463 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

(X)

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(

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

सं. 51]

नई दिल्ली, िुक्रवार, िनवरी 17, 2025/पौष 27, 1946

No. 51]

NEW DELHI, FRIDAY, JANUARY 17, 2025/PAUSHA 27, 1946

सी.जी.-डी.एल.-अ.-27012025-260514

CG-DL-E-27012025-260514

2

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

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

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

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

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

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

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

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

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

uacj ls gS(

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

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

I.

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

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

çf'k{k.k ds {ks=ksa esa ekuo lalkèku fodkl ij tksj nsrh gSA ljdkj lkoZtfud vkSj futh LokLF; nksuksa {ks=ksa esa r`rh;d

ns[kHkky lsokvksa esa egRoiw.kZ o`f) dks ekU;rk nsrh gSA viuh {kerk fuekZ.k ds fy, ;g vR;ar egRoiw.kZ gS fd LokLF;

ns[kHkky dfeZ;ksa dks fof'k"V vkSj vfr&fof’k"V lsokvksa esa mUur 'kSf{kd rS;kjh dh vko';drk gksrh gSA fof'k"V vkSj

vfr&fof'k"V LokLF; ns[kHkky lsokvksa dk leFkZu djus ds fy,] mUur rS;kjh okys fo'ks"kK ulZ vko';d gSaA r`rh;d

ns[kHkky ds {ks= esa çf'k{k.k dk;ZØe vkSj ikBîØe fodflr djuk le; dh vko';drk ds :i esa igpkuk tkrk gSA ulZ

çSfDV'kuj ¼,uih½ bl ekax dks iwjk djus esa l{ke gksaxs] c'krsZ os vPNh rjg ls çf'kf{kr gksa vkSj vH;kl djus ds fy,

vfèkÑr gksaA dsaæ vkSj jkT; Lrj ij u, laoxZ dh LFkkiuk ds lkFk] ijkLukrd Lrj ij rS;kj ulZ çSfDV'kuj r`rh;d

ns[kHkky dsaæksa ds fofHkUu xaHkhj ns[kHkky lek;kstuksa esa jksfx;ksa dks ykxr çHkkoh] mfpr] lqjf{kr vkSj xq.koÙkk ijd fof'k"V

uÉlx ns[kHkky çnku djus esa l{ke gksaxsA ulZ çSfDV'kulZ ;w,l, rFkk dukM+k esa 1960 ds n'kd ls] ;wds esa 1980 ds n'kd

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

ulZ çSfDV'kuj bu fØfVdy ds;j@,D;wV ds;j] vkWUdksykWth] usÝksykWth ds;j] ,ejtsalh ds;j] U;wjks ds;j]

dkÆM;ksoLdqyj ds;j] ,usLFksfl;k ds;j ,aM vnj Lis’kfyVht dks ekè;fed vkSj r`rh;d ns[kHkky lek;kstuksa esa dk;Z djus

ds fy, rS;kj fd;k tk ldrk gSA ijkLukrd Lrj ij ulZ çSfDV'kuj bu usÝksykWth uÉlx ¼,uih,ubZih,u½ rS;kj djus ds

fy, ifj"kn~ }kjk ,d ikBîp;kZ lajpuk@:ijs[kk çLrkfor dh xbZ gSA bl dk;ZØe dk fof'k"V y{k.k ;g gS fd ;g ,d

uSnkfud vkoklh; dk;ZØe gS tks 15% lS)kafrd funsZ'k vkSj 85% O;kogkfjdrk ds lkFk ,d lqn`<+ uSnkfud ?kVd ij cy

nsrk gSA bldk çeq[k n`f"Vdks.k n{krk vkèkkfjr çf'k{k.k gS vkSj ,uih f'k{kk baVjus'kuy dkmafly vkWQ ulsZt ¼vkbZlh,u]

2020½] vesfjdu ,lksfl,'ku vkWQ dkWyst vkWQ uÉlx ¼,,lh,u] 2021½] vesfjdu usÝksykWth ulsZt ,lksfl,'ku ¼,,u,u,]

2020½ vkSj us'kuy vkWxZukbts'ku vkWQ ulZ çSfDV'kuj QSdYVht daihVsalht ¼,uvks,uih,Q daihVsalht] 2022½ ls yh xbZ

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

ulZ çSfDV'kuj bu usÝksykWth ufl±x dk;ZØe dk mís'; iathÑr ch-,llh- ulks± dks r`rh;d ns[kHkky dsaæksa esa fdMuh

jksx ls ihfM+r jksfx;ksa dks mUur uÉlx ns[kHkky çnku djus ds fy, rS;kj djuk gSA ulZ çSfDV'kuj bu usÝksykWth uÉlx

¼,uih,ubZih,u½ tfVy ;k thMZ fdMuh@;wjksykWftdy fodkjksa ls ihfM+r] Mk;fyfll ysus okys vkSj fdMuh çR;kjksi.k ds

bPNqd ;k fdMuh çR;kjksi.k djok pqds jksfx;ksa dks çkFkfed ns[kHkky çnku djrk gSA

uÉlx ns[kHkky jksx c<+us dh xfr dks èkhek djus] çkjafHkd çcaèku 'kq: djus] tfVyrkvksa dks de djus vkSj thou dh

xq.koÙkk dks c<+kus ij dsafær gSA dk;ZØe esa vè;;u ds fofHkUu ikBîØe 'kkfey gSa tks fdMuh jksx ls ihfM+r O;fDr;ksa ds

vkadyu vkSj çcaèku esa etcwr oSKkfud vkèkkj vkSj lk{; vkèkkfjr vH;kl ij vkèkkfjr gSaA ;s ch-,llh- çf'kf{kr ulks± dh

lS)kafrd vkSj O;kogkfjd n{krkvksa ij vkèkkfjr gSaA dk;ZØe ds iwjk gksus vkSj lacafèkr ,l,uvkjlh esa iathÑr gksus ij]

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

ds vuqlkj Lora= :i ls vkS"kfèk;ka nsus vkSj uSnkfud ijh{k.k] çfØ;k vkSj mipkj djus dk vkns’k nsus dh vuqefr nh tkrh

gSA ulZ çSfDV'kuj bu usÝksykWth uÉlx bl vfèkdkj dk ç;ksx djrs le; bu n{krkvksa ds fy, tokcnsg gksaxs &

a) vkadyu vkSj uSnkfud ijh{k.k

b) leL;k dks igpkuuk vkSj mipkj ;kstuk rS;kj djuk

c) gseksMk;fyfll vkSj isfjVksfu;y Mk;fyfll dh ;kstuk cukuk vkSj çnku djuk

d) fdMuh çR;kjksi.k mipkj ds fy, jksfx;ksa vkSj ifjtuksa dks rS;kj djuk

e) xzkgdksa vkSj muds ifjtuksa dks vax nku ds fy, rS;kj djuk

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

g) jksxh f'k{kk

h) mipkjkRed vkS"kfèk;ksa dh ikjLifjd çHkko dh tkudkjh

i) ifj.kkeksa dk fu:i.k

j) tfVyrkvksa vkSj çfrdwy çfrfØ;kvksa dh igpku vkSj çcaèku

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

3

k) uSnkfud vH;kl esa lk{; vkèkkfjr uokpkjksa esa ;ksxnku

l) fdMuh nku vkSj çR;kjksi.k dks c<+kok nsus esa ljdkjh vkSj xSj&ljdkjh xfrfofèk;ksa esa HkkxhnkjhA

ulZ çSfDV'kuj bu usÝksykWth uÉlx ¼,uih,ubZih,u½ viuh ns[kjs[k esa fdMuh jksx ls ihfM+r jksfx;ksa dh ns[kHkky ds

fy, ftEesnkjh vkSj tokcnsgh ysus ds fy, rS;kj vkSj ;ksX; gksrs gSaA

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

ifj"kn~ dk ekuuk gS fd fdMuh jksx ls ihfM+r jksfx;ksa vkSj muds ifjtuksa dks xq.koÙkkiw.kZ ns[kHkky çnku djus ds fy,

Hkkjr esa r`rh;d LokLF; ns[kHkky lsokvksa dh pqukSfr;ksa vkSj ekaxksa dks iwjk djus gsrq ulZ çSfDV'kuj bu usÝksykWth uÉlx

¼,uih,ubZih,u½ uked ,d LukrdksÙkj dk;ZØe LFkkfir djuk vR;fèkd vko';d gS] tSlk fd jk"Vªh; LokLF; uhfr] 2017

esa ifjyf{kr gSA

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

Bksl lS)kafrd vkSj lk{; vkèkkfjr Kku ds vkèkkj ij LukrdksÙkj] uSnkfud {kerk dk çn'kZu djus esa l{ke gksaxsA

f'k{k.k&vfèkxe n`f"Vdks.k dks o;Ld vè;;u fl)karksa] n{krk&vkèkkfjr f’k{kk] lg;ksxh vè;;u] çf'k{kd funsZf'kr uSnkfud

vè;;u] vuqHkokRed vè;;u vkSj Lo&funsZf'kr vè;;u ij dsafær gksuk pkfg,A f'k{kk çnkrkvksa@ çhlsIVlZ@esaVlZ dks

vius orZeku Kku vkSj çFkkvksa dks v|ru j[kuk pkfg,A çf'k{k.k esa çhlsIVj ds :i esa Hkkx ysus ds fy, fpfdRlk ladk;

dks vkeaf=r fd;k tkrk gSA

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

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

fn’kk esa uhfr;ksa dks fodflr djus esa enn feysxh vkSj bu LukrdksÙkj ,uih,ubZih,u dks usÝksykWth lsok,a çnku djus

okys ekè;fed vkSj r`rh;d ns[kHkky vLirky lek;kstuksa ;k lkeqnkf;d LokLF; ns[kHkky lek;kstuksa esa dk;Z djus gsrq

mfpr fu;qfDr ds fy, inksa dk l`tu fd;k tk ldsxkA os Øksfud fdMuh jksx Dyhfud@dsaæ] Mk;fyfll dsaæ vkSj

çkFkfed ns[kHkky lek;kstuksa] ftuesa ?kj vkèkkfjr gseksMk;fyfll vkSj isfjVksfu;y Mk;fyfll 'kkfey gSa] esa Hkh lsok,a çnku

dj ldrs gSaA

,uih ikBîØe ds fy, ,d 'kS{kf.kd :ijs[kk çLrkfor gS ¼ns[ks

a½

• mUur uÉlx vH;kl

ds fy, lS)kafrd vkèkkj

• usÝksykWth uÉlx esa 'kksèk

vuqç;ksx rFkk lk{;

vkèkkfjr vH;kl

• usr`Ro] çcaèku rFkk f'k{k.k

esa mUur dkS'ky

• usÝksykWth

uÉlx vH;kl

ds ewy vkèkkj

• usÝksykWth

uÉlx I

• usÝksykWth

uÉlx II

4

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

II.

ulZ çSfDV'kuj bu usÝksykWth ufl±x ¼,uih,ubZih,u½ dk;ZØe ,d vkoklh; uÉlx dk;ZØe gS ftlesa eq[;r%

n{krk&vkèkkfjr çf'k{k.k ij cy fn;k tkrk gSA ikBîØe dh vofèk nks o"kZ gS ftlesa lS)kfUrd ds ewy 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

;g dk;ZØe ,uih Nk=ksa dks usÝksykWth 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 mUgsa fdMuh jksx ls ihfM+r jksfx;ksa dh ns[kHkky djrs le; uÉlx eè;orZu ds fy, mUur

dkS'ky fodflr djus esa enn djsxkA

III.

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

vkSj lykgdkj ds :i esa rS;kj djrk gS] tks vkxs pydj ,e-,llh- uÉlx ¼ulZ çSfDV'kuj bu usÝksykWth ufl±x½ curs gSaA

IV.

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

1- fofHkUu LokLF; ns[kHkky lek;ktuksa esa fdMuh jksx ls ihfMr jksfx;ksa dks l{ke ifjokj dsafær ns[kHkky çnku djus ds

fy, ftEesnkjh vkSj mÙkjnkf;Ro ysukA

2- fofHkUu fdMuh fodkjksa] f'k{kk] uSnkfud rdZ] tfVy fuxjkuh vkSj vkgkj ds lkFk&lkFk mipkj rFkk lalkèku ,tsafl;ksa

ds lkFk laidZ ds lkFk jksfx;ksa ds uSnkfud vkadyu esa fo'ks"kKrk lfgr uSnkfud {kerk dk çn'kZu djukA

3- usÝksykWth uÉlx esa mipkj@eè;orZu dks ykxw djus ds fy, uSnkfud tkudkjh] oSKkfud fl)kar] fNækUos"kh lksp

dkS'ky vkSj lk{; vkèkkj ykxw djukA

4- usÝksykWth ny ds ,d lnL; ds :i esa Lora= ;k lg;ksxkRed :i ls jksxh ds LokLF; dks fLFkj o cgky djus vkSj

tfVyrkvksa dks de djus ;k çcafèkr djus ds fy, fdMuh jksx ls ihfMr jksfx;ksa ds bykt esa Hkkx ysukA

5- ns[kHkky dh fujarjrk esa usÝksykWth ny esa 'kkfey vU; LokLF; dfeZ;ksa ds lkFk lg;ksx djukA

V.

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

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

1. vfuok;Zrk çek.ki=

a. tks dksbZ Hkh laLFkku ulZ çSfDV'kuj bu usÝksykWth ufl±x ¼,uih,ubZih,u½ dk;ZØe 'kq: djuk pkgrs gSa] mUgsa

jkT; ls vfuok;Zrk çek.ki=@ljdkjh vkns'k ysuk gksxkA

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

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

uÉlx dk;ZØeksa dk igys ls gh lapkyu djus okys laLFkku@fo'ofo|ky;(

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

2. vLirky

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

b. ewy vLirky ls lac) ,d esfMdy dkWyst@uÉlx dkWyst gksuk csgrj gksxkA

3. usÝksykWth 'k¸;k

vLirky esa de ls de 20 'k¸;k okyk ,d usÝksykWth okMZ] de ls de 10 'k¸;k okyk ,d gseksMk;fyfll bdkbZ

vkSj fdMuh çR;kjksi.k lsok,a miyCèk gksuh pkfg,A de ls de 2 'k¸;k okyh ,d isjhVksfu;y Mk;fyfll bdkbZ gksuk

csgrj gksxkA

4. usÝksykWth bdkbZ LVkÇQx

a. okMZ rFkk Mk;fyfll bdkbZ esa ,d pktZ ulZ gksuk pkfg,] vfèkekur% ch-,llh- uÉlx ;k ,e-,llh- uÉlx

;ksX;rk èkkjdA

b. tujy okMZ esa çR;sd f'k¶V ds fy, ulZ jksxh vuqikr 1%6 gksuk pkfg,A

c. Mk;fyfll bdkbZ esa çR;sd f'k¶V ds fy, ulZ jksxh vuqikr 1%1 gksuk pkfg,A

d. vodk'k vkjf{kr ds fy, 45% vfrfjDr deZpkfj;ksa dk çkoèkku gksuk pkfg,A

5. ladk;@LVkQ lalkèku

a.

i. uÉlx çhlsIVj & usÝksykWth uÉlx esa 6 o"kZ ds vuqHko ds lkFk iw.kZdkfyd th,u,e ¼vfèkekur% iksLV csfld

fMIyksek bu jhuy uÉlx½ ;ksX;rk èkkjd ;k usÝksykWth uÉlx esa 2 o"kZ vuqHko ds lkFk ch-,llh- uÉlx ;k

usÝksykWth uÉlx esa ,d o"kZ vuqHko ds lkFk ,e-,llh- ¼fof’k"Vrk & esfMdy lÆtdy uÉlx½

ii. esfMdy çhlsIVj & Mh,e bu usÝksykWth

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

gksuk pkfg,½

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

5

b.

i. çksQslj@,lksfl,V çksQslj% 1 ¿'kS{kf.kd vuqHko% ,e-,llh- ¼fof’k"Vrk & esfMdy lÆtdy uÉlx½ LukrdksÙkj

ds ckn 5 o"kZÀ ¼çR;sd 10 Nk=ksa ds fy, ,d ladk;½

i. lgk;d çksQslj & 1 ¼’kS{kf.kd vuqHko% ch-,llh- uÉlx ds ckn 3 o"kZ½

ii. mijksDr ladk; nksgjh Hkwfedk fuHkk,axs ;k usÝksykWth bdkbZ esa fu;qDr ,e-,llh- uÉlx ;ksX;rk èkkjd ,d

ofj"B ulZ gksaxsA

iii. QkekZdksykWth vkSj iSFkksfQft;ksykWth ds fy, vfrfFk çkè;kid

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

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

b. flE;qysVsM vè;;u ds fy, dkS'ky ç;ksx'kkyk ¼vLirky@dkWyst½

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

d. bZ&yÆud lqfoèkk,a

7. midj.k lwph ¼layXu

½

8. Nk= HkrÊ@ços'k lacaèkh vgZrk,a

a. ukekadu ls igys vkosndksa dks vfèkekur% usÝksykWth ns[kHkky lek;kstu esa de ls de 1 o"kZ uSnkfud vuqHko ds

lkFk iathÑr ch-,llh-@ih-ch-ch-,llh- ulZ gksuk pkfg,A

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

,l,uvkjlh esa iathÑr gksuk pkfg,A

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

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

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

vH;fFkZ;ksa dh la[;k & 3 Mk;fyfll 'k¸;k vkSj usÝksykWth bdkbZ esa HkrhZ 5 jksxh ds fy, 1 vH;FkhZA

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

2- vU; vH;fFkZ;ksa ds fy, o`fÙkdk@osru ml vLirky dh osru lajpuk ds vuqlkj gksxk tgka ikB~;Øe 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)kfUrd vFkok ç;ksxkRed ijh{kk esa vuqÙkh.kZ gks tkrk gS] rks mls og ç'u&i= fQj ls nsuk gksxk

ftlesa og vuqÙkh.kZ gqvk gSA

,sls vH;FkhZ dh Js.kh ?kksf"kr ugÈ dh tk,xh tks fdlh Hkh fo"k; esa vuqÙkh.kZ gksA

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

çk;ksfxd ijh{kk ds fy, çfr fnu Nk=ksa dh vfèkdre la[;k 10 Nk= gksxhA

ijh{kk dsoy uSnkfud {ks= esa gh vk;ksftr dh tkuh pkfg,A

çk;ksfxd ijh{kd ny esa ,d vkarfjd ijh{kd ¿,uih,ubZih,u dk;ZØe i<+kus ds 2 o"kZ vuqHko ds lkFk ,e-,llh-

uÉlx ladk;@LukrdksÙkj ds mijkar 5 o"kZ vuqHko ds lkFk ,e-,llh- ¼esfMdy lftZdy uÉlx½ ladk;À] ,d cká

ijh{kd ¼mijksDr ds leku½ vkSj ,d fpfdRlh; vkarfjd ijh{kd] tks ,uih,ubZih,u dk;ZØe ds fy, çhlsIVj gksxkA

'kksèk fucaèk*

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

lg&xkbM% esfMdy çhlsIVj

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

xkbM Nk= vuqikr% 1%5

6

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

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

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

uSfrd eatwjh% paqwfd 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; usÝksykWth uÉlx ds fy, çklafxd gksuk pkfg, tks uÉlx eè;orZu esa tkudkjh ;k lk{; tksM+sA

'kksèk fdlh Hkh usÝksykWth ns[kHkky lek;kstu esa vk;ksftr fd;k tkuk pkfg,A

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

iwjk gksus ls 6 ekg igys uSnkfud vuqHko ds nkSjku ,dhÑr fd;k tk ldrk gSA

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

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

'kksèk fucaèk ijh{kk

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

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

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

tk ldrk gSA½

*'kksèk çcaèk ds LFkku ij bZchih ifj;kstuk lapkfyr dh tk ldrh gS vkSj fu:i.k ds fy, fjiksVZ çLrqr dh tk ldrh

gSA

VII.

• ç’uksÙkjh

• lsfeukj

• fyf[kr fufgr dk;Z

• ekeys dh çLrqfr@uSnkfud çLrqfr

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

• uSnkfud çn'kZu leh{kk

• ykWx cqd% esfMdy@uÉlx ladk;@çhlsIVj }kjk gLrk{kfjr çfØ;kRed n{krk rFkk uSnkfud vgZrk dk laiknu

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

• ç’u i=] ç’uksÙkjh

• vafre ijh{kk

¼vkadyu fn'kkfunsZ'kksa ds fy,

dk lanHkZ ysa½

%

%

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

2

50

2

usÝksykWth uÉlx esa 'kksèk vuqç;ksx rFkk lk{; vkèkkfjr

vH;kl

3

30

70

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

3

30

70

4 usÝksykWth uÉlx esa vuqç;qDr mUur iSFkksfQft;ksykWth rFkk

mUur QkekZdksykWth

3

30

70

5 mUur LokLF;@'kkjhfjd vkadyu

3

30

70

50

50

1 usÝksykWth uÉlx vH;kl ds ewy vkèkkj

3

30

70

100

100

2 usÝksykWth uÉlx I

3

30

70

100

100

3 usÝksykWth uÉlx II

3

30

70

100

100

4 'kksèk fucaèk vkSj ekSf[kd ijh{kk

50

50

VIII.

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

7

I

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

40

II

usÝksykWth uÉlx esa 'kksèk vuqç;ksx rFkk lk{;

vkèkkfjr vH;kl

56

24

336 ¼7 lIrkg½

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

56

24

192 ¼4 lIrkg½

IV usÝksykWth uÉlx esa vuqç;qDr mUur

iSFkksfQft;ksykWth

60

336 ¼7 lIrkg½

V

usÝksykWth uÉlx 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 usÝksykWth uÉlx vH;kl ds ewy vkèkkj

96

48

576 ¼12 lIrkg½

VIII usÝksykWth uÉlx I

96

48

576 ¼12 lIrkg½

IX usÝksykWth 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)kfUrd&O;kogkfjd½ ¿lS)kfUrd ¾ 15%] O;kogkfjd ¾ 85%À

f}rh; o"kZ% 288&144&1776 ?kaVs ¼lS)kfUrd&O;kogkfjd½ ¿lS)kfUrd ¾ 15%] O;kogkfjd ¾ 85%À

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

330@336$96 ?kaVs*½

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

ldrs gSa

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

384$48 ?kaVs½

¼1 lIrkg CykWd d{kk,a ¾ 48 ?kaVs½

A.

U;wure 48 ?kaVs çfr lIrkg fuèkkZfjr gS] gkykafd] ;g vyx&vyx ikfj;ksa vkSj vkWu dkWy

MîwVh djus ds ckn NqV~Vh ds vkèkkj ij ifjorZu'khy gSA

B.

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

•

o;Ld usÝksykWth okMZ & 10 lIrkg

•

ihfM;kfVªd usÝksykWth okMZ & 4 lIrkg

•

Mk;fyfll ;wfuV & 14 lIrkg

•

;wjksykWth okMZ & 2 lIrkg

•

jhuy VªkalIykaV ;wfuV & 5 lIrkg

•

usÝksykWth vksihMh & 4 lIrkg ¼VªkalIykaV vksihMh lfgr½

•

esfMdy vkbZlh;w & 4 lIrkg

•

vaxnku bdkbZ@uksVks & 1 lIrkg

8

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

¼CykWd d{kkvksa ds ,d lIrkg dks NksM+dj½

•

esfMdy vkbZlh;w & 4 lIrkg

•

lÆtdy vkbZlh;w & 2 lIrkg

•

cky fpfdRlk vkbZlh;w & 2 lIrkg

•

o;Ld usÝksykWth okMZ & 8 lIrkg

•

ihfM;kfVªd usÝksykWth okMZ & 2 lIrkg

•

usÝksykWth vksihMh & 6 lIrkg

•

Mk;fyfll ;wfuV & 10 lIrkg ¼isfjVksfu;y Mk;fyfll&ihMh lfgr½

•

fdMuh VªkalIykaV ;wfuV & 5 lIrkg

•

vkWijs'ku fFk;sVj & 4 lIrkg

•

;wjksykWth okMZ & 2 lIrkg

C.

vè;;u ladk; }kjk Lo&funsZf'kr gksxk] tks uSnkfud vuqHko ds lkFk ,dhÑr gksxkA

•

vuqHkokRed vè;;u

•

Çpru'khy vè;;u

•

fleqys'ku vkèkkfjr vè;;u

•

uSnkfud dkUÝsal

•

ekeyk@uSnkfud çLrqfr

•

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

•

uÉlx jkmaM

•

bZ&yÉux] oÆ.kr çLrqfr;ka

•

f¶yIM vè;;u d{k

•

uSnkfud lsfeukj

•

tuZy Dyc

•

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

•

mUur LokLF; vkadyu

•

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

•

funsZf'kr iBu

•

çn'kZu] i;Zosf{kr dkS’ky vH;kl

•

fufgr dk;Z

•

ekeys ds vè;;u dk fo'ys"k.k

•

dk;Z'kkyk,a

•

çfØ;kvksa dk voyksdu

•

çn'kZu vkSj i;Zosf{kr dkS’ky vH;kl

D.

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

3

vkSj uSnkfud vgZrk,a

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

E.

