonatal nurse in various settings - expanded and extended roles

• Concept, aims and scope of preventive neonatology

• Maternal health and its influence on fetal development, health and antenatal aspects of

preventive neonatology

• Neonatal care unit set up (including levels of NICU, equipment, supplies, beds and

accessories, use and care of various type of monitors & ventilators, flow sheets, supply

lines and the environment)

• Personnel in NCU

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

81

Unit

Hours

Content

▪ Nursing staff

▪ Doctors

▪ Neonatal care technicians

▪ Ancillary staff

• Technology in neonatal care

• Healthy work environment

• Future challenges in Neonatal Nursing

II

5

Concept of Holistic Care applied to Neonatal Nursing Practice

• Application of nursing process in the care of critically ill

• Admission and progress in NCU - an overall view

• Overview of NCU management

▪ Ensure adequate tissue oxygenation

▪ Maintain chemical environment

▪ Maintain temperature

▪ Organ protection

▪ Nutritional support

▪ Infection control

▪ Family visiting hours

• Restraints in neonatal care

• Death in neonatal care unit: end of life care/care of dying, care of family, organ donation

• Transport of the critically ill by air ambulance and surface ambulance

• Stress and burnout syndrome among health team members

III

10

Appraisal of the Critically Ill

Triaging concept, process and principles assessment of the critically ill

• General assessment

• Developmental milestones

• Newborn reflexes

• Respiratory assessment

• Cardiac assessment

• Renal assessment

• Neurological assessment

• Gastrointestinal assessment

• Endocrine assessment

• Musculoskeletal assessment

• Integumentary assessment

Monitoring of the critically ill

• Arterial Blood Gas (ABG)

• Capnography

• APGAR Score

• New Ballard Score

• Pediatrics Glasgow Coma Scale (PGCS)

• Premature Infant Pain Profile (PIPP)

• Neonatal Pain Agitation and Sedation Scale (N-PASS)

• Neonatal Infant Pain Scale (NIPS)

• CRIES scale (Crying, Requires Oxygen Saturation, Increased Vital Signs, Expression,

Sleeplessness) FLACC Scale, Silverman Andersen Respiratory Severity Score

Evaluation of the critically ill

• Evaluation of pre critical illness

• Evaluation of critical illness

• Outcome and scoring systems

▪ CRIB (Clinical Risk Index of Babies)

▪ CRIB-II (Clinical Risk Index of Babies-II)

▪ SNAP (Score for Neonatal Acute Physiology)

▪ SNAP-II (Score for Neonatal Acute Physiology-II)

▪ SNAPPE (Score for Neonatal Acute Physiology - Perinatal Extension)

▪ SNAPPE-II

82

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Unit

Hours

Content

IV

14

Advanced Concepts and Principles of Neonatal Care

• Principles of cardio-pulmonary-brain resuscitation

• Emergencies in neonatal care: NRP (Neonatal Resuscitation Program) and NALS

(Neonatal advanced life support)

• Airway management

• Oxygenation and oximetry, care of neonate with oxygen delivery devices

• Ventilation and ventilator support (including humidification and inhaled drug therapy), care

of neonate with invasive and non-invasive ventilation

• Circulation and perfusion (including hemodynamic evaluation and wave form graphics)

• Fluids and electrolytes (review), care of neonate with imbalances of fluid and electrolytes

• Evaluation of acid base status

• Thermoregulation, care of neonate with hyper/hypothermia

• Liberation from life support (weaning)

• Glycemic control, care of neonates with glycemic imbalances

V

8

Pain and Management

• Pain in critically ill neonates

• Pain - types, theories

• Physiology, systemic responses to pain and psychology of pain review

• Acute pain services

• Pain assessment - pain scales, behavior

• Pain management - pharmacological (opioids morphine, fentanyl, others such as

acetaminophen)

• Nonpharmacological management approaches include kangaroo care, facilitated tucking,

non-nutritive sucking, sucrose and other sweeteners, massage and acupuncture therapy

VI

8

IMNCI (Integrated Management of Neonatal and Childhood Illness) up to 2 months

• Assess, classify and identify treatment

• Treat the Young Infant and counsel the mother

• Give follow-up care for the Sick Young Infant

• Immunization schedule for young infant, and neonates

• Family education and counselling

VII

4

Growth and Development of Neonates

• Principles of growth and development

• Concepts and theories of growth and development,

• Developmental tasks and special needs from infancy, developmental delay

• Assessment of growth and development of neonates

• Factors affecting growth and development

VIII

5

Nutrition Alterations and Management in Neonatal Care

• Nutrient metabolism and alterations

• Assessing nutritional status of neonates

• Nutrition and nutritional requirements of neonates

• Changing patterns of feeding

• Baby- friendly hospital initiative and exclusive breast feeding

• Health education, nutritional education for adolescents

• Nutritional programs

• National and international organizations related to neonate’s health

• Care of neonates on enteral and parenteral nutrition

IX

4

Sleep Alterations and Management

• Development of sleep in neonates

• Alteration of sleep in NCU

• Bedside tools to monitor sleep

• Neonatal Abstinence Syndrome (NAS)

X

5

Infection Control in Neonatal Care

• Nosocomial infection in neonatal intensive care unit; methyl resistant staphylococcus

aureus (MRSA) and other recently identified strains

• Disinfection, Sterilization

• Standard safety measures

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

83

Unit

Hours

Content

• Prophylaxis for staff

• Antimicrobial therapy-review

• Families and visitor policies

XI

6

High Risk Newborn

• Concept, goals, assessment, principles

• Nursing management of pre-term, small for gestational age, post-mature infant, and baby of

diabetic and substance use mothers

• Respiratory conditions, asphyxia neonatorum, neonatal apnea meconium aspiration

syndrome, pneumothorax, pneumomediastinum

• Icterus neonatorum

• Birth injuries

• Hypoxic ischemic encephalopathy

• Congenital anomalies

• Neonatal seizures

• Neonatal hypocalcemia, hypoglycemia, hypomagnesaemia

• Neonatal heart diseases

• Neonatal hemolytic diseases

• Neonatal infections, neonatal sepsis, ophthalmia neonatorum, congenital syphilis,

