In exercise of the powers conferred by sub section (1) of Section 16 of Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations, namely

रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99 सी.जी.-डी.एल.-अ.-06012025-259945 xxxGIDHxxx CG-DL-E-06012025-259945 xxxGIDExxx असाधारण EXTRAORDINARY भाग III—खण् ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 1082] नई दिल्ली, िुक्रवार, दिसम्ब र 27, 2024/पौष 6, 1946 No. 1082] NEW DELHI, FRIDAY, DECEMBER 27, 2024/PAUSHA 6, 1946 अजधसचू ना नई दिल्ली, 18दिसम् बर, 2024

(VIII) le;≤ ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 ¼1947 dk XLVIII½ dh èkkjk 16¼1½ ds vèkhu çnÙk 'kfDr;ks a dk ç;ksx djrs gq,] Hkkjrh; mip;kZ ifj"kn~ ,rí~okjk fuEufyf[kr fofu;e cukrh gS] ;Fkk &

1. i. ;s fofu;e dgs tk,axsA ii. ;s fofu;e Hkkjr ds jkti= es a budh vfèklwpuk dh frfFk ls çHkkoh gksxa sA

2. bu fofu;eksa es]a tc rd fd lanHkZ ls vU;Fkk visf{kr u gks] i. ^vfèkfu;e* dk vfHkçk; le;≤ ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~] 1947 ¼1947 dk XLVIII½ ls gS( ii. ^ifj"kn~* dk vfHkçk; vfèkfu;e ds rgr xfBr Hkkjrh; mip;kZ ifj"kn~ ls gS( 8447 GI/2024 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] iii. ^,l,uvkjlh* dk vfHkçk; lacafèkr jkT; ljdkjks a }kjk fdlh Hkh uke ls xfBr jkT; mip;kZ ,oa çlkfodk iathdj.k ifj"kn~ ls gS( iv. ^vkj,u ,aM vkj,e* dk vfHkçk; ,d iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½ ls gS vkSj ,d ,sl s ulZ dks n'kkZrk gS ftlus ekU;rk çkIr uÉlx Lukrd ¼ch-,llh- uÉlx½ ;k fMIyksek bu tujy uÉlx ,aM feMokbQjh ¼th,u,e½ ikBîØe] tSlk fd ifj"kn ~ }kjk fuèkkZfjr fd;k x;k gks] lQyrkiwoZd iwjk dj fy;k gks vkSj fdlh ,d ,l,uvkjlh es a iathÑr mip;kZ ,oa iathÑr çlkfodk ds :i es a iathÑr gks( v. ^ulZ iathdj.k ,oa VªSÇdx ç.kkyh ¼,uvkjVh,l½* dk vfHkçk; ifj"kn~ }kjk jk"Vªh; lwpuk foKku dsæa ¼,uvkbZlh½] Hkkjr ljdkj ds lg;ksx ls fodflr lkW¶Vos;j ç.kkyh ls gS] ftls Hkkjrh; mip;kZ jftLVj ds j[kj[kko o lapkyu ds fy, ,uvkbZlh }kjk gkWLV fd;k x;k gSA bles a iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½@iathÑr lgk;d ulZ feMokbQ ¼vkj,,u,e½@iathÑr efgyk LokLF; ifjnÆ'kdk ¼vkj,y,poh½ ds vkadM+ksa ds laxzg ds fy, ^vkèkkj* ck;ksesfVªd çek.khdj.k ij vkèkkfjr ekudhÑr çk:i gSa( vi. ^,u;wvkbZMh* dk vfHkçk; ,uvkjVh,l ç.kkyh }kjk çR;k'kh dks fn;k tku s okyk ulsZt ;wfud vkbMsfaVfQds'ku uca j ls gS( vii. ^tujy uÉlx ,aM feMokbQjh ¼th,u,e½* dk vfHkçk; ifj"kn~ }kjk vfèkfu;e dh èkkjk 10 ds rgr LohÑr rFkk vfèkfu;e dh vuqlwph ds Hkkx&I eas 'kkfey fMIyksek bu tujy uÉlx ,aM feMokbQjh çf'k{k.k ls gSA I.

lHkh uotkr f'k'kqvks a dh LoLFk mÙkjthfork lqfuf'pr djuk Li"V :i ls cky LokLF; eas lqèkkj ds fy, ,d egRoiw.kZ {ks=

ds :i eas mHkjk gSA oSf’od leqnk; u s 2035 rd lHkh ns'kks a eas ikap o"kZ ls de mez ds cPpks a dh e`R;q nj 20 çfr 1000 ls de j[ku s ds fy, çfrc)rk trkbZ gSA fo’o LokLF; laxBu ds vuqeku ds vuqlkj] cgqr ls fodkl'khy n's kks a eas çf'kf{kr LokLF; dÆe;ks a dh Çprktud deh gSA Hkkjr ljdkj }kjk 'kq: dh xbZ vk;q"eku Hkkjr ;kstuk dk mís'; nks çeq[k ?kVdks a & LokLF; ,oa dY;k.k dsæa ¼,pMCY;wlh½ vkSj jk"Vªh; LokLF; lqj{kk ;kstuk] ds lkFk LokLF; n[s kHkky ij è;ku nus k gSA ;|fi LokLF; ç.kkyh dks mUur djus ds dk;ZØe dk bjknk lHkh ds fy, LokLF; ds y{; dks çkIr djus dh mEehn gS] yfsdu çHkkoh dk;kZUo;u ds fy, dq'ky LokLF; dk;Zcy dh mfpr la[;k ds dksbZ lcwr ugÈ gSaA egRo ds iSekus dks è;ku eas j[kr s gq,] ,d dq'ky LokLF; dk;Zcy LokLF; ns[kHkky forj.k ç.kkfy;ks a ds fijkfeM eas lcls Åij gSA ljdkj lkoZtfud vkSj futh LokLF; nksuksa {ks=ks a eas r`rh;d n[s kHkky lsokvks a eas egRoiw.kZ foLrkj dk lEeku djrh gSA ;g cgqr gh egRoiw.kZ gS fd LokLF; n[s kHkky dfeZ;ks a dks viuh {kerk ds fuekZ.k eas fof'k"V vkSj vfr&fof'k"V lsokvks a eas mUur 'kS{kf.kd rS;kjh dh vko';drk gksrh gSA fof'k"V vkSj vfr&fof'k"V LokLF; n[s kHkky lsokvks a dk leFkZu djus gsrq] mUur rS;kjh ds lkFk fo'ks"kK uls± vko';d gSaA r`rh;d n[s kHkky {ks= esa çf'k{k.k dk;ZØe vkSj ikBîØe fodflr djuk le; dh vko';drk ds :i eas igpkuk x;k gSA ulZ çSfDV'kuj ¼,uih½ bl ekax dks iwjk djus eas l{ke gksxa s c'krZs os vPNh rjg ls çf'kf{kr vkSj vH;kl djus ds fy, l'kDr gksAa dsæa vkSj jkT; Lrj ij u, laoxks± dh LFkkiuk ds lkFk] LukrdksÙkj Lrj ij rS;kj ulZ çSfDV'kuj r`rh;d n[s kHkky dsæa ksa dh fofHkUu uotkr f’k’kq ns[kHkky bdkbZ;ks a eas uotkr शििओु s aं dks ykxr çHkkoh] l{ke] lqjf{kr vkSj xq.koÙkk lapkfyr fo'ks"k uÉlx n[s kHkky çnku djus eas l{ke gksxa sA ulZ çSfDV'kuj] ;w,l, es a 1960 ds n'kd ls] ;wds es a 1980 ds n'kd ls] vkWLVªfsy;k eas 1990 ds n'kd ls vkSj uhnjyaSM esa 2010 ls dke dj jgs gSaA r`rh;d n[s kHkky lek;kstuksa eas dk;Z djus ds fy, ulZ çSfDV'kuj bu fu;ksusVy uÉlx ¼,uih,ubZvks,u½ rS;kj fd, tk ldr s gSaA n`<+ 'kS{kf.kd rS;kjh mUgs a xaHkhj :i ls chekj uotkr f'k'kqvks a dk] jksx jksdFkke o LokLF; laoèkZu nksuks a ds fy,] lg;ksxkRed funku vkSj mipkj djus eas l{ke cuk,xhA ifj"kn~ }kjk LukrdksÙkj Lrj ij ulZ çSfDV'kuj bu fu;ksusVy uÉlx ¼,uih,ubZvks,u½ rS;kj djus dh fn'kk es a ,d ikBîp;kZ dh lajpuk@:ij[s kk çLrkfor gSA bl dk;ZØe dh [kkl ckr ;g gS fd ;g ,d uSnkfud vkoklh; dk;ZØe gS ftles a 15% lS)kafrd funsZ'k vkSj 85% vH;kl ds lkFk ,d lqn`<+ uSnkfud ?kVd ij cy fn;k x;k gSA n{krk vkèkkfjr çf'k{k.k çeq[k n`f"Vdks.k gS vkSj ulZ çSfDV'kuj f'k{kk baVjus'kuy dkmafly vkWQ ulsZt ¼vkbZlh,u] 2020½] dkmafly vkWQ baVju’s kuy fu;ksusVy ulsZt ¼lhvksvkbZ,u,u½ daihVaslht ¼2021½ vkSj us'kuy vkWxZukbts'ku vkWQ ulZ çSfDV'kuj QSdYVht ¼,uvks,uih,Q] 2022½ ls :ikarfjr n{krkvks a ij vkèkkfjr gSA çR;sd ikBîØe n{krkvks a dh miyfCèk ij vkèkkfjr gSA ulZ çSfDV'kuj bu fu;ksusVy uÉlx ¼,uih,ubZvks,u½ & vkoklh; dk;ZØe dk mís'; iathÑr ch-,llh- ulks± dks xaHkhj :i ls chekj uotkr f'k'kqvksa dks mUur uÉlx n[s kHkky çnku djus ds fy, rS;kj djuk gSA uÉlx n[s kHkky] uotkr f’k’kqvks a dh fLFkfr dks fLFkj djus] xaHkhj tfVyrkvks a dks de djus vkSj b"Vre U;wjks fodklkRed ifj.kkeks a dks vfèkdre djus ij dsfaær gSA uotkr f'k'kqvks a dh 80% ls vfèkd ekSr rhu jksdFkke ;ksX; vkSj mipkj ;ksX; fLFkfr;ks a & varxZHkkZ'k;h&lacafèkr ekSr ftleas tUe ds le; 'okl vojksèk 'kkfey gS] le; ls igys tUe ds dkj.k gksus okyh tfVyrk, a vkSj uotkr शििुq laØe.k] ds dkj.k gksrh gSaA çR;sd eq[; dkj.k dks jksdu s vkSj mldk mipkj djus ds fy, ykxr çHkkoh] çekf.kr eè;orZu fo|eku gSaA tUe ds le; n[s kHkky dh xq.koÙkk eas lqèkkj ls vfèkdka'k dh tku cpkbZ tk ldsxh] yfsdu blds fy, l{ke LokLF; dfeZ;ks a vkSj vko';d cqfu;knh <kap s dh miyCèkrk gksuk vko';drk gSA bu fu;ksusVy[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3 ,uih dks r`rh;d n[s kHkky dsæa ks a dh uotkr q ns[kHkky bdkb;ks a vkSj ,l,ulh;w eas vH;kl djus dh vko';drk gksrh शििु gSA dk;ZØe ea s vè;;u ds fofHkUu ikBîØe 'kkfey gSa tks lqn<` + oSKkfud uÈo ij vkèkkfjr gSa ftues a lk{; vkèkkfjr vH;kl vkSj tfVy LokLF; ç.kkfy;ks a dk çcaèku 'kkfey gSA bUgs a ch-,llh- çf'kf{kr ulks± dh lS)kafrd vkSj vH;kl n{krkvks a ds vkèkkj ij rS;kj fd;k x;k gSA dk;ZØe ds iwjk gksus vkSj lacafèkr ,l,uvkjlh ds lkFk iathdj.k gksus ij] os laLFkkxr çksVksdkWy ds vulq kj Lor=a :i ls vkS"kf/k nus s vkSj uSnkfud ijh{k.k] çfØ;k] fpfdRlk midj.k o mipkj dk vkns'k nus s ds fy, vfèkÑr gksxa sA fu;ksusVy ,uih bl vfèkdkj dk ç;ksx djrs le;] fuEufyf[kr n{krkvks a ds fy, tokcngs gksxa s & a) uotkr f'k'kq dk p;u@uotkr शििुq n[s kHkky bdkbZ ¼,ulh;w½ eas HkrhZ vkSj NqV~Vh( b) mfpr vkadyu }kjk leL;k dh igpku( c) vkS"kf/k ;k midj.kks a ;k mipkjks a dk p;u@ç'kklu( d) çlo] tUe vkSj uotkr vofèk ds nkSjku ns[kHkky dk lqn`<+hdj.k vkSj mleas fuos'k( e) ekr` ,oa uotkr शििुq n[s kHkky dh xq.koÙkk es a lqèkkj( f) fpfdRlh; mi;ksx ds fy, uotkr शििq ु ds ekrk&firk@ns[kHkkydrkZ dk l'kfDrdj.k( g) fpfdRlh; var%fØ;kvks a dh tkudkjh] ;fn dksbZ gks( h) ifj.kkeks a dk fu:i.k( vkSj i) tfVyrkvks a vkSj vfç; çfrfØ;kvks a dh igpku vkSj çcaèkuA fu;ksusVy ,uih viuh n[s kHkky ds rgr xaHkhj :i ls chekj uotkr f’k’kqvks a dh n[s kHkky dh ftEesnkjh yus s vkSj mÙkjnkf;Ro fuHkkus ds fy, rS;kj vkSj n{krk çkIr gksrs gSaA mDr LukrdksÙkj mikfèk dks ,l,uvkjlh }kjk vfrfjDr ;ksX;rk

ds :i eas iathÑr fd;k tk,xkA ifj"kn~ dk ekuuk gS fd xaHkhj :i ls chekj uotkr f'k'kqvksa vkSj ifjtuks a dks xq.koÙkkiw.kZ ns[kHkky çnku djus gsrq Hkkjr es a r`rh;d LokLF; n[s kHkky lsokvks a dh pqukSfr;ks a vkSj ekaxks a dks iwjk djus ds fy, ulZ çSfDV'kuj bu fu;ksusVy uÉlx ¼,uih,ubZvks,u½ uked LukrdksÙkj dk;ZØe LFkkfir djus dh vR;fèkd vko';drk gS] tSlk fd jk"Vªh; LokLF; uhfr] 2017 eas ifjyf{kr gSA ifj"kn~ dk ekuuk gS fd lqn`<+ uSnkfud ?kVd vkSj n{krk&vkèkkfjr çf'k{k.k ij dsfaær ,d vkoklh; dk;ZØe ls çkIr Bksl lS)kafrd vkSj lk{;&vkèkkfjr Kku ds vkèkkj ij LukrdksÙkj dks uSnkfud {kerk dk çn'kZu djus eas l{ke gksuk pkfg,A f'k{k.k vè;;u n`f"Vdks.k dk è;ku o;Ld vè;;u fl)karks]a n{krk&vkèkkfjr शिक्षा lg;ksxh vè;;u] fpfdRlh; o uÉlx çhlsIVjksa ds lkFk uSnkfud vuqHko] vuHq kokRed vè;;u vkSj Lo&funsZf'kr vè;;u ij dsfaær gksuk pkfg,A f'k{kk çnkrkvks@a çhlsIVjks@a xq#vks a dks vius orZeku Kku vkSj vH;kl dks v|ru j[kuk pkfg,A çf'k{k.k es a çhlsIVjks a ds :i eas Hkkx ysus ds fy, fpfdRlk ladk; dks vkefa=r fd;k tkrk gSA ifj"kn~ dk ;g Hkh ekuuk gS fd ;ksX; fu;ksusVy uÉlx ladk; dh deh dks njw djus ds fy, uSnkfud lek;kstuksa eas fofHkUu 'kS{kf.kd j.kuhfr;ks a dk mi;ksx fd;k tk ldrk gSA vk'kk dh tkrh gS fd iathdj.k@ykblsla dh fn'kk es a uhfr;ks a dks fodflr djus eas enn feysxh vkSj bu LukrdksÙkj fu;ksusVy ,uih dks r`rh;d ns[kHkky dsæa ksa dh uotkr शिि ु qn[s kHkky bdkbZ;ks a eas dk;Z djus ds fy, inks a dk l`tu fd;k tk,xkA ulZ çSfDV'kuj bu fu;ksusVy uÉlx ¼,uih,ubZvks,u½ ikBîØe ds fy, ,d 'kS{kf.kd :ij[s kk fuEukuqlkj çLrkfor gS% ¼n[s ks a ½A4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 15% I. eyw ikBîØe • mUur vH;klh; uÉlx ds fy, lS)kafrd vkèkkj • fu;ksuVs y d;s j es a 'kksèk vuqç;ksx rFkk lk{;

vkèkkfjr vH;kl II.

III. • usrR`o] çcaèku rFkk f'k{k.k es a mUur dkS'ky mUur fof’k"V • fu;ksuVs y • • fu;ksuVs y d;svj He;s a kl ikBîØuÉlx vH;kl vuçq ;qDr mUur e ds ewy vkèkkj iSFkksfQft;kysi kk WtB hî Ø • fu;ksuVs y • fu;ksuVs y d;s j ees a uÉlx I vuçq ;qDr mUur • fu;ksuVs y QkekdZ ksykWth uÉlx II • fu;ksuVs y uÉlx es a mUur LokLF;@'kkjhfjd vkadyu çk;ksfxd 85% II.

ulZ çSfDV'kuj bu fu;ksusVy uÉlx ¼,uih,ubZvks,u½ dk;ZØe ,d uÉlx vkoklh; dk;ZØe gS ftles a n{krk vkèkkfjr çf'k{k.k ij cy fn;k tkrk gSA lS)kfUrd ?kVd ds lkFk ikBîØe dh vofèk nks o"kZ dh gS ftles a eq[; ikBîØe] mUur vH;kl ikBîØe vkSj uSnkfud ikBîØe ds vykok uSnkfud vH;kl 'kkfey gSa tks fd ,d çe[q k ?kVd gS ¼ns[ksa ½A III.

,uih,ubZvks,u dk;ZØe] iathÑr ch-,llh- ulks± dks uSnkfud fo'ks"kK] çcaèkd] f'k{kd vkSj lykgdkj ds :i eas mUur vH;kl Hkwfedkvks a ds fy, rS;kj djrk gS] tks vkxs pydj ,e-,llh- uÉlx ¼ulZ çSfDV'kuj bu fu;ksusVy uÉlx½ curs gSaA IV.

dk;ZØe ds iwjk gksus ij] fu;ksusVy ,uih fuEufyf[kr dk;ks± ds laiknu eas l{ke gks tk,axs &

1. r`rh;d n[s kHkky ,ulh;w eas xaHkhj :i ls chekj uotkr f'k'kqvks a vkSj muds ifjtuks a dks l{ke n[s kHkky çnku djus ds fy, ftEens kjh vkSj mÙkjnkf;Ro yus kA

2. uotkr f'k'kqvks a dks fNækUos’kh n[s kHkky çnku djus eas uSnkfud {kerk@fo'ks"kKrk çnÆ'kr djuk ftles a uSnkfud rdZ] tfVy fuxjkuh vkSj mipkj 'kkfey gSaA

3. fNækUos’kh n[s kHkky dh vko';drk oky s uotkr f'k'kqvks a ds fy, mipkj@e/;orZu dks ykxw djus es a lS)kafrd] iSFkksfQft;ksykWftdy o QkekZdksykWftdy fl)karks a vkSj lk{; vkèkkj dks ykxw djukA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5

4. fo’ks"kKrk lwpd funku dk mi;ksx djrs gq, xaHkhj fLFkfr;ks a dh igpku djuk rFkk uotkr f’k’kq ds LokLF; dks fLFkj vkSj cgky djus ds fy, mipkj@e/;orZu djuk vkSj ,ulh;w ny ds ,d lnL; ds :i eas Lor=a :i ls ;k lg;ksxkRed :i ls tfVyrkvks a dks de djuk ;k çcafèkr djukA

5. uotkr f'k'kq n[s kHkky dh fujarjrk eas ,ulh;w ny es a vU; LokLF; n[s kHkky dÆe;ks a ds lkFk lg;ksx djukA V. laLFkku dks ,uih,ubZvks,u dk;ZØe vkSj mlds Nk=ks a ds çfr tokcngs h Lohdkj djuh gksxh vkSj ifj"kn~ ds ekudks a ds

vuq:i dk;ZØe dh is'kd'k djuh gksxhA bls fuEufyf[kr vko';drkvks a dks iwjk djuk gksxk%

1. vfuok;Zrk çek.ki= a. ;fn ,uih,ubZvks,u dk;ZØe 'kq: djus dk bPNqd dksbZ laLFkku igys ls gh ifj"kn }kjk ekU;rk çkIr ch-,llh- uÉlx ;k ,e-,llh- uÉlx dk;ZØe lapkfyr dj jgk gS] rks mls ,uih,ubZvks,u LukrdksÙkj vkoklh; dk;ZØe ds fy, jkT; ljdkj ls ,uvkslh ¼vukifÙk çek.ki=½@vfuok;Zrk çek.ki= yus s ls NwV nh tk,xhA b. ;fn laLFkku igys ls gh ulks± o MkWDVjks a dks çf'kf{kr djus ds fdlh fo’ofo|ky;h çf'k{k.k dk;ZØe ;k Mh,uch dk;ZØe dk lapkyu dj jgk gS] rks ,uih dk;ZØe 'kq: djus ds fy, ,uvkslh dh vko';drk ugÈ gksxhA

2. vLirky a. laLFkku dk de ls de 200 'k¸;k okyk viuk ewy vLirky@r`rh;d n[s kHky dsæa gksuk pkfg,A b. eyw vLirky vfèkekur% ,d esfMdy d‚yst@uÉlx d‚yst ls lac) gksuk pkfg,A

3. ,ulh;w 'k¸;k vLirky esa cqfu;knh ns[kHkky] mUur n[s kHkky vkSj fof'k"V n[s kHkky uke ls U;wure 20 ,ulh;w 'k¸;k gksuh pkfg,A

4. ,ulh;w LVkQ a. çR;sd ,ulh;w eas vfèkekur% ch-,llh- uÉlx ;k iksLV csfld fMIyksek bu fu;ksusVy uÉlx ;k ,e-,llh- uÉlx vgZrkèkkjd ,d çHkkjh ulZ gksuk pkfg,A b. osfaVysVsM uotkr f'k'kqvks a ds fy, çR;sd f'k¶V es a ulZ uotkr f'k'kq vuiq kr 1 % 1 gksuk pkfg,A c. 'ks"k ,ulh;w 'k¸;kvks a ds fy, çR;sd f'k¶V es a ulZ uotkr f'k'kq vuqikr 1 % 2 gksuk pkfg,A d. vkjf{kr vodk'k ds fy, vfrfjDr 45% LVkQ dk çkoèkkuA

5. ladk;@LVkQ lalkèku a. i. uÉlx çhlsIVj% fu;ksusVy uÉlx eas 6 o"kZ vuqHko ds lkFk iw.kZdkfyd th,u,e ;k fu;ksusVy uÉlx eas 2 o"kZ vuqHko ds lkFk ch-,llh- uÉlx ;k fu;ksusVy uÉlx eas 2 o"kZ vuHq ko ds lkFk iksLV csfld fMIyksek bu fu;ksusVy uÉlx ;k fu;ksusVy uÉlx es a 1 o"kZ vuqHko ds lkFk ,e-,llh- ¼ihfM;kfVªd uÉlx@ vkWCLVsfVªDl ,aM xkbukdksykWth uÉlx½A ii. efsMdy çhlsIVj% ,eMh fu;ksusVksykWth@ihfM;kfVªDlA iii. çhlsIVj Nk= vuiqkr% uÉlx 1 % 10] esfMdy 1 % 10 ¼çR;sd Nk= ds fy, ,d efsMdy vkSj ,d uÉlx çhlsIVj gksuk pkfg,½A b.

i. çksQslj@,lksfl,V çksQslj% 1 ¼LukrdksÙkj ds ckn 5 o"kZ iw.kZdkfyd 'kS{kf.kd vuqHko ds lkFk ulZ çSfDV'kuj bu Lis'kfyVh@,e-,llh- bu ihfM;kfVªd uÉlx@fu;ksusVy uÉlx@,uih,ubZvks,u½] ¼çR;sd 10 Nk=ks a ds fy, ,d ladk;½A ii. lgk;d çksQslj% 1 ¼3 o"kZ ’kS{kf.kd vuHq ko ds lkFk ,e-,llh- uÉlx½A6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] c. mijksDr ladk; nksgjh Hkwfedk fuHkk,xa s ;k ,e-,llh- uÉlx ;ksX;rk ds lkFk r`rh;d vLirky dh ihfM;kfVªd uÉlx bdkbZ eas dk;Zjr ,d ofj"B ulZ gksxa sA d. uotkr f'k'kq n[s kHkky ls lacafèkr QkekZdksykWth] iSFkksfQft;ksykWth vkSj fu;ksusVksykWth ds fy, vfrfFk çkè;kidA

6. vLirky@dkWyst eas HkkSfrd vkSj f'k{k.k lalkèku a. uSnkfud {ks= eas ,d vè;;u d{k@lEeys u d{kA b. flE;qysVsM vè;;u ds fy, dkS'ky ç;ksx'kkyk ¼vLirky@dkWyst½A c. vkWuykbu if=dkvks a rd igqap ds lkFk iqLrdky; vkSj daI;Vw j lqfoèkk,aA d. bZ&yÆud lqfoèkk,aA

7. ,ulh;w ds fy, midj.kks adh lwph ¼layXu ½

8. Nk= HkrÊ@ços'k lacaèkh vko';drk,a a. ukekadu ls igys vkosndks a dks vfèkekur% iathÑr ch-,llh- uÉlx@ih-ch-ch-,llh- uÉlx vgZrk ds lkFk fdlh uotkr f’k’kq n[s kHkky bdkbZ ¼,ulh;w½ eas de ls de 1 o"kZ dk uSnkfud vuqHko gksuk pkfg,A b. ifj"kn~ }kjk mi;qDr ik, x, laLFkku ls ch-,llh- uÉlx dh gksuh pkfg, vkSj lacafèkr ,l,uvkjlh }kjk iathÑr gksuk pkfg,A c. ch-,llh- uÉlx dk;ZØe es a dqy çkIrkad 55% ls de ugÈ gksus pkfg,A d. p;u ,d ços'k ijh{kk dh Js"Brk vkSj l{ke çkfèkdkjh }kjk vk;ksftr lk{kkRdkj ds vkèkkj ij gksuk pkfg,A e. 'kkjhfjd :i ls LoLFk gksuk pkfg,A vH;fFkZ;ks adh la[;k% 5 ,ulh;w 'k¸;kvks a ds fy, 1 vH;FkhZA

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

2. vU; vH;fFkZ;ks a ds fy, o`fÙkdk@osru ml vLirky dh osru lajpuk ds vuqlkj gksxk tgka ikBîØe lapkfyr fd;k tk jgk gSA VI. ijh{kk eas cSBus ds fy, ik=rk mifLFkfr% fo'ofo|ky; dh vafre ijh{kk es a cSBus ls igys lS)kafrd vkSj ç;ksxkRed ds fy, U;wure 80%] yfsdu fMxzh çnku djus ls igys ç;ksxkRed eas 100% iwjh djuh vfuok;Z gSA vkarfjd vkadyu vadks a ds fy, dksbZ U;wure lhek ugÈ gS] D;ksfad mÙkh.kZ ?kksf"kr djus ds fy, vkarfjd vkSj cká vad ,d lkFk tksM+ s tkr s gSaA ijh{kk lapkyu ,oa fMxzh çnkrk çkfèkdj.k% lacafèkr fo'ofo|ky;A ifj.kkeks adh ?kks"k.kk ;fn çkIrkad 60% ;k mlls vfèkd gSa rks vH;FkhZ dks ijh{kk eas mÙkh.kZ ?kksf"kr dj fn;k tkrk gSA ;g çkIrkad çR;sd ikBîØe@fo"k; eas lS)kafrd vkSj ç;ksxkRed dh vkarfjd ,oa cká fo'ofo|ky;h nksuks a ijh{kkvks a dk dqy ;ksx gS vkSj 60% ls de vuqÙkh.kZ ekuk tk,xkA Js.kh dh x.kuk ds fy,] nksuks a o"kZ ds dqy vadks a dks ekuk tk,xkA ;fn dksbZ vH;FkhZ lS)kfUrd vFkok ç;ksxkRed ijh{kk es a vuqÙkh.kZ gks tkrk gS] rks mls og ç'u&i= fQj ls nus k gksxk ftles a og vuqÙkh.kZ gqvk gSA fdlh Hkh fo"k; es a vuqÙkh.kZ gksus okys vH;FkhZ dh Js.kh ?kksf"kr ugÈ dh tk,xhA dk;ZØe dks iwjk djus dh vfèkdre vofèk 4 o"kZ gksxhA çk;ksfxd ijh{kk vks,llhbZ ijh{kk ds lkFk&lkFk ekSf[kd ijh{kk gksxh & eas fn, x, vks,llhbZ fn'kkfunsZ'k n[s ksAa çk;ksfxd ijh{kk ds fy, çfr fnu Nk=ks a dh vfèkdre la[;k 10 gksxhA ijh{kk dsoy uSnkfud {ks= eas gh vk;ksftr djuh gksxhA rhu&lnL;h; çk;ksfxd ijh{kd ny eas fuEufyf[kr lnL; 'kkfey gksxa s &[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7 i. ,d vkarfjd ijh{kd ¿,uih,ubZvks,u dk;ZØe i<+kus ds 2 o"kZ vuqHko ds lkFk ,e-,llh- uÉlx ladk;@ LukrdksÙkj ds mijkar 5 o"kZ vuqHko ds lkFk ,e-,llh- uÉlx ladk; ¼vfèkekur% fof’k"Vrk&ihfM;kfVªd uÉlx&,uih,ubZvks,u½ÀA ii. ,d cká ijh{kd ¼mijksDr ds leku½A iii. ,d fpfdRlh; vkarfjd ijh{kd] ftlus ,uih,ubZvks,u dk;ZØe ds fy, çhlsIVj dh rjg dk;Z fd;k gksA 'kksèk fucaèk 'kksèk xkbM% eq[; xkbM & LukrdksÙkj ds mijkar ,uih,ubZvks,u dk;ZØe eas i<k+u s ds 3 o"kZ ds vuqHko okyk uÉlx ladk;] lg&xkbM% efsMdy çhlsIVjA 'kksèk çLrko dh çLrqfr% çFke o"kZ es a ços'k dh frfFk ds 6&9 ekg mijkarA xkbM Nk= vuiqkr% 1 % 5 'kksèk lfefr% dkWyst@vLirky eas 'kksèk dh çxfr dk ekxZn'kZu vkSj i;Zos{k.k djus ds fy, ,d vyx 'kksèk lfefr gksxh ¼çèkkukpk;Z ;k lh,uvks] tks ,e-,llh- uÉlx mikfèk èkkjd gksuk pkfg,] ds lkFk U;wure 5 lnL;½A uSfrd eta wjh% pwqfd bles a uSnkfud 'kksèk 'kkfey gS] laLFkkxr leh{kk cksMZ@vLirky vkpkj lfefr }kjk ufSrd eta wjh çkIr djuh gksxhA fo"k; dk p;u% fo"k; fu;ksusVy uÉlx ds fy, çklafxd gksuk pkfg, tks uÉlx eè;orZu esa tkudkjh ;k lk{; tksM+As 'kksèk fdlh Hkh uotkr शििq ु n[s kHkky lek;kstu es a vk;ksftr fd;k tk ldrk gSA MsVk laxzg.k% MsVk laxzg.k ds fy, 7 lIrkg vkoafVr fd, tkr s gSa] ftls igy s o"kZ es a 6 ekg ds ckn vkSj nwlj s o"kZ es a 6 ekg ls igy s uSnkfud vuHq ko ds nkSjku ,dhÑr fd;k tk ldrk gSA 'kksèk fjiksVZ y[sku% nlw js o"kZ ds 6&9 ekg easA 'kksèk fucaèk dh çLrqfr% nlw js o"kZ ds iwjk gksus ls 3 ekg igysA 'kksèk fucaèk ijh{kk vkarfjd vkadyu% ekSf[kd ijh{kk vkSj 'kksèk fucaèk fjiksVZ ¾ 50 vad fo'ofo|ky;h ijh{kk% ekSf[kd vkSj 'kksèk fucaèk fjiksVZ ¾ 50 vad ¼vkadyu gsrq vU; ,e-,llh- uÉlx fof'k"Vrkvks a ds fy, mi;ksx eas yk, tku s okys vad fn'kkfunsZ'kks a dk mi;ksx fd;k tk ldrk gSA½ VII.

• प्रस्नोत्तरी • lsfeukj • fyf[kr fufgr dk;Z@vkofèkd ijh{kk i= • ekey s dh çLrqfr@uSnkfud çLrqfr • uÉlx çfØ;k fjiksVZ@ns[kHkky vè;;u fjiksVZ@ns[kHkky ekxZ • vkS"kfèk vè;;u • uSnkfud çn'kZu fu:i.k • ykWx cqd ¼n{krk lwph rFkk uSnkfud vko';drk,a½ efsMdy@uÉlx ladk; ds çhlsIVj }kjk çfrgLrk{kfjr • oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ@vk,s lihbZ½ • प्रश्न i= • vafre ijh{kk ¼vkadyu fn'kkfunsZ'kks a ds fy, ns[ksa½ % % 1 mUur vH;klh; uÉlx ds fy, lS)kafrd vkèkkj 2 508 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 2 fu;ksusVy ds;j es a 'kksèk vuçq ;ksx rFkk lk{; vkèkkfjr vH;kl 3 30 70 3 urs R`o] çcaèku rFkk f'k{k.k es a mUur dkS'ky 3 30 70 4 fu;ksusVy ds;j es a vuçq ;qDr mUur iSFkksfQft;ksykWth rFkk 3 30 70 mUur QkekZdksykWth 5 fu;ksusVy uÉlx es a mUur LokLF;@'kkjhfjd vkadyu 3 30 70 50 50 1 fu;ksusVy uÉlx vH;kl ds ewy vkèkkj 3 30 70 100 100 2 fu;ksusVy uÉlx I 3 30 70 100 100 3 fu;ksusVy uÉlx II 3 30 70 100 100 4 'kksèk fucaèk vkSj ekSf[kd ijh{kk 50 50 VIII.

