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रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99
सी.जी.-डी.एल.-अ.-13122023-250532
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CG-DL-E-13122023-250532
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असाधारण
EXTRAORDINARY
भाग III—खण् ड 4
PART III—Section 4
प्राजधकार स ेप्रकाजित
PUBLISHED BY AUTHORITY
स.ं 807] नई दिल्ली, मगं लवार, दिसम्बर 5, 2023/अग्रहायण 14, 1945
No. 807] NEW DELHI, TUESDAY, DECEMBER 5, 2023/AGRAHAYANA 14, 1945
ubZ fnYyh] 28 uoEcj 2023
le;≤ ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 ¼1947
dk XLVIII½ dh èkkjk 16¼1½ ds vèkhu çnÙk 'kfDr;ks a dk ç;ksx djrs gq,] Hkkjrh; mip;kZ ifj"kn~ ,rí~okjk fuEufyf[kr
fofu;e cukrh gS] ;Fkk &
i. ;s fofu;e
dgs tk,axsA
ii. ;s fofu;e Hkkjr ds jkti= es a budh vfèklwpuk dh frfFk ls çHkkoh gksxa sA
bu fofu;eksa es]a tc rd fd lanHkZ ls vU;Fkk visf{kr u gks]
i. ^vfèkfu;e* dk vfHkçk; le;≤ ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~] 1947 ¼1947 dk XLVIII½ ls gS(
ii. ^ifj"kn~* dk vfHkçk; vfèkfu;e ds rgr xfBr Hkkjrh; mip;kZ ifj"kn~ ls gS(
7510 GI/2023 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
iii. ^,l,uvkjlh* dk vfHkçk; lacafèkr jkT; ljdkjks a }kjk fdlh Hkh uke ls xfBr jkT; mip;kZ ,oa çlkfodk
iathdj.k ifj"kn~ ls gS(
iv. ^vkj,u ,aM vkj,e* dk vfHkçk; ,d iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½ ls gS vkSj ,d
,sl s ulZ dks n'kkZrk gS ftlus ekU;rk çkIr uÉlx Lukrd ¼ch-,llh- uÉlx½ ;k fMIyksek bu tujy uÉlx ,aM
feMokbQjh ¼th,u,e½ ikBîØe] tSlk fd ifj"kn ~ }kjk fuèkkZfjr fd;k x;k gks] lQyrkiwoZd iwjk dj fy;k gks
vkSj fdlh ,d ,l,uvkjlh es a iathÑr mip;kZ ,oa iathÑr çlkfodk ds :i es a iathÑr gks(
v. ^ulZ iathdj.k ,oa VªSÇdx ç.kkyh ¼,uvkjVh,l½* dk vfHkçk; Hkkjrh; mip;kZ ifj"kn~ }kjk jk"Vªh; lwpuk foKku
dsæa ¼,uvkbZlh½] Hkkjr ljdkj ds lg;ksx ls fodflr l‚¶Vos;j ç.kkyh ls gS] ftls Hkkjrh; mip;kZ jftLVj ds
j[kj[kko o lapkyu ds fy, ,uvkbZlh }kjk g‚LV fd;k x;k gSA bles a iathÑr mip;kZ ,oa iathÑr çlkfodk
¼vkj,u ,aM vkj,e½@iathÑr lgk;d ulZ feMokbQ ¼vkj,,u,e½@iathÑr efgyk LokLF; ifjnÆ'kdk
¼vkj,y,poh½ ds vkadM+ks a ds laxzg ds fy, ^vkèkkj* ck;ksesfVªd çek.khdj.k ij vkèkkfjr ekudhÑr çk:i gSa(
vi. ^,u;wvkbZMh* dk vfHkçk; ,uvkjVh,l ç.kkyh }kjk çR;k'kh dks fn;k tku s okyk ulsZt ;wfud vkbMsfaVfQds'ku
uacj ls gS(
vii. ^tujy uÉlx ,aM feMokbQjh ¼th,u,e½* dk vfHkçk; ifj"kn~ }kjk vfèkfu;e dh èkkjk 10 ds rgr LohÑr rFkk
vfèkfu;e dh vuqlwph ds Hkkx&I es a 'kkfey fMIyksek bu tujy uÉlx ,aM feMokbQjh çf'k{k.k ls gSA
I.
Hkkjr eas] LokLF; ds lHkh vk;keksa eas LokLF; ç.kkfy;ks a dks iqu% vkdkj nsus dks jk"Vªh; LokLF; uhfr] 2017 nLrkost eas
,d egRoiw.kZ vko';drk ds :i eas ekU;rk nh xbZ gSA ;g fofu;eu vkSj dkuuw ds lkFk&lkFk f'k{kk vkSj çf'k{k.k ds {ks=ks a
eas ekuo lalkèku fodkl ij cy nrs k gSA ljdkj lkoZtfud vkSj futh LokLF; nksuksa {ks=ksa eas r`rh;d n[s kHkky lsokvks a eas
egRoiw.kZ foLrkj dks ekurh gSA ;g cgqr gh lkFkZd gS fd LokLF; n[s kHkky is'ksojks a dks viuh {kerk ds fuekZ.k eas fof'k"V
vkSj vfr&fof'k"V lsokvks a eas mUur 'kS{kf.kd rS;kjh dh vko';drk gksrh gSA fof'k"V vkSj vfr&fof'k"V LokLF; n[s kHkky
lsokvks a dk leFkZu djus gsrq] mUur rS;kjh ds lkFk fo'ks"kK uls± vko';d gSaA r`rh;d n[s kHkky ds {ks= eas çf'k{k.k dk;ZØe
vkSj ikBîØe fodflr djuk le; dh vko';drk ds :i eas igpkuk x;k gSA ulZ fpfdRld ¼,uih½ bl ekax dks iwjk
djus eas l{ke gksxa s c'krZs os vPNh rjg ls çf'kf{kr vkSj vH;kl djus ds fy, l'kDr gksAa dsæa vkSj jkT; Lrj ij u,
laoxks± dh LFkkiuk ds lkFk] LukrdksÙkj Lrj ij rS;kj ulZ fpfdRld r`rh;d n[s kHkky dsæa ksa eas vkikrdkyhu vkSj VªkWek
n[s kHkky lek;kstu eas jksfx;ks a dks ykxr çHkkoh] l{ke] lqjf{kr vkSj xq.koÙkk lapkfyr fo'ks"k uÉlx ns[kHkky çnku djus esa
l{ke gksxa sA ulZ fpfdRld] ;w,l, eas 1960 ds n'kd ls] ;wds eas 1980 ds n'kd ls] vkWLVªfsy;k eas 1990 ds n'kd ls vkSj
uhnjySaM eas 2010 ls dke dj jgs gSaA
r`rh;d n[s kHkky lek;kstu eas dk;Z djus ds fy, vkikrdkyhu vkSj VªkWek ns[kHkky@fØfVdy n[s kHkky@,D;wV
n[s kHkky] vkWUdksykWth] U;wjksykWth] dkÆM;ksoLdqyj n[s kHkky] ,usLFkhfl;k rFkk vU; fof'k"Vrkvks a eas ulZ fpfdRld rS;kj fd,
tk ldrs gSaA n`<+ 'kS{kf.kd rS;kjh mUgs a vkikrdkyhu vkSj VªkWek n[s kHkky dh vko';drk oky s jksfx;ks a ds bykt eas vkadyu
vkSj Hkkx yus s eas jksdFkke vkSj LokLF; çksRlkgu nksuks a ds fy, l{ke cuk,xhA ifj"kn ~ }kjk LukrdksÙkj Lrj ij
vkikrdkyhu vkSj VªkWek n[s kHkky eas ulZ fpfdRld ¼,uihbZVhlh½ rS;kj djus dh fn'kk eas ,d ikBîp;kZ dh :ij[s kk
çLrkfor gSA bl dk;ZØe dh [kkl ckr ;g gS fd ;g ,d uSnkfud vkoklh; dk;ZØe gS ftles a 15% lS)kafrd funsZ'k
vkSj 85% vH;kl ds lkFk ,d lqn`< + uSnkfud ?kVd ij cy fn;k x;k gSA n{krk vkèkkfjr çf'k{k.k çe[q k n`f"Vdks.k gS vkSj
ulZ fpfdRld f'k{kk] varjkZ"Vªh; ulZ ifj"kn~ ¼vkbZlh,u] 2005½] vkSj ,uvks,uih,Q n{krk,a ¼2012½ ls :ikarfjr n{krkvks a
ij vkèkkfjr gSA çR;sd ikBîØe n{krkvks a dh miyfCèk ij vkèkkfjr gSA
vkikrdkyhu vkSj VªkWek ns[kHkky ulZ fpfdRld dk;ZØe dk mís'; iathÑr ch-,llh- ulks± dks vkikrdkyhu vkSj
VªkWek n[s kHkky dh vko';drk oky s jksfx;ks a dks mUur uÉlx n[s kHkky çnku djus ds fy, rS;kj djuk gSA uÉlx n[s kHkky
jksfx;ks a dh fLFkfr dks fLFkj djus] xaHkhj tfVyrkvks a dks de djus vkSj vfèkdre LokLF; cgkyh ij dsfaær gSA bu ulZ