HIV/AIDS

• Advanced neonatal procedures

• Calculation of fluid requirements

• Hematological conditions - erythroblastosis fetalis, hemorrhagic disorder in the newborn

XII

8

Quality Assurance

• Design of NCU

• Quality assurance models applicable to NCUs

• Standards, protocols, policies, procedures

• Infection control policies and protocols

• Standard safety measures

• Nursing audit relevant to neonatal care

• Staff orientation, training and development

• In-service education program

• Clinical teaching programs

XIII

4

Evidence-based Practice in Neonatal Nursing

• Evidence based practice in neonatal 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)

•

NRP (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

•

Oxygenation and oximetry, care of neonate 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

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[PART III—SEC.4]

o

Noninvasive ventilation

▪

Low flow variable performance devices: nasal catheters/cannula/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

•

Inhalation therapy

•

Circulation and perfusion (including hemodynamic evaluation and wave form graphics)

o

Invasive blood pressure monitoring

o

Non-invasive blood pressure monitoring

o

Venous pressure (peripheral, central and pulmonary artery occlusion pressure)

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

▪

Phosphodiesterase inhibitors -

o

Electrolyte correction (Sodium, potassium, calcium, phosphorous, magnesium)

o

Use of fluid dispenser and infusion pumps

•

Evaluation of acid base status

o

Arterial blood gas (ABG)

•

Thermoregulation, care of neonate with hyper/hypothermia

o

Temperature probes

o

Neonatal care management of hyper and hypothermia

•

Glycemic control, care of neonate with glycemic imbalances

o

Monitoring GRBS

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

•

Counseling

•

Family education

VIII. Neonatal Nursing I

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours

Unit

Hours

Content

I

6

Introduction

• Review of anatomy and physiology of vital organs

• Review of assessment and monitoring of the critically ill

II

16

Cardiovascular Alterations

• Review of clinical assessment, pathophysiology and pharmacology

• Special diagnostic studies

• Cardiovascular conditions requiring neonatal care management

• Fetal and neonatal circulation

• Persistent pulmonary hypertension

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

85

Unit

Hours

Content

• Patent ductus arteriosus

• Congenital complete heart block

• Supraventricular tachycardia

• Congenital cardiac malformation

• Shock

III

15

Pulmonary Alterations

• Review of clinical assessment, pathophysiology and pharmacology

• Special diagnostic studies

• Pulmonary conditions requiring neonatal care management

• Respiratory distress in newborn babies

• Respiratory system disorders

• Meconium aspiration syndrome

• Intrauterine and postnatal pneumonia

• Hyaline membrane disease

• Massive pulmonary hemorrhage

• Pneumothorax

• Transient tachypnea of the newborn

• Bronchopulmonary dysplasia

• Pleural effusion

IV

15

Neurological Alterations

• Review of clinical assessment, pathophysiology and pharmacology

• Special diagnostic studies

• Neurological conditions requiring neonatal care management

• Intracranial hemorrhage

• Intraventricular hemorrhage

• Neurological sequelae of hypoxic-ischemic encephalopathy

• Periventricular leukomalacia

• Birth trauma to CNS

• CNS malformations

• Jitteriness

• Neonatal seizures

• Floppy neonate

V

15

Nephrology Alterations

• Review of clinical assessment, pathophysiology and pharmacology

• Special diagnostic studies

• Nephrology conditions requiring neonatal care management

• Acute renal failure

• Renal malformation

• Congenital nephrotic syndrome

• Urinary tract infection

• Abdominal masses

• Urinary tract infection

• Nephrocalcinosis

• Recent advances and development

VI

12

Gastrointestinal Alterations

• Review of clinical assessment, pathophysiology and pharmacology

• Special diagnostic studies

• Gastrointestinal conditions requiring neonatal care management

• Diarrhea

• GERD

• TEF (Tracheoesophageal atresia)

• Congenital diaphragmatic hernia

• Jaundice

• Congenital bowel obstruction/perforation

• Hypertrophic pyloric stenosis

• Small bowel atresia

86

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[PART III—SEC.4]

Unit

Hours

Content

• Intussusception

• Meconium ileus

• Neonatal cholestasis

• Anorectal anomalies

• Necrotizing enterocolitis

VII

12

Endocrine Alterations

• Review of clinical assessment, pathophysiology and pharmacology

• Special diagnostic studies

• Endocrine conditions requiring neonatal care management

• Transient neonatal hypoglycemia and hyperglycemia

• Adrenal gland problems (relative adrenal insufficiency, congenital adrenal hyperplasia

• Thyroid problem (transient hypothyroidism and hyperthyroidism, transient neonatal

hyperthyrotropinemia, hypothyroxinemia of prematurity

• Genital and urinary problems (hydrocolpos and hydrometrocolpos ovarian hyperstimulation

syndrome priapism

• Acne neonatorum

• Transient hypocalcemia and hypercalcemia

• Recent advances and development

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).

