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 सससससीीीीी.....जजजजजीीीीी.....-----डडडडडीीीीी.....एएएएएललललल.....-----अअअअअ.....-----2222256999111110000022222000002222244444-----222225555588888222223333333333 xxxGIDHxxx CCCCCGGGGG-----DDDDDLLLLL-----EEEEE-----2222256999111110000022222000002222244444-----222225555588888222223333333333 xxxGIDExxx असाधारण EXTRAORDINARY भाग III—खण् ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 842] नई दिल्ली, सोमवार, अक्त बू र 21, 2024/आज‍व न 29, 1946 No. 842] NEW DELHI, MONDAY, OCTOBER 21, 2024/ASVINA 29, 1946 अजधसचू ना ubZ fnYyh, 7 अक् तूबर, 2024

(IV). le;≤ ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 ¼1947 dk XLVIII½ dh èkkjk 16¼1½ ds vèkhu çnÙk 'kfDr;ksa dk ç;kxs djrs gq,] Hkkjrh; mip;kZ ifj"kn~ ,rí~okjk 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 bu fofu;ekas esa] tc rd fd lanHkZ ls vU;Fkk visf{kr u gks] i. ^vfèkfu;e* dk vfHkçk; le;≤ ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~] 1947 ¼1947 dk XLVIII½ ls gS( ii. ^ifj"kn~* dk vfHkçk; vfèkfu;e ds rgr xfBr Hkkjrh; mip;kZ ifj"kn~ ls gS( iii. ^,l,uvkjlh* dk vfHkçk; lacfaèkr jkT; ljdkjksa }kjk fdlh Hkh uke ls xfBr jkT; mip;kZ ,o a çlkfodk iathdj.k ifj"kn~ ls gS( 6840 GI/2024 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] iv. ^vkj,u ,aM vkj,e* dk vfHkçk; ,d iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½ ls gS vkSj ,d ,ls s ulZ dks n'kkZrk gS ftlus ekU;rk çkIr uÉlx Lukrd ¼ch-,llh- uÉlx½ ;k fMIykes k 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 esa ita hÑr 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;kxs 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 ,o a iathÑr çlkfodk ¼vkj,u ,aM vkj,e½@iathÑr lgk;d ulZ feMokbQ ¼vkj,,u,e½@iathÑr efgyk LokLF; ifjnÆ'kdk ¼vkj,y,poh½ ds vkadM+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 ç.kkyh }kjk çR;k'kh dks fn;k tkus okyk ulsZt ;wfud vkbMsafVfQds'ku uacj ls gS( vii. ^tujy uÉlx ,aM feMokbQjh ¼th,u,e½* dk vfHkçk; ifj"kn~ }kjk vfèkfu;e dh èkkjk 10 ds rgr LohÑr rFkk vfèkfu;e dh vuqlwph ds Hkkx&I es a 'kkfey fMIyksek bu tujy uÉlx ,aM feMokbQjh çf'k{k.k ls gSA I.

MCY;w,pvk s ds vkèkkjHkwr vkadM+kas ¼2022½ ds vuqlkj fo'o es a o;Ld yksxksa dh vuqekfur vk;q es a o`f) gqbZ gSA o`) ykxs kas dh la[;k es a ;g o`f) jksx rFkk fodykxa rk ds ck>s dks c<+krh gS] vkSj LokLF; {ks= ds lkFk&lkFk lkekftd ,oa vkÆFkd cqfu;knh <kaps ds fy, Hkh ,d tcjnLr pqukSrh is'k djrh gSA jk"Vªh; LokLF; uhfr ¼2017½] jk"Vªh; tula[;k uhfr ¼2015½ vkSj cqtqxZ LokLF; ns[kHkky jk"Vªh; dk;ZØe ¼2014½ es a cqtqxk±s ds fy, xq.koÙkkijd rFkk fof'k"V LokLF; n[s kHkky ds çkoèkku dh vko';drk ij cy fn;k x;k gSA ,u,pih ¼2017½ es a lkoZtfud ,o a futh] nkus kas çdkj ds LokLF; {ks=ksa es a r`rh;d ns[kHkky lsokvks a ds lkFkZd foLrkj ij tksj fn;k x;k gSA fof'k"V o vfr&fof'k"V LokLF; lsokvksa dks lacy çnku djus ds fy, LokLF; ns[kHkky dfeZ;kas dks {kerk fuekZ.k esa mUur 'kSf{kd rS;kjh dh vko';drk gksrh gSA ulZ çSfDV'kuj ¼,uih½ bl ekxa dks iwjk djus esa l{ke gkasxs] c'krsZ os vPNh rjg ls çf'kf{kr gksa vkSj fNækUo"skh lksp] fu.kZ; vkSj dkS'ky ds ekè;e ls vH;kl dju s ds fy, vfèkÑr gksAa dM+h 'kSf{kd rS;kjh mUgas th.kZ ,oa xaHkhj jksxks a ls xzLr cqtqxZ jksfx;kas ds LokLF; laoèkZu] LokLF; j[kj[kko] LokLF;

cgkyh] iquokZl vkSj mi'kked n[s kHkky dk vkda yu dju s vkSj Hkkx ysu s esa l{ke cuk,xhA ,uihth,u dh Hkwfedk o"kZ 1975 es a la;qDr jkT; vesfjdk esa LFkkfir dh xbZ Fkh] vkSj fQj vkWLVªfsy;k] btjkby] ukWosZ vkSj vU; ns'kks a es a 'kq# dh xbZA ifj"kn us ijkLukrd Lrj ij ulZ çSfDV’kuj bu tsfj,fVªd uÉlx ¼,uihth,u½ laoxZ rS;kj dju s ds fy, ,d ikBîØe dh :ijs[kk çLrkfor dh gSA bl dk;ZØe dh eq[; fo'k"skrk ;g gS fd ;g ,d uSnkfud vkoklh;

dk;ZØe gS ftlesa 15% lS)kfard funZs'k vkSj 85% O;kogkfjdrk ds lkFk ,d etcwr uSnkfud ?kVd ij cy fn;k x;k gSA bldk çeq[k n`f"Vdk.s k ;ksX;rk vkèkkfjr çf'k{k.k gS vkSj ,uih f'k{k.k baVju’s kuy dkmafly vkWQ ulsZt ¼vkbZlh,u] 2005½ vkSj ,uvks,uih,Q daihVsalht ¼2017½ ls yh xbZ n{krkvks a ij vkèkkfjr gSA ,uihth,u f'k{k.k o çf'k{k.k ,,lh,u] 2017 ls yh xbZ n{krkvks a ij vkèkkfjr gSA çR;ds ikBîØe n{krkvks a dh miyfCèk ij vkèkkfjr gSA ,uihth,u dk;ZØe es a fofHkUu vè;;u ikBîØe 'kkfey gSa tks lk{; vkèkkfjr vH;kl vkSj tfVy LokLF; ç.kkfy;ksa ds çcèa ku ds lkFk lqn`<+ oSKkfud uÈo ij vkèkkfjr gSaA bUgas ch-,llh- çf'kf{kr ulk±s dh lS)kfard ,oa O;kogkfjd n{krkvks a ds vkèkkj ij rS;kj fd;k x;k gSA ,uihth,u dk;ZØe dk mís'; iathÑr ch-,llh- ulk±s dks vLirky ,oa lkeqnkf;d lek;kstu es a cqtqxZ jksfx;kas dks mUur uÉlx n[s kHkky çnku dju s ds fy, rS;kj djuk gSA uÉlx n[s kHkky jksfx;kas dks fLFkj djus] xaHkhj tfVyrkvksa dks de dju s vkSj vfèkdre LokLF; cgkyh ij dsafær gSA ,uihth,u ds fy, vH;kl lek;kts u es a vLirky ds cká jksxh Dyhfud] vkarfjd jkxs h lqfoèkk vkSj nh?kZdkfyd n[s kHkky lqfoèkk 'kkfey gSa vkSj muds }kjk eq[; :i ls çkFkfed rFkk ekè;fed n[s kHkky ij è;ku fn;k tkrk gSA bu ,uih dks r`rh;d n[s kHkky dsaæks a dh cqtqxZ n[s kHkky bdkb;ks a es a Hkh dk;Z djuk vko';d gSA ,uihth,u c<r+ h mez ds th.kZ o xaHkhj fLFkfr;kas ,oa o`)koLFkk ds y{k.kksa dk funku] mipkj rFkk çcèa ku dju s vkSj fpfdRlk gLr{ksi ;k] dHkh&dHkh] mi'kked mipkj vkSj ej.kklUu n[s kHkky çnku djus esa leFkZ gksxa sA mUgsa ,ls h lsok,a çnku dju s ds fy, mUur[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3 f'k{kk çnku dh tkrh gS] tks cqtqxk±s dks çHkkfor djus okys LokLF; eqíkas ds lkFk&lkFk ifj.kkeh laKkukRed] 'kkjhfjd] euksoSKkfud vkSj lkekftd nqcZyrkvksa dk lekèkku djrh gSaA dk;ZØe ds iwjk gksu s vkSj lacfaèkr ,l,uvkjlh esa iathÑr gksus ij] mUgas ifj"kn~ }kjk fuèkkZfjr ikBîØe dh ykWxcqd es a lwphc) lHkh n{krkvks a dk vH;kl dju s vkSj lkFk gh laLFkkxr çksVksdkWy@LFkk;h vkn's kksa ds vuqlkj Lor=a :i ls vkS"kfèk çcaèku rFkk uSnkfud ijh{k.k] çfØ;k] fpfdRlk midj.k vkSj mipkjkas dk vkns'k nsu s ds fy, vfèkÑr fd;k tkrk gSA bl vfèkdkj dk ç;ksx djrs le;] ,uihth,u fuEufyf[kr n{krkvksa ds fy, tokcnsg gksrs gSa% a) mez c<u+ s eas oSKkfud tkudkjh vkSj lS)kfard ewy dk mi;kxs djuk( b) jksxh p;u@tsfj,fVªd bdkbZ es a HkrhZ o Nqêh( c) ;Fkkfspr vkadyu }kjk leL;k dh igpku( d) vkS"kfèk ;k midj.k ;k mipkj dk p;u@çcèa ku( e) fpfdRlkfoèkku mi;kxs gsrq jksxh f'k{kk( f) fpfdRlkfoèkku es a vkS"kfèk ds nq"çHkko dh tkudkjh( g) ifj.kkeksa dk vkda yu( h) tfVyrkvks a rFkk vugksuh çfrfØ;kvksa dh igpku o çcaèku( i) tsfj,fVªd uSnkfud vH;kl esa lk{;&vkèkkfjr uokpkjkas ds fy, ;kxs nku( j) xaHkhj rFkk çkFkfed n[s kHkky ds lacèa k es a Nk=] ulZ o vU; LokLF; dfeZ;kas dks ekxZn'kZu] ijke'kZ] lykg vkSj 'kSf{kd vuqHko çnku djuk( k) tsfj,fVªd n[s kHkky lacfaèkr jk"Vªh; LokLF; dk;ZØeks a es a çHkkoh HkkxhnkjhA ,uihth,u] viuh ns[kjs[k esa cqtqxks± dh lexz n[s kHkky dh ftEesnkjh rFkk tokcngs h ysu s ds fy, rS;kj vkSj f'kf{kr fd, tkrs gSaA blus ^^n{krkvks*a* ds varxZr ^^vè;;u Mkes su** cuk, j[kuk vko';d cuk fn;k gSA dsæa vkSj jkT; Lrj ij u, laoxZ dh LFkkiuk ds lkFk] ,uihth,u cqtqxZ jksfx;kas dk s tsfj,fVªd okMZ] cká jkxs h foHkkx] tsfj,fVªd Ms&ds;j lsok] cqtqxZ lkbdkbVªh okMZ] cqtqxZ lkeqnkf;d vkSj tsfj,fVªd iquokZl okMZ tSls fofHkUu lek;kts uks a es a ykxr çHkkoh] l{ke] lqjf{kr vkSj xq.koÙkk lapkfyr fo'k"sk uÉlx n[s kHkky çnku djus es a l{ke gksxa sA mDr LukrdkÙs kj fMxzh dk s ,l,uvkjlh }kjk vfrfjDr n{krk ds :i es a iathÑr fd;k tk,xkA ifj"kn~ dk ekuuk gS fd cqtqxZ jksfx;kas vkSj muds ifjokj dks xq.koÙkkijd n[s kHkky çnku djus ds fy, Hkkjr es a çkFkfed rFkk r`rh;d LokLF; ns[kHkky lsokvksa dh pqukSfr;kas vkSj ekxa kas dks iwjk dju s grs q ulZ çSfDV’kuj bu tsfj,fVªd uÉlx ¼,uihth,u½ uked LukrdkÙs kj dk;ZØe LFkkfir dju s dh l[r t:jr gSA ifj"kn~ dk ekuuk gS fd lqn<` + uSnkfud ?kVd vkSj n{krk&vkèkkfjr çf'k{k.k ij dsafær ,d vkoklh; dk;ZØe ds LukrdkÙs kj dks Bksl lS)kfard vkSj lk{;&vkèkkfjr tkudkjh ds vkèkkj ij uSnkfud {kerk dk çn'kZu djus esa l{ke gksuk pkfg,A f'k{k.k&vfèkxe n`f"Vdk.s k dks o;Ld f'k{k.k fl)kra ks]a vkpkj lafgrk] ;ksX;rk&vkèkkfjr f'k{kk] lg;kxs kRed f'k{kk] fpfdRlk vkSj uÉlx f'k{kdkas ds lkFk çpfyr uSnkfud f'k{kk] vuqHkokRed f'k{kk vkSj Lo&funsZf'kr f'k{kk ij è;ku dsfaær djuk pkfg,A f'k{kk çnkrkvksa@çhlsIVlZ@esaVlZ dks vius orZeku Kku vkSj vH;kl dks v|ru j[kuk pkfg,A çf'k{k.k esa çhlsIVlZ ds :i es a Hkkx ysu s ds fy, fpfdRlk ladk; dks vkeaf=r fd;k tkrk gSA ifj"kn~ dk ;g Hkh ekuuk gS fd ;kXs ; tsfj,fVªd uÉlx ladk; dh deh dks njw dju s ds fy, uSnkfud lek;kts u es a fofHkUu 'kS{kf.kd j.kuhfr;ksa dk mi;ksx fd;k tk ldrk gSA vk'kk dh tkrh gS fd iathdj.k@ykblsal dh fn'kk es a uhfr;k a fodflr djuk vklku cuk;k tk,xk vkSj ulZ çSfDV'kuj bu tsfj,fVªd uÉlx ijkLukrdkas ds inLFkkiu grs q çkFfed vkSj xaHkhj ns[kHkky dsaæksa es a inksa dk l`tu fd;k tk,xkA ifj"kn~ dk ekuuk gS fd ekU;rk,a] uSfrdrk rFkk fo'okl vkSj çsj.kk jksxh ,oa ifjokj dsafær n[s kHkky] çfØ;k&mUeq[k n[s kHkky] Lo&ns[kHkky vkSj lk{;&vkèkkfjr vH;kl dk mi;ksx djr s gq, fujarj O;kolkf;d fodkl es a n{krk gkfly djsxa h tk s xq.koÙkkijd ifj.kke çkIr djus ds fy, vko';d gSaA4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ,uih ikBîØe ds fy, ,d 'kS{kf.kd :ij[s kk çLrkfor gS ¼ ns[kas½A • • • t udt ut u sfj , fV ªd Él x v H;s we y sfj , fV ªd Él x - Isfj , fV ªd Él x - II kl • • • m Uu r u Él x v H; kl d s fy , l S) kafr d v kèkkj t sfj , fV ªd n s[ kHkky se a ' kksèk v u qç ; ksx r F kk l k{; v kèkkfj r v H; kl u sr `Ro ] ç ac èku r Fkk f' k{k. k se a m Uu r d kS' ky t sfj , fV ªd u Él x • se a y k wx m Uu r i SFkksfQ ft ; ksy kWtt sfj , fV ªd u Él x • sae y k wx m Uu r Q ke kZd ksy kWt h m Uu r L o kL F; @ • ’kkj hfj d v akd y u h II.

;g dk;ZØe tsfj,fVªd uÉlx {ks= es a fo'ks"kKrk vkSj xgu le> fodflr dju s es a Nk=ksa dh lgk;rk ds fy, rS;kj fd;k x;k gSA ;g Nk=kas dks tsfj,fVªd uÉlx es a mUur uÉlx dkS'ky fodflr dju s esa enn djsxkA ,uihth,u dk;ZØe ,d uÉlx vkoklh; dk;ZØe gS ftles a eq[;r% n{krk vkèkkfjr çf'k{k.k ij è;ku fn;k tkrk gSA ikBîØe dh vofèk nks o"kZ dh gS ftlesa lS)kfard ewy ikBîØe] mUur vH;kl ikBîØe vkSj uSnkfud ikBîØe ds vykok uSnkfud vH;kl 'kkfey gSa tk s fd ,d çeq[k ?kVd gS ¼ n[s kas½A III.

,uihth,u dk;ZØe] iathÑr ch-,llh- ulks± dks ulZ çSfDV’kuj bu tsfj,fVªd uÉlx ds :i es a uSnkfud fo'ks"kK] çcaèkd] f'k{kd vkSj lykgdkj tSlh mUur vH;kl Hkwfedkvksa ds fy, rS;kj djrk gS] tks vkxs pydj ,e-,llh- uÉlx ¼,uih bu tsfj,fVªd uÉlx½ cusaxsA bl ikBîØe dk mís'; cqtqxk±s dh n[s kHkky ds fy, ,d ,ls k uÉlx dehZ laoxZ rS;kj djuk gS tks mez ls lacfaèkr tSfod ifjorZuksa ds ckjs es a tkudkjh çkIr djsaxsA IV.

dk;ZØe ds iwjk gkus s ij] ,uihth,u fuEufyf[kr esa l{ke gk s tk,axs & 1- cqtqxZ jksfx;kas dks l{ke ns{kHkky o mfpr ikfjokfjd n[s kHkky çnku dju s dh ftEesnkjh vkSj mÙkjnkf;Ro ysuk( 2- tsfj,fVªd n[s kHkky çnku dju s esa uSnkfud {kerk@fo'k"skKrk dk çn'kZu djuk ftlesa vkadyu] uSnkfud rdZ] tfVy fuxjkuh vkSj mipkj 'kkfey gS([भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5 3- tsfj,fVªd n[s kHkky esa mipkj@eè;orZu dks ykxw dju s esa lS)kfard] iSFkkfsQft;ksykWftdy rFkk QkekZdksykWftdy fl)kra ksa vkSj lk{; vkèkkj dks ykxw djuk( 4- jksxh ds LokLF; dks fLFkj ,oa cgky dju s ds fy, cqtqxk±s ds xaHkhj jksxks a dk vkadyu djuk rFkk muds çcèa ku es a Hkkx ysuk( vkSj tsfj,fVªd cgqfo"k;d ny ds lnL; ds :i esa tfVyrkvkas dks de djuk ;k çcfaèkr djuk( 5- n[s kHkky dh fujarjrk es]a tsfj,fVªd n[s kHkky ny es a vU; LokLF; n[s kHkky dfeZ;kas ds lkFk lg;ksx djukA V.

laLFkku dks ,uihth,u dk;ZØe vkSj mlds Nk=ksa ds çfr tokcnsgh Lohdkj djuh gksxh vkSj ifj"kn~ ds

ekudksa ds vuq:i dk;ZØe dh is'kd'k djuh gkxs hA bls fuEufyf[kr vko';drkvks a dks iwjk djuk gksxk% 1- vfuok;Zrk çek.ki= d- tks dksbZ Hkh laLFkku ulZ çSfDV’kuj bu tsfj,fVªd uÉlx dk;ZØe 'kq# djuk pkgr s gSa] mUgs a jkT; ls vfuok;Zrk çek.k i=@ljdkjh vkn's k ysuk gksxkA [k- fuEufyf[kr laLFkkuksa dk s vfuok;Zrk çek.k i= ysus ls NwV nh xbZ gS% i. ifj"kn~ }kjk vfèkfu;e dh èkkjk 13 vkSj 14 ds rgr mi;qDr ik, x, rFkk ch-,llh- uÉlx ;k ,e- ,llh- uÉlx dk;ZØeksa dh igy s ls gh i's kd'k dju s okys laLFkku@fo'ofo|ky;( ii. ,echch,l@Mh,uch dk;ZØekas dh is'kd'k djus okys laLFkku@fo'ofo|ky;A 2- vLirky d- laLFkku dk de ls de 200 'k¸;k okyk viuk ewy vLirky@r`rh;d n[s kHkky dsaæ gksuk pkfg,A [k- ewy vLirky vfèkekur% ,d esfMdy d‚yts @uÉlx d‚yst ls lac) gksuk pkfg,A 3- 'k¸;k d- vLirky es a vkWFkkZsifsMDl] U;wjksykWth] fQft;kFs kjs sih] vkWD;wi's kuy Fksjsih foHkkx] vkWIFkYs ekys kWth] L=h jksx fpfdRlk] nra jksx fpfdRlk] #esVkys kWth] lkbdkbVªh] iquokZl ,o a lkeqnkf;d LokLF; lsok tSlh lgk;d lsokvks a ds lkFk de ls de 30 'k¸;k okyk tsfj,fVªd okMZ gkus k pkfg,( 4- o`)kJekas ds lkFk laca)rk d- vLirky o`)kJe ls lac) gk s ldrk gSA 5- tsfj,fVªdbdkbZ ds fy, LVkQ d- çR;ds tsfj,fVªd okMZ esa vfèkekur% ch-,llh- uÉlx ;k ,e-,llh- uÉlx vgZrkèkkjd ,d çHkkjh ulZ gksuk pkfg,( [k- ifj"kn~ ds ekunaMksa ds vuqlkj ulZ jksxh vuqikr 1%4 gksuk pkfg,( x- vkjf{kr vodk'k ds fy, 45% vfrfjDr dfeZ;kas dk çkoèkku gksuk pkfg,( ?k- tsfj,fVªd bdkbZ es a ,d tsfj,fVªd fQftf’k;u] lkekftd dk;ZdrkZ@ijke'kZnkrk] fQft;ksFksjfsiLV vkSj ,d vkWD;wi's kuy FksjfsiLV gksuk pkfg,( ³- fpfdRld jkxs h vuqikr 1%10 gk s ldrk gSA 6- ladk;@LVkQ lalkèku d- i. uÉlx çhlsIVj% tsfj,fVªd bdkbZ esa 6 o"kZ vuqHko ds lkFk iw.kZdkfyd th,u,e vgZrkèkkjd] vfèkekur% 2 o"kZ vuqHko ds lkFk tsfj,fVªd uÉlx es a ikLs V csfld fMIyksek ;k ch-,llh uÉlx vgZrkèkkjd vFkok 1 o"kZ vuqHko ds lkFk ,e-,llh- ¼esfMdy&lftZdy uÉlx@lkeqnkf;d LokLF; uÉlx½ vgZrkèkkjd( ii. esfMdy çhlsIVj% tsfj,fVªd@tujy esfMflu esa ,eMh( iii. çhlsIVj Nk= vuqikr% uÉlx 1%10] esfMdy 1%10 ¼çR;ds Nk= ds fy, ,d esfMdy rFkk ,d uÉlx çhlsIVj gksuk pkfg,½ [k- i. çkQs slj@,lkfsl,V çkQs slj% 1 ¿çf'k{k.k vuqHko% ihth&,e-,llh- ¼esfMdy&lftZdy uÉlx@ lkeqnkf;d LokLF; uÉlx½ ds ckn 5 o"kZÀ & çR;sd 10 Nk=ksa ds fy, ,d ladk;( ii. lgk;d çksQslj% 1 ¼çf'k{k.k vuqHko% ch-,llh- uÉlx ds ckn 3 o"kZ½ x- tsfj,fVªd bdkbZ es a dk;Zjr ,e-,llh- uÉlx vgZrkèkkjd mijksDr ladk; nksgjh Hkwfedk fuHkk,axs ;k ,d lhfu;j ulZ gkaxs sA6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ?k- QkekZdksykWth] iSFkksfQft;ksykWth] tsfj,fVªd esfMflu] tujy esfMflu o tujy ltZjh] dkÆM;ksykWth] vkFkkZsifsMDl] lkbdkbVªh] dE;qfuVh esfMflu] fQft;ksFksjsih vkSj vkWD;wi's kuy Fkjs sihA 7- vLirky@dkWyst es aHkkSfrd rFkk vè;;u lalkèku d- uSnkfud {k=s esa ,d vè;;u d{k@dkUÝsla d{k( [k- flE;qysVsM vè;;u ds fy, dkS'ky ç;kxs 'kkyk ¼vLirky@dkWyst½( x- vkWuykbu tuZYl rd igqap ds lkFk iqLrdky; vkSj daI;wVj lqfoèkk( ?k- bZ&yÆud lqfoèkkA 8- rhl 'k¸;k okys tsfj,fVªd okMZ grsq midj.kksa dh lwph ¼ n[s ksa½ 9- Nk= HkrÊ@ço'sk lacaèkh vko';drk,a d- vkosnd dks iathdj.k ls igys vfèkekur% fdlh tujy esfMdy&lftZdy@tsfj,fVªd n[s kHkky lek;kts u es a de ls de 1&o"kZ uSnkfud vuqHko ds lkFk ,d iathÑr ch-,llh- uÉlx@ih-ch-ch-,llh- uÉlx vgZrkèkkjd gksuk pkfg,( [k- ifj"kn~ }kjk ekU;rk çkIr laLFkku ls ch,llh uÉlx mÙkh.kZ dh gksuh pkfg, vkSj lacafèkr ,l,uvkjlh es a iathÑr gkus k pkfg,( x- ch-,llh- uÉlx dk;ZØe esa dqy çkIrkad 55% ls de ugÈ gksus pkfg,A ?k- p;u ,d ços'k ijh{kk dh mRÑ"Vrk vkSj l{ke çkfèkdkjh }kjk vk;ksftr lk{kkRdkj ds vkèkkj ij gksuk pkfg,A ³- 'kkjhfjd :i ls LoLFk gksuk pkfg,A vH;fFkZvksa dh la[;k% 10 tsfj,fVªd 'k¸;k ds fy, 1 vH;FkhZA 1- lsokjr vH;fFkZ;kas dks fu;fer osru fn;k tk,xkA 2- vU; vH;fFkZ;ks a ds fy, othQk@ors u ml vLirky dh ors u lajpuk ds vuqlkj fn;k tk,xk tgk a ikBîØe lapkfyr fd;k tk jgk gSA VI.

ijh{kk es acSBu sds fy, ik=rk mifLFkfr% fo'ofo|ky; dh vfare ijh{kk es a cSBus ls igys lS)kfard rFkk O;kogkfjd ds fy, U;wure 80%] ysfdu fMxzh çnku djus ls igy s O;kogkfjd es a 100% mifLFkfr ijw k djuk vfuok;Z gSA vkarfjd vkadyu vadksa ds fy, dksbZ U;wure lhek ugÈ gS] D;ksafd mÙkh.kZ ?kksf"kr dju s ds fy, vkarfjd vkSj cká vad ,d lkFk tksMs+ tkr s gSaA ijh{kk lapkyu ,o afMxzh çnkrk çkfèkdj.k% lacafèkr fo'ofo|ky;A ifj.kkeksa dk oxÊdj.k ;fn çkIrkda 60% vkSj mlls vfèkd gSa rks vH;FkhZ dks ijh{kk es a mÙkh.kZ ?kksf"kr dj fn;k tkrk gSA ;s çkIrkad çR;ds ikBîØe@fo"k; es a lS)kfard rFkk O;kogkfjd dh vkarfjd ,oa cká fo'ofo|ky;h nksukas ijh{kkvks a dk dqy ;kxs gSa vkSj 60% ls de vuqÙkh.kZ gkaxs sA J.s kh ¼jasd½ dh x.kuk ds fy,] nksuksa o"kZ ds dqy vda kas ij fopkj fd;k tk,xkA ;fn dksbZ vH;FkhZ lS)kfard vFkok O;kogkfjd es a vuqÙkh.kZ gks tkrk gS] rk s mls og ç'u&i= fQj ls nus k gksxk ftles a og vuqÙkh.kZ gqvk gSA fdlh Hkh fo"k; es a vuqÙkh.kZ gksu s okys vH;FkhZ dh Js.kh ¼jsda ½ ?kksf"kr ugÈ dh tk,xhA dk;ZØe dk s iwjk dju s dh vfèkdre vofèk 4 o"kZ gkxs hA O;kogkfjd ijh{kk vks,llhbZ ijh{kk ds lkFk&lkFk ekSf[kd ijh{kk yh tk,xh & es a fn, x, ns[kasA çfr fnu Nk=ksa dh vfèkdre la[;k & 10 Nk=A ijh{kk uSnkfud {k=s es a gh vk;ksftr dh tkuh pkfg,A O;kogkfjd ijh{kd ny esa ,d vkarfjd ijh{kd ¿¼,uihth,u dk;ZØe i<k+u s es a nks o"kZ vuqHko ds lkFk ,e- ,llh- uÉlx ladk;@5 o"kZ LukrdkÙs kj vuqHko ds lkFk ,e-,llh- uÉlx ladk; ¼vfèkekur% esfMdy&lftZdy uÉlx½À] ,d cká ijh{kd ¼mijksDr ds leku½ vkSj ,d esfMdy vkra fjd ijh{kd] ftlu s ,uihth,u dk;ZØe ds fy, çhlsIVj ds :i es a dk;Z fd;k gks] 'kkfey gksaxsA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7 'kksèk fucèak 'kksèk xkbM% eq[; xkbM & LukrdksÙkj ds mijkra ,uih dk;ZØe es a 3 o"kZ i<k+u s dk vuqHko okyk uÉlx ladk;] lg&xkbM% esfMdy çhlsIVjA 'kksèk çLrko dh çLrqfr% çFke o"kZ es a ços'k dh frfFk ds 6&9 ekg mijkarA xkbM Nk= vuqikr% 1%5 'kksèk lfefr% dkWyts @vLirky es a 'kkès k dh çxfr dk ekxZn'kZu vkSj i;Zo{s k.k dju s ds fy, çèkkukpk;Z ;k lh,uvks] tk s ,e-,llh- uÉlx vgrkZèkkjd gksuk pkfg,] ds lkFk U;wure 5 lnL; okyh ,d vyx 'kksèk lfefr gksxhA uSfrd eatwjh laLFkkxr leh{kk ckMs Z@vLirky vkpkj lfefr }kjk çkIr dh tkuh pkfg,] D;kasfd bles a uSnkfud 'kksèk 'kkfey gSA fo"k; dk p;u% fo"k; tsfj,fVªd uÉlx ls çklafxd gksuk pkfg, tks uÉlx eè;orZu esa tkudkjh ;k lk{;

tksM+As 'kksèk fdlh Hkh tsfj,fVªd ns[kHkky lek;kstu es a vk;ksftr fd;k tkuk pkfg,A MsVk laxzg.k% MsVk laxzg.k ds fy, 7 lIrkg vkoafVr fd, tkrs gSa] ftls igys o"kZ esa 6 ekg ds ckn vkSj nwljs o"kZ es a 6 ekg ls igys uSnkfud vuqHko ds nkSjku ,dhÑr fd;k tk ldrk gSA 'kksèk fjiksVZ ys[ku% nlw js o"kZ ds 6&9 ekg esAa vfare 'kksèk fucaèk dh çLrqfr% nlw j s o"kZ ds iwjk gksu s ls 3 ekg igysA 'kksèk fucèak ijh{kk vkarfjd vkda yu% ekSf[kd vkSj 'kkès k fucaèk fjikVs Z ¾ 50 vadA fo'ofo|ky;h ijh{kk% ekSf[kd vkSj 'kkès k fucèa k fjiksVZ ¾ 50 vda A ¼vkadyu grs q vU; ,e-,llh- uÉlx fof'k"Vrkvks a ds fy, mi;kxs es a yk, tku s okys vda fn'kkfunZs'kks a dk mi;kxs fd;k tk ldrk gSA½ VII.

