HEALTH AND FAMILY WELFARE DEPARTMENT

TAMIL NADU CLINICAL ESTABLISHMENTS (REGULATIONS) RULES, 2018.

[G.O. Ms. No. 206, Health and Family Welfare (Z2), 1st June 2018,

Vaikasi 18, Vilambi, Thiruvalluvar Aandu - 2049.]

No. SRO A-30(b)/2018.

In exercise of the powers conferred by sub-section (1) of section 14 of the Tamil Nadu Clinical Establishments (Regulation)

Act, 1997 (Tamil Nadu Act 4 of 1997), the Governor of Tamil Nadu hereby makes the following Rules, namely: -

RULES

Short title.- These rules may be called the Tamil Nadu Clinical Establishments (Regulation) Rules, 2018.

Deﬁ nitions.- (1) In these rules, unless the context otherwise requires,-

(a) “Act” means the Tamil Nadu Clinical Establishments (Regulation ) Act, 1997 (Tamil Nadu Act 4 of 1997);

(b) “Advisory Committee” means the Committee constituted at State Level under clause (1) of section 2-A

of the Act;

dressing etc., to the patients for observation. It may include endoscopic clinic, AYUSH Clinic or any

other establishment offering treatment for illnesses by use of Medicines or any therapy under Allopathy,

Siddha,Unani, Ayurveda, Yoga and Naturopathy or Homeopathy (AYUSH) or any other Government

recognised systems of Medicine,;

(d) “clinical laboratory” means a place where bio-medical or bio-chemical or clinical pathology or biopsy or

bacteriological or genetic investigations or any diagnostic tests or investigative services are carried out;

(e) “consulting room” means a place where consultation, which includes examination of the patients and

issue of prescription is done and advice is given;

(f)

“Dental clinic” means a clinic where treatment for dental ailments is given;

(g) “Dental hospital” means a place where patients are treated as inpatient and treatment is given

for dental ailments;

TAMIL NADU

GOVERNMENT GAZETTE

EXTRAORDINARY

PUBLISHED BY AUTHORITY

[Regd. No. TN/CCN/467/2012-14.

GOVERNMENT OF TAMIL NADU

[R. Dis. No. 197/2009.

2018

[Price: Rs. 22.40 Paise.

No. 199]

CHENNAI, MONDAY, JUNE 4, 2018

Vaikasi 21, Vilambi, Thiruvalluvar Aandu-2049

[ 1 ]

Part III—Section 1(a)

General statutory Rules, Notifications, Orders, Regulations, etc.,

issued by Secretariat Departments.

NOTIFICATIONS BY GOVERNMENT

Ex-III-1a(199)

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(h) “District Committee” means the Committee constituted in each district under clause (1) of section 2-D

of the Act;

(i)

“Doctor” means and includes a Registered Medical Practitioner offering consultations or treatment under

Allopathy or AYUSH;

(j)

“Form” means a Form speciﬁ ed in Annexure-II to these rules;

(k) “hospital” means and includes a Nursing Home or Health Centre or Treatment Centre or any other place

where facilities for admission as in-patients for treatment of illness with or without surgery or conduct

of delivery etc., with or without out-patient facilities and diagnostic facilities like laboratory etc., in any

recognised system of medicine;

(l)

“maternity hospital” means a hospital where delivery and other maternity services with or without

surgeries and Gynaecological services including surgeries like Hysterectomy, Ceasarean operations are

undertaken.

(m) “patient” means a person who reports himself or brought to any hospital including a dental hospital for

treatment or consultation or seeking any other services rendered by the hospital;

(n) “polyclinic” means a clinic where more than one doctor offers consultation with or without treatment for

illness in any recognised system of medicine;

(o) “Registered Medical Practitioner” means a person who possess any of the Government recognised

medical qualiﬁ cation and who has been enrolled in the register of the respective Council viz., Medical,

Dental, Siddha, Ayurveda, Unani or Homeopathic Councils or the Board of Indian Medicine or any such

Council, Board or any other statutory body recognised by the Government of Tamil Nadu;

(p) “Staff Nurse” means a person who possess the required qualiﬁ cation from any of the Nursing Teaching

Institutions, recognised by the Government of Tamil Nadu and that person must have enrolled in the

Tamil Nadu Nurses and Midwives Council under the Indian Nursing Council Act, 1947 (Central Act XLVIII

of 1947) or any of the State Nursing Council in India recognised by the Indian Nursing Council and those

who have completed the Diploma in Integrated Nursing in Indian System of Medicine Colleges and

registered in the Directorate of Indian Medicine for Ayurveda, Yoga and Naturopathy, Unani, Siddha and

Homoeopathy establishments.

(2) Words and expressions used in these rules and not deﬁ ned shall have the same meaning assigned to

them in the Act.

Procedure, Quorum and Minutes of State Level Advisory Committee meeting.- (1) Every notice, calling for

meeting of the State Level Advisory Committee shall,-

(a) specify the place, date and hour of the meeting;

(b) be served upon every member of the State Level Advisory Committee not less than seven clear days before

the day appointed for the meeting.

(2) The Chairperson shall prepare and circulate to the members along with the notice of the meeting, an agenda for such

meeting showing the business to be transacted.

(3) The quorum for the meeting shall be not less than four. If within half-an-hour of the time appointed for the meeting,

quorum is not present, the meeting shall be adjourned to the same day in the following week at the same time and place and

the presiding ofﬁ cer of such meeting shall inform this to the members present, and the notice to the other members shall be

communicated by speed post.

(4) The minutes of the meeting shall be communicated to the Government .

Procedure, Quorum and Minutes of District Committee meeting.- (1) Every notice, calling for meeting of the District

Committee shall,--

(a) specify the place, date and hour of the meeting.

(b) be served upon every member of the District Committee not less than seven clear days before the day

appointed for the meeting.

(2) The chairperson shall prepare and circulate to the members along with the notice of the meeting, an agenda for

such meeting showing the business to be transacted.

(3) The quorum for the meeting shall be not less than four. If within half-an-hour of the time appointed for the meeting,

quorum is not present, the meeting shall be adjourned to the same day in the following week at the same time and place and

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

the presiding ofﬁ cer of such meeting shall inform this to the members present and the notice to the other members shall be

communicated by speed post.

(4) The minutes of the meeting shall be communicated to the Government and the Competent Authority.

5. Duties of District Committee.- In addition to the duties and responsibilities speciﬁ ed in the Act, the District Committee

shall also perform the following duties, namely.-

(1) scrutinise the applications received as directed by the competent authority;

(2) inspect clinical establishment under the direction of the competent authority;

(3) examine the complaints, if any received pertaining to the implementation of the Act and refer the same to the

Government through the competent authority.

(4) any other duties as may be directed by the competent authority or by the Government from time to time.

6. Minimum facilities of a clinical establishment.- The ﬂ oor space and other facilities, the minimum number of staff and

their minimum qualiﬁ cation, the minimum equipment and other conditions required for a clinical establishment of different systems,

for providing different medical services including specialized services shall be in accordance with the norms and conditions

speciﬁ ed in Annexure-I to these rules.

Application for registration.- (1) Every application for registration of a clinical establishment shall be made, either in

person or by Registered Post with acknowledgement due to the competent authority in Form-I, accompanied by a fee for a sum

of rupees ﬁ ve thousand in the form of demand draft or treasury challan drawn in favour of the competent authority.

(2) If a clinical establishment is offering services in more than one recognised system of medicine separate application

shall be made for each such system of medicine.

Certiﬁ cate of registration.- On receipt of an application for registration of a clinical establishment, the competent

authority shall, after satisfying itself that the applicant fulﬁ ls all the requirements of the Act and these rules, grant a Certiﬁ cate in

Form-II within one eighty days from the date of receipt of the application. The Certiﬁ cate of Registration is non-transferable.

Time limit for renewal.- Every application for renewal of Certiﬁ cate of Registration shall be submitted to the competent

authority ninety days before the expiry of its validity.

10. Duplicate certiﬁ cate.- An application for issue of a duplicate Certiﬁ cate of Registration shall be made to the competent

authority accompanied by a fee for a sum of rupees three hundred.

11. Duties of clinical establishment.- In addition to the duties and responsibilities speciﬁ ed in the Act, every clinical

establishment shall,-

(a) display a copy of the Certiﬁ cate of Registration in a prominent place of the premises open to the public;

(b) maintain records in electronic form showing the names, addresses and the qualiﬁ cations of its employees and the

equipments maintained by it;

competent authority;

(d) maintain clinical records (i.e any paper, ﬁ lm, printout, slide, solution, medium which can be deciphered or used to

indicate and diagnose the condition of the human body or a part of it or any material taken out of it and the course

of treatment administered to or undergone by the person), of its activities relating to a patient.

(e) keep every record open for inspection by the competent authority;

(f) surrender the Certiﬁ cate of Registration and apply for fresh registration on change of ownership of the clinical

establishment, on change of system of medicine for treatment;

(g) surrender the Certiﬁ cate of Registration, on ceasing to function as a clinical establishment.

12. Maintenance of medical records.- Every clinical establishment shall maintain records with particulars relating to the

clinical observation, test, investigation, diagnostic opinion advice and treatment given to the person, who has visited the hospital

either as an in-patient or out-patient in Form III.

13. Annual Publication of list of clinical establishments.- The competent authority shall, during the month of January of

every year, publish the list of clinical establishments in the Tamil Nadu Government Gazette in Form IV.

14. Appeal.- (1) An appeal against an order of the competent authority rejecting an application for registration under sub-

section (2) of section 4 or an order of suspension or cancellation of registration under sub-section (2) of section 5 or any direction

of the competent authority under section 6, shall lie to the Director of Medical and Rural Health Services, within thirty days from

the date of receipt of that order or direction.

(2) The Director of Medical and Rural Health Services on receipt of such appeal, if he considers that, an interim order

is necessary in the matter, he may pass such an order.

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(3) The Director of Medical and Rural Health Services may within sixty days from the date of receipt of such appeal,

after giving a reasonable opportunity of being heard, pass such order, as he deems ﬁ t.

(4) The decision of the appellate authority shall be communicated to the person concerned within seven days from the

date of passing of such order.

(5) The decision of the appellate authority shall be ﬁ nal and binding.

ANNEXURE-I

(see rule 6)

A. ALLOPATHY SYSTEM

I. CONSULTING ROOM.-

(1) Infrastructure.- Consulting room shall have a space of not less than 100 square feet with sufﬁ cient light and

ventilation. Separate space for the patients waiting for consultation have also to be provided.

(2) Staff.- The examination of the patient and prescription of the treatment shall be done only by a registered medical

practitioner as required under the Indian Medical Council Act.

(3) Equipment.- The following equipment and hospital accessories shall be available in the consulting room, namely:-

(a) Examination couch

(b) Blood Pressure Apparatus

(d) Torch light

(e) Tongue depressor

(f) Thermometer

(g) Weighing Machine for Adult and Paediatrics

(h) Knee hammer

(i) Measuring tape

(j) Special examination trays like proctoscopy, Pelvic Exam Tray(P.V. Tray), Eye testing screen and Ear

Nose Throat examination trays as the case may be, and

(k) Besides screen or sufﬁ cient privacy for examination of the patient;

(4) Records.- Every Clinical Establishment shall maintain a register having the details regarding the name, age, sex and

address of the patient, date of examination, date of admission. The patient shall be given a slip containing name, age, sex and

date of consultation, diagnosis (either provisional or ﬁ nal) and treatment advised, the investigation result shall be entered, if it was

undertaken.

(5) Prescription slip.- The Doctor shall sign the prescription slip with date and seal.

II. CLINIC.-

In addition to the norms prescribed for a consulting room, the following norms are required to be fulﬁ lled, namely:-

(1) Building.- Sufﬁ cient space for two cots shall be available for keeping the patient under observation in case of anaphylaxis

or for giving intravenous drip or for observation etc.,

(2) Staff.- Minimum of a Doctor and a paramedical staff.

(3) Equipments.-

(a) Steriliser or autoclave;

(b) Arrangement for getting autoclaved or sterilised syringes / instruments or shall use only disposable

syringes;

(d) Cheetles Forceps;

(e) Scissors surgical;

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(f) Adhesive plaster;

(g) Suturing trays with equipment;

(h) Kidney trays;

(i) Surgical equipments for abscess Incision and Drainage etc.;and

(j) Drugs.

(4) Waste Disposal.- Facilities to segregate the waste, dressings, etc., as per the Government of India and Tamil Nadu

Pollution Control Board norms.

(5) Dispensation of Medicine.- If the clinic is also engaged in dispensing of medicines to the patients, the same shall be

done only by a qualiﬁ ed pharmacist or by the doctor of the clinic or under his direct supervision.

(6) Laboratory in a Clinic.- If the clinic is providing laboratory services, the laboratory work shall be done by a qualiﬁ ed

Laboratory Technician who holds a Diploma in Medical Lab Technician / Certiﬁ cate in Medical Lab Technician course approved

by the Government or alternately the Medical Ofﬁ cer can get the tests done by trained personnel under his direct supervision.

However, urine examination for albumin sugar and blood haemoglobin can be undertaken by a trained person.

(7) X-ray (radiograph).- If the clinic is having its own X-ray unit, the X-rays shall be taken by a qualiﬁ ed radiographer who

holds a Clinical Research Associate (CRA) certiﬁ cate recognized by the Government.

(8) Minor Surgeries.- In case of minor surgeries like cyst excision, Medical Termination of Pregnancy (MTP), Dilation and

Curettage (D&C) are under taken it is advisable to have a clean room for the purpose and facilities available as given for minor

Operation Theatre shall be provided.

III. POLYCLINIC.-

(1) In addition to the norms prescribed for clinic and consulting room, separate cubicles shall be made available to each

specialities, if they attend simultaneously.

(2) Waiting room and provision of safe drinking water shall be made available for the patients. Names of different doctors

attending shall be exhibited in the waiting room.

IV. HOSPITAL.-

(1) Infrastructure.- In addition to the norms prescribed for Clinic, Consulting room and Polyclinic, the waiting room shall be

made available for the patients which shall have sufﬁ cient space to cater for the number of out patients visiting the hospital.

(2) Wards or in-patient rooms clusters.- (a) Space.- (i) Wards or in-patient rooms shall be spacious with good ventilation

and light. Electric fan shall be provided to each room and one fan for at least two beds shall be provided for common rooms.

(ii) Toilets may be common or separate, but shall be clean and provided with water.

(iii) Cleaning arrangements shall be made to swab the wards daily with antiseptic lotion.

(iv) A duty room shall be available for every twenty rooms with necessary Equipment like Oxygen, Saline Stand etc.,

(b) Staff.- (i) Doctors.-

- One qualiﬁ ed doctor for every thirty beds

- One doctor shall be on call duty up to thirty beds during night and off duty hours.

- One duty doctor shall be available in the hospital physically for thirty beds and above in general side for all the

24 hours.

- If the hospital is having less than thirty beds, but if an Intensive Care Unit is functioning, then, one doctor shall be

available on duty for 24 hours.

(ii) Staff Nurses.- One qualiﬁ ed nurse and two trained nursing assistants shall be available for up to thirty beds in a

hospital and then for each additional thirty beds one qualiﬁ ed nurse shall be available.

The aforesaid human resource is the minimum requirement irrespective of the fact the availability of any number of

trained personnel working in the hospital.

(iii) Nursing Assistant.- Male and female nursing assistants shall be engaged in sufﬁ cient number depending on the

bed strength to assist the doctors and nurses in their duties like dressings, enema and preparation of patients for

surgery, delivery etc. but they shall not be given the task of giving injections or doing suturing etc. they shall work

under the qualiﬁ ed nurse.

(iv) Cleaning Services .- Sufﬁ cient number of cleaning personnel (sweeper/sanitary worker) shall be available in the

nursing home / hospital. At least one sanitary worker per twenty beds is the minimum requirement.

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(3) Other Services.-

(a) Pharmacy.- If a pharmacy is maintained in the hospital for dispensing medicines to the patients, it shall be done by a

registered qualiﬁ ed pharmacist only and he should not prescribe any drugs.

(b) Laboratory.- If a Laboratory is maintained by the hospital, other than urine albumin, sugar, blood haemoglobin, all other

Laboratory Tests shall be performed by a qualiﬁ ed Laboratory Technician only who holds a minimum of Diploma in Medical Lab

Technician / Certiﬁ cate in Medical Lab Technician.

(c) X-Ray (Radiograph).- X-Ray department shall conﬁ rm to the norms prescribed and X-Rays shall be taken by a qualiﬁ ed

radiographer with a Clinical Research Associate (CRA) qualiﬁ cation.

(d) Scan.- Ultra sonogram test shall be performed by a Doctor only.

(e) Catering and Canteen.- If catering arrangements are available, the Kitchen shall be clean and the cooks shall be

periodically medically examined. Clean practices shall be carried out in the canteen and kitchen.

(f) Blood Bank.- If a blood bank is maintained by a hospital, it shall conﬁ rm to the directions issued by the Government of

India from time to time.

(g) Ambulance.- It is desirable that, all Hospitals having more than hundred beds shall have an Ambulance with a

driver available or alternatively they shall have tie up arrangement with another Hospital having Ambulance or some Ambulance

service unit.

(h) General facilities.-

(i)

Waste disposal.- Waste disposal shall be as per the Government of India norms and Guidelines issued by Pollution

Control Board. Proper segregation of the waste at the point is to be ensured.

(ii) Record Keeping.- (a) A separate record shall be maintained in the form of a register, of all surgical operations, performed

in the clinical establishment, which include, among others, the name of the medical practitioner who performed the operation and

the name of the anaesthetist in attendance. All patients either discharged or referred to other Hospitals shall be given a discharge

advice card / slip.

(b) A medical case record shall be maintained for a period of not less than ten years in the form of a register in the

clinical establishment in respect of each patient, which shall include the following particulars, namely:-

(i)

a detailed daily statement of the patient’s health and condition.

(ii)

details of any investigations made, surgical operations carried out and treatment given and

(iii) records of all medical prescriptions, X-Ray reports, laboratory reports or any other report with full name,

qualiﬁ cations of the doctor.

(iv) in the case of a maternity home or a maternity case, the said person shall keep a case record of each child

born to a patient. Full and detail record of pregnancy must be maintained for at least a period of ten years

(iii) Medico Legal Cases.- Every Hospital which treats medico legal cases in accordance with Government

Order, all such records and registers pertaining to such cases shall be preserved as per the Government

orders from time to time and police shall be intimated regarding their admission, discharge, death etc.,

(4) Mortuary room.- An hospital having more than hundred beds shall have a mortuary room or room with freezer box

facilities for the dead bodies.

(5) Water Supply.- Potable water supply shall be made available. Hot water supply also to be provided.

(6) Clothing and Linen.- Bed sheets and other linen used for the patients shall be changed daily.

(7) Fire Fighting.- Fire ﬁ ghting equipments shall be installed as per rules in force. Only ISI marked equipments to be

provided. Adequate precautions against the risk of ﬁ re, including provisions for ﬁ re escape, ﬁ re extinguishers and system of giving

warnings and for evacuation of all persons in nursing home or clinic or hospital shall be taken in the event of ﬁ re.

(8) Quality Assurance.- The names of the doctors working in the hospital and the facilities made available in the hospital

shall be written and exhibited in the hospital. The Hospital shall strive to maintain quality in each of it with the patients.

(9) Communication.- Telephone shall be made available for the communication of the patients with the relative and for

referrals.

(10) Security.- Due protective measures shall be under taken by the Hospital to ensure safety of the patients, their properties

and to prevent child lifting etc., Every Clinical establishment must exhibit relevant provisions of the Tamil Nadu Medicare Service

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

Persons and Medicare Service Institutions (Prevention of Violence and Damage or Loss to Property) Act, 2008 (Tamil Nadu Act

48 of 2008) in conspicuous places.

(11) Hospital accessories.- Sufﬁ cient number of wheel chairs, trolleys, and stretchers shall be made available in the

hospital.

(12) Generator.- A generator shall be provided to maintain essential services during power failure.

(13) Labour Room.- If the Hospital is maintaining a labour room and is conducting deliveries it shall have the following

norms, namely:-

(a) Building.- There shall be a room for preparation of the patient for delivery, giving enema etc., with sufﬁ cient water

supply. The Labour room shall be not less than 120 square feet well ventilated with sufﬁ cient light. Space for

keeping the newborn baby and for its resuscitation is essential.

