In exercise of the powers conferred by sub section 1 of Section 16 of Indian Nursing Council Act 1947

रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. NO. D. L.-33004/99 xxxGIDHxxx सी.जी.-डी.एल.-अ.-12032020-218607 xxxGIDExxx CG-DL-E-12032020-218607 असाधारण EXTRAORDINARY भाग III—खण्ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 102] नई दिल्ली, बहृ स्ट्प जतवार, माच च5, 2020/फाल्ग नु 15, 1941 No. 102] NEW DELHI, THURSDAY, MARCH 5, 2020/PHALGUNA 15, 1941 अजधसचू ना नई दिल् ली, 5 माचच, 2020 —;Fkkla'kksf/kr Hkkjrh; mip;kZ ifj"kn ~ vf/kfu;e] 1947 ¼1947 dk XLVIII½ dh /kkjk 16¼1½ ds v/khu çnÙk 'kfDr;k sa dk ç;ksx djrs gq, Hkkjrh; mip;kZ ifj"kn]~ iksLV csfld fMIyksek bu gsesVksykWth Lifs'k;fyVh ufl±x ¼buDywfMax LVes lsy VªkalIykaV½ & jfstMsla h çksxkze ds fy, fuEukafdr fofu;e cukrh gS%& 1- bu fofu;eks a dks dgk tk,xkA 2- ;s fofu;e Hkkjr ds jkti= es a budh vf/klwpuk dh rkjh[k ls ykxw gkxsa As I. jk"Vªh; LokLF; uhfr nLrkost ¼,u,pih] 2017½ es a rr` h;d n[s kHkky los kvks a dk foLrkj djus] fo'ks"kK ulZ rS;kj djus vkSj ulks± ds fy, uSnkfud çf'k{k.k ds ekudhdj.k djus dh vko';drk ij cy fn;k x;k gSA blds çR;qÙkj Lo:i] Hkkrh; mip;kZ 1287 GI/2020 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] ifj"kn ~ }kjk orZeku fof'k"V ufl±x dk;ØZ ek sa dks ;ksX;rk ij vkèkkfjr çf'k{k.k nf`"Vdks.k dks viukrs gq, ,d&o"khZ; iksLV csfld fMIyksek vkoklh; dk;ZØeks a ds :i es a ifjofrrZ dju s dh ;kstuk cukà xb Z gSA gsesVksykWth ufl±x dk;ØZ e] la'kksfèkr fn'kkfuns'Z kks a dk mi;ksx djrs gq, Hkkjrh; mip;kZ ifj"kn ~ }kjk fodflr fd;k x;k ,d ,slk u;k fof'k"V ikBîØe gS] ftldk mn~n's ; ,sls fo'ks"kK ulZ rS;kj djuk gS tks gsesVksykWftdy fodkjk sa ls ihfM+r jksfx;ksa] ftudh uSnkfud ijh{k.k] mipkj vkSj ns[kHkky dh vko';drk,a tfVy vkSj xgu gksrh gSa] dks l{ke ns[kHkky çnku dj ldsAa gsesVksykWth es a jDr ds çkFkfed fodkjk sa ds uSnkfud vkSj ç;ksx'kkyk nksuksa igyvq ksa ds lkFk&lkFk ;g Hkh lfEefyr gS fd vU; chekfj;ka jDr dks dSl s çHkkfor djrh gSaA çkFkfed gsesVksykWftdy jksx tUetkr ;k mikftZr gks ldr s gSa] ftues a Y;wdsfe;k rFkk fyaQksek dh fofHkUu voLFkk,a] ,uhfe;k dh dqN voLFkk,a vkSj ukuk çdkj ds jDr ds FkDds ¼CyM DykWfVax½@jDrlzko fodkj 'kkfey gSaA jDrkèkku fpfdRlk i)fr ¼Vªkal¶;wtu esfMflu½ Hkh gsesVksykWth fof'k"Vrk e sa gh vkrh gSA gsesVksykWth ufl±x vH;kl xfr'khy ,oa vR;fèkd tfVy ns[kHkky okyh fof'k"Vrk gSA fo'ks"kK gsesVksykWth ulks± ds dk;{Z ks= es a lkè; vkSj vlkè; nksuksa çdkj dh gsesVksykWftdy ifjfLFkfr;ks a dh tkudkjh dk lekos'k gSA gsesVksykWth ufl±x vH;kl es a jksfx;ksa dh fuokjd] çksRlkgd] fpfdRlh; vkSj ç'kked ns[kHkky lfEefyr gSaA gsesVksykWftdy jksxks a dh xHakhj vkSj vkordZ çÑfr] dheksFksjsih] jsfM;ksFksjis h vkSj@;k çfrj{kk neudkjh nokvks a l s tfVy ifjfLFkfr;ka iSnk gks ldrh gSa ftue sa le; jgrs eè;oruZ djuk vko';d gSA II. Hkkrh; mip;kZ ifj"kn~ dk ekuuk gS fd iathÑr ulks± dks vH;kl ds fofHkUu u, fof'k"V {ks=ksa es a dk;Z djus ds fy, fo'ks"kK ulks± ds :i es a vkxs çf'kf{kr djus dh vko';drk gS vkSj ;g çf'k{k.k ;ksX;rk ij vkèkkfjr gksuk pkfg,A fo'ks"kK ulks± dh t:jr okyk ,d ,slk {ks= gsesVksykWth gS ftle sa LVse lys VªkalIykaV ufl±x Hkh 'kkfey gSA gsesVksykWth vkSj LVse lys VªkalIykaV rduhd es a gqbZ çxfr vkSj ulks± dh c<r+ h Hkwfedkvk sa ds en~nus tj gsesVksykWth vkSj LVse lys VªkalIykaV dsæa ksa esa jksfx;ksa dks l{ke] dq'ky vkSj mfpr ns[kHkky çnku djus ds fy, ulks± dks fo'ks"k dkS'ky vkSj tkudkjh çnku djus ds fy, vfrfjDr çf'k{k.k dh vko';drk gSA III. gsesVksykWth Lifs'k;fyVh ufl±x es a iksLV csfld fMIyksek ikBîØe ,d&o"khZ; vkoklh; dk;ØZ e gS vkSj bl ikBîØe dh voèkkj.kk es a ewy y?kq ikBîØe vkSj fof'k"V ufl±x çFkkvk sa ds fy, c`gn fof'k"V ikBîØe lfEefyr fd, x, gSaA gsesVksykWth ufl±x vH;kl ds ewy y?kq ikBîØeksa esa n{krk] loa kn ,oa jksxh f'k{kk] uSnkfud urs `Ro ,oa lla kèku çcaèku] vkSj lk{; vkèkkfjr ,oa vuçq ;qDr vulq èakku lfEefyr gSa] ftudk y{; Nk=ks a dks tokcnsg] çfrc)] dq'ky vkSj l{ke fo'ks"kK ulZ dh rjg dk; Z djus dh vko';d tkudkjh] n`f"Vdks.k vkSj n{krk çnku djuk gSA çeq[k fof'k"V ikBîØeks a dks gsesVksykWth Lifs'k;fyVh ufl±x&1 vkSj gsesVksykWth Lisf'k;fyVh ufl±x&2 ds rgr lfqu;ksftr fd;k x;k gSA Lifs'k;fyVh ufl±x&1 es a gsesVksykWth ufl±x dk lna HkZ@ifjp; vkSj gsesVksykWth ufl±x e sa ç;qDr lkekU; foKku ¼gsesVksykWth fof'k"Vrk ds varxrZ vkus okyh uSnkfud ifjfLFkfr;ksa ds funku] mipkj vkSj ns[kHkky e sa lkekU; foKku dh tkudkjh dk ç;ksx½ lfEefyr gSaA Lifs'k;fyVh ufl±x&2 es a fof'k"V gsesVksykWftdy fLFkfr;k sa dk uflx± çcèaku 'kkfey gS] ftles a vkadyu] funku] mipkj vkSj fof'k"V eè;oruZ rFkk jksxh dh ljq {kk vkSj xq.koÙkk rFkk lkFk gh chekjh dh fof'k"V {kfriwfrZ lfEefyr gSaA gsesVksykWth Lifs'k;fyVh ufl±x vkoklh; dk;ZØe ds ikBîØe dh :ij[s kk fuEufyf[kr fp=&1 es a n'kkZbZ xà gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3 ffooff''kk""VV uuffll±±xx nn{{kkrrkk vvHH;;kkllkks s aa ddkk llaannHHkkZZ@@iiffjjpp;; llaaookknn]] ffooff''kk""VV nn[[ss kkHHkkkkyy jjkkssxxhh ff''kk{{kkkk eeaas s iizz;;qqDDrr ,,ooaa iijjkkee''kkZZ llkkeekkUU;; ffooKKkkuu uuSSnnkkffuudd ​​u​​urrss ``RRoo uuffll±±xx ççccaaèèkkuu ,,ooaa llaallkkèèkkuu ¼¼vvkkaaddyyuu vvkkSSjj ffooff''kk""VV ççccaaèèkkuu eeèè;;oorrZZuukks s aa llffggrr½½ llkk{{;; vvkkèèkkkkffjjrr jjkkssxxhh llqqjj{{kkkk ,,ooaa ,,ooaa vvuuqqçç;;qqDDrr xxqq..kkooÙÙkkkk vvkkSSjj jjkkssxx vvuuqqllaaèèkkkkuu llaaccaaèèkkhh ffoooossppuu IV. bl dk;ZØe dks gsesVksykWftdy fodkjks a ls ihfM+r jksfx;ks a dk s xq.koÙkkijd ns[kHkky çnku dju s eas fo'ks"k dkS'ky] tkudkjh vkSj ço`fÙk okys ulZ rS;kj dju s ds fy, cuk;k x;k gSA vkxs] bldk mn~ns'; rduhdh :i ls ;ksX; vkSj çf'kf{kr ,sl s fo'ks"kK ulZ rS;kj djuk gS] tk s r`rh;d vkSj prqFkZd vLirkyks a ds gsesVksykWftdy dsaæks a ij mPp Lrj dh n[s kHkky çnku dj lQyrkiwoZd b"Vre dk;Z dj ldsxa sA dk;ZØe ds iwjk gksus ij] gsesVksykWth fo'ks"kK ulZ fuEukafdr dk;Z djus es a l{ke gksxa s%& 1- Hkkjrh; mip;kZ ifj"kn~ ds lnkpkjh] ijksidkjh] fofèklEer] uSfrd] fofu;ked vkSj ekuorkoknh fl)karks a ds vuq:i ekudks a ds vuqlkj gsesVksykWth vH;kl es a ufl±x n[s kHkky çnku dju s eas is'ksoj tokcnsgh çnf'kZr djukA 2- jksfx;ks]a ifjokjhtuks a vkSj O;kolkf;d lg;ksfx;ks a ds lkFk çHkkoh <ax ls ckrphr djuk ftlls vkil eas lEeku dh Hkkouk dk s c<k+ok feys vkSj LokLF; ifj.kkeks a eas lqèkkj ykus dh fn'kk es a lk>k fu.kZ; fy, tk ldsA4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 3- mipkj vkSj ns[kHkky eas jksfx;ks a vkSj ifjokjhtuks a dh çHkkoh Hkkxhnkjh lqfuf'pr djus ds fy, mUgs a f'kf{kr djuk vkSj ijke'kZ nus k vkSj ladV vkSj fo;ksx dh fLFkfr eas mudh edq kcyk djus dh {kerk dks c<+kukA 4- uSnkfud urs `Ro vkSj lalkèku çcaèku j.kuhfr;ks a dh le> dk çn'kZu djuk vkSj mudk gsesVksykWftdy ns[kHkky vkSj lek;kstu es a mi;ksx dj lg;ksxh rFkk çHkkoh Vhe odZ dks c<+kok nsukA 5- gsesVksykWth ufl±x vH;kl eas O;kogkfjd fu.kZ; yus s ds fy, uSnkfud fo'ks"kKrk vkSj jksxh dh ojh;rkvks]a vuqHko vkSj ewY;ks a ds lkFk ;qfXer gsesVksykWth ns[kHkky vkSj mipkj es a lkef;d loksZÙke çek.kks a dh igpku] vkadyu vkSj mi;ksx djukA 6- ,sl s vuqlaèkku vè;;uks a es a Hkkx yus k] tks 'kksèk çfØ;k dh cqfu;knh le> ds lkFk lk{;&vkèkkfjr gsesVksykWth ufl±x n[s kHkky es a ;ksxnku nsrs gSaA 7- gsesVksykWftdy fodkjks a ls ihfM+r jksfx;ks a vkSj muds ifjokjhtuks a dh nSfgd] 'kkjhfjd] euksoSKkfud] lkekftd vkSj vkè;kfRed leL;kvks a ds vkadyu] funku vkSj mipkj es a lkekU; foKku dks fu:fir djukA 8- gsesVksykWftdy fodkjks a ls ihfM+r jksfx;ks a dh n[s kHkky es a ufl±x çfØ;k viukukA 9- gsesVksykWftdy fodkjks a ls ihfM+r jksfx;ks a ds mipkj eas jfsM;ksFksjsih] dheksFksjsih] vk;ju Fksjsih] vkgkj fpfdRlk] tSo fpfdRlk vkSj ltZjh ds fl)karks a dks fu:fir djukA 10- fofHkUu mipkj O;oLFkkvks a eas jksfx;ks a dks n[s kHkky çnku dju s ds fy, çklafxd fof'k"V vH;kl n{krkvks@a dkS'ky dk çn'kZu djukA 11- eyw dksf'kdk çR;kjksi.k ¼LVes lsy VªkalIykaV's ku½ ikus oky s jksfx;ks a ds çcaèku es a dkS'ky dk çn'kZu djukA 12- mipkj ls lacafèkr çfrdwy çHkkoks a vkSj vkikr fLFkfr;ks a dks igpkuuk vkSj mudk çHkkoh <ax ls çcaèku djukA 13- dheksFksjsih ds fu;ksftr vkSj çfrj{kh mipkj ds fy, nok [kjhnus] HkaMkj.k] ç'kklu vkSj j[kj[kko fofèk;ks a dh le> fodflr djuk vkSj lkFkZd vH;kl dk çn'kZu djukA 14- fo'ks"k midj.kks a tSls FkkWbax e'khu] IysVyVs ,thVVs j] ck;ks&ls¶Vh dSfcuVs ] ,Qsjsfll e'khu] lksfudsVj] LVse lsy LVksjst jfsÝtjsVj vkSj CyM jfsÝtjsVj ds j[kj[kko dh le> dk mi;ksx djukA 15- jksfx;ks a dk fofHkUu mipkj i)fr;ks a }kjk lqjf{kr mipkj djuk vkSj mUgs a mithfodktU; uqdlkuks a ls cpkukA 16- gsesVksykWth vkSj LVse lsy bdkb;ks@a dsaæks a dk uSnkfud vkWfMV djuk vkSj xq.koÙkk vk'oklu xfrfofèk;ks a eas Hkkx yus kA 17- ej.kklUu fLFkfr eas O;fDrxr] lkaLÑfrd vkSj vkè;kfRed t:jrks a vkSj fofHkUurkvks a dk è;ku j[kr s gq, jksfx;ks a dks vkjkenk;d vkSj xfjekiw.kZ fpfdRlh; n[s kHkky çnku djukA V. gsesVksykWth Lisf'k;fyVh ufl±x eas iksLV csfld fMIyksek ,d o"khZ; vkoklh; dk;ZØe gS] ftldk eq[; Qksdl ;ksX;rk vkèkkfjr çf'k{k.k j[kk x;k gSA ikBîØe eas vH;kl ds vykok eyw y?kq ikBîØe vkSj fof'k"V ikBîØe lfEefyr gSaA bldk 10 çfr'kr Hkkx lS)kafrd gS vkSj 90 çfr'kr Hkkx vH;kl ¼uSnkfud ,oa ç;ksx'kkyk½ gSA dk;ZØe ds iwjk gksus ij çek.ki= feyu s vkSj lacafèkr jkT; mip;kZ ifj"kn~ ¼,l,uvkjlh½ eas vfrfjDr ;ksX;rk ds :i eas iathÑr gksus ij] ,sl s fo'ks"kK ulks± dks fo'ks"kK ulZ ds :i eas dsoy fof'k"V vLirkyks@a foHkkxks@a bdkÃ;ks a es a fu;qDr fd;k tk,xkA lHkh ljdkjh@lkoZtfud vkSj futh nksuks a {ks=ks a es a fo'ks"kK ulZ laoxZ dk l`tu fd;k tkuk pkfg,A ;g fMIyksek Hkkjrh; mip;kZ ifj"kn~ }kjk LohÑr lacafèkr ijh{kk cksMZ@fo'ofo|ky; }kjk çnku fd;k tk,xkA VI. 1- ufl±x eas fMxzh dk;ZØe dk lapkyu dju s oky s ufl±x dkWyst tks 200 'k¸;k okys viu s Lo;a ds ,sl s fof'k"V vLirky@r`rh;d vLirky ls lac) gks a ftueas dheksFksjsih] jfsM;ksFksjsih] ç'kked n[s kHkky] lgk;d n[s kHkky vkSj fo'ks"k ufl±x n[s kHkky lqfoèkkvks a ds lkFk uSnkfud] fpfdRlh; vkSj vR;kèkqfud gsesVksykWth ¼ch,eVh ,aM LVse lsy VªkalIykaV½ bdkb;ka miyCèk gksAa[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5 vFkok vkWUdkys kWth@gsesVksykWth eas Mh,uch@QSyksf'ki dk;ZØe dk lapkyu dju s oky s 200 'k¸;k oky s ,sl s vLirky ftueas dheksFksjsih] jfsM;ksFksjsih] ç'kked ns[kHkky] lgk;d n[s kHkky vkSj fo'ks"k ufl±x n[s kHkky lqfoèkkvks a ds lkFk uSnkfud] fpfdRlh; vkSj vR;kèkqfud gsesVksykWth ¼ch,eVh ,aM LVse lsy VªkalIykaV½ bdkb;ka miyCèk gksAa 2- mijksDr ik= laLFkku dks lacafèkr jkT; mip;kZ ifj"kn~ ls okafNr 'kS{kf.kd o"kZ ds fy, iksLV csfld fMIyksek bu gsesVksykWth Lisf'k;fyVh ufl±x ¼buDywfMax LVse lsy VªkalIykaV½ & jfstMsla h çksxzke çkjaHk dju s ds fy, ekU;rk yus h gksxh] tksfd ,d vfuok;Z vko';drk gSA 3- Hkkjrh; mip;kZ ifj"kn ~ }kjk mijksDr nLrkostks@a çLrkoks a dh çkfIr ds i'pkr Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 dh èkkjk 13 ds rgr ekU;rk çkIr ufl±x çf'k{k.k laLFkku dk Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 ds çkoèkkuks a ds rgr cuk, x, fofu;eksa ds vuq:i vè;kiu ladk; vkSj <kapkxr lqfoèkkvks a dh miyCèkrk ds lacaèk eas mi;qDrrk dk vkadyu djus ds fy, oSèkkfud fujh{k.k fd;k tk,xkA d½ 1 % 10 ds vuqikr es a iw.kZdkfyd f'k{k.k ladk;A [k½ f'k{k.k ladk; eas de ls de nks ¼2½ lnL; gksus pkfg,A x½ ;ksX;rk ,oa la[;k% 1- efsMdy lftZdy ufl±x@gsesVksykWth@vkWUdkys kWth Lisf'k;fyVh ufl±x ds lkFk ,e-,llh- ¼ufl±x½ & 1 2- ch-,llh- ¼ufl±x½@ih-ch-ch-,llh- ¼ufl±x½ ds lkFk gsesVksykWth@vkWUdkys kWth Lisf'k;fyVh ufl±x eas iksLV csfld fMIyksek & 1 ?k½ vuqHko & gsesVksykWth@vkWUdksykWth Lisf'k;fyVh ufl±x eas de ls de rhu ¼3½ o"kZ dk uSnkfud vuHq ko ³½ vfrfFk ladk; & lacafèkr fof'k"Vrkvks a eas cgq&fo"k;d p½ • ufl±x çhlsIVj & iw.kZdkfyd th-,u-,e- ;ksX;rk ds lkFk fof'k"V ufl±x ¼gsesVksykWth ufl±x½ eas N% ¼6½ o"kZ dk vuHq ko vFkok ch-,llh- ¼ufl±x½ ds lkFk fof'k"V ufl±x eas nks ¼2½ o"kZ dk vuqHko vFkok ,e- ,llh- ¼ufl±x½ ds lkFk fof'k"V n[s kHkky dsaæ eas fof'k"V ufl±x ds :i eas dk;Z dju s dk ,d ¼1½ o"kZ dk vuqHkoA • efsMdy çhlsIVj & LukrdksÙkj ;ksX;rk ds lkFk fo'ks"kK ¼gsesVksykWth fo'ks"kK½ MkWDVj ¼LukrdksÙkj ;ksX;rk çkIr djus ds ckn rhu ¼3½ o"kZ dk vuqHko@ladk; Lrj@lykgdkj Lrj okyks a dk s ojh;rk nh tk,xh½A • çhlsIVj Nk= vuiq kr & eas 1 % 10] es a 1 % 10 ¼çR;sd Nk= ,d efsMdy çhlsIVj vkSj ,d ufl±x çhlsIVj ls lac) gksuk pkfg,½A laLFkku ds dqy ctV eas bl dk;ZØe ds fy, vko';d deZpkfj;ks a ds osru] vfrfFk ladk; vkSj va'kdkfyd f'k{kdks a ds fy, ekun;s ] fyfidh; lgk;rk] iqLrdky;h vkSj vkdfLed O;; ds fy, foÙkh; çkoèkku gksuk pkfg,A d½ uSnkfud {ks= eas ,d vè;;u d{k@lEeys u d{k [k½ vLirky@dkWyst eas Ñf=e vè;;u ¼flE;qyVs Ms yfu±x½ ds fy, dkS'ky ç;ksx'kkykA x½ vkWuykbu if=dkvks a rd igqap ds lkFk iqLrdky; vkSj daI;wVj lqfoèkk,a 1- dkWyst eas gsesVksykWth Lisf'k;fyVh ufl±x] ufl±x ç'kklu] ufl±x f'k{kk] ufl±x vuqlaèkku vkSj lkaf[;dh ls lacafèkr orZeku iqLrdkas] tuZYl vkSj if=dkvks a ls lqlfTtr iqLrdky; gksuk pkfg,A6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] vFkok efsMdy dkWyst@vLirky ds gsesVksykWth Lisf'k;fyVh ufl±x] ufl±x ç'kklu] ufl±x f'k{kk] ufl±x vuqlaèkku vkSj lkaf[;dh ls lacafèkr orZeku iqLrdks]a tuZYl vkSj if=dkvks a ls lqlfTtr iqLrdky; dk mi;ksx djus dh vuqefr gksuh pkfg,A 2- baVjusV dh lqfoèkk ds lkFk daI;wVj ?k½ Ã&yfu±x lqfoèkk,a ³½ f'k{k.k lalkèku & fuEukafdr lqfoèkk,a miyCèk gksuh pkfg, 1- vksoj&gsM çkstsDVj 2- ohfM;ks ns[kus dh lqfoèkk 3- ,ylhMh çkstsDVj 4- lhMh] MhohMh vkSj MhohMh Iy;s j 5- dkS'ky vè;;u ds fy, mi;qDr midj.k] MEeh ¼esuhfdu½ vkSj fleqyVs j p½ dk;kZy;h lqfoèkk,a 1- fyfid] pijklh] lQkbZ deZpkjh dh lsok,a 2- dk;kZy;] midj.k vkSj vkiwfrZ dh lqfoèkk] tSls & LVs'kujh & fçaVj ds lkFk daI;wVj & thjksDl e'khu & Vys hQksu ,oa QSDl d½ de ls de 200 'k¸;k oky s viu s Lo;a ds ,sl s fof'k"V vLirky@r`rh;d vLirky ftues a dheksFksjsih] jfsM;ksFksjsih] ç'kked ns[kHkky] lgk;d n[s kHkky vkSj fo'ks"k ufl±x n[s kHkky lqfoèkkvks a ds