I mUur vH;klh; uÉlx ds fy, lS)kafrd vkèkkj 40 II fu;ksusVy ds;j es a 'kksèk vuçq ;ksx rFkk lk{; vkèkkfjr 56 24 336 ¼7 lIrkg½ vH;kl III urs R`o] çcaèku rFkk f'k{k.k es a mUur dkS'ky 56 24 192 ¼4 lIrkg½ IV fu;ksusVy ds;j es a vuçq ;qDr mUur iSFkksfQft;ksykWth 60 336 ¼7 lIrkg½ V fu;ksusVy ds;j es a vuçq ;qDr mUur QkekZdksykWth 54 336 ¼7 lIrkg½ VI fu;ksusVy uÉlx es a mUur LokLF;@'kkjhfjd vkadyu 70 48 576 ¼12 lIrkg½ dqy ;ksx ¾ 2208 ?kaVs 336 ¼7 lIrkg½ 96 ¼2 lIrkg½ 1776 ¼37 lIrkg½ VII fu;ksusVy uÉlx vH;kl ds ewy vkèkkj 96 48 576 ¼12 lIrkg½ VIII fu;ksusVy uÉlx I 96 48 576 ¼12 lIrkg½ IX fu;ksusVy uÉlx II 96 48 624 ¼13 lIrkg½ dqy ;ksx ¾ 2208 ?kaVs 288 ¼6 lIrkg½ 144 ¼3 lIrkg½ 1776 ¼37 lIrkg½ ,d o"kZ eas miyCèk lIrkgksa dh la[;k ¾ 52 & 6 ¼okÆ"kd vodk'k] vkdfLed vodk'k] #X.krkodk'k ¾ 6 lIrkg½ ¾ 46 lIrkg × 48 ?kaVs ¾ 2208 ?kaVs nks o"kZ ¾ 4416 ?kaVs lS)kafrd ¾ 624 ?kaV]s dkS'ky ç;ksx'kkyk ¾ 240 ?kaV]s uSnkfud ¾ 3552 ?kaVs dqy ;ksx ¾ 4416 ?kaVs çFke o"kZ% 336&96&1776 ?kaV s ¼lS)kfUrd&dkS'ky ç;ksx'kkyk&uSnkfud½ ¼lS)kfUrd$ç;ksx'kkyk¾15%] uSnkfud¾85%½ f}rh; o"kZ% 288&144&1776 ?kaV s ¼lS)kfUrd&dkS'ky ç;ksx'kkyk&uSnkfud½ ¼lS)kfUrd$ç;ksx'kkyk¾15%] uSnkfud¾85%½ çFke o"kZ ¾ 46 lIrkg@2208 ?kaVs ¼46 × 48 ?kaVs½ ¼lS)kfUrd $ ç;ksx'kkyk% 44 lIrkg ds fy, 7-5 ?kaVs çfr lIrkg ¾ 336 $ 96 ?kaVs*½ *lS)kfUrd $ ç;ksx'kkyk ¾ 96 ?kaVs ifjp;kRed CykWd d{kkvks a vkSj dk;Z'kkykvks a ds :i eas 2 lIrkg ds fy, fn, tk ldr s gSa f}rh; o"kZ ¾ 46 lIrkg@2208 ?kaVs ¼46 × 48 ?kaVs½ ¼lS)kfUrd $ ç;ksx'kkyk% 45 lIrkg ds fy, 8-5 ?kaVs çfr lIrkg ¾ 384 $ 48 ?kaVs½ ¼1 lIrkg CykWd d{kk,a ¾ 48 ?kaVs½ A. U;wure 48 ?kaVs çfr lIrkg fuèkkZfjr gS] gkykafd] ;g vyx&vyx ikfj;ks a vkSj vkWu dkWy MîwVh djus ds ckn Nqêh ds vkèkkj ij ifjorZu'khy gSA B.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9 ¼ifjp;kRed CykWd d{kkvks a vkSj dk;Z'kkyk ds 2 lIrkg dks NksM+dj½ ,l,ulh; w 6 ,uvkÃlh;w ysoy II 6 ,uvkÃlh;w ysoy III 6 çloiwo Z fDyfud 2 vkuqoaf'kd ijke'kZ fDyfud 2 ekuo nXq èk cSaÇdx@Lruiku lacèakh ijke'kZ 1 uotkr f'k'kq vuoq rÊ fDyfud 2 çloiwo Z okMZ 2 çloksÙkj okMZ 2 çlwfr vkikrdky vkSj vksVh lfgr çlo d{k ¼yscj :e½ 4 cky jksx vksihMh 2 Vhdkdj.k fDyfud 2 ,,,e ¼vk;q"eku vkjksX; eafnj½@,pMCY;wlh ¼LokLF; dY;k.k dæsa ½ 2 lh,plh@ih,plh 2 uotkr@cky fpfdRlk vkikrdky 1 cky 'kY; fpfdRlk okMZ 2 ¼CykWd d{kkvks a dk ,d lIrkg NksM+dj½ ,l,ulh; w 6 ,uvkÃlh;w ysoy II 6 ,uvkÃlh;w ysoy III 6 çloiwo Z fDyfud 2 vkuqoaf'kd ijke'kZ fDyfud 2 ekuo nXq èk cSaÇdx@Lruiku lacèakh ijke'kZ 1 uotkr f'k'kq vuoq rÊ fDyfud 2 çloiwo Z okMZ 2 çloksÙkj okMZ 2 çlwfr vkikrdky vkSj vksVh lfgr çlo d{k ¼yscj :e½ 2 cky jksx vksihMh 2 Vhdkdj.k fDyfud 2 ,,,e ¼vk;q"eku vkjksX; eafnj½@,pMCY;wlh ¼LokLF; dY;k.k dæsa ½ 2 lh,plh@ih,plh 2 uotkr@cky fpfdRlk vkikrdky 2 cky 'kY; fpfdRlk vkbZlh;@w vksVh 4 C. f'k{k.k & lS)kafrd] ç;ksx'kkyk rFkk uSnkfud fuEufyf[kr rjhdks a ls fd;k tk ldrk gS vkSj uSnkfud inLFkkiu ds nkSjku ,dhÑr fd;k tk ldrk gS & • vuqHkokRed vè;;u • Çpru'khy vè;;u • fleqy’s ku • uSnkfud lEeys u • ekey s dh çLrqfr@uSnkfud çLrqfr • xgu vkS"kfèk vè;;u] çLrqfr vkSj fjiksVZ • uÉlx jkmaM~l • uSnkfud laxksf"B;ka10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • tuZy Dyc • ekey s dk vè;;u@uÉlx çfØ;k@ns[kHkky ekxZ • mUur LokLF; vkadyu • uSnkfud {ks= eas ladk; O;k[;ku • funsZf'kr iBu • fufgr dk;Z • ekey s ds vè;;u dk fo'y"sk.k • dk;Z'kkyk,a D. çR;sd unS kfud inLFkkiu ds var eas] uSnkfud ykWx cqd ¼fof'k"V çfØ;kRed n{krk,a@ uSnkfud dkS'ky½ 3a rFkk 3b vkSj uSnkfud vgZrk, a ij çR;sd i[kokM+ s çhlsIVj@ladk; }kjk gLrk{kj fd, tkus pkfg,A E.

1- uSnkfud fu.kZ; yus s eas fl)kar] 'kk/s k lk{;] voyksdu vkSj vuqHko dk mi;ksx djrk gSA 2- uotkr शििु vH;kl dks çHkkfor dju s okyh is'ksoj] dkuwuh vkSj uSfrd ftEens kfj;ks a ds vuqlkj vH;kl djrk gSA 3- uÉlx is'ks ds fy, vkpj.k dh vko';drk dks iwjk djrk gSA 4- vkadyu dk nLrkosthdj.k] funku] çcaèku vkSj uotkr f'k'kqvks a ds mipkj vkSj vuoq rÊ n[s kHkky dh fuxjkuh djrk gSA 5- laLFkkxr çksVksdkWy ds vuqlkj vkS"kf/k;ks a vkSj mipkjks a dk çcaèku djrk gSA 6- fpfdRlh; lacaèkks a dks 'kq: dju]s fodflr djus vkSj can djus ds fy, vuçq ;qDr lapkj] ijke'kZ] odkyr vkSj ikjLifjd dkS'ky dk mi;ksx djrk gSA 7- n[s kHkky dh fujarjrk cuk, j[ku s ds fy, vU; LokLF; n[s kHkky is'ksojks a dks lanÆHkr djrk gS vkSj muls jQs jy Lohdkj djrk gSA 8- tgka uotkr f'k'kq] ifjtuks a vkSj leqnk; ds fgr eas çkfèkdj.k vkSj fu;ked <kapk vuqefr nsrk gS] Lor=a :i ls vH;kl djrk gSA 9- vU; LokLF; n[s kHkky is'ksojks a vkSj vU; yksxks a ds lkFk ijke'kZ djrk gS vkSj muls ijke'kZ ysrk gSA 10- uotkr f’k’kqvks a ds fgr es a LokLF; ny ds lnL;ks a ds lkFk feydj dk;Z djrk gSA 11- ,d ,slh çFkk fodflr djrk gS tks orZeku oSKkfud lk{;ks a ij vkèkkfjr gSa rFkk uotkr f'k'kq] ifjtuks a vkSj leqnk; ds LokLF; çcaèku es a 'kkfey gSaA 12- lk{;&vkèkkfjr vH;kl dk ifjp;] ijh{k.k] ewY;kadu vkSj çcaèku djrk gSA 13- lqjf{kr vkSj çHkkoh uotkr f’k’kq ns[kHkky çnku djus ds fy, lger ekinaMks a ds Hkhrj vH;kl djrk gS] tkudkjh dks ykxw djrk gS] uSnkfud fu.kZ; vkSj dkS'kyks a dh ,d J`a[kyk dk vH;kl djrk gSA 14- pky w uotkr शिि ुtkudkjh dks cuk, j[krk gSA 15- viu s vH;kl ds nk;j s eas uotkr f'k'kqvks a dh dfe;ks a ds {ks=ks a dks ifjHkkf"kr djrk gS vkSj mu dfe;ks a dks de djus ds rjhds <w<a rk gSA 16- n[s kHkky dh ,d ;kstuk fodflr vkSj dk;kZfUor djrk gS tks bdkbZ uhfr;ks a vkSj fn'kkfunsZ'kks a ds vuqlkj uotkr@ifjokj ds fy, O;fDrxr gksrh gSA 17- lqfuf'pr djrk gS fd fyf[kr nLrkost Li"V gks a rFkk LFkkuh; fn'kkfunsZ'kks a vkSj ekudks a dk ikyu djrk gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11 18- fu;ksusVy uÉlx eas miyCèk orZeku çFkkvks a ds ckj s eas tkx:drk çnÆ'kr djrk gSA 19- lk{;&vkèkkfjr uotkr f'k'kq ns[kHkky çnku djrk gSA 20- fu;ksusVy uÉlx ds lHkh igyqvks a eas xq.koÙkk cuk, j[krk gS vkSj lqèkkjrk gSA 21- Lor=a vkSj var%is'ksoj 'kks/k ds }kjk n[s kHkky dh lqj{kk] n{krk vkSj çHkko'khyrk eas lqèkkj ykus ds fy, lk{;&vkèkkfjr vH;kl dk mRiknu djus ds fy, 'kks/k dk mi;ksx djrk gSA 22- ,ih,u Hkwfedk vkSj ftEesnkjh ds lHkh igyvq ks a eas uSfrd vH;kl eas layXu jgrk gSA 23- viu s mUur is'ksoj fu.kZ;] dk;ks± vkSj fujarj {kerk ds fy, tokcngs h vkSj ftEens kjh Lohdkj djrk gSA 24- tksf[ke çcaèku j.kuhfr;ks a vkSj xq.koÙkk lqèkkj dk mi;ksx djds ,d lqjf{kr fpfdRlh; okrkoj.k cukrk gS vkSj cuk, j[krk gSA 25- cnyrh LokLF; n[s kHkky ç.kkyh eas dq'ky mUur vH;kl uÉlx lsokvks a ds forj.k eas urs `Ro vkSj çcaèku dh ftEesnkfj;ka laHkkyrk gSA 26- LokLF; n[s kHkky ç.kkfy;ks a eas uotkr f'k'kqvks a ds fy, odhy ds :i eas dk;Z djrk gS vkSj oS;fDrd uotkr f’k’kq] ifjtuks a vkSj leqnk; dks c<k+ok nus s vkSj mudh j{kk djus okyh LokLF; uhfr;ka fodflr djrk gSA 27- vH;kl dks çklafxd vkSj lkaLÑfrd ifjos'k ds vuq:i <kyrk gSA F. Nk=ks a dks laLFkkxr çksVksdkWy@LFkk;h vkns'kks a ds vuqlkj Lora= :i ls vkS"kf/k nus s vkSj uSnkfud ijh{k.k] çfØ;k] fpfdRlk midj.k o mipkj dk vkns'k nus s ds fy, çf'kf{kr fd;k tk,xk ¼ LFkk;h vkns'k½A vkikrdkyhu vkS"kfèk;ka lacafèkr fpfdRld ds ijke'kZ ls nh tkrh gSa vkSj ckn es a fyf[kr vkn's k }kjk leÆFkr dh tkrh gSaA 1- mUur vH;klh; uÉlx ds fy, 8 ?kaVs 1 × 32 ¾ 32 ?kaVs • lfseukj@lS)kafrd vuçq ;ksx lS)kafrd vkèkkj ¼40½ • O;k[;ku ¼ladk;½ 2- fu;ksusVy ds;j es a 'kksèk 8 ?kaVs 40 ¼5 fnu½ 1 × 24 ¾ 24 ?kaVs • 'kksèk vè;;u fo'ys"k.k vuçq ;ksx rFkk lk{; vkèkkfjr $ 8 ?kaVs • vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½ vH;kl ¼56 $ 24½ 3- urs R`o] çcaèku rFkk f'k{k.k es a 12 $ 2 ?kaVs 1 × 26 ¾ 26 ?kaVs • uSnkfud lEesyu mUur dkS'ky ¼56 $ 24½ ¼CykWd d{kk,a½ 2-5 × 16 ¾ 40 ?kaVs • lfseukj • vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½ 4- fu;ksusVy ds;j es a vuçq ;qDr 1-5 × 40 ¾ 60 ?kaVs • ekeys dh çLrfqr mUur iSFkksfQft;ksykWth ¼60½ • lfseukj • uSnkfud lEesyu 5- fu;ksusVy ds;j es a vuçq ;qDr 10 ?kaV s 1 × 44 ¾ 44 ?kaVs • uÉlx jkmaM~l mUur QkekZdksykWth ¼54½ • vkS"kfèk vè;;u çLrqfr • LFkk;h vkns'k@çLrqfr 6- fu;ksusVy uÉlx es a mUur 8 ?kaVs 2 × 26 ¾ 52 ?kaVs • uSnkfud çn'kZu ¼ladk;½ LokLF;@'kkjhfjd vkadyu ¼70 $ 1-5 × 18 ¾ 27 ?kaVs • okilh çn'kZu 48½ 1 × 15 ¾ 15 ?kaVs • uÉlx jkmaM~l 2 × 6 ¾ 12 ?kaV s • 'kkjhfjd vkadyu ¼lHkh ç.kkfy;ka½ 2 × 2 ¾ 4 ?kaVs • ekeys dk vè;;u & ifjp;kRed d{kk,a ¾ 1 lIrkg ¼48 ?kaVs½] dk;Z'kkyk ¾ 1 lIrkg ¼48 ?kaVs½] 44 lIrkg ¾ 7-5 ?kaVs çfr lIrkg ¼330@336 ?kaVs½12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ¼48 ?kaVs½ 1- fu;ksusVy uÉlx vH;kl ds 9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½ ewy vkèkkj • okilh çn'kZu ¼ç;ksx'kkyk½ ¼96 $ 48½ ¾ 144 ?kaVs • uSnkfud çf'k{k.k • ekeys dk vè;;u • lfseukj • uSnkfud lEesyu • lda k; O;k[;ku 2- fu;ksusVy uÉlx I 9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½ ¼96 $ 48½ ¾ 144 ?kaVs • okilh çn'kZu ¼ç;ksx'kkyk½ • uSnkfud lEesyu@tuyZ Dyc • lfseukj • ekeys dh çLrfqr • vkS"kfèk vè;;u ¼vkS"kèkh; ikjLifjd çHkko lfgr½ • uÉlx jkmaM~l • lda k; O;k[;ku 3- fu;ksusVy uÉlx II 9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½ ¼96 $ 48½ ¾ 144 ?kaVs • okilh çn'kZu • uÉlx jkmaM~l • uSnkfud lEeysu@tuyZ Dyc • lfseukj • lda k; O;k[;ku CykWd d{kk,a & 1 lIrkg] 45 lIrkg & 8-5@9 ?kaVs çfr lIrkg çR;sd f'k{k.k i)fr gsrq fo"k; dks lacafèkr f'k{kd@laLFkku }kjk foLr`r ;kstuk eas fuÆn"V fd;k tk,xkA I.

1- oSf'od LokLF; n[s kHkky ço`fÙk;ks a vkSj pqukSfr;ks a dk fo'y"sk.k djukA 2- Hkkjr eas LokLF; n[s kHkky rFkk f'k{kk uhfr;ks a ds uÉlx ij çHkko dk miyCèk nLrkots ks a ls ijke'kZ djds fo'y"sk.k djukA 3- Hkkjr es a LokLF; lsok forj.k ç.kkyh vkSj bldh pqukSfr;ks a dh xgu le> fodflr djukA 4- fu;ksusVy ds;j eas LokLF; lsokvks a ds forj.k ds fy, çklafxd vkÆFkd fl)karks a dks ykxw djukA 5- ykxr] xq.koÙkk rFkk larqf"V tSls LokLF; ifj.kkeks a dks çHkkfor djus ds fy, LokLF; tkudkjh dk çcaèku vkSj :ikarj.k djukA 6- ulZ çSfDV’kuj dh Hkwfedkvks a rFkk n{krkvks a dk vH;kl djus es a tokcngs h vkSj ftEens kjh Lohdkj djukA 7- fu;ksusVy ds;j eas LokLF; n[s kHkky ny ds lHkh lnL;ks a dks 'kkfey djrs gq, lg;ksxh vH;kl eas lfØ; :i ls Hkkx ysuk vkSj vfèkÑr nk;j s ds vanj funsZ'kkRed Hkwfedk fuHkkukA 8- fofèkd] uSfrd vkSj mUur uÉlx vH;kl ds fu;eu dk vPNk Kku j[kus oky s uSfrd vH;kl eas layXu gksukA 9- lqfu;ksftr çhlsIVjf'ki ds ekè;e ls çnku fd, x, çf'k{k.k ds voljks a dk mi;ksx djuk rFkk uÉlx çfØ;k ykxw djr s gq, lqjf{kr vkSj l{ke ns[kHkky djukA 10- xaHkhj :i ls chekj uotkr f’k’kq dks l{ke ns[kHkky çnku dju s eas uÉlx fl)karks a dh tkudkjh dks ykxw djukA 11- Hkkjr eas fofHkUu LokLF; n[s kHkky lek;kstuksa eas ulZ çSfDV’kuj dh Hkwfedkvks a esa vkxkeh pqukSfr;ks a dk iwokZuqeku yxkukA 1- oSf'od LokLF; n[s kHkky pqukSfr;ka vkSj #>ku ¼n{krk 1½ 2 2- Hkkjr es a LokLF; ç.kkyh & Hkkjr es a LokLF; n[s kHkky forj.k ç.kkyh & cnyr s ifjn`'; ¼n{krk 3½ 2 3- jk"Vªh; LokLF; ;kstuk & iapo"kÊ; ;kstuk,a vkSj jk"Vhª; LokLF; uhfr ¼n{krk 2½ 2 4- LokLF; vFkZ'kkL= vkSj LokLF; n[s kHkky foÙkiks"k.k ¼n{krk 4½ 4[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13 5- uÉlx lwpuk foKku lfgr LokLF; lwpuk ç.kkyh ¼daI;wVj dk mi;ksx½ ¼n{krk 5½ 4 6- ,ih,u & ifjHkk"kk] nk;jk] n'kZu] tokcnsgh] Hkwfedk vkSj ftEesnkfj;ka ¼lg;ksxh vH;kl vkSj ul Z fuèkkZfjr 3 Hkwfedk,a½ ¼n{krk 6 o 7½ 7- fofu;eu ¼çf'k{k.k laLFkkuks a dh ekU;rk vkSj çek.ki=½ vkSj mUur vH;klh; uÉlx Hkwfedk ds uSfrd vk;ke 3 ¼n{krk 8½ 8- ulZ çSfDV’kuj% Hkwfedk] çdkj] n{krk] vH;kl ds fy, uSnkfud lek;kstu] lkaLÑfrd {kerk ¼n{krk 6½ 3 9- ,uih ds fy, çf'k{k.k & çhlsIVjf'ki ¼n{krk 9½ 2 10- ,uih vH;kl dh Hkfo"; dh pqukSfr;ka ¼n{krk 11½ 4 11- ,ih,u es a vuçq ;qDr uÉlx ds fl)kar ¼n{krk 10½ 3 12- ,ih,u es a vuçq ;qDr uÉlx çfØ;k ¼n{krk 9½ 2 6 1- LokLF; ns[kHkky rFkk f'k{kk uhfr;ksa dh igpku djuk vkSj uÉlx ij blds çHkko dk fo'ys"k.k djuk 2- fu;ksusVy ,uih vH;kl ds fy, Hkkjr e sa dkuwuh fLFkfr dk o.kZu djukA vU; n's kks a es a bu uhfr;ksa dh çklfaxdrk ds lkFk Hkkjr es a uhfr fuèkkZfjr djus okyh ul Z dk Hkfo"; D;k gS\ 3- rr` h;d dsæa ksa ds fofHkUu ,ulh; w es a ik, tkus okys fu;ksusVy ,uih vH;kl ls lca afèkr uÉlx çksVksdkWy dh tkap djuk • ,,lh,u ¼2021½ n ,lsfa’k;Yl% dksj daihVsla ht QkWj çksQs’kuy uÉlx ,twds’ku& ,aVªh yos y ,aM ,MokaLM yos y uÉlx ,twds’ku] vesfjdu ,lkfsl,'ku vkWQ dkWystst vkWQ uÉlx • dkmafly vkWQ baVjus'kuy fu;ksusVy ulsZt] bad- oÉdx xqzi ¼lhvksvkbZ,u,u&MCY;wth½ • Lis’kfyLV uÉlx isuy vkWQ n dkmafly vkWQ baVjus'kuy fu;ksusVy ulsZt] bad- ¼lhvksvkbZ,u,u½ ¼2019½ • MsfuLdks ,aM ckdZlZ ,-,e- ¼2015½ ,MokaLM çSfDVl uÉlx% ,lsfa’k;y uksyts QkWj n çksQs’ku ¼r`rh; laLdj.k½ eSlkpqlsV~l% tksla ,aM ckVZyVs ifCy'klZ • fgdh ts-oh-] vksbesV vkj-,e- ,aM osusxksuh ,l-,y- ¼1996½ ,MokaLM çSfDVl uÉlx% pasÇtx jksYl ,aM fDyfudy ,Iyhds'kUl] fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl • vkbZlh,u ¼2020½ xkbMykbal vkWu ,MokaLM çSfDVl uÉlx] ftuos k% vkbZlh,u • una ,y- ,aM vfuydqekj ,- ¼2021½ jksy vkWQ ulZ çSfDV’kulZ fofnu gSYFk flLVe bu bafM;k% v dsl vkWQ vuVSIM iksVsfa’k;y] tuZy vkWQ+ Q+Sfeyh efsMflu ,aM çkbejh ds;j 10¼8½ 2751&2756 • egs jcku Çlg ¼2017½ vlsaf'k;Yl vkWQ ihfM;kfVªd uÉlx ¼prqFkZ laLdj.k½ lhch,l ifCy’klZ • ,uvks,uih,Q ¼2022½ ulZ çSfDV'kuj jksy daihVaslht] us’kuy vkWxsZukbts’ku vkWQ ulZ çSfDV'kuj QSdYVht • lL=s&Qqykuk ih-] xzs Mh-lh-] dkf'ku ,-] czk;aV&yqdksfl;l Mh-] 'kqeu ,y-] xht+ ,Q- ,aM cMZ ch- ¼2021½ fotqvy vuys fsll vkWQ Xykscy daisjsfVo eSfiax voWQ n çSfDVl Mkes us vkWQ n ulZ çSfDV'kuj@,MokaLM çSfDVl uÉlx jksy bu jsliksMa saV daVªht] tuZy vkWQ+ n vefsjdu ,lksfl,'ku vkWQ+ ulZ çSfDV'kulZ 33¼7½ 496&505 • LVhoVZ th-ts- ,aM MsfuLdks ,l-,e- ¼2015½ jksy MsoyieasV QkWj n ulZ çSfDV'kuj] ;w,l,% ÇLçxj ifCyÇ'kx daiuh II.

1- fu;ksusVy uÉlx eas Lora= 'kksèk djus es a xgu 'kksèk tkudkjh vkSj dkS'ky dk s ykxw djukA 2- uotkr ns[kHkky xq.koÙkk es a lqèkkj yku s ds fy, lg;ksxh 'kksèk eas Hkkx yus kA 3- bZchih dk mRiknu djus ds fy, mUur vH;kl es a 'kksèk fu"d"kks± dh O;k[;k vkSj mi;ksx djukA 4- fu;ksusVy uÉlx vH;kl es a loksZÙke vH;klks a vkSj LokLF; ifj.kkeks a rFkk xq.koÙkkijd ns[kHkky dks fodflr djus ds fy, orZeku vH;kl dk ijh{k.k@vkda yu djukA14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 5- n[s kHkky dh lqj{kk vkSj çHkko'khyrk dks c<+kus ds fy, fu;ksusVy uÉlx vH;kl eas fd, x, uÉlx eè;orZu ds lk{; dk fo'y"sk.k djukA 6- oSKkfud 'kksèk fjiksVZ y[s ku es a dkS'ky fodflr djukA 1- 'kksèk vkSj mUur uÉlx vH;kl% 'kksèk vkSj fu;ksusVy uÉlx Hkwfedk ls lca afèkr iwNrkN dk egRo ¼n{krk 1½ 2 2- ,ih,u ds fy, 'kksèk ,tsMa k% loksÙZ ke vH;kl fodflr djus ds fy, orZeku vH;kl dk ijh{k.k] LokLF; 5 ifj.kke vkSj fu;ksusVy uÉlx vH;kl ea s x.q koÙkkiw.kZ ns[kHkky ds ladsrd ¼n{krk 3] 4] 5½] 'kksèk laLÑfr dks c<+kok nsuk 3- 'kksèk dk Kku vkSj dkS'ky% ,ih,u ds fy, vko';d 'kksèk n{krk,a 40 ¼'kksèk dh O;k[;k vkSj mi;ksx] vH;kl dk vkadyu] lg;ksxh 'kksèk es a Hkkxhnkjh½ ¼5 fnolh;

lk{; vkèkkfjr vH;kl ¼bZchih½ ifj;kstuk dk ifjp; & PiCOT ç'u] ;kstuk ds pj.k] dk;kZUo;u] dk;'Z kkyk½ vkadyu vkSj çlkj ¼ifj;kstuk çLrko vkSj ifj;kstuk fjiksVZ½ pj.k@lksiku ¼'kksèk ç'u] lkfgfR;d leh{kk] oSpkfjd lajpuk] 'kksèk fMtkbu] uewukdj.k] MsVk lxa gz .k] i)fr;ka vkSj midj.k] fo'ys"k.k vkSj fjiksÉVx½ 'kksèk çLrko vkSj 'kksèk fjiksVZ y[s ku ¼n{krk 1 vkSj 2½ 4- çdk'ku ds fy, y[s ku 5 ¼ys[ku dk;'Z kkyk & ik.Mqfyfi rS;kj djuk vkSj foÙk iks"k.k ds lkzsr <aw<uk½ ¼n{krk 6½ ¼dk;'Z kkyk½ 5- lk{; vkèkkfjr dk; Z ¼n{krk 3] 4] 5½ 4 • voèkkj.kk,a] fl)kar] egRo vkSj pj.k • ,ulh; w lek;kstu es a bZchih dks ,dhÑr djuk • fu;ksusVy ds;j es a lk{; ds {ks= • bZchih dks ykxw djus es a ckèkk,a • c<k+ok nsus dh j.kuhfr;ka 24 ?kaVs • 'kksèk çkFkfedrkvks a dh igpku djuk • 'kksèk ç'u] mís'; vkSj ifjdYiuk ij vH;kl ys[ku • 'kksèk çLrko@bZchih ifj;kstuk çLrko ys[ku • oSKkfud i= y[s ku & çdk'ku ds fy, ikaMqfyfi rS;kj djuk • O;ofLFkr leh{kk y[s ku & fdlh Hkh ,ulh;w lek;kstu es a fn, x, uÉlx eè;orZu ds lk{; dk fo'y"sk.k djuk • çk;ksfxd 'kksèk% fucaèk ¼336 ?kaV s ¾ 7 lIrkg½@lk{; vkèkkfjr vH;kl ifj;kstuk ¼bZchih ifj;kstuk½ • xzs ts- ,aM xzkso ,l-ds- ¼2020½ cUlZ ,aM xzksOl% n çSfDVl vkWQ uÉlx fjlp%Z vçsty] ÇlFksfll ,aM tsuj's ku vkWQ ,foMsal ¼9oka laLdj.k½ lsVa yqbl% ,Ylsfo;j lkWUMlZ • egs jcku Çlg ¼2017½ vlsaf'k;Yl vkWQ ihfM;kfVªd uÉlx ¼prqFkZ laLdj.k½ lhch,l ifCy’klZ • iksfyr Mh-,Q- ,aM csd lh-Vh- ¼2021½ uÉlx fjlpZ% tsusjsÇVx ,aM ,lsÇlx ,foMsla QkWj uÉlx çSfDVl ¼11oka laLdj.k½ ubZ fnYyh% okWYVlZ ,aM Dywoj • f'eV ,u-,- ,aM czkmu ts-,e- ¼2021½ ,foMsla csLM çSfDVl QkWj ulsZl vçsty ,aM ,fIyds'ku vkWQ fjlpZ] ,lMh% tksla ,aM ckVZysV ifCy'klZ III.

1- uotkr q n[s kHkky bdkbZ eas usr`Ro vkSj çcaèku ds fl)karks a dks ykxw djukA शििु[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15 2- fl)karks a ds csgrj Kku dk mi;ksx djds fu;ksusVy uÉlx eas ruko o la?k"kks± dks çHkkoh <xa ls çcafèkr djukA 3- leL;k lekèkku vkSj fu.kZ; ysus ds dkS'ky dk s çHkkoh <ax ls ykxw djukA 4- urs `Ro çnku djus eas egRoiw.kZ Çpru vkSj lapkj dkS'ky dk mi;ksx djuk rFkk ,ulh;w eas uotkr f’k’kq n[s kHkky dk çcaèku djukA 5- ny cukuk vkSj uotkr f’k’kq n[s kHkky lek;kstu es a nlw jks a dks çsfjr djukA 6- bdkbZ dk ctV rS;kj djuk] vkiwÆr vkSj LVkQ dk çHkkoh <ax ls çcaèku djukA 7- uokpkj vkSj cnyko ds le; mfpr :i ls Hkkx ysukA 8- f'k{k.k ds Bksl fl)karks a ds vkèkkj ij çHkkoh f'k{k.k fofèk;ks]a ehfM;k vkSj vkadyu dk mi;ksx djukA 9- uotkr f’k’kq n[s kHkky es a i{kèkj Hkwfedk fodflr djuk] ,ulh;w lek;kstu es a xq.koÙkk vkSj uSfrdrk cuk, j[kukA 10- uotkr f'k'kqvks a ds ekrk&firk vkSj ifjtuks a dks ladV dh fLFkfr eas fo'ks"k :i ls thou ds var dh n[s kHkky eas ijke'kZ çnku djukA 1- fl)kar] urs R`o 'kSyh vkSj orZeku #>ku 2 2- fl)kar] çcaèku 'kSyh vkSj oreZ ku #>ku 2 3- uotkr f’k’kq n[s kHkky lek;kstu es a vuçq ;qDr usr`Ro vkSj çcaèku ds fl)kar 4 4- ruko çcaèku ,oa Vdjko çcaèku & uotkr f’k’kq n[s kHkky okrkoj.k ds fl)kar vkSj vuqç;ksx] çHkkoh le; 4 çcaèku 5- x.q koÙkk lqèkkj ,oa ijh{k.k 4 6- fu;ksusVy fØfVdy ds;j uÉlx vH;kl e sa vuçq ;qDr leL;k lekèkku] egRoiw.kZ Çpru o fu.kZ;] lpa kj 5 dkS'ky 7- ,ulh; w lek;kstu es a ny cukuk] çsfjr djuk vkSj lykg nsuk 2 8- ekuo lalkèku lfgr ctV o lalkèku çcaèku & ,ulh; w ctV] lkexzh çcaèku] LVkQ] fufgr dk;Z 5 9- cnyko vkSj uokpkj 2 10- LVkQ çn'kZu vkSj vkadyu ¼çn'kZu vkadyu½ 6 11- fu;ksusVy uÉlx es a vuçq ;qDr f'k{k.k&vè;;u fl)kar vkSj fu;e 2 12- n{krk vkèkkfjr f'k{kk vkSj ifj.kke vkèkkfjr f'k{kk 2 13- f'k{k.k fofèk;ka@j.kuhfr;ka] ehfM;k% uotkr f’k’kq n[s kHkky lek;kstu es a ifjtuks a vkSj deZpkfj;ksa dks f'kf{kr 8 djuk 14- deZpkjh f'k{kk vkSj vkadyu es a midj.kk sa dk mi;ksx 4 15- ,ih,u & ,d f'k{kd ds :i es a Hkwfedk 2 16- uotkr f’k’kq n[s kHkky okrkoj.k es a leFkZu Hkwfedk,a 2 • LVkQ uotkr f’k’kq fufgr dk;Z rS;kj djuk • bdkbZ dk ctV rS;kj djuk • LVkQ MîwVh jksLVj rS;kj djuk • jksxh n[s kHkky ijh{k.k • uÉlx n[s kHkky ekud vkSj çksVksdkWy rS;kj djuk • midj.k vkSj vkiwÆr çcaèku • laØe.k fu;a=.k vH;klks a dh fuxjkuh] vkadyu vkSj fjiksVZ y[s ku • f'k{k.k ;kstuk dk fodkl • lw{e f'k{k.k@ekrk&firk çf’k{k.k l= • uotkr f’k’kq ds ekrk&firk rFkk deZpkfj;ks a ds fy, çf'k{k.k i)fr vkSj ehfM;k rS;kj djuk16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • vks,llhbZ@vks,lihbZ dh ;kstuk cukuk vkSj lapkyu djuk • ijh{k.k fuekZ.k ,ulh;w dk;Z&LFky fgalk • gkWuZVosM ,e-Vh-] ukWMZLVhu ,-] Q+eZu Vh- ,aM lsosfjla u bZ- ¼2018½ LVªkVstht QkWj Vhfpax ,ohMsal csLM çSfDVl bu uÉlx ,Mwds’ku% v FkhesfVd fyVjps j fjO;w] ch,elh efsMdy ,Mwds’ku 18¼1½ 172] https://doi.org/10.1186/s12909- 018-1278- • yhcyj ts-th- ,aM eSddksusy lh-vkj- ¼2008½ eSusteasV fçafliYl QkWj gSYFk çksQs'kuYl] tksla ,aM ckVZysV yfu±x • egs jcku Çlg ¼2017½ vlsaf'k;Yl vkWQ ihfM;kfVªd uÉlx ¼prqFkZ laLdj.k½ lhch,l ifCy’klZ • lL=s&Qqykuk ih-] xzs Mh-lh-] dkf'ku ,-] czk;aV&yqdksfl;l Mh-] 'kqeu ,y-] xht+ ,Q- ,aM cMZ ch- ¼2021½ fotqvy vuys fsll vkWQ Xykscy daisjsfVo eSfiax voWQ n çSfDVl Mkes us vkWQ n ulZ çSfDV'kuj@,MokaLM çSfDVl uÉlx jksy bu jsliksMa saV daVªht] tuZy vkWQ+ n vefsjdu ,lksfl,'ku vkWQ+ ulZ çSfDV'kulZ 33¼7½ 496&505 • oht+ ,l-,-] ViS su vkj-,e- ,aM fxzeyh ds- ¼2019½ vlsaf’kYl vkWQ uÉlx yhMjf’ki ,aM esuts easV] ,Q, Msfol IV. A. I 1- uktqd fLFkfr eas funku vkSj n[s kHkky ;kstuk fodflr djus eas iSFkksfQft;ksykWftdy çfØ;k dh tkudkjh dks ,dhÑr djukA 2- xaHkhj jksxks a ds y{k.k çcaèku vkSj ekè;fed jksdFkke ea s iSFkksfQft;ksykWftdy fl)karks a dks ykxw djukA 3- funku] mipkj] ns[kHkky vkSj jksx funku ds eYw ; dks igpkurs gq, çR;sd xaHkhj jksx dh vko’;drk okyh fLFkfr ds fy, çklafxd iSFkksfQft;ksykWftdy ifjorZuks a dk fo'y"sk.k djukA I 8 • ’olu ç.kkyh dk Hkzw.ktU; Hkzw.k fodkl • uotkr f'k'kqvks a es a ’olu lacaèkh ij's kkuh@gkbyhu f>Yyh jksx • ’olu r=a lca aèkh fodkj • esdksfu;e ,fLijs'ku ÇlMªkse • varxHZkkZ'k;h vkSj çloksÙkj fueksfu;k • Hkkjh Qq¶Qqlh; jDrlzko • U;weksFkksjSDl • Qq¶Qql cgko • uotkr f'k'kq dk Vªkaft,aV VSphifu;k • czksadksiYeksujh fMlIysfl;k • ’olu lacaèkh 'kY; fpfdRlk lacèakh vkikrfLFkfr;ka II 6 • ân; ç.kkyh dk Hkzw.ktU; Hkzw.k fodkl • Hkz.w k vkSj uotkr ifjlpa j.k • ijflLVsVa iYeksujh gkbijVs’a ku ¼Qq¶Qqlh; mPp jDrpki½ • datsfuVy daiyhV gVZ CykWd ¼tUetkr iw.kZ ân; vojksèk½ • liq joasfVªdy Vds hdkÆM;k • tUetkr ân; foÑfr ¼oh,lMh] ,,lMh] ihMh,] ,oh dusky fMQSDV] egkèkeuh dk ladqpu] ,cLVhu vukseyh] bZlsuesta j ÇlMªkse] isVsVa Qksjkeus vksoys ] iYeksujh,Vªsfl;k] Vhvks,Q] Vh,ihohvkj] egkèkefu;ksa dk LFkkukarj.k] Vªda l vkVsZfj;ksll½ • lnek ¼’kkWd½ III 4 • tuukax ç.kkyh dk Hkzw.ktU; Hkzw.k fodkl • ,D;wV jhuy Q+Ys ;j[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17 • xnq Z s dh foÑfr • datsfuVy uÝs ksfVd flUMªkse • ew= iFk ds lØa e.k • isV dk æO;eku • uÝs ksdSYlhuksfll • vLi"V cká tuukax • gkbiksLisfM;k vkSj ,fiLisfM;k • vufMlsMa sM VfSLVt ¼u mrjk gqvk o`"k.k½ IV 4 • rfa=dk ç.kkyh dk Hkzw.ktU; Hkzw.k fodkl • baVªkØsfu;y jDrlkzo • baVªkosfaVªdqyj jDrlzko • U;wjksykWftdy lhDosy vkWQ gkbiksfDld&bLdsfed ,UlsQSyksiSFkh isjhofsaVªdqyj Y;wdksekyfs'k;k • cFkZ VªkWek V q lh,u,l • lh,u,l foÑfr;ka • ftVjhusl ¼?kcjkgV@ruko½ • fu;ksusV lhtl Z ¼uotkr शििq ु dks iM+us oky s nkSj½s • ¶ykWih fu;ksusV V 4 • tBjka= ç.kkyh dk Hkzw.ktU; Hkzw.k fodkl • nLr • thbZvkjMh • VhbZ,Q ¼VªSpsvkslksQsft;y ,Vsªfl;k½ • dV s gksBa @dVk rkyq • ,DlksEQSyksl ¼vksEQkykslsys½ • xSLVªksfLdfll • datsfuVy Mk;kÝkfed gÆu;k • ihfy;k • fcfyvjh ,Vsªfl;k ¼fiÙk vfoojrk½ • fg'kZLçaqx jksx • tUetkr vka= #dkoV@osèk • gkbijVªkWfQd ikbyksfjd LVsuksfll • NksVh vkar dh xfrghurk • vUrokZluk • esdksfu;e bfy;l • fu;ksusVy dksysLVfsll • ,uksjsDVy folaxfr;ka • uØs ksVkbZÇt+x ,aVªksdksykbfVl VI 4 • var%lkzoh r=a dk Hkzw.ktU; Hkzw.k fodkl • Vªkaft,aV fu;ksusVy gkbiksXykbdsfe;k ,aM gkbijXykbdsfe;k • vfèko`Dd xzafFk dh leL;k,a ¼lkis{k vfèko`Dd vi;kZIrrk] tUetkr vfèko`Dd gkbijIykfl;k½ • Fkk;jkbM dh leL;k ¼ Vkªaft,aV gkbiksFkk;jk;fMTe vkSj gkbijFkk;jk;fMTe] Vªkaft,aV fu;ksusVy gkbijFkk;jksVªksfiufe;k] gkbiksFkk;jksfDlufe;k vkWQ fçePs ;fqjVh½ • tuukax vkSj ew= lacèakh leL;k,a ¼gkbMªksdksYiksl vkSj gkbMªksesVªksdksYiksl vksofsj;u gkbijfLVE;wys'ku ÇlMªkse fç;kfiT+e½ • ,Du s fu;ksusVksje • Vªkaft,aV gkbiksdSYlhfe;k ,aM gkbijdSYlhfe;k IV. B. II18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] I 8 • gsesVksykWftd ç.kkyh dk Hkzw.ktU; Hkzw.k fodkl • jDrlkzo fodkj o yky jDr dksf'kdkvks a ds fodkj ▪ fldy lsy jksx - ,uhfe;k - FkzksEckslkbVksifsu;k - vfr&fpifpikiu o 'ors jDr dksf'kdkvks a ds fodkj ▪ Y;wdksifsu;k ▪ fu;ksIykfLVd fodkj o gseksLVsfll ds fodkj ▪ IyVs ysV fodkj ▪ dks,xwys’ku fodkj ▪ fMLlsfeuVs Ms baVªkokLdqyj dks,xyw s’ku o fu;ksusVy gheksQhfy;k • uotkr f'k'kq dk jDrlzkoh jksx • foVkfeu ds çksfQySfDll • fMLlsfeuVs Ms baVªkokLdqyj dks,xyw s’ku ¼NksVh ulksa e sa [kwu ds NksVs&NksV s FkDds cuuk½ • ikWyhflFksfe;k • èkeuh vkSj f'kjkijd ?kukL=rk II 3 • p;kip;h fodkj dk Hkzw.ktU; Hkzw.k fodkl • QsfuydsVksuqfj;k • gkbiksXyslhfe;k • gkbijXyslsfe;k • gkbiksdSYlhfe;k • vkWfLV;ksisfu;k vkWQ fçesP;qfjVh • gkbijdSYlhfe;k • gkbikseSXuls hfe;k • ysV esVkckWfyd ,flMksfll • p;kip; dh tUetkr =qfV;ka ¼vkbZbZ,e½ • uotkr f'k'kq dh tkap • uotkr f’k’kq dh Fkk;jkW;M tkap III 2 • vkFkksiZ sfMd fodkj dk Hkz.w ktU; Hkzw.k fodkl • VSfyIl bfDouksojs l ¼Dyc Q+Vq ½ • dSYdsuksokyxl foÑfr • tsuq fjdoZVe • dwYgks a dh tUetkr vO;oLFkk ¼datsfuVy fMLyksds’ku vkWQ fgIl½ IV 4 vè;koj.kh; fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k • Vªkaft,aV oLdqyj fQuksfeuk • ,jhFksek VkWfDlde fu;ksusVksje • Vªkaft,aV fu;ksusVy iLVyq j esykuksfll • fu;ksusVy isfEQxl • dksyksfM;u ccs h • vfEcfydy xzSuyq ksek • Mk;ij MesVZ kbfVl • fefyfj;k • fefy;k • fu;ksusVy ,Du s • ,ØksiLVyq ksfll vkWQ buQSalh V 4 fof'k"V laØe.kks a dh mUur iSFkksfQft;ksykWftdy çfØ;k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19 • ,pvkbZoh@,M~l • ekrk&firk ls cPps es a ,pvkbZoh vkSj vU; laØe.k dk lapj.k • VkWpZ • VsVul • lklZ • fjdsfV~l;ksfll • ysIVksLik;jksfll • Msxa w • eysfj;k • fu;ksusVy lsfIll • jcs ht+ • ,fo;u ¶yw • dksfoM&19 VI 4 • lnek ¼VªkWek½ • iwfr ¼lsfIll½ • lnek ¼’kkWd½ • eYVhiy vkWxuZ fMLQaD;ku ¼,dkfèkd vaxksa dh f'kfFkyrk½ • flLVsfed bu¶ysesVjh fjliksal ÇlMªkse • ,ukfQysfDll • vU; pksVs a ¼xeÊ] fctyh] yVdus ds fudV] yxHkx Mwcus ds dkj.k½ • fo"kgj.k • ek=k l s vfèkd vkS"kf/k • tgj nsuk VII 5 • fofoèk fodkjksa dk Hkzw.ktU; Hkzw.k fodkl • cFkZ batqjht • lk;uksfll • vkWDlhtu Fksjsih ds fy, ladsr • jfsVuksiSFkh vkWQ fçesP;qfjVh • ,fMek vkSj gkbMªksIl QsVsfyl • ,lkbV~l ¼tyksnj½ • Ldsysjsek • osfldqykscqyl fLdu bji’kUl • fu;ksusVy ,fjFkzksMekZ • bpF;ksfll • oLdqyj usoh • jta drk ds fodkj • ,dkfèkd xHkZèkkj.k • vk;Vªkstsfud fodkj • dsuj lh-] yLs yh vYVhfe;j Mh-,u-ih- ,aM ckW;dksok ,e-oh- ¼,M~l½ ¼2019½ dafçgsfalo fu;ksusVy uÉlx ds;j] ÇLçxj ifCyÇ'kx daiuh • dqVyqcs t+Ms -] Vudksy ,-] baftu ch-] vksusy lh-] flelsd bZ-] lsMkZjksXy w ,l-] rqt+qu okbZ-] f;yekt+ bZ- ,aM ,jsu ch- U;wcksuZ fLdu% dkWeu fLdu çksCyEs l] eSfMdk ¼cqdqj½ 2017 tuojh 12¼1½% 42&47] ih,evkbZMh% 28878836( ih,elhvkbZMh% ih,elh5574071 • dqrksZXyq ,l-] Mk;jds th-] VSVyh tsM-;w- ,aM gkfriksXyq ,u- ¼2019½ Vªkaft,aV ,aMksfØuksykWftd çksCyEs l bu n U;wcksuZ ihfj;M] rdq Z ihfM;kfVªvkjflfo 54¼1½ 3&12] https://doi.org/10.14744/TurkPediatriArs.2019.04810 • yh okbZ-] fye okbZ-,l-] yh ,l-Vh- ,aM pks ,p- ¼2018½ ihfM;kfVªd jus ksoLdwyj gkbijVs’a ku% VªhVesVa vkmVde ,dksfM±x Vq vaMjykbax fMlht] ihfM;kfVDª l bVa ju's kuy 60¼3½ 264&26920 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • egs jcku Çlg ¼2017½ vlsaf'k;Yl vkWQ ihfM;kfVªd uÉlx ¼prqFkZ laLdj.k½ lhch,l ifCy’klZ • ukWfjl Vh-,y- ,aM ykypankuh vkj- ¼2018½ iksFlZ iSFkksfQft;ksykWth% dulsIV~l vkWQ vYVMZ gSYFk LVsV~l] fyÇidkWV fofy;El ,aM foÇYdl • mMsZu ,y-Mh-] LVslh ds-,e- ,aM ykWQ ,e-bZ- ¼2014½ fu;ksusVy uÉlx% Mk;Xuksfll ,aM eus ts easV ¼7oka laLdj.k½ ,Ylsfo;j% felkSjh V.