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

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

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

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

djrk gSA

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

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

ikjLifjd dkS'ky dk mi;ksx djrk gSA

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

Lohdkj djrk gSA

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

djrk gSA

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

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

11- ,d ,slh çFkk fodflr djrk gS tks orZeku oSKkfud lk{;ksa ij vkèkkfjr gks rFkk jksxh] ifjtuksa vkSj leqnk; ds

LokLF; çcaèku esa 'kkfey gksA

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

9

12- lk{;&vkèkkfjr vH;kl 'kq# djrk gS] vkSj mldk vkadyu rFkk çcaèku djrk gSA

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

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

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 vkSj xq.koÙkk lqèkkj mi;ksx dj ,d lqjf{kr fpfdRlh; okrkoj.k cukrk gS vkSj cuk,

j[krk gSA

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

ftEesnkjh laHkkyrk gSA

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

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

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

1- usÝksykWth esa mUur Kku ftlesa iSFkksfQft;ksykWth vkSj fdMuh@;wjksykWftdy fLFkfr;ksa vkSj mudh tfVyrkvksa dk

çcaèku 'kkfey gSA

2- mRÑ"V ikjLifjd] lapkj vkSj fNækUos’kh lksp dkS'kyA

3- fdMuh fodkjksa ls xzflr jksfx;ksa ds vkadyu] funku vkSj çcaèku esa mUur uSnkfud dkS'ky ftlesa fdMuh

fjIyslesaV Fksjsih 'kkfey gSA

4- fdMuh jksx vkSj mlds çHkkoksa ls fuiVus ds nkSjku jksfx;ksa vkSj muds ifjtuksa dh t:jrksa ds çfr laosnu'khyrkA

5- fdMuh jksx] mipkj vkSj thou 'kSyh esa cnyko ds ckjs esa jksfx;ksa dks fl[kkus dh {kerkA

6- fdMuh jksx ls tqM+s 'kksd vkSj uqdlku ls fuiVus dh {kerkA

7- ns[kHkky leUo; esa ,d cgq&fo"k;d ny esa dke djus dh {kerkA

F.

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

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

LFkk;h vkns'k½A vkikrdkyhu

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

1- mUur vH;klh; uÉlx ds

fy, lS)kafrd vkèkkj ¼40½

8 ?kaVs

1×32¾32 ?kaVs

• lsfeukj@lS)kafrd vuqç;ksx

• O;k[;ku ¼ladk;½

• tuZy çLrqfr

• f¶yIM vè;;u d{k

2- usÝksykWth uÉlx esa 'kksèk

vuqç;ksx rFkk lk{; vkèkkfjr

vH;kl ¼56$24½

8 ?kaVs

40 ¼5 fnu½

$ 8 ?kaVs

1×24¾24 ?kaVs

• 'kksèk vè;;u fo'ys"k.k

• vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½

3- usr`Ro] çcaèku rFkk f'k{k.k esa

mUur dkS'ky ¼56$24½

4 ?kaVs

16 ?kaVs

¼2 fnu½

1×26¾26 ?kaVs

2×16¾32 ?kaVs

• uSnkfud dkUÝsal

• lsfeukj] vH;kl vè;;u

• dk;Z’kkyk

• vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½

4- usÝksykWth uÉlx esa vuqç;qDr

mUur iSFkksfQft;ksykWth ¼60½

1-5×40¾60 ?kaVs

• ekeys dh çLrqfr

• lsfeukj

• uSnkfud dkUÝsal

• dulsIV eSfiax

5- usÝksykWth uÉlx esa vuqç;qDr

mUur QkekZdksykWth ¼54½

10 ?kaVs

1×44¾44 ?kaVs

• uÉlx jkmaM~l

• vkS"kfèk vè;;u çLrqfr

• LFkk;h vkns'k

• O;k[;ku@ppkZ

• vkS"kfèk Mk;jh

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

10

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• ekeys dk vè;;u

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

¼330@336 ?kaVs½

¼48 ?kaVs½

1- usÝksykWth uÉlx vH;kl ds ewy

vkèkkj

¼96$48 ?kaVs½ ¾ 144 ?kaVs

9×16 ¾ 144 ?kaVs

• çn'kZu

• i;Zosf{kr vH;kl

• uSnkfud çf'k{k.k

• ekeys dk vè;;u

• lsfeukj

• uSnkfud dkUÝsal

• ladk; O;k[;ku

2- usÝksykWth uÉlx I

¼96$48 ?kaVs½ ¾ 144 ?kaVs

9×16 ¾ 144 ?kaVs

• çn'kZu

• i;Zosf{kr vH;kl

• uSnkfud dkUÝsal@tuZy Dyc

• f¶yIM vè;;u d{k

• lsfeukj

• ekeys dh çLrqfr

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

• uÉlx jkmaM~l

• ladk; O;k[;ku

• Çpru'khy vè;;u

• oÆ.kr ihihVh] ohfM;ks

• funsZf'kr iBu

3- usÝksykWth uÉlx II

¼96$48 ?kaVs½ ¾ 144 ?kaVs

9×16 ¾ 144 ?kaVs

• çn'kZu ¼ç;ksx'kkyk½

• uSnkfud n{krkvksa dk i;Zosf{kr vH;kl

• uÉlx jkmaM~l

• uSnkfud dkUÝsal@tuZy Dyc

• lsfeukj] ekeys dk vè;;u

• ladk; O;k[;ku

• Çpru'khy vè;;u

• funsZf'kr iBu] lkfgfR;d leh{kk

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

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

I.

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

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

djukA

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

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

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

:ikarj.k djukA

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

7- fØfVdy ds;j esa LokLF; ns[kHkky ny ds lHkh lnL;ksa dks 'kkfey djrs gq, lg;ksxh vH;kl esa lfØ; :i ls Hkkx

ysuk vkSj vfèkÑr nk;js ds vanj fu;ked Hkwfedk fuHkkukA

8- fofèkd] uSfrd vkSj mUur uÉlx vH;kl ds fu;eu dh vPNh tkudkjh ds lkFk uSfrd vH;kl esa layXu gksukA

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

11

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

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

10- xqnsZ dh chekjh okys jksfx;ksa dks l{ke ns[kHkky çnku djus esa uÉlx fl)karksa dh tkudkjh dks ykxw djukA

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

iwokZuqeku yxkukA

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

2

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

2

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

2

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

4

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

4

6- ,ih,u & ifjHkk"kk] nk;jk] n'kZu] tokcnsgh] Hkwfedk vkSj ftEesnkfj;ka

¼lg;ksxh vH;kl vkSj ulZ fu;ked 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 uÉlx vH;kl Hkwfedk ds uSfrd vk;ke ¼n{krk&8½

3

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

3

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

2

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

4

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

3

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

2

6

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

2- ,uih vH;kl ds fy, Hkkjr esa dkuwuh fLFkfr dh O;k[;k djukA vU; ns'kksa esa bu uhfr;ksa dh çklafxdrk

ds lkFk Hkkjr esa ulZ fu;ked uhfr;ksa dk Hkfo"; D;k gS\

3- vkids r`rh;d dsaæ dh usÝksykWth bdkbZ@fdMuh çR;kjksi.k bdkbZ@Mk;fyfll bdkbZ esa ik, tkus okys

,uih vH;kl ls lacafèkr uÉlx çksVksdkWy dh tkap djuk

•

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

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

•

,,u,u, ¼2021½ n usÝksykWth ulsZt Ldksi ,aM LVsaMMZ~l vkWQ çsfDVl% LVsaMMZ~l vkWQ çksQs’kuy ijQkWjesal ,aM

daihVsalht] usÝksy ulZ ts- 2022 tqykbZ&vxLr

•

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

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

•

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

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

•

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

•

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

•

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

•

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

II.

1- usÝksykWth ns[kHkky lek;kstu esa Lora= 'kksèk djus esa xgu 'kksèk tkudkjh vkSj dkS'ky dks ykxw djukA

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

3- lk{k&vkèkkfjr vH;kl ¼bZchih½ mRiUu djus ds fy, mUur vH;kl esa 'kksèk fu"d"kks± dh O;k[;k vkSj mi;ksx djukA

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

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

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

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

12

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

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

1- 'kksèk vkSj mUur uÉlx vH;kl

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

2

2- ,ih,u vH;kl ds fy, 'kksèk ,tsaMk

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

esa xq.koÙkkiw.kZ ns[kHkky ds ladsrd ¼n{krk&3] 4] 5½] 'kksèk laLÑfr dk lao)Zu

5

3- 'kksèk tkudkjh vkSj dkS'ky

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

'kksèk esa Hkkxhnkjh½

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

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

'kksèk fØ;kfofèk

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

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

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

40

¼5 fnolh;

dk;Z'kkyk½

4- çdk'ku ds fy, ys[ku

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

5

¼dk;Z'kkyk½

5- lk{; vkèkkfjr vH;kl

- voèkkj.kk,a] fl)kar] egRo vkSj pj.k

- vkbZlh;w okrkoj.k esa bZchih dks ,dhÑr djuk

- fØfVdy ds;j esa lk{; ds {ks=

- bZchih dks ykxw djus esa ckèkk,a

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

4

•

'kksèk çkFkfedrkvksa dh igpku djuk

•

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

•

'kksèk çLrko@bZchih ifj;kstuk çLrko rS;kj djuk

•

MsVk laxzg.k] fo’ys"k.k vkSj O;k[;k

•

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

•

lkfgfR;d leh{kk & usÝksykWth lek;kstu esa fof’k"V uSnkfud vH;kl 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 tujs'ku vkWQ

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

•

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

ubZ fnYyh% okWYVlZ Dywoj

•

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

,aM ckVZysV ifCy'klZ bad

III.

1- usÝksykWth bdkbZ esa usr`Ro vkSj çcaèku fl)karksa dks ykxw djukA

2- fl)karksa dh csgrj tkudkjh dk mi;ksx djrs gq, usÝksykWth ns[kHkky lek;kstu esa ruko o la?k"kZ dks çHkkoh <ax ls

çcafèkr djukA

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

4- usÝksykWth ns[kHkky lek;kstuksa esa usr`Ro çnku djus vkSj jksxh ns[kHkky ds çcaèku esa egRoiw.kZ fparu vkSj lapkj dkS'ky

dk mi;ksx djukA

5- usÝksykWth ns[kHkky lek;kstu esa ny cukuk vkSj nwljksa dks çsfjr djukA

6- uokpkj vkSj cnyko ds le; mfpr rjhds ls Hkkx ysukA

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

13

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

8- ns[kHkky çnku djus esa xq.koÙkk vkSj uSfrdrk cuk, j[kdj jksxh ns[kHkky esa i{kèkj Hkwfedk fodflr djukA

9- ifjtuksa vkSj jksfx;ksa dks ijke'kZ çnku djuk] ftlls mipkj ;kstukvksa ij lk>k fu.kZ; ysus esa lqfoèkk fey ldsA

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

2

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

2

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

4

4- ruko çcaèku ,oa Vdjko çcaèku & fl)kar vkSj vuqç;ksx] çHkkoh le; çcaèku

4

5- xq.koÙkk lqèkkj ,oa laijh{k.k

4

6- leL;k lekèkku] egRoiw.kZ Çpru o fu.kZ;] usÝksykWth uÉlx vH;kl esa vuqç;qDr lapkj dkS'ky

5

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

2

8- ctV cukuk o lalkèku çcaèku ftlesa ekuo lalkèku & lkexzh] deZpkjh] le; ’kkfey gSa

5

9- cnyko vkSj uokpkj

2

10- vH;kl ds fy, çn'kZu ladsrd vkSj çn'kZu ;qfDr

6

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

2

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

2

13- f'k{k.k fofèk;[email protected];ka] ehfM;k% usÝksykWth ns[kHkky lek;kstu esa jksxh 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- usÝksykWth ns[kHkky lek;kstu esa leFkZu Hkwfedk,a

2

1- LVkQ jksxh fufgr dk;Z dh rS;kjh

2- jksxh + ns[kHkky laijh{k.k

3- uÉlx ns[kHkky ekudksa vkSj çksVksdkWy dh rS;kjh

4- laØe.k fu;a=.k çFkkvksa dh fuxjkuh] ewY;kadu vkSj fjiksVZ ys[ku

5- mi;qDr çkS|ksfxdh dh lgk;rk ls f'k{k.k lkexzh dk mi;ksx djrs gq, deZpkfj;ksa+ rFkk jksfx;ksa ds fy, çf'k{k.k i)fr

dk fodkl

6- lw{e f'k{k.k@jksxh f'k{kk l=

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

8- xq.koÙkk lqèkkj laijh{k.k

9- ijh{k.k fuekZ.k

10- çn'kZu ladsrd eki

fdlh ,d Mk;fyfll bdkbZ ds fy, uÉlx ns[kHkky ekud rS;kj djuk

•

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

fnYyh% tksal ,aM ckVZysV ifCy'klZ bad-

•

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

lkWUMlZ ,Ylsfo;j

•

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

•

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

ckVZysV ifCy'klZ bad-

•

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

tksal ,aM ckVZysV ifCy'klZ bad-

14

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

IV.

1- funku vkSj ns[kHkky dh ;kstuk fodflr djus esa fdMuh dh ns[kHkky esa iSFkksfQft;ksykWftdy çfØ;k dh tkudkjh dks

,dhÑr djukA

2- fdMuh jksx ls lacafèkr tfVyrkvksa ds y{k.k çcaèku vkSj f}rh;d jksdFkke esa iSFkksfQft;ksykWftdy fl)karksa dks ykxw

djukA

3- funku] mipkj] ns[kHkky vkSj jksx funku ds ewY; dks igpkurs gq, xqnkZ çR;kjksi.k dh vko';drk okyh çR;sd fLFkfr

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

IV. A.

I

10

• xqnsZ] ew=okfguh] ew=k'k; dh LFkwy lajpuk

• xqnsZ dh lw{e lajpuk

• ew= fuekZ.k dh fQft;ksykWth

o Xykses#yj fQYVªs’ku

o Vîwcyj jh,ctkWiZ’ku

o Vîwcyj lsØh’ku

• jsfuu ,aft;ksVsaflu ra=

• xqnsZ] ew=okfguh] ew=k'k; ds dk;Z

II

7

• 'kjhj esa æo forj.k

• 'kjhj esa æo fofu;eu ra=

• bysDVªksykbV forj.k] bysDVªksykbV~l dh Hkwfedk ¼lksfM;e] iksVsf'k;e] dSfY'k;e] QkLQksjl] eSXuhf'k;e½

• æo vkSj bysDVªksykbV vlarqyu dh igpku vkSj çcaèku

o ikuh

o lksfM;e

o iksVsf'k;e

o QkLQksjl

o dSfY'k;e

o eSXuhf'k;e

III

5

• 'kjhj esa vEy {kkj fofu;ked ra=

• çfriwjd ra=

• 'kjhj esa vEy {kkj larqyu dk çHkko

• lkekU; eku

• vEy {kkj vlarqyu dh igpku

• ,chth fo'ys"k.k ifj.kkeksa dh O;k[;k

IV

8

• dkfMZ;kd fQft;ksykWth

• bZlhth dh O;k[;k

• 'olu ra=

• var%lzkoh ra=

• raf=dk ra=

IV. B.

I

5

• jDr dh lajpuk

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

15

• jDr dksf'kdkvksa ds çdkj

• jDr dksf'kdkvksa dk fuekZ.k

• jDr lewg ¼CyM xzqi½

• gsesVksfØV

• FkDdk teus dh çfØ;k ¼DykWfVax esdsfuTe½

• xqnsZ dh chekjh esa vke jDr lacaèkh leL;k,a

II

3

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

• ?kko Hkjuk

• tyuk

• LVhou tkWulu ÇlMªkse

• fdMuh fodkjksa esa Roph; ifjorZu

III

5

• 'kkWd ¼lnek½

o gkbiksoksysfed

o dkÆM;kstsfud5

o fMLVªhC;wfVo

• flLVsfed bu¶ysesVjh ÇlMªkse

• eYVhiy vkWxZu fMlQaD'ku ÇlMªkse

• lsfIll

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

• fo"kgj.k

IV

5

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

• ,pvkbZoh

• VsVul

• lklZ] dksfoM

• gsisVkbfVl ,

• gsisVkbfVl ch

• ysIVksfLijksfll

• Msaxw

• eysfj;k

• V~;wcjdqyksfll

V

4

fuEufyf[kr ls xqnsZ dh pksV

• çloiwoZ jDrlzko

• xHkkZoLFkk çsfjr mPp jDrpki] çh&,DysefIl;k

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

• çloksÙkj jDrlzko

• tPpk iwfr

VI

8

• bE;quksXykscqfyu

• ,aVhtu ,aVhckWMh çfrfØ;k,a

• ØkWl eSÇpx

• lsy ehfM,VsM bE;wukykWth

• bEehfM,V ,aM fMysM gkbijVsa’ku

• vkWVksbE;wfuVh

• VªkalIykaV bE;wukykWth

• ,p,l, VkbÇix

•

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

16

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

•

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

felkSjh% ,Ylsfo;j

•

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

•

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

fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl

•

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

,aM ckVZysV ifCy'klZ bad-

•

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

V.

1- xqnsZ dh chekfj;ksa ls ihfM+r jksfx;ksa dks ns[kHkky çnku djus esa vkS"kèkh; fl)karksa dks ykxw djukA

2- usÝksykWth fLFkfr;ksa ds mipkj esa mi;ksx dh tkus okyh vkS"kfèk;ksa ls lacafèkr QkekZdksFksjsI;wfVDl vkSj

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

3- fl)karksa rFkk laLFkkxr çksVksdkWy ds vkèkkj ij lqjf{kr vkS"kfèk nsukA

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

5- usÝksykWth ns[kHkky lek;kstuksa esa jksfx;ksa dks vkS"kfèk ç'kklu esa vkS"kfèk;ksa ds ikjLifjd çHkko dh csgrj tkudkjh ykxw

djuk vkSj muds ifjtuksa dk Lo&ns[kHkky çcaèku esa ekxZn'kZu djukA

I

2

• bfro`Ùk

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

II

3

• ifjp;

• uktqd ns[kHkky esa lekos'k.k] forj.k] p;kip; vkSj mRltZu

• IykTek dalaVªs’ku] gkQ ykbQ

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

• fpfdRlh; lwpdkad vkSj vkS"kfèk lqj{kk

• {kerk vkSj çHkkodkfjrk

• vkS"kfèk nsus ds fl)kar

o vkS"kfèk nsus ds vfèkdkj

o eki ç.kkyh

o ,aVsjy vkS"kfèk nsuk

o lkef;d vkS"kfèk nsuk

o iSjsaVsjy vkS"kfèk nsuk%

III

5

• oSlks,fDVo vkS"kfèk;ka

• oSlksfMysVj] oSlksçslj] vkbuksVªksIl

• dkÆM;d XykbdkslkbM~l & fMxkWfDlu

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

• QkWLQksfM,LVjst bufgfcVlZ & ,fezuksu] fefyzuksu

• ,aVhfjFkfed vkS"kfèk;ka

• ân; lacafèkr fLFkfr;ka

• ân; ladqpu esa lqèkkj djus okyh vkS"kfèk;ka

o gVZ QsY;j ds çcaèku okyh vkS"kfèk;ka

o ,utkbuk isDVksfjl vkSj ek;ksdkÆM;y jksèkxyu ds çcaèku esa nh tkus okyh vkS"kfèk;ka

o fMlfjFkfe;k] gVZ CykWd vkSj pkyu xM+cM+h ds çcaèku esa nh tkus okyh vkS"kfèk;ka

o Qq¶Qqlh; mPp jDrpki ds çcaèku esa nh tkus okyh vkS"kfèk;ka

o vvksVkZ ds ,FksjksLDysjksfVd jksx vkSj ifjèkh; èkeuh jksx ds çcaèku esa nh tkus okyh vkS"kfèk;ka

o Mhi osu FkzksEcksfll ds çcaèku esa nh tkus okyh vkS"kfèk;ka

IV

4

ladsr] fØ;k ra=] [kqjkd] ekxZ] ç'kklu lacaèkh fn'kkfunsZ'k] vkS"kfèk;ksa ds çfrdwy çHkko%

• ,aVhcSDVhfj;y vkS"kfèk;ka

• ,aVhck;ksfVDl

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

17

o xzke ikWftfVo cSDVhfj;k

o xzke usxsfVo cSDVhfj;k

• igyh] nwljh] rhljh vkSj pkSFkh ih<+h dh ,aVhck;ksfVDl

• ,aVhck;ksfVd çfrjksèk

• ,aVhQaxy ,tsaV

• ,aVhok;jy ,tsaV

• ,aVhçksVkstksvy vkS"kfèk;ka

V

4

• ew=oèkZd

• dSfY'k;e pSuy CykWdlZ

• chVk ,MªhuÆtd CykWdlZ

• vYQk ,MªhuÆtd CykWdlZ

• ,aft;ksVsaflu duofV±x ,atkbe bufgfcVlZ

• ,aft;ksVsaflu fjlsIVj CykWdlZ

VI

5

• lYQksuhyqjsl ¼fXyihtkbM] XykbcqjkbM] fXyDyktkbM] fXyesfijkbM½

• esfXyfVukbM~l ¼jsikfXyukbM vkSj usVsfXyukbM½

• fcxqvkukbM~l ¼esVQkWÆeu½

• fFk;ktksfyMkbuMk;ul ¼jksflfXyVktksu] fi;ksfXyVktksu½

• α-XywdksflMsl bufgfcVlZ ¼,dkjcksl] fefXyVksy] oksfXycksl½

• DPP-4 bufgfcVlZ ¼flVkfXyfIVu] lSDlkfXyfIVu] foYMkfXyfIVu] fyukfXyfIVu] ,yksfXyfIVu½

• SGLT2 bufgfcVlZ ¼MsikfXy¶yksftu vkSj dSukfXy¶yksftu½

• lkbDykslsV ¼czkseksfØfIVu½

• rsth ls dke djus okyk balqfyu

• de le; rd dke djus okyk balqfyu

• eè;e le; rd dke djus okyk balqfyu

• fefJr balqfyu

• yacs le; rd dke djus okyk balqfyu

VII

4

• esdsfudy osafVys'ku ij jksfx;ksa ij bLrseky dh tkus okyh vkS"kfèk;ka

• iYeksujh ,fMek ds çcaèku esa bLrseky dh tkus okyh vkS"kfèk;ka

• iYeksujh ,acksfyTe ds çcaèku esa bLrseky dh tkus okyh vkS"kfèk;ka

• ,D;wV jslfijsVjh QsY;j vkSj ,D;wV jslfijsVjh fMLVªSl ÇlMªkse ds çcaèku esa bLrseky dh tkus okyh

vkS"kfèk;ka

• ØkWfud vkWClVªfDVo iYeksujh fMtht ds çcaèku esa bLrseky dh tkus okyh vkS"kfèk;ka

• fueksfu;k ds çcaèku esa bLrseky dh tkus okyh vkS"kfèk;ka

• Iywjy ,¶;wtu ds çcaèku esa bLrseky dh tkus okyh vkS"kfèk;ka

VIII

6

• nnZ

o NSAID

o vksfi;ksbM ,ukYtsfl;k

• csgks'kh

o xkek ,feuks C;wfVfjd ,flM fLVeqysaV~l

o MsDlesMsVksfeMkbu

o ,ukYxkslsMs'ku

• çyki

o gsyksisfjMksy

o ,fVihdy ,aVh&lkbdksfVDl

• LFkkuh; vkSj lkekU; ,usLFksfl;k ds fy, mi;ksx dh tkus okyh vkS"kfèk;ka

o LFkkuh; & ,ekbM] ,LVj vkSj fofoèk ,tsaV

o lkekU; & xSlsa] ok"i'khy rjy inkFkZ] IV ,usLFksfVDl

o ltZjh ds fy, lgk;d xSj laosnukgkjh vkS"kfèk;ka

• ydokxzLr ds fy, mi;ksx dh tkus okyh vkS"kfèk;ka

18

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

o ukWu&fMiksyjkbftax vkSj fMiksyjkbftax ,tsaV

o Çprkuk'kd

• Lok;Ùk vkS"kfèk;ka

o ,MªsuÆtd ,tsaV@flEiSFkksfeesfVDl

o ,MªsuÆtd CykWfdax ,tsaV

o dksyhuÆtd ,tsaV

o ,aVh&dksyhuÆtd ,tsaV

• Çprk vkSj vfuæk ds çcaèku esa nh tkus okyh vkS"kfèk;ka

o ,aVhfMçslsaV

o csatksMk;tsikbu

o ckÆcVqjsV~l

IX

7

• ew=oèkZd

• ¶Y;wM fjiyslesaV

o fØLVykW;M

o dksykbM

• bysDVªksykbV~l

o lksfM;e

o iksVsf'k;e

o dSfY'k;e

o eSXuhf'k;e

o QkWLQksjl

• usÝksykWth fLFkfr;ka

o ,D;wV@Øksfud fdMuh jksx ds çcaèku esa nh tkus okyh vkS"kfèk;ka

o ,D;wV Vîwcyj usØksfll ds çcaèku esa nh tkus okyh vkS"kfèk;ka

• CYSMj vkmVysV vkCLVªD’ku ds çcaèku esa nh tkus okyh vkS"kfèk;ka

o bysDVªksykbV bEcsysal ds çcaèku esa nh tkus okyh vkS"kfèk;ka

o ,flM csl bEcsysal ds çcaèku esa nh tkus okyh vkS"kfèk;ka

o Mk;fyfll ds nkSjku bLrseky dh tkus okyh vkS"kfèk;ka

o usÝksVkWfDld vkS"kfèk;ka

• usÝksykWth fØfVdy ds;j bejtsalh ds fy, LFkk;h vkns'k

X

4

• ,aVh&vYlj vkS"kfèk;ka

• tqykc

• ,aVh Mk;fj;y

• ,aVh besfVDl

• iSufØ;kfVd ,atkbe

• iks"k.k lacaèkh iwjd] foVkfeu vkSj [kfut

XI

4

• ,aVhdks,xqyaV~l

• ,aVhIysVysV vkS"kfèk;ka

• FkzksEcksykbfVDl

• gseksLVSfVd@,aVhQkbfczuksykbfVDl

• gseVksiksb,fVd xzksFk QSDVlZ

o ,fjFkzksiksbfVu

o dkWyksuh fLVeqysfVax QSDVlZ

o IysVysV ,ugkallZ

• jDr vkSj jDr ?kVd

• Vhds

XII

6

• buMD’ku ,tsaV

o ikWyhDyksuy ,aVhckWMh ¼ATG½

o baVjY;wfdu 2 fjlsIVj ,aVkxlsfuLV~l ¼csflfyfDleSc½

• esaVhusal Fksjsih

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

19

o dSfYluqfju bufgfCVlZ ¼lkbDyksLiksfju] VSØksfyel½

o mTOR bufgfCVlZ ¼fljksfyel] ,ojksfyel½

o ,aVhçksfyQsjsfVo ,tsaV ¼,tSfFk;ksfçu] ekbdksQsuksfyd ,flM½

o dkWÆVdksLVsjkWbM~l ¼çsMfulksyksu½

• VªhVesaV QkWj fjtsD’ku

o dkWÆVdksLVsjkWbM~l] ATG, IVIG

•

gfj o#.k dYyqjh] djsu ,y- gkÉMxj] djsaV LVsVl vkWQ jhuy VªkalIykaV bE;wukslçs'ku% çstsaV ,aM ¶;wpj] oYMZ ts

VªkalIykaV 2012 vxLr ¼24½] 2¼4½% 51&68

•

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

•

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

•

'ksfjy ,Q- oksaMjlsd ,aM vkbtSd VsVscke] fçafliYl vkWQ fdMuh QkekZdksFksjsih QkWJ n usÝksykWftLV% dksj dqfydye

2021] us'kuy fdMuh QkmaMs'ku] vesfjdu tuZy vkWQ fdMuh fMtht] 16 tqykbZ 2021

•

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

laLdj.k½ fQykMsfYQ;k% Msfol

VI.

