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

रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99 सी.जी.-डी.एल.-अ.-24102024-258203 xxxGIDHxxx CG-DL-E-24102024-258203 xxxGIDExxx असाधारण EXTRAORDINARY भाग III—खण् ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 841] नई दिल्ली, सोमवार, अक्त बू र 21, 2024/आजिन 29, 1946 No. 841] NEW DELHI, MONDAY, OCTOBER 21, 2024/ASVINA 29, 1946 अजधसचू ना नई दिल्ली, 7 अक् तूबर, 2024 फा. स.ं (III).––– 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~ ,rn~}kjk fuEufyf[kr fofu;e cukrh gS] ;Fkk%& 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~ vfèkfu;e] 1947 ¼1947 dk XLVIII½ ls gS( 6839 GI/2024 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ii. ^ifj"kn~* dk vfHkçk; vfèkfu;e ds rgr xfBr Hkkjrh; mip;kZ ifj"kn~ ls gS( 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 eas iathÑr mip;kZ ,oa iathÑr çlkfodk ds :i eas iathÑr gks( v. ^ulZ iathdj.k ,oa VªSÇdx ç.kkyh ¼,uvkjVh,l½* dk vfHkçk; Hkkjrh; mip;kZ 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; ifjnf'kZdk ¼vkj,y,poh½ ds vkadM+ks a ds laxzg ds fy, ^vkèkkj* ck;ksesfVªd çek.khdj.k ij vkèkkfjr ekudhÑr çk:i gSa( vi. ^,u;wvkbZMh* dk vfHkçk; ,uvkjVh,l }kjk çR;k'kh dks fn, x, ulsZt ;wfud vkbMsfaVfQds'ku uEcj 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&1 esa 'kkfey fMIyksek bu tujy uÉlx ,aM feMokbQjh çf'k{k.k ls gSA I.

uls± oSf’od Lrj ij LokLF; lsok çnkrkvks a dk lcls cM+k lewg gSaA oSf’od vkcknh ds fy, lqjf{kr vkSj çHkkoh n[s kHkky lqfuf'pr djus ds fy, uls± ,d egRoiw.kZ lalkèku gSaA ulZ vU; LokLF; dfeZ;ks a dh rqyuk eas xaHkhj chekfj;ks a ls xzLr jksfx;ks a vkSj muds ifjtuks a ds lkFk vfèkd le; fcrkrh gSaA fof'k"V uÉlx n[s kHkky ej.kklUu jksfx;ks a dh ihM+k o d"V dks de djrh gS] vkSj jksfx;ks a rFkk muds ifjtuks a dh vf}rh; 'kkjhfjd] lkekftd] euksoSKkfud vkSj vkè;kfRed vko';drkvks a eas lgk;rk dju s dh {kerk çnku djrh gSA lkefwgd :i ls] tgka ulks± u s ç'kked n[s kHkky ds çfr çfrc)rk çnÆ'kr dh gS] ogha dqN ulks± u s ej.kklUu jksfx;ks a dh n[s kHkky es a vkSj Hkh vfèkd igy fn[kkbZ gSA fiNys dqN n'kdks a eas] ç'kked n[s kHkky ,d fo'ks"krk ds :i eas fodflr gqbZ gSA Hkkjr es a ekè;fed rFkk r`rh;d Lrj ds vLirkyks a eas ç'kked n[s kHkky lqfoèkkvks a vkSj çf'kf{kr LokLF; dÆe;ks]a fo'ks"k :i ls ulks± dh ekax c< + jgh gSA vLirky] gkWLikbl ¼ej.kklUu jksfx;ks a ds vkJ;½ rFkk leqnk; tSls fofHkUu LFkkuks a ij ç'kked ns[kHkky dh vko’;drk okys jksfx;ks a dh n[s kHkky ds fy, ulks± dks çf'kf{kr vkSj leFkZ cuku s dh vR;fèkd vko';drk gSA ç'kked n[s kHkky dk rkRi;Z ihM+k dk vuqeku yxku]s bykt djus rFkk d"V ls cpku s ds fy, fo'ks"k mik;ks a dk mi;ksx djrs gq, xaHkhj chekjh okys jksfx;ks a vkSj muds ifjtuks a nksuksa ds fy, thou dh xq.koÙkk ds b"Vre mi;ksx ls gSA bl ns[kHkky ds varxZr xaHkhj :i ls chekj jksfx;ks a dh 'kkjhfjd] eukslkekftd] HkkoukRed vkSj vkè;kfRed vko';drkvks a ds lkFk&lkFk chekfj;ks a dk flyflyk 'kkfey gSA tjkfpfdRlk vkSj gkWLikbl n[s kHkky dh rjg] ç'kked n[s kHkky eas vkerkSj ij ,d cgq&fo"k;d ny dk;Z djrk gS ftles a xaHkhj chekjh oky s ;k ej.kklUu jksfx;ks a dh cgqvk;keh t:jrks a dks iwjk djus ds fy, fpfdRlh;] uÉlx] lkekftd vkSj vkè;kfRed n[s kHkky 'kkfey gksrh gSA ;g ç’kked ns[kHkky Lisf'k;fyVh uÉlx eas iksLV fMIyksek dk;ZØe lHkh ç'kked n[s kHkky lek;kstuksa eas mPp xq.koÙkk okyh ifjokj&dsfaær n[s kHkky çnku djus ds fy, ç'kked n[s kHkky ulks± ds :i es a vH;kl djus eas l{ke fo'ks"k dkS'ky okyh ulZ rS;kj djus ds fy, rS;kj fd;k x;k gSA ç'kked ns[kHkky fo'ks"kK ulZ thou dks lhfer djus okyh xHa khj chekfj;ks a ls ihfM+r yksxks a dks mRÑ"V ns[kHkky çnku dj ldrh gSaA ;g dk;ZØe fMIyksek rFkk ch-,llh- nksuks a çdkj dh iathÑr ulks± dks ç'kked ns[kHkky uÉlx eas O;kid Kku] mUur dkS'ky vkSj ldkjkRed n`f"Vdks.k çkIr djus ds fy, fMtkbu fd;k x;k gS] tks ç'kked n[s kHkky dh vko';drk okys jksfx;ks a dks lqjf{kr] l{ke] dkuuw h vkSj uSfrd uÉlx n[s kHkky çnku djus eas l{ke gksxa sA blds vykok] bls ulks± dks çcaèkdh; dkS'ky vkSj tkudkjh ls ySl djus ds fy, fMtkbu fd;k x;k gS tks mUgsa jksfx;ks a dh ç’kked n[s kHkky dh ;kstuk cuku]s çcaèku vkSj i;Zos{k.k djus eas Hkwfedk fuHkku s vkSj fofHkUu ç'kked ns[kHkky lek;kstkuks a eas vU; uSnkfud ulks± rFkk Nk=ks a dks çf'kf{kr djus eas l{ke cuk,xkA ç'kked n[s kHkky fo'ks"kK ulZ ç'kked n[s kHkky bdkb;ks a dh ;kstuk rFkk LFkkiuk ij lykg nus s vkSj ej.k’khy o ej.kklUu yksxks a dh n[s kHkky ,oa lqxfr es a lqèkkj dju s eas l{ke gksxa hA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3 II.

ifj"kn~ dk ekuuk gS fd iathÑr ulks± dks vH;kl ds fofHkUu mHkjrs fof'k"V {ks=ks a eas dk;Z djus ds fy, fo'ks"kK ulks±

ds :i eas vkxs çf'kf{kr djus dh vko';drk gS vkSj ;g çf'k{k.k ;ksX;rk ij vkèkkfjr gksuk pkfg,A ç'kked n[s kHkky ,d ,slk {ks= gS ftles a fo'ks"kK ulks± dh vko';drk gksrh gSA ulks± dh Hkwfedk dks c<k+u s vkSj ç'kked n[s kHkky es a çxfr ds fy, ç'kked ns[kHkky dsæa ksa eas jksfx;ks a dks l{ke] dq’ky vkSj mfpr n[s kHkky çnku djus ds fy, ulks± dks fo'ks"k dkS'ky rFkk tkudkjh çnku dju s ds fym vfrfjDr çf'k{k.k dh vko';drk gksrh gSA III.

ç’kked ns[kHkky Lisf’k;fyVh uÉlx eas iksLV csfld fMIyksek ,d ,d&o"khZ; vkoklh; dk;ZØe gSA ikBîØe dh voèkkj.kk es a ewyHkwr y?kq ikBîØe vkSj fof'k"V uÉlx ds fy, çeq[k fof'k"V ikBîØe 'kkfey fd, x, gSaA dk;ZØe ds eyw eas O;kolkf;d dq’kyrk] laokn] jksxh f'k{kk rFkk ijke'kZ] uSnkfud usr`Ro rFkk lalkèku çcaèku vkSj lk{; vkèkkfjr rFkk vuçq ;qDr 'kksèk 'kkfey gSaA ;s y?kq ikBîØe gSa ftudk y{; Nk=ks a dks ç'kked ns[kHkky uÉlx ds fy, vko';d cqfu;knh voèkkj.kk,a çnku djuk gS vkSj lkFk gh tokcngs ] fu"Bkoku] fo’oluh; rFkk uSfrd ç'kked n[s kHkky fo'ks"kK ulks± ds :i es a dk;Z djus ds fy, uSnkfud vH;kl gsrq vko';d tkudkjh] n`f"Vdks.k vkSj n{krk çnku djuk gSA uSnkfud fof’k"V ikBîØeks a dks ç’kked ns[kHkky Lisf’k;fyVh uÉlx-I vkSj ç’kked ns[kHkky Lisf’k;fyVh uÉlx-II uked nks çeq[k Hkkxks a eas foHkkftr fd;k x;k gSA ç’kked ns[kHkky Lisf’k;fyVh uÉlx-I es a ç'kked ns[kHkky uÉlx dk lanHkZ@ifjp;

'kkfey gS] ftles a ç'kked n[s kHkky uÉlx ds fl)kar o vH;kl] ç'kked ns[kHkky fo'ks"kK ulks± dh Hkwfedk o ftEesnkfj;ka] ç'kked n[s kHkky uÉlx es a ç;qDr lkekU; foKku tSls O;kogkfjd 'kjhj jpuk foKku vkSj 'kjhj foKku] laØe.k jksdFkke o fu;a=.k] vkS"kèkh; çcaèku] eukslkekftd o vkè;kfRed igyw] ç’kked ns[kHkky ls lacafèkr dkuwuh o uSfrd igyw] larki ,oa 'kksd] ç’kked n[s kHkky ds ekWMy vkSj ç’kked n[s kHkky es a oSdfYid fpfdRlk 'kkfey gSaA ç’kked ns[kHkky Lisf’k;fyVh uÉlx-II es a ç'kked ns[kHkky dh vko';drk okys jksfx;ks a dk uÉlx çcaèku 'kkfey gS ftleas nnZ o y{k.k çcaèku] fof'k"V ç'kked uÉlx n[s kHkky vko';drkvks a dk çcaèku] thou dks [krjs eas Mkyus okyh chekjh dh fLFkfr;ks a eas ç'kked n[s kHkky] fo'ks"k vkcknh eas ç'kked ns[kHkky] cPpks a vkSj cqtqxks± ds fy, ç'kked ns[kHkky] ç'kked ns[kHkky lacafèkr vkikr fLFkfr] ?kj&vkèkkfjr ç'kked ns[kHkky] ç'kked n[s kHkky es a euksfpfdRlk] vkSj ej.kklUu jksxh dh ns[kHkky 'kkfey gSaA ç’kked ns[kHkky Lisf’k;fyVh uÉlx eas iksLV csfld fMIyksek & vkoklh; dk;ZØe dh ikBîØe lajpuk fuEufyf[kr fp=&1 es a n'kkZbZ xbZ gSA % %4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] IV.

ç’kked n[s kHkky Lisf’k;fyVh uÉlx eas iksLV csfld fMIyksek dk;ZØe dk mís’; vlkè; jksfx;ks a dks xq.koÙkkijd n[s kHkky çnku djus ds fy, fo'ks"k dkS'ky] Kku vkSj n`f"Vdks.k okyh ulZ fodflr djuk gSA y{; rduhdh :i ls ;ksX;

vkSj çf'kf{kr fo'ks"kK ulZ rS;kj djuk gS tks jksfx;ks a eas ç'kked n[s kHkky çcaèku ds fl)karks a dks ykxw djds çHkkoh <xa ls dk;Z dj lds a vkSj vLirky] gkWLikbl vkSj leqnk; tSls fofHkUu lek;kstuksa eas n[s kHkky ds mPp ekud çnku djrs gq, ç'kked n[s kHkky dh vko';drk oky s o;Ldks a vkSj cPpks a dks O;kid vkSj l{ke uÉlx n[s kHkky çnku djus eas dkS'ky vkSj n`f"Vdks.k fodflr dj ldsxa sA dk;ZØe ds iwjk gksus ij] ç'kked n[s kHkky Lisf’k;fyLV ulZ fuEufyf[kr dk;Z djus es a l{ke gksxa s% 1- ç'kked ns[kHkky uÉlx vH;kl eas ifj"kn~ ds ekudks a ds vuqlkj lnkpkjh] ijksidkjh] dkuwuh] uSfrd] fofu;ked vkSj ekuorkoknh fl)karks a ds vuq:i uÉlx n[s kHkky çnku dju s eas is'ksoj tokcnsgh çnf'kZr djukA 2- jksfx;ks]a ifjtuks a vkSj O;kolkf;d lg;ksfx;ks a ds lkFk çHkkoh <xa ls ckrphr djuk ftlls vkil eas lEeku dh Hkkouk dks c<+kok feys vkSj LokLF; ifj.kkeks a eas lqèkkj yku s ds lk>k fu.kZ; fy, tk ldsAa 3- jksfx;ks a rFkk ifjtuks a dks mipkj rFkk n[s kHkky es a çHkkoh <ax ls Hkkxhnkjh lqfuf'pr djus ds fy, çf'kf{kr djuk vkSj ijke'kZ nsuk] rFkk larki vkSj 'kksd dh ifjfLFkfr es a mudh eqdkcyk djus dh {kerk eas o`f) djukA 4- uSnkfud usr`Ro rFkk lalkèku çcaèku j.kuhfr;ks a dh le> dk çn'kZu djuk vkSj lg;ksxh rFkk çHkkoh nyh; dk;Z dks c<k+ok nus s ds fy, ç'kked ns[kHkky lek;kstuksa es a mudk mi;ksx djukA 5- ç’kked ns[kHkky uÉlx vH;kl eas O;kogkfjd fu.kZ; yus s ds fy, uSnkfud fuiq.krk vkSj jksxh dh çkFkfedrkvks a ds fufeÙk] vuHq ko rFkk eYw ;ks a ij fopkj ds lkFk ç’kked n[s kHkky vkSj mipkj eas loksZÙke orZeku lk{; dh igpku] vkadyu vkSj mi;ksx djukA 6- ,sl s 'kksèk vè;;uksa eas Hkkx yus k] tks 'kksèk çfØ;k dh eyw Hkwr le> ds lkFk lk{;&vkèkkfjr ç’kked ns[kHkky uÉlx eè;orZuks a eas ;ksxnku djrs gSaA 7- ç’kked n[s kHkky dh vko';drk okys jksfx;ks a vkSj muds ifjtuks a dh nfSgd] 'kkjhfjd] euksoSKkfud] lkekftd vkSj vkè;kfRed leL;kvks a ds vkadyu] funku vkSj mipkj es a lkekU; foKku ykxw djukA 8- ç’kked n[s kHkky dh vko';drk oky s jksfx;ks a dh n[s kHkky es a uÉlx çfØ;k ykxw djukA 9- ç'kked n[s kHkky dh vko';drk oky s jksfx;ks a ds mipkj es a jfsM;ksFkSjis h] dheksFkSjis h] vkgkj fpfdRlk vkSj 'kY;

fpfdRlk ds fl)karks a dh O;k[;k djukA 10- ç'kked n[s kHkky çnku djus es a çklafxd fo'ks"k vH;kl n{krk@dkS'ky dk çn'kZu djukA 11- ç’kked vkikr fLFkfr;ks a ls lacafèkr mipkj fpfUgr djuk vkSj mudk çHkkoh <xa ls çcaèku djukA 12- n[s kHkky vkSj lkeqnkf;d lalkèkuksa rd igqap lqfuf'pr djuk vkSj xq.koÙkk o ykxr çHkkoh lsokvks a eas lqèkkj ykus eas ;ksxnku djukA 13- dheksFkSjsih vkS"kfèk;ks a dh [kjhn] HkaMkj.k] ç'kklu o blds j[kj[kko dh fofèk dh le> fodflr djuk vkSj vPNk vH;kl çnf'kZr djukA 14- ç'kked n[s kHkky bdkbZ es a uSnkfud ijh{k.k djuk vkSj xq.koÙkk vk’oklu xfrfofèk;ks a eas Hkkx yus kA 15- jksfx;ks a dks fofHkUu mipkjks a dh lqjf{kr fMyhojh dk çn'kZu djuk vkSj mUgs a o`fÙkd pksV ls cpkukA 16- ej.kklUu dh ns[kHkky] udq lku] larki vkSj 'kksd eas leFkZu djus eas çklafxd fo'ks"k vH;kl n{krk@dkS'ky dk çn'kZu djukA 17- 'kkar e`R;q dks c<k+ok nus s ds fy, mipkjkRed okrkoj.k cukukA 18- O;fDrxr lkaLÑfrd vkSj vkè;kfRed vko';drkvks a rFkk erHksnks a dk lEeku djrs gq, vkjke o xfjek dks c<+kok nus s ij tkjs nsrs gq, jksfx;ks a dks thou ds var rd ns[kHkky çnku djukA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5 V.