(b) Staff.- Labour shall be conducted by a qualiﬁ ed Doctor, Staff Nurse, Auxiliary Nurse Midwife or a trained dais.

Untrained persons shall not be entrusted with the Job. Even if a Staff Nurse / Auxillary Nurse Midwife conduct the

delivery, a doctor shall be on call for any emergency or newborn resuscitation. If the labour ward is in a maternity

hospital and deliveries are taking place regularly, a duty doctor shall be available for all the 24 hours. It is desirable

to have a Paediatrician on call, wherever possible.

(c) Equipment.- The following equipments and hospital accessories shall be made available, namely:-

(i)

Labour Board with lithotomic stand

(ii)

Saline Stand

(iii) Oxygen Cylinder with Vent mask

(iv) P.V. Tray with equipment

(v) Dilation & Curettage (C & A) Set

(vi) Focus Lamp

(vii Trolleys for instrument and to receive the baby

(viii) Vaccine extractor / Forceps delivery set

(ix) Sterile core clamp

(x) Antiseptic lotions

(xi) Suction apparatus

(xii) Baby resuscitation set

(xiii) Baby Warmer (a light may also do)

(xiv) Baby mucus sucker (disposable)

(xv) Paediatric ambu bag

(xvi) Suturing tray for episiotomy and suturing.

(d) Drugs.-

- Injection Methergin

5 adenosine monophosphate

- Injection Pitocin

5 adenosine monophosphate

- Injection Carboprost

5 adenosine monophosphate

- I.V. Fluids 5% dextrose 2 bottles.

- 5% dextrose or Saline

Ringer lactate.

- Inj.Diazepam

2 amp

- 2% Lignocane

Vial – 1

- Disposable Syringe

10 Numbers

- Injection Vitamin K

- Injection Eptoin

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(e) Records. -

(i)

Birth Register

(ii)

Birth intimation slip

(iii) Case sheets and notes to be recorded

(iv) Register for babies and mothers to prevent child changing.

(14) Operation Theatre.-

(a) Minor Operation Theatre.-

Where septic cases and minor surgeries like abscess, Incision and Drainage (I&D) and septic cases like amputations etc.,

are carried out.

(i)

Space.- Sufﬁ cient space – not less than 100 square feet with adequate lighting and ventilation.

(ii) Staff.- All surgeries in minor operation theatre shall be carried out by qualiﬁ ed doctor only. However dressings can

be done by a Nurse or a Nursing Assistant.

(iii) Equipments.- Operation table.

Focus light

Sterilizer

Auto clave

Bins

Saline Stand

Minor surgical equipments

Regional Anaesthesia equipment

Sterile gloves

Sterile syringes

Drugs as required

Drugs for emergency tray

Boyle’s apparatus with Oxygen cylinder, Nitrous Oxide Cylinder (Desirable)

Suction apparatus

Baby resuscitation set

(iv) Records.- Records of all surgeries done in minor operation theatre shall be entered in a register.

(b) Main Operation Theatre.-

(i)

Space.- Shall have sufﬁ cient space with a minimum of 150 square feet is essential, well lit preferably air-conditioned.

Other than the operating room, there shall be provision for patient waiting and a cot provided for postoperative

recovery. Sufﬁ cient space shall be available for autoclave and sterilization and for scrubbing. Running water from

the tap shall be available in the scrub room. Ultra violet lamps shall be ﬁ tted in the operation theatre. Sufﬁ cient

arrangements for formalisation of operation theatre. Swab for culture to be taken from operation theatre at least

once a month.

(ii) Staff.- A qualiﬁ ed nurse shall be the head of nursing staff in the Operation Theatre. Anaesthesia to be provided by

a qualiﬁ ed Anaesthetist or by a doctor only who is trained in anaesthesia. Surgeries shall be performed by qualiﬁ ed

doctors only.

(iii) Equipments.-–Operating table

Focus Light preferably wall mounted

Boyle’s apparatus with sufﬁ cient cylinders

Monitoring devices like

(a) Cardiac monitor – must

(b) Pulse Oximeters – must

Suction apparatus preferably two

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

Sterilizer, Autoclave

Surgical equipments for surgery

Sterile bin

Stretcher for shifting of patient

Anaesthesia Kit.

(iv) Records.- Record of all surgeries performed shall be available in a register duly with name, age, sex, address of patient,

Surgeon, Anaesthetist and Staff Nurse also to be entered. Biopsy reports also shall be entered.

(15) Intensive Care Unit.- An Intensive Care Unit may be maintained in all Nursing Homes / Hospital having more than

hundred beds. The following norms are to be maintained, namely:-

(a) Space.- A well ventilated preferably air conditioned room with sufﬁ cient lighting is essential. If four Cots are there, a

minimum space of 240 square feet is needed. Sufﬁ cient space for keeping ventilators and monitors to be available. Space for duty

doctor and nurse shall also be available. There shall be provision for attendants outside the Intensive Care Unit.

(b) Staff.- One doctor for every ten beds for day time. If there are more than ten beds, one additional doctor for every

additional ﬁ ve beds. Similar provision shall be made for night time.

(c) Nurse.- One qualiﬁ ed nurse for up to six beds for day time. An another qualiﬁ ed nurse for every additional three beds.

This similar arrangement shall be made for night time.

(d) Equipments.-

Intensive Care Unit Cots

Saline Stands

Ventilators

Cardiac Monitor

Pulse Oximeter

Deﬁ brillator

Suction apparatus

Oxygen supply (either Cylinder or central supply)

Incubation equipments

Drugs

Generator

(e) Records.- A record of in-patients in Intensive Care Unit shall be available in a register as to their illness, treatment

offered, specialists visited – Out come etc.,

(16) Medical Record Maintenance in a Hospital.- The following records shall be maintained, namely:-

(i)

Admission and Discharge Register.

(ii)

Case sheets

(iii) Referrals

(iv) Infectious and Communicable disease Register.

(v) Immunisation particulars

(vi) Family Welfare Services

(vii) Medico Legal Records

(viii) Maternal Death Record

(ix) Infant Death record

(x) 1 to 5 years Child Death records

(xi) any other record as may be required by the Government, from time to time.

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

V. MATERNITY HOSPITALS.-

In addition to facilities/ Norms speciﬁ ed for Nursing Homes / Hospitals, a labour room and an operation theatre is preferable

facilities for transport of patients like an Ambulance or tie up arrangement with a Central Ambulance Service is desirable.

VI. DENTAL CLINIC.-

(1) Building.-The consulting room if it accommodates the Dental Chair also shall be having sufﬁ cient space not less

than 100 square feet. The room shall be well ventilated and shall have sufﬁ cient lighting arrangements. Space

for keeping the Sterilizer and Trays to be provided. Sufﬁ cient space for patient waiting to be provided outside the

consulting room.

(2) Staff.- Dental Surgery, Consultation and prescription shall be performed by a qualiﬁ ed Dental Surgeon only as per

the Indian Dentist Act, 1948 (Central Act XVI of 1948). Injections and administration of anaesthesia shall be done

by the dental surgeon himself. X-Ray shall be taken by a qualiﬁ ed Radiographer or by the Dentist.

(3) Equipments.- (a) Dental Chair

(b) Provision of water for surgery

(d) Bin for sterile cotton gauze etc.,

(e) Trays with instruments

(f)

Dental instruments

(g) X-Ray (desirable)

(h) Disposable (optional) / autoclaved syringes.

(4) Records.- A record of the patients treated along with name, age, sex, disease and treatment given shall be

available. A slip shall be given to the patient with all the above particulars.

VII . DENTAL HOSPITALS.-

Out-patient department.- The outpatient department of a dental hospital shall conﬁ rm to the norms prescribed to a Dental

Clinic. In addition, sufﬁ cient waiting room shall be provided to the patients. Wards, Operation Theatre and other aspects shall be

as per the norms prescribed to the nursing homes and hospitals.

VIII. CLINICAL LABORATORIES.- They shall include clinical laboratories, pathological laboratories, genetic laboratories etc.

(1) Building.- A minimum of space for sample collection, First Aid Room, Processing, Report preparation etc., 500 Square

feet in Rural, 700-1500 Square feet in Urban should be available. There shall be lavatories for the patients use at least one shall

be available with sufﬁ cient water. There shall be sufﬁ cient space for Microscopy and for Biochemical tests. The room shall be well

ventilated with sufﬁ cient light. Space for keeping a cot for the use of patient shall be available. If x ray is also functioning norms as

for an X ray centre shall be followed. The laboratories shall ensure adequate space in relation to the following:-

(a) Patient’s reception

(b) Sample collection

(d) Radioisotope related work as per the regulatory agency Atomic Energy Regulatory Board (AERB) requirement.

The Laboratories shall ensure standards prescribed by the National Accreditation Board for Testing and Calibration of

Laboratories for the personal, qualiﬁ cation etc., Quality assurance in Lab Service, Internal Quality and External Quality should be

ensured.

(2) Staff.- (a) The Biopsy examination and reporting shall be done by a Pathologist or by a Trained Doctor. When culture

and sensitivity tests are carried out, a Microbiologist either Medical or non-Medical shall be available, Cytology reports shall be

given by a Pathologist only.

(b) Qualiﬁ cation for technical staff .- The staff performing the technical tests shall have the following qualiﬁ cations,

namely:-

(i)

Graduate in Medical laboratory Technology; or

(ii)

Two years Diploma course in Medical Laboratory Technology; or

(iii) One year Certiﬁ cate course in Medical Laboratory Technology with two years experience; or

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(iv) Graduate in science with one year experience in Medical Laboratory; or

(v) Diploma in medical radiation and radioisotope technology (DMRIT) ; or

(vi) Certiﬁ cate in Cytotechnology by Indian Academy of Cytology for screening of ex-follative cytology in addition

to the above qualiﬁ cation for Cytotechnologist.

(c) In a genetic laboratory, all tests shall be carried out and reporting done by a qualiﬁ ed Genetist or qualiﬁ ed doctor only.

If amniocentesis is done as permitted by law it shall be done only in a Minor Operation Theatre and all facilities

as needed for a Minor Operation Theatre shall be available and it shall be done by a qualiﬁ ed doctor under sterile

conditions only.

3. Equipments .-

(a) Microscopes

(b) Calorimeter

(d) Test Tubes

(e) Slides

(f) Reagent as needed

(g) Semi Auto Analyser or Auto Analyser (Optional)

(h) Cell Counter (Optional)

(i) Haemoglobin meter

(j) Counting Chambers etc.

(k) Refrigerator

(l) Hot Air oven

(m) Physical Balance

(n) Micro Puppets ﬁ xed and variable volume.

4. Records.- All tests carried out on the Laboratory shall be recorded in a Register along with name, age, sex, investigation

done report, date, etc.,

The following minimum Records to be maintained:-

(a) Daily Results Register

(b) Internal Quality Control Register

(d) Participation in External Quality Assessment Schemes Programmes.

IX. X-RAY (RADIOGRAPH) CENTRES.-

This Centre shall include all centres of Imaging, Sciences namely, Ultra Sonogram Scan Centres, Computed Tomography

(C.T.) Scan Centres, Magnetic resonance imaging (MRI) Scan Centres, X-Rays (Radiograph) as well as Electro Cardiogram

(ECG), Electroencephalography (EEG) and Treadmill Echocardiography.

Buildings.- Sufﬁ cient space as the equipment in use demands. Sufﬁ cient space shall be provided for patient waiting

and resuscitation of the patient in case of any anaphylaxis occurring, during contrast injection or after a treadmill test patient feels

like resting. X ray and imaging centres shall fulﬁ l the “Atomic Energy Regulatory Board” (AERB) norms

Staff.- All tests shall be carried out by qualiﬁ ed technical persons only as follows:-

X-Ray

Radiographer with Clinical Research Associate (CRA) Qualiﬁ cation

Ultra Sonogram

by a qualiﬁ ed Doctor or by a Radiologist or

Concerned Specialist as per the provisions of the Pre-Conception And Pre-Natal

Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994

Electro Cardiogram (ECG)

by an Electro Cardiogram (ECG) Technician trained in Electro Cardiogram (ECG)

taking

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

Electroencephalography (EEG)

Electroencephalography (EEG) Technician trained in Electroencephalography

(EEG) taking

Computed Tomography (CT) scan

by a Radiographer and report by a Radiologist or by the concerned specialist.

Treadmill

Concerned Technician. A doctor shall be present during the Test.

Echo Cardiograph

by a Qualiﬁ ed Doctor preferably a Cardiologist

Contrast Studies

Radiologist or by the Concerned Specialist

Magnetic resonance imaging (MRI)

Radiologist or by the Concerned Specialist

3. Equipments.- Equipments according to the concerned machine.

Records.- Name, age, sex, address of patient, the nature of investigation done referral doctor, and result of the

investigation shall be available in a register. Number of cases treated free of charges shall also be available along

with name, age, sex, address and result etc.

B. INDIAN SYSTEM OF MEDICINE AND HOMOEOPATHY

I. CONSULTING ROOM / CLINIC / POLYCLINICS

Building.- The Consulting room shall be spacious, well ventilated and having sufﬁ cient light. The space shall be

not less than 100 square feet. There shall be sufﬁ cient space for waiting of the patients etc., If it is a polyclinic,

different cubicles shall be available for each doctor. The names of visiting doctors and their system of medicine

shall be exhibited in front of the clinic.

Staff.- The clinics namely, Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoepathy Clinics shall be

manned by the registered Medical practitioner . If the pharmacy attached with the clinic, dispensing of medicines

shall be done by a Pharmacist qualiﬁ ed under the respective system or by the doctor himself.

Equipment.- (a) Diagnostic equipments ordinarily needed for all AYUSH, Indian System of Medicine and

Homeopathy and Yoga and Naturopathy Clinics:

(i)

Thermometer

(ii)

Sphygmomanometer

(iii) Stethescope

(iv) Knee hammer

(v) Tongue Depressor

(vi) Torch/ »çnlh°nf¥ by‹Rila lh®¢

(vii) Weighing machine/ cau« gh®¡F« msit

4. Drugs.-The drugs dispensed to the patients shall contain a label indicating the name of medicine and the name of

patient to whom it is given and quantity to be given etc., the date of expiry shall be speciﬁ ed in the label, if the

drug has an expiry date. The drug to be given internally and the drug to be used externally shall be indicated and

white and red labels to be provided respectively with clear writing as “For Internal use” or “ For External Use” in

vernacular.,

5. Records.- A record of all patients seen as to their name, age, sex, diagnosis and treatment shall be available. The

patient shall be provided with a slip with name, age, sex, diagnosis of treatment given.

II. NURSING HOMES AND HOSPITALS.-

Building.- The norms prescribed for consulting room or outpatient in the Allopathy system of medicine shall be

fulﬁ lled . It shall also have sufﬁ cient space for patient waiting separate cubicles for each doctors to work. The

names of the doctors and then Specialists and different facilities available in the hospital shall be put up in a board.

2. Wards or inpatient rooms.- Inpatient wards shall be spacious with ventilation and lighting. Electric fan shall be

provided to each room and in common rooms one fan for at least four beds shall be provided. Toilets be common

or separate but shall be clean and provided with water from tap. Cleaning arrangements shall be made to swab

daily the wards with antiseptic lotion.

Staff.- (a) Doctors.- The hospital shall employ only registered medical practitioner to treat the patients. The doctor

shall also be registered in the Council under his respective system of medicine or in the Council/Board for Indian

System of Medicine.

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(b) Nurse.- A qualiﬁ ed nurse shall be available at the ratio of one nurse and two Nursing Assistant for upto thirty

beds.

(c) Pharmacist/Therapist.- Pharmacist/Therapist qualiﬁ ed in the respective system of medicine shall be employed for

dispensing of medicines. If the hospital has more than thirty beds, for less than thirty beds the doctor himself can

dispense the medicines or employ a qualiﬁ ed pharmacist/Therapist.

(d) Other Staff.- Other staff like Mazdoor etc. shall be employed as per need. Sufﬁ cient number of cleaning staff shall

be available at least one for every thirty beds.

Equipment.-(a) The following Exercise Therapy equipments shall ordinarily needed for all Siddha Hospitals, namely:-

(i)

Traction Kit

(ii)

Walker

(iii) IR light

(iv) TFT and Ultrasound Therapy Instrument

(v)

Vibrator (Manual and Electronic)

(b) The following equipments ordinarily required for all Siddha Hospitals, namely:-

(i)

Thokkanam table

(ii)

Vedhu Chamber

(iii) Wax bath machine

(iv) Karanool

(v) Kazhichal endhiram

(vi) Vaanathi maruthuvam Chair

(vii) Nasiyam Chair

(viii) Peetchu endiram-Disposal Packs

(ix) Kidney Tray

(x) Motion tray

(xi) Nebuliser Set

(xii) Moving Stretcher

(xiii) Disposable Syringes

(xiv) Surgical instruments for common procedures, First Aid

(xv) Parenteral drugs and infusion related equipments

(xvi) Equipments needed for speciﬁ c Aga maruthuvam, puramaruthuvam procedures.

(c) Equipments for Yoga and Naturopathy.-

Yoga Therapy.-

(i)

Carpets /coir mats

(ii)

Jala neti pot

(iii) Eye wash cup

(iv) Yoga charts

(v) Sutra neti rubber catheter

Hydrotherapy.-

(i)

Enema can

(ii)

Steam bath cabin with Automatic steam generator

(iii) Facial sauna

(iv) Fomentation bag

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(v)

Ice bag

(vi) Packs – Chest, Leg, Arm, Knee, Abdomen, GH Pack, Renal, Full wet sheet pack

(vii) Linen cloth for compress

(viii) Epsom salt-packets

(ix) Hip bath tub

(x)

Spinal bath tub

(xi) Spinal Spray

(xii) Foot and arm bath tub

(xiii) Small and Big towels

Mud Therapy.-

(i)

Mud storer-100 lts barrel-2

(ii)

Linen cloth- for preparing mudpacks

(iii) Mud trays

(iv) Bucket and mug-2

Magneto Therapy.-

(i)

High, Medium, Low power magnets with keepers

(ii)

Magnetic belt – Neck,Abdomen,Knee,Wrist

Massage Therapy.-

(i)

Massage table-cushioned and covered with rexin

(ii)

Foot stepper

(iii) Vibratory massager

(iv) Roller massager

Chromotherapy.-

(i)

Colour lamps

(ii)

Colour glass bottles

(iii) Color Thermoleum

Electrotherapy.-

Infra red lamp (IRR)

Acupuncture/Acupressure.-

(i)

Moxa stick

(ii)

Electronic Acu – stimulator

(iii) Reﬂ exology chart

(iv) Acu-Roller-Spinal,Spinal,Palm,Soles,Legs,Fingers

(v) Acupuncture needles- copper-(0.25x25)

5. Physical ﬁ tness

(i) Static cycle

(ii) Manual Treadmill

(iii) Rowing machine

(iv) Overhead pulleys

6. Infrastructure.- Clinic shall have the consultation items and minimum equipments to give out patient treatments. Hospital

shall have all the equipments along with diet centre to prepare bland diet, natural diet, herbal juice and other special diet therapy

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

for various diseases. In addition to above, ﬁ rst aid and emergency management need to be provided. Sufﬁ cient number of Wheel

Chairs, Stretchers shall be available at least one per every thirty beds.

7. Records.- (1) A record of all patients admitted / treated shall be available along with the investigations diagnosis and

treatment. The patient shall be provided with a discharge slip containing the details of investigation, diagnosis, treatment and

follow up etc.,

(2) The following register shall be maintained. It is the duty of the clinical establishment to give all the relevant particulars to

the patients on demands.

(i)

Admission and Discharge Register

(ii)

Contagious and infectious disease register.

(iii) Medico legal cases register (in case medico legal cases are brought there for treatment at any stage)

Records with full address shall be kept ready for veriﬁ cation by the District Committee.

C. GENERAL CONDITIONS TO BE FULFILLED BY THE HOSPITALS UNDER ALLOPATHY AND AYUSH.

Communication.- A telephone connection shall be available for use by patients (on payment)

Security.- Sufﬁ cient security shall be provided for the safety of inmates and to prevent theft.

Fire Fighting:- Fire ﬁ ghting equipment with I.S.I. mark shall be provided as per rules in the hospital.

