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

रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99 सी.जी.-डी.एल.-अ.-23102024-258163 xxxGIDHxxx CG-DL-E-23102024-258163 xxxGIDExxx असाधारण EXTRAORDINARY भाग III—खण् ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 839] नई दिल्ली, सोमवार, अक्त बू र 21, 2024/आज‍व न 29, 1946 No. 839] NEW DELHI, MONDAY, OCTOBER 21, 2024/ASVINA 29, 1946 अजधसचू ना नई दिल्ली, 7 अक् तूबर , 2024 (I).—le;&le; ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 ¼1947 dk XLVIII½ dh èkkjk 16¼1½ ds vèkhu çnÙk 'kfDr;ks a dk ç;ksx djrs gq, Hkkjrh; mip;kZ ifj"kn~ ,rn~}kjk fuEufyf[kr fofu;e cukrh gS] ;Fkk%& i. ;s fofu;e dgs tk;sxa sA 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;&le; ij ;Fkkla'kkfsèkr Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 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; lacafèkr jkT; ljdkjkas }kjk fdlh Hkh uke ls xfBr jkT; mip;kZ ,o a çlkfodk iathdj.k ifj"kn~ ls gS( 6837 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 fMIyksek bu tujy uÉlx ,aM feMokbQjh ¼th,u,e½ ikBîØe] tSlk fd ifj"kn~ }kjk fuèkkZfjr fd;k x;k gks] lQyrkiwoZd iwjk dj fy;k gks vkSj fdlh ,d ,l,uvkjlh es a iathÑr mip;kZ ,o a iathÑr çlkfodk ds :i es a iathÑr gks( v. ^ulZ iathdj.k ,o a 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;s ,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; ifjnf'kZdk ¼vkj,y,poh½ ds vkda M+ksa ds laxzg ds fy;s ^vkèkkj* ck;ksesfVªd çek.khdj.k ij vkèkkfjr ekudhÑr çk:i gSa( vi. ^,u;wvkbZMh* dk vfHkçk; ,uvkjVh,l }kjk çR;k'kh dk s fn;k tkus okyk ulsZt ;wfud vkbMsafVfQds'ku uEcj ls gS( vii. ^tujy uÉlx ,aM feMokbQjh ¼th,u,e½* dk vfHkçk; ifj"kn~ }kjk vfèkfu;e dh èkkjk 10 ds rgr LohÑr rFkk vfèkfu;e dh vuqlwph ds Hkkx&1 es a 'kkfey fMIyksek bu tujy uÉlx ,aM feMokbQjh çf'k{k.k ls gSA I. jk"Vªh; LokLF; uhfr nLrkost ¼,u,pih] 2017½ esa r`rh;d ns[kHkky lsokvksa dk foLrkj djus] fo'ks"kK ulZ rS;kj dju s vkSj ulks± ds fy;s uSnkfud çf'k{k.k ds ekudhdj.k dh vko';drk ij tkjs fn;k x;k gSA blds çR;qÙkj Lo:i] ifj"kn~ us ekStwnk fof'k"V uÉlx dk;ZØe dks ;ksX;rk&vkèkkfjr çf'k{k.k n`f"Vdk.s k viukr s gq, bUgas ,d&o"khZ; ikLs V csfld fMIyksek vkoklh; dk;ZØeksa ds :i es a ifjofrZr dju s dh ;kts uk cukbZ gSA dkÆM;ksFkksjsfld uÉlx es a ikLs V csfld fMIyksek & vkoklh; dk;ZØe esa la'kkfsèkr fn'kkfunsZ'k 'kkfey gSa] ftudk mís'; fo'k"skK ulZ rS;kj djuk gS tks ân; rFkk o{k&xºoj lacèa kh ¼dkÆM;ksFkkjs sfld½ fodkjks a ls ihfM+r jksfx;ks a ftudh uSnkfud] mipkjkRed vkSj n[s kHkky dh vko';drk;s a tfVy rFkk xgu gksrh gSa] dks l{ke n[s kHkky çnku dj ldsAa thou'kSyh esa rts h ls cnyko ds dkj.k Hkkjrh;ks a dh ân; lacèa kh leL;k, a rsth ls çeq[k LokLF; leL;k curh tk jgh gSA bl pqukSrh ls yM+u s ds fy, LokLF; dfeZ;ks a es a ,d cM+h Çprk iSnk gks xbZ gSA blls lHkh Lrj ds ykxs çHkkfor gks jgs gSaA o"kZ 1983 ls jk"Vªh; LokLF; uhfr us ykxs kas dh t:jrksa dks dkQh gn rd iwjk djus es a LokLF; n[s kHkky ç.kkyh dk ekxZn'kZu fd;k gSA ;g uhfr r`rh;d n[s kHkky laLFkkukas ds fy, vko';d lqij&Lifs'k;fyVh ulk±s ds fy, çf'k{k.k ikBîØe LFkkfir dju s dh vko';drk dks igpkurh gSA dkÆM;ksFkksjsfld uÉlx es a ikLs V cfsld fMIyksek & vkoklh; dk;ZØe fo'k"sk :i ls çf'kf{kr dkÆM;ksFkkjs sfld ulks± dks rS;kj dju s ds fy, cuk;k x;k gSA bl dk;ZØe ds QyLo:i fofHkUu LokLF; ns[kHkky lek;kts uksa esa l{ke uÉlx n[s kHkky çnku dju s ds fy, dkÆM;ksFkkjs sfld ulks± ds :i esa vfèkd ulZ rS;kj dju s es a enn feysxhA II. ifj"kn~ dk ekuuk gS fd ân; rFkk o{k&xºoj lacèa kh ¼dkÆM;kFs kksjfsld½ fodkjkas ls ihfM+r jksfx;ks a dks l{ke n[s kHkky çnku dju s ds fy, iathÑr ulks± dks uSnkfud lek;kstuks a es a dkÆM;ksFkksjfsld uÉlx es a çf'kf{kr dju s dh vko';drk gSA ulk±s dh c<+rh Hkwfedk vkSj çkS|ksfxdh esa çxfr ds eísutj dkÆM;ksFkksjsfld n[s kHkky es a çHkkoh Hkkxhnkjh fuHkkus ds fy, ulks± dks vfrfjDr çf'k{k.k dh vko';drk gkrs h gSA III. dkÆM;kFs kksjfsld Lisf'k;fyVh uÉlx es a ikLs V cfsld fMIykes k ,d ,d&o"khZ; vkoklh; dk;ZØe gS vkSj bl ikBîØe dh voèkkj.kk es a ewyHkwr y?kq ikBîØe vkSj fo'ks"k uÉlx vH;kl ds fy, c`gn fof'k"V ikBîØe lfEefyr fd; s x;s gSaA O;kolkf;drk] laokn] jksxh çf'k{k.k rFkk ijke'kZ] uSnkfud urs `Ro rFkk lalkèku çcèa ku] vkSj lk{; vkèkkfjr rFkk vuqç;qDr 'kkès k] dkÆM;ksFkkjs sfld Lifs'k;fyVh uÉlx vH;kl ds ewyHkrw y?kq ikBîØe gSa] ftudk y{; Nk=ksa dks tokcnsg] lqjf{kr vkSj l{ke fo'ks"kK ulZ dh rjg dk;Z dju s ds fy, vko';d tkudkjh] n`f"Vdks.k ,oa n{krk çnku djuk gSA çeq[k fof'k"V ikBîØekas dks dkÆM;kFs kksjfsld Lifs'k;fyVh uÉlx I vkSj dkÆM;ksFkkjs sfld Li's kfyVh uÉlx II ds rgr lqfu;ksftr fd;k x;k gS] ftuesa dkÆM;ksFkksjfsld uÉlx dk lanHkZ@ifjp;] dkÆM;ksFkksjsfld uÉlx es a ç;qDr lkekU; foKku ¼dkÆM;kFs kksjfsld Lifs'k;fyVh uÉlx ds vra xZr vku s okyh uSnkfud ifjfLFkfr;kas ds funku vkSj mipkj esa lkekU; foKku dh tkudkjh dk mi;ksx½] uÉlx çcèa ku] vkda yu] funku] mipkj vkSj fof'k"V uSnkfud[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3 fLFkfr;kas ds çcèa ku es a fof'k"V eè;orZu rFkk jksxh lqj{kk vkSj fof'k"Vrk@chekjh ds foops u ds lkFk&lkFk xq.koÙkk 'kkfey gSaA bl vkoklh; dk;ZØe ds ikBîØe dh lajpuk fuEufyf[kr fp=&1 es a n'kkZbZ xbZ gSA O;kolkf;d fof'k"V uÉlx vH;kl dk dq'kyrk lanHkZ@ifjp; laokn] fof'k"V n[s kHkky jksxh çf'k{k.k eas ç;qDr vkSj ijke'kZ lkekU; foKku uSnkfud urs `Ro vkadyu vkSj vkSj lalkèku fof'k"V eè;orZuks a lfgr çcaèku uÉlx çcaèku lk{; vkèkkfjr jksxh lqj{kk vkSj vkSj vuqç;qDr xq.koÙkk rFkk jksx 'kksèk lacafèkr foospu IV. bl dk;ZØe dks ân; rFkk o{k&xºoj lacèa kh ¼dkÆM;ksFkksjfsld½ fodkjks a ls ihfM+r jksfx;ks a dks xq.koÙkkiw.kZ n[s kHkky çnku djus grs q fo'ks"k dkS'ky] tkudkjh vkSj ço`fÙk oky s ulZ rS;kj dju s ds fy, cuk;k x;k gSA bldk mís'; rduhdh :i ls ;ksX; vkSj çf'kf{kr fo'ks"kK ulZ rS;kj djuk gS tks n[s kHkky ds mPp ekudkas dks çnku djus oky s r`rh;d@prqFkZd vLirkyks a ds dkÆM;ksFkkjs sfld dsaæksa es a çHkkoh <ax ls vkSj b"Vre :i ls dk;Z dj ldsaxsA dk;ZØe ds iwjk gkus s ij] dkÆM;ksFkksjsfld Lisf'k;fyLV ulZ fuEukafdr dk;Z dju s esa l{ke gkaxs s%& 1- dkÆM;kFs kksjfsld vH;kl es a ifj"kn~ ds ekudkas ds vuqlkj lnkpkjh] ijksidkjh] dkuwuh] uSfrd] fofu;ked vkSj ekuorkoknh fl)kra kas ds vuq:i uÉlx n[s kHkky çnku dju s esa i's kos j tokcngs h çnf'kZr djukA 2- jksfx;kas] ifjtuks a vkSj O;kolkf;d lg;ksfx;kas ds lkFk çHkkoh <xa ls ckrphr djuk ftlls vkil es a lEeku dh Hkkouk dk s c<+kok feys vkSj LokLF; ifj.kkekas es a lqèkkj ykus ds lk>k fu.kZ; fy;s tk ldsAa 3- mipkj vkSj n[s kHkky es a jkfsx;kas rFkk ifjtuks a dh çHkkoh :i ls Hkkxhnkjh lqfuf'pr dju s ds fy;s mUgas çf'kf{kr djuk vkSj ijke'kZ nus k rFkk ladV ,o a fo;ksx dh ifjfLFkfr es a mudh eqdkcyk dju s dh {kerk esa o`f) djukA 4- uSnkfud usr`Ro rFkk lalkèku çcaèku j.kuhfr;kas dh le> dk çn'kZu djuk vkSj lg;kxs h rFkk çHkkoh nyh; dk;Z dks c<k+ok nsu s ds fy;s dkÆM;kFs kksjfsld ns[kHkky rFkk lek;kts u esa mudk mi;kxs djukA 5- dkÆM;kFs kksjfsld uÉlx vH;kl es a O;kogkfjd fu.kZ; ysu s ds fy;s uSnkfud fo'k"skKrk vkSj jkxs h dh ojh;rkvksa ds fygkt ls] vuqHko vkSj ewY;ks a ds lkFk dkÆM;ksFkksjsfld n[s kHkky vkSj mipkj esa lkef;d lokZsÙke çek.kksa dh igpku] vkadyu vkSj mi;ksx djukA4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 6- ,ls s 'kksèk vè;;uksa es a Hkkx ysuk] tks 'kksèk çfØ;k dh ewyHkwr le> ds lkFk lk{;&vkèkkfjr dkÆM;kFs kksjfsld uÉlx n[s kHkky eè;orZu es a ;kxs nku djrs gSaA 7- ân; rFkk o{k&xºoj lacaèkh ¼dkÆM;kFs kksjfsld½ fodkjksa ls ihfM+r jksfx;ksa rFkk muds ifjtuks a dh nSfgd] 'kkjhfjd] euksoSKkfud] lkekftd ,o a vkè;kfRed leL;kvks a ds vkadyu] funku vkSj mipkj es a lkekU; foKku dks viukukA 8- dkÆM;kFs kksjfsld uÉlx dh voèkkj.kkvksa vkSj fl)kra ks a dh O;k[;k djukA 9- cqfu;knh vkSj mUur dkÆM;d thou leFkZu es a dkS'ky dk çn'kZuA 10- ân; rFkk o{k&xºoj lacèa kh ¼dkÆM;kFs kksjfsld½ fodkjks a ls ihfM+r jksfx;kas dh n[s kHkky es a uÉlx çfØ;k dks viukukA 11- dkÆM;kFs kksjfsld leL;kvkas ls ihfM+r jksfx;kas vkSj muds ifjtuksa ds lkFk çHkkoh <xa ls laokn djukA 12- dkÆM;kFs kksjfsld lsokvks@a bdkb;ksa ds çcaèku esa dkS'ky çnÆ'kr djukA 13- dkÆM;d n[s kHkky ny ds lnL; ds :i esa çHkkoh <xa ls Hkkx ysukA 14- dkÆM;d vkSj Fkksjfsld bdkb;kas ds lapkyu ds fy, ;kstuk rS;kj djukA 15- O;fDrxr lkLa Ñfrd vkSj vkè;kfRed vko';drkvkas vkSj erHksnks a dk lEeku djr s gq, vkjke vkSj lEeku dks c<k+ok nsu s okyh thou ds vardky rd n[s kHkky çnku djukA 16- ulk±s vkSj lac) LokLF; dÆe;kas dks i<k+uk vkSj mudh fuxjkuh djukA V. dkÆM;kFs kksjfsld Lisf'k;fyVh uÉlx es a iksLV csfld fMIyksek & vkoklh; dk;ZØe dks ân; rFkk o{k&xºoj lacèa kh ¼dkÆM;ksFkksjsfld½ fodkjkas ls ihfM+r jkfsx;kas vkSj muds ifjtuksa dks vxz.kh xq.koÙkk n[s kHkky çnku dju s ds fy;s fo'k"sk tkudkjh] dkS'ky vkSj ço`fÙk okys iathÑr ulZ ¼th,u,e ;k ch-,llh-½ rS;kj dju s ds fy;s cuk;k x;k gSA çklafxd lS)kafrd ;kXs ;rk ds lkFk uSnkfud ;ksX;rk ij tksj fn;k x;k gSA bldk 10 çfr'kr Hkkx lS)kfard vkSj 90 çfr'kr Hkkx çk;ksfxd ¼uSnkfud ,o a ç;ksx'kkyk½ vH;kl gSA dk;ZØe ds iwjk gksus ij çek.ki= feyus vkSj lacafèkr ,l,uvkjlh esa vfrfjDr ;kXs ;rk ds :i esa iathÑr gksus ij] dkÆM;ksFkkjs sfld fo'k"skK ulks± dks dsoy eYVh&Lisf'k;fyVh vLirkyks a dh dkÆM;kFs kksjfsld bdkbZ;ks a esa fu;qDr fd;k tkuk pkfg;sA o s dk;ZØe ds nkSjku çf'kf{kr n{krkvks]a fo'ks"k :i ls ifj"kn~ ds ikBîØe dh ykWx cqd es a fuèkkZfjr fof'k"V çfØ;kRed n{krkvks@a uSnkfud dkS'ky ds vuqlkj vH;kl djus esa l{ke gksaxsA fo'ks"kK ulks± dks lacfaèkr laLFkkukas }kjk laLFkkxr çkVs kds kWy ds vuqlkj mu fof'k"V çfØ;kRed n{krkvks a dk vH;kl dju s dk fo'ks"kkfèkdkj fn;k tk ldrk gSA fo'ks"kK ulZ laoxZ@inksa dk l`tu ljdkjh@lkoZtfud vkSj futh lHkh {ks=ks a es a fd;k tkuk pkfg;sA ;g fMIykes k ifj"kn~ }kjk vuqeksfnr lacfaèkr ijh{kk ckMs Z@,l,uvkjlh@fo'ofo|ky; }kjk çnku fd;k tk;sxkA VI. 1- uÉlx es a fMxzh dk;ZØe dk lapkyu dju s okys uÉlx dkWyst tks U;wure 200 'kS¸;k okys viu s Lo;a ds vLirky ls lac) gkas ftuesa o{k&xºoj lacaèkh ¼dkÆM;ksFkksjfsld½ fodkjksa ls ihfM+r jksfx;kas dks çHkkoh n[s kHkky çnku djus ds fy;s mUur uSnkfud] fpfdRlh; rFkk vR;kèkqfud dkÆM;ksFkkjs sfld bdkb;ks a ds lkFk b"Vre fuxjkuh ,o a thou leFkZu midj.k@lqfoèkk,a vkSj fo'k"sk uÉlx n[s kHkky lqfoèkk,a miyCèk gksAa vFkok ân; rFkk o{k&xºoj lacèa kh 'kY;&fpfdRlk ¼dkÆM;kFs kksjfsld ltZjh½ esa Mh,uch@QSyksf'ki dk;ZØe dk lapkyu dju s okys vLirky] ftuesa vkSj U;wure 200 'kS¸;k ds lkFk dkÆM;ksFkksjsfld fodkjkas ls ihfM+r jksfx;kas dks çHkkoh n[s kHkky çnku djus ds fy;s mUur uSnkfud] fpfdRlh; rFkk vR;kèkqfud dkÆM;d vkSj Fkksjfsld n[s kHkky bdkbZ@ dkÆM;ksFkksjfsld xgu n[s kHkky bdkb;kas ds lkFk b"Vre fuxjkuh ,o a thou leFkZu midj.k@lqfoèkk,a vkSj fo'ks"k uÉlx n[s kHkky lqfoèkk, a miyCèk gksAa 2- mijksDr ik= laLFkku dks lacafèkr ,l,uvkjlh ls fo'ks"k 'kS{kf.kd o"kZ ds fy;s dkÆM;ksFkksjsfld Lisf'k;fyVh uÉlx es a ikLs V csfld fMIykes k dk;ZØe çkjaHk djus ds fy;s ekU;rk ysuh gkxs h] tksfd ,d vfuok;Z vko';drk gSA 3- ifj"kn~ }kjk mijksDr nLrkostkas@çLrkokas dh çkfIr ds i'pkr ekU;rk çkIr uÉlx çf'k{k.k laLFkku dk vfèkfu;e ds çkoèkkukas ds rgr cuk;s x;s fofu;ekas ds vuq:i vè;kiu ladk; vkSj uSnkfud ,o a ewyHkwr lqfoèkkvksa dh miyCèkrk ds lacèa k es a mi;qDrrk dk vkadyu djus ds fy;s vfèkfu;e dh èkkjk 13 ds rgr oSèkkfud fujh{k.k fd;k tk;sxkA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5 a. 1%10 ds vuqikr es a iw.kZdkfyd f'k{k.k ladk;A b. f'k{k.k ladk; es a U;wure nks lnL; gksus pkfg;sA c. ;kXs;rk ,o ala[;k% i. esfMdy lftZdy uÉlx@dkÆM;ksFkkjs sfld Lisf'k;fyVh uÉlx ds lkFk ,e-,llh- uÉlx & 1 ii. cfsld ch-,llh- uÉlx@ih-ch-ch-,llh- uÉlx ds lkFk dkÆM;kFs kksjfsld Lisf'k;fyVh uÉlx es a ikLs V cfsld fMIyksek & 1 d. vuqHko% dkÆM;ksFkkjs sfld Lisf'k;fyVh uÉlx es a U;wure rhu o"kZ dk uSnkfud vuqHkoA e. vfrfFk ladk;% lacafèkr fof'k"Vrkvkas es a cgq&fo"k;dA f. çhlsIVj% • uÉlx çhlsIVj% fdlh Hkh dkÆM;kFs kksjfsld bdkbZ@vkbZlh;w es]a iw.kZdkfyd th-,u-,e- ds lkFk dkÆM;kFs kksjfsld Lifs'k;fyVh uÉlx es a N% o"kZ dk vuqHko] ;k ch-,llh- uÉlx ds lkFk dkÆM;kFs kksjfsld Lifs'k;fyVh uÉlx esa nks o"kZ dk vuqHko] ;k ,e-,llh- uÉlx ds lkFk dkÆM;kFs kksjfsld Lisf'k;fyVh uÉlx es a ,d o"kZ dk vuqHkoA • esfMdy çhlsIVj% LukrdkÙs kj ;kXs ;rk çkIr fo'ks"kK MkWDVj ¼LukrdkÙs kj ;kXs ;rk çkIr dju s ds ckn rhu o"kZ dk vuqHko@ladk; Lrj vFkok lykgdkj Lrj okyks a dk s ojh;rk nh tk;sxh½A • çhlsIVj Nk= vuqikr% es a 1%10] esa 1%10 ¼çR;sd Nk= ,d esfMdy çhlsIVj vkSj ,d uÉlx çhlsIVj ls lac) gksuk pkfg;s½A laLFkku ds dqy ctV es a bl dk;ZØe ds fy;s vko';d deZpkfj;ks a ds osru] vfrfFk ladk; vkSj v'a kdkfyd f'k{kdks a ds fy;s ekuns;] fyfidh; lgk;rk] iqLrdky;h vkSj vkdfLed O;; ds fy;s çkoèkku gksuk pkfg;sA a. uSnkfud {k=s es a ,d vè;;u d{k@lEesyu d{k b. vLirky@dkWyst esa Ñf=e vè;;u ¼flE;qysVsM yfu±x½ ds fy;s dkS'ky ç;ksx'kkykA dkS'ky ç;kxs 'kkyk grs q vko';d oLrqvks a dh lwph ifjf'k"V 1 es a nh xbZ gSA c. vkWuykbu if=dkvkas rd igqap ds lkFk iqLrdky; vkSj daI;wVj lqfoèkk,a% i. dkWyst es a dkÆM;ksFkksjsfld Lifs'k;fyVh uÉlx] ,ukVkWeh rFkk fQft;ksykWth] ekbØksck;kys kWth] QkekZdksykWth] iSFkksfQft;kys kWth] uÉlx ç'kklu] uÉlx f'k{kk] uÉlx 'kksèk vkSj lkaf[;dh ls lacfaèkr orZeku iqLrdks]a tuZy vkSj if=dkvks a ls lqlfTtr iqLrdky; gksuk pkfg;sA vFkok dkÆM;kFs kksjfsld Lisf'k;fyVh uÉlx] ,ukVkWeh rFkk fQft;ksykWth] ekbØksck;ksykWth] QkekZdksykWth] iSFkksfQft;kys kWth] uÉlx ç'kklu] uÉlx f'k{kk] uÉlx 'kkès k vkSj lkaf[;dh ls lacafèkr orZeku iqLrdkas] tuZy vkSj if=dkvksa ds fy;s esfMdy dkWyst@vLirky ds iqLrdky; dk mi;kxs djus dh vuqefr gksuh pkfg;sA ii. baVjusV dh lqfoèkk ds lkFk daI;wVj d. bZ&yfu±x lqfoèkk,a e. f'k{k.k lalkèku & mi;ksx dju s gsrq fuEukfadr lqfoèkk,a miyCèk gksuh pkfg;s% i. vksojgMs çkts sDVj ii. ohfM;k s n[s kus dh lqfoèkk iii. ,ylhMh çkstsDVj iv. lhMh] MhohMh vkSj MhohMh Iys;j v. dkS'ky vè;;u ds fy;s mi;qDr midj.k] eSuhfdal vkSj fleqysVlZ f. dk;kZy;h lqfoèkk,a% i. fyfid] pijklh] lQkbZ deZpkjh dh lsok,a ii. dk;kZy;] midj.k vkSj vkiwfrZ dh lqfoèkk] tSls • LV's kujh] • fçaVj ds lkFk daI;wVj • thjksDl e'khu • Vys hQksu ,oa QSDl a. U;wure 200 'kS¸;k oky s viu s Lo;a ds ,ls s fof'k"V vLirky@r`rh;d vLirky ftueas o{k&xºoj lacèa kh ¼dkÆM;kFs kksjsfld½ fodkjkas ls ihfM+r jksfx;ksa dks çHkkoh n[s kHkky çnku djus ds fy;s mUur6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] uSnkfud] fpfdRlh; rFkk vR;kèkqfud dkÆM;ksFkksjfsld bdkbZ@xgu ns[kHkky bdkb;ks a ds lkFk b"Vre fuxjkuh ,o a thou leFkZu midj.k@lqfoèkk,a vkSj fo'k"sk uÉlx n[s kHkky lqfoèkk,a miyCèk gksAa b. vLirky es a mUur uSnkfud] fpfdRlh; vkSj ns[kHkky lqfoèkkvksa ds lkFk dkÆM;ksFkkjs sfld lhlh;w ¼U;wure 10 vkbZlh;w 'kS¸;k½ lfgr de ls de okyh 20 fof'k"V 'kS¸;k miyCèk gksuh pkfg;sA c. U;wure 200 'kS¸;k okys {ks=h; dsaæ@dkÆM;ksFkksjsfld Lisf'k;fyVh vLirky ftueas o{k&xºoj lacèa kh ¼dkÆM;kFs kksjfsld½ fodkjksa ls ihfM+r jksfx;kas dks çHkkoh ns[kHkky çnku dju s ds fy;s mUur uSnkfud] fpfdRlh; rFkk vR;kèkqfud dkÆM;kFs kksjfsld bdkbZ@xgu n[s kHkky bdkb;ksa ds lkFk b"Vre fuxjkuh ,o a thou leFkZu midj.k@lqfoèkk,a vkSj fo'ks"k uÉlx ns[kHkky lqfoèkk,a miyCèk gksAa d. bdkb;kas es a ifj"kn~ }kjk vuq'kaaflr ekunMa ksa ds vuq:i ulZ LVkQ miyCèk gksuk pkfg;sA e. Nk= jkxsh vuqikr% 1%1&2 gksuk pkfg;sA bl dk;ZØe esa ço's k ikus okys Nk= dks] a. ,u;wvkbZMh uca j ds lkFk fdlh ,d ,l,uvkjlh es a ,d iathÑr ulZ ¼vkj,u ,aM vkj,e½ ;k led{k gksuk pkfg;sA b. ukekda u ls igys vfèkekur% dkÆM;ksFkksjsfld bdkbZ esa LVkQ ulZ ds in ij U;wure ,d o"kZ dk uSnkfud vuqHko gkus k pkfg;sA c. 