1- xaHkhj :i ls chekj uotkr f’k’kqvks a vkSj ifjtuks a dks ns[kHkky çnku djus es a vkS"kèkh; fl)karks a dks ykxw djukA 2- uotkr q fLFkfr;ks a ds mipkj es a mi;ksx dh tkus okyh vkS"kfèk;ks a ls lacafèkr QkekZdksFksjsI;fwVDl vkSj शििु QkekZdksMk;ufseDl dk fo'ys"k.k djukA 3- fl)karks a rFkk laLFkkxr çksVksdkWy ds vkèkkj ij lqjf{kr vkS"kfèk nus kA 4- lVhd nLrkost rS;kj djuk vkSj vuqorÊ ns[kHkky çnku djukA 5- uotkr q ns[kHkky lek;kstuksa eas xaHkhj :i ls chekj uotkr f’k’kqvks a ds fy, vkS"kfèk;ks a ds çcaèku eas vkS"kfèk ds शििु ikjLifjd çHkko dh csgrj tkudkjh ykxw djuk vkSj muds ifjtuks a dk Lo&ns[kHkky çcaèku es a ekxZn'kZu djukA I 2 • bfro`Ùk • vkS"kfèk;ks a dk oxÊdj.k rFkk vuqlpw h II 4 • ifjp;

• uotkr q n[s kHkky es a lekos'k.k] forj.k] p;kip; vkSj mRltZu • IykTek dalaVª’s ku] gkQ ykbQ • vkS"kfèk;ks a dh yksÇMx vkSj j[kj[kko • fpfdRlh; lwpdkad vkSj vkS"kfèk ljq {kk • {kerk vkSj çHkkodkfjrk • vkS"kfèk nus s ds fl)kar ▪ vkS"kfèk nus s ds vfèkdkj ▪ eki ç.kkyh ▪ vkarfjd vkS"kfèk nsuk ▪ lkef;d vkS"kfèk nus k ▪ iSjasVsjy vkS"kfèk nsuk III 5 • oklks,fDVo vkS"kf/k;ka ▪ oklksfMysVj ▪ oSlksçls j ▪ vkbuksVªksIl - dkÆM;d XykbdkslkbM~l & fMxkWfDlu - flEiSFkksfeesfVDl & Mksikekbu] MkscVq kekbu] ,fiusfÝu] vkblksçksVsjsukWy] uksjsfiusfÝu] fQukbyfÝu - QkWLQksfM,LVjts + bufgfcVl Z & ,fezuksu] fefyuz ksu • ,aVhfjFkfed vkS"kf/k;ka • dkfMZ;d fu;ksusVy ds;j daMh’kal • ân; ladqpu es a lqèkkj ds fy, vkS"kf/k;ka ▪ uotkr f’k’kq n[s kHkky es a mPp jDrpki ds çcaèku dh vkS"kf/k;ka ▪ ân; vojks/k ds çcaèku dh vkS"kf/k;ka ▪ ,utkbuk isDVksfjl vkSj ek;ksdkÆM;y buQkjsD’ku ds çcaèku dh vkS"kf/k;ka ▪ vrkyrk] gVZ CykWd vkSj pkyu lacèakh xM+cM+h ds çcaèku dh vkS"kf/k;ka ▪ Qq¶Qqlh; mPp jDrpki] tUetkr foÑfr;k]sa dkÆM;ksek;ksiSFkh ds çcaèku dh vkS"kf/k;ka • dkÆM;d fu;ksusVy ds;j ,ejtsla h ds fy, laLFkkxr çksVksdkWy@LFkk;h vkns'k IV 4 • eSdsfudy osafVys'ku ▪ ifjp;

▪ eSdsfudy osaVhyVs j yxs uotkr f'k'kqvksa ij mi;ksx dh tkus okyh vkS"kf/k;ka[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21 ▪ QkekZdksFksjis h ij eSdsfudy osafVys'ku dk çHkko & csgks'k djus dh fØ;k vkSj ihMk+'kwU;rk] U;wjkseLdqyj CykWdst] iks"k.k • iYeksujh fu;ksusVy ds;j daMh’kal • LVsVl vLFkek ds çcaèku dh vkS"kf/k;ka • iYeksujh ,fMek ds çcaèku dh vkS"kf/k;ka • ,D;wV jfsLijVs jh QsY;j vkSj ,D;wV jfsLijVs jh fMLVªSl ÇlMªkse ds çcaèku dh vkS"kf/k;ka • pSLV VªkWek ds çcaèku dh vkS"kf/k;ka • jfsLijVs jh fMLVªSl ÇlMªkse ds çcaèku dh vkS"kf/k;ka • fueksfu;k ds çcaèku dh vkS"kf/k;ka • Iyjw y ,¶;qtu ds çcaèku dh vkS"kf/k;ka • ,Vys sDVSfll ds çcaèku dh vkS"kf/k;ka • iYeksujh fu;ksusVy ds;j ,ejtsla h ds fy, LFkk;h vkns'k V 6 • nnZ ▪ ,u,l,vkbZMh ▪ vksfivksbM ,uYtsfl;k • csgks'k djus dh fØ;k ▪ xkek vehuks C;wfVfjd ,flM fLVeqysVa ▪ QsVa fsuy ▪ ,uYxkslMs s'ku • çyki ▪ gsyksisfjMksy ▪ ,fVfidy ,aVhlkbdksfVDl • Yksdy rFkk tujy ,usLFkhfl;k ds fy, mi;ksx dh tkus okyh vkS"kf/k;ka ▪ yksdy & ,ekbM~l] ,LVj vkSj fofoèk ,tsVa ▪ tujy & xSlas] ok"i'khy ¶Y;wM~l] IV ,uLs FksfVDl ▪ ltZjh es a lgk;d xSj laons ukgkjh vkS"kf/k;ka ▪ iSjys kbfVd esfMds’kal ▪ xSj&foèkzqo.k vkSj foèkzoq .k ,tsVa ▪ ,afDlvksfyfVDl • vkWVksuksfed MªXl ¼Lok;Ùk vkS"kfèk;ka½ ▪ ,MªhuÆtd ,tsVa @flEisFkksfeesfVDl ▪ ,MªhuÆtd CykWfdax ,tsVa ▪ dksyhuÆtd ,tsVa ▪ ,aVh&dksyhuÆtd ,tsVa • Çprk vkSj vfuæk ds çcaèku dh vkS"kf/k;ka ▪ volknjksèkd ▪ csta ksMk;tsikbu ▪ ckÆcVjq Vs l~ • U;wjksykWth fu;ksusVy ds;j ,ejtsla h ds fy, LFkk;h vkns'k VI 5 • ew=y ¼Mkb;wjsfVDl½ • ¶Y;wM çfrLFkkiu ▪ fØLVyksbM~l ▪ dksykbM~l • bysDVªksykbVl~ ▪ lksfM;e ▪ iksVSf'k;e ▪ dSfY'k;e ▪ eSXuhf'k;e ▪ QkLQksjl • uÝs ksykWth fu;ksusVy ds;j daMh’kal ▪ ,D;wV@Øksfud jhuy QsY;j ds çcaèku dh vkS"kf/k;ka ▪ ;wVhvkbZ çcaèku dh vkS"kf/k;ka ▪ datsfuVy uÝs ksfVd ÇlMªkse ds çcaèku dh vkS"kf/k;ka ▪ bysDVªksykbV vlarqyu ds çcaèku dh vkS"kf/k;ka ▪ ,flM csl vlarqyu ds çcaèku dh vkS"kf/k;ka ▪ Mk;fyfll ds nkSjku mi;ksx dh tkus okyh vkS"kf/k;ka22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • uÝs ksykWth fu;ksusVy ds;j ,ejtsla h ds fy, LFkk;h vkns'k VII 5 • ,aVh,esfVDl ¼oeujksèkh½ • iSafØ;kfVd ,atkbe • iks"kd rRoksa dh [kqjkd] foVkfeu vkSj [kfut • xSLVªks baVsLVkbuy fu;ksusVy ds;j daMh’kal ▪ thbZvkjMh ds çcaèku dh vkS"kf/k;ka ▪ Mk;fj;k ds çcaèku dh vkS"kf/k;ka ▪ fu;ksusVy dksysLVfsll ds çcaèku dh vkS"kf/k;ka ▪ datsfuVy ckWoy vkWVLVªD’ku@ijQksjs’ku ds çcaèku dh vkS"kf/k;ka ▪ xSLVªksbVa Ls Vkbuy ltZjh ds nkSjku mi;ksx dh tkus okyh vkS"kf/k;ka • xSLVªksbVa Ls Vkbuy fu;ksusVy ds;j ,ejtsla h ds fy, LFkk;h vkns'k VIII 4 • balfqyu vkSj vU; gkbiksXykblfsed ,tsVa • ,aMksØkbu fu;ksusVy ds;j daMh’kal ▪ fjysfVo ,fMªuy bulQhf’k,alh ds çcaèku dh vkS"kf/k;ka ▪ gkbiksXykblhfe;k ds çcaèku dh vkS"kf/k;ka ▪ Vªkaft,aV fu;ksusVy gkbijFkk;jksVªksfiufe;k ds çcaèku dh vkS"kf/k;ka ▪ gkbiksFkk;jksfDlufse;k vkWQ fçesP;qfjVh ds çcaèku dh vkS"kf/k;ka ▪ Vªkaft,aV gkbiksdSYlhfe;k ds çcaèku dh vkS"kf/k;ka • ,aMksØkbu fu;ksusVy ds;j ,ejtsla h ds fy, LFkk;h vkns'k IX 5 • ,aVh&dks,xqysVa l~ • ,aVhIysVysV vkS"kf/k;ka • FkzksEcksykbfVDl • gseksLVSfVd@,aVhQkbfczuksfyfVDl • gsesVksiks,fVd xkzsFk QSDVlZ ▪ ,fjFkzksiksbfVu ▪ dkWyksuh fLVeqysfVax QSDVlZ ▪ IyVs ysV ,ugkallZ • jDr vkSj jDr mRikn • lia w.kZ jDr] iSDM yky jDr dksf'kdk,a] Y;wdkslkbV&de yky dksf'kdk,a] èkqyh gqbZ yky jDr dksf'kdk,a] rktk tes gq, IykTek] Øk;ksçfslfiVVs ▪ ,Ycqfeu ▪ vkèkku çfrfØ;k,a] vkèkku ç'kklu çfØ;k • Vhd s • bE;wuksfLVeqysVa • çfrj{kkneudkjh • dheksFksjkI;wfVd vkS"kf/k;ka & ,YdkbysÇVx ,tsVa ] ,aVh&esVkcksykbVl~ ] ,aVh&Vîwej ,aVhck;ksfVDl] ,YdykWbM~l] gkekusZ vkSj gkeksuZ ,aVkxksfuLV~l] dkWÆVdksLVsjkWbM~l] xksukMy gkeksuZ ] ,aVh&,LVªkstsu] ,.Mªkstu ,aVkxksfuLV~l] tSfod çfrfØ;k l'a kksèkd • gsesVksykWth fu;ksusVy ds;j daMh’kal ▪ xHakhj chekjh es a ,uhfe;k ds çcaèku dh vkS"kf/k;ka ▪ MhvkbZlh ds çcaèku dh vkS"kf/k;ka ▪ FkzksEckslkbVksifsu;k vkSj ,D;wV Y;wdsfe;k ds çcaèku dh vkS"kf/k;ka ▪ gsifju buMîwLM FkzksEckslkbVksisfu;k ds çcaèku dh vkS"kf/k;ka ▪ fldy lsy ,uhfe;k ds çcaèku dh vkS"kf/k;ka • gsesVksykWth fu;ksusVy ds;j ,ejtsla h ds fy, LFkk;h vkns'k X 3 • gsesVksykWth fu;ksusVy ds;j daMh’kal ▪ çcaèku es a mi;ksx dh tkus okyh vkS"kf/k;ka • Vªkaft,aV oLdwyj fQuksesuk es a mi;ksx dh tkus okyh vkS"kf/k;ka ▪ ,jhFksek VkWfDlde fu;ksusVje es a mi;ksx dh tkus okyh vkS"kf/k;ka ▪ Vªkaft,aV fu;ksusVy iLVyq j esykuksfll es a mi;ksx dh tkus okyh vkS"kf/k;ka ▪ fu;ksusVy isfEQxl ea s mi;ksx dh tkus okyh vkS"kf/k;ka ▪ vfEcfydy xzSuyq ksek es a mi;ksx dh tkus okyh vkS"kf/k;ka ▪ Mk;ij MesVZ kbfVl es a mi;ksx dh tkus okyh vkS"kf/k;ka[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23 • fLdu fu;ksusVy ds;j ,ejtsla h ds fy, LFkk;h vkns'k XI 5 • lnek ¼’kkWd½] lsfIll] fofHkUu vaxksa dh f'kfFkyrk] ç.kkyhxr lwtu çfrfØ;k ÇlMªkse] ,ukfQysfDll ds çcaèku dh vkS"kf/k;ka • vk?kkr] pksV ¼xeÊ] fctyh] yxHkx Qkalh] yxHkx Mwcuk½ ds çcaèku dh vkS"kf/k;ka • dkVus] vkS"kf/k dh vfèkd ek=k vkSj fo"kkDrrk ds çcaèku dh vkS"kf/k;ka • uotkr f’k’kq n[s kHkky uÉlx es a cq[kkj ds çcaèku dh vkS"kf/k;ka ▪ Tojuk'kd ▪ ,u,l,vkbZMh,l ▪ dkWÆVdksLVjs kWbM~l • eYVhflLVe fu;ksusVy ds;j ,ejtsla h ds fy, LFkk;h vkns'k XII 5 • thok.kqjksèkh vkS"kf/k;ka ▪ ifjp;

▪ chVk ySDVe & isfuflfyu] lsQyksLiksfju] eksukscSDVe] dkckZius Esl ▪ vehuksXykbdkslkbM~l ▪ ,aVh&,evkj,l, ▪ eSØksykbM~l ▪ d+bq uksyksal ▪ fofoèk & fyUdkslsekbM xzqi] ukbVªksbfeMkt+ksy] VVs ªklkbfDyu vkSj DyksjSEQsfudkWy] ikWyhehfDlu] ,aVheysfj;y] ,aVhQaxy] ,aVhok;jy • ,aVh&Qaxy vkS"kf/k;ka • ,aVh&çksVkst+ksvy vkS"kf/k;ka • ,aVh&ok;jy vkS"kf/k;ka • jksxk.kqjksèkdks a dk p;u • buQSfD’k;l fu;ksusVy ds;j daMh’kal ▪ ,pvkbZoh] VsVul] lklZ] fjdsfV~l;ksfll] ysIVksLik;jksfll] Mxsa ]w eysfj;k] fpduxqfu;k] jcs ht] ,fo;u ¶yw vkSj Lokbu ¶yw ds çcaèku dh vkS"kf/k;ka • buQSfD’k;l fu;ksusVy ds;j ,ejtsla h ds fy, LFkk;h vkns'k XIII 1 • duh'k vkj-] xqIrk ds-] tquts k ,l-] cSal ,p-,l- ,aM dkS'ky ,l- ¼2014½ çSfLØkbfcax iSVuZ vkWQ ,aVhck;ksfVDl bu n fMikVZeasV vkWQ ihfM;kfVªDl bu v VlZjh ds;j efsMdy dkWyst gkWfLiVy bu uknZu Z bafM;k] ,f'k;u ts eMs lkbal 5¼4½ 69&72 • egs jcku Çlg ¼2017½ ,lsfa'k;Yl vkWQ ihfM;kfVªd uÉlx ¼pkSFkk laLdj.k½ lhch,l ifCy'klZ • rk;y ,p-] jkW; oh-] Çl?ky ,l- ,aM nqc s ,-ih- ¼2020½ ihfM;kfVªd çSfLØkbfcax bu VlZjh ds;j Vhfpax gkWfLiVy vkWQ Mygh ¼bafM;k½% ÝsxeasV esfMflal QkWj ;wt] ;jw ksfi;u tuZy vkWQ ihfM;kfVªDl] 179] 1435&1443 • mek ,y-MCY;w-] bZlk ,-] ewlk ,l- ,aM mej ch- ¼2020½ vkmVis’ksVa çSfLØkbfcax ,aM ,aVhck;ksfVd ;wt QkWj fpYMªu bu v VlZjh gkWfLiVy] lkgsy efsMdy tuZy 23¼2½ 109 VI.

1- mi;qDr ç.kkyh ds vuqlkj ijh{k.k dkS'ky fodflr djus es a 'kkjhfjd vkadyu fl)karks a dks ykxw djukA 2- lkekU; o vlkekU; fu"d"kks± dh fofoèkrkvks a ds chp varj djus ds fy, LokLF; vkadyu dkS'ky dk mi;ksx djukA 3- ijh{k.k ds fu"d"kks± ds vkèkkj ij LØhÇux vkSj uSnkfud ijh{k.k ds vkn's k nus kA 4- fofHkUu tkapks a ds ifj.kkeks a dk fo'y"sk.k djuk vkSj uSnkfud fodklka s ds lkFk feydj dke djukA 5- LokLF; n[s kHkky ny ds lnL;ks]a uotkr f’k’kqvks a vkSj ifjtuksa dh lk>snkjh eas nLrkost vkadyu] funku] rFkk çcaèku djuk vkSj vuqorÊ ns[kHkky dh fuxjkuh djukA24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] I 4 • bfro`Ùk ysuk • xHkkZoLFkk] çlo vkSj çtuu çfØ;k dh leh{kk] ftle sa çloiwoZ tkap ijh{k.k vkSj lsfIll ds tksf[ke dkjd 'kkfey gSa • fiNys xHkZèkkj.k dh leh{kk] ftles a tUetkr folaxfr;ksa] e`r tUe] vkSj@;k vkuqoaf'kd ;k flUMªksfed fLFkfr;ks a dk bfro`Ùk 'kkfey gS • 'kkjhfjd tkap II 6 • flj dh ifjfèk ¼gSM ldZeÝsla ½ • eqdqV l s neq rd dh yackbZ ¼dkzmu V q n jEi yasXFk½ • flj l s ,M+h rd dh yca kbZ • tUe ds le; otu • rkieku] ,fDlyjh ¼97-7°&98°½ • ân; nj • ’olu nj • jDrpki • vklu & flj vkSj gkFk&ikao dk yphykiu] tks Nkrh vkSj isV ij fVdk gksrk gS III 4 • tUe ds le;] pednkj yky] Qwyk gqvk] fpduk • nlw js&rhlj s fnu] xyq kch] ijrnkj] lw[kk • ouZDs l dslkslk • ySuxq ks • vka[kks]a psgjs] iSjks]a gkFkks]a iSjksa ds fiNys fgLl s vkSj vaMdks'k ;k ysfc;k ds vklikl lwtu • ,Økslk;uksfll • dfVl ekeksjZ kVk • ,fDpekslsl ;k isVhfp;k • fefy;k • fefyfj;k ;k lnq kfeuk • ,jhFksek VkWfDlde • eaxksfy;kbZ èkCcs • uos l flEIysDl ¼lkjl n'a k ;k lSYeu iSp½ IV 2 • ,aVhfj;j QkWUVkusy & ghjs ds vkdkj dk • iksLVhfj;j QkWUVkusy & f=dks.kh;

V 4 • iyds a vkerkSj ij lwth gqbZ gksrh gSa • jxa & LyVs xsz] xgjk uhyk] Hkwjk • vkalw ugha vkuk • jMs fj¶ysDl • Li'kZ dh çfrfØ;k es a dkWÆu;y fj¶ysDl • çdk'k ds çfr çfrfØ;k es a I;wfiyjh fj¶ysDl • çdk'k ;k Li'kZ dh çfrfØ;k es a iyd >idkuk • oLrqvksa ij çkjafHkd fuèkkZj.k vkSj eè; j[s kk dk vuqlj.k djus@eè; j[s kk dks ikj djus dh {kerk VI 2 • fLFkfr & vka[k ds ckgjh dSUFkl ds lkFk {kSfrt j[s kk ij fiUuk dk 'kh"kZ • rts +] vpkud 'kksj ;k mÙkstuk ls mRiUu pkSadk nsus okyk ¼eksjks½ çfrorZ • fiUuk yphyk] mikfLFk ekStwn VII 6 • v{kq..k] mPp èku"qkkdkj rkyq[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25 • eè; j[s kk es a moqyk • thHk dk Ýsuqye • Åijh gksaB dk Ýsuqye • Lfax fj¶ysDl & etcwr vkSj lefUor • :ÇVx fj¶ysDl • xSx fj¶ysDl • ,DlVªtw +u fj¶ysDl • ykj dk u gksuk ;k cgqr de gksuk • t+ksj ls jksuk • tUe ds nkar VIII 2 • NksVk] eksVk] vkerkSj ij Ropk dh ijrksa l s f?kjk gqvk • VkWfud usd fj¶ysDl • VkWÆVdksfyl ¼l[w kh xnZu½ & flj ,d rjQ gksrk gS vkSj Bqìh foijhr fn'kk dh vksj gksrh gS • ukd dk èkS;Z • ukd ls lkzo & iryk lQsn cyxe • NÈd vkuk IX 4 • vxiz 'p vkSj ik’oZ O;kl cjkcj • çsj.kk ds nkSjku FkksM+k lk LVuZy fjVªSD'ku Li"V gksrk gS • tkbQksbM çfØ;k Li"V • Lru oèkZu • Q+uy pSLV ¼isDVl ,DokosVe½ • fitu pSLV ¼isDVl dSfjuSVe½ • liq jU;wejsjh fuiYl • Lruksa l s nfwèk;k inkFkZ dk lzko ¼^^fop feYd**½ X 2 • eq[;r% isV ls ’olu • tUe ds le; [kkalh dh çfrfØ;k ugha gksrh] 1&2 fnu ckn çdV gksrh gS • f}i{kh; leku czkfsUd;y ’okl èofu;ka XI 2 • 'kh"kZ & pkSFkk&ikapoka baVjdksLVy Lisl] ik’oZ ls ckb± LVuZy lhek rd • ,l1 dh ryq uk es a ,l2 FkksM+k rts + vkSj fip e sa Åapk gS XII 6 • vkdkj es a csyukdkj • ;Ñr & Li'kZuh; 2&3 lseh ¼0-8&1-8 bap½ • nk,a dkWLVy ekÆtu ds uhps • Iyhgk & mez ds igys lIrkg ds vra e sa fljk Qwyu s yxrk gS • xnq Z s & ukfHk ls 1&2 lseh ¼0-4&0-8 bap½ Åij Li'kZuh;

• xHkZuky & tUe ds le; 2 èkefu;ksa vkSj 1 f'kjk ds lkFk uhyk lQsn • Å# ukM+h & leku f}i{kh;

XIII 2 • ysfc;k vkSj fDyVksfjl ;wtqvyh ,MsesVl • ;wjhFkzy ehVl fcgkbaM fDyVksfjl • oÆuDl dslkslk fcVohu ysfc;k • 24 ?kaV s ds vna j is'kkc vkuk • L;wMks esla jq ’s ku & CyM&fVaTM vkWj eqdksbM fMLpktZ • gkbesuy VSx XIV 4 • ;wjhFkzy vksifuax ,V fVi vkWQ Xykal isful • VLs Vht iSYiscy bu bZp lSDjksVe • vaMdks'k vkerkSj ij cM+k] ,MsesVl] yVdrk gqvk vkSj :xs l s <dk gqvk gksrk gS( vkerkSj ij xgj s jxa dh Ropk oky s tkrh; lewgks a es a bldk jax xgjk gksrk gS • LesXek26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • 24 ?kaV s ds vna j is'kkc vkuk • ;wjhFkzy vksifuax doMZ ck; fçI;wl • peM+h dks ihNs [kÈpus es a vleFkZrk • ,fiFksfy;y iYlZ & çhI;lw dh uksd ij NksVs] n<` ]+ lQsn ?kko • bjDs 'ku ;k fç;kfiTe • VLs Vht iSYiscy bu bugqbuy dsuky • lØs ksVe ¼vaMdks'k½ XV 4 • jh< + dh gìh cjdjkj( dksb Z [kqykiu] æO;eku ;k çeq[k oØ ugÈ • Vªad bUD;woZ's ku fj¶yDs l • ,uy fj¶ysDl • isVsVa ,uy vksifuax • 48 ?kaVksa ds Hkhrj esdksfu;e dk fu"dklu XVI 4 • 10 maxfy;ka vkSj iSj dh maxfy;ka • iw.kZ xfr’khyrk • uk[kwu xqykch] tUe ds rqjra ckn {kf.kd lk;uksfll ds lkFk • ryos ds vxys nks&frgkbZ fgLls dh Ropk fldqM+ tkrh gS • ryok vkerkSj ij likV • pje lhekvks a dh le:irk • f}i{kh; :i ls leku ekalis'kh Vksu] fo'ks"k :i ls foijhr yphysiu dk çfrjksèk • leku f}i{kh; ckgq Lianu XVII 4 • gkFk&iSj vkerkSj ij dqN gn rd yphyis u e sa gksrs gSa • yphysiu dh fiNyh fLFkfr ds ckn pje dk foLrkj • cSBrs le; flj dk Vs<+k gks tkuk] yfsdu {kf.kd rkSj ij flj dks lhèkk j[kus dh {kerk • >dq k gqvk gksus ij flj dks ,d rjQ ls nwljh rjQ eksM+u s dh {kerk • >dq k gqvk j[kus ij flj dks ihB ds lkFk {kSfrt j[s kk es a j[kus dh {kerk XVIII 8 • lfdax fj¶ysDl • :ÇVx fj¶ysDl • eksjks fj¶ysDl • okWfdax@LVSfiax fj¶ysDl • ,flesfVªdy VkWfud uds fj¶ysDl ¼,Vh,uvkj½ • lefer VkWfud usd fj¶ysDl • VkWfud yscfjaFkkbu fj¶ysDl • ikej xSzLi fj¶ysDl • IykaVkj fj¶ysDl • fLofexa fj¶ysDl • ccfdu fj¶ysDl • iSjk'kwV fj¶ysDl ¼48 ?kaVs eas ladk; }kjk çn'kZu vkSj Nk=ks a }kjk vH;kl 'kkfey gS½ • O;kid bfro`Rr ysuk • dsfaær bfro`Rr ysuk ¼ç.kkyh okj½ • O;kid 'kkjhfjd tkap • uotkr f'k'kq dh tkap ¼ç.kkyh okj½ • uSnkfud ekinMa kas dh fuxjkuh ¼ç.kkyh okj½ vfEcfydy dSuqy's ku@dSFkhVsjkbts'ku ,uvkbZchih] ihvkbZlhlh ykbUl] vkbZ,uvks Fksjsih] buosflo chih ekWfuVÇjx] eYVh&iSjkehVj ekWfuVlZ] bZlhth] iYl baMsDl daVhU;wvl dkÆM;d vkmViqV ¼PiCCO½] isfjQsjy oLdqyj LVsVl] ,chth][भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27 iYl vkWDlhesVªh] ,aM VkbMy CO ¼ETCO ½] baVªkØSfu;y çs'kj ¼vkbZlhih½] ihfM;kfVªDl Xyklxks dksek Ldsy ¼ihthlh,l½] 2 2 Øsfu;y uoZ vlsleaVs ] xaHkhj :i ls chekj dk nnZ vkSj csgks'kh Ldksj] eksVj vkadyu] laosnh vkadyu] jhuy QaD’ku VSLV] ¶Y;wM larqyu] ,flM csl larqyu] byDs VªksykbV~l] ckWoy lkmaM] isV dk ncko] jfstMqvy xSfLVªd okWY;we] fyoj QaD'ku VLs V] thvkjch,l] ySc VsLV] jsfM;ksykWftdy vkSj beÇstx VLs V ¼ç.kkyh okj½] bZlh,evks lqfoèkk,a • LØhÇux vkSj Mk;XuksfLVd ijh{k.kks a dk vkn's k vkSj O;k[;k ¼ç.kkyh okj½] ¼layXu ½ • vlsleasV vkWQ fu;ksusV ekbyLVksUl • xHkZorh efgykvks a dk vkadyu • ckWy ts-MCY;w-] MsUl ts-bZ-] f¶yu ts-,-] lksykseu ch-,l- ,aM LVhoV Z vkj-MCY;w- ¼2021½ lhMsYl xkbM Vq fQftdy ,Xtkfeus'ku & bZ&cqd% ,u baVjçksQs'kuy vçksp] ,Ylsfo;j gsYFk lkbalst • fcdyh ,y-,l- ,aM fLt+ykxh ih-th- ¼2013½ csV~l xkbM Vq fQftdy ,Xtkfeus'ku ,aM fgLVªh VÇsdx ¼11oka laLdj.k½ ubZ fnYyh% fyÇidkWV fofy;El ,aM foÇYdl • MqMjLVMs ds-th- ¼2017½ ihfM;kfVªd fQftdy ,Dtkfus’ku & bZ&cqd% ,u bYyqLVªVs Ms gSaMcqd] ,Ylsfo;j gsYFk lkbalst • ihVjlu ,l-MCY;w- ¼2016½ ,MokaLM gSYFk vlsleasV ,aM Mk;XuksfLVd jhtfuax] tksUl ,aM ckVZysV yÉux I II

1. bu voèkkj.kkvks a dh vPNh tkudkjh ds vkèkkj ij fu;ksusVy uÉlx dh mUur voèkkj.kkvks a dks ykxw djrk gSA

2. 'kkjhfjd fLFkjrk dk vkadyu] fuxjkuh vkSj c<k+ok nsus ds fy, buosftl vkSj ukWu&buosflo VSDuksykWth vkSj e/;orZuks a dk mi;ksx djrk gSA

3. LokLF; n[s kHkky ny ds vU; lnL;ks a ds lkFk feydj dke djrk gSA

4. vU; LokLF; n[s kHkky dfeZ;ks a ds lkFk ijke'kZ fd;k tkrk gS vkSj muls ijke'kZ fy;k tkrk gSA

5. LokLF; lqj{kk] jksx jksdFkke] vfxze ekxZn'kZu] ijke'kZ] xaHkhj jksx dk çcaèku] mi'kked n[s kHkky vkSj thou ds var dh n[s kHkky ls lacafèkr uÉlx n[s kHkky çnku djrk gSA

6. tfVy vkSj vfLFkj okrkoj.k esa mUur dkS'ky dk mi;ksx djrk gSA

7. O;fDr] leqnk; o ns[kHkky ç.kkfy;ks a ls lacafèkr tfVy eqíks a ds fy, uSfrd :i ls lqn`<+ lekèkku ykxw djrk gSA

8. uotkr f'k'kq dh n[s kHkky ds çklafxd laØe.k fu;a=.k fl)karks a dk ikyu djrk gSA

9. uotkr f'k'kq] ifjtuks a vkSj lenq k; ds fgr es a n's k ds dkuwuh <kap s ds Hkhrj Lora= :i ls vH;kl djrk gSA

10. ,sl s vH;kl fodflr djrk gS tks oSKkfud çek.kks a ij vkèkkfjr gksAa

11. fpfdRlh; lacaèkks a dks 'kq: dju]s fodflr djus vkSj can dju s ds fy, ykxw lapkj] ijke'kZ] odkyr vkSj ikjLifjd dkS'ky dk mi;ksx djrk gSA

12. tksf[ke çcaèku j.kuhfr;ks a vkSj xq.koÙkk lqèkkj dk mi;ksx djds ,d lqjf{kr fpfdRlh; okrkoj.k cukrk gS vkSj cuk, j[krk gSA

13. vH;kl dks lkekftd] lkaLÑfrd vkSj çklafxd ifjos'k ds vuq:i <kyrk gSA VII.