Kitchen.- If food is provided to inmates, the kitchen shall be clean and the cook(s) shall be periodically, medically

examined for any infection or contagious diseases.

Clothing and Linen.- It shall be clean and changed daily.

Water Supply.- The potable water shall be provided to the patient.

Waste Disposal.- It shall be as per the Government of India norms and shall follow the guidelines of Tamil Nadu

Pollution Control Board.

Record Maintenance.- (a) Every Clinical Establishment shall maintain the permanent records pertaining to details

of the employees as well as the clinical records pertaining to the patients. The records shall be kept open for inspection by the

competent authority or any other ofﬁ cer authorized in this behalf.

(b) Every Private Clinical Establishment shall make available a copy of list of observation, treatment etc., pertaining to

the patient on payment of necessary charges within the reasonable time. Every Clinical Establishment shall display

at a prominent place the charges for obtaining such information.

(c) Every Clinical Establishment may refuse to furnish such information, if such information is likely to cause injury to

the person or his family members or if the treatment has been conducted on the direction of a public authority.

ANNEXURE – II

FORM I.

(see rule 7(1) )

APPLICATION FORM FOR REGISTRATION / RENEWAL OF REGISTRATION OF CLINICAL ESTABLISHMENT

ESTABLISHMENT DETAILS

Name of the Clinical Establishment:

1. Registration No:

Address:

Village/Town: Taluk

District:

State:

Pincode

Telephone No.(with STD code)

Mobile:

Fax:

Email ID:

Website (if any)

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

Year of starting:

(From 4 to 11, Mark all whichever is applicable)

Location:

Metro

State Capital

City

Town

Notiﬁ ed Area

Village

Any other (Please specify):

Ownership of Services.-

Public Sector

Central Government

State Government

Local Government (please specify)

Public Sector Undertaking

Railways

Employees State Insurance Corporation

Autonomous organization

Society/Not for proﬁ t Companies

Any other (please specify)

Private Sector

Individual Proprietorship

Registered Partnership

Registered Company

Corporation (including a society) registered under a Central, Provincial or State Act (Please specify)

Trust (including Charitable) registered under a Central, Provincial or State Act (please specify)

Branch of a Foreign Service provider (please specify)

Any other (please specify)

6. Name of the owner of Clinical Establishment:

Address:

Village/Town:

Taluk

District:

State:

Pincode

Telephone No.(with STD code)

Mobile:

Fax:

Email ID:

7. Name, Designation and Qualiﬁ cation of person-in-charge of the clinical establishment

Designation:

Qualiﬁ cation:

Address:

Village/Town:

Taluk

District:

State:

Pincode

Telephone No.(with STD code)

Mobile:

Fax:

Email ID:

8. Any other (please specify)

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

9. Type of clinical establishment :(Please tick whichever is applicable)

Clinic

Single Practitioner

Consulting Room

Polyclinic

Dental

Any other

(Please specify)

Centre

Primary Health Centre

Community Health Centre

Urban Health Centre

Dispensary

Day Care Centre

Counselling centre

Physiotherapy Centre

Yoga Centre

In Vitro Fertilization (IVF) Centre

Dialysis

Hospice Centre

Any other (like Audiometry, Prosthetic & or-

thotic etc., (please specify)

Hospital

General Practice Services

Maternity Home

Single speciality Services

Multi Speciality Services

Super speciality Services

Operation Theatre

Emergency Causality

Intensive Care Unit

ICCU

Any other please specify

10. Whether the clinical establishment,-

(a) is attached with Laboratory (if so, please tick whichever is applicable)

Pathology

Haematology

Histopathology

Cytology

Genetics

Samples Collection Centre

Any other (Please specify)

Biochemistry

Microbiology

Any other (please specify)

If answer to (a) above is yes, the following details may be furnished, namely:-

-- Tests that it proposes to carry out

-- List of equipments available

-- A list of technical staff (both technical and supervisory)

-- List of personnel who are going to sign test reports.

(b) is attached with Imaging Centre (if so, please tick whichever is applicable)

Portable X ray

Conventional X Ray

Digital X Ray

X Ray with computed Radiography system

Ultrasound

Ultra sound with Color Doppler

Mammography

Orthopentogram(OPG)

CT Scan

Magnetic Resonance Imaging (MRI)

Positron Emission Tomography (PET)

Scan

Bone Densitometry

Uro -ﬂ owmetry

Any other (Please specify)

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(A) Based on Location

Stand alone

Hospital Based

Any other (please specify)

(B) Based on Facilities

Blood bank/Centre having whole blood facility only

Blood bank/Centre having whole blood and component facility

Blood bank/Centre having whole blood and/or component facility with any other additional facility

(please specify):

11. Details of the equipments maintained with :-

SYSTEM OF MEDICINE

12. Services offered (please tick whichever is applicable)

(a) Allopathic

Speciality

Medical

Surgical

Obstetrics and Gynecology

Paediatrics

Any other please specify

(b) Ayurveda

Anusadh Chikitsa

Shalya Chikitsa

Shodhan Chikitsa

Rasayana

Pathya Vyavastha

Any other please specify

Matab

Jarahat

Ilaj-bit-Tadbeer

Hifzan-e-Sehat

Any other please specify

(d) Siddha

Maruthuvam

Sirappu Maruthuvam

Varmam Thokknam &

Yoga

Any other please

specify

(e) Homeopathy

General

Homeopathy

Any other please

specify

(f)

Naturopathy

External Therapies with natural modalities

Internal Therapies

Any other please specify

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(g) Yoga

Ashtang Yoga

Any other please specify

13. Area of the establishment (in square metres)

(a) Total area:

(b) Constructed Area:

14. Out-Patient Department

Total number of Out Patient Department Clinics

Sl.No.

Speciality

Number of Rooms

15. In-Patient Department

(a) Total number of beds:

(b) Specialty-wise distribution of beds, please specify:

S.No.

Speciality

Number of beds

16. Biomedical Waste Management

(a) Method of treatment and/or disposal of bio-medical waste

Through Common Facility

Onsite Facility

Any other (please specify)

(b) Whether authorization from Pollution Control Board/Pollution Control Committee obtained?

Yes

No Applied for

Not applicable

17. Total number of Staff (as on date of application):

Number of permanent staff:

Number of temporary staff:

Category of Staff

Name

Qualiﬁ cation

Registration Number

Nature of Service Temporary/Permanent

Doctors

Nursing Staff

Para-medical Staff

Pharmacists

Support Staff

Others, Please specify

Separate annexure may be attached

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

FORM II

(see rule 8)

GOVERNMENT OF TAMIL NADU

CERTIFICATE OF REGISTRATION OF CLINICAL ESTABLISHMENT

Registration No. (Computer Generated)

Date of Issue

Valid upto :

__________________________________________(Name of the clinical establishment) operating from

_____________________________ (Complete Address) as ______________________________________

(Type of clinical establishment) is hereby registered under the provisions of the Tamil Nadu Clinical Establishments

(Regulation) Act, 1997 to provide services under __________________________ system of Medicine with

_____________ (bed strength)

The Certiﬁ cate of Registration shall be subject to the conditions laid down in the Tamil Nadu Clinical Establishments

(Regulation) Act, 1997 and the Tamil Nadu Clinical Establishments (Regulation) Rules, 2018.

Competent Authority

Place

Date:

Seal:

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

FORM III

(see rule 12)

PART A.

System of Medicine Clinical Laboratory:

Tamil Nadu Clinical Establishment Regu-

lation Act Registration no. :

Register of Laboratory Test Conducted

Date

Name of

the

Patient

and

address

Mobile

No.

Age

Sex

No.

Referring

Doctor

Provisional

Diagnosis

Investigations

Specimen

Investi-

gation

performe

Method of

Investiga-

tion and

Equipment

Result

Additional

infor-

mation if

any

Initial of

the Medical

Ofﬁ cer

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

Note: If electronic records are maintained and / or exisƟ ng registers capture this informaƟ on, a monthly print outs / copy shall be taken and signed by

the authoriƟ es concerned.

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

PART B

System of Medicine Clinical Laboratory

Tamil Nadu Clinical Establishment

Regulation Act Registration no. :

Register for Imaging techniques USG/X Ray/ CT/MRI/PET etc. Laboratory Test Conducted

Date

Name of

the Pa-

tient and

addres

Mobile

No.

Age

Sex

No.

Refer-

ring

Doctor

Provision-

al Diagno-

sis

Investigations

Specimen

Investi-

gation

per-

formed

Method of

Investiga-

tion and

Equiment

Re-

sult

Additional

informa-

tion if any

Initial of

Medical of-

ﬁ cer

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

2..

Note: If electronic records are maintained, and / or existing registers capture this information, a monthly print outs / copy shall be taken and

signed by the Medical Ofﬁ cer.

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

PART C

System of Medicine _ Hospital / Nursing Home

Tamil Nadu Clinical Establishment Regu-

lation Act Registration no. :

Admission and Discharge Register of Patients

Name of

the Patient

and ad-

dress

Mobile

No.

Age

Sex

Hospital

IP No.

Date of

Admission

Provisional

Diagnosis

Investi-

gations

if any

Final

diagno-

sis

Treat-

ment

Date of

Discharge

Result

Cured /

Same

condition

/ Referred

/ Expired

Addi-tional

information

if any

Initial

of the

medi-

cal

ofﬁ cer

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

Note: If electronic records are maintained and / or existing registers capture this information, a monthly print outs / copy shall be taken and

signed by the Hospital authorities.

2. The hospital shall maintain individual case sheets for the patients

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

PART D

System of Medicine Clinic / Consulting Room

Tamil Nadu Clinical Establishment Regula-

tion Act Registration no. :

Name of the Doctor

xxxxxx

Register of Patients

Date

Serial

Name of the Pa-

Ɵ ent and address

Mobile

No./ Con-

tact No. if

available

Age

Sex

Provisional

Diagnosis

InvesƟ gaƟ ons

if any

Final

diagnosis

Treatment

Result

Cured / Same

condiƟ on /

Referred /

Expired

AddiƟ onal

informaƟ on

if any

IniƟ al of

the Medi-

cal

oﬃ cer

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

Note: If electronic records are maintained and / or existing registers capture this information, a monthly print

outs / copy shall be taken authenticated by the Hospital authorities

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

PART E

System of Medicine Hospital / Nursing Home

Tamil Nadu Clinical Establishment Regula-

tion Act Registration no. :

Operation Register

Operation Theatre (Please specify the OT either Maternity / General / Ortho etc., as the case may be)

Name

of the

PaƟ ent

and

address

Mo-

bile

No.

Age

Sex

Date of

Admis-

sion

Hospital

IP No.

Provi-

sional

Diag-

nosis

InvesƟ

gaƟ ons

if any

OperaƟ on

performed

OperaƟ ng

Surgeon

and

Assistant

Anaeth-

eƟ st

Staﬀ

Nurse

Assisted

OperaƟ on-

Time

(From to)

Oera-

Ɵ on

Notes

Trans

ferred

to which

ward

Addi-

Ɵ onal

infor-

maƟ on

if any

IniƟ al

of the

Medi-

cal

oﬃ cer

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

Note: If electronic records are maintained, and / or existing registers capture this information, a monthly print outs / copy shall be taken and it shall be authenticated by the

Hospital authorities.

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

FORM IV

(see rule 13)

List of Clinical Establishments

Period – 1^st January, to 31^st December,

Serial

No.

Name and

Address

of Clinical

Establishment

TNCERA No.

and Date

District

Type of

Establishment

Validity Period

(6)

From

(1)

(2)

(3)

(4)

(5)

6..

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(a) “ê†ì‹” â¡ð¶, 1997Ý‹ Ý‡´ îI›ï£´ ñ¼ˆ¶õ GÁõùƒèœ (º¬øŠð´ˆ¶î™) ê†ì‹ (îI›ï£´ ê†ì‹

4/1997) â¡Á ªð£¼œð´‹.;

(b) “Ý«ô£ê¬ù‚ °¿” â¡ð¶, Þ‰î„ ê†ìˆF¡ HK¾ 2-A âÂ‹ HKM¡ ÃÁ (1)Þ¡ ð®, ñ£Gô Ü÷M™

Ü¬ñˆ¶¼õ£‚èŠð†ì °¿ â¡Á ªð£¼œð´‹.;

Ü÷Mô£ù ÜÁ¬õ CA„¬êèœ, è£òƒèÀ‚°‚ è†´ è†´î™ ºîLòõŸÁì¡ Ü™ô¶ Þ¬õ â¬õ»I¡P

«ï£ŒèÀ‚°„ CA„¬êòO‚èŠð´Aø å¼ Þì‹ â¡Á ªð£¼œð´‹. Þ¬õ àìŸ°ö£Œ àœ«ï£‚è™

(â‡«ì£v«è£ŠH) ñ¼ˆ¶õ ¬ñò‹, Ý»w (AYUSH) ñ¼ˆ¶õ ¬ñò‹ Ü™ô¶ ñ¼‰¶è¬÷Š ðò¡ð´ˆF

Ü™ô¶ ÝƒAô ñ¼ˆ¶õ º¬ø, Cˆî ñ¼ˆ¶õ º¬ø, »ù£Q ñ¼ˆ¶õ º¬ø, Ý»˜«õî ñ¼ˆ¶õ

º¬ø, «ò£è£ ñŸÁ‹ ÞòŸ¬è ñ¼ˆ¶õ º¬ø Ü™ô¶ æI«ò£ðF ñ¼ˆ¶õ º¬ø (Ý»w) Ü™ô¶ Üóê£™

ÜƒWèK‚èŠð†ì ã¬ùò ò£ªî£¼ ñ¼ˆ¶õ º¬øJ¡ W›, «ï£ŒèÀ‚° CA„¬ê ÜO‚°‹ ã¬ùò ò£ªî£¼

ñ¼ˆ¶õ GÁõùº‹ ÞF™ Üìƒ°‹.;

(d) “ñ¼ˆ¶õ CA„¬ê º¬ø ÝŒõè‹” (Clinical Laboratory) â¡ð¶ àJK ñ¼ˆ¶õ ÝŒ¾ Ü™ô¶ àJK

«õFŠªð£¼œ Ü™ô¶ «ï£Œ‚°PJò™ Ü™ô¶ àì™ F² ÝŒ¾ Ü™ô¶ ¸‡μJKò™ ÝŒ¾ Ü™ô¶

ñóHò™ ÝŒ¾èœ Ü™ô¶ ò£ªî£¼ «ï£Œ è‡ìPî™ ðK«ê£î¬ùèœ Ü™ô¶ HE ÝŒ¾ º¬øèœ

«ñŸªè£œ÷Šð´‹ æ˜ Þì‹ â¡Á ªð£¼œð´‹;

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(e) “ñ¼ˆ¶õ Ý«ô£ê¬ù Ü¬ø” â¡ð¶ «ï£ò£Oè¬÷ ðK«ê£î¬ù ªêŒ¶, Üõ˜èÀ‚° ñ¼‰¶„Y†´ ñŸÁ‹

Ý«ô£ê¬ù õöƒèŠð´‹ æ˜ Þì‹ â¡Á ªð£¼œð´‹.;

(f) “ð™ ñ¼ˆ¶õ G¬ôò‹” â¡ð¶ ð™ ê‹ð‰îŠð†ì «ï£ŒèÀ‚° CA„¬ê ÜO‚°‹ ñ¼ˆ¶õ G¬ôò‹ â¡Á

ªð£¼œð´‹.;

(g) “ð™ ñ¼ˆ¶õñ¬ù” â¡ð¶ «ï£ò£Oèœ àœ«ï£ò£Oè÷£è‚ «ê˜‚èŠð†´ ð™ «ï£Œ‚è£è CA„¬ê ÜO‚èŠð´‹

Þì‹ â¡Á ªð£¼œð´‹.;

(h) “ñ£õ†ì °¿” â¡ð¶, Þ„ê†ìˆF¡ HK¾ 2-D âÂ‹ HKM¡ ÃÁ (1)-Þ¡ W›, åšªõ£¼ ñ£õ†ìˆF½‹

Ü¬ñˆ¶¼õ£‚èŠð†ì °¿ â¡Á ªð£¼œð´‹.;

(i) “ñ¼ˆ¶õ˜” â¡ð¶ ÝƒAô ñ¼ˆ¶õ º¬ø Ü™ô¶ `Ý»w’ ñ¼ˆ¶õ º¬øJ™ Ý«ô£ê¬ù õöƒ°Aø Ü™ô¶

CA„¬ê ÜO‚Aø ðF¾ ªðŸø ñ¼ˆ¶õ˜ å¼õ˜ â¡Á ªð£¼œð´‹.;

(j) “ð®õ‹” â¡ð¶ Þ‰î MFèO¡ HŸ«ê˜‚¬è II-™ Þ¬í‚èŠð†ì å¼ ð®õ‹ â¡Á ªð£¼œð´‹;

(k) “ñ¼ˆ¶õñ¬ù” â¡ð¶ ò£ªî£¼ ÜƒWèK‚èŠð†ì ñ¼ˆ¶õ º¬øJ™ ÝŒ¾‚Ãì‹ ºîLò ¹ø«ï£ò£O

õêFèœ ñŸÁ‹ «ï£Œ‚°P ÜPõîŸè£ù õêFèÀì¡ Ü™ô¶ Þ‰î õêFèO¡P, ÜÁ¬õ CA„¬êJ¡P

Ü™ô¶ ÜÁ¬õ CA„¬ê»ì¡ «ï£Œ‚è£ù CA„¬ê ÜO‚Aø Ü™ô¶ Hóêõ‹ ð£˜ŠðîŸ° àœ«ï£ò£Oè÷£è„

«ê˜ŠðîŸè£ù õêFèœ ªè£‡ì CPò ñ¼ˆ¶õñ¬ù Ü™ô¶ ²è£î£ó ¬ñò‹ Ü™ô¶ CA„¬ê

¬ñò‹/ñ¼ˆ¶õñ¬ù â¡Á ªð£¼œð´‹.;

(l) “ñèŠ«ðÁ ñ¼ˆ¶õñ¬ù” â¡ð¶ ÜÁ¬õ CA„¬ê ªêŒ¶ Ü™ô¶ ÜÁ¬õ CA„¬êJ¡P Hóêõ‹ ïìˆ¶î™ ñŸÁ‹

Hø ñèŠ«ðÁ «ê¬õè¬÷»‹ è¼Š¬ð c‚è‹, è¼Š¬ð «ñŸFøŠ¹ (Caesarean Section) Íô‹ ñèŠ«ðÁ‚è£ù

ÜÁ¬õ CA„¬êèœ à†ðì ñèO˜ «ï£Œ‚è£ù ñ¼ˆ¶õ «ê¬õè¬÷»‹ õöƒ°A¡ø ñ¼ˆ¶õñ¬ù â¡Á

ªð£¼œð´‹.;

(m) “«ï£ò£O” â¡ðõ˜ ñ¼ˆ¶õñ¬ùò£™ ÜO‚èŠð´Aø CA„¬ê Ü™ô¶ Ý«ô£ê¬ù Ü™ô¶ ã¬ùò ò£ªî£¼

ñ¼ˆ¶õ «ê¬õè¬÷Š ªðÁõîŸè£è, ð™ ñ¼ˆ¶õñ¬ù à†ðì ò£ªî£¼ ñ¼ˆ¶õñ¬ù‚°‹ î£ù£è Ü™ô¶

Høó£™ ªè£‡´ õóŠð´‹ ïð˜ â¡Á ªð£¼œð´‹.;

(n) “ðô«ï£Œ ñ¼ˆ¶õ CA„¬ê ¬ñò‹” â¡ð¶ ÜƒWèK‚èŠð†ì ò£ªî£¼ ñ¼ˆ¶õ º¬øJ™, CA„¬ê»ì¡

Ü™ô¶ CA„¬êJ¡P å¡Á‚°‹ «ñŸð†ì ñ¼ˆ¶õ˜èœ Ý«ô£ê¬ù õöƒ°Aø ñ¼ˆ¶õ ¬ñò‹ âùŠ

ªð£¼œð´‹.;

(o) “ðF¾ ªðŸø ñ¼ˆ¶õ˜” â¡ðõ˜, Üó² ÜƒWè£ó‹ ªðŸø ãî£õ¶ ñ¼ˆ¶õˆ î°F ªðŸÁœ÷ Ü¶ ªî£ì˜ð£ù