'kkjhfjd :i ls LoLFk gksuk pkfg;sA d. p;u] vk;ksftr ço's k ijh{kk es a vftZr ;kXs ;rk vkSj l{ke vfèkdkjh }kjk fy;s x;s lk{kkRdkj ds vkèkkj ij gksuk pkfg;sA e. vU; n's kksa ds ulks± dks ços'k ls igys ifj"kn~ ls lerqY;rk çek.k i= çkIr djuk gksxkA 200 'kS¸;k rFkk 20 fof'k"V 'kS¸;k okys vLirky ds fy;s lhVkas dh la[;k ¾ 10&20] 500 ;k blls vfèkd 'kS¸;k rFkk 30 fof'k"V 'kS¸;k oky s vLirky ds fy;s lhVkas dh la[;k ¾ 15&30- 1&2 fof'k"V 'kS¸;kvkas ds fy;s 1 vH;FkhZA a. lsokjr vH;fFkZ;kas dks fu;fer osru feyrk jgsxkA b. vU; vH;fFkZ;kas dks dk;ZØe dk lapkyu djus oky s vLirky dh ors u lajpuk ds vuqlkj othQk@osru feysxkA VII. ifj"kn~ }kjk vuqeksfnr lacafèkr ijh{kk ckMs Z@ ,l,uvkjlh@fo'ofo|ky;A a. mifLFkfr% lS)kfard ,oa çk;ksfxd & 80 çfr'krA ijUrq çek.ki= feyu s ls igys 100 çfr'kr uSnkfud mifLFkfr gksuk vfuok;Z gSA b. ykWx cqd vkSj uSnkfud vko';drkvksa tSlh t:jh vko';drkvksa dks lQyrkiwoZd iwjk dju s okys vH;FkhZ ijh{kk eas cSBus ds fy;s ik= gksxa s vkSj vfare ijh{kk eas cSB ldrs gSaA a. vks,llhbZ% vkarfjd vkSj vfare ijh{kk nksuks a es a ekSf[kd ijh{kk ds lkFk&lkFk oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ½ vk;ksftr dh tk;sxhA ¼foLr`r fn'kkfunZs'k ekxZn'kZu iqfLrdk es a fn;s x;s gSaA½ b. çk;ksfxd@uSnkfud voykds u% vafre vkarfjd vkSj cká ijh{kk es a ekSf[kd ijh{kk ds lkFk&lkFk okLrfod ifjfLFkfr;ksa es a uSnkfud çn'kZu dk vkadyu vkSj 3&4 ?kVa s dk y?kq uSnkfud vkadyu vH;kl ¼uÉlx çfØ;k vkosnu vkSj dk;Zfofèkd n{krk dk çR;{k voyksdu½ Hkh 'kkfey gkxs kA uSnkfud {ks= es a vkadyu dh U;wure vofèk 5&6 ?kVa s gksxhA ¼vkadyu fn'kkfunsZ'k ekxZn'kZu iqfLrdk es a fn;s x;s gSaA½ c. çfr fnu Nk=ksa dh vfèkdre la[;k ¾ 10 Nk= d. çk;ksfxd ijh{kk dsoy uSnkfud {ks= es a gh vk;ksftr dh tkuh pkfg;s e. çk;ksfxd ijh{kd ny esa] ,d vkarfjd ijh{kd ¿lacafèkr fof'k"V dk;ZØe esa f'k{k.k ds 2 o"kZ ds vuqHko ds lkFk ,e-,llh- vgZrk èkkjd ladk;@LukrdkÙs kj ds i'pkr 5 o"kZ ds vuqHko ds lkFk ,e-,llh-[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7 ¼esfMdy lftZdy uÉlx½ vgZrk èkkjd ladk;À] ,d cká ijh{kd & mijksDr vuqHko ,o a vgZrk èkkjd uÉlx ladk;] vkSj ,d fpfdRlh; vkarfjd ijh{kd tks fof'k"V dk;ZØe ds fy;s çhlsIVj gksuk pkfg;s] 'kkfey gksxa sA f. çk;ksfxd ijh{kd vkSj lS)kfard ijh{kd ,d gh uÉlx ladk; ;k mlh fof'k"Vrk ds gkus s pkfg;sA a. çR;ds vH;FkhZ dks mÙkh.kZ gksus ds fy;s lS)kfard vkSj çk;ksfxd ijh{kk ds vkarfjd vkadyu rFkk cká ijh{kk nksuksa esa feykdj U;wure dqy 60 çfr'kr vda çkIr djuk vfuok;Z gSA 60 çfr'kr ls de vda çkIr dju s ij vuqÙkh.kZ ekuk tk;sxkA b. Nk= dk s mÙkh.kZ gksu s ds fy;s vfèkdre rhu ¼3½ volj çnku fd;s tk,xa sA c. ;fn Nk= lS)kfard vFkok çk;ksfxd ijh{kk esa ls fdlh ,d esa vuqÙkh.kZ gks tkrk gS] rks mls lS)kfard vFkok çk;ksfxd ijh{kk esa ls ftl es a vuqÙkh.kZ gqvk gS dsoy ogh ijh{kk iqu% nsuh gkxs hA a. & dkÆM;ksFkkjs sfld Lifs'k;fyVh uÉlx es a ikLs V cfsld fMIyksek b. fuèkkZfjr vè;;u ikBîØe ds lQy lekiu ij] ifj"kn~ }kjk vuqekfsnr ijh{kk cksMZ@,l,uvkjlh@ fo'ofo|ky; }kjk fMIyksek ls lEekfur fd;k tk;sxk] ftles a fy[kk gkxs k fd] i. vH;FkhZ u s dkÆM;ksFkksjsfld Lifs'k;fyVh uÉlx es a ikLs V csfld fMIyksek & vkoklh; dk;ZØe ds rgr ikBîØe ds lHkh igyqvks a dk vè;;u ijw k dj fy;k gSA ii. vH;FkhZ us lS)kfard es a 80 çfr'kr vkSj uSnkfud es a 100 çfr'kr vgZrk,a iwjh dj yh gSaA iii. vH;FkhZ us fuèkkZfjr ijh{kk mÙkh.kZ dj yh gSA VIII. 25 75 100 3 dkÆM;kFs kksjfsld Lisf'k;fyVh uÉlx ¼10 $ 15½ ¼35 $ 40½ ¼Hkkx-I o Hkkx-II½ ¿Hkkx-I & dkÆM;kFs kksjfsld Lisf'k;fyVh uÉlx I ds lkFk&lkFk dkÆM;ksFkksjsfld Lifs'k;fyVh uÉlx vH;kl ds ewy] Hkkx-II & dkÆM;ksFkksjsfld Lisf'k;fyVh uÉlx IIÀ 75 150 225 uSnkfud {k=s • ekSf[kd ijh{kk lfgr oLrqfu"B lajfpr uSnkfud ijh{kk ¼25 $ 50½ ¼50 $ 100½ es a U;wure ¼vks,llhbZ½ ¼vks,llhbZ&25 ¼vks,llhbZ&50 5&6 ?kVa s • i;Zofs{kr çk;ksfxd@uSnkfud voyksdu% ekSf[kd ijh{kk ,o a çk;ksfxd ,o a çk;ksfxd ds lkFk&lkFk okLrfod ifjfLFkfr;ks a es a çR;{k voykds u voyksdu&50½ voyksdu&100½ & 3&4 ?kVa s dk y?kq uSnkfud vkadyu vH;kl ¼uÉlx çfØ;k vkosnu o dk;Zfofèkd n{krk dk çR;{k voyksdu½ IX. 1- vuqn's k ikB&;kts uk 2- ikBîØe dk dk;kZUo;u 3- uSnkfud vH;kl ¼vkoklh; inLFkkiu½ 4- çf'k{k.k fofèk;ka 5- vkadyu fofèk;ka 6- ykWx cqd vkSj uSnkfud vgZrk,a8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] I 40 1- O;kolkf;d dq'kyrk 2- fof'k"V uÉlx dk;ZØe esa laokn] jksxh f'k{kk o ijke'kZ 3- fo'k"sk ns[kHkky ifjfLFkfr;kas esa uSnkfud usr`Ro vkSj lalkèku çcaèku II 4- fof'k"V uÉlx dk;ZØe esa lk{; vkèkkfjr vkSj vuqç;qDr 'kksèk 50 10 I 1- fof'k"V uÉlx dk lanHkZ@ifjp; 2- fo'k"sk ns[kHkky es a ç;qDr lkekU; foKku & ,ukVkWeh o fQft;kys kWth] ekbØkcs k;ksykWth] QkekZdksykWth o iSFkksfQft;kys kWth tSlh uSnkfud fLFkfr;ksa dk funku 110 30 1730 vkSj mipkj II 1- vkadyu] funku] mipkj vkSj fo'k"sk eè;orZu ds lkFk uSnkfud ifjfLFkfr;kas esa uÉlx çcaèku 2- jksxh lqj{kk vkSj xq.koÙkk 3- fof'k"V@chekjh fof'k"V foops u ¼lgk;d n[s kHkky@ ç'kked n[s kHkky@iquokZl] O;fDr] ifjokj vkSj leqnk; ij chekjh dk çHkko½ çR;ds fof'k"V uÉlx es a mudh fo"k;&oLrq vkSj çf'k{k.k vko';drkvksa ds vkèkkj ij Lisf'k;fyVh uÉlx I vkSj II es a lS)kfard vkSj ç;kxs 'kkyk ?kVa s vyx&vyx gks ldrs gSaA ▪ okf"kZd vodk'k $ vkdfLed vodk'k $ vLoLFkrk vodk'k $ lkoZtfud vodk'k ¾ 6 lIrkg ▪ ijh{kk dh rS;kjh vkSj ijh{kk ¾ 2 lIrkg ▪ lS)kfard vkSj çk;ksfxd ¾ 44 lIrkg × × ▪ CykWd d{kk,a% lS)kfard vkSj dkS'ky ç;kxs 'kkyk vuqHko ¾ 2 lIrkg × 40 ?kVa s çfr lIrkg ¼80 ?kaVs½ ¼lS)kfard ¾ 74 ?kaVs] dkS'ky ç;kxs 'kkyk ¾ 6 ?kaVs] dqy ¾ 80 ?kaVs½ ▪ lS)kfard vkSj dkS'ky ç;kxs 'kkyk lfgr uSnkfud vH;kl ¾ 42 lIrkg × 45 ?kaV s çfr lIrkg ¼1890 ?kaVs½ ¼lS)kfard ¾ 126 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 34 ?kVa s] uSnkfud ¾ 1730 ?kaVs] dqy ¾ 1890 ?kVa s½ lS)kfard ¾ 200 ¼74 $ 126½ ?kVa s] dkS'ky ç;kxs 'kkyk ¾ 40 ¼6 $ 34½ ?kaVs] uSnkfud ¾ 1730 ?kVa s ¼10% % 90%½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9 gkykfad U;wure 45 ?kVa s çfr lIrkg fuèkkZfjr gS] ysfdu vyx&vyx ikfj;kas vkSj çR;ds lIrkg ;k i[kokMs+ vkWu dkWy MîVw h djus ds i'pkr NqV~Vh gksus ij ifjfLFkfr vuqlkj gksxkA çf'k{k.k vofèk ds nkSjku Nk=ks a dk fuEukfadr uSnkfud {ks=ks a es a inLFkkiu fd;k tk;sxkA 1 dkÆM;kFs kksjfsld okMZ 12 2 'kY; fpfdRlk d{k & vksVh ¼dkÆM;d vkSj Fkksjfsld½ 8 3 vkikrdkyhu n[s kHkky bdkbZ 4 4 dSFk ySc ds lkFk Mk;XuksfLVd ySc 2 5 dkÆM;kFs kksjfsld xgu n[s kHkky bdkbZ 12 6 f'k'kq dkÆM;kFs kksjfsld xgu ns[kHkky bdkbZ 2 7 cká jkxs h foHkkx 2 lS)kfard] dkS'ky ç;kxs 'kkyk vkSj uSnkfud f'k{k.k fuEufyf[kr i)fr;ks a }kjk fd;s tk ldrs gSa vkSj uSnkfud inLFkkiu ds nkSjku ,dhÑr fd; s tk ldrs gSaA • uSnkfud lEesyu • dsl@uSnkfud çLrqfr • dsl LVMh fjiksVZ • Mªx LVMh vkSj çLrqfr • cMs lkbM fDyfud@uÉlx jkmaM~l@baVjfMflfIyujh jkmaM • uSnkfud laxks"Bh@dkWUÝsla • tuZy Dyc • uSnkfud {k=s es a f'k{kdkas ds O;k[;ku vkSj ifjppkZ • dkS'ky ç;kxs 'kkyk es a rFkk csMlkbM ij vfHkO;fDr vkSj dkS'ky çf'k{k.k • funZsf'kr i<u+ @Lo&vè;;u • jksy Iys • laxks"Bh@lkewfgd çLrqfr • lkefwgd 'kksèk@xq.koÙkk lqèkkj ifj;kts uk • uSnkfud dk;Z • vkofèkd ijh{kk • dk;Z'kkyk • 'kSf{kd nkSjs tSls ân;@QsQM+k çR;kjksi.k bdkbZ@dksbZ vU; dkÆM;kd@Fkksjsfld Lisf'k;fyVh dsæa • fyf[kr ijh{kk • çk;ksfxd ijh{kk10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • fyf[kr dk;Z • ifj;kts uk • dsl LVMh@n[s kHkky ;kts uk@uSnkfud çLrqfr • uSnkfud çn'kZu vkadyu • uSnkfud dk;Zfofèkd n{krkvkas vkSj uSnkfud vko';drkvksa dks ijw k djuk çR;ds uSnkfud inLFkkiu ds var esa] uSnkfud ykWx cqd ¼fof'k"V dk;Zfofèkd n{krk,a@uSnkfud dkS'ky½ ] uns kfud vgZrk, a vkSj uSnkfud vuqHko fooj.k ij lacfaèkr uSnkfud ladk;@çhlsIVj }kjk gLrk{kj fd;s tkus pkfg;sA ;g ikBîØe dkÆM;ksFkksjsfld uÉlx vH;kl esa O;kolkf;d dq'kyrk] laokn] jksxh çf'k{k.k vkSj ijke'kZ] uSnkfud usr`Ro vkSj lalkèku çcèa ku rFkk lk{; vkèkkfjr vkSj vuqç;qDr 'kkès k dh le> fodflr djus ds fy;s rS;kj fd;k x;k gSA I 6 O;kolkf;d dq'kyrk • ifjppkZ • dkÆM;kFs kksjfsld dh le> dk • vfHkçk; vkSj fl)kra % uÉlx ls lacafèkr çn'kZu vkSj dkÆM;kFs kksjfsld Lisf'k;fyVh vkpkj lafgrk dk dkÆM;kFs kksjfsld uÉlx vH;kl esa tokcngs h] o.kZu djuk uÉlx vH;kl esa lqfoKrk] n`';rk vkSj uSfrdrk O;kolkf;d dq'kyrk • O;kolkf;d ewY; vkSj dk çn'kZu djuk O;kolkf;d O;ogkj • ifj"kn~ dh vkpkj lafgrk] O;kolkf;d vkpj.k lafgrk vkSj vH;kl ekud • dkÆM;kFs kksjfsld uÉlx vkSj ân; rFkk QsQM+s ds çR;kjkis .k ls lacafèkr uSfrd eqís • ulZ dh çlkjh Hkwfedk% ulZ çfsDV'kuj • O;kolkf;d laxBu • lrr uÉlx f'k{kk dkÆM;kFs kksjfsld • O;k[;ku • jksfx;kas dk fjdkWMZ uÉlx vkSj ân; • dkÆM;kFs kksjfsld uÉlx ls j[kuk çR;kjksi.k ds lacfaèkr dkuuw vkSj fu;e fpfdRlh;& fofèkd • miHkksDrk laj{k.k vfèkfu;e igyqvksa dk o.kZu • ykijokgh vkSj dnkpkj djuk • fpfdRlh;&fofèkd igyw • fjdkWMZ vkSj fjiksVZ • dkÆM;kFs kksjfsld Lisf'k;fyLV ulk±s dh dkuwuh ftEesnkfj;ka[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11 II 12 dkÆM;kFs kksjfsld jksfx;kas] ifjtuks a • laokn ç.kkyh vkSj rduhd • O;k[;ku • fMftVy fjdkWMZ~l vkSj O;kolkf;d • ân; rFkk o{k&xºoj lacaèkh • nq%[kn lg;ksfx;ksa ls ¼dkÆM;kFs kksjfsld½ fodkjks a ls lekpkj nus s vkilh esytksy ds ihfM+r rFkk xyr funku okys es a Hkfwedk lkFk LokLF; jksfx;kas dk s nq%[kn lekpkj fuHkkuk ifj.kkeksa eas lqèkkj lqukuk ykus ds fy;s lk>k • laLÑfr vuqlkj laons ukiwoZd fu.kZ; ysdj çHkkoh laokn <xa ls laokn • uÉlx n[s kHkky ;kstukvksa dk LFkkfir djuk fodkl vkSj vfHkys[k • laokn esa mi;ksxh lwpuk mipkj vkSj çkS|kfsxdh midj.k n[s kHkky es a çHkkoh • dkÆM;kFs kksjfsld • nyh; laokn fodkjkas ls xzlr <xa ls Hkkxhnkjh fuHkkus ds fy;s • led{k jksfx;kas ds fy;s çf'k{k.k lkefwgd LokLF; jksfx;kas rFkk ifjtuks a • f'k{k.k vkSj vè;;u ds fl)kar çf'k{k.k dk;ZØe dks f'kf{kr djuk vkSj ijke'kZ nsuk • LokLF; f'k{kk ds fl)kra dk lapkyu djuk • lwpuk dh t:jrks a dk vkadyu vkSj jksxh çf'k{k.k ds lkFk&lkFk çR;kjksi.k jksxh dkÆM;kFs kksjfsld çf'k{k.k bdkbZ es a uÉlx • çklafxd fo"k; ij vfèkdkfj;kas] Nk=ksa • dkÆM;kFs kksjfsld uÉlx ds fy, jksxh çf'k{k.k çklafxd jksxh çf'k{k.k lkexzh vkSj iSjkesfMdy lkexzh rS;kj djuk fodflr djuk LVkQ dks çf'kf{kr djuk • ijke'kZ l= • ijke'kZ rduhd • ifjokj ds fy, vkuqoaf'kd ijke'kZ • nq%[kn lekpkj] xgu mipkj] ladVdkyhu eè;orZu vkSj ej.kklUu jksxh vkSj mlds ifjtukas dks ijke'kZ nsuk • ân;@QsQM+s ds çR;kjksi.k jksfx;kas vkSj ifjtukas ds fy, ijke'kZ III 12 uSnkfud urs `Ro vkSj • O;k[;ku • dkÆM;kFs kksjfsld çcaèku j.kuhfr;kas foHkkx es a dk;Zjr dh le> dk • urs `Ro vkSj çcaèku dfu"B uÉlx çn'kZu djuk vkSj • dkÆM;kFs kksjfsld uÉlx n[s kHkky vfèkdkfj;kas@ LVkQ lg;kxs h ,oa çHkkoh ds çcèa ku ds rRo & ;kts uk] ulk±s ds fy;s MîwVh nyh; dk;Z dks vk;kts u] LVkQ] fjiksfV±x] jksLVj rS;kj djuk c<k+ok nsu s ds fy;s fjdkWfM±x vkSj ctV mudk • uSnkfud urs `Ro vkSj bldh dkÆM;kFs kksjfsld pqukSfr;ka n[s kHkky rFkk12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] lek;kts u es a • dkÆM;kFs kksjfsld bdkb;ks a es a mi;kxs djuk ekuo lalkèku çcaèku • vkn'kZ • lkexzh çcaèku dkÆM;kFs kksjfsld 'kY;&fpfdRlk ds • ,d vkn'kZ dkÆM;ksFkksjsfld okMZ vkSj Ms ds;j mijkar okMZ@vkbZlh;w] Ms ds;j vkSj dh :ijs[kk rS;kj dkÆM;kFs kksjfsld çR;kjksi.k bdkbZ dh :ij[s kk djuk jksfx;kas dh n[s kHkky rS;kj djuk dju s ds fy, bdkbZ • HkkoukRed cqf)eÙkk vkSj rS;kj djuk Lo&çcaèku dkS'ky • dkÆM;kFs kksjfsld • vra %fo"k;d ny ds lnL; ds lhlh;w vkSj okMZ esa uSnkfud ijh{k.k :i esa dk;Z djuk jksxh ns[kHkky ds djuk vkSj • dkÆM;kFs kksjfsld jkfsx;kas dh fy;s ,lvksih dkÆM;kFs kksjfsld n[s kHkky ds fy;s uhfr;kas dks fodflr djuk • ekWMîwy & vkbZlh;w vkSj okMZ çklafxd cuku s es a Hkkxhnkj çR;k;u vkSj es a xq.koÙkk vk'oklu cuuk xfrfofèk;ksa eas Hkkx • dkÆM,d lhlh;w] vH;kl ekud ysuk dkÆM;kFs kksjfsld vkbZlh;w vkSj okMZ dh O;oLFkk djuk • uÉlx vkWfMV • uÉlx ekud • xq.koÙkk vk'oklu IV 10 'kksèk çfØ;k dk • O;k[;ku • dkÆM;kFs kksjfsld o.kZu djuk vkSj jksfx;kas ds xr ikap ewyHkrw