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

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

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

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

lkFk feydj dke djukA

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

vuqorÊ ns[kHkky dh fuxjkuh djukA

I

4

• çHkkoh lapkj ds vko';d rRo

• O;kolkf;d lapkj ds fl)kar

• bfro`Ùk laxzg ds ?kVd vkSj 'kkjhfjd vakdyu

II

6

• ân; lacaèkh bfro`Ùk

• 'kkjhfjd tkap

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

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

dksjksujh ,aft;ksxzke

III

6

• bfro`Ùk

• 'kkjhfjd tkap

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

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

czksadksLdksih] FkksjSlsUVsfll] LiqVe dYpj] iYeksujh QaD’ku VSLV] vYVªklkmaM] yax ck;ksIlh

IV

6

• raf=dk lacaèkh bfro`Ùk

• lkekU; 'kkjhfjd tkap

• laKkukRed dk;Zç.kkyh dk vkadyu

• diky raf=dk dk;Zç.kkyh dk vkadyu

• thlh,l

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

• laosnh vkadyu & Roph; vkadyu

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

20

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

V

6

• bfro`Ùk

• 'kkjhfjd tkap

• xqnsZ dh dk;Zç.kkyh dk vkadyu & ç;ksx’kkyk vè;;u] uSnkfud ijh{k.k

o ew= fo'ys"k.k

o jDr vè;;u

o ,Dl&js ds;wch

o vYVªklkmaM fdMuh] fdMuh ck;ksIlh

o jhuy MkWiyj

o jhuy ,aft;ksxzke

o th,Wvkj dk vuqeku

o vof'k"V jhuy Q+aD'ku

• bysDVªksykbV~l dk vkadyu vkSj ,flM csl cSysal

• æo larqyu dk vkadyu

VI

5

• bfro`Ùk

• 'kkjhfjd tkap

• iks"k.k lacaèkh vakdyu

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

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

VII

5

• bfro`Ùk

• 'kkjhfjd tkap

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

o gkbiksFkSysel vkSj fiVîwVjh XySaM

o Fkk;jkWbM XySaM

o iSjkFkkbjkWbM XySaM

o iSufØ;kt

o ,fMªuy XySaM

VIII

5

• bfro`Ùk

• 'kkjhfjd tkap

• ç;ksx'kkyk vè;;u & jDr iSjkehVj

• uSnkfud vè;;u

IX

3

• bfro`Ùk

• 'kkjhfjd tkap

• iSFkksykWftdy ijh{k.k & Årdh; tkap

X

6

• bfro`Ùk

• 'kkjhfjd tkap & xsV vlslesaV] tkWbaV vlslesaV

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

• uSnkfud vè;;u & fof’k"V jsfM;ksykWftdy vkSj besÇtx vè;;u] o`Dd ra= lacaèkh folaxfr;ksa dk

,aMksLdksfid vè;;u

XI

5

• bfro`Ùk

• 'kkjhfjd tkap

• ç;ksx'kkyk vè;;u

• uSnkfud vè;;u

XII

4

• bZ,uVh dk cqfu;knh vkadyu

• mPp jDrpki] eèkqesg vkSj vkS"kèkh; çHkko ls lacafèkr vka[kksa esa gksus okys ifjorZuksa dh igpku djuk

XIII

4

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

21

• o`f) vkSj fodkl

• iks"k.k lacaèkh vkadyu

• fof'k"V ç.kkyh vkadyu

XIV

5

• bfro`Ùk

• vk;q lacaèkh ifjorZuksa dks è;ku esa j[krs gq, 'kkjhfjd tkap

• euksoSKkfud vkadyu

• fof'k"V ç.kkyh vkadyu

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

•

O;kid bfro`Ùk ysuk

•

dsafær bfro`Ùk ysuk ¼ç.kkyh okj½

•

O;kid 'kkjhfjd tkap

•

dsafær 'kkjhfjd tkap ¼ç.kkyh okj½

•

uSnkfud ekinaMksa dh fuxjkuh ¼ç.kkyh okj½

o buosfto chih ekWfuVÇjx] eYVh&iSjkehVj ekWfuVlZ] bZlhth] isfjQsjy oLdqyj LVsVl] ,chth] iYl vkWDlhehVj]

baVªkØSfu;y çs'kj (ICP), Xyklxks dksek Ldsy (GCS), Øsfu;y uoZ vlslesaV] xaHkhj :i ls chekj dk nnZ vkSj

csgks'kh Ldksj] eksVj vkadyu] laosnh vkadyu] jhuy QaD’ku VSLV] ¶Y;wM larqyu] ,flM csl larqyu]

bysDVªksykbV~l] ckWoy lkmaM] fyoj QaD'ku VSLV] GRBS, ySc VSLV] jsfM;ksykWftdy rFkk besÇtx VSLV ¼ç.kkyh

okj½] ,fMek dh xzsfMax

•

LØhÇux vkSj Mk;XuksfLVd ijh{k.kksa dk vkns'k nsuk vkSj mudh O;k[;k djuk ¼ç.kkyhokj½ ¼layXu

½

•

th,Qvkj dk vuqeku

•

,oh fQLVqyk dk vkadyu

•

lhohlh dk vkadyu

•

ihMh dSFksVj lkbV dk vkadyu

•

fcdyh ,y-,l- ,aM fLtykxh ih-th- ¼2018½ csV~l xkbM Vq fQftdy ,Xtkfeus'ku ,aM fgLVªh VsÇdx ¼11oka laLdj.k½

ubZ fnYyh] fyÇidkWV fofy;El ,aM foÇYdl

•

jksM~l ts- ¼2013½ ,MokaLM gSYFk vlslesaV ,aM Mk;XuksfLVd jhtfuax] fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl

•

foYlu ,l-,Q- ,aM fxMsal ts-,Q- ¼2021½ gSYFk vlslesaV QkWj uÉlx çsfDVl ¼pkSFkk laLdj.k½] lsaV yqbl] felkSjh%

lkWUMlZ ,Ylsfo;j

I

II

VII.

1- xqnsZ dh chekfj;ksa ds vkadyu] funku vkSj çcaèku esa usÝksykWth uÉlx dh mUur voèkkj.kkvksa dks ykxw djrk gSA

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

eè;orZuksa dk mi;ksx djrk gSA

3- LokLF; ns[kHkky ny ds vU; lnL;ksa ds lkFk feydj dke djrk gS vkSj fofHkUu usÝksykWth fLFkfr;ksa okys jksfx;ksa ds

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

4- LokLF; lqj{kk] jksx dh jksdFkke] iwokZuqeku ekxZn'kZu] ijke'kZ] xqnsZ dh chekfj;ksa ds çcaèku] mi'kked ns[kHkky vkSj

thou ds var dh ns[kHkky ls lacafèkr uÉlx ns[kHkky çnku djrk gSA

5- lkekU; usÝksykWth fLFkfr okys jksfx;ksa ds vkadyu] funku vkSj çcaèku esa mUur dkS'ky dk mi;ksx djrk gSA

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

7- usÝksykWth lek;kstuksa ds fy, çklafxd laØe.k fu;a=.k ds fl)karksa dk vH;kl djrk gSA

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

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

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

dkS'ky dk mi;ksx djrk gSA

11- 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

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

22

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

I

10

• ikBîØe dk ifjp;

• usÝksykWth uÉlx dk bfro`Ùk vkSj nk;jk

• ldy 'kjhj jpuk foKku] Hkzw.k foKku] Ård foKku & bysDVªkWu lfgr

• xqnsZ dk ekbØksLdksih vè;;u

• xqnsZ dk ifjlapj.k vkSj Xykses#yj vYVªkfQYVªs'ku

• lksY;wV VªkaliksVZ@dkcZfud vkSj vdkcZfud nksuksa

• xqnsZ dk vEyhdj.k

• ;wfju dalaVªs’ku ,aM Mk;yw’ku

• jDrpki fofu;eu esa xqnsZ dh Hkwfedk

• xqnsZ ds var%lzkoh vkSj Lor%lzkoh dk;Z

• usÝksykWth okMZ] Mk;fyfll ;wfuV vkSj VªkalIykaV ;wfuV] usÝksykWth vkbZlh;w dh LFkkiuk

II

5

• ,fiMsfe;ksykWth vkWQ fdMuh fMlht

• tksf[ke dkjd vkSj xqnsZ dh chekjh

• usÝkWu ,aMksoesaV

• Çyx vkSj xqnsZ dh chekjh

• mez c<+us ds lkFk xqnsZ dh chekjh

III

10

• oklks,fDVo isIVkbM~l@,jkfdMksfud ,flM esVkcksykbV~l

• lksfM;e&ty larqyu

• iksVsf'k;e larqyu

• ,flM csl larqyu

• dSfY'k;e vkSj QkLQksjl esVkcksfyTe

• eSXuhf'k;e esVkcksfyTe

• jhuy gSaMfyax vkWQ ;wfjd ,flM

IV

12

• dkÆM;ks&iYeksujh&czsu fjlflVs'ku ds fl)kar

• vkikr fLFkfr dk çcaèku%

• ch,y,l

• ,lh,y,l

• ok;qekxZ çcaèku

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

• osafVys'ku vkSj osafVysVj liksVZ ¼vkæÊdj.k vkSj lkal dh vkS"kèkh; fpfdRlk lfgr½] buosfto vkSj

ukWu&buosfto osafVys'ku ds lkFk jksxh dh ns[kHkky

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

• ,flM csl LVsVl] ¶Y;wM vkSj bysDVªksykbV fLFkfr dk ewY;kadu

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

• fyczs’ku Ýkse ykbQ liksVZ ¼ohÇux½

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

• xaHkhj :i ls chekj jksfx;ksa esa xqnsZ ds dk;Z dh fuxjkuh vkSj lqèkkj

• xaHkhj :i ls chekj jksfx;ksa ds çcaèku esa lkekU; vkS"kfèk;ka vkSj vkS"kfèk forj.k ds rjhds

V

8

• ck;ksIlh lfgr xqnsZ dh chekjh dk ç;ksx'kkyk vkadyu

• jDr vkSj ew= esa bysDVªksykbV vkSj ,flM&csl ekinaMksa dh O;k[;k

• usÝkWu gkfu ds fy, vuqdwyu

• Xykses#yj jksx dh xqnsZ vkSj ç.kkyhxr vfHkO;fDr;ka

• xqnsZ dh uSnkfud besÇtx

VI

6

• ruko vkSj euks&raf=dk&çfrj{kkfoKku ¼lkbdksU;wjksbE;wuksykWth½

• vkè;kfRed pqukSfr;ka

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

23

• ruko vkSj chekjh ls fuiVuk

• ijke'kZ vkSj lapkj

• 'kksd ijke'kZ

• uÈn dh xq.koÙkk dk vkadyu] uÈn dh LoPNrk

• Çprkuk'kd] 'kked vkSj vkjkenk;d vkS"kfèk;ka

• thou ds var dh ns[kHkky vkSj thou ds ckn dh lsok,a

VII

6

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

• o;Ld vfèkxe dh çfØ;k

• LokLF; lk{kjrk dk vkadyu

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

• jksxh vkSj ifjtuksa dh lwpukRed vko’;drk,a

• jksxh vkSj ifjtuksa dh ijke'kZ vko’;drk,a

• ijke'kZ rduhdsa

VIII

6

• iks"kd rRo p;kip; vkSj ifjorZu

• iks"k.k fLFkfr dk vkadyu

• iks"k.k lacaèkh fopkj

o Øksfud fdMuh jksx

o gseksMk;fyfll] ihMh

o usÝksfVd ÇlMªkse

o mPp jDrpki

o eèkqesg

IX

6

• ,dhÑr ns[kHkky ekWMy

• cgq&fo"k;d ns[kHkky & vkgkj fo'ks"kK] lkekftd dk;ZdrkZ] O;kolkf;d fpfdRld] fQft;ksFksjsfiLV]

ijke'kZnkrk] MkWDVj] ulZ dh Hkwfedk

• lk>k fu.kZ; ysus dk ekWMy

• jksxh ds vfèkdkj] ftEesnkfj;ka

• fdMuh fodkj okys jksfx;ksa dh ns[kHkky esa uÉlx çfØ;k dk vuqç;ksx

• fdMuh fodkj okys jksfx;ksa dh mipkj lgk;rk ds fy, miyCèk ljdkjh vkSj futh ;kstuk,a

• lh-ds-Mh- jftLVªh] lek;kstuksa ds chp ns[kHkky leUo;

• usÝksykWth esa jk"Vªh; vkSj varjkZ"Vªh; laxBu

X

5

• laØe.k dh J`a[kyk dks rksM+uk

• ekud lkoèkkfu;ka

• ih-ih-bZ- dk mi;ksx & ladsr

• ck;ksgstk+MZ çksVksdkWy

• vif'k"V dk fuiVku vkSj i`FkDdj.k

• Mk;fyfll ;wfuV] jhuy VªkalIykaV ;wfuV esa laØe.k fu;a=.k vH;kl

XI

8

• lnkpkj vkSj uSfrdrk esa varj

• uSfrd fl)kar] usÝksykWth ns[kHkky esa uSfrd fu.kZ; ysuk] uSfrd fu.kZ; ysus dks c<+kok nsus okyh

j.kuhfr;ka

• mipkj jksduk vkSj can djuk

• nqyZHk lalkèkuksa dk çcaèku

• efLr"d e`R;q] vax nku vkSj ijke'kZ

• Hkkjr esa jhuy VªkalIykaVs'ku&lacafèkr dkuwu

• iqutÊfor u djsa ¼Mh-,u-vkj-½] bPNke`R;q] fyÇox foy

• nhokuh eqdneksa dks c<+kok nsus okys eqís

• fpfdRlh; fujFkZdrk

• ç'kklfud dkuwu% O;kolkf;d fofu;eu

• VksVZ dkuwu% ykijokgh] O;kolkf;d dnkpkj] tkucw>dj fd, x, VksVZ] xyr rjhds ls ekSr] ekugkfu]

24

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

geyk vkSj ekjihV

• laoSèkkfud dkuwu% jksxh }kjk fu.kZ; ysuk

XII

8

• fujarj xq.koÙkk lqèkkj

• Hkkjr esa xq.koÙkk ekU;rk fudk; & usÝksykWth

• okMZ] Mk;fyfll ;wfuV] VªkalIykaV ;wfuV

• ekud] çksVksdkWy] uhfr;k¡] çfØ;k,¡

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

• ekud lqj{kk mik;

• uÉlx laijh{k.k

• ekbØksck;ksykWth fuxjkuh

• ty xq.koÙkk dh fuxjkuh

• usÝksykWth esa çn'kZu ladsrd vkSj mik;

6

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

•

xqnsZ dk O;kid vkadyu

•

lhihvkj ¼ch,y,l vkSj ,lh,y,l½

•

ok;qekxZ çcaèku

o ySÇjft;y ekLd ,;jos

o dQ bu¶ys’ku ,aM ,adfjax n Vîwc

o bZVh&Vîwc dh ns[kHkky

o Vªsfd;ksLVkseh ns[kHkky

o lD'kÇux & [kqyk@can

o pSLV fQft;ksFksjsih

•

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

o vkWDlhtu ekiu midj.k@vkWDlhtus'ku

o vkWDlhesVªh & iYl vkWDlhesVªh

•

ukWu&buosfto osafVys'ku

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

ds lkFk Qsl ekLd

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

ihlst] czhfnax lÆdV

o iksLVqjy Mªsust

•

osafVys'ku vkSj osafVysVj liksVZ

o osafVysVj ls tksM+uk

o osaVhysVj ls gVkuk

o ,DlVîwcs'ku

o áwfefMQk;j

o usC;qykbtj & tsV] vYVªklksfud

•

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

•

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

o buosfto CyM çSlj ekWfuVfjax

o ukWu&buosfto CyM çSlj ekWfuVfjax

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

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

o bul’kZu ,aM fjewoy vkWQ lsaVªy ykbu

o bysDVªksdkÆM;ksxzkQh ¼bZlhth½

•

¶Y;wM~l vkSj bysDVªksykbV~l

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

o jDr vkSj jDr mRikn p<+kuk

o buksVªksi x.kuk] vuqekiu vkSj ç'kklu

o dkÆM,d XykbdkslkbM~l & fMxkWfDlu

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

25

o flEiSFkksesfVDl & Mksikekbu] MkscqVkekbu] ,fiusÝkbu] vkblksçksVsjsukWy] ukWjisusÝkbu] fQukbyÝkbu

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

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

•

vEy {kkj fLFkfr dk ewY;kadu

o vkfVZfj;y CyM xSl ¼,chth½

•

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

o thvkjch,l dh fuxjkuh djuk

o balqfyu Fksjsih ¼LykbÇMx Ldsy vkSj bU¶;wtu½

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

o gkbiksXykblsfe;k dk çcaèku & MsDlVªkst IV

•

ijke'kZ

•

ikfjokfjd f'k{kk

•

iks"kdh; vkadyu

•

xqnsZ ds fodkjksa ds fy, fpfdRlh; vkgkj

•

xq.koÙkk vkadyu laijh{k.k

VIII.

I

I

10

• ,dsvkbZ dh ,fV;yft] iSFkksfQft;ksykWth vkSj oxÊdj.k

• fuEufyf[kr dh ,fV;yft] iSFkksfQft;ksykWth] uSnkfud vfHkO;fDr;ka] funku vkSj çcaèku

o tfVy vkSj th.kZ Vîwcqyj usÝkbfVl

o daVªkLV usÝksiSFkh

o ,uYtsfld usÝksiSFkh

o gSoh eSVy usÝksiSFkh

o ek;yksek ls lacafèkr fdMuh jksx

II

15

• Xykses#yj jksxksa dk oxÊdj.k

• fuEufyf[kr dh ,fV;yft] iSFkksfQft;ksykWth] uSnkfud vfHkO;fDr;ka] funku vkSj çcaèku%

o esEczsuksçksfyQjsfVo Xykses#yksusÝkbfVl ¼,eihth,u½

o fefuey psat fMlht

o Qksdy lsxesaVy Xykses#yksLdsysjksfll ¼,Q,lth,l½

o esEczsul usÝksiSFkh

o vkbZth, usÝksiSFkh

o jsfiMyh çksxzflo Xykses#yksusÝkbfVl ¼vkjihth,u½

o Y;wil usÝkbfVl

o Mk;fcVht usÝksiSFkh

o usÝksfVd ÇlMªkse

III

4

• jhuy vkVZjh LVsuksfll

• jhuy ohu FkzksEcksfll

• flLVsfed Y;wil ,fjFksesVksll

• ikWyh vkVsZjkbfVl uksMkslk

IV

7

• jhuy dSydqyh ¼xqnsZ dh iFkjh½

• fcukbu çksLVsfVd gkbijVªkWQh

• CySMj vkmVysV vkWCLVªD’ku

• CySMj Vîwej

V

6

• ik;yksusÝkbfVl & rhoz] th.kZ

• Vhch fdMuh

• dksfoM vkSj fdMuh

VI

10

• ,fV;yft] iSFkksfQft;ksykWth] uSnkfud vfHkO;fDr

26

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• LVsÇtx

• funku

• lhdsMh dk çcaèku

VII

8

• fdMuh fMlht bu VªksfiDl

• xHkkZoLFkk vkSj fdMuh jksx

• xqnsZ dks çHkkfor djus okys ç.kkyhxr jksx

VIII

8

• iksMkslkbV Q+aD'ku ds oa'kkuqxr fodkj

• o`Dd ufydk ds oa'kkuqxr fodkj

• xqnsZ ds flfLVd jksx

IX

6

• çkFkfed vkSj f}rh;d mPp jDrpki

• jsuksoSLdqyj mPp jDrpki vkSj bLdsfed usÝksiSFkh

• xHkkZoLFkk esa mPp jDrpki vkSj xqnkZ jksx

X

6

• usÝksiSFkh

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

• eèkqesg fuxjkuh thvkjch,l

• balqfyu Fksjsih ¼LykbÇMx Ldsy vkSj tylsd½

• gkbijXykblsfe;k dk çcaèku & IV ¶Y;wM] balqfyu Fksjsih] iksVsf'k;e iwjdrk

• gkbiksXykblsfe;k dk çcaèku

XI

10

• fodklkRed usÝksykWth

• xqnsZ] ew=okfguh] ew=k'k; vkSj ew=ekxZ ds tUetkr jksx

• Xykses#yj vkSj Vîwcyj jksx

• xqnsZ dks çHkkfor djus okys ç.kkyhxr jksx

• ,D;wV ,aM Øksfud fdMuh QsY;j

• ihfM;kfVªd usÝksykWth ds lacaèk esa Mk;fyfll vkSj çR;kjksi.k

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

•

,LVhes’ku vkWQ th,Qvkj

•

LVsftax vkWQ lhdsMh

•

DyklhfQds’ku vkWQ ,dsvkbZ

•

uSnkfud funku ds fy, 'kkjhfjd vkadyu vkSj ç;ksx'kkyk fu"d"kks± dh O;k[;k

•

jksfx;ksa dk bfro`Ùk ysuk vkSj fuEufyf[kr ds lkFk 'kkjhfjd vkadyu

o ,dsvkbZ

o lhdsMh

o lkekU; Xykses#yj fodkj

o Y;wil usÝkbfVl

o VîwcyksbaVjLVhf'k;y jksx

•

lkekU; fdMuh fodkjksa dk vè;;u vkSj çLrqfr ¼4½

•

jhuy ck;ksIlh esa lgk;rk djuk ¼5½

•

jhuy ck;ksIlh djuk ¼10½

•

jhuy ck;ksIlh fu"d"kks± dh O;k[;k & ,y,e] vkbZ,Q ¼10½

•

vkS"kèkh; vè;;u ¼8½

•

Mksuk Mh- bXukVkfofl;l] ,e- ÇyMk odZeSu ,aM eSjh ,&fe'kj ¼2021½ esfMdy&lÆtdy uÉlx% dulsIV~l QkWj

baVjçksQs'kuy dksyScksjsfVo ds;j ¼10oka laLdj.k½] lsaV yqbl% fQykMsfYQ;k% ,Ylsfo;j

•

Çgdy ,y- tsful ,aM lqjs'k ds- 'kekZ ¼2018½ czwuj ,aM lqnjFl VSDLVcqd vkWQ esfMdy lÆtdy uÉlx ¼lkmFk

,f'k;u laLdj.k½ okWY;we 2

•

tkWu jsukMZ ,aM lkbeu ,Q- ysoLVj ¼2019½ vkWDlQksMZ gSaMcqd vkWQ ;wjksykWth ¼pkSFkk laLdj.k½] vkWDlQksMZ ;wfuoÆlVh çsl

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

27

•

fudksyk FkkWel ¼2008½ jhuy uÉlx% ds;j ,aM esystesaV vkWQ fdMuh fMlht ¼5oka laLdj.k½] Dywoj% ,fMucxZ

•

uksekZ ts- xksest ¼2022½ usÝksykWth uÉlx% Ldksi ,aM LVsaMMZ~l vkWQ çSfDVl ¼9oka laLdj.k½

•

lSaMªk ,e- cksfMu ¼2022½ duVSEijsjh usÝksykWth uÉlx ¼pkSFkk laLdj.k½] vesfjdu usÝksykWth ulsZt ,lksfl,'ku

•

lqtSu ,- Dokfyp ,aM fe'ksy ts- ysftusl ¼2020½ ulZ çSfDV'kuj bu ;wjksykWth ¼nwljk laLdj.k½] ÇLçxj ifCysds’kal

•

Vhukoh ,e- ¼2020½ viMsV vkWu n,fV;ksykWth] DykflfQds’ku ,aM esustesaV vkWQ Xykses#yj fMlhtst] ,folsuk ts- esM-

2020 vçSy&twu( 10¼2½% 61&67

IX.

