462 GI/2025
(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, 26 दिसम्बर, 2024
&
&
(IX)
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. 50]
नई दिल्ली, िुक्रवार, िनवरी 17, 2025/पौष 27, 1946
No. 50]
NEW DELHI, FRIDAY, JANUARY 17, 2025/PAUSHA 27, 1946
सी.जी.-डी.एल.-अ.-25012025-260469
CG-DL-E-25012025-260469
सी.जी.-डी.एल.-अ.-25012025-260469
CG-DL-E-25012025-260469
2
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
iii. ^,l,uvkjlh* dk vfHkçk; lacafèkr jkT; ljdkjksa }kjk fdlh Hkh uke ls xfBr jkT; mip;kZ ,oa çlkfodk
iathdj.k ifj"kn~ ls gS(
iv. ^vkj,u ,aM vkj,e* dk vfHkçk; ,d iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½ ls gS vkSj ,d
,sls ulZ dks n'kkZrk gS ftlus ekU;rk çkIr uÉlx Lukrd ¼ch-,llh- uÉlx½ ;k fMIyksek bu tujy uÉlx ,aM
feMokbQjh ¼th,u,e½ ikBîØe] tSlk fd ifj"kn~ }kjk fuèkkZfjr fd;k x;k gks] lQyrkiwoZd iwjk dj fy;k gks
vkSj fdlh ,d ,l,uvkjlh esa iathÑr mip;kZ ,oa iathÑr çlkfodk ds :i esa iathÑr gks(
v. ^ulZ iathdj.k ,oa VªSÇdx ç.kkyh ¼,uvkjVh,l½* dk vfHkçk; ifj"kn~ }kjk jk"Vªh; lwpuk foKku dsaæ ¼,uvkbZlh½]
Hkkjr ljdkj ds lg;ksx ls fodflr lkW¶Vos;j ç.kkyh ls gS] ftls Hkkjrh; mip;kZ jftLVj ds j[kj[kko o
lapkyu ds fy, ,uvkbZlh }kjk gkWLV fd;k x;k gSA blesa iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM
vkj,e½@iathÑr lgk;d ulZ feMokbQ ¼vkj,,u,e½@iathÑr efgyk LokLF; ifjnÆ'kdk ¼vkj,y,poh½ ds
vkadM+ksa ds laxzg ds fy, ^vkèkkj* ck;ksesfVªd çek.khdj.k ij vkèkkfjr ekudhÑr çk:i gSa(
vi. ^,u;wvkbZMh* dk vfHkçk; ,uvkjVh,l ç.kkyh }kjk çR;k'kh dks fn;k tkus okyk ulsZt ;wfud vkbMsafVfQds'ku
uacj ls gS(
vii. ^tujy uÉlx ,aM feMokbQjh ¼th,u,e½* dk vfHkçk; ifj"kn~ }kjk vfèkfu;e dh èkkjk 10 ds rgr LohÑr rFkk
vfèkfu;e dh vuqlwph ds Hkkx&I esa 'kkfey fMIyksek bu tujy uÉlx ,aM feMokbQjh çf'k{k.k ls gSA
I.
Hkkjr esa] LokLF; ds lHkh vk;keksa esa LokLF; ç.kkfy;ksa dks u;k vkdkj nsuk jk"Vªh; LokLF; uhfr] 2017 esa ,d
egRoiw.kZ vko';drkvksa esa ls ,d ekuk x;k gSA ;g fofu;eu rFkk dkuwu ds lkFk&lkFk f'k{kk vkSj çf'k{k.k ds {ks= esa
ekuo lalkèku fodkl ij tksj nsrk gSA ;g vR;ar egRoiw.kZ gS fd LokLF; lsok dfeZ;ksa dks LokLF; lsok lek;kstuksa esa
fof'k"V lsok,a çnku djus ds fy, mUur 'kSf{kd ,oa uSnkfud çf'k{k.k dh vko';drk gksrh gSA Hkkjr ljdkj lkoZtfud o
futh nksuksa {ks=ksa ds lHkh LokLF; lsok lek;kstuksa esa egRoiw.kZ foLrkj dks Lohdkjrh gSA gekjs ns'k esa LokLF; lsokvksa dk
leFkZu djus ds fy, mUur rS;kjh okys fo'ks"kK ulZ ,oa ulZ fpfdRldksa dh vko';drk eglwl dh tkrh gSA
ulZ çSfDV'kuj bl ekax dks iwjk djus esa l{ke gksaxs] c'krsZ fd os vPNh rjg çf'kf{kr gksa vkSj vko’;d {ks= esa vH;kl
djus ds fy, vfèkÑr gksaA dsaæ vkSj jkT; Lrj ij u, loaxZ dh LFkkiuk ds lkFk] LukrdksÙkj Lrj ij rS;kj ulZ çSfDV'kuj
Hkkjr ds fofHkUu çklafxd lek;kstuksa esa jksfx;ksa dks ykxr çHkkoh] l{ke] lqjf{kr ,oa xq.koÙkk lapkfyr fof'k"V uÉlx
ns[kHkky çnku djus esa l{ke gksaxsA ulZ çSfDV'kuj bu fØfVdy ds;j@,D;wV ds;j] vkWUdksykWth] ,ejtsalh ds;j]
U;wjks&ds;j] dkÆM;ksoLdqyj ds;j] ,usLFksfl;k ,aM vnj Lis’kYVht dks çklafxd lek;kstuksa ds lHkh Lrjksa ij dk;Z djus ds
fy, rS;kj fd, tk ldrs gSaA dBksj 'kSf{kd çf'k{k.k mUgsa tfVyrkvksa dh jksdFkke o LokLF;o)Zu ds fy, fofHkUu çfØ;k
rFkk 'kY;fpfdRlk ikus okys jksfx;ksa dk vkadyu djus vkSj muesa Hkkx ysus esa l{ke cuk,xkA
LukrdksÙkj Lrj ij ulZ çSfDV'kuj bu ,usLFksfl;k ¼,uih,½ rS;kj djus ds fy, ifj"kn~ }kjk ,d ikBîØe lajpuk@
<kapk çLrkfor fd;k x;k 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% çSfDVde ds lkFk ,d etcwr uSnkfud ?kVd ij tksj fn;k tkrk gSA çeq[k n`f"Vdks.k ;ksX;rk
vkèkkfjr çf'k{k.k gS vkSj ,uih f'k{kk us'kuy vkWxZukbts'ku vkWQ ulZ çSfDV'kuj QSdYVht (NONPF) n{krkvksa ¼2022½]
baVjus'kuy dkmafly vkWQ ulsZt (ICN, 2021)] vesfjdu ,lksfl,'ku vkWQ dkWyst vkWQ uÉlx ¼2021½] vesfjdu
,lksfl,'ku vkWQ ulZ ,usfLFkfl;ksykWth (AANA, 2023) ls :ikarfjr n{krkvksa ij vkèkkfjr gSA çR;sd ikBîØe
n{krkvksa dh miyfCèk ij vkèkkfjr gSA
LFkkuh; vkSj oSf’od LokLF; y{;ksa dks iwjk djus ds fy, i;kZIr 'kY;fpfdRlh; vkPNknu dk çkoèkku ,d iwokZis{kk gS
¿ySalsV deh'ku vkWu Xykscy ltZjh (LCoGS)] 2019ÀA 'kY;fpfdRlh; ns[kHkky dh vko’;drk okys yksxksa dk ,d cM+k
oxZ fpfdRlk mipkj dk foÙkh; cks> ugÈ mBk ldrk gSA fuEu vkSj fuEu&eè;e&vk; okys ns'kksa esa yxHkx 66% jksfx;ksa
dh çkFkfed 'kY;fpfdRlh; ns[kHkky rd igqap ugÈ gSA 'kY;fpfdRlk ds lqjf{kr ifj.kke lqfuf'pr djus ds fy, lqjf{kr
,usLFksfVd ns[kHkky vko';d gSA nqfu;k Hkj esa ikap vjc yksxksa dh lqjf{kr ,usLFksfVd ns[kHkky rd igqap ugÈ gSA ykW Vh-
ts- ,oa vU; ¼2019½ us lqjf{kr rFkk lqyHk ,usLFksfl;k ns[kHkky çkIr djus ds ekxZ esa fofHkUu eqíksa vkSj ckèkkvksa dks Li"Vr%
crk;k gSA
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
3
ySalsV deh'ku vkWu Xykscy ltZjh (LCoGS) us o"kZ 2030 rd çfr 100]000 tula[;k ij 5000 'kY;&fpfdRlk
çfØ;kvksa dh vkSlr U;wure lhek dk lq>ko fn;k gSA bruh cM+h 'kY;&fpfdRlh; vko’;drk dks iwjk djus ds fy, i;kZIr
çf'kf{kr ,usLFksfl;k ns[kHkky çnkrkvksa dh vko';drk gS] vkSj dk;Zcy dh bl deh dks vPNh rjg ls çf'kf{kr
xSj&fpfdRlh; ,usLFksfl;k ns[kHkky çnkrkvksa (NPAP) }kjk iwjk fd;k tkuk pkfg,A
lrr fodkl y{;] 2030 ds vuqlkj varj dks de djuk çkFkfedrk cu tkrk gS] tks Xykscy gSYFk bfDoVh ij dsafær
gSA ulZ çSfDV'kuj bu ,usLFksfl;k ¼,uih,½ dk;ZØe varj dks de djus dk ,d rjhdk gSA ,uih, dk;ZØe dk mís';
iathÑr ch-,llh- ulks± dks LukrdksÙkj Lrj ij çf'kf{kr djuk gS rkfd os jksfx;ksa dks isjh&,usLFksfl;k ns[kHkky çnku dj
ldsa vkSj fofHkUu ,usLFksfl;k çklafxd lek;kstuksa esa tfVy ns[kHkky çfØ;kvksa dks iwjk dj ldsaA ulZ çSfDV'kuj bu
,usLFksfl;k dk è;ku jksfx;ksa vkSj ,usLFksfl;k rFkk 'kY;fpfdRlk ds fy, mudh fpfdRlh; LoLFkrk dk vkadyu djus] rhoz
tfVyrkvksa dks jksdus vkSj mudk mipkj djus o isjh&,usLFksfl;k vofèk ds nkSjku mUgsa fLFkj djus ij dsafær gksrk gSA
bu ,uih, dks 'kY;fpfdRlh; d{k] çh&,usLFksfl;k Dyhfud] iksLV&,usLFksfl;k fjdojh :e] vkbZlh;w] cká jksxh o
jksxh 'kY;fpfdRlh; bdkbZ] vkikrdkyhu d{k] çlo&osnuk ,oa çlo d{k] ,aMksLdksih lqbV] jsfM;ksykWftdy dsaæ]
lkeqnkf;d LokLF; dsaæ ¼lh,plh½ ds lkFk&lkFk euksfpfdRlk bdkb;ksa esa vH;kl djuk vko';d gSA
dk;ZØe esa vè;;u ds fofHkUu ikBîØe 'kkfey gSa tks tfVy LokLF; ç.kkfy;ksa ds lk{; vkèkkfjr vH;kl vkSj çcaèku
lfgr etcwr oSKkfud uÈo ij vkèkkfjr gSaA ;s ch-,llh- ufl±x dh lS)kafrd rFkk O;kogkfjd n{krkvksa ij vkèkkfjr gSaA
dk;ZØe iwjk gksus vkSj lacafèkr ,l,uvkjlh esa iathÑr gksus ij] mUgsa ifj"kn~ ds ikBîØe dh ykWxcqd esa lwphc) lHkh
n{krkvksa dk vH;kl djus dh vuqefr gksrh gSA os ,usLFksfl;ksykWftLV dh ns[kjs[k esa lkekU;] {ks=h; vkSj LFkkuh; ,usLFksfl;k
çnku djus esa l{ke gksaxsA os laLFkkxr çksVksdkWy@LFkk;h vkns'kksa ds vuqlkj ,usLFksfl;k ns[kHkky ds nk;js ls lacafèkr vkS"kfèk;ka
nsus] uSnkfud ijh{k.k] çfØ;k] fpfdRlh; midj.k vkSj mipkj dk vkns'k nsus esa Hkh l{ke gksaxsA mUgsa iksLV ,usLFksfl;k ds;j
;wfuV ¼ih,lh;w½ esa iksLV&vkWijsfVo jksfx;ksa dks laHkkyus vkSj fof'k"V ekunaMksa ds vkèkkj ij Nqêh nsus dh vuqefr gksxhA bl
vfèkdkj dk ç;ksx djrs le; ,uih, fuEufyf[kr n{krkvksa ds fy, mÙkjnk;h gksaxsa &
a) iwoZ&laosnukgkjh vkadyu ¼izh&,usLFksfVd vlslesaV½
b) {ks=h; ,usLFksfl;k ds fy, i;Zos{k.k ds lkFk rS;kjh djuk] nsuk vkSj can djuk
c) jksxh lqj{kk
d) egRoiw.kZ ladsrksa dh fuxjkuh djuk
e) midj.kksa dh gSaMÇyx
f) cqfu;knh vkSj mUur dkfMZ;kd ykbQ liksVZ
g) iksLV vkWijsfVo ns[kHkky
h) nnZ çcaèku
i) tksf[ke dh jksdFkke
j) nLrkosthdj.k
k) LokLF; eè;orZu
l) O;kolkf;drk
mDr LukrdksÙkj mikfèk dks ,l,uvkjlh }kjk vfrfjDr ;ksX;rk ds :i esa iathÑr fd;k tk,xkA
ulZ çSfDV'kuj bu ,usLFksfl;k ¼,uih,½ dk;ZØe oafpr vkcknh dh 'kY;&fpfdRlh;] ,usLFksfl;k vkSj çlwfr lacaèkh
vko’;drkvksa dks iwjk djus dk ç;kl djrk gS] ftlls LokLF; lsok forj.k ç.kkyh esa varj dks de fd;k tk lds vkSj
ns'k ds LokLF; çksQkby dks c<+k;k tk ldsA
4
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
ifj"kn~ dk ekuuk gS fd Hkkjr esa LokLF; lsokvksa dh pqukSfr;ksa vkSj ekaxksa dks iwjk djus] tSlk fd jk"Vªh; LokLF; uhfr]
2017 esa ifjyf{kr gS vkSj fof'k"V LokLF; ns[kHkky lke;kstuksa esa ,usLFksfl;k ikus okys jksfx;ksa dks lqjf{kr] xq.koÙkkiw.kZ
ns[kHkky çnku djus ds fy, ulZ çSfDV'kuj bu ,usLFksfl;k uked ,d LukrdksÙkj dk;ZØe LFkkfir djus dh cgqr
vko';drk gSA
ifj"kn~ dk ekuuk gS fd vkoklh; dk;ZØe ls izf’kf{kr LukrdksÙkj n{krk&vkèkkfjr çf'k{k.k dk mi;ksx djrs gq,
etcwr uSnkfud ?kVd ij è;ku dsafær djsaxsA os etcwr lS)kafrd vkSj lk{;&vkèkkfjr tkudkjh ds vkèkkj ij uSnkfud
{kerk dk çn'kZu djus esa l{ke gksaxsA f'k{k.k&vfèkxe n`f"Vdks.k o;Ld f'k{k.k fl)karksa] n{krk&vkèkkfjr f'k{k.k] lg;ksxh
vfèkxe] fizlsIVjf’ki] vuqHkokRed vfèkxe] fleqys’ku csLM yfuZax vkSj Lo&funsZf'kr vfèkxe ij è;ku dsafær djsxkA f'k{kk
çnkrk@fizlsIVj@esaVj vkWijsÇVx :e ulZ vkSj ,usLFksfl;ksykWftLV gks ldrs gSaA os fo"k; fo'ks"kK gksaxs vkSj os mPp ;ksX;rk
okys gksaxsA
ifj"kn~ dk ;g Hkh ekuuk gS fd ;ksX; dÆe;ksa dh deh dks nwj djus ds fy, uSnkfud lek;kstuksa esa fofHkUu 'kSf{kd
j.kuhfr;ksa dk mi;ksx fd;k tk ldrk gSA vk’kk dh tkrh gS fd blls iathdj.k@ykblsal ds fy, fodkl'khy uhfr;ksa dks
lqxe cukus vkSj ulZ çSfDV'kulZ bu ,usLFksfl;k dh fu;qfDr ds fy, mfpr loaxZ inksa dk l`tu djus esa enn feysxhA
II.
;g dk;ZØe Nk=ksa dks ,usLFksfl;k uÉlx ds {ks= esa fo'ks"kKrk vkSj xgu le> fodflr djus esa lgk;rk djus ds
fy, rS;kj fd;k x;k gSA ;g Nk= dks ulZ çSfDV'kuj bu ,usLFksfl;k ds :i esa dk;Z djus esa l{ke cuk,xkA ;g Nk= dks
vkxs pydj ,usLFksfl;k uÉlx ds {ks= esa f'k{kd] çcaèkd vkSj 'kksèkdrkZ ds :i esa dk;Z djus esa Hkh l{ke cuk,xkA
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
5
,uih, dk;ZØe ,d LukdrksÙkj uÉlx vkoklh; dk;ZØe gS ftlesa n{krk vkèkkfjr çf'k{k.k ij cy fn;k tkrk gSA
lS)kafrd ?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 ¼
ns[ksa½A
III.
ulZ çSfDV'kuj bu ,usLFksfl;k ¼,uih,½ dk;ZØe iathÑr ch-,llh- ulks± dks uSnkfud fo'ks"kK] 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
,usLFksfl;k½ curs gSaA
IV.
dk;ZØe ds iwjk gksus ij] ulZ çSfDV'kuj bu ,usLFksfl;k ¼,uih,½ fuEufyf[kr dk;ks± ds laiknu esa l{ke gks tk,axs&
1-
fofHkUu LokLF; lsok lek;kstuksa esa jksfx;ksa ds çh&,usLFksfVd vkadyu esa ftEesnkjh ysukA
2-
i;Zos{k.k ds lkFk ,usLFksfl;k ds fy, rS;kj djus] nsus vkSj can djus esa uSnkfud {kerk dk çn'kZu djukA
3-
isjh&,usLFksfl;k vofèk ds nkSjku jksxh dh lqj{kk dh ftEesnkjh ysukA
4-
egRoiw.kZ thou ladsrksa dh fuxjkuh vkSj ewY;ksa dh O;k[;k djus esa dkS'ky dk çn'kZu djukA
5-
,usLFksfl;k esa mi;ksx fd, tkus okys fofHkUu midj.kksa dh dk;Zç.kkyh dk o.kZu djukA
6-
,usLFksfl;k lacafèkr lek;kstuksa esa jksfx;ksa ds çcaèku dh] ;k rks Lora= :i ls ;k ny ds lkFk feydj] ftEesnkjh ysuk
rkfd jksxh ds LokLF; dks fLFkj vkSj cgky fd;k tk ldsA
7-
nnZ dk çcaèku djuk vkSj isjh&,usLFksfl;k ls lacafèkr tfVyrkvksa dks jksdukA
8-
jksxh] ifjtuksa vkSj lacafèkr ny ds chp laidZ LFkkfir djukA
V.
laLFkku dks ,uih, 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 &
a. ulZ çSfDV'kuj bu ,usLFksfl;k dk;ZØe 'kq: djus ds bPNqd laLFkku dks jkT; ljdkj ls vfuok;Zrk
çek.ki=@ljdkjh vkns’k ysuk gksxkA
b. fuEufyf[kr laLFkkuksa dks vfuok;Zrk çek.ki= ysus ls NwV nh xbZ gS &
(i) ,sls laLFkku@fo’ofo|ky; tks igys ls gh ch-,llh- uÉlx ;k ,e-,llh- uÉlx dk;ZØe lapkfyr dj jgs
gSa vkSj vfèkfu;e dh èkkjk 13 rFkk 14 ds rgr ifj"kn~ }kjk mi;qDr ik, x, gSa(
(ii) ,sls laLFkku@fo’ofo|ky; tks ,echch,l@Mh,uch dk;ZØe lapkfyr dj jgs gSaA
a. laLFkku esa de ls de 200 'k¸;k okyk ,d ewy vLirky@r`rh;d ns[kHkky dsaæ gksuk pkfg, vkSj iwjh rjg
QaD’kuy vkWijsÇVx :e ¼'kY;&fpfdRlk d{k½ rFkk vkbZlh;w gksuk pkfg,A
b. ewy vLirky ls tqM+k ,d esfMdy dkWyst@uÉlx dkWyst gksuk csgrj gksxkA
vLirky esa estj ltZjh ds fy, de ls de nks Vscy vkSj lacafèkr vkbZlh;w ds lkFk de ls de 10 vkWijsÇVx
csM@Vscy gksus pkfg,A
a. vkWijsÇVx :e ifjlj esa vfèkekur% ch-,llh- uÉlx ;k ,e-,llh- uÉlx ;ksX;rk ds lkFk ,d pktZ ulZ@ulZ
eSustj gksuk pkfg,A
b. estj vkWijsÇVx :e ds fy,% çR;sd QaD’kuy vkWijs'ku Vscy ds fy, 2 LVkQ ulZA
c. ekbuj vkWijsÇVx :e ds fy,% çR;sd QaD’kuy vkWijs'ku Vscy ds fy, 1 LVkQ ulZA
d. iksLV ,usLFksfl;k ds;j ;wfuV ¼ih,lh;w½ esa çR;sd f'k¶V ds fy, ulZ jksxh vuqikr cky jksfx;ksa ds fy, 1%1 vkSj
o;Ld jksfx;ksa ds fy, 1%2 gksuk pkfg,A
e. vodk'k vkjf{kr ds fy, 40&45% vfrfjDr çf'kf{kr uÉlx LVkQ dk çkoèkku gksuk pkfg,A
a.
i. uÉlx çhlsIVj% vkWijs'ku fFk;sVj esa 6 o"kZ vuqHko ds lkFk iw.kZdkfyd ;ksX; th,u,e ¼vfèkekur% iksLV csfld
fMIyksek bu vkWijsÇVx :e uÉlx ,aM esustesaV ds lkFk½ ;k vkWijs'ku fFk;sVj esa 2 o"kZ vuqHko ds lkFk ch-
,llh- uÉlx ;k vkWijs'ku fFk;sVj esa 1 o"kZ vuqHko ds lkFk ,e-,llh- ¼esfMdy lÆtdy uÉlx½A
ii. esfMdy çhlsIVj% 2 o"kZ vuqHko ds lkFk Mh,@,eMh ,usLFksfl;ksykWftLV@,eMh baVsaflfoLVA
iii. çhlsIVj Nk= vuqikr% uÉlx 1%10] esfMdy 1%10 ¼çR;sd Nk= ds fy, ,d esfMdy vkSj uÉlx çhlsIVj gksuk
pkfg,½A
6
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
b.
i. çksQslj@,lksfl,V çksQslj% 1 ¿f'k{k.k vuqHko% ,e-,llh- ¼esfMdy lÆtdy uÉlx@,uih,½ LukrdksÙkj ds
ckn 5 o"kZÀ ¼çR;sd 10 Nk=ksa ds fy, ,d ladk;½
ii. vflLVsaV çksQslj% 1 ¿f'k{k.k vuqHko% ,e-,llh- uÉlx ds ckn 3 o"kZÀ
iii. mijksDr ladk; nksgjh Hkwfedk fuHkk,xk ;k mlh vLirky esa vksVh@vkbZlh;w esa dk;Zjr] vko';d ;ksX;rk
vkSj vuqHko ds lkFk mlh fof'k"Vrk esa ,e-,llh- uÉlx ds lkFk ,d ofj"B ulZ gksxk
iv. QkekZdksykWth] iSFkksfQft;ksykWth] fØfVdy ds;j ds fy, vfrfFk O;k[;krk
a. uSnkfud {ks= esa ,d vè;;u d{k@lEesyu d{k
b. flE;qysVsM yÉux ds fy, dkS'ky ç;ksx'kkyk ¼vLirky@dkWyst½
c. vkWuykbu tuZy rd igqap ds lkFk iqLrdky; ,oa daI;wVj lqfoèkk
d. bZ&yÉux lqfoèkk
¼layXu
½
a. vkosndksa dks ukekadu ls igys vkWijs'ku fFk;sVj@vkbZlh;w esa de ls de 1 o"kZ uSnkfud vuqHko ds lkFk iathÑr
ch-,llh-@ih-ch-ch-,llh- ulZ gksuk pkfg,A
b. ifj"kn~ }kjk mi;qDr ik, x, laLFkku ls ch-,llh- uÉlx dh f’k{kk çkIr dh gksuh pkfg, vkSj fdlh Hkh
,l,uvkjlh esa iathÑr gksuk pkfg,A
c. ch-,llh- uÉlx dk;ZØe esa dqy çkIrkad 55% ls de ugha gksus pkfg,A
d. 'kkjhfjd :i ls LoLFk gksuk pkfg,A
2 estj vkWijsÇVx Vscy ds fy, 1 vH;FkhZA
1-
lsokjr vH;fFkZ;ksa ¼tks mEehnokj mlh laLFkku esa dke dj jgs gSa½ 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;
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)kafrd 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 ekSf[kd ijh{kk ds lkFk&lkFk gksxh &
esa fn, x, vks,llhbZ fn'kkfunsZ'k ns[ksaA
çfr fnu Nk=ksa dh vfèkdre la[;k 10 gksxhA
ijh{kk dsoy uSnkfud {ks= esa gh vk;ksftr djuh gksxhA
çk;ksfxd ijh{kd ny esa ,d vkarfjd ijh{kd ¿,e-,l-lh- uÉlx ladk;] ftlds ikl ulZ çSfDV'kuj bu ,usLFksfl;k
dk;ZØe dks i<+kus dk 2 o"kZ dk vuqHko gks ;k] ,e-,l-lh- ladk; ¼vfèkekur% esfMdy lftZdy uÉlx½] ftlds ikl
LukrdksÙkj ds ckn 5 o"kZ dk vuqHko gksÀ] mijksDr ds led{k ,d cká ijh{kd vkSj vkarfjd ijh{kd ds :i esa ,d
,usLFksfl;ksykWftLV] tks ,uih, dk;ZØe ds fy, çf'k{kd gks] 'kkfey gksus pkfg,A
'kksèk fucaèk@bZchih ifj;kstuk
'kksèk xkbM% eq[; xkbM & LukrdksÙkj ds mijkar 3 o"kZ ,uih, dk;ZØe çf’k{k.k vuqHko okyk uÉlx ladk;
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
7
lg&xkbM% esfMdy çhlsIVj
'kksèk çLrko dh çLrqfr% çFke o"kZ esa ços'k dh frfFk ds 6 ls 9 ekg mijkar
xkbM Nk= vuqikr% 1%5
'kksèk lfefr% dkWyst@vLirky esa 'kksèk dh çxfr dk ekxZn'kZu vkSj i;Zos{k.k djus ds fy, çèkkukpk;Z ;k lh,uvks] tks
,e-,llh- uÉlx mikfèk èkkjd gksuk pkfg,] ds lkFk U;wure 5 lnL; okyh ,d vyx 'kksèk lfefr gksxhA
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; ,usLFksfl;k uÉlx ds fy, çklafxd gksuk pkfg, tks uÉlx eè;orZu esa tkudkjh ;k lk{;
tksM+sA 'kksèk fdlh Hkh vksvkj@ih,lh;w@vkbZlh;w lek;kstu esa vk;ksftr fd;k tkuk pkfg,A
MsVk laxzg.k% MsVk laxzg.k ds fy, 7 lIrkg vkoafVr fd, tkrs gSa] ftUgsa igys o"kZ esa 6 ekg ds ckn vkSj nwljs o"kZ esa
6 ekg ls igys uSnkfud vuqHko ds nkSjku ,dhÑr fd, tk ldrs gSaA
'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
*'kksèk fucaèk ds LFkku ij bZchih ifj;kstuk lapkfyr dh tk ldrh gS vkSj fu:i.k gsrq fjiksVZ çLrqr dh tk ldrh
gSA
VII.