• ç'u i=] ç'uksÙkjh] lsfeukj • fyf[kr dk;Z@vkofèkd ç'u i= • ekeyk@uSnkfud çLrqfr • uSnkfud ;k n[s kHkky iFk@ekeys dh vè;;u fjiksVZ • uSnkfud çn'kZu vkadyu • oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ½ • vfare ijh{kk ¼ ds fy, ns[kas½ 1 mUur uÉlx vH;kl ds fy, lS)kfard vkèkkj 2 50 ?kVa s 2 tsfj,fVªd n[s kHkky es a 'kksèk vuqç;ksx rFkk lk{; 3 30 70 vkèkkfjr vH;kl ?kVa s 3 urs `Ro] çcaèku rFkk f'k{k.k esa mUur dkS'ky 3 30 70 ?kVa s 4 tsfj,fVªd uÉlx es a ykxw mUur iSFkkfsQft;ksykWth 3 30 70 vkSj mUur QkekZdksykWth ?kVa s 5 mUur LokLF;@'kkjhfjd vkadyu 3 30 70 50 50 ?kVa s8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 1 tsfj,fVªd uÉlx vH;kl ds ewy 3 30 70 100 100 ?kVa s 2 tsfj,fVªd uÉlx - I 3 30 70 100 100 ?kVa s 3 tsfj,fVªd uÉlx - II 3 30 70 100 100 ?kVa s 4 'kksèk fucèa k vkSj ekSf[kd 50 50 VIII.

I mUur uÉlx vH;kl ds fy, lS)kfard 40 vkèkkj II tsfj,fVªd uÉlx es a 'kksèk vuqç;kxs rFkk 56 24 ¼7 lIrkg½ lk{; vkèkkfjr vH;kl III urs `Ro] çcaèku rFkk f'k{k.k esa mUur dkS'ky 56 24 ¼4 lIrkg½ IV tsfj,fVªd uÉlx es a ykxw mUur 60 ¼7 lIrkg½ iSFkksfQft;kys kWth V tsfj,fVªd uÉlx es a ykxw mUur 54 ¼7 lIrkg½ QkekZdksykWth VI mUur LokLF;@'kkjhfjd vkadyu 70 48 ¼12 lIrkg½ ¼7 lIrkg½ ¼2 lIrkg½ ¼37 lIrkg½ tsfj,fVªd uÉlx vH;kl ds ewy 96 48 ¼12 lIrkg½ VII VIII tsfj,fVªd uÉlx - I 96 48 ¼12 lIrkg½ IX tsfj,fVªd uÉlx - II 96 48 ¼13 lIrkg½ ¼6 lIrkg½ ¼3 lIrkg½ ¼37 lIrkg½ × lS)kafrd ¾ 624 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 240 ?kaVs] uSnkfud ¾ 3552 ?kaVs] dqy ;ksx ¾ 4416 ?kaVs çFke o"kZ% 336&96&1776 ?kaV s ¼lS)kfard&dkS'ky ç;kxs 'kkyk&uSnkfud½ ¿lS)kfard ¾ 15%] O;kogkfjd ¼dkS'ky ç;kxs 'kkyk ,o a uSnkfud½ ¾ 85%À f}rh; o"kZ% 288&144&1776 ?kVa s ¼lS)kfard&dkS'ky ç;ksx'kkyk&uSnkfud½ ¿lS)kfard ¾ 15%] O;kogkfjd ¼dkS'ky ç;kxs 'kkyk ,o a uSnkfud½ ¾ 85%À çFke o"kZ ¾ 46 lIrkg@2208 ?kVa s ¼46 × 48 ?kVa s½ ¼lS)kfard $ ç;ksx'kkyk% 44 lIrkg ds fy, 7-5 ?kVa s çfr lIrkg ¾ 330@336 $ 96 ?kaV*s½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9 *lS)kfard $ ç;ksx'kkyk ¾ 96 ?kVa s 2 lIrkg esa ifjp;kRed CykWd d{kk o dk;Z'kkyk ds :i es a fn, tk ldrs gSa f}rh; o"kZ ¾ 46 lIrkg@2208 ?kVa s ¼46 × 48 ?kaV½s ¼lS)kfard $ ç;kxs 'kkyk% 45 lIrkg ds fy, 8-5 ?kVa s çfr lIrkg ¾ 384 $ 48 ?kaVs½ ¼1 lIrkg CykWd d{kk,a ¾ 48 ?kVa s½ U;wure 48 ?kVa s çfr lIrkg fuèkkZfjr gSa] gkykafd] ;g vyx&vyx ikfj;ksa vkSj vkWu dkWy MîVw h djus ds ckn Nqêh ds vkèkkj ij ifjorZu'khy gSA lIrkg esa ,d fnu dh Nqêh ds lkFk 8 ?kVa s dh MîwVh vkSj çfr lIrkg ,d vkWu dkWy MîwVhA 44 lIrkg ¼ifjp;kRed CykWd d{kk o dk;Z'kkyk ds 2 lIrkg NksM+dj½ tsfj,fVªd okMZ & 12 lIrkg tujy esfMdy okMZ & 6 lIrkg tujy lftZdy okMZ & 2 lIrkg vkFkkZsifsMd okMZ & 4 lIrkg vkWIFksYeksykWth okMZ & 1 lIrkg U;wjksykWth okMZ rFkk vkis hMh & 3 lIrkg lkbdkbfVªd okMZ & 3 lIrkg lkeqnkf;d i`"BHkfwe vH;kl {k=s & 3 lIrkg vkikrdkyhu foHkkx & 1 lIrkg tsfj,fVªd vksihMh & 4 lIrkg lkbdkbfVªd vksihMh & 1 lIrkg ,aMksØkbu vkis hMh & 2 lIrkg fQft;ksFksjsih rFkk vkWD;wi's kuy Fksjis h & 2 lIrkg 45 lIrkg ¼CykWd d{kk dk ,d lIrkg NksM+dj½ tsfj,fVªd okMZ & 12 lIrkg esfMdy vkbZlh;w & 3 lIrkg lftZdy vkbZlh;w & 3 lIrkg iquokZl bdkbZ & 5 lIrkg ifsy,fVo rFkk gkWLikbl lsaVj & 4 lIrkg o`)kJe & 4 lIrkg ges sVkys kWth rFkk vkWUdkys kWth okMZ & 1 lIrkg ;wjksykWth okMZ & 1 lIrkg lkbdkts sfj;kfVªd okMZ@fMesfa'k;k & 2 lIrkg lkeqnkf;d i`"BHkfwe vH;kl {k=s & 3 lIrkg vkikrdkyhu foHkkx & 1 lIrkg tsfj,fVªd vksihMh rFkk fMesfa'k;k fDyfud & 2 lIrkg xk;uh vkWUdksykWth vksihMh & 1 lIrkg tsfj,fVªd Ms ds;j dsaæ & 1 lIrkg ikfsM;kfVªd vksihMh & 1 lIrkg & 1 lIrkg gkWLikbl ns[kHkky ç'kked n[s kHkky bdkbZ o`)kJe lS)kfard] ç;ksx'kkyk vkSj uSnkfud f'k{k.k fuEufyf[kr rjhdksa ls fd;k tk ldrk gS vkSj uSnkfud inLFkkiu ds nkSjku ,dhÑr fd;k tk ldrk gS & • O;kogkfjd vè;;u10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Çpru'khy vè;;u • vuqdj.k • uSnkfud lsfeukj • uSnkfud dkUÝsla • ekeyk@uSnkfud çLrqfr • xgu vkS"kèkh; vè;;u] çLrqfr rFkk fjiksVZ • uÉlx jkmaM~l • tuZy Dyc • ekey s dk vè;;u • mUur LokLF; vkda yu • ladk; O;k[;ku • funZsf'kr iBu • fufgr dk;Z • dk;Z'kkyk çR;ds uSnkfud inLFkkiu ds var es]a uSnkfud ykWx cqd ¼fof'k"V çfØ;kRed n{krk,a@ uSnkfud dkS'ky½ vkSj uSnkfud vko';drk,a ij çhlsIVj@ladk; }kjk gLrk{kj fd, tkus pkfg,A 1- cqtqxZ yksxksa ds ckjs es a tkudkjh fodflr djus vkSj cgs rj n[s kHkky es a ;kxs nku nsrk gSA 2- çklafxd dsafær bfro`Ùk çkIr djus dh {kerk fodflr djrk gSA 3- cqtqxk±s ds mipkj rFkk fuokjd j.kuhfr;ks a ds fy, mfpr funku] ewY;kadu vkSj mipkj fuèkkZj.k dju s dh {kerk çnÆ'kr djrk gSA 4- jksfx;kas es a ijlaØe.k tksf[ke ds lkFk&lkFk laØe.k dks çcfaèkr@fu;af=r djus dh {kerk fodflr djrk gSA 5- jksxh ns[kHkky dh xq.koÙkk rFkk lqj{kk lqfuf'pr dju s ds fy, nyks a ds lkFk çHkkoh <xa ls dk;Z djrk gSA 6- O;kid tsfj,fVªd vkadyu dju s dh {kerk çnf’kZr djrk gSA 7- cqtqxk±s dh ik"sk.k fLFkfr dk vkadyu dju s dh {kerk vkSj mfpr ik"sk.k vkyacu j.kuhfr çnf’kZr djrk gSA 8- xaHkhj tsfj,fVªd ns[kHkky es a ,uih dh orZeku o mHkjrh Hkfwedk dk o.kZu djrk gSA 9- tsfj,fVªd yksxksa dh n[s kHkky ds ckjs es a Nk=] ulZ rFkk vU; LokLF; dfeZ;ks a dk s ekxZn'kZu] ijke'kZ] lykg vkSj 'kSf{kd vuqHko çnku djrk gSA 10- fd'kksj] uo;qod] o;Ld vkSj cqtqxks± dks ns[kHkky çnku dju s ds fy, vko';d vR;fèkd ips hnk leUo;

vkSj ;kts uk dh lqfoèkk gsrq usr`Ro çnku djrk gSA 11- xaHkhj] uktqd rFkk isphnk th.kZ jksxksa ls xzLr cqtqxk±s ds fy, lqj{kk vkSj tkfs[ke es a deh dks c<k+ok nsus ds fy, lk{;&vkèkkfjr vH;kl eè;orZu ykxw djrk gSA 12- Lo&vH;kl es a fujra j xq.koÙkk lqèkkj çnÆ'kr djrk gSA 13- n[s kHkky forj.k rFkk leUo; es a lqèkkj ds y{; ds lkFk rduhdh ,oa lwpuk ç.kkfy;ksa dh rkdr vkSj ckèkkvks a dk fo'ys"k.k djrk gSA 14- cqtqxk±s ds LokLF; n[s kHkky esa uSfrd vkSj dkuwuh ekudksa dks ykxw djrk gSA 15- cqtqxk±s ds lkekU; jkxs kas dh iSFkksfQft;kys kWth dh egRoiw.kZ voèkkj.kkvkas dks vfHkfuèkkZfjr djrk gSA 16- çHkkoh ns[kHkky çnku djrk gS vkSj tsfj,fVªd ns[kHkky esa uSnkfud dkS'ky es a mRÑ"V curk gSA Nk=ksa dks laLFkkxr çksVksdkWy@LFkk;h vkns'kks a ds vuqlkj Lor=a :i ls vkS"kfèk nsus vkSj uSnkfud ijh{k.k] çfØ;k] fpfdRlk midj.k o mipkjks a dk vkn's k nus s ds fy, çf'kf{kr fd;k tk,xk A vkikrdkyhu vkS"kfèk;k a lacafèkr fpfdRld ds ijke'kZ ls nh tkrh gSa vkSj ckn es a fyf[kr vkns'k }kjk leÆFkr dh tkrh gSaA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11 ¼fo"k; fuÆn"V fd;k tk ldrk gS½ 1- mUur uÉlx vH;kl ds 8 ?kVa s 1 × 32 ¾ 32 ?kVa s • lsfeukj@lS)kfard vuqç;kxs fy, lS)kfard vkèkkj ¼40½ • O;k[;ku ¼ladk;½ 2- tsfj,fVªd n[s kHkky es a 'kkès k 8 ?kVa s 40 ¼5 fnu½ 1 × 24 ¾ 24 ?kVa s • 'kksèk vè;;u fo'ys"k.k vuqç;ksx rFkk lk{; $ 8 ?kVa s • vH;kl@fufgr dk;Z vkèkkfjr vH;kl ¼56 $ ¼ç;kxs 'kkyk½ 24½ 3- urs `Ro] çcèa ku rFkk f'k{k.k 12 $ 2 ?kVa s 1 × 26 ¾ 26 ?kVa s • uSnkfud dkUÝsla es a mUur dkS'ky ¼56 $ 2-5 × 16 ¾ 40 • lsfeukj 24½ ?kVa s • vH;kl@fufgr dk;Z ¼ç;kxs 'kkyk½ 4- tsfj,fVªd uÉlx es a ykxw 1-5 × 40 ¾ 60 • ekey s dh çLrqfr mUur iSFkkfsQft;ksykWth ?kVa s • lsfeukj ¼60½ • uSnkfud dkUÝsla 5- tsfj,fVªd uÉlx es a ykxw 10 ?kVa s 1 × 44 ¾ 44 ?kVa s • uÉlx jkmaM~l mUur QkekZdksykWth ¼54½ • vkS"kfèk vè;;u çLrqfr • LFkk;h vkns'k@çLrqfr 6- mUur LokLF;@’kkjhfjd 8 ?kVa s 2 × 26 ¾ 52 ?kVa s • uSnkfud çn'kZu ¼ladk;½ vkadyu ¼70 $ 48½ 1-5 × 18 ¾ 27 • okilh çn'kZu ?kVa s • uÉlx jkmaM~l • 'kkjhfjd vkadyu ¼lHkh 1 × 15 ¾ 15 ?kVa s ç.kkfy;ka½ 2 × 6 ¾ 12 ?kaVs • ekey s dk vè;;u 2 × 2 ¾ 4 ?kaVs & ifjp;kRed d{kk, a ¾ 1 lIrkg ¼48 ?kVa s½] dk;Z'kkyk ¾ 1 lIrkg ¼48 ?kVa ½s ] 44 lIrkg ¾ 7-5 ?kaVs çfr lIrkg ¼330@336 ?kVa s½ ¼48 ?kVa s½ 1- tsfj,fVªd uÉlx vH;kl ds 9 ?kVa s × 11 lIrkg ¾ 99 • çn'kZu ¼ç;kxs 'kkyk½ ewy ¼96 $ 48 ?kVa s½ ¾ 144 ?kVa s • okilh çn'kZu ¼ç;kxs 'kkyk½ ?kVa s • uSnkfud çf'k{k.k • ekey s dk vè;;u • lsfeukj • uSnkfud dkUÝsla • ladk; O;k[;ku 2- tsfj,fVªd uÉlx - I 9 ?kVa s × 16 lIrkg ¾ 144 • çn'kZu ¼ç;kxs 'kkyk½ ¼96 $ 48 ?kaV½s ¾ 144 ?kaVs ?kVa s • okilh çn'kZu ¼ç;kxs 'kkyk½ • uSnkfud dkUÝsla @tuZy Dyc • lsfeukj • ekey s dh çLrqfr • vkS"kfèk vè;;u ¼vkS"kèkh; ikjLifjd çHkko lfgr½12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ¼48 ?kVa s½ • uÉlx jkmaM~l • ladk; O;k[;ku 3- tsfj,fVªd uÉlx – II 9 ?kVa s × 16 lIrkg ¾ 144 • çn'kZu ¼ç;kxs 'kkyk½ ¼96 $ 48 ?kaV½s ¾ 144 ?kaVs ?kVa s • okilh çn'kZu • uÉlx jkmaM~l • uSnkfud dkUÝsla @tuZy Dyc • lsfeukj • ladk; O;k[;ku CykWd d{kk,a & 1 lIrkg] 45 lIrkg & 8-5@9 ?kaV s çfr lIrkg ¼382-5@284 ?kaVs½ çR;ds f'k{k.k i)fr grs q fo"k; dks lacafèkr f'k{kd@laLFkku }kjk foLr`r ;kts uk es a fuÆn"V fd;k tk,xkA I.

1- oSf'od LokLF; n[s kHkky ço`fÙk;ks a vkSj pqukSfr;ks a dk fo'ys"k.k djrk gSA 2- Hkkjr es a LokLF; n[s kHkky vkSj f'k{kk uhfr;ksa ds uÉlx ij çHkko dk fo'ys"k.k djrk gSA 3- Hkkjr es a LokLF; lsok forj.k ç.kkyh vkSj bldh pqukSfr;kas dh xgu le> fodflr djrk gSA 4- tsfj,fVªd n[s kHkky lsokvksa ds forj.k ds fy, çklafxd vkÆFkd fl)karksa dk s ykxw djrk gSA 5- ykxr] xq.koÙkk vkSj larqf"V tSls LokLF; ifj.kkekas dks çHkkfor dju s ds fy, LokLF; tkudkjh dk çcèa ku vkSj :ikarj djrk gSA 6- ulZ çSfDV’kuj dh Hkwfedkvksa vkSj n{krkvkas dk vH;kl dju s es a tokcnsgh rFkk ftEesnkjh Lohdkj djrk gSA 7- tsfj,fVªd n[s kHkky es a LokLF; ns[kHkky ny ds lHkh lnL;ksa dks 'kkfey djrs gq, lg;ksxh vH;kl esa lfØ;

:i ls Hkkx ysrk gS vkSj vH;kl ds vfèkÑr nk;j s ds Hkhrj Hkfwedk fuHkkrk gSA 8- fofèkd] uSfrd vkSj mUur uÉlx vH;kl ds fu;eu dh vPNh tkudkjh ds lkFk uSfrd vH;kl es a layXu gksrk gSA 9- lqfu;ksftr çhlsIVjf'ki ds ekè;e ls çnku fd, x, çf'k{k.k ds voljkas dk mi;ksx djrk gS vkSj uÉlx çfØ;k@ ns[kHkky iFk ;k uSnkfud iFk dk s ykxw djr s gq, lqjf{kr vkSj l{ke ns[kHkky djrk gSA 10- cqtqxZ jksfx;ks a dks l{ke n[s kHkky çnku djus eas uÉlx fl)kra ks a dh tkudkjh dk s ykxw djrk gSA 11- fofHkUu LokLF; n[s kHkky lek;kts uks a es a ulZ çSfDV’kuj dh Hkwfedkvkas esa vkxkeh pqukSfr;kas dk iwokZuqeku yxkrk gSA 1- oSf'od LokLF; n[s kHkky pqukSfr;k a vkSj #>ku ¼n{krk&1½ 2 2- Hkkjr es a LokLF; ç.kkyh% 2 Hkkjr es a LokLF; n[s kHkky forj.k ç.kkyh & cnyrs ifjn`'; ¼n{krk&3½ 3- jk"Vªh; LokLF; ;kts uk & iapo"kÊ; ;kts uk,a vkSj jk"Vªh; LokLF; uhfr ¼n{krk&2½ 2 4- LokLF; vFkZ'kkL= vkSj LokLF; n[s kHkky foÙkiks"k.k ¼n{krk&4½ 4 5- uÉlx lwpuk foKku ds lkFk LokLF; lwpuk ç.kkyh ¼daI;wVj dk mi;kxs ½ ¼n{krk&5½ 4 6- ,,uih & ifjHkk"kk] nk;jk] n'kZu] tokcnsgh] Hkwfedk vkSj ftEesnkfj;ka ¼lg;kxs h vH;kl vkSj 3 ulZ dh fuèkkZj.k Hkwfedk,a½ ¼n{krk&6 o 7½ 7- fofu;eu ¼çf'k{k.k laLFkkuks a dh ekU;rk rFkk çek.ku½ vkSj mUur uÉlx vH;kl Hkwfedk ds 3 uSfrd vk;ke ¼n{krk&8½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13 8- ulZ çSfDV'kuj & Hkwfedk] çdkj] n{krk] vH;kl ds fy, uSnkfud lek;kstu] lkaLÑfrd 3 {kerk ¼n{krk&6½ 9- ,uih ds fy, çf'k{k.k & çhlsIVjf'ki ¼n{krk&9½ 2 10- ,uih vH;kl dh Hkfo"; dh pqukSfr;k a ¼n{krk&11½ 4 11- ,ih,u ij ykxw uÉlx ds fl)kra ¼n{krk&10½ 3 12- ,ih,u ij ykxw uÉlx çfØ;k@ns[kHkky iFk ¼n{krk&9½ 2 6 1- LokLF; ns[kHkky ,o a f'k{kk uhfr;kas dh igpku djuk vkSj uÉlx ij blds çHkko dk fo'y"sk.k djuk 2- Hkkjr es a ,uih vH;kl ds fy, dkuuw h fLFkfr dh O;k[;k djukA Hkkjr esa ulZ fuèkkZj.k uhfr;ks a dk vU; ns'kks a esa bu uhfr;ks a dh çklafxdrk ds lkFk D;k Hkfo"; gS\ 3- çkFkfed rFkk xaHkhj tsfj,fVªd bdkb;ks a es a ik, tkus okys ,uih vH;kl ls lacafèkr uÉlx çkVs ksdkWy dh tkap djuk • ,,lh,u ¼2021½- n ,lafl;Yl% dksj daihVaslht QkWj çksQs'kuy uÉlx ,Mwds'ku & ,aVªh ysoy ,aM ,MokaLM ysoy uÉlx ,Mwds'ku] vesfjdu ,lkfsl,'ku vkWQ+ dkWyts vkWQ+ uÉlxA • fM fuLdks o ckdZlZ ,-,e- ¼2015½- ,MokLa M çSfDVl uÉlx% ,lsafl;y uksyst QkWj n çkQs s'ku ¼rhljk laLdj.k½] eSlkpqlsV~l% tkasl ,aM ckVZysV ifCy’klZ badA • vkbZlh,u ¼2020½- xkbMykbal vkWu ,MokLa M çSfDVl uÉlx] ftuos k% vkbZlh,uA • ,uvks,uih,Q ¼2022½- ulZ çSfDV'kuj jksy daihVaslht] us'kuy vkWxsZukbts'ku vkWQ ulZ çSfDV'kuj QSdYVhtA • Ldkcs j ,e- o vQkjk ,Q-,- ¼2006½- ,MokLa M uÉlx çSfDVl] vkWDlQkMs Z% CySdosy ifCyÇ'kxA • LVhoVZ th-ts- o MsfuLdk s ,l-,e- ¼2015½- jksy MsoyiesaV QkWj n ulZ çSfDV'kuj] ;w,l,% ÇLçxj ifCyÇ'kx daiuhA II.

1- tsfj,fVªd ns[kHkky lek;kts u es a Lor=a 'kksèk dju s es a xgu 'kksèk lacèa kh tkudkjh vkSj dkS'ky dks ykxw djrk gSA 2- jksxh ns[kHkky xq.koÙkk es a lqèkkj ykus ds fy, lg;kxs h 'kksèk es a Hkkx ysrk gSA 3- bZchih çLrqfr ds fy, 'kksèk fu"d"kk±s dh O;k[;k vkSj mi;ksx djrk gSA 4- lokZsÙke vH;kl fodflr dju s vkSj LokLF; ifj.kkeks a rFkk xq.koÙkk n[s kHkky ds fy, orZeku vH;kl dk ijh{k.k@ vkda yu djrk gSA 5- lqj{kk vkSj n[s kHkky dh çHkko'khyrk dks c<k+u s ds fy, tsfj,fVªd uÉlx vH;kl es a fd, x, uÉlx eè;orZu ds lk{; dk fo'ys"k.k djrk gSA 6- oSKkfud 'kksèk fjiksVZ ys[ku esa dkS'ky fodflr djrk gSA 1- 'kksèk vkSj mUur uÉlx vH;kl% 2 mUur uÉlx Hkwfedk ls lacafèkr 'kksèk vkSj iwNrkN dk egRo ¼n{krk&1½ 2- ,ih,u vH;kl ds fy, 'kkès k ,tsMa k% 5 lokZsÙke vH;kl fodflr dju s ds fy, orZeku vH;kl dk ijh{k.k] LokLF; ifj.kke vkSj mUur vH;kl es a xq.koÙkkijd n[s kHkky ds ladsrd ¼n{krk&3] 4] 5½] 'kksèk laLÑfr dks c<k+ok nsuk14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3- 'kksèk lacèa kh tkudkjh rFkk dkS'ky% 40 ,ih,u ds fy, vko';d 'kksèk n{krk,a ¼'kkès k dh O;k[;k vkSj mi;kxs ] vH;kl dk vkadyu] ¼5 lg;kxs h 'kksèk es a Hkkxhnkjh½ fnolh;

lk{; vkèkkfjr vH;kl ¼bZchih½ ifj;kstuk dk ifjp; & PICOT ç'u] ;kstuk ds pj.k] dk;Z'kkyk½ dk;kZUo;u] ewY;kda u vkSj foLrkj ¼ifj;kts uk çLrko vkSj ifj;kts uk fjiksVZ½ pj.k@lkis ku ¼'kksèk ç'u] lkfgfR;d leh{kk] oSpkfjd lajpuk] 'kksèk fMtkbu] uewukdj.k] MsVk laxzg.k] i)fr;k a rFkk midj.k] fo'ys"k.k vkSj fjiksÉVx½ 'kksèk çLrko vkSj 'kksèk fjiksVZ ys[ku ¼n{krk&1] 2½ 4- çdk'ku ds fy, ys[ku 5 ¼ys[ku dk;Z'kkyk & ik.Mqfyfi rS;kj djuk vkSj foÙk iks"k.k ds lzkrs <<wa uk½ ¼n{krk&6½ ¼dk;Z'kkyk½ 5- lk{; vkèkkfjr vH;kl 4 & voèkkj.kk] fl)kra ] egRo vkSj pj.k & dk;Z ifjo's k es a bZchih dks ,dhÑr djuk & bZchih dk s ykxw dju s esa ckèkk,a & bZchih dk s c<+kok nsus dh j.kuhfr;ka ¼n{krk&3] 4] 5½ • 'kksèk çkFkfedrkvksa dh igpku djuk • 'kksèk ç'u] mís'; vkSj ifjdYiuk ij vH;kl ys[ku • 'kksèk çLrko@bZchih ifj;kts uk çLrko ys[ku • oSKkfud i= ys[ku & çdk'ku ds fy, ikMa qfyfi rS;kj djuk • O;ofLFkr leh{kk@lkfgfR;d leh{kk ys[ku & tsfj,fVªd uÉlx es a fn, x, uÉlx eè;orZu ds lk{; dk fo'y"sk.k djuk • O;kogkfjd 'kksèk% 'kksèk fucaèk ¼336 ?kVa s ¾ 7 lIrkg½@lk{; vkèkkfjr vH;kl ifj;kts uk ¼bZchih ifj;kts uk½ • xzs ts- o xzkos ,l-d-s ¼2020½- cUlZ ,aM xzkOsl] n çSfDVl vkWQ uÉlx fjlpZ% vçkbty] flaFksfll ,aM tuj's ku vkWQ ,ohMsla ¼9ok a laLdj.k½] lsVa yqbl% ,Ylsfo;j lkWUMlZA • ikfsyr Mh-,Q- o csd lh-Vh- ¼2018½- uÉlx fjlpZ% tsusjsÇVx ,aM ,lsÇlx ,foMsla QkWj uÉlx çSfDVl ¼11oka laLdj.k½] ubZ fnYyh% okWYVlZ Dyow jA • f'eV ,u-,- o czkmu ts-,e- ¼2009½- ,foMsla cLs M çSfDVl QkWj ulsZl vçkbty ,aM ,fIyds'ku vkWQ fjlpZ] ,lMh% tkasl ,aM ckVZysV ifCy’klZ badA III.