lkFk uSnkfud] fpfdRlh; vkSj vR;kèkqfud gsesVksykWth ¼ch,eVh ,aM LVes lsy VªkalIykaV½ bdkb;ka miyCèk gksAa [k½ de ls de 200 'k¸;k okys ,sl s {ks=h; gsesVksykWth dsaæ@gsesVksykWth Lisf'k;fyVh vLirky ftues a dheksFksjsih] jfsM;ksFksjsih] ç'kked ns[kHkky] lgk;d n[s kHkky vkSj fo'ks"k ufl±x n[s kHkky lqfoèkkvks a ds lkFk uSnkfud] fpfdRlh; vkSj vR;kèkqfud gsesVksykWth ¼ch,eVh ,aM LVes lsy VªkalIykaV½ bdkb;ka miyCèk gksAa x½ vLirky eas mUur uSnkfud] fpfdRlh; ,oa n[s kHkky lqfoèkkvksa okyh de ls de 30 fof'k"V 'k¸;k miyCèk gksuh pkfg,A ?k½ bdkb;ks a eas Hkkjrh; mip;kZ ifj"kn~ ekunaMks a ds vuqlkj ulZ LVkQ miyCèk gksuk pkfg,A ³½ Nk= jksxh vuiq kr 1 % 3 gksuk pkfg,A bl dk;ZØe es a ços'k ikus okys Nk= dks] d½ ,u;wvkbZMh uca j ds lkFk iathÑr ulZ ,oa feMokbQ ¼vkj-,u- ,aM vkj-,e-½ ;k led{k dks fdlh jkT; mip;kZ iathdj.k ifj"kn~ ¼,l,uvkjlh½ es a ukekafdr gksuk pkfg,A [k½ ukekadu ls igy s LVkQ ulZ ds in ij de ls de ,d o"kZ dk uSnkfud vuqHko ¼gsesVksykWth@ ch,eVh@LVse lsy bdkbZ dks çkFkfedrk½ gksuk pkfg,A x½ 'kkjhfjd :i ls LoLFk gksuk pkfg,A ?k½ p;u] ços'k ijh{kk vkSj l{ke vfèkdkjh }kjk lk{kkRdkj es a çkIr Js"Brk ds vkèkkj ij gksuk pkfg,A[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7 ³½ vU; n's kks a ds ulks± dks ço's k ls igy s Hkkjrh; mip;kZ ifj"kn ~ ls ,d lerYq ;rk çek.k i= çkIr djuk gksxkA 200 'k¸;k o 30 fof'k"V 'k¸;k oky s vLirky ds fy, lhVks a dh la[;k ¾ 10 500 'k¸;k o 60 fof'k"V 'k¸;k oky s vLirky ds fy, lhVks a dh la[;k ¾ 20 3 fof'k"V 'k¸;kvks a ds fy, 1 vH;FkhZ 1- lsokjr vH;fFkZ;ks a dks fu;fer osru feyrk jgsxkA 2- vU; vH;fFkZ;ks a dks dk;ZØe dk lapkyu dju s oky s vLirky dh osru lajpuk ds vuqlkj othQk@osru fn; tk,xkA VII. & Hkkjrh; mip;kZ ifj"kn~@fo'ofo|ky; }kjk vuqeksfnr lacafèkr ijh{kk cksMZ d½ mifLFkfr% lS)kafrd ,oa çk;ksfxd & 80 çfr'kr] rFkkfi] çek.ki= feyu s ls igy s 100 çfr'kr uSnkfud mifLFkfr iwjh djuk vfuok;Z gksxkA [k½ ykWxcqd vkSj uSnkfud tSlh okafNr vko';drkvks a dk s lQyrkiwoZd iwjk dju s oky s vH;FkhZ vafre ijh{kk eas cSBus ds ik= gksxa sA d½ oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhý% vkarfjd vkSj vafre nksuks a ijh{kkvks a eas oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhý ds vykok ekSf[kd ijh{kk Hkh vk;ksftr dh tk,xhA ¼foLr`r fn'kkfunsZ'k ekxZn'kZu iqfLrdk eas fn, x, gSa½ [k½ çk;ksfxd@uSnkfud voyksdu% vafre vkarfjd vkSj cká ijh{kk es a ekSf[kd ijh{kk ds lkFk okLrfod ifjfLFkfr;ks a eas uSnkfud çn'kZu dk vkadyu & 3&4 ?kaVs dk y?kq uSnkfud vkadyu vH;kl ¼ufl±x çfØ;k vkosnu vkSj dk;Zfofèkd n{krk dk çR;{k voyksdu½ Hkh 'kkfey gksxkA uSnkfud {ks= esa vkadyu dh U;wure vofèk 5&6 ?kaVs gkxs hA ¼vkadyu fn'kkfunsZ'k ekxZn'kZu iqfLrdk eas fn, x, gSa½ x½ çfr fnu Nk=ks a dh vfèkdre la[;k ¾ 10 Nk=A ?k½ ijh{kk dsoy uSnkfud {ks= eas gh vk;ksftr dh tkuh pkfg,A ³½ çk;ksfxd ijh{kd ny eas] ,d vkarfjd ijh{kd ¿lacafèkr fof'k"V dk;ZØe eas nks ¼2½ o"kZ çf'k{k.k vuHq ko ds lkFk ,e-,llh-@LukrdksÙkj ijh{kk mÙkh.kZ dju s ds i'pkr ikap ¼5½ o"kZ ds vuqHko ds lkFk ,e-,llh- ¼efsMdy lftZdy ufl±x½ vgZrk èkkjd ufl±x ladk;À] ,d cká ijh{kd ¼mijksDr vuqHko ,oa vgZrk èkkjd ufl±x ladk;½] vkSj ,d fpfdRlh; vkarfjd ijh{kd tk s fof'k"V dk;ZØe ds fy, çhlsIVj gksuk pkfg,] 'kkfey gksxa sA p½ çk;ksfxd ijh{kd vkSj lS)kafrd ijh{kd ,d gh ufl±x ladk; gksus pkfg,A d½ çR;sd vH;FkhZ dk s mÙkh.kZ gksus ds fy, lS)kafrd vkSj çk;ksfxd ijh{kk ds vkarfjd vkadyu rFkk cká ijh{kk nksuks a eas dqy feykdj de ls de 60 çfr'kr vad çkIr djuk vfuok;Z gSA 60 çfr'kr ls de vad çkIr dju s ij vuqÙkh.kZ ekuk tk,xkA [k½ Nk=ks a dks mÙkh.kZ gksus ds fy, vfèkdre rhu ¼3½ volj çnku fd, tk,axsA8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] x½ ;fn Nk= lS)kafrd vFkok çk;ksfxd ijh{kk eas ls fdlh ,d eas vuqÙkh.kZ gks tkrk gS] rks mls dsoy vuqÙkh.kZ ijh{kk ;kfu lS)kafrd vFkok çk;ksfxd esa gh iqu% ijh{kk nsuh gksxa hA d½ 'kh"kZd& iksLV csfld fMIyksek bu gsesVksykWth Lisf'k;fyVh ufl±x ¼buDywfMax LVes lsy VªkalIykaV½ [k½ fuèkkZfjr vè;;u ikBîØe ds lQy lekiu ij] Hkkjrh; mip;kZ ifj"kn~@fo'ofo|ky; }kjk ekU;rk çkIr ijh{kk cksMZ }kjk fuEukafdr mYy[s k ds lkFk ,d fMIyksek çnku fd;k tk,xk] 1- vH;FkhZ us iksLV csfld fMIyksek bu gsesVksykWth Lisf'k;fyVh ufl±x & jfstMsla h çksxzke ds rgr ikBîØe ds lHkh igyqvks a dk vè;;u iwjk dj fy;k gSA 2- vH;FkhZ us 80 çfr'kr lS)kafrd ,oa 100 çfr'kr uSnkfud vis{kkvks a dks iwjk dj fy;k gSA 3- vH;FkhZ us fuèkkZfjr ijh{kk mÙkh.kZ dj yh gSA VIII. gsesVksykWth Lisf'k;fyVh ufl±x 25 75 100 3 ¼Hkkx&1 ,oa Hkkx&2½ ¼10$15½ ¼35$40½ ¼Hkkx&1 & eyw ufl±x ds lkFk gsesVksykWth Lisf'k;fyVh ufl±x&1] Hkkx&2 & gsesVksykWth Lisf'k;fyVh ufl±x&2½  ekSf[kd ijh{kk lfgr oLrqfu"B lajfpr 75 150 225 uSnkfud {ks= eas de ls uSnkfud ijh{kk ¼vks,llhý ¼25$50½ ¼50$100½ de 5&6 ?kaVs ¼vks,llhÃ&25 ¼vks,llhÃ&50  çk;ksfxd@uSnkfud voyksdu% ekSf[kd ijh{kk ,oa çk;ksfxd ,oa çk;ksfxd ds lkFk okLrfod ifjfLFkfr;ks a eas uSnkfud voyksdu&50½ voyksdu&100½ çn'kZu dk lhèkk vkadyu & 3&4 ?kaV s dk y?kq uSnkfud vkadyu vH;kl ¼ufl±x çfØ;k vkosnu vkSj dk;Zfofèkd n{krk dk çR;{k voyksdu½ IX. 1- vuqns'k ikB&;kstuk 2- ikBîØe dk dk;kZUo;u 3- uSnkfud vH;kl ¼vkoklh; inLFkkiu½ 4- f'k{k.k fofèk;ka 5- vkadyu fofèk;ka 6- ykWx cqd vkSj uSnkfud vko';drk,a[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9 1- 40 1- O;kolkf;d dq'kyrk 2- fof'k"V ufl±x es a laokn] jksxh f'k{kk vkSj ijke'kZ 3- fo'ks"k ns[kHkky ifjfLFkfr;ks a eas uSnkfud urs `Ro vkSj lalkèku çcaèku 4- fof'k"V ufl±x es a lk{; vkèkkfjr vkSj vuqç;qDr vuqlaèkku 2- 50 10 1- fof'k"V ufl±x dk lanHkZ@ifjp; 2- fo'ks"k ns[kHkky es a vuqç;qDr lkekU; foKku & ,ukVkWeh o fQft;ksykWth] ekbØksck;ksykWth] QkekZdksykWth o iSFkksfQft;ksykWth tSlh uSnkfud ifjfLFkfr;ks a dk funku vkSj mipkj 110 30 1730 1- vkadyu] funku] mipkj vkSj fo'ks"k eè;orZu lfgr uSnkfud ifjfLFkfr;ks a eas ufl±x çcaèku 2- jksxh lqj{kk vkSj xq.koÙkk 3- fof'k"Vrk@chekjh fof'k"V foospu ¼lg;ksxh n[s kHkky@ç'kked ns[kHkky@iquokZl( O;fDr] ifjokj vkSj leqnk; ij chekjh dk çHkko½    ¼lS)kafrd 10 çfr'kr vkSj dkS'ky ç;ksx'kkyk $ uSnkfud 90 çfr'kr½ × ×  CykWd d{kk,a ¼lS)kafrd vkSj dkS'ky ç;ksx'kkyk vuHq ko ¾ 2 lIrkg × 40 ?kaVs çfr lIrkg ¼80 ?kaVs½ ¼lS)kafrd ¾ 74 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 6 ?kaVs] dqy ¾ 80 ?kaVs½  lS)kafrd vkSj dkS'ky ç;ksx'kkyk lfgr uSnkfud vH;kl ¾ 42 lIrkg × 45 ?kaVs çfr lIrkg ¼1890 ?kaVs½ ¼lS)kafrd ¾ 126 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 34 ?kaVs] uSnkfud ¾ 1730 ?kaVs½ lS)kafrd ¾ 200 ¼74 $ 126½ ?kaVs] dkS'ky ç;ksx'kkyk ¾ 40 ¼6 $ 34½ ?kaVs] uSnkfud ¾ 1730 ?kaVs ¼dkS'ky ç;ksx'kkyk vgZrkvks a dh lwph e as nh xbZ gSa½10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] gkykafd U;wure 45 ?kaVs çfr lIrkg fuèkkZfjr gS] yfsdu vyx&vyx ikfj;ks a vkSj çR;sd lIrkg ;k i[kokM+ s vkWu dkWy MîVw h djus ij ifjfLFkfr vuqlkj gksxkA çf'k{k.k vofèk ds nkSjku Nk=ks a dk fuEukafdr uSnkfud {ks=ks a eas inLFkkiu fd;k tk,xk%& 1 gsesVksykWth okMZ 12 Lo;a dk viuk gsesVksykWth Lisf'k;fyVh vLirky@gsesVksykWth 2 isfM;kfVªd gsesVksykWth bdkbZ 04 dsaæ 3 Ms ds;j 08 4 cká jksxh foHkkx ¼vksihMh½ 04 5 ch,eVh@LVse lsy VªkalIykaV bdkbZ 10 6 lqçfl) jk"Vªh;@varjkZ"Vªh;@gsesVksykWftdy dsæa 04 la;kstu@nkSjs  dsl@uSnkfud çLrqfr vkSj dsl LVMh fjiksVZ  Mªx LVMh vkSj çLrqfr  csMlkbM fDyfud@ufl±x jkmaM~l@baVjfMflfIyujh jkmaM  tuZy Dyc@uSnkfud laxks"Bh  uSnkfud {ks= eas f'k{kdks a ds O;k[;ku vkSj ifjppkZ  dkS'ky ç;ksx'kkyk eas vkSj csMlkbM ij fun'kZu vkSj dkS'ky çf'k{k.k  funsZf'kr i<+u@Lo&vè;;u  jksy Iy s  laxks"Bh@lkefwgd çLrqfr  lkefwgd vuqlaèkku ifj;kstuk  uSnkfud dk;Z  jksxh dh opuo)rk f'k{kk ¼mnkgj.kkFkZ & lwpuk çkS|ksfxdh dk mi;ksx dj LokLF; ifj.kkeks a dks lqèkkjus ds fy, lkoèkkuhiwoZd fu.kZ; yus s eas jksfx;ks a dh lk>hnkjh½ mnkgj.k ds fy, NqV~Vh nus s dh ;kstuk vkSj vuqorhZ dkjoZ kÃA  {ks=h; gsesVksykWth@LVse lsy dsaæ vkSj ç'kked n[s kHkky dsaæks a ds 'kSf{kd nkSjAs[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11  fyf[kr ijh{kk ¼dsl@ifjn`'; vkèkkfjr½  çk;ksfxd ijh{kk & vks,llhbZ vkSj çk;ksfxd voyksdu ¼okLrfod ifjfLFkfr;ks a eas uSnkfud çn'kZu dk çR;{k voyksdu½  fyf[kr dk;Z  ifj;kstuk  dsl LVMh@ns[kHkky ;kstuk@uSnkfud çLrqfr@Mªx LVMh  uSnkfud çn'kZu vkadyu  uSnkfud dk;Zfofèkd n{krkvks a vkSj uSnkfud vko';drkvks a dh iwfrZ ¼vkadyu fn'kkfunsZ'kks a ds fy, n[s ks½a çR;sd uSnkfud inLFkkiu ds var eas] uSnkfud ykWx cqd ¼fof'k"V dk;Zfofèkd n{krk,a@uSnkfud dkS'ky½ ] uSnkfud vgZrk,a vkSj uSnkfud vuqHko fooj.k ij lacafèkr uSnkfud ladk;@çhlsIVj }kjk gLrk{kj fd, tku s pkfg,A X. ;g ikBîØe gsesVksykWth ufl±x vH;kl eas O;kolkf;d dq'kyrk] laokn] jksxh f'k{kk vkSj ijke'kZ] uSnkfud urs `Ro vkSj lalkèku çcaèku rFkk lk{; vkèkkfjr vkSj vuqç;qDr vulq aèkku dh le> fodflr dju s ds fy, rS;kj fd;k x;k gSA 1 6 O;kolkf;d ifjppkZ gsesVksykWth dq'kyrk dh le> • vFkZ vkSj rÙo & ufl±x ls dk çn'kZu vkSj gsesVksykWth Lisf'k;fyVh ufl±x vH;kl es a lacafèkr vkpkj gsesVksykWth ufl±x tokcngs h] lqfoKrk] n`';rk vkSj uSfrdrk lafgrk dk vH;kl es a o.kZu djuk • O;kolkf;d eYw ; vkSj O;kolkf;d O;ogkj O;kolkf;d • Hkkjrh; mip;kZ ifj"kn~ vkpkj lafgrk] dq'kyrk dk çn'kZu O;kolkf;d vkpj.k lafgrk vkSj vH;kl djuk ekud • gsesVksykWth ufl±x vkSj LVse lsy VªkalIykaV ls lacafèkr uSfrd eqn~ns • ulZ&ulZ çsfDV'kuj dh çlj.k'khy Hkwfedk • O;kolkf;d laxBu • lrr ufl±x f'k{kk O;k[;ku • gsesVksykWth ufl±x ls lacafèkr dkuuw vkSj gsesVksykWth ufl±x jksfx;ks a dk fofu;e vkSj LVse lsy fjdkWMZ j[kuk • miHkksDrk laj{k.k vfèkfu;e12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] VªkalIykaV ds • ykijokgh vkSj dnkpkj fpfdRlh;&fofèkd • fpfdRlh;&fofèkd igyw igyvq ks a dk o.kZu • fjdkWMZ~l vkSj fjiksVZ~l djuk • gsesVksykWth fof'k"V ulks± dh fofèkd ftEesnkfj;ka 2 12 jksfx;ks]a ifjokjhtuks a fMftVy vkSj O;kolkf;d • laokn ç.kkyh vkSj rduhd O;k[;ku fjdkWMZ~l lg;ksfx;ks a ds lkFk • jksfx;ks a dks gsesVksykWftdy dsla j vkSj fodkjks a çHkkoh <ax ls nq%[kn lwpuk ds ckjs es a xyr jksx funku dh nq%[kn lwpuk ckrphr djuk nus k & Hkwfedk nus k ftlls vkil eas • laLÑfr vuqlkj laosnukiwoZd ckrphr djuk lEeku dh Hkkouk • ufl±x n[s kHkky ;kstukvks a vkSj fjdkWMZ~l dks c<+kok feys vkSj fodflr djuk LokLF; ifj.kkeks a eas • laokn es a lwpuk çkS|ksfxdh midj.kks a dk lqèkkj ykus dh mi;ksx fn'kk es a lk>k fu.kZ; fy, tk ldsa • Vhe laokn mipkj vkSj n[s kHkky es a jksfx;ks a led{k çf'k{k.k lkefwgd vkSj ifjokjhtuks a • f'k{k.k vkSj vè;;u ds fl)kar LokLF; f'k{kk dh çHkkoh Hkkxhnkjh l= vk;ksftr • LokLF; f'k{kk ds fl)kar lqfuf'pr djus ds djuk • lwpuk dh t:jrks a dk vkadyu vkSj jksxh fy, mUgs a f'kf{kr f'k{kk djuk vkSj ijke'kZ çklafxd fo"k; • jksxh f'k{kk lkexzh fodflr djuk nus k ij jksxh f'k{kk lkexzh rS;kj djuk • ijke'kZ rduhd ijke'kZ l= • nq%[kn lwpuk] xgu mipkj] ladVdkyhu eè;orZu vkSj ej.kklUu voLFkk eas jksxh o ifjokjhtuks a dks ijke'kZ nsuk 3 12 uSnkfud urs `Ro vkSj O;k[;ku gsesVksykWth lalkèku çcaèku • urs `Ro vkSj çcaèku foHkkx es a j.kuhfr;ks a dh le> dk;Zjr dfu"B • gsesVksykWth ufl±x n[s kHkky ds çcèa ku ds rRo dk çn'kZu djuk ufl±x & ;kstuk] vk;kstu] LVkQ] fjiksfV±x] fjdkWfM±x vkSj mudk vfèkdkfj;ks@a vkSj ctV gsesVksykWftdy LVkQ ulks± ds • uSnkfud urs `Ro vkSj bldh pqukSfr;ka n[s kHkky vkSj fy, MîwVh • f'k"V eMa y lek;kstu es a jksLVj rS;kj • gsesVksykWth bdkb;ks a eas ekuo lalkèku çcaèku mi;ksx dj djuk lg;ksxh rFkk çHkkoh • lkexzh çcaèku Vhe odZ dks c<+kok • ,d vkn'kZ gsesVksykWth okMZ] Ms ds;j vkSj ,d vkn'kZ nus k LVse lsy VªkalIykaV bdkbZ dh vfHkdYiuk gsesVksykWth okMZ • HkkoukRed cqf)eÙkk vkSj Lo&çcaèku dkS'ky vkSj Ms ds;j • var%fo"k;d ny ds lnL; ds :i eas dk;Z rS;kj djuk djuk • gsesVksykWftdy fodkjks a ls ihfM+r jksfx;ks a dh[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13 n[s kHkky ds fy, uhfr;ks a dks çklafxd cukus es a Hkkxhnkj cuuk fun'kZu & • gsesVksykWftdy fodkjks a ls ihfM+r jksfx;ks a ds ch,eVh@ vkn'kZ LVes fy, bdkbZ dk vk;kstu & ,p,llhVh bdkbZ dheksFksjsih bdkbZ lsy VªkalIykaV vkSj dheksFksjsih bdkbZ rS;kj djuk bdkbZ dh lajpuk dk cksu ejs ks VªkalIykaV fdlh fof'k"V dk;Z bdkbZ rS;kj djuk dsalj vLirky • ufl±x vkWfMV dh ,p,llhVh • ufl±x ekud bdkbZ dk nkSjk LVse lsy • xq.koÙkk vk'oklu djuk VªkalIykaV bdkbZ gsesVksykWth vkSj vkSj gsesVksykWth LVse lsy ekWMîyw & okMZ ds fy, bdkb;ks@a dsaæks a es a ekU;rk vkSj ,lvksih xq.koÙkk vk'oklu vH;kl ekud fodflr djuk xfrfofèk;ks a eas Hkkx yus k vkSj uSnkfud ijh{k.k djuk 4 10 vuqlaèkku çfØ;k O;k[;ku gsesVksykWth dk o.kZu djuk • ufl±x vuqlaèkku vkSj vuqlaèkku çfØ;k dk foHkkx ds xr vkSj cqfu;knh ifjp; vH;kl & ikap o"kZ ds lkaf[;dh; ijh{k.k • MsVk çLrqfr] cqfu;knh lkaf[;dh; ijh{k.k vkSj oSKkfud çi= lkaf[;dh; djuk blds vuqç;ksx y[s ku vkadM+ s rS;kj • gsesVksykWth ufl±x eas vuqlaèkku çkFkfedrk,a djuk vuqlaèkku ds • gsesVksykWth ufl±x vH;kl dh çklafxd fl)kar vkSj pj.kks a leL;kvks@a ç'uks a dk fu:i.k dk ç;ksx dj • gsesVksykWth ufl±x vH;kl es a lk{; vuqlaèkku ifj;kstuk vkèkkfjr@loksZÙke çFkkvks a dh igpku dju s ds laikfnr djuk gses VksykWftdy fy, lkfgfR;d leh{kk ufl±x lk{; vkèkkfjr@ • nSfud O;kolkf;d vH;kl es a lk{; vkèkkfjr lkefwgd eè;orZu@ O;kolkf;d vH;kl eè;orZu dk dk;kZUo;u vuqlaèkku lkefwgd dh csgrjhu dk;Z • vuqlaèkku es a uSfrdrk ifj;kstuk vuqlaèkku ç.kkfy;ks a dks ifj;kstuk ij viukuk lkfgfR;d leh{kk dk lapkyu djuk ;g ikBîØe gsesVksykWftdy ns[kHkky çkoèkku ds lanHkZ es a le> vkSj xgu tkudkjh fodflr dju s vkSj gsesVksykWftdy fodkjks a ls ihfM+r jksfx;ksa ds funku vkSj mipkj es a lkekU; foKku ykxw dju s eas Nk=ks a dh enn dju s ds fy, rS;kj fd;k x;k gSA14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 1 4 lkekU; gsesVksykWftdy • gsesVksykWftdy fodkjks a eas egkekjh O;k[;ku vkSj lkaf[;dh; ¼lS)kafrd½ fodkjks a eas egkekjh ds foKku & O;kidrk vkSj lkaf[;dh ifjppkZ çLrqfrdj.k y{k.kks a dh O;k[;k • tksf[ke dkjd vkSj mudh igpku djuk] tksf[keks a dks • tksf[ke dkjd de djus gsrq igpkuuk vkSj mUgs a de j.kuhfr;ka dju s ds fy, j.kuhfr