• ç’uksÙkjh
• lsfeukj
• fyf[kr fufgr dk;Z@vkofèkd ijh{kk i=
• dsl@uSnkfud çLrqfr
• uSnkfud ;k ns[kHkky ekxZ@ekeys dh vè;;u fjiksVZ
• uSnkfud çn'kZu fu:i.k
• esfMdy@uÉlx ladk; çhlsIVj }kjk çfrgLrk{kfjr ykWx cqd ¼çfØ;kRed n{krk lwph ,oa uSnkfud vgZrk,a½
• oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ½
• ç’u i=
• vafre ijh{kk
¼vkadyu fn'kkfunsZ'k ds fy,
ns[ksa½
%
%
1 mUur vH;klh; uÉlx ds fy, lS)kafrd vkèkkj
2 ?kaVs
50
2
,usLFksfl;k ds;j esa 'kksèk vuqç;ksx rFkk lk{; vkèkkfjr
vH;kl
3 ?kaVs
30
70
3 usr`Ro] çcaèku rFkk f'k{k.k esa mUur dkS'ky
3 ?kaVs
30
70
4 ,usLFksfl;k ds;j esa vuqç;qDr mUur iSFkksfQft;ksykWth rFkk
mUur QkekZdksykWth
3 ?kaVs
30
70
5 mUur LokLF;@'kkjhfjd vkadyu
3 ?kaVs
30
70
50
50
1 ,usLFksfl;k uÉlx vH;kl ds ewy vkèkkj
3 ?kaVs
30
70
100
100
8
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
2 ,usLFksfl;k uÉlx I
3 ?kaVs
30
70
100
100
3 ,usLFksfl;k uÉlx II
3 ?kaVs
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 ,usLFksfl;k 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 ,usLFksfl;k ds;j esa vuqç;qDr mUur
iSFkksfQft;ksykWth
60
336 ¼7 lIrkg½
V ,usLFksfl;k ds;j esa vuqç;qDr mUur QkekZdksykWth
54
336 ¼7 lIrkg½
VI mUur LokLF;@'kkjhfjd vkadyu
70
48
576 ¼12 lIrkg½
dqy ;ksx ¾ 2208 ?kaVs
336 ¼7 lIrkg½
96 ¼2 lIrkg½
1776 ¼37 lIrkg½
VII ,usLFksfl;k uÉlx vH;kl ds ewy vkèkkj
96
48
576 ¼12 lIrkg½
VIII ,usLFksfl;k uÉlx I
96
48
576 ¼12 lIrkg½
IX ,usLFksfl;k 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 ¼ijh{kk uSnkfud inLFkkiu ds nkSjku½
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)kafrd&dkS'ky ç;ksx'kkyk&uSnkfud½ ¿lS)kafrd ¾ 15%] O;kogkfjd ¼dkS’ky ç;ksx'kkyk o
uSnkfud½ ¾ 85%À
f}rh; o"kZ% 288&144&1776 ?kaVs ¼lS)kafrd&dkS'ky ç;ksx'kkyk&uSnkfud½ ¿lS)kafrd ¾ 15%] O;kogkfjd ¼dkS’ky ç;ksx'kkyk
o uSnkfud½¾ 85%À
çFke o"kZ ¾ 46 lIrkg@2208 ?kaVs ¼46×48 ?kaVs½ ¼lS)kafrd $ ç;ksx'kkyk% 44 lIrkg ds fy, 7-5 ?kaVs çfr lIrkg ¾
330@336 $ 96 ?kaVs*½
*lS)kafrd $ 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)kafrd $ 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
*
¼tujy ltZjh] vkWFkksZisfMDl] vkbZ] bZ,uVh]
gSM ,aM uSd] U;wjks] dkÆM;ksFkksjsfdd] ;wjksykWth] thvkbZ@,pihch] ihfM;kfVªd ltZjh] jsfLijsVjh]
,aMksltZjh] vkschth] cqtqxZ] o;Ld vkSj cPps½
10
lÆtdy
2
fu;ksusVy
2
ihfM;kfVªd
2
dkÆM;ksFkksjsfdd
2
U;wjkslÆtdy
2
1
2
2
1
çlwfr vkSj L=h jksx
1
ihfM;kfVªd
1
tujy ltZjh
2
bZ,uVh
1
vkbZ
1
oLdwyj
1
Ms ds;j
1
VªkWek
1
;wjksykWth
1
U;wjks
1
2
1
2
2
¼CykWd d{kkvksa ds ,d lIrkg dks NksM+dj½
*
tujy ltZjh
7
çlwfr ,oa L=h jksx
7
vkFkksZisfMDl ,oa VkWek
5
ihfM;kfVªd ltZjh
2
vkIFksYeksykWth
3
;wjksykWth
2
bZ,uVh
2
IykfLVd ltZjh
2
dkÆM;ksFkksjsfdd
1
U;wjksltZjh
1
10
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
MsaVy
2
vkikrdkyhu ltZjh
2
jsfM;ks Mk;Xuksfll
2
,aMksLdksih :e
1
vkbZlh;w
6
C.
•
O;k[;ku ,oa ppkZ
•
lsfeukj
•
dk;Z'kkyk
•
uSnkfud dkUÝsal
•
dsl@uSnkfud çLrqfr
•
xgu vkS"kèkh; vè;;u] çLrqfr vkSj fjiksVZ
•
dsl LVMh@uSnkfud ;k ns[kHkky ekxZ çLrqfr
•
uÉlx jkmaM
•
tuZy Dyc
•
funsZf'kr iBu
•
fufgr dk;Z vkSj çkstsDV
•
dsl LVMh fo'ys"k.k
•
fleqys'ku vkèkkfjr vfèkxe
•
leL;k vkèkkfjr vfèkxe
•
vuqHkokRed vfèkxe
•
Çpru'khy vfèkxe
D.
çR;sd uSnkfud inLFkkiu ds var esa] uSnkfud ykWxcqd ¼fof'k"V çfØ;kRed n{krk,a@uSnkfud dkS'ky½ ¼
½
vkSj uSnkfud vgZrk,a ¼
½ ij fçlsIVj@ladk; }kjk gLrk{kj fd, tkus pkfg,A
E.
¼vkbZlh,u] 2020 ls :ikarfjr½
1- O;kid vkadyu] uSnkfud çfØ;kvksa] isjh&,usLFksfl;k tfVyrkvksa ds çcaèku ls lacafèkr tkudkjh çkIr djrk gSA
2- tc jksxh tfVy vkSj@;k vfLFkj okrkoj.k esa gksrs gSa] rks jksxh lqj{kk esa mUur dkS'ky rFkk n{krkvksa dks ykxw djrk gS
vkSj mUgsa vuqdwfyr djrk gSA
3- isjh&,usLFksfVd çcaèku esa Bksl mUur uSnkfud rdZ vkSj fu.kZ; ykxw djrk gSA
4- jksxh ns[kHkky ds vkadyu] çcaèku vkSj fu:i.k esa egRoiw.kZ lksp dk mi;ksx djrk gSA
5- vkadyu] funku] çcaèku dk nLrkosthdj.k djrk gS vkSj jksxh dh lk>snkjh esa mipkj rFkk vuqorÊ ns[kHkky dh
fuxjkuh djrk gSA
6- laLFkkxr çksVksdkWy ds vuqlkj vkS"kfèk;ksa vkSj mipkjksa dk ç'kklu djrk gSA
7- fpfdRlh; lacaèkksa dks 'kq: djus] fodflr djus vkSj can djus ds fy, ykxw lapkj] ijke'kZ] i{k&leFkZu vkSj
ikjLifjd dkS'ky dk mi;ksx djrk gSA
8- ns[kHkky dh fujarjrk cuk, j[kus ds fy, vU; LokLF; lsok dfeZ;ksa ls jsQjy ysrk gS vkSj jsQj djrk gSA
9- tgka Hkh vfèkÑr gks] Lora= :i ls vH;kl djrk gSA
10- vU; LokLF; lsok dfeZ;ksa vkSj vU; yksxksa ls ijke'kZ ysrk gS vkSj mUgsa ijke'kZ nsrk gSA
11- jksxh ds fgr esa vksvkj dÆe;ksa vkSj 'kY;&fpfdRlk ny ds lnL;ksa ds lkFk feydj dke djrk gSA
12- orZeku oSKkfud lk{; ij vkèkkfjr vkSj jksxh] ifjtuksa rFkk leqnk; ds LokLF; çcaèku esa 'kkfey vH;kl fodflr
djrk gSA
13- Lora= vkSj varj&is'ksoj 'kksèk ds ekè;e ls ns[kHkky dh lqj{kk] n{krk vkSj çHkko'khyrk esa lqèkkj djus ds fy,
lk{;&vkèkkfjr vH;kl fodflr djus ds fy, 'kksèk dk mi;ksx djrk gSA
14- ,ih,u Hkwfedk vkSj ftEesnkjh ds lHkh igyqvksa esa uSfrd vH;kl esa layXu jgrk gSA
15- vius mUur is'ksoj fu.kZ;] dk;Z vkSj fujarj {kerk ds fy, tokcnsgh vkSj ftEesnkjh Lohdkj djrk gSA
16- tksf[ke çcaèku j.kuhfr;ksa rFkk xq.koÙkk lqèkkj dk mi;ksx djds ,d lqjf{kr fpfdRlh; okrkoj.k cukrk gS vkSj cuk,
j[krk gSA
17- cnyrh LokLF; lsok ç.kkyh esa dq'ky mUur vH;kl uÉlx lsokvksa ds forj.k esa usr`Ro vkSj çcaèku dh ftEesnkjh ysrk
gSA
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
11
18- LokLF; lsok ç.kkfy;ksa esa jksfx;ksa ds fy, ,d i{k&leFkZd ds :i esa dk;Z djrk gS vkSj LokLF; uhfr;ksa dk fodkl
djrk gS tks O;fDrxr jksxh] ifjtuksa vkSj leqnk; dks c<+kok nsrs gSa vkSj mudh j{kk djrs gSaA
19- vH;kl dks çklafxd vkSj lkaLÑfrd ifjos'k ds vuqdwy cukrk gSA
F.
Nk=ksa dks laLFkkxr çksVksdkWy@LFkk;h vkns'kksa ds vuqlkj Lora= :i ls ,usLFksfl;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;ksa dk ç'kklu lacafèkr ,usLFksfl;ksykWftLV ds ijke'kZ ls fd;k tkrk gS vkSj ckn esa fyf[kr vkns'kksa }kjk vuqeksfnr
fd;k tkrk gSA
1- mUur vH;klh; uÉlx ds
fy, lS)kafrd vkèkkj ¼40½
8 ?kaVs
1×32¾32 ?kaVs
• lsfeukj@lS)kafrd vuqç;ksx
• O;k[;ku ¼ladk;½
2- ,usLFksfl;k ds;j esa 'kksèk
vuqç;ksx rFkk lk{; vkèkkfjr
vH;kl ¼56$24½
8 ?kaVs
40 ¼5 fnu½
$ 8 ?kaVs
1×24¾24 ?kaVs
• 'kksèk vè;;u fo'ys"k.k
• vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½
3- usr`Ro] çcaèku rFkk f'k{k.k esa
mUur dkS'ky ¼56$24½
12$2 ?kaVs
1×26¾26 ?kaVs
2-5×16¾40 ?kaVs
• uSnkfud dkUÝsal
• lsfeukj
• vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½
4- ,usLFksfl;k ds;j esa vuqç;qDr
mUur iSFkksfQft;ksykWth ¼60½
1-5×40¾60 ?kaVs
• ekeys dh çLrqfr
• lsfeukj
• uSnkfud dkUÝsal
5- ,usLFksfl;k ds;j esa vuqç;qDr
mUur QkekZdksykWth ¼54½
10 ?kaVs
1×44¾44 ?kaVs
• uÉlx jkmaM~l
• vkS"kèkh; vè;;u çLrqfr
• LFkk;h vkns'k@çLrqfr
6- mUur LokLF;@'kkjhfjd
vkadyu ¼70$48½
8 ?kaVs
2×26¾52 ?kaVs
1-5×18¾27 ?kaVs
1×15¾15 ?kaVs
2×6¾12 ?kaVs
2×2¾4 ?kaVs
• uSnkfud çn'kZu ¼ladk;½
• okilh çn'kZu
• uÉlx jkmaM~l
• 'kkjhfjd vkadyu ¼lHkh ç.kkfy;ka½
• ekeys dk vè;;u
ifjp;kRed d{kk,a ¾ 1 lIrkg ¼48 ?kaVs½] dk;Z'kkyk ¾ 1 lIrkg ¼48 ?kaVs½] 44 lIrkg ¾ 7-5 ?kaVs çfr lIrkg
¼330@336 ?kaVs½
¼48 ?kaVs½
7- ,usLFksfl;k uÉlx vH;kl ds ewy
vkèkkj
¼96$48 ?kaVs½ ¾ 144 ?kaVs
9×16¾144 ?kaVs
• çn'kZu ¼ç;ksx'kkyk½
• okilh çn'kZu ¼ç;ksx'kkyk½
• uSnkfud çf'k{k.k
• ekeys dk vè;;u
• lsfeukj
• uSnkfud dkUÝsal
• ladk; O;k[;ku
8- ,usLFksfl;k uÉlx I
¼96$48 ?kaVs½ ¾ 144 ?kaVs
9×16¾144 ?kaVs
• çn'kZu ¼ç;ksx'kkyk½
• okilh çn'kZu ¼ç;ksx'kkyk½
• uSnkfud dkUÝsal@tuZy Dyc
• lsfeukj
• ekeys dh çLrqfr
• vkS"kfèk vè;;u ¼vkS"kèkh; ikjLifjd
çHkko lfgr½
• uÉlx jkmaM~l
12
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
¼48 ?kaVs½
• ladk; O;k[;ku
9- ,usLFksfl;k uÉlx II
¼96$48 ?kaVs½ ¾ 144 ?kaVs
9×16¾144 ?kaVs
• çn'kZu ¼ç;ksx'kkyk½
• okilh çn'kZu
• uÉlx jkmaM~l
• uSnkfud dkUÝsal@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; lsok ço`fÙk;ksa vkSj pqukSfr;ksa dk fo'ys"k.k djrk gSA
2- miyCèk nLrkostksa ls ijke'kZ djds Hkkjr esa LokLF; lsok vkSj f'k{kk uhfr;ksa ds uÉlx ij çHkko dk fo'ys"k.k djrk gSA
3- Hkkjr esa LokLF; lsok forj.k ç.kkyh vkSj bldh pqukSfr;ksa dh xgu le> fodflr djrk gSA
4- ,usLFksfl;k uÉlx esa LokLF; lsok çnku djus ds fy, çklafxd vkÆFkd fl)karksa dks ykxw djrk gSA
5- ykxr] xq.koÙkk vkSj larqf"V tSls LokLF; ifj.kkeksa dks çHkkfor djus ds fy, LokLF; tkudkjh dk çcaèku vkSj
:ikarj.k djrk gSA
6- ulZ çSfDV'kuj dh Hkwfedkvksa vkSj n{krkvksa dk vH;kl djus esa tokcnsgh vkSj ftEesnkjh Lohdkj djrk gSA
7- ,usLFksfl;k ns[kHkky esa LokLF; lsok ny ds lHkh lnL;ksa dks 'kkfey djrs gq, lg;ksxh vH;kl esa lfØ; :i ls Hkkx
ysrk gS vkSj vfèkÑr nk;js esa fuèkkZfjr Hkwfedk fuHkkrk gSA
8- mUur uÉlx vH;kl ds dkuwu] uSfrdrk rFkk fofu;eu dh vPNh tkudkjh j[krs gq, uSfrd vH;kl esa layXu jgrk
gSA
9- lqfu;ksftr çf'k{kd ds ekè;e ls çnku fd, x, çf'k{k.k voljksa dk mi;ksx djrk gS vkSj uÉlx çfØ;k@ns[kHkky
ekxks± ;k uSnkfud ekxks± dks ykxw djrs gq, lqjf{kr vkSj l{ke ns[kHkky djrk gSA
10- nkrkvksa vkSj çkIrdrkZvksa dks l{ke ns[kHkky çnku djus esa uÉlx fl)karksa dh tkudkjh dks ykxw djrk gSA
11- fofHkUu LokLF; lsok lek;kstuksa esa] fo'ks"k :i ls Hkkjr esa] ulZ çSfDV'kuj Hkwfedkvksa esa vkus okyh pqukSfr;ksa dh
Hkfo";ok.kh djrk gSA
1-
oSf'od LokLF; lsok pqukSfr;ka vkSj #>ku ¼n{krk&1½
2
2-
Hkkjr esa LokLF; ç.kkyh%
Hkkjr esa LokLF; lsok 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; lsok foÙkiks"k.k% LokLF; lsok forj.k esa jktuhfr vkSj vFkZ'kkL= dh
Hkwfedk ¼n{krk&4½
4
5-
LokLF; lsok esa fMftVy ifjorZu% #>ku vkSj volj ¼n{krk&5½
4
6-
,ih,u & ifjHkk"kk] nk;jk] n'kZu] tokcnsgh] Hkwfedk vkSj ftEesnkfj;ka
¼lg;ksxh vH;kl vkSj ulZ fuèkkZj.k 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
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
13
12- ,ih,u esa vuqç;qDr uÉlx çfØ;k@ns[kHkky ekxZ ¼n{krk&9½
2
6
1-
LokLF; lsok o f'k{kk uhfr;ksa dh igpku djuk rFkk uÉlx ij blds çHkko dk fo'ys"k.k djuk
2-
Hkkjr esa ,uih vH;kl ds fy, dkuwuh fLFkfr dh O;k[;k djukA vU; ns'kksa esa bu uhfr;ksa dh
çklafxdrk ds lkFk Hkkjr esa ulZ fçLØkbÇcx uhfr;ksa dk Hkfo"; D;k gS\
3-
,usLFksfl;k ns[kHkky bdkb;ksa esa ik, tkus okys ,uih vH;kl ls çklafxd 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
•
,,,u, ¼2023½ Ldksi vkWQ ulZ ,usLFksfl;k çSfDVl] bfyuksbl] ;w,l,% ,,,u,
•
MsfuLdks ,aM ckdZlZ ,-,e- ¼2015½ ,MokaLM çSfDVl uÉlx% ,lsf’k;y uksyst QkWj n çksQs’ku ¼rhljk laLdj.k½]
eSlkpqlsV~l% tksUl ,aM ckVZysV ifCy'klZ
•
fgdh ts-oh-] vksbesV vkj-,e- ,aM osusxksuh ,l-,y- ¼1996½ ,MokaLM çSfDVl uÉlx% psaftax jksYl ,aM fDyfudy
,Iyhds’kal] fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl
•
vkbZlh,u
¼2020½
xkbMykbal
vkWu
,MokaLM
çSfDVl
uÉlx]
https://www.icn.ch/system/
files/documents/2020-4/ICN_APN%20Report_EN_WEB.pdf ls fy;k x;k
•
us'kuy vkWxZukbts'ku vkWQ ulZ çSfDV'kuj QSdYVht ¼,uvks,uih,Q 2022½ ulZ çSfDV'kuj jksy daihVsalht]
https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20220825_nonpf_
np_role_core_.pdf ls fy;k x;k
•
'kkWcj ,e- ,aM vQkjk ,Q-,- ¼2006½ ,MokaLM uÉlx çSfDVl] vkWDlQksMZ% CySdosy ifCyÇ'kx
•
LVhoVZ th-ts- ,aM MsfuLdks ,l-,e- ¼2015½ jksy MsoyiesaV QkWj n ulZ çSfDV'kuj] ;w,l,% ÇLçxj ifCyÇ'kx daiuh
II.
1-
,usLFksfl;k ns[kHkky lek;kstu esa Lora= 'kksèk djus esa xgu 'kksèk tkudkjh vkSj dkS'ky dks ykxw djrk gSA
2-
jksxh ns[kHkky dh xq.koÙkk esa lqèkkj ds fy, lg;ksxh 'kksèk esa Hkkx ysrk gSA
3-
bZchih rS;kj djus ds fy, 'kksèk fu"d"kks± dh O;k[;k vkSj mi;ksx djrk gSA
4-
loksZÙke çFkkvksa vkSj LokLF; ifj.kkeksa rFkk xq.koÙkk ns[kHkky dks fodflr djus ds fy, orZeku vH;kl dk ijh{k.k@
ewY;kadu djrk gSA
5-
ns[kHkky dh lqj{kk vkSj çHkko'khyrk dks c<+kus ds fy, ,usLFksfl;k uÉlx vH;kl esa fd, x, uÉlx eè;orZuksa ds
lk{; dk fo'ys"k.k djrk gSA
6-
oSKkfud 'kksèk fjiksVZ fy[kus esa dkS'ky fodflr djrk gSA
1- 'kksèk vkSj mUur vH;kl uÉlx% mUur uÉlx Hkwfedk ls lacafèkr 'kksèk vkSj iwNrkN dk egRo ¼n{krk&1½
2
2- ,ih,u vH;kl ds fy, 'kksèk ,tsaMk% loksZÙke vH;kl fodflr djus ds fy, orZeku vH;kl dk ijh{k.k]
LokLF; ifj.kke rFkk mUur vH;kl esa xq.koÙkkiw.kZ ns[kHkky ds ladsrd ¼n{krk&3] 4] 5½] 'kksèk laLÑfr
dks c<+kok nsuk
5
3- 'kksèk 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
'kksèk fØ;kfofèk%
- pj.k@lksiku ¼'kksèk ç'u] lkfgfR;d leh{kk] oSpkfjd lajpuk] 'kksèk fMtkbu] uewukdj.k] MsVk
laxzg.k] i)fr;ka o midj.k] fo'ys"k.k vkSj fjiksÉVx½
40
¼5 fnolh;
dk;Z'kkyk½
14
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
- 'kksèk çLrko vkSj 'kksèk fjiksVZ ys[ku ¼n{krk&1 vkSj 2½
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
- voèkkj.kk] fl)kar] egRo vkSj pj.k
- ,usLFksfl;k ns[kHkky okrkoj.k esa bZchih dks ,dhÑr djuk
- ,usLFksfl;k ns[kHkky esa lk{; ds {ks=
- bZchih dks ykxw djus esa ckèkk,a
- bZchih dks c<+kok nsus dh j.kuhfr;ka ¼n{krk&3] 4] 5½
4
24 ?kaVs
•
'kksèk çkFkfedrkvksa dh igpku djuk
•
'kksèk ç'u] mís'; vkSj ifjdYiuk ij vH;kl ys[ku
•
'kksèk çLrko@bZchih ifj;kstuk çLrko ys[ku
•
oSKkfud i= ys[ku & çdk'ku ds fy, ikaMqfyfi rS;kj djuk
•
O;ofLFkr leh{kk@lkfgfR;d leh{kk ys[ku% ,usLFksfl;k bdkbZ esa fn, x, uÉlx eè;orZu ds lk{; dk fo'ys"k.k djuk
'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
•
iksfyr Mh-,Q- ,aM csd lh-Vh- ¼2021½ uÉlx fjlpZ% tsusjsÇVx ,aM ,lsÇlx ,foMsal QkWj uÉlx çSfDVl ¼11oka
laLdj.k½] ubZ fnYyh% oksYVlZ ,aM Dywoj
•
f'eV ,u-,- ,aM czkmu ts-,e- ¼2021½ ,foMsal csLM çSfDVl QkWj ulsZl vçsty ,aM ,fIyds'ku vkWQ fjlpZ] ,lMh%
tksUl ,aM ckVZysV ifCy'klZ
III.
1-
,usLFksfl;k ns[kHkky bdkbZ esa usr`Ro vkSj çcaèku ds fl)karksa dks ykxw djrk gSA
2-
fl)karksa dh csgrj tkudkjh dk mi;ksx djds ,usLFksfl;k ns[kHkky lek;kstu esa ruko o la?k"kZ dks çHkkoh <ax ls
çcafèkr djrk gSA
3-
leL;k lekèkku vkSj fu.kZ; ysus ds dkS'ky dks çHkkoh <ax ls ykxw djrk gSA
4-
,usLFksfl;k ns[kHkky lek;kstu esa usr`Ro çnku djus rFkk çcaèku esa xgu Çpru vkSj lapkj dkS'ky dk mi;ksx djrk
gSA
5-
ny cukrk gS vkSj ,usLFksfl;k ns[kHkky lek;kstu esa nwljksa dks çsfjr djrk gSA
6-
bdkbZ dk ctV rS;kj djrk gS] vkiwÆr vkSj LVkQ dk çHkkoh <ax ls çcaèku djrk gSA
7-
uokpkj vkSj cnyko ds le; mfpr Hkkxhnkjh djrk gSA
8-
f'k{k.k ds xgu fl)kar o #>kuksa ds vkèkkj ij çHkkoh f'k{k.k fofèk;ksa] ehfM;k vkSj vkadyu dk mi;ksx djrk gSA
9-
jksxh ns[kHkky esa i{k&leFkZu Hkwfedk fodflr djrk gS] vLirky o lkeqnkf;d lek;kstuksa dh isjh&,usLFksfl;k
bdkb;ksa esa xq.koÙkk vkSj uSfrdrk cuk, j[krk gSA
10- ladV dh fLFkfr;ksa esa fo'ks"k :i ls Vscy vkikr fLFkfr;ksa esa jksfx;ksa rFkk ifjtuksa dks ijke'kZ çnku djrk gSA
1- fl)kar] usr`Ro 'kSyh vkSj orZeku #>ku
2
2- fl)kar] çcaèku 'kSyh vkSj orZeku #>ku
2
3- ,usLFksfl;k ns[kHkky lek;kstu esa vuqç;qDr usr`Ro vkSj çcaèku ds fl)kar
4
4- ruko çcaèku ,oa Vdjko çcaèku & fl)kar vkSj ,usLFksfl;k ns[kHkky lek;kstu esa vuqç;ksx] çHkkoh le;
çcaèku
4
5- xq.koÙkk lqèkkj ,oa laijh{k.k
4
6- leL;k lekèkku] vkykspukRed lksp o fu.kZ; ysuk] ,usLFksfl;k uÉlx vH;kl esa vuqç;qDr lapkj dkS'ky
5
7- vksvkj lek;kstu esa ny cukuk] çsfjr djuk vkSj lykg nsuk
2
8- ctV o lalkèku çcaèku ftlesa ekuo lalkèku 'kkfey gS & vksvkj ctV] lkexzh çcaèku] LVkQ] fufgr dk;Z
5
9- cnyko vkSj uokpkj
2
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
15
10- LVkQ çn'kZu vkSj vkadyu ¼çn'kZu dk fu:i.k½
6
11- f'k{k.k&vfèkxe fl)kar vkSj ,usLFksfl;k uÉlx esa vuqç;qDr 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 & vuqHkokRed] Çpru'khy] ifjn`'; vkèkkfjr] fleqys'ku vkfn]
ehfM;k% ,usLFksfl;k 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- ,usLFksfl;k ns[kHkky lek;kstu esa i{k&leFkZu Hkwfedk,a
2
24 ?kaVs
1- LVkQ jksxh 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 vH;klksa dh fuxjkuh] vkadyu vkSj fjiksVZ ys[ku
8- f'k{k.k ;kstuk dk fodkl
9- lw{e f'k{k.k@vfHkHkkod çf’k{k.k l=
10- jksxh rFkk deZpkfj;ksa ds fy, çf'k{k.k i)fr vkSj ehfM;k rS;kj djuk
11- vks,llhbZ@vks,lihbZ dh ;kstuk cukuk vkSj lapkyu djuk
12- ijh{k.k fuekZ.k
vkWijs’ku :e dk;Z&LFky fgalk
•
cSLVscy ,l-ch- ¼2019½ ulZ ,t ,tqdsVj% fçaflIYl vkWQ Vhfpax ,aM yfu±x QkWj uÉlx çSfDVl ¼5oka laLdj.k½] ubZ
fnYyh% tksUl ,aM ckVZysV ifCy'klZ
•
fcÇyXl Mh-,e- ,aM gsyLVhM ts-,- ¼2009½ Vhfpax bu uÉlx% v xkbM QkWj QSdYVh ¼NBk laLdj.k½] lsaV yqbl]
felkSjh% lkWUMlZ ,Ylsfo;j
•
DykdZ lh-lh- ¼2010½ fØ,fVo uÉlx yhMjf'ki ,aM eSustesaV] ubZ fnYyh% tksUl ,aM ckVZysV ifCy'klZ
•
fyCyj ts-th- ,aM eSddksusy lh-vkj- ¼2008½ esustesaV fçaflIYl QkWj gSYFk çksQs’kuYl] lMcjh] ,e,% tksUl ,aM ckVZysV
ifCy’klZ
•
jlsy ,y- ,aM LokUlcxZ vkj-lh- ¼2010½ esustesaV ,aM yhMjf’ki QkWj ulZ ,MfefuLVªsVlZ ¼5oka laLdj.k½] ubZ fnYyh%
tksUl ,aM ckVZysV ifCy’klZ
IV.