ç’kked n[s kHkky Lisf’k;fyVh uÉlx eas iksLV csfld fMIyksek dk;ZØe ,d ,d&o"khZ; voklh; dk;ZØe gS tks eq[;r% ;ksX;rk&vkèkkfjr çf'k{k.k ij vkèkkfjr gSA bls ç’kked n[s kHkky dh vko';drk okys jksfx;ks a vkSj muds ifjtuks a dks vfxze ntsZ dh xq.koÙkkoijd n[s kHkky çnku djus ds fy, fo'ks"k tkudkjh] dkS'ky vkSj ço`fÙk okys iathÑr ulZ ¼th,u,e ;k ch- ,llh-½ rS;kj djus ds fy, cuk;k x;k gSA lS)kafrd eas eyw Hkwr ikBîØe] fof'k"V ikBîØe vkSj uSnkfud O;ogkj 'kkfey gSaA bldk 10% Hkkx lS)kafrd vkSj 90% Hkkx çk;ksfxd ¼uSnkfud ,oa ç;ksx'kkyk½ vH;kl gSA dk;ZØe ds iwjk gksus vkSj çek.ku] vkSj lacafèkr ,l,uvkjlh ds lkFk vfrfjDr ;ksX;rk ds :i eas iathdj.k ij] ç'kked n[s kHkky fo'ks"kK ulks± dks dsoy vLirky] gkWLikbl ;k leqnk; eas ç'kked n[s kHkky lek;kstuks a eas fu;ksftr fd;k tkuk pkfg,A os dk;ZØe ds nkSjku çf'kf{kr n{krkvks]a fo'ks"k :i ls ifj"kn ikBîØe dh ykWx cqd ds vuqlkj fo'ks"k çfØ;kRed n{krkvks@a uSnkfud dkS'ky ds vuqlkj vH;kl djus eas l{ke gksxa sA fo'ks"kK ulks± dks laLFkku çksVksdkWy ds vuqlkj lacafèkr laLFkku }kjk mu fo'ks"k çfØ;kRed n{krkvks a dk vH;kl djus dk fo'ks"kkfèkdkj fn;k tk ldrk gSA ljdkjh@lkoZtfud@futh {ks=ks a eas fo'ks"kK ulZ dSMj@in l`ftr fd, tku s pkfg,A fMIyksek ifj"kn }kjk vuqeksfnr lacafèkr ijh{kk cksMZ@,l,uvkjlh@fo’ofo|ky; }kjk çnku fd;k tk,xkA VI.

dk;ZØe dk lapkyu dgka&dgka fd;k tk ldrk gS & 1- uÉlx eas fMxzh dk;ZØe dk lapkyu djus okys ,sl s uÉlx dkWyst tks dheksFkSjsih] jfsM;ksFkSjsih] ç'kked ns[kHkky] lgk;d ns[kHkky vkSj fo'ks"k uÉlx n[s kHkky lqfoèkkvks a ds lkFk uSnkfud] fpfdRlh; vkSj vR;kèkqfud ç'kked ns[kHkky bdkb;ks a ds lkFk U;wure 200 'k¸;k oky s vius Lo;a ds fo'ks"k vLirky@r`rh;d vLirky ls lac) gksAa vFkok vkWUdksykWth@ç'kked n[s kHkky eas Mh,uch@Qsyksf'ki dk;ZØe dk lapkyu djus oky s vLirky] ftues a dheksFkSjsih] jfsM;ksFkSjsih] ç'kked n[s kHkky] gkWLikbl] lgk;d n[s kHkky vkSj fo'ks"k uÉlx n[s kHkky lqfoèkkvks a ds lkFk uSnkfud] fpfdRlh; vkSj vR;kèkqfud ç'kked ns[kHkky bdkb;ks a ds lkFk U;wure 200 'k¸;k miyCèk gksAa 2- mijksDr ik= laLFkku dks lacafèkr ,l,uvkjlh ls fo'ks"k 'kS{kf.kd o"kZ ds fy, ç'kked ns[kHkky Lisf'k;fyVh uÉlx es a iksLV csfld fMIyksek & vkoklh; dk;ZØe çkjHa k djus ds fy, ekU;rk yus h gksxh] tksfd ,d vfuok;Z vko';drk gSA 3- ifj"kn~ }kjk mijksDr nLrkostksa@çLrkoks a dh çkfIr ds i'pkr ekU;rk çkIr uÉlx çf'k{k.k laLFkku dk vfèkfu;e ds çkoèkkuks a ds rgr cuk, x, fofu;eksa ds vuq:i vè;kiu ladk; vkSj uSnkfud ,oa eyw Hkwr lqfoèkkvks a dh miyCèkrk ds lacaèk eas mi;qDrrk dk vkadyu dju s ds fy, vfèkfu;e dh èkkjk 13 ds rgr oSèkkfud fujh{k.k fd;k tk,xkA a. 1%10 ds vuqikr es a iw.kZdkfyd f'k{k.k ladk;

b. f'k{k.k ladk; eas U;wure nks lnL; gksus pkfg, c. ;ksX;rk ,oa la[;k% i. efsMdy lÆtdy uÉlx@cky jksx uÉlx@çlwfr ,oa L=h jksx uÉlx@vkWUdksykWth uÉlx@ç’kked n[s kHkky Lisf’k;fyVh uÉlx eas ,e-,llh- uÉlx & 1 ii. csfld ch-,llh- uÉlx@ih-ch-ch-,llh- uÉlx ds lkFk gsesVksykWth@vkWUdksykWth Lisf'k;fyVh uÉlx eas iksLV csfld fMIyksek & 1 d. vuqHko% gsesVksykWth@vkWUdksykWth Lisf'k;fyVh uÉlx eas U;wure rhu o"kZ dk uSnkfud vuqHko e. vfrfFk ladk;% lacafèkr fof'k"Vrkvks a eas cgq&fo"k;d ¼L=h jksx] cky jksx] lkeqnkf;d LokLF; uÉlx½ f. çhlsIVj% • uÉlx çhlsIVj% iw.kZdkfyd th,u,e ds lkFk fof'k"V uÉlx ¼vkWUdksykWth@ç’kked uÉlx½ eas N% o"kZ] ;k ch- ,llh- uÉlx ds lkFk vkWUdksykWth@ç’kked uÉlx eas nks o"kZ] ;k ,e-,llh- uÉlx ds lkFk ç’kked uÉlx eas ,d o"kZ] fof'k"V ns[kHkky bdkbZ eas dk;Z djus dk vuqHkoA • efsMdy çhlsIVj% LukrdksÙkj ;ksX;rk çkIr fo'ks"kK ¼vkWUdksykWth@ç’kked fo'ks"kK½ MkWDVj ¼LukrdksÙkj ;ksX;rk çkIr djus ds ckn rhu o"kZ dk vuqHko@ladk; Lrj vFkok lykgdkj Lrj okyks a dks ojh;rk nh tk,xh½A • çhlsIVj Nk= vuqikr% eas 1%10] eas 1%10 ¼çR;sd Nk= ,d efsMdy çhlsIVj vkSj ,d uÉlx çhlsIVj ls lac) gksuk pkfg,½A6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] laLFkku ds dqy ctV es a bl dk;ZØe ds fy, vko';d deZpkfj;ks a ds osru] vfrfFk ladk; vkSj va'kdkfyd f'k{kdks a ds fy, ekuns;] fyfidh; lgk;rk] iqLrdky;h vkSj vkdfLed O;; ds fy, çkoèkku gksuk pkfg,A a. uSnkfud {ks= eas ,d vè;;u d{k@lEeys u d{k b. vLirky vkSj dkWyst eas Ñf=e vè;;u ¼flE;qyVs Ms yfu±x½ ds fy, dkS'ky ç;ksx'kkykA c. vkWuykbu if=dkvks a rd igqap ds lkFk iqLrdky; vkSj daI;Vw j lqfoèkk,a% i. dkWyst eas ç’kked uÉlx Lisf'k;fyVh] uÉlx çcaèku] uÉlx f'k{kk] uÉlx 'kksèk vkSj lkfa[;dh ls lacafèkr orZeku iqLrdks]a tuZy vkSj if=dkvks a ls lqlfTtr iqLrdky; gksuk pkfg,A ii. baVjusV dh lqfoèkk ds lkFk daI;wVj d. Ã&yfu±x lqfoèkk,a e. f'k{k.k lalkèku% mi;ksx djus gsrq fuEukafdr lqfoèkk,a miyCèk gksuh pkfg,% i. vksojgsM çkstsDVj ii. ohfM;ks ns[kus dh lqfoèkk iii. ,ylhMh çkstsDVj iv. lhMh] MhohMh vkSj MhohMh Iy;s j v. dkS'ky vè;;u ds fy, mi;qDr midj.k] eSuhfdal vkSj fleqysVlZ f. dk;kZy;h lqfoèkk,a% i. fyfid] pijklh] lgk;d] lQkbZ deZpkjh dh lsok,a ii. dk;kZy;] midj.k vkSj vkiwfrZ dh lqfoèkk] tSls • LVs'kujh • fçaVj ds lkFk daI;Vw j • thjksDl e'khu • Vys hQksu ,oa QSDl a. U;wure 200 'k¸;k okys viu s Lo;a ds ,sl s fof'k"V@r`rh;d vLirky ftues a efsMdy vkWUdksykWth] jfsM,’ku vkWUdksykWth] gsesVksykWth vkSj fof'k"V uÉlx n[s kHkky lqfoèkkvks a ds lkFk mUur uSnkfud] fpfdRlh; vkSj ç'kked n[s kHkky bdkbZ miyCèk gksAa b. vLirky ftues a mUur uSnkfud] fpfdRlh; vkSj n[s kHkky lqfoèkkvks a okyh de ls de 30 fof’k"V 'k¸;k miyCèk gkAsa c. U;wure 200 'k¸;k okys {ks=h; vkWUdksykWth dsæa @vkWUdksykWth Lisf’k;fyVh vLirky ftues a efsMdy vkWUdksykWth] jfsM,’ku vkWUdksykWth] gsesVksykWth vkSj fof'k"V uÉlx n[s kHkky lqfoèkkvks a ds lkFk mUur uSnkfud] fpfdRlh; vkSj ç’kked bdkb;ka miyCèk gksAa d. ç'kked n[s kHkky bdkbZ eas vkarfjd jksxh lqfoèkk gksuh pkfg,] vkSj dLcs vkSj mlds vklikl ds jksfx;ks a ds fy, gj lIrkg ?kj ds nkSj s djus es a l{ke ,d nfSud dkedkth ç'kked ns[kHkky vksihMh gksuh pkfg,A e. bdkb;ks a eas ifj"kn~ }kjk vuq'kafalr ekunaMks a ds vuq:i ulZ LVkQ miyCèk gksuk pkfg,A f. Nk= jksxh vuiq kr 1%3 gksuk pkfg,A bl dk;ZØe ea s ços'k ikus ds bPNqd Nk= dks] a. ,u;wvkbZMh uca j ds lkFk fdlh ,d ,l,uvkjlh es a ,d iathÑr ulZ ,oa çlkfodk ¼vkj,u ,aM vkj,e½ ;k led{k gksuk pkfg,A[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7 b. ukekadu ls igys vfèkekur% vkWUdksykWth@gsesVksykWth@ç'kked n[s kHkky lek;kstu eas LVkQ ulZ ds in ij U;wure ,d&o"kZ dk uSnkfud vuqHko gksuk pkfg,A c. 'kkjhfjd :i ls LoLFk gksuk pkfg,A d. p;u] vk;ksftr ços'k ijh{kk eas vftZr ;ksX;rk vkSj l{ke vfèkdkjh }kjk fy, x, lk{kkRdkj ds vkèkkj ij gksuk pkfg,A e. vU; n's kks a ds ulks± dks ços'k ls igy s ifj"kn~ ls lerqY;rk çek.k i= çkIr djuk gksxkA • 200 'k¸;k rFkk 30 fof’k"V 'k¸;k okys vLirky ds fy, lhVks a dh la[;k ¾ 10] • 500 ;k blls vfèkd 'k¸;k rFkk 60 fof’k"V 'k¸;k oky s vLirky ds fy, lhVks a dh la[;k ¾ 20 • rhu fof’k"V 'k¸;kvks a ds fy, ,d vH;FkhZ a. lsokjr vH;fFkZ;ks a dks fu;fer osru feyrk jgsxkA b. vU; vH;fFkZ;ks a dks dk;ZØe dk lapkyu djus oky s vLirky dh osru lajpuk ds vuqlkj othQk@osru fn;k tk,xkA VII.

ifj"kn~ }kjk vuqeksfnr lacafèkr ijh{kk cksMZ@ ,l,uvkjlh@fo'ofo|ky;A a. mifLFkfr% lS)kafrd ,oa çk;ksfxd & 80%] ijUrq çek.ki= feyu s ls igy s 100% uSnkfud mifLFkfr gksuk vfuok;Z gSA b. ykWx cqd vkSj uSnkfud vgZrkvks a tSlh t:jh vko';drkvks a dks lQyrkiwoZd iwjk djus okys vH;FkhZ ijh{kk es a cSBus ds fy, ik= gksxa s vkSj vafre ijh{kk es a cSB ldr s gSaA a. vks,llhÃ% vkarfjd vkSj vafre ijh{kk nksuks a eas ekSf[kd ijh{kk ds lkFk&lkFk cqfu;knh ;ksX;rk vkadyu ds fy, oLrqfu"B lajfpr uSnkfud ijh{kk vk;ksftr dh tk,xhA ¼foLr`r fn'kkfunsZ'k ekxZn'kZu iqfLrdk es a fn, x, gSa½ b. çk;ksfxd@uSnkfud voyksdu% vafre vkarfjd vkSj cká ijh{kk eas ekSf[kd ijh{kk ds lkFk&lkFk okLrfod ifjfLFkfr;ks a eas uSnkfud çn'kZu dk vkadyu vkSj 3&4 ?kaVs dk y?kq uSnkfud fu:i.k vH;kl ¼uÉlx çfØ;k vkosnu vkSj dk;Zfofèkd n{krk dk çR;{k voyksdu½ Hkh 'kkfey gksxkA uSnkfud {ks= eas vkadyu dh U;wure vofèk 5&6 ?kaVs gksxhA ¼vkadyu fn'kkfunsZ'k ekxZn'kZu iqfLrdk eas fn, x, gSa½ c. çfr fnu Nk=ks a dh vfèkdre la[;k% 10 Nk=A d. çk;ksfxd ijh{kk dsoy uSnkfud {ks= eas gh vk;ksftr dh tkuh pkfg,A e. çk;ksfxd ijh{kd ny eas] ,d vkarfjd ijh{kd ¿lacafèkr fof'k"V dk;ZØe es a f'k{k.k ds 2 o"kZ ds vuHq ko ds lkFk ,e-,llh- vgZrk èkkjd ladk;@LukrdksRrj ds i'pkr 5 o"kZ ds vuqHko ds lkFk ,e-,llh- ¼esfMdy lÆtdy uÉlx@cky jksx uÉlx@çlwfr ,oa L=h jksx uÉlx½ vgZrk èkkjd ladk;À] ,d cká ijh{kd ¼mijksDr vuqHko ,oa vgZrk èkkjd uÉlx ladk;½] vkSj ,d fpfdRlh; vkarfjd ijh{kd tks lacafèkr fof'k"V dk;ZØe ds fy, çhlsIVj gksuk pkfg,] 'kkfey gksxa sA f. çk;ksfxd ijh{kd vkSj lS)kafrd ijh{kd ,d gh uÉlx ladk;@,d gh Lisf’k;fyVh ls gksus pkfg,A a. çR;sd vH;FkhZ dks mÙkh.kZ gksus ds fy, lS)kafrd vkSj çk;ksfxd ijh{kk ds vkarfjd vkadyu rFkk cká ijh{kk nksuksa eas feykdj U;wure dqy 60% vad çkIr djuk vfuok;Z gSA 60% ls de vad çkIr djus ij vuqÙkh.kZ ekuk tk,xkA8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] b. Nk= dks mÙkh.kZ gksus ds fy, vfèkdre rhu volj çnku fd, tk,axsA c. ;fn Nk= lS)kafrd vFkok çk;ksfxd ijh{kk eas ls fdlh ,d eas vuqÙkh.kZ gks tkrk gS] rks mls lS)kafrd vFkok çk;ksfxd ijh{kk eas ls ftl es a vuqÙkh.kZ gqvk gS dsoy ogh ijh{kk iqu% nsuh gksxhA a. & ç’kked ns[kHkky Lisf'k;fyVh uÉlx eas iksLV csfld fMIyksek b. fuèkkZfjr vè;;u ikBîØe ds lQy lekiu ij] ifj"kn~ }kjk vuqeksfnr ijh{kk cksMZ@,l,uvkjlh@ fo'ofo|ky;

}kjk fMIyksek ls lEekfur fd;k tk,xk] ftles a fy[kk gksxk fd] i. vH;FkhZ us ç’kked n[s kHkky Lisf'k;fyVh uÉlx eas iksLV csfld fMIyksek & vkoklh; dk;ZØe ds rgr ikBîØe ds lHkh igyqvks a dk vè;;u iwjk dj fy;k gSA ii. vH;FkhZ us lS)kafrd es a 80 çfr'kr vkSj uSnkfud eas 100 çfr'kr vgZrk,a iwjh dj yh gSaA iii. vH;FkhZ us fuèkkZfjr ijh{kk mÙkh.kZ dj yh gSA VIII.

25 ¼10$15½ 75 ¼35$40½ 100 3 ç’kked n[s kHkky Lisf'k;fyVh uÉlx ¼Hkkx I o Hkkx II½ ¿Hkkx I & ç’kked ns[kHkky Lisf'k;fyVh uÉlx I] vkSj Hkkx II & ç’kked ns[kHkky Lisf'k;fyVh uÉlx IIÀ 75 ¼25$50½ 150 ¼50$100½ 225 • ekSf[kd ijh{kk lfgr vks,llhà ¼vks,llhÃ&25 ¼vks,llhÃ&50 uSnkfud {ks= eas • i;Zosf{kr çk;ksfxd@uSnkfud voyksdu% ekSf[kd ijh{kk ds ,oa çk;ksfxd ,oa çk;ksfxd U;wure 5&6 lkFk&lkFk okLrfod ifjfLFkfr;ks a eas çR;{k voyksdu & voyksdu&50½ voyksdu&100½ ?kaVs vkarfjd çk;ksfxd ijh{kk ds fy, 3&4 ?kaVs dk y?kq

uSnkfud fu:i.k vH;kl ¼uÉlx çfØ;k vkosnu o dk;Zfofèkd n{krk dk çR;{k voyksdu½ IX.