fpfdRldks a dks r`rh;d n[s kHkky dsæa ksa dh vkikrdkyhu vkSj VªkWek n[s kHkky bdkb;ks a eas vH;kl djus dh vko';drk gksrh
gSA dk;ZØe ea s vè;;u ds fofHkUu ikBîØe 'kkfey gSa tks lqn<` + oSKkfud uÈo ij vkèkkfjr gSa ftues a lk{; vkèkkfjr vH;kl[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3
vkSj tfVy LokLF; ç.kkfy;ks a dk çcaèku 'kkfey gSA bUgs a ch-,llh- çf'kf{kr ulks± dh lS)kafrd vkSj vH;kl n{krkvks a ds
vkèkkj ij cuk;k x;k gSA dk;ZØe ds iwjk gksus vkSj lacafèkr ,l,uvkjlh ds lkFk iathdj.k ij mUgs a laLFkkxr
çksVksdkWy@LFkk;h vkn's kks a ds vuqlkj ifj"kn~ ds ikBîØe dh ykWx cqd eas lwphc) lHkh n{krkvks a dk vH;kl djus vkSj
Lor=a :i ls vkikrdkyhu vkadyu djus] uSnkfud ijh{k.kks a dk vkn's k nus ]s uSnkfud vkSj fpfdRlh; çfØ;kvks a dks djus]
fpfdRlk midj.kksa dks laHkkyus] vkS"kfèk nus s vkSj mipkj djus dh vuqefr gSA vkikrdkyhu vkSj VªkWek n[s kHkky bdkb;ks a eas
ulZ fpfdRld bl vfèkdkj dk ç;ksx djrs le;] fuEufyf[kr n{krkvks a ds fy, tokcngs gksrs gSa &
d- jksfx;ks a dk çkFkfedrk fuèkkZj.k(
[k- vkikrdkyhu vkSj VªkWek ns[kHkky bdkb;ks a eas jksxh dk ços'k] okMZ@vkbZlh;w es a LFkkukarj.k vkSj Nqêh(
x- vkikrdkyhu vkadyu ds ekè;e ls leL;k dh igpku(
?k- vkS"kfèk ;k midj.kks a ;k mipkjksa dk p;u@ç'kklu(
³- vkikrdkyhu çcaèku es a jksfx;ks a dh çfrfØ;k dh fuxjkuh djuk(
p- fpfdRlh; mi;ksx vkSj VªkWek jksdFkke gsrq jksfx;ks a dh f'k{kk(
N- fpfdRlk foKku var%fØ;k dk Kku] ;fn dksbZ gks(
t- ifj.kkeks a dk vkadyu(
>- tfVyrkvks a vkSj vfç; çfrfØ;kvks a dh igpku vkSj çcaèku(
¥- uSnkfud vH;kl es a lk{;&vkèkkfjr uokpkjks a ds fy, ;ksxnkuA
vkikrdkyhu vkSj VªkWek n[s kHkky ¼bZVhlh½ eas ulZ fpfdRld viuh n[s kHkky ds rgr vkikrdkyhu vkSj VªkWek n[s kHkky
dh vko';drk okys jksfx;ks a ds fy, ftEens kjh vkSj mÙkjnkf;Ro laHkkyu s ds fy, rS;kj vkSj n{krk çkIr gSaA
mDr LukrdksÙkj fMxzh dks ,l,uvkjlh }kjk vfrfjDr n{krk ds :i eas iathÑr fd;k tk,xkA
ifj"kn~ dk ekuuk gS fd vkikrdkyhu vkSj VªkWek n[s kHkky dh vko';drk okys jksfx;ksa vkSj muds ifjokjks a dks
xq.koÙkkiw.kZ n[s kHkky çnku dju s ds fy, Hkkjr eas r`rh;d LokLF; ns[kHkky lsokvks a dh pqukSfr;ks a vkSj ekaxks a dks iwjk djus
gsrq vkikrdkyhu vkSj VkªWek ns[kHkky es a ulZ fpfdRld uked LukrdksÙkj dk;ZØe LFkkfir djus dh vR;fèkd vko';drk
gS] tSlk fd jk"Vªh; LokLF; uhfr ¼2017½ nLrkost eas ifjyf{kr gksrk gSA
ifj"kn~ dk ekuuk gS fd lqn`<+ uSnkfud ?kVd vkSj n{krk&vkèkkfjr çf'k{k.k ij dsfaær ,d vkoklh; dk;ZØe ls çkIr
Bksl lS)kafrd vkSj lk{;&vkèkkfjr Kku ds vkèkkj ij LukrdksÙkj dks uSnkfud {kerk dk çn'kZu djus eas l{ke gksuk
pkfg,A f'k{k.k vè;;u n`f"Vdks.k dk è;ku fpfdRlk vkSj uÉlx çhlsIVjksa] vuqHkokRed vè;;u vkSj Lo&funsZf'kr vè;;u
ds lkFk o;Ld vè;;u fl)karks]a n{krk&vkèkkfjr vè;;u] lg;ksxh vè;;u] min's kkRed uSnkfud vè;;u ij dsfaær gksuk
pkfg,A f'k{kk çnkrkvks@a çhlsIVjksa@xq#vks a dks vius orZeku Kku vkSj vH;kl dks v|ru j[kuk pkfg,A çf'k{k.k es a
çhlsIVjksa ds :i es a Hkkx yus s ds fy, fpfdRlk ladk; dks vkeaf=r fd;k tkrk gSA
ifj"kn~ dk ;g Hkh ekuuk gS fd ;ksX; vkikrdkyhu vkSj VªkWek n[s kHkky uÉlx ladk; dh deh dks njw djus ds fy,
uSnkfud lek;kstu eas dbZ rjg dh 'kS{kf.kd j.kuhfr;ks a dk mi;ksx fd;k tk ldrk gSA vk'kk dh tkrh gS fd
iathdj.k@ykblsla dh fn'kk eas uhfr;ks a dks fodflr djus eas enn feysxh vkSj bu LukrdksÙkj vkikrdkyhu vkSj VªkWek
n[s kHkky ulZ fpfdRldks a dks vkikrdkyhu vkSj VªkWek ns[kHkky bdkbZ@r`rh;d ns[kHkky dsæa ksa ds foHkkx es a dk;Z djus ds
fy, inks a dk l`tu fd;k tk,xkA4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
ulZ fpfdRld ikBîØe ds fy, ,d 'kS{kf.kd :ijs[kk çLrkfor gS ¼n[s ks a ½A
II.
ulZ fpfdRld dk;ZØe ,d uÉlx vkoklh; dk;ZØe gS ftleas eq[;r% n{krk vkèkkfjr çf'k{k.k ij è;ku fn;k tkrk
gSA lS)kfUrd fo"k; ds lkFk ikBîØe dh vofèk nks o"kZ dh gS ftles a eq[; ikBîØe] mUur vH;kl ikBîØe vkSj
uSnkfud ikBîØe ds vykok unS kfud vH;kl 'kkfey gSa tks fd ,d çeq[k ?kVd gS ¼ns[ksa ikBîp;kZ dh :ij[s kk½A
III.
vkikrdkyhu vkSj VªkWek n[s kHkky eas ulZ fpfdRld dk;ZØe] iathÑr ch-,llh- ulks± dks uSnkfud fo'ks"kK] çcaèkd]
f'k{kd vkSj lykgdkj ds :i eas mUur vH;kl Hkwfedkvks a ds fy, rS;kj djrk gS] tks vkxs pydj ,e-,llh- uÉlx
¼vkikrdkyhu vkSj VªkWek ns[kHkky es a ulZ fpfdRld½ curs gSaA
IV.
dk;ZØe ds iwjk gksus ij] ulZ fpfdRld fuEufyf[kr es a l{ke gks tk,axs &
1- r`rh;d n[s kHkky dsæa ksa esa VªkWek vkSj ukWu&VªkWek lacafèkr vkikr fLFkfr;ks a eas jksfx;ks a dks l{ke n[s kHkky vkSj mfpr
ikfjokfjd ns[kHkky çnku djus ds fy, ftEesnkjh vkSj mÙkjnkf;Ro ysuk(
2- vkikrdkyhu vkSj VªkWek n[s kHkky çnku djus eas uSnkfud {kerk@fo'ks"kKrk dk çn'kZu djuk ftles a vkikrdkyhu
vkadyu] uSnkfud rdZ] çcaèku vkSj tfVy fuxjkuh 'kkfey gS(
3- vkikrdkyhu vkSj VªkWek n[s kHkky eas mipkj@eè;orZu dks ykxw djus eas lS)kafrd] iSFkksQhft;ksykWth vkSj vkS"kèkh;
fl)karks a vkSj lk{; vkèkkj dks ykxw djuk(
4- jksxh ds LokLF; dks fLFkj djus vkSj cgky djus ds fy, thou ds fy, [krjukd vkSj vax&gkfu okyh
chekfj;ks@a pksVks a okys jksfx;ks a ds mipkj eas Hkkx yus k vkSj vkikrdkyhu vkSj VªkWek ns[kHkky ny ds ,d lnL; ds[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5
:i eas Lor=a :i ls ;k lg;ksxkRed :i ls tfVyrkvks a dks de djuk ;k çcafèkr djuk(
5- vkikrdkyhu n[s kHkky dh fujarjrk eas] vkikrdkyhu vkSj VªkWek n[s kHkky ny eas vU; LokLF; n[s kHkky dÆe;ks a ds
lkFk lg;ksx djukA
V.