1- ,usLFksfl;k iwoZ vkadyu djus] ,usLFksfl;k ds nkSjku fuxjkuh vkSj ,usLFksfl;k ds i’pkr ns[kHkky djrs le;
iSFkksfQft;ksykWth dh tkudkjh dks ,dhÑr djrk gSA
2- iSFkksfQft;ksykWth dh tkudkjh dk mi;ksx djds isjh&,usLFksfl;k lac) tfVyrkvksa ls lacafèkr y{k.kksa dk çcaèku
djrk gSA
3- isjh&,usLFksfl;k jksxh ns[kHkky lacafèkr ifjorZuksa dk fo'ys"k.k djrk gSA
IV. A.
I
6
dkÆM;ksoLdqyj fLFkfr;ksa dh iSFkksfQft;ksykWth
•
mPp jDrpki ¼gkbijVsa’ku½
•
vYi jDrnkc ¼gkbiksVsa'ku½
•
dksjksujh vkVZjh jksx
•
bLdsfed gVZ jksx
•
gVZ QsY;j
16
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
•
gkbijVªkWfQd dkÆM;ksek;ksiSFkh
•
okYoqyj gVZ jksx
•
tUetkr ân; jksx
•
isfjdkÆM;y jksx
•
,usLFksfVd ,tsaVksa ls lacafèkr dkÆM;ksoLdqyj tksf[ke
•
dkÆM;ksoLdqyj flLVe ij LFkkiu dk çHkko
II
6
iYeksujh fLFkfr;ksa dh iSFkksfQft;ksykWth
•
iYeksujh QaD’ku
•
QsQM+ksa dh fLFkfr;ksa dh iSFkksfQft;ksykWth
•
vkCLVªfDVo iYeksujh jksx
•
jSfLVªfDVo iYeksujh jksx
•
iYeksujh ,EcksfyTe
•
iYeksujh ,fMek
•
iYeksujh gkbijVsa’ku
•
vLijs’ku
•
,VsysDVkfll
•
dksj iYeksusy
•
,usLFksfVd ,tsaVksa ls lacafèkr iYeksujh tksf[ke
•
iYeksujh flLVe ij LFkkiu dk çHkko
III
6
raf=dk lacaèkh fodkjksa dh iSFkksfQft;ksykWth
•
baVªkØSfuvy gkbijVsa’ku
•
czsu LVse batjh
•
LVªksd
•
VªkWesfVd czsu batjh
•
ohul ,;j ,EcksfyTe
•
lsjhczy ,U;wfjTe
•
vkfVZfj;ks&ohul foÑfr;ka
•
lsjhczksoLdwyj nq?kZVuk
•
baVªkØSfuvy ekl ysflvu
•
nkSjs
•
vi{k;h raf=dk lacaèkh jksx
•
U;wjkseLdqyj jksx
•
jh<+ dh gìh dh pksV
•
U;wjksykWftdy VªkWek
•
ekufld fodkj & volkn] f}èkzqoh jksx] fltksÝsfu;k] U;wjksysfIVd esfyXusaV ÇlMªkse] eknd æO;ksa dk
lsou
•
,usLFksfVd ,tsaVksa ls lacafèkr raf=dk lacaèkh tksf[ke
•
U;wjksykWftdy flLVe ij LFkkiu dk çHkko
IV
4
jhuy fLFkfr;ksa dh iSFkksfQft;ksykWth
•
fcukbu çksLVsfVd gkbijIykfl;k
•
Vîwej
•
CySMj VªkWek
•
jhuy QsY;j
•
,usLFksfVd ,tsaVksa ls lacafèkr xqnsZ ds tksf[ke
V
4
xSLVªksbaVsLVkbuy vkSj gsisVksfcyjh fLFkfr;ksa dh iSFkksfQft;ksykWth
•
thvkbZ CyhM
•
,CMksfeyu batjh ¼isV dh pksV½
•
baVsLVkbuy vkWCLVªD’ku ¼vkarksa esa #dkoV½
•
ijQksjsVsM visafMDl
•
,D;wV iSufØ;kfVfVl ¼rhoz vXuk'k;'kksFk½
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
17
•
,CMksfeuy ,vksVkZ ,U;wfjTe
•
gsisVkbfVl & rhoz] th.kZ
•
fljksfll
•
gsisfVd QsY;j ¼;Ñr foQyrk½
•
,usLFksfVd ,tsaVksa ls lacafèkr xSLVªksbaVsLVkbuy vkSj gsisVksfcyjh tksf[ke
VI
4
var%lzkoh dk;ks± dh iSFkksfQft;ksykWth
•
Mk;fcVhl esysVl
•
gkbijFkk;jk;fMTe] gkbiksFkk;jk;fMTe
•
gkbijiSjkFkk;jk;fMTe] gkbiksiSjkFkk;jk;fMTe
•
feujyksdkWÆVdkWbM dh vfèkdrk] feujyksdkWÆVdkWbM dh deh] XywdksdkWÆVdkWbM dh vfèkdrk]
XywdksdkWÆVdkWbM dh deh] dSVsdksykekbu dh vfèkdrk
•
eksVkik
•
dkÆlukWbM ÇlMªkse
•
,usLFksfVd ,tsaVksa ls lacafèkr ,aMksfØuksykWftdy tksf[ke
IV. B.
I
4
,e,l fLFkfr;ksa dh iSFkksfQft;ksykWth
•
jh<+ dh gìh esa ÝSDpj
•
,afdyksÇlx LikWfUMykbfVl
•
fMLyksds'ku
•
fyxkesaVy batjh
•
lwtu lacaèkh fLFkfr;ka
•
baVjoVsZczy fMLd çksySIl] ikWV~l jksx
•
tUetkr & dk;Qksfll] ykWMksZfll] Ldksfy;ksfll
•
,usLFksfVd ,tsaVksa ls lacafèkr ,e,l tksf[ke
•
,e,l flLVe ij LFkkiu dk çHkko
II
8
dku] ukd vkSj xys dh fLFkfr;ksa dh iSFkksfQft;ksykWth
•
dku dh fLFkfr
•
vka[kksa dh fLFkfr
•
ukd dh fLFkfr
•
xys dh fLFkfr
III
6
fuEu fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k
•
'kkWd
& gkbiksoksysfed
& dkÆM;kstsfud
& fMfLVªC;wfVo
•
VªkWek
& FkksjSfdd
& isV
& eLdqyksLdsysVy
& eSfDlyksQsf'k;y
IV
4
18
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
•
cdksZfoV~t ,- ¼2021½ fDyfudy iSFkksfQft;ksykWth ¼nwljk laLdj.k½] esMekLVj bad
•
áwFkj ,l-bZ-] eSddSal ds-,y- ,aM czs’klZ oh-,y- ¼2019½ vaMjLVsafMax iSFkksfQft;ksykWth ¼7oka laLdj.k½] lsaV yqbl]
felkSjh% ,Ylsfo;j
•
áwFkj ,l-bZ- ,aM eSddSal ds-,y- ¼2012½ vaMjLVsafMax iSFkksfQft;ksykWth ¼5oka laLdj.k½] lsaV yqbl] felkSjh% ,Ylsfo;j
•
ukxsygkmV ts-ts- ,aM ,yh'kk ,l- ¼2018½ ulZ ,usLFksfl;k] lsaV yqbl] felkSjh% ,Ylsfo;j
•
ukWfjl Vh-,y- ¼2020½ iksFlZ vlsaf’k;Yl vkWQ iSFkksfQft;ksykWth ¼5oka laLdj.k½] okYVlZ Dywoj
•
iksFkZ lh-,e- ¼2007½ vlsaf’kYl vkWQ iSFkksfQft;ksykWth% dulsIV~l vkWQ vYVMZ gSYFk LVsV~l ¼pkSFkk laLdj.k½]
fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl
•
iksFkZ lh-,e- ¼2007½ vlsaf’kYl vkWQ iSFkksfQft;ksykWth% dulsIV~l vkWQ vYVMZ gSYFk LVsV~l ¼nwljk laLdj.k½]
fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl
•
LVksjh ,y- ,aM Myqxk'k ,y- ¼2019½ ,MokaLM iSFkksfQft;ksykWth QkWj n ,MokaLM çSfDVl ulZ ¼igyk laLdj.k½] tksUl
,aM ckVZysV ifCy'klZ] bad-
•
fofyl ,y-,e- ¼2019½ çksQs'kuy xkbM QkWj iSFkksfQft;ksykWth ¼pkSFkk laLdj.k½] fQykMsfYQ;k% fyÇidkWV fofy;El ,aM
foÇYdl
V.
1-
fofHkUu çdkj ds ,usLFksfl;k çnku djus vkSj ,usLFksfl;k ds i’pkr jksfx;ksa dh ns[kHkky esa vkS"kèkh; fl)karksa dk
vuqç;ksx djrk gSA
2-
,usLFksfl;k esa QkekZdksFksjsI;wfVDl vkSj QkekZdksMk;usfeDl dk fo'ys"k.k vkSj vuqç;ksx djrk gSA
3-
fl)karksa vkSj laLFkkxr çksVksdkWy ds vkèkkj ij lqjf{kr vkS"kfèk nsus dk vH;kl djrk gSA
4-
vkS"kèkh; ,ytÊ] ,ukfQySfDll vkSj vkS"kèkh; vfèkdrk ds ekeys esa lgh rjhds ls nLrkost rS;kj djrk gS vkSj mfpr
ns[kHkky çnku djrk gSA
5-
,usLFksfl;k çnku djrs le; vkS"kfèk;ksa dh ijLij fØ;k ds ckjs esa xgu tkudkjh dk vuqç;ksx djrk gSA
I
2
•
bfro`Ùk
fof'k"V laØe.kksa dh mUur iSFkksfQft;ksykWftdy çfØ;k
•
,pvkbZoh
•
VsVul
•
lklZ
•
fjdsV~fl;ksfll
•
ysIVksLik;jksfll
•
Msaxw
•
eysfj;k
•
fpduxqfu;k
•
jscht
•
,fo;u ¶yw
•
Lokbu ¶yw
•
dksfoM&19
V
8
çtuu fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k
•
xHkkZoLFkk & lkekU;] vafCydy dkWMZ çksySIl] fMLVksfl;k ,aM ,CukWeZy QhVy çstsaVs’kal ,aM iksth’kal]
eYVhiy xSLVs’kal] xHkkZoLFkk çsfjr mPp jDrpki] ckfèkr çlo] QVk gqvk xHkkZ'k;] le;&iwoZ çlo
•
çloiwoZ jDrlzko & IyslsaVk çhfo;k] ,CjI’ku IyslsaVk] ;wVhfju jIpj ¼xHkkZ'k; dk QVuk½
•
f>Yyh dk le; ls igys VwVuk
•
dksfj;ks,fEu;ksfufVl
•
,efu;ksfVd ¶Y;wM ,EcksfyTe
•
çloksÙkj jDrlzko
•
HELLP ¼gseksfyfll] ,yhosVsM fyoj ,atkbe] yks IysVysV dkmaV½
•
vk?kkr
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
19
•
vkS"kfèk;ksa dk oxÊdj.k rFkk vuqlwph
II
4
•
ifjp;
•
fØfVdy ds;j esa lekos'k.k] forj.k] p;kip; vkSj mRltZu
•
IykTek dalaVªs’ku] gkQ ykbQ
•
yksÇMx Mkst vkSj esaVsusal Mkst
•
fpfdRlh; lwpdkad vkSj vkS"kèkh; lqj{kk
•
{kerk vkSj çHkkodkfjrk
•
vkS"kfèk nsus ds fl)kar
o vkS"kfèk nsus ds vfèkdkj
o eki ç.kkyh
o vkarfjd vkS"kfèk nsuk
o lkef;d vkS"kfèk nsuk
o iSjsaVsjy vkS"kfèk nsuk
III
4
•
ifjp;
•
QkekZdksdkbusfVDl
•
orZeku bugsys'ku mipkj dk uSnkfud voyksdu
•
dkÆM;ksoLdqyj] iYeksujh] gsisfVd] U;wjkseLdqyj] lkekU; çHkko] çlwfr ij buosflo ,usLFksfl;k dh
U;wjksQkekZdksykWth] vkSj Hkzw.k fodkl ds çHkko
•
,usLFksfl;k MhxzsMs’ku ckb dkcZu MkbvkWDlkbM
•
ok"i'khy ,usLFksfl;k dh uSnkfud mi;ksfxrk
•
LFkk;h vkns'k@laLFkkxr çksVksdkWy
IV
5
•
ifjp;
•
QkekZdksdkbusfVDl
•
baVªkohul ,usLFksfl;k ds lkekU; fl)kar
•
fuEufyf[kr dh QkekZdksdkbusfVDl] QkekZdksMk;usfeDl] uSnkfud mi;ksx vkSj nq"çHkko
o çksiksQksy
o ,VksfeMsV
o dsVkekbu
o MsDlesMsVksfeMkbu
o csatksMk;tsikbal
o ckÆcpqjsV~l
•
U;w baVªkohul ,usLFksfVDl
•
LFkk;h vkns'k@laLFkkxr çksVksdkWy
V
4
•
ifjp;
•
vksfivksbM dh QkekZdksdkbusfVDl vkSj QkekZdksMk;usfeDl
•
vksfivksbM eSdsfuTe
•
vksfivksbM çsfjr ’olu volkn
•
vksfivksbM lacafèkr vU; nq"çHkko
•
çlo ihM+k ds fy, jsfeQsaVkfuy
•
vkuqoaf'kd varj
•
vksfivksbM çsfjr bE;wuksekWMîwys'ku vkSj dSalj iqujko`fÙk
•
vksfivksbM ij fuHkZj jksfx;ksa esa rhoz nnZ çcaèku
VI
6
•
ifjp;
•
QkekZdksdkbusfVDl vkSj QkekZdksMk;usfeDl
•
vkS"kèkh; fo'ks"krk,a
•
MhiksyjkbÇtx U;wjkseLdqyj CykWÇdx MªXl
•
ukWu&MhiksykjkbÇtx U;wjkseLdqyj CykWÇdx MªXl
•
Mªx baVjsD'ku
•
U;wjkseLdqyj CykWÇdx ,tsaV ds fodYi
20
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
•
ekWfuVfjax vkWQ U;wjkseLdqyj CykWdsM
•
fjolZy vkWQ U;wjkseLdqyj CykWdsM
VII
4
•
ifjp;
•
fuEufyf[kr dh QkekZdksdkbusfVDl vkSj QkekZdksMk;usfeDl
o fu;ksfLVXekbu
o ikbfjMksfLVXekbu
o ,MªksQksfu;e
o fQtksfLVXekbu
o lqxkekMsDl
o ,y&flLVhu
VIII
2
•
ifjp;
•
fuEufyf[kr dh QkekZdksdkbusfVDl vkSj QkekZdksMk;usfeDl
o ,Vªksfiu
o Ldksiksykfeu
IX
4
•
ifjp;
•
fuEufyf[kr dh QkekZdksdkbusfVDl vkSj QkekZdksMk;usfeDl
o QsfuysÝhu
o vYQk 2 ,xksfuLV
o ,fiusÝhu
o bQsfMªu
o ukWj,fiusÝhu
o Mksikekbu
o vkblksçksVsjsukWy
o MkscqVkekbu
o MksisDlkekbu
o QsuksYMksiSe
X
4
•
ifjp;
•
fuEufyf[kr dh QkekZdksdkbusfVDl vkSj QkekZdksMk;usfeDl
o vYQk CykWdlZ & QsaVksykehu
o feDLM ,aVkxksfuLV~l & yscsVkyksy
o chVk CykWdlZ & ,Leksyksy] esVksçksyksy] çksçkuksyksy] usfcyksy] dkosZfMyksy
XI
4
•
ifjp;
•
fuEufyf[kr dh QkekZdksdkbusfVDl vkSj QkekZdksMk;usfeDl
o fgLVkekbu fjlsIVj ,aVkxksfuLV~l & H1 fjlsIVj ,aVkxksfuLV~l] H2 fjlsIVj ,aVkxksfuLV~l
o ,aVkflM & esVksDyksçekbM] çksVkWu iai bufgfcVlZ] 5 HT3 fjlsIVj ,aVkxksfuLV~l
o C;wfVjksQsuksUl
o MsDlkesFkklksu
o U;wjksfdfuu 1 fjlsIVj ,aVkxksfuLV
XII
4
•
ifjp;
•
fuEufyf[kr dh QkekZdksdkbusfVDl vkSj QkekZdksMk;usfeDl
o dsVksjksykd
o DyksfuMhu
o MsDlesMsVksfeMhu
o MksDlk çke
o ukyksDlksu
o ukYVªsDlksu
o ¶yqektsfuy
XIII
3
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
21
•
ifjp;
•
fuEufyf[kr dh QkekZdksdkbusfVDl vkSj QkekZdksMk;usfeDl
o ukbVªks oklksfMysVj & lksfM;e ukbVªksçqlkbM] ukbVªksfXyljhu] gkbMªSykftu
o ukWu&ukbVªks oklksfMysVj & QsuksYMksise] dSfY'k;e ,aVkxksfuLV~l
XIV
4
•
ifjp;
•
QkekZdksdkbusfVDl vkSj QkekZdksMk;usfeDl
•
yksdy ,usLFksfVDl dk fØ;k ra=
•
QkekZdksykWth vkSj QkekZdksMk;usfeDl
•
yksdy ,usLFksfl;k dh QkekZdksdkbusfVDl
•
yksdy ,usLFksfl;k dk uSnkfud mi;ksx
•
yksdy ,usLFksfl;k dh fo"kkDrrk
•
U;w yksdy ,usLFksfVDl
•
Hkfo"; dh fpfdRlk vkSj rkSj&rjhds
•
bZlsu ,p-ts- ¼2020½ QkekZdksykWth vkWQ bE;wukslçs'ku ¼igyk laLdj.k½] ÇLçxj
•
eSds th-,- ,aM okYVlZ ,e-vkj- ¼2021½ fDyfudy QkekZdksykWth ,aM FksjsI;wfVDl ¼10oka laLdj.k½] okbyh&CySdosy
•
fQfyIl ,u-,e- ¼2013½ csjh ,aM dksgUl vkWijsÇVx :e VSduhd] ,Ylsfo;j% ubZ fnYyh
•
fous ,-,y-] ow Vh-,e- ,aM vksysbZ ,-ts- ¼2007½ QkekZdksFksjsI;wfVDl QkWj ulZ çSfDV'kuj fçLØkbclZ ¼nwljk laLdj.k½]
fQykMsfYQ;k% Msfol
VI.
1-
ç.kkyhokj 'kkjhfjd vkadyu ds fl)karksa dks ykxw djrk gS vkSj mfpr ijh{k.k dkS'ky fodflr djrk gSA
2-
lkekU; o vlkekU; fu"d"kks± ds chp varj djus ds fy, mUur LokLF; vkadyu dkS'ky dk mi;ksx djrk gSA
3-
ijh{k.k fu"d"kks± rFkk laLFkkxr çksVksdksy ds vkèkkj ij LØhÇux vkSj uSnkfud ijh{k.kksa dk vkns'k nsrk gSA
4-
HkkSfrd ijh{k.k ds fu"d"kks± rFkk fofHkUu tkapksa ds ifj.kkeksa dk fo'ys"k.k djrk gS vkSj ,usLFksfl;k dk lgh fodYi
pquus esa ,usLFksfl;ksykWth ny ds lkFk feydj dke djrk gSA
5-
vkadyu] funku rFkk çcaèku dk nLrkosthdj.k djrk gS vkSj LokLF; lsok ny ds lnL;ksa] jksfx;ksa rFkk ifjtuksa ds
lkFk vuqorÊ ns[kHkky dh fuxjkuh djrk gSA
I
4
•
bfro`Ùk ysuk
•
'kkjhfjd tkap
II
6
•
,usVkWeh ,aM fQft;ksykWth vkWQ lhoh,l & leh{kk
o ân; dh lajpuk
o ân; ls jDr çokg
o ân; dh pkyu ç.kkyh
o èkeuh vkSj f'kjk,a
•
lhoh,l ds lkekU; y{k.k% lhus esa nnZ] lkal Qwyuk] èkM+du] csgks'kh] ÇiMyh esa nnZ
•
ân; lacaèkh bfro`Ùk ysuk
•
'kkjhfjd vkadyu% fujh{k.k% Ropk dk jax] tqxqyj ohu fMLVsa’ku] ,fMek
•
'kkjhfjd vkadyu% vkWLdYVs'ku% ân; èofu] dSjksfVM èofu
•
'kkjhfjd vkadyu% Li'kZ% ukM+h] dsfiyjh jhfQy] ,fMek] ghOl ;k fFkzYl
•
vU; vkadyu% jDrpki] tqxqyj ohul çslj
•
ân; ç;ksx'kkyk vè;;u% tSo jklk;fud ekdZj] gseVksykWftdy vè;;u
•
ân; funku vè;;u% bysDVªksdkÆM;ksxzke] bdksdkÆM;ksxzkQh] VªkallksQsft;y bdksdkÆM;ksxzkQh] LVªSl
VSfLVax] gksYVj ekWfuVÇjx] ek;ksdkÆM;y ij¶;wtu LdSu] dksjksujh ,aft;ksxzkQh] VªkalØSfu;y MkWiyj]
okYo ,fj;k vkSj VªkalokYoqyj xzsfM,aV] jsxÆxVsaV QSD’ku
•
èkeuh jDrpki% vkSlr vkfVZfj;y çslj
22
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
III
6
•
,usVkWeh ,aM fQft;ksykWth vkWQ jsfLijsVjh flLVe
•
’olu ç.kkyh ds lkekU; y{k.k
•
’olu ç.kkyh dk bfro`Ùk ysuk
•
'kkjhfjd tkap% fujh{k.k% psruk ds Lrj dk vkadyu] ’olu nj] lkal ysus dk iSVuZ] gksB] psgjs] gkFk
vkSj iSjksa dh Ropk dk jax] le:irk vkSj foU;kl ds fy, Nkrh] DyÇcx
•
'kkjhfjd tkap% vkWLdYVs'ku% QsQM+ksa dh vkokt
•
'kkjhfjd tkap% iD;wZ'ku% lqLr vkokt] Li"V de&fip okyh vkokt] [kks[kyh vkokt
•
’olu ekWfuVfjax% vkfVZfj;y CyM xSl] iYl vkWDlhesVªh] ,aM&VkbMy dkcZu MkbvkWDlkbM ekWfuVfjax
•
’olu funku ijh{k.k% pSLV jsfM;ksxzkQh] osafVys'ku ij¶;wtu LdSÇux] iYeksujh ,aft;ksxzkQh]
czksadksLdksih] FkksjSlsUVsfll] LiqVe dYpj] iYeksujh QaD’ku VSLV
•
bykfLVd jsftLVsal dk vkadyu% vuqikyu] yax okWY;qe] QaD’kuy jsftMqvy dsisflVh] okbVy
dsisflVh
•
ukWu&bykfLVd jsftLVsal dk vkadyu & ,;jos jsftLVsal Vq xSl ¶yks] fVL;w jsftLVsal
•
,fYo;ksyj] vkfVZfj;y vkSj ohul xSl ruko dk vkadyu
o vkWDlhtu & ,fYo;ksyj vkWDlhtu ruko] iYeksujh ,aM dsfiyjh vkWDlhtu ruko] vkfVZfj;y
vkWDlhtu ruko] feDLM ohul vkWDlhtu ruko
o dkcZu MkbvkWDlkbM & feDLM ohul dkcZu MkbvkWDlkbM ruko] ,fYo;ksyj
dkcZu&MkbvkWDlkbM ruko] iYeksujh ,aM dsfiyjh dkcZu MkbvkWDlkbM ruko] vkfVZfj;y dkcZu
MkbvkWDlkbM ruko] ,aM VkbMy dkcZu MkbvkWDlkbM ruko
IV
6
•
raf=dk lacaèkh bfro`Ùk
•
lkekU; 'kkjhfjd tkap% lapkj] vuqHkwfr] èkkj.kk ¼ekufld fLFkfr½] diky raf=dk ijh{k.k] laosnh
ijh{k.k] eksVj ijh{k.k] xfr dh lhek] ekalisf'k;ksa dh rkdr] ekalisf'k;ksa dh lgu'kfDr] ltxrk]
larqyu] pky
•
U;wjksMk;XuksfLVd vè;;u & bysDVªks,UlsQsyksxzkQh] boksDM iksVsaf'k;y] lhVh LdSu] ,evkjvkbZ] iSV
LdSu
V
5
•
bfro`Ùk
•
'kkjhfjd tkap
•
vlslesaV vkWQ jhuy QaD’ku & CyM ;wfj;k ukbVªkstu] lhje fØ,fVfuu] fØ,fVfuu Dyh;jsal]
fØ,fVfuu jsf’k;ks
•
vlslesaV vkWQ bysDVªksykbV~l ,aM ,flM csl cSysal
•
vlslesaV vkWQ ¶Y;wM cSysal
VI
6
•
bfro`Ùk
•
'kkjhfjd tkap
•
thvkbZ VªSDV dk vkadyu
•
fyoj QaD'ku dk vkadyu & lhje fcyh#fcu] lhje VªkalQsjsfll] lhje ,Ydykbu QkWLQsVst]
lhje ,YC;wfeu] CyM veksfu;k] çksFkzksfEcu Vkbe VSLV
•
Mk;XuksfLVd vè;;u & jsfM;ksykWftdy vkSj besÇtx vè;;u] ,aMksLdksfid vè;;u
VII
5
•
bfro`Ùk
•
'kkjhfjd tkap
•
,aMksØkbu xzafFk;ksa dk vkadyu vkSj mudh xfrfofèk & gkeksZuy Lrj] bysDVªksykbV Lrj
•
ç;ksx'kkyk vè;;u & bysDVªksykbV Lrj] CyM lqxj
•
uSnkfud ijh{k.k & jsfM;ksykWftdy vkSj besÇtx vè;;u] bZlhth
VIII
4
•
bfro`Ùk
•
'kkjhfjd tkap & pky dk vkadyu] tksM+ksa dk vkadyu
•
ç;ksx'kkyk vè;;u & CyM iSjkehVj ¼bu¶ysesVjh ,atkbe] ;wfjd ,flM½
•
uSnkfud vè;;u & jsfM;ksykWftdy vkSj besÇtx vè;;u
IX
5
•
bfro`Ùk
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
23
•
'kkjhfjd tkap
•
ç;ksx'kkyk vè;;u
•
uSnkfud vè;;u
X
5
•
bfro`Ùk
•
'kkjhfjd tkap
•
ç;ksx'kkyk vè;;u
•
uSnkfud vè;;u & jsfM;ksykWftdy vkSj besÇtx vè;;u] ,aMksLdksfid vè;;u
XI
4
•
o`f) vkSj fodkl
•
iks"k.k vkadyu
•
fof'k"V ç.kkyh vkadyu
XII
4
•
bfro`Ùk
•
'kkjhfjd tkap
•
ç;ksx'kkyk vè;;u
•
uSnkfud vè;;u & jsfM;ksykWftdy vkSj besÇtx vè;;u
XIII
4
•
bfro`Ùk
•
'kkjhfjd tkap
•
uotkr f'k'kq ds LØhÇux ijh{k.k
•
Lruiku
•
iks"k.k
XIV
3
•
bfro`Ùk
•
'kkjhfjd tkap
•
ç;ksx'kkyk vè;;u
•
uSnkfud & fLdu Leh;j] fLdu LoSc] fLdu ck;ksIlh] ,ytsZu VSLV
XV
3
•
bfro`Ùk
•
'kkjhfjd tkap
•
ç;ksx'kkyk vè;;u
•
tsfj,fVªd vlslesaV VwYl & fDyfudy fMesaf'k;k jsÇVx Ldsy] feuh&esaVy LVsV ,Xtkfeus’ku]
vYtkbej jksx ds ekunaM] dkedkt ds iSekus dk oSf’od vkadyu] tsfj,fVªd fMçs'ku Ldsy] LVªksd
vlslesaV Ldsy
¼48 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl
'kkfey gS½
48 ?kaVs
•
O;kid bfro`Ùk ysuk
•
dsafær bfro`Ùk ysuk ¼ç.kkyh okj½
•
O;kid 'kkjhfjd tkap
•
dsafær 'kkjhfjd tkap ¼ç.kkyh okj½
•
uSnkfud ekinaMksa dh fuxjkuh ¼ç.kkyh okj½
•
,usLFksfl;k ik jgs cPpksa dk vkadyu
o uotkr f'k'kq vkSj cPps
•
,usLFksfl;k ik jgs o`)ksa dk vkadyu
•
,usLFksfl;k ik jgh xHkZorh efgykvksa dk vkadyu
•
fofHkUu çdkj ds ,usLFksfl;k ds rgr fofHkUu 'kY;&fpfdRlkvksa ls xqtj jgs jksfx;ksa dk ,usLFksfl;k iwoZ vkadyu
•
laLFkkxr çksVksdkWy ds vuqlkj ç;ksx'kkyk@uSnkfud ijh{k.kksa dk vkns'k nsuk vkSj mudh O;k[;k djuk
24
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
•
cjk'k ih-th-] dqysu vkj-ch-] LVksÇYVx vkj-ds-] fe'ksy ds-] dgyu ,e-] fØLVhu ,l-] vksVsZxk vkj-] lSe vkj- 'kjkj ,aM
urkyh ,Q-,p- ¼2023½ fDyfudy ,usLFksfl;k ¼9oka laLdj.k½] ;w,l,% oksYVlZ ,aM Dywoj
•
fcdys ,y-,l- ,aM fltykxh ih-th- ¼2013½ csV~l xkbM Vw fQftdy ,Xtkfeus'ku ,aM fgLVªh VsÇdx ¼11oka laLdj.k½]
ubZ fnYyh% fyÇidkWV fofy;El ,aM foÇYdl
•
jksM~l ts- ¼2006½ ,MokaLM gSYFk vlslesaV ,aM Mk;XuksfLVd jhtÇux] fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl
•
jkWcVZ vkj-ds-] xzsosuLVhu ,u-] yksckVks bZ-ch- ,aM xzsosuLVhu ts- ¼2002½ fDyfudy ,usLFksfl;k] lsaV yqbl] felkSjh%
lkWUMlZ ,Ylsfo;j
•
foYlu ,l-,Q- ,aM fxMsal ts-,Q- ¼2006½ gSYFk vlslesaV QkWj uÉlx çSfDVl ¼pkSFkk laLdj.k½] lsaV yqbl] felkSjh%
lkWUMlZ ,Ylsfo;j
I
II
VII.