lkaf[;dh; • uÉlx 'kksèk vkSj 'kkès k çfØ;k • ekWMîwy% o"kZ ds lkfa[;dh; ijh{k.k djuk dk ifjp; oSKkfud çi= vkadM+s rS;kj djuk • MsVk çLrqfr] ewyHkwr lkfa[;dh; ys[ku dkÆM;kFs kksjfsld ijh{k.k vkSj blds vuqç;kxs • dkÆM;kFs kksjfsld uÉlx ds fy, uÉlx eè;orZu@ • dkÆM;kFs kksjfsld uÉlx es a 'kkès k çklafxd lk{; vkèkkfjr çkFkfedrk,a O;kolkf;d vH;kl vH;kl ifj;kts uk • dkÆM;kFs kksjfsld uÉlx vH;kl es a lk{; ij lkfgfR;d ds fy;s çklafxd vkèkkfjr@lokZsÙke leh{kk dk lapkyu leL;kvkas@ç'ukas dh vfHkO;fDr çFkkvks a dks ykxw djuk djuk • dkÆM;kFs kksjfsld uÉlx vH;kl es a lk{; vkèkkfjr@lokZsÙke çFkkvks a dh igpku djus ds fy;s lkfgfR;d leh{kk • nSfud O;kolkf;d vH;kl esa lk{; vkèkkfjr eè;orZu dk dk;kZUo;u • 'kksèk es a uSfrdrk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13 I ;g ikBîØe Nk=ksa dks dkÆM;kFs kksjfsld n[s kHkky çkoèkku vkSj dkÆM;ksFkksjsfld fodkjks a ls ihfM+r jksfx;kas ds funku vkSj mipkj es a cqfu;knh foKku ds vuqç;kxs ds lanHkZ esa le> vkSj xgu Kku fodflr djus esa enn djus ds fy, cuk;k x;k gSA I 4 ¼Vh½ lkekU; • dkÆM;kFs kksjfsld fodkjkas dh • O;k[;ku vkSj • vkadM+ka s dh çLrqfr dkÆM;kFs kksjfsld egkekjh foKku & çlkj vkSj ifjppkZ fodkjkas dh egkekjh lkfa[;dh foKku dh O;k[;k • tksf[ke dkjd vkSj igpku djuk] tkfs[ke dh • tksf[ke de djus dh j.kuhfr;ka igpku vkSj de dju s dh j.kuhfr;ka II 2 ¼Vh½ dkÆM;kFs kksjfsld • dkÆM;kFs kksjfsld fo'ks"kK uÉlx • O;k[;ku vkSj uÉlx fl)kra ksa dh ds fl)kra ifjppkZ O;k[;k djuk • dkÆM;kFs kksjfsld fo'ks"kK ulk±s dh Hkwfedk dkÆM;kFs kksjfsld • dkÆM;kFs kksjfsld fo'ks"kK uÉlx fo'ks"kK ulk±s dh vH;kl dk nk;jk Hkwfedk III 10 dkÆM;kFs kksjfsld • ekuo O;ogkj vkSj • O;k[;ku • ijke'kZ l= ¼Vh½ uÉlx n[s kHkky es a dkÆM;kFs kksjfsld foÑfr;ks a ls vk;kfstr djuk eukslkekftd eqdkcyk djuk igyqvksa dh O;k[;k • dkÆM;kFs kksjfsld foÑfr;ks a ls djuk ihfM+r jksfx;ks a ds fy, eukslkekftd lek;kts u dk s çHkkfor djus okys dkjd • eukslkekftd leL;kvkas dk • ijke'kZ% pj.kks a çcèa ku dh leh{kk • ekxZn'kZu vkSj ijke'kZ djuk IV 8 ¼Vh½ dkÆM;kFs kksjfsld • vi;w u] jksxk.kquk'ku vkSj • O;k[;ku • dkÆM;kFs kksjfsld 2 lsVvi esa dhVk.kq'kkès ku ds fl)kra vkbZlh;w es a ¼,y½ fpfdRlh;&'kY; • ekud lqj{kk mik; • çn'kZu laØe.k fu;a=.k fpfdRlh; viw;u • tSo&fpfdRlh; vif'k"V çcèa ku ds fy, ,lvksih vkSj laØe.k fu;a=.k • cSfj;j uÉlx vkSj laØe.k rS;kj djuk dh O;k[;k djuk fu;a=.k çFkk V 6 ¼Vh½ ân; rFkk QsQM+s dh • O;k[;ku • ç'uksÙkjh 2 lajpuk vkSj dk;ks± • Lo&vè;;u ¼,y½ dh O;k[;k djuk • fny dk Hkzw.k fodkl • ân; rFkk • ân; dh lajpuk QsQM+s ds • pkyu ç.kkyh e‚My vkSj • ân; dk ifjlapj.k ueuw s14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • jDr okfgdk,a • 'olu ç.kkyh dh lajpuk vkSj dk;Z • QsQM+kas dk Hkzw.k fodkl • QsQM+s ds xq.k • oasfVys'ku vkSj fNM+dko VI 10 fofHkUu ?kkrd vkSj • O;k[;ku vkSj • vkS"kfèk iqLrd ¼Vh½ xSj&?kkrd • ihMk+uk'kd@çnkguk'kh ,tsVa ifjppkZ tek djuk 4 dkÆM;kFs kksjfsld • çfrtSfod] iwfruk'kd ¼,y½ fodkjkas ds fy, • dkÆM;d vkikr fLFkfr esa • buksVªksIl dh QkekZdksFksjsih dh mi;kxs dh tku s okyh vkS"kfèk;ka x.kuk ij O;k[;k djas • ,aVh&FkzksEcksykbfVd ,tsaV ç'uksÙkjh • buksVªksfid ,tsVa • mPp jDrpki jksèkh vkS"kfèk;ka • vkS"kfèk çLrqfr • ,aVh&dks,xqysaV~l • ,aVh,fjFkfed vkS"kfèk;ka • okfgdk&foLQkjd VII 5 ¼Vh½ dkÆM;kFs kksjfsld • fleqys'ku • vks,llhbZ 2 vkikr fLFkfr ds • midj.k dh ¼,y½ nkSjku jksfx;ksa ds • lhihvkj&ch,y,l vkSj ,,y,l okLrfodrk çcèa ku dk çn'kZu • oasVhysVj] MhfQfczysVj] ils esdj dk mi;kxs • iqutÊou ds ckn n[s kHkky VIII 5 ¼Vh½ dkÆM;kFs kksjfsld • i;Zo{s k.k • vks,llhbZ vkSj tkap ds fy, jksxh ç'uksÙkjh fcuk phjQkM+ okyh ¼xSj&buofslo½ dh rS;kjh ds ckjs es a • bZlhth & vlkekU; bZlhth vkSj crk,a O;k[;k • bdkds kÆM;ksxzkQh • iYekus jh QaD'ku VsLV • dkÆM,d e‚fuVÇjx rduhd] psLV yhM vkSj eksfMQkbM yhM Iyls esaV • vk.kqfod uSnkfud çfØ;k,a • pqEcdh; vuqukn besÇtx • lhus dk ,Dl&js phjQkM+ okyh ¼buosflo½ • czkasdkLs dkis h vkSj xzkfQDl • lhohih vkSj tsohih • jDr xSl vkSj budk egRo • dkÆM,d dSFkhVsjkbts'ku vkSj ,aft;kxs zkQh • èkeuh; fuxjkuh] Loku xat fuxjkuh • lhus dh Mk;XukfsLVd jsfM;ksxzkQh vkSj lhoh,l uSnkfud ijh{k.kksa eas ulZ dh Hkfwedk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15 II ;g ikBîØe Nk=ksa dks dkÆM;ksFkkjs sfld fodkjkas ls ihfM+r jksfx;kas ds uÉlx çcaèku] vkda yu] funku] mipkj] fof'k"V eè;orZu] jksxh lqj{kk] xq.koÙkk vkSj lgk;d@ç'kked n[s kHkky ds fy;s vko';d tkudkjh vkSj n{krk fodflr dju s esa enn djus ds fy;s rS;kj fd;k x;k gSA I 15 ¼Vh½ ân; rFkk o{k&xºoj • ifjppkZ] • ç'uksÙkjh] lacèa kh O;k[;ku fufgr dk;Z ¼dkÆM;kFs kksjfsld½ fuEukafdr ds dkj.k] uSnkfud fodkjkas ds dkj.k] vfHkO;fDr] funku] jksx funku] iSFkksfQft;kys kWth] lacfaèkr iSFkksfQft;kys ‚th vkSj çdkj] uSnkfud uÉlx çcaèku% fo'ks"krk,a] funku] • fny dh èkeuh dk jksx jksx funku vkSj • fofHkUu çdkj ds ,utkbuk fpfdRlh;] 'kY; • dkÆM;kes sxkyh fpfdRlh; çcèa ku dh • ek;ksdkÆM;y jksèkxyu] O;k[;k djuk vkSj datsfLVo dkÆM;d QsY;j blls ihfM+r jksfx;ks a • gVZ QsY;j] Qq¶Qqlh; ,fMek] dks uÉlx n[s kHkky 'k‚d çnku dju s es a dkS'ky • mPp jDrpki çn'kZu djuk • vkeokrh okYo jksx • nkgd ân; jkxs ] laØked vUrâZn~'kkFs k] ek;ksdkÆMfVl] ifsjdkÆMfVl • dkÆM;kes k;ksiSFkh] Mk;sysVsM] jfsLVªfDVo] gkbijVª‚fQd II 10 ¼Vh½ Qq¶Qqlh; fodkjks a ds • ifjppkZ] • ç'uksÙkjh] dkj.k] fuEukafdr ds dkj.k] uSnkfud O;k[;ku fufgr dk;Z iSFkksfQft;kys kWth] vfHkO;fDr] funku] jksx funku] çdkj] uSnkfud lacfaèkr iSFkksfQft;kys ‚th vkSj fo'ks"krk,a] funku] uÉlx çcaèku% jksx funku vkSj • Qq¶Qqlkoj.k fpfdRlh;] 'kY; • U;weks] ges k s vkSj ik;FkksjSDl fpfdRlh; çcèa ku dh • vra jkyh; QsQM+ksa ds jkxs O;k[;k djuk vkSj • ,D;wV vkSj Ø‚fud v‚ClVªfDVo blls ihfM+r jksfx;ks a iYekus jh fMtht ¼fLFkfr;ka dks uÉlx n[s kHkky ftlds dkj.k ;s jkxs gk s ldr s çnku dju s es a dkS'ky gSa½ çn'kZu djuk • czkfsUdbDVsfll • rh{.k 'olu foQyrk • o;Ld 'olu ladV ÇlMªkes • Qq¶Qqlh; vra %'kY;rk • QsQM+kas dh èkefu;kas es a mPp jDrpki16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] III 5 ¼Vh½ ils esdj ds mi;ksx • ifjppkZ] • ç'uksÙkjh] 2 ¼,y½ vkSj mldks yxkus dk O;k[;ku fufgr dk;Z] çn'kZu djuk • vLFkk;h vkSj LFkk;h ils esdj ds • fleqys'ku vks,llhbZ çdkj • çR;ds çdkj ds fy, y{k.k • iÇslx çfØ;k ds fl)kra • ils esdj yxku s ls igys] blds nkSjku vkSj ckn esa jksxh f'k{k.k IV 5 ¼Vh½ ân&laoguhdj.k ds • ifjppkZ] • ç'uksÙkjh] 3 ¼,y½ nkSj ls xqtj jg s O;k[;ku fufgr dk;Z] jksfx;kas dh rS;kjh • ijD;wVsfu;l Vªkalywfeuy • fleqys'ku vks,llhbZ vkSj n[s kHkky dh dksjksujh ,aft;ksIykLVh( LVsVa ] O;k[;k djuk cSywu] çdkj% y{k.k] çfØ;k vkSj tfVyrk,a • laoguhdj.k ds fy, ystj Fksjis h V 10 ¼Vh½ vrkyrk ds fofHkUu • ifjppkZ] • ç'uksÙkjh] 5 ¼,y½ çdkjksa dk s vyx O;k[;ku fufgr dk;Z] djuk • lkbul vrkyrk • fleqys'ku vks,llhbZ] ekey s • èkeuh; vrkyrk dh çLrqfr v‚VkseVs sM ,DlVuZy • taD'kuy ;k uksMy vrkyrk MhfQfczys'ku ¼,bZMh½ • oasfVªdqyj vrkyrk dk mi;kxs çnÆ'kr • ,oh Cy‚d djuk • iSFkksfQft;kys ‚ftdy çfrfØ;k,a • vrkyrk dks fQj ls 'kq: djuk vkSj o'khdj.k fpfdRlk • Lopkfyr çR;kjkis .k ;kXs ; dkÆM;kos VZj MhfQfczysVj VI 5 ¼Vh½ psLV Mªsuts ds • ifjppkZ] • ç'uksÙkjh] 2 ¼,y½ mi;kxs dk çn'kZu O;k[;ku fufgr dk;Z] djuk • vMa j okVj lhy Mªsuts ds • fleqys'ku vks,llhbZ fl)kra fofHkUu çdkj ds psLV • midj.k] LFkkiuk] vkadyu] jkxs h Mªus ts vkSj muds n[s kHkky] tfVyrk,a mi;kxs ksa dh O;k[;k • v‚VksVªkla ¶;wtu ds fl)kra ] djuk y{k.k] tfVyrk,a] ns[kHkky] LFkkiuk VII 15 ¼Vh½ fofHkUu çdkj ds • ifjppkZ] • ç'uksÙkjh] 3 ¼,y½ tUetkr ân; jksx] fuEukafdr ds dkj.k] uSnkfud O;k[;ku fufgr dk;Z] blds dkj.k] uSnkfud vfHkO;fDr] funku] jksx funku] ekey s dh çLrqfr vfHkO;fDr] funku] lacfaèkr iSFkksfQft;kys ‚th vkSj jksx funku] lacafèkr uÉlx çcaèku% iSFkksfQft;kys ‚th] • ân; dk Hkzw.kh; fodkl vkSj fpfdRlh;] 'kY; • oxÊdj.k & fl;kukfsVd vkSj fpfdRlh; uÉlx vfl;kuksfVd ân; jkxs çcèa ku dh O;k[;k • QSykVs ~l dh VsVªky‚th djuk • vkfVZfj;y lsIVy nks"k] osfaVªdqyj lsIVy nk"sk] bZlsuesta j ÇlMªkse[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17 • iVs asV MDVl vkVsZfj;kls l] ,ih ÇoMks • Vªadl vkVZsfj;kls l • cM+h èkefu;kas dk LFkkukUrj.k • Qq¶Qqlh; f'kjkijd dusD'ku dh dqy folaxfr • iYekus jh LVsuksfll] ,Vªfsl;k • egkèkeuh dk leUo; • ,cLVhu dh folaxfr • Mcy vkmVysV jkbV osfaVªdy] Çlxy osafVªdy] gkbiksIykfLVd ys¶V gkVZ ÇlMªkes VIII 10 ¼Vh½ f'k'kqvkas es a ân; rFkk • ifjppkZ] • ç'uksÙkjh] o{k&xºoj lacaèkh O;k[;ku fufgr dk;Z] ¼dkÆM;kFs kksjfsld½ ekey s dh çLrqfr fodkjkas ds dkj.k] • o`f) vkSj fodkl dh leh{kk iSFkksfQft;kys kWth] • f'k'kq ns[kHkky vkSj ifjtukas ds çdkj] uSnkfud eukslkekftd igyw fo'ks"krk,a] funku] • vkWij's ku ls igy] blds nkSjku jksx funku vkSj vkSj ckn esa ân; rFkk çcaèku dh O;k[;k o{k&xºoj lacaèkh djuk ¼dkÆM;kFs kksjfsld½ n[s kHkky • f'k'kqvkas es a nnZ dk vkadyu vkSj çcèa ku IX 25 ¼Vh½ fofHkUu ân; rFkk • ifjppkZ] • ç'uksÙkjh] 10 o{k&xºoj lacaèkh O;k[;ku fufgr dk;Z] ¼,y½ ¼dkÆM;kFs kksjfsld½ ekey s dh çLrqfr 'kY; fpfdRlkvkas ls xqtj jg s jksxh dh • y{k.k] jksxh dk p;u uÉlx n[s kHkky dk • vkWij's ku ls igy vkadyu vkSj o.kZu djuk rS;kjh( jkxs h f'k{k.k • v‚ijs'ku ds nkSjku ns[kHkky% vksiu&gVZ ltZjh ds fl)kar] midj.k] ,uLs Fkhfl;k] dkÆM;kis Yeksujh ckbZikl • dksjksujh vkVZjh ckbZikl xzkǶVx ds fy, 'kY;&fpfdRlh; çfØ;k,]a gkfy;k çxfr vkSj xzk¶V ds çdkj] okYo çfrLFkkiu ;k iquÆuekZ.k] ân; çR;kjksi.k] mi'kked 'kY;&fpfdRlk vkSj fofHkUu LVasV] laoguh; 'kY;&fpfdRlk] vU; gkfy;k çxfr • Fkksjfsld ltZjh% ykcs sDV‚eh] U;weksusDV‚eh] Vîwej ,fDl'ku] yax Vªkla IykVa vkfn • v‚ijs'ku ds rqjra ckn dh n[s kHkky% vkadyu] v‚ij's ku ds18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ckn dh leL;k,a vkSj eè;orZu % jDrlzko] dkÆM;d VSEiksuSM] yk s dkÆM;d vkmViqV] baQkD'kZu] isjhdkÆM;y b¶;wtu] U;weksFkksjSDl] gseksFkkjs SDl ] dksxqykis SFkh] FkeZy bacsysla ] bu,MHDosV oasfVys'ku@ij¶;wtu] U;wjksy‚ftdy leL;k] xqnZs dh leL;k] euksoSKkfud leL;k • lhus dh fQft;ksFksjsih • nnZ vkda yu vkSj uÉlx eè;orZu] iwjd fpfdRlk@fpfdRlk dh oSdfYid ç.kkyh • lh,chth] okYo ltZjh] vkSj vU; 'kY; fpfdRlkvkas ds nkSjku vkSj ckn esa n[s kHkky • dkÆM;d 'kY;&fpfdRlk ds ckn iquokZl X 10 ¼Vh½ vojksèkd ok;qekxZ • ifjppkZ] • ç'uksÙkjh] 5 ¼,y½ oky s jkxs h dh uÉlx O;k[;ku fufgr dk;Z] n[s kHkky dh O;k[;k • vkadyu • fleqys'ku ekey s dh çLrqfr djuk vkSj isVasV • Ñf=e ok;qekxZ dk mi;kxs • vks,llhbZ ok;qekxZ vkSj lar`fIr • ,aMksVªSfp;y baVqcS"k.s k] LFkkfir dju s es a Vªsfd;ksLVkseh vkSj bldh dkS'ky dk çn'kZu n[s kHkky djuk • tfVyrk] U;wure dQ fjlko] Vîcw ks a dks lqjf{kr djuk v‚Dlhtu forj.k ç.kkyh • ukd ços'kuh ¼usty dsuqyk½ • v‚Dlhtu ekLd] osapqjh ekLd • vkaf'kd iqu%'okl cSx • ckb&iSi vkSj lh&iSi ekLd • çR;ds ds mi;kxs ] Qk;n]s uqdlku] uÉlx fufgrkFkZ eSdsfudy osfaVy'sku • ;kaf=d osafVys'ku ds fl)kra fofHkUu çdkj ds • ;kaf=d osafVys'ku vkSj osafVysVj oasfVysVj] muds ds çdkj mi;kxs vkSj LFkkiuk • oasfVys'ku ds rjhds] ykHk] dk o.kZu djuk uqdlku] tfVyrk,a • ihbZbZih fpfdRlk] y{k.k] fQft;ksy‚th vkSj tfVyrk,a • ohfuxa vkWQ osaVhysVj • oasfVysVj yxs jkxs h dk uÉlx vkadyu vkSj eè;orZu[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19 • ,chth vlkekU;rk dk s Bhd dju s ls lacafèkr osVa hysVj lek;kts u • oasfVysVj yxs th.kZ jkxs h dh n[s kHkky dqy vofèk% 1770 ?kaV s ¼40 $ 1730½ ¼dkS'ky ç;kxs 'kkyk & 40 ?kaV s vkSj uSnkfud & 1730 ?kVa s½ dk;ZØe ds var esa Nk= fuEufyf[kr dk;Z laiknu dju s esa l{ke gkaxs s%& 1- ân; rFkk o{k&xºoj lacaèkh ¼dkÆM;kFs kksjfsld½ fodkjks a ls ihfM+r jksfx;ks a dk vkadyu djuk 2- lhus eas nnZ ds jkfsx;kas dk çkFkfedrk fuèkkZj.k djuk 3- ân; rFkk o{k&xºoj lacèa kh ¼dkÆM;ksFkksjfsld½ fodkjks a ls ihfM+r jkfsx;kas dks uÉlx çfØ;k ykxw dj l{ke n[s kHkky çnku djuk 4- dkÆM;kys ‚th çfØ;k rS;kj djuk] muesa lgk;rk djuk@fu"ikfnr djuk vkSj dkÆM;d vkikr fLFkfr;ks a es a lgk;d midj.kks a dk mi;ksx djuk 5- lQy ch,y,l vkSj ,lh,y,l dk çn'kZu djuk 6- fofHkUu dkÆM;kFs kksjfsld 'kY;&fpfdRlkvks a ds fy, lgk;rk dju s es a dkS'ky çnÆ'kr djuk 7- dkÆM;kFs kksjfsld 'kY;&fpfdRlk ls xqtju s oky s jksfx;ks a dk s l{ke n[s kHkky çnku djuk 8- ân; rFkk o{k&xºoj lacèa kh ¼dkÆM;kFs kksjfsld½ fodkjkas ls ihfM+r f'k'kqvkas dh n[s kHkky dju s es a l{kerk çnÆ'kr djuk 9- vkS"kfèk;kas dk vuqj{k.k rFkk HkaMkj.k vkSj dkÆM;ksFkkjs sfld bdkbZ@vkbZlh;w esa nSfud fjd‚MZ j[kuk dkÆM;kFs kksjfsl 12 lIrkg lhus eas nnZ ds • iwoZo`Ùk yus k • LokLF; • uSnkfud vkadyu d okMZ jksfx;kas dk • 'kkjhfjd tkap vkadyu dh • ekey s dk vè;;u çkFkfedrk fuèkkZj.k • uSnkfud ijh{k.kksa eas fjiksVZ • uSnkfud çLrqfr djuk lgk;rk djuk • Fkzacksykbfll • funku vkSj ân; rFkk fpfdRlh; çfØ;kvksa • fofHkUu bZlhth o{k&xºoj lacaèkh ds fy, jksxh dh oos QkWek sa dks ¼dkÆM;kFs kksjfsld½ rS;kjh igpkuuk vkSj fodkjkas ls ihfM+r • bZlhth djuk vkSj mudh O;k[;k jksfx;kas dk s l{ke bZlhth dh O;k[;k djuk n[s kHkky çnku djuk djuk • ân; lacèa kh fodkjksa la ihfM+r jksxh ds fy, uÉlx çfØ;k dk vuqç;kxs 'kY;& 8 lIrkg fofHkUu • o;Ld vkSj f'k'kq • dkÆM;d vkSj • uSnkfud vkadyu fpfdRlh; d{k dkÆM;kFs kksjfsld dkÆM;d QsQM+kas dh • ekey s dk vè;;u & vksVh 'kY;&fpfdRlkvkas 'kY;&fpfdRlk • uSnkfud çLrqfr20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ¼ân; rFkk es a lgk;rk dju s 'kY;&fpfdRlk esa es a bLrseky gksu s o{k½ ds dkS'ky dks lgk;rk djuk oky s LVasV vkSj le>kuk vkSj • QsQM+kas dh byDs Vª‚fud çnÆ'kr djuk 'kY;&fpfdRlk esa lkeku ds lgk;rk djuk çdkj vkikrdkyhu 4 lIrkg lQy ch,y,l • jksfx;kas dk • ch,y,l vkSj • uSnkfud vkadyu bdkbZ vkSj ,lh,y,l çkFkfedrk fuèkkZj.k ,lh,y,l ds • çkFkfedrk fuèkkZj.k dk çn'kZu djuk djuk chp vra j çkVs ksdkWy • cqfu;knh thou • lhus ds nnZ dk leFkZu çn'kZu djuk vkadyu • mUur thou leFkZu çn'kZu djuk • ilyh VVw u s ¼fjc ÝSDpj½ oky s jksfx;ksa