II

I

25

• bfro`Ùk vkSj voyksdu

• fl)kar vkSj voèkkj.kk,a

• gseksMk;fyfll dh çfØ;k

• ,pMh ij jksfx;ksa dks vkjaHk djuk% fn'kkfunsZ'k

• Mk;fyfll e'khu & Hkkx] dk;Zç.kkyh

• Mk;fyfll n{krk

• 'kq"d Hkkj vkadyu

• Mk;fyfll i;kZIrrk

• ,pMh ls igys] mlds nkSjku vkSj ckn esa jksfx;ksa dk vkadyu

• ,pMh esa tfVyrk,a% jksdFkke] igpku] çcaèku

• lhvkjvkjVh lfgr Mk;fyfll ds rkSj&rjhds

• lhohlh ,t oLdwyj ,Dlsl vkSj lhohlh ns[kHkky esa fn'kkfunsZ'k

• vkfVZfj;ks&ohul fQLVqyk vkSj ,oh xzk¶V ,t oLdwyj ,Dlsl vkSj ,oh,Q rFkk ,ohth ds çcaèku esa

lk{; vkèkkfjr fn'kkfunsZ'k

• oLdwyj ,Dlsl dk vkadyu

• oLdwyj ,Dlsl ls lacafèkr tfVyrk,a & igpku vkSj çcaèku

• ;w,Q vkSj lksfM;e çksQkbÇyx

• ckbdkcksZusV fçijs’ku

• dhVk.kq'kksèku çksVksdkWy & e'khu] vkjvks VSad] ikbiykbu

• ty xq.koÙkk dk vk’oklu ¼'kqf)dj.k çfØ;k] fuxjkuh½

• ,pMh esa iks"k.k lacaèkh fopkj

• ,pMh ij jksfx;ksa dh O;kid] lexz ns[kHkky

• bul’kZu vkWQ lhohlh & vLFkk;h] LFkk;h

• IykLekQsjsfll

• laØe.k fu;a=.k vH;kl

• ,pMh esa xq.koÙkk vk’oklu

• ,pMh esa gky ds #>ku vkSj fodkl

II

20

• bfro`Ùk vkSj voyksdu

• ihMh esa fl)kar vkSj voèkkj.kk,a

• Lopkfyr ihMh lfgr ihMh rkSj&rjhdksa ds çdkj

• ihMh ,Dlpsat çfØ;k

• vkadyu ds vkèkkj ij ihMh ds fy, jksfx;ksa dk p;u

• ihMh fçfLØI'ku] ihbZVh] ihMh ¶Y;wM

• ihMh ,MhDoslh

• ihMh dh laØked vkSj xSj&laØked tfVyrk,a% igpku vkSj çcaèku

• ihMh dSFksVj bul’kZu & iD;wZVsfu;l vkSj vksiu

• ihMh dSFksVj bul’kZu ls igys] blds nkSjku vkSj ckn esa jksfx;ksa dh ns[kHkky

• isfjVksfufVl dh igpku vkSj çcaèku

• ihMh ds ykHk vkSj uqdlku

• ihMh esa iks"k.k lacaèkh fopkj

• jksxh vkSj ifjtuksa dh f'k{kk vkSj ijke'kZ

• ihMh esa lk{; vkèkkfjr vH;kl

• ihMh ij jksfx;ksa vkSj muds ifjtuksa dh O;kid vkSj lexz ns[kHkky

28

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

• ihMh esa gky ds #>ku

III

25

• bfro`Ùk vkSj voyksdu

• lÆtdy çfØ;k

• çR;kjksi.k ds çdkj

• çR;kjksi.k ds fy, nkrk vkSj çkIrdrkZvksa dh rS;kjh

• çR;kjksi.k çfrj{kk foKku ¼VªkalIykaV bE;quksykWth½

• fdMuh çR;kjksi.k dh çkjafHkd vkSj ckn dh tfVyrk,a & igpku vkSj çcaèku

• xzk¶V fjtsD’ku% jksdFkke] igpku] çcaèku

• Mªx ,sls] bE;wuks&lçslsaV Fksjsih

• fdMuh çR;kjksi.k ds ckn jksfx;ksa dh ns[kHkky

• vkjVh;w esa æo çcaèku çksVksdkWy

• vkjVh;w esa laØe.k fu;a=.k vH;kl

• nkrk vkSj çkIrdrkZ dh vuqorÊ dkjZokbZ

• vkjVh;w esa LFkk;h vkns'k

• vkS"kèkh; çksVksdkWy

• ekbØksck;ksykWth fuxjkuh] ihMh esa xq.koÙkk vk’oklu

• fdMuh çR;kjksi.k fpfdRlk esa gky ds #>ku vkSj fodkl

• NOTTO

IV

4

• nkrk vkSj çkIrdrkZ dh NqV~Vh dh rS;kjh

• iquokZl vkSj vuqorÊ dkjZokbZ

• iks"k.k] vkjke] O;k;ke lfgr LoLFk thou 'kSyh

• çR;kjksi.k ds ckn LokLF; tksf[ke vkSj fuxjkuh

• dkeqdrk

• çR;kjksi.k ds ckn lqjf{kr thou 'kSyh

• çR;kjksi.k ds ckn QOL eqís

V

4

• nkrk vkSj çkIrdrkZ ij çR;kjksi.k dk euksoSKkfud çHkko

• nkrk vkSj çkIrdrkZ dk euks&lkekftd vkadyu

• jksdFkke% cgq&fo"k;d ns[kHkky

• ulZ dh Hkwfedk

• lgk;rk lewgksa dh Hkwfedk

VI

4

• nkrk

• cPpksa esa vax çR;kjksi.k ds ckn uSnkfud Çprk,a

VII

4

• lgh tkudkjh dk vfèkdkj

• o;Ld vfèkxe ds fl)kar

• çHkkoh lapkj dkS'ky

• lwpuk lk>k djus ds midj.k rS;kj djuk

• lk>k fu.kZ; ysus dh çfØ;k

• f'k{kk ds rjhds vkSj j.kuhfr;ka

VIII

4

• xaHkhj :i ls chekj jksfx;ksa esa ,pMh

• ,D;wV ihMh

• xHkkZoLFkk esa ihMh

• ,uhfe;k dk çcaèku

• cPpksa vkSj cqtqxks± esa Mk;fyfll vkSj çR;kjksi.k

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

•

Mk;fyfll ds igys] blds nkSjku vkSj ckn dk vkadyu

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

29

•

oLdwyj ,Dlsl dk vkadyu & CVC, AVF, AVG

•

CVC lkbV ns[kHkky

•

'kq"d Hkkj vkadyu & uSnkfud vkSj tSo&çfrckèkk fofèk

•

;w,Q x.kuk] çksxzkÇex e'khu] ,pMh ’kq# djuk

•

,pMh can djuk

•

ckbdkcZ rS;kjh

•

gsifju rS;kjh

•

vkS"kfèk iqul±;kstu

•

URR, Kt/V dk vuqeku yxkuk] Mk;fyfll i;kZIrrk dk vkadyu djuk

•

fu;fer tkap fuèkkZfjr djuk vkSj vuqorÊ ifj.kke

•

,pMh fçfLØI'ku

•

ySc fjiksVZ ds vkèkkj ij lkekU; vkS"kfèk;ksa dk fçfLØI'ku% ,fjFkzksiksbfVu] QkWLQksjl ckbaMj] dSfY'k;e vkSj foVkfeu Mh

iwjd] ,aVhgkbijVsfUlo] OGLA

•

balqfyu [kqjkd lek;kstu

•

fofHkUu Mk;fyfll eksMfyVht laikfnr djuk & SCUF] vkblksysVsM UF, SLED, CRRT

•

IykT+ekQsjsfll laikfnr djuk

•

gVkus ds fy, IykTek dh ek=k dh x.kuk djuk

•

bul’kZu vkWQ lhohlh buVq Qsekjy vkSj txyj ohu

•

;wfju dYpj & ,lihlh

•

lhohlh fudkyuk

•

CyM dYpj

•

,fLlfVd VSi

•

ihMh ds fy, jksfx;ksa dk vkadyu vkSj p;u djuk

•

ihbZVh laikfnr djuk] ihMh fçfLØI'ku fuèkkZfjr djuk

•

ihMh cnyuk

•

dySDV ihMh ¶Y;wM QkWj dYpj

•

,fDtV lkbV laØe.k] Vusy laØe.k vkSj isfjVksfufVl dh igpku vkSj çcaèku djuk

•

baVªkisfjVksfu;y ,aVhck;ksfVDl nsuk

•

uSnkfud vkaduu vkSj ihbZVh ds vkèkkj ij ihMh fçfLØI'ku esa cnyko djuk

•

dsVh@oh lfgr Mk;fyfll i;kZIrrk dk vkadyu djuk

•

ihMh dh xSj&laØked tfVyrkvksa dh igpku vkSj çcaèku djuk

• nf{k.kkewÆr ds-oh-] f'kodqekj oh- ,aM laxhrk y{eh ¼2017½ isfjVksfu;y Mk;fyfll çkbej ¼igyk laLdj.k½] ck;ksdkWu

bafM;k fyfeVsM

• MSuksfop ¼2018½ gSaMcqd vkWQ fdMuh VªkalIykaVs'ku ¼6oka laLdj.k½] okWYVlZ Dywoj

• tkWu Vh- MkSfxzMkl ,aM ihVj th- Cysd ¼2015½ gSaMcqd vkWQ Mk;fyfll ¼lkmFk ,f'k;u 5oka laLdj.k½] okWYVlZ Dywoj

• tkW;l ,e- CySd ¼2009½ esfMdy&lÆtdy uÉlx% fDyfudy esustesaV QkWj ikWftfVo vkmVdEl ¼8oka laLdj.k½] ;w,l,%

MCY;w-ch- lkWUMlZ daiuh

• fjpMZ ts- tkWulu] txZu ¶yksxs ,aM eklsZyks Vksusyh ¼2023½ dfEçgsaflo fDyfudy usÝksykWth ¼7oka laLdj.k½] ,Ylsfo;j daiuh

1- ,MtLVscy bysDVªkWfud dkWV fon eSVªsl & 20

2- IV LVSaM & 10

3- csM lkbM ykWdj & 20

4- vksoj csM VªkWyh & 10

5- MªsÇlx VªkWyh ¼NksVh½ & 5

6- MªsÇlx VªkWyh ¼eè;e½ & 2

I

II

30

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

7- flÇjt iai & 4

8- bU¶;wtu iai & 5

9- ekWfuVj & 5

10- VªkaliksVZ ekWfuVj@iYl vkWDlhehVj & 5

11- bZlhth e'khu & 1

12- vYVªklkmaM e'khu & 1

13- CART VªkWyh & 1

14- fMfQfczysVj & 1

15- vYQk eSVªsl fon eksVj & 3

16- VªkalQj VªkWyh & 4

17- OR VªkWyh & 2

18- lsQ LykbMj & 2

19- daI;wVj & 2

20- ÇçVj & 1

21- cSu lÆdV & 12

22- vkWDlhtu ¶yks ehVj & 20

23- lD'ku iksVZ fon tkj & 20

24- ,;j ¶yks ehVj@iYeks,M & 5

25- jsfÝtjsVj & 2 ¼QhM~l & 1] MªXl & 1½

26- esVy QqV LVsi@QqV LVwy & 5

27- ,Ecqys'ku ps;j & 5

28- ;wih,l & 1

29- ¶ySV VªkWyh & 1

30- yscÇyx e'khu & 1

31- XywdksehVj & 2

32- fofHkUu vkdkj ds ,Ecw cSx & 2 lsV

1- Mk;fyfll e'khu &10

2- ckbdkcksZusV fçijs’ku VSad & 1

3- vkjvks ds lkFk ty mipkj la;a=] ,aMksVkWfDlu fQ+YVj & 1

4- jklk;fud@xeÊ dhVk.kq'kksèku ds vuqdwy Mk;fyfll ikbiykbu

5- Mk;ykbtj vkSj VîwÇcx

6- bU¶;wtu iai & 1

7- flÇjt iai & 1

8- jksxh ekWfuVj & 5

9- CART VªkWyh & 1

10- fMfQfczysVj & 1

11- lHkh 'k¸;kvksa ds fy, oSD;we vkSj vkWDlhtu ykbu

12- vkWDlhtu ¶yks ehVj & 10

13- osafVysVj & 1

14- dSuqys'ku lsV & 20

15- lhohlh lsV & 20

16- e'khu fjçkslsÇlx ;wfuV ¼;fn Mk;ykbtj dk nksckjk mi;ksx fd;k tkrk gS½

17- daI;wVj & 2

18- ÇçVj & 1

19- NksVh MªsÇlx VªkWyh & 10

20- cM+h MªsÇlx VªkWyh & 1

21- vksoj csM Vscy & 10

22- dkWV@Mk;fyfll ps;j & 10

23- vksvkj Vscy ds lkFk NksVk vksvkj] ykbV~l & 1 ¼lhohlh vkSj ihMh dSFksVj yxkus tSlh çfØ;kvksa ds fy,½

24- bysDVªkWfud IysVQ+kWeZ osbax Ldsy & 1

25- bysDVªkWfud chih ekWfuVj & 1

26- iYl vkWDlhehVj & 2

27- XywdksehVj & 2

28- Oghy ps;j & 5

29- LVªspj & 2

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

31

30- LVksjst jSd

31- QkbÇyx dSfcusV

32- jsfÝtjsVj & 2

1- bU¶;wtu iai & 4

2- flÇjt iai & 2

3- ejht ekWfuVj & 5

4- CART VªkWyh & 1

5- fMfQ+fczysVj & 1

6- lHkh csM ds fy, oSD;we vkSj vkWDlhtu ykbu

7- vkWDlhtu ¶+yks ehVj & 5

8- osafVysVj & 1

9- Ýhtj & 1

10- jsfÝtjsVj & 2

11- ekbØksoso vksou & 1

12- daI;wVj & 2

13- ÇçVj & 1

14- NksVh MªsÇlx VªkWyh & 5

15- cM+h MªsÇlx VªkWyh & 1

16- vksoj csM Vscy & 5

17- ,MtLVscy dkWV & 5

18- HEPA fQ+YVj ds lkFk ,lh & 1

19- bysDVªkWfud osbax Ldsy & 1

20- bysDVªkWfud chih ekWfuVj & 1

21- iYl vkWDlhehVj & 2

22- XywdksehVj & 2

23- Oghy ps;j & 3

24- LVªspj & 2

25- ,Ecqys'ku ps;j & 5

ç'u&i=@ç'uksÙkjh% 10 vad

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

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

ç'u&i=% 20 vad

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

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

ç'u&i=% 15 vad

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

fyf[kr dk;Z% 5 vad ¼,d vkn'kZ Mk;fyfll ;wfuV vkSj jhuy VªkalIykaV ;wfuV dk fMtkbu rS;kj djuk½

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

32

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

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

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

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

ç'u&i=% 20 vad

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

uSnkfud çn'kZu vkadyu% 10 vad

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

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

vkarfjd vks,llhbZ% 25 vad

¼inLFkkiu i'pkr ijh{kk usÝksykWth okMZ] gseksMk;fyfll ;wfuV] isfjVksfu;y Mk;fyfll ;wfuV ;k VªkalIykaV ;wfuV esa

vk;ksftr dh tk ldrh gS½

ç'u&i= vkSj ç'uksÙkjh% 20

fyf[kr dk;Z% 10 vad

uSnkfud çn'kZu vkadyu% 20 vad

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

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

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

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

vkarfjd vks,llhbZ% 50 vad

I

ç'u&i= vkSj ç'uksÙkjh% 20 vad

uSnkfud lsfeukj vkSj tuZy Dyc% 10 vad

uSnkfud çn'kZu vkadyu% 20 vad

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

uSnkfud çLrqfr% 10 vad

ekeys dh vè;;u fjiksVZ% 10 vad

vkarfjd vks,llhbZ% 50 vad

II

ç'u&i=% 20 vad

uSnkfud lsfeukj % 10 vad

uSnkfud çn'kZu vkadyu% 20 vad

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

uSnkfud çLrqfr% 10 vad

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

vkarfjd vks,llhbZ% 50 vad

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

33

¼inLFkkiu i'pkr ijh{kk usÝksykWth okMZ] Mk;fyfll ;wfuV ;k VªkalIykaV ;wfuV esa vk;ksftr dh tk ldrh gS½

çk;kSfxd% 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 vad ¾ 30]

laf{kIr mÙkj 5×6 vad ¾ 30] vfry?kq 5×2 vad ¾ 10À

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

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

3- fu"d"kks± rFkk ifj.kkeksa dh O;k[;k djuk

5- uSnkfud ekinaMksa dh fuxjkuh djuk

¼n{krk tkap lwph vkSj vkoafVr vadksa ds vuqlkj½

×

1- o;Ld jksxh dk ldsafær bfro`Ùk ysuk

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

3- f’k’kq jksxh dk ldsafær bfro`Ùk ysuk

4- f’k’kq 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

¼n{krk tkap lwph vkSj vkoafVr vadks ds vuqlkj½

×

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

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

3- fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;kRed n{krk,a½ ftlesa vkS"kfèk ç'kklu 'kkfey gS

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

¼n{krk tkap lwph vkSj vkoafVr vadksa ds vuqlkj½

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

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

4- ns[kHkky ;kstuk fodflr djuk

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

6- fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;kRed n{krk,a½ ftlesa vkS"kfèk ç'kklu 'kkfey gS

¼n{krk tkap lwph vkSj vkoafVr vadks ds vuqlkj½

×

I

II

1- ldsafær bfro`Ùk ysuk] 'kkjhfjd tkap djuk rFkk fu"d"kks± vkSj ifj.kkeksa dh O;k[;k djuk

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

3- mipkjkRed çfØ;k,¡ ¼lhohlh yxkuk] ihMh dSFksVj yxkuk] gseksMk;fyfll] isfjVksfu;y Mk;fyfll]

IykLeQsjsfll] lhvkjvkjVh] ,l,ybZMh½

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

5- uSnkfud eè;orZu ¼jhuy ck;ksIlh] ,fLlfVd VSi] CyM dYpj] lhohlh ,aM ihMh dSFksVj lkbV dYpj] ihMh

¶Y;wM dYpj] ihbZVh VsLV] lqçkI;wfcd ;wfju ,fLijsV QkWj dYpj] vYVªklkmaM fdMuh] vYVªklkmaM & ,oh ,Dlsl

¶yks½

6- vkS"kfèk fuèkkZj.k rFkk nsuk

7- gseksMk;fyfll

8- isfjVksfu;y Mk;fyfll

9- fdMuh çR;kjksi.k & çR;kjksi.k ls igys vkSj ckn dh ns[kHkky

¼n{krk tkap lwph vkSj vkoafVr vadks ds vuqlkj½

×

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

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

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

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

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

6- vkS"kfèk ç'kklu

7- uSnkfud eè;orZu ¼jhuy ck;ksIlh] ,fLlfVd VSi] CyM dYpj] lhohlh ,aM ihMh dSFksVj lkbV dYpj] ihMh

¶Y;wM dYpj] ihbZVh VsLV] lqçkI;wfcd ;wfju ,fLijsV QkWj dYpj] vYVªklkmaM fdMuh] vYVªklkmaM & ,oh ,Dlsl

¶yks½

8- mipkjkRed çfØ;k,¡ ¼gseksMk;fyfll] isfjVksfu;y Mk;fyfll] lhohlh yxkuk] ihMh dSFksVj yxkuk]

IykLeQsjsfll] lhvkjvkjVh] ,l,ybZMh½

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

35

¼n{krk tkap lwph vkSj vkoafVr vadksa ds vuqlkj½

×

3

*

I

1 'kksèk midj.k dh rS;kjh

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

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

4 'kksèk ifj;kstuk@bZchih ifj;kstuk

fo"k;%

II

1 LVkQ jksxh fufgr dk;Z rS;kj djuk

2 çn'kZu ladsrd vkSj mik;

3 jksxh f'k{kk lgk;rk fodflr djuk

4 bdkbZ esa jksxh ns[kHkky laijh{k.k

5 ulks± ds fy, çkS|ksfxdh lgk;d f'k{kk lgk;rk fodflr djuk

6 xq.koÙkk lqèkkj laijh{k.k

7 lw{e f'k{k.k & LVkQ ulZ

8 jksxh f'k{kk vkSj ijke'kZ

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

10 ijh{k.k fuekZ.k

III

1-1 ,D;wV fdMuh pksV

1-2 VîwcqyksbaVjLVhf'k;y jksx

1-3

Øksfud fdMuh jksx

1-4 Xykses#yj jksx

1-5 usÝksfVd ÇlMªkse

1-6 æo ek=k fLFkfr

1-7 O;kid ç.kkyh okj 'kkjhfjd vkadyu

2-1 uotkr f'k'kq

2-2 cPpk

2-3 o;Ld

2-4 cqtqxZ

2-5 xHkZorh efgyk,a

IV

1-1 tSo jlk;u foKku

1-2 uSnkfud jksx foKku

1-3 lw{e tho foKku

1-4 ,chth

2-1

iSjklsUVsfll

36

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

*

2-2 FkksjklsUVsfll

2-3 yqacj iapj

2-5 jhuy ck;ksIlh

2-6 cksu esjks ,fLijs’ku

2-7

vYVªklkmaM fdMuh

2-8 ,Dlsl ¶yks dk vYVªklksuksxzkfQd vkadyu

2-9 bZlhth vkSj O;k[;k

2-10 ,chth fo'ys"k.k vkSj O;k[;k

3-1 jhuy MkWiyj

3-2 fQLVqyksxzke

3-3

Mªx ,sls

3-4 ,evkjvkbZ@lhVh

3-5 jhuy ,aft;ksxzke

3-6 xqnsZ ds Årdksa dh iSFkksykWftdy tkap ¼,y,e] vkbZ,Q] bZ,e½

3-7 bdksdkÆM;ksxzke

V

1-1 ,aVhgkbijVsfUlo

1-2 Xywdkst de djus okys ekSf[kd ,tsaV

1-3 lksfM;e 'kksèku

1-4 iksVsf'k;e 'kksèku

1-5 vkbuksVªksIl

1-6 foVkfeu vkSj [kfut iwjd

1-7 var%f'kjk æo ç'kklu

1-8 balqfyu [kqjkd lek;kstu

2-1 iks"k.k vkadyu djuk

2-2 lhdsMh okys jksxh ds fy, fpfdRlh; vkgkj dh ;kstuk cukuk

2-3 eèkqesg okys jksxh ds fy, fpfdRlh; vkgkj dh ;kstuk cukuk

2-4 uklksxSfLVªd Vîwc bul’kZu

2-5 ,uth QhÇMx

2-6 VksVy iSjsaVsjy iks"k.k

ukWu&buosfto osafVys'ku

3-1 de çokg ifjorZuh; çn'kZu midj.k%

usty dSFksVj@dSU;wyk@Mcy usty çksax]

Qsl ekLd] fjtjok;j cSx ds lkFk Qsl ekLd

3-2 mPp çokg fuf'pr çn'kZu midj.k%

,uVªsuesaV ¼osapqjh½ midj.k] CPAP, BiPAP

buosfto osafVys'ku

3-3 eSdsfudy osafVysVj dh LFkkiuk

3-4 eSdsfudy osafVysVj ij jksxh dh ns[kHkky

3-5 ,aMksVªsfp;y Vîwc yxkuk

3-6 ,aMksVªsfp;y Vîwc gVkuk

3-7

,aMksVªsfp;y lD'kÇux

3-8 Vªsfd;ksLVkseh ns[kHkky

3-9 bZVh Vîwc dh fLFkfr dh iqf"V djuk

3-10 pSLV fQft;ksFksjsih

3-11 iksLVqjy Mªsust

4-1 bu¶;wtu iai

4-2 flÇjt iai

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

37

*

4-3 fMfQfczysVj

5-1 ch,y,l

5-2 ,lh,y,l

5-3 'kksd ijke'kZ

5-4 cqjh [kcj lqukuk

6-1 lhdsMh dh çxfr dks èkhek djuk

6-2 lhdsMh esa fpfdRlh; vkgkj

6-3 eèkqesg çcaèku

7-1 uSnkfud ifjn`'; fleqys'ku

7-2

8-1 èkeuh jDr xSl ¼,chth½

8-2 gheksMk;ukfeDl

8-3 bysDVªksdkÆM;ksxzke ¼bZlhth½

8-4 buosfto chih ekWfuVÇjx

8-5 ukWu&buosfto chih ekWfuVÇjx

8-6 Xyklxks dksek Ldksj

8-7 csgks'kh Ldksj

8-8 nnZ Ldksj

8-9 czSMsu Ldksj

8-10 ckWoy lkmaM

8-11 thvkjch,l

8-12 th,Qvkj vuqeku vkSj lhdsMh LVsÇtx

8-13 pSLV ,Dl&js

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

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

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

;g lqfuf'pr djsaxs 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,ubZih,u Nk= i;Zos{k.k ds fcuk ml n{krk dk laiknu djus esa l{ke gSA