1- ,usLFksfl;k dh mUur voèkkj.kkvksa dks ykxw djrk gSA
2- cgq&fo"k;d ny ds lnL;ksa ds lkFk lg;ksx djrk gS vkSj ,usLFksfl;k ikus okys jksfx;ksa ds vkadyu vkSj çcaèku esa
ns[kHkky@uSnkfud ekxZ rS;kj djrk gSA
3- LokLF; lqj{kk ls lacafèkr ns[kHkky] ,usLFksfl;k çcaèku] iwokZuqeku ekxZn'kZu vkSj ijke'kZ çnku djrk gSA
4- isjh&,usLFksfl;k ns[kHkky esa uSfrd fl)karksa dks ykxw djrk gSA
5- isjh&,usLFksfl;k okrkoj.k ds fy, çklafxd laØe.k fu;a=.k fl)karksa dk vH;kl djrk gSA
6- jksxh] ifjtuksa vkSj leqnk; ds fgr ds fy, ns'k ds dkuwuh <kaps ds Hkhrj Lora= :i ls vH;kl djrk gSA
7- ,usLFksfl;k dk;Z&LFky ds dk;Z dks le>rk gSA
8- 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
I
15
•
ikBîØe dk ifjp;
•
egRoiw.kZ vaxksa ¼efLr"d] jh<+ dh gìh] QsQM+s] ân;] fdMuh] ;Ñr] vXU;k'k;] Fkk;jkW;M] ,fMªuy vkSj
fiVîwVjh XySaM½ dh 'kkjhfjd jpuk vkSj 'kjhj foKku dh leh{kk
•
,sfrgkfld leh{kk & ,usLFksfl;k
•
,usLFksfl;k uÉlx dh voèkkj.kk
•
,usLFksfl;k uÉlx ds fl)kar
•
,usLFksfl;k esa ,uih dk nk;jk
•
vkWijsÇVx :e vkSj fØfVdy ds;j ;wfuV lek;kstu ¼ftlesa vksvkj vkSj vkbZlh;w ds çdkj] midj.k]
vkiwÆr] vksvkj Vscy vkSj lgk;d midj.k] fofHkUu çdkj ds ekWfuVj vkSj osafVysVj dk mi;ksx vkSj
ns[kHkky] ¶yks 'khV] vkiwÆr ykbu vkSj i;kZoj.k 'kkfey gSa½
•
vksvkj deÊ
o uÉlx LVkQ ¼ulZ eSustj] pktZ ulZ] LØc ulZ] ldqZysÇVx ulZ] ih,lh;w ulZ½
o ,usLFksfl;ksykWftLV
o ltZu
o ,usLFksfl;k rduhf'k;u
o lgk;d deZpkjh
•
,usLFksfl;k esa çkS|ksfxdh
•
LoLFk dk;Z okrkoj.k
•
,uih, esa Hkfo"; dh pqukSfr;ka
II
10
•
xaHkhj :i ls chekj jksfx;ksa esa nnZ
•
nnZ & çdkj] fl)kar
•
fQft;ksykWth] nnZ ds çfr ç.kkyhxr çfrfØ;k,a vkSj nnZ dk euksfoKku & leh{kk
•
rhoz nnZ lsok,a
•
nnZ dk vkadyu & nnZ ds iSekus] O;ogkj vkSj ekSf[kd vfHkO;fDr
•
nnZ çcaèku & vkS"kèkh; ¼vksfivksbM] csatksMk;tsikbu] çksiksQksy] vYQk ,xksfuLV] VªSafDoykbtj]
U;wjkseLdqyj CykWÇdx ,tsaV½
•
xSj&vkS"kèkh; çcaèku
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
25
•
VªkalD;wVsfu;l bysfDVªdy uoZ fLVeqys'ku (TENS)
III
15
•
,usLFksfVd tksf[ke
o ,usLFksfl;k ls lacafèkr e`R;q vkSj #X.krk nj
o tksf[ke çcaèku
•
,usLFksfl;k esa xq.koÙkk lqèkkj vkSj jksxh lqj{kk
o lajpuk] çfØ;k vkSj ifj.kke
o ,usLFksfl;k esa ifj.kke eki esa varj
o xq.koÙkk lqèkkj ,oa jksxh lqj{kk esa la;qDr vk;ksx dh vko';drk
o vLirky vkSj LokLF; lsok ds fy, jk"Vªh; çR;k;u cksMZ
o oSdfYid Hkqxrku ekWMy vkSj çn'kZu ds fy, Hkqxrku
•
O;kolkf;drk
•
ns;rk
o VksVZ flLVe
o drZO; dk mYya?ku
o dkj.k
o {kfr
o ns[kHkky dk ekud
•
,usLFksfl;k ls lacafèkr eqdneksa ds dkj.k
•
dkuwuh ekeyksa dk çcaèku
IV
10
•
cqfu;knh çfrj{kkRed fl)kar
•
vfrlaosnu'khyrk çfrfØ;k,a
•
,ukfQysfDVd çfrfØ;k
•
,ytÊ okys jksxh dk isfjvkWijsfVo çcaèku
V
10
•
xgu ns[kHkky bdkbZ esa ukslksdksfe;y laØe.k( feFkkby jsftLVsaV LVSfQyksdksdl vkWfj;l (MRSA)
vkSj gky gh esa igpkus x, vU; ejksM+ ¼LVªsu½
•
dhVk.kq'kksèku] thok.kq’kksèku
•
ekud lqj{kk mik;
•
deZpkfj;ksa ds fy, çksfQySfDll
•
jksxk.kqjksèkh fpfdRlk & leh{kk
VI
10
•
flfoy eqdnesckth dks c<+kok nsus okys eqís
•
Hkkjr esa lacafèkr dkuwu
•
fpfdRlh; fujFkZdrk
•
ç'kklfud dkuwu% O;kolkf;d fofu;eu
•
VksVZ ykW% ykijokgh] is'ksoj dnkpkj] tkucw>dj fd, x, dnkpkj] xyr rjhds ls e`R;q] ekugkfu]
geyk vkSj ekjihV
•
laoSèkkfud dkuwu% jksxh }kjk fu.kZ; ysuk
•
f’k"Vkpkj vkSj uSfrdrk ds chp varj
•
uSfrd fl)kar] xaHkhj ns[kHkky esa uSfrd fu.kZ; ysuk] uSfrd fu.kZ; dks c<+kok nsus okyh j.kuhfr;ka
•
,usLFksfl;k esa ,uih ls lacafèkr uSfrd eqís% mipkj jksduk vkSj can djuk
•
efLr"d e`R;q ¼czsu MSFk½] vax nku vkSj ijke'kZ
VII
15
•
OR/ICU dk fMtkbu
•
vkWijsÇVx :e 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;
•
ulZ ,usLFksfl;k ls lacafèkr uÉlx laijh{k.k
•
LVkÇQx
•
fj&,DlIyksjs’ku vkWQ MSFk vkWu Vscy
26
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
VIII
11
•
,usLFksfl;k dk;ZLFky ekud vkSj ,usLFksfl;k e'khu rFkk dk;ZLFky ds fy, ekud
•
midj.kksa dh foQyrk
•
u, ,usLFksfl;k dk;ZLFky dh lqj{kk fo'ks"krk,a
•
,usLFksfl;k dk;ZLFky s ckgj fudyuk
•
osc csLM ,usLFksfl;k lkW¶+Vos;j fleqys'ku
•
opqZvy ,usLFksfl;k e'khu osiksjkbtj
•
,usLFksfl;k czhfnax lÆdV
•
dkcZu MkbvkWDlkbM vo'kks"kd
•
,usLFksfl;k osafVysVj
•
,usLFksfl;k dk;ZLFky fofoèkrk,a
•
vif'k"V xSl dk lQkbZ ra=
•
fo|qr vkSj vfXu lqj{kk
¼48 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl
'kkfey gS½
a. fofHkUu 'kY;&fpfdRlkvksa ds fy, jksfx;ksa dks fLFkj djuk
b. nnZ] csgks'kh] cspSuh vkSj çyki dk vkS"kèkh; çcaèku
i. ekWÆQu] QsaVsukby] feMktksye] yksjktsie] Mk;tsie] çksiksQksy] DyksfuMkbu] MsDlesMsVksfeMkbu] gsyksisfjMksy dh
x.kuk] yksÇMx vkSj bu¶;wtu
ii. ,fiMîwjy ,uYtsfl;k & lsaljh vkSj eksVj CykWd vlslesaV] fpfdRlk can djus ds ckn ,fiMîwjy dSFksVj dks
gVkuk] ,fiMîwjy dSFksVj lkbV dh MªsÇlx cnyuk] ,uYtsfld ç'kklu ds fy, mipeZ iksVZ yxkuk vkSj gVkuk]
,fiMîwjy ,uYtsfl;k@ihlh, ij jksfx;ksa ds fy, ew= çfrèkkj.k ds fy, baVjfeVsaV dSFkhVjkbts'ku] ,fiMîwjy
bU¶;wtu ds fy, [kqjkd vuqekiu] ,fiMîwjy dSFksVj lek;kstu] dSFksVj ds [kqysiu dh tkap djus ds fy, vkSj
,uYtsfl;k ds fy, Hkh ,fiMîwjy vkS"kfèk;ksa dk ifj"dj.k
c. TENS dk mi;ksx
d. LØÇcx] xkmÇux vkSj XyksÇox
e. LVsjkby rduhd
i. LVsjkby iSd [kksyuk
ii. Ropk dh rS;kjh
iii. LVsjkby çfØ;kvksa ds fy, jksfx;ksa dks yisVuk
f. jksxfujksèkh ,aVhck;ksfVd vkS"kfèk;ksa dk ç'kklu
g. bdkb;ksa ds fy, çksVksdkWy rS;kj djuk
h. osafVys'ku
i. ekMuZ baVhxzsVsM ,usLFksfl;k odZLVs'ku
ii. áwfefMQk;j
iii. uscqykbtj & tsV] vYVªklksfud
iv. bugsys'ku Fksjsih & ehVMZ Mkst bugsyj ¼,eMhvkbZ½] MªkbZ ikmMj bugsyj ¼MhihvkbZ½
v. bysDVªkWfud ¶+yksehVj
vi. osafVysVj lsÇVx
i.
bZlhth esa cnyko] funku vkSj mfpr çcaèku
j.
ân; dh èofu;ka & igpku vkSj funku
k. QsQM+ksa dh èofu;ka & igpku vkSj funku
VIII.
I
1- jksfx;ksa dk ,usLFksfl;k&iwoZ vkadyu djukA
2- ,usLFksfl;k esa ewyHkwr rduhdksa vkSj n{krkvksa dk vuqç;ksx djukA
3- csgks'k vkSj ,usLFksfl;k fn, x, jksxh dh ns[kHkky djukA
4- ¶Y;wM vkSj bysDVªksykbV Fksjsih ds fl)karksa dk vH;kl djukA
5- ,usLFksfl;k ls lacafèkr midj.kksa dh dk;Z&ç.kkyh dks le>ukA
6- ,usLFksfl;k ç'kklu esa ckèkk Mkyus okyh lkekU; fpfdRlh; fLFkfr;ksa dks mtkxj djukA
I
20
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
27
•
xaHkhj :i ls chekj jksfx;ksa dk vkadyu
•
ok;qekxZ dh ns[kHkky
•
QsYM baVîwcs'ku
•
,sls jksxh dh ns[kHkky ftldh ’okl de py jgh gks
•
ifjlapj.k dk çcaèku
•
mipkj ds çHkkoksa dk vkadyu
•
xaHkhj :i ls chekj jksfx;ksa dk ifjogu
•
iqutÊou ifjR;kx
•
xaHkhj :i ls ?kk;y jksxh
II
15
•
lkekU; çcaèku
•
,usLFksfl;k fn, x, jksfx;ksa esa ’olu fØ;k
•
dkÆM;ksoLdqyj flLVe
•
dkÆM;ks jsfLijsVjh vjsLV dk çcaèku
III
10
•
'kjhj ds ¶Y;wM daikVZesaV~l
•
¶Y;wM Fksjsih
•
¶Y;wM dh fLFkfr dk uSnkfud vkadyu
•
'kY;&fpfdRlk ds nkSjku jDr dh gkfu dk vuqeku vkSj jDrkèkku dh vko';drk
•
fof'k"V gkfu vkSj çfrLFkkiu
•
baVªkohul mi;ksx ds fy, thok.kqghu {ks= rS;kj djuk
IV
10
•
jksxh dh tkap
•
vkWijs'ku ls igys miokl vkSj ¶Y;wM~l
•
,usLFksfl;k vkSj 'kY;&fpfDrlk ls igys dh vkS"kfèk;ka
V
15
•
midj.k vkSj psd lwph rS;kj djuk
•
daVhU;wvl ¶yks e'khu
•
xSl vkiwÆr
•
U;wure ,usLFksfVd midj.k
•
midj.kksa dk HkaMkj.k vkSj j[kj[kko
VI
20
•
,uhfe;k
•
gheksXyksfcuksiSFkh
•
dkÆM;ksoLdqyj daMh’kal
•
’olu lacaèkh jksx
•
eèkqesg
•
eksVkik
•
dqiks"k.k
•
Øksfud jhuy QsY;j
•
,usLFksfl;k vkSj 'kY;&fpfdRlk ds nkSjku laØe.k dk lapj.k
VII
3
•
,usLFksfl;k fjdkWMZ vkSj psd fyLV
•
,usLFksfl;k fjiksVZ
VIII
3
•
,usLFksfl;k dk lgh fodYi pquus esa jksxh vkSj ifjokj dks ijke’kZ
¼48 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl 'kkfey
gS½
•
lhihvkj ¼ch,y,l vkSj ,lh,y,l½ & uotkr] o;Ld vkSj ckyd
•
ok;qekxZ çcaèku
o ,aMksVªSfp;y baVîwcs'ku
o ysÇjft;y ekLd ,;jos
o QkbcjvkWfIVd baVîwcs'ku
o dQ bU¶ys'ku ,aM ,adfjax n Vîwc
28
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
o vksjy ,aM ,aMksVªSfp;y lD'kÇux vksiu@DyksTM rjhds
o fØdksFkk;jksVkWeh
o vkWDlhesVªh & iYl vkWDlhesVªh] ohul vkWDlhesVªh
o ,chth fo'ys"k.k
o dSiuksxzkQh & O;k[;k vkSj çcaèku
o ukWu&buosfto osafVys'ku
✓ de çokg ifjorZuh; çn'kZu fMokbl% usty dSFksVj@dSU;wyk@Mcy usty çksax] Qsl ekLd] Qsl ekLd fon
fjtjok;j cSx
✓ mPp çokg fuf'pr çn'kZu fMokbl% ,uVªsuesaV ¼osapqjh½ fMokbl] ,uvkbZoh@lhih,ih@,usLFksfVd ekLd] Vh
ihl] czhfnax lÆdV
•
,usLFksfl;k xSlksa dk vuqekiu
•
ldwZys’ku ,aM ij¶;wtu ¼gseksMk;ukfed fu:i.k vkSj rjax xzkfQDl lfgr½
o buosfto chih ekWfuVfjax
o ukWu&buosfto chih ekWfuVfjax
o ohul çslj ¼ifjèkh;] dsaæh; vkSj Qq¶Qqlh; èkeuh vojksèk ncko½
o vkfVZfj;y ykbu yxkuk vkSj gVkuk
o lsaVªy ykbu yxkuk vkSj gVkuk
o iYl baMsDl daVhU;wvl dkÆM;d vkmViqV (PiCCO)
o bysDVªksdkÆM;ksxzkQh (ECG)
o osoQkWeZ
•
¶Y;wM~l vkSj bysDVªksykbV~l
o æo dh x.kuk vkSj ç'kklu ¼fØLVykW;M vkSj dksykW;M½
o jDr vkSj jDr mRiknksa dk ç'kklu
o buksVªksi x.kuk] vuqekiu vkSj ç'kklu
o bysDVªksykbV djsD’ku ¼lksfM;e] iksVsf'k;e] dSfY'k;e] QkLQksjl] eSXuhf'k;e½
o ¶Y;wM fMLisalj vkSj bU¶;wtu iai dk mi;ksx
o
IV dSuqys'ku
•
Xykblsfed fu;a=.k] Xykblsfed vlarqyu okys jksxh dh ns[kHkky
o ekWfuVfjax GRBS
o balqfyu Fksjsih ¼LykbÇMx Ldsy vkSj bu¶;wtu½
o gkbijXykblsfe;k dk çcaèku & IV ¶Y;wM~l] balqfyu Fksjsih] iksVsf'k;e lIyhesaVs’ku
o gkbiksXykblsfe;k dk çcaèku & MsDlVªkst IV
•
,usLFksfl;k dk lgh fodYi pquus esa jksfx;ksa vkSj ifjokj dks ijke'kZ nsuk
•
'olu volkn dk çcaèku
•
vkWu Vscy dkÆM;d vjsLV dk çcaèku
•
xaHkhj :i ls chekj dk vkadyu
•
xaHkhj :i ls chekj dks ys tkuk
IX.
II
1- ,usLFksfl;k ds fofHkUu çdkjksa dks le>us vkSj çnku djus esa QkekZdksFksjsI;wfVDl vkSj QkekZdksMk;usfeDl dh tkudkjh
dks ykxw djrk gSA
2- ekud lapkyu çfØ;kvksa ds vuqlkj ,usLFksfVd ;kstuk] midj.k vkSj vkS"kfèk;ka rS;kj djrk gS vkSj mudk mi;ksx
djus esa i;kZIr lqj{kk lkoèkkfu;ka cjrrk gSA
3- buosftu vkSj ukWu&buosfto fuxjkuh fofèk;ksa dk p;u] lfEeyu] çcaèku vkSj fuxjkuh djrk gSA
4- ,usLFksfVLV dh ns[kjs[k esa lHkh 'kY;&fpfdRlk vkSj fpfdRlk ls lacafèkr çfØ;kvksa ds fy, lHkh jksfx;ksa dks tujy
vkSj yksdy ,usLFksfl;k nsus dh rS;kjh djrk gS] nsrk gS vkSj@;k nsus esa Hkkxhnkjh fuHkkrk gSA
5- tujy] jhtuy vkSj yksdy ,usLFksfl;k] csgks'k djus dh fØ;k vkSj nnZ çcaèku tSlh ,usLFksfVd rduhdksa ls lacafèkr
ns[kHkky dh jksxh&fof'k"V ;kstuk çnku djrk gSA
6- çlwfr] cky fpfdRlk vkSj vU; rhoz nnZ çcaèku ds fy, {ks=h; rduhdksa dk mi;ksx djds ,usLFksfl;k vkSj ,uYtsfl;k
çnku djrk gSA
7- jksfx;ksa dks isjhvkWijsfVo vuqHko ds ekè;e ls enn djus ds fy, euksoSKkfud lgk;rk çnku djrk gSA
8- jksxh dh fLFkfr dk Rofjr vkadyu djds] mls fLFkj djds vkSj ;fn vko';d gks rks ACLS çnku djds ,usLFksfl;k
çnku djus ds nkSjku gksus okyh tfVyrkvksa dh igpku djuk vkSj lg;ksxkRed :i ls mudk çcaèku djrk gSA
9- ns[kHkky ds vxys Lrj ij tkus ds fy, jksxh dh fLFkfr vkSj çfrfØ;kvksa dk vkadyu vkSj ewY;kadu djrk gSA
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
29
I
10
•
bugsys’ku ,tsaV
•
baVªkohul ,usLFksfVDl
•
csatksMk;tsikbu
•
vksfi;sV MªXl
•
ukWu&LVsjkW;My ,aVh&ba¶ysesVjh MªXl (NSAIDS)
•
ekalisf'k;ksa dks vkjke nsus okyh vkS"kfèk;ka
II
15
•
,usLFksfl;k nsus ls igys
•
baVªkohul baMD’ku
•
baVªkeLdwyj baMD’ku
•
bugsys’kuy baMD’ku
III
10
•
,usLFksfl;k lsokvksa ds Lrj
•
dsVkekbu ,usLFksfl;k
•
tujy bugsys’kuy ,usLFksfl;k
•
VksVy baVªkohul ,usLFksfl;k dh rduhdsa
•
vkikrdkyhu ekeyksa ds fy, tujy ,usLFksfl;k
IV
15
•
Likbuy ,usLFksfl;k vkSj ,fiMîwjy ,uYtsfl;k ds fy, jksfx;ksa dh rS;kjh
•
Likbuy ,usLFksfl;k nsus dh rduhdsa
•
,fiMîwjy dSFksVj yxkuk
•
Likbuy ,usLFksfl;k ds fy, mi;ksx dh tkus okyh vkS"kfèk;ka
•
,fiMîwjy ,uYtsfl;k ds fy, mi;ksx dh tkus okyh vkS"kfèk;ka
•
jksfx;ksa dh Likbuy ,usLFksfl;k ds ckn dh ns[kHkky
•
,fiMîwjy ,uYtsfl;k ij jksfx;ksa dh ns[kHkky
•
lac) tfVyrk,a vkSj tksf[ke
V
15
•
ekWfyD;wyj edsfuTe vkWQ uoZ CykWd
•
uoZ CykWd ds çdkj
•
uoZ CykWd ds fy, bLrseky dh tkus okyh vkS"kfèk;ka vkSj mudh VkWfDldksdkbusfVd
•
uoZ CykWd ds ckn dh ns[kHkky
•
tfVyrk,a vkSj tksf[ke
VI
10
•
yksdy ,usLFksfVd vkS"kfèk;ksa dh fo"kkDrrk vkSj lqj{kk
•
daVªkbaMhds’kal vkWQ daMD’ku ,usLFksfl;k
•
lkekU; lkoèkkfu;ka vkSj cqfu;knh midj.k
•
daMD’ku ,usLFksfl;k ds nkSjku csgks'kh
•
uewuk rduhd
VII
7
•
fdlh fo'ks"k vkWijs'ku ds fy, ,usLFksfVd rduhd dk pquko
•
tujy ,usLFksfl;k dh ;kstuk cukuk
•
tujy vkSj daMD’ku rduhdksa dh lqj{kk
VIII
7
•
cPpksa ds fy, ,usLFksfl;k
IX
7
•
xHkkZoLFkk vkSj çlo ds nkSjku ,usLFksfl;k
30
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
¼48 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl 'kkfey
gS½
•
osafVysVj lsÇVx
•
dkÆM;d ekWfuVÇjx
•
isfjQsjy IV&ykbu ,Dlsl
•
vksjy@usty@,aMksVªSfp;y lD'ku
•
bZlhth dh O;k[;k
•
,chth ifj.kkeksa dh O;k[;k
•
psLV ,Dl&js dh jhÇMx
•
lhohih ekWfuVÇjx
•
iYl vkWDlhesVªh
•
bU¶;wtu iai
•
vkWDlhtu ,MfefuLVªs'ku
o usty çksaXl
o Qsl ekLd
o osapqjh ekLd
•
vkbuksVªksIl dks yksM djuk vkSj ç'kkflr djuk
•
ukjdksfVd ,uYtsfld dks yksM djuk vkSj ç'kkflr djuk
•
jksfx;ksa dks çsfjr djuk ¼baMîwflax is’ksaV~l½
•
jksfx;ksa dks myVuk vkSj ckgj fudkyuk ¼fjolZy ,aM ,DlVîwcs’ku vkWQ is’ksaV~l½
•
Likbuy ,usLFksfl;k] ,fiMîwjy dSFksVj bul'kZu vkSj uoZ CykWd ds fy, jksfx;ksa dks fLFkj djuk
•
ih,lh;w jksfx;ksa dh ns[kHkky
•
ySc esa daMD'ku ,usLFksfl;k nsuk
•
vkbZlh,u
¼2020½
xkbMykbal
vkWu
,MokaLM
çSfDVl
uÉlx]
https://www.icn.ch/system/files/
documents/2020-4/ICN_APN%20Report_EN_WEB.pdf ls fy;k x;k
•
cjk'k ih-th-] dqysu vkj-ch-] LVksÇYVx vkj-ds-] fe'ksy ds-] dgyu ,e-] fØLVhu ,l-] vksVsZxk vkj-] lSe vkj- 'kjkj ,aM
urkyh ,Q-,p- ¼2023½ fDyfudy ,usLFksfl;k ¼9oka laLdj.k½] ;w,l,% oksYVlZ ,aM Dywoj
•
MkWClu ch- ekbdy ¼2020½ ,usLFksfl;k bu fMfLVªDV gkWfLiVy ¼nwljk laLdj.k½] ftusok% MCY;w,pvks
•
us'kuy vkWxZukbts'ku vkWQ ulZ çSfDV'kuj QSdYVht ¼,uvks,uih,Q 2022½ ulZ çSfDV'kuj jksy dfEiVsalht]
https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20220825_nonpf_np_role_co
re_.pdf ls fy;k x;k
•
ikWy th- cjk'k] czwl ,Q- dqysu] jkWcVZ ds- LVksÇYVx] ekbdy ds- dgyu] ,e- fØLVhu LVkWd ,aM jkQsy vkWVsZxk ¼2013½
gSaM cqd vkWQ fDyfudy ,usLFksfl;k ¼7oka laLdj.k½] oksYVlZ ,aM Dywoj] fyÇidkWV fofy;El ,aM foÇYdl
•
jkWcVZ vkj-ds-] xzsosuLVhu ,u-] yksckVks bZ-ch- ,aM xzsosuLVhu ts- ¼2002½ fDyfudy ,usLFksfl;k] lsaV yqbl] felkSjh%
lkWUMlZ ,Ylsfo;j
1- ABG ,ukykbtj
2- ,usLFksfl;k çfØ;k VªkWyh
3- ,usLFksfl;k dk;ZLFky
4- cSu lÆdV
5- daI;wVj
6- ØS'k dkVZ
7- fMfQfczysVj
I
II
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
31
8- MkWiyj e'khu
9- QkbcjvkWfIVd czksadksLdksi
10- XywdksehVj
11- baVîwcsÇVx ohfM;ksLdksi
12- IV LVSaM
13- vkWijsÇVx :e Vscy
14- vkWjksQsfjfUt;y ,;jost
15- vksojgsM ,ybZMh ykbV~l
16- vkWDlhtu] 4 ckj esfMdy ,;j vkSj oSD;we & ikbi ykbu
17- ejht VªkalQj jksyj@ih,Vh LykbM
18- jksxh okÉex ;wfuV ¼cSj gxj½
19- iksft'ku vkÆVdy
20- lD'ku tkj
21- flÇjt iai
ç'u&i= o ç'uksÙkjh% 10 vad
fyf[kr dk;Z@vkofèkd ç'u&i= ¼oSf'od vkSj jk"Vªh; LokLF; lsok ds #>ku o uhfr;ka½% 10 vad
uSnkfud lsfeukj ¼fof'k"V uSnkfud fLFkfr esa uSnkfud@ns[kHkky ekxZ@fof'k"V uÉlx fl)kar dk vuqç;ksx½% 5 vad
ç'u&i=% 20 vad
fyf[kr dk;Z ¼lkfgR;d leh{kk@'kksèk midj.k dh rS;kjh½% 5 vad
tuZy Dyc ¼,usLFksfl;k uÉlx n{krkvksa ds fy, 'kksèk lk{; dk fo'ys"k.k½% 5 vad
ç'u&i=% 15 vad
tuZy Dyc ¼usr`Ro@çcaèku@f'k{k.k esa #>ku½% 5 vad
fyf[kr dk;Z ¼vksvkj dk;ZLFky fgalk½% 5 vad
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 ¼vkS"kfèk vè;;u ,oa çLrqfr½% 5 vad
ekeys dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ ¼iSFkksfQft;ksykWth½% 5 vad
ç'u&i=% 20 vad
fyf[kr dk;Z ¼uSnkfud@tkap fjiksVZ & fu"d"kks± dh O;k[;k vkSj fo'ys"k.k½% 10 vad
uSnkfud çn'kZu vkadyu% 10 vad
inLFkkiu i'pkr ijh{kk ¼vks,llhbZ½% 10 vad
ekeys dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ% 5 vad
32
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
vkarfjd vks,llhbZ% 25 vad
¼inLFkkiu i'pkr ijh{kk dk vk;kstu fdlh Hkh ih,lh esa fd;k tk ldrk gS½
ç'u&i= vkSj ç'uksÙkjh% 20 vad
fyf[kr dk;Z ¼,usLFksfl;k dk;ZLFky esa laØe.k fu;a=.k çksVksdkWy@ekud½% 10 vad
uSnkfud çn'kZu vkadyu% 20 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
inLFkkiu i'pkr ijh{kk ¼vks,llhbZ½% 10 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 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 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
¼inLFkkiu i'pkr ijh{kk dk vk;kstu fdlh Hkh ih,lh@ih,lh;w@vkbZlh;w esa fd;k tk ldrk gS½
O;kogkfjd% 50 vad
lS)kafrd% y?kq mÙkj vkSj fucaèk çdkj ds ç'u ¼Hkkfjrk fo'ofo|ky; }kjk r; dh tk ldrh gS½
¿fucaèk 2×15 ¾ 30 vad] laf{kIr mÙkj 5×6 ¾ 30 vad] vfry?kq mÙkj 5×2 ¾ 10 vadÀ
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
33
I.