I 10 • ikBîØe dk ifjp; • vge vaxks a dh ,usVkWeh vkSj fQft;ksykWth dh leh{kk • Hkz.w k lacaèkh vkSj Hkzw.k dk fodkl] Hkzw.k dh o`f) vkSj fodkl dks çHkkfor dju s okys tUeiwo Z dkjd28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • lkekU; cky fpfdRlk fodkjks a ds vkuqoaf'kd iSVuZ] xq.klw= foiFku] vkuqoaf'kd vkadyu vkSj ijke'kZ] vkuqoaf'kd] dSfj;ksVkbÇix] LØhÇux vkSj ijke'kZ ds dkuwuh vkSj uSfrd igyw] vkuqoaf'kd ijke'kZ es a ulZ dh Hkwfedk • xHkkZofèk eèkqesg] Hkzw.k vkSj uotkr f'k'kq ij ekr` vkS"kf/k;k sa dk çHkko • uotkr f’k’kq n[s kHkky es a dkuwuh vkSj uSfrd eqís & ul Z dh Hkwfedk • fu;ksusVy uÉlx es a oreZ ku fl)kar] çFkk,a vkSj #>ku • fofHkUu lek;kstuks a es a uotkr ul Z dh Hkwfedk & foLrkfjr vkSj foLrkfjr Hkwfedk,a • fçosafVo fu;ksusVksykWth dh voèkkj.kk] mí's ; vkSj nk;jk • ekr` LokLF; vkSj Hkzw.k ds fodkl ij bldk çHkko] LokLF; vkSj fçosfaVo fu;ksusVksykWth ds çloiwo Z igyq • uotkr f’k’kq n[s kHkky bdkbZ dh LFkkiuk ¼,uvkbZlh; w dk Lrj] midj.k] vkiwÆr] 'k¸;k vkSj lgk;d midj.k] fofHkUu çdkj ds ekWfuVj vkSj osfaVysVj dk mi;ksx vkSj ns[kHkky] ¶yks 'khV] vkiwÆr ykbu vkSj i;kZoj.k½ • ,ulh; w es a dkÆed ▪ uÉlx LVkQ ▪ MkWDVj ▪ fu;ksusVy ds;j rduhf'k;u ▪ lgk;d deZpkjh • fu;ksusVy ds;j es a çkS|ksfxdh • LoLFk dk; Z okrkoj.k • fu;ksusVy uÉlx dh vkxkeh pqukSfr;ka II 5 • xHakhj :i l s chekj yksxksa dh ns[kHkky es a uÉlx çfØ;k dk vuqç;ksx • ,ulh; w es a ços'k vkSj çxfr & ,d lex z n'` ;

• ,ulh; w çcaèku dk voyksdu ▪ i;kZIr Ård vkWDlhtus'ku lqfuf'pr djuk ▪ jklk;fud okrkoj.k cuk, j[kuk ▪ rkieku cuk, j[kuk ▪ vax lqj{kk ▪ iks"k.k lacèakh lgk;rk ▪ lØa e.k fu;a=.k ▪ ifjokj ls feyu s dk le; • fu;ksusVy ds;j es a vojks/k • uotkr f’k’kq n[s kHkky bdkbZ es a e`R;q% thou ds vra dh ns[kHkky@ejus oky s dh ns[kHkky] ifjokj dh n[s kHkky] vax nku • xHakhj :i l s chekj yksxksa dks gokbZ ,Ecyq lsa vkSj lrgh ,Ecyq sla }kjk y s tkuk • LokLF; ny ds lnL;ksa ds chp ruko vkSj cuZvkmV ÇlMªkse III 10 • lkekU; vkadyu • fodklkRed egRoiw.kZrk • uotkr f'k'kq dh çfrfØ;k,a • 'olu vkadyu • ân; lacaèkh vkadyu • xnq Z s dk vkadyu • U;wjksykWftdy vkadyu • xSLVªksbVa Ls Vkbuy vkadyu • var%lkzoh vkadyu • eLdqyksLdsysVy vkadyu • lex z vkadyu • vkfVfZj;y CyM xSl ¼,chth½ • dSIuksxkzQh • ,ihth,vkj Ldksj • U;w cSykM Z Ldksj • ihfM;kfVªDl Xyklxks dksek Ldsy ¼ihthlh,l½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29 • le;iwo Z f'k'kq nnZ çksQ+kby ¼ihvkbZihih½ • uotkr nn Z mÙkstuk vkSj csgks'k djus dh fØ;k Ldsy ¼,u&ikl½ • uotkr f'k'kq nnZ Ldsy ¼,uvkbZih,l½ • jksu s dk Ldsy ¼jksuk] vkWDlhtu lar`fIr dh vko';drk] foLrkfjr vge ladsr] vfHkO;fDr] uÈn u vkuk½ ,Q,y,lhlh Ldsy] flYojeSu ,aMjlu 'olu xHakhjrk Ldksj • iwo Z xaHkhj chekjh dk ewY;kadu • xHakhj chekjh dk ewY;kadu • ifj.kke vkSj LdksÇjx ç.kkyh ▪ lhvkjvkbZch ¼f'k'kqvksa dk uSnkfud tksf[ke lpw dkad½ ▪ lhvkjvkbZch&II ¼f'k'kqvksa dk uSnkfud tksf[ke lwpdkad&II½ ▪ LuSi ¼Ldksj QkWj fu;ksusVy ,D;wV fQft;ksykWth½ ▪ SNAP-II ¼Ldksj QkWj fu;ksusVy ,D;wV fQft;ksykWth&II½ ▪ SNAPPE ¼Ldksj QkWj fu;ksusVy ,D;wV fQft;ksykWth & isfjuVs y ,DlV'sa ku½ ▪ SNAPPE-II IV 14 • dkÆM;ks&iYeksujh&czsu fjllhV’s ku ds fl)kar • fu;ksusVy ds;j es a vkikRdkyhu ifjfLFkfr;ka% ,uvkjih ¼fu;ksusVy fjllhV’s ku çksxzke½ vkSj ,u,,y,l ¼fu;ksusVy ,MokaLM ykbQ liksVZ½ • ok;qekxZ çcaèku • vkWDlhtus'ku vkSj vkWDlhesVªh] vkWDlhtu forj.k midj.kk sa ds lkFk uotkr f’k’kq dh n[s kHkky • osfaVys'ku vkSj osfaVysVj liksVZ ¼vkæÊdj.k vkSj bugsYM Mªx Fksjsih lfgr½] buosflo vkSj ukWu&buosflo osfaVys'ku ds lkFk uotkr f’k’kq dh n[s kHkky • ldqZys’ku rFkk ij¶;wtu ¼gseksMk;ukfed ewY;kadu vkSj rjax :i xzkfQDl lfgr½ • ¶Y;wM~l rFkk bysDVªksykbVl~ ¼leh{kk½] ¶Y;wM~l o bysDVªksykbVl~ ds vlra yq u oky s uotkr f’k’kq dh n[s kHkky • vEy {kkj fLFkfr dk ewY;kadu • FkeksjZ Xs ;wys'ku] gkbij@gkbiksFkÆe;k okys uotkr f’k’kq dh ns[kHkky • fycsz’ku Ýkse ykbZ liksVZ ¼ohÇux½ • Xykblfsed fu;a=.k] Xykblsfed vlra yq u oky s uotkr f'k'kqvksa dh n[s kHkky V 8 • xHakhj :i l s chekj uotkr f'k'kqvksa e sa nnZ • nnZ & çdkj] fl)kar • fQft;ksykWth] nnZ ds çfr ç.kkyhxr çfrfØ;k,a vkSj nn Z dh leh{kk dh fQft;ksykWth • rhoz nnZ lsok,a • nnZ dk vkadyu & nnZ dk iSekuk] O;ogkj • nnZ çcaèku & vkS"kèkh; ¼vksfivksbM ekWÆQu] QsVa fsuy] vkSj vU; tSl s ,flVkfeuksQsu½ • xSj&vkS"kèkh; çcaèku nf`"Vdks.k es a daxk: n[s kHkky] lfqoèkktud VÇdx] xSj&iks"kd pw"k.k] lqØkst vkSj vU;

feBkl] ekfy'k vkSj ,D;wiDa pj Fksjsih 'kkfey gSa VI 8 • vkadyu] oxÊdj.k vkSj mipkj dh igpku djuk • NksVs f'k'kq dk bykt djuk vkSj eka dks lykg nsuka • chekj ;oq k f'k'kq dh vuoq rÊ n[s kHkky djuk • NksVs f'k'kqvks a vkSj uotkr f'k'kqvksa ds fy, Vhdkdj.k dk;ØZ e • ikfjokfjd f'k{kk vkSj ijke'kZ VII 4 • o`f) vkSj fodkl ds fl)kar • o`f) vkSj fodkl dh voèkkj.kk,a vkSj fl)kar] • 'kS'kokoLFkk ls fodklkRed dk; Z vkSj fo'ks"k vko';drk,a] fodklkRed njs h • uotkr f'k'kqvks a dh o`f) vkSj fodkl dk vkdyu • o`f) ,oa fodkl dks çHkkfor djus oky s dkjd VIII 5 • iks"kd rRoksa dk p;kip; vkSj çR;koruZ • uotkr f'k'kqvks a dh iks"k.k fLFkfr dk vkadyu djuk • uotkr f'k'kqvks a dk iks"k.k vkSj iks"k.k lacèakh vko';drk,a30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Hkkstu ds cnyr s iSVuZ • f'k'kq&vudq wy vLirky igy vkSj fo'ks"k Lruiku • LokLF; f'k{kk] fd'kksjksa ds fy, iks"k.k lacaèkh f'k{kk • iks"k.k lacèakh dk;ZØe • uotkr f'k'kq ds LokLF; ls lca afèkr jk"Vªh; ,oa varjkZ"Vªh; lxa Bu • uotkr f'k'kqvks a dh vka=h; vkSj iSjasVsjy iks"k.k ij ns[kHkky IX 4 • uotkr f'k'kqvks a es a uÈn dk fodkl • ,ulh; w es a uÈn es a cnyko • uÈn dh fuxjkuh ds fy, csMlkbM midj.k • fu;ksusVy ,ClVhusal ÇlMªkse ¼,u,,l½ X 5 • uotkr xgu n[s kHkky bdkbZ es a ukslksdksfe;y laØe.k( feFkkby jfstLVaVs LVSfQyksdksdl vkWfj;l ¼,evkj,l,½ vkSj vU; gky gh es a igpkus x, ruko • dhVk.kq'kksèku] jksxk.kquk’ku • ekud lqj{kk mik;

• deZpkfj;ksa ds fy, çksfQySfDll • jksxk.kqjksèkh fpfdRlk&leh{kk • ikfjokfjd vkSj vkxarqd uhfr;ka XI 6 • lda Yiuk] y{;] vkadyu] fl)kar • le;&iwoZ] xHkkoLFkk vk; q ls NksVh] ifjiDo gksus ds ckn vkSj eèkqesg rFkk eknd æO;ksa dk lsou djus okyh ekrkvks a ds f'k'kqvks a dk uÉlx çcaèku • 'olu lacaèkh fLFkfr;ka] ,fLQfDl;k fu;ksusVje] fu;ksusVy,ifu;k esdksfu;e ,fLijs'ku ÇlMªkse] U;weksFkksjSDl] U;weksehfM;kfLVue • bDVjs l fu;ksusVksje • tUe dh pksVsa • gkbiksfDld bLdsfed ,UlsQSyksiSFkh • tUetkr folaxfr;ka • uotkr f’k’kq dks iM+us oky s nkSjs • uotkr gkbiksdSYlhfe;k] gkbiksXykblhfe;k] gkbikseSXuls hfe;k • uotkr शिि ुds ân; jksx • uotkr शििq ु ds gseksfyfVd jksx • uotkr laØe.k] uotkr lsfIll] vkIFksyfe;k fu;ksusVksje] tUetkr flQfyl] ,pvkbZoh@,M~l • mUur uotkr çfØ;k,a • ¶Y;wM vko';drk dh x.kuk • gseVksykWftdy fLFkfr;ka & ,fjFkzksCykLVksfll QsVsfyl] uotkr f'k'kq e sa jDrlkzoh fodkj XII 8 • ,ulh; w dk fMt+kbu • ,ulh; w ij ykxw x.q koÙkk vk’oklu ekWMy • ekud] çksVksdkWy] uhfr;ka] çfØ;k,a • lØa e.k fu;a=.k uhfr;ka vkSj çksVksdkWy • ekud lqj{kk mik;

• uotkr f'k'kq dh n[s kHkky ls lca afèkr uÉlx vkWfMV • LVkQ vfHkfoU;kl] çf'k{k.k vkSj fodkl • los kdkyhu f'k{kk dk;ØZ e • uSnkfud f'k{k.k dk;ØZ e XIII 4 • uotkr f'k'kq dh n[s kHkky es a lk{; vkèkkfjr vH;kl • dk;kZUo;u es a ckèkk,a • dk;kZUo;u dks c<+kok nsus ds fy, j.kuhfr;ka 5[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31 ¼48 ?kaVs eas ladk; }kjk çn'kZu vkSj Nk=ks a }kjk vH;kl 'kkfey gS½ • ,uvkjih ¼ch,y,l vkSj ,lh,y,l½ • ,;jos çcaèku o ySÇjft;y ekLd ,;jo o dQ bu¶ys’ku ,aM ,adfjxa n Vîwc o bZVh&Vîwc dh n[s kHkky o Vªsfd;ksLVkseh n[s kHkky o lD'kÇux & [kqyk@can o pSLV fQft;ksFksjsih • vkWDlhtu's ku vkSj vkWDlhesVªh] vkWDlhtu forj.k midj.kks a ds lkFk uotkr f’k’kq dh ns[kHkky o vkWDlhtu@vkWDlhtuhdj.k dks ekiu s ds fy, midj.k ▪ ¶;wy lsy ▪ iSjk eXS usfVd vkWDlhtu ,uys kbtj ▪ PO2 byDs VªksM & DykdZ byDs VªksM ▪ VªkalD;wVsfu;l vkWDlhtu bysDVªksM ▪ vkWDlhesVªh & iYl vkWDlheVs ªh] osul vkWDlheVs ªh o dSIuksxzkQh o ukWu&buosflo osfaVys'ku ▪ de çokg oky s ifjorZuh; çn'kZu midj.k% usly dSFksVj@dsuqyk@Mcy usly çksxa ] Qsl ekLd] fjtjok;j cSx ds lkFk Qsl ekLd ▪ mPp çokg fuf'pr çn'kZu midj.k% ,aVªus esVa ¼ospa qjh½ midj.k] ,uvkbZoh@lhih,ih@,usLFksfVd ekLd] Vh ihlst+]s czhfnxa lÆdV o iksLVqjy Mªus ts • osfaVys'ku vkSj osfaVysVj leFkZu o osfaVysVj ls dusDV djuk o osVa hysVj ls gVkuk o ,DlVîcw s'ku o áfwefMQ+k;j o uCs;qykbt+j • bugsy's ku Fksjsih • ldqZys’ku vkSj ij¶;wtu ¼gseksMk;ukfed ewY;kadu vkSj oso QkWeZ xzkfQDl lfgr½ o buosflo CyM izSlj ekWfuVfjax o ukWu&buosflo CyM izSlj ekWfuVfjxa32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] o f'kjkijd ncko ¼ifjèkh;] dsæa h; vkSj iYeksujh vkVZjh vkWDywtu çSlj½ o bullZu ,aM fjewoy vkWQ vkfVfZj;y ykbu o bullZu ,aM fjewoy vkWQ lsVa ªy ykbu o iYl baMsDl daVhU;wvl dkÆM;d vkmViqV ¼PiCCO½ o byDs VªksdkÆM;ksxzkQh ¼bZlhth½ o osoQkWe Z • ¶Y;wM~l vkSj byDs VªksykbV~l o ¶Y;wM x.kuk vkSj ç'kklu ¼fØLVykW;M vkSj dksykW;M½ o jDr vkSj jDr mRikn p<+kuk o buksVªksi x.kuk] vuqekiu vkSj ç'kklu ▪ dkÆM,d XykbdkslkbM~l & fMxkWfDlu ▪ flEiSFkksesfVDl & Mksikekbu] MkscqVkekbu] ,fiusÝhu ▪ QkWLQksfM,LVjts + bufhfcVlZ & o byDs VªksykbV djsD’ku ¼lksfM;e] iksVsf'k;e] dSfY'k;e] QkWLQksjl] eSXuhf'k;e½ o ¶Y;wM fMLisla j vkSj bU¶;wtu iai dk mi;ksx • vEy {kkj fLFkfr dk ewY;kadu o vkfVZfj;y CyM xSl ¼,chth½ • FkeksZjsX;wys'ku] gkbij@gkbiksFkÆe;k oky s uotkr f’k’kq dh ns[kHkky o VSEçspj çksCl o gkbij vkSj gkbiksFkÆe;k dh fu;ksusVy ds;j çca/ku • Xykblsfed fu;a=.k] Xykblsfed vlarqyu okys uotkr f’k’kq dh n[s kHkky o thvkjch,l dh fuxjkuh djuk o balqfyu Fksjsih ¼LykbÇMx Ldsy vkSj bU¶;wtu½ o gkbijXyslfse;k dk çcaèku & IV ¶Y;wM~l] balqfyu Fksjsih] iksVsf'k;e vuqijw .k o gkbiksXykblhfe;k dk çcaèku & MsDlVªkst+ IV • nnZ] csgk's kh] mÙkstuk vkSj çyki dk vkS"kèkh; çcaèku o ekWÆQu] QsVa fsuy] feMkt+ksye] yksjkt+is ke] Mk;tsike] çksiksQksy] DyksfuMkbu] MsDlesMsVksfeMkbu] gsyksisfjMksy dh x.kuk] yksÇMx vkSj bu¶;wtu • ijke'kZ • ikfjokfjd f'k{kk VIII. I I 6 • vge vaxks a dh ,ukVkseh vkSj fQft;ksykWth dh leh{kk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33 • xHakhj :i l s chekj yksxksa ds vkadyu vkSj fuxjkuh dh leh{kk II 16 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u • uotkr f’k’kq n[s kHkky çcaèku dh vko';drk okyh ân; lacèakh fLFkfr;ka • Hkz.w k vkSj fu;ksusVy ldqZys’ku • ijfllVsVa iyEksujh gkbijVs’a ku • isVsVa MDVl vkfVfZj;ksfll • dutsfuVy daiyhV gVZ CykWd • liq joasfVªdy Vds hdkÆM;k • dutsfuVy dkfMZ;y ekyQkses’Z ku • lnek ¼’kkWd½ III 15 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u • uotkr f'k'kq n[s kHkky çcaèku dh vko';drk okyh Qq¶Qqlh; fLFkfr;ka • uotkr f'k'kqvks a es a 'olu lacaèkh ij's kkuh • स्विन r=a lacèakh fodkj • esdksfu;e ,fLijs'ku ÇlMªkse • varxHZkkZ'k;h vkSj çloksÙkj fueksfu;k • gkbfyu f>Yyh jksx • Hkkjh Qq¶Qqlh; jDrlzko • U;weksFkksjSDl • uotkr f'k'kq dk Vªkaft,aV VSphifu;k • czksadksiYeksujh fMlIysfl;k • Qq¶Qqlh; cgko IV 15 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u • uotkr f’k’kq n[s kHkky çcaèku dh vko';drk okyh U;wjksykWftdy fLFkfr;ka • baVªkØsfu;y gsejts • baVªkosfaVªdqyj gsejts • U;wjksykWftdy lhDosy vkWQ gkbiksfDld&bLdsfed ,UlsQSyksiSFkh • isfjosfaVªdqyj Y;wdksekyfs'k;k • cFkZ VªkWek V q lh,u,l • lh,u,l foÑfr;ka • ftVjhusl • fu;ksusVy lhtlZ • ¶ykWih fu;ksusV V 15 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u • uotkr f’k’kq n[s kHkky çcaèku dh vko';drk okyh usÝksykWth fLFkfr;ka • ,D;wV jhuy Q+Ys ;j • xnq Z s dh foÑfr • dutsfuVy uÝs ksfVd flUMªkse • ew= iFk ds lØa e.k • isV dk æO;eku • ew= iFk ds lØa e.k • uÝs ksdSYlhuksfll • gky dh çxfr vkSj fodkl VI 12 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • uotkr शििु ns[kHkky çcaèku dh vko';drk okyh tBjka= lacaèkh fLFkfr;ka • nLr • xMZ • VhbZ,Q ¼VªSfpvkslksQsft;y ,Vªfsl;k½ • dutsfuVy Mk;Ýkfed gÆu;k • ihfy;k • dutsfuVy ckoy vkWCLVªD’ku@ijQksjs’ku • gkbijVªkWfQd ikbyksfjd LVsuksfll • Lekk ckoy ,Vªsfl;k • baVqllIs’ku • esdksfu;e bfy;l • fu;ksusVy dksysLVfsll • ,uksjsDVy ,ukeyht o uØs ksVkbZÇt+x ,aVªksdksykbfVl VII 12 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u • uotkr f’k’kq n[s kHkky çcaèku dh vko';drk okyh var%lkzoh fLFkfr;ka • Vªkaft,aV fu;ksusVy gkbiksXykblfse;k vkSj gkbijXykblhfe;k • vfèko`Dd xzafFk dh leL;k,a ¼lkis{k vfèko`Dd vi;kZIrrk] tUetkr vfèko`Dd gkbijIykfl;k • Fkk;jkbM dh leL;k ¼Vªkaft,aV gkbiksFkk;jk;fMTe vkSj gkbijFkk;jk;fMTe] Vªkaft,aV fu;ksusVy gkbijFkk;jksVªksfiufe;k] gkbiksFkk;jksfDlufe;k vkWQ fçePs ;fqjVh½ • tuukax vkSj ew= lacèakh leL;k,a ¼gkbMªksdksYiksl vkSj gkbMªksesVªksdksYiksl vksofsj;u gkbijfLVE;wys'ku ÇlMªkse fç;kfiT+e • ,Du s fu;ksusVksje • Vªkaft,aV gkbiksdSYlhfe;k vkSj gkbijdSYlhfe;k • gky dh çxfr vkSj fodkl 5 ¼48 ?kaVs eas ladk; }kjk çn'kZu vkSj Nk=ks a }kjk vH;kl 'kkfey gS½A • o FkzksEcksykbfVd Fksjsih o midj.k dk mi;ksx vkSj mudh lsÇVXl & fMQkbfczysVj] PiCCO] isleds j] baVªk&,vksfVZd cSyuw iai ¼IABP½ • o Vªsfd;ksLVkseh n[s kHkky o ucs qykbts'ku o pSLV fQft;ksFksjsih o pSLV Vîwc bul’kZu o pSLV Mªus ts • o ihthlh,l dh fuxjkuh djuk o lpsru vkSj dkes k dh fuxjkuh djuk o vkbZlhih dh fuxjkuh djuk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35 o lsMs'ku Ldksj o czsu MSFk bosY;,w ’ku • o Mk;fyfll ▪ Mk;fyfll e'khu dh çkbÇex ▪ uotkr f’k’kq dks Mk;fyfll ds fy, rS;kj djuk ▪ Mk;fyfll ds fy, dSuqysÇVx ▪ Mk;fyfll 'kq: djuk vkSj can djuk • o isV ds ncko dh fuxjkuh o dSyksjh vkSj çksVhu vko';drkvks a dh x.kuk o fo'ks"k vkgkj & lsfIll] ’olu vojks/k] xqnkZ vojks/k] ;Ñr vojks/k] ân; vojks/k] nèw k NqM+kuk] vXuk'k;'kksFk o ,aVsjy QhfMax & ,uth@xSLVªksLVkWeh@Qsfjfat;y@tstquksLVkWeh Q+hM o laiw.kZ iSjsVa js y iks"k.k • o dksÆVlksy Lrj] 'kdZjk Lrj vkSj Fkk;jkbM gkeksZu Lrj ds fy, jDr ds ueuw ksa dk laxzg.k o dkWÆVdksLVjs kWbM~l dh x.kuk vkSj ç'kklu o balqfyu dh x.kuk vkSj ç'kklu & leh{kk IX. II I 12 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u • uotkr f’k’kq n[s kHkky çcaèku dh vko';drk okyh #fèkj foKku fLFkfr;ka • yky jDr dksf'kdkvks a ds fodkj o ikWyhflFksfe;k o ,uhfe;k o fldy lsy jksx • ’ors jDr dksf'kdkvks a ds fodkj o Y;wdksifsu;k • fu;ksIykfLVd fodkj • gseksLVsfll fodkj • IyVs ysV fodkj • dks,xwys’ku fodkj o fMllsfeuVs Ms baVªkokLdqyj dks,xyw s’ku • uotkr f'k'kq dk jDrlzkoh jksx o foVkfeu ds çksfQySfDll o FkzksEckslkbVksifsu;k ;k IyVs ysV~l ds x.q kkRed nks"k • ,uhfe;k] ikWyhflFksfe;k vkSj gkbij foLdksflVh • vkfVfZj;y vkSj ohul FkzksEcksfll • gky dh çxfr vkSj fodkl36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] II 8 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u • uotkr f’k’kq n[s kHkky çcaèku dh vko';drk okyh Roph; fLFkfr;ka o cUlZ o ?kko • fpfdRlh; çcaèku • tyu s ds fy, iquÆuekZ.k ltZjh • ?kkoks a dk çcaèku • gky dh çxfr vkSj fodkl III 12 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u • uotkr f’k’kq n[s kHkky çcaèku dh vko';drk okyh eYVhflLVe çR;koruZ fLFkfr;ka • lnek ¼VªkWek½ • iwfr ¼lsfIll½ • lnek ¼’kkWd½ • eYVhiy vkWxuZ fMLQaD;ku ¼,dkfèkd vaxksa dh f'kfFkyrk½ • flLVsfed bu¶ysesVjh fjliksal ÇlMªkse • ,ukfQysfDll • MhvkbZlh • vU; pksVs a ¼xeÊ] fctyh] yVdus ds fudV] yxHkx Mwcus ds dkj.k½ • fo"kgj.k • ek=k l s vfèkd vkS"kf/k • tgj nsuk IV 10 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u • uotkr f’k’kq n[s kHkky çcaèku dh vko';drk okyh fof'k"V lØa e.k fLFkfr;ka • ,pvkbZoh@,M~l • ekrk&firk ls cPps es a lapj.k • VkWpZ • VsVul • lklZ • fjdsfV~l;ksfll • ysIVksLik;jksfll • Msxa w • eysfj;k • fu;ksusVy lsfIll • jcs ht+ • ,fo;u ¶yw • dksfoM&19 V 9 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u • uotkr f’k’kq n[s kHkky çcaèku dh vko';drk okyh p;kip; lacaèkh fLFkfr;ka • gkbiksXyslhfe;k • gkbijXyslsfe;k • gkbiksdSYlhfe;k • vkWfLV;ksisfu;k vkWQ fçesP;qfjVh • gkbijdSYlhfe;k • gkbikseSXuls hfe;k • ysV esVkckWfyd ,flMksfll • p;kip; dh tUetkr =qfV;ka ¼vkbZbZ,e½ ¼QsfuydsVksuqfj;k½ • uotkr f'k'kq dh tkap[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37 • uotkr f’k’kq dh Fkk;jkW;M tkap VI 10 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u • uotkr f’k’kq n[s kHkky çcaèku dh vko';drk okyh lÆtdy fLFkfr;ka • VSfyIl bfDouksojs l ¼Dyc Q+Vq ½ • dSYdsul oYxl foÑfr • tsuq fjdoZVe • dwYgks a dh tUetkr vO;oLFkk ¼datsfuVy fMLyksds’ku vkWQ fgIl½ VII 10 • uSnkfud vkadyu] iSFkksfQft+;ksykWth vkSj QkekZdksykWth dh leh{kk • fo'ks"k uSnkfud vè;;u • uotkr f’k’kq n[s kHkky çcaèku dh vko';drk okyh lÆtdy fLFkfr;ka • cFkZ batqjht • lk;uksfll • vkWDlhtu Fksjsih ds fy, ladsr • jfsVuksiSFkh vkWQ fçesP;qfjVh • ,fMek vkSj gkbMªksIl QsVsfyl • ,lkbV~l ¼tyksnj½ • Ldsysjsek • osfldqykscqyl fLdu bji’kUl • fu;ksusVy ,fjFkzksMekZ • bpF;ksfll • oLdqyj usoh • jta drk ds fodkj • ,dkfèkd xHkZèkkj.k • vk;Vªkstsfud fodkj VIII 10 • lysD’ku vkWQ ,usLFkhfl;k • tujy vuLs Fksfl;k • vuLs FksfVd,tsVa • ,uLs Fksfl;k ds ckn dh leL;k,a vkSj uotkr f'k'kq dh n[s kHkky dh vko';drk okyh vkikr fLFkfr;ka o ’olu & ,;jos vkWCLVªD’ku] ysfjafx;y ,fMek] ysfjaxksLikTe] czksadksLikTe] ukWudkÆM;kstsfud iYeksujh ,fMek] ,fLijs’ku] gkbiksfDl;k] gkbiksoasfVys'ku o dkÆM;ksokLdqyj & dkÆM;d QD+a 'ku] ek;ksdkÆM;y fMlQaD'ku] fMlfjFkfe;k] iksLVvkWijsfVo gkbijVs’a ku] iksLVvkWijsfVo gkbiksVs'a ku ij ,usLFkhfl;k dk çHkko o FkeksjZ xs yq sVjh & gkbiksFkÆe;k] daidaih] gkbijFkÆe;k] esfyxuVsa gkbijFkÆe;k o U;wjksykWth & fMysM ,ejtsla ] ,ejtsla Msfyfj;e o eryh vkSj mYVh IX 10 • rhoz çfrfØ;k ny vkSj xaHkhj :i l s chekj yksxksa dk ifjogu • vkink çcaèku • u=s lca aèkh vkikr fLFkfr & vka[k dh pksVs]a • bZ,uVh vkikr fLFkfr & cká inkFkZ] fLVªMksj] jDrlzko] ÇDolh] ,D;wV,ytÊ dh fLFkfr • OAEs • 5 ¼48 ?kaVs eas ladk; }kjk çn'kZu vkSj Nk=ks a }kjk vH;kl 'kkfey gS½A • o jDrkèkku38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] o cksu ejs ks VªkalIykaV’s ku çR;kjksi.k o dSFksVj lkbV dh n[s kHkky o cksu ejs ks ,fLij’s ku • o cuZ ¶Y;wM fjllhVs’ku o cuZ Q+hM x.kuk o cuZ MªsÇlx o cUlZ Luku o ?kko dh MªsÇlx • o Vªkb,t o VªkWek Vhe ,DVhos’ku o lkai jksèkh tgj dk ç'kklu o ,aVhMkVs ~l • o vyxko lacaèkh lkoèkkfu;ka o midj.kks a dk dhVk.kq'kksèku vkSj fuiVku • o ikVksZxzke o midj.k & buD;wcsVj] okeZj • o fu;ksftr baVqcS"ks.k eas lgk;rk djuk o ,uLs Fkhfl;k ds rgr uotkr f'k'kqvks a dh fuxjkuh o rfa=dk CykWdks a dk ç'kklu o vkS"kfèk;ks a dk vuqekiu & ,QsfMªu] ,Vªksfiu] ukyksDlksu] ,foy] vksUMsulsVªkWu o lsaljh ,aM eksVj CykWd vlsleasV QkWj fu;ksusV~l vkWu ,fiMîwjy ,ukYtsfl;k o flÇjt@bU¶;wtu iaiks a dh rduhdh leL;k fuokj.k •[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39 I II o vkink rS;kjh vkSj çksVksdkWy • vyh ,-] vkfjQ ,l-] jtuh vkj-] [kksoktk MCY;w-,p-] y?s kkjh ,-,y-] oyh ,l-] cjdr vkj- ,aM jghe ,- ¼2021½ LuSi II Ldksj ,t v fçMsVj vkWQ fu;ksusVy eksVZfyVh bu ,uvkbZlh;w ,V v V’kZjh ds;j gkWfLiVy bu ikfdLrku] D;wfj;l 13¼12½- e20427. https://doi.org/10.7759/cureus.20427 • ckjC;w Mh-okbZ- ,aM oht+ ,e-Mh- ¼2017½ Lyhi fMLVjcsla bu U;wcksUlZ] fpYMªu ¼csly] fLoV~tjySaM½ 4¼10½ 90-

https://doi.org/10.3390/children4100090 • gkWy vkj-MCY;w- ,aM vkuna ds-ts- ¼2014½ isu eus ts easV bu U;wcksUlZ] fDyfuDl bu isfjusVksykWth 41¼4½ 895&924-

https://doi.org/10.1016/j.clp.2014.08.010 • dsuj lh- ,aM ckW;dksok ,e-oh- ¼2021½ fu;ksusVy uÉlx ds;j gSaMcqd% ,u ,ohMsla csLM vçksp Vq daMh’kal ,aM çlhtlZ] ÇLçxj ifCyÇ'kx daiuh • dsuj lh-] yLs yh vYVhfe;j Mh-,u-ih- ,aM ckW;dksok ,e-oh- ¼la-½ ¼2019½ dafçgsfalo fu;ksusVy uÉlx ds;j] ÇLçxj ifCyÇ'kx daiuh • DykWd ih-] cq'kj ,-] ,MZeSu ,-,y-] dksLVk vkj- ,aM lSaVksl ,l-oh- ¼2019½ cSLV çsfDVlsl bu fu;ksusVy uÉlx ds;j eus ts easV] VsDLVks vkSj dkWUVDs LVks&,uQeZstse] 28] e20170157 • okbdkWQ+ ,e-] gkWVu Mh- ,aM ysist lh- ¼2009½ fu;ksusVy ds;j] U;w;kWdZ% ÇLçxj ifCyÇ'kx daiuh A.

1 [kqyh n[s kHkky ç.kkyh% jsfM;aV okeZj] fuf'pr ÅapkbZ] VªkWyh] njkt] bZ 1 O cksryksa ds lkFk 2 2 fjlflVsVj] gLr lapkfyr] uotkr f'k'kq] 500 feyh bZ 1 3 rksyu s dk iSekuk] ÇLçx 4 iai lD'ku] iSj lapkfyr bZ 1 5 FkekZehVj] fDyfudy] fMftVy] 32&34°C bZ 1 6 tkap gsrq ykbV] eksckby] 220&12 bZ 1 7 flÇjt gc dVj bZ 1 B.

1 [kqyh n[s kHkky ç.kkyh% jsfM;aV okeZj] fuf'pr ÅapkbZ] VªkWyh] njkt] bZ 3 O cksryksa ds lkFk 2 2 QksVksFksjis h ;fwuV] ,dy flj] mPp rhozrk bZ 1 3 fjlflVsVj] gLr lapkfyr] uotkr f'k'kq] 500 feyh bZ 2 4 ysÇjtksLdksi lVs ] uotkr bZ 2 5 bysDVªkWfud f'k'kq&otu Ldsy 10 fdxkz <5 xzke> bZ 1 6 lD'ku iai] iSj lapkfyr bZ 1 7 FkekZehVj] fDyfudy] fMftVy] 32&34°C bZ 4 8 tkap gsrq ykbV] eksckby] 220&12 bZ 440 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 9 flÇjt gc dVj bZ 1 C.