laLFkk dks ulZ fpfdRld dk;ZØe vkSj mlds Nk=ks a ds çfr tokcngs h Lohdkj djuh gksxh vkSj ifj"kn~ ds ekudks a ds
vuq:i dk;ZØe dh is'kd'k djuh gksxhA bls fuEufyf[kr vko';drkvks a dks iwjk djuk gksxk &
1- vfuok;Zrk çek.ki=
d- tks laLFkku ulZ fpfdRld dk;ZØe 'kq# djuk pkgrs gS mUgs a jkT; ls vfuok;Zrk çek.k i=@ljdkjh vkns'k yus k
gksxkA
[k- fuEufyf[kr laLFkkuks a dks vfuok;Zrk çek.k i= yus s ls NwV nh xbZ gS%
(i) ifj"kn~ }kjk vuqeksfnr ch-,llh- ¼uÉlx½ ;k ,e-,llh- ¼uÉlx½ dk;ZØeks a dh igys ls gh is'kd'k djus okys
laLFkku@fo'ofo|ky;A
(ii) ,echch,l@Mh,uch dk;ZØeks a dh is'kd'k djus oky s laLFkku@fo'ofo|ky;A
2- vLirky
vLirky ,d ewy r`rh;d n[s kHkky dsæa gksuk pkfg,] ftles a de ls de 200 'k¸;k gksAa bles a ,d efsMdy dkWyst ;k
uÉlx dkWyst gks ldrk gSA
3- vkikrdkyhu vkSj VªkWek ns[kHkky 'k¸;k
vLirky esa de ls de 10 'k¸;k okyh vkikrdkyhu vkSj VªkWek n[s kHkky bdkbZ gksuh pkfg,A
4- vkikrdkyhu vkSj VªkWek ns[kHkky LVkQ
d- vkikrdkyhu vkSj VªkWek ns[kHkky bdkbZ es a ch-,llh- ;k ,e-,llh- ;ksX;rk ds lkFk ,d çHkkjh ulZ gksuk pkfg,(
[k- iqutÊou 'k¸;k ds fy, ulZ jksxh vuqikr 1%1 gksuk pkfg,(
x- 'ks"k vkikrdkyhu vkSj VªkWek 'k¸;kvks a ds fy, çR;sd ikjh ds fy, ulZ jksxh vuqikr 1%5 gksuk pkfg,(
?k- vkjf{kr vodk'k ds fy, vfrfjDr 40% deZpkfj;ks a dk çkoèkku gksuk pkfg,(
³- fpfdRld jksxh vuiq kr 1%5 gks ldrk gSA
5- ladk;@LVkQ lalkèku
d- uÉlx çhlsIVj% iw.kZdkfyd vgZrkçkIr th,u,e ¼vfèkekur% ;ksX;rk vkikrdkyhu vkSj vkink
uÉlx eas iksLV csfld fMIyksek½ ds lkFk bejtsla h vkSj VªkWek n[s kHkky bdkbZ eas 6 o"kZ dk vuqHko ;k ch-,llh-
¼uÉlx½ ds lkFk vkikrdkyhu vkSj VªkWek n[s kHkky bdkbZ eas 2 o"kZ dk vuHq ko ;k ,e-,llh- ¼efsMdy lÆtdy
uÉlx Lis'kfyVh½ ds lkFk vkikrdkyhu vkSj VªkWek ns[kHkky bdkbZ eas ,d o"kZ dk vuHq koA
efsMdy çhlsIVj% efsMdy ihth@vkikrdkyhu fpfdRld
çhlsIVj Nk= vuiqkr% uÉlx 1%10] efsMdy 1%10 ¼çR;sd Nk= ds fy, ,d efsMdy vkSj ,d uÉlx çhlsIVj gksuk
pkfg,½
[k- çksQslj@,lksfl,V çksQslj% 1 ¿f'k{k.k vuqHko% ihth&,e-,llh- ¼efsMdy lÆtdy uÉlx
Lis'kfyVh½@cky fpfdRlk uÉlx ds ckn 5 o"kZ dk vuHq koÀ ¼çR;sd 10 Nk=ks a ds fy, ,d ladk;½
lgk;d çksQslj% 1 ¿f'k{k.k vuHq ko% ch-,llh- ¼uÉlx½ ds ckn 3 o"kZ dk vuHq koÀ
x- mijksDr ladk; r`rh;d vLirky eas dk;Zjr ,e-,llh- ¼uÉlx½ ;ksX;rk ds lkFk ,d ofj"B ulZ dh nksgjh Hkwfedk
fuHkk,xa sA6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
?k- QkekZdksykWth] iSFkksfQft;ksykWth] vkikrdkyhu vkSj VªkWek mipkj ds fy, vfrfFk çkè;kidA
6- vLirky@dkWyst eas HkkSfrd vkSj f'k{k.k ds lalkèku
d- uSnkfud {ks= eas ,d vè;;u d{kk@lEeys u d{k(
[k- flE;qysVsM vè;;u ds fy, dkS'ky ç;ksx'kkyk ¼vLirky@dkWyst½(
x- vkWuykbu if=dkvks a rd igqap ds lkFk iqLrdky; vkSj daI;Vw j lqfoèkk,a(
?k- bZ&yÆud lqfoèkk,aA
7- vkikrdkyhu vkSj VªkWek ns[kHkky bdkbZ ds fy, midj.kks adh lwph ¼layXu ns[ksa½
8- Nk= HkrÊ@ços'k lacaèkh vko';drk,a
d- ukekadu ls igy s vkosndks a dks vfèkekur% vkikrdkyhu vkSj VªkWek n[s kHkky bdkbZ eas de ls de 1&o"kZ ds
uSnkfud vuqHko ds lkFk ,d iathÑr ch-,llh-@ih-ch-ch-,llh- ulZ gksuk pkfg,A
[k- ifj"kn~ }kjk mi;qDr ik, x, laLFkku ls ch-,llh- ¼uÉlx½ dh gksuh pkfg, vkSj fdlh Hkh ,l,uvkjlh eas iathÑr
gksuk pkfg,A
x- ch-,llh- ¼uÉlx½ dk;ZØe es a dqy çkIrkad 55% ls de ugÈ gksus pkfg,A
?k- 'kkjhfjd :i ls LoLFk gksuk pkfg,A
mEehnokjks adh la[;k% 4&5 vkikrdkyhu vkSj VªkWek 'k¸;k ds fy, 1 mEehnokjA
1- lsokjr mEehnokj dks fu;fer osru fn;k tk,xkA
2- vU; mEehnokjks a ds fy, othQk@osru ml vLirky dh osru lajpuk ds vulq kj fn;k tk,xk tgk¡
ikBîØe lapkfyr fd;k tkrk gSA
VI.
ijh{kk eas cSBus ds fy, ik=rk
mifLFkfr% fo'ofo|ky; dh vafre ijh{kk eas cSBus ls igy s lS)kafrd vkSj ç;ksxkRed ds fy, U;wure 80%] yfsdu
fMxzh çnku djus ls igy s ç;ksxkRed es a 100% iwjh djuh vfuok;Z gSA
vkarfjd vkadyu vadks a ds fy, dksbZ U;wure lhek ugÈ gS] D;ksfad mÙkh.kZ ?kksf"kr djus ds fy, vkarfjd vkSj cká vad
,d lkFk tksM+ s tkr s gSaA
ijh{kk lapkyu ,oa fMxzh çnkrk çkfèkdj.k% lacafèkr fo'ofo|ky;A
ifj.kkeks adk oxÊdj.k
ifj.kkeks a dh ?kks"k.kk mÙkh.kZ ¼60%½ ;k vuqÙkh.kZ rFkk Js.kh ds lkFk dh tk,xhA
çR;sd ikBîØe@fo"k; eas lS)kfUrd vkSj ç;ksxkRed dh vkarfjd ,oa cká fo'ofo|ky;h nksuks a ijh{kkvks a ds dqy vadks a
dk 60% vkSj mlls vfèkd mÙkh.kZ gS vkSj 60% ls de vuqÙkh.kZ gSA Js.kh dh x.kuk ds fy,] nksuksa o"kZ ds dqy vadks a ij
fopkj fd;k tk,xkA
;fn dksbZ mEehnokj lS)kfUrd vFkok ç;ksxkRed eas vuqÙkh.kZ gks tkrk gS] rks mls og ç'u&i= fQj ls nsuk gksxk
ftles a og vuqÙkh.kZ gqvk gSA
fdlh Hkh fo"k; eas vuqÙkh.kZ gksus oky s mEehnokj dh Js.kh ?kksf"kr ugÈ dh tk,xhA dk;ZØe dks iwjk djus dh vfèkdre
vofèk 4 o"kZ gksxhA
çk;ksfxd ijh{kk
vks,llhbZ ijh{kk ds lkFk&lkFk ekSf[kd ijh{kk yh tk,xh & es a fn, x, vks,llhbZ fn'kkfunsZ'k n[s ksAa
çfr fnu Nk=ks a dh vfèkdre la[;k & 10[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7
ijh{kk uSnkfud {ks= eas gh vk;ksftr dh tkuh pkfg,A
çk;ksfxd ijh{kdks a ds ny es a ,d vkarfjd ijh{kd ¿LukrdksÙkj ds mijkar vkikrdkyhu vkSj VªkWek n[s kHkky dk;ZØe eas
ulZ fpfdRld dks i<+kus ds 2 o"kZ ds vuHq ko ds lkFk@LukrdksÙkj ds mijkar 5 o"kZ ds vuHq ko ds lkFk ,e-,llh- ladk;
¼vfèkekur% efsMdy lÆtdy uÉlx½À] ,d cká ijh{kd ¼mijksDr ds leku½ vkSj ,d vkarfjd fpfdRlk ijh{kd] tks
vkikrdkyhu vkSj VªkWek ns[kHkky dk;ZØe ea s ulZ fpfdRld ds fy, ,d çhlsIVj gksuk pkfg,] 'kkfey gksxsAa
'kksèk fucaèk
'kksèk xkbM% eq[; xkbM & LukrdksÙkj ds mijkar ulZ fpfdRld dk;ZØe eas i<k+u s ds 3 o"kZ ds vuqHko okyk uÉlx
ladk;] lg&xkbM% esfMdy çhlsIVjA
'kksèk çLrko dh çLrqfr% çFke o"kZ es a ços'k dh frfFk ds 6&9 ekg mijkarA
xkbM Nk= vuiqkr% 1%5
'kksèk lfefr% egkfo|ky;@vLirky esa 'kksèk dh çxfr dk ekxZn'kZu vkSj i;Zos{k.k djus ds fy, ,d vyx 'kksèk lfefr
gksxh ¿çèkkukpk;Z ;k lh,uvks] tks ,e-,llh- ¼uÉlx½ mikfèk èkkjd gksuk pkfg,] ds lkFk U;wure 5 lnL;ÀA
vLirky vkpkj lfefr }kjk uSfrd eatwjh çkIr dh tkuh pkfg, D;ksfad bles a uSnkfud 'kksèk 'kkfey gSA
fo"k; dk p;u% fo"k; vkikrdkyhu vkSj VªkWek uÉlx ds fy, çklafxd gksuk pkfg, tks uÉlx eè;orZu eas tkudkjh;k
lk{; tksM+As 'kksèk vkikrdkyhu vkSj VªkWek n[s kHkky lek;kstu eas vk;ksftr fd;k tkuk pkfg,A
MsVk laxzg.k% MsVk laxzg.k ds fy, 7 lIrkg vkoafVr fd, tkr s gSa] ftls igys o"kZ eas 6 eghu s ds ckn vkSj nlw js o"kZ es a
6 eghu s ls igy s uSnkfud vuqHko ds nkSjku ,dhÑr fd;k tk ldrk gSA
'kksèk fjiksVZ y[sku% nlw js o"kZ ds 6&9 ekg easA
vafre fucaèk dh çLrqfr% nwlj s o"kZ ds iwjk gksus ls 3 ekg igysA
fucaèk ijh{kk vkarfjd vkadyu% ekSf[kd vkSj fucaèk ¾ 50 vadA
fo'ofo|ky;h ijh{kk% ekSf[kd vkSj fucaèk fjiksVZ ¾ 50 vadA
¿vkadyu gsrq vU; ,e-,llh- ¼uÉlx½ fof'k"Vrkvks a ds fy, mi;ksx eas yk, tku s oky s vad fn'kkfunsZ'kks a dk mi;ksx
fd;k tk ldrk gSAÀ
VII.