1- o;Ld jksxh dk ,usLFksfl;k iwoZ bfro`Ùk ysuk rFkk 'kkjhfjd tkap djuk
2- cky jksxh dk ,usLFksfl;k iwoZ bfro`Ùk ysuk rFkk 'kkjhfjd tkap djuk
3- fu"d"kks± vkSj ifj.kkeksa dh O;k[;k djuk
4- uSnkfud ekinaMksa dh fuxjkuh djuk
×
1- o;Ld jksxh dk ldsafær bfro`Ùk ysuk
2- o;Ld jksxh dh ldsafær 'kkjhfjd tkap djuk
3- cky jksxh dk ldsafær bfro`Ùk ysuk
4- cky jksxh dh ldsafær 'kkjhfjd tkap djuk
5- bfro`Ùk rFkk 'kkjhfjd tkap fu"d"kks± dh O;k[;k djuk
6- ç;ksx’kkyk rFkk uSnkfud ijh{k.k ifj.kkeksa dh O;k[;k djuk
7- uSnkfud ekinaMksa dh fuxjkuh djuk
×
I.
1- ldsafær bfro`Ùk ysuk vkSj 'kkjhfjd tkap djuk rFkk fu"d"kks± ,oa ifj.kkeksa dh O;k[;k djuk
2- buosfto rFkk ukWu&buosfto n{krkvksa dh fuxjkuh djuk
3- fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;kRed n{krk,a½] ftlesa vkS"kfèk ç'kklu 'kkfey gS
4- vkWijs'ku Vscy rS;kj djuk
5- 'kY;&fpfdRlk ds fy, fLFkj djuk
6- ikfjokfjd f'k{kk vkSj ijke'kZ
7- laØe.k fu;a=.k vH;kl
×
34
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
1- o;Ld jksxh dk ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk ifj.kkeksa dh O;k[;k djuk
2- cky jksxh dk ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk ifj.kkeksa dh O;k[;k djuk
3- buosfto rFkk ukWu&buosfto n{krkvksa dh fuxjkuh djuk
4- ns[kHkky ;kstuk fodflr djuk
5- ikfjokfjd f'k{kk ,oa ijke'kZ
6- fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;k,a½] ftlesa vkS"kfèk ç'kklu 'kkfey gS
7- vkWijs'ku Vscy rS;kj djuk
8- 'kY;&fpfdRlk ds fy, fLFkj djuk
9- laØe.k fu;a=.k vH;kl
×
II & III.
I
II
1- ldsafær bfro`Ùk ysuk vkSj 'kkjhfjd tkap djuk rFkk fu"d"kks± ,oa ifj.kkeksa dh O;k[;k djuk
2- buosfto rFkk ukWu&buosfto n{krkvksa dh fuxjkuh djuk
3- ns[kHkky ;kstuk@ns[kHkky ekxZ fodflr djuk
4- ikfjokfjd f'k{kk ,oa ijke'kZ
5- fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;kRed n{krk,a½] ftlesa vkS"kfèk ç'kklu 'kkfey gS
6- laØe.k fu;a=.k vH;kl
×
1- o;Ld jksxh dk ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk ifj.kkeksa dh O;k[;k djuk
2- cky jksxh dk ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk ifj.kkeksa dh O;k[;k djuk
3- buosfto rFkk ukWu&buosfto n{krkvksa dh fuxjkuh djuk
4- ikfjokfjd f'k{kk ,oa ijke'kZ
5- ns[kHkky ;kstuk fodflr djuk@ns[kHkky ekxZ
6- vkS"kfèk ç'kklu
7- fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;k,a½ ftlesa vkS"kfèk ç'kklu 'kkfey gS
8- laØe.k fu;a=.k vH;kl
×
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
35
3
*
I
1 'kksèk midj.k dh rS;kjh
ih
2 çdk'ku ds fy, ikaMqfyfi rS;kj djuk
ih
3 O;ofLFkr leh{kk@lkfgR;d leh{kk ys[ku
ih
4 'kksèk fucaèk@bZchih ifj;kstuk ¼f}rh; o"kZ½
fo"k;%
ih
II
1 midj.k vkSj vkiwÆr çcaèku
ih
2 laØe.k fu;a=.k fuxjkuh] vkadyu vkSj mlls lacafèkr
fjiksVZ ys[ku
ih
3 jksxh çf’k{k.k ds fy, f'k{k.k ;kstuk rFkk ehfM;k
rS;kj djuk
ih
III
ih
2-1 'olu ra= ¼jsifLijsVjh flLVe½
ih
2-2 ân; ra= ¼dkfMZ;ksoLdqyj flLVe½
ih
2-3 tBjkU= ¼xSLVªksbuVSfLVuy flLVe½
ih
2-4 Luk;fod ra= ¼U;wjksykWftdy flLVe½
ih
2-5 tuukax&ew= ra= ¼tsfuVks;wjhujh flLVe½
ih
2-6 var%lzkoh ra= ¼,aMksØkbu flLVe½
ih
2-7 gsesVksykWftdy flLVe
ih
2-8 eLdqyksLdsysVy flLVe
ih
2-9 baVhxqesaVjh flLVe
ih
2-10 laosnh vax ¼lsaljh vkWxZUl½
ih
3-1 uotkr f'k'kq
ih
3-2 ckyd
ih
3-3 O;Ld
ih
3-4 cqtqxZ
ih
ih
IV
1-1 ck;ksdSfeLVªh
ih
1-2 Dyhfudy iSFkksykWth
ih
1-3 ekbØksck;ksykWth@ok;jksykWth
ih
1-4 ,chth
ih
2-1 QkbcjvkWfIVd czksadksLdksih
,
2-2 ohfM;ks vflLVsM ySfjaxksLdksih
,
3-1 vYVªklkmaM
ih
3-2 bZlhth
ih
36
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
*
V
ih
ih
IV
ih
ih
ih
6-1 Lqikbu
ih
6-2 ysVjy
ih
6-3 çksu
ih
6-4 fyFkksVkWeh
ih
6-5 tSd&ukbQ
ih
6-6 VªsaMsysucxZ
ih
6-7 jkst
ih
7-1 ,usLFksfl;k odZLVs'ku
ih
7-2 dkÆM;d ekWfuVj
ih
7-3 ETCO2 çksc IyslesaV esa lgk;rk djuk
ih
7-4 iYl vkWDlhehVj
ih
7-5 lhDosaf’k;y daçflax fMokbl
ih
7-6 12&yhM bZlhth ekWfuVj
ih
7-7 flÇjt iai
ih
7-8 bU¶;wtu iai
ih
7-9 vkWijsÇVx :e Vscy
ih
8-1 vkfVZfj;y CyM xSl (ABG)
ih
8-2 iYl vkWDlhesVªh
ih
8-3 dSiuksxzkQh
ih
8-4 lsaVªy ohul çslj ekWfuVfjax
ih
8-5 bysDVªksdkÆM;ksxzke (ECG)
ih
8-6 baVªkØSuhy ncko ¼(ICP)
ih
8-7 PiCCO ¼iYl baMsDl daVhU;wvl dkÆM;d
vkmViqV½
ih
8-8 Xyklxks dksek Ldksj
ih
8-9 lhMs’ku Ldksj
ih
8-10 isu Ldksj
ih
8-11 czSMsu Ldksj
ih
8-12 ,YMªsV Ldksj
ih
8-13 thvkjch,l
ih
8-14 psLV ,Dljs
ih
8-15 ,evkjvkbZ@lhVh
ih
9-1
buosflo chih ekWfuVÇjx
ih
9-2 ukWu&buosflo chih ekWfuVÇjx
ih
9-3 isfjQsjy oSLdqyj LVsVl
ih
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
37
*
,
ih
*Nk= ds dkS'ky çn'kZu esa l{ke ik, tkus ij] ml ij çhlsIVj }kjk gLrk{kj fd, tk,axsA
ls vis{kk dh tkrh gS fd os lwphc) dkS'ky@n{krkvksa dks rc rd dbZ ckj djsaxs tc rd fd os Lrj 3 n{krk rd
ugÈ igqap tkrs] ftlds ckn çhlsIVj çR;sd n{krk ds le{k gLrk{kj fd, tk,axsA
}kjk ;g lqfuf'pr fd;k tkuk pkfg, fd çR;sd n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh
fn, x, gSaA
•
Lrj 3 n{krk ;g n'kkZrh gS fd ,uih, Nk= i;Zos{k.k ds fcuk ml n{krk dk laiknu djus esa l{ke gS
•
Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk laiknu djus esa l{ke gS
•
Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml n{krk@dkS'ky dk laiknu djus esa l{ke ugÈ gS
*
1-1 tujy
ih
1-2 Likbuy
ih
1-3 daMD’ku
ih
1-4 uoZ CykWd
ih
2-1 baMîwflax ,tsaV
ih
2-2 bugsys'ku ,tsaV
ih
2-3 fjolZy ,tsaV
ih
2-4 U;wjkseLdqyj CykWÇdx ,tsaV
ih
2-5 çksfQySfDVd ,aVhck;ksfVDl
ih
2-6 ukjdksfVDl
ih
ih
ih
5-1
o;Ld
ih
5-2
uotkr f'k'kq
ih
5-3
ckyd
ih
ih
7-1
gSaM&vkWQ Ýkse vksvkj Vq ih,lh;w
ih
7-2
gSaM&vkWQ Ýkse vksvkj Vq vkbZlh;w
ih
8-1
LVsjkby iSd dks [kksyuk
ih
8-2
çfØ;kvksa ds fy, Ropk dh rS;kjh
ih
8-3
LVsjkby çfØ;k ds fy, jksfx;ksa dks yisVuk
ih
38
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
*
ih
a. lsaljh ,aM eksVj CykWd vkadyu
ih
b. ,fiMîwjy dSFksVj dks gVkuk
ih
c. ,fiMîwjy dSFksVj dh MªsÇlx cnyuk
ih
d. ,ukYtsfld ,MfefuLVªs’ku ds fy, lcD;wVsfu;l
iksVZ yxkuk vkSj gVkuk
ih
e. ,fiMîwjy bU¶;wtu ds fy, [kqjkd vuqekiu
ih
f. ,fiMîwjy dSFksVj dks lgh djuk
ih
g. ,fiMîwjy vkS"kfèk;ksa dk ifj"dj.k
ih
a. ukyksDlksu
b. ,u ,flVkby flLVhu
c.
d.
e.
ih
12-1 baVªkohul ¶Y;wM ,MfefuLVªs’ku
¼dksykW;M@fØLVykW;M½
ih
12-2 VhbZMh LVkWÇdx dk vuqç;ksx
ih
12-3 lhohih ykbu dh ns[kHkky vkSj gVkuk
ih
12-4 vkfVZfj;y ykbu dh ns[kHkky vkSj gVkuk
ih
12-5 islesdj okys jksxh dh ns[kHkky
ih
12-6 vkfVZfj;y ykbu ls jDr laxzg
ih
13-1 balqfyu Fksjsih ¼LykbÇMx Ldsy ,aM bu¶;wtu½ x.kuk]
vuqekiu vkSj ç'kklu
ih
13-2 LVsjkW;M
ih
14-1 ET ,DlVîwcs'ku
ih
14-2 LMA ,DlVîwcs'ku
ih
14-3 usty ,DlVîwcs'ku
ih
15-1 ECG
ih
15-2 ABG
ih
15-3 Nkrh dk ,Dl&js
ih
15-4 vYVªklkmaM
ih
15-5 csfld ck;ksdsfeLVªh tkap
ih
15-6 csfld ekbØksck;ksykWth tkap
ih
*Nk= ds dkS'ky çn'kZu esa l{ke ik, tkus ij] ml ij çhlsIVj }kjk gLrk{kj fd, tk,axsA
ls vis{kk dh tkrh gS fd os lwphc) dkS'ky@n{krkvksa dks rc rd dbZ ckj djsaxs tc rd fd os Lrj 3 n{krk rd
ugÈ igqap tkrs] ftlds ckn çhlsIVj çR;sd n{krk ds le{k gLrk{kj fd, tk,axsA
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
39
}kjk ;g lqfuf'pr fd;k tkuk pkfg, fd çR;sd n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh
fn, x, gSaA
•
Lrj 3 n{krk ;g n'kkZrh gS fd ,uih, Nk= i;Zos{k.k ds fcuk ml n{krk dk laiknu djus esa l{ke gS
•
Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk laiknu djus esa l{ke gS
•
Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml n{krk@dkS'ky dk laiknu djus esa l{ke ugÈ gS
5&10% nqyZHk çfØ;kvksa dk vH;kl dkS'ky ç;ksx'kkyk esa fd;k tkuk pkfg, vkSj Lrj 3 n{krk çkIr dh tkuh
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%
*
ulZ çSfDV’kuj bu ,usLFksfl;k n{krkvksa gsrq lk{; dh [kkst ¼uSnkfud
dkUÝsal@tuZy Dyc½
fo"k; dk 'kh"kZd%
*
usr`Ro@çcaèku@f'k{k.k ¼tuZy Dyc½
mnkgj.k% Vhe fuekZ.k esa #>ku
fo"k; dk 'kh"kZd%
¼uSnkfud çLrqfr½
uSnkfud fLFkfr dk uke%
¼uSnkfud çLrqfr½
ekeys dk vè;;u ¼fyf[kr fjiksVZ½
uSnkfud fLFkfr dk uke%
vkS"kfèk vè;;u ¼LFkk;h vkns'kksa ds rgr lwphc) vkS"kfèk;ka½ &
5 çLrqfr;ksa dh fyf[kr fjiksVZ ¼csMlkbM çLrqfr;ka½
vkS"kfèk dk uke%
2-3-1
2-3-2
2-3-3
2-3-4
2-3-5
2-3-6
2-3-7
2-3-8
2-3-9
2-3-10
¼fyf[kr fjiksVZ tek djus gsrq gSa½
¼o;Ld½ & bfro`Ùk vkSj 'kkjhfjd tkap
¼nks fyf[kr fjiksVZ½
¼ckyd½ & bfro`Ùk vkSj 'kkjhfjd tkap
40
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
¼,d fyf[kr fjiksVZ½
3-2-1
3-2-2
3-2-3
¼xHkZorh efgyk½ ¼,d fyf[kr fjiksVZ½
ç;ksx'kkyk ijh{k.kksa ds fy, jDr ds uewus ,d= djuk
¼ck;ksdsfeLVªh] fDyfudy iSFkksykWth] ekbØksck;ksykWth@ok;jksykWth] ,chth½ &
çR;sd ds fy, 10 uewus
fç&,usLFksfl;k vkadyu & 20
,aMksVªSfp;y baVîwcs'ku & 10 ckj
ysÇjft;y ekLd baVîwcs'ku & 10 ckj
*mUur vH;klh; uÉlx & ,ih,u( 'kksèk vuqç;ksx & vkj,( usr`Ro] çcaèku rFkk f'k{k.k & ,y],e,aMVh
¼uSnkfud dkUÝsal½
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
41
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
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%
¼ikap fyf[kr fjiksVZ½
2-6-1 vkS"kfèk dk uke%
2-6-2 vkS"kfèk dk uke%
2-6-3
2-6-4
2-6-5
2-6-6
2-6-7
2-6-8
2-6-9
2-6-10
I
uSnkfud fLFkfr dk uke%
¼ekeys dh vè;;u fjiksVZ½
II
¼ekeys dh vè;;u fjiksVZ½
42
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
fyf[kr fjiksVZ ¼fodflr uSnkfud@ns[kHkky ekxZ½
tujy ,usLFksfl;k nsuk & ,,l, xzsM I jksfx;ksa ds fy, 50 ckj
Likbuy ,usLFksfl;k nsuk & xHkZorh fL=;ksa ds fy, 50 ckj
¼vkikrdky ds nkSjku de ls de 15 ckj½
uoZ CykWd nsuk & 50 ckj
,fiMîwjy dSFksVj bul’kZu & 30 ckj
daMD’ku ,usLFksfl;k nsuk & 50 ckj
,usLFksfVd ,tsaV rS;kj djuk vkSj nsuk & çR;sd ,usLFksfVd ,tsaV & 40
ckj
ekeys dh vè;;u fjiksVZ ds fy, uSnkfud çLrqfr fy[kh tk ldrh gSA
ulZ çSfDV'kuj fdlh Hkh ,usLFksfl;k ns[kHkky lek;kstu esa jksfx;ksa dh ns[kHkky djus gsrq ftEesnkjh o mÙkjnkf;Ro ysus
ds fy, rS;kj vkSj ;ksX; gksrs gSaA os mPp n{krk dh vko’;drk okys jksfx;ksa ds fy, lVhd mipkj lqfuf'pr djus ds fy,
baVsaflfoLV] fQftf'k;u] ltZu vkSj fo'ks"kKksa ds lg;ksx ls dk;Z djrs gSaA dk;ZØe iwjk gksus ij] ,uih dks laLFkkxr LFkk;h
vkns'kksa ds vuqlkj LFkk;h vkns'kksa esa lwphc) vkS"kfèk;ksa dks ç'kkflr djus dh vuqefr gksxhA mUgsa laLFkkxr çksVksdkWy ds
vuqlkj uSnkfud ijh{k.k@çfØ;kvksa vkSj mipkjksa dk vkns'k nsus dh Hkh vuqefr gksxhA
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
43
vkikrdky ds nkSjku fdlh Hkh ,usLFksfl;k ns[kHkky lek;kstu ¼vkWijsÇVx :e@ih,lh@ih,lh;w@vkbZlh;w vkfn½ esa
ulZ çSfDV'kuj }kjk fuEufyf[kr baVªkosul batsD'ku ;k bU¶;wtu fn, tk ldrs gSa%
1- ,fMªusfyu
2- ukWj,fMªusfyu
3- Mksikekbu
4- MkscqVkekbu
5- ,Msukslkbu
6- ,fe;ksMsjksu
7- fyMksdsu@tkbyks dkMZ
8- ,QsfMªu
9- ,feuksQkbfyu
10- MsfjQkbfyu
11- ,VªkD;wfj;e ¼osD;wjksfu;e] iSu D;wfj;e½
12- ,Vªksfiu lYQsV
13- ,foy
14- Dyksfufhu
15- fXyljhu VªkbukbVªsV
16- vkblksfIVu
17- gkbMªksdkÆVlksu
18- MsDlkehFkklksu
19- ysfoVªslsVe
20- fQukbVksbu
21- oSfy;e
22- feMktksye
23- ekWÆQu lYQsV
24- isaVktkslhu ySDVsV ¼QksVZfou½
25- isfFkMhu gkbMªksDyksjkbM
26- çksiksQksy
27- lksMk ckbdkcksZusV 8-4%
28- lksMk ckbdkcksZusV 7-5%
29- eSXuhf'k;e lYQsV
30- iksVsf'k;e DyksjkbM
•
buMîwflax ,tsaV~l
•
ely fjysDlsaV~l ¼ekalisf'k;ksa dks vkjke nsus okyh vkS"kfèk;ka½
•
fjolZy ,tsaV~l
•
ukyksDlksu
•
44
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
• 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 ,aM DykWÇVx Vkbe]
çksdSfYlVksfuu] D-dimer, fØ,fVukbu] HbA1C, AC,
PC, HDL, LDL, TIG, dksysLVªkWy VksVy] HIV,
HBsAg, HCV
• ewy ekbØksck;ksykWth tkap & CyM lsaiYl QkWj
dYpj ,aM lsaflfVfoVh] fVIl vkWQ oLdwyj ,Dlsl
,aM bZVh Vîwc QkWj dYpj
•
uscqykbts'ku
•
pSLV fQft;ksFksjsih
•
fMLVy dksyksLVkWeh ok’k
•
efgyk jksfx;ksa dks ;wfjujh dSFksVj yxkuk vkSj gVkuk
•
VSLV QhM~l
•
TEDS
•
'kY;&fpfdRlh; ejge&iêh
•
Mk;fyfll 'kq# djuk vkSj can djuk
•
,Iyhds’ku vkWQ bPFkkeksy fXyljhu@eSXuhf'k;e lYQsV
MªsÇlx QkWj FkzksEcksf¶yfcfVl@,DlVªkokls'ku
•
ckgjh fQDlsVlZ ij jksfx;ksa ds fy, fiu lkbV ns[kHkky
•
vkblksesfVªd ,aM vkblksVksfud ,Dljlkbt
çR;sd vLirky esa] vkikrdkyhu fLFkfr;ksa ds nkSjku nh tkus okyh fof'k"V [kqjkd ds lkFk vkS"kfèk ç'kklu ds LFkk;h
vkns'k ,uih, Lukrdksa ds fy, fn'kkfunsZ'kksa ds :i esa miyCèk djk, tk ldrs gSaA ,uih Nk=ksa dks bu vkS"kfèkvksa dks nsus ds
fy, çhlsIVlZ@,uih ladk; dh ns[kjs[k esa nsus ds fy, çf'kf{kr fd;k tk,xkA p;fur tkap ds vkns'k nsus vkSj fof'k"V
fpfdRlh; çfØ;kvksa dks djus ds çksVksdkWy Hkh ,uih, Nk=ksa dks çf'kf{kr djus okys çR;sd vLirky esa miyCèk gks ldrs
gSaA
[जवज्ञापन-III/4/असा./900/2024-25]
INDIAN NURSING COUNCIL
NOTIFICATION
New Delhi, the 26th December, 2024
INDIAN NURSING COUNCIL {NURSE PRACTITIONER IN ANESTHESIA (NPA) - POSTGRADUATE
RESIDENCY PROGRAM} REGULATIONS, 2024
F.No. 11-1/2024-INC (IX):—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 Anesthesia (NPA) -
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
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
45
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 ANESTHESIA (NPA) - POSTGRADUATE RESIDENCY PROGRAM
I.
Introduction and Background
In India, reshaping health systems in all dimensions of health has been recognized as an important need in the
National Health Policy, 2017. It emphasizes human resource development in the areas of education and training
alongside regulation and legislation. It is highly significant that the healthcare professionals require advanced
educational and clinical training in healthcare settings for specialized services. The Government of India recognizes
significant expansion in all healthcare settings both in public and private sectors. There is a felt need to have specialist
nurses and nurse practitioners with advanced preparation to support healthcare services in our country.
Nurse Practitioners will be able to meet this demand provided they are well trained and empowered to practice in
the area of need. With establishment of new cadres at the Center and State level, master level prepared Nurse
Practitioners will be able to provide cost effective, competent, safe and quality driven specialized nursing care to
patients in a variety of relevant settings in India. Nurse Practitioner in critical care/acute care, oncology, emergency
care, neuro-care, cardiovascular care, anesthesia and other specialties can be prepared to function in all levels of
relevant settings. Rigorous educational training will enable them to assess and participate in managing patients
undergoing various procedures and surgeries both for prevention of complications and promotion of health.
A curricular structure/framework is proposed by the Council towards preparation of Nurse Practitioner in
Anesthesia (NPA) 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% theoretical instruction and 85% practicum. Competency based
training is the major approach and NP education is based on competencies adapted from National Organization of
Nurse Practitioner Faculties (NONPF) competencies (2022), International Council of Nurses (ICN, 2021), American
Association of Colleges of Nursing (2021), American Association of Nurse Anesthesiology (AANA, 2023). Every
course is based on the achievement of competencies.
The provision of adequate surgical cover is a prerequisite to accomplishing local and global health goals {Lancet
Commission on Global Surgery (LCoGS), 2019}. A large section of people seeking surgical care cannot afford the
financial burden of medical treatment. About 66% of patients in low- and lower-middle-income countries do not have
access to primary surgical care. Safe anesthetic care is essential to ensure safe outcomes of surgery. Five billion
people across the world have no access to safe anesthetic care. Law T.J. et al. (2019) spell out various issues and
barriers in the path to achieve safe and accessible anesthesia care.