dk çcaèku djuk dSFk ySc lfgr 2 lIrkg dkÆM;kys ‚th • uSnkfud vkSj • uSnkfud vkadyu uSnkfud çfØ;kvks a ds fy, fpfdRlh; • uSnkfud çLrqfr ç;kxs 'kkyk jksxh dh rS;kjh dk dkÆM;kys ‚th çn'kZu djuk çfØ;kvks a esa lgk;rk djuk dkÆM;kFs kksjfsl 12 lIrkg dkÆM;kFs kksjfsld • dkÆM;kFs kksjfsld • uSnkfud vkadyu d vkbZlh;w 'kY;&fpfdRlk ls 'kY;&fpfdRlk ls • ekey s dk vè;;u xqtju s oky s xqtj jg s o;Ld vkSj • uSnkfud çLrqfr jksfx;kas dk s l{ke f'k'kq jkfsx;kas dk n[s kHkky çnku 'kY;&fpfdRlk ds djuk i'pkr çcèa ku • baVªk&,vksÆVd cSywu dkÆM;d vkikr iai] ,DLVªkdksikZsfj;y fLFkfr;kas es a esEczsu v‚Dlhtus'ku] lgk;d midj.kks a oasfVªdqyj vflLV ds mi;kxs es a fMokbl ij jksfx;k sa dkS'ky çnÆ'kr dk çcaèku djuk • MhfQfczysVj dk mi;kxs ] islesdj ds lkFk jksxh dk çcaèku f'k'kq 2 lIrkg dkÆM;kFs kksjfsld • æo çcèa ku • f'k'kqvkas `dh • uSnkfud vkadyu dkÆM;kFs kksjfsl fodkj oky s xaHkhj • xaHkhj :i ls chekj o`f) vkSj • uSnkfud çLrqfr d xgu :i ls chekj f'k'kqvkas dh fuxjkuh fodkl n[s kHkky bdkbZ f'k'kqvkas dh • xaHkhj :i ls chekj n[s kHkky dju s es a f'k'kqvkas dh n[s kHkky l{kerk çnÆ'kr djuk cká jkxs h 2 lIrkg dkÆM;kFs kksjfsld ân; vkSj QsQM+ksa ds dkÆM,d vkda yu ân; vkSj 'olu foHkkx fodkjkas ls ihfM+r fodkjkas ls ihfM+r lacèa kh fodkjksa ls ¼vksihMh½ jksfx;kas dk xgu jksfx;kas dk vkda yu 'olu vkadyu ihfM+r jksfx;ks a ds vkadyu djuk buofsto dkÆM;d vkadyu dh fjiksVZ çfØ;kvks a ds fy, jkxs h dh rS;kjh djuk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21 1 xís] pknj vkSj rfd;k ds lkFk&lkFk lacafèkr l;aktuk s ds lkFk bysDVªkWfud vkbZlh;w 'kS¸;k 1 ¼çR;ds 5&10 Nk=ks a ds fy;s ,d½ 2 cqfu;knh jkxs h ns[kHkky midj.kksa vkSj O;fDrxr lqj{kk midj.kksa ds lkFk cMs lkbM VªkWyh 1 3 MªÇslx VªkWyh@vkos j cMs VªkWyh 1 4 gkFk èkkus s ds fy;s vko';d oLrqvkas vkSj Mªk;j ds lkFk Çld ¼xgjh gkSnh½ 1 5 vkbZoh LVSaM 1 6 <ôu ds lkFk jxa &vkèkkfjr vif'k"V fMCcs 1 7 vkWDlhtu] fpfdRlh; ok;q vkSj oSD;we ds fy;s nhokj ij yxs iksVZ 1 8 LVSaM vkSj vkWDlhtu çokg ehVj ds lkFk ikVs sZcy vkWDlhtu flysaMj 9 ucs qykbtj ekLd ds lkFk ucs qykbtj e'khu ¼o;Ld ,o a f'k'kq½ 1$1 10 vkWDlhtu ekLd ¼o;Ld ,oa f'k'kq½ 1$1 11 Vh ihl ds lkFk ospa qjh ekLd 12 ukd ços'kuh ¼o;Ld ,oa f'k'kq½ 1$1 13 o;Ld vkSj f'k'kq dQ ds lkFk jDr pki midj.k & chih ,ijVs l 14 LVFs kksLdkis ds lkFk jDrpki ekid & chih ekWfuVj ¼o;Ld ,oa f'k'kq½ 1$1 15 Xywdkes hVj 1 16 nLrkosthdj.k çokg pkVZ 1 ekWfuVj LVSaM lfgr lgk;d midj.kks a ds lkFk dkÆM;d@eYVhekWMy ekWfuVj ¼ges kMs k;ukfed 1 ekWfuVÇjx½ 2 bZlhth e'khu 1 3 ØS'k dkVZ 1 4 fMfQfczysVj ¼o;Ld ,oa f'k'kq iSMy½ 1$1 5 oasfVysVj 1 6 vca q cSx ¼o;Ld ,oa f'k'kq½ 1$1 7 ,uvkbZoh ekLd ¼o;Ld ,o a f'k'kq½ 1$1 8 çSlj cSx 1 9 cSu lÆdV ¼o;Ld ,oa f'k'kq½ 1$1 10 LVSaM ds lkFk flÇjt iai 1 11 LVSaM ds lkFk bu¶;wtu iai 1 12 mPp ,dkxzrk eq[kkSVk ¼o;Ld ,oa f'k'kq½ 1$1 13 bZ;j çksc ¼lar`fIr fuxjkuh½* 1 14 ,lkQs stys VSEijspj çksc* 1 15 fciSi e'khu 122 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 16 ySÇjft;y ekLd ,;jo s ¼o;Ld vkSj f'k'kq½ 1$1 17 bZlh,evk s ¼,DLVªkdksikZsfj;y esEczsu v‚Dlhtus'ku½ lsV 1 18 ,chth e'khu 1 19 vkbZ,chih e'khu 1 1 baVqc|s k.k Vªs ¼o;Ld½ 1 2 baVqc"sk.k Vªs ¼f'k'kq½ 1 3 VªsdksLVkWeh Vªs 1 4 lhohih Vªs 1 5 dSFkhVsjkbts'ku Vªs 1 6 vkbZohZ dSU;qys'ku Vªs 1 7 ,yih Vªs 1 8 FkksjSlsUVsfll Vªs 1 9 iSjklsUVsfll Vªs 1 10 jDr uewuk laxzg.k Vªs 1 11 vkikrdkyhu vkS"kfèk Vªs 1 12 vkfVZfj;y ykbu Vªs 1 13 lwVj fjewoy Vªs 1 14 lD'ku Vªs 1 15 vkbZlhMh@psLV Mªsust Vªs 1 16 ihihbZ fdV 1 17 fLiyts fdV ¼jDr vkSj jlk;u½ 1 18 Vîcw ] dSFksVj] fofHkUu vkdkjksa dh ykbu 19 dkS'ky vko';drkvkas ds vuqlkj vkS"kfèk] rjy inkFkZ] lhÇjt] chth lsV] ekbØkfsMªi lsV] vkbZoh lsV] vkfVZfj;y ykbu] lsaVªy ykbu 20 thok.kqjfgr fyuu diM+ s dk caMy 1 1- ,;jos esusteasV Vªsuj@flE;qysVj & o;Ld ,o a f'k'kq ¼o;Ld ,o a f'k'kq baVqc"sk.k rduhd] bZVh lD'kÇux rFkk VªsdksLVkseh ns[kHkky½ 2- ges kMs k;ukfed ekWfuVÇjx fleqys'ku fdV ¼var%èkeuh; jDrpki] lhohih vkSj vkbZlhih dh fuxjkuh½ 3- bZlhth flE;qysVj 4- o;Ld ,oa f'k'kq lhihvkj ¼ch,y,l rFkk ,lh,y,l ekMs ½ fleqys'ku eSuhfdu 5- o;Ld ,oa f'k'kq vkbZoh VªsÇux vkeZ fdV] ¼vkbZoh ykbu bal'kZu] CyM Vªkla ¶;wtu½ 6- vkfVZfj;y iapj vkeZ flE;qysVj 7- lsVa ªy ohul flE;qysVj 8- efgyk ,o a iq#"k dSFkhVjs kbt's ku eSuhfdu 9- gkbZ QkbMfyVh flE;qysVj & uSnkfud ifjn`'; vkSj vkikrdkyhu fLFkfr;ks a dk çcèa ku* *;fn ;g miyCèk gS vkSj bles a mijksDr ¼1&8½ 'kkfey gSa] rks O;fDrxr çf'k{kd@flE;qysVj dh vko';drk ugÈ gSA 5&10 Nk=ks a ds fy;s ,d gkbZ QkbMfyVh flE;qysVj dh vko';drk gksrh gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23 I. A. I I II II • ç'u i= vkSj ç'ukÙs kjh & 10 vda • fyf[kr dk;Z & 10 vda ¼dkÆM;ksFkkjs sfld uÉlx vH;kl ls çklafxd uSfrd vkpkj lafgrk] dkÆM;kFs kksjfsld uÉlx@laØe.k fu;a=.k çfØ;kvksa es a lk{; vkèkkfjr dk;Z ¼bZchih½ ij lkfgR;d leh{kk] ân; rFkk o{k&xºoj lacaèkh ¼dkÆM;kFs kksjfsld½ fodkjks a ls ihfM+r jksfx;k sa dh ik"sk.k lacèa kh n[s kHkky½ • lkefwgd ifj;kts uk & 5 vad B. I I II II I 35 vda ¼fucaèk 1 × 15 ¾ 15 vda ] y?kq mÙkj 4 × 4 ¾ 16 vda ] vfr y?kq mÙkj 2 × 2 ¾ 4 vda ½ vkSj II 40 vad ¼fucèa k 1 × 15 ¾ 15 vad] y?kq mÙkj 5 × 4 ¾ 20 vad] vfr y?kq mÙkj 5 × 1 ¾ 5 vad½ II. A. • oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ½ & 25 vda ¼inLFkkiu ds var es a vks,llhbZ & 10 vad $ o"kZ ds vra es a vkra fjd vk,s llhbZ & 15 vda ½ • vU; vH;kl ftles a voykfsdr vH;kl 'kkfey gS & 50 vad a) çk;ksfxd dk;Z & 20 vda ¼uSnkfud çLrqfr vkSj dsl LVMh fjikVs Z & 5 vda ] ijke'kZ fjiksVZ@nkSjks a dh fjikVs Z & 5 vad] vkS"kèkh; vè;;u fjikVs Z & 5 vda vkSj LokLF; okrkZ & 5 vda ½ b) dk;Zfofèkd n{krkvks a vkSj uSnkfud vgZrkvks a ds iw.kZ gksus ij & 5 vad c) uSnkfud dk;Z fu"iknu dk fujra j uSnkfud vkda yu & 5 vda d) vfare voykfsdr vH;kl ijh{kk ¼uSnkfud dk;Z dk okLrfod fu"iknu½ & 20 vda B. oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ½ & ] voyksfdr vH;kl & I 1 jksxh çf'k{k.k lkexzh rS;kj djuk 2 ân; rFkk o{k&xºoj lacaèkh ¼dkÆM;kFs kksjfsld½ fodkjk sa ls ihfM+r jksfx;ks a ds çf'k{k.k grs q jksxh çf'k{k.k ;kts uk rS;kj djuk24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3 uÉlx vfèkdkfj;kas@LVkQ ulk±s ds fy;s MîwVh jkLs Vj rS;kj djuk 4 lkfgfR;d leh{kk ys[ku ¼lk{; vkèkkfjr uÉlx eè;orZu@çFkkvks a dh igpku djuk vkSj fjiksVZ fy[kuk½ 5 çdk'ku ds fy;s ikMa qfyfi rS;kj djuk@isij çts sVa s'ku 6 bZchih ifj;kts uk ¼lkefwgd ifj;kts uk½ & lk{; vkèkkfjr uÉlx gLr{kis ij dk;kZUo;u fo"k;% ;k 'kksèk ifj;kts uk ¼lkewfgd½ fo"k;% II 1-1 ân; rFkk o{k&xºoj lacaèkh ¼dkÆM;ksFkkjs sfld½ fodkjkas ls ihfM+r o;Ld jksfx;ksa ds iwoZo`Ùk dh tkudkjh ysuk vkSj 'kkjhfjd ijh{k.k djuk 1-2 ân; rFkk o{k&xºoj lacaèkh ¼dkÆM;ksFkkjs sfld½ fodkjkas ls ihfM+r f'k'kq jksfx;ks a ds iwoZo`Ùk dh tkudkjh ysuk vkSj 'kkjhfjd ijh{k.k djuk 2-1 bdkds kÆM;ksxzke 2-2 vYVªklkmaM 2-3 lhVh LdSu 2-4 ,evkjvkbZ 2-5 iSV LdSu 2-6 bZlhth 2-7 ,aft;kxs zkQh 2-8 dkÆM;d dSFkhVsjkbts'ku 3-1 vkbZlhih fuxjkuh 3-2 mUur thou leFkZu 3-3 lhus eas Vîcw yxkuk 3-4 vra %'okluyh; baVqcs"k.k 3-5 oasfVysVj yxkuk 3-6 lsVa ªy ykbu yxkuk 3-7 vkÆVfj;y ykbu yxkuk 3-8 dkÆM;d iÇslx 3-9 Vªsfd;ksLVkseh 3-10 MhfQfczysVj dk mi;kxs 3-11 czkasdkLs dkis h[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25 3-12 iYl vkWDlhesVªh 3-13 èkeuh; jDr pki ¼chih½ ekiu 3-14 f'kjkijd igqap 'kq# djuk 3-15 ,chth fo'y"s k.k 3-16 vkWDlhtu yxkuk 3-17 Vªsfd;ksLVkseh ns[kHkky 3-18 ewy thou leFkZu 3-19 mUur thou leFkZu 3-20 vksjks@xzluh ok;qekxZ dk vuqç;ksx 3-21 lhih,ih ¼lrr ldkjkRed ok;qekxZ ncko½ 3-22 baVjdksLVy Mªus st dh n[s kHkky 3-23 ucs qykbts'ku 3-24 e‚fuVlZ dk mi;kxs 3-25 bu¶;wtu iEi dk ç;kxs 3-26 vra %f'kjh; fpfdRlk 3-27 dkÆM;kFs kksjfsld bkdbZ es a HkrhZ vkSj NqV~Vh 3-28 vkWjkxs SfLVªd Vîwc bal'kZu 3-29 ckWMh okeZj dk mi;kxs 3-30 vkS"kfèk nsuk 3-31 jDr vkSj jDr mRikn p<+kuk 4-1 ân; rFkk o{k&xºoj lacaèkh 'kY;&fpfdRlk ds fy;s jkfsx;kas dks rS;kj djuk 4-2 'kY;fpfdRlk ds ckn dh n[s kHkky 4-3 jksxh f'k{kk vkSj ijke'kZ 4-4 ?kj ij n[s kHkky dh rS;kjh djuk 5-1 dkÆM;kFs kksjfsld bdkbZ esa laØe.k fu;a=.k ds fy;s ekud lapkyu çfØ;k ¼,lvkis h½ rS;kj djuk 5-2 jDrkèkku ds fy;s ekud lapkyu çfØ;k ¼,lvkis h½ rS;kj djuk 5-3 e`rçk; dks thfor dju s ds fy;s ekud lapkyu çfØ;k ¼,lvksih½ rS;kj djuk 5-4 vksiu gkVZ ltZjh djkus okys jkfsx;kas ds fy, uÉlx ekudks a dk fodkl 5-5 bdkbZ dk ijh{k.k djuk 6-1 jksxk.kquk'ku@folaØehdj.k26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 6-2 èkew zhdj.k 7-1 lgefr ysuk 7-2 Vhdkdj.k 7-3 ekxZn'kZu vkSj ijke'kZ *Nk= ds dkS'ky çn'kZu dju s ds fy;s l{ke ik;s tkus ij bl ij ladk; }kjk gLrk{kj fd;s tk,axsA Nk=ksa ls lwphc) dkS'ky@n{krkvkas dk laiknu ckj&ckj djuk rc rd vifs{kr gS tc rd fd os Lrj&3 dh n{krk rd ugha igqap tkr s gSa] mlh ds ckn ladk; }kjk çR;sd n{krk ds le{k gLrk{kj fd;s tk,axsA ;g lqfuf'pr fd;k tkuk pkfg;s fd Nk=ksa ds Lrj&3 rd igqapu s ij gh çR;sd n{krk ds le{k gLrk{kj fd; s tk,Aa • Lrj&3 dh ;ksX;rk n'kkZrh gS fd Nk= fcuk fdlh i;Zo{s k.k ds ml n{krk dk laiknu dju s esa l{ke gSA • Lrj&2 dh ;ksX;rk n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;ds n{krk dk laiknu djus es a l{ke gSA • Lrj&1 dh ;ksX;rk n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml dkS'ky@n{krk dk laiknu djus esa l{ke ugha gSA 1-1 fo"k;% 1-2 fo"k;% ijke'kZ fjiksVZ & 1 3-1 LokLF; vkda yu ¼o;Ld½ & iwoZo`Ùk vkSj 'kkjhfjd ijh{k.k ¼rhu fyf[kr fjikVs Z½ 3-1-1- 3-1-2- 3-1-3- 3-2 LokLF; vkda yu ¼f'k'kq½ & iwoZo`Ùk vkSj 'kkjhfjd ijh{k.k ¼nk s fyf[kr fjikVs Z½ 3-2-1- 3-2-2-[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27 fo"k;% ¼uÉlx@ var%fo"k;d nkSjs½ 5-1 uSnkfud fLFkfr dk uke ¼o;Ld½% 5-2 uSnkfud fLFkfr dk uke ¼f'k'kq½% ¼nk s fyf[kr fjikVs Z çLrqr dh tkuh gSa½ 6-1 vkS"kfèk dk uke% 6-2 6-3 6-4 mnkgj.k% ân;@QsQM+k çR;kjksi.k bdkbZ@ dksbZ vU; dkÆM;kd@Fkksjsfld Lisf'k;fyVh dsæa28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] MkW- Vh- fnyhi dqekj] vè;{k [जवज्ञापन-III/4/असा./608/2024-25] INDIAN NURSING COUNCIL NOTIFICATION New Delhi, the 7th October, 2024 INDIAN NURSING COUNCIL (POST BASIC DIPLOMA IN CARDIOTHORACIC SPECIALTY NURSING - RESIDENCY PROGRAM) REGULATIONS, 2023 F.No. 11-1/2024-INC (I).—In exercise of the powers conferred by sub-section (1) of Section 16 of Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations, namely:— 1. SHORT TITLE AND COMMENCEMENT i. These Regulations may be called the Indian Nursing Council (Post Basic Diploma in Cardiothoracic Specialty Nursing - Residency Program) Regulations, 2023. ii. These shall come into force on the date of notification of the same in the Official Gazette of India. 2. DEFINITIONS In these Regulations, unless the context otherwise requires, i. ‘the Act’ means the Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time; ii. ‘the Council’ means the Indian Nursing Council constituted under the Act; iii. ‘SNRC’ means the State Nurse and Midwives Registration Council, by whichever name constituted, by the respective State Governments; iv. ‘RN & RM’ means a Registered Nurse and Registered Midwife (RN & RM) and denotes a nurse who has completed successfully, recognised Bachelor of Nursing (B.Sc. Nursing) or Diploma in General Nursing and Midwifery (GNM) course, as prescribed by the Council and is registered in a SNRC as Registered Nurse and Registered Midwife; v. ‘Nurses Registration & Tracking System (NRTS)’ means a system developed by the Council and software developed in association with National Informatics Centre (NIC), Government of India, and hosted by NIC for the purpose of maintenance and operation of the Indian Nurses Register. It has standardised forms for collection of the data of Registered Nurse and Registered Midwife (RN[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29 & RM)/Registered Auxiliary Nurse Midwife (RANM)/Registered Lady Health Visitor (RLHV) upon Aadhar based biometric authentication; vi. ‘NUID’ is the Nurses Unique Identification Number given to the registrants in the NRTS system; vii. ‘General Nursing and Midwifery (GNM)’ means Diploma in General Nursing and Midwifery qualification recognized by the Council under Section 10 of the Act and included in Part-I of the Schedule of the Act. POST BASIC DIPLOMA IN CARDIOTHORACIC SPECIALTY NURSING - RESIDENCY PROGRAM I. INTRODUCTION The National Health Policy document (NHP, 2017) emphasizes the need to expand tertiary care services, prepare specialist nurses and standardization of clinical training for nurses. Responding to this, the Council planned to redesign the existing specialist nursing programs making it as a one-year post basic diploma residency programs utilizing competency-based training approach. Post Basic Diploma in Cardiothoracic Nursing – Residency Program includes revised guidelines that aim to prepare specialist nurses who can provide competent care to patients with cardiothoracic disorders whose diagnostic, treatment and care needs are complex and intensive. Cardio related problems of the Indians are fast becoming major health problems owing to the rapid change in the life style. It has caused a great concern among the health professionals to meet this challenge. It affects all levels of the people. Since 1983 the NHP has guided the health care system in meeting the needs of the people to a great extent. The policy recognizes the need for establishing the training courses for the super-specialty nurses required for tertiary care institutions. Post Basic Diploma in Cardiothoracic Nursing – Residency Program is designed to prepare specially trained Cardiothoracic Nurses. The outcome of