• Cardiovascular Alterations

o Thrombolytic therapy

o Use of equipment and their settings - Defibrillator, PiCCO, Pacemakers, Intra-Aortic ballon pump (IABP)

• Pulmonary Alterations

o Tracheostomy care

o Nebulization

o Chest physiotherapy

o Chest tube insertion

o Chest drainage

• Neurological Alterations

o Monitoring PGCS

o Conscious and coma monitoring

o Monitoring ICP

o Sedation score

o Brain Death Evaluation

• Nephrology Alterations

o Dialysis

▪ Priming of dialysis machine

▪ Preparing neonate for dialysis

▪ Cannulating for dialysis

▪ Starting and closing dialysis

• Gastrointestinal Alterations

o Abdominal pressure monitoring

o Calculation of calorie and protein requirements

o Special diets - sepsis, respiratory failure, renal failure, hepatic failure, cardiac failure, weaning, pancreatitis

o Enteral feeding - NG/Gastrostomy/Pharyngeal/Jejunostomy feeds

o Total parenteral nutrition

• Endocrine Alterations

o Collection of blood samples for cortisol levels, sugar levels, and thyroid hormone levels

o Calculation and administration of corticosteroids

o Calculation and administration of Insulin - Review

IX. Neonatal Nursing II

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

87

Unit

Hours

Content

I

12

Hematological Alterations

• Review of clinical assessment, pathophysiology and pharmacology

• Special diagnostic studies

• Hematology conditions requiring neonatal care management

• Disorders of red blood cells

o Polycythemia

o Anemia

o Sickle cell diseases

• Disorders of white blood cells

o Leucopenia

• Neoplastic disorders

• Disorders of hemostasis

• Platelet disorders

• Coagulation disorders

o Disseminated intravascular coagulation

• Hemorrhagic disease of the newborn

o Vitamin K prophylaxis

o Thrombocytopenia or qualitative defects of platelets

• Anemia, Polycythemia and hyper viscosity

• Arterial and venous thromboses

• Recent advances and development

II

8

Skin Alterations

• Review of Clinical assessment, pathophysiology, and pharmacology

• Special diagnostic studies

• Skin conditions requiring neonatal care management

o Burns

o Wounds

• Therapeutic management

• Reconstructive surgeries for burns

• Management of wounds

• Recent advances and development

III

12

Multi-system Alterations requiring Neonatal Care

• Review of clinical assessment, pathophysiology, and pharmacology

• Special diagnostic studies

• Multisystem alteration conditions requiring neonatal care management

• Trauma

• Sepsis

• Shock

• Multiple Organ Dysfunction

• Systemic inflammatory response syndrome

• Anaphylaxis

• DIC

• Other injuries (Heat, Electrical, Near Hanging, Near drowning)

• Envenomation

• Drug overdose

• Poisoning

IV

10

Specific Infections in Neonatal Care

• Review of clinical assessment, pathophysiology, and pharmacology

• Special diagnostic studies

• Specific infection conditions requiring neonatal care management

• HIV/AIDS

• Parent to child transmission

• TORCH

• Tetanus

• SARS

• Rickettsiosis

• Leptospirosis

88

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[PART III—SEC.4]

Unit

Hours

Content

• Dengue

• Malaria

• Neonatal sepsis

• Rabies

• Avian flu

• COVID-19

V

9

Metabolic Disorders Alterations requiring Neonatal Care

• Review of clinical assessment, pathophysiology, and pharmacology

• Special diagnostic studies

• Metabolic conditions requiring neonatal care management

• Hypoglycemia

• Hyperglycemia

• Hypocalcemia

• Osteopenia of prematurity

• Hypercalcemia

• Hypomagnesemia

• Late metabolic acidosis

• Inborn errors of metabolism (IEM) (Phenylketonuria)

• Newborn screening

• Neonatal thyroid screening

VI

10

Orthopedic Conditions

• Review of Clinical assessment, pathophysiology, and pharmacology

• Special diagnostic studies

• Surgical conditions requiring neonatal care management

• Talipes equinovarus (club foot)

• Calcaneus valgus deformity

• Genu recurvatum

• Congenital dislocation of hips

VII

10

Miscellaneous Conditions

• Review of clinical assessment, pathophysiology, and pharmacology

• Special diagnostic studies

• Surgical conditions requiring neonatal care management

• Birth injuries

• Cyanosis

• Indications for oxygen therapy

• Retinopathy of prematurity

• Edema and hydrops fetalis

• Ascites

• Sclerema

• Vesiculobullous skin eruptions

• Neonatal erythroderma

• Ichthyosis

• Vascular nevi

• Disorders of pigmentation

• Multiple pregnancy

• Iatrogenic disorders

VIII

10

Neonatal Care in Peri anesthetic Period

• Selection of anesthesia

• General anesthesia

• Anesthetic agents

Peri anesthesia Assessment and Care

• Post anesthesia problems and emergencies requiring neonatal care

o Respiratory - Airway obstruction, Laryngeal edema, Laryngospasm, Bronchospasm,

Noncardiogenic pulmonary edema, Aspiration, Hypoxia, Hypoventilation

o Cardiovascular - Effects of anesthesia on cardiac function, Myocardial dysfunction,

Dysrhythmias, postoperative hypertension, post operative hypotension

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

89

The skills listed under the Specialty courses such as Foundations of Neonatal Nursing Practice, Neonatal

Nursing I and Neonatal 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 NCUs. The Log Book specifies all the

requirements to be completed and the list of skills that are to be signed by the preceptor/faculty once the

students develop proficiency in doing the skills independently.

Unit

Hours

Content

o Thermoregulatory - Hypothermia, shivering, hyperthermia, malignant hyperthermia

o Neurology - Delayed emergence, emergence delirium

o Nausea and vomiting

IX

10

Other Special situations in Neonatal Care

• Rapid response teams and transport of the critically ill

• Disaster management

• Ophthalmic emergencies - Eye injuries, ROP, Laser therapy for ROP

• ENT emergencies - Foreign bodies, stridor, bleeding, quinsy, acute allergic conditions

• Otoacoustic emission (OAEs)

• BERA test

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).