The LCoGS suggests an average minimum threshold of 5000 surgical procedures per 100,000 population by
2030. Sufficient trained anesthesia care providers are needed to cater for such large surgical volumes, and the
workforce gap must be filled up by well-trained non-physician anesthesia care providers (NPAPs).
Narrowing the gap becomes the priority according to the Sustainable Development Goals, 2030, that focuses on
Global Health Equity. The Nurse Practitioner in Anesthesia (NPA) Program is the way forward to close down the gap.
The NPA Program is intended to train registered B.Sc. Nurses at the master’s level to provide peri-anesthesia care to
patients and to carry out critical care procedures in various anesthesia relevant settings. NPA focuses on assessing
patients and their medical fitness for anesthesia and surgery, preventing, and treating acute complications if any and
stabilizing them during the peri-anesthesia period.
These NPAs are required to practice in the operating rooms, pre-anesthesia clinics, post-anesthesia recovery
rooms, ICUs, outpatient and in patient surgery units, emergency rooms, labor and delivery rooms, endoscopy suites,
radiological centers, psychiatric units, including Community Health Centers (CHCs).
The program consists of various courses of study that are based on strong scientific foundations including
evidenced based practice and management of complex health systems. These are built upon theoretical and practice
competencies of B.Sc. Nursing. On completion of the program and registration with the respective SNRC, they are
permitted to practice all competencies listed in the logbook of the Council syllabus. They will be able to provide
general, regional and local anesthesia with supervision by anesthesiologists. They will also be able to administer drugs
relevant to the scope of anesthesia care, order diagnostic tests, procedures, medical equipment, and therapies as per
institutional protocols/standing orders. They will be permitted to manage post-operative patients in the Post
Anesthesia Care Unit (PACU) and discharge them based on specific criteria. The NPAs when exercising this authority
are accountable for the following competencies -
a) Preanesthetic assessment
b) Preparing, administering and terminating regional anesthesia with supervision
c) Patient safety
d) Monitoring vital signs
e) Handling of equipment
f)
Basic and advanced cardiac life support
46
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
g) Post operative care
h) Pain management
i)
Risk prevention
j)
Documentation
k) Health advocacy
l)
Professionalism
The said postgraduate degree will be registered as an additional qualification by the SNRC.
Vision
Nurse Practitioner in Anesthesia (NPA) program seeks to cater to the surgical, anesthesia, and obstetrics needs of
underserved population, thereby minimizing the gap in healthcare delivery system and promoting the health profile of
the country.
Philosophy
The Council believes that there is a great need to establish a postgraduate program titled Nurse Practitioner in
Anesthesia to meet the challenges and demands of healthcare services in India which is reflected in the National
Health Policy, 2017 and to provide safe, quality care to patients undergoing anesthesia in specific healthcare settings.
The Council believes that postgraduates from a residency program will focus on strong clinical component, using
competency-based training. They will be able to demonstrate clinical competence based on sound theoretical and
evidence-based knowledge. The teaching-learning approach will concentrate on adult learning principles,
competency-based education, collaborative learning, preceptorship, experiential learning, simulation based learning
and self-directed learning. Education providers/preceptors/mentors can be operating room nurses and
anesthesiologists. They will be subject experts and will possess high competence.
The Council also believes that a variety of educational strategies can be used in the clinical settings to address the
deficit of qualified personnel. It is hoped to facilitate developing policies towards registration/licensure and create
cadre positions for appropriate placement of these postgraduate Nurse Practitioners in Anesthesia.
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
47
II. Program Description
This program is designed to assist students in developing expertise and in-depth understanding in the field of
anesthesia nursing. It will enable the student to function as Nurse Practitioner in Anesthesia. It will further enable the
student to function as educator, manager and researcher in the field of anesthesia nursing.
The NPA program is a Post Graduate 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 Nurse Practitioner in Anesthesia (NPA) Program prepares registered B.Sc. nurses for advanced practice roles
as clinical experts, educators and consultants leading to M.Sc. Nursing (Nurse Practitioner in Anesthesia)
IV. Objectives
On completion of the program, the Nurse Practitioner in Anesthesia (NPA) will be able to -
1. Assume responsibility in pre-anesthetic assessment of patients in various healthcare settings.
2. Demonstrate clinical competence in preparing, administering, and terminating anesthesia with supervision.
3. Assume responsibility for patient safety throughout the peri-anesthesia period.
4. Demonstrate skill in monitoring vital signs and interpreting values.
5. Describe the functioning of various equipment used in anesthesia.
48
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
6. Assume responsibility in managing patients in anesthesia relevant settings to stabilize and restore patient’s health
either independently or collaboratively with the team.
7. Manage pain and prevent peri-anesthesia related complications.
8. Liaise between patients, family and relevant team.
V. Minimum requirements to start the Nurse Practitioner in Anesthesia (NPA) Program
The institution must accept the accountability for the NPA program and its students and offer the program
congruent with the Council standards. It must fulfill the following requirements -
1. Essentiality Certificate
a.
Any institution who wishes to start Nurse Practitioner in Anesthesia program shall obtain an Essentiality
Certificate/Government Order from the State.
b. The following institutions are exempted from obtaining an Essentiality Certificate -
(i) Institutions/Universities already offering B.Sc. Nursing or M.Sc. Nursing programs and found suitable
by the Council under Sections 13 and 14 of the Act;
(ii) Institutions/Universities offering MBBS/DNB programs.
2. Hospital
a.
The institute should have a parent hospital/tertiary care center with a minimum of 200 beds and with fully
functional Operating Rooms & ICUs.
b. It is preferable to have a medical college/nursing college attached to the parent hospital.
3. Operating Rooms & ICU Beds
The hospital should have a minimum of 10 Operating Beds/Tables with a minimum of two tables for major
surgeries and corresponding ICUs
4. Operating Room staffing
a.
The Operating Room complex should have a Charge Nurse/Nurse Manager preferably with B.Sc. Nursing or
M.Sc. Nursing qualification.
b. For Major OR: 2 Staff nurses for every functional operation table.
c.
For Minor OR: 1 Staff nurse for every functional operation table.
d. For Post Anesthesia Care Unit (PACU), the nurse patient ratio should be 1:1 for pediatric patients and 1:2 for
adult patients for every shift.
e.
There must be provision of additional 40-45% trained nursing staff towards leave reserve.
5. Faculty/Staff resources
a. Clinical area:
i. Nursing Preceptor: Full-time qualified GNM with 6 years of experience in Operation Theatre
(preferably with Post Basic Diploma in Operating Room Nursing and Management) or B.Sc. Nursing
with 2 years of experience in Operation Theatre or M.Sc. (Medical Surgical Nursing) with one year
experience in Operation Theatre.
ii. Medical Preceptor: DA/MD Anesthesiologist/MD Intensivist with 2 years of experience.
iii. Preceptor student ratio: Nursing 1:10, Medical 1:10 (every student must have a medical and nursing
preceptor).
b. Teaching faculty:
i. Professor/Associate Professor: 1 {Teaching experience: 5 years post PG - M.Sc. (Medical Surgical
Nursing/NPA)} (One faculty for every 10 students)
ii. Assistant Professor: 1 {Teaching experience: 3 years post M.Sc. Nursing}
iii. The above faculty shall perform dual role or be a senior nurse with M.Sc. Nursing in the same Specialty
with the required qualification and experience, employed in OT/ICU in the same hospital
iv. Guest Lecturers for Pharmacology, Pathophysiology, Critical Care
6. Physical and learning resources at hospital/college
a.
One classroom/conference room at the clinical area
b. Skill lab for simulated learning (hospital/college)
c.
Library and computer facilities with access to online journal
d. E-learning facilities
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
49
7. List of equipment for Operating Rooms and ICU (enclosed in Appendix 1)
8. Student Recruitment/Admission Requirements
a.
The applicants must be a registered B.Sc./P.B.B.Sc. nurse with a minimum of one-year clinical experience in
Operation Theatres/ICUs prior to enrollment.
b. Must have undergone the B.Sc. Nursing in an institution found suitable by the Council and have been
registered in any SNRC.
c.
Must have scored not less than 55% aggregate marks in the B.Sc. Nursing program.
d. Must be physically fit.
Number of candidates to be recruited: 1 Candidate for 2 Major Operating Tables.
Salary
1. In-service candidates (candidates who have been working in the same institution) will get regular salary.
2. Stipend/salary for the other candidates must be provided 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 the internal assessment marks, as internal and external marks are added together
for declaring pass.
Examining and Degree Awarding Authority: Respective University
Declaration of Results
The candidate is declared to have passed the exam if the score is 60% and above. This score is the aggregate of
both internal and external University examination in theory and practical in every course/subject and less than 60% is
fail.
For calculating the rank, the aggregate of the two years’ marks will be considered.
If a candidate fails in theory or practical, he/she must reappear 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 conducted alongside viva - Refer OSCE Guidelines found in Appendix 2.
Maximum number of students per day will be 10 students.
Examination should be held in the clinical area only.
The team of practical examiners will include one internal examiner {M.Sc. Nursing faculty with two years of
experience in teaching the Nurse Practitioner in Anesthesia program/M.Sc. faculty (Medical Surgical Nursing
preferable) with 5 years of post PG experience}, one external examiner (same as above) and one anesthesiologist as
internal examiner who should be preceptor for NPA program.
Dissertation/EBP Project
Research Guides: Main guide: Nursing faculty (3 years post PG experience) teaching NPA program
Co-guide: Medical preceptor
Submission of Research Proposal: 6 to 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: It must be obtained by the Institutional Review Board/Hospital Ethics Committee since it
involves clinical research.
Topic Selection: The topic should be relevant to anesthesia nursing that will add knowledge or evidence for
nursing intervention. The research should be conducted in OR/PACU/ICU 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 to 9 months in second year.
Submission of Dissertation Final: 3 months before completion of the second year.
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THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
Dissertation Examination
Internal Assessment: Viva & dissertation report = 50 marks
University Examination: Viva & dissertation report = 50 marks
(Marking guide used for other M.Sc. Nursing specialties can be used for evaluation)
*EBP project can be conducted in place of dissertation and report submitted for evaluation.
VII. Assessment (Formative and Summative)
•
Quiz
•
Seminar
•
Written assignments/Term papers
•
Case/Clinical presentation
•
Clinical or care pathway/Case study report
•
Clinical performance evaluation
•
Logbook (Procedural competency list and clinical requirements) countersigned by the medical/nursing
faculty preceptor
•
Objective Structured Clinical Examination (OSCE)
•
Test papers
•
Final examination
(Refer 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 hours
50
2
Research Application and Evidence Based
Practice in Anesthesia Care
3 hours
30
70
3
Advanced Skills in Leadership, Management
and Teaching
3 hours
30
70
Advanced Practice Courses
4
Advanced Pathophysiology and
Pharmacology applied to Anesthesia Care
3 hours
30
70
5
Advanced Health/Physical Assessment
3 hours
30
70
50
50
IInd year
Specialty Courses
1
Foundations of Anesthesia Nursing Practice
3 hours
30
70
100
100
2
Anesthesia Nursing I
3 hours
30
70
100
100
3
Anesthesia Nursing II
3 hours
30
70
100
100
4
Dissertation and Viva
50
50
VIII. Courses of Instruction
Theory
(hours)
Lab/Skill Lab
(hours)
Clinical
(hours)
Ist year
Core Courses
I
Theoretical Basis for Advanced Practice Nursing
40
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
51
Theory
(hours)
Lab/Skill Lab
(hours)
Clinical
(hours)
II
Research Application and Evidence Based Practice in
Anesthesia 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 Anesthesia Care
60
336 (7 weeks)
V
Advanced Pharmacology applied to Anesthesia Care
54
336 (7 weeks)
VI
Advanced Health/Physical Assessment
70
48
576 (12 weeks)
TOTAL = 2208 hours
336 (7 weeks)
96 (2 weeks)
1776 (37 weeks)
IInd year
Specialty Courses
VII Foundations of Anesthesia Nursing Practice
96
48
576 (12 weeks)
VIII Anesthesia Nursing I
96
48
576 (12 weeks)
IX
Anesthesia Nursing II
96
48
624 (13 weeks)
TOTAL = 2208 hours
288 (6 weeks)
144 (3 weeks) 1776 (37 weeks)
No. 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 (Examination during clinical posting)
Instructional hours: Theory = 624 hours, Skill Lab = 240 hours, Clinical = 3552 hours
TOTAL = 4416 hours
Ist year: 336-96-1776 hours (Theory-Skill Lab-Clinical) [Theory = 15%, Practicum (Skill Lab & Clinical) = 85%]
IInd year: 288-144-1776 hours (Theory-Skill Lab-Clinical) [Theory = 15%, Practicum (Skill Lab & Clinical) = 85%]
Ist year = 46 weeks/2208 hours (46×48 hours) (Theory + Lab: 7.5 hours per week for 44 weeks = 330/336+96 hours*)
*Theory + Lab = 96 hours can be given for 2 weeks in the form of introductory block classes and workshops
IInd year = 46 weeks/2208 hours (46×48 hours) (Theory + Lab: 8.5 hours per week for 45 weeks = 384+48 hours)
(1 week Block classes = 48 hours)
CLINICAL PRACTICE
A. Clinical Residency experience: A minimum of 48 hours per week is prescribed, however, it is flexible with
different shifts and OFF followed by ON CALL duty.
B. 8 hours duty with one day OFF in a week and ON CALL duty one per week.
Clinical Placements
Ist year: 44 weeks (excludes 2 weeks of introductory block classes and workshop)
Clinical Postings*
No. of weeks
Pre-Anesthesia Clinic (PAC)/PAC in wards (General Surgery, Orthopedics, Eye, ENT, Head and
Neck, Neuro, Cardiothoracic, Urology, GI/HPB, Pediatric Surgery, Respiratory, Endosurgery, OBG,
Elderly, Adult & Children)
10
Intensive Care Unit
Surgical
2
Neonatal
2
Pediatric
2
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THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
Clinical Postings*
No. of weeks
Cardiothoracic
2
Neurosurgical
2
Day Care OR
1
General Surgery OR
2
Obstetrics and Gynecology
2
Orthopedic Surgery
1
Post Anesthesia Care Unit (PACU)
Obstetrics and Gynecology
1
Pediatric
1
General Surgery
2
ENT
1
Eye
1
Vascular
1
Day Care
1
Trauma
1
Urology
1
Neuro
1
Pain Clinic
2
Oncology Wards/Palliative Care Unit
1
Secondary Care Hospital/CHCs
2
District Hospital
2
TOTAL WEEKS
44
IInd year: 45 weeks (excludes one week of block classes)
Clinical Postings*
PAC/PACU/OR/ICU/CCU
Tertiary Care Centers & including
Community Health Center (CHC)/Secondary Care Hospital (weeks)
General surgery
7
Obstetrics & Gynecology
7
Orthopedics & Trauma
5
Pediatric Surgery
2
Ophthalmology
3
Urology
2
ENT
2
Plastic surgery
2
Cardiothoracic
1
Neurosurgery
1
Dental
2
Emergency Surgery
2
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
53
Clinical Postings*
PAC/PACU/OR/ICU/CCU
Tertiary Care Centers & including
Community Health Center (CHC)/Secondary Care Hospital (weeks)
Radio Diagnosis
2
Endoscopy Room
1
ICUs
6
TOTAL WEEKS
45
C. Methods of Teaching
Theory
•
Lecture cum discussion
•
Seminar
•
Workshops
Practice
•
Clinical conference
•
Case/clinical presentation
•
In depth drug study, presentation, and report
•
Case study/Clinical or care pathway Presentation
•
Nursing rounds
•
Journal clubs
•
Directed reading
•
Assignments and projects
•
Case study analysis
•
Simulation based learning
•
Problem based learning
•
Experiential learning
•
Reflective learning
D. Procedures/Logbook
At the end of each clinical posting, clinical logbook (Specific Procedural Competencies/Clinical Skills)
(Appendix 3) and clinical requirements (Appendix 4) have to be signed by the preceptor/faculty.
E. Nurse Practitioner in Anesthesia Competencies (Adapted from ICN, 2020)
1. Acquires knowledge related to comprehensive assessment, diagnostic procedures, management of peri-anesthesia
complications.
2. Applies and adapts advanced skills and competencies in patient safety while they are in complex and/or unstable
environments.
3. Applies sound advanced clinical reasoning and decision making in peri-anesthetic management.
4. Uses critical thinking in assessment, management and evaluation of patient care.
5. Documents assessment, diagnosis, management and monitors treatment and follow-up care in partnership with the
patient.
6. Administer drugs and treatments according to institutional protocols.
7. Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and discontinue
therapeutic relationships.
8. Refers to and accepts referrals from other healthcare professionals to maintain continuity of care.
9. Practices independently wherever authorized.
10. Consults with and is consulted by other healthcare professionals and others.
11. Works in collaboration with the OR personnel and the surgical team members in the interest of the patient.
12. Develops a practice that is based on current scientific evidence and incorporated into the health management of
patients, families and communities.
13. Uses research to produce evidence-based practice to improve the safety, efficiency and effectiveness of care
through independent and inter-professional research.
14. Engages in ethical practice in all aspects of the APN role and responsibility.
15. Accepts accountability and responsibility for own advanced professional judgement, actions, and continued
competence.
16. Creates and maintains a safe therapeutic environment using risk management strategies and quality improvement.
17. Assumes leadership and management responsibilities in the delivery of efficient advanced practice nursing
services in a changing healthcare system.
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THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
18. Acts as an advocate for patients in the healthcare systems and the development of health policies that promote and
protect the individual patient, family and community.
19. Adapts practice to the contextual and cultural milieu.
F. Institutional Protocol/standing orders-based administration of drugs & ordering of investigations and
therapies
The students will be trained to both assist and administer appropriate anesthesia, 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 anesthesiologist and
endorsed later by written orders.
Implementation of Curriculum - A tentative plan
Ist year courses
Introductory
classes
Workshop Theory integrated in
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 Anesthesia 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
1×26 = 26 hours
2.5×16 = 40 hours
• Clinical conference
• Seminar
• Exercises/Assignment (lab)
4.
Advanced
Pathophysiology applied
to Anesthesia Care (60)
1.5×40 = 60 hours
• Case presentation
• Seminar
• Clinical conference
5.
Advanced
Pharmacology applied to
Anesthesia Care (54)
10 hours
1×44 = 44 hours
• Nursing rounds
• Drug study presentation
• Standing orders/presentation
6.
Advanced
Health/ Physical
Assessment (70+48)
8 hours
2×26 = 52 hours
1.5×18 = 27 hours
1×15 = 15 hours
2×6 = 12 hours
2×2 = 4 hours
• Clinical demonstration (faculty)
• Return demonstration
• Nursing rounds
• Physical assessment (all systems)
• Case study
TOTAL
48 hours
48 hours
336 hours
Ist year: Introductory classes = 1 week (48 hours), Workshop = 1 week (48 hours), 44 weeks = 7.5 hours per week
(330/336 hours)
IInd year courses
1 week Block classes (48 hours)
Theory and skill lab integrated
into clinical practicum
Methods of teaching
7.
Foundations of
Anesthesia Nursing Practice
(96+48 hours) = 144 hours
9×16 = 144 hours
• Demonstration (lab)
• Return demonstration (lab)
• Clinical teaching
• Case study
• Seminar
• Clinical conference
• Faculty lecture
8.
Anesthesia
Nursing I
(96+48 hours) = 144 hours
9×16 = 144 hours
• Demonstration (lab)
• Return Demonstration (lab)
• Clinical conference/journal club
• Seminar
• Case presentation
• Drug study (including drug interaction)
• Nursing rounds
• Faculty lecture
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
55
IInd year courses
1 week Block classes (48 hours)
Theory and skill lab integrated
into clinical practicum
Methods of teaching
9.
Anesthesia
Nursing II
(96+48 hours) = 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 healthcare trends and challenges.
2. Analyses the impact of healthcare and education policies in India on nursing after consulting the documents
available.
3. Develops in depth understanding of the healthcare delivery system in India, and its challenges.
4. Applies economic principles relevant to delivery of healthcare services in Anesthesia Nursing.
5. Manages and transforms health information to effect health outcomes such as cost, quality and satisfaction.
6. Accepts the accountability and responsibility in practicing the Nurse Practitioner’s roles and competencies.
7. Actively participates in collaborative practice involving all healthcare team members in anesthesia care and
performs the prescriptive roles within the authorized scope.
8. Engages in ethical practice having a sound knowledge of law, ethics, and regulation of advanced nursing practice.
9. Uses the training opportunities provided through well planned preceptorship and performs safe and competent
care applying nursing process/care pathways or clinical pathways.
10. Applies the knowledge of nursing theories in providing competent care to donors and the recipients.
11. Predicts future challenges of Nurse Practitioner’s roles in variety of healthcare settings particularly in India.
Hours of Instruction: Theory: 40 hours
S.No.
Topic
Hours
1.
Global Health Care Challenges and Trends (Competency-1)
2
2.
Health Systems in India:
Health Care Delivery System in India - Changing Scenario (Competency-3)
2
3.
National Health Planning: 5-year plans and National Health Policy (Competency-2)
2
4.
Health Economics & Health Care Financing: Role of politics & economics in healthcare delivery
(Competency-4)
4
5.
Digital transformation in health care: Trends & Opportunities (Competency-5)
4
Advanced Practice Nursing (APN)
6.
APN - Definition, Scope, Philosophy, Accountability, Roles & Responsibilities (Collaborative
practice and Nurse Prescribing roles) (Competency-6 & 7)
3
7.
Regulation (accreditation of training institutions and credentialing) & Ethical Dimensions of
advanced nursing practice role (Competency-8)
3
8.
Nurse Practitioner: Roles, Types, Competencies, Clinical settings for practice, cultural
competence (Competency-6)
3
9.
Training for NPs - Preceptorship (Competency-9)
2
10.
Future challenges of NP practice (Competency-11)
4
11.
Theories of Nursing applied to APN (Competency-10)
3
12.
Nursing process/care pathway applied to APN (Competency-9)
2
Self-Learning Assignments
6
1.
Identify Health Care and Education Policies and analyze its impact on Nursing
2.
Describe the legal position in India for NP practice. What is the future of nurse prescribing
56
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
S.No.
Topic
Hours
policies in India with relevance to these policies in other countries?
3.
Examine the nursing protocols relevant to NP practice found in anesthesia care units
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
•
AANA (2023) Scope of Nurse Anesthesia Practice, Illinois, USA: AANA
•
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. Retrieved from https://www.icn.ch/system/files/
documents/2020-4/ICN_APN%20Report_EN_WEB.pdf
•
National Organization of Nurse Practitioner Faculties (NONPF 2022) Nurse practitioner role competencies.
Retrieved
from
https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20220825_nonpf_
np_role_core_.pdf.
•
Schober M. & Affara F.A. (2006) Advanced Nursing Practice, Oxford: Blackwell Publishing
•
Stewart G.J. & DeNisco S.M. (2015) Role Development for the Nurse Practitioner, USA: Springer Publishing
Company
II. Research Application and Evidence Based Practice in Anesthesia Care
COMPETENCIES
1. Applies sound research knowledge and skills in conducting independent research in anesthesia care setting.
2. Participates in collaborative research to improve in quality of patient care.
3. Interprets and uses research findings to produce EBP.
4. Tests/evaluates current practice to develop best practices and health outcomes and quality care.
5. Analyses the evidence for nursing interventions carried out in anesthesia nursing practice to promote safety and
effectiveness of care.
6. Develops skill in writing scientific research reports.
Hours of Instruction: Theory: 56 + Lab/Skill Lab: 24 = 80 hours
S.No.
Topic
Hours
1.
Research and Advanced Practice Nursing: Significance of research and inquiry related to
advanced 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 advanced practice (Competency-3,4,5), promoting
research culture
5
3.
Research Knowledge and Skills:
- Research competencies essential for APNs (interpretation and use of research, evaluation of
practice, participation in collaborative research)
- Introduction to Evidence Based Practice (EBP) project - PiCOT question, steps of planning,
implementation, evaluation and dissemination (project proposal and project report)
Research Methodology:
- Phases/steps (Research question, review of literature, conceptual framework, research designs,
sampling, data collection, methods & tools, Analysis and Reporting)
- Writing research proposal and research report (Competency-1 & 2)
40
(5 days
workshop)
4.
Writing for publication
(writing workshop: Manuscript preparation and finding funding sources) (Competency-6)
5
(workshop)
5.
Evidence based practice
- Concepts, principles, importance and steps
- Integrating EBP to anesthesia care environment
- Areas of evidence in anesthesia care
- Barriers to implement EBP
- Strategies to promote EBP (Competency-3,4,5)
4
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
57
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/Literature review: Analyze the evidence for a given nursing intervention in anesthesia
unit
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
•
Polit D.F. & Beck C.T. (2021) Nursing research: Generating and assessing evidence for nursing practice (11th
ed.), New Delhi: Wolters & Kluwer
•
Schmidt N.A. & Brown J.M. (2021) Evidence-based practice for nurses’ appraisal and application of research,
Sd: Jones & Bartlett Publishers
III. Advanced Skills in Leadership, Management and Teaching
COMPETENCIES
1. Applies principles of leadership and management in anesthesia care units.
2. Manages stress and conflicts effectively in anesthesia care setting using sound knowledge of principles.
3. Applies problem solving and decision-making skills effectively.
4. Uses critical thinking and communication skills in providing leadership and managing anesthesia care setting.
5. Builds teams and motivates others in anesthesia 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 and trends of teaching.
9. Develops advocacy role in patient care, maintains quality and ethics in peri-anesthesia units in hospital and
community settings.
10. Provides counselling to families and patients in crisis situations particularly on table emergencies.
Hours of Instruction. Theory: 56 + Lab/Skill Lab: 24 = 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 anesthesia care settings
4
4.
Stress management and conflict management - principles and application to anesthesia care
environment, effective time management
4
5.
Quality improvement and audit
4
6.
Problem solving, critical thinking and decision making, communication skills applied to anesthesia
nursing practice
5
7.
Team building, motivating and mentoring within OR set up
2
8.
Budgeting and management of resources including human resources - OR budget, material
management, staffing, assignments
5
9.
Change and innovation
2
10. Staff performance, and evaluation (performance appraisals)
6
11. Teaching-learning theories and principles applied to Anesthesia Nursing
2
12. Competency based education and outcome-based education
2
13. Teaching methods/strategies - experiential, reflective, scenario based, simulation etc.,
Media: educating patients and staff in anesthesia care settings
8
58
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
S.No.
Topic
Hours
14. Staff education and use of tools in evaluation
4
15. APN - Roles as a teacher
2
16. Advocacy roles in anesthesia care environment
2
Total
56 hours
Lab/Skill Lab: 24 hours
COMPETENCIES
1. Preparation of staff patient 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. Development of teaching plan
9. Micro teaching/patient education sessions
10. Preparation of teaching method and media for patients and staff
11. Planning and conducting OSCE/OSPE
12. Construction of tests
Assignment: Operation Room work place violence
Bibliography
•
Bastable S.B. (2019) Nurse as educator: Principles of teaching and learning for nursing practice (5th ed.), New
Delhi: Jones & Bartlett Publishers
•
Billings D.M. & Halstead J.A. (2019) Teaching in nursing: A guide for faculty (6th ed.), St. Louis, Missouri:
Saunders Elsevier
•
Clark C.C. (2010) Creative nursing leadership and management, New Delhi: Jones & Bartlett Publishers
•
Liebler J.G. & McConnel C.R. (2008) Management principles for health professionals, Sudbury, MA: Jones &
Bartlett Publishers
•
Roussel L. & Swansburg, R.C. (2010) Management and leadership for nurse administrators (5th ed.), New Delhi:
Jones & Bartlett Publishers
ADVANCED PRACTICE COURSES
IV. Advanced Pathophysiology applied to Anesthesia Care
COMPETENCIES
1. Integrates the knowledge of pathophysiology while performing pre-anesthesia assessment, intra-anesthesia
monitoring and post-anesthesia care.