vkadyu ¼jpukRed vkSj ;ksxkRed½
• uSnkfud vkSj ns[kHkky iFk@ekeys dh vè;;u fjiksVZ
vkadyu ¼jpukRed vkSj ;ksxkRed½
• mís'; lajfpr uSnkfud ijh{kk ¼vks,llhbZ½
vkadyu ¼jpukRed vkSj ;ksxkRed½
• vkadyu fn'kkfunsZ'k%
% %
1 mUur uÉlx vH;kl ds fy, lS)kafrd vkèkkj 50
2 vkikrdkyhu vkSj VªkWek uÉlx es a 'kksèk dk vuçq ;ksx vkSj lk{; 3 ?kaVs 30 70
vkèkkfjr vH;kl
3 urs R`o] çcaèku vkSj f'k{k.k es a mUur dkS'ky 3 ?kaVs 30 708 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
4 vkikrdkyhu vkSj VªkWek uÉlx ds fy, çklafxd mUur 3 ?kaVs 30 70
iSFkksfQft;ksykWth vkSj mUur vkS"kfèk foKku
5 mUur LokLF;@'kkjhfjd vkadyu 3 ?kaVs 30 70 50 50
1 vkikrdkyhu vkSj VªkWek uÉlx vH;kl dk vkèkkj 3 ?kaVs 30 70 100 100
2 vkikrdkyhu vkSj VªkWek uÉlx I 3 ?kaVs 30 70 100 100
3 vkikrdkyhu vkSj VªkWek uÉlx II 3 ?kaVs 30 70 100 100
4 fucaèk vkSj ekSf[kd 50 50
VIII.
I mUur uÉlx vH;kl ds fy, lS)kafrd vkèkkj 40
II vkikrdkyhu vkSj VªkWek uÉlx es a 'kksèk dk vuçq ;ksx 56 24 ¼7 lIrkg½
vkSj lk{; vkèkkfjr vH;kl
III urs R`o] çcaèku vkSj f'k{k.k es a mUur dkS'ky 56 24 ¼4 lIrkg½
IV vkikrdkyhu vkSj VªkWek uÉlx ds fy, çklafxd 60 ¼7 lIrkg½
mUur iSFkksfQft;ksykWth
V vkikrdkyhu vkSj VªkWek uÉlx ds fy, çklafxd 54 ¼7 lIrkg½
mUur vkS"kfèk foKku
VI mUur LokLF;@'kkjhfjd vkadyu 70 48 ¼12 lIrkg½
¼7 lIrkg½ ¼2 lIrkg½ ¼37 lIrkg½
VII vkikrdkyhu vkSj VªkWek uÉlx vH;kl dk vkèkkj 96 48 ¼12 lIrkg½
VIII vkikrdkyhu vkSj VªkWek uÉlx I 96 48 ¼12 lIrkg½
IX vkikrdkyhu vkSj VªkWek uÉlx II 96 48 ¼13 lIrkg½
¼6 lIrkg½ ¼3 lIrkg½ ¼37 lIrkg½
×
%
%
%
%
×
*
*
A[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9
×
U;wure 48 ?kaVs çfr lIrkg fuèkkZfjr gS] gkykafd] ;g vyx&vyx ikfj;ks a vkSj vkWu dkWy
MîwVh djus ds ckn Nqêh ds vkèkkj ij ifjorZu'khy gSA
¼ifjp;kRed CykWd d{kkvks a vkSj dk;Z'kkyk ds 2 lIrkg dks NksM+dj½
vkikrdkyhu foHkkx & o;Ld & 22 lIrkg
vkikrdkyhu foHkkx & cky fpfdRlk & 5 lIrkg
efsMdy vkbZlh;w & 2 lIrkg
lÆtdy vkbZlh;w & 2 lIrkg
dkÆM;ks@dkÆM;ksFkksjSfdd ¼lhVh½ vkbZlh;w & 2 lIrkg
VªkWek vkbZlh;w & 2 lIrkg
VªkWek okMZ & 2 lIrkg
U;wjks vkbZlh;w & 2 lIrkg
vkWijs'ku fFk;sVj & 2 lIrkg
nXèk ¼cUlZ½ bdkbZ & 2 lIrkg
Mk;fyfll bdkbZ & 1 lIrkg
¼CykWd d{kkvks a dk ,d lIrkg NksM+dj½
vkikrdkyhu foHkkx & o;Ld & 20 lIrkg
vkikrdkyhu foHkkx & cky fpfdRlk & 5 lIrkg
efsMdy vkbZlh;w & 2 lIrkg
lÆtdy vkbZlh;w & 2 lIrkg
dkÆM;ks@dkÆM;ksFkksjSfdd ¼lhVh½ vkbZlh;w & 2 lIrkg
VªkWek vkbZlh;w & 2 lIrkg
U;wjks vkbZlh;w & 2 lIrkg
çlwfr vkikrfLFkfr ¼çlo d{k½ & 2 lIrkg
cky fpfdRlk vkbZlh;w & 2 lIrkg
euksjksx vkikrdkyhu bdkbZ & 1 lIrkg
lkeqnkf;d vkink çcaèku ¼lekt eas vkus okys [krjs tSls ;q)@la?k"kZ] cqfu;knh thou leFkZu ij vke turk dk
çf'k{k.k] ?kj ij ns[kHkky gsrq ifjokj ds lnL;ks a dk çf'k{k.k½ & 2 lIrkg
vLirky vkink çcaèku & 2 lIrkg10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
j{kk vuqlaèkku ,oa fodkl laxBu@jk"Vªh; çn'kZuh@varjkZ"Vªh; lEeys u dk nkSjk@dk;Z & 1 lIrkg
f'k{k.k & lS)kafrd] ç;ksx'kkyk vkSj uSnkfud fuEufyf[kr rjhdks a ls fd;k tk ldrk gS vkSj
uSnkfud inLFkkiu ds nkSjku ,dhÑr fd;k tk ldrk gS &
• uSnkfud lEeys u
• dsl@uSnkfud çLrqfr
• xgu vkS"kèkh; vè;;u] çLrqfr vkSj fjiksVZ
• uÉlx jkmaM~l
• uSnkfud laxksf"B;ka
• tuZy Dyc
• ekey s dk vè;;u@uSnkfud ;k n[s kHkky iFk
• mUur LokLF; vkadyu
• uSnkfud {ks= eas ladk; O;k[;ku
• funsZf'kr iBu
• dk;Z
• ekey s dk vè;;u fo'y"sk.k
• dk;Z'kkyk,a
çR;sd unS kfud inLFkkiu ds var eas] uSnkfud ykWx cqd ¼fof'k"V çfØ;kRed n{krk,a@ uSnkfud
dkS'ky½ vkSj uSnkfud vko';drk,a ij çR;sd nks lIrkg es a çhlsIVj }kjk
gLrk{kj fd, tku s pkfg,A
1- vkikrdkyhu vkSj VªkWek ns[kHkky lek;kstu es a çnkrk dh Hkwfedk eas vH;kl djrk gSA
2- fofèkd vkSj ufSrd is'ksoj ftEens kfj;ks a ds vuqlkj dk;Z djrk gS & tSls] jksxh çcaèku] çy[s ku] vfxze funsZ'k]
fcÇyx vkSj dksÇMxA
3- vkikrdkyhu vkSj VªkWek ns[kHkky vkSj çcaèku es a lkaLÑfrd :i ls l{ke fu.kZ; yus s dks ,dhÑr djrk gSA
4- thou Hkj jksxh&ifjokj&dsfaær n[s kHkky çnku djrk gSA
5- detksj jksfx;ks]a ifjokjks a vkSj leqnk; ds yksxks a dks lqj{kkRed n[s kHkky çnku djrk gSA
6- fu;ked vkSj laLFkkxr ekudks a ds vuqlkj lHkh jksxh n[s kHkky dk mfpr çys[ku djrk gSA
7- çnku dh xbZ lsokvks a dh fcÇyx vkSj dksÇMx ds fy, orZeku vko';drkvksa dk vuqikyu djrk gSA
8- vkikrdkyhu ns[kHkky ny es a nlw jks a ds fy, ,d laj{kd] f'k{kd vkSj vxz.kh O;fDr ds :i esa dk;Z djrk gSA
9- vkikrdkyhu ns[kHkky ny ds lnL; ds :i eas nwljks a ds lkFk lg;ksx djrk gSA
10- orZeku fn'kkfunsZ'kks a dk vuqokn djrk gS vkSj vkikrdkyhu n[s kHkky lek;kstu eas loksZÙke dk;Z ç.kkyh
viukrk gSA
11- vkikrdkyhu ns[kHkky es a foKku vkSj Kku dks vkxs c<k+u s ds fy, 'kksèk eas Hkkx yrs k gSA