rS;kj djuk 2 2 gsesVksykWftdy ufl±x ds • gsesVksykWftdy ufl±x ds fl)kar O;k[;ku vkSj ¼lS)kafrd½ fl)karks a dh O;k[;k ifjppkZ djuk • gsesVksykWth fof'k"V ulks± dh Hkwfedk gsesVksykWth fof'k"V ulks± • gsesVksykWth ufl±x vH;kl dk dh Hkwfedk ij ppkZ ç;kstu djuk 3 10 gsesVksykWftdy ufl±x • ekuo O;ogkj vkSj gsesVksykWftdy O;k[;ku ijke'kZ l= ¼lS)kafrd½ n[s kHkky es a vlkè;rk dk lkeuk djuk vk;ksftr djuk eukslkekftd igyvq ks a • gsesVksykWftdy vlkè;rk ls ihfM+r dh O;k[;k djuk jksfx;ks a ds fy, eukslkekftd lek;kstu dks çHkkfor dju s oky s dkjd • eukslkekftd leL;kvks a dk çcaèku ijke'kZ & leh{kk • ekxZn'kZu vkSj ijke'kZ ds pj.k 4 8 gsesVksykWth O;oLFkk es a • ,lsfIll] jksxk.kquk'ku vkSj O;k[;ku ch,eVh bdkà ¼lS)kafrd½ efsMdy lftZdy dhVk.kq'kksèku ds fl)kar eas laØe.k 2 ,lsfIll vkSj laØe.k • ekud lqj{kk mik; fun'kZu fu;a=.k ds fy, ¼çk;ksfxd½ fu;a=.k dh O;k[;k • tSo fpfdRlh; vif'k"V çcaèku ,lvksih rS;kj djuk • cSfj;j ufl±x vkSj laØe.k fu;a=.k djuk çFkk ch,eVh bdkà eas laØe.k fu;a=.k vH;kl 5 6 jDr dh lajpuk vkSj O;k[;ku isjhQsjy CyM ¼lS)kafrd½ dk;ks± dk o.kZu djuk • jDr & lw{e lajpuk & vkjchlh] Leh;j rS;kj 2 MCY;wchlh] IysVyVs ~l] Lo&vè;;u djuk ¼çk;ksfxd½ • gseksXyksfcu & lajpuk] la'y"sk.k vkSj fodkj ç;ksx'kkyk es a LykbM ij • jDr ds dk;Z fun'kZu & CyM fu'kku yxkuk • cksu ejs ks] gsesVksiks,fVd LVes lsy LykbM rS;kj ck;ykWth vkSj gsesVksiks,fll djuk vkSj lw{e lkekU; vkSj • jDr Ldanu ijh{k.k djuk vlkekU; • lkekU; gsesVksykWftdy ekU;rk,a isjhQsjy CyM Leh;j@cksu fyQa sfVd ç.kkyh dh ejs ks LykbM ds lajpuk vkSj dk;ks± dk • fyQa sfVd ç.kkyh vkSj fyaQ dk y{k.kks a dk o.kZu o.kZu djuk lapkj djuk • çfrj{kk & Vh dksf'kdk vkSj ch dksf'kdk foU;kl] çfrj{kk çfrfØ;k] ,aVhtu] lkbVksfdal vkSj ,aVhckWMh ds çdkj[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15 6 2 gsesVksykWth ds dks'kdh; • gsesVksiks,fVd LVse lsy ck;ksykWth O;k[;ku ¼lS)kafrd½ vkèkkj dk s le>uk dk voyksdu gsesVksykWth ds • çfrj{kk ç.kkyh dk voyksdu çfrj{kkRed vkèkkj dh O;k[;k djuk 7 8 CyM xzqÇix vkSj CyM O;k[;ku ,,QVhlh nkSjs ¼lS)kafrd½ Vªkal¶;wtu dh O;k[;k • ,chvks vkj,p CyM xzqfiax dh fjiksVZ 2 djuk • nkudrkZvks a dh tkap ¼çk;ksfxd½ • jDr laxzg.k vkSj jDr mRiknks a dk CyM cSad esa CyM jDrnku f'kfoj HkaMkj.k vkSj igqapkuk ,chvks vkj,p dk vk;kstu • jDr mRikn vkSj jDrkèkku xzqÇix vkSj ØkWl • ,chvks@vkj,p vlaxrrk eSÇpx dk jDrkèkku ds • csesy jDrkèkku vkSj blds çfrdwy fun'kZu fy, ,lvksih çHkko rS;kj djuk • xSj&gseksfyfVd Toj vkSj vkèkku ,,QVhlh dk çfrfØ;k nkSjk djuk fuEufyf[kr dk • CyM cSad esa fjdkWMZ~l dk j[kj[kko fun'kZu% • jDr laxzg.k • ,chvks vkj,p xzqÇix vkSj ØkWl eSÇpx • ,Qsjsfll • jDr HkaMkj.k 8 10 fofHkUu ?kkrd vkSj • gsesfVfuDl & vk;ju Fksjsih] nok çfrikfnr nok vè;;u ¼lS)kafrd½ v?kkrd gsesVksykWftdy foVkfela ] lgk;d fpfdRlk djuk 4 fodkjks a ds fy, • ,fjFkzksikbs Vhu ¼çk;ksfxd½ QkekZdksFksjsih dh O;k[;k • dks,xqyasV~l dheksFksjsih çfØ;k djuk • bE;wu lçslasV~l dk fun'kZu • vuytsflDl • gsesVksykWftdy dSalj es a dheksFksjsih • gsesVksykWftd ç.kkyh ds lkekU; dk;ks± dks çHkkfor dju s okyh nok,a ;g ikBîØe fofHkUu gsesVksykWftdy fodkjks a ls ihfM+r jksfx;ks a dk vkadyu] funku] mipkj] ufl±x çcaèku] vkSj lgk;d@ç'kked n[s kHkky ds fy, vko';d n{krkvks a dks fodflr dju s eas Nk=ks a dh enn djus ds fy, rS;kj fd;k x;k gSA16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 1 8 gsesVksykWftdy fodkjks a • gsesVksykWftdy fodkjks a ls ihfM+r ifjppkZ vkSj cká jksxh foHkkx ¼lS)kafrd½ ls ihfM+r o;Ld ,oa jksfx;ks a dk vkadyu & iwoZo`Ùk dh fun'kZu ¼vksihMh½ es a 8 cqtqxZ jksfx;ks a ds tkudkjh gkfly djuk] 'kkjhfjd o;Ld vkSj f'k'kq ¼çk;ksfxd½ vkadyu es a dkS'ky vkSj uSnkfud ijh{k.k djuk jksfx;ks a dk O;Dr djuk vkSj vkadyu vkSj O;k[;k djuk fjikVs Z y[s ku gsesVksykWftdy fodkjks a ls ihfM+r f'k'kq jksfx;ks a ds vkadyu dkS'ky dh O;k[;k djr s gq, • gsesVksykWftdy fodkjks a ls ihfM+r O;Dr djuk f'k'kq jksfx;ks a dk vkadyu 2 4 uSnkfud ijh{k.k eas • gsesVksykWftdy fodkjks a ds fy, O;k[;ku vkSj cksu ejs ks LykbM ¼lS)kafrd½ lgk;rk djuk uSnkfud ijh{k.k fun'kZu rS;kj djuk 2 ¼çk;ksfxd½ cksu ejs ks ck;ksIlh es a lgk;rk djuk • cksu ejs ks ,fLij's ku] ck;ksIlh vkSj cksu ejs ks LykbM rS;kj djuk 3 5 gsesVksykWth bdkb;ks a eas ¼lS)kafrd½ mi;ksx fd, tkus 5 oky s midj.kks a dk ¼çk;ksfxd½ mi;ksx vkSj le> dk • ,Qsjsfll fun'kZu • IyVs ysV ,thVVs j • ckW;ks&ls¶Vh dSfcusV • FkkWbax e'khu • LVse lsy Øk;ksfçtoZs'ku • CyM daiksusVa jsfÝtjsVj • ¶;wfexsVj 4 10 o;Ld vkSj f'k'kq • ,p,llhVh ikus oky s jksfx;ks a dh fun'kZu ,p,llhVh bdkbZ ¼lS)kafrd½ jksfx;ks a dh gsesVksykWth n[s kHkky dh LFkkiuk 10 çfØ;k es a lgk;rk lhoh,Mh yxkus • ,p,llhVh ikus oky s cqtqxZ vkSj ¼çk;ksfxd½ dju s gsrq dkS'ky vkSj mldh f'k'kq jksfx;ks a dh n[s kHkky ds fo'ks"k fodflr djuk n[s kHkky ij igyw dk;Z'kkyk • cksu ejs ks ,fLij's ku vkSj ck;ksIlh eas lgk;rk djuk • gseksik,s fVd LVes lsy laxzg.k vkSj laj{k.k eas lgk;rk djuk • LIyus Ds Vkseh iku s okys jksfx;ks a dk çcaèku • dheksFksjsih vkSj baVªkfFkdy dheksFksjsih iku s oky s jksfx;ks a dh n[s kHkky • lhoh,Mh ¼ihvkbZlhlh] fgdeSu oh,Mh ns[kHkky dSFksVj] dheks ikVs Z vkSj lsVa ªy ykbla ½ Mkyus es a lgk;rk djuk vkSj ns[kHkky[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17 5 5 gsesVksykWftdy fodkjks a • ?kkrd vkSj v?kkrd Lo&vè;;u gsesVksykWftdy ¼lS)kafrd½ oky s o;Ld vkSj f'k'kq gsesVksykWftdy fodkjks a ls ihfM+r fodkjks a ls ihfM+r jksfx;ks a ds ik"sk.k o;Ld vkSj f'k'kq jksfx;ks a dh iks"k.k jksfx;ks a ds fy, lacaèkh n[s kHkky dh lacaèkh leL;k,a iks"k.k çcaèku ij O;k[;k djuk xgu ys[k@l= • ,uhfe;k vkSj vU; gsesVksykWftdy y[s k fodkjks a ls ihfM+r jksfx;ks a dh vkgkj ;kstuk 6 5 gsesVksykWftdy dSalj • nnZ & çdkj] iSFkksfQft;ksykWth ifjppkZ nnZ fuokj.k ds ¼lS)kafrd½ eas nnZ fuokj.k fy, oSdfYid • gsesVksykWftdy dSalj es a nnZ 3 fl)karks a dh O;k[;k mipkj ç.kkyh ij fuokj.k & vkS"kèkh; vkSj ¼çk;ksfxd½ fu;r dk;Z xSj&vkS"kèkh; mik; 7 2 gsesVksykWftdy fodkjks a • gsesVksykWftdy fodkjks a eas cq[kkj O;k[;ku vkSj fu;r dk;Z ¼lS)kafrd½ eas cq[kkj vkSj vkSj lsfIVlhfe;k ifjppkZ 2 lsfIVlhfe;k rFkk • fQczkby U;wVªksisfu;k ¼çk;ksfxd½ vU; laØe.kks a ds cSfj;j ufl±x ij fuokj.k ij ifjppkZ fun'kZu 8 10 ufl±x çcaèku lfgr • ,uhfe;k & oxhZdj.k O;k[;ku ufl±x ¼lS)kafrd½ ,uhfe;k ds oxhZdj.k] fDyfud@nkSjs • fuEufyf[kr dh ,fV;ksykWth] uSnkfud fun'kZu] lsfeukj iSFkksfQft;ksykWth] uSnkfud fun'kZu uSnkfud ijh{k.k vkSj vkSj çcaèku çcaèku dh O;k[;k Lo&vè;;u • vk;ju MsfQfl,alh ,uhfe;k • gseksfyfVd ,uhfe;k • exs kyksCykfLVd ,uhfe;k • FkSyslhfe;k • fldy lsy jksx 9 4 gsesVksiks,fVd lsy • cksu ejs ks QsY;j ds varfuZfgr :i O;k[;ku vIykfLVd ¼lS)kafrd½ MsoyieasV fodkjks a dh ,uhfe;k ds ,fV;ksykWth] lsfeukj bykt es a uohure • vIykfLVd ,uhfe;k iSFkksfQft;ksykWth] lk{;ks a dk o.kZu uSnkfud fun'kZu] funku vkSj çcèa ku dh O;k[;k 10 5 Y;wdkslkbV~l ds • U;qVªksfQfyd Y;wdkslkbVksfll O;k[;ku U;wVªksisfud jksfx;ks a ¼lS)kafrd½ v?kkrd fodkjks a dh dh n[s kHkky ij • U;wVªksisfu;k ,fV;ksykWth] Lo&vè;;u fu;r dk;Z • eksukslkbVksfll vkSj iSFkksfQft;ksykWth] eksukslkbVksisfu;k uSnkfud fun'kZu] • fyQa kslkbVksfll@ funku vkSj çcèa ku dh fyQa kslkbVksisfu;k O;k[;k • buQsfDl;l eksuksU;wfDy;ksfll • ,Dok;MZ dks,xwys'ku fMlvkWMZj • gkbij dks,xqyscy LVVs ¼MhohVh@LVªksd½ 11 10 gsesVksykWftdy O;k[;ku çdj.k ¼lS)kafrd½ vlkè;rkvks a dh • ,D;wV fyQa ksCykfLVd Y;wdsfe;k çLrqfrdj.k ,fV;ksykWth] ¼,,y,y½ lsfeukj iSFkksfQft;ksykWth] • Øksfud fyaQksCykfLVd Y;wdsfe;k18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] uSnkfud fun'kZu] ¼lh,y,y½ funku vkSj çcèa ku dh • ,D;wV ekbykW;M Y;wdsfe;k O;k[;k ¼,,e,y½ • Øksfud ekbykW;M Y;wdsfe;k ¼lh,e,y½ • ek;yksfMlIykfLVd flaMªkse • vU; Y;wdsfe;kl & gs;jh lsy Y;wdsfe;kl 12 4 gsesVksykWftdy O;k[;ku çdj.k J`a[kyk dh ¼lS)kafrd½ vlkè;rkvks a dh • gkWxfdal fMlht rS;kjh ,fV;ksykWth] • ukWu&gkWxfdal fyQa ksek iSFkksfQft;ksykWth] • cqfdZV fyaQksek uSnkfud fun'kZu] funku vkSj çcèa ku dh O;k[;k 13 4 gsesVksykWftdy • ek;yksçksfyQsjsfVo fodkj O;k[;ku çdj.k ij ppkZ ¼lS)kafrd½ vlkè;rkvks a dh ,fV;ksykWth] • iksyhlk;Fkhfe;k osjk iSFkksfQft;ksykWth] uSnkfud fun'kZu] funku vkSj çcèa ku dh O;k[;k 14 8 CyM DyksfVax ds • gseksfQfy;k O;k[;ku laxks"Bh dh fjikVs Z ¼lS)kafrd½ fodkjks a dh • dks,xwys'ku QsDVj MsfQfl,alht ,fV;ksykWth] fopkj xks"Bh • oa'kkuqxr jDrlzko fodkj iSFkksfQft;ksykWth] • MhvkÃlh uSnkfud fun'kZu] funku vkSj çcaèku dh O;k[;k 15 8 f'k'kqdkyhu çe[q k • f'k'kq jksfx;ks a eas ik, tkus oky s O;k[;ku çdj.k vè;;u ¼lS)kafrd½ gsesVksykWftd fodkjks a vke gsesVksykWftdy fodkj ij fjiksVZ y[s ku dh O;k[;k xzqi çLrqfrdj.k • f'k'kq jksfx;ks a eas vke ?kkrd vkSj f'k'kqvks a eas v?kkrd gsesVksykWftdy fodkjksa dk gsesVksykWftdy dSalj çcaèku ds çcaèku ds fl)karks a dh O;k[;k 16 4 gsesVksiks,fVd LVse • gsesVksiks,fVd LVse lsy VªkalIykaV O;k[;ku ,p,llhVh ik jgs ¼lS)kafrd½ lsy VªkalIykaV dh ¼,p,llhVh½ dk iwoZo`Ùk jksfx;ks a ds çcèa ku O;k[;k fun'kZu ij ufl±x ekudks a • ,p,llhVh ds çdkj dk fodkl • gsesVksiks,fVd LVse lsy dk lzksr • ,p,llhVh ds ladsr ,p,llhVh ds • ,p,llhVh ds fy, jksxh dh ckn jksfx;ks a ds rS;kjh fy, LokLF; f'k{kk • ,p,llhVh çfØ;k l= dk lapkyu • ,p,llhVh ds ckn jksfx;ks a dh djuk n[s kHkky[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19 • thoh,pMh & xzk¶V olZl gkWLV fMlht • ,p,llhVh dh vU; tfVyrk,a • ,p,llhVh ikus oky s f'k'kq jksfx;ks a ds çcaèku ds fo'ks"k igyw • ,p,llhVh ikus oky s cqtqxZ jksfx;ks a ds çcèa ku ds fo'ks"k igyw 17 4 ?kkrd vkSj v?kkrd • LIyus Ds Vkseh O;k[;ku dheksFksjsih] ¼lS)kafrd½ gsesVksykWftdy fodkjks a jfsM;ksFksjsih] • dheksFksjsih ds mipkj ds rjhdks a nok nus k vk;ju Fksjsih vkSj • jfsM;ksFksjsih dks le>uk LVse lsy • vksjy vkSj iSjsVa js y vk;ju Fksjsih Lo&vè;;u çR;kjksi.k ds fy, • f'k'kq vkSj cqtqxZ jksfx;ks a ds fo'ks"k ,lvksih rS;kj igyw djuk 18 2 ç'kked n[s kHkky vkSj • ç'kked n[s kHkky O;k[;ku nkSj s dh fjikVs Z ¼lS)kafrd½ ej.kklUu jksfx;ks a ds • ej.kklUu jksxh dh ns[kHkky vkJ; ¼gkWLikbl½ dh {ks=h;@ jk"Vªh; • ej.kklUu jksfx;ks a dk vkJ; voèkkj.kk dh O;k[;k gkWLikbl@ ¼gkWLikbl½ djuk ç'kked n[s kHkky dsaæks a dk nkSjk djuk 19 4 gsesVksykWftdy fodkjks a • ,p,llhVh ds ckn iquokZl O;k[;ku gsesVksykWftdy ¼lS)kafrd½ ls ihfM+r jksfx;ks a ds dSalj jksfx;ks a dh • gsesVksykWftdy fodkjks a ls ihfM+r iquokZl dh O;k[;k leFkZd n[s kHkky jksfx;ks a dh leFkZd ns[kHkky ij lkfgfR;d leh{kk 20 4 gsesVksykWth vkSj • gsesVksykWth vkSj ,p,llhVh bdkà O;k[;ku bdkbZ;ks a dk ¼lS)kafrd½ ,p,llhVh bdkà es a eas jksxh lqj{kk ladsrd vkWfMV djuk xq.koÙkk vkSj jksxh • gsesVksykWth vkSj ,p,llhVh bdkà lqj{kk voèkkj.kk dh eas xq.koÙkk fu;a=.k O;k[;k dk;ZØe ds var es a Nk= fuEufyf[kr es a l{ke gksxa s%& 1- gsesVksykWftdy fodkjks a ls ihfM+r jksfx;ks a dk vkadyu djuk 2- gsesVksykWftdy ifjfLFkfr;ks a eas fo'ks"k çfØ;k,a laikfnr djuk ;k lgk;rk djuk 3- LVse lsy VªkalIykaV iku s okys jksfx;ks a dks rS;kj djuk vkSj ns[kHkky djuk 4- dheksFksjsih vkSj ck;ksykWthdy Fksjsih djuk 5- jfsM;ksFksjsih ikus oky s jksfx;ks a dh n[s kHkky djuk 6- LIyus Ds Vkseh iku s okys jksfx;ks a dks rS;kj djuk vkSj ns[kHkky djuk 7- gsesVksykWftdy fodkjks a ls ihfM+r f'k'kq vkSj cqtqxZ jksfx;ks a dk vkadyu djuk vkSj çcaèku djuk20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 8- ihvkbZlhlh ykbu Mkyuk vkSj vU; oLdwyj ,Dlsl fMokbl Mkyus es a lgk;rk djuk 9- oLdwyj ,Dlsl fMokblst dh n[s kHkky djuk 10- nok,a rS;kj j[kuk] HkaMkj.k djuk vkSj nSfud fjdkWMZ j[kuk gsesVksykWth okMZ 12 lIrkg gsesVksykWftdy fodkjks a ls • iwoZo`Ùk ysuk LokLF; uSnkfud ihfM+r jksfx;ks a dks ufl±x • 'kkjhfjd vkadyu vkadyu vkadyu n[s kHkky çnku djuk • uSnkfud ijh{k.kks a eas lgk;rk fjikVs Z djuk cksu ejs ks ,fLij's ku dh rS;kjh djuk vkSj mles a • cksu ejs ks ,fLij's ku es a dsl LVMh dsl LVMh lgk;rk djuk lgk;rk djuk fjikVs Z vkSj ch,eVh • LykbM rS;kj djuk fjikVs Z dheksFksjsih nus k • jksfx;ks a dks dheksFksjsih ds LokLF; fy, rS;kj djuk ifjppkZ • dheksFksjsih ls igy s dh tkpa djuk • dheksFksjsih nus k oh,Mh vkSj ykax VeZ • oh,Mh dh ns[kHkky vkbZoh ,Dlsl dSFksVj • ykax VeZ vkbZoh ,Dlsl& çfrLFkkfir djuk vkSj ihvkbZlhlh] fgdeSu dSFksVj mleas lgk;rk djuk çfrLFkkfir djuk vkSj nSfud j[kj[kko • xzqi tkuus vkSj ØkWl eSfpax jDr vkSj jDr mRiknks a dks ds fy, jDr yus k p<+kuk • jDr vkSj jDr mRiknks a dks p<+kuk • vkWij's ku ds fy, jksfx;ks a dks LIyus Ds Vkseh vkWij's ku ls rS;kj djuk igy s vkSj ckn es a jksfx;ks a • vkWij's ku ds i'pkr ns[kHkky dh n[s kHkky djuk djuk jksfx;ks a vkSj muds • #X.kkoLFkk ds lHkh pj.kks a eas ifjokjhtuks a dks ijke'kZ lgk;rk çnku djuk nus k • jksfx;ks a vkSj ifjokjhtuks a dks ijke'kZ nsuk f'k'kq 04 lIrkg gsesVksykWftdy dSalj ls • f'k'kqvks a dk 'kkjhfjd LokLF; uSnkfud vkWudkys kWth okMZ ihfM+r f'k'kqvks a dks uÉlx vkadyu ifjppkZ vkadyu n[s kHkky çnku djuk • laØe.k fu;a=.k çFkk,a vkSj csfj;j ufl±x dsl • jDrkèkku ds nkSjku ns[kHkky çLrqfrdj.k • oh,Mh dh ns[kHkky • dheksFksjsih djuk • vkgkj ;kstuk cukuk • ekrk&firk dks ijke'kZ nus k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21 Ms ds;j 08 lIrkg jksfx;ks a dks dheksFksjsih ds • ns[kHkky] rS;kjh vkSj Mªx LVMh uSnkfud fy, rS;kj djuk dheksFksjsih djuk vkSj vkadyu jksfx;ks a dh fuxjkuh dheksFksjsih djuk • jksfx;ks a dks LokLF; f'k{kk LokLF; Mªx LVMh nus k ifjppkZ vkSj LokLF; ifjppkZ dk vkadyu vksihMh 04 lIrkg gsesVksykWftdy fodkjks a ls • iwoZo`Ùk ysuk LokLF; ihfM+r jksfx;ks a dh tkap esa • 'kkjhfjd ijh{kk vkadyu lgk;rk djuk • LokLF; f'k{kk fjikVs Z & uSnkfud çfØ;kvks a eas • cksu ejs ks ck;ksIlh es a lgk;rk iwoZo`Ùk ysuk lgk;rk djuk djuk vkSj 'kkjhfjd ijh{k.k djuk ch,eVh bdkbZ 10 lIrkg jksfx;ks a dks ckus esjks • çR;kjksi.k ls igy s tkap ch,eVh fjiksVZ uSnkfud çR;kjksi.k ¼LVes lsy djuk vkadyu VªkalIykaV½ ds fy, rS;kj • jksfx;ks a vkSj ifjokjhtuks a dks ijke'kZ fjiksVZ djuk ijke'kZ nsuk • LokLF; f'k{kk vkSj ?kj ij n[s kHkky djuk • çR;kjksi.k ls igy s dheksFksjsih