1 f'k'kq n[s kHkky 'k¸;k bZ 12 2 QksVksFksjis h ;fwuV] ,dy flj] mPp rhozrk bZ 6 3 fjlflVsVj] gLr lapkfyr] uotkr f'k'kq] 250 feyh bZ 2 4 fjlflVsVj] gLr lapkfyr] uotkr f'k'kq] 500 feyh bZ 4 5 ysÇjtksLdksi lVs ] uotkr bZ 6 6 lD'ku iai] iksVscZ y] 220 oh] MCY;w@,Dlsl bZ 2 7 lD'ku iai] iSj lapkfyr bZ 2 8 lÆtdy midj.k] flouh@lsV bZ 2 9 flÇjt iai] 10] 20] 50 feyh] ,dy pj.k bZ 3 10 vkWDlhtu gqM] ,l ,aM ,e] çR;sd 3 dk lsV] duÇsDVx Vîwc ds lkFk bZ 6 11 vkWDlhtu vkiwÆr ç.kkyh bZ 1 12 vkWDlhtu lkaæd Mh 4 13 FkekZehVj] fDyfudy] fMftVy] 32&43°C bZ 12 14 bysDVªkWfud f'k'kq&otu Ldsy] 10 fdxkz <5 xzke > bZ 4 15 iYl vkWDlhehVj] csMlkbM] uotkr bZ 6 16 LVsFkksLdksi] ckbU;wjy] uotkr bZ 12 17 jDrnkcekih] uotkr] byDs VªkWfud bZ 6 18 çdk'k] ijh{k.k] eksckby] 220&12 oh bZ 6 19 flÇjt gc dVj bZ 2 20 ekiu s okyk Vsi] foukby&ysfir] 1-5 ehVj bZ 2 21 fdMuh csflu] LVus ysl LVhy] 825 feyh bZ 4 22 MªÇslx Vªs] LVsuysl LVhy] 300 × 200 × 30 feeh bZ 4 23 bU¶;tw u LVSaM] Mcy gqd] dSLVj ij bZ 1 24 lda srd] Vh,lVh fu;a=.k LFkku@ih,lh&300 Mh 1 25 QksVksFksjis h bdkb;ksa ds fy, fofdj.k ehVj Mh 2 26 ekWfuVj] egRoiw.kZ Mh 1 27 bZlhth ;wfuV] 3 pSuy Mh 2 28 bUQSaVksehVj] IyDs lh] 32 QhV@105 les h bZ 1 29 ,Dl&js] eksckby Mh 1 30 VªkaliksVZ buD;wcVs j] csfld] cSVjh vkSj O ds lkFk] fcuk osfaVysVj ds Mh 1 2 31 vkVksDyos ] LVhe] cspa VkWi] 20 vkbZ] bysfDVªdy Mh 1 32 ykWUMªh okW'kj Mªk;j] dkWEcks] 5 fdxzk Mh D.

1 ,lh ¼1-5 Vu½ bZ 1 2 tsujVs j lsV 25&50 dsoh, bZ 1 3 jfsÝtjsVj] xeZ {ks=] 110 ,y bZ 1 4 oksYVts lok&sZ LVcs ykbtj ¼rhu pj.k½% 25&50 dsoh, bZ 1 5 :e ghVj ¼rsy½ Mh 4 6 daI;wVj ÇçVj ds lkFk Mh 1 7 LikWV ySai bZ 2 8 lds aM okyh lqbZ okyh nhokj ?kM+h bZ 2 E.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41 1 LVjykbÇt+x Mªe] 165 feeh O;kl 2 bysfDVªd LVjykbt+j Mh 1 3 Mªk;j ds lkFk okWÇ'kx e'khu 4 deZpkfj;ksa vkSj ekrkvks a ds fy, xkmu bZ 1 5 èkksus ;ksX; pIiys a F.

1 lasVªh¶;wt] gsesVksfØV] cspa V‚i] 12000 vkjih,e ¼çfr feuV ifjØe.k½ rd] jksVj ds lkFk 2 ekbØksLdksi] nwjchu] byqfeuVs j ds lkFk Mh 1 3 fcyh#fcuksehVj] VksVy fcyh#fcu] dsf'kdk&vkèkkfjr 4 MsDlVªksfLVDl ds lkFk XywdksehVj bZ 3 • vfrfjDr LFkku ¼HkaMkj.k] uÉlx LV's ku] MkWDVj dk dejk vkSj ifjlapj.k LFkku½ & ’k¸;k LFkku dk 100% vfrfjDrA • çR;sd f'k'kq ns[kHkky LFkku es a Çld vkSj xfy;kj s dks NksM+dj] U;wure 120 oxZ QqV ¼11-2 oxZ ehVj½ gksuk pkfg,A • çR;sd f'k'kq n[s kHkky LFkku ds fudV ,d xfy;kjk gksuk pkfg, ftldh pkSM+kbZ vuds ’k¸;kvks a eas U;wure 4 QhV ¼1-2 ehVj½ gksuh pkfg,A • bdkbZ es a Lrj II eas çR;sd cPp s ds fy, 50 oxZ QqV uotkr f’k’kq ns[kHkky LFkku gksuk pkfg,A • Lrj III ds fy,] 80&100 oxZ QqV dk uotkr f’k’kq ns[kHkky {ks=] 80&100 oxZ QqV dk lgk;rk lsok {ks= vkSj yxHkx 80 oxZ QqV dk lapyu {ks= mi;qDr {ks= ekuk tkrk gS & o çfr ’k¸;k 500&600 oxZ QqV( o çfr uotkr f’k’kq 100&120 oxZ QqV ns[kHkky {ks=( o bUD;wcsVjksa ds chp dk varj 8 QhVA • ulZjh eas eka ds dej s dh miyCèkrk Lrj II ds fy, okaNuh; gS vkSj Lrj III ds fy, vko';d gSA • çR;sd f'k'kq ns[kHkky ’k¸;k ij fo|qr vkSj xSl vkmVyVs tSlh ;kaf=d vko';drkvks a dks lqj{kk] vklku igqap vkSj j[kj[kko lqfuf'pr dju s ds fy, O;ofLFkr fd;k tkuk pkfg, & o ,d lkFk lqyHk fo|qr vkmVyVs & U;wure 20( o ,d lkFk lqyHk xSl vkmVysV dh U;wure la[;k% ,;j] vkWDlh vkSj oSd & 3 çR;sd( o lHkh fo|qr vkmVyVs ksa ds fy, vkikrdkyhu vkSj lkekU; fctyh dk feJ.kA • lrr n[s kHkky] eè;orhZ ns[kHkky ,oa vkSj xgu ns[kHkky {ks=ks a eas çR;sd 6&12 uotkr f’k’kqvks a ds fy, ,d fu;ksusVksykWftLVA • mls ijke'kZ ds fy, 24 ?kaVs miyCèk jguk pkfg,A • vkn'kZr% 24&?kaVs xgu ns[kHkky dh vko';drk oky s çR;sd 4&5 uotkr f’k’kqvks a ds fy, ,d fu;ksusVksykWftLVA • ekbØksck;ksykWftLV] gsesVksykWftLV] jfsM;ksykWftLV vkSj dkÆM;ksykWftLV tSls vU; fo'ks"kKks a dh lsok,a dkWy ij miyCèk gksuh pkfg,A • uotkr f'k'kq dks ,uLs Fkhfl;k nsus es a l{ke ,d ,uLs FksfVLVA • ihfM;kfVªd ltZu vkSj iSFkksyksftLV miyCèk gksus pkfg,A42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

1. iwjs fnu vkSj jkr es a ulZ uotkr f'k'kq vuiq kr 1%1 cuk, j[kk tkrk gSA

2. osVa hysVj dh vko';drk ugÈ j[ku s okys nks chekj f'k'kqvks a ds fy, ,d ulZ dk vuiq kr i;kZIr gks ldrk gS & - vkn'kZ ulZ uotkr f'k'kq vuqikr ds fy,] çfr xgu ns[kHkky 'k¸;k ij pkj çf'kf{kr ulks± dh vko';drk gksrh gS( - vfrfjDr gsM ulZ tks lexz çHkkjh gS( - Lrj II n[s kHkky ds fy, cqfu;knh uÉlx çf'k{k.k ds vykok] r`rh;d n[s kHkky ds fy, mPpre] ;ksX; leÆir] çfrc) vkSj çf'kf{kr deZpkfj;ks a dh vko';drk gksrh gSA muds çf'k{k.k eas midj.kks a dks laHkkyus dk çf'k{k.k] osVa hysVj dk mi;ksx vkSj ekLd fjllhV’s ku dk mi;ksx vkSj ;gka rd fd ,aMksVªSfp;y baVqcS"ks.k] èkeuh uewukdj.k vkfn 'kkfey gksuk pkfg,A • IV dSFksVj] IV lsV] cSDVhfj;y fQYVj] QhÇMx Vîwc] ,aMksVªSfp;y Vîcw • lD'ku dSFksVj] Fkzh&os ,MkWIVj] vacfydy vkfVZfj;y vkSj ohul dSFksVj • flÇjt] lqbZ osfaVysVj V;wÇcx] Vªksdkj vkSj dSuqyk] çSlj VªkalMîlw j QkWj buosflo CyM çSlj • MkW- egs jcku Çlg] ,u,p,e Hkkjr ljdkj ,oa uotkr f'k'kq dh n[s kHkky dkWyst ijh{kk & dsoy lS)kafrd % 50 vad ç'u&i=@ç'uksÙkjh% 10 vad fyf[kr dk;Z@vkofèkd ç'u&i=% 10 vad ¼oSf'od vkSj jk"Vhª; LokLF; n[s kHkky ds #>ku vkSj uhfr;ka½ uSnkfud lsfeukj% 5 vad ¼ uSnkfud@fof'k"V uSnkfud fLFkfr es a n[s kHkky ekxZ@fof'k"V uÉlx fl)kar dk vuçq ;ksx½ ç'u&i=% 20 vad fyf[kr dk;Z% 5 vad ¼lkfgR;d leh{kk@'kksèk midj.k dh rS;kjh½ tuZy Dyc% 5 vad ¼uotkr f’k’kq n[s kHkky n{krkvks a ds fy, 'kksèk lk{; dk fo'ys"k.k½ ç'u&i=% 15 vad tuZy Dyc% 5 vad ¼usr`Ro@çcaèku@f'k{k.k es a #>ku½ fyf[kr dk;Z% 5 vad ¼uotkr f’k’kq ns[kHkky bdkbZ dk;ZLFky fgalk½ lw{e f'k{k.k% 5 vad ç'u&i= vkSj ç'uksÙkjh% 20 vad ¼iSFkksfQft;ksykWth% 10] QkekZdksykWth% 10½ vkS"kfèk vè;;u% 5 vad ¼vkS"kfèk vè;;u ,oa çLrqfrdj.k½ ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ ¼iSFkksfQft;ksykWth½% 5 vad[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43 ç'u&i=% 20 vad fyf[kr dk;Z% 10 vad ¼uSnkfud@tkap fjiksVZ & O;k[;k vkSj fu"d"kks± dk fo'y"sk.k½ uSnkfud çn'kZu vkadyu% 10 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ% 5 vad vkarfjd vks,llhbZ% 25 vad ç'u&i= vkSj ç'uksÙkjh% 20 fyf[kr dk;Z% 10 vad ¼,ulh;w çksVksdkWy½ uSnkfud çn'kZu vkadyu% 20 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad vkS"kfèk vè;;u ¼vkS"kfèk vè;;u vkSj çLrqfr½% 10 vad ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ ¼ikfjokfjd f'k{kk@ijke'kZ½% 5 vad ekey s dh çLrqfr ¼uSnkfud@ns[kHkky ekxZ dk vuçq ;ksx½% 5 vad vkarfjd vks,llhbZ% 50 vad I ç'u&i= vkSj ç'uksÙkjh% 20 vad uSnkfud lsfeukj vkSj tuZy Dyc% 10 vad uSnkfud çn'kZu vkadyu% 20 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad uSnkfud çLrqfr% 10 vad ekey s dh vè;;u fjiksVZ% 10 vad vkarfjd vks,llhbZ% 50 vad II ç'u&i=% 20 vad uSnkfud lsfeukj % 10 vad uSnkfud çn'kZu vkadyu% 20 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad uSnkfud çLrqfr% 10 vad ekey s dh vè;;u fjiksVZ ¼fodflr uSnkfud@n[s kHkky ekxZ½% 10 vad vkarfjd vks,llhbZ% 50 vad44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] çk;kSfxd% 50 vad × × × I.

eq[; n{krk {ks= 1- uotkr f’k’kq dk ldsfaær bfro`Ùk yus k 2- uotkr f’k’kq dh ldsfaær 'kkjhfjd tkap 3- xHkZorh efgyk dk ldsfaær bfro`Ùk yus k vkSj 'kkjhfjd tkap 4- fu"d"kks± dh O;k[;k vkSj ifj.kke 5- uSnkfud ekinMa kas dh fuxjkuh × eq[; n{krk {ks= 1- uotkr f’k’kq dk dsfaær bfro`Ùk yus k 2- uotkr f’k’kq dh dsfaær 'kkjhfjd tkap 3- xHkZorh efgyk dk ldsfaær bfro`Ùk yus k vkSj 'kkjhfjd tkap 4- fu"d"kks± dh O;k[;k vkSj ifj.kke 5- uSnkfud ekinMa kas dh fuxjkuh × II.

eq[; n{krk {ks= 1- uotkr f’k’kq dk ldsfaær bfro`Ùk yus k vkSj 'kkjhfjd tkap 2- fu"d"kks± dh O;k[;k vkSj ifj.kke 3- fuxjkuh n{krk, a ¼buosflo rFkk ukWu&buosflo½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45 4- fpfdRlh; eè;orZu ¼¼fof’k"V çfØ;kRed n{krk,a½ ftles a vkS"kfèk ç'kklu 'kkfey gS 5- ikfjokfjd f'k{kk vkSj ijke'kZ × eq[; n{krk {ks= 1- uotkr f’k’kq dk ldsfaær bfro`Ùk yus k vkSj 'kkjhfjd tkap 2- fu"d"kks± dh O;k[;k vkSj ifj.kke 3- fuxjkuh n{krk, a ¼buosflo rFkk ukWu&buosflo½ 4- n[s kHkky ;kstuk dk fodkl 5- fpfdRlh; eè;orZu ¼¼fof’k"V çfØ;kRed n{krk,a½ ftles a vkS"kfèk ç'kklu 'kkfey gS 6- ikfjokfjd f'k{kk vkSj ijke'kZ × I II eq[; n{krk {ks= 1- uotkr f’k’kq dk ldsfaær bfro`Ùk yus k vkSj 'kkjhfjd tkap 2- fu"d"kks± dh O;k[;k vkSj ifj.kke 3- fuxjkuh n{krk, a ¼buosflo rFkk ukWu&buosflo½ 4- fpfdRlh; eè;orZu ¼¼fof’k"V çfØ;kRed n{krk,a½ ftles a vkS"kfèk ç'kklu 'kkfey gS 5- ikfjokfjd f'k{kk vkSj ijke'kZ × eq[; n{krk {ks= 1- uotkr f’k’kq dk ldsfaær bfro`Ùk yus k vkSj 'kkjhfjd tkap 2- fu"d"kks± dh O;k[;k vkSj ifj.kke46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3- fuxjkuh n{krk, a ¼buosflo rFkk ukWu&buosflo½ 4- n[s kHkky ;kstuk dk fodkl 5- fpfdRlh; eè;orZu ¼¼fof’k"V çfØ;kRed n{krk,a½ ftles a vkS"kfèk ç'kklu 'kkfey gS 6- ikfjokfjd f'k{kk vkSj ijke'kZ × 3a * I 1 'kksèk midj.k dh rS;kjh 2 çdk'ku ds fy, ikaMqfyfi rS;kj djuk ¼çFke@f}rh; o"kZ½ 3 O;ofLFkr leh{kk@lkfgR;d leh{kk ys[ku 4 'kksèk fucaèk@bZchih ifj;kstuk 1 fo"k;% II 1 LVkQ uotkr f’k’kq fufgr dk;Z rS;kj djuk 2 bdkbZ dk ctV rS;kj djuk 3 LVkQ MîwVh jksLVj rS;kj djuk 4 jksxh ns[kHkky laijh{k.k 5 uÉlx ns[kHkky ekud vkSj çksVksdkWy rS;kj djuk 6 midj.k vkSj vkiwÆr çcaèku 7 lØa e.k fu;a=.k çFkkvks a dh fuxjkuh] vkadyu vkSj fjiksVZ y[s ku 8 l{w e f'k{k.k@ekrk&firk ds fy, f'k{kk l= 9 uotkr f’k’kqvks a ds ekrk&firk vkSj deZpkfj;k sa ds fy, f'k{k.k ;kstuk rFkk ehfM;k rS;kj djuk 10 vks,llhbZ@vks,lihbZ ;kstuk cukuk vkSj lapkyu djuk 11 ijh{k.k fuekZ.k III 1 2 2-1 'olu r=a 2-2 ân; r=a 2-3 tBjkU= 2-4 Luk;fod 2-5 tuukax&ew= r=a 2-6 var%lkzoh 2-7 gsesVksykWftdy 2-8 eLdqyksLdsysVy 2-9 baVhxqesVa jh 2-10 loa snh vax[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 47 * 3 3-1 Lfdax fj¶ysDl 3-2 eksjks fj¶ysDl 3-3 VkWfud usd fj¶ysDl 3-4 xSzLi fj¶ysDl 4 IV 1 1-1 ck;ksdSfeLVªh 1-2 uSnkfud jksx funku 1-3 ekbØksck;ksykWth 1-4 ,chth 2 2-1 iSjklsUVfsll 2-2 FkkSjslsUVfsll 2-3 yqEcj iaDpj 2-4 fyoj ck;ksIlh 2-5 jhuy ck;ksIlh 2-6 cksu eSjks ,fLijs'ku 3 3-1 pSLV ,Dl&js 3-2 bZlhvkjih 3-3 iSV LdSu 3-4 ,aMksLdksih 3-5 ,evkjvkbZ@lhVh 3-6 vYVªklkmaM 3-7 bZ,eth 3-8 bdksdkÆM;ksxzke 3-9 bZlhth V 1 ços'k 2 LFkkukarj.k% ,;j ,acyq sla vkSj tehuh ,acqylsa }kjk LFkkukarj.k ds nkSjku ns[kHkky 3 ifjogu 4 esfMdks&yhxy daiykbal 5 ikfjokfjd f’k{kk 6 6-1 ekWfuVj 6-2 VªkUlMîlw j@çSlj cSx 6-3 VSaijps j çksCl 6-4 SpO çksCl 2 6-5 vuØq fed laihM+u midj.k 6-6 12&yhM bZlhth ekWfuVj 6-7 flÇjt iai 6-8 bU¶;tw u iai 6-9 vYQk@,;j eSVªsl VI 1 uotkr f'k'kqvks a dk iks"k.k vkadyu 2 LoLFk uotkr f'k'kq dk vkadyu 3 mPp tksf[ke okys uotkr f'k'kq dk vkadyu 4 uotkr f'k'kq dk vkadyu@ns[kHkky 5 vka= èofu ¼ckWoy lkmaM½48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] * 6 thvkjch,l 7 ikVksZxkze 8 ds,elh eas lgk;rk djuk 9 Lruiku es a lgk;rk djuk 10 ,uvkjih ¼uotkr fjllhVs’ku dk;ZØe½ 11 vka[kks a dh n[s kHkky 12 xHkZuky dh ns[kHkky@vafcfydy dsU;qys'ku ;k dSFkhVsjkbts'ku 13 cPps dks Luku djkuk 14 dV s gksBa vkSj rkyq ds fy, dVksjh@pEep ls Hkkstu@iyknkbZ dk ç'kklu] Hkkstu@lgk;rk 15 • ,uth@ekSf[kd • xSLVªksLVkseh • tstquksLVkWeh 16 16-1 bfro`Ùk ysuk 16-2 'kkjhfjd tkap 16-3 o`f) ,oa fodkl vkadyu MhMh,lVh ¼Msuoj MsoyiesVa y LØhÇux VLs V½ 16-4 lhvkjvkbZch ¼f'k'kqvksa dk uSnkfud tksf[ke lpw dkad½ lhvkjvkbZch&II ¼f'k'kqvksa dk uSnkfud tksf[ke lwpdkad&II½ 16-5 LuSi ¼Ldksj QkWj fu;ksusVy ,D;wV fQft;ksykWth½ • SNAP-II ¼Ldksj QkWj fu;ksusVy ,D;wV fQft;ksykWth&II½ • SNAPPE ¼Ldksj QkWj fu;ksusVy ,D;wV fQft;ksykWth & isfjuVs y ,DlVs’a ku½ 16-6 IV dSU;qys'ku lkbV dk vkadyu ¼¶ysfcfVl Ldsy½ vkSj ns[kHkky 16-7 gEIVh MEIVh Q+kWy vlslesVa Ldsy ds ekè;e ls uotkr f’k’kq dk vkadyu 16-8 vIxj Ldksj 16-9 U;w cSykM Z Ldksj 16-10 ihfM;kfVªDl Xyklxks dksek Ldsy ¼ihthlh,l½ 16-11 fçePs ;jq buWasV isu çksQ+kby ¼ihvkbZihih½ 17 17-1 vkS"kf/k ç'kklu • ekSf[kd • baVªkohul • baVªkeLD;yq j • baVªkMeZy 17-2 ¶Y;wM dh x.kuk ,oa çokg nj 17-3 ÅapkbZ] otu] ch,evkbZ dh x.kuk 17-4 ¶Y;wM~l dk ç'kklu 17-5 fofHkUu 'kfDr;ksa ds ¶Y;wM~l rS;kj djuk 17-6 Vidkuk & vka[k] dku] ukd 17-8 vkS"kfèk x.kuk 17-9 jDr vkèkku 17-10 Vhih,u 18 ysfeuk dk çokg 19 pSLV fQft;ksFksjsih vkSj iksLVqjy Mªus ts 20 ;wjhujh dSFkhVsjkbts'ku vkSj Mªus ts 21 vka= èkksuk ¼ckWoy ok’k½ 22 daMkse Mªus ts 23 vksLVkseht+ dh ns[kHkky • bZlksQSxksLVkWeh[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 49 * • xSLVsjksLVkseh • dksyksLVkWeh • ;wjsVsjksLVkseh 24 • VSaV • gqM • ekLd • uls y çksXa l 25 LVhe bugsys’ku *Nk= ds dkS'ky çn'kZu es a l{ke ik, tkus ij] ml ij çhlsIVj@ladk; }kjk gLrk{kj fd, tk,axsA Nk=ks a ls ;g vis{kk dh tkrh gS fd os lwphc) dkS'kyks@a n{krkvks a dks rc rd dbZ ckj djas tc rd fd os Lrj 3 n{krk rd ugÈ igqap tkr]s ftlds ckn çhlsIVj@ladk; çR;sd n{krk ds le{k gLrk{kj djsxa sA ;g lqfuf'pr djuk pkfg, fd çR;sd n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh fn, x, gSaA • Lrj 3 n{krk ;g n'kkZrh gS fd ,uih Nk= i;Zos{k.k ds fcuk ml n{krk dk laiknu dj ldrk gSA • Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk laiknu dj ldrk gSA • Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml n{krk@dkS'ky dk çn'kZu dju s eas l{ke ugÈ gSA 5&10% nqyZHk çfØ;kvks a dk vH;kl dkS'ky ç;ksx'kkyk eas fd;k tk ldrk gS vkSj Lrj 3 n{krk çkIr djuh pkfg,A 3b * I 1 1-1 osfaVysVj 1-2 jfsM,aV okeZj 1-3 buD;cq sVj 1-4 bZVh dQ çslj ekWfuVj 1-5 fMfQfczysVlZ 1-6 islesdj 1-7 ØS'k VªkWyh 1-8 CPAP/BiPAP 1-9 QksVksFksjis h 2 çkFkfedrk fuèkkZj.k ¼Vªkb,t½ 3 3-1 vkfVfZj;y CyM xSl ¼,chth½ 3-2 vkWDlhtu lkaæhdj.k 3-3 ,aMksVªfsp;y Vîwc dQ çslj 3-4 dsuksxkzQh 3-5 PiCCO 3-6 gseksMk;usfeDl 3-7 bysDVªksdkfMZ;ksxkze ¼blZ hth½ 3-8 baVªkØsfu;y çs’kj ¼vkbZlhih½ 3-9 buofslo chih ekWfuVfjax50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] * 3-1`0 ukWu&buosflo chih ekWfuVfjax 3-11 VªkalFkksjsfdd bZdksdkfMZ;ksxkzQh 4 4-1 lhMs’ku 4-2 ely fjysDlsaV 4-3 bysDVªksykbV bu¶;wtu 4-4 balfqyu bu¶;wtu 4-5 buksVªksi ç'kklu 4-6 FkzksEcksykbfVd Mªx 4-7 dksfVZdksfLVjkWbM 5 5-1 ¶Y;wM ,MfefuLVª's ku ¼dksyksbM@fØLVkyksbM½ 5-2 jDr vkSj jDr mRikn ç'kklu 5-3 lhohih ykbu yxkuk vkSj ns[kHkky djuk 5-4 lhohih ykbu gVkuk 5-5 vkfVfZj;y ykbu yxku s es a lgk;rk djuk 5-6 vkfVfZj;y ykbu dh n[s kHkky 5-7 vkfVfZj;y ykbu dks gVkuk 5-8 Qq¶Qqlh; èkeuh dSFksVj yxku s es a lgk;rk djuk 5-9 islesdj yx s uotkr f’k’kq dh ns[kHkky 5-10 vkfVfZj;y ykbu l s jDr laxzg.k 6 6-1 vksjkQs sfjaX;y ,;jos ,fIyds’ku 6-2 ysÇjX;y ekLd ,;jos 6-3 baVqcs'ku es a lgk;rk djuk 6-4 bZVh Vîwc dh ns[kHky djuk 6-5 ,DlVîcw s'ku 6-6 Vªsfd;ksLVkseh yxku s es a lgk;rk djuk 6-7 Vªsfd;ksLVkseh n[s kHkky vkSj lD'kÇux 6-8 ,aMksVªfsp;y lD’kfuax & [kqyk 6-9 ,aMksVªfsp;y lD’kfuax & can 6-10 pSLV Vîwc yxku s es a lgk;rk djuk 6-11 pSLV Mªus ts yxs uotkr f’k’kq dh n[s kHkky djuk 6-12 pSLV Vîwc gVkuk 6-13 ucs qykbts'ku 6-14 eSdsfudy osafVysVj yx s uotkr f’k’kq dh n[s kHkky djuk 6-15 ukWu&buosflo osfaVys'ku 6-16 osfaVysVj yxkuk 6-17 osfaVysVj gVkuk 6-18 Vh&Vîwc vkSj osuVîqjh midj.k dk mi;ksx 6-19 iksLVjq y Mªus ts 6-20 Vªsfd;ksLVkseh l s gVkuk 6-21 pSLV fQft;ksFksjsih 7 7-1 loa snh mÙkstuk 7-2 psruk@dksek fLFkfr dh fuxjkuh 8-1 dSU;qysfVax QkWj gseksMk;fyfll 8-2 gseksMk;fyfll dh 'kq#vkr vkSj lekiu 8-3 gseksMk;fyfll yxs uotkr f’k’kq dh ns[kHkky djuk 8-4 isfjVksfu;y Mk;fyfll 'kq: djuk 8-5 isfjVksfu;y Mk;fyfll yxs uotkr f’k’kq dh n[s kHkky djuk 8-6 ¶Y;wM çfrLFkkiu dh x.kuk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 51 * 8-7 yxkrkj ew= fudklh yx s uotkr f’k’kq dh n[s kHkky djuk 9 9-1 vkgkj HkÙks dk vueq ku 9-2 fpfdRlh; vkgkj ;kstuk 9-3 vka= iks"k.k 10 10-1 balfqyu vueq kiu 10-2 LVsjkW;M ç'kklu dh x.kuk 11 lØa e.k fu;a=.k çFkk,a • loZxr lkoèkkfu;ka • dhVk.kq'kksèku@jksxk.kquk’ku 12 ekud@uhfr;ka@çksVksd‚y rS;kj djuk 13 ikfjokfjd ijke'kZ 14 ,u,,y,l 15 thou dh vardkyhu ns[kHkky • efLr"d e`R;q ¼czsu MSFk½ • vax nku 16 16-1 bZlhth 16-2 ,chth 16-3 Nkrh dk ,Dl&js 16-4 vYVªklkmaM 17 17-1 ucs qykbts'ku 17-2 pSLV fQft;ksFksjsih 17-3 fMLVy dksyksLVkWeh okW'k 17-4 uotkr cfPp;ks a dks ew= dSFksVj yxkuk vkSj gBkuk 17-5 ijh{k.k Q+hM 17-6 lÆtdy MªsÇlx 17-7 Mk;fyfll 'kq: djuk vkSj can djuk *Nk= ds dkS'ky çn'kZu es a l{ke ik, tkus ij] ml ij çhlsIVj@ladk; }kjk gLrk{kj fd, tk,axsA Nk=ks a ls ;g vis{kk dh tkrh gS fd os lwphc) dkS'kyks@a n{krkvks a dks rc rd dbZ ckj djas tc rd fd os Lrj 3 n{krk rd ugÈ igqap tkr]s ftlds ckn çhlsIVj@ladk; çR;sd n{krk ds le{k gLrk{kj djsxa sA ;g lqfuf'pr djuk pkfg, fd çR;sd n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh fn, x, gSaA • Lrj 3 n{krk ;g n'kkZrh gS fd ,uih Nk= i;Zos{k.k ds fcuk ml n{krk dk laiknu dj ldrk gSA • Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk laiknu dj ldrk gSA • Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml n{krk@dkS'ky dk çn'kZu dju s eas l{ke ugÈ gSA 5&10% nqyZHk çfØ;kvks a dk vH;kl dkS'ky ç;ksx'kkyk eas fd;k tk ldrk gS vkSj Lrj 3 n{krk çkIr djuh pkfg,A * fof'k"V uSnkfud fLFkfr es a uSnkfud ekxZ@ fof'k"V uÉlx fl)kar dk vuqç;ksx ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% * fu;ksusVy uÉlx n{krkvksa ds fy, lk{; dh [kkst52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ¼uSnkfud dkUÝsla @tuyZ Dyc½ fo"k; dk 'kh"kZd% * urs R`o@çcaèku@f'k{k.k es a #>ku ¼tuyZ Dyc½ fo"k; dk 'kh"kZd% ¼uSnkfud fLFkfr;ka½ uSnkfud fLFkfr dk uke% ¼uSnkfud fLFkfr;ka½ ekeys dk vè;;u ¼fyf[kr fjiksVZ½ uSnkfud fLFkfr dk uke% vkS"kfèk vè;;u ¼LFkk;h vkns'kks a ds rgr lwphc) vkS"kfèk;ka½ & 5 çLrqfr;ksa dh fyf[kr fjiksVZ ¼csMlkbM çLrqfr;ka½ vkS"kfèk dk uke% ¼fyf[kr fjiksVZ tek djus gsr qgS½ ¼uotkr f’k’kq½ & bfro`Ùk vkSj 'kkjhfjd tkap ¼nks fyf[kr fjiksVZ½ 3-1-1- 3-1-2- 3-1-3- 3-1-4- 3-1-5- ¼xHkZorh efgyk½ ¼nks fyf[kr fjiksVZ½ 3-2-1- 3-2-2- *mUur vH;klh; uÉlx & ,ih,u] 'kkès k vuqç;ksx & vkj,] usr`Ro] çcaèku rFkk f'k{k.k & ,y,e,aMVh[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 53 ¼uSnkfud lEesyu½ fo"k; dk 'kh"kZd% I ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% I ¼tuyZ Dyc½ fo"k; dk 'kh"kZd% II ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% II ¼tuZy Dyc½ fo"k; dk 'kh"kZd% ¼fyf[kr fjiksVZ tek djus ds fy, gSa½ ¼ikfjokfjd f'k{kk@ijke'kZ½ fyf[kr fjiksVZ 'kh"kZd dk uke% ¼uSnkfud@n[s kHkky ekxZ½ 'kh"kZd dk uke% I ¼uSnkfud çLrfqr½ uSnkfud fLFkfr dk uke% I ¼ekeys dh vè;;u fjiksVZ½ uSnkfud fLFkfr dk uke% II ¼uSnkfud çLrqfr½ uSnkfud fLFkfr dk uke% II ¼ekeys dh vè;;u fjiksVZ½ uSnkfud fLFkfr dk uke% ¼LFkk;h vkns'kks a ds rgr lwphc) vkS"kfèk;ka½ ¼ikap fyf[kr fjiksVZ½ vkS"kfèk dk uke%54 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] I ¼uSnkfud çLrfqr½ uSnkfud fLFkfr dk uke% ¼ekeys dh vè;;u fjiksVZ½ II ¼ekeys dh vè;;u fjiksVZ½ ¼fodflr uSnkfud@n[s kHkky ekxZ½ uSnkfud çLrqfr dks ekeys dh vè;;u fjiksVZ ds fy, fy[kk tk ldrk gSA ulZ çSfDV'kuj] xaHkhj :i ls chekj uotkr f’k’kqvks a dh n[s kHkky ds fy, ftEesnkjh vkSj mÙkjnkf;Ro laHkkyu s ds fy, rS;kj vkSj ;ksX; gksrs gSaA os mPp rh{.k vko’;drk okys uotkr f’k’kqvks a ds fy, lVhd fpfdRlk lqfuf'pr djus gsrq fu;ksusVy buVsfalfoLV] fQftf’k;u] ltZu] vkSj fo'ks"kKks a ds lkFk lg;ksx djrs gSaA dk;ZØe ds iwjk gksus ij] ulZ çSfDV'kuj dks laLFkkxr çksVksdkWy@LFkk;h vkn's kks a ds vuqlkj LFkk;h vkn's kks a eas lwphc) vkS"kfèk;ks a dks ç'kkflr djus dh vuqefr gksxhA mUgs a laLFkkxr çksVksdkWy ds vuqlkj uSnkfud ijh{k.k@ çfØ;kvks a vkSj mipkjks a dk vkns'k nus s dh Hkh vuqefr gksxhA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 55 vkikrdkyhu le; eas fdlh Hkh ,ulh;w eas ulZ çSfDV'kuj }kjk fuEufyf[kr baVªkosul batsD'ku ;k bU¶;wtu fn, tk ldrs gSa% 1- ,fMªuys kbu 2- Uksj,fMªuys kbu 3- Mksikekbu 4- MksC;wVkekbu 5- ,Msukslkbu 6- vfe;ksMsjksu 7- fyMksdsu@tkbyks dkMZ 8- ,QsfMªu 9- ,feuksQkbfyu 10- MsjhQkbfyu 11- ,VªkD;wfj;e ¼osD;wjksfu;e] iSuD;wfj;e½ 12- ,Vªksfiu lYQsV 13- ,foy 14- DyksfuMhu 15- fXyljhu VªkbZukbVªsV 16- vkblkIsVhu 17- gkbMªksdkÆVlksu 18- MsDlkeFs kklkus 19- yfsoV jsflVe 20- fQukbVksbu 21- oSfy;e 22- feMktksye 23- ekWÆQu lYQsV 24- isVa ktkslhu ySDVVs ¼QksVZfou½ 25- isfFkMhu gkbMªksDyksjkbM56 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 26- çkWiksQksy 27- lksMk ckbdkcksZusV 8-4% 28- lksMk ckbdkcksZusV 7-5% 29- eSXuh'kh;e lYQsV 30- iksVsf'k;e DyksjkbM 1- uksjkM 2- fefyzuksu 3- flYMsukfQy 4- QsVa fsuy 5- yfslDl 6- ihthbZ 1 7- oSlksçsflu 8- balqfyu • ECG • ucs qykbts'ku • ABG • pSLV fQft;ksFksjsih • pSLV ,Dl&js • fMLVy dksyksLVkWeh ok’k • ewy tSojlk;fud tkap & Hb, PCV, TIBC, • uotkr cPph dks ;wfjujh dSFksVj yxkuk vkSj gVkuk WBC VksVy] WBC fMQjsfa'k;Yl] ESR, • VSLV QhM~l bysDVªksykbVl~ ] IysVysV~l] PT, aPTT, CyhÇMx • TEDS vkSj DykWÇVx Vkbe] çksdSfYlVksfuu] D-fMej] • 'kY;&fpfdRlh; ejge&iêh fØ,fVukbu] HbA1c, AC, PC, HDL, LDL, • Mk;fyfll 'kq# djuk vkSj can djuk TIG, dksysLVªkWy VksVy] HIV, HbsAg, HCV • fyf[kr vkns’k ds lkFk TPN bu¶;wtu p<k+uk • cqfu;knh ekbØksck;ksykWth tkap & CyM lasiy • ,Iyhds’ku vkWQ bPFkkeksy fXyljhu@eSXuhf'k;e lYQsV MªÇslx QkWj QkWj dYpj ,aM lasflfVfoVh] fVIl vkWQ oLdwyj FkzksEcksf¶yfcfVl@ ,DlVªkokls'ku ,lsl ,aM bZVh Vîwc QkWj dYpj • fiu lkbV ds;j QkWj fu;ksusV~l vkWu ,DlVjuy fQDlplZ • vkblksesfVªd ,aM vkblksVksfud ,Dljlkbt [जवज्ञापन-III/4/असा./844/2024-25][भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 57 INDIAN NURSING COUNCIL

NOTIFICATION New Delhi,18th December 2024 INDIAN NURSING COUNCIL {NURSE PRACTITIONER IN NEONATAL NURSING (NPNeoN) - POSTGRADUATE RESIDENCY PROGRAM} REGULATIONS, 2024 F.No. 11-1/2024-INC (VIII):—In exercise of the powers conferred by sub-section (1) of Section 16 of Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations, namely:—

1. SHORT TITLE AND COMMENCEMENT i. These Regulations may be called the Indian Nursing Council {Nurse Practitioner in Neonatal Nursing

(NPNeoN) - Postgraduate Residency Program} Regulations, 2024. ii. These shall come into force on the date of notification of the same in the Official Gazette of India.