12- uhfrxr fodkl es a lfØ; :i ls Hkkx ysrk gSA
13- vkink vkSj lkefwgd grkgr dh rS;kfj;ks a eas Hkkx yrs k gSA
1- çLrqr f'kdk;r ds fy, çklafxd O;kid leL;k&dsafær bfro`Ùk çkIr djrk gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11
2- çeq[k@çLrqr f'kdk;r ds fy, çklafxd] fodklkRed :i ls mi;qDr 'kkjhfjd ijh{k.k djrk gSA
3- vkdfLed cuke xSj&vkdfLed fLFkfr;ks a vkSj mi;qDr vkikrdkyhu çcaèku dk fuèkkZj.k djus ds fy,
fo'ks"kd funku rS;kj djrk gSA
4- çkFkfedrk] tksf[ke Lrjhdj.k] lexz fu.kZ; yus ]s lalkèku vkoaVu vkSj miyCèk lsokvks a ds fy, vkikrdkyhu
vkSj VªkWek ns[kHkky gsrq fof'k"V mUur uSnkfud rdZ dk mi;ksx djrk gSA
5- vH;kl ds ifjHkkf"kr nk;j s ds Hkhrj vkikrdkyhu ns[kHkky ds fy, orZeku] lk{;&vkèkkfjr flQkfj'kks a ds
vkèkkj ij fpfdRlh; ,tsVa ksa dks fuèkkZfjr djrk gSA
6- rRdky@vkdfLed fLFkfr;ks a ds fLFkjhdj.k vkSj çkjfaHkd mipkj dks lacksfèkr djus gsrq n[s kHkky dh ,d
O;fDrxr] xfr'khy ;kstuk rS;kj djrk gSA
7- uSnkfud fu"d"kks±] orZeku flQkfj'kks a vkSj jksxh mipkj y{;ksa ds vkèkkj ij mipkj ;kstuk es a rduhdh]
uSnkfud vkSj çfØ;kRed gLr{ksi 'kkfey djrk gSa] ftles a IokbaV&vkWQ&ds;j vYVªklkmaM 'kkfey gSA
8- jksxh dh xfr'khy fLFkfr ds vkèkkj ij ns[kHkky ;kstuk dk iqueZwY;kadu vkSj la'kksèku djrk gSA
9- vkikrdkyhu vkSj VªkWek n[s kHkky ds fy, bfro`Ùk] 'kkjhfjd ijh{kk] fpfdRlk lacaèkh fu.kZ;] vkadyu vkSj
;kstuk dk mi;qDr çys[ku djrk gSA
10- vU; O;fDr;ks a ds lkFk ckrphr eas ekudhÑr lapkj gsrq midj.k 'kkfey djrk gSA
11- vuqHkotU; ,aVhck;ksfVd mipkjksa ds p;u es a ,aVhck;ksfVd çcaèku dk vH;kl djrk gSA
12- jksxh dh fLFkfr ds fy, ,d mi;qDr ;kstuk fuèkkZfjr djrk gSA
13- lqjf{kr] çHkkoh vkSj O;fDrxr :i ls lkaLÑfrd l{ke n[s kHkky çnku djus gsrq jksxh] ifjtuksa vkSj LokLF;
n[s kHkky ny ds lkFk ijke'kZ vkSj lg;ksx djrk gSA
14- Nqêh ds le; lqjf{kr] çHkkoh vkSj lk{;&vkèkkfjr vuqorÊ dkjZokbZ gsrq ,d ;kstuk fodflr djrk gSA
15- leqnk; eas mfpr laokn 'kq# djrk gSA
16- lwfpr fu.kZ; yus s vkSj n[s kHkky eas b"Vre Hkkxhnkjh dks c<k+ok nus s ds fy, jksfx;ks a vkSj ifjtuks a eas LokLF;
lk{kjrk dk vkadyu djrk gSA
Nk=ks a dks laLFkkxr çksVksdkWy@LFkk;h vkn's kks a ds vulq kj Lor=a :i ls vkikrdkyhu vkadyu djus] uSnkfud ijh{k.kks a
dk vkn's k nus ]s uSnkfud vkSj fpfdRlh; çfØ;kvks a dks djus] fpfdRlk midj.kks a dks laHkkyus] vkS"kfèk;ks a vkSj mipkjks a dks
ç'kkflr djus ds fy, çf'kf{kr fd;k tk,xk A vkikrdkyhu vkS"kfèk;ka lacafèkr fpfdRld ds
ijke'kZ ls nh tkrh gSa vkSj ckn eas fyf[kr vkns'k }kjk leÆFkr dh tkrh gSaA
1- mUur uÉlx vH;kl ds fy, 8 ?kaVs 1 × 32 ¾ 32 ?kaVs • lxa ks"Bh@l)S kafrd vuqç;ksx
lS)kafrd vkèkkj ¼40½ • O;k[;ku ¼ladk;½
2- vkikrdkyhu vkSj VªkWek uÉlx es a 8 ?kaVs 40 ¼5 fnu½ $ 1 × 24 ¾ 24 ?kaVs • 'kksèk vè;;u fo'ys"k.k@
'kksèk dk vuçq ;ksx vkSj lk{; 8 ?kaVs vH;kl@dk;Z ¼ç;ksx'kkyk½
vkèkkfjr vH;kl
¼56 $ 24½
3- urs R`o] çcaèku vkSj f'k{k.k es a mUur 12 $ 2 ?kaVs 1 × 26 ¾ 26 ?kaVs • uSnkfud lEesyu
dkS'ky ¼56 $ 24½ 2-5 × 16 ¾ 40 ?kaVs • lxa ks"Bh
• vH;kl@dk;Z ¼ç;ksx'kkyk½
4- mUur iSFkksfQft;ksykWth ¼60½ 1-5 × 40 ¾ 60 ?kaVs • ekeys dh çLrfqr
• lxa ks"Bh
• uSnkfud lEesyu12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
5- mUur vkS"kfèk foKku ¼54½ 10 ?kaV s 1 × 44 ¾ 44 ?kaVs • uÉlx jkmaM~l
• vkS"kfèk vè;;u çLrqfr
• LFkk;h vkns'k@çLrqfr
6- mUur LokLF; vkadyu 8 ?kaVs 2 × 26 ¾ 52 ?kaVs • uSnkfud çn'kZu ¼ladk;½
¼70 $ 48½ 1-5 × 18 ¾ 27 ?kaVs • okilh çn'kZu
1 × 15 ¾ 15 ?kaVs • uÉlx jkmaM~l
2 × 6 ¾ 12 ?kaVs • 'kkjhfjd vkadyu ¼lHkh
2 × 2 ¾ 4 ?kaVs ç.kkfy;ka½
• ekeys dk vè;;u
& ifjp;kRed d{kk,a ¾ 1 lIrkg ¼48 ?kaVs½] dk;Z'kkyk ¾ 1 lIrkg ¼48 ?kaVs½ ] 44 lIrkg ¾ 7-5 ?kaVs çfr
lIrkg ¼330@336 ?kaVs½
1- vkikrdkyhu vkSj VªkWek uÉlx vH;kl 9 ?kaVs × 11 lIrkg ¾ 99 ?kaVs • çn'kZu ¼ç;ksx'kkyk½
dk vkèkkj • okilh çn'kZu ¼ç;ksx'kkyk½
¼96 $ 48 ?kaVs½ ¾ 144 ?kaVs
• uSnkfud çf'k{k.k
• ekeys dk vè;;u
• lxa ks"Bh
• uSnkfud lEesyu
• lda k; O;k[;ku
2- vkikrdkyhu vkSj VªkWek uÉlx I ¼96 9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½
$ 48 ?kaVs½ ¾ 144 ?kaVs • okilh çn'kZu ¼ç;ksx'kkyk½
• uSnkfud lEesyu@tuyZ Dyc
• lxa ks"Bh
• ekeys dh çLrfqr
• vkS"kfèk vè;;u ¼vkS"kfèk ds ikjLifjd çHkko lfgr½
• uÉlx jkmaM~l
• lda k; O;k[;ku
3- vkikrdkyhu vkSj VªkWek uÉlx II ¼96 9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½
$ 48 ?kaVs½ ¾ 144 ?kaVs • okilh çn'kZu
• uÉlx jkmaM~l
• uSnkfud lEeysu@tuyZ Dyc
• lxa ks"Bh
• lda k; O;k[;ku
CykWd d{kk,a & 1 lIrkg] 45 lIrkg & 8-5@9 ?kaVs çfr lIrkg
çR;sd f'k{k.k i)fr gsrq fo"k; dks lacafèkr f'k{kd@laLFkku }kjk foLr`r ;kstuk eas fuÆn"V fd;k tk,xk
I.