djuk • jksfx;ks a dks jsfM;ksFksjsih ds fy, rS;kj djuk • jksfx;ks a ds fy, bdkà rS;kj djuk • ,lsfIll dk j[kj[kko çR;kjksi.k ds ckn ns[kHkky ¼cSfj;j ufl±x½ djuk • mipkj djuk • nq"çHkkoks@a tfVyrkvks a ds fy, jksfx;ks a dh fuxjkuh djuk • vkgkj ;kstuk cukuk vkSj nus k cksu ejs ks gkjosfLVax vkSj oLdwyj ,Dlsl fMokbl Iyls esaV n[s ku s ds fy, gsesVksy‚th okMZ jksVs'ku es a vkWijs'ku fFk,Vj dk vuHq koA22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] ufl±x dkWyst dh ewy dkS'ky ç;ksx'kkyk ds vykok fuEufyf[kr vko';d gSaA 1 vLirky ds 'k¸;k xn~n s ds lkFk 05 2 vLirky fyusu lsV 15 lsV 3 jksxh fyusu lsV 10 lsV 4 'kY; d{k rkSfy, 20 5 vkbZoh LVaSM 05 6 csM lkbM ykWdj 05 7 vksojgsM Vcs y 05 8 is'ksVa daQVZ fMokblst & 9 lD'ku e'khu 01 10 eYVhiSjk ekWfuVj 01 11 vkWDlhtu vkiwfrZ 01 12 ØS'k dkVZ VªkWyh 01 13 cqfu;knh ufl±x n[s kHkky lkexzh & 14 mUur ufl±x n[s kHkky lkexzh & 15 <Ddu oky s I;kys & 10 lsVa hehVj 10 16 I;ky s & 10 lsVa hehVj 10 17 <Ddu okyh midj.k Vsª 10 18 Iyus vkjVªh QkslZsIl 10 19 VFw M vkjVªh QkslZsIl 10 20 ekWLD;wVks vkjVªh QkslZsIl 10 21 Iyus MkblsfDVxa QkslZsIl 10[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23 22 VFw M MkblsfDVxa QkslZsIl 10 23 Liat gksfYMax QkslZsIl 10 24 VkWosy fDyi 20 25 cksu ejs ks ,fLij's ku fufMy & lygs fufMy 05 & Dyhekl fufMy 05 26 cksu ejs ks ck;ksIlh fufMy ¼te'khnh fufMy½ 05 27 cksu ejs ks ck;ksIlh flE;qysVj 01 28 fQDlsfVo QkWj ck;ksIlh% vkblksVksfud cQMZ QkWesZfyu ¼vkbZ,Qch½@ 05 ,flfVd ,flM Çtd QkWewZyk ¼,tsM,Q½@ch5 ?kksy 29 bZMhVh,@gsifjukbTM osD;wVsuj 20@20 30 batsD'ku fyMksdsu 2 çfr'kr 01 31 LykbM~l 50 32 LçsMj 10 33 20 fefyyhVj flÇjt 25 34 ik'pj fiisV 05 35 flfydkWukbTM Xykl fM'k 05 36 dYpj Vîcw 10 37 fMLikstscy ysla sV 50 38 fiisV vkSj VîwÇcx 05 lsV 39 LykbM~l 50 40 vYdksgy çsi iSM 50 41 LçsMj 1024 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 42 LVkbyVs ds lkFk ,yih fufMy 10 ¼fDoads cScdkWd fufMy½ 43 futehZÑr ueuw s dh cksryas 30 44 Fkzh os ,MsIVlZ 20 45 chVh lsV 20 46 ukeZy lsykbu 20 47 CyM@CyM daiksusVa flE;qyVs j 20 48 CyM cSx dSfjt@daVsuj 05 49 vkbZoh dsuqyk 16@18 ,Q 30 50 Vªkal¶;wtu ds fy, vkbZoh flE;qyVs j vkeZ 01 51 dseksikVs Z ds lkFk efsufdu 01 52 ,acqysVjh cSDlVj bU¶;wtu iai 01 53 ck;ks&ls¶Vh dSfcusV 01 54 ácw j fufMy@ukWu dksÇjx fufMy 25 55 ,u,l çhfQYM flfjta 25 56 CyVa fufMy 25 57 lsVa ªy ykbu iSd@ihvkbZlhlh dSFksVj lsV 10 58 efsQyksu MªsÇlx@ck;ksiSp lsVa ªy ykbu MªsÇlx 25 59 ,DlVsa'ku ykbu vkSj Fkzh os ,MsIVj 20 60 vYVªklkmaM xkbMsM ihvkbZlhlh@bZlhth xkbMsM 01 ihvkbZlhlh@fgdesu@lhoh,Mh çf'k{k.k flE;qysVj 61 cky drjus okys midj.k 01 62 Vxs kMeZ 20 63 ihvkbZlhlh LVSV ykWd fQDlsVj@fxzi ykWd fQDlsVj 10[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25 64 DyksjgsfDlMkbu Losc fLVd 20 65 gsisfju@,aVhck;ksfVd@oh,Mh CykWd 20 66 ihvkbZlhlh@fgdesu@lsVa ªy ykbu ds;j iSd 20 67 osD;wVsuj gksYMlZ ds lkFk lHkh rjg ds uewus bdV~Bs dju s ds 30 fy, osD;wVsulZ 68 ls¶Vh fufMy vkSj flfjat 30 69 nkudrkZvks a ls isjhQsjy CyM LVes lsy ysu s ds fy, midj.k 30 lsV 70 ekud lqj{kk laj{k.k midj.k 20 lsV 71 U;wVªksisfud vkgkj rS;kj dju s ds fy, U;wVªh'ku ç;ksx'kkyk 01 72 cSfj;j ufl±x bdkbZ@ch,eVh;w 01 73 gkFk èkksus dk {ks= 01 74 ck;ksesfMdy vif'k"V fuiVku bdkà 01 75 fjdkWM~lZ ¼dheks pkVZ] lgefr QkWeZ] fDyfudy pkVZ] CyM & Vªkal¶;wtu pkVZ] ulZ uksV~l½ 76 ,ylhMh Vhoh 01 77 jksfx;ks a ds fy, LokLF; f'k{k.k ekWMîyw & • ç'u i= vkSj ç'uksÙkjh & 10 vad • fyf[kr dk;Z & 10 vad ¼gsesVksykWth ufl±x vH;kl ds fy, çklafxd ufSrd vkpkj lafgrk] gsesVksykWth ufl±x@laØe.k fu;a=.k çfØ;kvksa eas lk{; vkèkkfjr dk;Z ¼Ãchih½ ij lkfgR;d leh{kk] gsesVksykWftdy fodkjks a ls ihfM+r jksfx;ks a dh iks"k.k lacaèkh ns[kHkky½ • lewg ifj;kstuk% 5 vad26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 35 vad ¼fucaèk 1×15¾15 vad] y?kq mÙkj 4×4¾16 vad] vR;ar y?kq mÙkj 2×2¾4 vad½ vkSj 40 vad ¼fucaèk 1×15¾15 vad] y?kq mÙkj 5×4¾20 vad] vR;ar y?kq mÙkj 5×1¾5 vad½ • oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhý & 25 vad ¼inLFkkiu ds var es a vks,llhà & 10 vad $ o"kZ ds var es a vkarfjd vks,llhà & 15 vad½ • vU; vH;kl % 50 vad d½ çk;ksfxd dk;Z & 20 vad ¼uSnkfud çLrqfr vkSj dsl LVMh fjikVs Z & 5 vad] dkmalÇyx fjikVs Z@foftV fjiksVZ & 5 vad] Mªx LVMh fjiksVZ & 5 vad vkSj LokLF; ifjppkZ & 5 vad½ [k½ dk;Zfofèkd n{krkvks a vkSj uSnkfud vgZrkvks a ds iw.kZ gksus ij & 5 vad x½ uSnkfud dk;Z fu"iknu dk fujarj uSnkfud vkadyu & 5 vad ?k½ vafre voyksfdr vH;kl ¼unS kfud dk;Z eas okLrfod fu"iknu½ & 20 vad oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhý & 50 vad] voyksfdr vH;kl & 100 vad I 1 jksxh f'k{kk lkexzh rS;kj djuk 2 gsesVksykWftdy fodkjks a ls ihfM+r jksfx;ks a dks i<+ku s ds fy, jksxh f'k{kk ;kstuk rS;kj djuk 3 ufl±x vfèkdkfj;ks@a LVkQ ulks± ds fy, MîwVh jksLVj rS;kj djuk 4 lkfgfR;d leh{kk@fu;fer leh{kk rS;kj djuk ¼lk{; vkèkkfjr ufl±x eè;orZu@çFkkvks a dh igpku djuk½ 5 çdk'ku@isij çstsaVs'ku ds fy, ikaMqfyfi rS;kj djuk 6 lkefwgd vuqlaèkku ifj;kstuk fo"k;% II[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27 1-1 gsesVksykWftdy fodkjks a ls ihfM+r o;Ld jksfx;ks a ds iwoZo`Ùk dh tkudkjh gkfly djuk vkSj 'kkjhfjd ijh{k.k djuk 1-2 gsesVksykWftdy fodkjks a ls ihfM+r f'k'kq jksfx;ks a ds iwoZo`Ùk dh tkudkjh gkfly djuk vkSj 'kkjhfjd ijh{k.k djuk 2-1 cksu ejs ks ,fLij's ku@ck;ksIlh esa lgk;rk djuk 2-2 isjhQsjy CyM Leh;j ds fy, LykbM rS;kj djuk 2-3 cksu ejs ks ds fy, LykbM rS;kj djuk 2-4 uewuks a dh lw{e ijh{kk vkSj O;k[;k 2-5 lh,l,Q VSi 3-1  ihvkbZlhlh  fgdesu  lsVa ªy ykbu ¼laLFkkxr çksVksdksy ds vuqlkj½ 3-2 nSfud ns[kHkky vkSj oh,Mh dk j[kj[kko 3-3 gsifju CykWd 3-4 ,aVhck;ksfVd CykWd 3-5 oh,Mh CykWd 3-6 ykbu gVkuk 4-1 CyM xzqi ijh{k.k djuk 4-2 CyM xzqi dh laxrrk irk yxkuk 4-3 jDr laxzg cSx 4-4 ,Qsjsfll 4-5 jDr dk HkaMkj.k 4-6 IyVs ysV dk HkaMkj.k 4-7 jDrèkku vkSj jDr mRiknks a dk vkèkku 4-8 jDrkèkku ds nkSjku ns[kHkky 5-1 dheksFksjsih ds fy, jksfx;ks a dks rS;kj djuk 5-2 dheks iwoZ tkpa ds fy, jksfx;ks a dks rS;kj djuk 5-3 dheksFksjsih ds fy, rS;kj djuk vkSj vkS"kfèk nus k 5-4 dheksFksjsih ds nkSjku jksfx;ks a dh fuxjkuh djuk 5-5 mRlj.k çcaèku 5-6 baVªkFkhdy dheksFksjsih ¼laLFkkxr çksVksdksy ds vuqlkj½ 5-7 vk;ju bu¶;wtu vkSj ns[kHkky 5-8 vkèkku çfrfØ;kvks a dk çcaèku 5-9 eyw dksf'kdk rS;kj djuk28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 6-1 U;wVªksisfud dejs dk j[kj[kko 6-2 U;wVªksisfud ns[kHkky 6-3 U;wVªksisfud vkgkj 6-4 eYVhMªx bU¶;wtu 6-5 fofHkUu vkS"kfèkvks a dh laxrrk 6-6 gsesVksykWftdy vkS"kfèkvks a ds nq"çHkko 6-7 IyVs ysV ,thVVs j dk mi;ksx 6-8 flV~t Luku 6-9 xzksbu vkSj ,fDlyk okbIl 7-1 jDr uewukdj.k 7-2 f'k'kq fpfdRlk ¶yscksVkWeh 7-3 jDrkèkku ds nkSjku n[s kHkky 7-4 oh,Mh dh ns[kHkky 7-5 dheksFksjsih nus k ¼vkS"kfèk p<+kuk vkSj [kqjkd la'kkès ku½ 7-6 f'k'kqvks a dh U;wVªksisfud ns[kHkky 7-7 vkgkj ;kstuk 7-8 ijke'kZ & f'k'kq vkSj ekrk&firk 8-1 iwoZ çR;kjksi.k tkpa 8-2 jksxh vkSj fj'rns kjks a dks ijke'kZ nus k 8-3 LokLF; f'k{kk 8-4 çR;kjksi.k ls igys dheksFksjsih djuk 8-5 jksxh dks jsfM;ksFksjsih ds fy, r;S kj djuk 8-6 çR;kjksi.k ls igys jksxh dh rS;kjh 8-7 easfVuasl vkWQ ,lsfIll ¼cSfj;j ufl±x½ 8-8 mipkj djuk 8-9 nq"çHkkoks a ds fy, jksxh dh fuxjkuh 8-10 vkgkj ;kstuk vkSj ç'kklu 8-11 ihch,llh dk laxzg.k 8-12 ihch,llh dk HkaMkj.k 8-13 vfLFk eTtk eyw dksf'kdkvks a dk laxzg.k 8-14 eyw dksf'kdkvks a dk fu'kspu 8-15 çR;kjksi.k ikus oky s jksxh dh ns[kHkky 8-16 E;wdkslkbfVl ns[kHkky 8-17 baxzk¶VesVa ÇlMªkse dk çcaèku 8-18 vLirky ls NqV~Vh nsus vkSj ?kj ij ns[kHkky ds fy, rS;kjh[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29 9-1 ltZjh ds fy, jksfx;ks a dks rS;kj djuk & LIyus Ds Vkseh 9-2 'kY; fpfdRlk ds i'pkr ns[kHkky 9-3 jksxh f'k{kk vkSj ijke'kZ 9-4 ?kj ij ns[kHkky 10-1 ch,eVh eas laØe.k fu;a=.k gsrq,lvksih dh rS;kjh 10-2 dheksFksjsih ds fy, ,lvksih dh rS;kjh 10-3 jDrkèkku ds fy, ,lvksih dh rS;kjh 10-4 ewy dksf'kdk çR;kjksi.k ds fy, ,lvksih dh rS;kjh 10-5 ch,eVh@ewy dksf'kdk çR;kjksi.k ikus okys jksfx;ks a ds fy, ufl±x ekudks a dk fodkl 10-6 bdkbZ;ks a dk vkWfMV djuk 11-1 thok.kquk'ku@folaØe.k 11-2 èkwuh@¶;wfexs'ku 12-1 lgefr yus k 12-2 çfrj{k.k 12-3 ekxZn'kZu vkSj ijke'kZ *Nk= ds dkS'ky çn'kZu dju s ds fy, l{ke ik, tku s ij bl ij ladk; }kjk gLrk{kj fd, tk,axsA Nk=ks a ls lwphc) dkS'ky@n{krkvks a dk laiknu ckj&ckj djuk rc rd visf{kr gS tc rd fd os Lrj&3 dh n{krk rd ugÈ igqap tkr s gSa] mlh ds ckn ladk; }kjk çR;sd n{krk ds le{k gLrk{kj fd, tk,axsA ;g lqfuf'pr fd;k tkuk pkfg, fd Nk=ks a ds Lrj&3 rd igqapus ij gh çR;sd n{krk ds le{k gLrk{kj fd, tk,aA  Lrj&3 dh ;ksX;rk n'kkZrh gS fd Nk= fcuk fdlh i;Zos{k.k ds ml n{krk dk laiknu dju s eas l{ke gSA  Lrj&2 dh ;ksX;rk n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk laiknu djus es a l{ke gSA  Lrj&1 dh ;ksX;rk n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml dkS'ky@n{krk dk laiknu dju s eas l{ke ugÈ gSA 1-1 fo"k;% 1-2 fo"k;%30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] ijke'kZ fjiksVZ&1 3-1 LokLF; vkadyu ¼o;Ld vkSj f'k'kq½ & iwoZo`Ùk vkSj 'kkjhfjd ijh{kk ¼nks fyf[kr fjikVs Z½ 3-1-1 ¼o;Ld½ 3-1-2 ¼f'k'kq½ fo"k;% & o;Ld gsesVksykWth okMZ & 1 vkSj f'k'kq gsesVksykWth okMZ & 1 ¼ufl±x@var%fo"k;d ppkZ½ 5-1 uSnkfud fLFkfr dk uke% 5-2 uSnkfud fLFkfr dk uke% ¼nks fyf[kr fjikVs Z çLrqr dh tkuh gSa½ 6-1 vkS"kfèk dk uke% 6-2 6-3 6-4 8-1 jk"Vªh;@{ks=h; ch,eVh@,p,llhVh bdkà 8-2 jk"Vªh;@{ks=h; ç'kked ns[kHkky dsæa[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31 ष ्् [जवज्ञापन III 4 असा 489 19]32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] INDIAN NURSING COUNCIL NOTIFICATION New Delhi, the 5th March, 2020 F.No. 11-1/2019-INC:—In exercise of the powers conferred by sub-section (1) of Section 16 of Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time, the Indian Nursing Council hereby makes the following regulations for Post Basic Diploma in Hematology Nursing (Including Stem Cell Transplant) – Residency Program, 2019:— Short Title and Commencement.— 1. These Regulations may be called Post Basic Diploma in Hematology Nursing (Including Stem Cell Transplant) – Residency Program, 2019. 2. These Regulations shall come into force on the date of notification of the same in the Official Gazette of India. POST BASIC DIPLOMA IN HEMATOLOGY SPECIALTY NURSING (INCLUDING STEM CELL TRANSPLANT) – RESIDENCY PROGRAM I. INTRODUCTION The National Health Policy document (NHP, 2017) emphasizes the need to expand tertiary care services, prepare specialist nurses and standardization of clinical training for nurses. Responding to this, Indian Nursing Council planned to redesign the existing specialty nursing programs making them as one-year post basic diploma residency programs utilizing competency- based training approach. Hematology Nursing is a new specialty prepared by INC using revised guidelines that aim to prepare specialist nurses who can provide competent care to patients with hematologic disorders whose diagnostic, treatment and care needs are complex and intensive. Hematology encompasses both clinical and laboratory aspects of primary disorders of the blood as well as how other diseases affect the blood. Primary hematological diseases can be congenital or acquired and include the various forms of leukemia and lymphoma, some forms of anemia and diverse blood clotting / bleeding disorders. Transfusion medicine also falls into the specialty of hematology. Hematology nursing practice is characterized by dynamic and highly complex care. The area of expertise of the specialist hematology nurses includes knowledge of both malignant and non-malignant hematological conditions. The Hematology nursing practice encompasses preventive, promotive, curative, and palliative care for the patients. The severe and recurrent nature of hematological diseases, the intensive treatment with chemotherapy, radiotherapy and / or immune suppressive medications leads to complex situations necessitating timely interventions. II. PHILOSOPHY Indian Nursing Council believes that registered nurses need to be further trained as specialist nurses to function in various emerging specialty areas of practice and the training should be competency based. One such area that demands specialist nurses is Hematology, including stem cell transplant nursing. Expanding roles of nurses and advances in Hematology and stem cell transplant technology necessitates additional training to prepare nurses with specialized skills and knowledge to deliver competent, intelligent and appropriate care to patients in Hematology and stem cell transplant centres. III. CURRICULAR FRAMEWORK The post basic diploma in Hematology specialty nursing education is a one-year residency program and its curriculum is conceptualized encompassing foundational short courses and major specialty courses for specialty nursing practice. The foundations to Hematology nursing practice such as Professionalism, Communication & patient education, Clinical leadership & resource management, and Evidence based & applied research are short courses that aim to provide the students with the knowledge, attitude and competencies essential to function as accountable, committed, safe and competent specialist nurses. The major specialty courses are organized under Hematology Specialty Nursing I and Hematology Specialty Nursing II. Specialty Nursing I includes Context / Introduction to Hematology Nursing, and Basic Sciences applied to Hematology nursing (application of basic[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33 science knowledge in the diagnosis, treatment and care of clinical conditions under Hematology specialty). Specialty Nursing II includes nursing management of specific hematological conditions comprising