1- vuqns'k ikB&;kstuk 2- ikBîØe dk dk;kZUo;u 3- uSnkfud vH;kl ¼vkoklh; inLFkkiu½ 4- çf'k{k.k fofèk;ka 5- vkadyu fofèk;ka 6- ykWx cqd vkSj uSnkfud vgZrk,a I 40 & 1- O;kolkf;d dq'kyrk 2- laokn] nq[kn lekpkj lqukuk] vkSj f'k{kk ,oa ijke'kZ 3- xq.koÙkkijd ns[kHkky ds lkFk fof'k"V ns[kHkky lek;kstu eas uSnkfud urs `Ro vkSj lalkèku çcaèku 4- fof'k"V uÉlx eas lk{; vkèkkfjr ,oa vuqç;qDr 'kksèk II I 50 10[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9 1- ç'kked n[s kHkky uÉlx dk ifjp;

2- ç'kked n[s kHkky uÉlx ds fl)kar vkSj vH;kl 3- ç'kked n[s kHkky fof’k"V ulZ dh Hkwfedk o ftEens kfj;ka 4- ,IykbM ,ukVkWeh vkSj fQft;ksykWth 5- laØe.k jksdFkke ,oa fu;a=.k 6- vkS"kèkh; çcaèku 7- ç’kked n[s kHkky ds eukslkekftd ,oa vkè;kfRed igyw 8- ej.kklUu dh ns[kHkky ls lacafèkr uSfrd o dkuwuh igyw 9- larki vkSj 'kksd 10- ç’kked n[s kHkky ds ekWMy 11- ç’kked n[s kHkky es a oSdfYid fpfdRlk II III 1- nnZ dk vkadyu rFkk çcaèku 110 30 1730 2- ç’kked n[s kHkky es a y{k.k vkadyu rFkk çcaèku & uÉlx çfØ;k dk vuqç;ksx 3- fof'k"V ç'kked uÉlx n[s kHkky vko';drkvks a okys jksfx;ks a dk çcaèku 4- thou ?kkrd jksx fLFkfr;ks a eas ç’kked ns[kHkky 5- fo'ks"k vkcknh eas ç'kked ns[kHkky 6- cPpks a ds fy, ç’kked n[s kHkky 7- cqtqxks± ds fy, ç’kked ns[kHkky 8- ç'kked n[s kHkky vkikr fLFkfr;ka 9- ?kj vkèkkfjr ç’kked ns[kHkky 10- euksjksx lacaèkh ç'kked ns[kHkky 11- ej.kklUu dh ns[kHkky vkSj ulks± dh Hkwfedk • okf"kZd vodk'k $ vkdfLed vodk'k $ vLoLFkrk vodk'k $ lkoZtfud vodk'k ¾ 6 lIrkg • ijh{kk dh rS;kjh vkSj ijh{kk ¾ 2 lIrkg • lS)kafrd vkSj çk;ksfxd ¾ 44 lIrkg ¼lS)kafrd & 10% ,oa dkS'ky ç;ksx'kkyk $ uSnkfud & 90%½ • CykWd d{kk,a & 2 lIrkg × 40 ?kaV s çfr lIrkg ¾ 80 ?kaVs • vkoklh; & 42 lIrkg × 45 ?kaVs çfr lIrkg ¾ 1890 ?kaVs dqy ¾ 1970 ?kaVs • CykWd d{kk,a% lS)kafrd vkSj dkS'ky ç;ksx'kkyk vuHq ko ¾ 2 lIrkg × 40 ?kaVs çfr lIrkg ¼80 ?kaV½s ¼lS)kafrd ¾ 74 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 6 ?kaVs] dqy ¾ 80 ?kaVs½ • lS)kafrd vkSj dkS'ky ç;ksx'kkyk lfgr uSnkfud vH;kl ¾ 42 lIrkg × 45 ?kaVs çfr lIrkg ¼1890 ?kaVs½ ¼lS)kafrd ¾ 126 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 34 ?kaVs] uSnkfud ¾ 1730 ?kaV]s dqy ¾ 1890 ?kaVs½ lS)kafrd ¾ 200 ¼74 $ 126½ ?kaVs] dkS'ky ç;ksx'kkyk ¾ 40 ¼6 $ 34½ ?kaVs] uSnkfud ¾ 1730 ?kaVs10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] uSnkfud vuqHko ds nkSjku lS)kafrd ds 126 ?kaVs vkSj dkS'ky ç;ksx'kkyk vè;;u ds 34 ?kaVs dks ,dhÑr fd;k tk ldrk gSA laiw.kZ dk;ZØe ds nkSjku Nk=ks a dks çf'kf{kr djus eas fuiq.k vè;;u vkSj vuqHkokRed vè;;u n`f"Vdks.k dk mi;ksx fd;k tkuk gSA gkykafd U;wure 45 ?kaVs çfr lIrkg fuèkkZfjr gS] yfsdu vyx&vyx ikfj;ks a vkSj çR;sd lIrkg ;k i[kokM+ s vkWu dkWy MîVw h djus ij ifjfLFkfr vuqlkj gksxkA çf'k{k.k vofèk ds nkSjku Nk=ks a dk fuEukafdr uSnkfud {ks=ks a eas inLFkkiu fd;k tk,xk%& 1- ç'kked n[s kHkky ¼’olu] dkÆM;ks] o`Dd o U;wjks okMZ½ vkSj vksihMh 20 ¼16 $ 4½ 2- jfsM,'ku vkWUdksykWth okMZ lkekU;@futh 2 3- efsMdy vkWUdksykWth okMZ lkekU;@futh 2 4- gkWLikbl & {ks=h; nkSjs 4 5- xzkeh.k & ç’kked ns[kHkky ftles a ?kjsy w nkSj s 'kkfey gSa 4 ¼2 $ 2½ 6- cky jksx vkWUdksykWth 2 7- o`)koLFkk okMZ ,oa vksihMh 2 8- L=h jksx vkWUdksykWth 2 9- gsesVksykWth 3 10- ijke'kZ dsUæ 1 lS)kafrd] dkS'ky ç;ksx'kkyk vkSj uSnkfud f'k{k.k fuEufyf[kr i)fr;ks a }kjk fd, tk ldr s gSa vkSj uSnkfud inLFkkiu ds nkSjku ,dhÑr fd, tk ldrs gSa%& • ekeyk@uSnkfud çLrqfr ,oa ekeys ds vè;;u dh fjiksVZ • vkS"kfèk vè;;u ,oa çLrqfr • csMlkbM fDyfud@uÉlx nkSj@s var%fo"k;d nkSjs • tuZy Dyc@uSnkfud lsfeukj • uSnkfud {ks= eas ladk; O;k[;ku vkSj ifjppkZ • dkS'ky ç;ksx'kkyk eas vkSj 'k¸;k ds ikl vfHkO;fDr vkSj dkS'ky çf'k{k.k • funsZf'kr iBu@Lo&vè;;u • Hkwfedk fuoZgu • laxks"Bh@lkefwgd çLrqfr • lkefwgd 'kksèk ifj;kstuk • uSnkfud fufgr dk;Z[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11 • {ks=h; nkSjs • fyf[kr ijh{kk ¼ekeyk@ifjn`'; vkèkkfjr½ • çk;ksfxd ijh{kk% vks,llhbZ vkSj çk;ksfxd voyksdu ¼okLrfod lek;kstu eas LokHkkfod uSnkfud çn'kZu dk çR;{k voyksdu½ • fyf[kr dk;Z • ifj;kstuk • ekey s dk vè;;u@n[s kHkky ;kstuk@uSnkfud çLrqfr@vkS"kfèk vè;;u • uSnkfud çn'kZu fu:i.k • uSnkfud dk;Zfofèkd n{krkvks a vkSj uSnkfud vko';drkvks a dks iwjk djukA çR;sd uSnkfud inLFkkiu ds var eas] uSnkfud ykWx cqd ¼fof'k"V dk;Zfofèkd n{krk,a@uSnkfud dkS'ky½ ] uSnkfud vgZrk, a vkSj uSnkfud vuqHko fooj.k ij lacafèkr uSnkfud ladk;@çhlsIVj }kjk gLrk{kj fd, tku s pkfg,A X.

;g ikBîØe ç'kked n[s kHkky uÉlx eas O;kolkf;d dq'kyrk] fpfdRlh; fofèkd igyw] laokn vkSj nq%[kn lekpkj lqukuk] jksxh o ifjtuks a dh f'k{kk rFkk ijke'kZ] uSnkfud usr`Ro] lalkèku çcaèku] xq.koÙkk n[s kHkky] lk{;

vkèkkfjr vkSj vuqç;qDr 'kksèk dh le> fodflr djus ds fy, rS;kj fd;k x;k gSA I 6 O;kolkf;d • ifjppkZ • ç’kked n[s kHkky dq'kyrk dh • vfHkçk; vkSj fl)kar% tokcngs h] lqfoKrk] uÉlx eas le> vkSj n`';rk vkSj uSfrd igyw O;ko;kf;d vkSj O;kolkf;d uSfrd ewY;ks a ij • O;kolkf;d ewY; vkSj O;kolkf;d O;ogkj dq'kyrk dk fufgr dk;Z • vkbZ,ulh vkpkj lafgrk] O;kolkf;d vkpkj çn'kZu djuk lafgrk vkSj vH;kl ekud • ulks± dh vkpkj • ç’kked n[s kHkky uÉlx ls lacafèkr uSfrd lafgrk ds ckjs es a igyw fy[kuk • ç’kked n[s kHkky ulZ dh çlkjh Hkwfedk • O;kolkf;d laxBu] mís’; vkSj dk;Z’kSyh • lrr uÉlx f'k{kk ç'kked n[s kHkky • ç’kked n[s kHkky ij ykxw • vfHkHkk"k.k bdkbZ es a fjdkWMZ fpfdRlh; fofèkd • ç’kked n[s kHkky ls lacafèkr dkuuw vkSj j[kuk eqíks a dh O;k[;k fofu;e djuk • miHkksDrk laj{k.k vfèkfu;e • ykijokgh vkSj dnkpkj • fpfdRlh; fofèkd igy w • fjdkMZ vkSj fjiksVZ • vkarfjd jksxh vkSj cká jksxh {ks= eas ç’kked12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] n[s kHkky bdkbZ eas ulZ dh dkuuw h ftEens kfj;ka II 12 var%fo"k;d ny] • ç'kked jksfx;ks a • fMftVy fjdkWMZ ifjokj vkSj • laokn ds cqfu;knh fl)kar ds lkFk laokn jksfx;ks a eas çHkkoh • ç’kked n[s kHkky lek;kstuks a eas laokn ds djus es a Hkwfedk • Hkwfedkvks a dk laokn fl)kar pSuy vkSj rduhd fuoZgu & tSls voyksdu vkSj ykxw djuk nq%[kn lekpkj • nq%[kn lekpkj lqukuk vkadyu] tSls • lk>k fu.kZ; yus k lqukuk laokn • vkilh lkaB&xkaB • lp cksyuk • laokn ds fy, lwpuk çkS|kfsxdh midj.k • nyh; laokn • ifjokj vkSj • jksxh lwpuk lkexzh çkFkfed ç'kked jksfx;ks a rS;kj djuk ds y{k.k çcaèku • lwpuk vko';drkvks a vkSj f'k{kk dk vkadyu n[s kHkky dju s ;kstuk ds ckj s eas • 'kSf{kd lkexzh dk fodkl okyks a dh f'k{kk ij Hkwfedk ifjokj ds lnL;ks a fuHkkuk dks çf'kf{kr djuk • vfHkHkk"k.k • ijke'kZ dh ifjHkk"kk ç'kked n[s kHkky • ifjppkZ • ijke'kZ dh fo'ks"krk,a bdkbZ es a HkrÊ • fufgr dk;Z vkSj • ijke'kZ eas ckèkk,a jksfx;ks a ds Lo&vè;;u ifjtuks a ds fy, • ijke'kZnkrk ds vPNs xq.k • ladV ls fuiVus ijke'kZ dkS'ky • ijke'kZ rduhdsa ds fy, ifjokj • Hkwfedk fuoZgu dk fodflr djuk • nq%[kn lekpkj lquku s ds nkSjku lykg nsuk dks ijke'kZ nsus vkadyu • ç’kked n[s kHkky lek;kstu es a ifjokj dk eas Hkwfedk ladVdkyhu eè;orZu fuHkkuk • thou dk vafre pj.k eas ijke'kZ • nq%[k ds le;

o jksxh dh eR` ;q ds ckn 'kksd ijke'kZ ijke'khZ; Hkwfedk fuHkkuk o ifjokj dk eukslkekftd vkadyu djuk o jksxh dh fLFkfr vkSj fuokjd mik;ks a ds ckj s eas ifjokjks a dks ijke'kZ nus k III 12 uSnkfud usr`Ro • O;k[;ku ,oa • çHkkjh@ofj"B vkSj çcaèku ifjppkZ ç'kked n[s kHkky j.kuhfr;ks a dh • çcaèku ds fl)kar ulZ dk dk;Z le> çnÆ'kr fooj.k rS;kj djuk • urs `Ro ,oa çcaèku djuk vkSj • ç'kked n[s kHkky jksfx;ks a ds çcaèku ds mlwy% • eyw dkj.kks a ds lg;ksxh vkSj fo'y"sk.k vkSj ;kstuk cukuk] vk;kstu djuk] LVkÇQx] çHkkoh nyh; dk;Z lekèkku ds lkFk fjiksÉVx] fjdkWÉMx] ctV cukuk dks c<+kok nsus ç’kked n[s kHkky oky s ç’kked • uSnkfud usr`Ro vkSj bldh pqukSfr;ka bdkbZ dh leL;k n[s kHkky • leL;k lqy>kuk dk ,d losZ{k.k lek;kstuks a eas • çfrfufèk eaMy rS;kj djuk mudk mi;ksx • ç’kked n[s kHkky bdkbZ es a ekuo lalkèku • vkarfjd jksxh vkSj djuk çcaèku cká jksxh bdkb;ks a • lkexzh çcaèku eas ulks± ds fy, MîwVh jksLVj dh • vLirky] leqnk; vkSj gkWLikbl eas ç’kked ;kstuk cukuk n[s kHkky jksfx;ks a ds fy, bdkbZ rS;kj djuk • HkkoukRed cqf)eÙkk o vkRe&çcaèku dkS'ky • LVkQ dk vkadyu[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13 • var%fo"k;d ny ds lnL; ds :i eas dk;Z • uÉlx ny ds djuk uSnkfud ijh{k.k djuk Hkhrj ckrphr • ,d lapkfyr djuk • ç’kked n[s kHkky ls çklafxd uhfr;ka cukus es a dh Hkwfedk ç'kked n[s kHkky vkSj ç'kked Hkkxhnkjh fuHkkuk fuHkkuk bdkbZ rS;kj djuk n[s kHkky bdkbZ eas • ç'kked n[s kHkky xq.koÙkk vk’oklu • ç’kked n[s kHkky bdkbZ es a uÉlx ijh{k.k • bdkbZ ds fy, xfrfofèk;ks a eas vH;kl ekudks a ,lvksih fodflr • ç’kked n[s kHkky bdkbZ ds fy, uÉlx ekudks a Hkkx ysuk ij çR;k;u djuk

dk la:i.k • xq.koÙkk vk’oklu IV 10 ’kksèk çfØ;k vkSj • vfHkHkk"k.k • fiNys 5 o"kZ ds lkaf[;dh; fy, ç'kked ijh{k.kks a ds egRo n[s kHkky bdkbZ dk • dh O;k[;k djuk • uÉlx 'kksèk vkSj 'kksèk çfØ;k dk ifjp; oSKkfud çi= lkaf[;dh; fooj.k • MsVk çLrqfr] ewy lkaf[;dh; ijh{k.k vkSj y[s ku rS;kj djuk bldk vuçq ;ksx • ç’kked n[s kHkky uÉlx vkSj • 'kksèk çkFkfedrk,a lk{;&vkèkkfjr • ç'kked n[s kHkky uÉlx ls lacafèkr vH;kl ls lacafèkr ç’kked n[s kHkky leL;k@ç'uks a dk la:i.k uÉlx eè;orZukssa uÉlx ds fy, • ç’kked n[s kHkky uÉlx eas lk{; ij lkfgR;d lk{;&vkèkkfjr vkèkkfjr@loksZÙke çFkkvks a dks igpkuus ds leh{kk djuk çFkkvks a dh fy, lkfgfR;d leh{kk igpku djuk • lkefwgd ifj;kstuk • ç’kked n[s kHkky bdkbZ es a ifj;kstuk çLrko fu"ikfnr djuk rS;kj djuk • nSfud O;kolkf;d vH;kl eas lk{; vkèkkfjr vH;kl dk dk;kZUo;u • 'kksèk eas uSfrdrk I ;g ikBîØe Nk=ks a dks ç’kked n[s kHkky dh vko';drk oky s jksfx;ks a dh n[s kHkky ds lanHkZ es a ç’kked n[s kHkky uÉlx ds fl)karks a ds vuqç;ksx] lkekU; foKku ds vuqç;ksx tSls ,IykbM ,ukVkWeh rFkk fQft;ksykWth] laØe.k jksdFkke o fu;a=.k] vkS"kèkh; çcaèku] eukslkekftd] vkè;kfRed igyw] ej.kklUu n[s kHkky ls lacafèkr dkuwuh vkSj uSfrd igyw] ] larki o 'kksd] ç’kked n[s kHkky ds ekWMy vkSj ç’kked n[s kHkky eas oSdfYid fpfdRlk ds ckjs eas le> vkSj xgu Kku fodflr djus ds fy, rS;kj fd;k x;k gSA I 4 ¼Vh½ ç'kked n[s kHkky • O;k[;ku ,oa • fyf[kr fufgr ds bfrgkl] ifjppkZ dk;Z fl)kara] çFkk vkSj n`f"Vdks.kks a dh • ifjHkk"kk] nk;jk] n'kZu O;k[;k djuk • bfro`Ùk • y{;