the program will be to have more nurses prepared as cardiothoracic nurses for providing competent nursing care in various health care settings. II. PHILOSOPHY The Council believes that registered nurses need to be trained in cardiothoracic nursing in clinical settings in order to provide competent care to patients with cardiothoracic problems. Expanding roles of nurses and advances in technology necessitates additional training to prepare them for effective participation in cardiothoracic care. III. CURRICULAR FRAMEWORK The Post Basic Diploma in Cardiothoracic Specialty Nursing is a one-year residency program and its curriculum is conceptualized encompassing short foundational courses and major specialty courses for specialty nursing practice. The foundations to cardiothoracic specialty nursing practice such as professionalism, communication, patient education and counselling, clinical leadership and resource management, and evidence based & applied research are short courses that aim to provide the students with the knowledge, attitude and competencies essential to function as accountable, safe and competent specialist nurses. The major specialty courses are organized under Cardiothoracic Specialty Nursing I and Cardiothoracic Specialty Nursing II to include context/introduction to cardiothoracic nursing, basic sciences applied to cardiothoracic nursing (application of basic science knowledge in the diagnosis and treatment of clinical conditions under cardiothoracic specialty nursing), nursing management including assessment, diagnosis, treatment and specialized interventions (in management of specific clinical conditions) and patient safety and quality including specialty/illness considerations. The curricular framework for the residency program is illustrated in the following figure 1.30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] POST BASIC DIPLOMA IN CARDIOTHORACIC SPECIALTY NURSING – RESIDENCY PROGRAM Foundations to Cardiothoracic Nursing Courses Cardiothoracic Specialty Nursing Courses Context/Introduction Professionalism to specialty nursing practice Communication, Basic sciences patient education applied to & counseling specialty care Nursing Clinical Management leadership and incl. assessment resource and specialized management interventions Cardiothoracic Specialty Patient safety Evidence Nursing & quality, and based and education for Illness specific applied Specialist considerations research Practice ONE-YEAR RESIDENCY PROGRAM (For Registered Nurses & Midwives) Theory – 10% & Practicum – 90% (Skill Lab + Clinical) Figure 1. Curricular Framework for Cardiothoracic Specialty Nursing – Residency Program IV. AIM/PURPOSE & COMPETENCIES Aim The program is designed to prepare nurses with specialized skills, knowledge and attitude in providing quality care to patients with cardiothoracic disorders. It further aims to prepare technically qualified and trained specialist nurses who will function effectively and optimally at cardiothoracic centres of tertiary/quaternary hospitals providing high standards of care. Competencies On completion of the program, the cardiothoracic specialist nurse will be able to: 1. Demonstrate professional accountability for the delivery of nursing care as per the Council standards that is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles in cardiothoracic practice. 2. Communicate effectively with patients, families and professional colleagues fostering mutual respect and shared decision making to enhance health outcomes. 3. Educate and counsel patients and families to participate effectively in treatment and care and enhance their coping abilities through crisis and bereavement. 4. Demonstrate understanding of clinical leadership and resource management strategies and use them in cardiothoracic care and settings promoting collaborative and effective teamwork. 5. Identify, evaluate and use the best current evidence in cardiothoracic care and treatment coupled with clinical expertise and consideration of patient’s preferences, experience and values to make practical decisions in cardiothoracic nursing practice.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31 6. Participate in research studies that contribute to evidence-based cardiothoracic nursing care interventions with basic understanding of research process 7. Apply basic sciences in the assessment, diagnosis and treatment of the physiological, physical, psychological, social and spiritual problems of patients and their families with cardiothoracic disorders. 8. Describe the concepts and principles of cardiothoracic nursing. 9. Demonstrate skills in advanced cardiac life support. 10. Apply nursing process in caring for patients with cardiothoracic disorders. 11. Communicate effectively with patients having cardiothoracic problems and their family members. 12. Demonstrate skills in management of cardiothoracic services/units. 13. Participate effectively as a member of the cardiac care team. 14. Make a plan for organization of cardiac and thoracic units. 15. Provide end of life care promoting comfort and dignity respecting individual cultural and spiritual needs and differences. 16. Teach and supervise nurses and allied health workers. V. PROGRAM DESCRIPTION AND SCOPE OF PRACTICE The Post Basic Diploma in Cardiothoracic Specialty Nursing – Residency Program is designed to prepare registered nurses (GNM or B.Sc.) with specialized knowledge, skills and attitude in providing advance quality care to patients with cardiothoracic disorders and their families. Emphasis is laid on clinical competency with relevant theory. The theory component comprises 10% and practicum 90% (Clinical & Lab). On completion of the program and certification, and registration as additional qualification with respective SNRC, the cardiothoracic specialist nurses should be employed only in cardiothoracic unit of a multi-specialty hospital. They will be able to practice as per the competencies trained during the program particularly the specialized procedural competencies/clinical skills as per the log book of the Council syllabus. The specialist nurses can be privileged to practice those specialized procedural competencies by the respective institution as per institution protocols. Specialist nurse cadres/positions should be created at government/public/private sectors. The diploma will be awarded by respective Examination Board/SNRC/University approved by the Council. VI. MINIMUM REQUIREMENTS/GUIDELINES FOR STARTING THE POST BASIC DIPLOMA IN CARDIOTHORACIC SPECIALTYT NURSING-RESIDENCY PROGRAM The program may be offered at 1. College of Nursing offering degree programs in nursing attached to parent hospital having minimum of 200 beds with advanced diagnostic, therapeutic and state of the art cardiothoracic units with optimum monitoring and life support equipment/facilities required to provide effective care to patients with cardiothoracic disorders and specialized nursing care facilities. OR Hospitals offering DNB/Fellowship programs in cardiothoracic surgery having minimum of 200 beds with advanced diagnostic, therapeutic and state of the art cardiac and thoracic care units/CT intensive care units with optimum monitoring and life support equipment/facilities required to provide effective care to patients with cardiothoracic conditions and specialized nursing care facilities. 2. The above eligible institution shall get recognition from the concerned SNRC for Post Basic Diploma in Cardiothoracic Specialty Nursing for the particular academic year, which is a mandatory requirement. 3. The Council shall after receipt of the above documents/proposal would then conduct statutory inspection of the recognized training nursing institution under Section 13 of the Act in order to assess the suitability with regard to availability of teaching faculty, clinical and infrastructural facilities in conformity with Regulations framed under the provisions of the Act. 1. Teaching Faculty a. Full time teaching faculty in the ratio of 1:10. b. Minimum number of faculty should be two. c. Qualification and Number: i. M.Sc. Nursing with Medical Surgical Nursing/Cardiothoracic Specialty Nursing - 1 ii. Post Basic Diploma in Cardiothoracic Specialty Nursing with Basic B.Sc. Nursing/P.B.B.Sc. Nursing - 132 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] d. Experience: Minimum three years of clinical experience in Cardiothoracic Specialty Nursing. e. Guest Faculty: Multi-disciplinary in related specialities. f. Preceptors: • Nursing Preceptor: Full time qualified GNM with six years of experience in Cardiothoracic Specialty Nursing or B.Sc. Nursing with two years of experience in Cardiothoracic Specialty Nursing or M.Sc. Nursing with one year of Cardiothoracic Specialty Nursing experience working in any of the cardiothoracic units/ICUs. • Medical Preceptor: Specialist doctor with PG qualification (with 3 years’ post PG experience/faculty level/consultant level preferable). • Preceptor Student Ratio: Nursing 1:10, Medical 1:10 (Every student must have a medical and nursing preceptor) 2. Budget There should be budgetary provision for staff salary, honorariums for guest faculty, and part time teachers, clerical assistance, library and contingency expenditure for the program in the overall budget of the institution. 3. Physical and Learning Resources at Hospital/College a. One classroom/conference room at the clinical area b. Skill lab for simulated learning at hospital/college. Skill Lab Requirements are listed in Appendix-1. c. Library and computer facilities with access to online journals: i. College library having current books, journals and periodicals related to Cardiothoracic Specialty Nursing, anatomy & physiology, microbiology, pharmacology, pathophysiology, Nursing Administration, Nursing Education, Nursing Research and Statistics. OR Permission to use medical college/hospital library having current books, journals and periodicals related to Cardiothoracic Specialty Nursing, anatomy & physiology, microbiology, pharmacology, pathophysiology, Nursing Administration, Nursing Education, Nursing Research and Statistics. ii. Computer with internet facility. d. E-Learning facilities e. Teaching Aids - Facilities for use of: i. Overhead Projectors ii. Video viewing facility iii. LCD Projector iv. CDs, DVDs and DVD players v. Appropriate equipment, manikins and simulators for skill learning f. Office facilities: i. Services of typist, peon, Safai Karmachari ii. Facilities for office, equipment and supplies such as • Stationery • Computer with printer • Xerox machine • Telephone and Fax 4. Clinical Facilities a. Parent specialty hospital/tertiary hospital having minimum of 200 beds with advanced diagnostic, therapeutic and state of the art cardiothoracic unit/intensive care units with optimum monitoring and life support equipment/facilities required to provide effective care to patients with cardiothoracic disorders and specialized nursing care facilities. b. Hospital must have a minimum of 20 specialty beds including cardiothoracic ICU (Minimum of 10 ICU beds) with advanced diagnostic, treatment and care facilities. c. Regional centres/cardiothoracic specialty hospitals having minimum of 200 beds with advanced diagnostic, therapeutic and state of the art cardiothoracic unit/intensive care units with optimum[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33 monitoring and life support equipment/facilities required to provide effective care to patients with cardiothoracic disorders and specialized nursing care facilities. d. Nurse staffing of units as per the Council recommended norms. e. Student patient ratio: 1:1-2. 5. Admission Terms and Conditions/Entry Requirements The student seeking admission to this program should: a. Be a registered nurse (RN & RM) or equivalent with any SNRC having NUID number. b. Possess a minimum of one-year clinical experience as a staff nurse preferably in the cardiothoracic unit prior to enrolment. c. Be physically fit. d. Selection must be based on the merit obtained in an entrance examination and interview held by the competent authority. e. Nurses from other countries must obtain an equivalence certificate from the Council before admission. 6. Number of Seats For hospital having 200 beds and 20 specialty beds, number of seats = 10-20, For hospital having 500 beds and more with 30 specialty beds, the number of seats = 15-30. 7. Number of Candidates 1 candidate for 1-2 specialty beds. 8. Salary a. In-service candidates will get regular salary. b. Stipend/Salary for the other candidates as per the salary structure of the hospital where the program is conducted. VII. EXAMINATION REGULATIONS AND CERTIFICATION EXAMINATION REGULATIONS Examining and Diploma Awarding Authority: Respective Examination Board/SNRC/University approved by the Council. 1. Eligibility for appearing for the Examination a. Attendance: Theory & Practical - 80%. However, 100% Clinical attendance have to be completed prior to certification. b. Candidate who successfully completes the necessary requirements such as log book and clinical requirements is eligible and can appear for final examination. 