• Hematological Alterations

o Blood transfusion

o Bone marrow transplantation

o Care of Catheter site

o Bone marrow aspiration

• Skin Alterations

o Burn fluid resuscitation

o Burn feeds calculation

o Burn dressing

o Burns bath

o Wound dressing

• Multi-system Alterations requiring neonatal care

o Triage

o Trauma team activation

o Administration of anti-snake venom

o Antidotes

• Specific infections in neonatal care

o Isolation precautions

o Disinfection and disposal of equipment

• Neonatal care - Obstetrics, children

o Partogram

o Equipment - incubators, warmers

• Neonatal care in Peri anesthetic period

o Assisting with planned intubation

o Monitoring of neonates under anesthesia

o Administration of nerve blocks

o Titration of drugs - Ephedrine, Atropine, Naloxone, Avil, Ondansetron

o Sensory and motor block assessment for neonates on epidural analgesia

o Technical troubleshooting of syringe/infusion pumps

• Other special situations in neonatal care

o Disaster preparedness and protocols

Bibliography

•

Ali A., Ariff S., Rajani R., Khowaja W.H., Leghari A.L., Wali S., Barkat R. & Rahim A. (2021) SNAPPE II

Score as a Predictor of Neonatal Mortality in NICU at a Tertiary Care Hospital in Pakistan, Cureus 13(12).

e20427. https://doi.org/10.7759/cureus.20427

•

Barbeau D.Y. & Weiss M.D. (2017) Sleep Disturbances in Newborns, Children (Basel, Switzerland) 4(10) 90.

90

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[PART III—SEC.4]

https://doi.org/10.3390/children4100090

•

Hall R.W. & Anand K.J. (2014) Pain management in newborns, Clinics in perinatology 41(4) 895-924.

https://doi.org/10.1016/j.clp.2014.08.010

•

Kenner C. & Boykova M.V. (2021) Neonatal nursing care handbook: an evidence-based approach to conditions

and procedures, Springer Publishing Company

•

Kenner C., Leslie Altimier D.N.P. & Boykova M.V. (Eds.) (2019) Comprehensive neonatal nursing care,

Springer Publishing Company

•

Klock P., Buscher A., Erdmann A.L., Costa R. & Santos S.V. (2019) Best practices in neonatal nursing care

management, Texto & Contexto-Enfermagem, 28, e20170157

•

Wyckoff M., Houghton D. & Lepage C. (2009) Neonatal care, New York: Springer Publishing Company

Appendix 1

EQUIPMENT LIST FOR NCU

A. NEWBORN CARE CORNER

S.No.

Item Description

Essential

Desirable

Quantity

1

Open care system: radiant warmer, fixed height, with trolley,

drawers, O2 bottles

E

1

2

Resuscitator, hand-operated, neonate, 500 ml

E

1

3

Weighing scale, spring

4

Pump suction, foot operated

E

1

5

Thermometer, clinical, digital, 32-34°C

E

1

6

Light for examination, mobile, 220-12

E

1

7

Syringe hub cutter

E

1

B. NEWBORN STABILIZATION UNIT (4 bedded)

S.No.

Item Description

Essential

Desirable

Quantity

1

Open care system: radiant warmer, fixed height, with trolley,

drawers, O2 bottles

E

3

2

Phototherapy unit, single head, high intensity

E

1

3

Resuscitator, hand-operated, neonate, 500 ml

E

2

4

Laryngoscope set, neonate

E

2

5

Electronic baby-weighing scale 10 kg <5 g>

E

1

6

Suction pump, foot operated

E

1

7

Thermometer, clinical, digital, 32-34°C

E

4

8

Light for examination, mobile, 220-12

E

4

9

Syringe hub cutter

E

1

C. SNCU (EQUIPMENT FOR INDIVIDUAL CARE) (12 bedded)

S.No.

Item Description

Essential

Desirable

Quantity

1

Infant care beds

E

12

2

Phototherapy unit, single head, high intensity

E

6

3

Resuscitator, hand-operated, neonate, 250 ml

E

2

4

Resuscitator, hand-operated, neonate, 500 ml

E

4

5

Laryngoscope set, neonate

E

6

6

Suction pump, portable, 220 V, w/access

E

2

7

Suction pump, foot operated

E

2

8

Surgical instrument, suture/SET

E

2

9

Syringe pump, 10, 20, 50 ml, single phase

E

3

10

Oxygen hood, S and M, set of 3 each, including connecting tubes

E

6

11

Oxygen supply system

E

1

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

91

S.No.

Item Description

Essential

Desirable

Quantity

12

Oxygen concentrator

D

4

13

Thermometer, clinical, digital, 32-43°C

E

12

14

Electronic baby-weighing scale, 10 kg <5 g>

E

4

15

Pulse oximeter, bedside, neonatal

E

6

16

Stethoscope, binaural, neonate

E

12

17

Sphygmomanometer, neonate, electronic

E

6

18

Light, examination, mobile, 220-12 V

E

6

19

Syringe hub cutter

E

2

20

Measuring tape, vinyl-coated, 1.5 m

E

2

21

Kidney basin, stainless steel, 825 ml

E

4

22

Dressing tray, stainless steel, 300 × 200 × 30 mm

E

4

23

Infusion stand, double hook, on castors

E

1

24

Indicator, TST control spot/PAC-300

D

1

25

Irradiance meter for phototherapy units

D

2

26

Monitor, vital

D

1

27

ECG unit, 3 channel

D

2

28

Infantometer, Plexi, 32 feet/105 cm

E

1

29

X-Ray, mobile

D

1

30

Transport incubator, basic, with battery and O2, w/o ventilator

D

1

31

Autoclave, steam, bench top, 20 I, electrical

D

1

32

Laundry washer dryer, combo, 5 kg

D

D. GENERAL EQUIPMENT

S.No.

Item Description

Essential

Desirable

Quantity

1

AC (1.5 tonne)

E

1

2

Generator set 25-50 KVA

E

1

3

Refrigerator, hot zone, 110 l

E

1

4

Voltage servo-stabiliser (three phase): 25-50 KVA

E

1

5

Room heater (oil)

D

4

6

Computer with Printer

D

1

7

Spot lamps

E

2

8

Wall clock with seconds hand

E

2

E. EQUIPMENT FOR DISINFECTION

S.No.