• ç’kked n[s kHkky ds fl)kar • ç’kked n[s kHkky dh voèkkj.kk vkSj rRo • ç’kked n[s kHkky dk oSf’od vkSj Hkkjrh;14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ifjçs{;

II 4 ¼Vh½ ç'kked n[s kHkky • O;k[;ku ,oa • ç’kked n[s kHkky fof’k"V ulZ dh ifjppkZ {ks=ks a eas ulZ ds ,d Hkwfedk] ftEesnkjh • ç'kked n[s kHkky ny fnu dk o.kZu vkSj nk;jks a dh djuk vkSj mudh • ç'kked n[s kHkky ulZ dh Hkwfedk O;k[;k djuk Hkwfedk le>kuk • ç'kked n[s kHkky vkSj ç'kked n[s kHkky fo'ks"kK ulZ dk nk;jk III 4 ¼Vh½ ç’kked n[s kHkky • O;k[;ku ,oa • fyf[kr fufgr ij ,IykbM ç'kked ns[kHkky ij vuqç;qDr ifjppkZ dk;Z ,ukVkWeh dh 'kkjhfjd ç.kkfy;ks a dk voyksdu lajpuk vkSj • ylhdk ra= ¼fyQa sfVd flLVe½ dk;ks± dh O;k[;k • rfa=dk r=a ¼U;wjksykWftdy flLVe½ djuk • ’olu r=a ¼jfsLijVs jh flLVe½ • gkM+ Çitj ra= ¼eLdwyksLdsysVy flLVe½ • tBjka= r=a ¼xSLVªksbaVfsLVuy flLVe½ IV 2 ¼Vh½ ç'kked n[s kHkky • O;k[;ku] çn'kZu • iqu% çn'kZu 2 ¼,y½ eas laØe.k • ç'kked jksfx;ks a eas laØe.k dh jksdFkke vkSj • buosto çfØ;kvks a fu;a=.k mik;ks a fu;a=.k ds mik; ds fy, ,lsfIVl dh O;k[;k djuk caMyks a dh lwph rS;kj djuk V 4 ¼Vh½ ç’kked n[s kHkky • O;k[;ku ,oa • ekSf[kd vkSj eas fofHkUu • iwjd vkWDlhtu ifjppkZ fyf[kr vkS"kfèk vkS"kèkh; çcaèkuksa çLrqfr • vksfivksbM dh foLr`r ppkZ • ,afDlvksfyfVDl djuk • dkWÆVdksLVjs kWbM~l • czksda ksMkbZysVlZ • Mkb;wjsfVDl • ,aVhdksfyuÆtDl • ,aVh,esfVDl • yDs lsfVOl • ç’kked n[s kHkky es a dheksFkSjis h VI 8 ¼Vh½ ç’kked n[s kHkky • O;k[;ku ,oa • ruko o ladV eas 4 ¼,y½ jksfx;ks@a ifjtuks a ifjppkZ ifjokj ds ds eukslkekftd eukslkekftd vkSj vkè;kfRed vkadyu dh • ç'kked n[s kHkky jksfx;ks a dh euksoSKkfud • ruko o ladV ds igyvq ks a ij O;k[;k djuk çfrfØ;k,a nkSjku ifjtuks a ds tkudkjh ykxw • eukslkekftd leL;kvks a dk uÉlx eè;orZu euksoSKkfud djuk vkadyu dk • vlkè; jksfx;ks a dh lkekU; t:jrks a vkSj çkFkfedrkvks a dh igpku djuk vkSj çn'kZu okLrfod eR` ;q dh ;kstuk cukuk • lkekftd o ikfjokfjd • 'kksd • ç'kked n[s kHkky lgk;rk ç.kkyh bdkbZ es a jksxh ds • budkj] Øksèk vkSj jksus dk çcaèku djuk ij Hkwfedk fuoZgu ifjtuks a ds ruko • xyr n`f"Vdks.k vkSj fo’okl dk çcaèku vkSj ruko o vkSj mlls fuiVus djuk ladV ds {k.kks a eas dks n'kkZu s okys • vkè;kfRed n[s kHkky vkSj vko';drk,a ifjtuks a dk uSnkfud ifjn`';

• vkè;kfRed vkadyu vkSj vkè;kfRed leFkZu djus es a dh O;k[;k djuk n[s kHkky eè;orZu ulks± dh Hkwfedk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15 VII 4 ¼Vh½ ç'kked n[s kHkky • vfHkHkk"k.k • lek;kstuks a eas • ifjppkZ fofHkUu ns'kks a dh ej.kklUu dh • vfxze funsZ'k • Hkwfedk fuoZgu dkuuw h ç.kkyh vkSj n[s kHkky ls çFkkvks a dk • Mh,uvkbZ@Mh,uvkj lacafèkr uSfrd fo'y"sk.k ¼Mw&ukWV&baVqcsV@Mw&ukWV&jhlflVsV½ vkSj dkuwuh eqíks a • çkWDlh fu.kZ; yus k dh O;k[;k djuk • fujFkZd mipkj dk s lhfer djuk • bPNkeR` ;q cuke ç'kked csgk's kh VIII 4 ¼Vh½ ç'kked n[s kHkky • O;k[;ku ,oa • ladV ekxZ ij jksfx;ks a eas 'kksd • ifjHkk"kk] çdkj ifjppkZ fufgr dk;Z ekxZ vkSj mlds • lkekU; vkSj vlkekU; 'kksd çfrfØ;k,a çcaèku dh O;k[;k • 'kksd ekxZ djuk • 'kksd vfHkO;fDr • 'kksd çcaèku • 'kksd larIr jksxh@ifjtuks a ds igyw • fo;ksx & ifjHkk"kk] çfØ;k IX 10 ¼Vh½ ç’kked n[s kHkky • O;k[;ku ,oa • {ks=h; nkSjs 4 ¼,y½ çnku djus es a • vLirky & ijke'kZ ekWMy] vkarfjd jksxh ifjppkZ • fjiksVZ y[s ku lajpuk] çfØ;k] ekWMy] vkSj cká jksxh ekWMy • {ks=h; nkSjs ;ksX;rk ds • lkeqnkf;d ;k ?kjsy w ç'kked ns[kHkky fofHkUu ekWMyks a • gkWLikbl ns[kHkky dh O;k[;k djuk • iquokZl • ej.kklUu dh ns[kHkky X 6 ¼Vh½ ç’kked n[s kHkky • vfHkHkk"k.k • p;ukRed eas oSdfYid • ekuf’kd&'kkjhfjd eè;orZu • ifjppkZ oSdfYid fpfdRlk mipkjks a dh o.kZu i)fr;ks a dk çn'kZu • è;ku ¼esfMV’s ku½ djuk ,oa iqu% çn'kZu • ruko eqfDr rduhd ¼fjsysDl’s ku VSDuhd½ • funsZf'kr dYiuk ¼xkbMsM bestjh½ • lEeksgu ¼fgIuksfll½ • ck;ksQhMcSd • laxhrh; mipkj ¼E;wftd FkSjsih½ • fo'ks"k vkgkj • tM+h cwfV;ks a ls cuh vkS"kfèk ¼gcZy esfMflu½ • elkt FkSjsih • vjksek FkSjsih • fj¶ysDlksykWth • ,D;wçs'kj • gkbMªksFkSjsih II16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ;g ikBîØe Nk=ks a dks nnZ vkSj vU; y{k.kks a ds çcaèku] uÉlx çfØ;k vuqç;ksx] fof'k"V ç’kked uÉlx n[s kHkky vko';drkvks a okys jksfx;ks a ds çcaèku tSls fd vkWfLV;kseh n[s kHkky] QaxsÇVx ?kko] fyEQsMsek] ekSf[kd vkSj Roph;

n[s kHkky] vkSj 'k¸;k ij iM+ s jksfx;ks a dh n[s kHkky] thou dks [krjs esa Mkyus oky s jksxks a dh fLFkfr eas ç’kked n[s kHkky] fo'ks"k vkcknh es a ç’kked n[s kHkky] cPpks a ds fy, ç’kked n[s kHkky] cqtqxks± ds fy, ç’kked n[s kHkky] ç’kked n[s kHkky vkikr fLFkfr] ?kj vkèkkfjr ç’kked ns[kHkky] ç’kked n[s kHkky es a euksfpfdRlk] vkSj ej.kklUu dh n[s kHkky ds ckj s eas le> vkSj xgu tkudkjh fodflr djus ds fy, rS;kj fd;k x;k gSA I 30 ¼Vh½ nnZ] mlds vkadyu • vfHkHkk"k.k • dkWdVys Mªx 8 ¼,y½ vkSj uÉlx çcaèku yksÇMx ij • nnZ dk ifjp; • ifjppkZ dh foLr`r O;k[;k fMeksLa Vª’s ku • iSFkksykWth vkSj nnZ ds jkLrs • nnZ ds vkadyu djuk • nnZ dk oxÊdj.k ij gSaMvkmV~l • ekSf[kd vkSj fyf[kr vkS"kfèk • dSalj dk nnZ • iSekuk çLrqfr • ihM+k] fu;a=.k vkSj thou eas xq.koÙkk dh deh • fjysDl’s ku • nnZ dk vkadyu ,Dljlkbt • çHkkoh nnZ çcaèku es a ckèkk,a • elkt FkSjsih • nnZ çcaèku fn'kkfunsZ'k • vkS"kèkh; çcaèku o MCY;w,pvks LVSi yMs j o vksfi;ksbM~l o lgk;d vkS"kfèk;ka ¼,MtwosVa MªXl½ o ç’kked n[s kHkky es a dheksFkSjis h o vkS"kfèkvks a ds nq"çHkko vkSj mldk çcaèku o vksfivksbM dk dkuuw h fofu;eu • nnZ dks fu;af=r djus ds fy, phjQkM okyk mipkj • nnZ dk xSj&vkS"kèkh; çcaèku • fo'ks"k vkcknh eas nnZ çcaèku II 20 ¼Vh½ ç’kked n[s kHkky • O;k[;ku ,oa • fofHkUu y{k.kks a 4 ¼,y½ ds lkekU; y{k.kks a ifjppkZ ij vuqç;qDr vkSj uÉlx çcaèku uÉlx çfØ;k • 'olu lacaèkh y{k.k • çn'kZu dh O;k[;k djuk vkosnu ij • ân; lacaèkh y{k.k fufgr dk;Z • xSLVªksbaVsLVkbuy y{k.k • iqu% çn'kZu • xqnZs lacaèkh y{k.k • U;wjksykWftdy y{k.k • Fkdku • ,uksjfsDl;k • dSpfsDl;k • iks"k.k vkSj ty;kstu ¼U;wVªh’ku ,aM gkbMªs’ku½ • y{k.kks a dk vkS"kèkh; vkSj xSj&vkS"kèkh; çcaèku] ftles a dheksFkSjsih Hkh 'kkfey gS • uÉlx çfØ;k vkosnu III 6 ¼Vh½ fof'k"V ç’kked • vfHkHkk"k.k • iqu% çn'kZu 4 ¼,y½ uÉlx n[s kHkky • ifjppkZ vko';drkvks a oky s • vkWLVkseh n[s kHkky • ?kko dh[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17 jksfx;ks a ds çcaèku es a • ?kko dh ns[kHkky & QaxsfVo okmaM~l n[s kHkky dk vkRefo’okl çn'kZu] • fyEQsMsek çnÆ'kr djuk fyEQsMsek elkt • ekSf[kd vkSj Roph; n[s kHkky vkfn • vikfgt jksfx;ks a dh n[s kHkky IV 20 ¼Vh½ ç’kked n[s kHkky • vfHkHkk"k.k • uSnkfud çLrqfr 2 ¼,y½ dh vko';drk • ifjppkZ • uÉlx çfØ;k okyh fofHkUu • QsQM+ksa dh iqjkuh chekjh ¼Øksfud yxa vkosnu thou&?kkrd fMlht½ fLFkfr;ks a dh • ,aM LVts gVZ QsY;ksj O;k[;k djuk ftles uÉlx • ,aM LVts yhoj fMlht çcaèku 'kkfey gS • ,aM LVts jhuy fMlht • rfa=dk lacaèkh fodkj vkSj eLdqyksLdsyVs y fodkj V 6 ¼Vh½ ,pvkbZoh@,M~l • vfHkHkk"k.k • ekey s dk vkSj euksHkza'k ds • ,pvkbZoh] ,M~l • ifjppkZ çLrqfrdj.k jksfx;ks a eas ç’kked • Ikxyiu ¼fMesfa’k;k½ ns[kHkky ds uÉlx çcaèku ij ppkZ • dSalj djuk VI 6 ¼Vh½ ç’kked n[s kHkky • vfHkHkk"k.k • ç'kked n[s kHkky 4 ¼,y½ dh vko';drk • y{k.k çcaèku • ifjppkZ dh vko';drk oky s cPpks a eas ik, oky s cPp s ds • cky jksx gkWLikbl vkSj ç’kked n[s kHkky tku s okys lkekU; ekey s dk y{k.kks a ds çcaèku • ç’kked n[s kHkky es a fo;ksx vkSj 'kksd vè;;u dks le>uk vkSj • cky jksx vkcknh eas thou ds var dk fu.kZ;

çR;kf'kr Hk; o yus k euksoSKkfud çHkkoks a dk uÉlx çcaèku VII 6 ¼Vh½ mez c<u+ s dh • vfHkHkk"k.k • uÉlx çfØ;k çfØ;k vkSj cqtqxks± vkosnu • mez c<u+ s dh çfØ;k • ifjppkZ dh ç’kked • xsfj,fVªd ÇlMªkse n[s kHkky dh O;k[;k djuk • eukslkekftd ,oa vkè;kfRed leL;k,a • cqtqxks± eas ç’kked ns[kHkky vkSj ej.kklUu dh n[s kHkky VIII 8 ¼Vh½ ç'kked n[s kHkky • vfHkHkk"k.k • vkikrdkyhu 4 ¼,y½ jksfx;ks a eas fLFkfr ds çcaèku • lqihfj;j osuk dkok vkWCLVªD’ku ¼,lohlhvks½ • ifjppkZ ,oa vkikRdkyhu ds fy, n[s kHkky • jh<+ dh gìh dk laihM+u çn'kZu fLFkfr;ks a dh caMy rS;kj vfHkO;fDr vkSj • Vîwej ls jDrlzko@gsejts djuk çcaèku dh O;k[;k • vR;kfèkd ihM+k ¼,D;wV isu½ djuk • gkbijdSYlhfe;k • nkSj s iM+uk ¼lhtlZ½ • iwfr ¼lsfIll½ IX 2 ¼Vh½ • vfHkHkk"k.k • iqu% çn'kZu 2 ¼,y½ • ?kj ij nnZ çcaèku • ifjppkZ ,oa çn'kZu • y{k.k çcaèku18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • iks"k.k lacaèkh leFkZu • eukslkekftd leFkZu • ej.kklUu dh ns[kHkky • çkFkfed LokLF; n[s kHkky es a ç’kked ns[kHkky dk ,dhdj.k X 2 ¼Vh½ • O;k[;ku ,oa • Çprk ifjppkZ • volkn • çyki • ?kcjkgV dk vkadyu vkSj çcaèku XI 4 ¼Vh½ ç'kked n[s kHkky • vfHkHkk"k.k • uSnkfud 2 ¼,y½ jksfx;ks a eas fu:i.k • ifjppkZ ej.kklUu dh • vPNh ekSr ds fl)kar • Hkwfedk fuoZgu n[s kHkky ls lacafèkr fl)karks a vkSj • ejr s gq, O;fDr dh loksZÙke ns[kHkky ds • uSnkfud vH;kl fl)kar çFkkvks a ij & uSnkfud tkudkjh çkIr • fofHkUu lek;kstuksa es a ej.kklUu dh n[s kHkky vH;kl es a djuk • ifjtuks a ds lkFk laokn vkSj ifjokj ds ej.kklUu dh lnL;ks a dk lg;ksx n[s kHkky fLFkfr;ks a dk • e`R;q vkSj ejus ds ckjs es a okrkZ djuk çcaèku djuk • fiNys 48 ?kaVks a ds lkekU; y{k.k • ej.kklUu dh ?kj ij ns[kHkky • e`R;q ds ckn ns[kHkky • e`R;q dk iathdj.k vkSj e`R;q çek.k i= • vax nku • iksLVekVZe • ej.kklUu dh ns[kHkky es a ulks± dh Hkwfedk dk;ZØe ds var es]a Nk= fuEufyf[kr çfØ;kvks a dk fu"iknu djus es a l{ke gksxa s% 1- ç'kked n[s kHkky dh vko';drk oky s jksfx;ks a dk vkadyu djuk vkSj mUgs a uÉlx n[s kHkky çnku djukA 2- ç'kked n[s kHkky lek;kstuks a eas fo'ks"k çfØ;k,a rS;kj djuk vkSj mues a lgk;rk djuk@mUgs a fu"ikfnr djukA 3- y{k.kks a dk vkadyu vkSj çcaèku djukA 4- ç'kked jfsM;ksFkSjis h@dheksFkSjsih ikus oky s jksfx;ks a dh n[s kHkky djukA 5- fofHkUu rjhdks a ls nnZ&fuokjd vkS"kfèk nsukA 6- dksyksLVkseh] Vªsfd;ksLVkseh vkfn iku s oky s jksfx;ks a dh rS;kjh djuk vkSj mudh ns[kHkky djukA 7- ç'kked n[s kHkky dh vko';drk oky s f’k’kq vkSj o`) jksfx;ks a tSls fo'ks"k lewgks a dk vkadyu rFkk çcaèku djukA 8- ç'kked n[s kHkky dh vko';drk oky s jksfx;ks a dks ?kj ij ns[kHkky çcaèku ds fy, rS;kj djukA 9- laoguh vfHkxe midj.kks a dh n[s kHkky djukA 10- vkS"kfèk;ks a dk j[kj[kko vkSj HkaMkj.k djuk rFkk nfSud fjdkWMZ j[kukA 11- th.kZ ?kkoks]a fyEQsMsek] uklwj ¼fQLVqyk½ dh n[s kHkky djukA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19 12- ej.kklUu O;fDr dh ns[kHkky dk çcaèku djukA 13- 'kksd leFkZu djukA 14- jksxh@ifjtuks a ds eukslkekftd eqíks a ls fuiVukA ç’kked n[s kHkky 20 lIrkg ç'kked n[s kHkky dh • bfro`Ùk ysuk • y{k.k vkadyu • uSnkfud okMZ ¼futh o vko';drk oky s jksfx;ks a fjiksVZ fu:i.k ¼16 $ 4½ • y{k.k vkadyu rFkk çcaèku lkekU;½ vkSj dk vkadyu djuk vkSj vksihMh mUgs a uÉlx n[s kHkky • fpfdRlh; çfØ;kvks a eas çnku djuk lgk;rk djuk vkSj çfØ;k • ekey s ds • ekey s ds mijkar n[s kHkky çnku djuk vè;;u dh vè;;u dk ç'kked n[s kHkky fjiksVZ vkadyu vkSj çfØ;k,a rS;kj djuk • ç'kked n[skHkky çfØ;k,a LokLF;