2. DEFINITIONS In these Regulations, unless the context otherwise requires, i. ‘the Act’ means the Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time; ii. ‘the Council’ means the Indian Nursing Council constituted under the Act;

iii. ‘SNRC’ means the State Nurse and Midwives Registration Council, by whichever name constituted, by the respective State Governments; iv. ‘RN & RM’ means a Registered Nurse and Registered Midwife (RN & RM) and denotes a nurse who has completed successfully, recognised Bachelor of Nursing (B.Sc. Nursing) or Diploma in General Nursing and Midwifery (GNM) course, as prescribed by the Council and is registered in a SNRC as Registered Nurse and Registered Midwife;

v. ‘Nurses Registration & Tracking System (NRTS)’ means a system developed by the Council and software developed in association with National Informatics Centre (NIC), Government of India, and hosted by NIC for the purpose of maintenance and operation of the Indian Nurses Register. It has standardised forms for collection of the data of Registered Nurse and Registered Midwife (RN & RM)/Registered Auxiliary Nurse Midwife (RANM)/Registered Lady Health Visitor (RLHV) upon Aadhar based biometric authentication;

vi. ‘NUID’ is the Nurses Unique Identification Number given to the registrants in the NRTS system; vii. ‘General Nursing and Midwifery (GNM)’ means Diploma in General Nursing and Midwifery qualification recognized by the Council under Section 10 of the Act and included in Part-I of the Schedule of the Act.

NURSE PRACTITIONER IN NEONATAL NURSING (NPNeoN) - POSTGRADUATE RESIDENCY PROGRAM I. Introduction and Background Ensuring healthy survival of all neonates has clearly emerged as a key area for improving child health. The global community has committed itself to attain an under-five child mortality of less than 20 per 1000 lives birth in all countries by 2035. According to the World Health Organization estimates, there is an alarmingly low level of trained health personnel in many of the developing countries. The Ayushman Bharat Scheme launched by the Government of

India intended to address health care with two major components: Health and Wellness Centre (HWC) and National Health Protection Scheme. Though the intent of the program to upgrade the health system is expected to achieve the goal of Health for All, there is no evidence of a skilled health workforce in numbers for effective implementation.

Considering the scale of importance, a skilled health workforce tops the pyramid of health care delivery systems. The government recognizes significant expansion in tertiary care services both in public and private health sectors. In building their capacity, it is highly significant that the health care professionals require advanced educational preparation in specialty and super-specialty services. To support specialized and super-specialized health care services, specialist nurses with advanced preparation are essential. Developing training programs and curriculum in the area of tertiary care is recognized as the need of the hour. Nurse Practitioners (NPs) will be able to meet this demand provided they are well trained and empowered to practice. With establishment of new cadres in the Center and State level, master level prepared NPs will be able to provide cost effective, competent, safe and quality driven specialized nursing care to neonates in a variety of neonatal care units in tertiary care centres. Nurse Practitioners have been prepared and functioning in USA since 1960s, UK since 1980s, Australia since 1990s and Netherlands since

2010.58 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Nurse Practitioners in Neonatal Nursing (NPNeoN) can be prepared to function in tertiary care settings. Rigorous educational preparation will enable them to collaboratively diagnose and treat neonates with critical illnesses both for prevention and promotion of health. A curricular structure/framework is proposed by the Council towards preparation of the Nurse Practitioner in Neonatal Nursing (NPNeoN) at master’s level. The special feature of this program is that it is a clinical residency program emphasizing a strong clinical component with 15% of theoretical instruction and 85% of practicum. Competency based training is the major approach and NP education is based on competencies adapted from International Council of Nurses (ICN, 2020), Council of International Neonatal Nurses (CoINN) Competencies (2021) and National Organization of Nurse Practitioner Faculties (NONPF, 2022). Every course is based on achievement of competencies.

Nurse Practitioner in Neonatal Nursing (NPNeoN) – Residency Program is intended to prepare registered B.Sc.

Nurses to provide advanced nursing care to neonates who are critically ill. The nursing care is focused on stabilizing neonate’s condition, minimizing acute complications and maximizing optimal neuro developmental outcomes. More than 80% of all newborn deaths result from three preventable and treatable conditions - intrapartum-related deaths (including birth asphyxia), complications due to prematurity and neonatal infections. Cost-effective, proven interventions exist to prevent and treat each main cause. Improving quality of care around the time of birth will save the most lives, but this requires competent health workers and availability of essential infrastructure. These Neonatal NPs are required to practice in neonatal care units of tertiary care centers and SNCUs. The program consists of various courses of study that are based on strong scientific foundations including evidenced based practice and the management of complex health systems. These are built upon the theoretical and practice competencies of B.Sc.

trained nurses. On completion of the program and registration with respective SNRC, they are permitted to independently administer drugs and order diagnostic tests, procedures, medical equipment and therapies as per institutional protocols.

The Neonatal NP when exercising this authority, they are accountable for the competencies in - a) Neonate selection/admission into Neonatal Care Units (NCUs) and discharge; b) Problem identification through appropriate assessment;

c) Selection/administration of medication or devices or therapies; d) Strengthen and invest in care during labor, birth and the neonatal period; e) Improve the quality of maternal and neonatal care; f) Neonate’s parental/care giver empowerment for use of therapeutics;

g) Knowledge of interactions of therapeutics, if any; h) Evaluation of outcomes; and i) Recognition and management of complications and untoward reactions.

The Neonatal NP is prepared and qualified to assume responsibility and accountability for the care of critically ill neonates under his/her care. The said postgraduate degree will be registered as an additional qualification by the SNRC.

Philosophy The Council believes that there is a great need to establish a postgraduate program titled Nurse Practitioner in Neonatal Nursing (NPNeoN) to meet the challenges and demands of tertiary health care services in India, which is reflected in the National Health Policy, 2017 to provide quality care to critically ill neonates and families.

The Council believes that postgraduates from a residency program focused on strong clinical component and competency-based training must be able to demonstrate clinical competence based on sound theoretical and evidence- based knowledge. The teaching learning approach should focus on adult learning principles, competency-based education, collaborative learning, clinical experience with medical and nursing preceptors, experiential learning and self-directed learning. Education providers/preceptors/mentors must update their current knowledge and practices.

Medical faculty are invited to participate as preceptors in the training.

The Council also believes that a variety of educational strategies can be used in the clinical settings to address the deficit of qualified Neonatal Nursing faculty. It is hoped to facilitate developing policies towards registration/licensure and create cadre positions for appropriate placement of these postgraduate Neonatal NPs to function in neonatal care units of tertiary care centers.

An educational framework for the Nurse Practitioner in Neonatal Nursing (NPNeoN) curriculum is proposed as follows (See Figure 1).[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 59 Strong Clinical Component (Clinical Residency) Theory-15% I. Core Courses • Theoretical Basis for Advanced Practice Nursing • Research Application and Evidence-based Practice in Neonatal Care • Advanced Skills in Leadership, II.

III. Management and Teaching Adv Specia ance lty • Foundations NP • Advanced of Neonatal NEONATAL Pathophysiology d Course Nursing NURSING applied to Pract s Practice PROGRAM Neonatal Care ice • Neonatal • Advanced Nursing I Pharmacology Cour • Neonatal applied to ses Nursing II Neonatal Care • Advanced Health/Physical Assessment in Neonatal Nursing Competency Based Advanced Education and Knowledge Practicum - 85% Training and Ethics Registered B.Sc. Nurse with 1-year Clinical Experience preferably in Neonatal Nursing Setting (Entry requirement) Figure 1. Nurse Practitioner in Neonatal Nursing (NPNeoN) - An Educational Curricular Framework II. Program Description The Nurse Practitioner in Neonatal Nursing (NPNeoN) program is a nursing residency program with a focus on competency-based training. The duration is of two years with the curriculum consisting of theory that includes core courses, advanced practice courses and clinical courses besides clinical practicum which is a major component (Refer Curricular Framework).

III. Aim The NPNeoN program prepares registered B.Sc. nurses for advanced practice roles as clinical experts, managers, educators and consultants leading to M.Sc. Nursing (Nurse Practitioner in Neonatal Nursing).

IV. Objectives On completion of the program, the Neonatal NP will be able to -

1. Assume responsibility and accountability to provide competent care to critically ill neonates and their family in tertiary care NCUs.

2. Demonstrate clinical competence/expertise in providing critical care to neonates which includes diagnostic reasoning, complex monitoring and therapies.

3. Apply theoretical, pathophysiological, and pharmacological principles and evidence base in implementing therapies/interventions to neonates requiring critical care.

4. Identify the critical conditions using differential diagnosis and carry out treatment/interventions to stabilize and restore neonate’s health and minimize or manage complications independently or collaboratively as a60 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] part of NCU team.

5. Collaborate with other health care professionals in the NCU team, across the continuum of neonatal care.

V. Minimum requirements to start the Nurse Practitioner in Neonatal Nursing (NPNeoN) Program The institution must accept the accountability for the NPNeoN program and its students and offer the program congruent with the Council standards. It must fulfill the following requirements:

1. Essentiality Certificate a. If any institution opting to start NPNeoN program already has B.Sc. Nursing or M.Sc. Nursing program recognized by the Council, it will be exempted from NOC (No Objection Certificate)/Essentiality Certificate for NPNeoN postgraduate residency program from State Government.

b. If the institution is having any University education program of training nurses and doctors or if they have DNB program, NOC will not be required to start NP program.

2. Hospital a. The institute should have a parent hospital/tertiary care centre with a minimum of 200 beds. b. It is preferable to have a medical college/nursing college attached to the parent hospital.

3. NCU Beds The hospital should have a minimum of 20 NCU beds namely basic care, advanced care, and specialized care.

4. NCU Staffing a. Every NCU should have a Charge Nurse preferably with B.Sc. Nursing or Post Basic Diploma in Neonatal Nursing or M.Sc. Nursing qualification. b. The nurse neonate ratio should be 1 : 1 for every shift for ventilated neonates.

c. For the rest of NCU beds the nurse neonate ratio should be 1 : 2 for every shift. d. Provision of additional 45% staff towards leave reserve.

5. Faculty/Staff Resources a. Clinical Area i. Nursing Preceptor: Full time qualified GNM with 6 years’ experience in Neonatal Nursing or B.Sc.

Nursing with 2 years of experience in Neonatal Nursing or Post Basic Diploma in Neonatal Nursing with 2 years of experience in Neonatal Nursing or M.Sc. (Pediatric Nursing/Obstetrics & Gynaecology Nursing) with one-year Neonatal Nursing experience.

ii. Medical Preceptor: MD Neonatology/Pediatrics. iii. Preceptor Student Ratio: Nursing 1 : 10, Medical 1 : 10 ((Every student must have a medical and a nursing preceptor). b. Teaching Faculty i. Professor/Associate Professor: 1 (Teaching experience: 5 years post PG full time faculty qualified Nurse Practitioner in the Specialty/M.Sc. in Pediatric Nursing/Neonatal Nursing/NPNeoN), (1 faculty for every 10 students).

ii. Assistant Professor: 1 (M.Sc. Nursing with teaching experience of 3 years). c. The above faculty shall perform dual role or be a senior nurse with M.Sc. Nursing qualification in Pediatric Nursing employed in the neonatal units of tertiary hospital.

d. Guest Lecturers for Pharmacology, Pathophysiology and Neonatology relevant to neonatal care.

6. Physical and Learning Resources at Hospital/College a. One class room/conference room at the clinical area. b. Skill lab for simulated learning (hospital/college). c. Library and computer facilities with access to online journals.

d. E-learning facilities.

7. List of equipment for NCU (enclosed Appendix 1).

8. Student Recruitment/Admission Requirements a. Applicants must possess a registered B.Sc. Nursing/P.B.B.Sc. Nursing degree with a minimum of one-year clinical experience, preferably in any Neonatal care Units (NCUs) prior to enrollment.

b. Must have undergone B.Sc. Nursing in an institution found suitable by the Council and have been registered by the respective SNRC. c. Must have scored not less than 55% aggregate marks in the B.Sc. Nursing program.

d. Selection must be based on the merit of an entrance examination and interview held by the competent authority. e. Must be physically fit.

Number of Candidates: 1 candidate for 5 NCU beds.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 61

Salary:

1. In-service candidates will get regular salary.

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

VI. Examination Regulations Eligibility for appearing for the Examination

Attendance: Minimum 80% for theory and practical before appearing for final University examination but must complete 100% in practical before the award of degree.

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

Examining and Degree Awarding Authority: Respective University.

Declaration of Results The candidate is declared to have passed the exam if the score is 60% and above. This score is the aggregate of both internal and external University examination in theory and practical in every course/subject and less than 60% is fail.

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

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

Rank will not be declared for candidates who fail in any subject. Maximum period to complete the program is 4 years.

Practical Examination OSCE type of examination is to be followed alongside viva (oral examination) - Refer OSCE Guidelines found in Appendix 2.

Maximum number of students for practical exam per day is 10 students. Examination is to be held in clinical area only.

The team of three practical examiners will include - i. one internal examiner {M.Sc. Nursing faculty with two years of experiences in teaching the NPNeoN program/M.Sc. Nursing faculty (with specialty-Pediatric Nursing-NPNeoN preferable) and with 5 years’ post PG experience}.

ii. one external examiner (same as above) iii. one medical internal examiner who should have served as preceptor for NPNeoN program.

Dissertation

Research Guides: Main guide: Nursing faculty (3 years’ post PG experience) teaching NPNeoN program, Co-guide: Medical preceptor.

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

Guide Student Ratio: 1 : 5

Research Committee: There shall be a separate research committee in the college/hospital to guide and oversee the progress of the research (minimum of 5 members with Principal or CNO who is M.Sc. Nursing qualified).

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

Topic Selection: The topic should be relevant to neonatal nursing that will add knowledge or evidence for nursing intervention. The research should be conducted in any of the neonatal care settings.

Data Collection: 7 weeks are allotted for data collection, which can be integrated during clinical experience after 6 months in first year and before 6 months in second year.

Writing the Research Report: 6-9 months in second year.

Submission of Dissertation Final: 3 months before completion of the second year.

Dissertation Examination

Internal Assessment: Viva and Dissertation report = 50 marks

University Examination: Viva and Dissertation report = 50 marks (Marking guide used for other M.Sc. Nursing specialties can be used for evaluation).

VII. Assessment (Formative and Summative) • Quiz • Seminar • Written assignments/Term papers • Case/Clinical presentation • Nursing process report/Care study report/Care pathway • Drug studies • Clinical performance evaluation • Log Book (Competency list and clinical requirements) counter signed by the medical/nursing faculty preceptor • Objective Structured Clinical Examination (OSCE)/OSPE62 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Test papers • Final examination (See Appendix 2 for Assessment Guidelines) Scheme of Final Examination S.No. Title Theory % Practical % Hours Internal External Hours Internal External Ist year Core Courses 1 Theoretical Basis for Advanced Practice 2 50 Nursing 2 Research Application and Evidence-based 3 30 70 Practice in Neonatal Care 3 Advanced Skills in Leadership, Management 3 30 70 and Teaching Advanced Practice Courses 4 Advanced Pathophysiology & Advanced 3 30 70 Pharmacology applied to Neonatal Care 5 Advanced Health/Physical Assessment in 3 30 70 50 50 Neonatal Nursing IInd year Specialty Courses 1 Foundations of Neonatal Nursing Practice 3 30 70 100 100 2 Neonatal Nursing I 3 30 70 100 100 3 Neonatal Nursing II 3 30 70 100 100 4 Dissertation and Viva 50 50 VIII. Courses of Instruction S.No. Title Theory Lab/Skill Clinical

(hours) Lab (hours) (hours) Ist year Core Courses I Theoretical Basis for Advanced Practice Nursing 40 II Research Application and Evidence-based Practice in 56 24 336 (7 weeks) Neonatal Care III Advanced Skills in Leadership, Management and 56 24 192 (4 weeks) Teaching Advanced Practice Courses IV Advanced Pathophysiology applied to Neonatal Care 60 336 (7 weeks) V Advanced Pharmacology applied to Neonatal Care 54 336 (7 weeks) VI Advanced Health/Physical Assessment in Neonatal 70 48 576 (12 weeks) Nursing TOTAL = 2208 hours 336 (7 weeks) 96 (2 weeks) 1776 (37 weeks) IInd year Specialty Courses VII Foundations of Neonatal Nursing Practice 96 48 576 (12 weeks) VIII Neonatal Nursing I 96 48 576 (12 weeks) IX Neonatal Nursing II 96 48 624 (13 weeks) TOTAL = 2208 hours 288 (6 weeks) 144 (3 weeks) 1776 (37 weeks)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 63 Number of weeks available in a year = 52 - 6 (Annual leave, Casual leave, Sick leave = 6 weeks) = 46 weeks × 48 hours = 2208 hours Two years = 4416 hours

Instructional hours: Theory = 624 hours, Skill Lab = 240 hours, Clinical = 3552 hours TOTAL = 4416 hours

Ist year: 336-96-1776 hours (Theory-Skill Lab-Clinical) [Theory + Lab = 15%, Clinical = 85%]

IInd year: 288-144-1776 hours (Theory-Skill Lab-Clinical) [Theory + Lab = 15%, Clinical = 85%] Ist year = 46 weeks/2208 hours (46×48 hours) (Theory + Lab: 7.5 hours per week for 44 weeks = 336+96 hours*) *Theory + Lab = 96 hours can be given for 2 weeks in the form of introductory block classes and workshops IInd year = 46 weeks/2208 hours (46×48 hours) (Theory + Lab: 8.5 hours per week for 45 weeks = 384+48 hours) (1 week Block Classes = 48 hours) CLINICAL PRACTICE A. Clinical Residency experience: A minimum of 48 hours per week is prescribed, however, it is flexible with different shifts and OFF followed by ON CALL duty.

B. 8 hours duty with one day OFF in a week and ON CALL duty once per week.

Clinical Placements

Ist year: 44 weeks (excludes 2 weeks of introductory block classes and workshop) Clinical Areas Weeks SNCU 6 NICU Level II 6 NICU Level III 6 Antenatal Clinic 2 Genetic Counselling Clinic 2 Human Milk Banking/Lactational Counselling 1 Newborn Follow-up Clinic 2 Antenatal Ward 2 Postnatal Ward 2 Labour Room including Maternity Emergency and OT 4 Pediatrics OPD 2 Immunization Clinic 2 AAM (Ayushman Aarogya Mandir)/HWC (Health Wellness Center) 2 CHC/PHC 2 Neonatal/Pediatrics Emergency 1 Pediatric Surgical Ward 2 TOTAL 44 weeks

IInd year: 45 weeks (excludes one week of block classes) Clinical Areas Weeks SNCU 6 NICU Level II 6 NICU Level III 6 Antenatal Clinic 2 Genetic Counselling Clinic 2 Human Milk Banking/Lactational Counselling 1 Newborn Follow-up Clinic 2 Antenatal Ward 2 Postnatal Ward 2 Labour Room including Maternity Emergency and OT 2 Pediatrics OPD 2 Immunization Clinic 2 AAM (Ayushman Aarogya Mandir)/HWC (Health Wellness Center) 2 CHC/PHC 264 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Neonatal/Pediatrics Emergency 2 Pediatric Surgery ICU/OT 4 TOTAL 45 weeks C. Teaching Methods

Teaching: Theoretical, Lab and clinical can be done in the following methods and integrated during clinical posting. • Experiential learning • Reflective learning • Simulation • Clinical conference • Case/clinical presentation • In-depth drug studies, presentation and report • Nursing rounds • Clinical seminars • Journal clubs • Case study/Nursing process/Care pathway • Advanced health assessment • Faculty lecture in the clinical area • Directed reading • Assignments • Case study analysis • Workshops D. Procedures/Log Book At the end of each clinical posting, Clinical Log Book (Specific Procedural Competencies/Clinical Skills) (Appendix 3a and 3b) and Clinical Requirements (Appendix 4) has to be signed by the preceptor/faculty every fortnight.

E. Nurse Practitioner in Neonatal Nursing Competencies (Adapted from ICN, 2005)

1. Uses theory, research evidence, observations, and experience in clinical decision-making.

2. Practices in accordance with professional, legal, and ethical responsibilities affecting neonatal practice.

3. Fulfils the conduct requirement for the profession of nursing.

4. Documents assessment, diagnosis, management and monitors treatment and follow-up care of neonates.

5. Administers drugs and treatments according to institutional protocols.

6. Uses applicable communication, counseling, advocacy, and interpersonal skills to initiate, develop and discontinue therapeutic relationships.

7. Refers to and accepts referrals from other health care professionals to maintain continuity of care.

8. Practices independently where authorizes and the regulatory framework allows in the interest of the neonates, families and communities.

9. Consults with and is consulted by other health care professionals and others.

10. Works in collaboration with health team members in the interest of the neonates.

11. Develops a practice that is based on current scientific evidence and incorporated into the health management of neonates, families and communities.

12. Introduces, tests, evaluates and manages evidence-based practice.

13. Practices within agreed parameters, apply knowledge, clinical judgment, and a range of skills to provide safe and effective neonatal care.

14. Maintains ongoing neonatal knowledge.

15. Defines areas of neonatal deficiencies within their scope of practice and find ways to alleviate those deficiencies.

16. Develops and implements a plan of care that is individualized to the neonate/family according to unit policies and guidelines.

17. Ensures that written documentation is clear and follows local guidelines and standards.

18. Demonstrates awareness of current practices available in neonatal nursing.

19. Provides evidence-based neonatal care.

20. Maintains and improves quality in all aspects of neonatal nursing.

21. Uses research to produce evidence-based practice to improve the safety, efficiency and effectiveness of care through independent and inter-professional research.

22. Engages in ethical practice in all aspects of the APN role and responsibility.

23. Accepts accountability and responsibility for own advanced professional judgement, actions, and continued competence.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 65

24. Creates and maintains a safe therapeutic environment using risk management strategies and quality improvement.

25. Assumes leadership and management responsibilities in the delivery of efficient advanced practice nursing services in a changing health care system.

26. Acts as an advocate for neonates in the health care systems and the development of health policies that promote and protect the individual neonate, family, and community.

27. Adapts practice to the contextual and cultural milieu.

F. Institutional Protocol/Standing Order-based administration of drugs & ordering of investigations and therapies The students will be trained to independently administer drugs and order diagnostic tests, procedures, medical equipment and therapies as per institutional protocols/Standing Orders (Appendix 5 Standing Orders). Administration of emergency drugs is carried out in consultation with concerned physician and endorsed later by written orders.

Implementation of Curriculum - A Tentative Plan Ist year Courses Introductory Workshop Theory integrated Methods of Teaching Classes into Clinical (Topic can be specified) Practicum

1. Theoretical Basis for 8 hours 1×32=32 hours • Seminar/Theory Application Advanced Practice • Lecture (Faculty) Nursing (40)

2. Research Application and 8 hours 40 (5 days) 1×24=24 hours • Research Study Analysis/ Evidence-based Practice + 8 hours Exercise/Assignment (Lab) in Neonatal Care (56+24)

3. Advanced Skills in 12+2 hours 1×26=26 hours • Clinical Conference Leadership, Management (Block 2.5×16=40 hours • Seminar Exercises/Assignment and Teaching (56+24) classes) (Lab)

4. Advanced 1.5×40=60 hours • Case Presentation Pathophysiology applied • Seminar to Neonatal Care (60) • Clinical Conference

5. Advanced Pharmacology 10 hours 1×44=44 hours • Nursing Rounds applied to Neonatal Care • Drug Study Presentation

(54) • Standing Orders/ Presentation

6. Advanced Health/ 8 hours 2×26=52 hours • Clinical Demonstration (Faculty) Physical Assessment in 1.5×18=27 hours • Return Demonstration Neonatal Nursing (70+48) 1×15=15 hours • Nursing Rounds 2×6=12 hours • Physical Assessment (All 2×2=4 hours Systems) • Case Study TOTAL 48 hours 48 hours 336 hours

Ist year: Introductory classes = 1 week (48 hours), Workshop = 1 week (48 hours), 44 weeks = 7.5 hours per week (330/336 hours) IInd year Courses Theory including Skill Lab Methods of Teaching 1 week Block Classes (48 hours) integrated into Clinical Practicum

1. Foundations of Neonatal Nursing Practice 9×16=144 hours • Demonstration (Lab) (96+48=144 hours) • Return Demonstration (Lab) • Clinical Teaching • Case Study • Seminar • Clinical Conference • Faculty Lecture

2. Neonatal Nursing I (96+48=144 hours) 9×16=144 hours • Demonstration (Lab) • Return Demonstration (Lab) • Clinical Conference/Journal Club • Seminar66 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] IInd year Courses Theory including Skill Lab Methods of Teaching 1 week Block Classes (48 hours) integrated into Clinical Practicum • Case Presentation • Drug Study (including Drug Interaction) • Nursing Rounds • Faculty Lecture

3. Neonatal Nursing II (96+48=144 hours) 9×16=144 hours • Demonstration (Lab) • Return Demonstration • Nursing Rounds • Clinical Conference/Journal Club • Seminar • Faculty Lecture

IInd year: Block classes = 1 week, 45 weeks = 8.5/9 hours per week Topic for every teaching method will be specified in the detailed plan by the respective teacher/institution concerned.

CORE COURSES I. Theoretical Basis for Advanced Practice Nursing COMPETENCIES

1. Analyses the global health care trends and challenges.

2. Analyses the impact of health care and education policies in India on nursing consulting the documents available.

3. Develops in depth understanding of the health care delivery system in India, and its challenges.

4. Applies economic principles relevant to delivery of health care services in neonatal care.

5. Manages and transforms health information to effect health outcomes such as cost, quality and satisfaction.

6. Accepts the accountability and responsibility in practicing the Nurse Practitioner’s roles and competencies.

7. Actively participates in collaborative practice involving all health care team members in neonatal care and performs the prescriptive roles within the authorized scope.

8. Engages in ethical practice having a sound knowledge of law, ethics and regulation of advanced nursing practice.

9. Uses the training opportunities provided through well planned preceptorship and performs safe and competent care applying nursing process.

10. Applies the knowledge of nursing theories in providing competent care to critically ill neonates.

11. Predicts future challenges of Nurse Practitioner’s roles in variety of healthcare settings in India.

Hours of Instruction: Theory: 40 hours S.No. Topic Hours

1. Global Health Care Challenges and Trends (Competency 1) 2

2. Health System in India 2 Health Care Delivery System in India - Changing Scenario (Competency 3)

3. National Health Planning - 5-Year Plans and National Health Policy (Competency 2) 2

4. Health Economics and Health Care financing (Competency 4) 4

5. Health Information System including Nursing Informatics (Use of Computers) 4 (Competency 5) Advanced Practice Nursing (APN)

6. APN - Definition, Scope, Philosophy, Accountability, Roles and Responsibilities 3 (Collaborative Practice and Nurse Prescribing Roles) (Competency 6 and 7)

7. Regulation (Accreditation of Training Institutions and Credentialing) and 3 Ethical Dimensions of Advanced Practice Nursing Role (Competency 8)

8. Nurse Practitioner - Roles, Types, Competencies, Clinical settings for Practice, 3 Cultural Competence (Competency 6)

9. Training for NPs - Preceptorship (Competency 9) 2

10. Future Challenges of NP Practice (Competency 11) 4

11. Theories of Nursing applied to APN (Competency 10) 3

12. Nursing Process applied to APN (Competency 9) 2[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 67 S.No. Topic Hours Self-Learning Assignments 6

1. Identify Health Care and Education Policies and analyze its impact on Nursing

2. Describe the legal position in India for Neonatal NP practice. What is the future of nurse prescribing policies in India with relevance to these policies in other countries?

3. Examine the nursing protocols relevant to Neonatal NP practice found in various NCUs in tertiary Centre Total 40 hours Bibliography • AACN (2021) The essentials: Core competencies for professional nursing education - entry level and advanced level nursing education, American Association of Colleges of Nursing • Council of International Neonatal Nurses, Inc. Working Group (CoINN-WG) • Specialist nursing panel of the Council of International Neonatal Nurses, Inc. (CoINN). (2019) • DeNisco & Barkers A.M. (2015) Advanced Practice Nursing: Essential Knowledge for the Profession (3rd ed.)

Massachusetts: Jones & Bartlett Publishers • Hickey J.V., Ouimette R.M. & Venegoni S.L. (1996) Advanced practice nursing: Changing roles and clinical applications, Philadelphia: Lippincott Williams & Wilkins • ICN (2020) Guidelines on Advanced Practice Nursing, Geneva: ICN • Nand L. & Anilkumar A. (2021) Role of nurse practitioners within health system in India: A case of untapped potential, Journal of family medicine and primary care 10(8) 2751-2756 • Mehrban Singh (2017) Essentials of pediatric nursing (4th ed) CBS Publishers • NONPF (2022) Nurse practitioner role competencies, National Organization of Nurse Practitioner Faculties • Sastre-Fullana P., Gray D.C., Cashin A., Bryant-Lukosius D., Schumann L., Geese F. & Bird B. (2021) Visual analysis of global comparative mapping of the practice domains of the nurse practitioner/advanced practice nursing role in respondent countries, Journal of the American Association of Nurse Practitioners 33(7) 496-505 • Stewart G.J. & DeNisco S.M. (2015) Role Development for the Nurse Practitioner, USA: Springer Publishing Company II. Research Application and Evidence-based Practice in Neonatal Care COMPETENCIES

1. Applies sound research knowledge and skills in conducting independent research in Neonatal Nursing.

2. Participates in collaborative research to improve neonatal care quality.

3. Interprets and uses research findings in advanced practice to produce EBP.

4. Tests/evaluates current practice to develop best practices and health outcomes and quality care in neonatal nursing practice.

5. Analyzes the evidence of nursing interventions carried out in neonatal nursing practice to promote safety and effectiveness of care.

6. Develops skill in writing scientific research reports.

Hours of Instruction: Theory: 56 hours + Lab/Skill Lab: 24 hours = 80 hours S.No. Topic Hours

1. Research and Advanced Practice Nursing: Significance of Research and inquiry related to 2 neonatal nursing role (Competency 1)

2. Research agenda for APN practice: Testing current practice to develop best practice, health 5 outcomes and indicators of quality care in neonatal nursing practice (Competency 3, 4, 5), promoting research culture

3. Research Knowledge and Skills: 40 Research competencies essential for APNs (interpretation and use of research, evaluation of (5 days practice, participation in collaborative research) workshop) Introduction to Evidence Based Practice (EBP) project - PiCOT question, steps of planning, implementation, evaluation and dissemination (project proposal and project report) Research Methodology Phases/steps (Research question, Review of literature, conceptual framework, research designs, sampling, data collection, methods & tools, Analysis and Reporting) writing research proposal and research report (Competency 1 & 2)68 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Topic Hours

4. Writing for Publication 5 (writing workshop - Manuscript preparation and finding funding sources) (Competency 6) (workshop)

5. Evidence based practice (Competency 3, 4, 5) 4 - Concepts, principles, importance and steps - Integrating EBP to NCU set-up - Areas of evidence in neonatal care - Barriers to implement EBP - Strategies to promote Total 56 hours Lab/Skill Lab & Assignments: 24 hours • Identifying research priorities • Writing exercises on Research question, objectives and hypothesis • Writing research proposal/EBP project proposal • Scientific paper writing - preparation of manuscript for publication • Writing systematic review - Analyze the evidence for a given nursing intervention in any NCU setting Clinical Practicum • Research Practicum: Dissertation (336 hours=7 weeks)/Evidence Based Practice Project (EBP project) Bibliography • Gray J. & Grove S.K. (2020) Burns & Groves: The Practice of Nursing Research: Appraisal, Synthesis and Generation of Evidence (9th ed.) St. Louis: Elsevier Saunders • Mehrban Singh (2017) Essentials of Pediatric Nursing (4th ed.) CBS Publishers • Polit D.F. & Beck C.T. (2021) Nursing research: Generating and assessing evidence for nursing practice (11th ed.)

New Delhi: Wolters & Kluwer • Schmidt N.A. & Brown J.M. (2021) Evidence-based practice for nurse’s appraisal and application of research, Sd: Jones & Bartlet Publishers III. Advanced Skills in Leadership, Management and Teaching COMPETENCIES

1. Applies principles of leadership and management in neonatal care units.

2. Manages stress and conflicts effectively in a Neonatal Nursing using sound knowledge of principles.

3. Applies problem solving and decision-making skills effectively.

4. Uses critical thinking and communication skills in providing leadership and managing neonatal care in NCU.

5. Builds teams and motivates others in neonatal care setting.

6. Develops unit budget, manages supplies and staffing effectively.

7. Participates appropriately in times of innovation and change.

8. Uses effective teaching methods, media and evaluation based on sound principles of teaching.

9. Develops advocacy role in neonatal care, maintaining quality and ethics in NCU setting.

10. Provides counseling to parents and families of neonates in crisis situations particularly end of life care.

Hours of Instruction: Theory: 56 hours + Lab/Skill Lab: 24 hours = 80 hours S.No. Topic Hours

1. Theories, styles of leadership and current trends 2

2. Theories, styles of management and current trends 2

3. Principles of leadership and management applied to neonatal care settings 4

4. Stress management and conflict management - principles and application to neonatal care 4 environment, effective time management

5. Quality improvement and audit 4

6. Problem solving, critical thinking and decision making, communication skills applied to 5 neonatal critical care nursing practice

7. Team building, motivating and mentoring within NCU set up 2

8. Budgeting and management of resources including human resources - NCU budget, material 5 management, staffing, assignments[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 69 S.No. Topic Hours

9. Change and innovation 2

10. Staff performance, and evaluation (performance appraisals) 6

11. Teaching - Learning theories and principles applied to Neonatal Nursing 2

12. Competency based education and outcome-based education 2

13. Teaching methods/strategies, media: educating family and staff in neonatal care settings 8

14. Staff education and use of tools in evaluation 4

15. APN - Roles as a teacher 2

16. Advocacy roles in neonatal care environment 2 Total 56 hours Lab/Skill Lab: 24 hours • Preparation of staff neonate assignment • Preparation of unit budget • Preparation of staff duty roster • Patient care audit • Preparation of nursing care standards and protocols • Management of equipment and supplies • Monitoring, evaluation, and writing report of infection control practices • Development of teaching plan • Micro-teaching/parent education sessions • Preparation of teaching method and media for parents of neonates and staff • Planning and conducting OSCE/OSPE • Construction of tests

Assignment: NCU work place violence Bibliography • Horntvedt M.T., Nordsteien A., Fermann T. & Severinsson E. (2018) Strategies for teaching evidence-based

practice in nursing education: a thematic literature review, BMC medical education 18(1) 172,

https://doi.org/10.1186/s12909-018-1278- • Liebler J.G. & McConnell C.R. (2020) Management principles for health professionals, Jones & Bartlett Learning • Mehrban Singh (2017) Essential of pediatric nursing (4th ed.) CBS Publishers • Sastre-Fullana P., Gray D.C., Cashin A., Bryant-Lukosius D., Schumann L., Geese F. & Bird B. (2021). Visual analysis of global comparative mapping of the practice domains of the nurse practitioner/advanced practice nursing role in respondent countries. Journal of the American Association of Nurse Practitioners 33(7) 496-505 • Weiss S.A., Tappen R.M. & Grimley K. (2019) Essentials of nursing leadership & management, FA Davis ADVANCED NURSING COURSES IV. A. Advanced Pathophysiology applied to Neonatal Care I COMPETENCIES

1. Integrates the knowledge of pathophysiological process in critical conditions in developing diagnosis and plan of care.

2. Applies the pathophysiological principles in symptom management and secondary prevention of critical illnesses.

3. Analyzes the pathophysiological changes relevant to each critical illness recognizing the value of diagnosis, treatment, care and prognosis.