1- tsfj,fVªd n[s kHkky bdkb;ks a es a usr`Ro rFkk çcèa ku ds fl)kra ksa dk s ykxw djrk gSA 2- fl)kra ksa dh csgrj tkudkjh dk mi;ksx djds tsfj,fVªd n[s kHkky lek;kts u es a ruko vkSj la?k"kZ dks çHkkoh <xa ls çcafèkr djrk gSA 3- leL;k lekèkku vkSj fu.kZ; ysu s ds dkS'ky dk s çHkkoh <ax ls ykxw djrk gSA 4- tsfj,fVªd jksxh n[s kHkky es a urs `Ro çnku dju s rFkk çcèa ku es a egRoiw.kZ Çpru o lapkj dkS'ky dk mi;kxs djrk gSA 5- ny cukrk gS vkSj tsfj,fVªd n[s kHkky lek;kstu es a nwljkas dks çsfjr djrk gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15 6- bdkbZ dk ctV rS;kj djrk gS] vkiwÆr vkSj LVkQ dk çHkkoh <ax ls çcaèku djrk gSA 7- uokpkj vkSj cnyko ds le; leqfpr rjhds ls Hkkx ysrk gSA 8- f'k{k.k ds Bkls fl)kra kas ds vkèkkj ij çHkkoh f'k{k.k fofèk;kas] ehfM;k vkSj vkadyu dk mi;kxs djrk gSA 9- jksxh n[s kHkky esa i{k&leFkZu Hkwfedk fodflr djrk gS] vLirky ,o a lkeqnkf;d lek;kstu dh tsfj,fVªd bdkb;kas es a xq.koÙkk vkSj uSfrdrk dk vuqj{k.k djrk gSA 10- ladV dh fLFkfr esa] fo'ks"k :i ls ej.kklUu voLFkk esa] ifjtuksa vkSj jksfx;ksa dk s ijke'kZ çnku djrk gSA 1- fl)kra ] usr`Ro 'kSyh vkSj orZeku #>ku 2 2- fl)kra ] çcaèku 'kSyh vkSj orZeku #>ku 2 3- tsfj,fVªd n[s kHkky lek;kts u ij ykxw usr`Ro vkSj çcèa ku ds fl)kra 4 4- ruko çcaèku vkSj Vdjko çcaèku & fl)kra vkSj tsfj,fVªd n[s kHkky ifjo's k es a vuqç;kxs ] 4 çHkkoh le; çcaèku 5- xq.koÙkk lqèkkj vkSj laijh{kk 4 6- leL;k lekèkku] egRoiw.kZ Çpru vkSj fu.kZ; ysuk] tsfj,fVªd ns[kHkky uÉlx vH;kl ij ykxw 5 lapkj dkS'ky 7- tsfj,fVªd okMZ rFkk lkeqnkf;d lek;kts u esa ny cukuk] çfsjr djuk vkSj lykg nsuk 2 8- ctV rFkk lalkèku çcaèku ftles a ekuo lalkèku ds lkFk tsfj,fVªd okMZ@lkeqnkf;d 5 lek;kts u esa ctV] lkexzh çcèa ku] LVkQ rFkk fufgr dk;Z 'kkfey gSa 9- cnyko vkSj uokpkj 2 10- LVkQ çn'kZu vkSj ewY;kadu ¼fu"iknu ewY;kda u½ 6 11- tsfj,fVªd uÉlx ij ykxw f'k{k.k&vè;;u fl)kar vkSj fu;e 2 12- n{krk vkèkkfjr f'k{kk vkSj ifj.kke vkèkkfjr f'k{kk 2 13- f'k{k.k fofèk;ka@j.kuhfr;k a & vuqHkokRed] Çpru'khy] ifjn`'; vkèkkfjr] vuqdj.k vkfn] 8 ehfM;k% tsfj,fVªd n[s kHkky lek;kts u esa jksfx;ks a vkSj deZpkfj;ks a dks f'kf{kr djuk 14- deZpkjh f'k{kk vkSj vkadyu es a midj.kkas dk mi;ksx 4 15- ,ih,u & ,d f'k{kd ds :i es a Hkfwedk 2 16- tsfj,fVªd n[s kHkky ifjo's k eas leFkZu Hkwfedk, a 2 1- LVkQ jksxh fufgr dk;Z rS;kj djuk 2- bdkbZ ctV rS;kj djuk 3- LVkQ MîwVh jksLVj rS;kj djuk 4- jksxh ns[kHkky laijh{kk 5- uÉlx n[s kHkky ekud vkSj çkVs ksdkWy rS;kj djuk 6- midj.k vkSj vkiwÆr çcaèku 7- laØe.k fu;a=.k çFkkvks a dh fuxjkuh] ewY;kda u vkSj fjiksVZ ys[ku 8- f'k{k.k ;kstuk fodflr djuk 9- lw{e f'k{k.k@jkxs h f'k{kk l= 10- jksfx;kas vkSj dfeZ;ksa ds fy, f'k{k.k i)fr vkSj ehfM;k rS;kj djuk 11- vks,llhbZ@vks,lihbZ dh ;kstuk cukuk vkSj lapkyu djuk 12- ijh{k.k fuekZ.k tsfj,fVªd bdkbZ ds fy, uÉlx n[s kHkky ekud rS;kj djukA • ckLVscy ,l-ch- ¼2019½- ulZ ,t ,MwdsVj% fçafliYl vkWQ Vhfpax ,aM yÉux QkWj uÉlx çSfDVl ¼5ok a laLdj.k½] ubZ fnYyh% tksla ,aM ckVZysV ifCy’klZ badA16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • fcÇyXl Mh-,e- o gSYLVMs ts-,- ¼2019½- Vhfpax bu uÉlx% v xkbM QkWj QSdYVh ¼NBk laLdj.k½] lsaV yqbl] felkSjh% lkWUMlZ ,Ylfo;jA • DykdZ lh-lh- ¼2010½- fØ,fVo uÉlx yhMjf'ki ,aM esuts esVa ] ubZ fnYyh% tksal ,aM ckVZysV ifCy’klZ badA • yhcyj ts-th- o eSDdksusy lh-vkj- ¼2008½- esusteasV fçafliYl QkWj gSYFk çkQs s'kuYl] lMcjh] ,e-,-% tksal ,aM ckVZysV ifCy’klZ badA • jkslsy ,y- o LokalcxZ vkj-lh- ¼2010½- esustesVa ,aM yhMjf'ki QkWj ulZ ,MfefuLVªsVlZ ¼5ok a laLdj.k½] ubZ fnYyh% tksla ,aM ckVZysV ifCy’klZ badA IV.

a 1- tsfj,fVªd fLFkfr;kas esa iSFkkfsQft;ksykWftdy çfØ;k ds Kku dks funku vkSj ns[kHkky ;kts uk rS;kj djus ds fy, ,dhÑr djrk gSA 2- cqtqxk±s eas y{k.k çcèa ku vkSj jkxs kas dh f}rh;d jksdFkke es a iSFkksfQft;kys kWftdy fl)kra ksa dks ykxw djrk gSA 3- funku] mipkj] ns[kHkky vkSj iwokZuqeku ds ewY; dks igpkur s gq, çR;ds tsfj,fVªd jkxs ls lacfaèkr iSFkksfQft;kys kWftdy ifjorZukas dk fo'ys"k.k djrk gSA I • çfrj{kk ç.kkyh ?kVd • çfrj{kk vuqfØ;k r=a • çfrj{kk eas deh vkSj ylhdk çlkj lacèa kh fodkj • jksx çfrjksèkd {kerk • çfrj{kk çfrfØ;kvkas ds çdkj • Vhds II • egkekjh rFkk laØe.k dk çlkj • laØe.k dk funku rFkk çcaèku ¼vkjVhvkbZ] ;wVhvkbZ] Ropk½ III • gkbijuVs ªfse;k o gkbiksuVs ªsfe;k • gkbijdsysfe;k o gkbiksdys sfe;k • dSfY'k;e&QkWLQsV rFkk eSXuhf'k;e esVkcksfyTe@foVkfeu Mh • ,flM csl esa xM+cMh+ IV ân; lacèa kh fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k • dkÆM;kes k;ksiSFkh • ek;ksdkÆMfVl • mPp jDrpki ¼gkbijVs’a ku½ • egkèkeuh; jkxs • cká laoguh; jkxs • bLdhfed ân; jksx V Qq¶Qqlh; fLFkfr;kas dh mUur iSFkksfQft;kys kWftdy çfØ;k • ÅèoZ o fupys 'olu r=a ds fodkj • czkfsUd;y vLFkek] lhvksihMh] dksj iYeksusy • xaHkhj vkSj th.kZ 'olu foQyrk ¼,D;wV ,Ma Økfsud jsfLijVs jh QsY;ksj½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17 • QsQM+s dh jlkSyh ¼fu;ksIykTEl vkWQ yaXk½ • baVjfLVf’k;y yax fMlht ¼vkbZ,yMh½ & fMlht vkWQ IY;wjk] ehfM;kfLVue ,aM Mk;kÝke VI tBjkaf=; fLFkfr;kas dh mUur iSFkksfQft;kys kWftdy çfØ;k • xzkluyh ¼vksfl;kQs sxl½ ds jkxs • [kku s dh uyh es a [kkuk Åij ykSVuk ¼xSLVªkfsl;kQs sxl fjQyDl jksx½ • ifsIVd vYlj] xSfLVªfVl ¼tBj 'kksèk½ • iVs dh vlkè;rk] dksyu ¼c`gnkU=½ VII gis Vs kfscyjh fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k • ;Ñr jkxs dh uSnkfud çfØ;k,a • ;Ñr@fiÙk p;kip; dh xM+cM+h • xaHkhj ;Ñr 'kksèk • th.kZ ;Ñr 'kksèk • ;Ñr dk lw=.k fodkj ¼fljksfll½ • ;Ñr ds Vîew j • ;Ñr esa QkMs +k gksuk ¼,Clsl½ • dksyslhLVkbfVl] dksysfyfFk;fll • iSafØ;kfVfVl ¼vXuk'k;'kkFs k½ • iSafØ;kfVd esfyXuaslh ¼vXU;k'k; dh vlkè;rk½ VIII vra %lzkoh fLFkfr;ksa dh mUur iSFkksfQft;kys kWftdy çfØ;k • ih;w"k xzafFk ¼fiVîwVjh XySaM½ • ,aVhfj;j fiVîVw jh jkxs • U;wjksgkbikQs kbfll jksx • gkbij ,aM gkbiksFkk;jk;fMTe • gkbij ,aM gkbiksiSjkFkk;jk;fMTe • eèkqesg • vfèko`Dd çkra LFkk vkSj eTtk ¼dkWVZsDl ,aM esMwyk½ jksx IX xqnZs o ew= lacèa kh fLFkfr;ks a dh mUur iSFkksfQft;kys kWftdy çfØ;k • xaHkhj o`Ddh; foQyrk ¼,D;wV jhuy QsY;ksj½ • th.kZ o`Dd fodkj • uÝs kfsVd ÇlMªkes • ufsÝfVd flaMªkes • xqnZs ds laoguh; fodkj ¼o`Dd èkeuh; ladqpu½ • uÝs kfsyfFk;kfll • vkWCLVªfDVo ;wjkis SFkh • ;wjhujh VªSDV buQSD’ku ¼ew= ekxZ es a laØe.k½ • ;wjhujh budaVhusal ¼ew=h; vla;ferk½ • ,fifMMk;ekfspZfVl ¼vfèko`"k.k 'kksèk½ X jDr lacaèkh fLFkfr;kas dh mUur iSFkksfQft;ksykWftdy çfØ;k • jDr lajpuk o Hkatu18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • jDr lewg vkSj jDrkèkku çfrfØ;k • jDrkYirk ¼,uhfe;k½ • vfLFk eTtk foQyrk ¼cksu esjks QsY;kjs ½ • ek;ykçs ksfyQsjfsVo fMLvkWMZj • bfM;kis SfFkd FkzksEckls kbVksisfud iqjiqjk ¼vkbZVhih½ • vfèk'ors jDrrk ¼Y;wdsfe;k½ • fyEQkes kl XI la;kts h Ård] tksM+ vkSj gfì;ks a dks çHkkfor dju s okyh fLFkfr;ks a dh mUur iSFkksfQft;kys kWftdy çfØ;k • lafèkokr xfB;k ¼fjáwesVksbM vkfFkZfjfVl½ • jh< + ds tkMs +ks a es a xfrfofèk&jksèkd lwtu ¼,adksykkfstax LikasfMfyfll½ • ç.kkyhxr jfDre RoX;{ek ¼flLVfsed Y;wil bjkbfFkesVksfll½ • ikWyhesfYt;k • okr fodkj ¼xkmV½ • vfLFklafèk'kkès k ¼vkfsLVvkvs kfFkZfjfVl½ • gìh ds fodkj & p;kip; vkSj var%lzkoh ¼esVkcksfyd ,aM ,aMkØs kbu½ XII rfa=dk lacèa kh fLFkfr;kas dh mUur iSFkksfQft;kys kWftdy çfØ;k • U;wjksykWth es a uSnkfud ijh{k.k & bZ,eth] LdSu • çxk<+ csgks'kh ¼dksek½ • flj nnZ • fexÊ ¼,fiysIlh½ • uÈn lacèa kh fodkj & vkWClVªfDVo Lyhi ,fIu;k • diky raf=dkvks a ¼Øsfu;y uOlZ½ ds fodkj • lsjsczkos Ldqyj fodkj & lhoh,] Vªkfat,aV bLdsfed vVSd • jh< + dh gìh ¼Likbuy dksMZ½ es a pkVs • ifjèkh; raf=dk foÑfr ¼isjhQsjy U;wjkis SFkh½ • lh,u,l ds ik;kstfsud laØe.k & ,UlsQykbfVl] esfuutkbfVl • ok;jy laØe.k & giÊl t+ksLVj • fMekbfyusÇVx fodkj • vi{k;h fodkj & ikÉdlal fodkj] çkxs zsflo lqçk U;wfDy;j ikYlh • lh,u,l es a p;kip; vkSj iks"k.k lacèa kh fodkj & foVkfeu ch12] Fkk;feu XIII f>Yyh lacfaèkr fLFkfr;ks a dh mUur iSFkkfsQft;ksykWftdy çfØ;k • ç.kkyhxr jksx dh Ropkh; vfHkO;fDr ¼D;wVsfu;l esfuQsLV’s ku vkWQ flLVsfed byuls ½ • lkekU; [kqtyh ¼çwfjfVl½ • Roph; jta drk vkSj 'kYdhRopk ¼fLdu fixesVa s’ku ,aM bPFkk;ksfll½ • nkn ¼Ldscht½ • la'y"sk.k laosnu'khyrk ¼QksVkslsfalfVfoVh½ • fopfpZdk ¼lksjk;fll½ • Ropk dk Qaxy laØe.k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19 • cdkZsfoV~t+ ,- ¼2021½- fDyfudy iSFkksfQft;kys kWth ¼nlw jk laLdj.k½] esMekLVj bda - • áwFkj ,l-bZ-] eSddSal ds-,y- o cz'klZ oh-,y- ¼2019½- vMa jLVsafMax iSFkkfsQft+;ksykWth ¼7ok a laLdj.k½] lsVa yqbl] felkSjh% ,Ylfo;jA • ukWfjl Vh-,y- ¼2020½- iksFlZ ,lsfa'k;Yl vkWQ iSFkksfQft;ksykWth ¼5ok a laLdj.k½] okYVlZ ,aM DywojA • ikFs kZ lh-,e- ¼2007½- vlsafl;Yl vkWQ iSFkksfQft+;kys kWth% dalsIV~l vkWQ vYVMZ gSYFk LVVs ~l ¼pkSFkk laLdj.k½] fQykMfsYQ;k% fyfiudkWV fofy;El ,aM foÇYdlA • LVksjh ,y- o Myqxk'k ,y- ¼2019½- ,MokLa M iSFkksfQft+;ksykWth QkWj n ,MokLa M çSfDVl ulZ ¼igyk laLdj.k½] tksal ,aM ckVZysV ifCy'klZ bad- • fofyl ,y-,e- ¼2019½- çkQs s'kuy xkbM QkWj iSFkkfsQft;ksykWth ¼pkSFkk laLdj.k½] ,yMCY;wMCY;wA V.

a 1- cqtqxZ jksfx;ks a vkSj ifjtuks a dk s n[s kHkky çnku dju s es a vkS"kèkh; fl)kra ksa dk s ykxw djrk gSA 2- cqtqxZ jksfx;ks a es a mi;kxs dh tku s okyh çklafxd mipkj vkS"kfèk;kas ¼QkesZdkFs ksjkI;wfVd MªXl½ dk fo'ys"k.k djrk gSA 3- lS)kfard vkSj laLFkkxr çkVs ksdkWy ds vkèkkj ij lqjf{kr vkS"kfèk ç'kklu djrk gSA 4- lVhd nLrkots +hdj.k vkSj vuqorÊ n[s kHkky çnku djrk gSA 5- xaHkhj n[s kHkky lek;kstu es a cqtqxZ jksfx;kas ds vkS"kfèk ç'kklu es a vkS"kfèk;kas dh var%fØ;kvksa dh Bksl tkudkjh dks ç;kxs esa ykrk gSA 6- Lo&ns[kHkky çcaèku esa muds ifjtukas dk ekxZn'kZu djrk gSA I • bfro`Ùk • baMSDl dkMZ • vkS"kfèk;kas dk oxÊdj.k vkSj vuqlwfp;ka II • ifjp;

• cqtqxk±s eas vo'kks"k.k] foLrkj] p;kip;] QSyko vkSj mRltZu • IykTek lkaærk] v)Z vk;q ¼gkQ ykbQ½ • ykÇsMx ,aM esafVusla Mkts • fpfdRlk lwpdkad vkSj vkS"kfèk lqj{kk • {kerk vkSj çHkkodkfjrk • vkS"kfèk ç'kklu ds fl)kra ▪ vkS"kfèk ç'kklu ds vfèkdkj ▪ eki ç.kkfy;ka ▪ vkS"kfèk ç'kklu & vk=a h;] lkef;d vkSj vk=a srj ¼,aVsjy] Vksfidy ,aM ijs sVa sjy½ III • ân~'kyw ¼,aftuk isDVksfjl½] ân~is'kh; jksèkxyu ¼ek;kds kfMZ;y baQkjD’ku½ vkSj ân~ikr çcèa ku vkS"kfèk;ka • vrkyrk ¼fMlfjFkfevkl½] ân~jkès k ¼gVZ CykWd½ vkSj pkyu ¼daMD’ku½ xM+cM+h dh çcaèku vkS"kfèk;ka • egkèkeuh vkSj ifjèkh; èkeuh jksx ds ,FksjksLDyksjksfVd jksx dh çcaèku vkS"kfèk;ka • xgjh f'kjk ?kukL=rk ¼Mhi ohu FkzksEckfsll½ çcaèku vkS"kfèk;ka • ân; lacèa kh vkikr fLFkfr;ksa ds fy, laLFkkxr çksVksdkWy@LFkk;h vkns'k IV • fLFkfr nek ¼LVsVl vLFesfVdl½ çcèa ku vkS"kfèk;ka • Qq¶Qqlh; 'kksFk ¼iYeksujh ,fMek½ çcaèku vkS"kfèk;ka • Qq¶Qqlh; vra %'kY;rk ¼iYekus jh ,ackfsyTe½ çcaèku vkS"kfèk;ka20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • ,D;wV jsfLisjsVjh QsY;j ,Ma ,D;wV jsfLijVs jh fMLVªSl flaMªkes dh çcaèku vkS"kfèk;ka • th.kZ çfrjksèkh Qq¶Qqlh; ¼Øksfud vkWCLVªfDVo iYeksujh½ jksx çcaèku vkS"kfèk;ka • fueksfu;k çcaèku vkS"kfèk;ka • Qq¶Qqlh; cgko ¼Iywjy ,¶;wtu½ çcèa ku vkS"kfèk;ka • 'okljksèk ¼,fVysDVsfll½ çcaèku vkS"kfèk;ka • Qq¶Qqlh; ¼iYekus jh½ vkikr fLFkfr;ks ds fy, LFkk;h vkns'k V • nnZ ▪ MCY;w,pvk s ,uYtsfld ¼isu½ ysMj ▪ ,u,l,vkbZMh ▪ vksikbs M ,uYtsfl;k • cgs ks'k dju s dh fØ;k ¼lhM’s ku½ ▪ xkek vehuks C;wfVfjd ,flM fLVeqysaV~l ▪ MsDlesMsVksfeMkbu ▪ vuq:ihdj.k ¼,uksykWxkbts’kal½ ▪ cgs ks'k dju s dh fØ;k gsrq fuxjkuh uhfr • çyki ¼Msfyfj;e½ ▪ gys ksifsjMksy ▪ vlkekU; euksfodkj uk'kd ¼,fVfidy ,aVhlkbdksfVDl½ • LFkkuh; vkSj lkekU; laKkgj.k ¼,uLs Fkhfl;k½ ds fy, mi;kxs dh tkus okyh vkS"kfèk;ka ▪ LFkkuh; & ,ekbM~l] ,LVlZ vkSj fofoèk ,tsaV ▪ lkekU; & xSl] ok"i'khy rjy inkFkZ] IV ,usLFksfVDl ▪ 'kY;fpfdRlk es a lgk;d xSj laons ukgkjh vkS"kfèk;ka ▪ jksxh fu;af=r laKkgj.k • ydos dh vkS"kfèk;ka ▪ xSj&foèkzqo.k vkSj foèkzqo.k ,tsaV ▪ ,afDlvkfsyfVDl • Lok;Ùk vkS"kfèk;k a ¼vkWVksuksfed MªXl½ ▪ ,MªhuÆtd ,tsaV@flEisFkkfseesfVDl ▪ ,MªhuÆtd CykWfdax ,tsaV ▪ ,aVh dksyhuÆtd ,tsaV • Çprk vkSj vfuæk çcaèku vkS"kfèk;ka ▪ Volknjksèkd ¼,aVhfMçslsVa ~l½ ▪ castkMs k;tsikbUl • rfa=dk lacèa kh jksxksa ¼U;wjksykWftdy daMh’kal½ dh çcèa ku vkS"kfèk;ka ▪ lsjsczk&s oSLdqyj jkxs vkSj lsjsczk&s oSLdqyj nq?kZVuk ▪ ,UlsQSykis SFkh ▪ mPp vkarjdikyh; ncko ¼,fyhosVMs baVªkØsfu;y çslj½ ds lkFk flj o jh<+ dh gìh es a xaHkhj pkVs ▪ dksek] csgk's kh] vkSj yxkrkj fuf"Ø;rk ¼dksek] vudksfal;luls ,aM iflZLVasV osftVsfVo LVVs ½ ▪ nkSj s dk fodkj ¼fltj fMLvkWMZj½ ▪ ikÉdlfuTe ▪ vYtkbej jkxs ▪ fcLrj ij iM+k gqvk jksxh • rfa=dk lacèa kh ¼U;wjkys kWftdy½ vkikr fLFkfr;kas ds fy, LFkk;h vkns'k VI • ew=yoèkZd • æo çfrLFkkiu[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21 ▪ fØLVyksbM~l ▪ dksykbM~l • byDs VªksykbV~l ▪ lkfsM;e ▪ ikVs Sf'k;e ▪ dSfY'k;e ▪ eSXuhf'k;e ▪ QkLQksjl ▪ ckbdkckZsuVs • xqnZs ls lacafèkr jksx ▪ xaHkhj@th.kZ xqnZs dh foQyrk ¼,D;wV@Øksfud jhuy QsY;j½½ dh çcèa ku vkS"kfèk;ka ▪ xaHkhj Vîwcyj uØs ksfll dh çcèa ku vkS"kfèk;ka ▪ Mk;fyfll ds nkSjku mi;kxs dh tkus okyh vkS"kfèk;ka • o`Dd lacèa kh ¼usÝksykWth½ vkikr fLFkfr;ks a ds fy, LFkk;h vkns'k VII • vYlj jksèkh vkS"kfèk;ka • jps d ¼ySDlsfVOl½ • vfrlkj jksèkh • oeujksèkh • iSafØ;kfVd ,atkbEl • ik"skd rRokas dh [kqjkd] foVkfeu vkSj [kfut • tBjka= jkxs • fuEufyf[kr ds çcaèku dh vkS"kfèk;ka ▪ tBjka= 'kY;fpfdRlk vkSj ftxj çR;kjkis .k ¼fyoj Vªkla IykVa ½ ▪ tBjka= esa xaHkhj jDrlzko ▪ ;Ñr foQyrk ¼gsikfVd QsY;j½ ▪ xaHkhj vXuk'k;'kkFs k ¼,D;wV iSfØ;kfVfVl½ ▪ ftxj lacèa kh ef"r"d foÑfr ¼gis kfVd ,alhQsykis sFkh½ • tBjka= lacèa kh ¼xSLVªkbs aVsfLVuy½ vkikr fLFkfr;ks a ds fy, LFkk;h vkns'k VIII • gkekZsuy Fksjis h • balqfyu vkSj vU; gkbiksXykblsfed ,tsaV • vra %lzkoh xaHkhj n[s kHkky fLFkfr ▪ gkbiksXykbdsfe;k o gkbijXykbdfse;k çcèa ku vkS"kfèk;ka ▪ gkbiksFkk;jk;fMTe o gkbijFkk;jk;fMTe çcaèku vkS"kfèk;ka ▪ vfèko`Dd ladV ¼,fMªuy Økbfll½ çcèa ku vkS"kfèk;ka ▪ flvkèk çcèa ku vkS"kfèk;ka • vra %lzkoh ¼,aMksØkbu½ lacèa kh vkikr fLFkfr;ks a ds fy, LFkk;h vkns'k IX • Ldanujkès kh ¼,aVhdk,s xqysaV~l½ • ,aVhIysVysV vkS"kfèk;ka • FkzkEs cksykbfVDl • ges ksLVSfVDl@,aVhQkbfczuksfyfVDl • jDr vkSj jDr mRikn ladsr vkSj çfrfØ;k ▪ Ogkys CYM iSDM jSM CyM lSYl] Y;wdkls kbV&fjMîLw M jSM lSYl] okLM jSM CyM lSYl] ÝS’k Ýkts u IykTek] Øk;kçs sflfiVsV ▪ vkèkku çfrfØ;k,a] vkèkku ç'kklu çfØ;k22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ▪ ,Ycqfeu • Vhds • çfrj{kkneudkjh • dhekFs kjs kI;wfVd vkS"kfèk;k a & ,YdkbyÇsVx ,tsVa ] ,aVh&esVkckys kbV~l] ,aVh&Vîwej ,aVhck;ksfVDl] ,YdykWbM~l] gkekZsu vkSj gkeksZu ,aVkxksfuLV] dkWÆVdksLVsjkWbM~l] xkus kMy gkekZsu] ,aVh&,LVªkstsu] ,.Mªkstu ,aVkxksfuLV] tSfod çfrfØ;k la'kkès kd • #fèkj lacaèkh ¼gsekVkys kWth½ fLFkfr;ka ▪ ,uhfe;k FkzkEs ckslkbVkis sfu;k çcaèku vkS"kfèk;ka ▪ MhvkbZlh çcaèku vkS"kfèk;ka ▪ FkzkEs ckslkbVksisfu;k vkSj ,D;wV Y;wdsfe;k çcèa ku vkS"kfèk;ka ▪ Vîew j ykbfll ÇlMªkes çcaèku vkS"kfèk;ka • xzk¶V cuke gksLV jksx tSlh #fèkj lacaèkh ¼gsekVkys kWth½ vkikr fLFkfr;kas ds fy, LFkk;h vkns'k X • tyu çcaèku es a mi;kxs dh tku s okyh vkS"kfèk;ka • ?kko çcaèku esa mi;ksx dh tku s okyh vkS"kfèk;ka • Ropk dh xaHkhj ns[kHkky lacaèkh vkikr fLFkfr ds fy, LFkk;h vkns'k XI • lnek] lsfIll] eYVhiy vkWxZu fMlQaD'ku] ç.kkyhxr lwtu çfrfØ;k ÇlMªkse] ,ukfQysfDll dh çcaèku vkS"kfèk;ka • dkVus] nok dh vfèkd ek=k vkSj fo"kkDrrk dh çcaèku vkS"kfèk;ka • vYidkfyd cq[kkj dh çcaèku vkS"kfèk;ka ▪ Tojuk'kd ¼,aVhikbjsfVDl½ ▪ dkWÆVdkLs VsjkWbM~l • cgq&ç.kkyh; ¼eYVhflLVe½ vkikr fLFkfr;ks a ds fy, LFkk;h vkns'k XII • thok.kqjksèkh vkS"kfèk;ka ▪ ifjp;

▪ chVk ySDVe & isfuflfyu] lsQykLs iksfju] ekus kcs SDVe] dkckZisue] ▪ vehuksXykbdkls kbM~l ▪ ,aVh ,evkj,l, vkS"kfèk;ka & oSudkes kbflu ▪ eSØksykbM~l ▪ d+qbuksyksusl ▪ fofoèk & fyUdkslkekbM lewg] ukbVªksbfeMkt+ksy] VVs ªklkbfDyu vkSj DyksjSEQsfudkWy] ikWyhehfDlu] eysfj;k jksèkh] Qaxy jksèkh] ok;jy jksèkh] çksVkstk+svy jksèkh vkS"kfèk;ka • jksxk.kqjksèkdkas dk p;u • laØked fLFkfr;ka ▪ ,pvkbZoh] VVs ul] lklZ] fjdsfV~l;ksfll] ysIVksLik;jksfll] Msxa w] eysfj;k] fpduxqfu;k] jcs ht] ,fo;u ¶yw vkSj Lokbu ¶yw] lhvkos hvkbZMh dh çcaèku vkS"kfèk;ka ▪ cSfj;j uÉlx • laØked vkikr fLFkfr;kas ds fy, LFkk;h vkn's k XIII • ikWfyQkesZlh • vkS"kfèk;kas dk ikyu • jksxh f'k{kk vkSj vkS"kfèk vuqikyu • lkekU; fuèkkZj.k fl)kar • lkbdkbVªh vkS"kfèk;ka ▪ euksHkza'k ¼fMesafl;k½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23 ▪ çyki ¼Msfyfj;e½ ▪ f}èkzqoh lkgp;Z fodkj ¼ckbiksyj ,lksfl,fVo fMLvkWMZj½ ▪ volkn ¼fMçls u½ ▪ vfuæk ¼bulksefu;k½ • bZlsu ,p-ts- ¼2020½- QkekZdksykWth vkWQ bE;wukslçs'ku ¼igyk laLdj.k½] ÇLçxjA • eSds th-,- o okYVlZ ,e-vkj- ¼2021½- fDyfudy QkekZdksykWth ,aM FksjsI;wfVDl ¼10ok a laLdj.k½] okbyh&CySdosyA • f=ikBh ds-Mh- ¼2019½- ,lsfa'kvYl vkWQ esfMdy QkekZdksykWth ¼8oka laLdj.k½] tsih cznlZ esfMdy ifCy'klZ] ubZ fnYyhA • fou s ,-,y-] ow Vh-,e- o vksY;kbZ ,-t-s ¼2007½- QkekZdksFksjsI;wfVDl QkWj ulZ çSfDV'kuj fçLØkbclZ ¼nwljk laLdj.k½] fQykMsfYQ;k% MsfolA VI.

a 1- mi;qDr ç.kkyhokj ijh{kk dkS'ky fodflr djus vkSj fo'ks"kr% fxjus] vkS"kfèk;ks]a 'k¸;k ?kko vkfn ds fy, 'kkjhfjd vkadyu fl)kra kas dk s ykxw djrk gSA 2- lkekU; vkSj vlkekU; fu"d"kk±s dh fofoèkrk ds chp varj dju s ds fy, mUur LokLF; vkadyu dkS'ky dk mi;kxs djrk gSA 3- tkap fu"d"kks± vkSj laLFkkxr çkVs ksdkWy ds vkèkkj ij tkap vkSj uSnkfud ijh{k.kkas dk vkn's k nsrk gSA 4- 'kkjhfjd tkap fu"d"kks± vkSj fofHkUu tkap ifj.kkeksa dk fo'ys"k.k djrk gS vkSj vko';d funku fodkl ds fy, tjkfpfdRldksa ds lkFk feydj dke djrk gSA 5- LokLF; ns[kHkky ny ds lnL;ksa] jkfsx;ksa vkSj ifjokjksa dh lk>snkjh es a nLrkots +ksa dk vkda yu] funku o çcèa ku vkSj vuqorÊ n[s kHkky dh fuxjkuh djrk gSA I • bfro`Ùk ysuk • 'kkjhfjd tkap II • ân; lacèa kh bfro`Ùk ¼dkfMZ;kd fgLVªh½ • 'kkjhfjd tkap • ân; ç;kxs 'kkyk vè;;u & tSojlk;fud fpUgd] jDr tkap • ân; funku vè;;u & bysDVªkds kÆM;kxs zke] bdkds kÆM;kxs zkQh] ruko ijh{k.k] jsfM;kys kWftdy besÇtx III • bfro`Ùk • 'kkjhfjd tkap • 'olu fuxjkuh & vkfVZfj;y CyM xSl] iYl vkWDlhesVªh • 'olu funku ijh{k.k & pSLV jfsM;kxs zkQh ¼osafVys'ku ij¶;wtu LdSÇux] Qq¶Qqlh;