1- oSf'od LokLF; n[s kHkky ço`fÙk;ks a vkSj pqukSfr;ks a dk fo'y"sk.k djrk gSA
2- Hkkjr eas LokLF; n[s kHkky vkSj f'k{kk uhfr;ks a ds uÉlx ij çHkko dk miyCèk nLrkostks a ls ijke'kZ djds fo'y"sk.k djrk
gSA
3- Hkkjr es a LokLF; lsok forj.k ç.kkyh vkSj bldh pqukSfr;ks a dh xgu le> fodflr djrk gSA
4- vkikrdkyhu vkSj VªkWek ns[kHkky es a LokLF; lsokvks a ds forj.k ds fy, çklafxd vkÆFkd fl)karks a dks ykxw djrk gSA
5- ykxr] xq.koÙkk vkSj larqf"V tSls LokLF; ifj.kkeks a dks çHkkfor djus ds fy, LokLF; tkudkjh dk çcaèku vkSj :ikarj[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13
djrk gSA
6- ulZ fpfdRld dh Hkwfedkvks a vkSj n{krkvks a dk vH;kl djus es a tokcngs h vkSj ftEens kjh Lohdkj djrk gSA
7- vkikrdkyhu vkSj VªkWek n[s kHkky eas LokLF; n[s kHkky ny ds lHkh lnL;ks a dks 'kkfey djrs gq, lg;ksxh vH;kl eas
lfØ; :i ls Hkkx yrs k gS vkSj vfèkÑr nk;js ds Hkhrj funsZ'kkRed Hkwfedk,a fuHkkrk gSA
8- fofèkd] uSfrd vkSj mUur uÉlx vH;kl ds fu;eu dk vPNk Kku j[kus oky s uSfrd vH;kl eas layXu gksrk gSA
9- lqfu;ksftr çhlsIVjf'ki ds ekè;e ls çnku fd, x, çf'k{k.k ds voljks a dk mi;ksx djrk gS vkSj uÉlx
çfØ;k@ns[kHkky iFk ;k uSnkfud iFk dks ykxw djrs gq, lqjf{kr vkSj l{ke ns[kHkky djrk gSA
10- vkikrdkyhu vkSj VªkWek n[s kHkky dh vko';drk okys jksfx;ks a dks l{ke n[s kHkky çnku djus eas uÉlx fl)karks a ds Kku
dks ykxw djrk gSA
11- fofHkUu LokLF; n[s kHkky lek;kstuksa eas] fo'ks"k :i ls Hkkjr eas] ulZ fpfdRldks a dh Hkwfedkvksa eas vkxkeh pqukSfr;ks a dk
iwokZuqeku yxkrk gSA
1- oSf'od LokLF; n[s kHkky pqukSfr;ka vkSj #>ku ¼n{krk&1½ 2
2- Hkkjr es a LokLF; ç.kkyh 2
Hkkjr es a LokLF; n[s kHkky forj.k ç.kkyh & cnyr s ifjn`'; ¼n{krk&3½
3- jk"Vªh; LokLF; ;kstuk & iapo"kÊ; ;kstuk,a vkSj jk"Vhª; LokLF; uhfr ¼n{krk&2½ 2
4- LokLF; vFkZ'kkL= vkSj LokLF; n[s kHkky foÙkiks"k.k ¼n{krk& 4½ 4
5- uÉlx lwpuk foKku lfgr LokLF; lwpuk ç.kkyh ¼daI;wVj dk mi;ksx½ ¼n{krk&5½ 4
6- ,,uih & ifjHkk"kk] nk;jk] n'kZu] tokcnsgh] Hkwfedk vkSj ftEesnkfj;ka ¼lg;ksxh vH;kl vkSj ul Z 3
fuèkkZfjr Hkwfedk,a½ ¼n{krk&6 o 7½
7- fofu;eu ¼çf'k{k.k laLFkkuks a dh ekU;rk vkSj çek.ki=½ vkSj mUur uÉlx vH;kl Hkwfedk ds uSfrd 3
vk;ke ¼n{krk&8½
8- ulZ fpfdRld & Hkwfedk] çdkj] n{krk] vH;kl ds fy, uSnkfud lek;kstu] lkaLÑfrd {kerk 3
¼n{krk&6½
9- ulZ fpfdRld ds fy, çf'k{k.k & çhlsIVjf'ki ¼n{krk&9½ 2
10- ulZ fpfdRld vH;kl dh Hkfo"; dh pqukSfr;ka ¼n{krk&11½ 4
11- mUur uÉlx vH;kl ij ykxw uÉlx ds fl)kar ¼n{krk&10½ 3
12- mUur uÉlx vH;kl ij ykxw uÉlx çfØ;k@n[s kHkky iFk ¼n{krk&9½ 2
6
1- LokLF; ns[kHkky vkSj f'k{kk uhfr;ks a dh igpku djuk vkSj uÉlx ij blds çHkko dk fo'ys"k.k djuk
2- ulZ fpfdRld vH;kl ds fy, Hkkjr e sa dkuwuh fLFkfr dk o.kZu djukA vU; n's kks a es a bu uhfr;ksa dh
çklfaxdrk ds lkFk Hkkjr es a uhfr;ka fuèkkZfjr djus okyh ul Z dk Hkfo"; D;k gS\
3- rr` h;d dsæa ksa es a fofHkUu vkikrdkyhu vkSj VªkWek n[s kHkky bdkb;ks a es a ik, tkus oky s ul Z fpfdRld
vH;kl ls lacfaèkr uÉlx çksVksdkWy dh tk¡p djuk
ckdZlZ] ,-,e- ¼2009½- ,MokaLM çSfDVl uÉlx] eSlkpqlsV~l% tkWUl ,aM ckVZysV ifCy'klZA
fgdh] ts-oh-] vksbesV] vkj-,e- vkSj osusxksuh] ,l-,y- ¼1996½- ,MokaLM çSfDVl uÉlx% pasÇtx jksYl ,aM fDyfudy
,Iyhds'kUl] fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA
Ldkscj] ,e- vkSj vQkjk] ,Q-,- ¼2006½- ,MokaLM uÉlx çSfDVl] vkWDlQksMZ% CySdosy ifCyÇ'kxA
LVhoVZ] th-ts- vkSj MsfuLdks] ,l-,e- ¼2015½- jksy MsoyiesVa QkWj n ulZ çSfDV'kuj] ;w,l,% ÇLçxj ifCyÇ'kx daiuhA14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
II.
1- vkikrdkyhu vkSj VªkWek uÉlx eas Lor=a 'kksèk djus es a xgu 'kksèk Kku vkSj dkS'ky dk s ykxw djrk gSA
2- jksxh n[s kHkky xq.koÙkk es a lqèkkj ykus ds fy, lg;ksxh 'kksèk eas Hkkx yrs k gSA
3- bZchih dk mRiknu djus ds fy, mUur vH;kl es a 'kksèk fu"d"kks± dh O;k[;k vkSj mi;ksx djrk gSA
4- mUur vH;kl es a loksZÙke vH;klka s vkSj LokLF; ifj.kkeks a rFkk xq.koÙkk ns[kHkky dks fodflr djus ds fy, orZeku
vH;kl dk ijh{k.k@vkda yu djrk gSA
5- n[s kHkky dh lqj{kk vkSj çHkko'khyrk dks c<+kus ds fy, vkikrdkyhu vkSj VªkWek uÉlx vH;kl eas fd, x, uÉlx
eè;orZu ds lk{; dk fo'y"sk.k djrk gSA
6- oSKkfud 'kksèk fjiksVZ y[s ku es a dkS'ky fodflr djrk gSA
1- 'kksèk vkSj mUur uÉlx vH;kl% 2
'kksèk vkSj mUur uÉlx Hkwfedk ls lca afèkr iwNrkN dk egRo ¼n{krk&1½
2- mUur uÉlx vH;kl ds fy, 'kksèk ,tsMa k% 5
loksÙZ ke vH;kl fodflr djus ds fy, orZeku vH;kl dk ijh{k.k] LokLF; ifj.kke vkSj mUur vH;kl
es a xq.koÙkkiw.kZ ns[kHkky ds lda srd ¼n{krk&3] 4] 5½]
'kksèk laLÑfr dks c<+kok nsuk
3- 'kksèk dk Kku vkSj dkS'ky% 40
mUur uÉlx vH;kl ds fy, vko';d 'kksèk n{krk,a ¼'kksèk dh O;k[;k vkSj mi;ksx] vH;kl dk ¼5 fnolh;
vkadyu] lg;ksxh 'kksèk es a Hkkxhnkjh½ dk;'Z kkyk½
lk{; vkèkkfjr vH;kl ¼bZchih½ ifj;kstuk dk ifjp; & PICOT ç'u] ;kstuk ds pj.k] dk;kZUo;u]
vkadyu vkSj çlkj ¼ifj;kstuk çLrko vkSj ifj;kstuk fjiksVZ½
pj.k@lksiku ¼'kksèk ç'u] lkfgfR;d leh{kk] oSpkfjd lajpuk] 'kksèk fMtkbu] uewukdj.k] MsVk lxa gz .k]
i)fr;ka vkSj midj.k] fo'ys"k.k vkSj fjiksÉVx½
'kksèk çLrko vkSj 'kksèk fjiksVZ y[s ku ¼n{krk&1 vkSj 2½
4- çdk'ku ds fy, y[s ku 5
¼ys[ku dk;'Z kkyk & ik.Mqfyfi rS;kj djuk vkSj foÙk iks"k.k ds lkzsr <¡w<uk½ ¼n{krk&6½ ¼dk;'Z kkyk½
5- lk{; vkèkkfjr dk; Z 4
& voèkkj.kk,a] fl)kar] egRo vkSj pj.k
& vkikrdkyhu vkSj VªkWek uÉlx es a bZchih dks ,dhÑr djuk
& vkikrdkyhu vkSj VªkWek ns[kHkky e sa lk{; ds {ks=
& bZchih dks ykxw djus es a ckèkk,a
& bZchih dks c<+kok nsus dh j.kuhfr;ka ¼n{krk&3] 4] 5½
• 'kksèk çkFkfedrkvks a dh igpku djuk
• 'kksèk ç'u] mís'; vkSj ifjdYiuk ij vH;kl ys[ku
• 'kksèk çLrko@bZchih ifj;kstuk çLrko ys[ku
• oSKkfud i= y[s ku & çdk'ku ds fy, ikaMqfyfi dh rS;kjh
• O;ofLFkr leh{kk@lkfgfR;d leh{kk ys[ku & bZMh eas fn, x, uÉlx eè;orZu ds lk{; dk fo'y"sk.k djuk
• çk;ksfxd 'kksèk% fucaèk ¼336 ?kaV s ¾ 7 lIrkg½@lk{; vkèkkfjr vH;kl ifj;kstuk ¼bZchih ifj;kstuk½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15
cukZMsV] ,e-,e- vkSj ,ysu] ,Q-vks- ¼2019½- ,foMsla&csLM çSfDVl bu uÉlx ,aM gSYFkds;j ¼pkSFkk laLdj.k½] okWYVlZ Dyow j
gSYFkA
cUlZ] ,u- vkSj xzkso] ,l-d-s ¼2011½- vaMjLVsÇaMx uÉlx fjlp%Z fcÇYMx ,u ,foMsal csLM çSfDVl ¼ikapok a laLdj.k½] igyk
Hkkjrh; iqueqZæ.k 2012] ubZ fnYyh% ,Ylsfo;jA
iksfyr] Mh-,Q- vkSj csd] lh-Vh- ¼2018½- uÉlx fjlpZ% tsusjsÇVx ,aM ,lsÇlx ,foMsla QkWj uÉlx çSfDVl ¼nloka laLdj.k½]
fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA
f'eV] ,u-,- vkSj czkmu] ts-,e- ¼2009½- ,foMsla csLM çSfDVl QkWj ulsZl vçSty ,aM ,fIyds'ku vkWQ fjlpZ] ,lMh% tksUl
,aM ckVZysV ifCy'klZA
III.