Ü¬ñŠH™ Üî£õ¶, ñ¼ˆ¶õ‹, ð™ ñ¼ˆ¶õ‹, Cˆî£, Ý»˜«õî£, »ù£Q ñŸÁ‹ æI«ò£ðF èöèƒèœ ñŸÁ‹

Þ‰Fò ñ¼ˆ¶õ õ£Kò‹ Ü™ô¶ îI›ï£´ Üóê£™ ÜƒWèK‚èŠð†ì Üˆî¬èò ò£ªî£¼ èöè‹, õ£Kò‹

Ü™ô¶ ã¬ùò ò£ªî£¼ ê†ìŠð®ò£ù Ü¬ñŠH™ (Statutory) ðF¾ ªêŒî å¼ ïð˜ âùŠð´õ£˜.;

(p) “ªêMLò˜” â¡ðõ˜, îI›ï£´ Üóê£™ ÜƒWèK‚èŠð†ì ò£ªî£¼ ªêMLò ðJŸC GÁõùƒèOL¼‰¶

«î¬õò£ù î°FJ¬ù ªðŸP¼‰¶ Ü‰î ïð˜ 1947Ý‹ Ý‡´ Þ‰Fò ªêMLò °¿ ê†ìˆF¡ W› (ñˆFò

ê†ì‹ 48/1947) îI›ï£´ ªêMLò˜ ñŸÁ‹ î£Fò˜ °¿ñ‹ Ü™ô¶ Þ‰Fò ªêMLò °¿õ£™ ÜƒWèK‚èŠð†ì

å¼ ñ£Gô ªêMLò˜ °¿M™ ðF¾ ªêŒî™ ñŸÁ‹ Þ‰Fò ñ¼ˆ¶õ Ü¬ñŠ¹ è™ÖKèO™ å¼ƒA¬í‰î

ªêMLò˜ ð†ìò ð®ŠH¬ù º®ˆ¶, Ý»˜«õî£, «ò£è£ ñŸÁ‹ ÞòŸ¬è, »ù£Q, Cˆî£ ñŸÁ‹ æI«ò£ðF

GÁõùƒèÀ‚è£ù Þ‰Fò ñ¼ˆ¶õ Þò‚°ïóèˆF™ ðF¾ ªêŒ¶œ÷ ïð˜ å¼õ˜ â¡Á ªð£¼œð´‹.;

(2) Þ‰î MFèO™ ðò¡ð´ˆîŠð†´ Ýù£™ ªð£¼œ õ¬óò¬ø ªêŒòŠðì£î Ü¬ùˆ¶ ªê£Ÿèœ ñŸÁ‹ ªê£Ÿªø£ì˜èÀ‹,

ê†ìˆF™ ÜõŸÁ‚° °PˆîO‚èŠð†´œ÷ Ü«î ªð£¼¬÷‚ ªè£‡®¼‚°‹.;

3. ñ£Gô Ü÷Mô£ù Ý«ô£ê¬ù‚ °¿M¡ ï¬ìº¬ø, Ã†ì‹ ïìŠðîŸ° «î¬õò£ù G˜íJ‚èŠð†ì ïð˜èO¡ °¬ø‰î

â‡E‚¬è ñŸÁ‹ Ã†ì ïìõ®‚¬è °PŠ¹èœ.- (1) ñ£Gô Ü÷Mô£ù Ý«ô£ê¬ù‚ °¿ Ã†ìˆFŸ° Ü¬öŠ¹ M´‚A¡ø

åšªõ£¼ ÜPMŠH™ H¡ õ¼ð¬õ °PŠHìŠð†®¼‚°‹,-

(a) Ã†ì‹ ï¬ìªðÁ‹ Þì‹, ï£œ ñŸÁ‹ «ïó‹.

(b) Ã†ì‹ ï¬ìªðÁõîŸ° G˜íJ‚èŠð†ì ï£À‚° º¡ùî£è, º¿ ã¿ ï£†èÀ‚° °¬øò£î è£ô Ü÷M™,

ñ£Gô Ü÷Mô£ù Ý«ô£ê¬ù‚ °¿M¡ åšªõ£¼ àÁŠHù¼‚°‹ ÜPMŠ¹ õöƒèŠð´‹.

(2) î¬ôõ˜, Ã†ìˆFŸè£ù ÜPMŠ¹ì¡, ªêò™ð´ˆîŠðì «õ‡®ò ðEèœ °Pˆî Üˆî¬èò Ã†ìˆFŸè£ù Gè›„C Gó™

°PŠ¹ å¡¬ø îò£Kˆ¶, àÁŠHù˜èÀ‚° ²ŸøP‚¬èò£è ÜÂŠ¹õ£˜.

(3) Ã†ì‹ ïìŠðîŸ° «î¬õò£è G˜íJ‚èŠð†ì ïð˜èO¡ °¬ø‰î â‡E‚¬è, ï£¡° àÁŠHù˜èÀ‚° °¬øò£ñ™

Þ¼‚è «õ‡´‹. Ã†ì‹ ï¬ìªðÁõîŸ° G˜íJ‚èŠð†ì Ü¬ó ñE «ïóˆF™, Ã†ì‹ ïìŠðîŸ° «î¬õò£è G˜íJ‚èŠð†ì

°¬ø‰î â‡E‚¬è ïð˜èœ Þ™¬ôªòQ™, Ã†ì‹, Ü´ˆ¶ õ¼A¡ø õ£óˆF™, Ü«î «ïó‹ ñŸÁ‹ ÞìˆF™, Ü«î ï£À‚°

åˆF ¬õ‚èŠð´‹. Üˆî¬èò Ã†ìˆF¡ î¬ô¬ñ Ü½õô˜ Üƒ° Ã®»œ÷ àÁŠHù˜èOì‹ Þ¬î ªîKMŠð£˜. ã¬ùò

àÁŠHù˜èÀ‚°, M¬ó¾ Ü…ê™ õ£Jô£è îèõ™ ªîKM‚èŠð´‹.

(4) Ã†ì ïìõ®‚¬è °PŠ¹èœ Üó²‚° ªîKM‚èŠð´‹.

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

4. ñ£õ†ì °¿ Ã†ìˆF¡ ï¬ìº¬ø, Ã†ì‹ ïìŠðîŸ° «î¬õò£è G˜íJ‚èŠð†ì ïð˜èO¡ °¬ø‰î â‡E‚¬è

ñŸÁ‹ Ã†ì ïìõ®‚¬è °PŠ¹èœ.- (1) ñ£õ†ì Ü÷Mô£ù Ý«ô£ê¬ù‚ °¿ Ã†ìˆFŸ° Ü¬öŠ¹ M´‚A¡ø åšªõ£¼

ÜPMŠH™ H¡õ¼ð¬õ °PŠHìŠð†®¼‚°‹,-

(a) Ã†ì‹ ï¬ìªðÁ‹ Þì‹, ï£œ ñŸÁ‹ «ïó‹.

(b) Ã†ì‹ ï¬ìªðÁõŸ° G˜íJ‚èŠð†ì ï£À‚° º¡ùî£è, º¿ ã¿ ï£†èÀ‚° °¬øò£î è£ô Ü÷M™,

ñ£õ†ì Ü÷Mô£ù Ý«ô£ê¬ù‚ °¿M¡ åšªõ£¼ àÁŠHù¼‚°‹ ÜPMŠ¹ õöƒèŠð´‹.

(2) î¬ôõ˜, Ã†ìˆFŸè£ù ÜPMŠ¹ì¡, ªêò™ð´ˆîŠðì «õ‡®ò ðEèœ °Pˆî Üˆî¬èò Ã†ìˆFŸè£ù

Gè›„C Gó™ °PŠ¹ å¡¬ø îò£Kˆ¶, àÁŠHù˜èÀ‚° ²ŸøP‚¬èò£è ÜÂŠ¹õ£˜.

(3) Ã†ì‹ ïìŠðîŸ° «î¬õò£è G˜íJ‚èŠð†ì ïð˜èO¡ °¬ø‰î â‡E‚¬è, ï£¡° àÁŠHù˜èÀ‚°

°¬øò£ñ™ Þ¼‚è «õ‡´‹. Ã†ì‹ ï¬ìªðÁõîŸ° G˜íJ‚èŠð†ì Ü¬ó ñE «ïóˆF™, Ã†ì‹ ïìŠðîŸ°

«î¬õò£è G˜íJ‚èŠð†ì °¬ø‰î â‡E‚¬è ïð˜èœ Þ™¬ôªòQ™, Ã†ì‹, Ü´ˆ¶ õ¼A¡ø õ£óˆF™,

Ü«î «ïó‹ ñŸÁ‹ ÞìˆF™, Ü«î ï£À‚° åˆF ¬õ‚èŠð´‹. Üˆî¬èò Ã†ìˆF¡ î¬ô¬ñ Ü½õô˜

Üƒ° Ã®»œ÷ àÁŠHù˜èOì‹ Þ¬î ªîKMŠð£˜. ã¬ùò àÁŠHù˜èÀ‚°, M¬ó¾ Ü…ê™ õ£Jô£è îèõ™

ªîKM‚èŠð´‹.

(4) Ã†ì ïìõ®‚¬è °PŠ¹èœ Üó²‚°‹ î°Fø‹ õ£Œ‰î ÜFè£ó Ü¬ñŠ¹‚°‹ ªîKM‚èŠð´‹.

5. ñ£õ†ì °¿M¡ èì¬ñèœ.- Þ‰î ê†ìˆF™ °PŠHìŠð†´œ÷ ðEèœ ñŸÁ‹ ªð£ÁŠ¹èÀì¡, ñ£õ†ì‚ °¿ W›‚è£μ‹

èì¬ñè¬÷ «ñŸªè£œÀ‹. Üî£õ¶:-

(1) î°Fø‹ õ£Œ‰î ÜFè£ó Ü¬ñŠð£™ àˆîóMìŠð†ìõ£ø£è, ªðøŠð†ì M‡íŠðƒè¬÷ Ã˜‰î£Œ¾ ªêŒî™;

(2) î°Fø‹ õ£Œ‰î ÜFè£KJ¡ àˆîóM¡ W›, ñ¼ˆ¶õ GÁõùƒè¬÷ ÝŒ¾ ªêŒî™;

(3) Þ‰î ê†ìˆ¬î ªêò™ð´ˆ¶õ¶ ªî£ì˜ð£è ã«îÂ‹ ¹è£˜èœ ªðøŠð†®¼ŠH¡, ÜõŸ¬ø ÝŒ¾ ªêŒ¶, î°Fø‹

õ£Œ‰î ÜFè£ó Ü¬ñŠH¡ õ£Jô£è ÜóC¡ ð£˜¬õ‚° ÜÂŠ¹î™;

(4) ÜšõŠ«ð£¶ î°Fø‹ õ£Œ‰î ÜFè£ó Ü¬ñŠð£™ Ü™ô¶ Üóê£™ àˆîóMìŠð†ìõ£ø£ù ò£ªî£¼ ã¬ùò

èì¬ñèœ.

6. ñ¼ˆ¶õ GÁõùƒèO¡ °¬ø‰î÷¾ õêFèœ.- CøŠ¹ CA„¬ê à†ðì ÞìõêF ñŸÁ‹ ã¬ùò õêFèœ, ªõš«õÁ

ñ¼ˆ¶õ «ê¬õèÀ‚° õ¬è ªêŒõîŸ° ªõš«õÁ º¬øJô£ù ñ¼ˆ¶õ CA„¬ê GÁõùˆFŸ° «î¬õŠð´‹ ðEò£÷˜èO¡

°¬ø‰î÷¾ â‡E‚¬è ñŸÁ‹ Üõ˜èO¡ °¬ø‰î÷¾ è™Mˆ î°F, °¬ø‰î÷¾ è¼Mèœ ñŸÁ‹ ã¬ùò ðEG¬ô¬ñèœ,

ÞšMFèO¡ Þ¬íŠ¹-I Þ™ °PŠHìŠð†®¼‚°‹ Ü÷¾«è£œèœ (Norms) ñŸÁ‹ Gð‰î¬ùèÀ‚«èŸð Þ¼‚è «õ‡´‹.

7. ðF¾ ªêŒõîŸè£ù M‡íŠð‹.- (1) ñ¼ˆ¶õ GÁõù‹ å¡¬ø ðF¾ ªêŒõîŸè£ù åšªõ£¼ M‡íŠðº‹, î°Fø‹

õ£Œ‰î ÜFè£ó Ü¬ñŠH¡ ªðòK™ â´‚èŠð†ì Ïð£Œ ä‰î£Jó‹ ªî£¬è‚è£ù «è†¹‚ è£«ê£¬ô Ü™ô¶ è¼×ô ªê½ˆ¶„

Y†´ì¡ ð®õ‹ I-Þ™, åŠ¹¬è Y†´ì¡, î°Fø‹ õ£Œ‰î ÜFè£ó Ü¬ñŠHì‹ «ïK¬ìò£è«õ£ Ü™ô¶ ðFõ…ê™ õ£Jô£è

ÜO‚èŠðì «õ‡´‹.

(2) å¼ ñ¼ˆ¶õ GÁõù‹ å¡Á‚°‹ «ñŸð†ì ÜƒWèK‚èŠð†ì ñ¼ˆ¶õ º¬øJ™ «ê¬õè¬÷ õöƒ°õî£è

Þ¼ŠH¡, Üˆî¬èò ñ¼ˆ¶õ º¬ø åšªõ£¡Á‚°‹, îQò£è M‡íŠð‹ ÜO‚è «õ‡´‹.

8. ðF¾„ ê£¡Pî›.- ñ¼ˆ¶õ GÁõùˆ¬î ðF¾ ªêŒõîŸè£ù M‡íŠð‹ ªðøŠð†ì¾ì¡, Þ‰î ê†ì‹ ñŸÁ‹ MFèO™

«î¬õŠð´Aø Ü¬ùˆ¬î»‹ M‡íŠðî£ó˜ G¬ø¾ ªêŒ¶œ÷£˜ â¡Á î°Fø‹ õ£Œ‰î ÜFè£ó Ü¬ñŠ¹ ñùG¬ø¾ Ü¬ì‰î

H¡ù˜, M‡íŠð‹ ªðøŠð†ì ï£OL¼‰¶ 180 ï£†èÀ‚°œ ð®õ‹ II-Þ™ ê£¡Pî› å¡¬ø ÜO‚è «õ‡´‹. Þ‰îŠ ðF¾„

ê£¡Pî› ñ£Ÿøˆî‚èî™ô.

9. ¹¶ŠHŠðîŸè£ù è£ôõ¬óò¬ø.- ðF¾„ê£¡Pî¬ö ¹¶ŠHŠðîŸè£ù åšªõ£¼ M‡íŠðº‹, Üî¡ ªê™Fø¡ è£ô

Ü÷¾ º®õ¬ìõîŸ°, 90 ï£†èÀ‚° º¡ù˜, î°Fø‹ õ£Œ‰î ÜFè£ó Ü¬ñŠHì‹ ÜO‚èŠðì «õ‡´‹.

10. ê£¡Pî› ïè™.- ðF¾„ ê£¡PîN¡ ïè™ õöƒ°õîŸè£ù åšªõ£¼ M‡íŠðº‹, º¡ÛÁ Ïð£Œ‚è£ù è†ìíˆ

ªî£¬è»ì¡ î°Fø‹ õ£Œ‰î ÜFè£ó Ü¬ñŠHì‹ ÜO‚èŠðì «õ‡´‹.

11. ñ¼ˆ¶õ GÁõùˆF¡ èì¬ñèœ ñŸÁ‹ ªð£ÁŠ¹èœ.- Þ‰î ê†ìˆF™ °PŠHìŠð†´œ÷ èì¬ñèœ ñŸÁ‹ ªð£ÁŠ¹èÀì¡,

åšªõ£¼ ñ¼ˆ¶õ GÁõùº‹,

(a) ªð£¶ ñ‚èœ ð£˜¬õJ™ ð´‹ ÞìˆF™, õ÷£èˆF¡ º‚Aò ÞìˆF™ ðF¾„ ê£¡PîN¡ ïè™ å¡¬ø ð£˜¬õ‚°

¬õ‚è «õ‡´‹;

(b) GÁõùˆF¡ ðEò£÷˜èO¡ ªðò˜èœ, ºèõKèœ ñŸÁ‹ è™Mˆ î°Fèœ ñŸÁ‹ Üîù£™ ðó£ñK‚èŠð†´ õ¼‹

ê£îùƒèœ ÝAòõŸ¬ø ªè£‡ì ðF¾¼‚è¬÷ I¡ùμ õ®M™ ðó£ñK‚è «õ‡´‹;

ð£¶è£ˆ¶ õóŠð´õ¶ì¡ Þ¶ °Pˆ¶ î°Fø‹ õ£Œ‰î ÜFè£ó Ü¬ñŠHŸ° ªîKM‚èŠðì «õ‡´‹.;

(d) «ï£ò£O ªî£ì˜ð£ù Üî¡ ªêò™ð£´èœ °P¢ˆî ñ¼ˆ¶õ ðF¾¼‚è¬÷ (Üî£õ¶, ñQî àìL¡ Ü™ô¶ Üî¡

å¼ ð°F¬ò Ü™ô¶ ÜFL¼‰¶ â´‚èŠð†ì ò£ªî£¼ ð°FJ¡ G¬ô è‡ìPõîŸ° ðò¡ð´A¡ø ò£ªî£¼

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

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CA„¬ê º¬ø) ðó£ñK‚è «õ‡´‹;

(e) î°Fø‹ õ£Œ‰î ÜFè£ó Ü¬ñŠð£™ ÝŒ¾ ªêŒò åšªõ£¼ ðF¾¼¾‹, ð£˜¬õ‚° ¬õˆ¶ õó «õ‡´‹;

ñ¼ˆ¶õ GÁõùˆF¡ à¬ì¬ñ àK¬ñ ñ£ÁA¡ø «ð£¶ Ü™ô¶ ñ¼ˆ¶õ CA„¬ê º¬ø ñ£ÁA¡ø «ð£¶, ðF¾„

ê£¡Pî› F¼‹ð åŠð¬ìŠ¹ ªêŒòŠð†´, ¹¶ ðFMŸ° M‡íŠH‚è «õ‡´‹;

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12. ñ¼ˆ¶õ ðF¾¼‚è¬÷ ðó£ñKˆ¶ õ¼î™.- åšªõ£¼ ñ¼ˆ¶õ GÁõùº‹, ð®õ‹ III-Þ™ ñ¼ˆ¶õñ¬ù‚°

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ðó£ñKˆ¶ õó «õ‡´‹.

13. ñ¼ˆ¶õ GÁõùƒèO¡ ð†®ò¬ô Ý‡´«î£Á‹ ªõOJ´î™.- î°Fø‹ õ£Œ‰î ÜFè£ó Ü¬ñŠ¹, åšªõ£¼

Ý‡´‹ üùõK ñ£îˆF™, ð®õ‹ IV-Þ™ ñ¼ˆ¶õ GÁõùƒèO¡ ð†®ò¬ô, îI›ï£´ ÜóCîN™ ªõOJ´î™ «õ‡´‹.

14. «ñ™º¬øf´.- (1) î°Fø‹ õ£Œ‰î ÜFè£ó Ü¬ñŠ¹ HK¾ (4) à†HK¾ (2)¡ W› ðF¾ ªêŒõîŸè£ù M‡íŠðˆ¬î

Gó£èKˆî™ Ü™ô¶ HK¾ (5) à†HKM¡(2) W› ðFM¬ù îŸè£Lèñ£è GÁˆF ¬õˆî™ Ü™ô¶ ðFM¬ù óˆ¶ ªêŒ»‹ Ý¬í

Ü™ô¶ HK¾ 6¡ W› î°Fø‹ õ£Œ‰î ÜFè£ó Ü¬ñŠ¹ ò£ªî£¼ è†ì¬÷¬ò âF˜ˆ¶, «ñ™ º¬øf´ å¡Á, Ü‰î Ý¬í

Ü™ô¶ è†ì¬÷ ªðøŠð†ì ï£OL¼‰¶ ºŠð¶ ï£†èÀ‚°œ ñ¼ˆ¶õ ñŸÁ‹ áóè ïôŠ ðEèœ Þò‚°ïKì‹ ÜO‚èŠðì

«õ‡´‹.