,aft;kxs zkQh] czksadksLdkis h] FkksjSlsUVsfll] LiwVe dYpj] iYekus jh QaD;ku VSLV½ IV • U;wjksykWftdy bfro`Ùk • lkekU; 'kkjhfjd tkap • laKkukRed dk;Z dk vkadyu • mPp ekufld dk;Zç.kkyh dk vkadyu • ekVs j vlslesaV & ekalisf'k;ksa dh {kerk] rkdr vkSj ltxrk ¼fjQysDlsl½ • vuqefLr"d dk;Z & pky ¼lsfjcys j QaD’ku & xSV½ • laons h vkadyu & Ropk lacèa kh vkda yu ¼lsla jh vlslesaV & MekZVkse vlslesVa ½24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • U;wjkMs k;XuksfLVd vè;;u & lhVh LdSu] ,evkjvkbZ] ihbZVh] vk[a k@lquuk V • bfro`Ùk • 'kkjhfjd tkap • xqnZs dh dk;Zç.kkyh dk vkda yu • æo larqyu vkda yu VI • bfro`Ùk • 'kkjhfjd tkap • ik"sk.k lacaèkh vkda yu • ç;kxs 'kkyk vè;;u & ;Ñr Qyu ¼fyoj QaD’ku½ vè;;u] jDr ekunMa ] ey ijh{k.k • uSnkfud vè;;u & jsfM;kys kWftdy vè;;u] besÇtx vè;;u vkSj ,aMksLdksfid vè;;u VII • fuEufyf[kr dk bfro`Ùk] 'kkjhfjd tkap] ç;kxs 'kkyk vè;;u vkSj uSnkfud vè;;u ▪ fiVîwVjh XySaM ▪ FkkbjkW;M XySaM ▪ iSjkFkkbjkWbM XySaM ▪ ,aMksØkbu XySaM & Mk;fcVht esyVs l ▪ ,fMªuy XySaM VIII • bfro`Ùk • 'kkjhfjd tkap • ç;kxs 'kkyk vè;;u & jDr tkap • uSnkfud vè;;u & vfLFk eTtk vkdk{a kk ¼ckus esjk s ,fLij's ku½ IX • bfro`Ùk • 'kkjhfjd tkap • jksx ijh{k.k & Ård ijh{k.k X • bfro`Ùk • 'kkjhfjd tkap & pky vkSj tksM+ks a dk vkadyu • ç;kxs 'kkyk vè;;u & jDr ekunMa ¼lwtu fpUgd] ;wfjd ,flM½ • uSnkfud vè;;u & jsfM;kys kWftdy vè;;u XI • bfro`Ùk • 'kkjhfjd tkap • ç;kxs 'kkyk vè;;u • uSnkfud vè;;u • jtkfsuo`fÙk ds ckn dh leL;k, a & gkWV ¶y'k XII • bfro`Ùk • 'kkjhfjd tkap • ç;kxs 'kkyk vè;;u • uSnkfud vè;;u & jsfM;kys kWftdy vkSj besÇtx vè;;u] ,aMksLdkfsid vè;;u XIII • bfro`Ùk • 'kkjhfjd tkap • dk;kZRed vkadyu • lqj{kk vkadyu • ,Mh,y vkda yu[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25 • Hkaxqjrk vkadyu • ik"sk.k lacaèkh vkda yu • eukslkekftd vkda yu • O;kid o`)koLFkk vkadyu • uSnkfud ekinaMkas dh ç.kkyhokj fuxjkuh vkSj tkap • buofslo chih ekWfuVÇjx] eYVh&iSjkehVj ekWfuVlZ] bZlhth] ,chth] iYl vkWDlhesVªh] Xyklxk s dksek Ldsy ¼thlh,l½] nnZ o csgks'kh Ldkjs ekVs j vkda yu] laosnh vkadyu] xqnZs dh dk;Zç.kkyh dk ijh{k.k] æo larqyu] vEy {kkj larqyu] bysDVªksykbV~l] vka= èofu] isV dk ncko] vof'k"V xSfLVªd ek=k] ;Ñr Qyu ijh{k.k] thvkjch,l] ç;ksx'kkyk ijh{k.k] jfsM;ksykWftdy vkSj besÇtx ijh{k.k ¼ç.kkyhokj½ • tkap vkSj uSnkfud ijh{k.kksa dk vkns'k nus k vkSj O;k[;k djuk ¼ç.kkyhokj½ ¼layXu ns[kas½ • cqtqxk±s dk vkda yu ¼layXu vkadyu fn'kkfunZs'k n[s ksa½ • fcdyh ,y-,l- o fLt+ykxh ih-th- ¼2018½- csV~l xkbM Vq fQftdy ,Dtkfeu's ku ,aM fgLVjh Vsfdax ¼lkmFk ,flvu laLdj.k½] okWYVlZ Dyow j bafM;k çk- fyfeVsMA • jksM~l ts- ¼2013½- ,MokaLM gYs Fk vlslesaV ,aM Mk;XuksfLVd jhtfuax ¼nwljk laLdj.k½] fQykMfsYQ;k% fyfiudkWV fofy;El ,aM foÇYdlA • foYlu ,l-,Q- o fxMsla ts-,Q- ¼2021½- gYs Fk vlslesaV QkWj uÉlx çSfDVl ¼7oka laLdj.k½] ,Ylsfo;j & gYs Fk lkbalst fMfotuA - I - II 1- fodkl] vk;q lacèa kh vkSj Çyx fof'k"V fofoèkrkvksa ds ckjs es a tkudkjh çnÆ'kr djrk gSA 2- ips hnk] xaHkhj] uktqd ,o a yac s le; ls chekj jksfx;ks a gsrq çklafxd O;kid o leL;k&dsafær LokLF; bfro`Ùk ysrk gSA 3- vk;q&mi;qDr ifjorZuksa lfgr ladsrks a vkSj y{k.kkas dk eYw ;kda u djrk gSA 4- lrr çfØ;k ds :i esa] jksxh mez] rRdky fLFkfr ;k t:jr vuqlkj tkudkjh ds laxzg.k dks çkFkfedrk nsrk gSA 5- çklafxd O;kid vkSj leL;k&dsfaær LokLF; bfro`Ùk dk lVhd nLrkots hdj.k djrk gSA 6- çklafxd] O;kid o dsafær 'kkjhfjd] ekufld LokLF; vkSj laKkukRed vkadyu djrk gS vkSj mldk lVhd nLrkosthdj.k djrk gSA 7- fdlh O;fDr dh LokLF; fLFkfr vkSj thou dh xq.koÙkk ij vkÆFkd] dk;Z] laLFkkxr] Ldwy] lkekftd vkSj jgus ds okrkoj.k lfgr ifjokj] leqnk; vkSj i;kZoj.k ds çHkko dk vkadyu djrk gSA 8- fodklkRed ¼thou pj.k½ ifjorZuksa ls fuiVus vkSj çcaèku djus ds fy, O;fDr vkSj leFkZu ç.kkyh dh {kerk dk vkadyu djrk gSA 9- O;fDr dh n[s kHkky] ns[kHkky fu.kZ;] dk;Z] Ldwy] 'kkjhfjd o lkekftd xfrfofèk;kas es a Hkkx ysu s dh {kerk fuèkkZfjr djrk gSA VII.

I • cq<k+i s dh tSfodh • ekuo cq<+ki s dh egkekjh foKku • ekuo cq<+ki s dh çfrj{kk foKku26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] II • tsfj,fVªd uÉlx Lifs'k;fyVh ds ewy • cqtqxk±s dh tulkfa[;dh; çksQ+kby • cqtqxk±s dh LokLF; fLFkfr • tsfj,fVªd n[s kHkky dk ck>s & oSf'od vkSj jk"Vªh;

• cqtqxk±s dh c<+rh vkcknh dk tsfj,fVªd uÉlx ij çHkko • cqtqxZ O;fDr;ksa eas LokLF; tksf[ke III • tsfj,fVªd uÉlx dh ifjHkk"kk] voèkkj.kk,a o fl)kra • cq<k+i s dh çfØ;k • efgykvksa dk cq<+kik • uÉlx çfØ;k • tsfj,fVªd n[s kHkky ds Lrj vkSj ulZ dh Hkfwedk • tsfj,fVªd n[s kHkky ny% tsfj,fVªd fpfdRld] tsfj,fVªd ulZ] U;wjks euksfpfdRld] O;kolkf;d fpfdRld] fQft;ksFksjfsiLV] ,,ylh foHkkx ds deZpkjh] euk&s o`)fpfdRld] okd~&fpfdRld] lkekftd dk;ZdrkZ] èkkÆed xq# • tsfj,fVªd n[s kHkky fo'k"skK vkSj tsfj,fVªd ulZ fpfdRld dh Hkwfedk • cqtqxk±s eas laØe.k dh jksdFkke ds fl)kra • ekud lqj{kk mik; vkSj tSofpfdRlk vif'k"V çcaèku IV • O;kid vkSj dsafær LokLF; bfro`Ùk vkSj 'kkjhfjd vkadyu • gky esa fcxM+h LokLF; fLFkfr dk vkda yu • ?kVd & uSnkfud] dk;kZRed] nSfud tSfod xfrfofèk;ka ¼,Mh,y½] i;kZoj.k] lkekftd leFkZu] ekufld fLFkfr ijh{kk ¼,e,lbZ½ • cgqfo"k;d tsfj,fVªd vkadyu • vkadyu ds fy, midj.k vkSj iSeku s & laKkukRed iSekus V • cq<k+i s ds eukslkekftd igyw • cq<k+i s es a eukos SKkfud ifjorZu • vè;;u] çsj.kk] è;ku vkSj èkkj.kk • Hkkouk,a • ekuo O;ogkj vkSj ladVdkyhu vko';drk,a • ruko vkSj ladV dh fLFkfr;kas ls fuiVuk • ekuorkijd O;ogkj vkSj n[s kHkky • lkekftd laxBu vkSj lkeqnkf;d lalkèku • leqnk; es a urs `Ro dh Hkwfedk • cqtqxk±s dh n[s kHkky es a lkekftd Hkfwedk,a vkSj igyw • ifjokj vkSj ikfjokfjd fj'rs • cqtqxk±s dh n[s kHkky ij lkekftd lkLa Ñfrd çHkko VI A.

• tulkfa[;dh • lkLa Ñfrd voèkkj.kk,a • LokLF; vkSj jksx esa lkaLÑfrd fHkUurk • cqtqxk±s ds lkFk varjlkaLÑfrd lapkj voèkkj.kk,a • lkLa Ñfrd fl)kra vkSj :ijs[kk B. • ifjokjksa dh Hkwfedk vkSj dk;Z • cqtqxk±s ds lkekU; ikfjokfjd eqís vkSj fu.kZ;

• ifjokj }kjk ns[kHkky djuk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27 • n[s kHkky dju s okys dk cks> • cq<k+i s dh vksj vxzlj ifjokjkas ds lkFk dke djuk & j.kuhfr;ka C. • lkekftd vkÆFkd dkjd • i;kZoj.kh; çHkko • i+{kleFkZu VII • cqtqxk±s ds fy, jk"Vªh; uhfr;ka vkSj jk"Vªh; LokLF; uhfr;ka • cq<k+ik vkSj lekt ij bldk çHkko • ljdkjh laxBuks a vkSj xSj ljdkjh laxBuks a dh Hkwfedk • cqtqxk±s ds fy, dke djus okyh ,tsafl;ka% jk"Vªh; vkSj jktdh;

• lkekftd leFkZu vkSj lkekftd esytksy c<+kuk] Lo;a lgk;rk lewg] cqtqxZ Dyc] iqfyl dh Hkwfedk • cqtqxk±s ds fy, dY;k.kdkjh mik; vkSj çkoèkku & miyCèk ;kstuk,a & jk"Vªh; vkSj jktdh;

VIII A. • vkadyu • ik"sk.k lacaèkh lykg • dY;k.k% LokLF; laoèkZu • ik"sk.k] O;k;ke B. • uÈn ds pj.k • uÈn esa mez ls lacafèkr lkekU; cnyko • uÈn dks çHkkfor dju s okyh vkS"kfèk;ka • uÈn lacèa kh fodkj vkSj uÈn dks çHkkfor dju s okyh fLFkfr;ka • uÈn lacèa kh fodkjksa dk çcaèku C.

• cqtqxk±s dh ;kSu çfrfØ;k es a lkekU; ifjorZu • oSdfYid ;kSu çFkk,a • cqtqxk±s dh ;kSu çfrfØ;k dks çHkkfor djus okyh iSFkksykWftdy fLFkfr;ka • ;kSu O;ogkj es a i;kZoj.kh; ckèkk,a D. • iquokZl LFkkiuk esa tksf[ke dkjd • jksdFkke • ugha fxju s ls lacaèkh çeq[k pksVas • vfrlaosnu'khy jksxh E.

• çeq[k ekufld LokLF; leL;k, a & f}èkzqoh HkkokRed fodkj] volkn • ekufld LokLF; lalkèku IX A. • th.kZrk • iquokZl B. • dSalj dh leh{kk • dSalj dk eukslkekftd çHkkoh • vè;kRe vkSj dSalj C. • cqtqxk±s eas nnZ dh leh{kk D.28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • çfrj{kk ç.kkyh es a mez ls lacafèkr ifjorZu • çfrj{kk&{kerk dk s çHkkfor dju s oky s dkjd • lkekU; leL;k, a ,oa fLFkfr;ka E.

• tksf[ke dkjd • vkadyu • gLr{ksi • cqtqxk±s eas vkerkSj ij nq#i;ksx fd;s tku s oky s eknd æO; • Hkfo"; ds #>ku F. • uk'k] nq%[k vkSj ekre • eju s dh çfØ;k% cqtqxk±s dk n`f"Vdk.s k X • uSfrd fl)kra ] uSfrd fu.kZ; ysuk & vfxze funsZ'k] olh;r • bPNk&e`R;q • tsfj,fVªd i+)fr es a uSfrd eqís • uSfrd fu.kZ; ysus dk s c<+kok nus s okyh j.kuhfr;ka • vxa nku] efLr"d dh dHkh Bhd u gkus s okyh {kfr & ulk±s dh Hkwfedk • ljdkjh vfèkfu;e • gSYi ,t bafM;k • ofj"B ukxfjd vfèkfu;e • lkekftd U;k;

• lkekftd ,tsafl;k a & xSj&ljdkjh laLFkkvksa dh Hkwfedk • ej.kklUu dh ns[kHkky • vkadyu vkSj Vhdkdj.k ij LokLF; f'k{k.k • lw{e ekufld fLFkfr ijh{k.k • tSofpfdRlk vif'k"V çcèa ku • lkekftd leFkZu ds fy, cqtqxk±s ds ?kj dk nkSjk • tkap% dSalj dh tkap VIII. - I 1- fdlh xaHkhj] uktqd vkSj@;k th.kZ jksx ;k pksV ds çHkko vkSj LokLF; laoèkZu vko';drkvksa] lkekftd leFkZu vkSj 'kkjhfjd o ekufld LokLF; fLFkfr dk vkadyu djrk gSA 2- lg&#X.krkvks a dh mifLFkfr] mez ls lacfaèkr ifjorZu] LokLF; leL;kvkas dh çLrqfr ij muds çHkko] 'kkjhfjd vkSj ekufld LokLF; es a rts h ls fxjkoV dh laHkkouk dh f’kuk[r djrk gSA 3- xaHkhj ,o a th.kZ jksxks a dh tkap vkSj jksdFkke ds fy, uSnkfud j.kuhfr;kas rFkk uSnkfud midj.kks a ds mfpr mi;kxs dh ;kts uk rS;kj djrk gSA 4- uSnkfud ijh{k.k ,oa uSnkfud çfØ;kvks a ds vkn's k] O;k[;k] çn'kZu rFkk i;Zo{s k.k ds ekè;e ls xaHkhj] uktqd vkSj yca s le; ls chekj jksfx;kas ds vkda yu dk çcèa ku djrk gSA 5- 'kkjhfjd dk;Z dh fuxjkuh o mls cuk, j[ku s vkSj jksxh dh lqj{kk lqfuf'pr dju s ds fy, fof'k"V uSnkfud j.kuhfr;kas rFkk rduhdh dkS'ky dk çn'kZu djrk gSA 6- fpfUgr LokLF; laoèkZu vko';drkvksa ds vkèkkj ij O;fDr vkSj muds ifjokj dks vfxze ekxZn'kZu rFkk ijke'kZ çnku djrk gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29 I • cqtqxk±s dh vke ân; lacaèkh leL;k,a • lajpuk vkSj dk;Z es a mez ls lacfaèkr ifjorZu • ,uLs Fkhfl;k vkSj ltZjh ls tqM+ s 'olu lacaèkh ifjorZu • o`) O;fDr;ksa eas lkekU; 'olu leL;k,a vkSj fLFkfr;ka • czkUs dksiYeksujh laØe.k • cqtqxk±s eas var%lzkoh ra= es a lkekU; foÑfr dh ?kVuk • lkekU; Xywdkts esVkcksfyTe • Xywdkts esVkcksfyTe es a mez ls lacafèkr ifjorZu • Fkk;jkbM es a mez ls lacafèkr ifjorZu • Fkk;jkbM es a gksu s okyh lkekU; leL;k,a • ;Ñr dh lajpuk vkSj dk;Z es a mez ls lacafèkr ifjorZu • lkekU; leL;k, a ,oa fLFkfr;ka • tBjka= ç.kkyh es a lajpuk vkSj dk;Z esa mez ls lacafèkr ifjorZu • lkekU; leL;k, a ,oa fLFkfr;ka • ew= iFk es a mez ls lacafèkr ifjorZu • lkekU; leL;k, a ,oa fLFkfr;ka • cqtqxk±s eas e=w vla;e ¼;wjhujh budaVhuasl½ • lkekU; çksLVsV lajpuk vkSj dk;Z • çkLs VsV esa lkekU; leL;k,a • ;kSu fØ;k • rfa=dk ra= esa mez ls lacafèkr lkekU; ifjorZu • Vªkaft,aV bLdSfed vVSd • lsjsczkos kLdqyj fMLvkWMZj vkSj LVªkds • ikÉdlal jksx • Ropk dh lajpuk vkSj dk;Z esa mez ls lacafèkr ifjorZu • lkekU; leL;k, a ,oa fLFkfr;ka • laØe.k • ç's kj lksj • vk;q lacèa kh ifjorZu • n`f"V esa lkekU; f'kdk;ras • Jo.k lajpuk, a vkSj muds dk;Z • vk;q lacèa kh ifjorZu • cgjkiu • Jo.k fodykaxrk dk çcaèku • larqyu30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Lokn vkSj xaèk • laons h fodkj es a mez ls lacafèkr ifjorZu • Nwuk • nkark sa dh leL;k • lajpuk vkSj dk;Z es a mez ls lacfaèkr ifjorZu • eLdqykLs dsysVy fodkjks a dk çcèa ku II • çyki@rhoz Hkze dh fLFkfr ¼Msfyfj;e@,D;wV du¶;wtu LVVs ½ • ikxyiu ¼fMesafl;k½ • volkn ¼fMçls u½ III • ekufld fodkjks a dh egkekjh foKku • ekufld fodkjks a dh ifjHkk"kk vkSj oxÊdj.k • cq<k+i s es a volkn • nksèkzqoh fodkj ¼ckbiksyj fMLvkWMZlZ½ • o`)koLFkk es a dk;kZRed ekufld fodkj • O;fDrRo vkSj O;ogkj lacèa kh fodkj • euksjkxs h o`)koLFkk lsok • euksjkxs lacèa kh jksx dk çcèa ku • 'kjkc dh yr vkSj cqtqxZ jksxh • n[s kHkky dju s okyks a dh leL;k,a IV • Hkkjr vkSj if'peh n's kksa eas o`)koLFkk ?kjsyw ns[kHkky lsok,a ¼tsfj,fVªd gkse ds;j lfoZlst½ • èkeZ'kkyk dh n[s kHkky ¼gkWLikbl ds;j½ • n[s kHkky dju s okyks a dh Hkwfedk • py ns[kHkky ¼,acqysVjh ds;j½ • lg;kxs h ;U= V • tsfj,fVªd ij ykxw xq.koÙkk vk'oklu ekWMy • ekud] çkVs kds kWy] uhfr;k]a çfØ;k,a • laØe.k fu;a=.k vkSj vH;kl • ekud lqj{kk mik;

• uÉlx vkWfMV • LVkÇQx VI • çhvkWijsfVo vkadyu • 'kY;fpfdRlk ds fy, çkFkfedrk,a • 'kY;fpfdRlh; vkikr fLFkfr • ÝSDpj • iSFkksykWftdy ÝSDpj • lkSE; ?kko ¼fcukbu ysflvu½ • xSaxzhu & ,aiqVs’ku • oSdfYid 'kY;fpfdRlk • ikLs V vkWijsfVo leL;k,a vkSj çcaèku • cq<k+i s es a ,usLFkhfl;k VII • 'k¸;koz.k Ropk ¼ç’s kj lkls Z½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31 • yac s le; ls chekj yksxksa dh n[s kHkky • vlkè; jksfx;kas dh n[s kHkky • èkeZ vkSj jksx • fxjuk ¼QkWYl½ • uÉlx gkes IyslesaV • cgs ks'kh ¼fladkis ½ • detkjs h ¼ÝsyVh½ • ç'kked n[s kHkky • L=h jkxs lacèa kh ladV • oYokos Stkbuy bu¶yses’ku • tsfuVy çksysIlst • jtkfsuo`fÙk ds ckn jDrlzko • ew=k'k; dh dk;Zç.kkyh esa ifjorZu • jtkfsuo`fÙk mijkar efgykvks a es a gkekZsu mipkj VIII • cq<k+i s es a chekfj;ks a dh jksdFkke vkSj LokLF; dks c<+kok nsuk • LokLF; laoèkZu ds fl)kra @ekWMy • LokLF; fo'okl ekWMy & cqtqxk±s eas lkekU; LokLF; çFkk,a • cqtqxk±s ds fy, O;k;ke & 'kkjhfjd vkSj ekufld ç{ks= & O;k;ke ds ykHk • çR;kf'kr ns[kHkky dk fodkl vkSj mldk vkSfpR;

• o`) jksfx;ks a dh LokLF; laoèkZu vko';drk,a • cqtqxk±s eas LokLF; laoèkZu vkSj LokLF; f'k{kk • LokLF; laoèkZu vko';drkvksa dks ijw k djus ds fy, jkxs h o ifjokjks a dks ekxZn'kZu vkSj ijke'kZ • cq<k+ik&jkès kh eè;orZu • vkS"kfèk dh çfrdwy çfrfØ;k dh jksdFkke • Vhdkdj.k IX • iquokZl dh voèkkj.kk vkSj bfro`Ùk • iquokZl ds y{;

• iquokZl ds fl)kra • cq<k+i s es a iquokZl • nyh; dk;Z ds :i es a iquokZl • Lo&ns[kHkky vkadyu vkSj nSfud thou dh xfrfofèk;kas dk çcèa ku • lgk;rk vkSj vuqç;kxs • cqtqxk±s eas fQft;ksFksjis h dh Hkwfedk • ladqpu vkSj xfrghurk ds vU; gkfudkjd çHkko • çls j vYlj • cqtqxk±s eas LVªkds ds ckn iquokZl • fof'k"V jksxksa dk iquokZl • iquokZl lsokvksa dk O;oLFkkiu vkSj çHkko'khyrk • o`)koLFkk bdkbZ] Ms gkWfLiVy] Ms ds;j lsaVj] yacs le; rd jgu s okyh n[s kHkky laLFkk • Mk;XukfsLVd Vwy% tsfj;kfVªd fMç's ku Ldsy] feuh dkWx VsLV] lh,,e vkbZlh;w Ldsy • lkbdkes sfVªd ijh{k.k • ?kj ij lgk;d midj.kksa ij LokLF; f'k{kk • xq.koÙkk ifj;kts uk & laØe.k fu;a=.k vH;kl32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • vkWij's ku ls igys dh rS;kjh • VªSD'ku] ÇLIyV] dkLV vkSj ,aiwVs’ku okys jkxs h dh n[s kHkky • ?kko dh MªÇslx • ikfsM;kfVªd n[s kHkky • tkap% ,p;wVh ijh{k.k IX. II 1- jksxh dh fLFkfr] mez] fodklkRed o tSfod ifjorZu] jksxh rFkk ifjokj dh t:jrksa dh xfr'khy çÑfr dks çfrÇcfcr djus ds fy, O;fDrxr n[s kHkky ;kts uk rS;kj djrk gSA 2- euksjkxs @eknd æO; nq#i;ksx ls gksus okys fodkjkas ls xzLr O;fDr;ks a esa 'kkjhfjd vkSj O;ogkfjd y{k.kkas dks lqèkkju s ds fy, QkekZdksykWftd vkSj xSj&QkekZdksykWftd çcèa ku j.kuhfr;kas dk mi;ksx djrk gSA 3- fo'ks"k :i ls mPp tksf[ke vkSj detksj oxZ es a çfrdwy nok ifj.kkekas vkSj tfVy fpfdRlk fu;ekas ds ckjs es a

tkx:drk cuku s vkSj fuxjkuh j[kus ds fy, vkS"kfèk fuèkkZfjr djrk gSA 4- tfVy rhoz] xaHkhj vkSj iqjkus jksx okys jksfx;kas ds fy, nnZ vkSj cgs k's kh dk çcaèku djrk gSA 5- fpfUgr f'k{kk o ijke'kZ vko';drkvksa ds vkèkkj ij O;fDr rFkk mlds ifjokj dks f'k{kk vkSj ijke'kZ çnku djrk gSA I • o`)koLFkk es a #X.krk vkSj e`R;q nj • mez c<u+ s dh :f<o+ kfnrk & lkekU; feFkd vkSj rF;

• o`) jksfx;ks a dh n[s kHkky es a uÉlx çfØ;k • cqtqxk±s dh n[s kHkky es a pqukSfr;ka • cqtqxk±s dh lgk;rk esa ulZ dh Hkfwedk II • o`)koLFkk es a dSalj • efgyk,a rFkk dSalj% Lru dSalj] ,aMksesfVª;y vkSj lokZbdy dSalj • efgykvksa eas dSalj dh tkap • çcèa ku ds fl)kra % ltZjh] jsfM;ksFksjis h] dhekFs kjs sih • dSalj ls ihfM+r o`) O;fDr;kas es a thou dh xq.koÙkk • ç'kked n[s kHkky • gkWLikbl ds;j • vlkè; :i ls chekj dh n[s kHkky & ej.kklUu n[s kHkky ¼,aM vkWQ ykbQ ds;j½ III • vYtkbej jkxs • ikÉdlfuT+e ▪ vkWfLV;kis kjs kfsll ▪ ew= vla;e ¼;wjhujh budaVhuasl½ ▪ fxjuk@ÝSDpj dh jksdFkke • ek a cki lacaèkh ik"sk.k ¼ijs sVa sjy U;wVªh’ku½ • LVªkds fDyfud vkSj eseksjh fDyfud • cq<k+ik&jkès kh 'kksèk IV • xgu ns[kHkky dk okrkoj.k • xzkgd ns[kHkky lacaèkh eqís • Hkfo"; ds #>ku vkSj 'kksèk • ijke'kZ & ej.kklUu n[s kHkky ¼,aM vkWQ ykbQ ds;j½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33 • thou Lrj • leqnk; vkèkkfjr nh?kZdkfyd n[s kHkky • ?kjsyw n[s kHkky • ?kjsyw LokLF; ,tsafl;ks a dh çksQ+kby • n[s kHkky dh fujra jrk • mipkj ;kts uk dks fØ;kfUor djuk • ?kjsyw n[s kHkky çcaèku vkSj lgk;rk • xq.koÙkk vkda yu vkSj lqèkkj • uÉlx lqfoèkk ds uSnkfud igyw • uÉlx lqfoèkk ds çcaèku igyw • fo'ks"k n[s kHkky lek;kts u • uÉlx lqfoèkk es a HkrhZ jkxs h ds thou dk ifjçs{;

• uÉlx lqfoèkk es a ifjokj dh Hkkxhnkjh • uokpkj • uÉlx n[s kHkky es a Hkfo"; ds y{;