vkSj mueas lgk;rk fu"ikfnr djuk% ifjppkZ djuk@mUgs a fu"ikfnr o fyEQsMsek elkt • LokLF; ifjppkZ djuk o th.kZ ?kko çcaèku y{k.kks a dk vkadyu rFkk çcaèku djuk • nnZ dk vkadyu rFkk nnZ dk çcaèku dheksFkSjsih djuk vèkLRoph; lqbZ yxkuk • y{k.k vkadyu rFkk y{k.k çcaèku rFkk fu"kspu djuk@mleas lgk;rk • y{k.k çcaèku ds fy, djuk oSdfYid fpfdRlk vka= #dkoV okys • jksfx;ks a dks dheksFkSjsih ds jksfx;ks a dh 'kY;& fy, rS;kj djuk fpfdRlk ls igys vkSj ckn es a n[s kHkky djuk • dheksFkSjsih iwoZ tkap djuk jksfx;ks a vkSj mudh • dheksFkSjsih djuk n[s kHkky dju s okys • var%f’kjk vfHkxe ¼IV ifjtuks a dks ijke'kZ ,Dlsl½ dh ns[kHkky djuk nus k • vka= vkSj xzkluyh dh uqdlku] larki vkSj ltZjh@LVsVa ds fy, jksfx;ks a 'kksd eas ns[kHkky çnku dks rS;kj djuk djuk • vkWijs'ku ds i’pkr ns[kHkky djuk • jksfx;ks a vkSj ifjtuks a dks ijke’kZ nus k • ej.kklUu n[s kHkky ds lHkh pj.kks a ds nkSjku lgk;rk çnku djuk efsMdy 02 lIrkg ç'kked dheksFkSjis h ikus • dheksFkSjsih djuk • LokLF; ifjppkZ • uSnkfud vkWUdksykWth oky s jksfx;ks a dks uÉlx fu:i.k • y{k.k vkadyu rFkk y{k.k • ekey s dk n[s kHkky çnku djuk çcaèku çLrqfrdj.k • æo vkSj bysDVªksykbV çcaèku jfsM,’ku 02 lIrkg ç'kked fodj.k mipkj • 'k¸;kxzLr jksxh dk vkadyu • n[s kHkky dju s • uSnkfud vkWUdksykWth ¼vkjVh½ ¼efLr"d ,oa oky s ifjtuks a ds fu:i.k • 'k¸;kxzLr jksxh dh n[s kHkky vfLFk eVs kLVsfll½ iku s20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] oky s jksfx;ks a dks uÉlx ¼vka=] e=w k’k; vkSj Ropk dh fy, çn'kZu n[s kHkky çnku djuk n[s kHkky½ • fofdj.k mipkj ds ckn n[s kHkky gkWLikbl 04 lIrkg gkWLikbl ns[kHkky] • y{k.k vkadyu rFkk y{k.k • {ks=h; nkSjk vkSj • fjiksVZ dk uqdlku] larki vkSj çcaèku fjiksVZ fu:i.k 'kksd eas ns[kHkky çnku • jkgr ns[kHkky djuk • ej.kklUu dh ns[kHkky vkSj 'kksd leFkZu xzkeh.k ç’kked 04 lIrkg xzkeh.k ns[kHkky • bfro`Ùk ysuk • y{k.k • uSnkfud n[s kHkky] ftles a ¼2 $ 2½ lek;kstuks a eas jksfx;ks a fu:i.k • y{k.k vkadyu gkse ds;j dks ç’kked ns[kHkky 'kkfey gS çnku djuk] ftles a • fpfdRlh; çfØ;kvks a eas • vkadyu fjiksVZ gkse ds;j 'kkfey gS lgk;rk djuk • ekey s dk vè;;u vkSj • ç’kked n[skHkky çfØ;k,a • Ekeys dh fjiksVZ fu"ikfnr djuk% vè;;u fjiksVZ o fyEQsMsek elkt o th.kZ ?kko dk çcaèku • LokLF; ifjppkZ o nnZ dk vkadyu rFkk nnZ dk çcaèku o y{k.k vkadyu rFkk y{k.k çcaèku • y{k.kks a ds fy, oSdfYid fpfdRlk • gkse ds;j o ?kj ds nkSjs o nnZ vkSj vU; y{k.kks a dk vkadyu rFkk çcaèku o fof'k"V mipkjks]a dksyksLVkseh] xSLVªksLVkseh] ?kko] ekSf[kd vkSj Roph;

n[s kHkky vkfn ds çcaèku ds fy, n[s kHkky dk çkoèkku o iks"k.k çcaèku o eukslkekftd leFkZu o ej.kklUu dh ns[kHkky vkSj 'kksd leFkZu cky fpfdRlk 02 lIrkg ç'kked n[s kHkky dh • cPpks a eas y{k.kks a dk vkadyu • LokLF; ifjppkZ • uSnkfud vkWUdksykWth okMZ vko';drk oky s cPpks a fu:i.k • y{k.k çcaèku • Ekeys dk dks uÉlx n[s kHkky çLrqfrdj.k çnku djuk • nnZ dk vkadyu rFkk nnZ dk çcaèku[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21 • vkgkj ;kstuk • oSdfYid fpfdRlk • ekrk&firk ds fy, ijke'kZ o`)koLFkk okMZ 02 lIrkg O;kid vkadyu djuk • y{k.kks a vkSj nnZ dk vkadyu • y{k.k vkadyu • uSnkfud rFkk vksihMh fo'ks"k :i ls tfVy rFkk çcaèku fjiksVZ fu:i.k lg&#X.krkvks a ds • eukslkekftd lgk;rk çnku ekey s eas djuk • ekey s dh • o`)koLFkk • vfxze ns[kHkky ;kstuk ds vè;;u fjiksVZ lacaèkh ekeys laokn dks c<+kok nsuk fy, ekxZn'kZu djuk dk vè;;u vkSj çHkkoh uSnkfud vkSj fjiksVZ • ej.kklUu dh ns[kHkky vkSj fu.kZ; yus k • LokLF; ifjppkZ 'kksd leFkZu vfxze ;kstuk cukuk vkSj ej.kklUu n[s kHkky dh xq.koÙkk c<k+uka xkbu s 02 lIrkg y{k.kks a rFkk nnZ dk • fyEQsMsek elkt • fyEQsMsek • uSnkfud vkWUdksykWth vkadyu djuk vkSj çcaèku dk fu:i.k • fQLVqyk çcaèku mudk çcaèku djuk çn'kZu • #dkoV dh fLFkfr es a vka= • y{k.k vkadyu çcaèku • L=hjksx fjiksVZ lacaèkh ekeys • nnZ dk vkadyu rFkk çcaèku • ekey s dh dk vè;;u vè;;u fjiksVZ vkSj fjiksVZ • LokLF; ifjppkZ gsesVksykWth 03 lIrkg y{k.kks a dk vkadyu • y{k.kks a vkSj nnZ dk vkadyu • y{k.k vkadyu • uSnkfud vkSj çcaèku djuk rFkk çcaèku fjiksVZ fu:i.k • vfxze ns[kHkky ;kstuk ds • ekey s dh fy, ekxZn'kZu djuk vè;;u fjiksVZ vfxze ;kstuk cukuk • gsesVksykWth vkSj ej.kklUu n[s kHkky • eukslkekftd lgk;rk çnku • LokLF; ifjppkZ lacaèkh ekeys dh xq.koÙkk c<k+uk djuk dk vè;;u vkSj fjiksVZ • ej.kklUu dh ns[kHkky vkSj 'kksd leFkZu ijke'kZ dsæa 01 lIrkg ufl±x dkWyst dh ewy dkS'ky ç;ksx'kkyk vko’;drkvks a ds vykok fuEufyf[kr vko';d gSaA 1 xís ds lkFk vLirky 'kS¸;k 05 2 vLirky fyusu lsV 15 lsV 3 jksxh fyusu lsV 10 lsV 4 vksVh VkWoYl 2022 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 5 IV LVSaM 05 6 csM lkbM ykWdj 05 7 vksojgsM Vcs y 05 8 jksxh vkjke midj.k & vfrfjDr rfd, 05 9 lD'ku e'khu 01 10 cgqijekih ekWfuVj 01 11 vkWDlhtu vkiwÆr 01 12 <Ddu oky s dVksjs & 10 lseh 10 13 dVksj s & 10 lseh 10 14 <Ddu okyh midj.k Vsª 10 15 Iyus vkjVªh QkslZsIl 10 16 VFw M vkjVªh QkslZsIl 10 17 ekWLD;wVks vkjVªh QkslZsIl 10 18 Iyus MkblsfDVxa QkslZsIl 10 19 VFw M MkblsfDVxa QkslZsIl 10 20 Liat gksfYMax QkslZsIl 10 21 VkWoy fDyi 20 22 bat- fyMksdsu 2% 01 23 LçSMj 10 24 flÇjt & 20 feyh 25 25 fMLikstscy yalS sV 50 26 vYdksgy çSi iSM 50 27 LçSMj 10 28 Fkzh&os ,MsIVj 20 29 IV lsV 20 30 ukWeZy lykbu 20 31 baVªkohul dsuqyk 16@18 ,Q 30 32 bU¶;wtu ds fy, IV fleqyVs j vkeZ 01 33 cVj¶ykbZ fuMy 05 34 ,DlVsa'ku ykbu rFkk Fkzh&os ,MsIVj 20 35 DyksjgsfDlfMu LoSc fLVd 20 36 gsifju 20 37 L¶s Vh fuMy rFkk lhÇjt 30 38 ekud lqj{kk laj{k.k midj.k 20 sets 39 fpfdRlh; vkgkj rS;kj dju s ds fy, iks"k.k ç;ksx'kkyk 01 40 gkFk èkksus dk {ks= 01[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23 41 tSo&fpfdRlh; vif'k"V fuiVku bdkbZ 01 42 fjdkWMZ ¼dheks pkVZ] lgefr çi=] jDrkèkku pkVZ] ulZ uksV½ & 43 ,ylhMh Vhoh 01 44 jksfx;ks a ds fy, LokLF; f'k{k.k ekWMîyw & I.

I:

I II: II • ç'u i= vkSj ç'uksÙkjh & 10 vad • fyf[kr dk;Z & 10 vad ¼ç'kked n[s kHkky uÉlx vH;kl ds fy, çklafxd vkpkj lafgrk] ç'kked ns[kHkky uÉlx@laØe.k fu;a=.k çFkkvks a eas bZchih ij lkfgR;d leh{kk] ç'kked ns[kHkky vko';drkvks a oky s jksfx;ks a dh iks"k.k lacaèkh n[s kHkky½ • lkefwgd ifj;kstuk & 5 vad I:

I II: II Hkkx 1% 35 vad ¼fucaèk 1×15¾15 vad] y?kq mÙkj 4×4¾16 vad] vR;ar y?kq mÙkj 2×2¾4 vad½ vkSj Hkkx 2% 40 vad ¼fucaèk 1×15¾15 vad] y?kq mÙkj 5×4¾20 vad] vR;ar y?kq mÙkj 5×1¾5 vad½ II. • oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ½ & 25 vad ¼inLFkkiu ds var eas vks,llhbZ & 10 vad $ o"kZ ds var es a vkarfjd vks,llhbZ & 15 vad½ • vU; vH;kl & 50 vad d½ çk;ksfxd dk;Z & 20 vad ¼uSnkfud çLrqfr vkSj ekeys dh vè;;u fjiksVZ & 5 vad] ijke'kZ fjiksVZ@{ks=h; nkSj s dh fjiksVZ & 5 vad] vkS"kfèk vè;;u fjiksVZ & 5 vad vkSj LokLF; ifjppkZ & 5 vad½ [k½ dk;Zfofèkd n{krkvks a vkSj uSnkfud vgZrkvks a ds iw.kZ gksus ij & 5 vad x½ uSnkfud dk;Z fu"iknu dk fujarj uSnkfud fu:i.k & 5 vad ?k½ vafre voyksfdr vH;kl ¼uSnkfud dk;Z es a okLrfod fu"iknu½ & 20 vad oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ½ & 50 vad] voyksfdr vH;kl & 100 vad I 1 jksxh çf'k{k.k lkexzh rS;kj djuk 2 uÉlx vfèkdkfj;ks@a LVkQ ulks± ds fy, MîwVh jksLVj rS;kj djuk24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3 lkfgfR;d leh{kk@lqfu;ksftr leh{kk ys[ku ¼lk{; vkèkkfjr uÉlx eè;orZu@çFkkvks a dh igpku djuk½ 4 çdk'ku ds fy, ikaMqfyfi rS;kj djuk@isij çstsaVs'ku 5 bZchih ifj;kstuk ¼lkewfgd ifj;kstuk½ & lk{; vkèkkfjr uÉlx eè;orZu ij dk;kZUo;u ;k 'kksèk ifj;kstuk ¼lkefwgd½ fo"k;% II 1-1 dSalj ç'kked ns[kHkky 1-2 xSj&laØked ç'kked ns[kHkky 1-3 o`)koLFkk ç'kked ns[kHkky 2-1 HkkSfrd vkadyu 2-2 yk{kf.kd vkadyu 2-3 nnZ dk vkadyu 2-4 iks"k.k vkadyu 3-1 lqihfj;j&osuksdSoy vkWCLVªD’ku@jh< + dh gìh dk laihM+u@fLVªMksj 3-2 jDrlzko@rhoz nnZ 3-3 nek 3-4 mYVh@v#fp@th fepykuk 3-5 fcLrj ij iM+k jksxh@vèkjkax?kkr 3-6 'kksQ@lwtu 3-7 dCt 3-8 varfM+;ks a eas #dkoV 3-9 m}sx@nkSjs 4-1 vkS"kfèk [kqjkd dh x.kuk & dkWdVys 4-2 var%f'kjh; rjy inkFkks± dh x.kuk vkSj ;kstuk cukuk 4-3 var%f'kjh; batsD'ku 4-4 u'khyh nok 4-5 vèkLRoph; lqbZ yxkuk 4-6 vèkLRoph; fu"kspu 4-7 var%Roph;@VªkalMeZy 5-1 dheksFkSjsih ds fy, jksfx;ks a dks rS;kj djuk 5-2 dheksFksjkI;wfVd vkS"kfèk;ks a dh r;S kjh vkSj ç'kklu 5-3 dheksFkSjsih ds nkSjku jksfx;ks a dh fuxjkuh 5-4 fu"dklu çcaèku[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25 6-1 ekSf[kd ns[kHkky 6-2 QkewZyk rS;kj djuk 6-3 uklksxSfLVªd Vîcw yxkuk 6-4 uklksxSfLVªd Vîcw QhfMax 6-5 xSLVªksLVkseh Vîwc QhÇMx 6-6 tstquksLVkWeh Vîwc QhÇMx 7-1 Qaxy ?kko dh iêh ckaèkuk 7-2 Vªsfd;ksLVkseh n[s kHkky 7-3 xSLVªksLVkWeh@tstquksLVkWeh n[s kHkky 7-4 dksyksLVkseh n[s kHkky 8-1 Qq¶Qql nksgu 8-2 mnj ijosèku 9-1 O;k;ke iks"k.k LoPNrk ekSf[kd LoPNrk th.kZ ?kko ds çcaèku ds ykxr çHkkoh rjhds vkS"kfèk vuiq kyu nnZ dk çcaèku 9-2 a. jksxh b. ifjtu@fj'rns kj 9-3 pqukSrhiw.kZ fLFkfr;ks a dks laHkkyuk Øksèk@budkj@jksuk@volkn 9-4 a. nq%[kn lekpkj nsuk b. 'kksd c. feyhHkxr d. vUR; lsok e. vax nku a. e`rd n[s kHkky b. 'ko dks eqnkZ?kj es a j[kuk c. eqnkZ?kj ls 'ko dks ckgj fudkyuk a.26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] b.

a. bfro`Ùk ysuk b. 'kkjhfjd tkap c. t[e ij iêh ckaèkuk d. vksLVkseh n[s kHkky e. LokLF; f'k{kk a. bfro`Ùk ysuk b. y{k.k çcaèku c. ijke’kZ *Nk= ds dkS'ky çn'kZu dju s ds fy, l{ke ik, tku s ij bl ij ladk; }kjk gLrk{kj fd, tk,axsA Nk=ks a ls lwphc) dkS'ky@n{krkvks a dk laiknu ckj&ckj djuk rc rd visf{kr gS tc rd fd os Lrj&3 dh n{krk rd ugha igqap tkr s gSa] mlh ds ckn ladk; }kjk çR;sd n{krk ds le{k gLrk{kj fd, tk,axsA ;g lqfuf'pr fd;k tkuk pkfg, fd Nk=ks a ds Lrj&3 rd igqapus ij gh çR;sd n{krk ds le{k gLrk{kj fd, tk,aA • Lrj&3 dh ;ksX;rk n'kkZrh gS fd Nk= fcuk fdlh i;Zos{k.k ds ml n{krk dk laiknu djus esa l{ke gSA • Lrj&2 dh ;ksX;rk n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk laiknu djus es a l{ke gSA • Lrj&1 dh ;ksX;rk n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml dkS'ky@n{krk dk laiknu djus es a l{ke ugha gSA 1-1 fo"k;% 1-2 fo"k;% ijke'kZ fjiksVZ & 1 LokLF; vkadyu ¼o;Ld o f’k’kq½ & iwoZo`Ùk] y{k.k vkSj ijh{k.k ¼nks fyf[kr fjiksVZ½ 3-1 f’k’kq 3-2 fd’kksj 3-3 o;Ld@o`)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27 fo"k;% ¼uÉlx@ var%fo"k;d nkSjs½ 5-1 uSnkfud fLFkfr dk uke% 5-2 uSnkfud fLFkfr dk uke% ¼nks fyf[kr fjiksVZ çLrqr dh tkuh gSa½ vkS"kfèk dk uke% 6-1 vksfivksbM 6-2 ,stosVa 6-3 ukWuLVsjkWbMy bu¶ysesVjh Mªx 6-4 dksbZ vU;

8-1 jk"Vªh;@{ks=h; gkWLikbl 8-2 jk"Vªh;@{ks=h; ç’kked ns[kHkky dsæa28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] [जवज्ञापन-III/4/असा./610/2024-25] INDIAN NURSING COUNCIL

NOTIFICATION New Delhi, the 7th October 2024 INDIAN NURSING COUNCIL (POST BASIC DIPLOMA IN PALLIATIVE CARE SPECIALTY NURSING - RESIDENCY PROGRAM) REGULATIONS, 2023 F.No. 11-1/2024-INC (III).––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 (Post Basic Diploma in Palliative Care Specialty Nursing - Residency Program) Regulations, 2023. ii. These shall come into force on the date of notification of the same in the Official Gazette of India.