assessment, diagnosis, treatment and specialized interventions and patient safety & quality including illness specific considerations. The curricular framework for the Hematology Specialty Nursing residency program is illustrated in the following figure 1. POST BASIC DIPLOMA IN HEMATOLOGY SPECIALTY NURSING (INCLUDING STEM CELL TRANSPLANT) – RESIDENCY PROGRAM FOUNDATIONS TO HEMATOLOGY HEMATOLOGY SPECIALTY NURSING – COURSES NURSING – COURSES CCoonntteexxtt// PPrrooffeessssiioonnaalliiss IInnttrroodduuccttiioonn ttoo mm ssppeecciiaallttyy nnuurrssiinngg pprraaccttiiccee CCoommmmuunniiccaatt iioonn,, ppaattiieenntt BBaassiicc sscciieenncceess eedduuccaattiioonn && aapppplliieedd ttoo ccoouunnsseelliinngg ssppeecciiaallttyy ccaarree NNuurrssiinngg CClliinniiccaall MMaannaaggeemmeenntt lleeaaddeerrsshhiipp iinnccll.. aasssseessssmmeenntt aanndd rreessoouurrccee aanndd ssppeecciiaalliizzeedd mmaannaaggeemmeenntt iinntteerrvveennttiioonnss HHeemmaattoollooggyy EEvviiddeennccee SSppeecciiaallttyy NNuurrssiinngg PPaattiieenntt ssaaffeettyy bbaasseedd aanndd EEdduuccaattiioonn ffoorr && qquuaalliittyy,, aanndd aapppplliieedd IIllllnneessss ssppeecciiffiicc SSppeecciiaalliisstt rreesseeaarrcchh ccoonnssiiddeerraattiioonnss PPrraaccttiiccee ONE-YEAR RESIDENCY PROGRAM (For Registered Nurses & Midwives) Theory – 10% & Practicum – 90% (Skill Lab + Clinical) Figure 1. Curricular Framework: Hematology Specialty Nursing – Residency Program IV. AIM / PURPOSE & COMPETENCIES AIM The Program is designed to prepare nurses with specialized skills, knowledge and attitude in providing quality care to patients with hematological disorders. It further aims to prepare technically qualified and trained specialist nurses who will function effectively and optimally at Hematological centers of Tertiary / Quaternary hospitals providing high standards of care.34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] COMPETENCIES On completion of the program, the hematology specialist nurse will be able to: 1. Demonstrate professional accountability for the delivery of nursing care as per INC standards that is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles in hematology practice. 2. Communicate effectively with patients, families and professional colleagues fostering mutual respect and shared decision making to enhance health outcomes. 3. Educate and counsel patients and families to participate effectively in treatment and care and enhance their coping abilities through crisis and bereavement. 4. Demonstrate understanding of clinical leadership and resource management strategies and use them in hematology care and settings promoting collaborative and effective teamwork. 5. Identify, evaluate and use the best current evidence in hematology care and treatment coupled with clinical expertise and consideration of patient’s preferences, experience and values to make practical decisions in hematology nursing practice. 6. Participate in research studies that contribute to evidence-based hematology nursing care interventions with basic understanding of research process. 7. Apply basic sciences in the assessment, diagnosis and treatment of the physiological, physical, psychological, social & spiritual problems of patients and their families with hematological disorders. 8. Apply nursing process in caring for patients with hematological disorders. 9. Describe the principles of radiotherapy, chemotherapy, iron therapy, diet therapy, biotherapy and surgery in treatment of patients with hematological disorders. 10. Demonstrate specialized practice competencies/skills relevant in providing care to patients under different treatment regimes. 11. Demonstrate skill in managing patients undergoing stem cell transplantation. 12. Identify treatment related adverse effects and emergencies and manage them effectively. 13. Develop understanding of the method of drug procurement, storage, administering and maintenance of chemotherapy, targeted and immune therapy and demonstrate sound practice. 14. Utilize the knowledge in the maintenance of special equipments such as thawing machine, platelet agitator, bio-safety cabinet, aphaeresis machine, sonicator, stem cell storage refrigerator and blood refrigerator. 15. Demonstrate safe delivery of various therapies to patients and protect them from occupational harm. 16. Conduct clinical audit and participate in quality assurance activities in hematology and stem cell units / centres. 17. Provide palliative care to patients with emphasis to end of life care promoting comfort and dignity respecting individual cultural and spiritual needs and differences. V. PROGRAM DESCRIPTION & SCOPE OF PRACTICE The Post Basic Diploma in Hematology Specialty Nursing – Residency Program is a one-year residency program with a main focus on competency-based training. Theory includes foundational courses and specialty courses besides practicum. The theory component comprises 10% and practicum 90% (Clinical & Lab). On completion of the program and certification, and registration as additional qualification with respective State Nursing Council, the specialist nurses will be employed only in the specialty hospital / department / unit as specialist nurses. Specialist nurse cadre / position should be created both at government / public and private sectors. The diploma will be awarded by respective examination board / University approved by the Indian Nursing Council.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35 VI. MINIMUM REQUIREMENTS / GUIDELINES FOR STARTING THE POST BASIC DIPLOMA IN HEMATOLOGY SPECIALTY NURSING (INCLUDING STEM CELL TRANSPLANT) – RESIDENCY PROGRAM The program may be offered at 1. College of Nursing offering degree programs in nursing attached to parent specialty hospital / tertiary hospital having minimum of 200 beds with diagnostic, therapeutic and state of the art Hematology (BMT & Stem Cell Transplant) units with chemotherapy, radiotherapy, palliative care, supportive care and specialized nursing care facilities. OR Hospitals offering DNB / Fellowship programs in oncology / Hematology having minimum of 200 beds with diagnostic, therapeutic and state of the art Hematology (BMT & Stem Cell Transplant) units with chemotherapy, radiotherapy, palliative care, supportive care and specialized nursing care facilities. 2. Above eligible institution shall get recognition from the concerned State Nursing Council for Post Basic Diploma in Hematology Specialty Nursing Program (including Stem Cell Transplant) for the particular Academic Year, which is a mandatory requirement. 3. The Indian Nursing Council shall after receipt of the above documents / proposal would then conduct statutory inspection of the recognized training nursing institution under Section 13 of Indian Nursing Council Act, 1947 in order to assess suitability with regard to availability of Teaching faculty, Clinical and Infrastructural facilities in conformity with Regulations framed under the provisions of Indian Nursing Council Act, 1947. 1. Nursing Teaching Faculty a. Full time teaching Faculty in the ratio of 1:10 b. Minimum number of faculty should be two c. Qualification and number: i. M.Sc. (Nursing) with Medical Surgical Nursing / Hematology / Oncology Specialty Nursing – 1 ii. Post Basic Diploma in Hematology / Oncology Specialty Nursing with Basic B.Sc. (Nursing) / P.B.B.Sc. (Nursing) – 1 d. Experience: Minimum three years of clinical experience in Hematology / Oncology Specialty Nursing e. Guest Faculty: multi-disciplinary in related specialities f. Preceptors:  Nursing Preceptor: Full time qualified GNM with 6 years of experience in specialty nursing (Hematology nursing) or B.Sc. (Nursing) with 2 years’ experience in specialty nursing or M.Sc. (Nursing) with one-year specialty nursing experience working in the specialty care unit.  Medical Preceptor: Specialist (Hematology specialist) doctor with PG qualification (with 3 years post PG experience / faculty level / consultant level preferable)  Preceptor student ratio: Nursing 1:10, Medical 1:10 (Every student must have a medical and nursing preceptor) 2. Budget These should have budgetary provision for staff salary, honorarium for guest faculty, and part time teachers, clerical assistance, library and contingency expenditure for the program in the overall budget of the institution. 3. Physical and Learning Resources at Hospital / College a. One classroom / conference room at the clinical area. b. Skill lab for simulated learning at hospital / college. Skill Lab requirements are listed in Appendix 1.36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] c. Library and computer facilities with access to online journals. i. College library having current books, journals and periodicals related to Hematology Specialty Nursing, Nursing Administration, Nursing Education, Nursing Research and Statistics. OR Permission to use medical / hospital library having current books, journals and periodicals related to Hematology Specialty Nursing, Nursing Administration, Nursing Education, Nursing Research and Statistics. ii. Computer with internet facility. d. E-Learning facilities e. Teaching Aids – Facilities for use of i. Overhead Projectors ii. Video viewing facility iii. LCD Projector iv. CDs, DVDs and DVD players v. Appropriate equipment, manikins and simulators for skill learning. f. Office facilities i. Services of typist, peon, Safai Karmachari ii. Facilities for office, equipment and supplies such as  Stationery  Computer with Printer  Xerox Machine  Telephone and Fax 4. Clinical facilities a. Parent specialty hospital / tertiary hospital having minimum of 200 beds with diagnostic, therapeutic and state of the art Hematology (BMT & Stem Cell Transplant) units with chemotherapy, radiotherapy, palliative care, supportive care and specialized nursing care facilities. b. Regional Hematology centres / Hematology specialty hospitals having minimum of 200 beds with diagnostic, therapeutic and state of the art Hematology (BMT & Stem Cell Transplant) units with chemotherapy, radiotherapy, palliative care, supportive care and specialized nursing care facilities. c. Hospital must have a minimum of 30 specialty beds with advanced diagnostic, treatment and care facilities. d. Nurse staffing of units as per INC norms. e. Student patient ratio – 1:3. 5. Admission terms and conditions / Entry requirements The student seeking admission to this program should: a. Be a registered nurse and midwife (R.N.&R.M.) or equivalent with any State Nurses Registration Council (SNRC) having NUID number. b. Possess a minimum of one year clinical experience as a staff nurse preferably in the hematology / BMT / Stem cell unit prior to enrolment. c. Be physically fit.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37 d. Selection must be based on the merit of an entrance examination and interview held by the competent authority. e. Nurses from other countries must obtain an equivalence certificate from Indian Nursing Council before admission. 6. No. of seats For hospital having 200 beds and 30 specialty beds, number of seats=10, For hospital having 500 beds and more with 60 specialty beds, the number of seats=20 7. Number of candidates One candidate for 3 specialty beds. 8. Salary a. In-service candidates will get regular salary. b. Stipend / Salary will be given to other candidates as per the salary structure of the hospital where the program is conducted. VII. EXAMINATION REGULATIONS AND CERTIFICATION EXAMINATION REGULATIONS Examining and diploma awarding authority: Respective Examination Board approved by Indian Nursing Council / University. 1. Eligibility for appearing for the examination a. Attendance: Theory and practical– 80%. However, 100% clinical attendance have to be completed prior to certification. b. Candidate who successfully completes the necessary requirements such as logbook and clinical requirements is eligible and can appear for the final exam. 2. Practical examination a. OSCE: OSCE type of examination will be conducted alongside viva (oral examination) both in the internal and final examination (Detailed guidelines are given in guidebook). b. Observed Practical / Clinical: Final internal and external examination will also include assessment of actual clinical performance in real settings including viva – Mini clinical evaluation exercise for 3-4 hours (Nursing process application and direct observation of procedural competencies). Minimum period of assessment in the clinical area is 5-6 hours. Evaluation guidelines are given in guidebook. c. Maximum number of students per day = 10 students. d. Practical Examination should be held in clinical area only. e. The team of practical examiners will include one internal examiner [(M.Sc. faculty with two years of experience in teaching the respective specialty program / M.Sc. faculty (Medical Surgical Nursing) with 5 years of Post PG experience], one external examiner (nursing faculty with the same qualification & experience stated as above) and one medical internal examiner who should be preceptor for the respective specialty program. f. The practical examiner and the theory examiner should be the same nursing faculty. 