V • cqtqxk±s ds lkFk nqO;Zogkj dh igpku • laHkkfor f'kdkj • jksdFkke ,oa çcaèku • xzkgd] nqO;Zogkj dju s okys@ifjokj dk s ijke'kZ nsuk VI • n[s kHkky dju s dk cks> • n[s kHkky dju s okys ds cks> dk vkda yu • n[s kHkky dju s okys dk lg;ksx djuk VII • lqj{kk ds eqn~ns] tkfs[kekas dh jksdFkke] fxjus ls yxu s okyh pksVsa • ?kj] laLFkkuksa vkSj leqnk; esa la'kkès ku% lM+d] Hkou] vLirky] lkoZtfud LFkku] o`)kJe • Lor=a rk c<k+u s ds fy, çkS|kfsxdh • lgk;d midj.k • lekt] iM+kfsl;kas] iqfyl dh Hkwfedk VIII • ulZ jksxh lacèa k • mipkjkRed lapkj dkS'ky • mipkjkRed Li'kZ • cqtqxk±s dh n[s kHkky es a ulZ dh Hkfwedk • uÉlx n[s kHkky x`g IX • jksxh rFkk ikfjokfjd f'k{kk dh pqukSfr;ka • o;Ld vè;;u çfØ;k • f'k{k.k vfèkxe çfØ;k dk s çHkkfor djus okys dkjd • o`)koLFkk n[s kHkky es a ifjokjksa dh lwpukRed vko';drk,a • jksxh vkSj ifjokj dh ijke'kZ lacèa kh vko';drk,a • ijke'kZ rduhd X • xzkeh.k Hkkjr es a o`) efgyk,a • cqtqxZ ns[kHkky lsokvks a ds çdkj • LokLF; laoèkZu vkSj jksx dh jksdFkke34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] - LokLF; f'k{kk - lkekU; LokLF; dh tkap - xHkkZ'k; xzhok ds dSalj dh tkpa ¼LØhfuax vkWQ ;wfVfju lfoZDl½ - fof'k"V LokLF; laoèkZu dk;ZØe ¼èkew ziku can djuk] Vhdkdj.k½ • jksxfuokjd - ih,plh] esfMds;j] eksckby Dyhfud esa nSfud jksxksa dk 'kh?kz funku vkSj mipkj - LokLF; chek@lqj{kk,a - ekè;fed vkSj r`rh;d ns[kHkky vLirkyks a esa xaHkhj jkxs ksa dk funku vkSj mipkj - ?kj ij th.kZ jksx ns[kHkky • iquokZl - fQft;ksFksjsih] jLs VksjsfVo ltZjh] çkLs Fksfll] O;kolkf;d Fksjis h • ekufld LokLF; lsok,a - lsokfuo`fÙk] LFkkukra j.k] oSèkO; vkSj 'kksd] u'khyh nokvks a vkSj eknd æO;ks a ds lsou] ekufld jkxs kas ds fy, py mipkj ds fy, ijke'kZ lsok,a - tsfj,fVªd ulZ Lifs’k;fyLV dh Hkfwedk - LokLF; f'k{kk% voèkkj.kk] fl)kra ] n`f"Vdk.s k vkSj fofèk;ka - o`) O;fDr;ksa ds fy, LokLF; f'k{kk lkexzh • nnZ vkda yu & MCY;w,pvk s ysMj] oh,,l • dhekFs kjs sih vkS"kfèk ç'kklu • fofdj.k fpfdRlk ¼jsfM;s’ku Fksjsih½ ds i'pkr fuxjkuh • uSnkfud ekinaMkas dh fuxjkuh ¼ç.kkyhokj½ • VksVy isjsVa sjy U;wfVª'ku ¼Vhih,u½ • tkap% ew=k'k; dk vYVªklkmaM] ;wjks¶ykseVs ªh • CySMj Mk;jh • ifsYod ¶yksj ,Dljlkbt • ch,y,l@,lh,y,l • ih,plh dk nkSjk • ijke'kZ% ej.kklUu ns[kHkky • dS'k fty o Xykl psfj;k ¼2019½- ,MYV tsjksUVkys kWth xkbMykbal ¼nwljk laLdj.k½] ÇLçxj ifCysda'kla ] U;w;kWdZA • dki±sVj MkWu ¼2019½- ,MYV tsjksUVksykWth ,D;wV ds;j ulZ çSfDV'kuj D;w ,aM , fjO;w] ÇLçxj ifCysd'a kal] U;w;kWdZA • pkjkys ksVs ,fyvkis ksyl ¼2022½- tsjksUVkys kWftdy uÉlx ¼10ok a laLdj.k½] fQykMsfYQ;k% okYs VlZ Dywoj ifCysda'kla A • ÇyVu ,fMª,u Mh- o ySp ,p-MCY;w- ¼2007½- eSVls u ,aM eSDdksuYs l tsjkUs VksykWftdy uÉlx dalsIV~l ,aM çSfDVl ¼rhljk laLdj.k½] lkWUMlZ ifCyds a'kla A • 'kekZ ds-,y- ¼2007½- LVMht bu tsjkUs VksykWth baVjtujs'kuy ilZiSfDVOl] jkor ifCysda'kla ] t;iqjA • tsfj,fVªd Vyw fdV] VsDlkl ulsZt ,lkfsl,'ku https://cdn.ymaws.com/www.texasnurses.org/resource/ resmgr/docs/practice/Geriatric_Competency_-_Full_.pdf • u’s kuy esfMdy dkmafly% https://www.nmc.org.in/information-desk/for-colleges/pg-curricula-2.,

https://www.nmc.org.in/wp-content/uploads/2019/09/MD-Geriatrics.pdf • u’s kuy tsfj,fVªd dkmafly% https://main.mohfw.gov.in/sites/default/files/8324324521Operational_ Guidelines_NPHCE_final.pdf[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35 1- xís ds lkFk ,MtLVscy tsfj,fVªd dkWV ¼fljkguk] Åapk ik;nku] pkjikbZ Åij mBkus dh lqfoèkk] VªSits + ckj] ik;nku] lkbM jsy & 30½ 2- IV LVSaM & 20 3- cMs lkbM ykWdj & 30 4- vksoj cMs VªkWyh & 30 5- MªÇslx VªkWyh ¼NksVh½ & 5 6- MªÇslx VªkWyh ¼eè;e½ & 2 7- flÇjt iai & 10 8- bU¶;wtu iai & 10 9- vYQk xík ;k gokbZ xík & 25 10- ekWfuVj & 10 11- Vªkla iksVZ ekWfuVj@iYl vkWDlhehVj & 2 12- bZlhth e'khu & 1 13- vYVªklkmaM e'khu ¼ew=k'k;½ & 1 14- fMfQfczysVj & 1 15- ØS'k dkVZ & 1 16- ØS'k dkVZ dk lkeku% vacq cSx] ySÇjxkLs dkis ] vkS"kfèk;ka] lD'ku dSFkVs j 17- gkbV ,MtLVscy Vªkla Qj VªkWyh & 4 18- vksvkj VªkWyh & 1 19- ykWd okyh Oghyps;j & 6 20- lsQ LykbMj & 1 21- dEI;wVj & 4 22- ÇçVj & 2 23- vkWDlhtu ¶ykes hVj & 15 24- tkj ds lkFk lD'ku iksVZ & 15 25- iYek&s ,M & 10 26- jfsÝtjsVj & 3 ¼1 & [kk|] 1 & vkS"kfèk;ka] 1 & vU; mi;kxs ½ 27- esVy QqVLVsi@QqV LVwy & 20 28- ,acqys'ku tsfj,fVªd ps;j & 6 29- ¶ySV VªkWyh & 1 30- LikWVykbV & 2 31- Xywdkes hVj & 6 32- VîÇwux QkWdZ & 2 33- vkWIFksyekLs dkis & 1 34- vksVkLs dksi & 1 35- uh gSej & 2 36- bap Vsi & 2 37- lgk;d midj.k & okWdj] DokfMªikWM] VªkbikWM 38- fofHkUu çfØ;kvkas ds fy, LVjs kby lsV@fMLikstcs y lsV ds lkFk Vªs ¼tSls] lsVa ªy ohul dSFksVj yxkuk] Vªsfd;ksLVkseh vkfn½ 39- Luys u pkVZ 40- uCs;qykbt+j & 4 41- iYl vkWDlhehVj & 2 42- lokZbdy VªSD’ku@xzhok d"kZ.k ¼#d&#d dj½ 43- pky çf'k{k.k midj.k ds fy, pyuk 44- okWfdax fLVDl@dSyhilZ 45- 'kksYMj Oghy36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 46- pj[kh@iqyh 47- okWdj ¼lkèkkj.k½ 48- lokZbdy VªSD'ku ¼eSuqvy½ 'kkWVZ oso Mk;FkeÊ] oSDl ckFk] baVjQsjasf'k;y Fksjis h ;wfuV] ,Dljlkbt Fkjs sih ;wfuV & iSjsyy cklZ] LV's kujh lkbfdy] esfjuj Oghy vkfnA lgk;d midj.k & oÉdx Ýse] Oghyps;j] csMlkbM ps;j] gksbLV] fVYV Vscy vkfnA • vkWDlhtu vkmVysV & 2 • oSD;we vkmVysV & 2 • daçSLM ,vj vkmVysV & 1 • 5@15&,Eih;j fiu ds lkFk byfsDVªd vkmVysV ¼ejhtkas ds gj rjQ 2½ • lsVa ªy uÉlx LV's ku esfMdy dkWyst vLirkyks a es a tsfj,fVªd foHkkx ds ikl vkarfjd jksxh vkSj cká jksxh lsokvksa ds fy, fuEufyf[kr Hkou ifjO;; gksuk pkfg,A a. çrh{kky;@iathdj.k d{k & daI;wVj] Vys hQksu ds lkFk 36 oxZ ehVj b. rhu vkis hMh d{k & çR;sd 6 oxZ ehVj c. QkeZslh d. fo'ks"k fDyfud e. iqutÊou d{k ¼fjllhVs’ku :e½ f. fQft;ksFksjsih ¼cká jksfx;ks a vkSj vkarfjd jksfx;ksa nksuks a ds fy,½ g. bZlhth & 12 oxZ ehVj h. cqfu;knh jsfM;ksykWth lsok,a i. ç;kxs 'kkyk@uewuk laxzg.k d{k j. ijke'kZ d{k k. çn'kZu d{k & 36 oxZ ehVj l. iqLrdky;

m. ladk; d{k & 11 oxZ ehVj n. batDs 'ku@çfØ;k d{k & 12 oxZ ehVj • iq#"k okMZ% 15 'k¸;k ¼3 ,D;wV n[s kHkky] 7 lc,D;wV n[s kHkky vkSj 5 nh?kZdkfyd n[s kHkky½ • efgyk okMZ% 15 'k¸;k ¼3 ,D;wV ns[kHkky] 7 lc,D;wV ns[kHkky vkSj 5 nh?kZdkfyd n[s kHkky½ • iasVªh :e] fyuu :e] uÉlx LV's ku] MîVw h MkWDVj dk dejk] lkbM ySc] çfØ;k d{k] vè;;u d{k] O;k[;ku gkWy] ladk; d{k] iqLrdky;] ç'kklfud dk;kZy;] HkaMkjx`g] 'kkWoj dqlÊ ds lkFk Luku?kj] 'kkWoj LVªspj] euksjatu gkWyA • fodykaxks a ds fy, cká jksxh vkSj vkarfjd jksxh lqfoèkk es a pkSM+s xfy;kjs] jSai] jÇsyx] xzSc ckj] ,aVh&fLdM Vkby] i;kZIr jks'kuh] ,yu Mkjs dh ykWd@'kkSpky; vkSj fy¶V gksu s pkfg,A • O;kolkf;d fpfdRlk lsokvkas ds fy, lkeku & dyk vkSj f'kYi lkeku] buMksj xse vkbVe] pkVZ] Vys hfotuA • ,d O;kid MsVkcls ] osclkbV] vH;kl fn'kkfunZs'k] cká jksxh vkSj var%jksxh dk ekWMy fjdkWMZ] vkda yu ¼laKkukRed vkSj dk;Z{kerk½ fodflr dh tkuh pkfg,A • fuEufyf[kr ij 'kkès k djuk% mez c<u+ s dh tho foKku] mez c<u+ s ds lkekftd vkSj euksoSKkfud igyw vkSj ikfjokfjd leFkZu] ns[kHkky dju s okys cks>] fofHkUu o`)koLFkk jksxksa dh egkekjh foKku] gLr{ksi es a uokpkj] cq<k+ik jkès kh vkS"kfèk;k a vkfn] tSls jk"Vªh; vkSj vra jkZ"Vªh; ,tsfal;kas ls foÙk ik"sk.k ds lkFk ,dy dsfaær ;k cgq&dsfaær vè;;u ds :i esaA ¼lanHkZ% ,evks,p,QMCY;w fn'kkfunZs'k½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37 ç'u&i= vkSj ç'uksÙkjh% 10 vda fyf[kr dk;Z@vkofèkd ç'u&i=% 10 vda ¼oSf'od vkSj jk"Vªh; LokLF; ns[kHkky ds #>ku vkSj uhfr;k½a uSnkfud lsfeukj ¼uSnkfud@ds;j ikFkos bu LisflfQd fDyfudy daMh'ku@,fIyds'ku vkWQ LisflfQd uÉlx F;ksjh½% 5 vad ç'u&i=% 20 vda fyf[kr dk;Z% 5 vda ¼lkfgR; leh{kk@'kksèk midj.k dh rS;kjh½ tuZy Dyc% 5 vda ¼uÉlx n{krkvks a ds fy, 'kksèk lk{; dk fo'ys"k.k½ ç'u&i=% 15 vda tuZy Dyc ¼usr`Ro@çcaèku@f'k{k.k es a #>ku½% 5 vad fyf[kr dk;Z% 5 vda ¼tsfj,fVªd flaMªkes ½ lw{e f'k{k.k% 5 vad ç'u&i= vkSj ç'uksÙkjh% 20 vda ¼iSFkkfsQft;ksykWth & 10] QkekZdksykWth & 10½ vkS"kfèk vè;;u% 5 vda ¼vkS"kfèk vè;;u ,oa çLrqfr½ ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ ¼iSFkksfQft;ksykWth½% 5 vda ç'u&i=% 20 vda fyf[kr dk;Z% 10 vda ¼uSnkfud@tkap fjiksVZ & fu"d"kks± dh O;k[;k rFkk fo'ys"k.k½ uSnkfud çn'kZu vkadyu% 10 vda inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vda ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ% 5 vda vkarfjd vk,s llhbZ% 25 vda ¼inLFkkiu dh lekfIr ijh{kk fdlh Hkh tsfj,fVªd okMZ@bdkbZ esa vk;ksftr dh tk ldrh gS] ,d O;kogkfjd l= leqnk; es a gksuk pkfg,½ ç'u&i= vkSj ç'uksÙkjh% 20 vda38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] fyf[kr dk;Z% 10 vda ¼jktdh; dk;ZØe½ uSnkfud çn'kZu vkadyu% 20 vda vkS"kfèk vè;;u ¼vkS"kfèk vè;;u vkSj çLrqfr½% 10 vad ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ ¼ikfjokfjd f'k{kk@ijke'kZ½% 5 vda ekey s dh çLrqfr ¼uSnkfud@ds;j ikFko s dk vuqç;kxs ½% 5 vda inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vda vkarfjd vk,s llhbZ% 50 vda I ç'u&i= vkSj ç'uksÙkjh% 20 vda uSnkfud lsfeukj vkSj tuZy Dyc% 10 vda uSnkfud çn'kZu vkadyu% 20 vda inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vda uSnkfud çLrqfr% 10 vad ekey s dh vè;;u fjiksVZ% 10 vda vkarfjd vk,s llhbZ% 50 vda II ç'u&i=% 20 vda uSnkfud lsfeukj% 10 vda uSnkfud çn'kZu vkadyu% 20 vda inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vda uSnkfud çLrqfr% 10 vad ekey s dh vè;;u fjiksVZ ¼fodflr uSnkfud@ds;j ikFkos½% 10 vad vkarfjd vk,s llhbZ% 50 vda ¼inLFkkiu dh lekfIr ijh{kk fdlh Hkh tsfj,fVªd okMZ@bdkbZ esa vk;ksftr dh tk ldrh gS] ,d O;kogkfjd l= leqnk; es a gksuk pkfg,½ O;kogkfjd% 50 vda × × × I.

1- dsfaær bfro`Ùk yus k 2- cqtqxZ jksxh dh 'kkjhfjd tkap[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39 3- fu"d"kZ vkSj ifj.kkeksa dh O;k[;k 4- uSnkfud ekinaMkas dh fuxjkuh 5- iSekus & laKkukRed] volkn] 'k¸;koz.k vkfn ¼n{krk tkap lwph vkSj vkoafVr vadkas ds vuqlkj½ × 1- cqtqxZ jksxh dk dsafær bfro`Ùk yus k 2- cqtqxZ jksxh dh dsafær 'kkjhfjd tkpa 3- bfro`Ùk dh O;k[;k 4- 'kkjhfjd tkap fu"d"kks± dh O;k[;k 5- ç;kxs 'kkyk uSnkfud ijh{k.k ifj.kkeksa dh O;k[;k 6- uSnkfud ekinaMkas dh fuxjkuh ¼n{krk tkap lwph vkSj vkoafVr vadkas ds vuqlkj½ × II.

¼lHkh rhu ikBîØekas ds fy, Øe'k% fuEufyf[kr ,d&leku çfr:i viuk;k tkrk gS½ 1- dsfaær bfro`Ùk yus k rFkk 'kkjhfjd tkap vkSj fu"d"kZ rFkk ifj.kkeksa dh O;k[;k 2- n{krkvks a dh fuxjkuh ¼tsfj,fVªd vkadyu½ 3- mipkj eè;orZu ¼vkikrdkyhu çfØ;kRed n{krk,a½ ftlesa vkS"kfèk ç'kklu 'kkfey gS 4- ikfjokfjd f'k{kk vkSj ijke'kZ & nq%[kn lekpkj lqukuk] ekey s dk vè;;u ¼n{krk tkap lwph vkSj vkoafVr vadkas ds vuqlkj½ × 1- dsfaær bfro`Ùk yus k] cqtqxZ jksxh dh 'kkjhfjd tkap vkSj ifj.kkeks a dh O;k[;k 2- n{krkvks a dh fuxjkuh 3- n[s kHkky ;kstuk dk fodkl 4- ikfjokfjd f'k{kk vkSj ijke'kZ 5- mipkj eè;orZu ¼vkikrdkyhu çfØ;k,a½ ftlesa vkS"kfèk ç'kklu 'kkfey gS40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 6- ifjokj dsafær n[s kHkky ¼n{krk tkap lwph vkSj vkoafVr vadk s ds vuqlkj½ × a. Roph; lexzrk ¼fLdu baVhfxzVh½ & czSMsu Ldsy] ukWVZu çs'kj lkjs fjLd vlslesVa LdsyA b. ew= vla;e ¼;wjhujh budaVhuasl½ & vkbZih,l,l ç'ukoyh] esy ;wjkstfsuVy fMLVªsl buoasVjh ¼,e;wMhvkbZ½A c. tsfj,fVªd ÇlMªkse & Likbl Vyw ¼uÈn lacèa kh fodkj] [kkus ;k f[kykus esa leL;k] vla;e] Hkze] fxju s ds çek.k] Roph; {kj.k½] o`)koLFkk dk O;kid vkadyuA d. ik"sk.k fLFkfr dk vkda yu & 72 ?kVa s dk Lej.k] fuxyus dk vkadyuA e. nnZ & nnZ vkadyu iSekuk ¼fotqvy ,ukykWx Ldsy½] o`)koLFkk es a nnZ dk vkadyuA f. uÈn & fiV~lcxZ uÈn xq.koÙkk lwpdkad ¼ih,lD;wvkbZ½] ,ioFkZ Lyhihusl Ldsy ¼bZ,l,l½A g. laKkukRed dk;Z & o`)koLFkk volkn iSekuk ¼thMh,l½] ?kVuk iSekus dk çHkko] lh,,e & vkbZlh;w & vkbZlh;w ds fy, Hkze vkadyu fofèk] feuh dkWx VSLV] Vh;wth tkap] QkYs LVhu lw{e ekufld fLFkfr ijh{kk ¼,e,e,lbZ½] vkbZD;wlhvkMs hbZ] ,evkls h,A h. cqtqxk±s eas çyki] euksHkza'k vkSj volkn dh tkap & lokZsÙke uÉlx vH;kl fn'kkfunsZ'kA i. vojksèkA j. cqtqxk±s ds lkFk nqO;Zogkj dk vkadyuA k. fxju s dh jkds Fkke & QkWYl ,Qhdslh Ldsy & varjkZ"Vªh; ¼,QbZ,l&I½] ekWfMQkbM ekls Z Q+kWy fjLd Ldsy] çn'kZu mUeq[k xfr'khyrk vkadyu ¼ihvks,e,½] Q+kWy fjLd vlslesVa Ldsy ¼ÝsV&vi Ldsy½A l. lapkj & cqtqxk±s dh Jo.k tkapA m. n[s kHkky çnkrk leUo; & la'kksfèkr n[s kHkky çnkrk ruko lwpdkad ¼,elh,lvkbZ½A n. nSfud thou dh xfrfofèk;k a & dk;kZRed vkadyu & ckFksZy lwpdkadA o. iquokZl mik; & O;k;ke iSeku s ds fy, Lo&çHkkodkfjrk ¼,lbZbZ Ldsy½A I 1 'kksèk midj.k dh rS;kjh 2 O;ofLFkr leh{kk@lkfgR;d leh{kk ys[ku 3 çdk'ku ds fy, ikMa qfyfi rS;kj djuk ¼çFke ;k f}rh;

o"kZ½ 4 'kksèk fucèa k ¼f}rh; o"kZ½ fo"k;% II 1 LVkQ jksxh fufgr dk;Z rS;kj djuk 2 bdkbZ dk ctV rS;kj djuk 3 LVkQ MîwVh jksLVj rS;kj djuk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41 4 bdkbZ es a jkxs h ns[kHkky laijh{kk djuk 5 midj.k rFkk vkiÆwr çcèa ku 6 laØe.k fu;a=.k@vkS"kfèk;ks a dh çfrdwy çfrfØ;k ls lacfaèkr fuxjkuh] vkadyu vkSj fjikVs Z ys[ku 7 jksfx;kas@deZpkfj;ks a ds fy, f'k{k.k ;kts uk vkSj f'k{k.k lkexzh rS;kj djuk 8 lw{e f'k{k.k@jkxs h f'k{kk l= 9 vks,llhbZ@vks,lihbZ dh ;kstuk cukuk vkSj lapkyu djuk 10 ijh{k.kka s dk fuekZ.k III 1 O;kid bfro`Ùk ysuk 2 O;kid cqtqxZ tkap 3 3-1 'olu r=a 3-2 ânokfguh 3-3 tBjkU= 3-4 Luk;fod 3-5 tuu&ew=h;

3-6 vra %lzkoh 3-7 #fèkj 3-8 dadky&is'kh;

3-9 vè;o.kÊ 3-10 laons h vxa a. n`f"V b. Jo.k 'kfDr 4 o`)koLFkk vkadyu 5 ekla ifs'k;kas dh 'kfDr dk vkadyu 6 pky dk vkadyu 7 ik"sk.k lacaèkh vkda yu 8 fxju s ds tkfs[ke dk vkadyu 9 dk;kZRed vkadyu & ckFksZy lwpdkad 10 lw{e ekufld fLFkfr ijh{k.k 11 nnZ dk vkda yu 12 'k¸;koz.k Roph; vkadyu ¼çslj lkjs vlslesaV½ 13 euksHkza'k jksfx;ks a dk vkadyu rFkk n[s kHkky 14 ikÉdlu jksx ls ihfM+r jksfx;kas dk vkda yu rFkk n[s kHkky 15 o`)koLFkk volkn iSekuk 16 feuh dkWx ijh{k.k 17 le; lekIr gksu s ij tkap djuk ¼VkbEM vi ,aM xk s VLs V½ IV 1 CySMj vYVªklkmaM ds ekè;e ls vof'k"V ew= eki 2 ân; lacèa kh tkap42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3 èkeuh; jDrpki tkap 4 eq[kxzluh ok;qekxZ 5 vra %'okluyh; pw"k.k ¼,aMksVªSfp;y lD'kÇux½ 6 ekSf[kd p"w k.k ¼vkjs y lD'kÇux½ 7 IV dSU;qys'ku@Fkjs sih 8 a. uts y dsuqyk@osapqjh@flaiy Qsl ekLd b. ,uvkbZoh 9 Vªsfd;ksLVkseh dh n[s kHkky 10 a. uje Bksl b. rjy vkgkj 11 dqy vka=srj ik"sk.k ¼VksVy isjasVsjy U;wVªh'ku½ 12 'k¸;koz.k Ropk ¼ç's kj lksj½ dh n[s kHkky 13 a. vka[k dh n[s kHkky 14 a. fuxyuk b. ckys h c. czkVa &MkjkWQ+ 15 a. Nkrh@vxa ¼pSLV@fyac½ 16 a. vkblksVksfud O;k;ke b. vkblkes sfVªd O;k;ke 17 a. HkkSfrd b. jlk;fud 18 ej.kklUu dh ns[kHkky 19 a. jksxh b. ifjokj 20 IV vkS"kfèk;ks a dk ç'kklu 21 vra %is'kh; ¼baVªkeLD;qyj½ batsD'ku 22 ikfsM;kfVªd n[s kHkky 23 oasVhysVj yxkuk 24 a. oasVhysVj b. bu¶;wtu iEi 25 ?kjsyw lqj{kk mik;

26 rhoz nnZ & fotqvy ,ukykWx Ldsy iqjkuk nnZ & MCY;w,pvks ius ySMj 27 a. lkpa k@<kyuk ¼dkLV½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43 b. [kiPph@iêh ¼fLifyaV½ c. f[kpa ko@lad"kZ.k ¼VªSD’ku½ d. fNUukax ¼,aI;wVh½ 28 Ñf=e vxa @Jo.k ;a= dk mi;kxs 29 nkarks a dh n[s kHkky 30 okWdj dk mi;ksx 31 Oghyps;j dk mi;kxs 32 ,Mh,y ds fy, lgk;d midj.k 33 foiFkh fpfdRlk ¼Mk;olZuy Fksjsih½ 34 laKkukRed mÙkstuk mipkj ¼dkfXufVo fLVeqys’ku Fksjsih½ 35 lkefwgd fpfdRlk 36 Xywdkts fuxjkuh 37 balqfyu dk ?kjys w n[s kHkky çcaèku 38 balqfyu dk Lo&ç'kklu 39 uihrqyh [kqjkd dk mi;kxs ¼ehVMZ Mkts ;wt½ 40 mipkjkRed vkgkj 41 ikoa dh n[s kHkky 42 Vhdkdj.k 43 vkWDlhtu lkæa d 44 ikVs Zscy lD'kÇux 45 lkefwgd ijke'kZ es a Hkkxhnkjh * & Nk= ds dkS'ky çn'kZu es a l{ke ik, tkus ij] ml ij çhlsIVj }kjk gLrk{kj fd, tk,axsA Nk=ksa ls ;g vis{kk dh tkrh gS fd o s lwphc) dkS'kyksa@n{krkvksa dks rc rd djrs jgs a tc rd fd os Lrj 3 n{krk rd ugÈ igqap tkr]s ftlds ckn çR;sd n{krk ds le{k çhlsIVj }kjk gLrk{kj fd, tk,axsA ;g lqfuf'pr djsaxs fd çR;ds n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh fd, tk,aA • Lrj 3 n{krk ;g n'kkZrh gS fd ,uih Nk= i;Zo{s k.k ds fcuk ml n{krk dk çn'kZu dju s es a l{ke gSA • Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk çn'kZu dju s es a l{ke gSA • Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zo{s k.k ds lkFk Hkh ml n{krk@dkS'ky dk çn'kZu djus esa l{ke ugÈ gSA 1-1 oasfVysVj 1-2 fMfQfczysVj 1-3 ils esdj44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 1-4 ØS'k VªkWyh 1-5 CPAP/BiPAP e'khu 13-1 ¼ifjx.kuk] vuqekiu vkSj ç'kklu½ a. ,fMªuykbu b.

13-2 a. ,fe;kMs sjksu b.

13-3 a. ,QsfMªu b.

13-4 a. ,feuksQkbfyu b. MsfjQkbfyu c.

13-5 a. NSAIDs 13-6 a. ,foy 13-7 a. fXyljhu VªkbukbVªsV b.

13-8 a. gkbMªksdkWÆVlksu 13-9 a. ysofsVjsflVe b.

13-10 a. oSfy;e b.

13-11[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45 13-12 a. b.

13-13 a. lkMs k ckbdkcksZusV 8-4% b. lkMs k ckbdkcksZusV 7-5% c. ikVs sfl;e DyksjkbM d. 3% ukWeZy lsykbu ¼lksfM;e Dykjs kbM½ e. 0-9% ukWeZy lsykbu ¼lkfsM;e DyksjkbM½ 13-14 a. bulqfyu b.

14-1 vra %f'kjkHk æo ç'kklu ¼dkys ksbM@fØLVys kbs M½ 14-2 jDr vkSj jDr mRikn ç'kklu 14-3 VhbZMh LVkWÇdx dk vuqç;kxs 14-4 ils esdj yxs jksxh dh n[s kHkky 15-1 ok;qekxZ dh ns[kHkky 15-2 ysÇjX;y ekLd ok;qekxZ vuqç;kxs 15-3 ,DlVîcw s'ku 15-4 vra %'okluyh;@'okluyh; pw"k.k & [kqyk vkSj can 15-5 ucs qykbts'ku 15-6 psLV Mªsuts Vîcw yxs jksxh dh n[s kHkky 15-7 buofslo oasfVys'ku yxs jksxh dh n[s kHkky 15-8 ukWu&buosflo osafVys'ku 15-9 oasfVysVj yxkuk 15-10 oasfVysVj gVkuk 15-11 Vh&Vîwc vkSj ous Vîqjh midj.k dk mi;kxs 15-12 Vªsfd;ksLVkseh ls gVkuk 15-13 psLV fQft;ksFksjis h 16-1 laons h mÙkts uk 16-2 psru@dksek fLFkfr es a fuxjkuh 16-3 vkbZlhih fuxjkuh 17-1 ges kMs k;fyfll ij jksxh dh n[s kHkky 17-2 ifsjVksfu;y Mk;fyfll 'kq: djuk 17-3 ifsjVksfu;y Mk;fyfll ij jkxs h dh ns[kHkky 17-4 æo çfrLFkkiu dk ifjekiu 17-5 ew=k'k; dk vYVªklkmaM 17-6 ;wjks¶ykes hVªh 17-7 ew=k'k; vla;eu dk çcèa ku • ew=k'k; Mk;jh@le; ij eyR;kx46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • daMkes dSFkhVsjkbts'ku • Mk;ij dk mi;kxs 17-8 ifsYod ¶yksj O;k;ke ¼dsxsy O;k;ke½ 18-1 vkgkj HkÙk s dk vuqeku 18-2 mipkj vkgkj ;kts uk 18-3 vka= iks"k.k & xSLVªkLs Vkes h@tstquksLVkWeh QhÇMx 18-4 vfHkHkkodh; ik"sk.k dk ç'kklu ¼Vhih,u½ 18-5 gkbiksMeksZDykbfll 19-1 balqfyu Fksjsih ¼LykbÇMx Ldsy rFkk bU¶;wtu½ ifjx.kuk] vuqekiu vkSj ç'kklu 19-2 LVjs kWbM & ifjx.kuk rFkk ç'kklu 19-3 iSj dk vkadyu 19-4 LokLF; f'k{k.k a. balqfyu dk Lo&ç'kklu b. iSj dh n[s kHkky 20-1 bZlhth 20-2 ,chth 20-3 Nkrh dk ,Dl&js 20-4 ewy lw{e tho&foKkuh; tkap 20-5 ewy tSojlk;fud tkap 21-1 ucs qykbts'ku 21-2 psLV fQft;ksFksjis h 21-3 ;wfjujh dsFkVs j yxkuk vkSj gVkuk 21-4 TEDS 21-5 'kY;fpfdRlk ejge&iêh 21-6 FkzkEs cks¶ysfcfVl@ifjL=o.k ds fy, bpFkekys fXyljhu@ eSXuhf'k;e lYQsV ejge&iêh dk vuqç;ksx 21-7 cká fuèkkZjdkas ij jkfsx;ksa ds fy, fiu lkbV n[s kHkky 21-8 vkblkes sfVªd rFkk vkblksVksfud vH;kl 21-9 xeZ o BaMk vuqç;kxs 21-10 fMftVy fudklh 22-1 xSLVªkLs dksih 22-2 flLVksLdkis h 23-1 o`)kJe 23-2 èkeZ'kkyk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 47 23-3 Ms&ds;j dsUæ 23-4 o`) Dyc * & Nk= ds dkS'ky çn'kZu es a l{ke ik, tkus ij] ml ij çhlsIVj }kjk gLrk{kj fd, tk,axsA Nk=ksa ls ;g vis{kk dh tkrh gS fd o s lwphc) dkS'kyksa@n{krkvksa dks rc rd djrs jgs a tc rd fd os Lrj 3 n{krk rd ugÈ igqap tkr]s ftlds ckn çR;sd n{krk ds le{k çhlsIVj }kjk gLrk{kj fd, tk,axsA ;g lqfuf'pr djsaxs fd çR;ds n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh fd, tk,aA • Lrj 3 n{krk ;g n'kkZrh gS fd ,uih Nk= i;Zo{s k.k ds fcuk ml n{krk dk çn'kZu dju s es a l{ke gSA • Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk çn'kZu dju s es a l{ke gSA • Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zo{s k.k ds lkFk Hkh ml n{krk@dkS'ky dk çn'kZu djus es a l{ke ugÈ gSA 5&10% nqyZHk çfØ;kvksa dk vH;kl dkS'ky ç;ksx'kkyk es a fd;k tk ldrk gS vkSj Lrj 3 n{krk çkIr djuh pkfg,A fof'k"V uSnkfud fLFkfr es a uSnkfud ekxZ@ fof'k"V uÉlx fl)kra dk vuqç;ksx ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% tsfj,fVªd uÉlx n{krkvks a ds fy, lk{; dh [kkts ¼uSnkfud dkUÝsla @tuZy Dyc½ fo"k; dk 'kh"kZd% usr`Ro@çcaèku@f'k{k.k eas #>ku ¼tuZy Dyc½ fo"k; dk 'kh"kZd% ¼uSnkfud fLFkfr;k½a uSnkfud fLFkfr dk uke% ¼uSnkfud fLFkfr;k½a ¼fyf[kr fjiksVZ½ uSnkfud fLFkfr dk uke% vkS"kfèk vè;;u ¼LFkk;h vkn's kks a ds rgr lwphc) vkS"kfèk;k½a & 5 çLrqfr;ks a dh fyf[kr fjikVs Z ¼csMlkbM çLrqfr;k½a vkS"kfèk dk uke%48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ¼fyf[kr fjikVsZ tek dju sgsrq gS½ LokLF; vkda yu ¼o;Ld½ &bfro`Ùk vkSj 'kkjhfjd tkap ¼nk s fyf[kr fjikVs Z½ 3-1-1- 3-1-2- 3-1-3- 3-1-4- 3-1-5- LokLF; vkda yu ¼cqtqxZ½ & bfro`Ùk vkSj 'kkjhfjd tkap ¼nk s fyf[kr fjikVs Z½ 3-2-1- 3-2-2- 3-2-3- *mUur uÉlx vH;kl & ,ih,u] 'kksèk vuqç;ksx & vkj,] urs `Ro] çcaèku rFkk f'k{k.k & ,y,e,Ma Vh[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 49 ¼uSnkfud dkUÝsla ½ fo"k; dk 'kh"kZd% I ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% - I ¼tuZy Dyc½ fo"k; dk 'kh"kZd% II ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% II ¼tuZy Dyc½ fo"k; dk 'kh"kZd% ¼fyf[kr fjikVsZ tek dju sgsrq gSa½ ¼ikfjokfjd f'k{kk@ijke'kZ½ ¼fyf[kr fjikVsZ½ fo"k; dk 'kh"kZd% ¼uSnkfud@n[s kHkky ekxZ½ fo"k; dk 'kh"kZd% I ¼uSnkfud çLrqfr½ uSnkfud fLFkfr dk uke% I ¼ekeys dh vè;;u fjiksVZ½ uSnkfud fLFkfr dk uke% II ¼uSnkfud çLrqfr½ uSnkfud fLFkfr dk uke% II ¼ekeys dh vè;;u fjikVs Z½ uSnkfud fLFkfr dk uke% ¼LFkk;h vkns'kks a ds rgr lwphc) vkS"kfèk;k½a ¼ikpa fyf[kr fjiksVZ½50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] vkS"kfèk dk uke% vkS"kfèk dk uke% I ¼uSnkfud çLrqfr½ uSnkfud fLFkfr dk uke% ¼ekey sdh vè;;u fjiksVZ½ II ¼uSnkfud çLrqfr½ ¼ekey sdh vè;;u fjiksVZ½ fyf[kr fjikVsZ ¼fodflr uSnkfud@ns[kHkky ekxZ½ ekey s dh vè;;u fjiksVZ ds fy, uSnkfud çLrqfr fy[kh tk ldrh gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 51 ulZ çSfDV'kulZ dks cqtqxZ jksfx;kas dh n[s kHkky ds fy, ftEesnkjh vkSj mÙkjnkf;Ro ysu s gsrq rS;kj vkSj ;kXs ;

cuk;k tkrk gSA os mPp rh{.krk okys jkfsx;kas ds fy, lVhd mipkj lqfuf'pr djus gsrq xgurkokfn;ks]a fpfdRldks]a 'kY;fpfdRldksa vkSj fo'ks"kKksa ds lkFk lg;ksx djr s gSaA dk;ZØe ds iwjk gksus ij] ulZ çSfDV'kulZ dks laLFkkxr LFkk;h vkns'kksa ds vuqlkj LFkk;h vkn's kkas esa lwphc) vkS"kfèk;ks a dk s ç'kkflr dju s dh vuqefr gksxhA mUgas laLFkkxr çkVs kds kWy ds vuqlkj uSnkfud ijh{k.k@çfØ;kvksa vkSj mipkjksa ds vkns'k nsus dh Hkh vuqefr gkxs hA vkikrd fLFkfr ds nkSjku ulZ fpfdRld }kjk fuEufyf[kr var%f'kjk ¼baVªkohul½ batsD'ku ;k bU¶;wtu fn, tk ldrs gSa%&