•

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

•

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

*

1-1 çh] baVªk] iksLV Mk;fyfll vkadyu

1-2 lhohlh dk vkadyu

1-3 ,oh fQLVqyk dk vkadyu

1-4 lhohlh lkbV dh ns[kHkky

1-5 'kq"d otu vkadyu & uSnkfud vkSj tSo&çfrckèkk fofèk

1-6 ;w,Q x.kuk

1-7 çksxzkÇex e'khu vkSj ,pMh 'kq: djuk

1-8 ,pMh can djuk

38

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

*

1-9 ckbdkcZ rS;kj djuk

1-10 URR, Kt/V dk vuqeku yxkuk] Mk;fyfll i;kZIrrk dk

vkadyu djuk

1-11 fu;fer tkap fuèkkZfjr djuk vkSj vuqorÊ ifj.kke

1-12 ,pMh fçfLØI'ku

1-13 gsifju rS;kj djuk

1-14 Mªx fjdalhfy,’ku

1-15 ç;ksx’kkyk fjiksVZ ds vkèkkj ij lkekU; vkS"kfèk;ksa dk fuèkkZj.k%

,fjFkzksiksbfVu] QkWLQksjl ckbaMlZ] dSfY'k;e vkSj foVkfeu Mh

iwjd] ,aVhgkbijVsaflo] vksth,y,

1-16 fofHkUu Mk;fyfll eksMfyVht laikfnr djuk

a. ,llh;w,Q

b. i`Fkd ;w,Q

c. ,l,ybZMh

d. lhvkjvkjVh

1-17 IykTekQsjsfll laikfnr djuk

1-18 gVkus ds fy, IykTek okWY;we dh x.kuk djuk

1-19 lhohlh dks Qseksjy vkSj txyj ohu esa Mkyuk

1-20 ,pMh esa tfVyrkvksa dh igpku rFkk çcaèku djuk

a. baVªkMk;fyfVd gkbiksVsa'ku

b. gseksfyfll

c. ekalisf'k;ksa esa ,saBu

d. ,;j ,EcksfyTe

1-21 lhohlh ls lacafèkr tfVyrkvksa dh igpku vkSj çcaèku djuk

1-22 ,oh,Q ls lacafèkr tfVyrkvksa dh igpku vkSj çcaèku djuk

2-1 ihMh ds fy, jksfx;ksa dk vkadyu vkSj p;u djuk

2-2 ihbZVh djuk] ihMh fçfLØI'ku fuèkkZfjr djuk

2-3 ihMh ,Dlpsat laikfnr djuk

2-4 dYpj ds fy, ihMh ¶ywbM laxzfgr djuk

2-5 fudkl LFky laØe.k] Vuy laØe.k vkSj isfjVksfufVl dh

igpku vkSj çcaèku djuk

2-6 baVªkisfjVksfu;y ,aVhck;ksfVDl nsuk

2-7 uSnkfud vkadyu vkSj ihbZVh ds vkèkkj ij ihMh fçfLØI'ku esa

cnyko djuk

2-8 Kt/V lfgr Mk;fyfll i;kZIrrk dk vkadyu djuk

2-9 ihMh dh xSj&laØked tfVyrkvksa dh igpku o çcaèku djuk

3-1 çR;kjksi.k iwoZ dk;Z vkSj Mksuj o çkIrdrkZ dk vkadyu

3-2 çR;kjksi.k ds fy, jksfx;ksa dks lykg vkSj mudk p;u

3-3

dkuwuh vkSipkfjdrk,a vkSj nLrkosthdj.k

3-4 Mksuj usQjsDVkseh esa lgk;rk djuk

3-5 fdMuh çR;kjksi.k esa lgk;rk djuk

3-6 fçvkWijsfVo ns[kHkky & Mksuj vkSj çkIrdrkZ

3-7

iksLV vkWijsfVo ns[kHkky & Mksuj vkSj çkIrdrkZ

3-8

e`r Mksuj jftLVªh

3-9

efLr"d e`R;q ¼czsu MSFk½ dk vkadyu

3-10 çR;kjksi.k ls igys xqnsZ dh jDr okfgdkvksa dk æo fuos’ku

3-11 fdMuh çR;kjksi.k ds ckn æo çcaèku

3-12 xzk¶V fjtsD’ku dh igpku vkSj çcaèku

3-13 çR;kjksi.k ls lacafèkr laØe.kksa dh igpku vkSj çcaèku

3-14 ?kko vkSj cgko ns[kHkky

3-15 çR;kjksi.k ds ckn xzk¶V Q+aD'ku dk vkadyu vkSj fu:i.k

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

39

*

4-1 oLdwyj ,lsl dk çcaèku

4-2 fdMuh fjIyslesaV Fksjsih ds fodYi

4-3

ihMh esa tfVyrkvksa dh jksdFkke vkSj çcaèku

4-4

fdMuh çR;kjksi.k ds ckn ns[kHkky

5-1

¼x.kuk] vuqekiu vkSj ç'kklu½

a. ,Mªsuykbu

b. ukWj,Mªsuykbu

c. Mksikekbu

d. MkscqVkekbu

5-2

a

baMD’ku ,tsaV

ikWyhDyksuy ,aVhckWMh ¼,Vhth½

baVjY;wfdu 2 fjlsIVj ,aVksxksfuLV ¼csflfyfDleSc½

b j[kj[kko mipkj

dSYlhuqfju bufgfcVlZ ¼lkbDyksLiksfju] VSØksfyel½

mTOR bufgfcVlZ ¼fljksfyel] ,ojksfyel½

c

,aVhçksfyQsjsfVo ,tsaV

¼,tSfFk;ksfçu] ekbdksQsuksfyd ,flM½

d

dkWÆVdksLVsjkWbM~l ¼çsMfulksyksu½

e

vLohÑfr ds fy, mipkj

dkWÆVdksLVsjkWbM~l] ATG, IVIG

5-3 ,fjFkzksiksbfVu batsD'ku vkSj [kqjkd lek;kstu

6-1 ekud lkoèkkfu;ka

6-2 ,pMh bdkbZ esa laØe.k fu;a=.k çksVksdkWy

6-3 ihMh bdkbZ esa laØe.k fu;a=.k çksVksdkWy

6-4 jhuy VªkalIykaV bdkbZ esa laØe.k fu;a=.k vH;kl

7-1 Mk;fyfll bdkbZ esa çn'kZu ladsrd mik;ksa dk vfHkxzg.k vkSj

çLrfqdj.k

7-2 ,pMh bdkbZ esa ekbØksck;ksykWth fuxjkuh] vkjVh;w

7-3 ty xq.koÙkk çcaèku

7-4 xq.koÙkk lqèkkj laijh{k.k

8-1 var%f'kjk æo ç'kklu ¼dksykW;M@fØLVykW;M½

8-2 jDr vkSj jDr mRikn ç'kklu

8-3 TED LVkWÇdx dk vuqç;ksx

8-6 èkeuh js[kk ls jDr laxzg.k

9-1 laosnh mÙkstuk

9-2 psruk@dksek fLFkfr dh fuxjkuh

9-3 efLr"d e`R;q ¼czsu MSFk½ vkadyu

10-1 ECG

10-2 ABG

10-3 pSLV ,Dl&js

10-4 vYVªklkmaM

10-5 ewy tSo jlk;u tkap

10-6 ewy lw{e tho foKku tkap

11-1 uscqykbts'ku

40

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

*

11-2 pSLV fQft;ksFksjsih

11-3 gseksMk;fyfll

11-4 ew= dSFksVj yxkuk rFkk gVkuk

11-5 SCUF

11-6 TEDS

11-7 Isolated UF

11-8 SLED

11-9 igyk ,pMh çksVksdkWy

11-10 fpfdRlh; vkgkj

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

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

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

;g lqfuf'pr djsaxs 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,ubZih,u Nk= i;Zos{k.k ds fcuk ml n{krk dk laiknu djus esa l{ke gSA

•

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

•

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

1-1 *

fof'k"V uSnkfud fLFkfr esa uSnkfud ekxZ@

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

fo"k; dk 'kh"kZd%

1-2 *

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

¼uSnkfud dkUÝsal@tuZy Dyc½

fo"k; dk 'kh"kZd%

1-3 *

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

fo"k; dk 'kh"kZd%

2-1

¼uSnkfud çLrqfr½

uSnkfud fLFkfr dk uke%

2-2

¼uSnkfud çLrqfr½

ekeys dk vè;;u ¼fyf[kr fjiksVZ½

uSnkfud fLFkfr dk uke%

2-3

2-3-1

vkS"kfèk vè;;u

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

5 çLrqfr;ksa dh fyf[kr fjiksVZ ¼csMlkbM çLrqfr½

vkS"kfèk dk uke%

2-3-2

2-3-3

2-3-4

2-3-5

2-3-6

2-3-7

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

41

2-3-8

2-3-9

2-3-10

¼fyf[kr fjiksVZ tek djus gsrq gSa½

3-1

¼o;Ld½ & bfro`Ùk vkSj 'kkjhfjd tkap

¼nks fyf[kr fjiksVZ½

3-1-1-

3-1-2-

3-1-3-

3-1-4-

3-1-5-

3-2

¼f’k’kq½ & bfro`Ùk vkSj 'kkjhfjd tkap

¼,d fyf[kr fjiksVZ½

3-2-1-

3-2-2-

3-2-3-

3-3

¼xHkZorh efgyk½ ¼,d fyf[kr fjiksVZ½

3-3-1-

3-3-2-

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

42

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

1-1

¼uSnkfud dkUÝsal½

fo"k; dk 'kh"kZd%

1-2

I ¼uSnkfud lsfeukj½

fo"k; dk 'kh"kZd%

1-3

I ¼tuZy Dyc½

fo"k; dk 'kh"kZd%

1-4

II ¼uSnkfud lsfeukj½

fo"k; dk 'kh"kZd%

1-5

II ¼tuZy Dyc½

fo"k; dk 'kh"kZd%

¼fyf[kr fjiksVZ tek djus ds fy, gSa½

2-1

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

'kh"kZd dk uke%

2-2

¼uSnkfud@ns[kHkky ekxZ½

'kh"kZd dk uke%

2-3

I ¼uSnkfud çLrqfr½

uSnkfud fLFkfr dk uke%

2-4

I ¼ekeys dh vè;;u fjiksVZ½

uSnkfud fLFkfr dk uke%

2-5

II ¼uSnkfud çLrqfr½

uSnkfud fLFkfr dk uke%

2-6

II ¼ekeys dh vè;;u fjiksVZ½

uSnkfud fLFkfr dk uke%

2-7

csMlkbM çLrqfr ¼ikap fyf[kr fjiksVZ½

vkS"kfèk dk uke%

2-8 vkS"kfèk dk uke%

2-9

2-10

2-11

2-12

2-13

2-14

2-15

2-16

3-1

I

uSnkfud fLFkfr dk uke%

3-2

3-3

3-4

3-5 ¼ekeys dh vè;;u fjiksVZ½

3-6

II

3-7

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

43

3-8

3-9 ¼ekeys dh vè;;u fjiksVZ½

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

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

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3- Mksikekbu

4- MkscwVkekbu

5- ,Msukslkbu

44

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

6- vfe;ksMsjksu

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

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

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

ldrs gSaA

[जवज्ञापन-III/4/असा./901/2024-25]

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

45

INDIAN NURSING COUNCIL

NOTIFICATION

New Delhi, the 26th December, 2024

INDIAN NURSING COUNCIL {NURSE PRACTITIONER IN NEPHROLOGY NURSING (NPNepN) -

POSTGRADUATE RESIDENCY PROGRAM} REGULATIONS, 2024

F.No. 11-1/2024-INC (X):—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 Nephrology Nursing

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

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

2. DEFINITIONS

In these Regulations, unless the context otherwise requires,

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

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

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

respective State Governments;

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

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

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

Registered Midwife;

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

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

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

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

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

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

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

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

NURSE PRACTITIONER IN NEPHROLOGY NURSING (NPNepN) -

POSTGRADUATE RESIDENCY PROGRAM

I.

Introduction and Background

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

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

training alongside regulation and legislation. The government recognizes significant expansion in tertiary care services

both in public and private health sectors. In building their capacity, it is highly significant that the healthcare

professionals require advanced educational preparation in specialty and super-specialty services. To support

specialized and super-specialized healthcare services, specialist nurses with advanced preparation are essential.

Developing training programs and curriculum in the area of tertiary care is recognized as the need of the hour. Nurse

Practitioners (NPs) will be able to meet this demand provided they are well trained and empowered to practice. With

establishment of new cadres in the Center and State level, master level prepared Nurse Practitioners will be able to

provide cost effective, competent, safe and quality driven specialized nursing care to patients in a variety of critical

care settings in tertiary care centers. Nurse practitioners have been prepared and functioning in USA and Canada since

1960s, UK since 1980s, Australia since 1990s and Netherlands since 2010.

Nurse practitioners in critical care/acute care, oncology, nephrology care, emergency care, neuro care,

cardiovascular care, anesthesia care and other specialties can be prepared to function in secondary and tertiary care

settings. A curricular structure/framework is proposed by the Council towards preparation of Nurse Practitioner in

Nephrology Nursing (NPNepN) at Masters’ Level. The special feature of this program is that it is a clinical residency

program emphasizing a strong clinical component with 15% of theoretical instruction and 85% of practicum.

46

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Competency based training is the major approach and NP education is based on competencies adapted from

International Council of Nurses (ICN, 2020), American Association of Colleges of Nursing (AACN, 2021), American

Nephrology Nurses Association (ANNA, 2020) and National Organization of Nurse Practitioner Faculties

competencies, (NONPF competencies, 2022). Every course is based on achievement of competencies.

Nurse Practitioner in Nephrology Nursing program is intended to prepare registered B.Sc. Nurses to provide

advanced nursing care to patients at tertiary care centers who have kidney diseases. A Nurse Practitioner in

Nephrology Nursing (NPNepN) provides primary care to patients with acute or chronic kidney/urologic disorders,

those undergoing dialysis, and those who are candidates for or have undergone kidney transplants.

The nursing care is focused on delaying disease progress, initiating early management, minimizing complications

and optimizing quality of life. The program consists of various courses of study that are based on strong scientific

foundations and evidence based practice in assessment and management of individuals with kidney diseases. These

are built upon the theoretical and practice competencies of B.Sc. trained nurses. On completion of the program and

registration with respective SNRC, they are permitted to practice all competencies listed in the log book of the

Council syllabus and also independently administer drugs and order diagnostic tests, procedures and therapies as per

institutional protocols/standing orders. Nurse Practitioners in Nephrology Nursing when exercising this authority are

accountable for the competencies in -

a) Assessment and clinical examination

b) Problem identification and preparation of treatment plan

c) Planning and providing Hemodialysis and Peritoneal Dialysis

d) Preparing patients and families for Kidney Replacement Therapy

e) Preparing clients and their families for organ donation

f)

Selection/administration of medication or devices or therapies

g) Patients’ education

h) Knowledge of interactions of therapeutics

i)

Evaluation of outcomes

j)

Recognition and management of complications and adverse reactions

k) Contribution towards evidence based innovations in clinical practice

l)

Participation in government and non-government activities in promoting kidney donation and transplantation.

The Nurse Practitioner in Nephrology Nursing (NPNepN) is prepared and qualified to assume responsibility and

accountability for the care of patients with kidney diseases under his/her care.

The said postgraduate degree will be registered as an additional qualification by the SNRC.

Philosophy

The Council believes that there is a great need to establish a postgraduate program titled Nurse Practitioner in

Nephrology Nursing (NPNepN) to meet the challenges and demands of tertiary healthcare services in India, which is

reflected in the National Health Policy, 2017 and provide quality care to patients with kidney diseases and their

families.

The Council believes that postgraduates from a residency program focused on strong clinical component and

competency based training will be able to demonstrate clinical competence based on sound theoretical and evidence

based knowledge. The teaching learning approach should focus on adult learning principles, competency based

education, collaborative learning, preceptor guided clinical learning, experiential learning and self-directed learning.

Education providers/preceptors/mentors must update their current knowledge and practices. Medical faculty are

invited to participate as preceptors in the training.

The Council also believes that a variety of educational strategies can be used in the clinical settings to address the

deficit of qualified nephrology nursing faculty. It is hoped to facilitate developing policies towards

registration/licensure and create cadre positions for appropriate placement of these postgraduate NPNepN to function

in secondary and tertiary care hospital settings or community healthcare settings that offer nephrology services. They

may provide services also in chronic kidney disease clinics/centers, dialysis centers and primary care settings

including home based hemodialysis and peritoneal dialysis.

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

47

An educational framework for the NP curriculum is proposed (See Figure 1)

Figure 1. Nurse Practitioner in Nephrology Nursing (NPNepN) - An Educational Curricular Framework

Registered B.Sc./P.B.B.Sc. Nurse with 1-year Clinical Experience in Medical Surgical Nursing/Pediatric

Nursing (Entry requirement)

• Foundations

of Nephrology

Nursing

Practice

• Nephrology

Nursing I

• Nephrology

Nursing II

Strong

Clinical

Component

(Clinical Residency)

Advanced

Knowledge and

Ethics

Competency Based

Education and

Training

• Theoretical Basis for

Advanced Nursing Practice

• Research Application and

Evidence Based Practice in

Nephrology Nursing

• Advance Skills in

Leadership,

Management

and Teaching

• Advanced

Pathophysiology

applied to

Nephrology Nursing

• Advanced

Pharmacology

applied to

Nephrology

Nursing

• Advanced

Health/

Physical

Assessment

Nurse

Practitioner

in Nephrology

Nursing

(NPNepN)

II. Program Description

The Nurse Practitioner in Nephrology Nursing (NPNepN) program is a residency nursing program with a main

focus on competency based training. The duration is of two years with the curriculum consisting of theory that

includes core courses, advanced practice courses and clinical courses besides clinical practicum which is a major

component (Refer Curricular framework).

This program is designed to assist the NP students in developing expertise and in depth understanding in the field

of nephrology nursing. It will help them to develop advanced skills for nursing interventions while taking care of

patients with kidney diseases.

III. Aim

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

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

IV. Objectives

On completion of the program, the NPNepN will be able to -

1. assume responsibility and accountability to provide competent family centered care to patients with kidney

diseases in various healthcare settings.

Practicum -

85%

48

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

2. demonstrate clinical competence including expertise in clinical assessment of patients with varied kidney

disorders, education, diagnostic reasoning, complex monitoring, and therapies including diet and liaising with

resource agencies.

3. apply clinical knowledge, scientific principles, critical thinking skills and evidence base to implementing

therapies/interventions in nephrology nursing.

4. participate in treating patients with kidney diseases to stabilize and restore patient’s health and minimize or

manage complications independently or collaboratively as a part of Nephrology team

5. collaborate with other healthcare professionals in the nephrology team, across the continuum of care.

V. Minimum requirements to start the Nurse Practitioner in Nephrology Nursing (NPNepN) program

The institution must accept the accountability for the NPNepN 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 Nephrology Nursing (NPNepN) program shall

obtain an Essentiality Certificate/Government Order from the State.

b. The following institutions are exempted from obtaining Essentiality Certificate -

i. Institutions/Universities already offering B.Sc. Nursing or M.Sc. Nursing programs and found suitable

by the Council under Sections 13 and 14 of the Act;

ii. Institutions/Universities offering MBBS/DNB programs.

2. Hospital

a.

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

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

3. Nephrology Beds

The hospital should have at least one nephrology ward with minimum of 20 beds, a hemodialysis unit with

minimum 10 beds and scope for kidney transplant services. It is preferable to have a peritoneal dialysis unit with

a minimum of 2 beds.

4. Nephrology Unit Staffing

a.

The ward and dialysis unit should have a Charge Nurse preferably with B.Sc. Nursing or M.Sc. Nursing

qualification.

b. The nurse patient ratio should be 1:6 for every shift in the general ward.

c.

For the dialysis unit, the nurse patient ratio should be 1:1 for every shift.

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

5. Faculty/Staff Resources

a. Clinical area:

i. Nursing Preceptor - Full-time qualified GNM with 6 years of experience in nephrology nursing

(preferably with Post Basic Diploma in Renal Nursing) or B.Sc. Nursing with 2 years of experience in

Nephrology Nursing or M.Sc. (Specialty-Medical Surgical Nursing) with one year experience in

Nephrology Nursing

ii. Medical Preceptor - DM in Nephrology

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. (Specialty - Medical

Surgical Nursing)} with faculty student ratio of 1:10

ii. Assistant professor - 1 (Teaching experience: 3 years post B.Sc.)

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

employed in nephrology unit

iv. Guest Lecturers for Pharmacology and Pathophysiology

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 journals

d. E-Learning facilities

7. List of equipment (enclosed in Appendix 1).

8. Student Recruitment/Admission Requirements

a.

Applicants must be a registered B.Sc./P.B.B.Sc. nurse with a minimum of one year clinical experience,

preferably in any Nephrology care setting prior to enrollment.

b. Must have undergone the B.Sc./P.B.B.Sc. in an institution recognized by the Council and should be enrolled

in the respective SNRC.

c.

Must have scored not less than 55% aggregate marks in the B.Sc. nursing program.

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

49

d. Selection must be based on the merit of an entrance examination and interview held by the competent

authority.

e.

Must be physically fit.

Number of candidates - 1 candidate for 3 dialysis beds and 5 in-patients in nephrology unit.

Salary

1. In-service candidates will get regular salary.

2. Stipend/Salary for the other candidates as per the salary structure of the hospital where the course is

conducted.

VI. Examination Regulations

Eligibility for appearing for the Examination

Attendance: Minimum 80% for theory and practical before appearing for final University examination but must

complete 100% in practical before the award of degree.

There is no minimum cut off for internal assessment marks, as internal and external marks are added together for

declaring pass.

Examining and Degree Awarding Authority: Respective University

Declaration of Results

The candidate is declared to have passed the exam if the score is 60% and above. This score is the aggregate of

both internal and external University examination in theory and practical in every course/subject and less than 60% is

fail.

For calculating the rank, the aggregate of the two years’ marks will be considered.

If a candidate fails in theory or practical, he/she must appear for the paper in which he/she has failed.

Rank will not be declared for candidates who fail in any subject.

Maximum period to complete the program is 4 years.

Practical examination

OSCE type of examination is to be conducted alongside viva (oral examination) - Refer OSCE Guidelines found

in Appendix 2.

Maximum number of students for practical exam per day will be 10 students.

Examination should be held in 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 NPNepN program/M.Sc. Nursing faculty (Medical Surgical Nursing) with 5 years of post

PG experience}, one external examiner (same as above) and one medical internal examiner who should be the

preceptor for NPNepN program.

Dissertation*

Research Guides: Main guide: Nursing faculty (3 years Post PG experience) teaching NPNepN program,

Co-guide: Medical preceptor

Submission of Research Proposal: 6-9 months after date of admission in the first year

Guide Student Ratio: 1:5

Research Committee: There shall be a separate research committee in the college/hospital to guide and oversee

the progress of the research (minimum of 5 members with Principal or CNO who is M.Sc. Nursing qualified).

Ethical Clearance must be obtained by the Institutional Review Board/Hospital Ethics Committee since it

involves clinical research.

Topic Selection: The topic should be relevant to Nephrology Nursing that will add knowledge or evidence for

nursing intervention. The research should be conducted in any of the Nephrology care settings.

Data Collection: 7 weeks are allotted for data collection, which can be integrated during clinical experience after

6 months in first year and before 6 months in second year.

Writing the Research Report: 6-9 months in second year.

Submission of Dissertation Final: 3 months before completion of the second year.

Dissertation Examination

Internal Assessment: Viva & Dissertation Report = 50 marks.

University Examination: Viva & Dissertation Report = 50 marks.

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

*EBP project may be conducted in place of dissertation and report submitted for evaluation.

VII. Assessment (Formative and Summative)

•

Quiz

•

Seminar

•

Written assignments

50

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

•

Case/Clinical presentation

•

Clinical or care pathway/Case study report

•

Clinical performance appraisal

•

Log Book: Procedural competency and completion of clinical requirements signed by the medical/nursing

faculty/preceptor

•

Objective Structured Clinical Examination (OSCE)

•

Test papers, Quiz

•

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

50

2

Research Application and Evidence Based Practice

in Nephrology Nursing

3

30

70

3

Advanced Skills in Leadership, Management and

Teaching

3

30

70

Advanced Practice Courses

4

Advanced Pathophysiology & Advanced

Pharmacology applied to Nephrology Nursing

3

30

70

5

Advanced Health/Physical Assessment

3

30

70

50

50

IInd year

Specialty Courses

1

Foundations of Nephrology Nursing Practice

3

30

70

100

100

2

Nephrology Nursing I

3

30

70

100

100

3

Nephrology Nursing II

3

30

70

100

100

4

Dissertation and viva

50

50

VIII. Courses of Instruction

S.No.