1- bZMh eas usr`Ro vkSj çcaèku ds fl)karks a dks ykxw djrk gSA
2- fl)karks a ds csgrj Kku dk mi;ksx djds vkikrdkyhu vkSj VkªWek ns[kHkky bdkb;ks a eas ruko vkSj la?k"kks± dks çHkkoh <ax
ls çcafèkr djrk gSA
3- leL;k lekèkku vkSj fu.kZ; ysus ds dkS'ky dk s çHkkoh <ax ls ykxw djrk gSA
4- vkikrdkyhu vkSj VªkWek n[s kHkky bdkb;ks a eas urs `Ro çnku djus vkSj jksxh n[s kHkky ds çcaèku eas egRoiw.kZ Çpru vkSj
lapkj dkS'ky dk mi;ksx djrk gSA
5- ny cukrk gS vkSj vkikrdkyhu vkSj VªkWek n[s kHkky bdkbZ es a nwljks a dks çsfjr djrk gSA
6- bdkbZ dk ctV rS;kj djrk gS] vkiwÆr vkSj LVkQ dk çHkkoh <xa ls çcaèku djrk gSA
7- uokpkj vkSj cnyko ds le; mfpr :i ls Hkkx ysrk gSA
8- f'k{k.k ds Bksl fl)karks a ds vkèkkj ij çHkkoh f'k{k.k fofèk;ks]a ehfM;k vkSj vkadyu dk mi;ksx djrk gSA
9- vkikrdkyhu vkSj VªkWek n[s kHkky bdkb;ks a eas jksxh dh n[s kHkky] xq.koÙkk vkSj ufSrdrk cuk, j[kus eas i{kèkj Hkwfedk
fodflr djrk gSA
10- ladV dh fLFkfr es]a fo'ks"k :i ls ej.kklUu voLFkk es]a ifjtuks a vkSj jksfx;ks a dks ijke'kZ çnku djrk gSA
1- fl)kar] urs R`o dh 'kSyh vkSj oreZ ku #>ku 2
2- fl)kar] çcaèku dh 'kSyh vkSj oreZ ku #>ku 2
3- vkikrdkyhu vkSj VªkWek ns[kHkky bdkb;ks a ij ykxw urs R`o vkSj çcaèku ds fl)kar 4
4- ruko çcaèku vkSj Vdjko çcaèku & fl)kar vkSj vkikrdkyhu vkSj VªkWek n[s kHkky bdkb;ks a es a vuçq ;ksx] 4
çHkkoh le; çcaèku
5- x.q koÙkk lqèkkj vkSj ys[kk ijh{kk 4
6- vkikrdkyhu vkSj VªkWek uÉlx vH;kl ij ykxw leL;k lekèkku] egRoiw.kZ Çpru vkSj fu.kZ;] lapkj 5
dkS'ky
7- vkikrdkyhu vkSj VªkWek ns[kHkky bdkbZ e sa ny cukuk] çsfjr djuk vkSj lykg nus k 2
8- ekuo lalkèku lfgr ctV vkSj lalkèkuks a dk çcaèku & vkikrdkyhu vkSj VªkWek n[s kHkky bdkbZ ctV] 5
lkexhz çcaèku] LVkQ] dk;Z
9- cnyko vkSj uokpkj 2
10- LVkQ çn'kZu vkSj vkadyu ¼çn'kZu vkadyu½ 6
11- bZVh,u ij ykxw f'k{k.k&vè;;u fl)kar vkSj fu;e 216 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
12- n{krk vkèkkfjr f'k{kk vkSj ifj.kke vkèkkfjr f'k{kk 2
13- f'k{k.k fofèk;ka@j.kuhfr;ka] ehfM;k% vkikrdkyhu vkSj VªkWek n[s kHkky bdkbZ es a jksfx;ksa vkSj deZpkfj;ksa 8
dks f'kf{kr djuk
14- deZpkjh f'k{kk vkSj vkadyu es a midj.kk sa dk mi;ksx 4
15- ,ih,u & ,d f'k{kd ds :i es a Hkwfedk 2
16- vkikrdkyhu vkSj VªkWek ns[kHkky bdkbZ;ksa e sa leFkZu Hkwfedk,a 2
1- LVkQ jksxh dk;Z dh rS;kjh
2- bdkbZ dk ctV rS;kj djuk
3- LVkQ MîwVh jksLVj rS;kj djuk
4- jksxh n[s kHkky ijh{k.k
5- uÉlx n[s kHkky ekud vkSj çksVksdkWy rS;kj djuk
6- midj.k vkSj vkiwÆr çcaèku
7- laØe.k fu;a=.k vH;klks a dh fuxjkuh] vkadyu vkSj fjiksVZ y[s ku
8- f'k{k.k ;kstuk dk fodkl
9- lw{e f'k{k.k@jksxh çf'k{k.k l=
10- jksfx;ks a vkSj deZpkfj;ks a ds fy, çf'k{k.k i)fr vkSj ehfM;k rS;kj djuk
11- vks,llhbZ@vks,lihbZ dh ;kstuk cukuk vkSj lapkyu djuk
12- ijh{k.k djuk
vkikrdkyhu vkSj VªkWek n[s kHkky bdkbZ eas Hkkokfo"V HkhM+ dk mxz O;ogkj
ckLVscy] ,l-ch- ¼2010½- ulZ ,t ,MqdsVj% Ççfliy vkWQ VhÇpx ,aM yÉux QkWj uÉlx çSfDVl ¼rhljk laLdj.k½] ubZ
fnYyh% tksUl ,aM ckVZyVs ifCy'klZA
fcÇyXl] Mh-,e- vkSj gkyLVsM] ts-,- ¼2009½- VhÇpx bu uÉlx% , xkbM QkWj QSdYVh ¼rhljk laLdj.k½] lsVa yqbl] felkSjh%
lkWUMlZ ,Ylsfo;jA
DykdZ] lh-lh- ¼2010½- fØ;sfVo uÉlx yhMj'khi ,aM eSuts easV] ubZ fnYyh% tksUl ,aM ckVZyVs ifCy'klZA
eSddksusy ¼2008½- eSusteasV çÈfliy QkWj gSYFk çksQs'kuYl] lMcjh] ,e-,% tksUl ,aM ckVZysV ifCy'klZA
jkSlsy] ,y- vkSj LokalcxZ] vkj-lh- ¼2010½- eSusteasV ,aM yhMj'khi QkWj ulZ ,MfefuLVªVslZ ¼ikapoka laLdj.k½] ubZ fnYyh%
tksUl ,aM ckVZysV ifCy'klZA
IV.
1- vkikrdkyhu vkSj VªkWek fLFkfr eas funku vkSj ns[kHkky ;kstuk fodflr djus eas jksxfoKku lacaèkh çfØ;k dh tkudkjh
dks ,dhÑr djrk gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17
2- vkikrdkyhu vkSj VªkWek dh fLFkfr dh ekè;fed jksdFkke vkSj y{k.k çcaèku eas iSFkksfQft;ksykWftdy fl)karks a dks ykxw
djrk gSA
3- funku] mipkj] n[s kHkky vkSj jksxfunku ds eYw ; dks igpkurs gq, çR;sd vkikrdkyhu vkSj VªkWek dh fLFkfr ds fy,
çklafxd iSFkksfQft;ksykWftdy ifjorZuks a dk fo'ys"k.k djrk gSA
I 6
ºznokfguh ls lca afèkr fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k
• mPp jDrpki fodkj
• dksjksujh èkeuh jksx
• okYoqyj ân; jksx
• dkÆM;ksek;ksiSFkh vkSj ân; xfr dk #duk
• ân; dh rhozlEihM+u
• ,fjFkfe;kl
• QqIQqltU; ân; jksx
• ân; es a #dkoV vkSj pkyu es a xM+cM+h
• ifjèkh; èkeuh fodkj
• f'kjkijd fodkj
II 4
Qq¶Qqlh; fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k
• fpjdkfyd çfrjksèkh Qq¶Qqlh; jksx
• Qq¶Qqlh; okfgdk fodkj
• lØa ked jksx
• lkal dk #duk
• lhu s es a nnZ
III 4
rfa=dk ls lca afèkr fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k
• m}sx fodkj
• efLr"d okfgdh; jksx
• lØa e.k
• jh< + dh gìh ds fodkj
• vi{kh; efLr"d lacèakh fodkj
• rfa=dh; vk?kkr
• dksek] csgks'kh
IV 4
xnq Z s ls lca afèkr fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k
• xnq Z s dh rhoz fuf"Ø;rk
• xnq Z s dh fpjdkfyd fuf"Ø;rk
• lØa e.k vkSj ;wjkslfsIll
• o`"k.k ejksM+
• xnq Z s dk jksx
• xnq Z s dh pksV18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
V 4
;Ñr l s lacfaèkr fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k
• tBjka= lzko
• vkar es a #dkoV
• lØa e.k vkSj lwtu
• ;Ñr foQyrk
• tBjka=h; fNæ.k
• tBjka=h; Vîew j
• mnj dh pksV
VI 4
var%lkzoh fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k
• eèkqesg lca aèkh dhVks,flMksfll
• gkbijksLeksyj ukWu dsVksfVd dksek
• vYiXydw ksljDrrk
• Fkk;jkbM
• feDlhMsek dksek
• vfèko`ô ladV
• fQ;ksØksekslkbVksek
• vuiq ;qDr ,aVhMk;;wjsfVd gkeksuZ lkzo dk ÇlMªkse
VII 4
#fèkjfoKku lacafèkr fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k
• yky jDr dksf'kdkvks a ds fodkj & ikWyhflFksfe;k] jDrkYirk] fldy lsy jksx
• 'ors jDr dksf'kdkvks a ds fodkj & 'osrk.kqU;wurk] uoæoh; fodkj
• jDrLrEHku ds fodkj & IysVysV fodkj] Ldanu fodkj] çlkfjr vkarjokfgdk Ldanu
IV.