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

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

v. ‘Nurses Registration & Tracking System (NRTS)’ means a system developed by the Council and software developed in association with National Informatics Centre (NIC), Government of India, and hosted by NIC for the purpose of maintenance and operation of the Indian Nurses Register. It has standardised forms for[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29 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.

POST BASIC DIPLOMA IN PALLIATIVE CARE SPECIALTY NURSING - RESIDENCY PROGRAM I. INTRODUCTION Nurses comprise the largest group of healthcare providers globally. Nurses are a vital resource for ensuring the provision of safe and effective care for the global population. Nurses spend more time with patients and families than any other health professionals as they face serious illnesses. Expert nursing care reduces the distress, and burdens of those facing death, and the ability to offer support for unique physical, social, psychological, and spiritual needs of the patients and their families. Collectively, nurses have demonstrated a commitment to palliative care, with some nurses showing even greater initiative in the care of patients at end-of-life.

Palliative care has evolved as a specialty over the past decades. There is an increasing demand for palliative care facilities and trained personnel specially nurses at the secondary and tertiary level hospitals in India. There is a great need for nurses to be trained and equipped for taking care of palliative care patients at different settings such as hospitals, hospice and in community. Palliative care refers to the optimization of quality of life for both the patients with serious illness and their families using special measures to anticipate, treat and prevent suffering. This care encompasses the continuum of illnesses including physical, psychosocial, emotional, and spiritual needs of seriously ill patients. Like geriatrics and hospice care, palliative care generally uses a multidisciplinary team that consists of medicine, nursing, social work, and spiritual care to meet the multifaceted needs of patients with serious illness, or who are at the end-of-life. This Post Diploma in Palliative Care Specialty Nursing program is directed towards the preparation of nurses with specialized skills to be able to practice as palliative care nurses in any palliative care settings to provide high quality and family-centered care. Palliative care specialist nurses can provide excellent care to those suffering from serious life-limiting illnesses.

The program is designed to prepare registered nurses both diploma and B.Sc. to acquire comprehensive knowledge, advanced skills and positive attitude in palliative care nursing which will enable nurses to deliver safe, competent, legal and ethical nursing care to patients requiring palliative care. Further, it is designed to equip nurses with managerial skills and knowledge that will enable them to take up roles in planning, managing, and supervising palliative care of patients and train other clinical nurses and students in various palliative care settings. The palliative care specialist nurse will be able to advise on planning and setting up of palliative care units and improve the care and comfort of the death and dying.

II. PHILOSOPHY The Council believes that registered nurses need to be further trained as specialist nurses to function in various emerging specialty areas of practice and the training should be competency based. One such area that demands specialist nurses is palliative care. Expanding roles of nurses and advances in palliative care necessitates additional training to prepare nurses with specialized skills and knowledge to deliver competent, intelligent and appropriate care to patients in palliative care centers.

III. CURRICULUM FRAMEWORK The Post Basic Diploma in Palliative Care Specialty Nursing is a one-year residency program. The curriculum is conceptualized encompassing foundational short courses and major specialty courses for specialty nursing.

The foundations to the program include professionalism, communication, patient education and counselling, clinical leadership & resource management and evidenced based and applied research. These are short courses that aim to provide the students basic concepts needed for palliative care nursing and also the knowledge, attitude and competencies essential for clinical practice to function as accountable, sincere, safe and ethical palliative care specialist nurses. The clinical specialty courses are divided into two major parts which are Palliative Care Specialty Nursing I and Palliative Care Specialty Nursing II. The Palliative Care Specialty Nursing I comprises of context/introduction to palliative care nursing, that includes principles and practices of palliative care nursing, roles and responsibilities of palliative care specialist nurses, basic sciences applied to palliative care nursing such as applied anatomy and physiology, infection prevention and control, pharmacological management, psychosocial, spiritual aspects, legal and ethical issues relevant to palliative care, grief and bereavement, models of palliative care and alternative therapy in palliative care. Palliative Care Specialty Nursing II consists of nursing management of patients requiring palliative care that includes pain and symptom management, management of specific palliative nursing care needs, palliative care in life threatening disease conditions, palliative care in special population, palliative care for children and elderly, palliative care emergencies, home based palliative care, psychiatry in palliative care, and end-of- life care.30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] The curricular framework for the Post Basic Diploma in Palliative Care Specialty Nursing - Residency Program is illustrated in the following figure-1.

POST BASIC DIPLOMA IN PALLIATIVE CARE SPECIALTY NURSING - RESIDENCY PROGRAM Foundations to Palliative Care Nursing – Courses Palliative Care Specialty Nursing – Courses ONE YEAR RESIDENCY PROGRAM (For Registered Nurses & Midwives) Theory – 10% and Practicum – 90% (Skill Lab + Clinical) Figure-1. Curricular Framework for Post Basic Diploma in Palliative Care Specialty Nursing - Residency Program IV. AIM/PURPOSE The Post Basic Diploma in Palliative Care Specialty Nursing program aims to develop nurses with specialized skills, knowledge and attitude in providing quality care to terminally ill suffering patients. The goal is to prepare technically qualified and trained specialist nurses who will function effectively by applying principles of palliative care management in patients and develop skills and attitude in providing comprehensive and competent nursing care to adults and children requiring palliative care in different settings such as hospitals, hospice and community providing high standards of care.

COMPETENCIES On completion of the program, the palliative care specialist nurse will be able to:

1. Demonstrate professional accountability for the delivery of nursing care which are as per the Council standards that consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles in palliative care nursing

2. Communicate effectively with patients, families and professional colleagues fostering mutual respect and shared decision making to enhance health outcomes.

3. Educate and counsel patients and families to participate effectively in treatment and care and enhance their coping abilities through crisis and bereavement.

4. Demonstrate understanding of clinical leadership and resource management strategies and use them in palliative care settings promoting collaborative and effective team work.

5. Identify, evaluate and use the best current evidence in palliative care and treatment coupled with clinical expertise and consideration of patient’s preferences, experience and values to make practical decisions in palliative care nursing practice.

6. Participate in research studies that contribute to evidence-based palliative care nursing interventions with basic understanding of research process.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31

7. Apply basic sciences in the assessment, diagnosis and treatment of the physiological, physical, psychological, social and spiritual problems of patients and their families requiring palliative care.

8. Apply nursing process in the care of patients requiring palliative care.

9. Describe the principles of radiotherapy, chemotherapy, diet therapy, and surgery in treatment of patients with palliative care needs.

10. Demonstrate specialized practice competencies/skills relevant in providing palliative care.

11. Identify treatment related to palliative emergencies and manage them effectively.

12. Ensure access to care and community resources and contribute to improve quality and cost-effective services.

13. Develop understanding of the method of drug procurement, storage, administering and maintenance of chemotherapy and demonstrate sound practice.

14. Conduct clinical audit and participate in quality assurance activities in palliative care unit.

15. Demonstrate safe delivery of various therapies to patients and protect them from occupational harm.

16. Demonstrate specialized practice competencies/skills relevant in supporting end-of-life care, loss, grief and bereavement.

17. Create a healing environment to promote a peaceful death.

18. Provide end-of-life care to patients with emphasis to promoting comfort and dignity respecting individual cultural and spiritual needs and differences.

V. PROGRAM DESCRIPTION AND SCOPE OF PRACTICE The Post Basic Diploma in Palliative Care Specialty Nursing is a one-year residency program with a main focus on competency-based training. It is designed to prepare registered nurses (GNM or B.Sc.) with specialized knowledge, skills and attitude in providing advance quality care to patients and their families requiring palliative care. Theory includes foundation courses, specialty courses and clinical practicum. The theory component comprises of 10% and practicum 90% (Clinical and Lab).

On completion of the program and certification, and registration as additional qualification with respective SNRC, the palliative care specialist nurses should be employed only in palliative care settings either in hospital, hospice or community. They will be able to practice as per the competencies trained during the program particularly the specialized procedural competencies/clinical skills as per the log book of the Council syllabus. The specialist nurses can be privileged to practice those specialized procedural competencies by the respective institution as per institutional protocols. Specialist nurse cadres/positions should be created at government/public/ private sectors. The diploma will be awarded by respective Examination Board/SNRC/University approved by the Council.

VI. MINIMUM REQUIREMENTS/GUIDELINES FOR STARTING THE POST BASIC DIPLOMA IN PALLIATIVE CARE SPECIALTY NURSING - RESIDENCY PROGRAM The program may be offered at

1. College of Nursing offering degree programs in nursing attached to parent specialty hospital/tertiary hospital having minimum of 200 beds with diagnostic, therapeutic and state of the art palliative care units with chemotherapy, radiotherapy, palliative care, supportive care and specialized nursing care facilities.

OR Hospitals offering DNB/Fellowship programs in oncology/palliative care having minimum of 200 beds with diagnostic, therapeutic and state of the art palliative care units with chemotherapy, radiotherapy, palliative care, Hospice, supportive care and specialized nursing care facilities.

2. The above eligible institution shall get recognition from the concerned SNRC for Post Basic Diploma in Palliative Care Specialty Nursing – Residency Program for the particular academic year, which is a mandatory requirement.

3. The Council shall after receipt of the above documents/proposal would then conduct statutory inspection of the recognized training nursing institution under Section 13 of the Act in order to assess suitability with regard to availability of teaching faculty, clinical and infrastructural facilities in conformity with Regulations framed under the provisions of the Act.

1. Nursing Teaching Faculty a. Full time teaching Faculty in the ratio of 1:10 b. Minimum number of faculty should be two32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] c. Qualification and Number:

i. M.Sc. Nursing with Medical Surgical Nursing/Paediatric Nursing/Obstetrics & Gynaecology Nursing/Oncology Nursing/Palliative Care Specialty Nursing - 1 ii. Post Basic Diploma in Haematology/Oncology Specialty Nursing with Basic B.Sc. Nursing/ P.B.B.Sc.

Nursing - 1 d. Experience: Minimum three years of clinical experience in Haematology/Oncology Specialty Nursing e. Guest Faculty: Multi-disciplinary in related specialities (Gynae, Paediatric, Community Health Nursing) f. Preceptors:

• Nursing Preceptor: Full time qualified GNM with 6 years’ experience in specialty nursing (Palliative/Oncology Nursing) or B.Sc. Nursing with 2 years’ experience in Oncology/Palliative Nursing or M.Sc. Nursing with one-year in Palliative Nursing experience working in the specialty care unit • Medical Preceptor: Specialist (Oncology/Palliative specialist) doctor with PG qualification (with 3 years post PG experience/faculty level/consultant level preferable) • Preceptor Student Ratio: Nursing 1:10, Medical 1:10 (Every student must have a medical and nursing preceptor)

2. Budget These should have budgetary provision for staff salary, honorarium for guest faculty, and part time teachers, clerical assistance, library and contingency expenditure for the program in the overall budget of the institution.

3. Physical and Learning Resource at Hospital/College a. Classroom/conference room in the specific Clinical area. b. Skill lab for simulated learning at the hospital & College. Skill Lab Requirements are listed in Appendix 1.

c. Library and computer facilities with access to online journals i. College library having current books journals and periodicals related to Palliative nursing specialty, Nursing Administration, Nursing Education, Nursing Research and Statistics ii. Computer with internet facility d. E-Learning facilities e. Teaching Aids - Facilities for use of i. Overhead Projectors ii. Video viewing facility iii. LCD Projector iv. CDs, DVDs and DVD players v. Appropriate equipment, manikins and simulators for skill learning f. Office facilities i. Services of Typist, Office Attendant, House Keeping Staff ii. Facilities for office, equipment and supplies such as • Stationery • Computer with Printer • Xerox Machine • Telephone and Fax

4. Clinical Facilities a. Parent specialty hospital/tertiary hospital having minimum of 200 beds with advanced diagnostic, therapeutic and palliative care units with medical oncology, radiation oncology, haematology, and specialized nursing care facilities.

b. Hospital must have a minimum of 30 specialty beds with advanced diagnostic, treatment and care facilities.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33 c. Regional oncology centres/oncology specialty hospitals having minimum of 200 beds with advanced diagnostic, therapeutic and palliative units with medical oncology, radiation oncology, haematology, and specialized nursing care facilities.

d. The palliative care unit should have inpatient facility, and a daily functioning palliative care OPD including home visits every week for patients in and around the town. e. Nurse staffing of units as per the council recommended norms.

f. Student patient ratio - 1:3

5. Admission Terms and Conditions/Entry Requirements

The student seeking admission to this program should: a. Be a registered nurse and midwife (R.N.&R.M.) or equivalent with any SNRC having NUID number. b. Possess a minimum of one-year clinical experience as a staff nurse preferably in oncology/haematology/ palliative care settings prior to enrolment.

c. Be Physically fit. d. Selection must be based on the merit of an entrance examination and interview held by the competent authority. e. Nurses from other countries must obtain an equivalence certificate from the Council before admission.

6. Number of Seats • For hospital having 200 beds and 30 specialty beds, number of seats = 10, • For hospital having 500 beds and more with 60 specialty beds, the number of seats = 20

7. Number of Candidates • One candidate for 3 specialty beds.

8. Salary a. In-service candidates will get regular salary. b. Stipend/Salary will be given to other candidates as per the salary structure of the hospital where the program is conducted.

VII. EXAMINATION REGULATIONS AND CERTIFICATION EXAMINATION REGULATIONS

Examining and Diploma Awarding Authority: Respective Examination Board/SNRC/University approved by the Council.

1. Eligibility for appearing in the examination a. Attendance: Theory & Practical - 80%. However, 100% Clinical attendance have to be obtained prior to certification. b. Candidate who successfully completes the necessary requirements such as log book and clinical requirements is eligible to appear for final examination.

2. Practical Examination a. OSCE: Objective Structured Clinical Examination type of examination (for Basic competency assessment) will be conducted alongside viva (oral examination) both in the internal and final examination. (Detailed guidelines are given in guidebook) b. Observed Practical/Clinical: Final internal and external examination will also include assessment of actual clinical performance in real settings including viva and mini clinical evaluation exercise for 3-4 hours (Nursing process application and direct observation of procedural competencies). Minimum period of assessment in the clinical area is 5-6 hours. (Evaluation guidelines are given in guidebook) c. Maximum number of students per day: 10 students.

d. Practical Examination should be held in clinical area only. e. The team of practical examiners will include one internal examiner [(M.Sc. faculty with two years of experience in teaching the respective specialty program/M.Sc. faculty (Medical Surgical Nursing/Paediatric Nursing/Obstetrics & Gynaecology Nursing) with 5 years of Post PG experience], one external examiner (nursing faculty with the same qualification & experience stated as above) and one medical internal examiner who should be preceptor for the respective specialty program.34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] f. The practical examiner and the theory examiner should be the same nursing faculty/from same specialty.

3. Standard of Passing a. In order to pass, a candidate should obtain at least 60% marks in aggregate of internal assessment and external examination both together, in each of the theory and practical papers. Less than 60% is considered fail.

b. Students will be given opportunity of maximum of 3 attempts for passing. c. If the student fails in either theory or practical, he/she needs to appear for the exam failed either theory or practical only.