2. Manages symptoms related to peri-anesthesia related complication using the knowledge of pathophysiology.
3. Analyzes changes relevant to peri-anesthesia patient care.
IV. A. Advanced Pathophysiology applied to Anesthesia Care
Hours of Instruction: Theory: 30 hours
Unit
Hours
Content
I
6
Cardiovascular System
Pathophysiology of cardiovascular conditions
•
Hypertension
•
Hypotension
•
Coronary artery diseases
•
Ischemic heart disease
•
Heart failure
•
Hypertrophic cardiomyopathy
•
Valvular heart disease
•
Congenital heart disease
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
59
Unit
Hours
Content
•
Pericardial disease
•
Cardiovascular risks related to anesthetic agents
•
Effect of positioning on cardiovascular system
II
6
Pulmonary System
Pathophysiology of pulmonary conditions
•
Pulmonary function
•
Pathophysiology of lung conditions
•
Obstructive pulmonary disease
•
Restrictive pulmonary disease
•
Pulmonary Embolism
•
Pulmonary Edema
•
Pulmonary Hypertension
•
Aspiration
•
Atelectasis
•
Cor pulmonale
•
Pulmonary risks related to anesthetic agents
•
Effect of positioning on pulmonary system
III
6
Central Nervous System and Peripheral Nervous System
Pathophysiology of Neurological Disorders
•
Intracranial hypertension
•
Brain stem injury
•
Stroke
•
Traumatic brain injury
•
Venous air embolism
•
Cerebral aneurysms
•
Arterio-venous malformations
•
Cerebrovascular accident
•
Intracranial mass lesions
•
Seizures
•
Degenerative neurological diseases
•
Neuromuscular disease
•
Spinal cord injury
•
Neurological trauma
•
Psychiatric disorders - Depression, Bipolar disease, Schizophrenia, Neuroleptic malignant
syndrome, Substance abuse
•
Neurological risks related to anesthetic agents
•
Effect of positioning on Neurological system
IV
4
Renal System
Pathophysiology of Renal conditions
•
Benign Prostatic Hyperplasia
•
Tumors
•
Bladder trauma
•
Renal failure
•
Renal risks related to anesthetic agents
V
4
Gastrointestinal and Hepatobiliary System
Pathophysiology of Gastrointestinal and Hepatobiliary conditions
•
GI bleed
•
Abdominal injury
•
Intestinal obstruction
•
Perforated appendix
•
Acute pancreatitis
•
Abdominal aorta aneurysm
•
Hepatitis - acute, chronic
60
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
Unit
Hours
Content
•
Cirrhosis
•
Hepatic failure
•
Gastrointestinal and Hepatobiliary risks related to anesthetic agents
VI
4
Endocrine System
Pathophysiology of Endocrine Functions
•
Diabetes mellitus
•
Hyperthyroidism, Hypothyroidism
•
Hyperparathyroidism, Hypoparathyroidism
•
Mineralocorticoid excess, Mineralocorticoid deficiency, Glucocorticoid excess, Glucocorticoid
deficiency, Catecholamine excess
•
Obesity
•
Carcinoid syndrome
•
Endocrinological risks related to anesthetic agents
Total 30 hours
IV. B. Advanced Pathophysiology applied to Anesthesia Care
Hours of Instruction: Theory: 30 hours
Unit
Hours
Content
I
4
Musculoskeletal System (MS)
Pathophysiology of MS conditions
•
Spine Fractures
•
Ankylosing Spondylitis
•
Dislocations
•
Ligamental injuries
•
Inflammatory conditions
•
Intervertebral disc prolapses, Potts disease
•
Congenital - Kyphosis, Lordosis, Scoliosis
•
MS risks related to anesthetic agents
•
Effects of position on MS System
II
8
Eye, Ear, Nose and Throat
Pathophysiology of ear, nose & throat conditions
•
Conditions of the ear
•
Conditions of the eyes
•
Conditions of the nose
•
Conditions of the throat
III
6
Multisystem dysfunction
Advanced pathophysiological process of the following conditions
•
Shock
-
Hypovolemic
-
Cardiogenic
-
Distributive
•
Trauma
-
Thoracic
-
Abdominal
-
Musculoskeletal
-
Maxillofacial
IV
4
Specific infections
Advanced pathophysiological process of specific infections
•
HIV
•
Tetanus
•
SARS
•
Rickettsiosis
•
Leptospirosis
•
Dengue
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
61
Unit
Hours
Content
•
Malaria
•
Chikungunya
•
Rabies
•
Avian flu
•
Swine flu
•
COVID-19
V
8
Reproductive system
Advanced pathophysiological process of reproductive conditions
•
Pregnancy - Normal, Umbilical cord prolapse, Dystocia & abnormal fetal presentations and
positions, Multiple gestations, Pregnancy induced hypertension, Obstructed labour, Ruptured
uterus, Preterm labour
•
Antepartum hemorrhage - Placenta previa, Abruption placentae, Uterine rupture
•
Premature rupture of membranes
•
Chorioamnionitis
•
Amniotic fluid embolism
•
Post partum hemorrhage
•
HELLP (Hemolysis, Elevated Liver enzymes, Low Platelet Count)
•
Trauma
Total 30 hours
Bibliography
•
Berkowitz A. (2021) Clinical Pathophysiology (2nd ed.), MedMaster Inc
•
Huether S.E., McCance K.L. & Brashers V.L. (2019) Understanding Pathophysiology (7th ed.), St. Louis,
Missouri: Elsevier
•
Huether S.E. & McCance K.L. (2012) Understanding Pathophysiology (5th ed.), St. Louis, Missouri: Elsevier
•
Nagelhout J.J. & Elisha S. (2018) Nurse Anaesthesia, St. Louis, Missouri: Elsevier
•
Norris T.L. (2020) Porth’s Essentials of Pathophysiology (5th ed.), Walters Kluwer
•
Porth C.M. (2007) Essentials of Pathophysiology: Concepts of altered health states (4th ed.), Philadelphia:
Lippincott Williams & Wilkins
•
Porth C.M. (2007) Essentials of Pathophysiology: Concepts of altered health states (2nd ed.), Philadelphia:
Lippincott Williams & Wilkins
•
Story L. & Dlugasch L. (2019) Advanced Pathophysiology for the Advanced Practice Nurse (1st ed.), Jones &
Bartlett Publishers, Inc.
•
Willis L.M. (2019) Professional Guide to Pathophysiology (4th ed.), Philadelphia: Lippincott Williams & Wilkins
V. Advanced Pharmacology applied to Anesthesia Care
COMPETENCIES
1. Applies the pharmacological principles in providing various types of anesthesia and in the care of post-anesthesia
patients.
2. Analyzes and apply pharmaco-therapeutics and pharmacodynamics in anesthesia.
3. Practices safe drug administration based on principles and institutional protocols.
4. Documents accurately and provides appropriate care in case of drug allergies, anaphylaxis, and drug overdose.
5. Applies sound knowledge of drug interactions while providing anesthesia.
Hours of Instruction: Theory: 54 hours
Unit
Hours
Content
I
2
Introduction to pharmacology
•
History
•
Classification of drugs and schedules
II
4
Pharmacokinetics and Pharmaco-dynamics
•
Introduction
•
Absorption, Distribution, Metabolism and Excretion in critical care
•
Plasma concentration, half life
•
Loading dose and maintenance dose
•
Therapeutic index and drug safety
62
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
Unit
Hours
Content
•
Potency and efficacy
•
Principles of drug administration
o
The rights of drug administration
o
Systems of measurement
o
Enteral drug administration
o
Topical drug administration
o
Parenteral drug administration
III
4
Inhalation anesthetics
•
Introduction
•
Pharmacokinetics
•
Clinical overview of current inhalation treatment
•
Neuropharmacology of invasive anesthesia on cardiovascular, pulmonary, hepatic,
neuromuscular, general effects, obstetrics, and effects of fetal development
•
Anesthesia degradation by carbon dioxide
•
Clinical utility of volatile anesthesia
•
Standing Orders/Institutional Protocols
IV
5
Intravenous anesthetics
•
Introduction
•
Pharmacokinetics
•
General principles of intravenous anesthesia
•
Pharmacokinetics, pharmacodynamics, clinical uses and side effects of
o
Propofol
o
Etomidate
o
Ketamine
o
Dexmedetomidine
o
Benzodiazepines
o
Barbiturates
•
New intravenous anesthetics
•
Standing Orders/Institutional protocol
V
4
Opioids
•
Introduction
•
Pharmacokinetics and pharmacodynamics of opioids
•
Opioid mechanism
•
Opioid induced respiratory depression
•
Other opioid related side effects
•
Remifentanil for labor pain
•
Genetic differences
•
Opioid induced immunomodulation and cancer recurrence
•
Acute pain management in opioid dependent patients
VI
6
Neuromuscular blocking agents
•
Introduction
•
Pharmacokinetics and pharmacodynamics
•
Pharmacological characteristics
•
Depolarizing neuromuscular blocking drugs
•
Non-depolarizing neuromuscular blocking drugs
•
Drug interaction
•
Alternates to neuromuscular blocking agent
•
Monitoring neuromuscular blockade
•
Reversal of neuromuscular blockade
VII
4
Cholinesterase inhibitors & other pharmacological antagonists to neuromuscular blocking
agents
•
Introduction
•
Pharmacokinetics and pharmacodynamics of
o
Neostigmine
o
Pyridostigmine
o
Edrophonium
o
Physostigmine
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
63
Unit
Hours
Content
o
Sugammadex
o
L-cysteine
VIII
2
Anticholinergic drugs
•
Introduction
•
Pharmacokinetics & pharmacodynamics of
o
Atropine
o
Scopolamine
IX
4
Adrenergic agonists
•
Introduction
•
Pharmacokinetics and pharmacodynamics of
o
Phenylephrine
o
Alpha 2 agonists
o
Epinephrine
o
Ephedrine
o
Norepinephrine
o
Dopamine
o
Isoproterenol
o
Dobutamine
o
Dopexamine
o
Fenoldopam
X
4
Adrenergic antagonists
•
Introduction
•
Pharmacokinetics and pharmacodynamics of
o
Alpha blockers - Phentolamine
o
Mixed antagonists - Labetalol
o
Beta blockers - Esmolol, Metoprolol, Propranolol, Nebilol, Carvedilol
XI
4
Adjuncts to anesthesia
•
Introduction
•
Pharmacokinetics and pharmacodynamics of
o
Histamine receptor antagonists - H1 receptor antagonists, H2 receptor antagonists
o
Antacids - Metoclopramide, Proton pump inhibitors, 5 HT3 receptor antagonists
o
Butyrophenones
o
Dexamethasone
o
Neurokinin 1 receptor antagonist
XII
4
Other drugs used as adjuvants
•
Introduction
•
Pharmacokinetics and pharmacodynamics of
o
Ketorolac
o
Clonidine
o
Dexmedetomidine
o
Doxa pram
o
Naloxone
o
Naltrexone
o
Flumazenil
XIII
3
Hypotensive agents
Introduction
•
Pharmacokinetics and pharmacodynamics of
o
Nitro vasodilators - Sodium Nitroprusside, Nitroglycerine, Hydralazine
o
Non-Nitro vasodilators - Fenoldopam, Calcium antagonists
XIV
4
Local anesthetics
•
Introduction
•
Pharmacokinetics and pharmacodynamics
•
Mechanism of action of local anesthetics
•
Pharmacology and pharmacodynamics
•
Pharmacokinetics of local anesthesia
•
Clinical use of local anesthesia
64
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
Unit
Hours
Content
•
Toxicity of local anesthesia
•
New local anesthetics
•
Future therapeutics and modalities
Total 54 hours
Bibliography
•
Eisen H.J. (2020) Pharmacology of Immunosuppression (1st ed.), Springer
•
McKay G.A. & Walters M.R. (2021) Clinical Pharmacology and Therapeutics (10th ed.), Wiley-Blackwell
•
Phillips N.M. (2013) Berry & Kohn’s Operating room technique, Elsevier: New Delhi
•
Wynne A.L., Woo T.M. & Olyaei A.J. (2007) Pharmacotherapeutics for nurse practitioner prescribers (2nd ed.),
Philadelphia: Davis
VI. Advanced Health/Physical Assessment
COMPETENCIES
1. Applies the principles of system-wise physical assessment and develop appropriate examination skills.
2. Uses advanced health assessment skills to differentiate between normal and abnormal findings.
3. Orders screening and diagnostic tests based on the examination findings and institutional protocols.
4. Analyzes the physical examination findings and results of various investigations and works collaboratively with
the anesthesiology team in making the right choice of anesthesia.
5. Documents assessment, diagnosis, and management and monitor follow up care in partnership with healthcare
team members, patients, and families.
Hours of Instruction: Theory: 70 + Lab/Skill Lab: 48 = 118 hours
Unit
Hours
Content
I
4
Introduction
•
History collection
•
Physical examination
II
6
Cardiovascular (CVS) system
•
Anatomy & physiology of CVS - review
o
Structure of the heart
o
Blood flow through the heart
o
Conduction system of the heart
o
Arteries and Veins
•
Common symptoms of CVS: Chest Pain, Dyspnea, Palpitations, Syncope, Calf pain
•
Cardiac history collection
•
Physical assessment: Inspection: Skin Color, Jugular Vein Distension, Edema
•
Physical assessment: Auscultation: Heart Sounds, Carotid Sounds
•
Physical assessment: Palpation: Pulses, Capillary Refill, Edema, Heaves or Thrills
•
Other assessments: Blood Pressure, Jugular Venous Pressure
•
Cardiac laboratory studies: biochemical markers, hematological studies
•
Cardiac diagnostic studies: Electrocardiogram, echocardiography, transesophageal
echocardiography, stress testing, Holter monitoring, Myocardial perfusion scans, Coronary
angiography, Transcranial Doppler, Valve area & transvalvular gradient, Regurgitant fraction
•
Arterial blood pressure: Mean arterial pressure
III
6
Respiratory system
•
Anatomy and physiology of the Respiratory system - review
•
Common symptoms of the respiratory system
•
Respiratory system History Collection
•
Physical examination: Inspection: Assess Level of Consciousness, Respiratory Rate, Breathing
Pattern, Skin Color of the lips, face, hands, and feet, Chest for symmetry and configuration,
Clubbing
•
Physical examination: Auscultation: Lung Sounds
•
Physical examination: Percussion: Dull sounds, Clear Low-pitched Sounds, Hollow Sounds
•
Respiratory monitoring: Arterial blood gases, pulse oximetry, end-tidal carbon dioxide
monitoring
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
65
Unit
Hours
Content
•
Respiratory diagnostic tests: Chest radiography, ventilation perfusion scanning, pulmonary
angiography, bronchoscopy, thoracentesis, sputum culture, pulmonary function test
•
Assessment of elastic resistance: Compliance, Lung volumes, Functional residual capacity,
Vital capacity
•
Assessment of non-elastic resistance: Airway resistance to gas flow, Tissue resistance
•
Assessment of Alveolar, Arterial & Venous gas tensions
o
Oxygen - Alveolar oxygen tension, Pulmonary end capillary oxygen tension, arterial
oxygen tension, Mixed venous oxygen tension
o
Carbon dioxide - Mixed venous carbon dioxide tension, alveolar carbon-dioxide tension,
Pulmonary end capillary carbon dioxide tension, arterial carbon dioxide tension, End Tidal
carbon dioxide tension
IV
6
Nervous system
•
Neurological history
•
General physical examination: Communication, Cognition, Perception (Mental Status), Cranial
Nerve Examination, Sensory Examination, Motor Examination, Range of Motion, Muscle
Strength, Muscular Endurance, Reflexes, Balance, Gait
•
Neurodiagnostic studies - Electroencephalography, Evoked potential, CT scan, MRI, PET Scan
V
5
Renal system
•
History
•
Physical examination
•
Assessment of renal function - Blood urea nitrogen, Serum creatinine, creatinine clearance,
creatinine ratio
•
Assessment of electrolytes and acid base balance
•
Assessment of fluid balance
VI
6
Gastrointestinal and hepatic system
•
History
•
Physical examination
•
Assessment of GI tract
•
Assessment of Liver function - Serum bilirubin, Serum transferases, Serum alkaline
phosphatase, Serum albumin, Blood ammonia, Prothrombin time test
•
Diagnostic studies - radiological and imaging studies, endoscopic studies
VII
5
Endocrine system
•
History
•
Physical examination
•
Assessment of endocrinal glands and their activity - Hormonal levels, Electrolyte levels
•
Laboratory studies - Electrolyte levels, Blood sugar
•
Diagnostic tests - Radiological and imaging studies, ECG
VIII
4
Musculoskeletal system
•
History
•
Physical examination - gait assessment, joint assessment
•
Laboratory studies - blood parameters (inflammatory enzymes, uric acid)
•
Diagnostic studies - Radiological and imaging studies
IX
5
Reproductive system (Male & Female)
•
History
•
Physical examination
•
Laboratory studies
•
Diagnostic studies
X
5
Sensory Organs
•
History
•
Physical examination
•
Laboratory studies
•
Diagnostic studies - Radiological and imaging studies, endoscopic studies
XI
4
Assessment of children
•
Growth and development
•
Nutritional assessment
•
Specific system assessment
66
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
Unit
Hours
Content
XII
4
Assessment of peripheral vascular system
•
History
•
Physical examination
•
Laboratory studies
•
Diagnostic studies - Radiological and imaging studies
XIII
4
Assessment of Neonates
•
History
•
Physical examination
•
Screening tests for newborn
•
Breast feeding
•
Nutrition
XIV
3
Assessment of Integumentary system
•
History
•
Physical examination
•
Laboratory studies
•
Diagnostic - Skin smear, Skin swab, Skin biopsy, Allergen test
XV
3
Assessment of Elderly
•
History
•
Physical Examination
•
Laboratory studies
•
Geriatric assessment tools - Clinical Dementia Rating Scale, Mini-Mental State Examination,
Criteria for Alzheimer's Disease, Global assessment of functioning scale, Geriatric depression
scale, stroke assessment scale
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)
Lab/Skill Lab: 48 hours
•
Comprehensive history taking
•
Focused history taking (system wise)
•
Comprehensive physical examination
•
Focused physical examination (system wise)
•
Monitoring clinical parameters (system wise)
•
Assessment of children undergoing Anesthesia
o
neonate and child
•
Assessment of older adults undergoing Anesthesia
•
Assessment of pregnant women undergoing Anesthesia
•
Pre-anesthesia assessment of patients undergoing various surgeries under different types of anesthesia
•
Ordering and interpretation of lab/diagnostic tests as per institutional protocols
Bibliography
•
Barash P.G., Cullen R.B., Stoelting R.K., Michel K., Cahalan M., Christine S., Ortega R., Sam R. Sharar &
Natallie F.H. (2023) Clinical Anesthesia (9th ed.), USA: Wolters & Kluwer
•
Bickley L.S. & Szilagyi P.G. (2013) Bates’ guide to physical examination and history taking (11th ed.), New
Delhi: Lippincott Williams & Wilkins
•
Rhoads J. (2006) Advanced health assessment and diagnostic reasoning, Philadelphia: Lippincott Williams &
Wilkins
•
Robert R.K., Gravenstein N., Lobato E.B. & Gravenstein J. (2002) Clinical Anesthesia, St. Louis, Missouri:
Saunders Elsevier
•
Wilson S.F. & Giddens J.F. (2006) Health assessment for nursing practice (4th ed.), St. Louis, Missouri: Saunders
Elsevier
SPECIALTY COURSES
(Foundations of Anesthesia Nursing Practice, Anesthesia Nursing I and Anesthesia Nursing II)
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
67
VII. Foundations of Anesthesia Nursing Practice
COMPETENCIES
1. Applies advanced concepts of anesthesia.
2. Collaborates with multidisciplinary team and prepares care/clinical pathways in assessment and management of
patients undergoing anesthesia.
3. Provides care related to health protection, anesthesia management, anticipatory guidance, and counseling.
4. Applies ethical principles in peri-anesthesia care.
5. Practices principles of infection control relevant to peri-anesthesia environment.
6. Practices independently within the legal framework of the country towards the interest of patients, families, and
communities.
7. Understands the function of anesthesia workstation.
8. Creates and maintains a safe therapeutic environment using risk management strategies and quality improvement.
Hours of Instruction: Theory: 96 + Lab/Skill Lab: 48 = 144 hours
Unit
Hours
Content
I
15
Introduction to Anesthesia Nursing Practice
•
Introduction to the course
•
Review of anatomy and physiology of vital organs (Brain, Spinal Cord, Lungs, Heart, Kidney,
Liver, Pancreas, Thyroid, Adrenal and Pituitary gland)
•
Historical review - Anesthesia
•
Concepts in Anesthesia Nursing
•
Principles of Anesthesia Nursing
•
Scope of NP in Anesthesia
•
Operating rooms and critical care unit set up (including types of OR and ICU, equipment,
supplies, OR tables and accessories, use and care of various type of monitors & ventilators,
Flow sheets, supply lines and the environment)
•
OR personnel
o
Nursing staff (Nurse Managers, Charge Nurses, Scrub Nurses, Circulating Nurses, PACU
Nurses)
o
Anesthesiologists
o
Surgeons
o
Anesthesia technicians
o
Ancillary staff
•
Technology in Anesthesia
•
Healthy work environment
•
Future challenges in NPA
II
10
Pain Management
•
Pain in critically ill patients
•
Pain - Types, Theories
•
Physiology, systemic responses to pain and psychology of pain - Review
•
Acute pain services
•
Pain assessment - pain scales, behavior and verbalization
•
Pain management - pharmacological (opioids, benzodiazepines, propofol, alpha agonist,
tranquilizers, neuromuscular blocking agents)
•
Nonpharmacological management
•
Transcutaneous electrical nerve stimulation (TENS)
III
15
Anesthetic risk, quality improvement and liability
•
Anesthetic risk
o
Mortality and morbidity related to anesthesia
o
Risk management
•
Quality improvement and patient safety in anesthesia
o
Structure, Process and Outcome
o
Difference in outcome measurement in anesthesia
o
Joint Commission requirements in quality improvement and patient safety
o
National Accreditation Board for hospital and health care
o
Alternative payment models and pay for performance
•
Professionalism
•
Liability
68
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[PART III—SEC.4]
Unit
Hours
Content
o
Tort system
o
Breach of duty
o
Causation
o
Damages
o
Standard of care
•
Causes of anesthesia related lawsuits
•
Management of legal cases
IV
10
Allergic Response
•
Basic immunological principles
•
Hypersensitivity responses
•
Anaphylactic reaction
•
Perioperative management of patient with allergies
V
10
Infection control in Operating Rooms
•
Nosocomial infection in intensive care unit; methyl resistant staphylococcus aureus (MRSA)
and other recently identified strains
•
Disinfection, Sterilization
•
Standard safety measures
•
Prophylaxis for staff
•
Antimicrobial therapy - review
VI
10
Legal and ethical issues in Anesthesia Nursing Practice - Nurse’s role
Legal issues
•
Issues giving raise to civil litigation
•
Related laws in India
•
Medical futility
•
Administrative law: Professional regulation
•
Tort law: Negligence, professional malpractice, intentional torts, wrongful death, defamation,
assault and battery
•
Constitutional Law: Patient decision making
Ethical Issues
•
Difference between morals and ethics
•
Ethical principles, ethical decision making in critical care, strategies for promoting ethical
decision making
•
Ethical issues relevant to NP in Anesthesia: withholding and withdrawing treatment
•
Brain death, Organ donation & Counseling
VII
15
Quality assurance
•
Design of OR/ICU
•
Quality assurance models applicable to Operating Rooms
•
Standards, Protocols, Policies, Procedures
•
Infection control policies and protocols
•
Standard safety measures
•
Nursing audit relevant to Nurse Anesthesia
•
Staffing
•
Re-exploration and Death on Table
VIII
11
Anesthesia workstation and development systems for anesthetics
•
Anesthesia workstation standards and standards for anesthesia machine and workstation
•
Failure of equipment
•
Safety features of new anesthesia workstation
•
Check out of anesthesia workstation
•
Web based anesthesia software simulation
•
Virtual anesthesia machine vaporizers
•
Anesthesia breathing circuits
•
Carbon dioxide absorbers
•
Anesthesia ventilators
•
Anesthesia workstation variations
•
Waste gas scavenging systems
•
Electrical and Fire Safety
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
69
Unit
Hours
Content
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)
a.
Positioning of patients for various surgeries
b. Pharmacological management of pain, sedation, agitation, and delirium
i. Calculation, loading and infusion of - Morphine, Fentanyl, Midazolam, Lorazepam, Diazepam, Propofol,
Clonidine, Dexmedetomidine, Haloperidol
ii. Epidural analgesia - sensory and motor block assessment, removal of epidural catheter after discontinuing
therapy, change of epidural catheter site dressing, insertion and removal of subcutaneous port for analgesic
administration, intermittent catheterization for urinary retention for patients on epidural analgesia/PCA,
dose titration for epidural infusion, epidural catheter adjustment, purging epidural drugs to check patency
of catheter and also for analgesia
c.
Use of TENS
d. Scrubbing, Gowning and Gloving
e.
Sterile Techniques
i. Opening of Sterile packs
ii. Skin preparation
iii. Draping of patients for sterile procedures
f.
Administration of Prophylactic Antibiotics
g. Drafting Protocols for units
h. Ventilation
i. The Modern integrated Anesthesia Workstation
ii. Humidifiers
iii. Nebulizers - jet, ultrasonic
iv. Inhalation therapy - metered dose inhalers (MDI), dry powder inhalers (DPI)
v. Electronic Flowmeter
vi. Ventilator Settings
i.
ECG Changes, Diagnosis and Appropriate Management
j.
Heart Sounds - Identification and Diagnosis
k. Lung sounds - Identification and Diagnosis
VIII. Anesthesia Nursing I
COMPETENCIES
1. Performs pre-anesthesia assessment of patients.
2. Applies fundamental techniques and skills in anesthesia.
3. Provides care for unconscious and anesthetized patient.
4. Practices principles of fluid and electrolyte therapy.
5. Understands the function of anesthesia related equipment.
6. Elicits common medical conditions that interfere with anesthesia administration.
Hours of Instruction: Theory: 96 + Lab/Skill Lab: 48 = 144 hours
Unit
Hours
Content
I
20
Fundamental techniques & skills
•
Assessment of critically ill patients
•
Care of the airway
•
Failed intubation
•
Care of the patient whose breathing is inadequate
•
Management of circulation
•
Assessing the effects of treatment
•
Transportation of critically ill patients
•
Resuscitation abandonment
•
Severely injured patients
II
15
Care of unconscious and anesthetized patients
•
General management
•
Respiratory function in the anesthetized patients
•
Cardiovascular system
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THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
Unit
Hours
Content
•
Management of cardio respiratory arrest
III
10
Principles of fluid and electrolyte therapy
•
Fluid compartments of the body
•
Fluid therapy
•
Clinical assessment of fluid status
•
Estimation of blood losses during surgery and the need for blood transfusion
•
Specific losses and replacement
•
Production of sterile fields for intravenous use
IV
10
Assessment of patients before anesthesia
•
Examining the patient
•
Preoperative fasting and fluids
•
Premedication for anesthesia and surgery
V
15
Clinical use of anesthesia equipment, Oxygen gas supplies, equipment and maintenance
•
Draw over apparatus and check list
•
Continuous flow machines
•
Gas supplies
•
Minimum anesthetic equipment
•
Storage and maintenance of equipment
VI
20
Important medical conditions for anesthesia
•
Anemia
•
Haemoglobinopathies
•
Cardiovascular conditions
•
Respiratory diseases
•
Diabetes mellitus
•
Obesity
•
Malnutrition
•
Chronic renal failure
•
Transmission of infection during anesthesia and surgery
VII
3
Documentation
•
Anesthesia records and check lists
•
Anesthesia reports
VIII
3
Counseling
•
Patients and families in making right choices of anesthesia
Total 96 hours
List of skills to be practiced in the skill lab (48 hour include demonstration by the faculty and practice by the
students)
•
CPR (BLS and ACLS) - Neonates, Adult and Pediatrics
•
Airway Management
o
Endotracheal Intubation
o
Laryngeal mask airway
o
Fiberoptic intubation
o
Cuff inflation and anchoring the tube
o
Oral and Endotracheal Suctioning open/closed methods
o
Cricothyrotomy
o
Oximetry - Pulse oximetry, Venous oximetry
o
ABG Analysis
o
Capnography - Interpretation and Management
o
Noninvasive ventilation
✓ Low flow variable performance devices: nasal catheters/cannulas/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
•
Titration of Anesthesia Gases
•
Circulation and perfusion (including hemodynamic evaluation and waveform graphics)
o
Invasive BP monitoring
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
71
o
Non-invasive BP 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
o
Electrolyte correction (sodium, potassium, calcium, phosphorus, magnesium)
o
Use of fluid dispenser and infusion pumps
o
IV Cannulation
•
Glycemic control, care of patient 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
•
Counseling patients and family in making the right choice of anesthesia
•
Management of Respiratory Depression
•
Management of on table Cardiac Arrest
•
Assessment of critically ill
•
Transportation of critically ill
IX. Anesthesia Nursing II
COMPETENCIES
1. Applies the knowledge of pharmacotherapeutics and pharmacodynamics in understanding and providing various
types of anesthesia.