Title

Theory

(hours)

Lab/Skill Lab

(hours)

Clinical

(hours)

Ist year

Core Courses

I

Theoretical Basis for Advanced Practice Nursing

40

II

Research Application and Evidence Based Practice in

Nephrology Nursing

56

24

336 (7 weeks)

III

Advanced Skills in Leadership, Management and Teaching

56

24

192 (4 weeks)

Advanced Practice Courses

IV

Advanced Pathophysiology applied to Nephrology Nursing

60

336 (7 weeks)

V

Advanced Pharmacology applied to Nephrology Nursing

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 Nephrology Nursing Practice

96

48

576 (12 weeks)

VIII Nephrology Nursing I

96

48

576 (12 weeks)

IX

Nephrology Nursing II

96

48

624 (13 weeks)

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

51

TOTAL = 2208 hours

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

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

hours = 2208 hours

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-Practicum) [Theory = 15%, Practicum = 85%]

IInd year : 288-144-1776 hours (Theory-Practicum) [Theory = 15%, Practicum = 85%]

Ist year = 46 weeks/2208 hours (46×48 hours) (Theory + Lab: 7.5 hours per week for 44 weeks = 330/336+96 hours*)

*Theory + Lab = 96 hours can be given for 2 weeks in the form of introductory block classes and workshops

IInd year = 46 weeks/2208 hours (46×48 hours) (Theory + Lab: 8.5 hours per week for 45 weeks = 384+48 hours)

(1 week Block Classes = 48 hours)

CLINICAL PRACTICE

A. Clinical Residency Experience (A minimum of 48 hours per week is prescribed, however, it is flexible with

different shifts and OFF followed by ON CALL duty)

B. 8 hours duty with one day OFF in a week and ON CALL duty once per week.

Clinical Placements

Ist year: 44 weeks (excludes 2 weeks of introductory block classes and workshop)

•

Adult Nephrology ward - 10 weeks

•

Pediatric Nephrology ward - 4 weeks

•

Dialysis Unit - 14 weeks

•

Urology ward - 2 weeks

•

Renal Transplant Unit - 5 weeks

•

Nephrology OPD - 4 weeks (including transplant OPD)

•

Medical ICU - 4 weeks

•

Organ Donation Unit/NOTO - 1 week

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

•

Medical ICU - 4 weeks

•

Surgical ICU - 2 weeks

•

Pediatric ICU - 2 weeks

•

Adult Nephrology Ward - 8 weeks

•

Pediatric Nephrology Ward - 2 weeks

•

Nephrology OPD - 6 weeks

•

Dialysis Unit - 10 weeks (including Peritoneal Dialysis-PD)

•

Kidney Transplant Unit - 5 weeks

•

Operation Theatre - 4 weeks

•

Urology ward - 2 weeks

C. Teaching/Learning methods

Learning will be faculty facilitated self-directed, integrated with clinical experience.

•

Experiential learning

•

Reflective learning

•

Simulation based learning

•

Clinical conference

•

Case/clinical presentation

•

In depth drug study, presentation and report

•

Nursing rounds

•

E-learning, narrated presentations

•

Flipped classroom

•

Clinical seminars

•

Journal clubs

52

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

•

Case study/Clinical or care pathway

•

Advanced health assessment

•

Faculty lecture in the clinical area

•

Directed reading

•

Demonstrations, supervised skill practice

•

Assignments

•

Case study analysis

•

Workshops

•

Observation of procedures

•

Demonstration and supervised skill practice

D. Procedures/Log Book

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

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

fortnight.

E. Nurse Practitioner in Nephrology Nursing Competencies (Adapted from ICN, 2020)

1. Uses advanced comprehensive assessment, diagnosis, treatment planning, implementation, and evaluation

skills.

2. Applies and adapts advanced skills in complex and/or unstable environments.

3. Applies sound advanced clinical reasoning and decision making to inform, guide and teach in practice.

4. Documents assessment, diagnosis, management and monitors treatment and follow-up care in partnership

with the patient.

5. Administer drugs and treatments according to institutional protocols.

6. Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and

discontinue therapeutic relationships.

7. Refers to and accepts referrals from other healthcare professionals to maintain continuity of care.

8. Practices independently where authorized and the regulatory framework allows in the interest of the patients,

families and communities.

9. Consults with and is consulted by other healthcare professionals and others.

10. Works in collaboration with health team members in the interest of the patient.

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

of patients, families and communities.

12. Initiates, evaluates and manages evidence based practice.

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 through the use of 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.

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.

Core Competencies of ANNA (2020)

1. Advanced knowledge in nephrology that includes pathophysiology and management of kidney/urologic

conditions and their complications.

2. Excellent interpersonal, communication, and critical thinking skills.

3. Advanced clinical skills in assessment, diagnosis and management of patients with kidney disorders that

include kidney replacement therapy.

4. Sensitivity to the needs of patients and their families as they deal with kidney diseases and its impact.

5. Ability to teach patients about kidney diseases, treatment, and life style changes.

6. Ability to deal with grief and loss that can be associated with kidney disease.

7. Ability to work in a multidisciplinary team in care coordination.

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

53

F. Institutional Protocol/Standing Orders based administration of drugs & ordering of investigations and

therapies

The students will be trained to independently administer drugs and order diagnostic tests, procedures, medical

equipment and therapies as per institutional protocols/standing orders (Appendix 5 Standing Orders).

Administration of emergency drugs is carried out in consultation with concerned physician and endorsed later by

written orders.

Implementation of Curriculum - A Tentative Plan

Ist year Courses

Introductory

Classes

Workshop Theory integrated

into Clinical

Practicum

Methods of Teaching

(Topic can be specified)

1. Theoretical Basis for

Advanced Practice Nursing

(40)

8 hours

1×32 = 32 hours

• Seminar/Theory Application

• Lecture (Faculty)

• Journal Presentation

• Flipped Classroom

2. Research Application and

Evidence Based Practice in

Nephrology Nursing (56+24)

8 hours

40 (5 days)

+ 8 hours

1×24 = 24 hours

• Research Study Analysis

• Exercise/Assignment (Lab)

3. Advanced Skills in

Leadership, Management and

Teaching (56+24)

4 hours

16 hours

(2 days)

1×26 = 26 hours

2×16 = 32 hours

• Clinical Conference

• Seminar, Practice Teaching

• Workshop

• Exercises/Assignment (Lab)

4. Advanced Pathophysiology

applied to Nephrology

Nursing (60)

1.5×40 = 60 hours • Case Presentation

• Seminar

• Clinical Conference

• Concept Mapping

5. Advanced Pharmacology

applied to Nephrology

Nursing (54)

10 hours

1×44 = 44 hours

• Nursing Rounds

• Drug Study Presentation

• Standing Orders

• Lecture/Discussions

• Drug Diary

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

1. Foundations of Nephrology

Nursing Practice

(96+48 hours) = 144 hours

9×16 = 144 hours

• Demonstration

• Supervised Practice

• Clinical Teaching

• Case Study

• Seminar

• Clinical Conference

• Faculty Lecture

2. Nephrology Nursing I

(96+48 hours) = 144 hours

9×16 = 144 hours

• Demonstration

• Supervised Practice

• Clinical Conference/Journal Club

• Flipped Classroom

• Seminar

54

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

IInd year Courses

1 week Block Classes (48 hours)

Theory and Skill Lab integrated

into Clinical Practicum

Methods of Teaching

• Case Presentation

• Drug Study (including Drug Interaction)

• Nursing Rounds

• Faculty Lecture

• Reflective Learning

• Narrated PPT, Video

• Directed Reading

3. Nephrology Nursing II

(96+48 hours) = 144 hours

9×16 = 144 hours

• Demonstration (Lab)

• Supervised Practice of Clinical Skills

• Nursing Rounds

• Clinical Conference/Journal Club

• Seminar, Case Studies

• Faculty Lecture

• Reflective Learning

Directed Reading, Literature Review

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 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 critical care.

5. Manages and transforms health information to effect health outcomes such as cost, quality and satisfaction.

6. Accepts the accountability and responsibility in practicing the Nurse Practitioner’s roles and competencies.

7. Actively participates in collaborative practice involving all healthcare team members in critical 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 patients with kidney disorders.

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 System in India

Health Care Delivery System in India - Changing Scenario (Competency-3)

2

3.

National Health Planning - 5-Year Plans and National Health Policy (Competency-2)

2

4.

Health Economics & Health Care Financing (Competency-4)

4

5.

Health Information System including Nursing Informatics (Use of Computers)

(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

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

55

S.No. Topic

Hours

11.

Theories of Nursing applied to APN (Competency-10)

3

12.

Nursing Process/Care Pathway applied to APN (Competency-9)

2

Self-Learning Assignments

6

1.

Identify Health Care and Education Policies and analyze its impact on Nursing

2.

Describe the legal position in India for NP practice. What is the future of nurse prescribing policies

in India with relevance to these policies in other countries?

3.

Examine the nursing protocols relevant to NP practice found in nephrology unit/kidney transplant

unit/dialysis unit in your tertiary center

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

•

ANNA (2021) The Nephrology Nurses Scope and Standards of Practice: Standards of Professional Performance

and Competencies, Nephrol Nurs J. 2022 Jul-Aug.

•

DeNisco & Barkers A.M. (2015) Advanced Practice Nursing: Essential Knowledge for the Profession (3rd ed.),

Massachusetts: Jones & Bartlett Publishers Inc.

•

Hickey J.V., Ouimette R.M. & Venegoni S.L. (1996) Advanced Practice Nursing: Changing Roles and Clinical

Applications, Philadelphia: Lippincott Williams & Wilkins

•

ICN (2020) Guidelines on Advanced Practice Nursing, Geneva: ICN

•

NONPF (2022) Nurse Practitioner Role Competencies, National Organization of Nurse Practitioner Faculties

•

Schober M. & Affara F.A. (2006) Advanced Nursing Practice, Oxford: Blackwell Publishing

•

Stewart G.J. & DeNisco S.M. (2015) Role Development for the Nurse Practitioner, USA: Springer Publishing

Company

II. Research Application and Evidence Based Practice in Nephrology Nursing

COMPETENCIES

1. Applies sound research knowledge and skills in conducting independent research in Nephrology care setting.

2. Participates in collaborative research to improve patient care quality.

3. Interprets and uses research findings in advanced practice to produce EBP.

4. Tests/evaluates current practice to develop best practices and health outcomes and quality care in advanced

practice.

5. Analyzes the evidence for nursing interventions carried out in Nephrology Nursing practice to promote safety and

effectiveness of care.

6. Develops skill in writing scientific research reports.

Hours of Instruction: Theory: 56 hours + Lab/Skill Lab: 24 hours = 80 hours

S.No.

Topic

Hours

1

Research and Advanced Practice Nursing

Significance of research and inquiry related to 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

4

56

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

S.No.

Topic

Hours

- Integrating EBP to ICU environment

- Areas of evidence in critical care

- Barriers to implement EBP

- Strategies to promote EBP (Competency-3,4,5)

Total

56 hours

Practical Learning & Assignments: 24 hours

•

Identifying research priorities

•

Writing exercises on research question, objectives and hypothesis

•

Prepare research proposal/EBP project proposal

•

Data Collection, analysis and interpretation

•

Scientific paper writing - preparation of manuscript for publication

•

Literature review - analyze the evidence for specific clinical practices in nephrology setting.

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 Inc.

III. Advanced Skills in Leadership, Management and Teaching

COMPETENCIES

1. Applies principles of leadership and management in Nephrology unit.

2. Manages stress and conflicts effectively in any Nephrology 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 patients care in

Nephrology care settings.

5. Builds teams and motivates others in Nephrology care settings.

6. Participates appropriately in times of innovation and change.

7. Uses effective teaching methods, media and evaluation based on sound principles of teaching.

8. Develops advocacy role in patient care, maintaining quality and ethics in care delivery.

9. Provides counseling to families and patients that facilitates shared decision making on treatment plans.

Hours of Instruction: Theory: 56 hours + Lab/Skill Lab: 24 hours = 80 hours

S.No. Topic

Hours

1.

Theories, styles of leadership and current trends

2

2.

Theories, styles of management and current trends

2

3.

Principles of leadership and management applied to Nephrology care settings

4

4.

Stress management and conflict management - principles and application, effective time

management

4

5.

Quality improvement and audit

4

6.

Problem solving, critical thinking and decision making, communication skills applied to

Nephrology nursing practice

5

7.

Team building, motivating and mentoring within Nephrology unit set up

2

8.

Budgeting and management of resources including human resources - material, manpower, time

5

9.

Change and innovation

2

10.

Performance indicators for practice and performance measures

6

11.

Teaching-learning theories and principles applied to Nephrology Nursing

2

12.

Competency based education and outcome based education

2

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

57

S.No. Topic

Hours

13.

Teaching methods/strategies, media: educating patients and staff in Nephrology care settings

8

14.

Staff education and use of tools in evaluation

4

15.

APN - Roles as a teacher

2

16.

Advocacy roles in Nephrology care environment

2

Total

56 hours

Practice: 24 hours

•

Preparation of staff patient assignment

•

Patient care audit

•

Preparation of nursing care standards and protocols

•

Monitoring, evaluation, and writing report of infection control practices

•

Development of teaching plan for staff and patients using appropriate technology assisted teaching aids

•

Micro teaching/patient education sessions

•

Planning and conducting OSCE/OSPE

•

Quality Improvement Audit

•

Construction of tests

•

Performance indicators measurement

Assignment

•

Prepare Nursing care standards for one of the Dialysis units

Bibliography

•

Bastable S.B. (2019) Nurse as Educator: Principles of Teaching and Learning for Nursing Practice (5th ed.), New

Delhi: Jones & Bartlett Publishers Inc.

•

Billings D.M. & Halstead J.A. (2019) Teaching in Nursing: A Guide for Faculty (6th ed.), St. Louis, Missouri:

Saunders Elsevier

•

Clark C.C. (2010) Creative Nursing Leadership and Management, New Delhi: Jones & Bartlett Publishers Inc.

•

Liebler J.G. & McConnel C.R. (2008) Management Principles for Health Professionals, Sudbury, M.A: Jones &

Bartlett Publishers Inc.

•

Roussel L. & Swansburg R.C. (2010) Management and Leadership for Nurse Administrators (5th ed.), New Delhi:

Jones & Bartlett Publishers Inc.

ADVANCED PRACTICE COURSES

IV. Advanced Pathophysiology applied to Nephrology Nursing

COMPETENCIES

1. Integrates the knowledge of pathophysiological process in kidney care in developing diagnosis and plan of care.

2. Applies the pathophysiological principles in symptom management and secondary prevention of complications

related to kidney disease.

3. Analyzes the pathophysiological changes relevant to each condition requiring kidney transplant recognizing the

value of diagnosis, treatment, care and prognosis.

IV. A. Advanced Pathophysiology applied to Nephrology Nursing

Hours of Instruction: Theory: 30 hours

Unit

Hours

Content

I

10

Review of Anatomy and Physiology of Kidneys and Urinary system

•

Macroscopic structure of Kidney, Ureter, Bladder

•

Microscopic structure of Kidney

•

Physiology of Urine Formation

o

Glomerular filtration

o

Tubular Reabsorption

o

Tubular secretion

•

Renin Angiotensin Mechanism

•

Functions of Kidney, Ureter, Bladder

II

7

Fluid and Electrolyte Regulation and Imbalances

•

Fluid Distribution in the body

58

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Unit

Hours

Content

•

Fluid regulation mechanisms in the body

•

Electrolyte distribution, Role of Electrolytes (Sodium, potassium, calcium, phosphorus,

magnesium)

•

Identifying and Managing Fluid and Electrolyte imbalances

o

Water

o

Sodium

o

Potassium

o

Phosphorous

o

Calcium

o

Magnesium

III

5

Acid base Regulation and Imbalances

•

Acid Base regulatory mechanisms in the body

•

Compensatory mechanism

•

Effect of Acid Base balance in the body

•

Normal Values

•

Identifying Acid base imbalances

•

Interpretation of ABG analysis results

IV

8

Anatomy and Physiology of related systems

•

Cardiac physiology

•

Interpretation of ECG

•

Respiratory system

•

Endocrine system

•

Nervous system

Total 30 hours

IV.B. Advanced Pathophysiology applied to Nephrology Nursing

Hours of Instruction: Theory: 30 hours

Unit

Hours

Content

I

5

Hematological function

•

Composition of Blood

•

Types of blood cells

•

Formation of Blood cells

•

Blood Groups

•

Hematocrit

•

Clotting Mechanism

•

Common hematological problems in kidney disease

II

3

Integumentary function

Advanced pathophysiological process of integumentary conditions

•

Wound healing

•

Burns

•

Steven Johnson Syndrome

•

Skin changes in Kidney Disorders

III

5

Multisystem dysfunction

•

Shock

o

Hypovolemic

o

Cardiogenic

o

Distributive

•

Systemic inflammatory syndrome

•

Multiple organ dysfunction syndrome

•

Sepsis

•

Drug overdose and poisoning

•

Envenomation

IV

5

Specific infections

Advanced pathophysiological process of specific infections

•

HIV

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

59

Unit

Hours

Content

•

Tetanus

•

SARS, COVID

•

Hepatitis A

•

Hepatitis B

•

Leptospirosis

•

Dengue

•

Malaria

•

Tuberculosis

V

4

Reproductive functions

•

Kidney Injury from:

o

Antepartum hemorrhage

o

Pregnancy induced hypertension, Pre-eclampsia

o

HELLP (Hemolysis, Elevated Liver enzymes, Low Platelet Count)

o

Postpartum hemorrhage

o

Puerperal sepsis

VI

8

Basic Immunology

•

Immunoglobulins

•

Antigen Antibody reactions

•

Cross matching

•

Cell mediated Immunity

•

Immediate and Delayed hypersensitivity

•

Autoimmunity

•

Transplant immunology

•

HLA Typing

Total 30 hours

Bibliography

•

Berkowitz A. (2021) Clinical Pathophysiology (2nd ed.), MedMaster Inc.

•

Huether S.E., McCance K.L. & Brashers V.L. (2019) Understanding Pathophysiology (7th ed.), St. Louis,

Missouri: Elsevier

•

Norris T.L. (2020) Porth’s Essentials of Pathophysiology (5th ed.), Wolters Kluwer

•

Porth C.M. (2007) Essentials of Pathophysiology: Concepts of Altered Health States (4th ed.), Philadelphia:

Lippincott Williams & Wilkins

•

Story L. & Dlugasch L. (2019) Advanced Pathophysiology for the Advanced Practice Nurse (1st ed.), Jones &

Bartlett Publishers Inc.

•

Willis L.M. (2019) Professional Guide to Pathophysiology (4th ed.), LWW

V. Advanced Pharmacology applied to Nephrology Nursing

COMPETENCIES

1. Applies the pharmacological principles in providing care to patients with kidney disorders.

2. Analyzes pharmaco-therapeutics and pharmacodynamics relevant to drugs used in the treatment of nephrology

conditions.

3. Performs safe drug administration based on principles and institutional protocols.

4. Documents accurately and provides follow up care.

5. Applies sound knowledge of drug interactions in administration of drugs to patients in the nephrology care

settings and guiding their families in self-care management.

60

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Hours of Instruction: Theory: 54 hours

Unit

Hours

Content

I

2

Introduction to Pharmacology

•

History

•

Classification of drugs and schedules

II

3

Pharmacokinetics and Pharmaco-dynamics

•

Introduction

•

Absorption, distribution, metabolism and excretion in critical care

•

Plasma concentration, half life

•

Loading and maintenance dose

•

Therapeutic index and drug safety

•

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

5

Pharmacology and Cardiovascular alterations

•

Vasoactive Medications

•

Vasodilator, Vasopressors, Inotropes

•

Cardiac glycosides - Digoxin

•

Sympathomimetics - Dopamine, dobutamine, epinephrine, isoproterenol, norepinephrine,

phenylephrine

•

Phosphodiesterase inhibitors - amrinone, milrinone

•

Antiarrhythmic Medications

•

Cardiac conditions

•

Medications to improve cardiac contractility

•

Medications in the management of heart failure

•

Medications in the management of angina pectoris and myocardial infarction

•

Medications in the management of dysrhythmias, Heart block and conduction disturbances

•

Medications in the management of Pulmonary hypertension,

•

Medications in the management of Atherosclerotic disease of aorta and Peripheral artery

disease

•

Medications in the management of Deep vein thrombosis

IV

4

Medications in management of infection

Indications, Mechanism of action, Dose, route, Administration guidelines, Adverse effects of drugs

under:

•

Antibacterial drugs

•

Antibiotics against

o

Gram positive bacteria

o

Gram negative bacteria

•

First, Second, Third and Fourth generation antibiotics

•

Antibiotic resistance

•

Antifungal agents

•

Antiviral agents

•

Antiprotozoal drugs

V

4

Medications in Management of Hypertension

•

Diuretics

•

Calcium channel blockers

•

Beta adrenergic blockers

•

Alpha Adrenergic blockers

•

Angiotensin Converting Enzyme inhibitors

•

Angiotensin Receptor Blockers

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

61

Unit

Hours

Content

VI

5

Medications in Management of Hyperglycemia (Glucose Lowering Agents)

•

Sulfonylureas (glipizide, glyburide, gliclazide, glimepiride)

•

Meglitinides (repaglinide and nateglinide)

•

Biguanides (metformin)

•

Thiazolidinediones (rosiglitazone, pioglitazone)

•

α-Glucosidase inhibitors (acarbose, miglitol, voglibose)

•

DPP-4 inhibitors (Sitagliptin, Saxagliptin, Vildagliptin, Linagliptin, Alogliptin)

•

SGLT2 inhibitors (Dapagliflozin and Canagliflozin)

•

Cycloset (Bromocriptine)

Insulin

•

Rapid-acting insulin

•

Short-acting insulin

•

Intermediate-acting insulin

•

Mixed insulin

•

Long-acting insulin

VII

4

Pharmacology and Pulmonary alterations

•

Medications used on patients on mechanical ventilation

•

Medications in the management of Pulmonary edema

•

Medications in the management of Pulmonary embolism

•

Medications in the management of Acute respiratory failure and acute respiratory distress

syndrome

•

Medications in the management of Chronic obstructive pulmonary disease

•

Medications in the management of Pneumonia

•

Medications in the management of Pleural effusion

VIII

6

Pharmacology in management of Pain and anxiety

•

Pain

o

NSAID

o

Opioid analgesia

•

Sedation

o

Gamma amino butyric acid stimulants

o

Dexmedetomidine

o

Analgosedation

•

Delirium

o

Haloperidol

o

Atypical anti-psychotics

•

Medications used for local and general anesthesia

o

Local - Amides, esters, and miscellaneous agents

o

General - Gases, Volatile liquids, IV anesthetics

o

Non anesthetic drugs adjuncts to surgery

•

Paralytic Medications

o Non-depolarizing and depolarizing agents

o Anxiolytics

•

Autonomic drugs

o

Adrenergic agents/Sympathomimetics

o

Adrenergic blocking agents

o

Cholinergic agents

o

Anti-cholinergic agents

•

Medications in the management of anxiety and insomnia

o

Antidepressants

o

Benzodiazepines

o

Barbiturates

IX

7

Pharmacology and Nephrology alterations

•

Diuretics

•

Fluid replacement

o

Crystalloids

o

Colloids

•

Electrolytes

62

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Unit

Hours

Content

o

Sodium

o

Potassium

o

Calcium

o

Magnesium

o

Phosphorus

•

Nephrology conditions

o

Medications in the management of Acute/Chronic Kidney Disease

o

Medications in the management of Acute tubular necrosis

•

Medications in the management of Bladder Outlet Obstructions

o

Medications in the management of Electrolyte imbalances

o

Medications in the management of Acid base imbalances

o

Medications used during dialysis

o

Nephrotoxic drugs

•

Standing orders for nephrology critical care emergencies

X

4

Pharmacology and Gastrointestinal alterations

•

Anti-ulcer drugs

•

Laxatives

•

Anti diarrheal

•

Anti emetics

•

Pancreatic enzymes

•

Nutritional supplements, Vitamins and minerals

XI

4

Pharmacology and Hematology alterations in Nephrology

•

Anticoagulants

•

Antiplatelet drugs

•

Thrombolytics

•

Hemostatic/antifibrinolytics

•

Hematopoietic growth factors

o Erythropoietin

o Colony stimulating factors

o Platelet enhancers

•

Blood & Blood Components

•

Vaccines

XII

6

Immunosuppressant Drugs in Nephrology

•

Induction agents

o

Polyclonal antibodies (ATG)

o

Interleukin 2 receptor antagonists (Basiliximab)

•

Maintenance Therapy

o

Calcineurin inhibitors (Cyclosporin, Tacrolimus)

o

mTOR inhibitors (Sirolimus, Everolimus)

o

Antiproliferative agents (Azathioprine, Mycophenolic acid)

o

Corticosteroids (Prednisolone)

•

Treatment for rejection

•

Corticosteroids, ATG, IVIG

Total 54 hours

Bibliography

•

Hari Varun Kalluri, Karen L. Hardinger, Current State of Renal Transplant Immunosuppression: Present and

Future, World J Transplant 2012 Aug (24), 2(4): 51-68

•

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

•

SHERYL F. VONDRACEK & ISAAC TEITEBAUM, PRINCIPLES OF KIDNEY PHARMACOTHERAPY

FOR THE NEPHROLOGIST: CORE CURRICULUM 2021, NATIONAL KIDNEY FOUNDATION,

AMERICAN JOURNAL OF KIDNEY DISEASES, JULY 16 2021

•

Wynne A.L., Woo T.M., Sheryl & Olyaei A.J. (2007) Pharmacotherapeutics for Nurse Practitioner Prescribers (2nd

ed.), Philadelphia: Davis

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

63

VI. Advanced Health/Physical Assessment

COMPETENCIES

1. Applies the physical assessment principles in developing appropriate system wise examination skills.

2. Uses advanced health assessment skills to differentiate between variations of normal and abnormal findings.

3. Orders screening and diagnostic tests based on the examination findings and institutional protocols.

4. Analyzes the physical examination findings and results of various investigations and works collaboratively with

nephrologists for development of diagnoses.