3. Standard of Passing a. In order to pass, a candidate should obtain at least 60% marks in aggregate of internal assessment and external examination both together, in each of the theory and practical papers. Less than 60% is considered fail. b. Students will be given opportunity of maximum of 3 attempts for passing.38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] c. If the student fails in either theory or practical, he/she needs to appear for the exam failed either theory or practical only. CERTIFICATION a. TITLE – Post Basic Diploma in Hematology Specialty Nursing (including Stem Cell Transplant) b. A diploma is awarded by Examination Board approved by Indian Nursing Council/University, upon successful completion of the prescribed study program, which will state that i. Candidate has completed all the courses of study under the Post Basic Diploma in Hematology Specialty Nursing – Residency Program. ii. Candidate has completed 80 % Theory and 100% clinical requirements. iii. Candidate has passed the prescribed examination. VIII. SCHEME OF EXAMINATION Courses Int. Ass. Ext. Ass. Total Exam Hours Marks Marks Marks (External) Theory (Experiential / Residential learning) Hematology Specialty Nursing (Part I & Part II) {Part I – Hematology Specialty Nursing I 25 75 100 3 including Foundations (10+15) (35+40) Part II – Hematology Specialty Nursing II} Practicum- Hematology Specialty Nursing  OSCE including Viva  Observed Practical / clinical (Direct 75 150 225 Minimum 5-6 observation of actual performance at real (25+50) (50+100) hours in the settings) including viva– Mini clinical (OSCE-25 & (OSCE-50 & clinical area evaluation exercise for 3-4 hours (Nursing Observed Observed process application and direct observation of Practical-50) Practical-100) procedural competencies) Grand Total 100 225 325 IX. PROGRAM ORGANIZATION / STRUCTURE 1. Courses of Instruction 2. Implementation of Curriculum 3. Clinical Practice (Residency Posting) 4. Teaching Methods 5. Methods of Assessment 6. Logbook & Clinical Requirements 1. Courses of Instruction – Delivered through Mastery of Learning (Skill Lab Practice) and Experiential Learning (Clinical Practice) Approaches Theory Lab/Skill Lab Clinical (Hrs) (Hrs) (Hrs) I Foundations to Hematology Specialty Nursing Practice 1. Professionalism 40 2. Communication, patient education & counseling in specialty nursing 3. Clinical leadership and resource management in the specialty care setting 4. Evidence based and applied research in specialty[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39 nursing II Hematology Specialty Nursing Courses 50 10 Hematology Specialty Nursing I 1. Context / Introduction to specialty nursing 2. Basic sciences applied to specialty care- diagnosis and treatment of clinical conditions (Anatomy & Physiology, Microbiology, Pharmacology & Pathophysiology) Hematology Specialty Nursing II 110 30 1730 3. Nursing management of clinical conditions including assessment, diagnosis, treatment and specialized interventions 4. Patient safety and quality 5. Specialty / Illness specific considerations (Supportive care / palliative care / rehabilitation, Impact of Illness on individual, family and community) 200 40 1730 TOTAL = 1970 hrs (5 wks) (1 wk) (38 wks) Total weeks available in a year: 52 weeks  AL + CL + SL + Public Holidays = 6 weeks  Exam Preparation and Exam = 2 weeks  Theory and Practical = 44 weeks 2. Implementation of the Curriculum (Theory – 10% and Skill Lab + Clinical – 90%) Block classes – 2 wks × 40 hrs = 80 hrs, Residency of 42 wks × 45 hrs / week = 1890 hrs Total: 1970 hours  Block Classes (Theory and Skill Lab experience = 2 weeks × 40 hours / week (80 hours) {Theory = 74 hrs, Skill Lab = 6 hrs, Total = 80 hrs}  Clinical Practice including Theory and Skill Lab = 42 weeks × 45 hours / week (1890 hours) {Theory = 126 hrs, Skill Lab = 34 hrs, Clinical = 1730 hrs} Theory = 200 (74+126) hrs, Skill Lab = 40 (6+34) hrs, Clinical = 1730 hrs 126 hours of theory and 34 hours of skill lab learning can be integrated during clinical experience. Mastery learning and experiential learning approaches are used in training the students throughout the program. Skill lab requirements are listed in Appendix 1. 3. Clinical Practice Clinical Residency Experience: A minimum of 45 hrs / week is prescribed, however, it is flexible with different shifts and OFF followed by on call duty every week or fortnight. Clinical Placements: The students will be posted to the under mentioned clinical areas during their training period: S.No. Clinical Area Week Remarks 1 Hematology Ward 12 Own hematology specialty hospital / 2 Pediatric Hematology Unit 04 hematology centres 3 Day Care 08 4. OPD 04 5. BMT / Stem Cell Transplant Unit 1040 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 6. Reputed National / International Hematological Centre 04 Attachment / Visits TOTAL 42 The residency students will follow the same duty schedule as staff nurses / nursing officers with different shift duties. In addition to that, for 40 weeks 4 hours every week is dedicated for their learning that can be offered for theory (For example – faculty lecture – 1 hr, nursing & interdisciplinary rounds-1hr, clinical presentations – 1 hr, case study report, clinical assignments) and skill lab practice – 1 hr to cover a total of 126 hrs of theory and 34 hrs of skill lab practice. A small group research project can be conducted during clinical posting applying the steps of research process and written report to be submitted. 4. Teaching Methods Theoretical, skill lab & Clinical teaching can be done in the following methods and integrated during clinical posting:  Case / clinical presentation & Case study report  Drug study & presentation  Bedside clinic / Nursing rounds / Interdisciplinary rounds  Journal clubs / clinical seminar  Faculty lecture & Discussion in the clinical area  Demonstration & skill training in skill lab and at bedside  Directed reading / Self study  Role play  Symposium / group presentation  Group research project  Clinical assignments  Patient engagement exercise (engaging patients in care decisions to improve health outcomes using information technology) for example discharge planning and follow up  Educational visits to regional hematology / stem cell centre and palliative care centres. 5. Method of Assessment  Written test (Case / scenario based)  Practical examination- OSCE and Observed Practical (Direct observation of actual clinical performance at real settings)  Written assignments  Project  Case studies / care plans / clinical presentation / drug study  Clinical performance evaluation  Completion of clinical procedural competencies and clinical requirements For assessment guidelines refer Appendix-2 6. Clinical Logbook / Procedures Book At the end of each Clinical Posting, Clinical Log Book (Specific Procedural Competencies / Clinical Skills) (Appendix 3), Clinical Requirements (Appendix 4) and Clinical Experience Details (Appendix 5) have to be signed by the concerned clinical faculty / preceptor. X. COURSE SYLLABUS[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41 1. FOUNDATIONS TO HEMATOLOGY SPECIALTY NURSING PRACTICE: PROFESSIONALISM, COMMUNICATION, PATIENT EDUCATION & COUNSELING, CLINICAL LEADERSHIP & RESOURCE MANAGEMENT AND EVIDENCE BASED AND APPLIED RESEARCH IN HEMATOLOGY NURSING PRACTICE Total Theory hrs: 40 Course description: This course is designed to develop an understanding of professionalism, communication, patient education and counseling, clinical leadership and resource management and evidence based and applied research in hematology nursing practice. Unit Time Learning Content Teaching / Assignments / (Hrs) Outcomes Learning Assessment Activities Methods I 6 Demonstrate PROFESSIONALISM  Discussion  Write about understanding of  Professionalism – meaning and code of ethics professionalism elements-Accountability, related to and exhibit Knowledgeable, visibility and ethical hematology professionalism in hematology specialty nursing nursing in the practice of practice hematology  Professional values and professional nursing behaviour  INC Code of ethics, code of professional conduct and practice standards  Ethical issues related to hematology nursing and stem cell transplant  Expanding role of Nurse – Nurse practitioner  Professional organizations  Continuing nursing education Medico-Legal Issues  Lecture Describe medico-  Legislations and regulations related  Maintain record legal aspects of to hematology nursing of patients hematology  Consumer protection act nursing and stem  Negligence & malpractice cell transplant  Medico-legal aspects  Records & reports  Legal responsibilities of hematology specialist nurses II 12 Communicate Communication Module – effectively with  Channels and Techniques of  Lecture  Digital records hematology communication patients, families  Breaking bad news to patients with  Breaking bad and professional hematological cancers and with news-Role play colleagues disorders with poor prognosis fostering mutual  Culturally sensitive communication respect and  Development of nursing care plans shared decision and records making to  Information technology tools in enhance health support of communication outcomes  Team communication Patient & Family Education  Principles of teaching and learning  Peer teaching  Conduct a group health education  Principles of health education Educate and session  Assessment of informational needs counsel patients  Prepare patient and patient education and families to education  Developing patient education participate42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Unit Time Learning Content Teaching / Assignments / (Hrs) Outcomes Learning Assessment Activities Methods effectively in materials materials on treatment and Counseling relevant topic care  Counseling techniques  Counseling  Patient and family counseling during sessions breaking bad news, intensive treatment, crisis intervention and end of life stage III 12 Demonstrate Clinical Leadership & Resource  Lecture  Plan a duty understanding of Management roster for the clinical  Leadership & Management junior nursing leadership and  Elements of management of officers / Staff resource Hematology nursing care – planning, nurses working management organizing, staffing, reporting, in the strategies and use recording and budgeting hematology them in  Clinical leadership and its challenges department hematology care  Delegation and settings  Managing human resources in promoting Hematology units collaborative and  Material management effective  Designing of an ideal hematology teamwork  Plan an ideal ward, day care and stem cell hematology transplant unit ward and Day  Emotional intelligence and self- care management skills  Working as interdisciplinary team member  Participation in making policies relevant to care of hematologic  Demo – patients Preparation of  Assignment on  Organization of unit for patients with BMT unit and designing of Hematological disorders- HSCT unit Chemotherapy ideal stem cell & chemotherapy unit unit transplant unit Prepare the unit  Visit to HSCT Quality Assurance Program in for bone marrow unit of any Hematology and Stem Cell transplant specialized Transplant Unit Cancer Hospital  Nursing audit  Module – Conduct clinical  Nursing standards Accreditation & audit and  Quality assurance Practice participate in Standards quality assurance activities in hematology and  Develop SOPs stem cell units / for Stem cell centres transplant unit and hematology ward IV 10 Describe research Evidence Based and Application of process and Research  Lecture  Preparation of perform basic  Introduction to nursing research and statistical data of statistical tests research process  Practice: Hematology  Data presentation, basic statistical Writing of department for[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43 Unit Time Learning Content Teaching / Assignments / (Hrs) Outcomes Learning Assessment Activities Methods Conduct tests and its application scientific paper last five years research project  Research priorities in hematology using principles nursing and steps of  Formulation of problem / question research that are relevant to hematology nursing practice Apply evidence  Review of literature to identify  Conduct based / best evidence based / best practices in literature review practices in hematology nursing practice on professional  Implementation of evidence based  Group research hematological practice interventions in daily professional project nursing practice interventions /  Ethics in research Group research project report 2. HEMATOLOGY SPECIALTY NURSING – I CONTEXT / INTRODUCTION TO HEMATOLOGY NURSING & BASIC SCIENCES APPLIED TO HEMATOLOGY NURSING PRACTICE (Applied Psychology, Sociology, Microbiology, Pathology, Anatomy, Physiology & Pharmacology) Theory: 50 hrs & Lab: 10 hrs Course description: This course is designed to help students to develop understanding and in-depth knowledge regarding the context of hematological care provision and application of basic sciences in the diagnosis and treatment of patients suffering from Hematological disorders. Unit Time Learning Outcomes Content Teaching / Assignments / (Hrs) Learning Assessment Activities Methods I 4 (T) Describe  Epidemiology of hematological  Lecture &  Presentation epidemiology of disorders-Prevalence and Discussion of statistics common statistics hematological  Risk factors and identification disorders, risk  Risk reduction strategies identification and reduction strategies II 2 (T) Explain Principles of  Principles of Hematological  Lecture & Hematological Nursing Discussion Nursing Discuss the role of  Role of hematology specialist hematology specialist nurses nurses  Scope