Hours of Instruction: Theory: 30 hours Unit Hours Content I 8 Respiratory disorders • Embryogenic foetal development of respiratory system • Respiratory distress in newborn babies/hyaline membrane disease • Respiratory system disorders • Meconium aspiration syndrome • Intrauterine and postnatal pneumonia70 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content • Massive pulmonary hemorrhage • Pneumothorax • Pleural effusion • Transient tachypnea of the newborn • Bronchopulmonary dysplasia • Respiratory surgical emergencies II 6 Cardiovascular disorders • Embryogenic foetal development of cardiovascular system • Foetal and neonatal circulation • Persistent pulmonary hypertension • Congenital complete heart block • Supraventricular tachycardia • Congenital cardiac malformation (VSD, ASD, PDA, AV canal defect, coarctation of aorta, Ebstein anomaly, Eisenmenger syndrome, patent foramen ovale, pulmonary atresia, TOF, TAPVR, transposition of great arteries, truncus arteriosus) • Shock III 4 Genitourinary disorders • Embryogenic foetal development of genitourinary system • Acute renal failure • Renal malformation • Congenital nephrotic syndrome • Urinary tract infection • Abdominal masses • Nephrocalcinosis • Ambiguous external genital • Hypospadias and epispadias • Undescended testis IV 4 Neurological disorders • Embryogenic foetal development of neurological system • Intracranial haemorrhage • Intraventricular haemorrhage • Neurological sequelae of hypoxic-ischemic encephalopathy periventricular leukomalacia • Birth trauma to CNS • CNS malformations • Jitteriness • Neonatal seizures • Floppy neonate V 4 Gastrointestinal disorders • Embryogenic foetal development of gastrointestinal system • Diarrhoea • GERD • TEF (Tracheooesophageal atresia) • Cleft lip/cleft palate • Exomphalos (omphalocele) • Gastroschisis • Congenital diaphragmatic hernia • Jaundice • Biliary atresia • Hirschsprung disease • congenital bowel obstruction/perforation • Hypertrophic pyloric stenosis • Small bowel atresia • Intussusception • Meconium ileus • Neonatal cholestasis • Anorectal anomalies[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 71 Unit Hours Content • Necrotizing enterocolitis VI 4 Endocrine disorders • Embryogenic foetal development of endocrine system • Transient neonatal hypoglycaemia and hyperglycaemia • Adrenal gland problems (relative adrenal insufficiency, congenital adrenal hyperplasia) • Thyroid problem (transient hypothyroidism and hyperthyroidism, transient neonatal hyperthyrotropinemia, hypothyroxinaemia of prematurity) • Genital and urinary problems (hydrocolpos and hydrometrocolpos ovarian hyperstimulation syndrome priapism) • Acne neonatorum • Transient hypocalcaemia and hypercalcemia Total 30 hours IV. B. Advanced Pathophysiology applied to Neonatal Care II

Hours of Instruction: Theory: 30 hours Unit Hours Content I 8 Hematologic Problems • Embryogenic fetal development of hematologic system • Bleeding disorders o Disorders of red blood cells ▪ Sickle cell diseases - Anemia - Thrombocytopenia - Hyper-viscosity o Disorders of white blood cells ▪ Leucopenia ▪ Neoplastic disorders o Disorders of hemostasis ▪ Platelet disorders ▪ Coagulation disorders ▪ Disseminated intravascular coagulation o Neonatal Hemophilia • Hemorrhagic disease of the newborn • Vitamin K prophylaxis • Disseminated intravascular coagulation • Polycythemia • Arterial and venous thromboses II 3 Metabolic Disorders • Embryogenic fetal development of metabolic disorder • Phenylketonuria • Hypoglycemia • Hyperglycemia • Hypocalcemia • Osteopenia of prematurity • Hypercalcemia • Hypomagnesemia • Late metabolic acidosis • Inborn errors of metabolism (IEM) • Newborn screening • Neonatal thyroid screening III 2 Orthopedic Conditions • Embryogenic fetal development of orthopedic disorder • Talipes equinovarus (club foot) • Calcaneovalgus deformity • Genu recurvatum • Congenital dislocation of hips72 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content IV 4 Integumentary Function Advanced pathophysiological process of integumentary conditions • Transient Vascular Phenomena • Erythema toxicum neonatorum • Transient Neonatal Pustular Melanosis • Neonatal Pemphigus • Collodion Baby • Umbilical Granulomas • Diaper Dermatitis • Miliaria • Milia • Neonatal Acne • Acropustulosis of infancy V 4 Specific Infections Advanced pathophysiological process of specific infections • HIV/AIDS • Parent to child transmission of HIV and other infection • TORCH • Tetanus • SARS • Rickettsiosis • Leptospirosis • Dengue • Malaria • Neonatal sepsis • Rabies • Avian flu • COVID-19 VI 4 Multi-system Alterations requiring Neonatal Care • Trauma • Sepsis • Shock • Multiple Organ Dysfunction • Systemic inflammatory response syndrome • Anaphylaxis • Other injuries (Heat, Electrical, Near hanging, Near drowning) • Envenomation • Drug overdose • Poisoning VII 5 Miscellaneous Conditions • Embryogenic fetal development of miscellaneous disorders • Birth injuries • Cyanosis • Indications for oxygen therapy • Retinopathy of prematurity • Edema and hydrops fetalis • Ascites • Sclerema • Vesiculobullous skin eruptions • Neonatal erythroderma • Ichthyosis • Vascular nevi • Disorders of pigmentation • Multiple pregnancy • Iatrogenic disorders Total 30 hours[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 73 Bibliography • Kenner C., Leslie Altimier D.N.P. & Boykova M.V. (Eds.) (2019) Comprehensive neonatal nursing care, Springer Publishing Company • Kutlubay Z., Tanakol A., Engýn B., Onel C., Sýmsek E., Serdaroglu S., Tuzun Y., Yilmaz E. & Eren B. Newborn

Skin: Common Skin Problems, Maedica (Bucur) 2017 Jan. 12(1): 42-47, PMID: 28878836; PMCID:

PMC5574071 • Kurtoğlu S., Direk G., Tatlı Z.U. & Hatipoğlu N. (2019) Transient endocrinologic problems in the newborn period, Turk pediatriarsivi 54(1) 3-12, https://doi.org/10.14744/TurkPediatriArs.2019.04810 • Lee Y., Lim Y.S., Lee S.T. & Cho H. (2018) Pediatric renovascular hypertension: Treatment outcome according to underlying disease, Pediatrics International 60(3) 264-269 • Mehrban Singh (2017) Essentials of pediatric nursing (4th ed.) CBS Publishers • Norris T.L. & Lalchandani R. (2018) Porth’s pathophysiology: concepts of altered health states. Lippincott Williams & Wilkins • Urden L.D., Stacy K.M. & Lough M.E. (2014) Neonatal Nursing: Diagnosis and management (7th ed.) Elsevier:

Missouri V. Advanced Pharmacology applied to Neonatal Care COMPETENCIES

1. Applies the pharmacological principles in providing care to critically ill neonates and families.

2. Analyzes pharmaco-therapeutics and pharmacodynamics relevant to drugs used in the treatment of neonatal conditions.

3. Performs safe drug administration based on principles and institutional protocols.

4. Documents accurately and provides follow up care.

5. Applies sound knowledge of drug interactions in administration of drugs to critically ill neonates in the neonatal care settings and guiding their families in self-care management.

Hours of Instruction: Theory: 54 hours Unit Hours Content I 2 Introduction to Pharmacology in Neonatology • History • Classification of drugs and schedules II 4 Pharmacokinetics and Pharmacodynamics • Introduction • Absorption, distribution, metabolism and excretion in neonatal care • Plasma concentration, half-life • Loading and maintenance dose • Therapeutic index and drug safety • Potency and efficacy • Principles of drug administration ▪ The rights of drug administration ▪ Systems of measurement ▪ Enteral drug administration ▪ Topical drug administration ▪ Parenteral drug administration III 5 Pharmacology and Cardiovascular Alterations in Neonatology • Vasoactive Medications ▪ Vasodilator ▪ Vasopressor ▪ Inotropes - Cardiac glycosides - digoxin - Sympathomimetics - dopamine, dobutamine, epinephrine, isoproterenol, norepinephrine, phenylephrine - Phosphodiesterase inhibitors - amrinone, milrinone • Antiarrhythmic Medications • Cardiac neonatal care conditions ▪ Medications to improve cardiac contractility ▪ Medications in the management of hypertension in neonatal care ▪ Medications in the management of heart failure74 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content ▪ Medications in the management of angina pectoris and myocardial infarction ▪ Medications in the management of dysrhythmias, heart block and conduction disturbances ▪ Medications in the management of pulmonary hypertension, congenital malformations, cardiomyopathy • Institutional Protocols/Standing orders for cardiac neonatal care emergencies IV 4 Pharmacology and Pulmonary Alterations in Neonatology • Mechanical Ventilation ▪ Introduction ▪ Medications used on neonates with mechanical ventilator ▪ Mechanical ventilation impact on pharmacotherapy - sedation and analgesia, Neuromuscular blockage, nutrition • Pulmonary neonatal care conditions • Medications in the management of status asthma • Medications in the management of pulmonary edema • Medications in the management of acute respiratory failure and acute respiratory distress syndrome • Medications in the management of chest trauma • Medications in the management of respiratory distress syndrome • Medications in the management of Pneumonia • Medications in the management of Pleural effusion • Medications in the management of Atelectasis • Standing orders for pulmonary neonatal care emergencies V 6 Pharmacology and Neurological Alterations in Neonatology • Pain ▪ NSAID ▪ Opioid analgesia • Sedation ▪ Gamma amino butyric acid stimulants ▪ Fentanyl ▪ Analgosedation • Delirium ▪ Haloperidol ▪ Atypical antipsychotics • Medications used for local and general anesthesia ▪ Local - amides, esters, and miscellaneous agents ▪ General - gases, volatile liquids, IV anesthetics ▪ Non anesthetic drugs adjuncts to surgery ▪ Paralytic medications ▪ Non-depolarizing and depolarizing agents ▪ Anxiolytics • Autonomic drugs ▪ Adrenergic agents/sympathomimetics ▪ Adrenergic blocking agents ▪ Cholinergic agents ▪ Anti-cholinergic agents • Medications in the management of anxiety and insomnia ▪ Antidepressants ▪ Benzodiazepines ▪ Barbiturates • Standing orders for neurology neonatal care emergencies VI 5 Pharmacology and Nephrology Alterations in Neonatology • Diuretics • Fluid replacement ▪ Crystalloids ▪ Colloids • Electrolytes ▪ Sodium[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 75 Unit Hours Content ▪ Potassium ▪ Calcium ▪ Magnesium ▪ Phosphorus • Nephrology neonatal care conditions ▪ Medications in the management of acute/chronic renal failure ▪ Medications in the management UTI ▪ Medications in the management of congenital nephrotic syndrome ▪ Medications in the management of electrolyte imbalances ▪ Medications in the management of acid base imbalances ▪ Medications used during dialysis • Standing orders for nephrology neonatal care emergencies VII 5 Pharmacology and Gastrointestinal Alterations in Neonatology • Antiemetics • Pancreatic enzymes • Nutritional supplements, vitamins and minerals • Gastro intestinal neonatal care conditions ▪ Medications in the management of GERD ▪ Medications in the management of diarrheal ▪ Medications in the management of neonatal cholestasis ▪ Medications in the management of congenital bowel obstruction/perforation ▪ Medications used during gastrointestinal surgeries • Standing orders for gastrointestinal neonatal care emergencies VIII 4 Pharmacology and Endocrine Alterations in Neonatology • Insulin and other hypoglycemic agents • Endocrine neonatal care conditions ▪ Medications in the management of relative adrenal insufficiency ▪ Medications in the management of hypoglycemia ▪ Medications in the management of transient neonatal hyperthyrotropinemia ▪ Medications in the management of hypothyroxinemia of prematurity ▪ Medications in the management of transient hypocalcemia • Standing orders for endocrine neonatal care emergencies IX 5 Pharmacology and Hematology Alterations in Neonatology • Anticoagulants • Antiplatelet drugs • Thrombolytics • Hemostatic/antifibrinolytics • Hematopoietic growth factors ▪ Erythropoietin ▪ Colony stimulating factors ▪ Platelet enhancers • Blood and blood products • Whole blood, packed red blood cells, leukocyte-reduced red cells, washed red blood cells, Fresh frozen plasma, cryoprecipitate ▪ Albumin ▪ Transfusion reactions, transfusion administration process • Vaccines • Immunostimulants • Immunosuppressant • Chemotherapeutic drugs - alkylating agents, anti-metabolites, anti-tumor antibiotics, alkaloids, hormones and hormone antagonist, corticosteroids, gonadal hormones, anti- estrogens, androgen antagonists, biologic response modifiers • Hematology neonatal care conditions ▪ Medications in the management of anemia in critical illness ▪ Medications in the management of DIC ▪ Medications in the management of thrombocytopenia and acute leukemia ▪ Medications in the management of heparin induced thrombocytopenia ▪ Medications in the management of sickle cell anemia76 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content • Standing orders for hematology neonatal care emergencies X 3 Pharmacology and Skin Alterations in Neonatology • Hematology neonatal care conditions ▪ Medications used in management • Medications used in Transient Vascular Phenomena ▪ Medications used in Erythema Toxicum Neonatorum ▪ Medications used in Transient Neonatal Pustular Melanosis ▪ Medications used in Neonatal Pemphigus ▪ Medications used in Umbilical Granulomas ▪ Medications used in Diaper Dermatitis • Standing orders for skin neonatal care emergencies XI 5 Pharmacology and Multisystem Alterations in Neonatology • Medications in the management of shock, sepsis, multiple organ dysfunction, systemic inflammatory response syndrome, anaphylaxis • Medications in the management of trauma, injuries (heat, electrical, near hanging, near drowning) • Medications in the management of bites, drug overdose and poisoning • Medications in the management of fever in Neonatal Care Nursing ▪ Antipyretics ▪ NSAIDS ▪ Corticosteroids • Standing orders for multisystem neonatal care emergencies XII 5 Pharmacology and Infections in Neonatology • Anti-bacterial drugs ▪ Introduction ▪ Beta lactams - penicillin, cephalosporins, monobactams, carbapenems ▪ Aminoglycosides ▪ Anti-MRSA ▪ Macrolides ▪ Quinolones ▪ Miscellaneous - lincosamide group, nitroimidazole, tetracycline and chloramphenicol, polymyxins, antimalarials, antifungals, antivirals • Anti-fungal drugs • Anti-protozoal drugs • Anti-viral drugs • Choice of antimicrobials • Infectious neonatal care conditions ▪ Medications in the management of HIV, Tetanus, SARS, Rickettsiosis, Leptospirosis, Dengue, Malaria, Chikungunya, Rabies, Avian flu and Swine flu • Standing Orders for infectious neonatal care emergencies XIII 1 Miscellaneous Total 54 hours Bibliography • Kanish R., Gupta K., Juneja S., Bains H.S. & Kaushal S. (2014) Prescribing pattern of antibiotics in the department of pediatrics in a tertiary care medical college hospital in Northern India, Asian J Med Sci 5(4) 69-72 • Mehrban Singh (2017) Essentials of pediatric nursing (4th ed.) CBS Publishers • Tayal H., Roy V., Singhal S. & Dubey A.P. (2020) Pediatric prescribing in tertiary care teaching hospital of Delhi

(India): fragmenting medicines for use, European Journal of Pediatrics, 179, 1435-1443 • Uma L.W., Isah A., Musa S. & Umar B. (2020) Outpatient prescribing and antibiotic use for children in a tertiary hospital, Sahel Medical Journal 23(2) 109 VI. Advanced Health/Physical Assessment in Neonatal Nursing COMPETENCIES

1. Applies the physical assessment principles in developing appropriate system wise examination skills.

2. Uses health assessment skills to differentiate between variations of normal and abnormal findings.

3. Orders screening and diagnostic tests based on the examination findings.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 77

4. Analyzes the results of various investigations and works collaboratively for development of diagnoses.

5. Documents assessment, diagnosis, and management and monitors follow up care in partnership with health care team members, neonates, and families.

Hours of Instruction: Theory: 70 hours + Lab/Skill Lab: 48 hours = 118 hours Unit Hours Content I 4 Introduction • History taking Review of this pregnancy, labour, and delivery, including prenatal screening tests and risk factors for sepsis • Review of past pregnancies, including a history of congenital anomalies, still births, and/or genetic or syndromic conditions • Physical examination Appropriate of Gestational Age (AGA) SGA, LGA - New Ballard Scoring - Dubowitz Scoring II 6 General Measurements • Head circumference • Crown-to-rump length • Head-to-heel length • Birth weight Vital Signs • Temperature, axillary (97.7°-98°) • Heart rate • Respiratory rate • Blood pressure General Appearance • Posture - flexion of head and extremities, which rest on chest and abdomen III 4 Skin • At birth, bright red, puffy, smooth • 2nd-3rd day, pink, flaky, dry • Vernix caseosa • Lanugo • Edema around eyes, face, legs, dorsa of hands, feet, and scrotum or labia • Acrocyanosis • Cutis marmorata • Ecchymoses or petechiae • Milia • Miliaria or sudamina • Erythema toxicum • Mongolian spots • Nevus simplex (stork bite or salmon patch) IV 2 Head • Anterior fontanel - diamond shaped • Posterior fontanel - triangular V 4 Eyes • Lids usually oedematous • Colour - slate grey, dark blue, brown • Absence of tears • Red reflex • Corneal reflex in response to touch • Pupillary reflex in response to light • Blink reflex in response to light or touch • Rudimentary fixation on objects and ability to follow to midline/cross the midline VI 2 Ears • Position - top of pinna on horizontal line with outer canthus of eye78 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content • Startle (Moro) reflex elicited by loud, sudden noise or stimulus • Pinna flexible, cartilage present VII 6 Mouth and Throat • Intact, high-arched palate • Uvula in midline • Frenulum of tongue • Frenulum of upper lip • Sucking reflex - strong and coordinated • Rooting reflex • Gag reflex • Extrusion reflex • Absent or minimum salivation • Vigorous cry • Natal teeth VIII 2 Neck • Short, thick, usually surrounded by skinfolds • Tonic neck reflex • Torticollis (wry neck) - head held to one side with chin pointing to opposite side Nose • Nasal patency • Nasal discharge - thin white mucus • Sneezing IX 4 Chest • Anteroposterior and lateral diameters equal • Slight sternal retractions evident during inspiration • Xiphoid process evident • Breast enlargement • Funnel chest (pectus excavatum) • Pigeon chest (pectus carinatum) • Supernumerary nipples • Secretion of milky substance from breasts (“witch’s milk”) X 2 Lungs • Respirations chiefly abdominal • Cough reflex absent at birth, present by 1-2 days • Bilateral equal bronchial breath sounds XI 2 Heart • Apex - 4th-5th intercostal space, lateral to left sternal border • S2 slightly sharper and higher in pitch than S1 XII 6 Abdomen • Cylindric in shape • Liver - palpable 2-3 cm (0.8-1.8 inches) • Below right costal margin • Spleen - tip palpable at end of 1st week of age • Kidneys - palpable 1-2 cm (0.4-0.8 inches) above umbilicus • Umbilical cord - bluish white at birth with 2 arteries and 1 vein • Femoral pulses - equal bilateral XIII 2 Female Genitalia • Labia and clitoris usually oedematous • Urethral meatus behind clitoris • Vernix caseosa between labia • Urination within 24 hours • Pseudo menstruation - Blood-tinged or mucoid discharge • Hymenal tag XIV 4 Male Genitalia • Urethral opening at tip of glans penis[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 79 Unit Hours Content • Testes palpable in each scrotum • Scrotum usually large, oedematous, pendulous, and covered with rugae; usually deeply pigmented in dark-skinned ethnic groups • Smegma • Urination within 24 hours • Urethral opening covered by prepuce • Inability to retract foreskin • Epithelial pearls - small, firm, white lesions at tip of prepuce • Erection or priapism • Testes palpable in inguinal canal • Scrotum XV 4 Back and Rectum • Spine intact; no openings, masses, or prominent curves • Trunk incurvation reflex • Anal reflex • Patent anal opening • Passage of meconium within 48 hours XVI 4 Extremities • 10 fingers and toes • Full range of motion • Nail beds pink, with transient cyanosis immediately after birth • Skin creases on anterior 2/3rd of sole • Sole usually flat • Symmetry of extremities • Equal muscle tone bilaterally, especially resistance to opposing flexion • Equal bilateral brachial pulses XVII 4 Neuromuscular System • Extremities usually in some degree of flexion • Extension of extremity followed by previous position of flexion • Head lag while sitting, but momentary ability to hold head erect • Ability to turn head from side to side when prone • Ability to hold head in horizontal line with back when held prone XVIII 8 Newborn Reflexes • Sucking reflex • Rooting reflex • Moro reflex • Walking/stepping reflex • Asymmetrical tonic neck reflex (ATNR) • Symmetrical tonic neck reflex • Tonic labyrinthine reflex • Palmar grasp reflex • Plantar reflex • Swimming reflex • Babkin reflex • Parachute reflex Total 70 hours List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) • Comprehensive history taking • Focused history taking (system wise) • Comprehensive physical examination • Newborn examination (system wise) • Monitoring clinical parameters (system wise) Umbilical cannulation/catheterization NIBP, PICC lines, INO therapy, Invasive BP monitoring, multi-parameter monitors, ECG, Pulse index Continuous Cardiac Output (PiCCO), Peripheral vascular status, ABG, Pulse80 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Oximetry, End Tidal CO (ETCO ), Intracranial Pressure (ICP), Pediatrics Glasgow coma scale (PGCS), Cranial 2 2 nerve assessment, Pain and Sedation score of critically ill, Motor assessment, Sensory assessment, Renal function tests, Fluid balance, acid base balance, electrolytes, Bowel sounds, Abdominal pressure, residual gastric volume, liver function tests, GRBS, lab tests, radiological and imaging tests (system wise), ECMO facilities • Ordering and interpretation of screening and diagnostic tests (system wise) (Enclosed Appendix 3) • Assessment of neonate milestones • Assessment of pregnant women Bibliography • Ball J.W., Dains J.E., Flynn J.A., Solomon B.S. & Stewart R.W. (2021) Seidel’s Guide to Physical Examination - E-Book: An Interprofessional Approach, Elsevier Health Sciences • Bickley L.S. & Szilagyi P.G. (2013) Bate’s guide to physical examination and history taking (11th ed.) New

Delhi: Lippincott Williams & Wilkins • Duderstadt K.G. (2017) Pediatric Physical Examination - E-Book: An Illustrated Handbook, Elsevier Health Sciences • Petersen S.W. (2016) Advanced health assessment and diagnostic reasoning, Jones & Bartlett Learning NEONATAL NURSING SPECIALTY COURSES (Foundations of Neonatal Nursing Practice, Neonatal Nursing I and Neonatal Nursing II) COMPETENCIES

1. Applies advanced concepts of Neonatal Nursing based on sound knowledge of these concepts.

2. Uses invasive and noninvasive technology and interventions to assess, monitor and promote physiologic stability.

3. Works in collaboration with other healthcare team members.

4. Consults with and is consulted by other health care professionals.

5. Provides nursing care related to health protection, disease prevention, anticipatory guidance, counseling, management of critical illness, palliative care and end of life care.

6. Uses advanced skills in complex and unstable environments.

7. Applies ethically sound solutions to complex issues related to individuals, populations and systems of care.

8. Practices principles of infection control relevant to neonatal care.

9. Practices independently within the legal framework of the country towards the interest of neonates, families and communities.

10. Develops practice that is based on scientific evidence.

11. Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and discontinue therapeutic relationships.

12. Creates and maintains a safe therapeutic environment using risk management strategies and quality improvement.

13. Adapts practice to the social, cultural and contextual milieu.

VII. Foundations of Neonatal Nursing Practice

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours Unit Hours Content I 10 Introduction to Neonatal Nursing • Introduction to the course • Review of anatomy and physiology of vital organs • Embryological and fetal development, prenatal factors influencing growth and development of fetus • Genetic patterns of common pediatric disorders, chromosomal aberrations, genetic assessment and counseling, legal and ethical aspects of genetic, karyotyping, screening and counseling, role of nurse in genetic counseling • Gestational diabetes, effect of maternal medicine on fetus and newborn • Legal and ethical issues in neonatal care - Nurse’s role • Current principles, practices and trends in neonatal nursing • Role of neonatal nurse in various settings - expanded and extended roles • Concept, aims and scope of preventive neonatology • Maternal health and its influence on fetal development, health and antenatal aspects of preventive neonatology • Neonatal care unit set up (including levels of NICU, equipment, supplies, beds and accessories, use and care of various type of monitors & ventilators, flow sheets, supply lines and the environment) • Personnel in NCU[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 81 Unit Hours Content ▪ Nursing staff ▪ Doctors ▪ Neonatal care technicians ▪ Ancillary staff • Technology in neonatal care • Healthy work environment • Future challenges in Neonatal Nursing II 5 Concept of Holistic Care applied to Neonatal Nursing Practice • Application of nursing process in the care of critically ill • Admission and progress in NCU - an overall view • Overview of NCU management ▪ Ensure adequate tissue oxygenation ▪ Maintain chemical environment ▪ Maintain temperature ▪ Organ protection ▪ Nutritional support ▪ Infection control ▪ Family visiting hours • Restraints in neonatal care • Death in neonatal care unit: end of life care/care of dying, care of family, organ donation • Transport of the critically ill by air ambulance and surface ambulance • Stress and burnout syndrome among health team members III 10 Appraisal of the Critically Ill Triaging concept, process and principles assessment of the critically ill • General assessment • Developmental milestones • Newborn reflexes • Respiratory assessment • Cardiac assessment • Renal assessment • Neurological assessment • Gastrointestinal assessment • Endocrine assessment • Musculoskeletal assessment • Integumentary assessment Monitoring of the critically ill • Arterial Blood Gas (ABG) • Capnography • APGAR Score • New Ballard Score • Pediatrics Glasgow Coma Scale (PGCS) • Premature Infant Pain Profile (PIPP) • Neonatal Pain Agitation and Sedation Scale (N-PASS) • Neonatal Infant Pain Scale (NIPS) • CRIES scale (Crying, Requires Oxygen Saturation, Increased Vital Signs, Expression, Sleeplessness) FLACC Scale, Silverman Andersen Respiratory Severity Score Evaluation of the critically ill • Evaluation of pre critical illness • Evaluation of critical illness • Outcome and scoring systems ▪ CRIB (Clinical Risk Index of Babies) ▪ CRIB-II (Clinical Risk Index of Babies-II) ▪ SNAP (Score for Neonatal Acute Physiology) ▪ SNAP-II (Score for Neonatal Acute Physiology-II) ▪ SNAPPE (Score for Neonatal Acute Physiology - Perinatal Extension) ▪ SNAPPE-II82 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content IV 14 Advanced Concepts and Principles of Neonatal Care • Principles of cardio-pulmonary-brain resuscitation • Emergencies in neonatal care: NRP (Neonatal Resuscitation Program) and NALS (Neonatal advanced life support) • Airway management • Oxygenation and oximetry, care of neonate with oxygen delivery devices • Ventilation and ventilator support (including humidification and inhaled drug therapy), care of neonate with invasive and non-invasive ventilation • Circulation and perfusion (including hemodynamic evaluation and wave form graphics) • Fluids and electrolytes (review), care of neonate with imbalances of fluid and electrolytes • Evaluation of acid base status • Thermoregulation, care of neonate with hyper/hypothermia • Liberation from life support (weaning) • Glycemic control, care of neonates with glycemic imbalances V 8 Pain and Management • Pain in critically ill neonates • Pain - types, theories • Physiology, systemic responses to pain and psychology of pain review • Acute pain services • Pain assessment - pain scales, behavior • Pain management - pharmacological (opioids morphine, fentanyl, others such as acetaminophen) • Nonpharmacological management approaches include kangaroo care, facilitated tucking, non-nutritive sucking, sucrose and other sweeteners, massage and acupuncture therapy VI 8 IMNCI (Integrated Management of Neonatal and Childhood Illness) up to 2 months • Assess, classify and identify treatment • Treat the Young Infant and counsel the mother • Give follow-up care for the Sick Young Infant • Immunization schedule for young infant, and neonates • Family education and counselling VII 4 Growth and Development of Neonates • Principles of growth and development • Concepts and theories of growth and development, • Developmental tasks and special needs from infancy, developmental delay • Assessment of growth and development of neonates • Factors affecting growth and development VIII 5 Nutrition Alterations and Management in Neonatal Care • Nutrient metabolism and alterations • Assessing nutritional status of neonates • Nutrition and nutritional requirements of neonates • Changing patterns of feeding • Baby- friendly hospital initiative and exclusive breast feeding • Health education, nutritional education for adolescents • Nutritional programs • National and international organizations related to neonate’s health • Care of neonates on enteral and parenteral nutrition IX 4 Sleep Alterations and Management • Development of sleep in neonates • Alteration of sleep in NCU • Bedside tools to monitor sleep • Neonatal Abstinence Syndrome (NAS) X 5 Infection Control in Neonatal Care • Nosocomial infection in neonatal intensive care unit; methyl resistant staphylococcus aureus (MRSA) and other recently identified strains • Disinfection, Sterilization • Standard safety measures[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 83 Unit Hours Content • Prophylaxis for staff • Antimicrobial therapy-review • Families and visitor policies XI 6 High Risk Newborn • Concept, goals, assessment, principles • Nursing management of pre-term, small for gestational age, post-mature infant, and baby of diabetic and substance use mothers • Respiratory conditions, asphyxia neonatorum, neonatal apnea meconium aspiration syndrome, pneumothorax, pneumomediastinum • Icterus neonatorum • Birth injuries • Hypoxic ischemic encephalopathy • Congenital anomalies • Neonatal seizures • Neonatal hypocalcemia, hypoglycemia, hypomagnesaemia • Neonatal heart diseases • Neonatal hemolytic diseases • Neonatal infections, neonatal sepsis, ophthalmia neonatorum, congenital syphilis, HIV/AIDS • Advanced neonatal procedures • Calculation of fluid requirements • Hematological conditions - erythroblastosis fetalis, hemorrhagic disorder in the newborn XII 8 Quality Assurance • Design of NCU • Quality assurance models applicable to NCUs • Standards, protocols, policies, procedures • Infection control policies and protocols • Standard safety measures • Nursing audit relevant to neonatal care • Staff orientation, training and development • In-service education program • Clinical teaching programs XIII 4 Evidence-based Practice in Neonatal Nursing • Evidence based practice in neonatal care • Barriers to implementation • Strategies to promote implementation 5 Class tests Total 96 hours List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) • NRP (BLS and ACLS) • Airway Management o Laryngeal mask airway o Cuff inflation and anchoring the tube o Care of ET tube o Tracheostomy care o Suctioning - open/closed o Chest physiotherapy • Oxygenation and oximetry, care of neonate with oxygen delivery devices o Devices to measure oxygen/oxygenation ▪ Fuel cell ▪ Para magnetic oxygen analyzer ▪ PO2 electrodes - Clark electrodes ▪ Transcutaneous oxygen electrodes ▪ Oximetry - Pulse oximetry, Venous oximetry o Capnography84 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] o Noninvasive ventilation ▪ Low flow variable performance devices: nasal catheters/cannula/double nasal prongs, face mask, face mask with reservoir bags ▪ High flow fixed performance devices : Entrainment (Venturi) devices, NIV/CPAP/anesthetic masks, T pieces, breathing circuits o Postural drainage • Ventilation and ventilator support o Connecting to ventilator o Weaning from ventilator o Extubation o Humidifiers o Nebulizers • Inhalation therapy • Circulation and perfusion (including hemodynamic evaluation and wave form graphics) o Invasive blood pressure monitoring o Non-invasive blood pressure monitoring o Venous pressure (peripheral, central and pulmonary artery occlusion pressure) o Insertion and removal of arterial line o Insertion and removal of central line o Pulse index Continuous Cardiac output (PiCCO) o Electrocardiography (ECG) o Waveforms • Fluids and electrolytes o Fluid calculation and administration (crystalloids and colloids) o Administration of blood and blood products o Inotrope calculation, titration and administration ▪ Cardiac glycosides - Digoxin ▪ Sympathomimetics - Dopamine, dobutamine, epinephrine ▪ Phosphodiesterase inhibitors - o Electrolyte correction (Sodium, potassium, calcium, phosphorous, magnesium) o Use of fluid dispenser and infusion pumps • Evaluation of acid base status o Arterial blood gas (ABG) • Thermoregulation, care of neonate with hyper/hypothermia o Temperature probes o Neonatal care management of hyper and hypothermia • Glycemic control, care of neonate with glycemic imbalances o Monitoring GRBS o Insulin therapy (sliding scale and infusion) o Management of Hyperglycemia - IV fluids, insulin therapy, potassium supplementation o Management of hypoglycemia - Dextrose IV • Pharmacological management of pain, sedation, agitation, and delirium o Calculation, loading and infusion of - Morphine, Fentanyl, Midazolam, Lorazepam, Diazepam, Propofol, Clonidine, Dexmedetomidine, Haloperidol • Counseling • Family education VIII. Neonatal Nursing I

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours Unit Hours Content I 6 Introduction • Review of anatomy and physiology of vital organs • Review of assessment and monitoring of the critically ill II 16 Cardiovascular Alterations • Review of clinical assessment, pathophysiology and pharmacology • Special diagnostic studies • Cardiovascular conditions requiring neonatal care management • Fetal and neonatal circulation • Persistent pulmonary hypertension[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 85 Unit Hours Content • Patent ductus arteriosus • Congenital complete heart block • Supraventricular tachycardia • Congenital cardiac malformation • Shock III 15 Pulmonary Alterations • Review of clinical assessment, pathophysiology and pharmacology • Special diagnostic studies • Pulmonary conditions requiring neonatal care management • Respiratory distress in newborn babies • Respiratory system disorders • Meconium aspiration syndrome • Intrauterine and postnatal pneumonia • Hyaline membrane disease • Massive pulmonary hemorrhage • Pneumothorax • Transient tachypnea of the newborn • Bronchopulmonary dysplasia • Pleural effusion IV 15 Neurological Alterations • Review of clinical assessment, pathophysiology and pharmacology • Special diagnostic studies • Neurological conditions requiring neonatal care management • Intracranial hemorrhage • Intraventricular hemorrhage • Neurological sequelae of hypoxic-ischemic encephalopathy • Periventricular leukomalacia • Birth trauma to CNS • CNS malformations • Jitteriness • Neonatal seizures • Floppy neonate V 15 Nephrology Alterations • Review of clinical assessment, pathophysiology and pharmacology • Special diagnostic studies • Nephrology conditions requiring neonatal care management • Acute renal failure • Renal malformation • Congenital nephrotic syndrome • Urinary tract infection • Abdominal masses • Urinary tract infection • Nephrocalcinosis • Recent advances and development VI 12 Gastrointestinal Alterations • Review of clinical assessment, pathophysiology and pharmacology • Special diagnostic studies • Gastrointestinal conditions requiring neonatal care management • Diarrhea • GERD • TEF (Tracheoesophageal atresia) • Congenital diaphragmatic hernia • Jaundice • Congenital bowel obstruction/perforation • Hypertrophic pyloric stenosis • Small bowel atresia86 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content • Intussusception • Meconium ileus • Neonatal cholestasis • Anorectal anomalies • Necrotizing enterocolitis VII 12 Endocrine Alterations • Review of clinical assessment, pathophysiology and pharmacology • Special diagnostic studies • Endocrine conditions requiring neonatal care management • Transient neonatal hypoglycemia and hyperglycemia • Adrenal gland problems (relative adrenal insufficiency, congenital adrenal hyperplasia • Thyroid problem (transient hypothyroidism and hyperthyroidism, transient neonatal hyperthyrotropinemia, hypothyroxinemia of prematurity • Genital and urinary problems (hydrocolpos and hydrometrocolpos ovarian hyperstimulation syndrome priapism • Acne neonatorum • Transient hypocalcemia and hypercalcemia • Recent advances and development 5 Class tests Total 96 hours List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students).