1. ,Mªus ykbu

2. oSlkçs fslu

3. ,fe;kMs sjksu

4. ,QsMªhu

5. ,ehuksQkbfyu

6. MsfjQkbfyu52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

7. fVvksok

8. ,foy

9. fXyljhu VªkbukbVªsV

10. gkbMªksdkWÆVlksu

11. ysofsVjsflVe

12. oSfy;e

13. lkMs k ckbdkcksZusV 8-4%

14. lkMs k ckbdkcksZusV 7-5%

15. 3% ukWeZy lsykbu

16. 0-9% ukWeZy lsykbu

17. ,aVhik;jsfVDl

18. ,aVh ikÉdlal MªXl

19. dSfY'k;e lIyheasV & lSaMkdksy] 'ksYdy] vkWfLV;kds SfY'k;e

20. vksjy ,aVhMk;csfVd ,tsaV~l & esVQkWÆeu] Xykbust+] balqfyu • bZlhth • ucs qykbts'ku • ,chth • psLV fQft;ksFksjis h • Nkrh dk ,Dl&js • fMLVy dkys sLVkseh okW'k • ewy tSojlk;fud tkap & Hb, PCV, TIBC, WBC • efgyk jksfx;ks a dks e=w oèkZd yxkuk vkSj gVkuk Total, WBC differentials] ESR, bysDVªksykbV~l] • VSLV QhM~l IyVs ysV~l] PT, aPTT, CyhÇMx ,aM DykWÇVx Vkbe] • TEDS çkds SfYlVksfuu] D-dimer, fØ,fVfuu] HbA1c, • 'kY;fpfdRlk ejge&iêh AC, PC, HDL, LDL, TIG, dkys sLVªkWy VksVy] HIV, • Mk;fyfll 'kq# djuk vkSj can djuk HBsAg, HCV • FkzkEs cks¶ysfcfVl@ifjL=o.k ds fy, bpFkekys • ewy lw{e tho&foKkuh; tkap & laLÑfr o fXyljhu@eSXuhf'k;e lYQsV ejge&iêh dk laons u'khyrk ds fy, jDr ds ueuw s vuqç;ksx • cká fuèkkZjdksa ij jksfx;kas ds fy, fiu lkbV n[s kHkky • vkblkes sfVªd rFkk vkblksVksfud vH;kl • fMftVy bosD;w,'ku[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 53 çR;ds vLirky esa] vkikrdkyhu fLFkfr ds nkSjku nh tku s okyh fof'k"V [kqjkd ds lkFk vkS"kfèk ç'kklu ds fy, LFkk;h vkns'k ,uihth,u Lukrdksa ds fy, fn'kkfunZs'kksa ds :i es a miyCèk djk, tk ldrs gSaA ,uih Nk=ksa dks bu vkS"kfèk;kas dks çhlsIVlZ@,uih ladk; dh n[s kj[s k esa ç'kkflr djus ds fy, çf'kf{kr fd;k tk,xkA pqfuna k tkap ds fy, vkns'k nsus vkSj fof'k"V mipkj çfØ;kvks a dk laiknu djus ds fy, çksVksdkWy ,uihth,u Nk=ksa dks çf'kf{kr dju s oky s çR;sd vLirky es a Hkh miyCèk gks ldr s gSaA MkW- Vh- fnyhi dqekj, vè;{k [जवज्ञापन-III/4/असा./611/2024-25] INDIAN NURSING COUNCIL

NOTIFICATION New Delhi, the 7th October, 2024 INDIAN NURSING COUNCIL {NURSE PRACTITIONER IN GERIATRIC NURSING (NPGN) - POSTGRADUATE RESIDENCY PROGRAM} REGULATIONS, 2023 F.No. 11-1/2024-INC (IV).—In exercise of the powers conferred by sub-section (1) of Section 16 of Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations, namely:—

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

(NPGN) - Postgraduate 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 collection of the data of Registered Nurse and Registered Midwife (RN & RM)/ Registered Auxiliary Nurse Midwife (RANM)/Registered Lady Health Visitor (RLHV) upon Aadhar based biometric authentication;

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

NURSE PRACTITIONER IN GERIATRIC NURSING (NPGN) - POSTGRADUATE RESIDENCY PROGRAM I. Introduction and Background There is a rise in life expectancy of an adult in the world as per the WHO data base (2022). This rise in older population increases the burden of disease and disability, and poses a tremendous challenge to the health sector as well as to the social and economic infrastructure. National Health Policy (2017), National Population Policy (2015)) and National Program for Health Care of the Older Adults (2014) have emphasized the need for provision of quality and specialized health care of the older population. NHP (2017) emphasizes on significant expansion in tertiary care services both in public and private health sectors. In building capacity, the health care professionals require advanced54 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] educational preparation to support specialized and super-specialized healthcare services. Nurse Practitioners (NPs) will be able to meet this demand provided they are well trained and empowered to practice through critical thinking, judgement, and skill. Rigorous educational preparation will enable them to assess and participate in promoting health, health maintenance, health restoration, rehabilitation and palliative care for older adult patients with chronic and critical illnesses. The role of NPGN was established in Unites States in 1975, and then introduced in Australia, Israel, Norway and other countries.

A curricular structure/framework is proposed by the Council towards preparation of Nurse Practitioner in Geriatric Nursing (NPGN) at the Master’s Level. The special feature of this program is that it is a clinical residency program emphasizing a strong clinical component with 15% of theoretical instruction and 85% of practicum.

Competency based training is the major approach and NP education is based on competencies adapted from International Council of Nurses (ICN, 2005) and the NONPF competencies (2017). NPGN education and training is based on competencies adapted from AACN, 2017. Every course is based on achievement of competencies. The NPGN program consists of various courses of study that are based on strong scientific foundations including evidenced based practice and the management of complex health systems. These are built upon the theoretical and practice competencies of B.Sc. trained nurses.

The NPGN program is intended to prepare registered B.Sc. nurses to provide advanced nursing care to older patients in hospital and community settings. The nursing care is focused on stabilizing patients’ condition, minimizing acute complications and maximizing restoration of health. The practice settings for NPGN include hospital outpatient clinics and in-patient facilities and long-term care facilities and they focus mainly on primary and secondary care.

These NPs are required to practice in geriatric care units of tertiary care centres too. The NPGN would be equipped to diagnose, treat and manage chronic and acute conditions and geriatric symptoms associated with ageing and provide therapeutic interventions or, at times, palliative treatments and end of life care. They receive advanced education to provide services that address the health issues that impact older adults, as well as on the resultant cognitive, physical, psychological and social impairments.

On completion of the program and registration with respective SNRC, they are permitted to practice all competencies listed in the logbook of the Council syllabus and also independently administer drugs and order diagnostic tests, procedures, medical equipment and therapies as per institutional protocols/standing orders. The NPGN when exercising this authority, they are accountable for the competencies in a) Using scientific knowledge and theoretical foundations in ageing;

b) Patient selection/admission into geriatric unit and discharge; c) Problem identification through appropriate assessment; d) Selection/administration of medication or devices or therapies; e) Patient education for use of therapeutics;

f) Knowledge of drug interactions of therapeutics; g) Evaluation of outcomes; h) Recognition and management of complications and untoward reactions; i) Contribution towards evidence-based innovations in geriatric clinical practice;

j) Providing guidance, consultation, mentorship and educational experiences to students, nurses and other health professionals regarding acute and primary care; k) Participation in national health programs in geriatric care effectively.

The NPGN is prepared and qualified to assume responsibility and accountability for the holistic care of older adults under his/her care. This has necessitated retention of “domains of learning” under “competencies”. With establishment of new cadre at the central and state level, NPGN will be able to provide cost effective, competent, safe and quality driven specialized nursing care to older adult patients in a variety of settings such as geriatric wards, outpatient department, geriatric day care services, psycho geriatric ward, community geriatric and geriatric rehabilitation wards.

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

Philosophy The Council believes that there is a great need to establish a postgraduate program titled Nurse Practitioner in Geriatric Nursing (NPGN) to meet the challenges and demands of primary and tertiary health care services in India and to provide quality care to older adult patients and their families.

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

The Council also believes that a variety of educational strategies can be used in the clinical settings to address the deficit of qualified geriatric nursing faculty. It is hoped to facilitate developing policies towards registration/ licensure[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 55 and create cadre positions for appropriate placement of these postgraduate NPs in Geriatric Nursing to function in primary and acute care centres.

The Council believes that values, ethics and beliefs and motivation would achieve competencies in patient and family centred care, process-oriented care, self-care and continuing professional development utilizing evidence-based practice that are essential to achieve quality outcomes.

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

R C e F o m p e t e n c y B a s eE d u c a t io n a n d T r a in in g g is t e r e d B .S c . N u ig u r e - 1 . N u r s e P d r s e w r a c t it S t r o n g C lin ic a l C o m p o n e n t ( C lin ic a l R e s id e n c y ) • T h e o re tic a l B a sis fo r A d v a n c e d P ra c tic e N u rsin g • R e se a rc h A p p lic a tio n a n d E v id e n c e B a se d P ra c tic e in G e ria tric C a re • A d v a n c e d S k ills in L e a d e rsh ip , M a n a g e m e n t a n d T e a c h in g • A d v a n c e d P a th o p h y sio lo g y N P IN a p p lie d to • F o u n d a tio n s G E R IA T R IC G e ria tric N u rsin g o f G e ria tric N U R S IN G • A d v a n c e d N u rsin g P R O G R A M P h a rm a c o lo g y P ra c tic e a p p lie d to • G e ria tric G e ria tric N u rsin g N u rsin g - I • A d v a n c e d • G e ria tric H e a lth /P h y sic a l N u rsin g - II A sse ssm e n t it h 1 - y e a r C lin ic a l E x p e r ie n c e p r e f e r a b ly in( E n tr y r e q u ir e m e n t) io n e r in G e r ia t r ic C a r e - A n E d u c a t io n a l C u G r r A d v a n c e d K n o w le d g e a n d E t h ic s e r ia t r ic C a r e S ic u la r F r a m e w e o t r t in k g II. Program Description This program is designed to assist students in developing expertise and in-depth understanding in the field of Geriatric Nursing. It will help students to develop advanced nursing skills in Geriatric Nursing.

The NPGN program is a nursing residency program with a main focus on competency-based training. The duration of the course is of two years with the curriculum consisting of theory that includes core courses, advanced practice courses and clinical courses, besides clinical practicum which is a major component (Refer Curricular Framework).

III. Aim The NPGN program prepares registered B.Sc. nurses for advanced practice roles such as clinical experts, managers, educators, and consultants as Nurse Practitioners in Geriatric Nursing leading to M.Sc. Nursing (NP in Geriatric Nursing).

The aim of this curriculum is to create a cadre of nursing professionals in the care of the older adults who would acquire knowledge about the age-related biological changes.

IV. Objectives On completion of the program, the NPGNs will be able to:

1. Assume responsibility and accountability to provide competent and appropriate family centred care to older adult patients;56 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

2. Demonstrate clinical competence/expertise in providing geriatric care which includes assessment, diagnostic reasoning, complex monitoring and therapies;

3. Apply theoretical, pathophysiological, and pharmacological principles and evidence base in implementing therapies/interventions in geriatric care;

4. Assess and participate in managing acute illnesses in older adults to stabilize and restore the patient’s health and minimize or manage complications as part of geriatric multidisciplinary team;

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

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

1. Essentiality Certificate a. Any institution who wishes to start Nurse Practitioner in Geriatric Nursing Program shall obtain an Essentiality Certificate/Government Order from the State. b. The following institutions are exempted from obtaining Essentiality Certificate:

i. Institutions/Universities already offering B.Sc. Nursing or M.Sc. Nursing programs and found suitable by the Council under Sections 13 and 14 of the Act; ii. Institutions/Universities offering MBBS/DNB programs.

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

3. Beds a. The hospital should have a minimum of 30 bedded geriatric ward with supportive services such as orthopaedics, neurology, physiotherapy, occupational therapy department, ophthalmology, gynaecology, dentistry, rheumatology, psychiatry, rehabilitative and community health services;

4. Affiliation with Old Age Homes a. The hospital can have affiliation to old age homes.

5. Staffing for Geriatric Unit a. Every geriatric ward should have a Charge Nurse preferably with B.Sc. Nursing or M.Sc. Nursing qualification; b. The nurse patient ratio should be 1:4 as per the Council norms;

c. Provision of additional 45% staff towards leave reserve; d. The geriatric unit must have a geriatric physician, social worker/counsellor, physiotherapist and an occupational therapist; e. Doctor patient ratio can be 1:10.

6. Faculty/Staff Resources a. Clinical area: i. Nursing Preceptor: Full time qualified GNM with 6 years of experience, preferably qualified in Post Basic Diploma in Geriatric Nursing or B.Sc. Nursing with 2 years’ experience or M.Sc. (Medical Surgical Nursing/Community Health Nursing) with one year of experience, in a geriatric unit;

ii. Medical Preceptor: MD in Geriatric/General Medicine; iii. Preceptor Student Ratio: Nursing 1:10, Medical 1:10 (Every student must have a medical and a nursing preceptor). b. Teaching faculty: i. Professor/Associate Professor: 1 {Teaching experience: 5 years post PG-M.Sc. (Medical Surgical Nursing/Community Health Nursing)} - One faculty for every 10 students;

ii. Assistant Professor: 1 (Teaching experience: 3 years post B.Sc. Nursing). c. The above faculty shall perform dual role or be a senior nurse with M.Sc. Nursing qualification employed in geriatric unit.

d. Guest lecturers: Pharmacology, Pathophysiology, Geriatric Medicine, General Medicine and General Surgery, Cardiology, Orthopaedics, Psychiatry, Community Medicine, Physiotherapy and occupational therapy.

7. Physical and Learning Resources at Hospital/College a. One class room/conference room in the clinical area; b. Skills lab for simulated learning (hospital/college);[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 57 c. Library and computer facilities with access to online journals;

d. E-learning facilities.

8. List of equipment for a thirty bedded geriatric ward (See Appendix-1).

9. Student Recruitment/Admission Requirements a. Applicants must have a registered B.Sc. Nursing/P.B.B.Sc. Nursing degree with a minimum of one-year clinical experience, preferably in any general medical-surgical/geriatric care setting prior to enrolment;

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

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

Number of candidates: 1 candidate for 10 geriatric beds.

Salary:

1. In-service candidates will get regular salary.

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

VI. Examination Regulations Eligibility for appearing in the examination

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

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

Examining and Degree Awarding Authority: Respective University.

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

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

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

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

Maximum period to complete the program is 4 years.

Practical Examination OSCE type of examination is to be conducted alongside viva - Refer OSCE Guidelines found in Appendix-2.

Maximum number of students per day = 10 students.

Examination should be held in the clinical area only.

The team of practical examiners will include one internal examiner {M.Sc. Nursing faculty with two years of experience in teaching the NPGN program/M.Sc. Nursing faculty (Medical Surgical Nursing preferable) with 5 years of Post PG experience}, one external examiner (same as above) and one medical internal examiner who should have served as the preceptor for NPGN program.

Dissertation

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

Submission of research proposal: 6-9 months after date of admission in the first year.

Guide Student Ratio: 1:5

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

Ethical clearance must be obtained by the Institutional Review Board/Hospital Ethics Committee since it involves clinical research.58 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

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

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

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

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

Dissertation Examination

Internal Assessment: Viva & Dissertation report = 50 marks.

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

VII. Assessment (Formative and Summative) • Test paper, quiz, seminar • Written assignments/Term papers • Case/Clinical presentation • Clinical or Care pathway/Case study report • Clinical performance assessment • Objective Structured Clinical Examination (OSCE) • Final examination (See Appendix-2 for Assessment Guidelines) Scheme of Final Examination S.No. Title Theory % Practical % Hours Internal External Hours Internal External Ist year Core Courses 1 Theoretical Basis for Advanced Practice 2 hours 50 Nursing 2 Research Application and Evidence Based 3 hours 30 70 Practice in Geriatric Care 3 Advanced Skills in Leadership, Management 3 hours 30 70 and Teaching Advanced Practice Courses 4 Advanced Pathophysiology & Advanced 3 hours 30 70 Pharmacology applied to Geriatric Nursing 5 Advanced Health/Physical Assessment 3 hours 30 70 50 50 IInd year Specialty Courses 1 Foundations of Geriatric Nursing Practice 3 hours 30 70 100 100 2 Geriatric Nursing - I 3 hours 30 70 100 100 3 Geriatric Nursing - II 3 hours 30 70 100 100 4 Dissertation and viva 50 50 VIII. Courses of Instruction S.No. Title Theory (hours) Lab/Skill Lab (hours) Clinical (hours) Ist year Core Courses I Theoretical Basis for Advanced Practice 40 Nursing II Research Application and Evidence Based 56 24 336 (7 weeks) Practice in Geriatric Care III Advanced Skills in Leadership, Management 56 24 192 (4 weeks) and Teaching Skills IV Advanced Practice Courses[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 59 S.No. Title Theory (hours) Lab/Skill Lab (hours) Clinical (hours) Advanced Pathophysiology applied to 60 336 (7 weeks) Geriatric Nursing V Advanced Pharmacology applied to Geriatric 54 336 (7 weeks) Nursing VI Advanced Health/Physical Assessment 70 48 576 (12 weeks) TOTAL = 2208 hours 336 (7 weeks) 96 (2 weeks) 1776 (37 weeks) IInd year Specialty Courses VII Foundations of Geriatric Nursing Practice 96 48 576 (12 weeks) VIII Geriatric Nursing - I 96 48 576 (12 weeks) IX Geriatric Nursing - II 96 48 624 (13 weeks) TOTAL = 2208 hours 288 (6 weeks) 144 (3 weeks) 1776 (37 weeks) Number of weeks available in a year = 52 - 6 (Annual leave, Casual leave, Sick leave = 6 weeks) = 46 weeks × 48 hours = 2208 hours Two years = 4416 hours (Examination during clinical posting)

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

Ist year: 336-96-1776 hours (Theory-Skill Lab-Clinical) {Theory = 15%, Practicum (Skill Lab & Clinical) = 85%}

IInd year: 288-144-1776 hours (Theory-Skill Lab-Clinical) {Theory = 15%, Practicum (Skill Lab & Clinical) = 85%} Ist year = 46 weeks/2208 hours (46 × 48 hours) (Theory + Lab: 7.5 hours per week for 44 weeks = 330/336 + 96 hours*) *Theory + Lab = 96 hours can be given for 2 weeks in the form of introductory block classes and workshops IInd year = 46 weeks/2208 hours (46 × 48 hours) (Theory + Lab: 8.5 hours per week for 45 weeks = 384 + 48 hours) (1 week Block Classes = 48 hours) CLINICAL PRACTICE A. Clinical Residency experience: A minimum of 48 hours per week is prescribed, however, it is flexible with different shifts and OFF followed by ON CALL duty.

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

Clinical placements

Ist year: 44 weeks (excludes 2 weeks of introductory block classes and workshop) Geriatric wards - 12 weeks General medical wards - 6 weeks General surgical wards - 2 weeks Orthopaedic ward - 4 weeks Ophthalmology ward - 1 week Neurology ward and OPD - 3 weeks Psychiatric ward - 3 weeks Community field practice area - 3 weeks Emergency department - 1 week Outpatient Department Geriatric OPD - 4 weeks Psychiatric OPD - 1 week Endocrine OPD - 2 weeks Physiotherapy and Occupational therapy - 2 weeks

IInd year : 45 weeks (excludes one week of block classes) Geriatric ward - 12 weeks Medical ICU - 3 weeks Surgical ICU - 3 weeks Rehabilitation unit - 5 weeks Palliative and hospice centre - 4 weeks Old age home - 4 weeks Haematology and Oncology ward - 1 week60 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Urology ward - 1 week Psychogeriatric ward/dementia - 2 weeks Community field practice area - 3 weeks Emergency department - 1 week Outpatient Department Geriatric OPD and dementia clinic - 2 weeks Gynae Oncology OPD - 1 week Geriatric day care centre - 1 week Podiatric OPD - 1 week Field visits - 1 week Hospice care Palliative care unit Old age homes C. Teaching methods: Teaching - Theoretical, Lab & Clinical can be done in the following way and integrated

during clinical posting: • Experiential learning • Reflective learning • Simulation • Clinical seminars • Clinical conference • Case/clinical presentation • In depth drug study, presentation and report • Nursing rounds • Journal clubs • Case study • Advanced health assessment • Faculty lecture • Directed reading • Assignments • Workshops D. Procedures/Log Book: At the end of each clinical posting, Clinical Log Book (Specific Procedural Competencies/Clinical Skills) (Appendix-3) and Clinical Requirements (Appendix-4) have to be signed by the preceptor/faculty.

E. Nurse Practitioner in Geriatric Care Competencies (Adapted from AACN, 2017) Nurse Practitioner in Geriatric Nursing (NPGN)

1. Contributes to knowledge development and improved care of the geriatric population.

2. Develops the ability to obtain a relevant focused history.

3. Demonstrates the ability to appropriately diagnose, evaluate and prescribe treatment and preventive strategies for older adults.

4. Develops ability to manage/control infection in patients including risk of cross infection.

5. Works effectively with teams to ensure quality and safety of patient care.

6. Demonstrates ability to perform a comprehensive geriatric assessment.

7. Demonstrates ability to assess the nutritional status of older adult and appropriate nutritional support strategy.

8. Describes the current and evolving role of NP in geriatric acute care.

9. Provides guidance, consultation, mentorship and educational experiences to students, nurses and other health professionals about the care of geriatric population.

10. Provides leadership to facilitate the highly complex coordination and planning required for the delivery of care to young adults (including late adolescents), adults, and older adults.

11. Implements evidence-based practice interventions to promote safety and risk reduction for older adults with acute, critical, and complex chronic illness needs.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 61

12. Demonstrates continuous quality improvement of one’s own practice.

13. Analyses strengths and barriers of technological and information systems with the goal of improving care delivery and coordination.

14. Applies ethical and legal standards in health care for the geriatric population.

15. Identifies the important concepts of Pathophysiology of common diseases of older adults.

16. Provides effective care and excels in clinical skills in geriatric care.

F. Institutional Protocol/Standing Orders-based administration of drugs & ordering of investigations and therapies The students will be trained to independently administer drugs and order diagnostic tests, procedures, medical equipment and therapies as per institutional protocols/standing orders (Appendix-5: Standing Orders).

Administration of emergency drugs is carried out in consultation with concerned physician and endorsed later by written orders.

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

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

2. Research Application and 8 hours 40 (5 days) 1 × 24 = 24 hours • Research study analysis Evidence Based Practice + 8 hours • Exercise/Assignment (lab) in Geriatric Care (56 + 24)

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

4. Advanced 1.5 × 40 = 60 hours • Case presentation Pathophysiology applied • Seminar to Geriatric Nursing (60) • Clinical conference

5. Advanced Pharmacology 10 hours 1 × 44 = 44 hours • Nursing rounds applied to Geriatric • Drug study presentation Nursing (54) • Standing orders/presentation

6. Advanced Health/ 8 hours 2 × 26 = 52 hours • Clinical demonstration Physical Assessment 1.5 × 18 = 27 hours (faculty) (70 + 48) 1 × 15 = 15 hours • Return demonstration 2 × 6 = 12 hours • Nursing rounds 2 × 2 = 4 hours • Physical assessment (all systems) • Case study TOTAL 48 hours 48 hours 336 hours

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

1. Foundations of Geriatric 9 hours × 11 weeks = 99 hours • Demonstration (lab) Nursing Practice • Return demonstration (lab) (96 + 48 hours) = 144 hours • Clinical teaching • Case study • Seminar • Clinical conference • Faculty lecture

2. Geriatric Nursing - I 9 hours × 16 weeks = 144 hours • Demonstration (lab) (96 + 48 hours) = 144 hours • Return Demonstration (lab) • Clinical conference/journal club62 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Ist year Courses Introductory Workshop Theory integrated in Methods of Teaching Classes Clinical Practicum (Topic can be specified) • Seminar • Case presentation • Drug study (including drug interaction) • Nursing rounds • Faculty lecture

3. Geriatric Nursing - II 9 hours × 16 weeks = 144 hours • Demonstration (lab) (96 + 48 hours) = 144 hours • Return Demonstration • Nursing rounds • Clinical conference/journal club • Seminar • Faculty lecture

IInd year: Block classes - 1 week, 45 weeks - 8.5/9 hours per week (382.5/384 hours).

Topic for every teaching method will be specified in the detailed plan by the respective teacher/institution concerned.

CORE COURSES I. Theoretical Basis for Advanced Practice Nursing COMPETENCIES

1. Analyses the global healthcare trends and challenges.

2. Analyses the impact of Healthcare and Education policies in India on nursing.

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

4. Applies economic principles relevant to delivery of geriatric care services.

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

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

7. Actively participates in collaborative practice by involving all healthcare team members in geriatric care and perform the roles within the authorized scope of practice.

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

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

10. Applies the knowledge of nursing theories in providing competent care to geriatric patients.

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

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

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

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

3. National Health Planning - 5-year plans and National Health Policy (Competency-2) 2

4. Health Economics & Health Care Financing (Competency-4) 4

5. Health Information System including Nursing Informatics (use of computers) (Competency-5) 4 ADVANCED NURSING PRACTICE (ANP)

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

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

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

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

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

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

12. Nursing Process/Care Pathway applied to APN (Competency-9) 2 SELF-LEARNING ASSIGNMENTS 6

1. Identify Health Care and Education Policies and analyse its impact on Nursing[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 63 S.No. Topic Hours

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

3. Examine the nursing protocols relevant to NP practice found in primary and acute care geriatric units Total 40 hours

Bibliography: • AACN (2021). The Essentials: Core Competencies for Professional Nursing Education - Entry level and Advanced level Nursing Education, American Association of Colleges of Nursing. • De Nisco & Barkers A.M. (2015). Advanced Practice Nursing: Essential Knowledge for the Profession (3rd ed.),

Massachusetts: Jones & Bartlett Publishers Inc. • ICN (2020). Guidelines on Advanced Practice Nursing, Geneva: ICN. • NONPF (2022). Nurse Practitioner Role Competencies, National Organization of Nurse Practitioner Faculties.

• Schober M. & Affara F.A. (2006). Advanced Nursing Practice. Oxford: Blackwell Publishing. • Stewart G.J. & Denisco S.M. (2015). Role Development for the Nurse Practitioner. USA: Springer Publishing Company.

II. Research Application and Evidence Based Practice in Geriatric Care COMPETENCIES

1. Applies sound research knowledge and skills in conducting independent research in geriatric care setting.

2. Participates in collaborative research to improve in quality of patient care.

3. Interprets and uses research findings to produce EBP.

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

5. Analyses the evidence for nursing interventions carried out in geriatric nursing practice to promote safety and effectiveness of care.

