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.

50

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.

54

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

70

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.

78

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'