CERTIFICATION a. TITLE - Post Basic Diploma in Palliative Care Specialty Nursing b. A diploma is awarded by the Examination Board/SNRC/University approved by the Council, upon successful completion of the prescribed study program, which will state that i. Candidate has completed all the courses of study under the Post Basic Diploma in Palliative Care Specialty Nursing - Residency Program ii. Candidate has completed 80% Theory and 100% Clinical requirements iii. Candidate has passed the prescribed examination VIII. SCHEME OF EXAMINATION Courses Int. Ass. Ext. Ass. Marks Total Exam Hours Marks Marks (External) Theory (Experiential/Residential Learning) Palliative Care Specialty Nursing (Part I & Part II) 25 (10+15) 75 (35+40) 100 3 {Part I - Palliative Care Specialty Nursing I, and Part II - Palliative Care Specialty Nursing II}

Practicum: Palliative Care Specialty Nursing 75 (25+50) 150 (50+100) 225 • OSCE including Viva (OSCE-25 & (OSCE-50 & Minimum 5-6 hours in the • Observed Practical/Clinical (Direct observation of Observed Observed clinical area actual performance at real settings) including viva - Practical-50) Practical-100) with clinical evaluation exercise for 3-4 hours for Internal Practical Exam (Nursing process application and direct observation of procedural competencies) Grand Total 100 225 325 IX. PROGRAM ORGANIZATION/STRUCTURE

1. Courses of Instruction

2. Implementation of Curriculum

3. Clinical Practice (Residency Posting)

4. Teaching Methods

5. Methods of Assessment

6. Log Book & Clinical Requirements

1. Courses of Instruction: Delivered through mastery of learning (Skill Lab practice) and experiential learning (including Clinical practice) approaches Unit Courses Theory Lab/Skill Lab Clinical

(Hours) (Hours) (Hours) I Foundations to Palliative Care Specialty Nursing 40 - -[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35 Unit Courses Theory Lab/Skill Lab Clinical

(Hours) (Hours) (Hours)

1. Professionalism

2. Communication, breaking bad news, and education & counseling

3. Clinical leadership and resource management in the specialty care setting including quality care

4. Evidence based and applied research in specialty nursing Palliative Care Specialty Nursing I II 50 10 -

1. Introduction to palliative care nursing

2. Principles and practices of palliative care nursing

3. Roles and responsibilities of palliative care specialist nurse

4. Applied anatomy and physiology

5. Infection prevention and control

6. Pharmacological management

7. Psychosocial and spiritual concerns of palliative care

8. Ethical and legal issues relevant to end-of-life care

9. Grief and bereavement

10. Models of palliative care

11. Alternative therapy in palliative care Palliative Care Specialty Nursing II III 110 30 1730 Nursing Management of Patients requiring Palliative Care

1. Pain assessment and management

2. Symptoms assessment and management in palliative care - application of nursing process

3. Management of patients with specific palliative nursing care needs

4. Palliative care in life threatening disease conditions

5. Palliative care in special population

6. Palliative care for children

7. Palliative care for elderly

8. Palliative care emergencies

9. Home based palliative care

10. Psychiatry in palliative care

11. End-of-life care and nurses’ role 200 40 1730 TOTAL = 1970 hours (5 weeks) (1 week) (38 weeks)

Total weeks available in a year: 52 weeks • Annual Leave + Casual Leave + Sick Leave + Public Holidays = 6 weeks • Exam Preparation and Exam = 2 weeks • Theory and Practical = 44 weeks

2. Implementation of the Curriculum (Theory - 10% and Skill Lab + Clinical - 90%)36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Block classes - 2 weeks × 40 hours per week = 80 hours • Residency - 42 weeks × 45 hours per week = 1890 hours Total = 1970 hours • Block classes (Theory and Skill Lab experience) = 2 weeks × 40 hours per week (80 hours) {Theory = 74 hours, Skill Lab = 6, Total = 80 hours} • Clinical Practice including Theory and Skill Lab = 42 weeks × 45 hours per week (1890 hours) {Theory = 126 hours, Skill Lab = 34 hours, Clinical = 1730 hours, Total 1890 hours} Theory = 200 (74 + 126) hours, Skill Lab = 40 (6 +34) hours, Clinical = 1730 hours 126 hours of Theory and 34 hours of Skill Lab learning can be integrated during Clinical experience. Mastery learning and experimental learning approaches are used in training the students throughout the program. Skill Lab Requirements are listed in Appendix 1.

3. Clinical Practice a. Clinical Residency Experience: A minimum of 45 hours per week is prescribed, however, it is flexible with different shifts and OFF followed by on call duty every week or fortnight.

b. CLINICAL PLACEMENTS: THE STUDENTS WILL BE POSTED TO THE UNDER MENTIONED CLINICAL AREAS DURING THEIR TRAINING PERIOD.

S.No. Clinical Area Weeks

1. Palliative Care (respiratory, cardio, renal and neuro wards) & OPD 20 (16 + 4)

2. Radiation Oncology Ward General/Private 2

3. Medical Oncology Ward General/Private 2

4. Hospice - Field Visits 4

5. Rural - Palliative care including home visits 4 (2 + 2)

6. Pediatric Oncology 2

7. Geriatric Ward & OPD 2

8. Gynae Oncology 2

9. Hematology 3

10. Counseling Centre 1 TOTAL 42 THE RESIDENCY STUDENTS WILL FOLLOW THE SAME DUTY SCHEDULE AS STAFF NURSES WITH DIFFERENT SHIFT DUTIES. IN ADDITION TO THAT 4 HOURS EVERY WEEK IS DEDICATED FOR THEIR LEARNING THAT CAN BE OFFERED FOR THEORY (FACULTY LECTURE - 1 HOUR, NURSING & INTERDISCIPLINARY ROUNDS - 1 HOUR, CLINICAL/CASE PRESENTATIONS, CLINICAL SEMINAR/CONFERENCE/JOURNAL CLUB, DRUG STUDY PRESENTATIONS AND CLINICAL ASSIGNMENTS - 1 HOUR AND SKILL LAB PRACTICE - 1 HOUR) TO COVER A TOTAL OF 126 HOURS OF THEORY AND 34 HOURS OF SKILL LAB PRACTICE. A SMALL GROUP RESEARCH/QI PROJECT CAN BE CONDUCTED DURING CLINICAL POSTING APPLYING THE STEPS OF RESEARCH/QI PROCESS AND WRITTEN REPORT TO BE SUBMITTED.

4. Teaching Methods Theoretical, Skill Lab & Clinical teaching can be done in the following methods and integrated during clinical

posting: • Case/clinical presentation & Case study report • Drug study & presentation • Bedside clinic/Nursing rounds/Interdisciplinary rounds • Journal clubs/Clinical seminar[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37 • Faculty lecture & Discussion in the clinical area • Demonstration & skill training in skill lab and at bedside • Directed reading/Self-study • Role-play • Symposium/Group presentation • Group research project • Clinical assignment • Field visits

5. Method of Assessment • Written test (Case or scenario based) • Practical examination - OSCE and Observed Practical (Direct observation of actual clinical performance at real settings) • Written assignments • Project • Case studies/care plans/clinical presentation/drug study • Clinical performance evaluation • Completion of clinical procedural competencies and clinical requirements For assessment guidelines refer Appendix 2.

6. Clinical Log Book/Procedures Book At the end of each clinical posting, Clinical Log Book (Specific Procedural Competencies/Clinical Skills) (Appendix 3), and Clinical Requirements (Appendix 4) and Clinical Experience Details (Appendix 5) have to be signed by the concerned clinical faculty/preceptor.

X. COURSE SYLLABUS

1. FOUNDATIONS TO PALLIATIVE CARE SPECIALTY NURSING COURSE PROFESSIONALISM, COMMUNICATION, PATIENT EDUCATION, CLINCIAL LEADERSHIP & RESOURCE MANAGEMENT INCLUDING QUALITY CARE, EVIDENCE BASED AND APPLIED RESEARCH IN PALLIATIVE CARE NURSING

Total Theory Hours: 40

Course Description: This course is designed to develop an understanding of professionalism, medico legal issues, communication and breaking bad news, patient & family education and counselling, clinical leadership, resource management, quality care, evidence based and applied research in palliative care nursing.

COURSE CONTENT Unit Time Learning Content Teaching/Learning Assignments/

(Hours) Outcomes Activities Assessment Methods I 6 Demonstrate Professionalism • Discussion • Assignment on understanding of professional and • Meaning and elements: professionalism and ethical values in accountability, knowledge, visibility exhibit palliative care and ethical issues professionalism nursing • Professional values and professional • Write about behaviour Code of Ethics • INC Code of Ethics, Code of for Nurses Professional Conduct and Practice Standards • Ethical issues related to palliative38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching/Learning Assignments/

(Hours) Outcomes Activities Assessment Methods care nursing • Expanding role of the palliative care nurse • Professional organizations, objectives and functioning • Continuing nursing education Medico legal Issues • Maintain records • Legislations and regulations related in the palliative to palliative care care unit Describe medico- • Consumer Protection Act legal issues • Lecture applicable to • Negligence and malpractice palliative care • Medico-legal aspects • Records and reports • Legal responsibilities of the nurse in the palliative care unit in inpatient and outpatient area II 12 Communication, breaking bad news, Education & Counselling Communication & Breaking bad Apply the principles • Role-play on • Digital records news of effective communicating communication • Basic principles of communication with palliative within the patients - • Observation and • Channels and techniques of interdisciplinary Ex. breaking bad Assessment of communication in the palliative care team, the family and news roles settings the patients Ex.

• Breaking bad news communication • Shared decision making • Collusion • Truth telling • Information technology tools for communication • Team communication Educate family members regarding Education for the family symptom • Role-play on management plan of • Assessment of information needs education of • Preparation of the palliative and education family & primary patient patients • Development of educational care giver information materials materials Develop counselling skills for families of Counselling patients admitted in • Lecture palliative care unit • Definition of counselling • Discussion • Characteristics of counselling • Assignment and • Barriers in counselling self-study • Role-play on[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39 Unit Time Learning Content Teaching/Learning Assignments/

(Hours) Outcomes Activities Assessment Methods • Good qualities of a counsellor counselling the • Role-play family in crisis assessment • Counselling techniques intervention • Counselling during breaking of bad • Role-play on grief news counselling • Crisis intervention of the family in the palliative care setting • End of life stage counselling o Grief counselling after death of patient o Perform psychosocial assessment of family o Counsel families regarding patient’s condition and preventive measures III 12 Clinical Leadership and Resource Management in the Palliative Care Unit • Principles of management Demonstrate • Lecture cum • Prepare the job • Leadership and management understanding of discussion description of clinical leadership • Elements of management of the in-charge/

and management palliative care patients: Planning, senior palliative strategies and use organizing, staffing, reporting, care nurse them in palliative recording, budgeting • Prepare a care settings promoting • Clinical leadership and its survey of collaborative and challenges problem issues of the palliative effective teamwork • Problem solving care unit with root cause • Delegation analysis and the • Managing human resources in the solutions palliative care unit • Plan a duty • Material management roster for the nurses in in- • Designing a unit for palliative care patient and out- patients in hospital, community and patient units hospice • Perform staff • Emotional intelligence and self- appraisal management skills • Working as interdisciplinary team member • Assignment:

Design a • Participation in making policies palliative care relevant to palliative care • Role-play of unit Quality & Quality Assurance interaction within • Develop SOPs the nursing team • Nursing audit in palliative care unit for the palliative Conduct clinical care unit audit and participate • Formulation of Nursing Standards in quality assurance for palliative care unit activities in the • Quality Assurance • Module:

palliative care unit Accreditation on40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching/Learning Assignments/

(Hours) Outcomes Activities Assessment Methods Practice Standards IV 10 Evidence based practice and clinical application of research in palliative care setting • Introduction to nursing research and Describe research research process • Lecture • Prepare process and the statistical data of • Data presentation, basic statistical importance of the palliative tests and its application statistical tests care unit for the • Research priorities last 5 years • Formulation of problem/question • Conduct review relevant to palliative care nursing of literature on nursing • Review of literature to identify interventions evidenced base/best practices in • Module: Writing relevant to palliative care nursing of scientific paper palliative care nursing and • Preparation of a project proposal in evidence-based palliative care unit practice • Implementation of evidenced based • Perform group practice in daily professional project Identify evidence- practice based practices for • Ethics in research palliative care nursing

2. PALLIATIVE CARE SPECIALTY NURSING - I INTRODUCTION TO PALLIATIVE CARE & BASIC SCIENCES APPLIED TO PALLIATIVE CARE NURSING PRACTICE

Theory: 50 hours & Lab: 10 hours

Course Description: This course is designed for students to develop understanding and in-depth knowledge regarding the context of care of patients requiring palliative care and application of principles of palliative care nursing, application of basic sciences such as applied anatomy and physiology, infection prevention and control, pharmacological management, psychosocial, spiritual aspects, legal and ethical issues relevant to end-of-life care, grief and bereavement, models of palliative care and alternative therapy in palliative care.

COURSE CONTENT Unit Time Learning Content Teaching/Learning Assignments/

(Hours) Outcomes Activities Assessment Methods I 4 (T) Describe the history, Introduction to palliative care • Lecture and • Written assignment principles, practices nursing discussion and perspectives of Principles and practices of palliative care palliative care nursing • Definition, scope, philosophy • History • Goals • Principles of palliative care • Concept and elements of palliative care[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41 Unit Time Learning Content Teaching/Learning Assignments/

(Hours) Outcomes Activities Assessment Methods • Global and Indian perspective of palliative care II 4 (T) Describe the roles, Roles and responsibilities of • Lecture and • Describe a day of responsibilities and palliative care specialist nurse discussion the nurse in the scope of Palliative palliative care • Palliative care team Care Specialist areas and explain Nurse • Role of palliative care nurse their roles • Scope of palliative care and palliative care specialist nurse III 4 (T) Describe structure Applied anatomy and physiology • Lecture and • Written assignment and functions of discussion

Review: Overview of the body body systems systems applicable to palliative care applicable to palliative care • Lymphatic system • Neurological system • Respiratory system • Musculoskeletal system • Gastrointestinal system IV 2 (T) Explain the Infection prevention and control • Lecture, • Re-demonstration infection control demonstration 2 (L) • Infection prevention and control • List the asepsis measures in the measures among palliative bundles for palliative care patients invasive procedures V 4 (T) Elaborate on the Pharmacological management • Lecture and • Oral and written various discussion drug presentation • Supplemental Oxygen pharmacological management in • Opioids palliative care • Anxiolytics • Corticosteroids • Bronchodilators • Diuretics • Anticholinergics • Antiemetics • Laxatives • Chemotherapy in palliative care VI 8 (T) Apply the Psychosocial and spiritual • Lecture and • Describe the knowledge on concerns of palliative care discussion psychosocial 4 (L) psychosocial and assessment of • Psychological reactions of spiritual aspects of family in stress and palliative care patients palliative care • Demonstration of crisis patients/family • Nursing interventions of psychological psychosocial problems assessment of family during • Identifying common needs and stress and crisis preferences of patients with terminal illness and planning for the actual death • Role Play on social42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching/Learning Assignments/

(Hours) Outcomes Activities Assessment Methods • Bereavement and family support • Describe a clinical system and nurses’ scenario depicting • Managing denial, anger and role in supporting stress and coping crying family members in of the family with • Managing wrong attitudes and stress and crisis patient in palliative beliefs moments care unit • Spiritual care and needs • Spiritual assessment and spiritual care intervention VII 4 (T) Explain the ethical Ethical and Legal issues relevant • Lecture • Assignment:

and legal issues to end-of-life care Analysis of • Discussion relevant to end-of- different country’s • Advance directive life care in palliative • Role-play legal system and care settings • DNI/DNR (Do-Not-Intubate/ Do- practices Not-Resuscitate) • Proxy decision making • Limiting futile treatment • Euthanasia vs. Palliative sedation VIII 4 (T) Explain the grief Grief and Bereavement • Lecture and • Assignment on pathway and its discussion grief pathway • Definition, Types management in palliative care • Normal and abnormal grief patients reactions • Grief pathway • Manifestations of grief • Management of grief • Issues of the grieving patient/family • Bereavement - definition, process IX 10 (T) Explain the various Models of palliative care • Lecture and • Field visit models of structure, discussion 4 (L) • Hospital - Consultation model, In- • Report writing process, competency patient model, and Out-patient • Field visit in delivering model palliative care • Community or home-based palliative care • Hospice care • Rehabilitation • End-of-life care X 6 (T) Describe the Alternative therapy in palliative • Lecture • Demonstration and alternative therapies care re- demonstration • Discussion in palliative care of selective • Mind-body intervention alternative therapy • Meditation methods • Relaxation technique • Guided imagery[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43 Unit Time Learning Content Teaching/Learning Assignments/

(Hours) Outcomes Activities Assessment Methods • Hypnosis • Biofeedback • Music therapy • Special diet • Herbal medicine • Massage therapy • Aroma therapy • Reflexology • Acupressure • Hydrotherapy

3. PALLIATIVE CARE SPECIALTY NURSING - II NURSING MANAGEMENT OF PATIENTS REQUIRING PALLIATIVE CARE (Pain and symptom management, management of specific palliative nursing care needs, palliative care in life threatening disease conditions, palliative care in special population, palliative care for children and elderly, palliative care emergencies, home based palliative care, psychiatry in palliative care, and end-of-life care)

Theory: 110 hours & Lab: 30 hours

Course Description: This course is designed for students to develop understanding and in depth knowledge regarding pain and other symptoms management, nursing process application, management of patients with specific palliative nursing care needs such as ostomy care, fungating wounds, lymphedema, oral and skin care, and care of bedridden patients, palliative care in life threatening disease conditions, palliative care in special population, palliative care for children, palliative care for elderly, palliative care emergencies, home based palliative care, psychiatry in palliative care, and end-of-life care.

COURSE CONTENT Unit Time Learning Content Teaching/Learning Assignments/

(Hours) Outcomes Activities Assessment Methods I 30 (T) Elaborate on pain, Pain assessment and management • Lecture • Demonstration on its assessment and cocktail drug 8 (L) • Introduction to pain • Discussion nursing management loading • Pathology and pathways of pain • Handouts on pain • Oral and written assessment • Classification of pain drug presentation • Scale • Cancer pain • Relaxation exercise • Suffering, loss of control and quality of life • Massage therapy • Assessment of pain • Barriers to effective pain management • Pain management guidelines • Pharmacological management o WHO step-ladder o Opioids o Adjuvant drugs44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching/Learning Assignments/

(Hours) Outcomes Activities Assessment Methods o Chemotherapy in palliative care o Side effects of drugs and its management o Legal regulation of opioids • Invasive therapies to control pain • Non pharmacological management of pain • Pain management in special population II 20 (T) Describe the Symptoms assessment and • Lecture cum • Assignment on common symptoms management in palliative care – discussion nursing process 4 (L) in palliative care application of nursing process application for • Demonstration with the nursing various symptoms • Respiratory symptoms management • Re-demonstration • Cardiovascular symptoms • Gastrointestinal symptoms • Renal symptoms • Neurological symptoms • Fatigue • Anorexia • Cachexia • Nutrition and hydration • Pharmacological and non- pharmacological management of symptoms including chemotherapy • Nursing process application III 6 (T) Demonstrate Management of patients with • Lecture • Re-demonstration confidence in specific palliative nursing care 4 (L) • Discussion managing patients needs with specific • Demonstration of • Ostomy care palliative nursing wound care, care needs • Wound care - fungating wounds lymphedema massage etc.