2. Prepares anesthetic plans, equipment, and drugs according to standard operating procedures and takes adequate
safety precautions in using them.
3. Selects, inserts, manages and monitor invasive and non-invasive monitoring modalities.
4. Prepares, administers and/or participates in the administration of general and regional anesthesia to all patients for
all surgical and medically related procedures under the supervision of anesthetists.
5. Provides patient-specific plan of care relevant to anesthetic techniques such as general, regional and local
anesthesia, sedation and pain management.
6. Provides anesthesia and analgesia using regional techniques for obstetric, pediatric and other acute pain
management.
7. Provides psychological support to help patients through the perioperative experience.
8. Identifies and collaboratively manages complications that occur during the provision of anesthesia by rapid
assessment of patient’s condition, stabilizing and providing ACLS if required.
9. Assesses and evaluates the patient’s condition and responses for readiness to move to next level of care.
Hours of Instruction: Theory: 96 + Lab/Skill Lab: 48 = 144 hours
Unit
Hours
Content
I
10
Drugs used in General Anesthesia (Review)
•
Inhalation agents
•
Intravenous anesthetics
•
Benzodiazepines
•
Opiate drugs
•
Non-steroidal anti-inflammatory drugs (NSAIDS)
•
Muscle relaxants
II
15
General Anesthesia
•
Before induction of anesthesia
•
Intravenous induction
•
Intramuscular induction
•
Inhalational induction
III
10
Specimen General Anesthetic Techniques
•
Levels of anesthetic services
72
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
Unit
Hours
Content
•
Ketamine anesthesia
•
General inhalational anesthesia
•
Techniques of total intravenous anesthesia
•
General anesthesia for emergency cases
IV
15
Spinal Anesthesia & Epidural Analgesia
•
Preparation of patients for Spinal Anesthesia and Epidural Analgesia
•
Techniques of providing Spinal Anesthesia
•
Insertion of Epidural Catheter
•
Medications used for Spinal Anesthesia
•
Medications used for Epidural Analgesia
•
Post Spinal Anesthesia Care of patients
•
Care of Patients on Epidural Analgesia
•
Complications & Risks involved
V
15
Nerve Block Anesthesia
•
Molecular Mechanism of Nerve Block
•
Types of Nerve Blocks
•
Drugs used for Nerve Blocks and their Toxicokinetic
•
Post Nerve Block Care
•
Complications and Risks
VI
10
Conduction Anesthesia
•
Toxicity and safety of local anesthetic drugs
•
Contraindications to conduction anesthesia
•
General precautions and basic equipment
•
Sedation during conduction anesthesia
•
Specimen techniques
VII
7
Choosing & planning your anesthetic technique
•
Choice of anesthetic technique for a particular operation
•
Planning general anesthesia
•
Safety of general and conduction techniques
VIII
7
Pediatric Anesthesia
•
Anesthesia for children
IX
7
Obstetric Anesthesia
•
Anesthesia during pregnancy and delivery
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)
•
Ventilator settings
•
Cardiac monitoring
•
Peripheral IV-line access
•
Oral/Nasal/Endotracheal suction
•
Interpretation of ECG
•
Interpretation of ABG results
•
Reading of Chest X-ray
•
CVP monitoring
•
Pulse oximetry
•
Infusion Pump
•
Oxygen administration
o
Nasal prongs
o
Face mask
o
Venturi mask
•
Loading and administering inotropes
•
Loading and administering narcotic analgesics
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
73
•
Inducing patients
•
Reversal and extubation of patients
•
Positioning patients for Spinal anesthesia, Epidural catheter insertion & Nerve Blocks
•
Care of PACU patients
•
Providing conduction anesthesia in lab
Bibliography
•
ICN (2020) Guidelines on Advanced Practice Nursing, retrieved from https://www.icn.ch/system/files/
documents/2020-4/ICN_APN%20Report_EN_WEB.pdf
•
Barash P.G., Cullen R.B., Stoelting R.K., Michel K., Cahalan M., Christine S., Ortega R., Sam R. Sharar &
Natallie F.H. (2023) Clinical Anesthesia (9th ed.), USA: Wolters & Kluwer
•
Dobson B. Michael (2020) Anesthesia at the District Hospital (2nd ed.), Geneva: WHO
•
National Organization of Nurse Practitioner Faculties (NONPF 2022) Nurse Practitioner Role Competencies,
retrieved
from
https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20220825_nonpf_
np_role_core_.pdf
•
Paul G. Barash, Bruce F. Cullen, Robert K. Stoelting, Michael K. Cahalan, M. Christine Stock & Rafael Ortega
(2013) Hand Book of Clinical Anesthesia (7th ed.), Wolters & Kluwer, Lippincott Williams & Wilkins
•
Robert R.K., Gravenstein N., Lobato E.B. & Gravenstein J. (2002) Clinical Anesthesia, St. Louis, Missouri:
Saunders Elsevier
The skills listed under the Specialty courses such as Foundations of Anesthesia Nursing Practice, Anesthesia
Nursing I and Anesthesia 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 anesthesia care relevant settings (e.g. Operating rooms and
ICUs). 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.
Appendix 1
EQUIPMENT LIST FOR ANESTHESIA
1. ABG Analyzer
2. Anesthesia procedure trolley
3. Anesthesia Workstation
4. Bain Circuit
5. Computer
6. Crash Cart
7. Defibrillator
8. Doppler Machine
9. Fiberoptic Bronchoscope
10. Glucometer
11. Intubating Videoscope
12. IV Stand
13. Operating Room Table
14. Oropharyngeal Airways
15. Overhead LED Lights
16. Oxygen, 4 Bar Medical Air and Vacuum - Pipe lines
17. Patient Transfer Roller/PAT Slide
18. Patient warming unit (Bair Hugger)
19. Position Articles
20. Suction Jars
21. Syringe Pump
Appendix 2
ASSESSMENT GUIDELINES (including OSCE guidelines)
INTERNAL ASSESSMENT (Theory and Practical)
Ist year
1. Theoretical Basis for Advanced Practice Nursing
College examination of Theory only: 50 marks
Internal assessment:
Test paper and Quiz: 10 marks
Written assignment/term paper (Global and National Healthcare Trends & Policies): 10 marks
74
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
Clinical seminar (Clinical/Care pathway in specific clinical condition/Application of specific nursing theory): 5
marks
Final theory exam: 25 marks
Total: 50 marks
2. Research Application and Evidence Based Practice in Anesthesia Care
Theory:
Test papers: 20 marks
Written assignment (Literature review/Preparation of research instrument) : 5 marks
Journal club (Analysis of research evidence for anesthesia nursing competencies) : 5 marks
Total: 30 marks
3. Advanced Skills in Leadership, Management and Teaching
Theory:
Test papers: 15 marks
Journal club (Trends in Leadership/Management/Teaching) : 5 marks
Written assignment (OR workplace violence) : 5 marks
Microteaching: 5 marks
Total: 30 marks
4. Advanced Pathophysiology & Advanced Pharmacology applied to Anesthesia Care
Theory:
Test papers and Quiz: 20 marks (Pathophysiology - 10, Pharmacology - 10)
Drug studies (Drug study and presentation) : 5 marks
Case presentation and case study report (Pathophysiology) : 5 marks
Total: 30 marks
5. Advanced Health/Physical Assessment
Theory:
Test papers: 20 marks
Written assignment (Diagnostic/investigatory reports - interpretation and analysis of findings) : 10 marks
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 PAC)
IInd year
1. Foundations of Anesthesia Nursing Practice
Theory:
Test papers and Quiz: 20 marks
Written assignment (Infection control protocols/Standards in Anesthesia workstation) : 10 marks
Total: 30 marks
Practicum:
Clinical performance evaluation: 20 marks
Drug studies (Drug study and presentation): 10 marks
Case presentation and case study report (Family education/counselling): 5 marks
Case presentation (Application of Clinical/Care Pathway): 5 marks
End of posting exam (OSCE): 10 marks
Internal OSCE: 50 marks
Total Internal practical: 100 marks
2. Anesthesia 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
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
75
Case study report: 10 marks
Internal OSCE: 50 marks
Total Internal practical: 100 marks
3. Anesthesia Nursing II
Theory:
Test papers: 20 marks
Clinical Seminar: 10 marks
Total: 30 marks
Practicum:
Clinical performance evaluation: 20 marks
End of posting (OSCE): 10 marks
Clinical presentation: 10 marks
Case study report (Developed clinical/care pathway): 10 marks.
Internal OSCE: 50 marks
Total Internal practical: 100 marks
(End of posting exam can be conducted in any PAC/PACU/ICU)
4. Dissertation/EBP project
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 = 30
marks, Short answers 5×6 = 30 marks, Very short answer 5×2 = 10 marks}
OSCE GUIDELINES FOR INTERNAL AND EXTERNAL PRACTICAL EXAMINATION
Ist year
I.
AVANCED HEALTH/PHYSICAL ASSESSMENT
INTERNAL
OSCE: 25 marks
CORE COMPETENCY DOMAINS TO BE EXAMINED
1. Pre-anesthesia history taking and physical examination of an adult patient
2. Pre-anesthesia history taking and physical examination of a child patient
3. Interpretation of findings and results
4. Monitoring of clinical parameters
Number of stations: 5 (4+1 Rest stations)
Time for each station: 10 minutes
Marks for each station: 5 marks (As per competency check list and allotted marks)
Total: 4×5 = 20 marks
Oral exam = 5 marks
Total = 25 marks
EXTERNAL
OSCE: 50 marks
CORE COMPETENCY DOMAINS
1. Focused history taking of adult patient
2. Focused physical examination of adult patient
3. Focused history taking of pediatric patient
4. Focused physical examination of pediatric patient
5. Interpretation of history and physical exam findings
6. Interpretation of results of lab and diagnostic tests
7. Monitoring clinical parameters
Number of stations: 10 (8+2 Rest stations)
Time for each station: 10 minutes
Marks for each station: 5 marks (As per competency check list and allotted marks)
Total: 8×5 = 40 marks
Oral exam = 10 marks
Total = 50 marks
On completion of procedural competencies in log book and clinical requirements, the NP student is
qualified to appear for final practical examination.
76
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
IInd year
I.
FOUNDATIONS OF ANESTHESIA NURSING PRACTICE
INTERNAL
OSCE: 50 marks
CORE COMPETENCY DOMAINS TO BE EXAMINED
1. Focused history and physical examination and interpretation of findings and results
2. Monitoring competencies (invasive and noninvasive)
3. Therapeutic interventions (emergency procedural competencies) including drug administration
4. Preparation of operation table
5. Positioning for surgeries
6. Family Education and counseling
7. Infection control practices
Number of stations: 5 (4+1 Rest stations)
Time for each station: 10 minutes
Marks for each station: 10 marks (As per competency check list and allotted marks)
Total: 10×4 = 40 marks
Oral exam = 10 marks
Total = 50 marks
EXTERNAL
OSCE:100 marks
CORE COMPETENCY DOMAINS
1. Focused history taking, physical examination and interpretation of results of adult patient
2. Focused history taking, physical examination and interpretation of results of pediatric patient
3. Monitoring competencies (invasive and noninvasive)
4. Development of care plan
5. Family education and counseling
6. Therapeutic interventions (emergency procedures) including drug administration
7. Preparation of operation table
8. Positioning for surgeries
9. Infection control practices
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
II & III. ANESTHSIA NURSING I & II
INTERNAL
OSCE-50 marks
CORE COMPETENCY DOMAINS
1. Focused history and physical examination and interpretation of findings and results
2. Monitoring competencies (invasive and noninvasive)
3. Development of plan of care/care pathway
4. Family education and counseling
5. Therapeutic interventions (emergency procedural competencies) including drug administration
6. Infection control practices
Number of stations: 5 (4+1 Rest stations)
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
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
77
OSCE:100 marks
CORE COMPETENCY DOMAINS
1. Focused history taking, physical examination and interpretation of results of adult patient
2. Focused history taking, physical examination and interpretation of results of pediatric patient
3. Monitoring competencies (invasive and noninvasive)
4. Family education and counseling
5. Development of plan of care/care pathway
6. Drug administration
7. Therapeutic interventions (emergency procedures) including drug administration
8. Infection control practices
Number of stations: 10 (8+2 Rest stations)
Time for each station: 10 minutes
Marks for each station: 10 marks (As per competency check list and allotted marks)
Total: 8×10 = 80 marks
Oral exam = 20 marks
Total = 100 marks
Appendix 3
CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN ANESTHESIA (NPA) -
POSTGRADATE RESIDENCY PROGRAM
(Specific Procedural Competencies/Clinical Skills)
Ist year
S.No.
Specific Competencies/Skills
Number Performed/
Observed/Assisted
Date
Signature of the
Preceptor*/Faculty
I
CLINICAL RESEARCH PROJECT APPLICATION AND EVIDENCE BASED PRACTICE
1
Preparation for research instrument
P
2
Preparation of a manuscript for publication
P
3
Writing systematic review/literature review
P
4
Dissertation/EBP project (II Year)
Topic:
P
II
LEADERSHIP, MANAGEMENT AND TEACHING SKILLS
1
Management of equipment and supplies
P
2
Monitoring, evaluating, and writing report
related to infection control
P
3
Preparation of teaching plan and media for
patients’ education
P
III
HEALTH ASSESSMENT
1
Focused history taking (system wise)
P
2
Focused Physical Examination (system wise) -
10 each system
2.1 Respiratory system
P
2.2 Cardiovascular system
P
2.3 Gastrointestinal system
P
2.4 Neurological system
P
2.5 Genitourinary system
P
2.6 Endocrine system
P
2.7 Hematological system
P
2.8 Musculoskeletal system
P
2.9 Integumentary system
P
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]
S.No.
Specific Competencies/Skills
Number Performed/
Observed/Assisted
Date
Signature of the
Preceptor*/Faculty
2.10 Sensory organs
P
3
Age Specific History & Physical Examination
3.1 Neonate
P
3.2 Child
P
3.3 Adult
P
3.4 Geriatric
P
4
History & Physical Examination of a
Pregnant Woman
P
IV
DIAGNOSTIC PROCEDURES
1
Collecting Blood Sample for Laboratory Tests
1.1 Biochemistry
P
1.2 Clinical Pathology
P
1.3 Microbiology/Virology
P
1.4 ABG
P
2
Assisting Invasive Procedures
2.1 Fiberoptic Bronchoscopy
A
2.2 Video Assisted Laryngoscopy
A
3.
Non-Invasive Procedures
3.1 Ultrasound
P
3.2 ECG
P
V.
BASIC COMPETENCIES
1
Pre-anesthesia Assessment
P
2
Scrubbing, Gowning and Gloving
P
3
IV Cannula Insertion
P
4
Endotracheal Intubation
P
5
Laryngeal Mask Intubation
P
6
Positioning Patients for Surgery
6.1 Supine
P
6.2 Lateral
P
6.3 Prone
P
6.4 Lithotomy
P
6.5 Jack-Knife
P
6.6 Trendelenburg
P
6.7 Rose
P
7
Setting up, use and maintenance of basic
equipment
7.1 Anesthesia Workstation
P
7.2 Cardiac Monitor
P
7.3 Assisting in ETCO2 Probe Placement
P
7.4 Pulse Oximeter
P
7.5 Sequential compressing device
P
7.6 12-lead ECG monitor
P
7.7 Syringe Pump
P
7.8 Infusion Pump
P
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
79
S.No.
Specific Competencies/Skills
Number Performed/
Observed/Assisted
Date
Signature of the
Preceptor*/Faculty
7.9 Operating Room Table
P
8
Interpretation of critical parameters and
Radiological images
8.1 Arterial Blood Gas (ABG)
P
8.2 Pulse Oximetry
P
8.3 Capnography
P
8.4 Central Venous Pressure Monitoring
P
8.5 Electrocardiogram (ECG)
P
8.6 Intracranial pressure (ICP)
P
8.7 PiCCO (Pulse index Continuous Cardiac
Output)
P
8.8 Glasgow Coma Score
P
8.9 Sedation Score
P
8.10 Pain Score
P
8.11 Braden Score
P
8.12 Aldrete’s Score
P
8.13 GRBS
P
8.14 Chest Xray
P
8.15 MRI/CT
P
9
Monitoring
9.1 Invasive BP monitoring
P
9.2 Noninvasive BP monitoring
P
9.3 Peripheral vascular status
P
10
Assisting with Administration of Blood
A
11
Preparation of a Drug book with all
medications relevant to anesthesia
P
*When the student is found competent to perform the skill, it will be signed by the preceptor.
Students are expected to perform the listed skills/competencies many times until they reach level 3 competency, after
which the preceptor signs against each competency.
Preceptors/faculty must ensure that the signature is given for each competency only after they reach level 3.
•
Level 3 competency denotes that the NPA student is able to perform that competency without supervision
•
Level 2 competency denotes that the student is able to perform each competency with supervision
•
Level 1 competency denotes that the student is not able to perform that competency/skill even with supervision
Signature of the Program Coordinator/Faculty
Signature of the HOD/Principal
IInd year
S.No.
Specific Competencies/Skills
Number Performed/
Observed/Assisted
Date
Signature of the
Preceptor*/Faculty
ADVANCED COMPETENCIES
1
Assisting/Providing Anesthesia
1.1 General
P
1.2 Spinal
P
1.3 Conduction
P
1.4 Nerve Block
P
2
Preparation and Administration of
2.1 Inducing Agents
P
80
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
S.No.
Specific Competencies/Skills
Number Performed/
Observed/Assisted
Date
Signature of the
Preceptor*/Faculty
2.2 Inhalation Agents
P
2.3 Reversal Agents
P
2.4 Neuromuscular Blocking Agents
P
2.5 Prophylactic Antibiotics
P
2.6 Narcotics
P
3
Triaging Surgeries
P
4
Family Education and Counseling
P
5
BLS
5.1 Adult
P
5.2 Neonate
P
5.3 Child
P
6
ACLS
P
7
Hand-off
7.1 Hand-off from OR to PACU
P
7.2 Hand-off from OR to ICU
P
8
Infection Control Practices in OR
8.1 Opening of Sterile Packs
P
8.2 Skin preparation for procedures
P
8.3 Draping of patients for sterile procedure
P
9
Preparation of policies/standards/protocols in
peri-anesthesia settings
P
10
Epidural analgesia
a.
Sensory and motor block assessment
P
b. Removal of epidural catheter
P
c.
Change of epidural catheter dressing
P
d. Insertion and removal of subcutaneous port
for analgesic administration
P
e.
Dose titration for epidural infusion
P
f.
Epidural catheter adjustment
P
g. Purging epidural drugs
P
11. Administration of Additional drugs specific to
Anesthesia
a.
Naloxone
b. N Acetyl Cysteine
c.
d.
e.
P
12
Performing the following vital procedures
12.1 Intravenous fluid administration
(Colloid/Crystalloid)
P
12.2 Application of TED stocking
P
12.3 Care and removal of CVP line
P
12.4 Care and removal of arterial line
P
12.5 Care of Patient with Pacemaker
P
12.6 Blood collection from arterial line
P
13
Administration of
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
81
S.No.
Specific Competencies/Skills
Number Performed/
Observed/Assisted
Date
Signature of the
Preceptor*/Faculty
13.1 Insulin therapy (sliding scale & infusion)
Calculation, titration and administration
P
13.2 Steroids
P
14
Extubation
14.1 ET Extubation
P
14.2 LMA Extubation
P
14.3 Nasal Extubation
P
15
Ordering investigations
15.1 ECG
P
15.2 ABG
P
15.3 Chest X-ray
P
15.4 Ultrasound
P
15.5 Basic biochemistry investigations
P
15.6 Basic microbiology investigations
P
*When the student is found competent to perform the skill, it will be signed by the preceptor.
Students are expected to perform the listed skills/competencies many times until they reach level 3 competency, after
which the preceptor signs against each competency.
Preceptors/faculty must ensure that the signature is given for each competency only after they reach level 3.
•
Level 3 competency denotes that the NPA student is able to perform that competency without supervision
•
Level 2 competency denotes that the student is able to perform each competency with supervision
•
Level 1 competency denotes that the student is not able to perform that competency/skill even with supervision
Note: 5-10% of procedures that are rare should be practiced in skill lab and attained level 3 competency.
Signature of the Program Coordinator/Faculty
Signature of the HOD/Principal
Appendix 4
CLINICAL REQUIREMENTS FOR NURSE PRACTIONER IN ANESTHESIA (NPA) - POSTGRADATE
RESIDENCY 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 Nurse Practitioner in Anesthesia
competencies (Clinical conference/Journal club)
Title of the topic:
1.3 *L,M&T - Leadership/Management/Teaching (Journal club)
Ex. Trends in Team Building
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 (Bedside presentations)
Name of the drug:
82
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
S.No.
Clinical Requirement
Date
Signature of the
Preceptor/Faculty
2.3.1
2.3.2
2.3.3
2.3.4
2.3.5
2.3.6
2.3.7
2.3.8
2.3.9
2.3.10
3
Interdisciplinary Clinical Rounds (with Anesthesiologists) -
Case/Clinical Presentation
(Written reports are for submission)
3.1 Health Assessment (Adult) - History & Physical Examination (Two
written reports)
3.2 Health Assessment (Pediatric) - History & Physical Examination
(One written report)
3.2.1
3.2.2
3.2.3
3.3 Health Assessment (Pregnant woman) (One written report)
4
Collecting blood samples for laboratory tests
(Biochemistry, Clinical pathology, Microbiology/Virology, ABG) -
10 samples each
5
Pre-anesthesia assessments - 20
6
Endotracheal intubation - 10 times
7
Laryngeal mask intubation - 10 times
*Advanced Practice Nursing - APN; Research Application - RA; Leadership, Management and Teaching - L,M&T
Signature of the Program Coordinator/Faculty
Signature of the HOD/Principal
CLINICAL EXPERIENCE DETAILS
Name of the Clinical Area
Clinical Condition
Number of days
care given
Signature of
Faculty/Preceptor
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
83
Signature of the Program Coordinator/Faculty
Signature of the HOD/Principal
CLINICAL REQUIREMENTS FOR NURSE PRACTIONER IN ANESTHESIA (NPA) - POSTGRADATE
RESIDENCY PROGRAM
IInd year
S.No.
Clinical Requirement
Date
Signature of the
Preceptor/Faculty
1
1.1
Clinical Seminar/Journal Club/Clinical Conference
Foundations of Anesthesia Nursing Practice
(Clinical Conference)
Title of the topic:
1.2
Anesthesia Nursing I (Clinical Seminar)
Title of the topic:
1.3
Anesthesia Nursing I (Journal Club)
Title of the topic:
1.4
Anesthesia Nursing II (Clinical Seminar)
Title of the topic:
1.5
Anesthesia 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 Anesthesia Nursing Practice
(Clinical/Care Pathway)
Name of topic:
2.2
Anesthesia Nursing I (Clinical Presentation)
Name of clinical condition:
2.3
Anesthesia Nursing I (Case Study Report)
Name of clinical condition:
2.4
Anesthesia Nursing II (Clinical Presentation)
Name of clinical condition:
2.5
Anesthesia Nursing II (Case Study Report)
Name of clinical condition:
2.6
Drug studies (drugs listed under Standing Orders)
Bedside presentation
(Five written reports)
2.6.1 Name of drug:
2.6.2 Name of drug:
2.6.3
2.6.4
2.6.5
2.6.6
Name of the Clinical Area
Clinical Condition
Number of days
care given
Signature of
Faculty/Preceptor
84
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
S.No.
Clinical Requirement
Date
Signature of the
Preceptor/Faculty
2.6.7
2.6.8
2.6.9
2.6.10
3
Interdisciplinary Clinical Rounds (with ICU doctors) -
Clinical/Case Presentation
3.1
Anesthesia Nursing I
Name of clinical condition:
3.2
3.3
3.4
3.5
(Case Study Report)
3.6
Anesthesia Nursing II
3.7
3.8
3.9
(Case Study Report)
3.10 Written Report (Developed Clinical/Care Pathway)
4
Providing General Anesthesia - 50 times for ASA grade I patients
5
Providing Spinal Anesthesia - 50 times for pregnant women
(15 at least during emergency)
6
Providing Nerve Block - 50 times
7
Epidural Catheter Insertion - 30 times
8
Providing Conduction Anesthesia - 50 times
9
Preparation and Administration of Anesthetic agents -
each anesthetic agent - 40 times
Note: Clinical presentation can be written for case study report
Signature of the Program Coordinator/Faculty
Signature of the HOD/Principal
CLINICAL EXPERIENCE DETAILS
Name of the Clinical Area
Clinical Condition
Number of days
care given
Signature of
Faculty/Preceptor
[भाग III—खण् ड 4]
भारत का रािपत्र : असाधारण
85
Signature of the Program Coordinator/Faculty
Signature of the HOD/Principal
Appendix 5
STANDING ORDERS AND PROTOCOLS
NURSE PRACTIONER IN ANESTHESIA (NPA) - POSTGRADATE RESIDENCY PROGRAM
Nurse Practitioners are prepared and qualified to assume responsibility and accountability for the care of patients
in any anesthesia care setting. They collaborate with intensivists, physicians, surgeons and specialists to ensure
accurate therapy for patients 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 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 Anesthesia Care Settings (Operating Rooms/PACs/PACUs/ICUs etc.)
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. Deriphylline
Non depolarizing skeletal muscle relaxant
11. Atracurium (Vecuronium, Pan curium)
Anticholinergic
12. Atropine sulphate
Antihistamine
13. Avil
Antihypertensive
14. Clonidine
15. Glycerin trinitrate
16. Isoptin
Name of the Clinical Area
Clinical Condition
Number of days
care given
Signature of
Faculty/Preceptor
86
THE GAZETTE OF INDIA : EXTRAORDINARY
[PART III—SEC.4]
Corticosteroid
17. Hydrocortisone
18. Dexamethasone
Antiepileptic
19. Levetiracetam
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 Operating Rooms are as follows:
•
Inducing agents
•
Muscle relaxants
•
Reversal agents
•
Naloxone
The following investigations and therapies may be ordered by the NPs
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 patients
• Test feeds
• TEDS
• Surgical dressing
• Starting and closing dialysis
• Application of Ichthammol Glycerin/Magnesium Sulphate
dressing for thrombophlebitis/extravasation
• Pin site care for patients on external fixators
• Isometric and isotonic exercises
INSTITUTIONAL STANDING ORDERS AND PROTOCOLS
In every hospital, the standing orders for drug administration with specific dosage to be administered during
emergency situations can be made available as guidelines for NPA graduates. The NP students will be trained to
administer these drugs under supervision by preceptors/NP faculty. The protocols for ordering selected investigations
and carrying out specific therapeutic procedures can also be available in every hospital that trains NPA students.
Dr. T. DILEEP KUMAR, President
[ADVT.-III/4/Exty./900/2024-25]
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: 2025.01.25 11:41:11 +05'30'