Item Description

Essential

Desirable

Quantity

1

Sterilising drum, 165 mm diameter

2

Electric steriliser

D

1

3

Washing machine with dryer

4

Gowns for staff and mothers

E

1

5

Washable slippers

F. LABORATORY EQUIPMENTS

S.No.

Item Description

Essential

Desirable

Quantity

1

Centrifuge, haematocrit, bench top, up to 12000 rpm (revolutions

per minute) including rotor

2

Microscope, binocular, with illuminator

D

1

92

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

S.No.

Item Description

Essential

Desirable

Quantity

3

Bilirubinometer, total bilirubin, capillary-based

4

Glucometer with Dextrostix

E

3

LAB EQUIPMENT

•

Additional space (storage, nursing station, doctor’s room and circulation space) - 100% extra of the bed space.

•

Each infant care space shall contain a minimum of 120 square feet (11.2 square meters), excluding sinks and

aisles.

•

There should be an aisle adjacent to each infant care space with a minimum width of 4 feet (1.2 meters) in

multiple beds.

•

The unit should have 50 square feet neonate care space per baby in the level II.

•

For level III, neonatal care area of 80-100 square feet, support services area of 80-100 square feet, and circulation

area of about 80 square feet is considered as appropriate area -

o

500-600 square feet per bed;

o

100-120 square feet per neonate care area;

o

8 ft difference in between the incubators.

•

Availability of mother’s room in the nursery is desirable for level II and essential for level III.

•

Mechanical requirements at each infant care bed, such as electrical and gas outlets, should be organised to ensure

safety, easy access and maintenance -

o

Minimum of 20 simultaneously accessible electrical outlets;

o

Minimum number of simultaneously accessible gas outlets: Air, Oxy & Vac - 3 each;

o

Mixture of emergency and normal power for all electrical outlets.

Staff Requirements

•

One neonatologist for 6-12 neonates in the continuing care, intermediate care and intensive care areas.

•

He should be available on 24 hours bases for consultation.

•

A ratio of one neonatologist to every 4-5 neonates who requires intensive care ideally round the clock.

•

Services of other specialists like microbiologist, haematologist, radiologist, and cardiologist and should be

available on call.

•

An anaesthetist capable of administering anaesthesia to neonate.

•

Pediatric surgeon and pathologists should be available.

Nurses Ratio

1. Nurse neonate ratio of 1:1 maintained throughout day and night.

2. A ratio of one nurse for two sick babies not requiring ventilator support may be adequate -

-

For an ideal nurse neonate ratio, four trained nurses per intensive care bed are needed;

-

Additional head nurse who is the overall in-charge;

-

In addition to basic nursing training for level II care, tertiary care requires dedicated, committed and trained

staff of the highest qualify. Their training must include training in handling equipment, use of Ventilator and

use of mask resuscitations and even endotracheal Intubation, arterial sampling and so on.

Disposable Articles Required for the NCU

•

IV catheter, IV Sets, bacterial filters, feeding tubes, endotracheal tubes

•

Suction catheters, three-way adopters, umbilical arterial and venous catheters

•

Syringes, needles ventilator tubing’s, trocar and canula, pressure transducers for invasive blood pressure

REFERENCES

•

NHM GoI and care of the newborn by Dr. Meharban Singh

Appendix 2

ASSESSMENT GUIDELINES (including OSCE Guidelines)

INTERNAL ASSESSMENT (Theory and Practical)

Ist Year

1. Theoretical Basis for Advanced Nursing Practice

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)

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

93

Final theory college exam: 25 marks

Total: 50 marks

2. Research Application and Evidence-based Practice in Neonatal Care

Theory:

Test papers: 20 marks

Written assignment: 5 marks (Literature review/Preparation of research instrument)

Journal club: 5 marks (Analysis of research evidence for neonatal care competencies)

Total: 30 marks

3. Advanced Skills in Leadership, Management and Teaching Skills

Theory:

Test papers: 15 marks

Journal Club: 5 marks (Trends in Leadership/Management/Teaching)

Written assignment: 5 marks (Neonatal care unit workplace violence)

Microteaching: 5 marks

Total: 30 marks

4. Advanced Pathophysiology & Advanced Pharmacology applied to Neonatal Care

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 any NCU

IInd year

1. Foundations of Neonatal Nursing Practice

Theory:

Test papers and Quiz: 20

Written assignment: 10 marks (NCU 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. Neonatal 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

End of posting exam (OSCE): 10 marks

Clinical presentation: 10 marks

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[PART III—SEC.4]

Case study report: 10 marks

Internal OSCE: 50 marks

Total Internal Practical: 100 marks

3. Neonatal 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 (Develop clinical/care pathway): 10 marks

Internal OSCE: 50 marks

Total Internal practical: 100 marks

End of posting exam can be conducted in any NCU

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.

HEALTH ASSESSMENT

INTERNAL

OSCE: 25 marks

CORE COMPETENCY DOMAINS

1. Focused history taking of neonate

2. Focused physical examination of neonate

3. Focused history taking and physical examination of pregnant woman

4. Interpretation of findings and results

5. Monitoring 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 neonate

2. Focused physical examination of neonate

3. Focused history taking and physical examination of pregnant woman

4. Interpretation of history and physical examination findings of neonate

5. Interpretation of results of lab and diagnostic tests of neonate

6. Interpretation of findings and results of pregnant woman

7. Monitoring clinical parameters

Number of stations: 10 (8+2 Rest stations)

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

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

95

Total = 50 marks

IInd year

FOUNDATIONS OF NEONATAL NURSING

INTERNAL

OSCE: 50 Marks

CORE COMPETENCY DOMAINS

1. Focused history taking, and physical examination of neonate

2. Interpretation of findings and results of neonate

3. Monitoring competencies (Invasive and noninvasive)

4. Therapeutic interventions (Specific procedural competencies) including drug administration

5. Family education and counseling

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, and physical examination of neonate