5. Documents assessment, diagnosis, and management and monitors follow up care in partnership with healthcare

team members, patients, and families.

Hours of Instruction: Theory: 70 hours + Lab/Skill Lab: 48 hours = 118 hours

Unit

Hours

Content

I

4

Introduction

•

Essentials of effective communication

•

Principles of professional communication

•

Components in history collection and physical assessment

II

6

Cardiovascular system

•

Cardiac history

•

Physical examination

•

Cardiac laboratory studies - biochemical markers, hematological studies

•

Cardiac diagnostic studies - electrocardiogram, echocardiography, stress testing, radiological

imaging, coronary angiogram

III

6

Respiratory system

•

History

•

Physical examination

•

Respiratory monitoring - arterial blood gases, pulse oximetry, end-tidal carbon dioxide

monitoring

•

Respiratory diagnostic tests - chest radiography, ventilation perfusion scanning, pulmonary

angiography, bronchoscopy, thoracentesis, sputum culture, pulmonary function tests,

ultrasound, lung biopsy

IV

6

Nervous system

•

Neurological history

•

General physical examination

•

Assessment of cognitive function

•

Assessment of cranial nerve function

•

GCS

•

Motor assessment - muscle strength, power, and reflexes

•

Sensory assessment - dermatome assessment

•

Neurodiagnostic studies - CT scan, MRI, PET

V

6

Renal system

•

History

•

Physical examination

•

Assessment of renal function - lab studies, diagnostic tests

o

Urine Analysis

o

Blood studies

o

X-ray KUB

o

Ultrasound Kidneys, Kidney Biopsy

o

Renal Doppler

o

Renal Angiogram

o

Estimation of GFR

o

Residual renal function

•

Assessment of electrolytes and acid base balance

•

Assessment of fluid balance

VI

5

Gastrointestinal system

•

History

•

Physical examination

64

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Unit

Hours

Content

•

Nutritional assessment

•

Laboratory studies - liver function studies, blood parameters, stool test

•

Diagnostic studies - radiological and imaging studies, endoscopic studies

VII

5

Endocrine system

•

History

•

Physical examination

•

Laboratory studies, and diagnostic studies of

o

Hypothalamus and pituitary gland

o

Thyroid gland

o

Parathyroid gland

o

Pancreas

o

Adrenal gland

VIII

5

Hematological system

•

History

•

Physical examination

•

Laboratory studies - blood parameters

•

Diagnostic studies

IX

3

Integumentary system

•

History

•

Physical examination

X

6

Musculoskeletal system

•

History

•

Physical examination - gait assessment, joint assessment,

•

Laboratory studies - blood parameters (inflammatory enzymes, uric acid)

•

Diagnostic studies - specific radiological and imaging studies, endoscopic studies related to

renal disorders

XI

5

Reproductive system (Male & Female)

•

History

•

Physical examination

•

Laboratory studies

•

Diagnostic studies

XII

4

Assessment of Eye, Ear, Nose, Throat

•

Basic assessment of ENT

•

Identify changes in the eye related to hypertension, diabetes and drug effects

XIII

4

Assessment of children

•

Growth and development

•

Nutritional assessment

•

Specific system assessment

XIV

5

Assessment of older adults

•

History

•

Physical assessment considering age related changes

•

Psychological assessment

•

Specific system assessment

Total 70 hours

List of skills to be practiced (48 hours include demonstration by the faculty and practice by the students)

•

Comprehensive history taking

•

Focused history taking (system-wise)

•

Comprehensive physical examination

•

Focused physical examination (system-wise)

•

Monitoring clinical parameters (system-wise)

o

Invasive BP monitoring, Multi-parameter Monitors, ECG, Peripheral vascular status, ABG, Pulse Oximeter,

Intracranial Pressure (ICP), Glasgow Coma Scale (GCS), Cranial nerve assessment, Pain and Sedation score

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

65

of critically ill, Motor assessment, Sensory assessment, Renal function tests, Fluid balance, acid base balance,

electrolytes, Bowel sounds, Liver function tests, GRBS, Lab tests, Radiological and Imaging tests (system

wise), Grading of edema

•

Ordering and interpretation of screening and diagnostic tests (system-wise) (Enclosed Appendix-3)

•

Estimation of GFR

•

Assessment of AV Fistula

•

Assessment of CVC

•

Assessment of PD catheter site

Bibliography

•

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

•

Wilson S.F. & Giddens J.F. (2006) Health Assessment for Nursing Practice (4th ed.), St. Louis, Missouri:

Saunders Elsevier

NEPHROLOGY NURSING SPECIALTY COURSES

(Foundations of Nephrology Nursing Practice, Nephrology Nursing I and Nephrology Nursing II)

VII. Foundations of Nephrology Nursing Practice

COMPETENCIES

1. Applies advanced concepts of Nephrology nursing in assessment, diagnosis and management of kidney disorders.

2. Uses invasive and noninvasive technology and interventions to assess, monitor and promote physiologic stability.

3. Works in collaboration with other healthcare team members and prepares care/clinical pathways in assessment,

diagnosis and management of patients with varied nephrology conditions.

4. Provides nursing care related to health protection, disease prevention, anticipatory guidance, counseling,

management of kidney disorders, palliative care and end of life care.

5. Uses advanced skills in assessment, diagnosis and management of patients with common nephrology conditions.

6. Applies ethically sound solutions to issues related to individuals, populations and systems of care.

7. Practices principles of infection control relevant to nephrology settings.

8. Practices independently within the legal framework of the country towards the interest of patients, families and

communities.

9. Develops practice that is based on scientific evidence.

10. Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and discontinue

therapeutic relationships.

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

12. Adapts practice to the social, cultural and contextual milieu.

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours

Unit

Hours

Content

I

10

Introduction to Nephrology Nursing

•

Introduction to the course

•

History & Scope of Nephrology nursing

•

Gross Anatomy, Embryology, Histology including Electron

•

Microscopy study of the Kidney

•

Renal circulation and Glomerular ultrafiltration

•

Solute transport/Both Organic and inorganic

•

Renal Acidification

•

Urine Concentration & Dilution

•

Role of Kidney in Blood pressure regulation

•

Endocrine and Autocrine functions of the kidney

•

Setting up of Nephrology ward, Dialysis Unit and Transplant Unit, Nephrology ICU

66

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Unit

Hours

Content

II

5

Epidemiology of Kidney Disease

•

Epidemiology of Kidney Disease

•

Risk Factors and Kidney Disease

•

Nephron Endowment

•

Gender and Kidney Disease

•

Aging and Kidney Disease

III

10

Integrated control of body fluid volume and composition

•

Vasoactive peptides/Arachidonic Acid Metabolites

•

Sodium-Water Balance

•

Potassium Balance

•

Acid Base Balance

•

Calcium and Phosphorus Metabolism

•

Magnesium metabolism

•

Renal Handling of Uric acid

IV

12

Advanced Concepts and Principles in care of critically ill in Nephrology

•

Principles of cardio-pulmonary-brain resuscitation

•

Managing Emergencies:

•

BLS

•

ACLS

•

Airway management

•

Oxygenation and oximetry, care of patient with oxygen delivery devices

•

Ventilation and ventilator support (including humidification and inhaled drug therapy), care of

patient with invasive and non-invasive ventilation

•

Circulation and perfusion (including hemodynamic evaluation and waveform graphics)

•

Evaluation of acid base status, fluid and electrolyte status

•

Thermoregulation, care of patient with hyper/hypothermia

•

Liberation from life support (Weaning)

•

Glycemic control, care of patient with glycemic imbalances

•

Monitoring and improving kidney function in critically ill

•

Common drugs and drug delivery modes in management of critically ill patients

V

8

Approach to the patient with kidney disease

•

Laboratory Assessment of Kidney Disease including Biopsy

•

Interpretation of Electrolyte and Acid-Base Parameters in Blood and Urine

•

Adaptation to Nephron Loss

•

Renal and Systemic Manifestations of Glomerular Disease

•

Diagnostic Kidney Imaging

VI

6

Psychosocial, Spiritual and Sleep alterations: Assessment and management

•

Stress and psychoneuroimmunology

•

Spiritual challenges

•

Coping with stress and illness

•

Counseling and communication

•

Grief Counseling

•

Assessing the Sleep Quality, Sleep hygiene

•

Anxiolytics, Sedatives and Relaxants

•

End of Life Care and After Life Services

VII

6

Patient and family education and counseling

•

Challenges of patient and family education

•

Process of adult learning

•

Assessing health literacy

•

Factors affecting teaching learning process

•

Informational needs of patients and families

•

Counseling needs of patient and family

•

Counseling techniques

VIII

6

Nutrition Alterations and Management in Kidney Disorders

•

Nutrient metabolism and alterations

•

Assessing nutritional status

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

67

Unit

Hours

Content

•

Nutritional Considerations in

o

Chronic Kidney Disease

o

Hemodialysis, PD

o

Nephrotic syndrome

o

Hypertension

o

Diabetes mellitus

IX

6

Holistic Care for patients with Kidney Disorders

•

Integrative Care Model

•

Multidisciplinary care - Role of Dietician, Social worker, Occupational therapist,

Physiotherapist, Counselor, Doctor, Nurse

•

Shared Decision-Making Model

•

Patient Rights, Responsibilities

•

Nursing Process application in care of patients with Kidney disorders

•

Government and private schemes available for treatment support of patients with kidney

disorders

•

CKD Registry, care coordination between settings

•

National and International Organizations in Nephrology

X

5

Infection Control Practices in Nephrology setting

•

Breaking the Chain of Infection

•

Standard precautions

•

Use of PPE - Indications

•

Biohazard protocols

•

Disposal and segregation of Waste

•

Infection control practices in Dialysis Unit, Renal Transplant Unit

XI

8

Bioethics in Nephrology Nursing

•

Difference between morals and ethics

•

Ethical principles, ethical decision making in nephrology care, strategies for promoting ethical

decision making

•

Withholding and withdrawing treatment

•

Managing scarce resource

•

Brain death, organ donation & counseling

•

Renal Transplantation-related laws in India

•

Do Not Resuscitate (DNR), Euthanasia, Living will

•

Issues giving raise to civil litigation

•

Medical futility

•

Administrative law: Professional regulation

•

Tort law: Negligence, professional malpractice, intentional torts, wrongful death, defamation,

assault and battery

•

Constitutional Law: Patient decision making

XII

8

Quality Assurance in Nephrology settings

•

Continuous Quality Improvement

•

Quality Accreditation bodies in India - Nephrology

•

Ward, Dialysis Unit, Transplant Unit

•

Standards, Protocols, Policies, Procedures

•

Infection control policies and protocols

•

Standard safety measures

•

Nursing audits

•

Microbiology surveillance

•

Monitoring of water quality

•

Performance Indicators in Nephrology and Measures

6

Class tests

Total 96 hours

List of skills to be practiced (48 hours include demonstration by the faculty and practice by the students)

•

Comprehensive Renal Assessment

68

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

•

CPR (BLS and ACLS)

•

Airway Management

o

Laryngeal mask airway

o

Cuff inflation and anchoring the tube

o

Care of ET tube

o

Tracheostomy care

o

Suctioning - open/closed

o

Chest physiotherapy

•

Oxygenation and oximetry, care of patient with oxygen delivery devices

o

Devices to measure oxygen/oxygenation

o

Oximetry - Pulse oximetry

•

Noninvasive ventilation

o

Low flow variable performance devices: nasal catheters/cannulae/double nasal prongs, face mask, face mask

with reservoir bags

o

High flow fixed performance devices: Entrainment (Venturi) devices, NIV/CPAP/Anesthetic masks, T pieces,

breathing circuits

o

Postural drainage

•

Ventilation and ventilator support

o

Connecting to ventilator

o

Weaning from ventilator

o

Extubation

o

Humidifiers

o

Nebulizers - jet, ultrasonic

•

Inhalation therapy - metered dose inhalers (MDI), dry powder inhalers (DPI)

•

Circulation and perfusion (including hemodynamic evaluation and waveform graphics)

o

Invasive blood pressure monitoring

o

Non-invasive 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

Electrocardiography (ECG)

•

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

Cardiac glycosides - Digoxin

o

Sympathomimetics - Dopamine, dobutamine, epinephrine, isoproterenol, norepinephrine, phenylephrine

o

Electrolyte correction (Sodium, potassium, calcium, phosphorus, magnesium)

o

Use of fluid dispenser and infusion pumps

•

Evaluation of acid base status

o

Arterial blood gas (ABG)

•

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

•

Family education

•

Nutritional assessment

•

Therapeutic diet for kidney disorders

•

Quality Improvement audit

VIII. Nephrology Nursing I

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours

Unit

Hours

Content

I

10

Acute Kidney Injury and Tubulointerstitial Diseases

•

Etiology, pathophysiology and classification of AKI

•

Etiology, pathophysiology, clinical manifestations, diagnosis and management of

o

Acute and Chronic Tubular Nephritis

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

69

Unit

Hours

Content

o

Contrast nephropathy

o

Analgesic nephropathy

o

Heavy metal nephropathy

o

Myeloma related kidney disease

II

15

Glomerular Disease - Primary and Secondary

•

Classification of Glomerular diseases

•

Etiology, pathophysiology, clinical manifestation, diagnosis and management of:

o

Membranoproliferative glomerulonephritis (MPGN)

o

Minimal Change Disease

o

Focal Segmental Glomerulosclerosis (FSGS)

o

Membranous nephropathy

o

IgA Nephropathy

o

Rapidly Progressive Glomerulonephritis (RPGN)

o

Lupus Nephritis

o

Diabetes Nephropathy

o

Nephrotic syndrome

II

4

Micro and Macrovascular Diseases of Kidney

•

Renal Artery Stenosis

•

Renal Vein Thrombosis

•

Systemic Lupus Erythematosus

•

Poly Arteritis Nodosa

III

7

Urinary tract obstruction and Obstructive Nephropathy

•

Renal Calculi

•

Benign Prostatic Hypertrophy

•

Bladder Outlet Obstruction

•

Bladder Tumor

IV

6

Infections

•

Pyelonephritis - Acute, Chronic

•

TB Kidney

•

COVID and Kidneys

V

10

Chronic Kidney Disease

•

Etiology, Pathophysiology, clinical manifestation

•

Staging

•

Diagnosis

•

Management of CKD

VI

8

Renal Neoplasia

•

Kidney disease in tropics

•

Pregnancy and kidney diseases

•

Systemic diseases that affect Kidneys

VII

8

Inherited Diseases of the Kidney

•

Inherited Disorders of Podocyte Function

•

Inherited Disorders of the Renal Tubule

•

Cystic Diseases of the Kidney

VIII

6

Hypertension and Kidney Disease

•

Primary and Secondary Hypertension

•

Renovascular Hypertension and Ischemic Nephropathy

•

Hypertension and Kidney Disease in Pregnancy

IX

6

Diabetes and Kidney Disease

•

Nephropathy

•

Glycemic control, care of patient with glycemic imbalances

•

Diabetic Monitoring GRBS

•

Insulin therapy (sliding scale and infusion)

•

Management of Hyperglycemia - IV fluids, insulin therapy, potassium supplementation

•

Management of hypoglycemia

70

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Unit

Hours

Content

IX

10

Pediatric Nephrology

•

Developmental nephrology

•

Congenital diseases of the kidneys, ureters, urinary bladder and urethra.

•

Glomerular and tubular diseases

•

Systemic diseases affecting the kidney

•

Acute and Chronic Kidney Failure

•

Dialysis and Transplantation with respect to Pediatric Nephrology

6

Class tests

Total 96 hours

List of skills to be practiced (48 hours include demonstration by the faculty and practice by the students).

•

Estimation of GFR

•

Staging of CKD

•

Classification of AKI

•

Interpretation of physical assessment and lab findings for clinical diagnosis

•

History collection and physical assessment of patients with

o

AKI

o

CKD

o

Common glomerular disorders

o

Lupus nephritis

o

Tubulointerstitial disease

•

Case study and presentation of common kidney disorders (4)

•

Assist Renal biopsy (5)

•

Perform Renal biopsy (10)

•

Interpreting Renal Biopsy findings - LM, IF (10)

•

Drug studies (8)

Bibliography

•

Donna D. Ignatavicius, M. Linda Workman & Mary A-Misher (2021) Medical-Surgical Nursing: Concepts for

Interprofessional Collaborative Care (10th ed.), St. Louis: Philadelphia: Elsevier

•

Hinkle L. Janice & Suresh K. Sharma (2018) Brunner & Suddarath’s Textbook of Medical Surgical Nursing

(South Asian Edition) Volume 2

•

John Reynard & Simon F. Lewster (2019) Oxford Handbook of Urology (4th ed.), Oxford University Press

•

Nicola Thomas (2008) Renal Nursing: Care and Management of People with Kidney Disease (5th ed.), Kluwer:

Edinburgh

•

Norma J. Gomez (2022) Nephrology Nursing: Scope and Standards of Practice (9th ed.)

•

Sandra M. Bodin (2022) Contemporary Nephrology Nursing (4th ed.), American Nephrology Nurses Association

•

Susanne A. Qualich & Michelle J. Lajiness (2020) Nurse Practitioner in Urology (2nd ed.), Springer Publications

•

Tinawi M. (2020) Update on the Etiology, Classification and Management of Glomerular Diseases. Avicenna J

Med. 2020 Apr-Jun; 10(2): 61–67

IX. Nephrology Nursing II

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours

Unit

Hours

Content

I

25

Hemodialysis (HD)

•

History and Overview

•

Principles and Concepts

•

Procedure of hemodialysis

•

Initiating patients on HD: Guidelines

•

Dialysis machine - Parts, functioning

•

Dialysis efficiency

•

Dry weight assessment

•

Dialysis Adequacy

•

Assessment of patients before, during and after HD

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

71

Unit

Hours

Content

•

Complications in HD: Prevention, Identification, Management

•

Dialysis Modalities including CRRT

•

CVC as Vascular access and Guidelines in CVC care

•

Arterio-Venous Fistula and AV graft as Vascular access and evidence based guidelines in

management of AVF and AVG

•

Assessment of Vascular access

•

Vascular access related complications - Identification and management

•

UF and Sodium Profiling

•

Bicarbonate preparation

•

Disinfection protocols - Machine, RO tank, pipelines

•

Assurance of water quality (Purification process, Surveillance)

•

Nutritional considerations in HD

•

Comprehensive, holistic care of patients on HD

•

Insertion of CVC - temporary, permanent

•

Plasmapheresis

•

Infection Control Practices

•

Quality Assurance in HD

•

Recent trends and developments in HD

II

20

Peritoneal Dialysis (PD)

•

History and overview

•

Principles and Concepts in PD

•

Types of PD modalities including Automated PD

•

PD Exchange procedure

•

Selection of patients for PD based on assessment

•

PD prescription, PET, PD fluids

•

PD Adequacy

•

Infectious and non-infectious complications of PD: Identification and management

•

PD catheter insertion - percutaneous and Open

•

Care of patients before, during and following PD catheter insertion

•

Identification and management of peritonitis

•

Advantages and Disadvantages of PD

•

Nutritional Considerations in PD

•

Education and Counseling of patients and families

•

Evidence based practices in PD

•

Comprehensive and Holistic care of patients on PD and their families

•

Recent trends in PD

III

25

Kidney Transplant

•

History and Overview

•

Surgical Procedure

•

Types of Transplants

•

Preparation of Donor and recipients for Transplant

•

Transplant Immunology

•

Early and late complications of Kidney Transplant - Identification and management

•

Graft rejection: prevention, identification, management

•

Drug assays, Immuno-suppressant therapy

•

Care of patients following kidney transplant

•

Fluid management protocol in RTU

•

Infection Control practices in RTU

•

Donor and recipient follow-up

•

Standing orders in RTU

•

Drug protocols

•

Microbiology Surveillance, Quality Assurance in PD

•

Recent trends and developments in kidney transplant therapy

•

NOTTO

IV

4

Healthy Living Post-transplant

72

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

Unit

Hours

Content

•

Discharge preparation of donor and recipient

•

Rehabilitation & follow up

•

Healthy lifestyle including nutrition, rest, exercise

•

Health risks and surveillance post-transplant

•

Sexuality

•

Safe living after transplantation

•

QOL issues - post transplant

V

4

Psycho-social issues in Transplantation

•

Psychological impact of transplant in donor and recipient

•

Psychosocial assessment of donor and recipient

•

Prevention: multidisciplinary care

•

Role of nurse

•

Role of support groups

VI

4

Transplant in Children

•

Donor

•

Receipt clinical concerns following organ transplantation in children

VII

4

Education and Counselling

•

Right to the correct information

•

Principles of adult learning

•

Effective communication skills

•

Preparation of information sharing tools

•

Shared decision-making process

•

Education methods and strategies

VIII

4

Special Considerations

•

HD in Acutely ill patients

•

Acute PD

•

PD in pregnancy

•

Management of Anemia

•

Dialysis and Transplant in children and elderly

6

Class tests

Total 96 hours

List of skills to be practiced (48 hours include demonstration by the faculty and practice by the students).

Hemodialysis

•

Pre, Intra, Post dialysis assessment

•

Assessment of Vascular Access - CVC, AVF, AVG

•

CVC site care

•

Dry Weight assessment - clinical and bio-impedance method

•

UF calculation, programming machine, starting HD

•

Closing HD

•

Bicarb preparation

•

Heparin preparation

•

Drug reciliation

•

Estimating URR, Kt/V, Assess dialysis adequacy

•

Prescribe routine investigations and follow up results

•

HD prescription

•

Prescription of common drugs based on lab reports: Erythropoietin, Phosphorous binders, Calcium and Vitamin D

supplements, Antihypertensives, OGLA

•

Insulin dose adjustment

•

Perform varied dialysis modalities - SCUF, Isolated UF, SLED, CRRT

•

Perform Plasmapheresis

•

Calculate plasma volume for removal

•

Insertion of CVC into femoral and jugular vein

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

73

•

Urine culture - SPC

•

CVC removal

•

Blood culture

•

Ascitic tap

Peritoneal Dialysis

•

Assess and Select patients for PD

•

Perform PET, Determine PD prescription

•

Perform PD exchanges

•

Collect PD Fluid for culture

•

Identify and manage Exit site infection, Tunnel infection and peritonitis

•

Administer intraperitoneal antibiotics

•

Alter PD prescription based on clinical assessment and PET

•

Assess Dialysis adequacy including Kt/V

•

Identify and manage noninfectious complications of PD

The skills listed under the Specialty courses such as Foundations of Nephrology Nursing Practice, Nephrology

Nursing I and Nephrology 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 clinical areas. The log book specifies all the requirements to be

completed and the list of skills that are to be signed by the preceptor once the students develop proficiency in

doing the skills independently.