• Cardiovascular Alterations o Thrombolytic therapy o Use of equipment and their settings - Defibrillator, PiCCO, Pacemakers, Intra-Aortic ballon pump (IABP) • Pulmonary Alterations o Tracheostomy care o Nebulization o Chest physiotherapy o Chest tube insertion o Chest drainage • Neurological Alterations o Monitoring PGCS o Conscious and coma monitoring o Monitoring ICP o Sedation score o Brain Death Evaluation • Nephrology Alterations o Dialysis ▪ Priming of dialysis machine ▪ Preparing neonate for dialysis ▪ Cannulating for dialysis ▪ Starting and closing dialysis • Gastrointestinal Alterations o Abdominal pressure monitoring o Calculation of calorie and protein requirements o Special diets - sepsis, respiratory failure, renal failure, hepatic failure, cardiac failure, weaning, pancreatitis o Enteral feeding - NG/Gastrostomy/Pharyngeal/Jejunostomy feeds o Total parenteral nutrition • Endocrine Alterations o Collection of blood samples for cortisol levels, sugar levels, and thyroid hormone levels o Calculation and administration of corticosteroids o Calculation and administration of Insulin - Review IX. Neonatal Nursing II

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 87 Unit Hours Content I 12 Hematological Alterations • Review of clinical assessment, pathophysiology and pharmacology • Special diagnostic studies • Hematology conditions requiring neonatal care management • Disorders of red blood cells o Polycythemia o Anemia o Sickle cell diseases • Disorders of white blood cells o Leucopenia • Neoplastic disorders • Disorders of hemostasis • Platelet disorders • Coagulation disorders o Disseminated intravascular coagulation • Hemorrhagic disease of the newborn o Vitamin K prophylaxis o Thrombocytopenia or qualitative defects of platelets • Anemia, Polycythemia and hyper viscosity • Arterial and venous thromboses • Recent advances and development II 8 Skin Alterations • Review of Clinical assessment, pathophysiology, and pharmacology • Special diagnostic studies • Skin conditions requiring neonatal care management o Burns o Wounds • Therapeutic management • Reconstructive surgeries for burns • Management of wounds • Recent advances and development III 12 Multi-system Alterations requiring Neonatal Care • Review of clinical assessment, pathophysiology, and pharmacology • Special diagnostic studies • Multisystem alteration conditions requiring neonatal care management • Trauma • Sepsis • Shock • Multiple Organ Dysfunction • Systemic inflammatory response syndrome • Anaphylaxis • DIC • Other injuries (Heat, Electrical, Near Hanging, Near drowning) • Envenomation • Drug overdose • Poisoning IV 10 Specific Infections in Neonatal Care • Review of clinical assessment, pathophysiology, and pharmacology • Special diagnostic studies • Specific infection conditions requiring neonatal care management • HIV/AIDS • Parent to child transmission • TORCH • Tetanus • SARS • Rickettsiosis • Leptospirosis88 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content • Dengue • Malaria • Neonatal sepsis • Rabies • Avian flu • COVID-19 V 9 Metabolic Disorders Alterations requiring Neonatal Care • Review of clinical assessment, pathophysiology, and pharmacology • Special diagnostic studies • Metabolic conditions requiring neonatal care management • Hypoglycemia • Hyperglycemia • Hypocalcemia • Osteopenia of prematurity • Hypercalcemia • Hypomagnesemia • Late metabolic acidosis • Inborn errors of metabolism (IEM) (Phenylketonuria) • Newborn screening • Neonatal thyroid screening VI 10 Orthopedic Conditions • Review of Clinical assessment, pathophysiology, and pharmacology • Special diagnostic studies • Surgical conditions requiring neonatal care management • Talipes equinovarus (club foot) • Calcaneus valgus deformity • Genu recurvatum • Congenital dislocation of hips VII 10 Miscellaneous Conditions • Review of clinical assessment, pathophysiology, and pharmacology • Special diagnostic studies • Surgical conditions requiring neonatal care management • Birth injuries • Cyanosis • Indications for oxygen therapy • Retinopathy of prematurity • Edema and hydrops fetalis • Ascites • Sclerema • Vesiculobullous skin eruptions • Neonatal erythroderma • Ichthyosis • Vascular nevi • Disorders of pigmentation • Multiple pregnancy • Iatrogenic disorders VIII 10 Neonatal Care in Peri anesthetic Period • Selection of anesthesia • General anesthesia • Anesthetic agents Peri anesthesia Assessment and Care • Post anesthesia problems and emergencies requiring neonatal care o Respiratory - Airway obstruction, Laryngeal edema, Laryngospasm, Bronchospasm, Noncardiogenic pulmonary edema, Aspiration, Hypoxia, Hypoventilation o Cardiovascular - Effects of anesthesia on cardiac function, Myocardial dysfunction, Dysrhythmias, postoperative hypertension, post operative hypotension[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 89 Unit Hours Content o Thermoregulatory - Hypothermia, shivering, hyperthermia, malignant hyperthermia o Neurology - Delayed emergence, emergence delirium o Nausea and vomiting IX 10 Other Special situations in Neonatal Care • Rapid response teams and transport of the critically ill • Disaster management • Ophthalmic emergencies - Eye injuries, ROP, Laser therapy for ROP • ENT emergencies - Foreign bodies, stridor, bleeding, quinsy, acute allergic conditions • Otoacoustic emission (OAEs) • BERA test 5 Class tests Total 96 hours List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students).

• Hematological Alterations o Blood transfusion o Bone marrow transplantation o Care of Catheter site o Bone marrow aspiration • Skin Alterations o Burn fluid resuscitation o Burn feeds calculation o Burn dressing o Burns bath o Wound dressing • Multi-system Alterations requiring neonatal care o Triage o Trauma team activation o Administration of anti-snake venom o Antidotes • Specific infections in neonatal care o Isolation precautions o Disinfection and disposal of equipment • Neonatal care - Obstetrics, children o Partogram o Equipment - incubators, warmers • Neonatal care in Peri anesthetic period o Assisting with planned intubation o Monitoring of neonates under anesthesia o Administration of nerve blocks o Titration of drugs - Ephedrine, Atropine, Naloxone, Avil, Ondansetron o Sensory and motor block assessment for neonates on epidural analgesia o Technical troubleshooting of syringe/infusion pumps • Other special situations in neonatal care o Disaster preparedness and protocols The skills listed under the Specialty courses such as Foundations of Neonatal Nursing Practice, Neonatal Nursing I and Neonatal Nursing II are taught by the faculty in skill lab. The students after practicing them in the lab, will continue to practice in the respective NCUs. The Log Book specifies all the requirements to be completed and the list of skills that are to be signed by the preceptor/faculty once the students develop proficiency in doing the skills independently.

Bibliography • Ali A., Ariff S., Rajani R., Khowaja W.H., Leghari A.L., Wali S., Barkat R. & Rahim A. (2021) SNAPPE II Score as a Predictor of Neonatal Mortality in NICU at a Tertiary Care Hospital in Pakistan, Cureus 13(12).

e20427. https://doi.org/10.7759/cureus.20427 • Barbeau D.Y. & Weiss M.D. (2017) Sleep Disturbances in Newborns, Children (Basel, Switzerland) 4(10) 90.90 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

https://doi.org/10.3390/children4100090 • Hall R.W. & Anand K.J. (2014) Pain management in newborns, Clinics in perinatology 41(4) 895-924.

https://doi.org/10.1016/j.clp.2014.08.010 • Kenner C. & Boykova M.V. (2021) Neonatal nursing care handbook: an evidence-based approach to conditions and procedures, Springer Publishing Company • Kenner C., Leslie Altimier D.N.P. & Boykova M.V. (Eds.) (2019) Comprehensive neonatal nursing care, Springer Publishing Company • Klock P., Buscher A., Erdmann A.L., Costa R. & Santos S.V. (2019) Best practices in neonatal nursing care management, Texto & Contexto-Enfermagem, 28, e20170157 • Wyckoff M., Houghton D. & Lepage C. (2009) Neonatal care, New York: Springer Publishing Company Appendix 1 EQUIPMENT LIST FOR NCU A. NEWBORN CARE CORNER S.No. Item Description Essential Desirable Quantity 1 Open care system: radiant warmer, fixed height, with trolley, E 1 drawers, O bottles 2 2 Resuscitator, hand-operated, neonate, 500 ml E 1 3 Weighing scale, spring 4 Pump suction, foot operated E 1 5 Thermometer, clinical, digital, 32-34°C E 1 6 Light for examination, mobile, 220-12 E 1 7 Syringe hub cutter E 1 B. NEWBORN STABILIZATION UNIT (4 bedded) S.No. Item Description Essential Desirable Quantity 1 Open care system: radiant warmer, fixed height, with trolley, E 3 drawers, O bottles 2 2 Phototherapy unit, single head, high intensity E 1 3 Resuscitator, hand-operated, neonate, 500 ml E 2 4 Laryngoscope set, neonate E 2 5 Electronic baby-weighing scale 10 kg <5 g> E 1 6 Suction pump, foot operated E 1 7 Thermometer, clinical, digital, 32-34°C E 4 8 Light for examination, mobile, 220-12 E 4 9 Syringe hub cutter E 1 C. SNCU (EQUIPMENT FOR INDIVIDUAL CARE) (12 bedded) S.No. Item Description Essential Desirable Quantity 1 Infant care beds E 12 2 Phototherapy unit, single head, high intensity E 6 3 Resuscitator, hand-operated, neonate, 250 ml E 2 4 Resuscitator, hand-operated, neonate, 500 ml E 4 5 Laryngoscope set, neonate E 6 6 Suction pump, portable, 220 V, w/access E 2 7 Suction pump, foot operated E 2 8 Surgical instrument, suture/SET E 2 9 Syringe pump, 10, 20, 50 ml, single phase E 3 10 Oxygen hood, S and M, set of 3 each, including connecting tubes E 6 11 Oxygen supply system E 1[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 91 S.No. Item Description Essential Desirable Quantity 12 Oxygen concentrator D 4 13 Thermometer, clinical, digital, 32-43°C E 12 14 Electronic baby-weighing scale, 10 kg <5 g> E 4 15 Pulse oximeter, bedside, neonatal E 6 16 Stethoscope, binaural, neonate E 12 17 Sphygmomanometer, neonate, electronic E 6 18 Light, examination, mobile, 220-12 V E 6 19 Syringe hub cutter E 2 20 Measuring tape, vinyl-coated, 1.5 m E 2 21 Kidney basin, stainless steel, 825 ml E 4 22 Dressing tray, stainless steel, 300 × 200 × 30 mm E 4 23 Infusion stand, double hook, on castors E 1 24 Indicator, TST control spot/PAC-300 D 1 25 Irradiance meter for phototherapy units D 2 26 Monitor, vital D 1 27 ECG unit, 3 channel D 2 28 Infantometer, Plexi, 32 feet/105 cm E 1 29 X-Ray, mobile D 1 30 Transport incubator, basic, with battery and O , w/o ventilator D 1 2 31 Autoclave, steam, bench top, 20 I, electrical D 1 32 Laundry washer dryer, combo, 5 kg D D. GENERAL EQUIPMENT S.No. Item Description Essential Desirable Quantity 1 AC (1.5 tonne) E 1 2 Generator set 25-50 KVA E 1 3 Refrigerator, hot zone, 110 l E 1 4 Voltage servo-stabiliser (three phase): 25-50 KVA E 1 5 Room heater (oil) D 4 6 Computer with Printer D 1 7 Spot lamps E 2 8 Wall clock with seconds hand E 2 E. EQUIPMENT FOR DISINFECTION S.No. Item Description Essential Desirable Quantity 1 Sterilising drum, 165 mm diameter 2 Electric steriliser D 1 3 Washing machine with dryer 4 Gowns for staff and mothers E 1 5 Washable slippers F. LABORATORY EQUIPMENTS S.No. Item Description Essential Desirable Quantity 1 Centrifuge, haematocrit, bench top, up to 12000 rpm (revolutions per minute) including rotor 2 Microscope, binocular, with illuminator D 192 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Item Description Essential Desirable Quantity 3 Bilirubinometer, total bilirubin, capillary-based 4 Glucometer with Dextrostix E 3 LAB EQUIPMENT • Additional space (storage, nursing station, doctor’s room and circulation space) - 100% extra of the bed space.

• Each infant care space shall contain a minimum of 120 square feet (11.2 square meters), excluding sinks and aisles. • There should be an aisle adjacent to each infant care space with a minimum width of 4 feet (1.2 meters) in multiple beds.

• The unit should have 50 square feet neonate care space per baby in the level II. • For level III, neonatal care area of 80-100 square feet, support services area of 80-100 square feet, and circulation area of about 80 square feet is considered as appropriate area - o 500-600 square feet per bed;

o 100-120 square feet per neonate care area; o 8 ft difference in between the incubators. • Availability of mother’s room in the nursery is desirable for level II and essential for level III. • Mechanical requirements at each infant care bed, such as electrical and gas outlets, should be organised to ensure safety, easy access and maintenance - o Minimum of 20 simultaneously accessible electrical outlets;

o Minimum number of simultaneously accessible gas outlets: Air, Oxy & Vac - 3 each; o Mixture of emergency and normal power for all electrical outlets.

Staff Requirements • One neonatologist for 6-12 neonates in the continuing care, intermediate care and intensive care areas. • He should be available on 24 hours bases for consultation. • A ratio of one neonatologist to every 4-5 neonates who requires intensive care ideally round the clock.

• Services of other specialists like microbiologist, haematologist, radiologist, and cardiologist and should be available on call. • An anaesthetist capable of administering anaesthesia to neonate. • Pediatric surgeon and pathologists should be available.

Nurses Ratio

1. Nurse neonate ratio of 1:1 maintained throughout day and night.

2. A ratio of one nurse for two sick babies not requiring ventilator support may be adequate - - For an ideal nurse neonate ratio, four trained nurses per intensive care bed are needed; - Additional head nurse who is the overall in-charge;

- In addition to basic nursing training for level II care, tertiary care requires dedicated, committed and trained staff of the highest qualify. Their training must include training in handling equipment, use of Ventilator and use of mask resuscitations and even endotracheal Intubation, arterial sampling and so on.

Disposable Articles Required for the NCU • IV catheter, IV Sets, bacterial filters, feeding tubes, endotracheal tubes • Suction catheters, three-way adopters, umbilical arterial and venous catheters • Syringes, needles ventilator tubing’s, trocar and canula, pressure transducers for invasive blood pressure REFERENCES • NHM GoI and care of the newborn by Dr. Meharban Singh Appendix 2 ASSESSMENT GUIDELINES (including OSCE Guidelines) INTERNAL ASSESSMENT (Theory and Practical) Ist Year

1. Theoretical Basis for Advanced Nursing Practice

College examination of theory only: 50 marks Internal Assessment Test paper/Quiz: 10 marks Written assignment/term paper: 10 marks (Global and national health care trends & policies)

Clinical seminar: 5 marks (Clinical/Care pathway in specific clinical condition/Application of specific nursing theory)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 93

Final theory college exam: 25 marks

Total: 50 marks

2. Research Application and Evidence-based Practice in Neonatal Care

Theory:

Test papers: 20 marks

Written assignment: 5 marks (Literature review/Preparation of research instrument)

Journal club: 5 marks (Analysis of research evidence for neonatal care competencies)

Total: 30 marks

3. Advanced Skills in Leadership, Management and Teaching Skills

Theory:

Test papers: 15 marks

Journal Club: 5 marks (Trends in Leadership/Management/Teaching)

Written assignment: 5 marks (Neonatal care unit workplace violence)

Microteaching: 5 marks

Total: 30 marks

4. Advanced Pathophysiology & Advanced Pharmacology applied to Neonatal Care

Theory:

Test papers and Quiz: 20 marks (Pathophysiology-10, Pharmacology-10)

Drug studies: 5 marks (Drug study and presentation) Case presentation and case study report (Pathophysiology): 5 marks

Total: 30 Marks

5. Advanced Health/Physical Assessment

Theory:

Test papers: 20 marks

Written assignment: 10 marks (Diagnostic/investigatory reports-interpretation and analysis of findings)

Total: 30 marks

Practicum:

Clinical performance evaluation: 10 marks End of posting exam (OSCE): 10 marks

Case presentation and case study report: 5 marks

Internal OSCE: 25 marks

Total Internal practical: 50 marks End of posting exam can be conducted in any NCU IInd year

1. Foundations of Neonatal Nursing Practice

Theory:

Test papers and Quiz: 20

Written assignment: 10 marks (NCU protocols)

Total: 30 marks

Practicum:

Clinical Performance evaluation: 20 marks End of posting exam (OSCE): 10 marks Drug studies (Drug study and presentation): 10 marks Case presentation and case study report (Family education/counseling): 5 marks Case presentation (Application of Clinical/Care Pathway): 5 marks

Internal OSCE: 50 marks

Total Internal practical: 100 marks

2. Neonatal Nursing I

Theory:

Test papers and Quiz: 20 marks

Clinical Seminar and Journal club: 10 marks

Total: 30 marks

Practicum:

Clinical performance evaluation: 20 marks End of posting exam (OSCE): 10 marks

Clinical presentation: 10 marks94 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

Case study report: 10 marks

Internal OSCE: 50 marks

Total Internal Practical: 100 marks

3. Neonatal Nursing II

Theory:

Test papers: 20 marks

Clinical Seminar: 10 marks

Total: 30 marks

Practicum:

Clinical performance evaluation: 20 marks End of posting exam (OSCE): 10 marks

Clinical presentation: 10 marks Case study report (Develop clinical/care pathway): 10 marks

Internal OSCE: 50 marks

Total Internal practical: 100 marks End of posting exam can be conducted in any NCU

4. Dissertation

Practicum: 50 marks EXTERNAL (FINAL) EXAMINATION (As per schedule in syllabus)

Theory: Short answer and essay type questions (Weightage can be decided by the University) {Essay 2×15 marks = 30, Short answers 5×6 marks = 30, Very short 5×2 marks = 10} OSCE GUIDELINES FOR INTERNAL AND EXTERNAL PRACTICAL EXAMINATION Ist year I. HEALTH ASSESSMENT INTERNAL

OSCE: 25 marks CORE COMPETENCY DOMAINS

1. Focused history taking of neonate

2. Focused physical examination of neonate

3. Focused history taking and physical examination of pregnant woman

4. Interpretation of findings and results

5. Monitoring clinical parameters

Number of stations: 5 (4+1 Rest station)

Time for each station: 10 minutes

Marks for each station: 5 marks (As per competency check list and allotted marks)

Total: 4×5 = 20 marks Oral exam = 5 marks Total = 25 marks EXTERNAL

OSCE: 50 marks CORE COMPETENCY DOMAINS

1. Focused history taking of neonate

2. Focused physical examination of neonate

3. Focused history taking and physical examination of pregnant woman

4. Interpretation of history and physical examination findings of neonate

5. Interpretation of results of lab and diagnostic tests of neonate

6. Interpretation of findings and results of pregnant woman

7. Monitoring clinical parameters

Number of stations: 10 (8+2 Rest stations)

Time for each station: 10 minutes

Marks for each station: 5 marks (As per competency check list and allotted marks)

Total: 8×5 = 40 marks Oral exam = 10 marks[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 95 Total = 50 marks On completion of procedural competencies in Log Book and clinical requirements, the NP student is qualified to appear for final practical examination.

IInd year FOUNDATIONS OF NEONATAL NURSING INTERNAL

OSCE: 50 Marks CORE COMPETENCY DOMAINS

1. Focused history taking, and physical examination of neonate

2. Interpretation of findings and results of neonate

3. Monitoring competencies (Invasive and noninvasive)

4. Therapeutic interventions (Specific procedural competencies) including drug administration

5. Family education and counseling

Number of stations: 5 (4+1 Rest station)

Time for each station: 10 minutes

Marks for each station: 10 marks (As per competency check list and allotted marks)

Total: 10×4 = 40 marks Oral exam = 10 marks Total = 50 marks EXTERNAL

OSCE: 100 marks CORE COMPETENCY DOMAINS

1. Focused history taking, and physical examination of neonate

2. Interpretation of findings and results of neonate

3. Monitoring competencies (invasive and noninvasive)

4. Development of care plan

5. Therapeutic interventions (specific procedural competencies) including drug administration

6. Family education and counseling

Number of stations: 10 (8+2 Rest stations)

Time for each station: 10 minutes

Marks for each station: 10 marks (As per competency check list and allotted marks)

Total: 8×10 = 80 marks Oral exam = 20 marks Total = 100 marks NEONATAL NURSING I & II INTERNAL

OSCE: 50 marks CORE COMPETENCY DOMAINS

1. Focused history taking, and physical examination of neonate

2. Interpretation of findings and results of neonate

3. Monitoring competencies (Invasive and noninvasive)

4. Therapeutic interventions (Specific procedural competencies) including drug administration

5. Family education and counseling

Number of stations: 5 (4+1 Rest station)

Time for each station: 10 minutes

Marks for each station: 10 marks (As per competency check list and allotted marks)

Total: 10×4 = 40 marks Oral exam = 10 marks Total = 50 marks EXTERNAL

OSCE: 100 marks CORE COMPETENCY DOMAINS

1. Focused history taking, and physical examination of neonate

2. Interpretation of findings and results of neonate96 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

3. Monitoring competencies (Invasive and noninvasive)

4. Development of care plan

5. Therapeutic interventions (Specific procedural competencies) including drug administration

6. Family education and counseling

Number of stations: 10 (8+2 Rest stations)

Time for each station: 10 minutes

Marks for each station: 10 marks (As per competency check list and allotted marks)

Total: 8×10 = 80 marks Oral exam = 20 marks Total = 100 marks On completion of procedural competencies in Log Book and clinical requirements, the NP student is qualified to appear for final practical examination.

Appendix 3a CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN NEONATAL NURSING (NPNeoN) PROGRAM (Specific Procedural Competencies/Clinical Skills) Ist year S.No. Skills Number Date Signature of Performed the Preceptor* I RESEARCH APPLICATION AND EVIDENCE BASED PRACTICE 1 Preparation of research instrument 2 Preparation of a manuscript for publication (Ist / IInd year) 3 Writing systematic review/Literature review 4 Dissertation/EBP Project 1

Topic:

II ADVANCED SKILLS IN LEADERSHIP, MANAGEMENT AND TEACHING 1 Preparation of staff neonate assignment 2 Preparation of unit budget 3 Preparation of staff duty roster 4 Patient care audit 5 Preparation of nursing care standards and protocols 6 Management of equipment and supplies 7 Monitoring, evaluation, and writing report of infection control practices 8 Micro teaching/parent education sessions 9 Preparation of teaching plan and media for parents of neonates and staff 10 Planning and conducting OSCE/OSPE 11 Construction of tests III HEALTH ASSESSMENT 1 Comprehensive history taking 2 Neonatal assessment (System wise)

2.1 Respiratory system

2.2 Cardiac system

2.3 Gastrointestinal

2.4 Nervous

2.5 Genitourinary

2.6 Endocrine

2.7 Hematological[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 97 S.No. Skills Number Date Signature of Performed the Preceptor*

2.8 Musculoskeletal

2.9 Integumentary

2.10 Sensory organs 3 Newborn reflexes

3.1 Sucking reflex

3.2 Moro reflex

3.3 Tonic neck reflex

3.4 Grasp reflex 4 History & physical examination of a pregnant woman IV DIAGNOSTIC PROCEDURES 1 Collecting blood sample

1.1 Biochemistry

1.2 Clinical pathology

1.3 Microbiology

1.4 ABG 2 Assisting procedures

2.1 Paracentesis

2.2 Thoracentesis

2.3 Lumbar puncture

2.4 Liver biopsy

2.5 Renal biopsy

2.6 Bone marrow aspiration 3 Witnessing procedures

3.1 Chest X-ray

3.2 ERCP

3.3 PET scan

3.4 Endoscopy

3.5 MRI/CT

3.6 Ultrasound

3.7 EMG

3.8 Echocardiogram

3.9 ECG V BASIC COMPETENCIES 1 Admission 2 Transfer:

Care during transfer by air ambulance and surface ambulance 3 Transport 4 Medico-legal compliance 5 Family education 6 Setting up, use and maintenance of neonatal care equipment

6.1 Monitors

6.2 Transducer/pressure bag

6.3 Temperature probes98 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Skills Number Date Signature of Performed the Preceptor*

6.4 SpO probes 2

6.5 Sequential compressing device

6.6 12-lead ECG monitor

6.7 Syringe pump

6.8 Infusion pump

6.9 Alpha/Air mattress VI SPECIFIC COMPETENCIES 1 Nutritional assessment of neonates 2 Assessment of healthy newborn 3 Assessment of high-risk newborn 4 Newborn Assessment/Care 5 Bowel sounds 6 GRBS 7 Partogram 8 Assisting in KMC 9 Assisting in breast feeding 10 NRP (Neonatal Resuscitation Program) 11 Care of eyes 12 Umbilical cord care/Umbilical cannulation or catheterization 13 Baby bath 14 Administration of katori/spoon feeding/Paladai, feeding/ assisting, with cleft lip & palate 15 Artificial Feeding • NG/Oral • Gastrostomy • Jejunostomy 16 Neonatal Assessment

16.1 History collection

16.2 Physical examination

16.3 Growth & Development Assessment DDST (Denver Developmental Screening Test)

16.4 CRIB (Clinical Risk Index of Babies) CRIB-II (Clinical Risk Index of Babies-II)

16.5 SNAP (Score for Neonatal Acute Physiology) • SNAP-II (Score for Neonatal Acute Physiology-II) • SNAPPE (Score for Neonatal Acute Physiology - Perinatal Extension)

16.6 IV cannulation site Assessment (Phlebitis Scale) and care

16.7 Assessment of neonate through Humpty Dumpty Fall Assessment Scale

16.8 APGAR Score

16.9 New Ballard Score

16.10 Pediatrics Glasgow Coma Scale (PGCS)

16.11 Premature Infant Pain Profile (PIPP) 17 Medication Administration

17.1 Medication administration[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 99 S.No. Skills Number Date Signature of Performed the Preceptor* • Oral • Intravenous • Intramuscular • Intradermal

17.2 Calculation of Fluid & flow rate

17.3 Calculation of Height, Weight, BMI

17.4 Administration of fluids

17.5 Preparation of different strength of fluids

17.6 Instillation - eye , ear, nose

17.8 Drug calculation

17.9 Blood transfusion

17.10 TPN 18 Laminar flow 19 Chest physiotherapy and postural drainage 20 Urinary catheterization and drainage 21 Bowel wash 22 Condom drainage 23 Care of ostomies • Esophagostomy • Gastrostomy • Colostomy • Ureterostomy 24 Administration of Oxygen Therapy by • Tent • Hood • Mask • Nasal prongs 25 Steam inhalation *When the student is found competent to perform the skill, it will be signed by the preceptor/faculty.

Students: Students are expected to perform the listed skills/competencies many times until they reach level 3 competency, after which the preceptor/faculty signs against each competency.

Preceptors/Faculty: Must ensure that the signature is given for each competency only after they reach level 3. • Level 3 Competency denotes that the NP student can perform that competency without supervision.

• Level 2 Competency denotes that the student can perform each competency with supervision. • Level 1 Competency denotes that the student is not able to perform that competency/skill even with supervision.

NOTE: 5-10% of procedures that are rare can be practiced in skill lab and attained level 3 competency.

Signature of the Program Coordinator/Faculty Signature of the HOD/Principal Appendix 3b CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN NEONATAL NURSING (NPNeoN) PROGRAM (Specific Procedural Competencies/Clinical Skills) IInd year S.No. Skills Number Date Signature of Performed the Preceptor* I ADVANCED COMPETENCIES 1 Setting up, use and maintenance of Neonatal care equipment

1.1 Ventilator

1.2 Radiant warmer100 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Skills Number Date Signature of Performed the Preceptor*

1.3 Incubator

1.4 ET cuff pressure monitor

1.5 Defibrillator

1.6 Pacemaker

1.7 CRASH trolley

1.8 CPAP/BiPAP

1.9 Phototherapy 2 Triage 3 Monitoring and interpretation of critically ill neonates

3.1 Arterial blood gas (ABG)

3.2 Oxygen saturation

3.3 Endotracheal tube cuff pressure

3.4 Capnography

3.5 PiCCO

3.6 Hemodynamics

3.7 Electrocardiogram (ECG)

3.8 Intracranial pressure (ICP)

3.9 Invasive BP monitoring

3.10 Non-invasive BP monitoring

3.11 Transthoracic echocardiography 4 Administration of medication

4.1 Sedation

4.2 Muscle relaxant

4.3 Electrolyte infusion

4.4 Insulin infusion

4.5 Inotrope administration

4.6 Thrombolytic drug

4.7 Corticosteroid 5 Management of Cardiovascular Alterations

5.1 Fluid administration (Colloid/Crystalloid)

5.2 Blood and blood product administration

5.3 Insertion and Care of CVP line

5.4 Removal of CVP line

5.5 Assisting with insertion of arterial line

5.6 Care of arterial line

5.7 Removal of arterial line

5.8 Assisting with insertion of pulmonary artery catheter

5.9 Care of neonate with Pacemaker

5.10 Blood collection from arterial line 6 Management of Pulmonary Alterations

6.1 Oropharyngeal airway application

6.2 Laryngeal mask airway

6.3 Assisting with intubation[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 101 S.No. Skills Number Date Signature of Performed the Preceptor*

6.4 Care of ET tube

6.5 Extubation

6.6 Assisting for tracheostomy insertion

6.7 Tracheostomy care and suctioning

6.8 Endotracheal suctioning - Open

6.9 Endotracheal suctioning - Closed

6.10 Assisting with insertion of chest tube

6.11 Care of neonate with chest drainage

6.12 Chest tube removal

6.13 Nebulization

6.14 Care of neonate on mechanical ventilator

6.15 Non-invasive ventilation

6.16 Connecting to ventilator

6.17 Weaning from ventilator

6.18 Use of T-tube and venturi devices

6.19 Postural drainage

6.20 Weaning from tracheostomy

6.21 Chest physiotherapy 7 Management of Neurological Alterations

7.1 Sensory stimulation

7.2 Consciousness/Coma status monitoring 8 Management of Genitourinary Alterations

8.1 Cannulating for hemodialysis

8.2 Starting and closing of hemodialysis

8.3 Care of neonate on hemodialysis

8.4 Initiating peritoneal dialysis

8.5 Care of neonate on peritoneal dialysis

8.6 Calculation of fluid replacement

8.7 Care of neonate with continuous urinary drainage 9 Management of Gastrointestinal Alterations

9.1 Estimation of dietary allowance

9.2 Therapeutic diet planning

9.3 Enteral nutrition 10 Management of Endocrine Alterations

10.1 Titrating insulin

10.2 Calculation of steroid administration 11 Infection control practices • Universal precautions • Disinfection/sterilization 12 Preparation of standards/policies/protocols 13 Family counselling 14 NALS 15 End of life care • Brain death102 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Skills Number Date Signature of Performed the Preceptor* • Organ donation 16 Ordering Investigations

16.1 ECG

16.2 ABG

16.3 Chest X-ray

16.4 Ultrasound 17 Ordering Treatment/Procedures

17.1 Nebulization

17.2 Chest physiotherapy

17.3 Distal colostomy wash

17.4 Insertion and removal of urinary catheter for female neonates

17.5 Test feeds

17.6 Surgical dressing

17.7 Starting and closing dialysis *When the student is found competent to perform the skill, it will be signed by the preceptor/faculty.

Students: Students are expected to perform the listed skills/competencies many times until they reach level 3 competency, after which the preceptor/faculty signs against each competency.

Preceptors/Faculty: Must ensure that the signature is given for each competency only after they reach level 3. • Level 3 Competency denotes that the NP student can perform that competency without supervision.

• Level 2 Competency denotes that the student can perform each competency with supervision. • Level 1 Competency denotes that the student is not able to perform that competency/skill even with supervision.

NOTE: 5-10% of procedures that are rare can be practiced in skill lab and attained level 3 competency.

Signature of the Program Coordinator/Faculty Signature of the HOD/Principal Appendix 4 CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN NEONATAL NURSING (NPNeoN) PROGRAM Ist year S.No. Clinical Requirement Date Signature of the Preceptor/Faculty 1 Clinical Seminar/Journal Club/Clinical Conference

1.1 *APN - Clinical pathway in specific clinical condition/ Application of specific nursing theory) (Clinical Seminar)

Title of the topic:

1.2 *RA - Evidence search for neonatal nursing competencies (Clinical Conference/Journal Club)

Title of the topic:

1.3 *LM&T - Trends in Leadership/Management/Teaching (Journal Club)

Title of the topic:

2 Clinical Rounds (With Nursing Staff, Faculty, Students) - Case/Clinical Presentation

2.1 Pathophysiology (Clinical Conditions)

Name of clinical condition:

2.2 Pathophysiology (Clinical Conditions) Case Study (Written Report)

Name of clinical condition:

2.3 Pharmacology - Drug Studies (Drugs listed under Standing Orders) - Written Report of 5 Presentations[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 103 S.No. Clinical Requirement Date Signature of the Preceptor/Faculty (Bedside Presentations)

Name of the drug:

2.3.1

2.3.2

2.3.3

2.3.4

2.3.5

2.3.6

2.3.7

2.3.8 3 Interdisciplinary Clinical Rounds (With Neonatal Doctors) - Case/Clinical Presentation (Written reports are for submission)

3.1 Health Assessment (Neonate) - History & Physical Examination (Two written reports)

3.1.1

3.1.2

3.1.3

3.1.4

3.1.5

3.2 Health Assessment (Pregnant Woman) (One written report)

3.3.1

3.3.2 *Advanced Practice Nursing - APN, Research Application - RA, Leadership, Management and Teaching - LM&T Signature of the Program Coordinator/Faculty Signature of the HOD/Principal CLINICAL EXPERIENCE DETAILS Neonatal Care Clinical Condition Number of Signature of Unit (NCU) days care given Faculty/Preceptor104 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Neonatal Care Clinical Condition Number of Signature of Unit (NCU) days care given Faculty/Preceptor Signature of the Program Coordinator/Faculty Signature of the HOD/Principal CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN NEONATAL NURSING (NPNeoN) PROGRAM IInd year S.No. Clinical Requirement Date Signature of the Preceptor/Faculty 1 Clinical Seminar/Journal Club/Clinical Conference

1.1 Foundations of Neonatal Nursing Practice (Clinical Conference)

Title of the topic:

1.2 Neonatal Nursing I (Clinical Seminar)

Title of the topic:

1.3 Neonatal Nursing I (Journal Club)

Title of the topic:

1.4 Neonatal Nursing II (Clinical Seminar)

Title of the topic:

1.5 Neonatal Nursing II (Journal Club)

Title of the topic:

2 Clinical Rounds (With Nursing Staff, Faculty, Students) - Clinical/Case Presentation (Written reports are for submission)

2.1 Foundations of Neonatal Nursing Practice (Family Education/Counselling) Written Report

Name of the topic:

2.2 Foundations of Neonatal Nursing Practice (Clinical/Care Pathway)

Name of the topic:

2.3 Neonatal Nursing I (Clinical Presentation)

Name of clinical condition:

2.4 Neonatal Nursing I (Case Study Report)

Name of clinical condition:

2.5 Neonatal Nursing II (Clinical Presentation)

Name of clinical condition:

2.6 Neonatal Nursing II (Case Study Report)

Name of clinical condition:

2.7 Drug Studies (Drugs listed under Standing Orders) Bedside Presentation (Five written reports)

Name of drug:

2.7.1

2.7.2

2.7.3

2.7.4

2.7.5

2.7.6

2.7.7[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 105 S.No. Clinical Requirement Date Signature of the Preceptor/Faculty

2.7.8 3 Interdisciplinary Clinical Rounds (With Neonatal Doctors) - Clinical/Case Presentation

3.1 Neonatal Nursing I (Clinical Presentation)

Name of clinical condition:

3.2

3.3

3.4

3.5 (Case Study Report)

3.6 Neonatal Nursing II

3.7

3.8

3.9 (Case Study Report)

3.10 Written Report (Developed Clinical/Care Pathway)

Note: Clinical presentation can be written for case study report.

Signature of the Program Coordinator/Faculty Signature of the HOD/Principal CLINICAL EXPERIENCE DETAILS Neonatal Care Clinical Condition Number of Signature of Unit (NCU) days care given Faculty/Preceptor Signature of the Program Coordinator/Faculty Signature of the HOD/Principal Appendix 5 STANDING ORDERS106 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] NURSE PRACTITIONER IN NEONATAL NURSING (NPNeoN) PROGRAM Nurse practitioners are prepared and qualified to assume responsibility and accountability for the care of critically ill neonates. They collaborate with Neonatal Intensivists, physicians, surgeons and specialists to ensure accurate therapy for neonates with high acuity needs. On completion of the program, the NPs will be permitted to administer drugs listed in standing orders as per the institutional protocols/standing orders. They will also be permitted to order diagnostic tests/procedures and therapies as per institutional protocols.

STANDING ORDERS The following intravenous injections or infusions may be administered by the Nurse Practitioner during emergency in any of the NCUs.

Catecholamines

1. Adrenaline

2. Noradrenaline

3. Dopamine

4. Dobutamine Antidysrhythmic

5. Adenosine

6. Amiodarone

7. Lidocaine/Xylo card Adrenergic agent

8. Ephedrine Bronchodilators

9. Aminophylline

10. Deriphyllin Non depolarizing skeletal muscle relaxant

11. Atracurium (Vecuronium, Pancurium) Anticholinergic

12. Atropine sulphate Antihistamine

13. Avil Antihypertensive

14. Clonidine

15. Glycerin trinitrate

16. Isoptin Corticosteroid

17. Hydrocortisone

18. Dexamethasone Antiepileptic

19. Levit racetam

20. Phenytoin Sedatives & relaxants

21. Valium

22. Midazolam

23. Morphine sulphate

24. Pentazocine lactate (Fortwin)

25. Pethidine hydrochloride

26. Propofol Electrolytes & acid base correction agents

27. Soda bicarbonate 8.4%

28. Soda bicarbonate 7.5%

29. Magnesium sulphate

30. Potassium chloride Additional drugs that can be administered specific to each NCU are as follows -

1. Norad

2. Milrinone

3. Sildenafil

4. Fentanyl

5. Lasix

6. PGE 1[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 107

7. Vasopressin

8. Insulin The following investigations and therapies may be ordered by the Nurse Practitioner Ordering Investigations Ordering Therapies • ECG • Nebulization • ABG • Chest physiotherapy • Chest X-Ray • Distal colostomy wash • Basic Biochemistry investigations - Hb, • Insertion and removal of urinary catheter for female PCV, TIBC, WBC Total, WBC neonates differentials, ESR, Electrolytes, platelets, • Test feeds PT, aPTT, bleeding and clotting time, • TEDS procalcitonin, D-dimer, creatinine, HbA1c, • Surgical dressing AC, PC, HDL, LDL, TIG, Cholesterol • Starting and closing dialysis total, HIV, HbsAg, HCV • Administration of TPN infusion with written order • Basic Microbiology investigations - blood • Application of ichthammol glycerin/magnesium sulphate samples for culture and sensitivity, tips of dressing for thrombophlebitis/extravasation vascular access and ET tube for culture • Pin site care for neonates on external fixators • Isometric and isotonic exercises Dr. T. Dileep KumarPresident, INC [ADVT.-III/4/Exty./844/2024-25] Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064 and Published by the Controller of Publications, Delhi-110054.