6. Develops skill in writing scientific research reports.

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

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

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

3. Research Knowledge and Skills: 40 Research competencies essential for APNs (interpretation and use of research, evaluation of (5 days practice, participation in collaborative research) workshop) Introduction to Evidence Based Practice (EBP) project - PICOT question, steps of planning, implementation, evaluation and dissemination (project proposal and project report) Research Methodology Phases/steps (Research question, Review of literature, conceptual framework, research designs, sampling, data collection, methods & tools, Analysis and Reporting) Writing research proposal and research report (Competency-1, 2)

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

5. Evidence based practice 4 - Concepts, principles, importance, and steps - Integrating EBP to work environment - Barriers to implement EBP - Strategies to promote EBP (Competency-3, 4, 5) Total 56 hours64 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Practical/Lab & Assignments: 24 hours • Identifying research priorities • Writing exercises on research question, objectives, and hypothesis • Writing research proposal/EBP project proposal • Scientific paper writing - preparation of manuscript for publication • Writing systematic reviews/literature review - Analyse the evidence for a given nursing intervention in geriatric nursing.

Practicum • Research practicum: Dissertation (336 hours = 7 weeks)/Evidence Based Practice Project (EBP project) Bibliography • Gray J. & Grove S.K. (2020). Burns & Groves. The Practice of Nursing Research: Appraisal, Synthesis and Generation of Evidence (9th ed.), St. Louis: Elsevier Saunders.

• Polit D.F. & Beck C.T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.), New Delhi: Wolters Kluwer. • Schmidt N.A. & Brown J.M. (2021). Evidence-based practice for nurses’ appraisal and application of research.

Sd: Jones & Bartlett Publishers Inc.

III. Advanced Skills in Leadership, Management and Teaching COMPETENCIES

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

2. Manages stress and conflicts effectively in a geriatric care setting using sound knowledge of principles.

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

4. Uses critical thinking and communication skills in providing leadership and managing geriatric patient care.

5. Builds teams and motivates others in a geriatric care setting.

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

7. Participates appropriately in times of innovation and change.

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

9. Develops advocacy role in patient care, maintains quality and ethics in geriatric units in hospital and community settings.

10. Provides counselling to families and patients in crisis situations particularly end of life care.

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

1. Theories, styles of leadership and current trends 2

2. Theories, styles of management and current trends 2

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

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

5. Quality improvement and audit 4

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

7. Team building, motivating and mentoring within geriatric ward and community set up 2

8. Budgeting and management of resources including human resources in geriatric ward/ 5 community setting including material management, staffing, and assignments

9. Change and innovation 2

10. Staff performance and evaluation (performance appraisals) 6

11. Teaching-learning theories and principles applied to Geriatric Nursing 2

12. Competency-based education and outcome-based education 2

13. Teaching methods/strategies - experiential, reflective, scenario based, simulation etc., 8

media: educating patients and staff in gerontology care settings

14. Staff education and use of tools in evaluation 4[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 65 S.No. Topic Hours

15. APN - roles as a teacher 2

16. Advocacy roles in geriatric care environment 2 Total 56 hours Practical/Lab = 24 hours

1. Preparation of staff patient assignment

2. Preparation of unit budget

3. Preparation of staff duty roster

4. Patient care audit

5. Preparation of nursing care standards and protocols

6. Management of equipment and supplies

7. Monitoring, evaluation, and writing report of infection control practices

8. Development of teaching plan

9. Micro teaching/patient education sessions

10. Preparation of teaching method and media for patients and staff

11. Planning and conducting OSCE/OSPE

12. Construction of tests

Assignment : Prepare Nursing care standards for a geriatric unit.

Bibliography • Bastable S.B. (2019). Nurse as educator: Principles of teaching and learning for nursing practice (5th ed.), New

Delhi: Jones & Bartlett Publishers Inc. • Billings D.M. & Halstead J.A. (2019). Teaching in nursing: A guide for faculty (6th ed.), St. Louis, Missouri:

Saunders Elsevier. • Clark C.C. (2010). Creative nursing leadership and management, New Delhi: Jones & Bartlett Publishers Inc. • Liebler J.G. & McConnel C.R. (2008). Management principles for health professionals. Sudbury, M.A.: Jones & Bartlett Publishers Inc.

• Roussel L. & Swansburg R.C. (2010). Management and leadership for nurse administrators (5th ed.), New Delhi:

Jones & Bartlett Publishers Inc.

ADVANCED NURSING COURSES IV. Advanced Pathophysiology applied to Geriatric Nursing COMPETENCIES

1. Integrates the knowledge of pathophysiological process in geriatric conditions to diagnosis and formulating plan of care.

2. Applies the pathophysiological principles in symptom management and secondary prevention of illnesses among older adults.

3. Analyses the pathophysiological changes relevant to each geriatric illnesses recognizing the value of diagnosis, treatment, care and prognosis

Hours of Instruction: Theory: 60 hours Unit Hours Content I 4 IMMUNOLOGICAL FACTORS IN DISEASE • Components of immune system • Mechanism of the immune response • Immune deficiency and lymph proliferative disorders • Immunity • Types of immune reactions • Vaccines II 2 INFECTION AND DISEASES • Epidemiology and spread of infections • Diagnosis and management of infections (RTI, UTI, Skin)66 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content III 4 FLUID AND ELECTROLYTE BALANCE • Hypernatremia and hyponatremia • Hyperkalaemia and hypokalaemia • Calcium - phosphate and magnesium metabolism/Vitamin D • Disturbance in acid base IV 6 CARDIOVASCULAR FUNCTION Advanced pathophysiological process of cardiovascular conditions • Cardiomyopathies • Myocarditis • Hypertension • Diseases of the aorta • Peripheral vascular disease • Ischemic heart disease V 4 PULMONARY FUNCTION Advanced pathophysiological process of pulmonary conditions • Disease of the upper and lower respiratory tract • Bronchial asthma, COPD, Cor pulmonale • Acute and chronic respiratory failure • Neoplasms of lung • Interstitial lung disease (ILD) - Disease of pleura, mediastinum and diaphragm VI 4 GASTROINTESTINAL FUNCTION Advanced pathophysiological process of gastrointestinal conditions • Diseases of the oesophagus • Gastroesophageal reflux disease • Peptic ulcer, gastritis • Malignancy of stomach, colon VII 6 HEPATOBILIARY AND PANCREATIC FUNCTION Advanced pathophysiological process of hepatobiliary conditions • Diagnostic procedures in liver disorders • Derangement of hepatic/biliary metabolism • Acute hepatitis • Chronic hepatitis • Cirrhosis of liver • Tumours of liver • Liver abscess • Cholecystitis, cholelithiasis • Pancreatitis • Pancreatic malignancy VIII 4 ENDOCRINE FUNCTIONS Advanced pathophysiological process of endocrine conditions • Pituitary gland • Diseases of the anterior pituitary • Disorders of the neurohypophysis • Hyper and hypothyroidism • Hyper and hypoparathyroidism • Diabetes mellitus • Diseases of the adrenal cortex and medulla[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 67 Unit Hours Content IX 6 RENAL AND URINARY FUNCTIONS Advanced pathophysiological process of the kidney and urinary conditions • Acute renal failure • Chronic kidney disease • Nephrotic syndrome • Nephritic syndrome • Vascular diseases of the kidney (Renal artery stenosis) • Nephrolithiasis • Obstructive uropathy • Urinary tract infections • Urinary incontinence • Epididymo-orchitis X 6 HAEMATOLOGICAL FUNCTION Advanced pathophysiological process of haematological conditions • Blood formation and destruction • Blood groups and blood transfusion reaction • Anaemia • Bone marrow failure • Myeloproliferative disorders • Idiopathic thrombocytopenic purpura (ITP) • Leukaemia • Lymphomas XI 4 FUNCTIONS OF CONNECTIVE TISSUE, JOINTS, AND BONES Advanced pathophysiological process of conditions affecting connective tissue, joints and bones • Rheumatoid arthritis • Ankylosing spondylitis • Systemic lupus erythematosus • Polymyalgia • Gout • Osteoarthritis • Diseases of bone - metabolic and endocrine XII 6 NEUROLOGICAL FUNCTION Advanced pathophysiological process of neurological conditions • Diagnostic tests in neurology - EMG, scans • Coma • Headache • Epilepsy • Sleep disorders - obstructive sleep apnoea • Diseases of the cranial nerves • Cerebrovascular diseases – CVA, Transient ischemic attack • Spinal cord injury • Peripheral neuropathy • Pyogenic infections of the CNS - encephalitis, meningitis • Viral infections - herpes zoster • Demyelinating diseases • Degenerative diseases - Parkinson’s disease, progressive supra nuclear palsy • Metabolic and nutritional diseases in CNS - Vitamin B12, Thiamine68 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content XIII 4 INTEGUMENTARY FUNCTION Advanced pathophysiological process of integumentary conditions • Cutaneous manifestation of systemic illness • Generalised pruritis • Skin pigmentation and Ichthyosis • Scabies • Photosensitivity • Psoriasis • Fungal infections of skin Bibliography • Berkowitz A. (2021). Clinical Pathophysiology (2nd ed.). MedMaster. Inc.

• Huether S.E., McCance K.L. & Brashers V.L. (2019). Understanding Pathophysiology (7th ed.). St. Louis,

Missouri: Elsevier. • Norris T.L. (2020). Porth’s Essentials of Pathophysiology. (5th ed.). Walters & Kluwer. • Porth C.M. (2007). Essentials of Pathophysiology: Concepts of altered health states (4th ed.). Philadelphia:

Lippincott Williams and Wilkins. • Story L. & Dlugasch L. (2019). Advanced Pathophysiology for The Advanced Practice Nurse. (1st ed.). Jones & Bartlett Publishers Inc. • Willis L.M. (2019). Professional Guide to Pathophysiology. (4th ed.). LWW.

V. Advanced Pharmacology applied to Geriatric Nursing COMPETENCIES

1. Applies the pharmacological principles in providing care to geriatric patients and families.

2. Analyses relevant pharmacotherapeutic drugs used in geriatric patients.

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

4. Documents accurately and provides follow up care.

5. Applies sound knowledge of drug interactions in administration of drugs to geriatric patients in the acute care settings.

6. Guides their families in self-care management.

Hours of Instruction: Theory: 54 hours Unit Hours Content I 2 INTRODUCTION TO PHARMACOLOGY IN GERIATRIC CARE • History • Index card • Classification of drugs and schedules II 4 PHARMACOKINETICS AND PHARMACO-DYNAMICS • Introduction • Absorption, Distribution, Metabolism, Distribution and Excretion in older adult • Plasma concentration, half life • Loading and maintenance dose • Therapeutic index and drug safety • Potency and efficacy • Principles of drug administration ▪ The rights of drug administration ▪ Systems of measurement ▪ Drug administration - enteral, topical, and parenteral III 5 PHARMACOLOGY AND CARDIOVASCULAR ALTERATIONS IN OLDER ADULT • Medications in the management of angina pectoris, myocardial infarction and heart failure • Medications in the management of dysrhythmias, heart block and conduction disturbances • Medications in the management of atherosclerotic disease of aorta and peripheral artery disease • Medications in the management of deep vein thrombosis[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 69 Unit Hours Content • Institutional Protocols/Standing Orders for cardiac emergencies IV 4 PHARMACOLOGY AND PULMONARY ALTERATIONS IN OLDER ADULTS • Medications in the management of status asthmaticus • Medications in the management of pulmonary edema • Medications in the management of pulmonary embolism • Medications in the management of acute respiratory failure and acute respiratory distress syndrome • Medications in the management of chronic obstructive pulmonary disease • Medications in the management of pneumonia • Medications in the management of pleural effusion • Medications in the management of atelectasis • Standing Orders for pulmonary emergencies V 6 PHARMACOLOGY AND NEUROLOGICAL ALTERATIONS IN OLDER ADULTS • Pain ▪ WHO analgesic (pain) ladder ▪ NSAID ▪ Opioid analgesia • Sedation ▪ Gamma amino butyric acid stimulants ▪ Dexmedetomidine ▪ Analogizations ▪ Sedation monitoring policy • Delirium ▪ Haloperidol ▪ Atypical antipsychotics • Medications used for local and general anaesthesia ▪ Local - Amides, esters, and miscellaneous agents ▪ General - Gases, Volatile liquids, IV anaesthetics ▪ Non-anaesthetic drugs adjuncts to surgery ▪ Patient controlled anaesthesia • Paralytic Medications ▪ Non-depolarizing and depolarizing agents ▪ Anxiolytics • Autonomic drugs ▪ Adrenergic agents/sympathomimetics ▪ Adrenergic blocking agents ▪ Anti cholinergic agents • Medications in the management of anxiety and insomnia ▪ Antidepressants ▪ Benzodiazepines • Medications in the management of neurological conditions ▪ Cerebro-vascular disease and cerebro-vascular accident ▪ Encephalopathy ▪ Acute head and spinal cord injury with elevated intracranial pressure ▪ Coma, unconsciousness, and persistent vegetative state ▪ Seizure disorder ▪ Parkinsonism ▪ Alzheimer’s disease ▪ Bed bound patients • Standing orders for neurological emergencies VI 5 PHARMACOLOGY AND NEPHROLOGY ALTERATIONS IN OLDER ADULTS • Diuretics • Fluid replacement ▪ Crystalloids ▪ Colloids • Electrolytes ▪ Sodium70 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content ▪ Potassium ▪ Calcium ▪ Magnesium ▪ Phosphorus ▪ Bicarbonate • Renal conditions ▪ Medications in the management of acute/chronic renal failure ▪ Medications in the management of acute tubular necrosis ▪ Medications used during dialysis.

• Standing orders for nephrology emergencies VII 5 PHARMACOLOGY AND GASTROINTESTINAL ALTERATIONS IN OLDER ADULTS • Anti-ulcer drugs • Laxatives • Anti-diarrheal • Anti-emetics • Pancreatic enzymes • Nutritional supplements, vitamins, and minerals • Gastrointestinal conditions • Medications in the management of ▪ Gastrointestinal surgeries and liver transplant ▪ Acute gastrointestinal bleeding ▪ Hepatic failure ▪ Acute pancreatitis ▪ Hepatic encephalopathy • Standing orders for gastrointestinal emergencies VIII 4 PHARMACOLOGY AND ENDOCRINE ALTERATIONS IN OLDER ADULTS • Hormonal therapy • Insulin and other hypoglycaemic agents • Endocrine critical care conditions ▪ Medications in the management of hypoglycaemia and hyperglycaemia ▪ Medications in the management of hypothyroidism and hyperthyroidism ▪ Medications in the management of adrenal crisis ▪ Medications in the management of SIADH • Standing orders for endocrine emergencies IX 5 PHARMACOLOGY AND HAEMATOLOGY ALTERATIONS IN OLDER ADULTS • Anticoagulants • Antiplatelet drugs • Thrombolytics • Haemostatics/antifibrinolytics • Blood and blood products indication and reaction ▪ Whole blood packed red blood cells, Leukocyte-reduced red cells, Washed red blood cells, Fresh frozen plasma, Cryoprecipitate ▪ Transfusion reactions, transfusion administration process ▪ Albumin • Vaccines • Immunosuppressant • Chemotherapeutic drugs - alkylating agents, anti-metabolites, anti-tumour antibiotics, alkaloids, hormones and hormone antagonist, corticosteroids, gonadal hormones, anti- oestrogens, androgen antagonists, biologic response modifiers • Haematology conditions ▪ Medications in the management of anemia thrombocytopenia ▪ Medications in the management of DIC ▪ Medications in the management of thrombocytopenia and acute leukemia ▪ Medications in the management of tumor lysis syndrome • Standing orders for hematology emergencies like graft versus host disease[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 71 Unit Hours Content X 2 PHARMACOLOGY AND SKIN ALTERATIONS IN OLDER ADULT • Medications used in burn management • Medications used in wound management • Standing orders for skin critical care emergencies XI 4 PHARMACOLOGY AND MULTISYSTEM ALTERATIONS IN OLDER ADULT • Medications in the management of shock, sepsis, multiple organ dysfunction, systemic inflammatory response syndrome, anaphylaxis • Medications in the management of bites, drug overdose and poisoning • Medications in the management of short duration fever ▪ Antipyretics ▪ Corticosteroids • Standing orders for multi system emergencies XII 6 PHARMACOLOGY AND INFECTIONS IN OLDER ADULTS • Antibacterial drugs ▪ Introduction ▪ Beta lactams - Penicillins, cephalosporins, monobactams, carbapenems ▪ Aminoglycosides ▪ Anti MRSA drugs - Vancomycin ▪ Macrolides ▪ Quinolones ▪ Miscellaneous - lincosamide group, nitroimidazole, tetracycline and chloramphenicol, polymyxins, anti-malarial, anti-fungal, anti-viral, anti-protozoal drugs • Choice of antimicrobials • Infectious conditions ▪ Medications in the management of HIV, Tetanus, SARS, Rickettsiosis, Leptospirosis, Dengue, Malaria, Chikungunya, Rabies, Avian flu and Swine flu, COVID ▪ Barrier Nursing • Standing orders for infectious emergencies XIII 2 MISCELLANEOUS • Polypharmacy • Adherence to drugs • Patient education and drug compliance • General prescribing principles • Drugs in Psychogeriatrics ▪ Dementia ▪ Delirium ▪ Bipolar associative disorder ▪ Depression ▪ Insomnia Bibliography • Eisen H.J. (2020). Pharmacology of Immunosuppression (1st ed.). Springer.

• McKay G.A. & Walters M.R. (2021). Clinical Pharmacology and Therapeutics (10th ed.). Wiley-Blackwell. • Tripathi K.D. (2019). Essentials of Medical Pharmacology (8th ed.). Jaypee Brothers Medical Publishers, New Delhi.

• Wynne A.L., Woo T.M. & Olyaei A.J. (2007). Pharmacotherapeutics for Nurse Practitioner Prescribers (2nd ed.).

Philadelphia: Davis.

VI. Advanced Health/Physical Assessment COMPETENCIES

1. Applies the physical assessment principles in developing appropriate system wise examination skills and specific to falls, drugs, bed sore etc.

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

3. Orders screening and diagnostic tests based on the examination findings and institutional protocols.

4. Analyses the physical examination findings and results of various investigations and works collaboratively with geriatricians needed for development of diagnoses.72 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

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

Hours of Instruction: Theory: 70 hours + Lab/Skill Lab: 48 hours Unit Hours Content I 4 INTRODUCTION • History taking • Physical examination System-wise assessment II 6 CARDIOVASCULAR SYSTEM • Cardiac history • Physical examination • Cardiac laboratory studies - biochemical markers, blood investigations • Cardiac diagnostic studies - electrocardiogram, echocardiography, stress testing, radiological imaging III 6 RESPIRATORY SYSTEM • History • Physical examination • Respiratory monitoring - Arterial blood gases, pulse oximetry • Respiratory diagnostic tests - Chest radiography (ventilation perfusion scanning, pulmonary angiography, bronchoscopy, thoracentesis, sputum culture, pulmonary function test) IV 8 NERVOUS SYSTEM • Neurological history • General physical examination • Assessment of cognitive function • Assessment of higher mental function • Motor assessment - muscle strength, power, and reflexes • Cerebellar function - gait • Sensory assessment - dermatome assessment • Neurodiagnostic studies - CT scan, MRI, PET, eye/hearing V 6 RENAL SYSTEM • History • Physical examination • Assessment of renal function • Assessment of fluid balance VI 4 GASTROINTESTINAL SYSTEM • History • Physical examination • Nutritional assessment • Laboratory studies - liver function studies, blood parameters, stool tests • Diagnostic studies - radiological studies, imaging studies and endoscopic studies VII 4 ENDOCRINE SYSTEM • History, physical examination, laboratory studies and diagnostic studies of ▪ Pituitary gland ▪ Thyroid gland ▪ Parathyroid gland ▪ Endocrine gland - diabetes mellitus ▪ Adrenal gland VIII 4 HAEMATOLOGICAL SYSTEM • History • Physical examination • Laboratory studies - blood investigations • Diagnostic studies - bone marrow aspiration IX 3 INTEGUMENTARY SYSTEM[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 73 Unit Hours Content • History • Physical examination • Pathological examination - tissue examination X 6 MUSCULOSKELETAL SYSTEM • History • Physical examination - gait and joint assessment • Laboratory studies - blood parameters (inflammatory markers, uric acid) • Diagnostic studies - radiological studies XI 5 REPRODUCTIVE SYSTEM (MALE & FEMALE) • History • Physical examination • Laboratory studies • Diagnostic studies • Post menopausal problems - hot flush XII 4 SENSORY ORGANS • History • Physical examination • Laboratory studies • Diagnostic studies - radiological and imaging studies, endoscopic studies XIII 10 COMPREHENSIVE GERIATRIC HEALTH ASSESSMENT • History • Physical examination • Functional assessment • Safety assessment • ADL assessment • Fragility assessment • Nutritional assessment • Psychosocial assessment List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) ▪ Comprehensive geriatric assessment ▪ Monitoring clinical parameters (system wise) & investigations ▪ Invasive BP monitoring, Multi-parameter Monitors, ECG, ABG, Pulse Oximetry, Glasgow Coma Scale (GCS), Pain and Sedation score Motor assessment, Sensory assessment, Renal function tests, Fluid balance, acid base balance, electrolytes, Bowel sounds, Abdominal pressure, Residual gastric volume, Liver function tests, GRBS, Lab tests, Radiological and Imaging tests (system wise) ▪ Ordering and interpretation of screening and diagnostic tests (system wise) (See enclosed Appendix-3) ▪ Assessment of Older adults (See enclosed Assessment Guidelines) Bibliography • Bickley L.S. & Szilagyi P.G. (2018). Bates’ guide to physical examination and history taking (South Asian Ed.).

Wolters Kluwer India Pvt. Ltd. • Rhoads J. (2013). Advanced health assessment and diagnostic reasoning (2nd Ed.). Philadelphia: Lippincott Williams & Wilkins. • Wilson S.F. & Giddens J.F. (2021). Health assessment for nursing practice (7th Ed.). Elsevier - Health Sciences Division.

IInd YEAR GERIATRIC SPECIALTY COURSES (Foundations of Geriatric Nursing Practice, Geriatric Nursing - I and Geriatric Nursing - II) COMPETENCIES

1. Demonstrates knowledge about developmental, age related, and gender specific variations.

2. Obtains relevant comprehensive and problem-focused health histories for complex, acute, critical, and chronically ill patients.74 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

3. Evaluates signs and symptoms, including age-appropriate changes.

4. Prioritizes data collection, according to the patient’s age, immediate condition or needs, as a continuous process.

5. Accurately documents relevant comprehensive and problem-focused health histories.

6. Performs and accurately documents a pertinent, comprehensive, and focused physical, mental health and cognitive assessment.

7. Assesses the impact of family, community, and environment, including economic, work, institutional, school, social, and living environments, on an individual’s health status and quality of life.

8. Assesses the individual’s and support system’s ability to cope with and manage developmental (life stage) transitions.

9. Determines the individual’s ability to participate in care, care decisions, work, school, physical, and social activities.

VII. Foundations of Geriatric Nursing Practice

Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours Unit Hours Content I 6 INTRODUCTION & HEALTHY AGEING • Biology of ageing • Epidemiology of human ageing • Immunology of human ageing II 6 OVERVIEW OF GERIATRIC NURSING • Foundations of the specialty of geriatric nursing • Demographic profile of the older population • Health status of older adults • Burden of geriatric care - global and national • Impact of an ageing adult population on geriatric nursing • Health risks in older person III 10 GERIATRIC NURSING: CONCEPTS AND PRINICPLES • Definition, concepts, and principles of geriatric nursing • Ageing process • Women’s ageing • Nursing process • Levels of geriatric care and role of nurse • Geriatric care team: geriatric physician, geriatric nurse, neuro psychiatrist, occupational therapist, physiotherapist, ALC department staff, psycho-geriatrician, speech therapist, social worker, religious leader • Role of specialists in geriatric care and geriatric nurse practitioner • Principles of prevention of infections in older person • Standard safety measures and biomedical waste management IV 8 ADVANCED GERIATRIC NURSING ASSESSMENT • Comprehensive and focused health history and physical assessment • Evaluation of newly worsened health status • Components - clinical, functional, activities of daily living (ADL), environment, social support, mental status examination (MSE) • Multidisciplinary geriatric assessment • Tools and scales for assessment - cognitive scales V 12 PSYCHOSOCIAL ISSUES RELEVANT TO GERIATRIC NURSING • Psychosocial aspects of ageing • Psychological changes in ageing • Learning, motivation, attention, and perception • Emotions • Human behaviour and needs in crisis • Stress and coping in crisis situations • Attitudes and caring with humanity • Social organization and community resources • Leadership role in community • Social roles and aspects in care of older persons[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 75 Unit Hours Content • Family and family relationships • Sociocultural influences on care of older person VI 10 INFLUENCES ON HEALTH AND ILLNESS A. Cultural • Demographics • Cultural concepts • Cultural variation in health and illness • Concepts of intercultural communication with older adults • Cultural theory and framework B. Family • Role and functions of families • Common late life family issues and decisions • Family care giving • Caregiver burden • Working with ageing families - strategies C. Socioeconomic and Environment • Socioeconomic factors • Environmental influences • Advocacy VII 8 SOCIAL SUPPORT AND SERVICES FOR AGEING • National policies and national health policies for older persons • Ageing and its influence in society • Role of governmental organizations and NGOs • Agencies working for the older person: national and state • Social support and social networking, self-help groups, older person clubs, role of police • Welfare measures and provision for the older persons - schemes available - national and state VIII 12 SPECIAL NEEDS IN GERIATRICS A. Nutrition • Assessment • Nutritional advice • Wellness: health promotion • Nutrition, Exercise B. Sleep and Activity • Stages of sleep • Normal age-related changes in sleep • Drugs influencing sleep • Sleep disorders and conditions influencing sleep • Management of sleep disorders C. Intimacy and Sexuality • Normal changes of ageing sexual response • Alternative sexual practices • Pathologic conditions affecting older adults’ sexual response • Environmental barriers to sexual practice D. Safety • Risk factors in rehabilitation setting • Prevention • Major non-fall related injuries • Vulnerable patients E. Mental Health • Major mental health problems - Bipolar affective disorder, depression • Mental health resources IX 12 COMMON PSYCHOPHYSIOLOGIC STRESSORS A. Chronic Illness and Rehabilitation • Chronicity76 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content • Rehabilitation B. Cancer • Overview of cancer • Psychosocial impact of cancer • Spirituality and cancer C. Pain • Overview of pain in the older adult D. Infection • Age related changes in the immune system • Factors affecting immunocompetence • Common problems and conditions E. Substance Abuse • Risk factors • Assessment • Interventions • Commonly abused substances in the older adult • Future trends F. Loss, Dying and Death • Loss, grief and mourning • The process of dying: older person’s perspective X 12 LEGAL AND ETHICAL ISSUES • Ethical principles, ethical decision making - advance directive, Will • Euthanasia • Ethical issues in geriatric medicine • Strategies in promoting ethical decision making • Organ donation, brain death - nurses’ role • Government Acts • Help Age India • Senior Citizen Act • Social justice • Social agencies - role of NGO • End of life care List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) • Assessment and health teaching on immunization • Mini mental status examination • Biomedical waste management • Geriatric home visit for societal support • Investigations: Cancer screening VIII. Geriatric Nursing - I COMPETENCIES

1. Assesses the impact of an acute, critical, and/or chronic illness or injury and the health promotion needs, social support and physical and mental health status.

2. Identifies the presence of co-morbidities, age-related changes, their impact on presenting health problems, potential for rapid physiologic and mental health deterioration.

3. Plans diagnostic strategies and appropriate uses of diagnostic tools to screen for and prevent squeal of acute and critical illnesses.

4. Manages the evaluation of acute, critical, and chronically ill patients through ordering, interpretation, performance, and supervision of diagnostic testing and clinical procedures.

5. Performs specific diagnostic strategies and technical skills to monitor and sustain physiological function and ensure patient safety.

6. Provides anticipatory guidance and counselling to individuals and their families based on identified health promotion needs.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 77

Hours of Instruction: Theory 96 hours + Lab/Skill Lab: 48 hours Unit Hours Content I 22 NURSING CARE OF ELDERLY WITH SYSTEMWISE AGE RELATED CHANGES AND COMMON DISORDERS Cardiovascular function • Common cardiovascular problems in elderly Respiratory function • Age related changes in structure and function • Respiratory changes associated with anaesthesia and surgery • Common respiratory problems and conditions in older person • Bronchopulmonary infection Endocrine function • Incidence of general pathology to the endocrine system in older adult • Normal glucose metabolism • Age related changes in glucose metabolism • Age related changes in the thyroid • Common problems in thyroid Liver function • Age related changes in structure and function of liver • Common problems and conditions Gastrointestinal function • Age related changes in structure and function in gastrointestinal system • Common problems and conditions Urinary function • Age related changes in urinary tract • Common problems and conditions • Urinary incontinence in the elderly • Normal prostate structure and function • Common problems in prostate • Sexual function Neurological function • Normal age-related changes of the neurologic system Neurological problems • Transient Ischemic Attack • Cerebrovascular Disorders and Stroke • Parkinson’s disease Integumentary system • Age related changes in skin structure and function • Common problems and conditions • Infection • Pressure sores Sensory function Vision • Age related changes • Common complaints in vision Hearing and balance • Auditory structures and their functions • Age related changes • Hearing loss • Management of hearing disability • Balance78 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content • Taste and smell • Age related changes in sensory function • Touch • Dental problems Musculoskeletal function • Age related changes in structure and function • Management of musculoskeletal disorders II 6 COGNITIVE DISORDERS Altered thought process • Delirium/acute confusion state • Dementia • Depression III 14 MENTAL DISORDERS IN ELDERLY • Epidemiology of mental disorders • Definition and classification of psychiatric disorders • Depression in old age • Bipolar disorder • Functional psychiatric disorders in old age • Personality and behavioural disorders • Psycho geriatric service • Management of psychiatric illness • Alcoholism and the elderly patient • Care giver’s problems IV 6 HOME CARE SERVICES • Geriatric home care services in India and western countries • Hospice care • Care giver’s role • Ambulatory care • Assistive devices V 6 QUALITY ASSURANCE • Quality assurance models applicable to geriatrics • Standards, protocols, policies, procedures • Infection control and practices • Standard safety measures • Nursing audit • Staffing VI 12 SURGERY IN THE ELDERLY • Preoperative assessment • Priorities for surgery • Surgical emergencies • Fractures • Pathological fractures • Benign lesions • Gangrene - amputation • Elective surgery • Post operative problems and management • Anaesthesia in old age VII 10 SPECIAL PROBLEMS Geriatric Syndrome • Pressure sore • Care of the chronically ill • Care of patients with terminal illness[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 79 Unit Hours Content • Religion and illness • Falls • Nursing home placement • Syncope • Frailty • Palliative care Gynaecological problems among elderly women • Gynaecological crisis • Vulvovaginal inflammation • Genital prolapses • Postmenopausal bleeding • Alterations in bladder function • Hormone treatment in postmenopausal women VIII 10 PREVENTIVE GERIATRICS • Preventing diseases and promoting health in old age • Theories/models of health promotion • Health belief model - general health practices in elderly • Exercise in the elderly - physical and mental domain - benefits of exercise • Development of anticipatory care and its rationale • Health promotion needs of older patients • Health promotion and health education in the elderly • Guidance and counselling to patients and families to meet health promotion needs • Anti-ageing interventions • Prevention of adverse drug reaction • Immunization IX 10 REHABILITATION • The concepts and history of rehabilitation • Goals of rehabilitation • Principles of rehabilitation • Rehabilitation in old age • Rehabilitation as teamwork • Self-care evaluation and management of activities of daily living • Aids and application • Role of physiotherapy in elderly • Contractures and other deleterious effects of immobility • Pressure ulcer • Rehabilitation of stroke in the elderly • Rehabilitation of specific diseases • Organization and effectiveness of rehabilitation services • Geriatric unit, day hospital, day care centre, long stay care institution List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) ▪ Diagnostic tool: geriatric depression scale, mini cog test, CAM ICU scale ▪ Psychometric testing ▪ Health education on assistive devices at home ▪ Quality project - infection control practice ▪ Preoperative preparation ▪ Care of patient with traction, splint, cast and amputation ▪ Wound dressing ▪ Podiatric care ▪ Investigations: HUT test80 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] IX. Geriatric Nursing - II COMPETENCIES

1. Individualizes the plan of care to reflect the dynamic nature of the patient's condition, age, developmental and life transitions, patients, and family’s needs.