Bibliography

•

Dakshinamurty K.V., Sivakumar V. & Sangeetha Lakshmi (2017) Peritoneal Dialysis Primer (1st ed.), Biocon

India Limited

•

Danowich (2018) Handbook of Kidney Transplantation (6th ed.), Wolters Kluwer

•

John T. Daugridas & Peter G. Blake (2015) Handbook of Dialysis (South Asian 5th ed.), Wolters Kluwer

•

Joyce M. Black (2009) Medical-Surgical Nursing: Clinical Management for Positive Outcomes (8th ed.), USA:

W.B. Saunders Company

•

Richard J. Johnson, Jurgen Floege & Marcello Tonelli (2023) Comprehensive Clinical Nephrology (7th ed.),

Elsevier’s Company

Appendix-1

EQUIPMENT LIST FOR A NEPHROLOGY UNIT (20 beds)

1. Adjustable electronic cot with mattress - 20

2. IV stand - 10

3. Bed side locker - 20

4. Over bed trolley - 10

5. Dressing trolley (small) - 5

6. Dressing trolley (medium) - 2

7. Syringe pump - 4

8. Infusion pump - 5

9. Monitors - 5

10. Transport monitor/pulse oximeter - 5

11. ECG machine - 1

12. Ultrasound machine - 1

13. CART trolley - 1

14. Defibrillator - 1

15. Alpha mattress with motor - 3

16. Transfer trolley - 4

17. OR trolley - 2

18. Safe slider - 2

19. Computer - 2

20. Printer - 1

21. Bain circuit - 12

22. Oxygen flow meter - 20

23. Suction port with jar - 20

24. Air flow meter/pulmoaid - 5

25. Refrigerator - 2 (feeds - 1, drugs - 1)

26. Metal foot step/foot stool - 5

74

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

27. Ambulation chair - 5

28. UPS - 1

29. Flat trolley - 1

30. Labelling machine - 1

31. Glucometer - 2

32. Ambu bag with different sizes - 2 sets

Hemodialysis Unit (10 beds) - some of the listed requirement may vary based on the number of dialysis shifts

1. Dialysis machines -10

2. Bicarbonate preparation tank - 1

3. Water treatment plant with RO, Endotoxin filter - 1

4. Dialysis pipelines that are compatible to chemical/heat disinfection

5. Dialyzers and tubings

6. Infusion pump - 1

7. Syringe pump - 1

8. Patient monitors - 5

9. CART trolley - 1

10. Defibrillator - 1

11. Vacuum and oxygen lines for all the beds

12. Oxygen flow meters - 10

13. Ventilator - 1

14. Cannulation sets - 20

15. CVC sets - 20

16. Machine reprocessing unit (if dialyzers are reused)

17. Computers - 2

18. Printer - 1

19. Small dressing trolleys - 10

20. Large dressing trolley - 1

21. Over bed tables - 10

22. Cots/Dialysis chairs - 10

23. Minor OR with OR table, Lights - 1 (for procedures as CVC and PD catheter insertions)

24. Electronic platform weighing scale - 1

25. Electronic BP monitor - 1

26. Pulse oximeter - 2

27. Glucometer - 2

28. Wheel chairs - 5

29. Stretcher - 2

30. Storage racks

31. Filing cabinets

32. Refrigerators - 2

Renal Transplant Unit - 5 beds

1. Infusion pumps - 4

2. Syringe pump - 2

3. Patient Monitors - 5

4. CART trolley - 1

5. Defibrillator - 1

6. vacuum and oxygen lines for all the beds

7. Oxygen flow meters - 5

8. Ventilator - 1

9. Freezer - 1

10. Refrigerator - 2

11. Microwave oven - 1

12. Computers - 2

13. Printer - 1

14. Small dressing trolleys - 5

15. Large dressing trolley - 1

16. Over bed tables - 5

17. Adjustable cots - 5

18. AC with HEPA filter - 1

19. Electronic weighing scale - 1

20. Electronic BP monitor - 1

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

75

21. Pulse oximeter - 2

22. Glucometer - 2

23. Wheel chairs - 3

24. Stretcher - 2

25. Ambulation chairs - 5

Appendix-2

ASSESSMENT GUIDELINES (including OSCE guidelines)

INTERNAL ASSESSMENT (Theory and Practical)

Ist year

1. Theoretical Basis for Advanced Practice Nursing

College examination of theory only: 50 marks

Internal assessment:

Test paper/Quiz: 10 marks

Written assignment/term paper: 10 marks (Global and national healthcare trends & policies)

Clinical seminar: 5 marks (Clinical/Care pathway in specific clinical condition/Application of specific nursing

theory)

Final theory college exam: 25 marks

Total marks: 50 marks

2. Research Application and Evidence Based Practice in Nephrology Nursing

Theory:

Test papers: 20 marks

Written assignment: 5 marks (Literature review/Preparation of research instrument)

Journal club : 5 marks (Analysis of research evidence for competencies in Nephrology Nursing)

Total : 30 marks

3. Advanced Skills in Leadership, Management and Teaching

Theory:

Test papers: 15 marks

Journal club: 5 marks (Trends in Leadership/Management/Teaching)

Written assignment: 5 marks (Designing an ideal Dialysis Unit and Renal Transplant Unit)

Microteaching: 5 marks

Total : 30 marks

4. Advanced Pathophysiology & Advanced Pharmacology applied to Nephrology Nursing

Theory:

Test papers and Quiz: 20 marks (Pathophysiology - 10, Pharmacology - 10)

Drug studies:5 marks (Drug study and presentation)

Case presentation and case study report (Pathophysiology): 5 marks

Total : 30 Marks

5. Advanced Health/Physical Assessment

Theory:

Test papers: 20 marks

Written assignment: 10 marks (Diagnostic/investigatory reports - interpretation and analysis of findings)

Total: 30 marks

Practicum:

Clinical performance evaluation: 10 marks

End of posting exam (OSCE): 10 marks

Case presentation and case study report: 5 marks

Internal OSCE: 25 marks

Total Internal practical: 50 marks

(End of posting exam may be conducted in nephrology ward, Hemodialysis unit, Peritoneal dialysis unit or

transplant unit)

76

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

IInd year

1. Foundations of Nephrology Nursing Practice

Theory:

Test papers and Quiz: 20 marks

Written assignment: 10 marks

Total: 30 marks

Practicum:

Clinical Performance evaluation: 20 marks

End of posting exam (OSCE): 10 marks

Drug studies (Drug study and presentation): 10 marks

Case presentation and case study report (Family education/counseling): 5 marks

Case presentation (Application of Clinical/Care Pathway): 5 marks

Internal OSCE: 50 marks

Total Internal practical: 100 marks

2. Nephrology 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

Case study report: 10 marks

Internal OSCE: 50 marks

Total Internal practical: 100 marks

3. Nephrology Nursing II

Theory:

Test papers: 20 marks

Clinical Seminar: 10 marks

Total: 30 marks

Practicum:

Clinical performance evaluation: 20 marks

End of posting exam (OSCE): 10 marks

Clinical presentation: 10 marks

Case study report (developed clinical/care pathway): 10 marks

Internal OSCE:50 marks

Total Internal practical: 100 marks

(End of posting exam may be conducted in nephrology ward, dialysis unit or transplant unit)

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 marks =

30, Short answers 5×6 marks = 30, Very short 5×2 marks = 10}

OSCE GUIDELINES FOR INTERNAL AND EXTERNAL PRACTICAL EXAMINATION

Ist year

1. ADVANCED HEALTH/PHYSICAL ASSESSMENT

INTERNAL

OSCE: 25 marks

CORE COMPETENCY DOMAINS TO BE EXAMINED

1. Focused history taking and physical examination of adult patient

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

77

2. Focused history taking and physical examination of pediatric patient

3. Interpretation of findings and results

4. Monitoring of clinical parameters

Number of stations: 5 (4+1 Rest station)

Time for each station: 10 minutes

Marks for each station: 5 marks (as per competency check list and allotted marks)

Total: 4×5 = 20 marks

Oral exam = 5 marks

Total = 25 marks

EXTERNAL

OSCE:50 marks

CORE COMPETENCY DOMAINS

1. Focused history taking of adult patient

2. Focused physical examination of adult patient

3. Focused history taking of pediatric patient

4. Focused physical examination of pediatric patient

5. Interpretation of history and physical exam findings

6. Interpretation of results of lab and diagnostic tests

7. Monitoring clinical parameters

Number of stations: 10 (8+2 Rest stations)

Time for each station: 10 minutes

Marks for each station: 5 marks (as per competency check list and allotted marks)

Total: 8×5 = 40 marks

Oral exam = 10 marks

Total = 50 marks

IInd year

1. FOUNDATIONS OF NEPHROLOGY 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. Family education and counseling

Number of stations: 5 (4+1 Rest station)

Time for each station: 10 minutes

Marks for each station: 10 marks (as per competency check list and allotted marks)

Total: 10×4 = 40 marks

Oral exam = 10 marks

Total = 50 marks

EXTERNAL

OSCE:100 marks

CORE COMPETENCY DOMAINS

1. Focused history taking, 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 procedural competencies) including drug administration

Number of stations: 10 (8+2 Rest stations)

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]

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

2. NEPHROLOGY 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. Therapeutic procedures (CVC insertion, PD catheter insertion, hemodialysis, peritoneal dialysis,

plasmapheresis, CRRT, SLED)

4. Development of plan of care/care pathway

5. Diagnostic interventions (Renal biopsy, Ascitic tap, Blood culture, CVC and PD catheter site culture, PD

Fluid culture, PET Test, Suprapubic urine aspirate for culture, Ultrasound kidneys, Ultrasonography - AV

access flow)

6. Drug prescription and administration

7. Hemodialysis

8. Peritoneal Dialysis

9. Kidney Transplantation – pre- and post-transplant care

Number of stations: 5 (4+1 Rest station)

Time for each station: 10 minutes

Marks for each station: 10 marks (as per competency check list and allotted marks)

Total: 10×4 = 40 marks

Oral exam = 10 marks

Total = 50 marks

EXTERNAL

OSCE:100 marks

CORE COMPETENCY DOMAINS

1. Focused history taking, physical examination and interpretation of results of adult patient

2. Focused history taking, physical examination and interpretation of results of pediatric patient

3. Monitoring competencies (invasive and noninvasive)

4. Development of plan of care/care pathway

5. Family education and counseling

6. Drug administration

7. Diagnostic interventions (Renal biopsy, Ascitic tap, Blood culture, CVC and PD catheter site culture, PD

Fluid culture, PET Test, Suprapubic urine aspirate for culture, Ultrasound kidneys, Ultrasonography - AV

access flow)

8. Therapeutic interventions (hemodialysis, peritoneal dialysis, CVC insertion, PD catheter insertions,

plasmapheresis, CRRT, SLED)

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

On completion of procedural competencies in log book and clinical requirements, the NP student is

qualified to appear for final practical examination.

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

79

Appendix-3

CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN NEPHROLOGY NURSING (NPNepN)

(Specific Procedural Competencies/Clinical Skills)

Ist year

S.No.

Specific Competencies/Skills

No.

performed

Date

Signature of the

Preceptor*/Faculty

I

RESEARCH APPLICATION AND EVIDENCE BASED PRACTICE

1

Preparation of research instrument

2

Writing systematic review/literature review

3

Preparation of a manuscript for publication (Ist or IInd year)

4

Research Project/EBP Project

Topic:

II

LEADERSHIP, MANAGEMENT AND TEACHING

1

Preparation of staff patient assignment

2

Performance indicators and measures

3

Develop patient education aids

4

Patient care audit in the unit

5

Develop technology assisted education aid for nurses

6

Quality improvement audit

7

Microteaching - Staff nurses

8

Patient education and counseling

9

Planning and conducting OSCE/OSPE

10

Construction of tests

III

HEALTH ASSESSMENT

1

Comprehensive history taking and clinical assessment

1.1

Acute Kidney Injury

1.2

Tubulointerstitial disease

1.3

Chronic Kidney Disease

1.4

Glomerular disease

1.5

Nephrotic syndrome

1.6

Fluid volume status

1.7

Comprehensive system wise physical assessment

2

Age specific history & physical examination

(Nephrology)

2.1

Neonate

2.2

Child

2.3

Adult

2.4

Geriatric

2.5

Pregnant women

IV

DIAGNOSTIC PROCEDURES

1

Collecting blood sample for laboratory tests

1.1

Biochemistry

1.2

Clinical pathology

1.3

Microbiology

1.4

ABG

2

Assist/Perform

2.1

Paracentesis

2.2

Thoracentesis

2.3

Lumbar puncture

2.5

Renal biopsy

2.6

Bone marrow aspiration

2.7

Ultrasound kidneys

2.8

Ultrasonographic assessment of access flow

2.9

ECG and interpretation

2.10

ABG analysis and interpretation

3

Observe procedures

3.1

Renal Doppler

80

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

S.No.

Specific Competencies/Skills

No.

performed

Date

Signature of the

Preceptor*/Faculty

3.2

Fistulogram

3.3

Drug assay

3.4

MRI/CT

3.5

Renal angiogram

3.6

Pathological examination of kidney tissue

(LM, IF, EM)

3.7

Echocardiogram

V.

COMPETENCIES IN NEPHROLOGY

1

Drug administration and prescription in kidney

disorders

1.1

Antihypertensives

1.2

Oral glucose lowering agents

1.3

Sodium correction

1.4

Potassium correction

1.5

Inotropes

1.6

Vitamin and mineral supplements

1.7

Intravenous fluid administration

1.8

Insulin dose adjustment

2

Nutritional Assessment & Management

2.1

Perform nutritional assessment

2.2

Plan therapeutic diet for patient with CKD

2.3

Plan therapeutic diet for patient with diabetes

2.4

Nasogastric tube insertion

2.5

NG Feeding

2.6

Total Parenteral Nutrition

3

Airway Management

Non-invasive ventilation

3.1

Low flow variable performance devices:

nasal catheters/cannulae/double nasal prongs,

face mask, face mask with reservoir bags

3.2

High flow fixed performance devices:

Entrainment (Venturi) devices, CPAP, BiPAP

Invasive ventilation

3.3

Setting of mechanical ventilators

3.4

Care of patient on mechanical ventilator

3.5

Insertion of endotracheal tube

3.6

Removal of endotracheal tube

3.7

Endotracheal suctioning

3.8

Tracheostomy care

3.9

Confirm the position of ET tube

3.10

Chest physiotherapy

3.11

Postural drainage

4

Use of equipment

4.1

Infusion pumps

4.2

Syringe pumps

4.3

Defibrillator

5

Life support and end of life care

5.1

BLS

5.2

ACLS

5.3

Grief counseling

5.4

Breaking bad news

6

Patient Education and Counseling

6.1

Slowing down the progress of CKD

6.2

Therapeutic diet in CKD

6.3

Diabetes management

7

Communication, Problem solving and Critical

Thinking

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

81

S.No.

Specific Competencies/Skills

No.

performed

Date

Signature of the

Preceptor*/Faculty

7.1

Clinical Scenarios simulations

7.2

8

Monitoring and interpretation of critical parameters

8.1

Arterial Blood Gas (ABG)

8.2

Hemodynamics

8.3

Electrocardiogram (ECG)

8.4

Invasive BP monitoring

8.5

Noninvasive BP monitoring

8.6

Glasgow Coma Score

8.7

Sedation Score

8.8

Pain Score

8.9

Braden Score

8.10

Bowel sounds

8.11

GRBS

8.12

GFR Estimation and CKD staging

8.13

Chest X-ray

*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 NPNepN 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

CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN NEPHROLOGY NURSING (NPNepN)

IInd year

S.No.

Specific Competencies/Skills

No.

performed

Date

Signature of the

Preceptor*/Faculty

ADVANCED COMPETENCIES

1

Hemodialysis

1.1

Pre, Intra, Post dialysis assessment

1.2

Assessment of CVC

1.3

Assessment of AV Fistula

1.4

CVC site care

1.5

Dry Weight assessment - Clinical and bio-impedance

method

1.6

UF calculation

1.7

Programming machine and starting HD

1.8

Closing HD

1.9

Bicarb preparation

1.10

Estimating URR, Kt/V, Assess dialysis adequacy

1.11

Prescribe routine investigations and follow up results

1.12

HD prescription

1.13

Heparin preparation

1.14

Drug reconciliation

1.15

Prescription of common drugs based on lab reports:

Erythropoietin, Phosphorous binders, Calcium and

Vitamin D supplements, Antihypertensives, OGLA

1.16

Perform varied dialysis modalities

a.

SCUF

b. Isolated UF

c.

SLED

d. CRRT

82

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

S.No.

Specific Competencies/Skills

No.

performed

Date

Signature of the

Preceptor*/Faculty

1.17

Perform Plasmapheresis

1.18

Calculate plasma volume for removal

1.19

Insertion of CVC into femoral and jugular vein

1.20

Identify and manage complications in HD

a.

Intradialytic hypotension

b. Hemolysis

c.

Muscle cramps

d. Air embolism

1.21

Identify and manage CVC related complications

1.22

Identify and manage AVF related complications

2

Peritoneal Dialysis

2.1

Assess and select patients for PD

2.2

Perform PET, Determine PD prescription

2.3

Perform PD exchanges

2.4

Collect PD Fluid for culture

2.5

Identify and manage Exit site infection, Tunnel

infection and peritonitis

2.6

Administer intraperitoneal antibiotics

2.7

Alter PD prescription based on clinical assessment and

PET

2.8

Assess Dialysis adequacy including Kt/V

2.9

Identify and manage noninfectious complications of

PD

3

Kidney Transplantation

3.1

Pretransplant work up and evaluation of donor and

recipient

3.2

Counseling and selection of patients for transplant

3.3

Legal formalities and Documentation

3.4

Assist for donor nephrectomy

3.5

Assist in Kidney Transplantation

3.6

Preoperative care – Donor & Recipient

3.7

Post operative care - Donor & Recipient

3.8

Deceased Donor registry

3.9

Assessment of brain death

3.10

Perfusion of renal blood vessels before transplantation

3.11

Fluid Management following Kidney Transplant

3.12

Identify and manage graft rejection

3.13

Identify and manage transplant related infections

3.14

Wound and drain care

3.15

Assess and evaluate the graft function following

transplant

4

Patient Education and Counseling

4.1

Management of vascular access

4.2

Kidney Replacement Therapy options

4.3

Prevention and Management of complications in PD

4.4

Post Kidney transplantation care

5

Drug Administration and Prescription

5.1

Catecholamines (calculation, titration &

administration)

a.

Adrenaline

b. Noradrenaline

c.

Dopamine

d. Dobutamine

5.2

Immunosuppressant Drugs in Nephrology

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

83

S.No.

Specific Competencies/Skills

No.

performed

Date

Signature of the

Preceptor*/Faculty

a

Induction agents

Polyclonal antibodies (ATG)

Interleukin 2 receptor antagonists (Basiliximab)

b

Maintenance Therapy

Calcineurin inhibitors (Cyclosporin, Tacrolimus)

mTOR inhibitors (Sirolimus, Everolimus)

c

Antiproliferative agents

(Azathioprine, Mycophenolic acid)

d

Corticosteroids (Prednisolone)

e

Treatment for rejection

Corticosteroids, ATG, IVIG

5.3

Erythropoietin injection and dose adjustment

6

Infection Control Practices

6.1

Standard Precautions

6.2

Infection control protocols in HD unit

6.3

Infection control protocols in PD unit

6.4

Infection control practices in Renal Transplant Unit

7

Quality Assurance/Improvement

7.1

Capture and present performance indicators measures

in Dialysis unit

7.2

Microbiology surveillance in HD unit, RTU

7.3

Water quality management

7.4

Quality improvement Audit

8

Management of Cardiovascular Alterations

8.1

Intravenous fluid administration (Colloid/Crystalloid)

8.2

Blood and blood product administration

8.3

Application of TED stocking

8.6

Blood collection from arterial line

9

Management of Neurological Alterations

9.1

Sensory stimulation

9.2

Consciousness/Coma status monitoring

9.3

Brain death evaluation

10

Ordering Investigations

10.1

ECG

10.2

ABG

10.3

Chest X ray

10.4

Ultrasound

10.5

Basic biochemistry investigations

10.6

Basic microbiology investigations

11

Ordering Procedures/Treatment

11.1

Nebulization

11.2

Chest physiotherapy

11.3

Hemodialysis

11.4

Insertion and removal of urinary catheter

11.5

SCUF

11.6

TEDS

11.7

Isolated UF

11.8

SLED

11.9

First HD protocol

11.10

Therapeutic diet

*When the student is found competent to perform the skill, it will be signed by the preceptor.

Students: Students are expected to perform the listed skills/competencies many times until they reach level 3

competency, after which the preceptor signs against each competency.

Preceptors/Faculty: Must ensure that the signature is given for each competency only after they reach level 3.

84

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

•

Level 3 Competency denotes that the NPNepN 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 PRACTITIONER IN NEPHROLOGY NURSING (NPNepN)

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 nephrology nursing competencies (Clinical

Conference/Journal Club)

Title of the topic:

1.3

*L,M&T - Trends in Leadership/Management/Teaching

(Journal Club)

Title of the topic:

2

Clinical Rounds (with Nursing Staff, Faculty, Students) -

Case/Clinical Presentation

2.1

Pathophysiology (Clinical Presentation)

Name of clinical condition:

2.2

Pathophysiology (Clinical Presentation)

Case Study (Written Report)

Name of clinical condition:

2.3

2.3.1

Pharmacology - Drug Studies

(Drugs listed under Standing Orders) -

Written report of 5 presentations (Bedside Presentations)

Drug name:

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 Doctors) -

Case/Clinical Presentation

(Written reports are for submission)

3.1

Health Assessment (Adult) - History & Physical Examination (Two

written reports)

3.1.1.

3.1.2.

3.1.3.

3.1.4.

3.1.5.

3.2

Health Assessment (Pediatric) - History & Physical Examination

(One written report)

3.2.1.

3.2.2.

3.2.3.

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

85

S.No.

Clinical Requirement

Date

Signature of the

Preceptor/Faculty

3.3

Health Assessment (Pregnant Woman) (One written report)

3.3.1.

3.3.2.

*Advanced Practice Nursing - APN; Research Application - RA, Leadership, Management and Teaching - L,M&T

Signature of the Program Coordinator/Faculty

Signature of the HOD/Principal

CLINICAL EXPERIENCE DETAILS

Name of Clinical Area

Clinical Condition

No. of days

care given

Signature of

Faculty/Preceptor

Signature of the Program Coordinator/Faculty

Signature of the HOD/Principal

CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN NEPHROLOGY NURSING (NPNepN)

IInd year

S.No.

Clinical Requirement

Date

Signature of the

Preceptor/Faculty

1

1.1

Clinical Seminar/Journal Club/Clinical Conference

Foundations of Nephrology Nursing Practice

(Clinical Conference)

Title of the topic:

1.2

Nephrology Nursing I (Clinical Seminar)

Title of the topic:

1.3

Nephrology Nursing I (Journal Club)

Title of the topic:

1.4

Nephrology Nursing II (Clinical Seminar)

Title of the topic:

1.5

Nephrology Nursing II (Journal Club)

Title of the topic:

2

Clinical Rounds (with Nursing Staff, Faculty, Students) -

Clinical/Case Presentation

86

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

S.No.

Clinical Requirement

Date

Signature of the

Preceptor/Faculty

(Written reports are for submission)

2.1

Foundations of Nephrology Nursing

(Family Education/Counseling) - Written Report

Name of topic:

2.2

Foundations of Nephrology Nursing (Clinical/Care Pathway)

Name of topic:

2.3

Nephrology Nursing I (Clinical Presentation)

Name of clinical condition:

2.4

Nephrology Nursing I (Case Study Report)

Name of clinical condition:

2.5

Nephrology Nursing II (Clinical Presentation)

Name of clinical condition:

2.6

Nephrology Nursing II (Case Study Report)

Name of clinical condition:

2.7

Drug Studies (drugs listed under Standing Orders)

Bedside Presentation (Five written reports)

Name of drug:

2.8

Name of drug:

2.9

2.10

2.11

2.12

2.13

2.14

2.15

2.16

3

Interdisciplinary Clinical Rounds (with ICU Doctors) - Clinical/Case

Presentation

3.1

Nephrology Nursing I

Name of clinical condition:

3.2

3.3

3.4

3.5

(Case Study Report)

3.6

Nephrology Nursing II

3.7

3.8

3.9

(Case Study Report)

3.10

Written Report (Developed Clinical/Care Pathway)

Note: Clinical presentation can be written for case study report.

Signature of the Program Coordinator/Faculty

Signature of the HOD/Principal

CLINICAL EXPERIENCE DETAILS

Name of Clinical Area

Clinical Condition

No. of days

care given

Signature of

Faculty/Preceptor

[भाग III—खण् ड 4]

भारत का रािपत्र : असाधारण

87

Name of Clinical Area

Clinical Condition

No. of days

care given

Signature of

Faculty/Preceptor

Signature of the Program Coordinator/Faculty

Signature of the HOD/Principal

Appendix-5

STANDING ORDERS AND PROTOCOLS

Nurse Practitioners in Nephrology Nursing are prepared and qualified to assume responsibility and accountability

for the care of patients with nephrology conditions. They collaborate with physicians, surgeons and specialists to

ensure accurate therapy for patients with high acuity needs. On completion of the program, the Nurse Practitioners

will be permitted to administer drugs listed in standing orders as per the institutional standing orders. They will also

be permitted to order diagnostic tests/procedures and therapies as per institutional protocols.

STANDING ORDERS

The following intravenous injections or infusions may be administered by the Nurse Practitioner during

emergency in nephrology ward/Dialysis unit or renal transplant Unit without a written order.

Catecholamines

1. Adrenaline

2. Noradrenaline

3. Dopamine

4. Dobutamine

Antidysrhythmic

5. Adenosine

6. Amiodarone

7. Lidocaine/Xylocard

Adrenergic agent

8. Ephedrine

Antihistamine

9. Avil

Antihypertensives

Corticosteroid

10. Hydrocortisone

11. Dexamethasone

Antiepileptic

12. Levetiracetam

13. Phenytoin

14. Propofol

Electrolytes & acid base, fluid correction agents

15. Soda bicarbonate 8.4%

16. Soda bicarbonate 7.5%

17. Magnesium sulphate

18. Potassium chloride

88

THE GAZETTE OF INDIA : EXTRAORDINARY

[PART III—SEC.4]

19. IV Fluids - NS, DNS, 5% Dextrose

The following investigations and therapies may be ordered by the Nurse Practitioners

Ordering Investigations

Ordering Therapies

• ECG

• ABG

• Chest X ray

• Basic Biochemistry investigations -

Hb, PCV, TIBC, WBC Total, WBC

differentials, ESR, electrolytes,

platelets, PT, aPTT, bleeding and

clotting time, procalcitonin, D-dimer,

creatinine, HbA1c, AC, PC, HDL,

LDL, TIG, cholesterol total, HIV,

HbsAg, HCV

• Basic Microbiology investigations -

blood and urine samples for culture

and sensitivity, tips of vascular

access, sample from CVC site, PD

catheter exit site

• Nebulization

• Chest physiotherapy

• Insertion and removal of urinary catheter for female patients

• 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

• Hot and cold applications

• Hot and cold supplements

• Removal of CVC, Culture from CVC and PD catheter site

• Peritoneal equilibration test

• Heparin infusion in HD

• Erythropoietin injections

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 NPNepN 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 NPNepN students.

Dr. T. DILEEP KUMAR, President

[ADVT.-III/4/Exty./901/2024-25]

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: 2025.01.27 16:38:01 +05'30'