2. Interpretation of findings and results of neonate

3. Monitoring competencies (invasive and noninvasive)

4. Development of care plan

5. Therapeutic interventions (specific procedural competencies) including drug administration

6. Family education and counseling

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

NEONATAL NURSING I & II

INTERNAL

OSCE: 50 marks

CORE COMPETENCY DOMAINS

1. Focused history taking, and physical examination of neonate

2. Interpretation of findings and results of neonate

3. Monitoring competencies (Invasive and noninvasive)

4. Therapeutic interventions (Specific procedural competencies) including drug administration

5. Family education and counseling

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, and physical examination of neonate

2. Interpretation of findings and results of neonate

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]

3. Monitoring competencies (Invasive and noninvasive)

4. Development of care plan

5. Therapeutic interventions (Specific procedural competencies) including drug administration

6. Family education and counseling

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 3a

CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN NEONATAL NURSING (NPNeoN) PROGRAM

(Specific Procedural Competencies/Clinical Skills)

Ist year

S.No.

Skills

Number

Performed

Date

Signature of

the Preceptor*

I

RESEARCH APPLICATION AND EVIDENCE BASED PRACTICE

1

Preparation of research instrument

2

Preparation of a manuscript for publication (Ist / IInd year)

3

Writing systematic review/Literature review

4

Dissertation/EBP Project

Topic:

1

II

ADVANCED SKILLS IN LEADERSHIP, MANAGEMENT AND TEACHING

1

Preparation of staff neonate assignment

2

Preparation of unit budget

3

Preparation of staff duty roster

4

Patient care audit

5

Preparation of nursing care standards and protocols

6

Management of equipment and supplies

7

Monitoring, evaluation, and writing report of infection control

practices

8

Micro teaching/parent education sessions

9

Preparation of teaching plan and media for parents of neonates

and staff

10

Planning and conducting OSCE/OSPE

11

Construction of tests

III HEALTH ASSESSMENT

1

Comprehensive history taking

2

Neonatal assessment (System wise)

2.1 Respiratory system

2.2 Cardiac system

2.3 Gastrointestinal

2.4 Nervous

2.5 Genitourinary

2.6 Endocrine

2.7 Hematological

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

97

S.No.

Skills

Number

Performed

Date

Signature of

the Preceptor*

2.8 Musculoskeletal

2.9 Integumentary

2.10 Sensory organs

3

Newborn reflexes

3.1 Sucking reflex

3.2 Moro reflex

3.3 Tonic neck reflex

3.4 Grasp reflex

4

History & physical examination of a pregnant woman

IV DIAGNOSTIC PROCEDURES

1

Collecting blood sample

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 Chest X-ray

3.2 ERCP

3.3 PET scan

3.4 Endoscopy

3.5 MRI/CT

3.6 Ultrasound

3.7 EMG

3.8 Echocardiogram

3.9 ECG

V

BASIC COMPETENCIES

1

Admission

2

Transfer:

Care during transfer by air ambulance and surface ambulance

3

Transport

4

Medico-legal compliance

5

Family education

6

Setting up, use and maintenance of neonatal care equipment

6.1 Monitors

6.2 Transducer/pressure bag

6.3 Temperature probes

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[PART III—SEC.4]

S.No.

Skills

Number

Performed

Date

Signature of

the Preceptor*

6.4 SpO2 probes

6.5 Sequential compressing device

6.6 12-lead ECG monitor

6.7 Syringe pump

6.8 Infusion pump

6.9 Alpha/Air mattress

VI SPECIFIC COMPETENCIES

1

Nutritional assessment of neonates

2

Assessment of healthy newborn

3

Assessment of high-risk newborn

4

Newborn Assessment/Care

5

Bowel sounds

6

GRBS

7

Partogram

8

Assisting in KMC

9

Assisting in breast feeding

10

NRP (Neonatal Resuscitation Program)

11

Care of eyes

12

Umbilical cord care/Umbilical cannulation or catheterization

13

Baby bath

14

Administration of katori/spoon feeding/Paladai, feeding/

assisting, with cleft lip & palate

15

Artificial Feeding

• NG/Oral

• Gastrostomy

• Jejunostomy

16

Neonatal Assessment

16.1 History collection

16.2 Physical examination

16.3 Growth & Development Assessment

DDST (Denver Developmental Screening Test)

16.4 CRIB (Clinical Risk Index of Babies)

CRIB-II (Clinical Risk Index of Babies-II)

16.5 SNAP (Score for Neonatal Acute Physiology)

• SNAP-II (Score for Neonatal Acute Physiology-II)

• SNAPPE (Score for Neonatal Acute Physiology -

Perinatal Extension)

16.6 IV cannulation site Assessment (Phlebitis Scale) and care

16.7 Assessment of neonate through Humpty Dumpty Fall

Assessment Scale

16.8 APGAR Score

16.9 New Ballard Score

16.10 Pediatrics Glasgow Coma Scale (PGCS)

16.11 Premature Infant Pain Profile (PIPP)

17

Medication Administration

17.1 Medication administration

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

99

S.No.

Skills

Number

Performed

Date

Signature of

the Preceptor*

• Oral

• Intravenous

• Intramuscular

• Intradermal

17.2 Calculation of Fluid & flow rate

17.3 Calculation of Height, Weight, BMI

17.4 Administration of fluids

17.5 Preparation of different strength of fluids

17.6 Instillation - eye , ear, nose

17.8 Drug calculation

17.9 Blood transfusion

17.10 TPN

18

Laminar flow

19

Chest physiotherapy and postural drainage

20

Urinary catheterization and drainage

21

Bowel wash

22

Condom drainage

23

Care of ostomies

• Esophagostomy

• Gastrostomy

• Colostomy

• Ureterostomy

24

Administration of Oxygen Therapy by

• Tent

• Hood

• Mask

• Nasal prongs

25

Steam inhalation

*When the student is found competent to perform the skill, it will be signed by the preceptor/faculty.