of hematology nursing practice III 10 (T) Explain Psychosocial  Human behavior and coping with  Lecture  Conduct aspects in Hematological malignancies counseling Hematological  Factors influencing psychosocial session Nursing care adjustment for patients suffering from hematological malignancies  Management of psychosocial  Counseling – problems Review steps  Guidance & Counseling IV 8 (T) Explain medical  Principles of asepsis, sterilization  Lecture  Prepare SOP44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Unit Time Learning Outcomes Content Teaching / Assignments / (Hrs) Learning Assessment Activities Methods 2 Surgical asepsis and & disinfection for Infection (Lab) infection control in  Standard safety measures  Demonstration control in Hematology setup  Biomedical waste management BMT unit  Barrier Nursing & infection  Written control practices assignment: Infection control practices in BMT unit V 6 (T) Describe structure & Structure & Function of Blood  Lecture  Prepare 2 functions of blood  Blood: microscopic structure – peripheral (Lab) RBC, WBC, Platelets,  Self-study blood smear  Hemoglobin – Structure, synthesis and breakdown  Demonstration  Functions of blood at Laboratory –  Stain the slide  Bone marrow, Hematopoietic blood slides stem cell biology and preparation & hematopoiesis microscopic  Describe slide  Blood coagulation examination of normal and  Normal Hematological values abnormal peripheral Describe structure and Structure and Functions of blood smear / function of lymphatic Lymphatic and Immunological bone marrow system System  Lymphatic system and circulation of lymph  Immunity – Formation of T cells and B cells, types of immune response, antigens, cytokines & antibodies VI 2 (T) Understand cellular  Overview of Hematopoietic stem  Lecture basis of hematology cell biology Explain immunologic basis of hematology  Overview of Immune system VII 8 (T) Explain blood Transfusion Medicine  Lecture  Visit report of 2 grouping and blood  ABO Rh blood grouping AFTC (Lab) transfusion  Screening of donors  Demonstration  Blood collection and storage and of Blood ABO  Conduct transportation of blood products Rh grouping and blood  Blood and blood product cross matching donation transfusion at Blood bank camp  ABO / Rh incompatibility  Prepare SOP  Mismatched blood transfusion  Visit to AFTC for Blood and its adverse effects transfusion  Non-hemolytic febrile & transfusion reaction Return Demonstrate  Maintenance of records in blood following bank  Collection of blood[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45 Unit Time Learning Outcomes Content Teaching / Assignments / (Hrs) Learning Assessment Activities Methods  ABO Rh grouping and cross matching  Apheresis  Storage of blood VIII 10 (T) Explain pharmaco-  Hematinics – Iron therapy,  Drug  Drug study 4 therapy for different Vitamins, adjuvant therapies presentation (Lab) malignant & non-  Erythropoietin  Demonstration malignant  Coagulants of chemotherapy Hematological  Immune suppressants administration disorders  Analgesics  Chemotherapy for Hematological cancers  Drugs affecting normal function of hematologic system 3. HEMATOLOGY SPECIALTY NURSING – II Nursing Management of Clinical Conditions including assessment, diagnosis, treatment and specialized interventions, patient safety and quality and specialty / illness specific considerations (Supportive Care / Palliative Care / Rehabilitation) Theory: 110 hrs & Lab: 30 hrs Course description: This course is designed to help students to develop knowledge and competencies required for assessment, diagnosis, treatment, nursing management, and supportive / palliative care to patients with various Hematological disorders Unit Time Learning Outcomes Content Teaching / Assignments / (Hrs) Learning Assessment Activities Methods I 8 (T) Explain and  Assessment of patients with  Discussion &  Perform 8 demonstrate skill in Hematological disorders Demonstration assessment of (Lab) assessment of patients (History taking, physical adult, and (adult including examination & diagnostic Pediatric elderly) with tests) patients in OPD hematological disorders and write assessment Explain and  Assessment of child with report demonstrate skill in Hematological disorders assessment of pediatric patients with hematological disorders II 4 (T) Assist in diagnostic  Diagnostic tests for  Lecture and  Prepare slides of 2 tests Hematological disorders Demonstration bone marrow (Lab) Assist in bone marrow  Bone marrow aspiration, biopsy biopsy and bone marrow slide preparation III 5 (T) Demonstrate Diagnostic and Therapeutic 5 understanding and use Equipment used in46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Unit Time Learning Outcomes Content Teaching / Assignments / (Hrs) Learning Assessment Activities Methods (Lab) of equipment used in Hematology hematology units  Apheresis  Platelet agitator  Bio-safety cabinet  Thawing machine  Stem cell cryopreservation  Blood component refrigerator  Fumigator IV 10 (T) Develop skill in  Care of patients undergoing  Demonstration  Unit set up for 10 assisting and HSCT  Workshop on HSCT (Lab) performing procedures  Special considerations for insertion and in Hematology for adult care of geriatric and care of CVADs and pediatric patients pediatric patients undergoing HSCT  Assisting in bone marrow aspiration and biopsy  Assisting in hemopoietic stem cell collection and preservation  Management of patients undergoing splenectomy  Care of patients undergoing chemotherapy and intrathecal chemotherapy  Assisting in insertion of Module: VAD care CVADs (PICC, Hickman Catheter, Chemo port and central lines) and care V 5 (T) Explain nutritional care  Nutritional problems for Self-study  Depth paper / of adult and pediatric adult and pediatric patients Term paper on patients with suffering from malignant nutritional Hematological and non-malignant management for disorders Hematological disorders patients with  Diet planning for patients Hematological with anemia and other disorders Hematological disorders VI 5 (T) Explain principles of  Pain–types, pathophysiology  Discussion  Assignment on 3 pain management in  Pain management in alternative (Lab) Hematological cancers Hematological cancer – system of pharmacological & non- medicine for pharmacological measures pain relief VII 2 (T) Discuss management of  Fever and septicemia in  Lecture &  Assignment 2 fever and septicemia Hematological disorders discussion (Lab) and other infections in Hematological  Demonstration disorders  Febrile neutropenia on barrier nursing VIII 10 (T) Describe classification,  Anemia – classification  Lecture  Nursing clinic / clinical manifestations,  Etiology, pathophysiology, rounds diagnostic tests, and clinical manifestations and  Seminar management of anemia management of[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 47 Unit Time Learning Outcomes Content Teaching / Assignments / (Hrs) Learning Assessment Activities Methods including nursing 1. Iron deficiency anemia  Self-study management 2. Hemolytic anemia 3. Megaloblastic anemia 4. Thalassemia 5. Sickle cell disease IX 4 (T) Describe etiology,  Inherited forms of bone  Lecture  Write recent pathophysiology, marrow failure evidences in clinical manifestations,  Seminar treating aplastic diagnosis and anemia management of  Aplastic anemia disorder of hematopoietic cell development X 5 (T) Describe etiology,  Neutrophilic Leukocytosis  Lecture  Assignment on pathophysiology,  Neutropenia care of clinical manifestations,  Monocytosis &  Self-study neutropenic diagnosis and Monocytopenia patients management of non-  Lymphocytosis / malignant disorder of lymphocytopenia leukocytes  Infectious mononucleosis  Acquired coagulation disorder  Hyper coagulable state (DVT / Stroke) XI 10 (T) Describe etiology, Leukemias  Lecture  Case pathophysiology, presentation clinical manifestations,  Acute lymphoblastic  Seminar diagnosis and leukemia (ALL) management of  Chronic lymphoblastic Hematologic leukemia (CLL) malignancies  Acute Myeloid leukemia (AML)  Chronic Myeloid leukemia (CML)  Myelodysplastic syndromes  Other leukemias – Hairy cell leukemias XII 4 (T) Describe etiology, Lymphomas  Lecture  Case series pathophysiology,  Hodgkin’s disease preparation clinical manifestations,  Non-Hodgkin’s Lymphoma diagnosis and  Burkitt Lymphoma management of Hematologic malignancies XIII 4 (T) Describe etiology,  Myeloproliferative disorders  Lecture  Case discussion pathophysiology, clinical manifestations,  Polycythemia Vera diagnosis and management of Hematologic malignancies XIV 8 (T) Describe etiology,  Hemophilia  Lecture  Report of pathophysiology,  Coagulation factor symposium48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Unit Time Learning Outcomes Content Teaching / Assignments / (Hrs) Learning Assessment Activities Methods clinical manifestations, deficiencies  Symposium diagnosis and  Hereditary bleeding management of disorders disorders of blood  DIC clotting XV 8 (T) Describe major  Common Hematological  Lecture  Write a case hematologic disorders disorders in pediatric age study of childhood group patients  Group Presentations Explain principles of management of  Management of common Pediatric Hematological malignant and non- cancers malignant Hematological disorders in pediatric patients XVI 4 (T) Explain about  History of hematopoietic  Lecture  Develop nursing hematopoietic stem cell stem cell transplant (HSCT)  Demonstration standards on transplant  Types of HSCT management of  Source of hematopoietic patients stem cell undergoing  Indications of HSCT HSCT  Patient preparations for HSCT  Conduct Health  Procedure of HSCT Education session for post  After care of patients with HSCT patients HSCT  GVHD – Graft versus Host Disease  Other complications of HSCT  Special considerations for managing pediatric patients for HSCT  Special considerations for managing geriatric patients after HSCT XVII 4 (T) Understand treatment  Splenectomy  Lecture  Prepare SOP for modalities of malignant  Chemotherapy Chemotherapy, & non-malignant  Radiotherapy  Drug Radiotherapy, Hematological  Oral and parenteral Iron presentations Iron therapy & disorders therapy Stem cell  Special considerations for  Self study transplant pediatric and geriatric age group patients XVIII 2 (T) Explain concept of  Palliative care  Lecture  Visit report palliative care and  End of life care Hospice  Hospice  Visit to Hospice / Palliative care centre (Regional / National) XIX 4 (T) Explain rehabilitation  Rehabilitation after HSCT  Lecture  Literature of patients with  Supportive care for the review on[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 49 Unit Time Learning Outcomes Content Teaching / Assignments / (Hrs) Learning Assessment Activities Methods hematological disorders patients suffering from supportive care hematological disorders of hematological cancer patients XX 4 (T) Explain concept of  Patient safety indicators in  Lecture  Conducting unit Quality and patient hematology and HSCT unit audit safety in Hematology &  Quality control in HSCT unit hematology and HSCT unit PRACTICUM (Skill Lab & Clinical) Total Hrs: 1770 Hrs (40 + 1730) (Skill Lab – 40 Hrs and Clinical – 1730 Hrs) Practice Competencies: At the end of the program students will be able to: 1. Assess patients with Hematological disorders 2. Assist and perform special procedures in Hematological settings 3. Prepare and care for patients undergoing Stem cell transplant 4. Administer chemotherapy and biological therapy 5. Care for patients undergoing radiotherapy 6. Prepare and care for patients undergoing Splenectomy 7. Assess and manage special group like pediatric and geriatric patients with Hematological disorders 8. Insert PICC line and assist in insertion of other vascular access devices 9. Care for Vascular access devices 10. Maintain and store drugs and keep daily record CLINICAL POSTINGS Areas Duration Clinical Learning Skills / Procedural Assignments Assessment (Weeks) Outcomes Competencies Methods Hematology 12 weeks Provide nursing care  History taking  Health  Clinical ward for patients suffering  Physical assessment assessment evaluation from Hematological  Assisting in Diagnostic report disorders tests Prepare and assist in  Assisting in bone  Case study bone marrow marrow aspiration and BMT aspiration  Slide preparation  Case study report report Administer  Prepare patients for chemotherapy chemotherapy  Perform pre-  Health Talk chemotherapy investigations  Administer Chemotherapy Perform and assist in  Care of VADs placing VADs and50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Areas Duration Clinical Learning Skills / Procedural Assignments Assessment (Weeks) Outcomes Competencies Methods long- term IV access  Insertion of long- term catheters IV access– PICC, Hickman catheter and daily maintenance Administer blood and blood products  Collect blood for grouping and cross matching  Administer blood and blood products Perform pre and post-  Preparation of patients operative care for for surgery patients undergoing  Perform post-operative splenectomy care Perform counseling to patients and their  Support during all relatives phases of disease process  Counsel patients and the relatives Pediatric 04 weeks Provide nursing care  Physical assessment of  Health talk  Clinical Oncology for children suffering children evaluation ward from Hematological  Infection control  Case cancers practices & barrier presentation nursing  Care during blood transfusion  Care of VADs  Administration of chemotherapy  Diet planning  Counseling for parents Day care 8 weeks Prepare patients for  Care, preparation and  Drug study  Clinical chemotherapy administration of Evaluation chemotherapy and  Health Talk Administer monitoring of patients  Evaluation chemotherapy  Health education to of drug patients study & health talk OPD 04 weeks Assist in examination  History taking  Health of the patients with  Physical examination assessment hematological  Health education report – disorders  Assisting in bone history taking marrow biopsy and physical Assist in diagnostic examination procedures BMT Unit 10 weeks Preparation of patient  Perform pre-transplant BMT report Clinical for bone marrow investigations evaluation transplant (Stem cell  Counseling of patients transplant) and relatives Counseling  Health education and report[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 51 Areas Duration Clinical Learning Skills / Procedural Assignments Assessment (Weeks) Outcomes Competencies Methods home care  Administering Chemotherapy before transplant  Preparing patients for Radiotherapy  Prepare the unit for receiving the patient Perform post-  Maintenance of asepsis transplant care (barrier nursing)  Administer treatment  Monitor patient for side effects / complications  Planning and administering diet. Note: OT experience from Hematology ward rotation to witness bone marrow harvesting and vascular access device placement. APPENDIX 1 SKILL LAB REQUIREMENTS Note: In addition to the basic skill lab requirement of College of Nursing, the following are necessary. S.No. Skill Lab Requirement No. Skill 1 Hospital Bed with mattress 05 2 Hospital Linen set 15 sets 3 Patient Linen set 10 sets 4 OT Towels 20 Patient Unit Preparation 5 IV stand 05 6 Bed side lockers 05 7 Overhead table 05 8 Patient Comfort devices - 9 Suction Machine 01 10 Multipara monitor 01 Emergency Management 11 Oxygen supply 0152 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] S.No. Skill Lab Requirement No. Skill 12 Crash Cart Trolley 01 13 Basic Nursing care articles - Basic & Advance Nursing Care 14 Advance Nursing care articles - 15 Bowls with lid 10 cm 10 16 Bowls 10cm 10 17 Instrument Tray with lid 10 18 Plain Artery Forceps 10 19 Toothed Artery Forceps 10 Instruments for Various Procedures 20 Mosquito Artery Forceps 10 21 Plain Dissecting Forceps 10 22 Toothed Dissecting Forceps 10 23 Sponge holding Forceps 10 24 Towel clip 20 25 Bone marrow aspiration needles - Salah’s Needle 05 - Klimas’s Needle 05 26 Bone marrow biopsy needle (Jamshidi’s needle) 05 27 Bone Marrow Biopsy Simulator 01 Bone Marrow Aspiration / 28 Fixative for biopsy: Biopsy Isotonic Buffered Formalin (IBF) / Acetic acid zinc formula 05 (AZF) / B5 Solution 29 EDTA / Heparinised vacutainer 20 / 20 30 Inj Lidocaine 2% 01 31 Slides 50[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 53 S.No. Skill Lab Requirement No. Skill 32 Spreader 10 33 20 ml syringe 25 34 Pasteur Pipette 05 35 Siliconised glass dish 05 36 Culture Tube 10 37 Disposable Lancet 50 38 Pipette & Tubing 05 set 39 Slides 50 PBS 40 Alcohol Prep pads 50 41 Spreader 10 42 LP needle with stylet (Quincke Babcock Needle) 10 43 Sterile Specimen Bottles 30 Lumbar Puncture 44 Three-way adaptors 20 45 BT Set 20 46 Normal Saline 20 47 Blood / Blood component simulator 20 Blood Transfusion 48 Blood bag Carriage / container 05 49 Intravenous cannula 16 / 18 F 30 50 IV simulator arm for transfusion 01 51 Manikin with chemoport 01 52 Ambulatory Baxter infusion Pump 01 53 Biosafety cabinet 01 Chemotherapy 54 Huber Needle / Non coring needle 25 55 NS prefilled syringes 2554 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] S.No. Skill Lab Requirement No. Skill 56 Blunt Needles 25 57 Central line pack / PICC catheter set 10 58 Mefilon dressing / Biopatch Central line dressing 25 59 Extension line & Three-way Adaptor 20 60 Ultrasound guided PICC / ECG guided PICC / Hickman / 01 CVAD’s training simulator 61 Hair clipping devices 01 PICC / Hickman / Central Line Insertion 62 Tegaderm 20 63 PICC stat lock fixator / grip lock fixator 10 64 Chlorhexidine swab stick 20 65 Heparin / Antibiotic / VAD Block 20 66 PICC / Hickman / Central line care packs 20 67 Vacutainers for all sample collection with vacutainer holders 30 BMT / Neutropenic Care Blood 68 Safety Needles &Syringes 30 Collection / Stem Cell Harvest 69 Collection devices for peripheral blood stem cells from donor 30 set 70 Standard safety Protection Devices 20 Sets 71 Nutrition Lab for preparation of Neutropenic diet 01 72 Barrier Nursing Unit / BMTU 01 Infection Control 73 Hand washing area 01 74 Biomedical waste disposal unit 01 75 Records (Chemo Chart, Consent Form, Clinical charts, Blood - Recording Transfusion Chart, Nurses Note) 76 LCD TV 01 Video Assisted Demonstration 77 Health Teaching modules for patients - Health Teaching[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 55 APPENDIX 2 ASSESSMENT GUIDELINES (THEORY & PRACTICUM) I. THEORY A. INTERNAL HEMATOLOGY SPECIALTY NURSING (Part I – Hematology Nursing I including Foundations & Part II – Hematology Nursing II) – TOTAL: 25 marks  Test papers & Quiz -10 marks  Written assignments -10 marks (Code of ethics relevant to hematology nursing practice, literature review on EBP in hematology nursing / infection control practices, nutritional care of patients with hematological disorders)  Group project: 5 marks B. EXTERNAL / FINAL HEMATOLOGY SPECIALTY NURSING (Part I – Hematology Nursing I including Foundations & Part II – Hematology Nursing II) – TOTAL: 75 marks Part I – 35 marks (Essay type 1 × 15 marks = 15, Short answers 4 × 4 marks = 16, Very short answers 2 × 2 marks = 4) and Part II – 40 marks (Essay 1 × 15 marks = 15, Short answers 5 × 4 marks = 20, Very short answers 5 × 1 mark = 5) II. PRACTICUM A. INTERNAL – 75 marks  OSCE – 25 marks (End of posting OSCE-10 + Internal end of year OSCE-15)  Other Practical: 50 marks a) Practical Assignments – 20 marks (Clinical presentation &Case study report-5, Counseling report / visit report-5, Drug study report-5, and Health talk-5) b) Completion of procedural competencies and clinical requirements: 5 marks c) Continuous clinical evaluation of clinical performance: 5 marks d) Final Observed Practical (Actual performance in clinicals): 20 marks B. EXTERNAL – 150 marks OSCE – 50 marks, Observed Practical – 100 marks Detailed guidelines are given in Guidebook. APPENDIX 3 CLINICAL LOG BOOK FOR POST BASIC DIPLOMA IN HEMATOLOGY NURSING PROGRAM (Specific Procedural Competencies / Clinical Skills) Number Performed / Date & Signature of S.No. Specific Competencies / Skills Assisted / Observed the Faculty / (P / A / O) Preceptor I FOUNDATIONS TO HEMATOLOGY NURSING 1 Preparation of patient education materials P 2 Patient education plan for teaching patients with P hematologic disorders 3 Preparation of duty roster for nursing officers / staff P nurses 4 Writing literature review / systematic review P (Identify evidence based nursing interventions / practices) 5 Preparation of a manuscript for publication / paper P presentation 6 Group research project P Topic:56 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Number Performed / Date & Signature of S.No. Specific Competencies / Skills Assisted / Observed the Faculty / (P / A / O) Preceptor II HEMATOLOGY NURSING SPECIALTY 1 HEALTH ASSESSMENT 1.1 History taking and physical examination for adult P patient with hematological disorders 1.2 History taking and physical examination for pediatric P patient with hematological disorders 2 DIAGNOSTIC PROCEDURES 2.1 Assisting in bone marrow aspiration / biopsy A 2.2 Preparation of slides for peripheral blood smear P 2.3 Preparation of slides for bone marrow P 2.4 Microscopic examination and interpretation of O specimen 2.5 CSF Tap A 3 VENOUS ACCESS DEVICES (VAD) CARE 3.1 Insertion of VADs  PICC P  Hickman P  Central Line A / P (As per institutional protocol) 3.2 Daily care and maintenance of VADs P 3.3 Heparin block P 3.4 Antibiotic block P 3.5 VAD block P 3.6 Line removal P 4 BLOOD BANK / AFTC & TRANSFUSION OF BLOOD AND BLOOD PRODUCTS 4.1 Blood grouping P 4.2 Compatibility of blood groups O 4.3 Blood collection bags O 4.4 Aphaeresis P 4.5 Blood storage O 4.6 Platelet storage O 4.7 Administration of blood and blood products P 4.8 Care during blood transfusion P 5 CARE AT HEMATOLOGY DAY CARE FACILITY 5.1 Preparation of patientsfor chemotherapy P 5.2 Preparation of patients for pre chemo investigations P 5.3 Preparation and administration of chemotherapeutic P drugs 5.4 Monitoring of patients during chemotherapy P 5.5 Extravasation management P 5.6 Intra-thecal chemotherapy A / P (As per institutional protocol) 5.7 Iron infusion and care P 5.8 Management of transfusion reactions P 5.9 Stem cell harvest P[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 57 Number Performed / Date & Signature of S.No. Specific Competencies / Skills Assisted / Observed the Faculty / (P / A / O) Preceptor 6 CARE OF ADULT PATIENT IN HEMATOLOGY WARD 6.1 Maintenance of neutropenic room P 6.2 Neutropenic care P 6.3 Neutropenic diet P 6.4 Multidrug infusion P 6.5 Compatibility of different drugs P 6.6 Side effects of hematological drugs P 6.7 Use of platelet agitator O 6.8 Sitz bath P 6.9 Groin and axilla wipes P 7 CARING FOR PEDIATRIC PATIENT IN HEMATOLOGY UNIT 7.1 Blood sampling P 7.2 Pediatric phlebotomy P 7.3 Care during blood transfusion P 7.4 Care of VADs 7.5 Administration of chemotherapy (drug infusion & P dose modification) 7.6 Pediatric neutropenic care P 7.7 Diet planning P 7.8 Counseling-child and parents P 8 BONE MARROW TRANSPLANT / STEM CELL TRANSPLANT UNIT PREPARTION FOR BONE MARROW TRANSPLANT 8.1 Pre transplant investigations P 8.2 Counseling patient & relatives P 8.3 Health education P 8.4 Administration of chemotherapy before transplant P 8.5 Preparation of patient for radiotherapy P 8.6 Preparation of patient before transplant P POST TRANSPLANT CARE 8.7 Maintenance of asepsis (Barrier Nursing) P 8.8 Administration of treatment P 8.9 Monitor patient for side effects P 8.10 Planning and administration of diet P STEM CELL TRANSPLANT 8.11 Collection of PBSC P 8.12 Storage of PBSC P 8.13 Collection of bone marrow stem cells A 8.14 Infusion of stem cells P 8.15 Care of transplant recipient P 8.16 Mucositis care P 8.17 Management of engraftment syndrome P 8.18 Preparation for discharge and home care P 9 CARE OF HEMATOLOGY PATIENTS UNDERGOING SURGERY 9.1 Preparation of patients for surgery – splenectomy P 9.2 Post-operative care P 9.3 Patient education & counseling P 9.4 Home care P58 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Number Performed / Date & Signature of S.No. Specific Competencies / Skills Assisted / Observed the Faculty / (P / A / O) Preceptor 10 QUALITY CONTROL 10.1 Preparation of SOP for infection control in BMT P 10.2 Preparation of SOP for chemotherapy P 10.3 Preparation of SOP for blood transfusion P 10.4 Preparation of SOP for stem cell transport P 10.5 Development of nursing standards for patients P undergoing BMT / stem cell transplant 10.6 Conducting unit audit P 11 ASEPSIS 11.1 Sterilization / Disinfection P 11.2 Fumigation P 12 OTHERS 12.1 Consent taking P 12.2 Immunization P 12.3 Guidance & Counseling P *When the student is found competent to perform the skill, the faculty will sign it. Students: Students are expected to perform the listed skills / competencies many times until they reach level 3 competency, after which the faculty signs against each competency. Faculty: Must ensure that the signature is given for each competency only after they reach level 3.  Level 3 competency denotes that the student is able to perform that competency without supervision  Level 2 Competency denotes that the student is able to perform each competency with supervision  Level 1 competency denotes that the student is not able to perform that competency / skill even with supervision[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 59 APPENDIX 4 CLINICAL REQUIREMENTS Signature of the S.No. Clinical Requirement Date Faculty / Preceptor 1 Health Talk (Hematology OPD, Ward / Day Care) 1.1 Topic: 1.2 Topic 2 Counseling Patients & Relatives Counseling Report-1 3 Health Assessment 3.1 Health Assessment (Adult & Child) – History & Physical Examination (Two written reports) 3.1.1. (Adult) 3.1.2. (Child) 4 Journal Club / Clinical Seminar Topic: 5 Case Study / Clinical Presentation & Report – Adult Hematology Ward-1 & Pediatric Hematology Ward-1 (Nursing / Interdisciplinary Rounds) 5.1 Name of Clinical Condition: 5.2 Name of Clinical Condition: 6 Drug Study, Presentation and Report (Two written reports for submission) 6.1 Drug Name: 6.2 6.3 6.4 7 Designing Hematology Ward / Day Care / BMT Unit 8 Visits – Reports 8.1 National / Regional BMT / HSCT Unit 8.2 National / Regional Palliative Care Centre Signature of the Program Coordinator / Faculty Signature of the HOD / Principal60 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] APPENDIX 5 CLINICAL EXPERIENCE DETAILS Name of Number of days Signature of the Clinical Condition clinical area care given Faculty / Preceptor Signature of the Program Coordinator / Faculty Signature of the HOD / Principal Dr. T. DILEEP KUMAR, President [ADVT.-III/4/Exty./489/19] Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064 and Published by the Controller of Publications, Delhi-110054.