2. Practical Examination a. OSCE: Objective Structured Clinical Examination (OSCE) type of examination will be conducted alongside viva (oral examination) both in the internal and final examination. (Detailed guidelines are given in guidebook.) b. Observed Practical/Clinical: Final internal and external examination will also include assessment of actual clinical performance in real settings including viva and mini clinical evaluation exercise for 3-4 hours (Nursing process application and direct observation of procedural competencies). Minimum period of assessment in the clinical area is 5-6 hours. (Evaluation guidelines are given in guidebook.) c. Maximum number of students per day = 10 students d. Practical Examination should be held in clinical area only e. The team of practical examiners will include one internal examiner [(M.Sc. faculty with two years of experience in teaching the respective specialty program/M.Sc. faculty (Medical Surgical Nursing) with 5 years of Post PG experience], one external examiner (nursing faculty with the same qualification and experience stated as above) and one medical internal examiner who should be preceptor for specialty program.34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] f. The practical examiner and the theory examiner should be the same nursing faculty or from the same specialty. 3. Standard of Passing a. In order to pass, a candidate should obtain at least 60% marks in aggregate of internal assessment and external examination both together, in each of the theory and practical papers. Less than 60 % is considered fail. b. Students will be given opportunity of maximum of 3 attempts for passing. c. If the student fails in either theory or practical, he/she needs to appear for the exam failed either theory or practical only. CERTIFICATION a. TITLE: Post Basic Diploma in Cardiothoracic Specialty Nursing b. A diploma is awarded by Examination Board/SNRC/University approved by the Council, upon successful completion of the prescribed study program, which will state that i. Candidate has completed all the courses of study under the Post Basic Diploma in Cardiothoracic Specialty Nursing - Residency Program ii. Candidate has completed 80% theory and 100% clinical requirements iii. Candidate has passed the prescribed examination. VIII. SCHEME OF EXAMINATION Courses Internal External Total Exam Hours Assessment Assessment Marks Marks Marks A. Theory (Experiential/Residential Learning) 25 75 100 3 Cardiothoracic Specialty Nursing (10 + 15) (35 + 40) (Part I & Part II) {Part I – Cardiothoracic Specialty Nursing I including Foundations to Cardiothoracic Specialty Nursing practice, Part II – Cardiothoracic Specialty Nursing II} B. Practicum (Cardiothoracic Specialty Nursing) 75 150 225 (25 + 50) (50 + 100) Minimum 5-6 • OSCE including Viva (OSCE-25 (OSCE-50 hours in the • Observed Practical/Clinical (Direct observation of & Observed & Observed clinical area actual performance at real settings) including viva Practical- Practical- - mini clinical evaluation exercise for 3-4 hours 50) 100) (Nursing process application and direct observation of procedural competencies) Grand Total 100 225 325 IX. PROGRAM ORGANIZATION/STRUCTURE 1. Courses of Instruction 2. Implementation of Curriculum 3. Clinical Practice (Residency Posting) 4. Teaching Methods 5. Methods of Assessment 6. Log Book & Clinical Requirements[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35 1. Courses of Instruction Unit Courses Theory Lab/Skill Lab Clinical (hours) (hours) (hours) I Foundations to Cardiothoracic Specialty 40 Nursing Practice 1. Professionalism 2. Communication, patient education and counseling in specialty nursing 3. Clinical leadership and resource management in the specialty care setting 4. Evidence based and applied research in specialty nursing II Cardiothoracic Specialty Nursing Courses 50 10 Cardiothoracic Specialty Nursing I 1. Context/Introduction to specialty nursing 2. Basic sciences applied to specialty care- diagnosis and treatment of clinical conditions (Anatomy & Physiology, Microbiology, Pharmacology & Pathophysiology) 110 30 1730 Cardiothoracic Specialty Nursing II 3. Nursing management of clinical conditions including assessment, diagnosis, treatment and specialized interventions 4. Patient safety and quality 5. Specialty/Illness specific considerations (Supportive care/palliative care/rehabilitation, Impact of illness on individual, family and community) TOTAL = 1970 hours 200 (5 weeks) 40 (1 week) 1730 (38 weeks) Note: In Specialty Nursing I & II, theory and lab hours may be different in each specialty nursing based on their content and training needs. Total weeks available in a year: 52 weeks ▪ Annual Leave + Casual Leave + Sick Leave + Public Holidays = 6 weeks ▪ Exam preparation and Exam = 2 weeks ▪ Theory and Practical = 44 weeks 2. Implementation of the Curriculum Block classes - 2 weeks × 40 hours per week = 80 hours, Residency - 42 weeks × 45 hours per week = 1890 hours Total: 1970 hours ▪ Block classes (Theory and Skill Lab Experience = 2 weeks × 40 hours per week (80 hours) (Theory = 74 hours, Skill Lab = 6 hours. Total = 80 hours) ▪ Clinical practice including Theory and Skill Lab = 42 weeks × 45 hours per week (1890 hours) (Theory = 126 hours, Skill Lab = 34 hours, Clinical = 1730 hours. Total = 1890 hours) Theory = 200 (74 + 126) hours, Skill Lab = 40 (6 + 34) hours, Clinical = 1730 hours (10% : 90%) 126 hours of theory and 34 hours of skill lab learning can be integrated during clinical experience. Mastery learning and experiential learning approaches are used in training the students throughout the program. Skill Lab Requirements are listed in Appendix 1.36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3. Clinical Practice Clinical Residency Experience: A minimum of 45 hours per week is prescribed, however, it is flexible with different shifts and OFF followed by on call duty every week or fortnight. Clinical Placements: The students will be posted to the under mentioned clinical area during their training period. S.No. Units/Departments No. of Weeks 1. Cardiothoracic wards 12 2. OTs (Cardiac and thoracic) 8 3. Emergency unit 4 4. Diagnostic labs including Cath lab 2 5. Cardiothoracic ICU 12 6. Pediatric Cardiothoracic ICU 2 7. OPD 2 TOTAL 42 The residency students will follow the same duty schedule as staff nurses/nursing officers with different shift duties. In addition to that 4 hours every week is dedicated for their learning that can be offered in terms of theory (faculty lecture – 1 hour, nursing & interdisciplinary rounds - 1 hour, clinical presentations, case study report, clinical assignments – 1 hour and skill lab practice - 1 hour) to cover a total of 126 hours of theory and 34 hours of skill lab practice. A small group research project (research/Quality Improvement-QI) can be conducted during clinical posting applying the steps of research process and written report to be submitted. 4. Teaching Methods Theoretical, skill lab & clinical teaching can be done in the following methods and integrated during clinical posting. • Clinical conference • Case/clinical presentation • Case study report • Drug study and presentation • Bedside clinic/Nursing rounds/Interdisciplinary rounds • Clinical seminars • Journal clubs • Faculty lecture and discussion in the clinical area • Demonstration and skill training in skill lab and at bedside • Directed reading/Self study • Role play • Symposium/Group presentation • Group research/QI project • Clinical assignments • Term papers • Workshops • Educational visits Ex. Heart/Lung transplantation unit/Any other Cardiac/thoracic specialty centre Methods of Assessment • Written test • Practical test • Written assignments • Project • Case studies/care plans/clinical presentation • Clinical performance evaluation • Completion of clinical procedural competencies and clinical requirements[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37 For Assessment Guidelines refer Appendix 2. 5. Clinical Log Book/Procedures Book At the end of each clinical posting, Clinical Log Book (Specific Procedural Competencies/Clinical Skills) (Appendix 3), Clinical Requirements (Appendix 4) and Clinical Experience Details (Appendix 5) have to be signed by the concerned clinical faculty. FOUNDATIONS TO CARDIOTHORACIC SPECIALTY NURSING PRACTICE: PROFESSIONALISM, COMMUNICATION, PATIENT EDUCATION & COUNSELING, CLINICAL LEADERSHIP & RESOURCE MANAGEMENT AND EVIDENCE BASED AND APPLIED RESEARCH IN CARDIOTHORACIC NURSING PRACTICE Theory: 40 hours Course Description: This course is designed to develop an understanding of professionalism, communication, patient education and counselling, clinical leadership and resource management and evidence based and applied research in cardiothoracic nursing practice. Unit Time Learning Content Teaching Assessment (hours) Outcomes Learning Methods Activities I 6 Demonstrate PROFESSIONALISM • Discussion • Write about code understandin • Meaning and elements: of ethics related to g of Accountability, cardiothoracic professionali knowledgeable, visibility and nursing sm and ethics in cardiothoracic exhibit specialty nursing practice professionali • Professional values and sm in the professional behaviour practice of • The Council’s code of ethics, cardiothoracic code of professional conduct nursing and practice standards • Ethical issues related to cardiothoracic nursing and heart and lung transplant • Expanding role of Nurse: Nurse practitioner • Professional organizations • Continuing nursing education Describe Medico-Legal Issues • Lecture • Maintain record of medico-legal • Legislations and regulations patients aspects of related to cardiothoracic cardiothoraci nursing c nursing and • Consumer protection act heart • Negligence & malpractice transplant • Medico-legal aspects • Records & reports • Legal responsibilities of cardiothoracic specialist nurses II 12 Communicate Communication Module effectively • Channels and techniques of • Lecture • Digital records with communication38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching Assessment (hours) Outcomes Learning Methods Activities cardiothoracic • Breaking bad news to patients • Breaking bad patients, with cardiothoracic disorders news – Role families and and with poor prognosis play professional • Culturally sensitive colleagues communication fostering • Development of nursing care mutual plans and records respect and • Information technology tools shared in support of communication decision • Team communication making to enhance • Conduct a group health Patient & Family Education health education outcomes • Principles of teaching and • Peer teaching program for the learning patients with • Principles of health education cardiothoracic Educate and • Assessment of informational disorders counsel needs and patient education patients and including transplant patient education families to • Developing patient education participate materials relevant to effectively in • Prepare patient cardiothoracic nursing treatment and education materials care on relevant topic Counselling • Counseling techniques • Counselling • Genetic counseling for family sessions • Patient and family counseling during breaking bad news, intensive treatment, crisis Teach intervention and end of life Nursing stage officers, • Counselling for transplant students and patients (Heart/Lung) and paramedical family staff in cardiothoracic unit III 12 Demonstrate Clinical Leadership & • Lecture • Plan a duty roster understandin Resource Management for the junior g of clinical • Leadership & Management nursing leadership • Elements of management of officers/Staff and Cardiothoracic nursing care – nurses working in management planning, organizing, staffing, the cardiothoracic strategies and reporting, recording and department use them in budgeting cardiothoraci • Clinical leadership and its c care and challenges settings • Managing human resources in promoting cardiothoracic units collaborative[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39 Unit Time Learning Content Teaching Assessment (hours) Outcomes Learning Methods Activities and effective • Material management teamwork • Designing of an ideal cardiothoracic ward/ICU, day care and transplant unit • Emotional intelligence and self- management skills • Working as interdisciplinary • Plan an ideal team member cardiothoracic • Participation in making ward and Day care policies relevant to care of cardiothoracic patients Prepare the • Organization of cardiac CCU, unit for cardiothoracic ICU and ward receiving • Develop SOPs for postoperative care of patient in cardiothoracic Quality Assurance Program in cardiothoracic • Modules - patients Cardiothoracic Unit CCU and ward Accreditation & • Nursing audit Practice Conduct • Nursing standards Standards clinical audit • Quality assurance and participate in quality assurance activities in cardiothoracic ICU and ward IV 10 Describe Evidence based and • Lecture • Preparation of research Application of Research statistical data of process and • Introduction to nursing • Module : cardiothoracic perform basic research and research process Writing of patients for last statistical • Data presentation, basic