(2) Üˆî¬èò «ñ™º¬øf´ ªðøŠð†ì¾ì¡, ñ¼ˆ¶õ ñŸÁ‹ áóè ïôŠ ðEèœ Þò‚°ï˜, Þ‰î Mõè£óˆF™

Þ¬ì‚è£ô Ý¬í «î¬õ â¡Á è¼Fù£™, Üˆî¬èò Ý¬í¬ò Üõ˜ HøŠH‚èô£‹.

(3) ñ¼ˆ¶õ‹ ñŸÁ‹ áóè ïôŠ ðEèœ Þò‚°ï˜, «ñ™º¬øf´ ªðŸø ï£OL¼‰¶ 60 ï£†èÀ‚°œ, Mê£ó¬í

ªêŒõîŸ° Gò£òñ£ù õ£ŒŠH¬ù ÜOˆî H¡ù˜, ªð£¼ˆîñ£ù¶ âù‚ è¼îŠðì‚Ã®ò Ý¬í¬ò Üõ˜

HøŠH‚èô£‹.

(4) Üˆî¬èò Ý¬í HøŠH‚èŠð†ì ï£OL¼‰¶ ã¿ ï£†èÀ‚°œ ê‹ð‰îŠð†ì ïð¼‚°, «ñ™º¬øf†´ ÜFè£KJ¡

º®¾ ªîKM‚èŠðì «õ‡´‹.

(5) «ñ™ º¬øf†´ ÜFè£KJ¡ º®¾ ÞÁFò£ù¶ ñŸÁ‹ è†´Šð´ˆ¶õî£°‹.

HŸ«ê˜‚¬è I

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Ü. ÝƒAô ñ¼ˆ¶õ º¬ø

I ñ¼ˆ¶õ Ý«ô£ê¬ù Ü¬ø.-

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«ï£ò£O¬òŠ ðK«ê£Fˆ¶, CA„¬ê ñ¼‰¶ Y†´ ÜO‚è «õ‡´‹ .

(3) ñ¼ˆ¶õ„ ê£îùƒèœ.-ñ¼ˆ¶õ Ý«ô£ê¬ù Ü¬øJ™ H¡õ¼‹ ñ¼ˆ¶õ„ ê£îùƒèœ ñŸÁ‹ ñ¼ˆ¶õñ¬ù ¶¬íŠ

ªð£¼†èœ Þ¼‚è «õ‡´‹ :-

(a) «ï£ò£O¬òŠ ðK«ê£FŠðîŸ°Š ðò¡ð´ˆîŠð´‹ ð´‚¬è

(b) Þóˆî Ü¿ˆîñ£Q (Blood Pressure Apparatus)

(d) ì£˜„ ¬ô†

(e) ï£‚° Ü¿ˆF (Tongue Depressor)

(f)

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(h) ºöƒè£™ â½‹¬ð ðK«ê£F‚è àî¾‹ è¼M (Knee Hammer)

(i)

Ü÷¾ ï£ì£

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(j)

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(k) Þ¬îˆ îMó, «ï£ò£O¬ò ðK«ê£FŠðîŸè£è F¬ó õêF Ü™ô¶ «ð£Fò Ü÷M™ îQ¬ñ õêF

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ªêŒòð†ì ï£œ, ÜÂñF‚èŠð†ì ï£œ ÝAò îèõ™è¬÷‚ ªè£‡®¼‚°‹ ðF«õ´ å¡¬ø ðó£ñKˆ¶õó

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å¡Á «ï£ò£OJì‹ õöƒèŠð´î™ «õ‡´‹.

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II ñ¼ˆ¶õ ¬ñò‹.- ñ¼ˆ¶õ Ý«ô£ê¬ù Ü¬ø‚° õ¬óòÁ‚èŠð†ì MFº¬øèÀì¡ H¡õ¼‹ MFº¬øèÀ‹

G¬ø¾ ªêŒòŠðì «õ‡´‹..

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Þ¼‚è «õ‡´‹.

(2) ðEò£÷˜.- Iè‚ °¬ø‰î Ü÷õ£è å¼ ñ¼ˆ¶õ˜ ñŸÁ‹ ñ¼ˆ¶õ‹ ê£˜‰î ðEò£÷˜ å¼õ˜.

(3) ê£îùƒèœ.- (a) ¸‡μJ˜ c‚A Ü™ô¶ ªî£ŸÁ c‚A

(b) ¸‡μJ˜ c‚èŠð†ì Ü™ô¶ ªî£ŸÁ c‚èŠð†ì ñ¼‰ÉCèœ/ê£îùƒèÀ‚è£ù õêF Ü™ô¶

ñÁðò¡ð£†´‚° åšõ£î ñ¼‰ÉCèœ ñ†´«ñ ðò¡ð´ˆîŠðì «õ‡´‹.

(d) Þ´‚Aèœ (Cheetles Forceps)

(e) ÜÁ¬õ„ CA„¬ê‚è£ù èˆFK‚«è£™

(f)

å†´‹ î¡¬ñ»¬ìò H÷£vFK

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(h) CÁcóè õ®Mô£ù î†´

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(5) ñ¼‰¶ õöƒ°î™.- ñ¼ˆ¶õ ¬ñò‹ «ï£ò£OèÀ‚° ñ¼‰¶ õöƒ°õF™ ß´ð†®¼‰î£™, î°F õ£Œ‰î

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W› ñ†´«ñ ñ¼‰¶ õöƒèŠðì «õ‡´‹.

(6) ñ¼ˆ¶õ ¬ñòˆF™ àœ÷ ðK«ê£î¬ù‚Ãì‹ .- ñ¼ˆ¶õ ¬ñò‹ ÝŒ¾‚Ãì «ê¬õè¬÷ õöƒ°ñ£J¡, Üóê£™

ÜƒWèK‚èŠð†ì ñ¼‰îè ÝŒõè ªî£N™¸†ðMò™ ð†ìò‹ / ñ¼‰îè ÝŒMò™ ªî£N™¸†ðMò™ (DMLT / CMLT)

ê£¡Pî¬ö ¬õˆF¼‚°‹ î°Fõ£Œ‰î ªî£N™¸†ðŠ ðEò£÷ó£™ ÝŒ¾‚Ãì ðEèœ «ñŸªè£œ÷Šðì «õ‡´‹

Ü™ô¶ ñ£Ÿø£è ñ¼ˆ¶õ ÜFè£Kò£™, ÜõK¡ «ïó® «ñŸð£˜¬õJ¡ W› ðJŸC ªðŸø ðEò£÷ó£™ ÝŒ¾èœ

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q«ñ£°«÷£H¡ â‡E‚¬è «ð£¡ø¬õ °Pˆî ðK«ê£î¬ùèœ ðJŸC ªðŸø ïðó£™ «ñŸªè£œ÷Šðì«õ‡´‹.

(7) á´èF˜ ðì‹ (¸‡èF˜ i„²).- ñ¼ˆ¶õ ¬ñòˆF™ ÜîŸ°„ ªê£‰îñ£ù á´èF˜ HK¾ Þ¼ŠH¡, Üóê£™

ÜƒWèK‚èŠð†ì CRA ê£¡Pî› (Clinical Research Associate Certiﬁ cate) ¬õˆ¶œ÷ î°F õ£Œ‰î ¸‡èF˜

i„ê£÷ó£™ á´èF˜ðì‹ â´‚èŠðì «õ‡´‹.

(8) CPò ÜÁ¬õCA„¬êèœ.- c˜‚è†®¬ò ÜèŸÁî™, ñ¼ˆ¶õ gFJô£ù è¼‚è¬ôŠ¹, D & C «ð£¡ø CPò

ÜÁ¬õ CA„¬êè¬÷ «ñŸªè£‡ì£™, Ü‰î «ï£‚èƒèÀ‚è£è ²ˆîñ£ù Ü¬ø ñŸÁ‹ CPò ÜÁ¬õ ÜóƒAŸ°

«î¬õŠð´‹ õêFèœ ÜìƒAòî£è Þ¼ˆî™ «õ‡´‹.

III ð™õ¬è «ï£ŒèÀ‚° CA„¬êòO‚°‹ ñ¼ˆ¶õñ¬ù.-

ñ¼ˆ¶õ CA„¬ê ¬ñò‹ ñŸÁ‹ ñ¼ˆ¶õ Ý«ô£ê¬ù Ü¬ø‚° õ¬óòÁ‚èŠð†ì MFº¬øèÀì¡ ð™«õÁ

CA„¬êŠ HK¾èœ Þ¼ŠH¡, åšªõ£¼ CøŠ¹ CA„¬ê HK¾‚°‹ îQ Ü¬ø õöƒè ãŸð£´ ªêŒòŠðì «õ‡´‹.

«ï£ò£OèÀ‚°, è£ˆF¼ŠðîŸè£ù Ü¬ø ñŸÁ‹ ²ˆîñ£ù °®c˜ õöƒè õ¬èªêŒòŠðì «õ‡´‹. è£ˆF¼‚°‹

Ü¬øJ™, ð™«õÁ HK¾èO™ ðE¹K»‹ ñ¼ˆ¶õ˜èO¡ ªðò˜èœ ð£˜¬õ‚° ¬õ‚èŠðì «õ‡´‹.

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

IV. ñ¼ˆ¶õñ¬ù.-

(1)

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«ð£¶ñ£ù ÞìõêF ªè£‡ì è£ˆF¼Š«ð£˜ Ü¬ø‚° õ¬è ªêŒòŠðì «õ‡´‹.

(2) õ£˜´èœ Ü™ô¶ àœ «ï£ò£OèÀ‚è£ù Ü¬øèO¡ ªî£°Š¹.- (a) ÞìõêF.-

(i)

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è£Ÿ«ø£†ìñ£ù, ªõO„ê‹ ªè£‡ìî£è Þ¼‚è «õ‡´‹. åšªõ£¼ Ü¬ø‚°‹ I¡MCP õöƒèŠðì

«õ‡´‹. ªð£¶ Ü¬øèO™, °¬ø‰î¶ Þó‡´ ð´‚¬èèÀ‚° å¼ I¡MCPò£õ¶ Þ¼‚è «õ‡´‹.

(ii)

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õêF»ìÂ‹ Þ¼‚è «õ‡´‹.

(iii) A¼I ï£CQ ªè£‡´ ï£œ«î£Á‹ õ£˜´è¬÷ˆ ¶¬ìŠðîŸ° ãŸð£´èœ ªêŒòŠðì «õ‡´‹.

(iv) Hó£íõ£» (Oxgyen), àŠ¹ c˜ GÁˆF (Saline Stand) «ð£¡ø ÜõCòñ£ù ê£îùƒèÀì¡, æšªõ£¼ 20

Ü¬øèÀ‚°‹ å¼ ñ¼ˆ¶õŠ ðEò£÷˜ Ü½õ™ Ü¬ø Þ¼‚è «õ‡´‹.

(b) ðEò£÷˜èœ.- (i) ñ¼ˆ¶õ˜èœ.-

- åšªõ£¼ 30 ð´‚¬èèÀ‚°‹, å¼ î°F õ£Œ‰î ñ¼ˆ¶õ˜

- Þó¾ «ïóˆF™ ñŸÁ‹ Ü½õ™ Þ™ô£î «ïóƒèO™, Ü¬ö‚°‹ «ð£¶ õ‰¶ CA„¬ê ÜOŠðîŸ°

30 ð´‚¬èèÀ‚° å¼ ñ¼ˆ¶õ˜ Þ¼‚è «õ‡´‹.

ñ¼ˆ¶õñ¬ùJ™ 30 ð´‚¬èèœ ñŸÁ‹ ÜîŸ° «ñô£ù ð´‚¬èèœ àœ÷ ªð£¶ ñ¼ˆ¶õŠHKM™ 24

ñE «ïóº‹ å¼ ñ¼ˆ¶õ˜ «ïó®ò£èŠ ðEJ™ Þ¼‚è «õ‡´‹.

ñ¼ˆ¶õñ¬ù 30 ð´‚¬èèÀ‚°‹ °¬øõ£è ªðŸP¼‰¶, Ýù£™ Üƒ° Üõêó CA„¬êŠHK¾

ªêò™ð†´õ¼ñ£J¡ 24 ñE «ïóº‹ å¼ ñ¼ˆ¶õ˜ ðEJ™ Þ¼‚è «õ‡´‹.

(ii)

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ðJŸCªðŸø ªêMLò˜ àîMò£÷˜èœ Þ¼‚è «õ‡´‹. Ã´îô£è àœ÷ åšªõ£¼ 30 ð´‚¬èèÀ‚°‹

å¼ î°Fõ£Œ‰î ªêMLò˜ Þ¼‚è «õ‡´‹.

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â‡E‚¬è âšõ÷õ£è Þ¼ŠHÂ‹ °¬ø‰î÷¾ «î¬õŠð´Aø â‡E‚¬è Ý°‹.

(iii) ªêMLò àîMò£÷˜.- ð´‚¬èèO¡ â‡E‚¬èè¬÷Š ªð£Áˆ¶, «ð£¶ñ£ù Ü÷M™, è£òƒèÀ‚° è†´

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ªêŒî™ «ð£¡ø ðEèO™ ñ¼ˆ¶õ˜èœ ñŸÁ‹ ªêMLò˜èÀ‚° àî¾õîŸè£è Ý‡ ñŸÁ‹ ªð‡ àîM

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Üõ˜èÀ‚° õöƒè‚Ãì£¶, î°Fõ£Œ‰î ªêMLòK¡ W› Üõ˜èœ ðE¹Kî™ «õ‡´‹.

(iv) ²ˆî‹ ªêŒ»‹ ðEèœ.- ñ¼ˆ¶õ CA„¬ê G¬ôòˆF™ / ñ¼ˆ¶õñ¬ùJ™ «ð£¶ñ£ù â‡E‚¬èJ™

²ˆî‹ ªêŒ»‹ ðEò£÷˜èœ (ªð¼‚°ðõ˜ / ¶Š¹ó¾Š ðEò£÷˜) Þ¼‚è «õ‡´‹. °¬ø‰î÷õ£è

20 ð´‚¬èèÀ‚° å¼ ¶Š¹ó¾Š ðEò£÷˜ â¡ð¶ °¬ø‰îð†ê «î¬õò£ù â‡E‚¬è Ý°‹.

3. Hø «ê¬õèœ.-

(a) ñ¼‰îè‹.- ñ¼ˆ¶õñ¬ùJ™ «ï£ò£OèÀ‚° ñ¼‰¶èœ õöƒ°õîŸè£è ñ¼‰îè‹ ªêò™ð†´ õ¼ñ£J¡,

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TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

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ÜÁ¬õ CA„¬ê Ü¬øJ™ ¹ø áî£‚èF˜ (Ultra Violet) M÷‚°èœ ªð£¼ˆîŠð†®¼‚è «õ‡´‹. ÜÁ¬õ

CA„¬ê Ü¬ø «ð£¶ñ£ù ãŸð£´èÀì¡ å¿ƒ°ð´ˆîŠð†®¼‚è «õ‡´‹. °¬ø‰î¶ ñ£îˆFŸªè£¼

º¬øò£õ¶ ÜÁ¬õ CA„¬ê Ü¬ø åŸP ¶¬ì‚èŠð†®¼‚è «õ‡´‹.

(ii)

ðEò£÷˜èœ.- î°Fõ£Œ‰î ªêMLò˜ å¼õ˜ ÜÁ¬õ CA„¬ê ÜóƒA™ ªêMLò˜ ðEò£÷˜èÀ‚°

î¬ô¬ñ ªêMLòó£è Þ¼‚è «õ‡´‹. î°Fõ£Œ‰î àí˜õèŸø™/ñò‚èMò™ ñ¼ˆ¶õ˜ Ü™ô¶

àí˜õèŸøL™ ðJŸC ªðŸø ñ¼ˆ¶õó£™ ñ†´«ñ àí˜õèŸø™/ñò‚è ñ¼‰¶èœ õöƒèŠðì «õ‡´‹.

î°Fõ£Œ‰î ñ¼ˆ¶õ˜è÷£™ ñ†´«ñ ÜÁ¬õ CA„¬êèœ «ñŸªè£œ÷Šðì «õ‡´‹.

(iii) àðèóíƒèœ.-

ÜÁ¬õ CA„¬ê‚è£ù «ñ¬ê

²õŸP™ ñ£†´‹ð®ò£ù °MŠ¹ M÷‚°

«ð£¶ñ£ù à¼¬÷èÀì¡ Ã®ò ð£J™-v (Boyle’s) âÂ‹ è¼M

è‡è£EŠ¹‚è¼Mèœ-

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

Ü) Þîò è‡è£EŠ¹‚è¼M (Cardiac monitor) -è†ì£òñ£è

Ý) ï£®ˆ¶®Š¹ Ý‚Re†ì˜ (Pulse Oximetre) è†ì£òñ£è

àP…² àðèóí‹ Þó‡´

ÉŒ¬ñò£‚A/¸‡μJ˜ c‚A, àò˜ Ü¿ˆî‚ªè£Šð¬ø(Ý†«ì£A«÷š)

ÜÁ¬õ CA„¬ê‚° «õ‡®ò ÜÁ¬õ CA„¬ê àðèóíƒèœ

ÉŒ¬ñò£‚èŠð†ì Í´ªî£†®

«ï£ò£O¬ò Þìñ£Ÿø‹ ªêŒõîŸè£ù É‚°Šð´‚¬è

àí˜õèŸø™ ñ¼‰¶èœ ÜìƒAò ¬èòì‚èŠªð†®

(iv) ðF¾¼‚èœ.-«ñŸªè£œ÷Šð†ì Ü¬ùˆ¶ ÜÁ¬õ CA„¬êèO½‹, «ï£ò£O, ÜÁ¬õ CA„¬ê G¹í˜, ñò‚èñ¼‰¶

G¹í˜ ñŸÁ‹ ªêMLò˜ ÝA«ò£K¡ ªðò˜, õò¶, ð£Lù‹, ºèõK ÝAò¬õ ðŸPò ðF¾èœ ðF«õ†®™

ðFòŠð†®¼‚è «õ‡´‹. àìŸF² ÝŒ¾ ÜP‚¬èèÀ‹ ðFòŠð†®¼‚è «õ‡´‹.

(15) bMó CA„¬ê HK¾ .- 100 ð´‚¬èèÀ‚° «ñ½œ÷ Ü¬ùˆ¶ ñ¼ˆ¶õñ¬ùèœ/ ñ¼ˆ¶õ ¬ñòƒèO™ bMó

CA„¬ê HK¾ ðó£ñK‚èŠðìô£‹. H¡õ¼‹ °¬ø‰î÷¾ Ü÷¾«è£™èœ H¡ðŸøŠðì «õ‡´‹, Ü¬õ.-

(a) Þì õêF.- ï¡° è£Ÿ«ø£†ìˆ¶ì¡ °OÏ†ìŠð†´ «ð£¶ñ£ù Ü÷¾ ªõO„êˆ¶ì¡ Þ¼Šð¶ Iè ÜõCòñ£°‹.

Üƒ° 4 ð´‚¬èèœ Þ¼ŠH¡, °¬ø‰î÷¾ 240 ê¶ó Ü® ÜõCòñ£°‹. ªêòŸ¬è ²õ£ê‚è¼Mèœ ñŸÁ‹

è‡è£EŠ¹‚è¼Mèœ ¬õ‚èŠ«ð£¶ñ£ù Þì‹ Þ¼‚è «õ‡´‹. ðEJ½œ÷ ñ¼ˆ¶õ˜ ñŸÁ‹ ªêMLò¼‚°

«õ‡®ò ÞìõêF Þ¼‚è «õ‡´‹. bMó CA„¬ê HKMŸ° ªõO«ò «ï£ò£O»ì¡ àìQ¼Šðõ¼‚è£ù

ÞìõêF ªêŒòŠðì «õ‡´‹.

(b) ðEò£÷˜èœ.- ðè™ «ïóˆF™ åšªõ£¼ 10 ð´‚¬èèÀ‚°‹, å¼ ñ¼ˆ¶õ˜ Þ¼‚è «õ‡´‹. 10 ð´‚¬èèÀ‚°‹

«ñ™ Þ¼ŠH¡ åšªõ£¼ Ã´î™ 5 ð´‚¬èèÀ‚°‹ å¼ Ã´î™ ñ¼ˆ¶õ˜ Þ¼‚è «õ‡´‹. Þó¾ «ïóˆ¶‚°

Þ¶ «ð£¡ø õêF ªêŒòŠðì«õ‡´‹.