• Lymphedema • Oral and skin care • Care of bedridden patients IV 20 (T) Describe various Palliative care in life threatening • Lecture • Clinical life-threatening disease conditions presentation 2 (L) • Discussion conditions requiring • Chronic lung disease • Nursing process palliative care application including nursing • End stage heart failure management • End stage liver disease • End stage renal disease • Neurological disorders and[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45 Unit Time Learning Content Teaching/Learning Assignments/

(Hours) Outcomes Activities Assessment Methods musculoskeletal disorders V 6 (T) Discuss the nursing Palliative care in special • Lecture • Case presentation management of population • Discussion palliative care in • HIV, AIDS patients with HIV/ AIDS and dementia • Dementia • Cancer VI 6 (T) Understand the Palliative care for children • Lecture • Case study of child management of requiring palliative 4 (L) • Symptom management • Discussion common symptoms care seen in children • Paediatric hospice and palliative requiring palliative care care and the nursing management • Grief & bereavement in palliative care of anticipated fear and psychological • End-of-life decision making in impacts paediatric population.

VII 6 (T) Explain the process Palliative care for elderly • Lecture • Nursing process of aging and application • Process of aging • Discussion palliative care for elderly • Geriatric syndrome • Psychosocial and spiritual problems • Palliative care and end-of-life care in elderly VIII 8 (T) Describe the Palliative care emergencies • Lecture • Draw care bundle manifestation and for the 4 (L) • Superior vena cava obstruction • Discussion and management of management of

(SVCO) demonstration emergencies in emergency palliative care • Spinal cord compression situation patients • Tumor bleeding/Haemorrhage • Acute pain • Hypercalcemia • Seizures • Sepsis IX 2 (T) Home based palliative care • Lecture • Re-demonstration 2 (L) • Pain management at home • Discussion and demonstration • Symptom management • Nutritional support • Psychosocial support • End-of-life care • Integration of palliative care into primary health care46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching/Learning Assignments/

(Hours) Outcomes Activities Assessment Methods X 2 (T) Psychiatry in palliative care • Lecture cum discussion Assessment and management of • Anxiety • Depression • Delirium • Agitation XI 4 (T) Acquire knowledge End of Life care and nurses’ role • Lecture • Clinical evaluation on principles and 2 (L) • Principles of good death • Discussion practices related to end-of-life care • Principles for best care for the • Role-play among palliative dying person care patients • Clinical practice - • End-of-life care in different Manage end-of-life settings care situations in clinical practice • Communication with the family and support of family members • Talking about death and dying • Common symptoms in last 48 hours • End-of-life care at home • Care after death • Registration of death and death certificate • Organ donation • Post mortem • Role of nurses in end-of-life care PRACTICUM (SKILL LAB & CLINICAL)

Total Hours: 1770 hours (Skill Lab - 40 hours and Clinical - 1730 hours)

Practice Competencies:

At the end of the program, students will be able to:

1. Assess and provide nursing care to patients with palliative care needs.

2. Prepare and assist/perform special procedures in palliative care settings.

3. Assess and manage symptoms.

4. Care for patients undergoing palliative radiotherapy/chemotherapy.

5. Administer pain medications via various routes.

6. Prepare and care for patients undergoing colostomy, tracheostomy etc.

7. Assess and manage special groups like paediatric and geriatric patients with palliative care needs.

8. Prepare patients for home care management with palliative care needs.

9. Care for vascular access devices.

10. Maintain and store drugs and keep daily records.

11. Care for chronic wounds, lymphedema, fistula.

12. Manage end-of-life care.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 47

13. Provide bereavement support.

14. Deal with psychosocial issues of patient/family.

CLINICAL POSTINGS Areas Duration Clinical Learning Skills/Procedural Assignments Assessment Outcomes Competencies Methods

(Weeks) Palliative care 20 weeks Assess and provide • History taking • Symptoms • Clinical wards nursing care for assessment evaluation (16 + 4) • Symptom assessment and (Private & patients with report management General) & palliative care needs OPD • Assisting in therapeutic • Evaluation of procedures and provide post • Case study case study and procedural care report health talk Prepare and assist/ • Performing palliative care

perform palliative procedures: • Health talk care procedures o Lymphedema massage o Chronic wound Management • Pain assessment and pain management Assess and manage • Symptom assessment and symptoms symptom management • Alternative therapy for symptom management • Prepare patients for Administer chemotherapy chemotherapy • Perform pre-chemotherapy investigations Perform and assist in • Administration of subcutaneous needles chemotherapy placing and administer infusions • Care of IV access • Preparation of patients for surgery/stent in bowel and Perform pre- and esophagus post-operative care for patients with • Performing post-operative intestinal obstruction care • Counseling of patients and Perform counseling the family to patients and their • Support during all phases of family care givers end-of-life care Provide loss, grief and bereavement care Medical 02 weeks Provide nursing care • Administration of • Health talk • Clinical Oncology to patients chemotherapy evaluation • Case undergoing palliative • Symptom assessment and presentation chemotherapy symptom management • Fluid and electrolyte48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Areas Duration Clinical Learning Skills/Procedural Assignments Assessment Outcomes Competencies Methods

(Weeks) management Radiation 02 weeks Provide nursing care • Assessment of bedridden • Demonstration • Clinical Oncology to patients patient to family care evaluation undergoing palliative givers • Bedridden patient care RT (Brain & Bone (bowel, bladder & skin care) Metastasis) • Post radiation therapy care Hospice 04 weeks Provide hospice care, • Symptom assessment and • Field visit and • Report loss, grief and symptom management report evaluation bereavement care • Respite care • Care of dying and bereavement support Rural 04 weeks Provide palliative • History taking • Symptoms • Clinical palliative care (2 + 2) care to patients in evaluation • Symptom assessment including rural care settings home care including home care • Assisting in therapeutic • Assessment procedures report • Case study and report • Performing palliative care

procedures: • Case study o Lymphedema massage report o Chronic wound management • Health talk o Pain assessment and Pain management o Symptom assessment and symptom management • Alternative therapy for symptoms • Home care o Home visits o Pain and other symptoms assessment and management o Provision of care for management of specific therapies, colostomy, gastrostomy, wounds, oral and skin care etc.

o Nutritional management o Psychosocial support o End-of-life care and bereavement support Pediatric 02 weeks Provide nursing care • Symptom assessment in • Health talk • Clinical Oncology for children with children evaluation • Case wards palliative care needs • Symptom management presentation[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 49 Areas Duration Clinical Learning Skills/Procedural Assignments Assessment Outcomes Competencies Methods

(Weeks) • Pain assessment and pain management • Diet planning • Alternative therapy • Counseling for parent Geriatric 02 weeks Perform • Symptoms assessment and • Symptoms • Clinical ward & OPD comprehensive symptom management assessment evaluation assessment specially including pain report with complex co- • Provide psychosocial morbidities • Geriatric case support • Case study study and • Guiding advance care report report Enhance planning communication and effective clinical • End-of-life care and • Health talk bereavement support decision making Make advance planning and enhance quality end- of-life care Gynae 02 weeks Assess symptoms • Lymphedema massage • Demonstration • Clinical Oncology and manage them of lymphedema evaluation • Fistula Management including pain management • Gynae case • Bowel Management in case • Symptoms study and of obstruction assessment report • Pain assessment and report management • Case study report • Health talk Hematology 03 weeks Assess and manage • Symptoms assessment and • Symptoms • Clinical symptoms management including pain evaluation • Assessment • Guiding advanced care report • Hematology planning case study and Make advance • Case study report planning and • Providing psychosocial report enhance quality of support end-of-life care • Health talk • End-of-life care and bereavement support Counseling 01 week centre APPENDIX 1 SKILL LAB REQUIREMENTS

Note: In addition to the basic skill lab requirement of College of Nursing, the following are necessary.

S.No. Skill Lab Requirement No. Skill 1 Hospital bed with mattress 05 Patient Unit Preparation50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Skill Lab Requirement No. Skill 2 Hospital linen set 15 sets 3 Patient linen set 10 sets 4 OT towels 20 5 IV stand 05 6 Bed side lockers 05 7 Overhead table 05 8 Patient comfort devices - Extra pillows 05 9 Suction machine 01 10 Multipara monitor 01 Emergency Management 11 Oxygen supply 01 12 Bowls with lid - 10 cm 10 Basic Nursing Care articles 13 Bowls - 10 cm 10 14 Instrument tray with lid 10 15 Plain artery forceps 10 16 Toothed artery forceps 10 17 Mosquito artery forceps 10 18 Plain dissecting forceps 10 Instruments for Various 19 Toothed dissecting forceps 10 Procedures 20 Sponge holding forceps 10 21 Towel clip 20 22 Inj. Lidocaine 2% 01 23 Spreader 10 24 Syringe - 20 ml 25 25 Disposable lancet 50 26 Alcohol prep pads 50 PBS 27 Spreader 10 28 Three-way adaptors 20 29 IV Set 20 30 Normal saline 20 31 Intravenous cannula 16/18 F 30 Blood Transfusion 32 IV simulator arm for infusion 01 33 Butterfly needles 05 34 Extension line & three-way adaptor 20 35 Chlorhexidine swab stick 20 36 Heparin 20 37 Safety needles & syringes 30 38 Standard safety protection devices 20 sets 39 Nutrition lab for preparation of therapeutic diet 01 Infection Control 40 Hand washing area 01 41 Biomedical waste disposal unit 01 42 Records (chemo chart, consent form, blood transfusion chart, - Recording nurses note) 43 LCD TV 01 Video Assisted Demonstration[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 51 S.No. Skill Lab Requirement No. Skill 44 Health teaching modules for patients - Health Teaching APPENDIX 2 ASSESSMENT GUIDELINES (THEORY & PRACTICUM) I. THEORY A. INTERNAL PALLIATIVE CARE SPECIALTY NURSING (Part I: Palliative Care Specialty Nursing I including Foundations & Part II: Palliative Care Specialty Nursing II) - TOTAL: 25 marks • Test papers & Quiz - 10 marks • Written assignments - 10 marks (Code of ethics relevant to palliative care nursing practice, literature review on EBP in palliative care nursing/infection control practices, nutritional care of patients with palliative care needs) • Group project - 5 marks B. EXTERNAL/FINAL PALLIATIVE CARE SPECIALTY NURSING (Part I: Palliative Care Specialty Nursing I including Foundations & Part II: Palliative Care Specialty Nursing II) - TOTAL: 75 marks

Part I: 35 marks (Essay 1 × 15 = 15 marks, Short answers 4 × 4 = 16 marks, Very short answers 2 × 2 = 4 marks) and Part II: 40 marks (Essay 1 × 15 = 15 marks, Short answers 5 × 4 = 20 marks, Very short answers 5 × 1 = 5 marks) II. PRACTICUM A. INTERNAL - 75 marks • OSCE - 25 marks (End of posting OSCE - 10 marks + Internal end of year OSCE – 15 marks) • Other Practical - 50 marks a) Practical Assignments - 20 marks (Clinical presentation & Case study report – 5 marks, Counselling report/Field visit report - 5 marks, Drug study report - 5 marks and Health talk - 5 marks) b) Completion of procedural competencies and clinical requirements - 5 marks c) Continuous clinical evaluation of clinical performance - 5 marks d) Final Observed Practical (Actual performance in clinicals) - 2 marks B. EXTERNAL - 150 marks • OSCE - 50 marks, Observed Practical - 100 marks (Detailed guidelines are given in Guidebook) APPENDIX 3 CLINICAL LOGBOOK FOR POST BASIC DIPLOMA IN PALLIATIVE CARE SPECIALTY NURSING – RESIDENCY PROGRAM (Specific Procedural Competencies/Nursing Skills) S.No. Specific Competencies/Skills Number Performed/ Date & Signature of the Faculty/ Preceptor Assisted/Observed (P/A/O) I FOUNDATIONS TO PALLIATIVE CARE SPECIALTY NURSING 1 Preparation of patient education materials P 2 Preparation of duty roster for nursing officers/staff nurses P52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Performed/ Date & Signature of the Faculty/ Preceptor Assisted/Observed (P/A/O) 3 Writing literature review/systematic review P (Identify evidence-based nursing interventions/ practices) 4 Preparation of a manuscript for publication/paper P presentation 5 EBP Project (Group Project) - P Implementation on evidence-based nursing interventions OR Research Project (Group)

Topic:

II PALLIATIVE CARE SPECIALTY NURSING

1. HEALTH ASSESSMENT - History Taking

1.1 Cancer palliative care P

1.2 Non-malignant palliative care P

1.3 Geriatric palliative care P

2. Assessment - Specific Aspects

2.1 Physical assessment P

2.2 Symptom assessment P

2.3 Pain assessment P

2.4 Nutritional assessment P

3. Nursing Process Application/Care of Patients receiving Palliative Care

3.1 Superior-venocaval obstruction/spinal cord P compression/stridor

3.2 Bleeding/acute pain P

3.3 Dyspnoea P

3.4 Vomiting/anorexia/nausea P

3.5 Bedridden patient/paraplegia P

3.6 Edema P

3.7 Constipation P

3.8 Intestinal obstruction P

3.9 Seizure P

4. Drug: Calculation & Administration

4.1 Calculation of drug dosage - cocktail P

4.2 Calculation & planning of intravenous fluids P

4.3 Intravenous injection P

4.4 Narcotic drug P[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 53 S.No. Specific Competencies/Skills Number Performed/ Date & Signature of the Faculty/ Preceptor Assisted/Observed (P/A/O)

4.5 Subcutaneous needle insertion P

4.6 Subcutaneous infusion P

4.7 Transdermal P

5. Chemotherapy

5.1 Preparation of patients for chemotherapy P

5.2 Preparation and administration of chemotherapeutic drugs P

5.3 Monitoring of patients during chemotherapy P

5.4 Extravasation management P

6. Nutrition

6.1 Oral care P

6.2 Formula preparation P

6.3 Insertion of nasogastric tube P

6.4 Nasogastric tube feeding P

6.5 Gastrostomy tube feeding P

6.6 Jejunostomy tube feeding P PROCEDURES

7. Wound Management and Ostomy Care

7.1. Fungating wound dressing P

7.2 Tracheostomy care P

7.3 Gastrostomy/Jejunostomy care P

7.4 Colostomy care P

8. Assisting Procedures

8.1 Pleural tapping A

8.2 Abdominal paracentesis A

9. Health Education & Counselling

9.1 Health Education a. Exercise P b. Nutrition P c. Hygiene P d. Oral hygiene P e. Cost effective methods of chronic wound management P f. Compliance of medication P g. Pain management P

9.2 Counselling54 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Performed/ Date & Signature of the Faculty/ Preceptor Assisted/Observed (P/A/O) a. Patient P b. Family/relative P

9.3 Handling challenging situations P Anger/Denial/Crying/Depression

9.4 a. Breaking bad news O b. Bereavement O c. Collusion O d. Terminal care O e. Organ donation O

10. End-of-life care a. Death care P b. Placing body in mortuary P c. Releasing body from mortuary P

11. Alternative therapy P a. b.

12. Community/Home care-based procedures a. History taking P b. Physical examination P c. Wound dressing P d. Ostomy care P e. Health education P

13. Hospice a. History taking P b. Symptom management P c. Counselling O * When the student is found competent to perform the skill, the faculty will sign it.

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

Faculty: Must ensure that the signature is given for each competency only after they reach level 3. • Level 3 competency denotes that the student is able to perform that competency without supervision • Level 2 Competency denotes that the student is able to perform each competency with supervision • Level 1 competency denotes that the student is not able to perform that competency/skill even with supervision APPENDIX 4 CLINICAL REQUIREMENTS[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 55 S.No Clinical Requirement Date Signature of the Faculty/Preceptor 1 Health talk (Palliative OPD, Ward/Home Care)

1.1 Topic:

1.2 Topic:

2 Counseling patients & relatives Counselling Report - 1 3 Health Assessment Health Assessment (Adult & Child) – History, Symptoms and Examination (Two written reports) Child

3.1 Adult

3.2 Older adult/Geriatric

3.3 4 Journal Club/Clinical Seminar

Topic:

5 Case Study/Clinical Presentation & Report - (Nursing/Interdisciplinary Rounds) Adult Palliative Care Ward - 1 & Paediatric Oncology Ward - 1

5.1 Name of Clinical Condition:

5.2 Name of Clinical Condition:

6 Drug Study, Presentation and Report (Two written reports for submission)

Drug Name:

6.1 Opioid

6.2 Adjuvant

6.3 Nonsteroidal inflammatory drug

6.4 Any other 7 Designing Palliative Care Unit/Home Care 8 Visits - Reports

8.1 National/Regional Hospice

8.2 National/Regional Palliative Care Centre Signature of the Program Coordinator/Faculty Signature of the HOD/Principal APPENDIX 5 CLINICAL EXPERIENCE DETAILS Name of Clinical Area Clinical Condition Number of days Signature of the care given Faculty/Preceptor56 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Name of Clinical Area Clinical Condition Number of days Signature of the care given Faculty/Preceptor Signature of the Program Coordinator/Faculty Signature of the HOD/Principal Dr. T. DILEEP KUMAR, President [ADVT.-III/4/Exty./610/2024-25] 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.