Students: Students are expected to perform the listed skills/competencies many times until they reach level 3

competency, after which the preceptor/faculty 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 can perform that competency without supervision.

• Level 2 Competency denotes that the student can perform each competency with supervision.

• Level 1 Competency denotes that the student is not able to perform that competency/skill even with supervision.

NOTE: 5-10% of procedures that are rare can be practiced in skill lab and attained level 3 competency.

Signature of the Program Coordinator/Faculty

Signature of the HOD/Principal

Appendix 3b

CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN NEONATAL NURSING (NPNeoN) PROGRAM

(Specific Procedural Competencies/Clinical Skills)

IInd year

S.No.

Skills

Number

Performed

Date

Signature of

the Preceptor*

I

ADVANCED COMPETENCIES

1

Setting up, use and maintenance of Neonatal care

equipment

1.1 Ventilator

1.2 Radiant warmer

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[PART III—SEC.4]

S.No.

Skills

Number

Performed

Date

Signature of

the Preceptor*

1.3 Incubator

1.4 ET cuff pressure monitor

1.5 Defibrillator

1.6 Pacemaker

1.7 CRASH trolley

1.8 CPAP/BiPAP

1.9 Phototherapy

2

Triage

3

Monitoring and interpretation of critically ill neonates

3.1 Arterial blood gas (ABG)

3.2 Oxygen saturation

3.3 Endotracheal tube cuff pressure

3.4 Capnography

3.5 PiCCO

3.6 Hemodynamics

3.7 Electrocardiogram (ECG)

3.8 Intracranial pressure (ICP)

3.9 Invasive BP monitoring

3.10 Non-invasive BP monitoring

3.11 Transthoracic echocardiography

4

Administration of medication

4.1 Sedation

4.2 Muscle relaxant

4.3 Electrolyte infusion

4.4 Insulin infusion

4.5 Inotrope administration

4.6 Thrombolytic drug

4.7 Corticosteroid

5

Management of Cardiovascular Alterations

5.1 Fluid administration (Colloid/Crystalloid)

5.2 Blood and blood product administration

5.3 Insertion and Care of CVP line

5.4 Removal of CVP line

5.5 Assisting with insertion of arterial line

5.6 Care of arterial line

5.7 Removal of arterial line

5.8 Assisting with insertion of pulmonary artery catheter

5.9 Care of neonate with Pacemaker

5.10 Blood collection from arterial line

6

Management of Pulmonary Alterations

6.1 Oropharyngeal airway application

6.2 Laryngeal mask airway

6.3 Assisting with intubation

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

101

S.No.

Skills

Number

Performed

Date

Signature of

the Preceptor*

6.4 Care of ET tube

6.5 Extubation

6.6 Assisting for tracheostomy insertion

6.7 Tracheostomy care and suctioning

6.8 Endotracheal suctioning - Open

6.9 Endotracheal suctioning - Closed

6.10 Assisting with insertion of chest tube

6.11 Care of neonate with chest drainage

6.12 Chest tube removal

6.13 Nebulization

6.14 Care of neonate on mechanical ventilator

6.15 Non-invasive ventilation

6.16 Connecting to ventilator

6.17 Weaning from ventilator

6.18 Use of T-tube and venturi devices

6.19 Postural drainage

6.20 Weaning from tracheostomy

6.21 Chest physiotherapy

7

Management of Neurological Alterations

7.1 Sensory stimulation

7.2 Consciousness/Coma status monitoring

8

Management of Genitourinary Alterations

8.1 Cannulating for hemodialysis

8.2 Starting and closing of hemodialysis

8.3 Care of neonate on hemodialysis

8.4 Initiating peritoneal dialysis

8.5 Care of neonate on peritoneal dialysis

8.6 Calculation of fluid replacement

8.7 Care of neonate with continuous urinary drainage

9

Management of Gastrointestinal Alterations

9.1 Estimation of dietary allowance

9.2 Therapeutic diet planning

9.3 Enteral nutrition

10

Management of Endocrine Alterations

10.1 Titrating insulin

10.2 Calculation of steroid administration

11

Infection control practices

• Universal precautions

• Disinfection/sterilization

12

Preparation of standards/policies/protocols

13

Family counselling

14

NALS

15

End of life care

• Brain death

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[PART III—SEC.4]

S.No.

Skills

Number

Performed

Date

Signature of

the Preceptor*

• Organ donation

16

Ordering Investigations

16.1 ECG

16.2 ABG

16.3 Chest X-ray

16.4 Ultrasound

17

Ordering Treatment/Procedures

17.1 Nebulization

17.2 Chest physiotherapy

17.3 Distal colostomy wash

17.4 Insertion and removal of urinary catheter for female

neonates

17.5 Test feeds

17.6 Surgical dressing

17.7 Starting and closing dialysis

*When the student is found competent to perform the skill, it will be signed by the preceptor/faculty.

Students: Students are expected to perform the listed skills/competencies many times until they reach level 3

competency, after which the preceptor/faculty 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 can perform that competency without supervision.

• Level 2 Competency denotes that the student can perform each competency with supervision.

• Level 1 Competency denotes that the student is not able to perform that competency/skill even with supervision.

NOTE: 5-10% of procedures that are rare can 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 NEONATAL NURSING (NPNeoN)

PROGRAM

Ist year

S.No.

Clinical Requirement

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 neonatal 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 Nursing Staff, Faculty, Students) -

Case/Clinical Presentation

2.1

Pathophysiology (Clinical Conditions)

Name of clinical condition:

2.2

Pathophysiology (Clinical Conditions)

Case Study (Written Report)

Name of clinical condition:

2.3

Pharmacology - Drug Studies (Drugs listed under Standing Orders) -

Written Report of 5 Presentations

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

103

S.No.