2. Uses pharmacologic and non-pharmacologic management strategies to ameliorate physical and behavioural symptoms in individuals who have psychiatric/substance misuse disorders.

3. Prescribes medications maintaining awareness of and monitoring for adverse drug outcomes and complex medical regimens, especially in high-risk and vulnerable populations.

4. Manages pain and sedation for patients with complex acute, critical, and chronic illness.

5. Provides education and counselling to individuals and their families based on identified education and counselling needs.

Hours of Instruction: Theory 96 hours + Lab/Skill Lab: 48 hours Unit Hours Content I 4 INTRODUCTION • Morbidity and mortality in old age • Stereotyping of ageing - common myths and facts • Nursing process in caring for older patients • Challenges in caring for older adults • Role of nurse in supporting older adults II 6 MALIGNANCIES IN OLD AGE • Cancer in old age • Women and cancer: Breast cancer, endometrial and cervical cancer • Cancer screening in women • Principles of management: surgery, radiotherapy, chemotherapy • Quality of life in older person with cancer • Palliative care • Hospice care • Care of terminally ill - end of life care III 10 ADVANCES IN GERIATRIC MEDICINE • Alzheimer’s disease • Parkinsonism ▪ Osteoporosis ▪ Urinary incontinence ▪ Falls/prevention of fractures • Parenteral nutrition • Stroke clinic and memory clinic • Anti-ageing research IV 20 SPECIAL CARE SETTINGS Acute Care • Acute care environment • Client care issues • Future trends and research • Counselling - end of life care Home Care • Quality of life • Community based long term care • Home care • Profile of home health agencies • Continuity of care • Implementing the plan of treatment • Home care management and support • Quality assessment and improvement[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 81 Unit Hours Content Long Term Care • Clinical aspects of the nursing facility • Management aspects of the nursing facility • Specialty care settings • A resident’s perspective of life in a nursing facility • Family involvement in nursing facility • Innovations • Futuristic goals in nursing care V 10 ELDER ABUSE AND VIOLENCE • Identification of elder abuse • Likely victims • Prevention and management • Counselling client, abuser/family VI 6 CAREGIVER STRESS • Burden of care giving • Assessment of caregiver burden • Supportive the care giver VII 10 AGE FRIENDLY ENVIRONMENT • Safety considerations, prevention of risks, fall injuries • Modifications in home, institutions and community: roads, buildings, hospitals, public places, old age homes • Technology to enhance independence • Assisting devices • Role of society, neighbours, police VIII 6 THERAPEUTIC RELATIONSHIP • Nurse patient relationship • Therapeutic communication skills • Therapeutic touch • Role of a nurse in caring an elderly • Nursing care home IX 4 PATIENT AND FAMILY EDUCATION AND COUNSELLING • Challenges of patient and family education • Process of adult learning • Factors affecting teaching learning process • Informational needs of families in geriatric care • Counselling needs of patient and family • Counselling techniques X 20 COMMUNITY HEALTH:

HEALTH SERVICES AND PROGRAMS FOR OLDER ADULT • Older women in rural India • Types of services for care of older adult • Health promotion and disease prevention - Health education - Screening of general health - Screening for cancer of uterine cervix - Specific health promotion programs (smoking cessation, immunization) • Curative - Early diagnosis and treatment of day-to-day ill health in PHC, Medicare, mobile clinics - Health insurance/securities - Diagnosis and treatment of serious ill health in secondary and tertiary care hospitals - Chronic care in home • Rehabilitative82 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content - Physiotherapy, restorative surgery, prosthesis, occupational therapy • Mental health services - Counselling services for retirement, relocation, widowhood and bereavement, drug and substance abuse, ambulatory treatment for mental diseases - Role of a geriatric nurse specialist - Health education: concepts, principles, approaches and methods - Content of health education for older person List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) • Pain assessment - WHO ladder, VAS • Administration of chemotherapy drugs • Post monitoring of radiation therapy • Monitoring clinical parameters (system wise) • Total parenteral nutrition (TPN) • Investigations : bladder ultrasound, uroflowmetry • Bladder diary • Pelvic floor exercise • BLS/ACLS • PHC visit • Counselling: End of life care Bibliography • Cash Jill and Glass Cherya (2019). Adult Gerontology Guidelines (2nd ed.), Springer Publication, New York.

• Carpenter Dawn (2019). Adult Gerontology acute care nurse practitioner Q & A review, Springer publication, New York. • Charolotte Eliopoulos (2022). Gerontological Nursing (10th ed.), Philadelphia: Wolters Kluwer Publications.

• Linton Adrianne D. & Lach H.W. (2007). Matteson and McConnell’s Gerontological Nursing Concepts and Practice (3rd ed.), Saunders Publication. • Sharma K.L. (2007). Studies in gerontology intergenerational perspectives, Rawat Publications, Jaipur.

• Geriatric Tool Kit, Texas Nurses Association https://cdn.ymaws.com/www.texasnurses.org/resource/ resmgr/docs/practice/Geriatric_Competency_-_Full_.pdf • National Medical Council: https://www.nmc.org.in/information-desk/for-colleges/pg-curricula-2.,

https://www.nmc.org.in/wp-content/uploads/2019/09/MD-Geriatrics.pdf • National Geriatric Council: https://main.mohfw.gov.in/sites/default/files/8324324521Operational_ Guidelines_NPHCE_final.pdf APPENDIX-1 LIST OF EQUIPMENT FOR A THIRTY BEDDED GERIATRIC WARD

1. Adjustable geriatric cot wit mattress (head end, foot end elevation, cot raising facility, trapeze bar, foot board, side rails - 30

2. IV stand - 20

3. Bed side locker - 30

4. Over bed trolley - 30

5. Dressing trolley (Small) - 5

6. Dressing trolley (medium) - 2

7. Syringe pump - 10

8. Infusion pump - 10

9. Alpha mattress or air mattress - 25

10. Monitors - 10

11. Transport monitor/pulse oximeter - 2

12. ECG machine - 1

13. Ultrasound machine (bladder) - 1

14. Defibrillator - 1

15. Crash cart - 1[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 83

16. Crash cart items: Ambu bag, Laryngoscope, drugs, suction catheters

17. Height adjustable transfer trolley - 4

18. OR trolley - 1

19. Wheelchair with lock - 6

20. Safe slider - 1

21. Computer - 4

22. Printers - 2

23. Oxygen flowmeter - 15

24. Suction port with jar - 15

25. Pulmo-aid - 10

26. Refrigerator - 3 (1 - feeds, 1 - drugs, 1 - other use)

27. Metal footstep/foot stool - 20

28. Ambulation geriatric chair - 6

29. Flat trolley - 1

30. Spotlight - 2

31. Glucometer - 6

32. Tuning fork - 2

33. Ophthalmoscope - 1

34. Otoscope - 1

35. Knee hammer - 2

36. Inch tape - 2

37. Assistive devices - Walker, quadripods, tripod

38. Trays with sterile sets/disposable sets for various procedures (e.g., Insertion of central venous catheter, tracheostomy etc.)

39. Snellen’s chart

40. Nebulizer - 4

41. Pulse Oximeter - 2

Other items for mobility and exercise: minimum standard

42. Cervical traction (intermittent)

43. Walking for gait training equipment

44. Walking Sticks/Callipers

45. Shoulder Wheel

46. Pulley

47. Walker (ordinary)

48. Cervical traction (manual) Physiotherapy equipment Short wave diathermy, wax bath, Interferential Therapy Unit, Exercise Therapy Unit - Parallel Bars, Stationery Cycle, Mariner’s Wheel etc. Assistive Devices - Working frames, Wheelchairs, Bedside Chairs, Hoist, tilt table etc.

Setting up geriatric ward • Oxygen outlets - 2 • Vacuum outlets - 2 • Compressed air outlets - 1 • Electric outlets (2 on each side of patients) with 5/15-amp pins • Central nursing station The Department of Geriatrics in the Medical College hospitals should have the following building outlay for the inpatient and outpatient services.

OPERATIONAL GUIDELINES Out Patient Department a. Waiting hall/registration room - 36 sq.m. with computer, telephone. b. Three OPD Cubicles - 6 sq.m. each c. Pharmacy d. Special Clinic e. Resuscitation room f. Physiotherapy (for both out-patients and in-patients)84 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] g. ECG - 12 sq.m.

h. Basic Radiology Services i. Laboratory/sample collection room j. Counselling room k. Demonstration room - 36 sq.m. l. Library m. Faculty room - 11 sq.m. n. Injection/procedure room - 12 sq.m.

In-patient Services (30 bed ward) • Male wards: 15 beds (3 acute care, 7 sub-acute care and 5 long term care) • Female wards: 15 beds (3 acute care, 7 sub-acute care and 5 long term care) • Pantry room, linen room, nursing station, duty doctor’s room, side lab, procedure room, class room, lecture hall, faculty room, library, administrative office, Storeroom, bathroom with shower chair facility, shower stretcher, recreational hall.

General Guidelines of Age-Friend Environment • Wide corridors, ramps, railings, grab bars, anti-skid tiles, adequate illumination, Allen door key lock/toilet for the disabled and elevators should be implemented in the outpatient and inpatient facility.

• Items for occupational therapy services - art and craft items, indoor games items, charts, television. • Develop a comprehensive database, website, practice guidelines, model outpatient and inpatients records, assessment (cognitive and functionality).

• Carry out research on: the biology of ageing, social and psychological aspects of ageing and family support, caregiver burden, epidemiology of various old age disease, innovations in interventions, anti-ageing medicine etc., as single centre or multi-centric studies with funding from national and international agencies.

(Ref : MOHFW guidelines) APPENDIX-2 ASSESSMENT GUIDELINES (including OSCE guidelines) INTERNAL ASSESSMENT (Theory and Practical) Ist Year

1. Theoretical Basis for Advanced Practice Nursing

College examination of Theory only: 50 marks

Internal assessment:

Test paper and Quiz: 10 marks Written assignment/term paper: 10 marks (Global and National Healthcare Trends & Policies) Clinical seminar (Clinical/Care pathway in specific clinical condition/Application of specific nursing theory): 5 marks

Final theory exam: 25 marks

Total: 50 marks

2. Research Application and Evidence Based Practice in Geriatric Care

Theory:

Test papers: 20 marks

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

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

Total: 30 marks

3. Advanced Skills in Leadership, Management and Teaching

Theory:

Test papers: 15 marks Journal club (Trends in Leadership/Management/Teaching): 5 marks

Written assignment: 5 marks (Geriatric syndrome)

Microteaching: 5 marks

Total: 30 marks

4. Advanced Pathophysiology & Advanced Pharmacology applied to Geriatric Nursing

Theory:

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

Drug studies: 5 marks (Drug study and presentation) Case presentation and case study report (Pathophysiology): 5 marks[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 85

Total: 30 Marks

5. Advanced Health/Physical Assessment

Theory:

Test papers: 20 marks

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

Total: 30 marks

Practicum:

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

Case presentation and case study report: 5 marks

Internal OSCE: 25 marks

Total Internal practical: 50 marks (End of posting exam can be conducted in any Geriatric Ward/unit, one practical session should be in the community) IInd Year

1. Foundations of Geriatric Nursing Practice

Theory:

Test papers and Quiz: 20 marks

Written assignment: 10 marks (Government programs)

Total: 30 marks

Practicum:

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

Internal OSCE: 50 marks

Total Internal practical: 100 marks

2. Geriatric Nursing - I

Theory:

Test papers and Quiz: 20 marks

Clinical seminar and Journal club: 10 marks

Total: 30 marks

Practicum:

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

Clinical presentation: 10 marks

Case study report: 10 marks

Internal OSCE: 50 marks

Total Internal practical: 100 marks

3. Geriatric Nursing - II

Theory:

Test papers: 20 marks

Clinical Seminar: 10 marks

Total: 30 marks

Practicum:

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

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

Internal OSCE: 50 marks

Total Internal practical: 100 marks (End of posting exam can be conducted in any Geriatric Ward/unit, one practical session should be in the community)

4. Dissertation

Practicum: 50 marks86 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] EXTERNAL (FINAL) EXAMINATION (As per schedule in syllabus)

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

OSCE: 25 marks CORE COMPETENCY DOMAINS

1. Focused history taking

2. Physical examination of a geriatric patient

3. Interpretation of findings and results

4. Monitoring of clinical parameters

5. Scales - cognitive, depression, bedsore etc.

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

Time for each station: 10 minutes

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

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

OSCE: 50 marks CORE COMPETENCY DOMAINS

1. Focused history taking of geriatric patient

2. Focused physical examination of geriatric patient

3. Interpretation of history

4. Interpretation of physical exam findings

5. Interpretation of results of laboratory diagnostic tests

6. Monitoring clinical parameters

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

Time for each station: 10 minutes

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

Total: 8 × 5 = 40 marks Oral exam = 10 marks Total = 50 marks On completion of procedural competencies in log book and clinical requirements, the NP student is qualified to appear for final practical examination.

IInd YEAR II. FOUNDATIONS OF GERIATRIC NURSING PRACTICE, GERIATRIC NURSING - I & GERIATRIC NURSING - II (The same pattern described below is followed for all the three courses respectively) INTERNAL

OSCE: 50 Marks CORE COMPETENCY DOMAINS

1. Focused history taking and physical examination and interpretation of findings and results

2. Monitoring competencies (Geriatric assessment)

3. Therapeutic interventions (Emergency procedural competencies) including drug administration

4. Family education and counselling - breaking bad news, case education[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 87

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

Time for each station: 10 minutes

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

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

OSCE: 100 marks CORE COMPETENCY DOMAINS

1. Focused history taking, physical examination and interpretation of results of geriatric patient

2. Monitoring competencies

3. Development of care plan

4. Family education and counselling

5. Therapeutic interventions (Emergency procedures) including drug administration

6. Family centred care

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

Time for each station: 10 minutes

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

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

Specific guidelines for using assessment scales a. Skin integrity - Braden scale, Norton pressure sore risk assessment scale. b. Urinary incontinence - IPSS questionnaire, male urogenital distress inventory (MUDI).

c. Geriatric syndrome - SPICES Tool (sleep disorders, problems with eating or feeding, incontinence, confusion, evidence of falls, skin breakdown), comprehensive geriatric assessment. d. Nutritional status assessment - 72 hours recall, swallowing assessment.

e. Pain - Pain scale assessment (visual analogue scale), geriatric pain assessment. f. Sleep - Pittsburgh sleep quality index (PSQI), Epworth sleepiness scale (ESS). g. Cognitive function - Geriatric Depression Scale (GDS), the Impact of Event scale, CAM - ICU - Confusion assessment method for ICU, Mini Cog test, TUG test, Folstein Mini Mental Status Examination (MMSE), IQCODE, MOCA.

h. Screening for delirium, dementia and depression in older adults - nursing best practice guidelines. i. Restraints. j. Elder mistreatment assessment. k. Falls prevention - Falls Efficacy Scale - international (FES-I), Modified Morse Fall Risk scale, Performance oriented mobility assessment (POMA), Fall risk assessment scale (FRAT-up scale).

l. Communication - Hearing screening in older adult. m. Care giver coordination - modified caregiver strain index (MCSI). n. Activities of daily living - functional assessment - Barthel index. o. Rehabilitative measures - Self efficacy for exercise scale (SEE scale).

APPENDIX-3 CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN GERIATRIC NURSING (NPGN) PROGRAM (Procedural Competencies/Clinical Skills) Ist YEAR S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty I RESEARCH APPLICATION AND EVIDENCE BASED PRACTICE 1 Preparation of research instrument 2 Writing systematic review/literature review88 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty 3 Preparation of a manuscript for publication (Ist or IInd Year) 4 Dissertation (IInd year)

Topic:

II LEADERSHIP, MANAGEMENT AND TEACHING 1 Preparation of staff patient assignment 2 Preparation of unit budget 3 Preparation of staff duty roster 4 Patient care audit in the unit 5 Management of equipment and supplies 6 Monitoring, evaluation and writing report related to infection control/adverse drug reaction 7 Preparation of teaching plan and media for teaching patients/staff 8 Micro teaching/patient education sessions 9 Planning and conducting OSCE/OSPE 10 Construction of tests III HEALTH ASSESSMENT 1 Comprehensive history taking 2 Comprehensive geriatric assessment 3 Focused physical examination (System wise)

3.1 Respiratory system

3.2 Cardiovascular

3.3 Gastrointestinal

3.4 Nervous

3.5 Genitourinary

3.6 Endocrine

3.7 Haematological

3.8 Musculoskeletal

3.9 Integumentary

3.10 Sensory organs a. Vision b. Hearing 4 Geriatric assessment 5 Assessment of muscle power 6 Gait assessment 7 Nutritional assessment 8 Fall risk assessment 9 Functional assessment - Barthel index 10 Mini Mental Status Examination 11 Pain assessment 12 Pressure sore assessment 13 Assessment and care of patients with dementia 14 Assessment and care of patients with Parkinsonism 15 Geriatric depression scale 16 Mini cog test 17 Timed up and Go test[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 89 S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty IV PROCEDURES TO BE PERFORMED 1 Residual urine measurement by bladder ultrasound 2 Cardiac monitoring 3 Arterial BP monitoring 4 Oropharyngeal airway 5 Endotracheal suctioning 6 Oral suctioning 7 IV cannulation/therapy 8 Oxygen therapy a. Nasal cannula/Venturi/Simple Face mask b. NIV 9 Care of tracheostomy 10 Diet planning a. Soft solid b. Liquid diet 11 Total Parenteral Nutrition 12 Care of pressure sore 13 Elderly rehabilitation a. Eye care 14 Exercise a. Swallow b. Speech c. Brandt-Daroff 15 Physiotherapy a. Chest/Limbs 16 Exercise a. Isotonic exercise b. Isometric exercise 17 Care of patients on restraints a. Physical b. Chemical 18 End of life care 19 Counselling a. Patient b. Family 20 Administration of IV drugs 21 Intramuscular Injection 22 Podiatric care 23 Setting of ventilators 24 Care of patient with a. Ventilators b. Infusion pump 25 Home safety measures 26 Pain management a. Acute pain - visual analogue scale b. Chronic pain - WHO pain ladder 27 Care of patient on a. Cast b. Splint c. Traction90 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty d. Amputee 28 Use of prosthesis/hearing aid 29 Care of dentures 30 Use of walkers 31 Use of wheelchairs 32 Assistive devices for ADL THERAPIES 33 Diversional therapy 34 Cognitive stimulation therapy 35 Group therapy HEALTH EDUCATION 36 Glucose monitoring 37 Home care management of insulin 38 Self-administration of insulin 39 Metered dose use 40 Therapeutic diets 41 Foot care 42 Vaccination 43 Oxygen concentrators 44 Portable suctioning 45 Participation in Group Counselling * - When the student is found competent to perform the skill, it will be signed by the preceptor.

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

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

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

Signature of the Program Coordinator/Faculty Signature of the HOD/Principal IInd YEAR S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty ADVANCED COMPETENCIES 1 Setting up, use and maintenance of geriatric ward equipment

1.1 Ventilator

1.2 Defibrillator

1.3 Pacemaker

1.4 CRASH trolley

1.5 CPAP/BiPAP machines 2 Triage 3 Family education and counselling 4 Discharge/LAMA check list 5 Medico-legal compliance[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 91 S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty 6 End of life care 7 After life care 8 Infection control practices 9 Standard/Universal precautions 10 Disinfection/sterilization 11 BLS and ACLS 12 Preparation of policies/standards/protocols in ICU 13 Administration of medication (includes standing orders) Ist & IInd Year

13.1 Catecholamines (calculation, titration & administration) a. Adrenaline b.

13.2 Antidysrhythmic a. Amiodarone b.

13.3 Adrenergic agent a. Ephedrine b.

13.4 Bronchodilators a. Aminophylline b. Deriphylline c.

13.5 Analgesics a. NSAIDs

13.6 Antihistamine a. Avil

13.7 Antihypertensives a. Glyceryl Trinitrate b.

13.8 Corticosteroids a. Hydrocortisone

13.9 Antiepileptics a. Levetiracetam b.

13.10 Muscle relaxants & Sedatives a. Valium b.

13.11 Antipyretics

13.12 Anti Parkinson’s disease a. b.

13.13 Electrolyte and acid base correction agents (Na, K, Cal, P, Mg, Fe) a. Soda bicarbonate 8.4% b. Soda bicarbonate 7.5% c. Potassium chloride d. 3% Normal Saline (sodium chloride) e. 0.9% Normal Saline (sodium chloride)

13.14 Anti-diabetic agents a. Insulin b.92 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty 14 Management of Cardiovascular Alterations

14.1 Intravenous fluid administration (Colloid/Crystalloid)

14.2 Blood and blood product administration

14.3 Application of TED stocking

14.4 Care of Patient on Pacemaker 15 Management of Pulmonary Alterations

15.1 Care of airway

15.2 Laryngeal mask airway application

15.3 Extubation

15.4 Endotracheal/tracheal suctioning - Open and closed

15.5 Nebulization

15.6 Care of patient with chest drainage tube

15.7 Care of patient on invasive ventilation

15.8 Non-invasive ventilation

15.9 Connecting to ventilator

15.10 Weaning from ventilator

15.11 Use of T-tube and Venturi devices

15.12 Weaning from tracheostomy

15.13 Chest physiotherapy 16 Management of Neurological Alterations

16.1 Sensory stimulation

16.2 Consciousness/Coma status monitoring

16.3 ICP monitoring 17 Management of Genitourinary Alterations

17.1 Care of patient on haemodialysis

17.2 Initiating peritoneal dialysis

17.3 Care of patient on peritoneal dialysis

17.4 Calculation of fluid replacement

17.5 Bladder ultrasound

17.6 Uroflowmetry

17.7 Management of bladder incontinence • Bladder diary/Timed voiding • Condom catheterization • Diaper use

17.8 Pelvic floor Exercise (Kegel’s exercise) 18 Management of Gastrointestinal Alterations

18.1 Estimation of dietary allowance

18.2 Therapeutic diet planning

18.3 Enteral nutrition - Gastrostomy/Jejunostomy feeding

18.4 Administration of Parenteral nutrition (TPN)

18.5 Hypodermoclysis 19 Management of Endocrine Alterations

19.1 Insulin therapy (sliding scale & infusion)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 93 S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty Calculation, titration, and administration

19.2 Steroids-Calculation and administration

19.3 Foot assessment

19.4 Health teaching a. Self-administration of insulin b. Foot care 20 Ordering Investigations

20.1 ECG

20.2 ABG

20.3 Chest X-Ray

20.4 Basic microbiology investigations

20.5 Basic biochemistry investigations 21 Ordering Procedures/Treatment

21.1 Nebulization

21.2 Chest physiotherapy

21.3 Insertion and removal of urinary catheter

21.4 TEDS

21.5 Surgical dressing

21.6 Application of Ichthammol Glycerine/Magnesium Sulphate dressing for Thrombophlebitis/extravasation

21.7 Pin site care for patients on external fixators

21.8 Isometric and isotonic exercises

21.9 Hot and cold applications

21.10 Digital evacuation 22 Procedures Observed

22.1 Gastroscopy

22.2 Cystoscopy 23 Field Visit

23.1 Old age home

23.2 Hospice centre

23.3 Day care centre

23. 4 Geriatric club * - When the student is found competent to perform the skill, it will be signed by the preceptor.

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

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

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

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

Signature of the Program Coordinator/Faculty Signature of the HOD/Principal94 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] APPENDIX-4 CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN GERIATRIC NURSING PROGRAM Ist YEAR S.No. Clinical Requirement Date Signature of the Preceptor/Faculty 1 Clinical Seminar/Journal Club/Clinical Conference

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

Title of the topic:

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

Title of the topic:

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

Title of the topic:

2 Clinical Rounds (With Nursing staff, faculty, students) - Case/Clinical Presentation

2.1 Pathophysiology (Clinical Conditions)

Name of the clinical condition:

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

Name of the clinical condition:

2.3 Pharmacology - Drug Studies (Drugs listed under Standing Orders) - written report of 5 presentations (Bedside Presentations)

Name of the drug:

2.3.1

2.3.2

2.3.3

2.3.4

2.3.5

2.3.6

2.3.7

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

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

3.1.1.

3.1.2.

3.1.3.

3.1.4.

3.1.5.

3.2 Health Assessment (Geriatric) - History & Physical Examination (Two written reports)

3.2.1.

3.2.2.

3.2.3. *Advanced Practice Nursing - APN, Research Application - RA, Leadership, Management and Teaching - LM&T Signature of the Program Coordinator/Faculty Signature of the HOD/Principal[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 95 CLINICAL EXPERIENCE DETAILS – Ist YEAR Name of Ward/ Clinical Condition Number of Signature of Clinical Unit days care given Faculty/Preceptor Signature of the Program Coordinator/Faculty Signature of the HOD/Principal IInd YEAR CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN GERIATRIC NURSING PROGRAM S.No. Clinical Requirement Date Signature of the Preceptor/Faculty 1 Clinical Seminar/Journal Club/Clinical Conference

1.1 Foundations of Geriatric Nursing Practice (Clinical Conference)

Title of the topic:

1.2 Geriatric Nursing - I (Clinical Seminar)

Title of the topic:

1.3 Geriatric Nursing - I (Journal Club)

Title of the topic:

1.4 Geriatric Nursing - II (Clinical Seminar)

Title of the topic:

1.5 Geriatric Nursing - II (Journal Club)

Title of the topic:96 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Clinical Requirement Date Signature of the Preceptor/Faculty 2 Clinical Rounds (with Nursing Staff, Faculty, Students) - Case/Clinical Presentation (Written reports are for submission)

2.1 Foundations of Geriatric Nursing Practice (Family Education/Counselling) (Written report)

Title of the topic:

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

Title of the topic:

2.3 Geriatric Nursing - I (Clinical Presentation)

Name of the clinical condition:

2.4 Geriatric Nursing - I (Case Study Report)

Name of the clinical condition:

2.5 Geriatric Nursing - II (Clinical Presentation)

Name of the clinical condition:

2.6 Geriatric Nursing - II (Case Study Report)

Name of the clinical condition:

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

Name of the drug:

2.7.1 Name of the drug:

2.7.2

2.7.3

2.7.4

2.7.5

2.7.6

2.7.7

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

3.1 Geriatric Nursing - I (Clinical Presentation)

Name of the clinical condition:

3.2

3.3

3.4

3.5 (Case Study Report)

3.6 Geriatric Nursing - II (Clinical Presentation)

3.7

3.8

3.9 (Case Study Report)

3.10 Written Report (Developed Clinical/Care Pathway)

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

Signature of the Program Coordinator/Faculty Signature of the HOD/Principal[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 97 CLINICAL EXPERIENCE DETAILS - IInd YEAR Name of Ward/ Clinical Condition Number of Signature of Clinical Unit days care given Faculty/Preceptor Signature of the Program Coordinator/Faculty Signature of the HOD/Principal APPENDIX-5 STANDING ORDERS Nurse Practitioners are prepared and qualified to assume responsibility and accountability for the care of geriatric patients. They collaborate with intensivists, physicians, surgeons, and specialists to ensure accurate therapy for patients with high acuity needs. On completion of the program, the Nurse Practitioners will be permitted to administer drugs listed in standing orders as per the institutional standing orders. They will also be permitted to order diagnostic tests/procedures and therapies as per institutional protocols.

STANDING ORDERS The following intravenous injections or infusions may be administered by the Nurse Practitioner during

emergency:- Catecholamines

1. Adrenaline

2. Vasopressin Antidysrhythmic

3. Amiodarone98 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Adrenergic agent

4. Ephedrine Bronchodilators

5. Aminophylline

6. Deriphylline

7. Tiova Antihistamine

8. Avil Antihypertensives

9. Glycerine trinitrate Corticosteroid

10. Hydrocortisone Antiepileptic

11. Levetiracetam Sedatives & relaxants

12. Valium Electrolytes & acid base correction agents

13. Soda bicarbonate 8.4%

14. Soda bicarbonate 7.5%

15. 3% Normal saline

16. 0.9% Normal saline

17. Antipyretics

18. Anti Parkinson’s drugs Repeat medications

19. Calcium supplements - Sandacol, Shelcal, Osteocalcium

20. Oral antidiabetic agents - Metformin, Glynase, Insulin The following investigations and therapies may be ordered by the NPs Ordering Investigations Ordering Therapies • ECG • Nebulization • ABG • Chest physiotherapy • Chest X-Ray • Distal colostomy wash • Basic Biochemistry investigations - • Insertion and removal of urinary catheter for female Hb, PCV, TIBC, WBC Total, WBC differentials, patients ESR, Electrolytes, platelets, PT, aPTT, bleeding • Test feeds and clotting time, procalcitonin, D-dimer, • TEDS creatinine, HbA1c, AC, PC, HDL, LDL, TIG, • Surgical dressing Cholesterol total, HIV, HBsAg, HCV • Starting and closing dialysis • Basic Microbiology investigations - • Application of Ichthammol Glycerine/Magnesium blood samples for culture and sensitivity Sulphate dressing for Thrombophlebitis/extravasation.

• Pin site care for patients on external fixators • Isometric and isotonic exercises • Digital evacuation INSTITUTIONAL STANDING ORDERS AND PROTOCOLS In every hospital, the standing orders for drug administration with specific dosage to be administered during emergency situations can be made available as guidelines for NPGN graduates. The NP students will be trained to administer these drugs under supervision by preceptors/NP faculty. The protocols for ordering selected investigations and carrying out specific therapeutic procedures can also be available in every hospital that trains NPGN students.

DR. T. DILEEP KUMAR, Chairman [ADVT.-III/4/Exty./611/2024-25] 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.