scientific paper five years tests statistical tests and its application Apply • Research priorities in • Conduct literature evidence cardiothoracic nursing review on based/best • Formulation of cardiothoracic practices in problem/question that are nursing professional relevant to cardiothoracic interventions/Evid practice nursing practice ence based practice relevant to • Review of literature to project cardiothoracic identify evidence based/best nursing practices in cardiothoracic nursing practice • Implementation of evidence- based interventions in daily professional practice • Ethics in research40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] CARDIOTHROACIC SPECIALTY NURSING I CONTEXT/INTRODUCTION TO CARDIOTHROACIC NURSING & BASIC SCIENCES APPLIED TO CARDIOTHROACIC NURSING PRACTICE (Applied Psychology, Sociology, Microbiology, Pathology, Anatomy, Physiology & Pharmacology) Theory: 50 hours & Lab 10 hours Course Description: This course is designed to help students to develop understanding and in-depth knowledge regarding the context of cardiothoracic care provision and application of basic sciences in the diagnosis and treatment of patients suffering from cardiothoracic disorders. T-Theory, L-Lab Unit Time Learning Content Teaching Assessment (hours) Outcomes Learning Methods Activities I 4 (T) Describe • Epidemiology of • Lecture & • Presentation of epidemiology cardiothoracic disorders - Discussion statistics of common Prevalence and statistics cardiothoracic • Risk factors and disorders, risk identification identification • Risk reduction strategies and reduction strategies II 2 (T) Explain • Principles of cardiothoracic • Lecture & principles of specialist nursing Discussion cardiothoracic • Role of cardiothoracic nursing specialist nurses • Scope of cardiothoracic Role of specialist nursing practice cardiothoracic specialist nurses III 10 (T) Explain • Human behavior and coping • Lecture • Conduct psychosocial with cardiothoracic counselling aspects in malignancies session cardiothoracic • Factors influencing nursing care psychosocial adjustment for patients suffering from cardiothoracic malignancies • Management of • Counselling: psychosocial problems Review steps • Guidance & Counseling IV 8 (T) Explain • Principles of asepsis, • Lecture • Prepare SOP for 2 (L) medical sterilization & disinfection infection control surgical asepsis • Standard safety measures • Demonstration in cardiothoracic and infection • Biomedical waste ICU control in management cardiothoracic • Barrier nursing & infection setup control practices V 6 (T) Describe Structure and Function of • Lecture • Quiz 2 (L) structure and Heart & Lungs • Self-study functions of • Embryonic development of • Models and heart & lungs heart specimens of • Structure of heart[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41 Unit Time Learning Content Teaching Assessment (hours) Outcomes Learning Methods Activities • Conduction system the heart and • Circulation of the heart lung • Blood vessels • Structure and functions of respiratory system • Embryonic development of lungs • Parts of the lung • Ventilation and perfusion VI 10 (T) Explain Pharmacokinetics • Lecture & • Submission of 4 (L) pharmacothera • Analgesics/Anti- Discussion Drug book py for different inflammatory agents malignant & • Antibiotics, antiseptics • Quiz on non-malignant • Drugs used in cardiac calculation of Cardiothoracic emergencies inotropes disorders • Anti-thrombolytic agents • Inotropic agents • Drug presentation • Anti-hypertensive drugs • Anti-coagulants • Anti-arrhythmic drugs • Vasodilators VII 5 (T) Demonstrate Cardio-thoracic emergency • Simulation • OSCE 2 (L) management of interventions • Realia of patients during • CPR-BLS and ALS equipment cardiothoracic • Use of ventilator, emergencies defibrillator, pacemaker • Post resuscitation care VIII 5 (T) Explain the Diagnostic Measures • Observation • OSCE and quiz preparation of Non-Invasive patient for • ECG - abnormal ECG & cardiothoracic interpretation investigations • Echocardiography • Pulmonary function test • Cardiac monitoring techniques, chest lead and modified lead placement • Nuclear diagnostic procedures • Magnetic Resonance Imaging • Chest X-Ray Invasive • Bronchoscopy and graphics • C.V.P. & J.V.P. • Blood gases and its significance • Cardiac catheterization and angiographies42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching Assessment (hours) Outcomes Learning Methods Activities • Arterial monitoring, swan Ganz monitoring • Diagnostic radiographies of chest and C.V.S. Nurse’s role in diagnostic tests CARDIO THORACIC SPECIALTY NURSING II NURSING MANAGEMENT OF PATIENTS WITH CARDIOTHORACIC CONDITIONS INCLUDING ASSESSMENT, DIAGNOSIS, TREATMENT AND SPECIALIZED INTERVENTIONS Theory: 110 hours & Lab 30 hours Course Description: This course is designed to help students to develop understanding and in-depth knowledge regarding nursing management of patients with cardiothoracic conditions including assessment, diagnosis, treatment and specialized interventions and patient safety and quality including specialty/illness considerations. T-Theory, L-Lab Unit Time Learning Content Teaching Assessment (hours) Outcomes Learning Methods Activities I 15 (T) Describe the Cardiothoracic disorders • Discussion, • Quiz, causes, Etiology, clinical manifestations, Lecture assignments pathophysiol diagnosis, prognosis, related ogy, types, pathophysiology and nursing clinical management of: features, • Coronary Artery Disease diagnosis, • Angina of various types prognosis, • Cardiomegaly Management • Myocardial infarction, : medical, Congestive cardiac failure surgical and • Heart failure, Pulmonary demonstrate edema, Shock skill in • Hypertension providing • Rheumatic Valve Diseases nursing care • Inflammatory Heart Diseases, for patients Infective Endocarditis, with Myocarditis, Pericarditis cardiothoracic • Cardiomyopathy, dilated, disorders restrictive, hypertrophic II 10 (T) Describe the Altered pulmonary conditions • Discussion, • Quiz, causes, Etiology, clinical manifestations, Lecture assignments pathophysiol diagnosis, prognosis, related ogy, types, pathophysiology and nursing clinical management of: features, • Pleuritis effusion diagnosis, • Pneumo, haemo and prognosis, pyothorax Management • Interstitial lung disease : medical,[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43 Unit Time Learning Content Teaching Assessment (hours) Outcomes Learning Methods Activities surgical and • Acute and chronic obstructive demonstrate pulmonary disease (conditions skill in leading to) providing • Bronchiectasis nursing care • Acute respiratory failure for patients • Adult respiratory distress with syndrome pulmonary • Pulmonary embolism disorders • Pulmonary hypertension III 5 (T) Demonstrate Nursing care of patient with • Discussion, • Quiz, 2 (L) use of temporary or permanent Lecture assignments, pacemaker pacemaker • Simulation OSCE and its • Types of temporary and settings permanent pacemakers • Indications for each type • Principles of pacing procedure • Patient teaching before, during and after pacing IV 5 (T) Explain the Nursing care of patient after • Discussion, • Quiz, 3 (L) preparation coronary revascularization Lecture assignments, and care of • Percutaneous Transluminal • Simulation OSCE patients Coronary Angioplasty; Stent, undergoing Balloon, Types: Indications, coronary procedure & complications revasculariza • Laser therapy for tion revascularization V 10 (T) Differentiate Interpretation, management of • Discussion, • Quiz, 5 (L) the different Dysrhythmias and nurse’s role Lecture assignments, types of • Sinus arrhythmias • Simulation OSCE, case arrhythmias • Atrial arrhythmias presentation • Junctional or nodal arrhythmias • Ventricular arrhythmias Demonstrate • AV blocks use of • Pathophysiological responses (Automated • Recircuit arrhythmias and External ablation therapy Defibrillatio • Automatic implantable n) AED cardioverter defibrillator VI 5 (T) Demonstrate Nursing care of patient with • Discussion, • Quiz, 2 (L) use of chest chest drainage tubes Lecture assignments, drainage • Principles of under-water seal • Simulation OSCE drainage Explain the • Equipment, set up, different assessment, care of patient, types of complications chest • Principles of autotransfusion, drainages indications, complications, and its uses care, setup44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching Assessment (hours) Outcomes Learning Methods Activities VII 15 (T) Describe the Congenital Heart Diseases • Discussion, • Quiz, 3 (L) different Etiology, clinical manifestations, Lecture assignments, case types of diagnosis, prognosis, related presentation congenital pathophysiology and nursing heart management of: diseases, its • Embryological development etiology, of heart clinical • Classification – cyanotic and manifestation, acyanotic heart disease diagnosis, • Tetralogy of Fallots prognosis, • Atrial Septal Defect, related Ventricular Septal Defect, pathophysiol Eisenmenger syndrome ogy, and • Patent ductus arteriosus, AP medical, window surgical and • Truncus arteriosus nursing • Transposition of great arteries management • Total anomaly of pulmonary venous connection • Pulmonary stenosis, atresia • Coarctation of aorta • Ebstein’s anomaly • Double outlet right ventricle, single ventricle, hypoplastic left heart syndrome VIII 10 (T) Explain the Nursing care of pediatric • Discussion, • Quiz, etiology, patient with cardiothoracic Lecture assignments, case clinical disorders presentation manifestatio • Review of growth and ns diagnosis, development prognosis, • Psychosocial aspects of related pediatric care and family pathophysiol • Pre, peri and post-operative ogy and cardio- thoracic care management • Pediatric pain assessment and of pediatric management cardiothoracic disorders IX 25 (T) Describe the Nursing care of patient • Discussion, • Quiz, 10 (L) nursing care undergoing cardio thoracic Lecture assignments, case of patient surgery presentation undergoing • Indications, selection of various patient cardiothoracic • Pre-operative assessment and surgeries preparation; patient teaching • Intra-operative care: Principles of open-heart surgery, equipment, anaesthesia, cardiopulmonary bypass[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45 Unit Time Learning Content Teaching Assessment (hours) Outcomes Learning Methods Activities • Surgical procedures for Coronary Artery Bypass Grafting, recent advances and types of grafts, Valve replacements or reconstruction, cardiac transplant, palliative surgery and different stents, vascular surgery, other recent advances • Thoracic surgery: lobectomy, pneumonectomy, tumour excision, lung transplant etc. • Immediate post-operative care: assessment, post- operative problems and interventions: bleeding, cardiac tamponade, low cardiac output, infarction, pericardial effusion, pneumothorax, haemothorax, coagulopathy, thermal imbalance, inadequate ventilation/perfusion, neurological problems, renal problems, psychological problems • Chest physiotherapy • Pain assessment and nursing interventions, complimentary therapy/alternative systems of medicine • Intermediate and late post operative care after CABG, valve surgery, and others • Rehabilitation after cardiac surgery X 10 (T) Explain the Nursing care of patient with • Discussion, • Quiz, 5 (L) nursing care obstructive airway Lecture assignments, case of patient • Assessment • Simulation presentation with • Use of artificial airway • OSCE obstructive • Endotracheal intubation, airway and tracheostomy and its care demonstrate • Complication, minimum cuff skill in leaks, securing tubes establishing Oxygen delivery systems patent airway and • Nasal Cannula saturation • Oxygen mask, Venturi mask • Partial rebreathing bag • Bi-PAP and C-PAP masks46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching Assessment (hours) Outcomes Learning Methods Activities • Uses, advantages, disadvantages, nursing implications of each Describe the Mechanical Ventilation different • Principles of mechanical types of ventilation ventilators, • Types of mechanical uses and ventilation and ventilators settings • Modes of ventilation, advantage, disadvantage, complications • PEEP therapy, indications, physiology and complications • Weaning off the ventilator • Nursing assessment and intervention of ventilated patient • Ventilator adjustments related to correcting ABG abnormality • Care of a chronic ventilated patient PRACTICUM (Skill Lab & Clinical) Total hours: 1770 hours (40 + 1730) (Skill Lab - 40 hours and Clinical - 1730 hours) Practice Competencies: At the end of the program, students will be able to: 1. Perform assessment of patients with cardiothoracic conditions 2. Perform triaging of patients with chest pain 3. Provide competent care to patients with cardiothoracic disorders applying nursing process 4. Prepare and assist/perform cardiology procedures and use assistive devices in cardiac emergencies 5. Demonstrate successful BLS and ACLS 6. Demonstrate skills in assisting for various cardiothoracic surgeries 7. Provide competent care to patients undergoing cardiothoracic surgeries 