Ã´îô£ù 3 ð´‚¬èèÀ‚°‹ ñŸªø£¼ î°Fõ£Œ‰î ªêMLò˜ Þ¼‚è «õ‡´‹. Þ‰î ãŸð£†´ º¬ø Þó¾

«ïóŠŠðEèÀ‚°‹ ªêŒòŠðì«õ‡´‹.

(d) àðèóíƒèœ.-

bMó CA„¬ê HKMŸè£ù è†®™èœ

àŠ¹c˜ î£ƒAèœ

ªêòŸ¬è ²õ£ê‚è¼Mèœ

Þîò è‡è£EŠ¹‚è¼M

ï£®ˆ¶®Š¹ Ý‚Re†ì˜ (Pulse Oximetre)

àîø™ c‚A/Üì‚A (Deﬁ brillator)

àP…² àðèóí‹

Hó£íõ£» õöƒA (Ý‚R¡ õöƒA) (à¼¬÷ Ü™ô¶ ªð£¶õ£ù æKìˆFL¼‰¶ õöƒ°î™)

Y˜ªõŠð‚ è¼Mèœ (Incubation Equipment)

ñ¼‰¶èœ

I¡ àŸðˆF ê£îù‹

(e) ðF¾¼‚èœ.-bMó CA„¬ê HKM½œ÷ àœ-«ï£ò£OèO¡ àì™ ïô‚°¬ø¾, ÜO‚èŠð†ì CA„¬ê, õ¼¬è î‰î

ñ¼ˆ¶õ õ™½ï˜èœ-ðô¡èœ ÝAò¬õ ðF«õ†®™ ðF¾ ªêŒòŠð†®¼‚è «õ‡´‹.

(16) ñ¼ˆ¶õñ¬ùJ™ «ðíŠðì «õ‡®ò ñ¼ˆ¶õŠ ðF¾¼‚èœ.-H¡õ¼‹ ðF¾¼‚èœ ðó£ñK‚èŠðì «õ‡´‹. Ü¬õ:

(i)

¸¬ö¾ ñŸÁ‹ CA„¬ê‚°Š H¡ «ï£ò£Oèœ i†®Ÿ° F¼‹ð ÜÂŠðŠð´õ¶ °Pˆî ðF«õ´

(ii)

«ï£Œ‚°PŠ¹ˆî£œèœ

(iii) ðK‰¶¬óèœ

(iv) ªî£ŸÁ ñŸÁ‹ ðóŠ¹‹ «ï£Œ ðŸPò ðF«õ´

(v) «ï£Œˆî´Š¹ Mõóƒèœ

(vi) °´‹ð ïô «ê¬õèœ

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(vii) ê†ì‹ ê£˜‰î ñ¼ˆ¶õ «ï˜¾èœ °Pˆî ðF¾¼‚èœ

(viii) Hóêõ ÞøŠ¹ŠðF¾¼‚èœ

(ix) C² ÞøŠ¹ŠðF¾¼‚èœ

(x) 1 ºî™ 5 õò¶ õ¬óJô£ù °ö‰¬î ÞøŠ¹ŠðF¾¼‚èœ

(xi) ÜšõŠ«ð£¶ Üóê£™ ÜP¾ÁˆîŠð´‹ ã¬ùò ò£ªî£¼ ðF¾¼.

V ñèŠ«ðÁ ñ¼ˆ¶õñ¬ùèœ.-

CÁ ñ¼ˆ¶õ ¬ñòƒèœ / ñ¼ˆ¶õñ¬ùèÀ‚° °PŠHìŠð†´œ÷ õêFèœ / õ¬óò¬øèÀì¡ Hóêõ Ü¬ø ñŸÁ‹ ÜÁ¬õ

Üóƒ°‹ M¼‹ðˆî‚èî£°‹. «ï£ò£÷˜ á˜F Ü™ô¶ ñˆFò «ï£ò£÷˜ á˜F «ê¬õ»ì¡ Þ¬í‰î ãŸð£†´ º¬ø «ð£¡ø

«ï£ò£Oè¬÷ ãŸPªê™õîŸè£ù õêFèœ M¼‹ðˆî‚èî£°‹.

VI ð™ ê‹ð‰îŠð†ì CA„¬ê ñ¼ˆ¶õ G¬ôò‹.-

(1) è†ìì‹.-ð™ ê‹ð‰îŠð†ì CA„¬ê «ñŸªè£œõîŸè£ù ï£Ÿè£L‚° «ð£¶ñ£ù ÞìõêF»ì¡ 100 ê¶ó Ü®‚°

°¬øò£î Ý«ô£ê¬ù Ü¬ø Þ¼ˆî™ «õ‡´‹. Þ‰î Ü¬øò£ù¶, ï™ô è£Ÿ«ø£†ìˆ¶ìÂ‹, «ð£¶ñ£ù

ªõO„êˆ¶ìÂ‹ Þ¼‚è «õ‡´‹. ÉŒ¬ñò£‚A ñŸÁ‹ î†´è¬÷ ¬õŠðîŸ° ÞìõêF Þ¼‚è «õ‡´‹.

Ý«ô£ê¬ù Ü¬ø‚° ªõO«ò «ï£ò£Oèœ è£ˆF¼ŠðîŸ° «ð£¶ñ£ù Þì õêF ªêŒòŠð†®¼‚è «õ‡´‹.

(2) ðEò£÷˜.-1948 Ý‹ Ý‡´ Þ‰FòŠ ð™ ñ¼ˆ¶õ ê†ìˆF¡ð® (ñˆFò„ ê†ì‹ 16/1948), î°F õ£Œ‰î ð™

ÜÁ¬õ CA„¬ê ñ¼ˆ¶õó£™ ñ†´«ñ, ð™ ÜÁ¬õ CA„¬ê, èô‰î£Œ¾ ñŸÁ‹ ñ¼‰¶‚ °PŠ¹ â¿¶î™

«ð£¡ø¬õ «ñŸªè£œ÷Šðì «õ‡´‹. áC °ˆ¶î™, ñò‚è ñ¼‰¶ ÜOˆî™ «ð£¡ø¬õ ð™ ÜÁ¬õ ñ¼ˆ¶õó£™

ªêŒòŠðìô£‹. á´èF˜(X-ray) ðì‹, î°Fõ£Œ‰î èF˜i„²ŠðFõ£÷ó£™ (Radiographer) Ü™ô¶ ð™ ñ¼ˆ¶õó£™

â´‚èŠðì «õ‡´‹.

(3) è¼Mèœ.-

(a) ð™ CA„¬ê «ñŸªè£œõîŸè£ù ï£Ÿè£L

(b) ÜÁ¬õ CA„¬ê‚è£ù c˜ ãŸð£´

(d) ÉŒ¬ñ ªêŒõîŸ° ðò¡ð´ˆ¶‹ ð¼ˆF è†´ˆ¶E ºîLòõŸ¬ø «ð£´õîŸè£ù ªî£†®

(e) è¼MèÀì¡ Ã®ò î†´èœ

(f) ð™ ñ¼ˆ¶õ CA„¬ê‚è£ù è¼Mèœ

(g) á´èF˜ (X-ray) (M¼ŠðˆF¡ «ðK™) (â‚v «ó)

(h) å¼ º¬ø ñ†´«ñ ðò¡ð´ˆî‚Ã®ò d„²‚°ö£Œèœ («î¬õŠð®¡)/ÜF Ü¿ˆî‚ ªè£F Ü´Š¹ìù£ù

d„²‚°ö£Œèœ. (autoclaved syringes)

(4) ðF¾¼‚èœ.-CA„¬ê ÜO‚èŠð†ì «ï£ò£OèO¡ ªðò˜, õò¶, ð£Lù‹, «ï£Œ ñŸÁ‹ ÜO‚èŠð†ì CA„¬ê

«ð£¡ø Mõóƒèœ ÜìƒAò ðF¾¼ ¬õˆF¼‚èŠðì «õ‡´‹. «ñŸªê£¡ù MõóƒèÀì¡ Ã®ò °PŠ¹„Y†´

«ï£ò£OèÀ‚° õöƒèŠðì «õ‡´‹.

VII

ð™ ñ¼ˆ¶õñ¬ùèœ.-

¹ø «ï£ò£Oèœ ¶¬ø.- ð™ ñ¼ˆ¶õñ¬ùJ¡ ¹ø «ï£ò£Oèœ HK¾, ð™ ñ¼ˆ¶õ ñ¬ù‚° õ¬óòÁ‚èŠð†ì Ü÷¾«è£™è¬÷

àÁF„ ªêŒò «õ‡´‹. Þ¶ îMó, «ï£ò£OèÀ‚° «ð£¶ñ£ù è£ˆF¼Š¹ Ü¬øèœ õöƒèŠðì «õ‡´‹. õ£˜´èœ, ÜÁ¬õ

Üóƒè‹ ñŸÁ‹ ã¬ùò Ü‹êƒèœ, ñ¼ˆ¶õG¬ôòƒèœ ñŸÁ‹ ñ¼ˆ¶õñ¬ùèÀ‚° õ¬óòÁ‚èŠð†ì Ü÷¾«è£™èO¡ð®

Þ¼‚è «õ‡´‹.

VIII

ñ¼ˆ¶õ ÝŒõèƒèœ.- ñ¼ˆ¶õ ÝŒõèƒèœ, «ï£Jò™ ÝŒõèƒèœ, ñóHò™ ÝŒõèƒèœ «ð£¡øõŸ¬ø Ü¬õèœ

àœ÷ì‚Aòî£°‹.

(1) è†ìì‹.-ñ£FK «êèKŠ¹, ºî½îM Ü¬ø, õNº¬ø ªêŒî™, ÜP‚¬è îò£Kˆî™ «ð£¡øõŸPŸ° °¬ø‰î÷õ£è,

áóèŠð°FJ™ 500 ê¶ó Ü® Þìº‹, ïè˜Š¹øŠ ð°FJ™ 700-1500 ê¶ó Ü® õ¬óJô£ù Þìº‹ Þ¼‚è

«õ‡´‹. «ï£ò£OèO¡ ðò¡ð£†®Ÿè£è, «ð£¶ñ£ù î‡a˜ õêF»ì¡, °¬ø‰î¶ å¼ èNõ¬øò£õ¶ Þ¼‚è

«õ‡´‹. ¸‡ «ï£‚Aò™ (Microscopy) ñŸÁ‹ àJ˜ «õFJò™ «ê£î¬ùèÀ‚è£è «ð£¶ñ£ù ÞìõêF Þ¼‚è

«õ‡´‹. ÞîŸè£ù Ü¬ø è£Ÿ«ø£†ìñ£è¾‹, «ð£¶ñ£ù ªõO„êˆ¶ìÂ‹ Þ¼‚è «õ‡´‹. «ï£ò£OèO¡

ðò¡ð£†®Ÿè£è, è†®™ ¬õŠðîŸ° «ð£¶ñ£ù Þì‹ Þ¼‚è «õ‡´‹. á´èF˜ ðì‹ ªêò™ð´ñ£J¡, á´èF˜

ðì‹ ¬ñòˆFŸè£ù ªïPº¬øèœ è¬ìH®‚èŠðì «õ‡´‹. «ê£î¬ù‚ Ãìƒèœ H¡õ¼õù ªî£ì˜ð£è,

«ð£¶ñ£ù ÞìõêF»ì¡ Þ¼Šð¬î àÁF ªêŒFì «õ‡´‹.

(a) «ï£ò£Oèœ õó«õŸð¬ø

(b) ñ£FK «êèKŠ¹ (Sample Collection)

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(d) Üμê‚F å¿ƒ°ð´ˆ¶‹ õ£Kò‹ (AERB) â¡ø º¬øŠð´ˆ¶‹ ºè¬ñJ¡ «î¬õ‚«èŸð, èFKò‚è ä«ê£«ì£Š

ªî£ì˜ð£ù ðE. (Radio isotope)

ðEò£÷˜, è™Mˆ î°F «ð£¡øõŸPŸè£è¾‹, ÝŒõèƒèœ ðK«ê£î¬ù ñŸÁ‹ ªêò™ð£†®Ÿè£è «îCò ÜƒWèKŠ¹

õ£Kòˆî£™ °PŠHìŠð†´œ÷ Ü÷¾ «è£™è¬÷ Þ‰î ÝŒõèƒèœ õêF ªêŒò «õ‡´‹. ÝŒõè «ê¬õJ™ îó àÁF,

àœ÷£˜‰î îó‹ ñŸÁ‹ ªõOŠ¹ø îó‹ àÁF ªêŒòŠðì «õ‡´‹.

(2) ðEò£÷˜.- (a) «ï£Œ‚°P Þò™ G¹í˜ Ü™ô¶ ðJŸC ªðŸø ñ¼ˆ¶õó£™, àì™ F² ÝŒ¾„ «ê£î¬ù ñŸÁ‹

ÜP‚¬èòOˆî™ «ñŸªè£œ÷Šðì «õ‡´‹. ¸‡μJ˜ õ÷˜Š¹ ñŸÁ‹ àí˜Fø¡ «ê£î¬ùèœ «ñŸªè£œ÷Šð´‹

«ð£¶, ñ¼ˆ¶õ‹ Ü™ô¶ ñ¼ˆ¶õ‹ ê£ó£î ¸‡μJKJòô£÷˜ Þ¼‚è «õ‡´‹. àJóμMò™ ÜP‚¬èèœ

«ï£Œ‚°PJò™ G¹íó£™ ñ†´«ñ ÜO‚èŠðì «õ‡´‹.

(b) ªî£N™¸†ð ðEò£÷¼‚è£ù î°Fèœ.- ªî£N™¸†ð‹ ê£˜‰î «ê£î¬ùè¬÷ «ñŸªè£œÀ‹ ðEò£÷˜

W›‚è‡ì î°Fè¬÷»‹ ªðŸP¼‚è «õ‡´‹, Ü¬õò£õù:-

(i)

ñ¼ˆ¶õ ÝŒõèˆ ªî£N™¸†ðˆF™ ð†ìŠð®Š¹; Ü™ô¶

(ii)

ñ¼ˆ¶õ ÝŒõè ªî£N™¸†ðˆî£™ °¬ø‰î÷õ£è Þó‡ì£‡´ è£ô ð†ìòŠð®Š¹; Ü™ô¶

(iii) ñ¼ˆ¶õ ÝŒõèˆ ªî£N™¸†ðˆF™ æó£‡´ è£ô Ü÷¾ì¡ Ã®ò ê£¡Pî¿ì¡ Þó‡ì£‡´

ÜÂðõ‹; Ü™ô¶

(iv) ñ¼ˆ¶õ ÝŒõèˆF™ æó£‡´ ÜÂðõˆ¶ì¡ ÜPMòL™ ð†ìŠ ð®Š¹; Ü™ô¶

(v) ñ¼ˆ¶õ èF˜i„² ñŸÁ‹ «ó®«ò£ ä«ê£«ì£Š ªî£N™¸†ðˆF™ ð†ìòŠð®Š¹ (DMRIT); Ü™ô¶

(vi) àJóμMò™ ªî£N™¸†ðMòô£÷¼‚è£ù (Cytotechnology) «ñŸªê£¡ù î°F»ì¡ Ã´îô£è

(exfoliative Cytology)-¬ò è‡ìPõîŸè£è, Þ‰Fò àJóμMò™ Üè£ìIò£™ àJóμMò™

ªî£N™¸†ðˆF™ (cytotechnology) Ã´î™ ê£¡Pî›.

ñ¼ˆ¶õó£™ ñ†´«ñ «ñŸªè£œ÷Šð†´ ÜP‚¬èòO‚èŠðì «õ‡´‹. ê†ìˆî£™ Þ¬êõO‚èŠð†ìõ£Á,

ðQ‚°ìˆ¶¬÷Š¹ (amnio centesis) «ñŸªè£œ÷Šð´ñ£J¡, CÁ ñ¼ˆ¶õ ÜÁ¬õ CA„¬ê

ÃìˆF™ ñ†´«ñ Ü¶ ªêŒòŠðì «õ‡´‹. CÁ ñ¼ˆ¶õ ÜÁ¬õ CA„¬ê‚ ÃìˆFŸ°ˆ «î¬õŠðì‚Ã®ò

Ü¬ùˆ¶ õêFèÀ‹ Þ¼‚è «õ‡´‹. A¼I c‚è‹ ªêŒòŠð†ì Å›G¬ôèO™, î°F õ£Œ‰î ñ¼ˆ¶õó£™

«ñŸªè£œ÷Šðì «õ‡´‹.

(3) è¼Mèœ.-

(a) ¸‡«í£‚Aèœ

(b) è«ô£Kñ£Q (Calorimeter)

(d) «ê£î¬ù‚°ö£Œèœ

(e) GöŸðì è¼MJ™ ¬õˆ¶‚ è£‡H‚èŠð´‹ è‡í£® M™¬ô (Slides)

(f)

«î¬õŠð´‹ M¬ùÎ‚A (Reagent)

(g) ð£F î£Qòƒ°Š ð°Šð£ŒM Ü™ô¶ î£Qòƒ°Š ð°Šð£ŒM (Auto analyser) (M¼Š¹K¬ñ)

(h) àJóμ ¸¬ö¾ ¬ñò‹ (M¼Š¹K¬ñ)

(i)

Þóˆî Üμ‚èœ Ü÷¾ñ£Q (Haemoglobinotmeter)

(î)

àJóμ‚è¬÷ â‡μ‹ Ü¬ø (Counting Chamber)

(k) °O˜ ê£îùŠ ªð†®

(l)

ªõŠð‚ è£ŸÁ Ü´Š¹

(m) ÞòŸHò™ îó£² (Physical Balance)

(n) G¬ôò£ù ñŸÁ‹ ñ£Áð´‹ Ü÷¾¬ìò ¸‡ °ö£Œèœ (Micro Pipettes)

(d) ðF¾¼‚èœ.- ÝŒõèˆF™ «ñŸªè£œ÷Šð´Aø Ü¬ùˆ¶ «ê£î¬ùèÀ‹, ªðò˜, õò¶, ð£Lù‹, «ñŸªè£œ÷Šð†ì

ÝŒ¾ °Pˆî ÜP‚¬è ï£œ «ð£¡øõŸÁì¡ ðF«õ†®™ ðF¾ªêŒòŠðì «õ‡´‹.

ðó£ñK‚èŠðì «õ‡®ò °¬ø‰î Ü÷¾ ðF¾¼‚èœ W›õ¼ñ£Á:-

(a) FùêK «ê£î¬ù º®¾èœ ðF«õ´

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(b) àœ÷£˜‰î îó‚ è†´Šð£†´Š ðF«õ´

(d) ªõOŠ¹ø îó ñFŠd´ F†ì Gè›„CèO™ ðƒ«èŸ¹

IX. â‚v«ó (X-ray) ¬ñòƒèœ.-

Þ‹¬ñò‹, eªò£L õ¬óM (imaging) v«è¡ ¬ñòƒèœ, C.®.v«è¡ ¬ñòƒèœ, â‹.Ý˜.ä.v«è¡ ¬ñòƒèœ, á´èF˜èœ

(X-ray) ß.C.T,ß.ß.T ñŸÁ‹ †ªó†I™ â‚«è£è£˜®«ò£Aó£H ÝAò eªò£L õN Þò™ G¬ô õ¬óM ¬ñòƒè¬÷ (Ultra Sonogram

Scan Centers) àœ÷ì‚Aòî£°‹.

è†ììƒèœ.- ðò¡ð£†®½œ÷ è¼MèÀ‚°‹ «ð£¶ñ£ù Ü÷¾ Þì õêF Þ¼‚è «õ‡´‹. «î¬õŠð´‹ «ð£¶,

è´‹ åšõ£¬ñ ãŸð´A¡ø «ï˜M½‹, ºó‡ð£ì£ù áC (Contrast Injection) ñ¼‰¬î ªê½ˆ¶‹ «ð£¶ Ü™ô¶

IFªê‚°¼¬÷ (Tread Mill) «ê£î¬ù ªêŒî H¡ù˜ «ï£ò£Oèœ æŒªõ´‚è «õ‡´ªñ¡Á M¼‹¹Aø «ð£¶

Üõ˜èœ æŒªõ´ŠðîŸ°‹ , ð¬öò G¬ô¬ñJ™ e‡´‹ F¼‹¹õîŸ°‹ ÜîŸ° «ð£¶ñ£ù Ü÷¾ ÞìõêF‚°

õ¬è ªêŒòŠðì «õ‡´‹. á´ èF˜ ñŸÁ‹ eªò£L õN Þò™ G¬ô õ¬óM “AERB” (Atomic Energy Regulatory

Board) ¬ñòƒèœ, Üμ ê‚F å¿ƒ°Šð´ˆ¶‹ õ£KòˆF¡ õ¬óò¬øè¬÷ G¬ø¾ ªêŒò «õ‡´‹.