Clinical Requirement

Date

Signature of the

Preceptor/Faculty

(Bedside Presentations)

Name of the drug:

2.3.1

2.3.2

2.3.3

2.3.4

2.3.5

2.3.6

2.3.7

2.3.8

3

Interdisciplinary Clinical Rounds (With Neonatal Doctors) -

Case/Clinical Presentation

(Written reports are for submission)

3.1 Health Assessment (Neonate) - 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 (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

Neonatal Care

Unit (NCU)

Clinical Condition

Number of

days care given

Signature of

Faculty/Preceptor

104

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[PART III—SEC.4]

Signature of the Program Coordinator/Faculty

Signature of the HOD/Principal

CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN NEONATAL NURSING (NPNeoN)

PROGRAM

IInd year

S.No.

Clinical Requirement

Date

Signature of the

Preceptor/Faculty

1

Clinical Seminar/Journal Club/Clinical Conference

1.1 Foundations of Neonatal Nursing Practice (Clinical Conference)

Title of the topic:

1.2 Neonatal Nursing I (Clinical Seminar)

Title of the topic:

1.3 Neonatal Nursing I (Journal Club)

Title of the topic:

1.4 Neonatal Nursing II (Clinical Seminar)

Title of the topic:

1.5 Neonatal Nursing II (Journal Club)

Title of the topic:

2

Clinical Rounds (With Nursing Staff, Faculty, Students) -

Clinical/Case Presentation

(Written reports are for submission)

2.1 Foundations of Neonatal Nursing Practice

(Family Education/Counselling)

Written Report

Name of the topic:

2.2 Foundations of Neonatal Nursing Practice

(Clinical/Care

Pathway)

Name of the topic:

2.3 Neonatal Nursing I (Clinical Presentation)

Name of clinical condition:

2.4 Neonatal Nursing I (Case Study Report)

Name of clinical condition:

2.5 Neonatal Nursing II (Clinical Presentation)

Name of clinical condition:

2.6 Neonatal Nursing II (Case Study Report)

Name of clinical condition:

2.7

Drug Studies (Drugs listed under Standing Orders)

Bedside Presentation

(Five written reports)

Name of drug:

2.7.1

2.7.2

2.7.3

2.7.4

2.7.5

2.7.6

2.7.7

Neonatal Care

Unit (NCU)

Clinical Condition

Number of

days care given

Signature of

Faculty/Preceptor

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

105

S.No.

Clinical Requirement

Date

Signature of the

Preceptor/Faculty

2.7.8

3

Interdisciplinary Clinical Rounds (With Neonatal Doctors) -

Clinical/Case Presentation

3.1 Neonatal Nursing I (Clinical Presentation)

Name of clinical condition:

3.2

3.3

3.4

3.5 (Case Study Report)

3.6 Neonatal Nursing II

3.7

3.8

3.9 (Case Study Report)

3.10 Written Report (Developed Clinical/Care Pathway)

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

Neonatal Care

Unit (NCU)

Clinical Condition

Number of

days care given

Signature of

Faculty/Preceptor

106

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[PART III—SEC.4]

NURSE PRACTITIONER IN NEONATAL NURSING (NPNeoN) PROGRAM

Nurse practitioners are prepared and qualified to assume responsibility and accountability for the care of critically

ill neonates. They collaborate with Neonatal Intensivists, physicians, surgeons and specialists to ensure accurate

therapy for neonates with high acuity needs. On completion of the program, the NPs will be permitted to administer

drugs listed in standing orders as per the institutional protocols/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 in any of the NCUs.

Catecholamines

1. Adrenaline

2. Noradrenaline

3. Dopamine

4. Dobutamine

Antidysrhythmic

5. Adenosine

6. Amiodarone

7. Lidocaine/Xylo card

Adrenergic agent

8. Ephedrine

Bronchodilators

9. Aminophylline

10. Deriphyllin

Non depolarizing skeletal muscle relaxant

11. Atracurium (Vecuronium, Pancurium)

Anticholinergic

12. Atropine sulphate

Antihistamine

13. Avil

Antihypertensive

14. Clonidine

15. Glycerin trinitrate

16. Isoptin

Corticosteroid

17. Hydrocortisone

18. Dexamethasone

Antiepileptic

19. Levit racetam

20. Phenytoin

Sedatives & relaxants

21. Valium

22. Midazolam

23. Morphine sulphate

24. Pentazocine lactate (Fortwin)

25. Pethidine hydrochloride

26. Propofol

Electrolytes & acid base correction agents

27. Soda bicarbonate 8.4%

28. Soda bicarbonate 7.5%

29. Magnesium sulphate

30. Potassium chloride

Additional drugs that can be administered specific to each NCU are as follows -

1. Norad

2. Milrinone

3. Sildenafil

4. Fentanyl

5. Lasix

6. PGE 1

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

107

7. Vasopressin

8. Insulin

The following investigations and therapies may be ordered by the Nurse Practitioner

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

• Basic Microbiology investigations - blood

samples for culture and sensitivity, tips of

vascular access and ET tube for culture

• Nebulization

• Chest physiotherapy

• Distal colostomy wash

• Insertion and removal of urinary catheter for female

neonates

• Test feeds

• TEDS

• Surgical dressing

• Starting and closing dialysis

• Administration of TPN infusion with written order

• Application of ichthammol glycerin/magnesium sulphate

dressing for thrombophlebitis/extravasation

• Pin site care for neonates on external fixators

• Isometric and isotonic exercises

Dr. T. Dileep KumarPresident, INC

[ADVT.-III/4/Exty./844/2024-25]

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.

GORAKHA NATH YADAVA

Digitally signed by GORAKHA NATH YADAVA

Date: 2025.01.06 14:12:11 +05'30'