8. Demonstrate competency in caring for children with cardiothoracic disorders 9. Maintain and store drugs and keep daily record in cardiothoracic unit/ICU Area Duration Clinical Skills/Procedural Assignments Assessment (weeks) Learning Competencies Methods Outcomes Cardiothoracic 12 weeks Perform • History taking • Report of • Clinical wards triaging of • Physical examination health evaluation patients with • Assisting in assessment • Case study chest pain diagnostic tests • Clinical • Thrombolysis presentation • Preparation of patient for diagnostic and • Identify and Provide therapeutic interpret competent care procedures different[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 47 Area Duration Clinical Skills/Procedural Assignments Assessment (weeks) Learning Competencies Methods Outcomes to patients with • Performing ECG and ECG cardiothoracic interpretation of ECG waveforms disorders • Application of nursing process for patient with cardiac disorders OTs (Cardiac 8 weeks Explain and • Assisting for adult • Types of • Clinical and thoracic) demonstrate and paediatric stents and evaluation skills in cardiac surgeries electronic • Case study assisting for • Assisting for lung items used • Clinical various surgeries in cardiac presentation cardiothoracic and lung surgeries surgeries Emergency 4 weeks Demonstrate • Performing triaging • Differentiate • Clinical unit successful BLS of patients between evaluation and ACLS • Performing basic life BLS and • Triaging protocol support ACLS • Chest pain • Performing advanced assessment life support • Managing patients with rib fracture Diagnostic 2 weeks Demonstrate • Assisting diagnostic • Clinical labs including preparation of and therapeutic evaluation Cath lab patient for cardiology • Clinical cardiology procedures presentation procedures Cardiothoracic 12 weeks Provide • Postoperative • Clinical ICU competent care management of adult evaluation to patients and paediatric • Case study undergoing patients undergoing • Clinical cardiothoracic cardiothoracic presentation surgeries surgeries • Management of patients on Intra- Demonstrate aortic balloon pump, skill in use of Extracorporeal assistive Membrane devices in Oxygenation, cardiac Ventricular assist emergencies device • Use of defibrillator, management of patient with pacemaker Pediatric 2 weeks Demonstrate • Fluid management • Growth and • Clinical cardiothoraci competency in • Monitoring of developmen evaluation c intensive caring for critically ill children t of children • Clinical care Unit critically ill • Care of critically ill presentation children with child cardiothoracic disorders48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Area Duration Clinical Skills/Procedural Assignments Assessment (weeks) Learning Competencies Methods Outcomes OPD 2 weeks Perform • Assessment of • Cardiac • Reports of thorough patients with cardiac assessment assessment of assessment of and lung disorders patients with patients with • Preparation of patient • Respiratory cardiac and cardiothoracic for invasive cardiac assessment respiratory disorders procedures disorders APPENDIX 1 SKILL LAB REQUIREMENTS (List of Equipment for Cardiothoracic ICU Skill Lab) S.No. Equipment Numbers General Equipment 1 Electronic ICU Cot with related attachments with mattress and bed linen 1 (One for every 5-10 students) 2 Bedside trolley with basic patient care equipment & personal protective equipment 1 3 Dressing trolley/Over bed trolley 1 4 Sink (deep sink) with hand wash essentials and drier 1 5 IV stand 1 6 Colour coded waste bins with lids 1 7 Wall mounted ports for oxygen, medical air and vacuum 1 8 Portable Oxygen Cylinder with Stand and oxygen flow meters 9 Nebulizer machine with Nebulizer mask (Adult & Pediatric) 1 + 1 10 Oxygen mask (Adult & Pediatric) 1 + 1 11 Venturi mask with T piece 12 Nasal cannula (Adult & Pediatric) 1 + 1 13 BP apparatus with adult and pediatric cuffs 14 BP monitor with Stethoscope (Adult & Pediatric) 1 + 1 15 Glucometer 1 16 Documentation flow charts ICU Specific Equipment 1 Cardiac/multimodal monitor (hemodynamic monitoring) with accessories including 1 monitor stand 2 ECG Machine 1 3 Crash Cart 1 4 Defibrillator (Adult & Pediatric paddles) 1 + 1 5 Ventilator 1 6 Ambu Bag (Adult & Pediatric) 1 + 1 7 NIV Mask (Adult & Pediatric) 1 + 1 8 Pressure Bag 1 9 Bain Circuit (Adult & Pediatric) 1 + 1 10 Syringe pump with stand 1 11 Infusion pump with stand 1[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 49 S.No. Equipment Numbers 12 High concentration mask (Adult & Pediatric) 1 + 1 13 Ear probe (saturation monitoring)* 1 14 Esophageal temperature probe* 1 15 Bipap machine 1 16 Laryngeal mask airway (Adult & Pediatric) 1 + 1 17 ECMO (Extracorporeal membrane oxygenation) set 1 18 ABG machine 1 19 IABP machine 1 Tray Sets for Various Procedures 1 Intubation Tray (Adult) 1 2 Intubation Tray (Paediatric) 1 3 Tracheostomy Tray 1 4 CVP Tray 1 5 Catheterization Tray 1 6 IV Cannulation Tray 1 7 LP Tray 1 8 Thoracentesis Tray 1 9 Paracentesis Tray 1 10 Blood Sample Collection Tray 1 11 Emergency Medications Tray 1 12 Arterial Line Tray 1 13 Suture Removal Tray 1 14 Suction Tray 1 15 ICD/chest drainage Tray 1 16 PPE Kit 1 17 Spillage Kit (Blood and Chemical) 1 18 Tubes, catheters, lines of different sizes 19 Drugs, fluids, syringes, BG sets, Microdrip set, IV sets, Arterial lines, Central lines as per skill requirements 20 Sterile linen bundle 1 Mannequin (manikin)/Simulator requirements 1. Airway management trainer/simulator - adult and pediatric (adult and pediatric Intubation techniques, ET suctioning and tracheostomy care) 2. Hemodynamic monitoring simulation kit (monitoring intra-arterial blood pressure, CVP, and ICP) 3. ECG simulator 4. Adult and Pediatric CPR (BLS & ACLS modes) simulation mannequin 5. Adult and pediatric IV training arm kit, (IV-line insertion, blood transfusion) 6. Arterial puncture arm simulator 7. Central venous simulator 8. Female and male catheterization mannequin 9. High fidelity simulator – clinical scenarios and management of emergency situations* *If this is available and includes the above (1-8), individual trainer/simulator is not required. One simulator for 5-10 students is the requirement.50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] APPENDIX 2 ASSESSMENT GUIDELINES (THEORY & PRACTICUM) I. THEORY A. INTERNAL ASSESSMENT CARDIOTHORACIC SPECIALTY NURSING (Part I: Cardiothoracic Specialty Nursing I including Foundations to Cardiothoracic Specialty Nursing practice & Part II: Cardiothoracic Specialty Nursing II) - TOTAL: 25 marks • Test papers & Quiz - 10 marks • Written assignments - 10 marks (Code of ethics relevant to Cardiothoracic nursing practice, literature review on EBP in Cardiothoracic nursing/Infection control practices, Nutritional care of patients with cardiothoracic disorders) • Group project - 5 marks B. EXTERNAL/FINAL EXAMS CARDIOTHORACIC SPECIALTY NURSING (Part I: Cardiothoracic Specialty Nursing I including Foundations to Cardiothoracic Specialty Nursing practice & Part II: Cardiothoracic Specialty Nursing II) - TOTAL: 75 marks Part I - 35 marks (Essay type 1 × 15 marks = 15, Short answers 4 × 4 marks = 16, Very short answers 2 × 2 marks = 4) and Part II - 40 marks (Essay 1 × 15 marks = 15, Short answers 5 × 4 marks = 20, Very short answers 5 × 1 mark = 5) II. PRACTICUM A. INTERNAL ASSESSMENT - 75 marks • OSCE - 25 marks (End of posting OSCE - 10 marks + Internal end of year OSCE - 15 marks) • Other Practical including observed practical - 50 marks a) Practical assignments - 20 marks (Clinical presentation & Case study report - 5 marks, Counseling report/visit report - 5 marks, Drug study report - 5 marks, and Health talk - 5 marks) b) Completion of procedural competencies and clinical requirements: 5 marks c) Continuous clinical evaluation of clinical performance: 5 marks d) Final Observed Practical Exam (Actual performance in clinicals) - 20 marks B. EXTERNAL/FINAL EXAM - 150 marks OSCE - 50 marks, Observed practical - 100 marks Detailed guidelines given in Guidebook. APPENDIX 3 CLINICAL LOG BOOK (Specific Procedural Competencies/Clinical Skills) S.No. Specific Competencies/Skills Number Date & Signature Performed/Assiste of the Faculty d/ Observed (P/A/O) I FOUNDATIONS TO CARDIOTHORACIC SPECIALTY NURSING 1 Preparation of patient education materials P 2 Patient education plan for teaching patients with P cardiothoracic disorders 3 Preparation of duty roster for nursing officers/staff P nurses[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 51 S.No. Specific Competencies/Skills Number Date & Signature Performed/Assiste of the Faculty d/ Observed (P/A/O) 4 Writing literature review P (Identify evidence-based nursing interventions/practices and write a report) 5 Preparation of a manuscript for publication/paper P presentation 6 EBP Project (Group project) - Implementation on P evidence-based nursing intervention/s Topic: OR Research Project (Group) Topic: II CARDIOTHORACIC SPECIALTY NURSING 1 HEALTH ASSESSMENT 1.1 History taking and physical examination for adult patient P with cardiothoracic disorders 1.2 History taking and physical examination for pediatric P patient with cardiothoracic disorders 2 DIAGNOSTIC PROCEDURES 2.1 Echocardiogram O 2.2 Ultrasound O 2.3 CT scan O 2.4 MRI O 2.5 PET scan O 2.6 ECG O 2.7 Angiography O 2.8 Cardiac catheterization A 3 THERAPEUTIC PROCEDURES 3.1 Monitoring ICP P 3.2 Advanced life support P 3.3 Chest tube insertion A 3.4 Endotracheal intubation P 3.5 Ventilator setting P 3.6 Central line insertion A 3.7 Arterial line insertion A 3.8 Cardiac pacing A 3.9 Tracheostomy A 3.10 Use of defibrillator P 3.11 Bronchoscopy A 3.12 Pulse oximetry P 3.13 Arterial B P monitoring P 3.14 Starting a venous access P52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Date & Signature Performed/Assiste of the Faculty d/ Observed (P/A/O) 3.15 ABG analysis P 3.16 Oxygen administration P 3.17 Tracheostomy care P 3.18 Basic life support P 3.19 Advanced life support P 3.20 Application of Oro/pharyngeal Airway P 3.21 CPAP (Continuous Positive Airway Pressure) P 3.22 Care of intercostal drainage p 3.23 Nebulization P 3.24 Use of monitors P 3.25 Use of infusion pump P 3.26 Intravenous therapy p 3.27 Admission and discharge in cardiothoracic unit P 3.28 Orogastric tube insertion P 3.29 Use of body warmer P 3.30 Administration of drugs p 3.31 Administration blood and blood products P 4 CARE OF PATIENTS UNDERGOING CARDIOTHORACIC SURGERY 4.1 Preparation of patients for cardiothoracic surgery P 4.2 Postoperative care P 4.3 Patient education & counselling P 4.4 Preparation for home care P 5 QUALITY CONTROL 5.1 Preparation of SOP for infection control in P Cardiothoracic ICU 5.2 Preparation of SOP for blood transfusion P 5.3 Preparation of SOP for resuscitation P 5.4 Development of nursing standards for patients P undergoing open heart surgery 5.5 Conducting unit audit P 6 ASEPSIS 6.1 Sterilization/Disinfection P 6.2 Fumigation P 7 OTHERS 7.1 Consent taking P 7.2 Immunization P 7.3 Guidance & counselling P *When the student is found competent to perform the skill, the faculty will sign it.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 53 Students: Students are expected to perform the listed skills/competencies many times until they reach level 3 competency, after which the faculty signs against each competency. Faculty: Must ensure that the signature is given for each competency only after they reach level 3. • Level 3 competency denotes that the student is able to perform that competency without supervision. • Level 2 Competency denotes that the student is able to perform each competency with supervision. • Level 1 competency denotes that the student is not able to perform that competency/skill even with supervision. APPENDIX 4 CLINICAL REQUIREMENTS S.No. Clinical Requirement Date Signature of the Faculty/Preceptor 1 Health Talk (Cardiothoracic OPD, Ward/Day care) 1.1 Topic: 1.2 Topic 2 Counselling Patients & Relatives Counselling report - 1 3 Health Assessment 3.1 Health Assessment (adult) - History & Physical Examination (Three written reports) 3.1.1. 3.1.2. 3.1.3. 3.2 Health Assessment (Pediatric) - History & Physical Examination (Two written reports) 3.2.1. 3.2.2. 4 Clinical Seminar/Journal Club/Clinical Conference Topic: 5 Case Study/Clinical Presentation & Report - Adult 1& Pediatric 1 (Nursing/interdisciplinary rounds) 5.1 Name of clinical condition (Adult): 5.2 Name of clinical condition (Pediatric): 6 Drug study, presentation and report (Two written reports for submission) 6.1 Drug name: 6.2 6.3 6.4 7 Designing cardiothoracic unit 8 Visits - Reports Example: Heart/Lung transplantation unit/Any other Cardiac/thoracic specialty centre Signature of the Program Coordinator/Faculty Signature of the HOD/Principal54 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] APPENDIX 5 CLINICAL EXPERIENCE DETAILS Name of Clinical Condition Number Signature of Cardiothoracic of days Faculty/Preceptor Unit/ICU care given Signature of the Program Coordinator/Faculty Signature of the HOD/Principal Dr. T. DILEEP KUMAR, President [ADVT.-III/4/Exty./608/2024-25] 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.