ðEò£÷˜èœ.- Ü¬ùˆ¶ «ê£î¬ùèÀ‹ H¡ õ¼‹ î°Fõ£Œ‰î ªî£N™¸†ðŠðEò£÷˜è÷£™ ñ†´«ñ

«ñŸªè£œ÷Šðì «õ‡´‹:-

â‚v èF˜ (X-ray)

—

CRA î°F»ì¡ Ã®ò èF˜ i„² åOŠðìõ¬óM¬ò Þò‚°ðõ˜

(Radiographer)

eªò£L õ¬óM (Ultra

Sonogram)

—

1994 Ý‹ Ý‡´ è¼¾Áî½‚° º¡ ñŸÁ‹ HøŠðîŸ° º‰¬îò è¼M¡

î¡¬ñòP»‹ ªî£N™¸†ð º¬øèœ (ð£Lù «î˜¬õ î¬ì ªêŒî™)

ê†ì‹, 1994 Þíƒè, eªò£L õ¬óMJ™ ðJŸC ªðŸø î°Fõ£Œ‰î å¼

ñ¼ˆ¶õó£™ Ü™ô¶ èFKò‚è ê£îù‹, Þò‚°ðõó£™ (Radiologist) Ü™ô¶

ÞŠHK¾ ê£˜‰î ñ¼ˆ¶õ G¹í˜.

Þîò I¡ù¬ô (ECG) õ¬óM

—

Þîò I¡ù¬ô â´ŠðF™ ðJŸC ªðŸø Þîò I¡ù¬ô õ¬óî™ G¹í˜

Í¬÷ I¡ù¬ô õ¬óM (EEG)

—

Í¬÷ I¡ù¬ô õ¬ó¾ â´ŠðF™ ðJŸC ªðŸø G¹í˜.

C® v«è¡(CT Scan)

—

å¼ èF˜Šðì ðFõ£÷˜ (Radiographer) i„ê£÷˜ ñŸÁ‹ ÜP‚¬è

ÜO‚èŠð´‹ á´èF˜ ñ¼ˆ¶õó£™ (Radiologist) Ü™ô¶ ê‹ð‰îŠð†ì

ñ¼ˆ¶õó£™ ÜO‚èŠðì «õ‡´‹.

IFªê‚°¼¬÷ (Tread Mill)

—

ê‹ð‰îð†ì ªî£N™¸†ð õ™½ï˜. ðK«ê£î¬ùJ¡ «ð£¶ å¼ ñ¼ˆ¶õ˜

àìQ¼‚è «õ‡´‹.

I¡ åL Þîò õ¬óM (Echo

Cardiograph)

—

î°Fõ£Œ‰î å¼ ñ¼ˆ¶õó£™, Üõ˜ Þîò«ï£Œ ê£˜‰î ñ¼ˆ¶õó£è Þ¼ŠH¡

Üõ¼‚° º¡ÂK¬ñ .

è£‡®ó£v† ÝŒ¾èœ(Contrast

studies)

—

á´èF˜ ñ¼ˆ¶õ˜ Ü™ô¶ ªî£ì˜¹¬ìò ¶¬øJ¡ G¹íó£™.

MRi

—

á´èF˜ ñ¼ˆ¶õ˜ (Radiologist) Ü™ô¶ ªî£ì˜¹¬ìò ¶¬øJ¡ G¹íó£™.

ñ¼ˆ¶õ àðèóíƒèœ.-ªî£ì˜¹¬ìò Þò‰FóˆFŸ°ˆ «î¬õò£ùõ£ø£ù ñ¼ˆ¶õ àðèóíƒèœ

ðF¾¼‚èœ.- «ï£ò£OJ¡ ªðò˜, õò¶, ð£Lù‹, ºèõK, ñ¼ˆ¶õ˜ ðK«ê£î¬ù «ñŸªè£œõîŸ°Š ðK‰¶¬óˆî

ÝŒM¡ î¡¬ñ, ðK«ê£î¬ùJ¡ º®¾ ÝAò îèõ™èœ å¼ ðF«õ†®™ Þì‹ªðŸP¼‚è «õ‡´‹. ªðò˜, õò¶, ºèõK ñŸÁ‹

ðK«ê£î¬ùJ¡ º®¾ ÝAòõŸÁì¡ è†ìíI¡P CA„¬êòO‚èŠð†ì «ï£ò£OèO¡ â‡E‚¬è °Pˆî MõóƒèÀ‹

ÞŠðF«õ†®™ Þì‹ªðŸP¼‚è «õ‡´‹.

B. Þ‰Fò ñ¼ˆ¶õ º¬ø ñŸÁ‹ æI«ò£ðF

I. ñ¼ˆ¶õ Ý«ô£ê¬ù Ü¬ø / ñ¼ˆ¶õ ¬ñò‹ / ð™õ¬è «ï£ŒèÀ‚° CA„¬ê ÜO‚°‹ ñ¼ˆ¶õñ¬ùèœ

è†ìì‹.-Ý«ô£ê¬ù õöƒ°‹ Ü¬ø, ï™ô è£Ÿ«ø£†ìˆ¶ìÂ‹ «ð£Fò ªõO„êˆ¶ìÂ‹ Þ¼‚è «õ‡´‹.

ÜîŸè£ù Þì‹ 100 ê¶ó Ü®‚°‚ °¬øò£ñ™ Þ¼‚è «õ‡´‹. «ï£ò£Oèœ è£ˆF¼ŠðîŸ°Š «ð£¶ñ£ù

ÞìõêF Þ¼‚è «õ‡´‹. ð™õ¬è «ï£ŒèÀ‚° CA„¬ê ÜO‚°‹ ñ¼ˆ¶õñ¬ùò£è Þ¼‰î£™, åšªõ£¼

ñ¼ˆ¶õ¼‚°‹ îQˆîQ Ü¬ø Þ¼‚è «õ‡´‹. ð£˜¬õJ´‹ ð™õ¬è ñ¼ˆ¶õ˜èO¡ ªðò˜èœ ñŸÁ‹

Üõ˜èO¡ ñ¼ˆ¶õ º¬ø °Pˆîˆ îèõ™ ñ¼ˆ¶õ ¬ñòˆF¡ º¡¹ ð£˜¬õ‚° ¬õ‚èŠðì «õ‡´‹.

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

ðEò£÷˜èœ.-Ý»˜«õî£, «ò£è£ ñŸÁ‹ ÞòŸ¬è ñ¼ˆ¶õ‹, »ù£Q, Cˆî£ ñŸÁ‹ æI«ò£ðF ñ¼ˆ¶õ

¬ñòƒèœ ðF¾ªêŒòŠð†ì ñ¼ˆ¶õŠ ðJŸCò£÷˜è÷£™ G˜õA‚èŠðì «õ‡´‹. ñ¼ˆ¶õ ¬ñòˆF¡, ñ¼‰îè‹

Þ¬í‚èŠð†®¼‰î£™, º¬øò£ù Ü¬ñŠH¡ W› î°FªðŸø ñ¼‰î£Àï˜ Ü™ô¶ Ü‹ñ¼ˆ¶õ˜ î£ñ£è«õ,

ñ¼‰¶è¬÷ õöƒè «õ‡´‹.

ñ¼ˆ¶õ àðèóíƒèœ.- (a) Ü¬ùˆ¶ `Ý»w’, Þ‰Fò ñ¼ˆ¶õº¬ø ñŸÁ‹ æI«ò£ðF ñŸÁ‹ «ò£è£ ñŸÁ‹

ÞòŸ¬è ñ¼ˆ¶õ ¬ñòƒèÀ‚°‹ ªð£¶õ£èˆ «î¬õŠð´‹ «ï£¬ò‚ è‡ìP»‹ ñ¼ˆ¶õ àðèóíƒèœ:

(i)

ªî˜«ñ£e†ì˜ / ªõŠðñ£Q (è£Œ„ê™ ñ£Q) (Thermometer)

(ii)

vH‚«ñ£ñ£«ù£e†ì˜ / Þóˆî Ü¿ˆîñ£Q

(iii) Þ¼îò ¶®Š¬ð ÝŒ¾ ªêŒ»‹ è¼M (Stethescope)

(iv) Í†´ «ê£î¬ù‚è£ù ²ˆF (Knee Hammer)

(v) ï£‚¬è Ü¿ˆF (Tongue depressor)

(vi) ì£˜„ / AK«ì£v«è£Š ªô¡²¬ìò ì£˜„ (Torch with Iridoscope lens)

(vii) â¬ìŠ ð£˜‚°‹ Þò‰Fó‹ / àòó‹ ð£˜‚°‹ Ü÷¬õ

ñ¼‰¶èœ.-«ï£ò£OèÀ‚° õöƒèŠð´‹ ñ¼‰¶èO¡ e¶, ñ¼‰F¡ ªðò˜, Þ‹ñ¼‰¶ ÜO‚èŠð†ì «ï£ò£OJ¡

ªðò˜, ªè£´‚èŠðì «õ‡®ò Ü÷¾ «ð£¡ø îèõ™èœ ÜìƒAò ºèŠ¹„Y†´ å†ìŠð†®¼‚è «õ‡´‹.

õöƒèŠð´‹ ñ¼‰FŸ°‚ ðò¡ð£†´‚ è£ô‹ º®¾Á‹ ï£œ Þ¼ŠH¡, Ü‰î ï£œ ºèŠ¹„ Y†®™ °PŠHìŠð†®¼‚è

«õ‡´‹. à†ªè£œ÷ õöƒèŠð´‹ ñ¼‰¶ ñŸÁ‹ ªõOŠ ðò¡ð£†®Ÿè£ù ñ¼‰¶èO™ º¬ø«ò, ªõœ¬÷

ñŸÁ‹ CõŠ¹ õ‡íŠ ð†®èO™ “àœ ðò¡ð£†®Ÿ°” Ü™ô¶ “ªõOŠ ðò¡ð£†®Ÿ°” âù õ†ì£ó ªñ£NèO™

ªîOõ£è‚ °PŠHìŠð†®¼‚è «õ‡´‹.

ðF¾¼‚èœ.-«ï£ò£OèO¡ ªðò˜, õò¶, ð£Lù‹, «ï£Œè£‡ Mõóƒèœ ñŸÁ‹ CA„¬ê Mõóƒè¬÷‚ ªè£‡ì

Ü¬ùˆ¶‹ «ï£ò£OèO¡ ñ¼ˆ¶õ CA„¬ê ðF¾¼‚èœ Þ¼‚è «õ‡´‹. «ï£ò£OJ¡ ªðò˜, õò¶, ð£Lù‹

ñŸÁ‹ CA„¬êòO‚èŠð´‹ Mõóƒè¬÷‚ ªè£‡ì ¶‡´Y†´ å¡Á «ï£ò£OJì‹ õöƒèŠðì «õ‡´‹.

II. CA„¬ê ¬ñòƒèœ ñŸÁ‹ ñ¼ˆ¶õñ¬ùèœ.-

è†ìì‹.- ÝƒAô õN ñ¼ˆ¶õ º¬øJ™ °PŠHìŠð†®¼‚°‹ õ¬óò¬øè¬÷ G¬ø¾ ªêŒ»‹ õ¬èJ™,

ñ¼ˆ¶õ Ý«ô£ê¬ù Ü¬ø Ü™ô¶ ¹ø «ï£ò£Oèœ HK¾ Þ¼‚è «õ‡´‹. «ï£ò£Oèœ è£ˆF¼ŠðîŸ°Š

«ð£¶ñ£ù Þìº‹, ªõš«õÁ ñ¼ˆ¶õ˜èœ ðE ¹KõîŸè£ù îQˆîQ Ü¬øèÀ‹ Þ¼‚è «õ‡´‹.

ñ¼ˆ¶õ˜èO¡ ªðò¼‹ Üî¬ùˆ ªî£ì˜‰¶ Üõ˜èœ ÜO‚°‹ CøŠ¹ CA„¬ê º¬øèœ ñŸÁ‹ Ü‰î

ñ¼ˆ¶õñ¬ùJ½œ÷ ð™«õÁ õêFèœ / «ê¬õèœ ªè£‡ì Mõó ðô¬è å¡P™ °PŠHìŠð†®¼‚è «õ‡´‹.

«ï£ò£O Ü¬øèœ (Wards) Ü™ô¶ àœ«ï£ò£OèÀ‚è£ù Ü¬øèœ.-àœ«ï£ò£OèÀ‚è£ù Ü¬øèœ

ï™ô è£Ÿ«ø£†ìˆ¶ìÂ‹ «ð£Fò ªõO„êˆ¶ìÂ‹ Þ¼‚è «õ‡´‹. åšªõ£¼ Ü¬øJ½‹ I¡MCP õêF

ªêŒòŠð†®¼‚è «õ‡´‹. ªð£¶ Ü¬øèO™ °¬ø‰îð†ê‹ ï£¡° ð´‚¬èèÀ‚° å¼ I¡MCP õêF

ªêŒòŠð†®¼‚è «õ‡´‹. èNõ¬ø õêF ªð£¶õ£è«õ£ Ü™ô¶ îQˆîQ‚ èNõ¬ø õêF«ò£ ªêŒòŠð†®¼‚èô£‹.

Ýù£™ ÉŒ¬ñò£è¾‹ °ö£Œ c˜ õêF»ìÂ‹ ðó£ñK‚èŠðì «õ‡´‹. A¼Iï£CQJ¬ùŠ ðò¡ð´ˆF Ü¡ø£ì‹

«ï£ò£O Ü¬øè¬÷ ¶¬ìˆ¶ ²ˆî‹ ªêŒõîŸ°Kò ãŸð£´èœ ªêŒòŠð†®¼‚è «õ‡´‹.

ðEò£÷˜èœ.-(a)

ñ¼ˆ¶õ˜èœ.- «ï£ò£OèÀ‚°„ CA„¬êòOŠðîŸ°, ðF¾ªêŒòŠð†ì ñ¼ˆ¶õ˜ ñ†´«ñ

ñ¼ˆ¶õñ¬ùèO™ ðEòñ˜ˆî «õ‡´‹. ñ¼ˆ¶õ¼‹ Üõ¼‚°Kò ñ¼ˆ¶õ º¬øJ¡ W›õ¼‹ ñ¼ˆ¶õ

ñ¡øˆF™ Ü™ô¶ Þ‰Fò º¬ø ñ¼ˆ¶õˆFŸè£ù ñ¡øˆF™ ðF¾ ªêŒF¼‚è «õ‡´‹.

(b) ªêMLò˜.- 30 ð´‚¬èèœ õ¬óJ™ å¼ ðF¾ ªðŸø ªêMLò˜ ªêMLò˜ ñŸÁ‹ Þó‡´ ªêMLò

àîMò£÷˜èœ â¡ø iîˆF™ î°F õ£Œ‰î ªêMLò˜ å¼õ˜ Þ¼‚è «õ‡´‹.

º¬øJ™ î°FªðŸø ñ¼ˆ¶õ˜ / CA„¬êòOŠðõ˜ Gòñù‹ ªêŒòŠðì «õ‡´‹. ñ¼ˆ¶õñ¬ùJ™ 30

ð´‚¬èèÀ‚° «ñ™ Þ¼‰î£™ ñ¼‰¶è¬÷ õöƒ°õîŸè£è, Ü‰î‰î ñ¼ˆ¶õ º¬øJ™ î°FªðŸø

ñ¼‰î£Àï˜ / CA„¬êòOŠðõ˜ ðEòñ˜ˆîŠðì «õ‡´‹. 30 â‡E‚¬è‚°‹ °¬øõ£è ð´‚¬èèœ

Þ¼‰î£™ ñ¼ˆ¶õ«ó ñ¼‰¶è¬÷ õöƒèô£‹ Ü™ô¶ î°Fõ£Œ‰î ñ¼‰î£Àï˜ / CA„¬êòOŠðõ˜ å¼õ¬óŠ

ðEòñ˜ˆîô£‹.

(d) Hø ðEò£÷˜èœ.- ñvÉ˜ «ð£¡ø Hø ðEò£÷˜èœ «î¬õ‚«èŸð ðEòñ˜ˆîŠðì «õ‡´‹. åšªõ£¼

30 ð´‚¬èèÀ‚° °¬ø‰îð†ê‹ å¼ ¶Š¹ó¾Š ðEò£÷˜ â¡ø÷M™ «ð£¶ñ£ù â‡E‚¬èJ™ ¶Š¹ó¾Š

ðEò£÷˜èœ Þ¼‚è «õ‡´‹.

ñ¼ˆ¶õ ê£îùƒèœ.- (a) Ü¬ùˆ¶ Þ‰Fò º¬ø ñ¼ˆ¶õñ¬ùèÀ‚°‹ W›‚è‡ì àìŸðJŸC ê£˜‰î CA„¬ê

ê£îùƒèœ «î¬õŠð´A¡øù Ü¬õ:-

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(i)

Þ¿¬õ ê£îù‹ (Traction Kit)

(ii)

ï¬ìŠ ðJŸC ê£îù‹. (Walker)

(iii) Üè„CõŠ¹ èF˜ àI› ê£îù‹ (Infrared light)

(iv) C‰î¬ùŠ¹ôCA„¬ê (TFT) ñŸÁ‹ eªò£L CA„¬ê ê£îù‹. (Ultrasound therapy instrument)

(v) ÜF˜MòŸP (¬èè÷£™ Þò‚èŠð´‹ è¼M ñŸÁ‹ I¡ùμ ê£îù‹)

(b) Ü¬ùˆ¶

Ý»˜«õî‹/Cˆî£

º¬ø

ñ¼ˆ¶õñ¬ùèÀ‚°

ªð£¶õ£è

W›è‡ì

ñ¼ˆ¶õ

ê£îùƒèœ

«î¬õŠð´A¡øù Ü¬õ.-

(i)

ªî£‚èí‹ ªêŒõîŸè£ù «ñ¬ê

(ii)

«õ¶ Ü¬ø

(iii) ªñ¿°‚ °Oò™ â‰Fó‹

(iv) è£óË™

(v) èN„ê™ â‰Fó‹

(vi) õ£‰F ñ¼ˆ¶õ ï£Ÿè£L

(vii) ïCò ñ¼ˆ¶õ ï£Ÿè£L

(viii) d„² â‰Fó‹-åN¾Š ªð£Fèœ

(ix) CÁcóè õ®õˆî†´

(x) ñô èN„ê™ î†´

(xi) ÝMH®ˆî½‚è£ù ê£îù‹

(xii) ïè¼‹ É‚°Šð´‚¬è (Moving Stretcher)

(xiii) å¼º¬øŠ ðò¡ð£†´ àP…Cèœ (Disposable Syringe)

(xiv) ºî½îMèÀ‚è£ù ªð£¶ CA„¬ê ï¬ìº¬øèœ, ÜÁ¬õ CA„¬ê ê£îùƒèœ

(xv) áCõN ªê½ˆ¶‹ ñ¼‰¶èœ ñŸÁ‹ ñ¼‰¶è¬÷ à†ªê½ˆ¶õ¶ ªî£ì˜ð£ù ê£îùƒèœ

(xvi) °PŠH†ì Üèñ¼ˆ¶õ‹ ñŸÁ‹ ¹øñ¼ˆ¶õ ï¬ìº¬øèÀ‚°ˆ «î¬õŠð´‹ ê£îùƒèœ.

(c)

«ò£è£ ñŸÁ‹ ÞòŸ¬è º¬ø ñ¼ˆ¶õˆFŸè£ù àðèóíƒèœ.-

«ò£è£ CA„¬ê.-

(1) êº‚è£÷ƒèœ (Carpets) /«è£¬óŠ ð£Œèœ

(2) üô ªï® ð£¬ù

(3) è‡è¬÷‚ è¿¾õîŸè£ù °õ¬÷

(4) «ò£è£ M÷‚èŠ ðì‹

(5) ²Ÿø ªï® óŠð˜ èb†ì˜

c˜ CA„¬ê.-(Hydrotherapy)

(i)

°ì™è¿¾‚ °õ¬÷ (Enema Can)

(ii)

î£QòƒA có£M ê£îùˆ¶ì¡ Ã®ò có£M‚ °Oòô¬ø.

(iii) ºè„ ²ˆFèKŠ¹ Ü¬ø

(iv) åˆîìŠ ¬ð (Fomention bag)

(v) ðQ‚è†®Š ¬ð

(vi) ªð£Fèœ(Packs)-ñ£˜¹, è£™, ºöƒ¬è, ºöƒè£™, õJÁ, õJŸÁ Þ´Š¹Š ªð£F, CÁcóè‹ ªî£ì˜ð£ù¬õ,

º¿ àì™ ßó MKŠ¹Š ªð£F

(vii) Ü¿ˆî‹ ªè£´ŠðîŸè£ù ï£˜ˆ¶E

(viii) âŠê‹ àŠ¹„ CŠðƒèœ

(ix) Þ´Š¹‚ °Oò™ ªî£†®

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

(x) î‡´õì‚ °Oò™ ªî£†®

(xi) î‡´õìˆF¡ eî£ù ªîOŠð£¡

(xii) ð£î‹ ñŸÁ‹ ¬è‚ °Oò™ ªî£†®

(xiii) CPò ñŸÁ‹ ªðKò ¶‡´èœ

«êŸÁñ‡ CA„¬ê.-

(i)

«êŸÁñ‡ «êIŠ¹‚ èô‹-100 L†ì˜ dŠð£Œ-2

(ii)

ï£˜ˆ¶E- «êŸÁñ‡ªð£F¬ò ªêŒõîŸè£è

(iii) ñ‡ î†´èœ

(iv) õ£O ñŸÁ‹ °õ¬÷-2

è£‰î CA„¬ê.-

(i)

G¬ô GÁˆFèÀì¡ Ã®ò àò˜, ï´ˆîó, °¬ø‰î÷¾ ÝŸø™ ªè£‡ì è£‰îƒèœ

(ii)

è£‰î õ£˜-è¿ˆ¶, õJÁ, ºöƒ¬è, ñE‚è†´

ªî£‚èí CA„¬ê.-(Massage Theraphy)

(i)

ªî£‚èí CA„¬ê «ñ¬ê-ªó‚C¡ à¬øJìŠð†´œ÷ ªñˆ¬î»ì¡ Ã®ò¶

(ii)

ð£î ¬õŠ¹Š ðô¬è

(iii) ÜF˜¾ ªî£‚èí ê£îù‹

(iv) à¼œ ªî£‚èí ê£îù‹ (Roller Massager)

Gø(õ‡í) CA„¬ê.-(Chrome Theraphy)

(i) õ‡í M÷‚°èœ

(ii) õ‡í‚ è‡í£® °ŠHèœ

(iii) õ‡í„ ÅöLò™

I¡Qò™ CA„¬ê (Electro Theraphy)

Üè„CõŠ¹ èF˜ M÷‚° (I.R. Lamp)

Ü‚°ð…ê˜/Ü‚°Hóû˜

(i) «ñ£‚ê£ °„C

(ii) I¡ùμ Ü‚°- É‡®

(iii) âF˜M¬÷Mò™ M÷‚èŠ ðì‹ (Reﬂ exology)

(iv)Ü‚°-²öL (Accu-Roller)î‡´õì‹. àœ÷ƒ¬è, àœ÷ƒè£™èœ .è£™èœ, Mó™èœ

(v) Ü‚°ð…ê˜ áCèœ-î£Ió‹(Copper)-(0.25*25)

5. àìŸ î°F.-

(i) G¬ôò£ù IFõ‡®

(ii) ï¬ìŠ ðJŸC â‰Fó‹

(iii) ¶´Šð¬ê¾ â‰Fó‹

(iv) «ñ™ G¬ô à¼¬÷èœ.(Overhead Pulleys)

6. àœè†ì¬ñŠ¹.- ªõO«ï£ò£OèÀ‚° CA„¬êòOŠðîŸ° ñ¼ˆ¶õ Ý«ô£ê¬ù õ¬èJùƒèÀ‹, °¬ø‰î÷¾

ÜîŸè£ù ê£îùƒèÀ‹ ñ¼ˆ¶õ ¬ñòˆF™ Þ¼‚è «õ‡´‹. ð™«õÁ «ï£ŒèÀ‚è£ù ð²¬ñ êK àí¾,(Bland Diet)

ÞòŸ¬è êK àí¾, ÍL¬è„ ê£Á ÝAòõŸ¬ø îò£KŠðîŸ°‹ ã¬ùò CøŠ¹ êKàí¾ CA„¬êòOŠðîŸ°‹ Ã®ò êKàí¾

¬ñòˆ¶ì¡ Ü¬ùˆ¶ ê£îùƒèÀ‹ ñ¼ˆ¶õñ¬ùJ™ Þ¼‚è «õ‡´‹. «ñŸªê£¡ùõŸÁì¡ Ã´îô£è ºî™ àîM ñŸÁ‹

Üõêóè£ô «ñô£‡¬ñ «î¬õèÀ‹ õöƒèŠðì «õ‡´‹. åšªõ£¼ ºŠð¶ ð´‚¬èèÀ‚°‹ °¬ø‰î÷¾ å¡Á â¡ø÷M™,

ê‚èó ï£Ÿè£LèÀ‹ É‚°Šð´‚¬èèÀ‹ «ð£¶ñ£ù â‡E‚¬èJ™ Þ¼‚è «õ‡´‹.

TAMIL NADU GOVERNMENT GAZETTE EXTRAORDINARY

7 ðF¾¼‚èœ.- (1) ÜÂñF‚èŠð†ì / CA„¬êòO‚èŠð†ì Ü¬ùˆ¶ «ï£ò£Oèœ ªî£ì˜ð£ù ðK«ê£î¬ù ÜP‚¬èèœ,

«ï£Œè‡ìPî™, CA„¬êòOˆî™ ÝAò Mõóƒè¬÷‚ ªè£‡ì å¼ ðF¾¼ ðó£ñK‚èŠðì «õ‡´‹. àìŸðK«ê£î¬ùèœ,

«ï£Œè‡ìPî™ CA„¬êòOˆî™ ñŸÁ‹ ªî£ì˜‰¶ H¡ðŸø«õ‡®ò CA„¬ê º¬øèœ ºîLò Mõóƒèœ ÜìƒAò M´MŠ¹„

Y†®¬ù ñ¼ˆ¶õñ¬ùJL¼‰¶ ªõO«ò ªê™½‹«ð£¶ «ï£ò£O‚° õöƒè «õ‡´‹.

(2) H¡õ¼‹ ðF«õ´‹ ðó£ñK‚èŠðì «õ‡´‹ «ï£ò£OJ¡.«è£K‚¬èJ¡«ðK™ Üõ¼ì¡ ªî£ì˜¹¬ìò Ü¬ùˆ¶

Mõóƒè¬÷»‹ õöƒ°õ¶ ñ¼ˆ¶õ G¬ôòˆF¡ èì¬ñò£°‹.

(i)

ÜÂñF ñŸÁ‹ àœCA„¬ê M´MŠ¹Š ðF«õ´

(ii)

ðóõ‚ Ã®ò ñŸÁ‹ ªî£Ÿø‚Ã®ò Mò£Fèœ °Pˆî ðF«õ´.

(iii) ê†ì‹ ê£˜‰î ñ¼ˆ¶õ CA„¬êò£÷˜ ðF«õ´ â‰îªõ£¼ è†ìˆF½‹, CA„¬ê‚è£è ê†ì‹ ê£˜‰î ñ¼ˆ¶õ

CA„¬êò£÷˜èœ ÜÂñF‚èŠð´‹ «ï˜M™)

ñ£õ†ì‚ °¿õ£™ êKð£˜‚èŠð´õîŸè£è º¿ ºèõK»ì¡ Ýõíƒèœ îò£ó£è ¬õˆF¼‚è «õ‡´‹.

C. Ü«ô£ðF ñŸÁ‹ Ý»w ÝAòõŸP¡ W›, ªêò™ð´‹ Ü¬ùˆ¶ ñ¼ˆ¶õñ¬ùèÀ‹ Ì˜ˆF ªêŒòŠðì «õ‡®ò ªð£¶õ£ù

õ¬óò¬øèœ.

îèõ™ ªî£ì˜¹.- «ï£ò£Oèœ ðò¡ð´ˆ¶õîŸè£è å¼ ªî£¬ô«ðC Þ¬íŠ¹ õêF Þ¼‚è «õ‡´‹.(è†ìí‹

ªê½ˆ¶õî¡ «ðK™)

ð£¶è£Š¹.- àœ«ï£ò£Oè÷£è îƒAJ¼Šðõ˜èO¡ ð£¶è£ŠHŸè£è¾‹ F¼†¬ì î´ŠðîŸè£è¾‹ «ð£¶ñ£ù

ð£¶è£Š¹ õêF õöƒèŠðì «õ‡´‹.

bò¬íŠ¹ õêF.- ñ¼ˆ¶õñ¬ùJ™, MFèO¡ð®, Þ‰Fò îó GÁõù ºˆF¬ó»ì¡ Ã®ò bò¬íŠ¹ ê£îùƒèœ

Þ¼‚è «õ‡´‹.

ê¬ñòô¬ø.- àœ-«ï£ò£OèÀ‚° àí¾ õöƒèŠð´ñ£J¡, ê¬ñòô¬ø ÉŒ¬ñò£è Þ¼‚è «õ‡´‹ ñŸÁ‹

ê¬ñò™è£ó¼‚°/ ê¬ñò™è£ó˜èÀ‚° ªî£Ÿø‚Ã®ò Ü™ô¶ ðóõ‚Ã®ò «ï£Œèœ °Pˆ¶ °PŠH†ì è£ô

Þ¬ìªõOèO™, ñ¼ˆ¶õŠ ðK«ê£î¬ù ªêŒòŠðì «õ‡´‹.

¶E ñŸÁ‹ ï£˜ˆ¶E (Linen) . Ü¬õ ÉŒ¬ñò£è ðó£ñK‚èŠðì «õ‡´‹ ñŸÁ‹ Ü¡ø£ì‹ ñ£ŸøŠðì «õ‡´‹.

°®c˜ õöƒè™.- «ï£ò£O‚° °®‚èˆî‚è ï™ô î‡a˜ õöƒèŠðì «õ‡´‹.

èN¾è¬÷ ÜŠ¹øŠð´ˆ¶î™.- ñˆFò ÜóC¡ õ¬óò¬øèœ ñŸÁ‹ îI›ï£´ ñ£²‚ è†´Šð£†´ õ£KòˆF¡ õN

º¬øè¬÷»‹ H¡ðŸP Þ¶ ªêŒòŠðì «õ‡´‹.

ðF¾¼ ðó£ñKŠ¹.- (a) åšªõ£¼ ñ¼ˆ¶õ G¬ôòº‹, ðEò£÷˜èœ Mõóƒèœ ªî£ì˜ð£ù G¬ôò£ù Ýõíƒèœ

ñŸÁ‹ «ï£ò£Oèœ ªî£ì˜ð£ù ñ¼ˆ¶õ CA„¬ê Mõóƒèœ ªè£‡ì Gó‰îó Ýõíƒè¬÷ ðó£ñKˆ¶ õó

«õ‡´‹. àKò Ü½õôó£™ Ü™ô¶ Þ¶ ªî£ì˜ð£è ÜFè£óñO‚èŠð†´œ÷ «õÁå¼ Ü½õôó£™ ÝŒ¾

ªêŒòŠð´õîŸè£è Ü‰î ðF¾¼‚èœ îò£ó£è Þ¼‚è «õ‡´‹.

(b) åšªõ£¼ îQò£˜ ñ¼ˆ¶õñ¬ù»‹, «ï£ò£O ªî£ì˜ð£ù ñ¼ˆ¶õ è‡è£EŠ¹, CA„¬ê «ð£¡ø

MõóƒèO¡ ïèL¬ù, °PŠH†ì è£ôˆFŸ°œ, «î¬õò£ù è†ìíƒè¬÷ ªê½ˆFòF¡ «ðK™ õöƒè

õNõ¬è ªêŒF¼‚è «õ‡´‹. Üˆî¬èò îèõ™è¬÷Š ªðÁõîŸè£ù è†ìí Mõóƒè¬÷, Ü¬ùõ¼‹

ÜPò‚ Ã®ò ÞìˆF™ åšªõ£¼ ñ¼ˆ¶õñ¬ù G¼õ£èº‹ è£†CŠð´ˆî «õ‡´‹.

ãŸð´õîŸ° è£óíñ£è Ü¬ñ»‹ âù è¼Fù£™, Ü™ô¶ å¼ Üó² ÜFè£ó Ü¬ñŠH¡ àˆîóM¡ «ðK™

CA„¬ê ÜO‚èŠð†®¼‰î£™, Üˆî¬èò îèõ¬ôˆ ªîKMŠðîŸ° åšªõ£¼ ñ¼ˆ¶õ G¬ôòº‹ ñÁ‚èô£‹.

HŸ«ê˜‚¬è–II

ð®õ‹–I

(7(1) Ý‹ MF¬ò‚ è£‡è)

ñ¼ˆ¶õ GÁõùƒè¬÷Š ðF¾ ªêŒî™ / ðF¬õ ¹FŠHˆî½‚è£ù M‡íŠðŠ ð®õ‹

GÁõùˆF¡ Mõóƒèœ

ñ¼ˆ¶õ GÁõùˆF¡ ªðò˜:

ðF¾ â‡.

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ºèõK:

Aó£ñ‹/ïèó‹:

õ†ì‹:

ñ£õ†ì‹: ñ£Gô‹:

Ü…ê™ °Pf†´ â‡

ªî£¬ô«ðC â‡. (STD °Pf†´ì¡) Ü¬ô«ðC:

GèK:

I¡ù…ê™ ºèõK:

õ¬ôˆî÷‹ (ã«îÂI¼ŠH¡)

ªî£ìƒAò Ý‡´:

(4L¼‰¶ 11 õ¬óJ™ ªð£¼ˆîñ£ù¬õ Ü¬ùˆ¬î»‹ °PJì¾‹)

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ªð¼ïèó‹

ñ£Gôˆ î¬ôïèó‹

ñ£ïèó‹

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«ê¬õ õöƒ°Aø Ü¬ñŠH¡ àK¬ñò£÷˜

ªð£¶ˆ¶¬ø

ñˆFò Üó²

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ÞóJ™«õ

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î¡ù£†C Ü¬ñŠ¹

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GÁõùƒè÷¡Á

ã¬ùò ò£ªî£¡Á (îò¾ªêŒ¶ °PŠHì¾‹)

îQò£˜ ¶¬ø

îQŠð†ì à¬ì¬ñ àK¬ñ

ðF¾ ªðŸø ðƒ°î£ó˜

ðF¾ ªêŒòŠð†ì GÁõù‹

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°PŠHì¾‹)

ñˆFò, ñ£è£í Ü™ô¶ ñ£Gô ê†ìˆF¡ W› ðF¾ ªêŒòŠð†ì ªð£ÁŠ¹ÁF GÁõù‹ (Üø‚è†ì¬÷ à†ðì)

(îò¾ªêŒ¶ °PŠHì¾‹)

Üòôè «ê¬õ õöƒ°ðõK¡ A¬÷ (îò¾ªêŒ¶ °PŠHì¾‹)

Hø â¬õ»‹ (îò¾ªêŒ¶ °PŠHì¾‹)

ñ¼ˆ¶õ GÁõùˆF¡ àK¬ñò£÷K¡ ªðò˜:

ºèõK:

Aó£ñ‹/ïèó‹: õ†ì‹:

ñ£õ†ì‹: ñ£Gô‹: Ü…ê™ °Pf†´ â‡

ªî£¬ô«ðC â‡. (STD °Pf†´ì¡) Ü¬ô«ðC: GèK:

I¡ù…ê™ ºèõK:

ñ¼ˆ¶õ GÁõùŠ ªð£ÁŠð£÷K¡ ªðò˜, ðîMŠªðò˜ ñŸÁ‹ î°F

ðîMŠªðò˜:

è™Mˆî°F:

ºèõK:

Aó£ñ‹/ïèó‹:

õ†ì‹:

ñ£õ†ì‹:

ñ£Gô‹:

Ü…ê™ °Pf†´ â‡

ªî£¬ô«ðC â‡. (STD °Pf†´ì¡)

Ü¬ô«ðC: GèK:

I¡ù…ê™ ºèõK:

ã¬ùò ò£ªî£¡Á (îò¾ ªêŒ¶ °PŠHì¾‹)

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ñ¼ˆ¶õ GÁõùˆF¡ õ¬è: (ªð£¼ˆîñ£ùõŸ¬ø 9 °PJì¾‹) ñ¼ˆ¶õ CA„¬ê G¬ôò‹

îQ ñ¼ˆ¶õ˜

Ý«ô£ê¬ù Ü¬ø

ðô«ï£Œ ñ¼ˆ¶õ CA„¬ê G¬ôò‹

ð™ ñ¼ˆ¶õ‹

ã¬ùò

ò£ªî£¡Á

(îò¾ªêŒ¶ °PŠHì¾‹)

G¬ôò‹

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ð™ ñ¼ˆ¶õ‹

ñ¼‰îè‹

ðè™

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Ý«ô£ê¬ù ¬ñò‹

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¹ø è¼×†ì™ ¬ñò‹

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êñò‹ ê£˜‰î

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ã¬ùò

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(Ý®«ò£ªñ†K‚,

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àò˜ «ï£‚°„ «ê¬õèœ

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Üõêó CA„¬ê HK¾

bMó CA„¬ê HK¾

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àJóμMò™ (Cytology)

ñóHò™ (Genetics)

ñ£FK «êèKŠ¹ ¬ñò‹ (Sample

Collection Centre)

ã¬ùò ò£ªî£¡¬ø‚

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àJ˜«õFJò™ (Biochemistry)

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ã¬ùò ò£ªî£¡¬ø‚ °PŠHì¾‹

«ñŸªê£¡ù (a)-¾‚è£ù ðF™ Ý‹ âQ™, H¡õ¼‹ Mõóƒèœ ÜO‚èŠðìô£‹, Üî£õ¶:-

«ñŸªè£œõîŸ° è¼¶A¡ø ðK«ê£î¬ùèœ.

A¬ì‚è‚è‚Ã®ò ê£îùƒèO¡ ð†®ò™

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ñ¼ˆ¶õ ðK«ê£î¬ù ÜP‚¬èJ™ ¬èªò£ŠðI´A¡ø ðEò£÷K¡ ð†®ò™

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(Portable X-ray)

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(Conventional X-ray)

â‡Iò º¬øJ™ â‚v èF˜ ðìªñ´‚°‹

ê£îù‹ (Digital X-ray)

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ê¾‡´)

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with colour Doppler)

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(Mammography)

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è£‰î ÜF˜¾ Ü¬ô

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ð£C†ó£¡ âIû¡

«ì£«ñ£Aó£H (PET) v«è¡

â½‹¹ (c˜ñ) Üì˜ˆF Ü÷¬õ‚ è‡ìP»‹

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(Uro-ﬂ owmetry)

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11. ðó£ñK‚èŠð´‹ àðèóíƒèO¡ Mõóƒèœ:

ñ¼ˆ¶õ º¬ø

12. õöƒèŠð´‹ «ê¬õèœ (îò¾ªêŒ¶ ªð£¼ˆîñ£ùõŸ¬ø 9 °PJì¾‹)

Ü) CøŠ¹ ÝƒAô õN ñ¼ˆ¶õ‹ (Allopathic Speciality)

CøŠ¹ ñ¼ˆ¶õ‹

ÜÁ¬õ CA„¬ê

«ðÁè£ô ñèO˜ «ï£Œ ñŸÁ‹

ñ¼ˆ¶õ Þò™

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îò¾ªêŒ¶

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«ê£î£¡ CA†û£

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ñì£çŠ

üó£ýˆ

Þôx-H†-ì†d˜

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Principal Secretary to Government.

PRINTED AND PUBLISHED BY THE DIRECTOR OF STATIONERY AND PRINTING, CHENNAI

ON BEHALF OF THE GOVERNMENT OF TAMIL NADU