I 3
f>Yyh l s lacafèkr fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k
Ropk
• ?kko Hkjuk
• tyuk
• Roph; vkSj dksey Årdh; laØe.k
• LVhou tkWulu ÇlMªkse
us=
• lØa e.k vkSj lwtu
• cká vo;o
• pksV
bZ,uVh
• lØa e.k vkSj lwtu
• cká vo;o
• ukd ls [kwu vkuk
• pksV[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19
II 3
dadky&is'kh; ç.kkyh ls lca afèkr fLFkfr;ksa dh mUr iSFkksfQft;ksykWth çfØ;k
• lØa e.k vkSj lwtu
III 4
rfa=dk ls lca afèkr fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k
• lnek & gkbiksoksysfed] dkÆM;kstsfud] fMLVªhC;wfVo
• flLVsfed bU¶ykesVªh ÇlMªkse
• eYVhiy vkWxuZ fMlQaD'ku ÇlMªkse
• ikWyh VªkWek
• bUous kses'ku
IV 3
fo"kSys rRoks a ls lca afèkr fLFkfr;ks a dh mUur iFS kksfQft;ksykWftdy çfØ;k
• fo"k & ek=k ls vfèkd vkS"kfèk] jlk;u] l[a ;kjd] gcZy
V 3
fof'k"V laØe.kks a ls lca afèkr fLFkfr;ksa dh mUur iSFkksfQft;ksykWftdy çfØ;k
• lkekU; ok;jy vkSj thok.kq laØe.k
• [kk| ,oa ty tfur laØked jksx
• ok;q tfur laØked jksx
• ,pvkbZoh laØe.k vkSj ,M~l
• ijthoh & eysfj;k] Msxa w
• jcs ht
• lfsIll vkSj lsfIVd 'kkWd
• fVVuls
• egkekjh & ¶yw LdklZ] ,fo;u bU¶yq,atk A¼H5N1½] dksfoM 19
VI 3
çtuu ls lca afèkr fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k
• xHkkZoLFkk es a 'kkjhfjd ifjoruZ
• vkirdkyhu n[s kHkky gsrq vHkh"V ifjfLFkfr;ka
çloiwo Z vkikrdkyhu fLFkfr;ka
• gkbijesfll xzsfoMsje
• vLFkkfud xHkkZoLFkk
• çloiwo Z jDrlkzo
• xHkkZoLFkk çsfjr mPp jDrpki
çlodkyhu vkikrdkyhu fLFkfr
• ckfèkr çlo
• QVk gqvk xHkkZ'k;
çloksÙkj vkikrdkyhu fLFkfr
• ihih,p
• çlwfr lacaèkh pksV
• tPpk jksxk.kqrk
• ,pbZ,y,yih ÇlMªkse
• MhvkbZlh
• ,efu;ksfVd æo ,EcksfyTe
L=h jksx lacèakh vkikrdkyhu fLFkfr
• fMEcxazfFk iqVd@QksM+k@ejksM+
• ;kSu lacfaèkr ekjihV
• ;ksfu l s jDr lzko20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
VII 3
• cPpks a dh dk;çZ .kkfy;ks a es a fofHkUu vkikrdkyhu fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k
• ºznokfguh
• 'okl ç'okl
• rfa=dk
• tBjka=
• tuu&ew=h;
• var%lkzoh
• #fèkjfoKku
• lØa ked jksx vkikr fLFkfr
• Roph; ?kko vkSj tyuk
• fo"k] cká vo;o] Mwcuk
• n?q kZVuk
• lnek
VIII 4
fof'k"V ekufld LokLF; ls lca afèkr fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k
• vkRegR;k
• gR;k
• eknd æO;ksa dk lsou & 'kjkc] u'khys inkFkZ
• vkdfLed Hk; ¼?kcMkgV½
• rhoz volkn
• ;kSu 'kks"k.k
• vfHk?kkrt ds ckn dk ruko fodkj ¼ihVh,lMh½
IX 4
fof'k"V pksVksa l s lacafèkr fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k
• vfHk?kkrt lnek
• diky ,oa psgjs dh pksV
• dadky&is'kh; pksV vkSj jh<+ dh gìh dh pksV
• ân; rFkk o{k&xºoj lacèakh pksV
• mnj dh pksV
• xHkkZoLFkk ds nkSjku pksV yxuk
• cky fpfdRlk lca afèkr lnek
áFw kj] ,l-bZ- vkSj eSddSal] ds-,y- ¼2012½- vaMjLVsÇaMx iSFkksfQft;ksykWth ¼ikapok a laLdj.k½] lsVa yqbl] felkSjh% ,Ylsfo;jA
tkWu] th-] lqczef.k] ds-] ihVj] ts-oh-] fipkeqFkq] ds- vkSj pkdks] ch- ¼2011½- ,lsfa'k;Yl vkWQ fØfVdy ds;j ¼vkBoka
laLdj.k½] fØf'p;u esfMdy dkWyst% osYyksjA
isVªhdk dqat gkWoMZ] jscsdk ,- LVhueSu- 'ksght ,ejtslah uÉlx fçafliYl ,aM çSfDVl ¼NBk laLdj.k½] ,Ylsfo;j]
vkbZ,lch,u 13% 978&0&323&05585&7-
iksFkZ] lh-,e- ¼2007½- ,lsfa'k;Yl vkWQ iSFkksfQft;ksykWth% dkWUlsIV~l vkWQ ,YVMZ gSYFk LVsV~l ¼nlw jk laLdj.k½]
fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA
fVufVukyh] bZ- twfMFk ¼2000½- ,ets±lh efsMflu ¼ikapok a laLdj.k½] eSdxzk fgy% U;w;kWdZA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21
mjMsu] ,y-Mh-] LVslh] ds-,e- vkSj ykS?k] ,e-bZ- ¼2014½- fØfVdy ds;j uÉlx & Mk;Xuksfll ,aM eSusteasV ¼lkroka
laLdj.k½] ,Ylsfo;j% felkSjhA
V.
1- vkikrdkyhu vkSj VªkWek ns[kHkky dh vko';drk okys jksfx;ks a vkSj ifjtuks a dks n[s kHkky çnku djus eas vkS"kèkh;
fl)karks a dks ykxw djrk gSA
2- vkikrdkyhu vkSj VªkWek fLFkfr;ks a ds mipkj eas mi;ksx dh tku s okyh vkS"kfèk;ksa ds fy, çklafxd vkS"kèkdks"k vkSj
QkekZdksMk;ukfeDl dk fo'ys"k.k djrk gSA
3- fl)karks a vkSj laLFkkxr çkVs ksdkWy ds vkèkkj ij lqjf{kr vkS"kfèk nrs k gSA
4- lVhd :i ls nLrkost rS;kj djrk gS vkSj vuqorÊ ns[kHkky çnku djrk gSA
5- vkikrdkyhu vkSj VªkWek ns[kHkky dh vko';drk oky s jksfx;ks a ds fy, vkS"kfèk;ks a ds çcaèku eas vkS"kfèk ds ikjLifjd çHkko
dk csgrj Kku ykxw djrk gS vkSj muds ifjtuks a dk Lo&ns[kHkky çcaèku es a ekxZn'kZu djrk gSA
I 1
• bfro`Ùk
• vkS"kfèk;ks a dk oxÊdj.k vkSj vuqlwph
II 2
• ifjp;
• vkikrdkyhu ns[kHkky es a lekos'k] forj.k] p;kip;] forj.k vkSj mRltZu
• IykTek lkUæ.k] gkQ ykbQ
• vkS"kfèk;ks a dh yksÇMx vkSj j[kj[kko
• fpfdRlh; lwpdkad vkSj vkS"kfèk lqj{kk
• {kerk vkSj çHkkodkfjrk
• vkS"kfèk nsus ds fl)kar
▪ vkS"kfèk nsus ds vfèkdkj
▪ eki ç.kkyh
▪ vkarfjd vkS"kfèk nus k
▪ lkef;d vkS"kfèk nsuk
▪ iSjasVªy vkS"kfèk nsuk22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
III 4
• oklks,fDVo vkS"kfèk;ka
▪ oklksfMysVj
▪ oklksçs'kj
▪ buksVªksIl
✓ dkÆM,d XykbdkslkbM & MkbtkWfDlu
✓ flEiSFkksfeesfVDl & Mksikekbu] Mkcs qVkekbu] ,fiuÝs hu] vkblkçs ksVsjsukWy] ukWjisusfÝu]
fQukbyfsÝu
✓ QkWLQksfM,LVjts bufgfcVj & ,efjuksu] feyfjuksu
• vrkyrkjksèkh vkS"kfèk;ka
• ân; lacaèkh vkikr fLFkfr
▪ ân; fldqM+u eas lqèkkj ds fy, vkS"kfèk;ka
▪ vkikrdkyhu ns[kHkky es a mPp jDrpki çcaèku vkS"kfèk;ka
▪ ânikr çcaèku vkS"kfèk;ka
▪ ,utkbuk isDVksfjl vkSj E;ksdkÆM;y bUÝsD'ku çcaèku vkS"kfèk;ka
▪ vrkyrk] ân; #dkoV vkSj pkyu xM+cM+h çcaèku vkS"kfèk;ka
▪ Qq¶Qqlh; mPp jDrpki] okYoqyj ân; jksx] dkÆM;ksek;ksiSFkh çcaèku vkS"kfèk;ka
▪ egkèkeuh ,FksjksLDyksjksfVd jksx vkSj ifjèkh; èkeuh jksx çcaèku vkS"kfèk;ka
▪ xgjh f'kjk ?kukL=rk çcaèku vkS"kfèk;ka
• ân; n[s kHkky vkikr fLFkfr;ks a ds fy, laLFkkxr çksVksdkWy@LFkk;h vkns'k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23
IV 4
• ifjp;
• ;kaf=d osfaVysVj ij jksfx;ks a ij mi;ksx dh tku s okyh vkS"kfèk;ka
• QkekZdksFksjsih ij ;kaf=d osfaVys'ku dk çHkko & csgk's k djuk vkSj ihM+kuk'k] U;wjkseLdqyj CykWdsM]
iks"k.k
• iYeksujh vkikr fLFkfr
▪ nek çcaèku vkS"kfèk;ka
▪ iYeksujh ,fMek çcaèku vkS"kfèk;ka
▪ iYeksujh ,EcksfyTe çcaèku vkS"kfèk;ka
▪ rhoz 'olu foQyrk vkSj rhoz 'olu ladV ÇlMªkse çcaèku vkS"kfèk;ka
▪ Nkrh dh pksV ds çcaèku es a vkS"kfèk;ka
▪ ØkWfud vkWClVªfDVo iYeksujh jksx çcaèku vkS"kfèk;ka
▪ fueksfu;k çcaèku vkS"kfèk;ka
▪ Qq¶Qql lzko çcaèku vkS"kfèk;ka
▪ ,Vys Ds VSfll çcaèku vkS"kfèk;ka
• iYeksujh n[s kHkky vkikr fLFkfr ds fy, LFkk;h vkns'k24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
V 4
• nnZ
▪ NSAIDS
▪ vksfivksbM ,ukYtsfl;k
• csgk's k djus dh fØ;k
▪ xkek ,feuksC;wfVªd ,flM fLVeyq Us V
▪ MsDlesfMVksfeMkbu
▪ ,ukYxksflMs'ku
• vprs uk
▪ gsyksifjMksy
• LFkkuh; vkSj lkekU; laKkgj.k ds fy, vkS"kfèk;ka
▪ LFkkuh; & ,ekbM~l] ,LVlZ vkSj fofoèk ,tsVa
▪ lkekU; & xSl] ok"i'khy rjy inkFkZ] IV ,uLs FksfVDl
▪ 'kY;&fpfdRlk ls tqM+h ukWu&,uLs FksfVDl vkS"kfèk;ka
• iSjkfyfVd vkS"kfèk;ka
▪ ukWu&fMiksyjkbÇtx vkSj fMiksyjkbÇtx ,tsVa ~l
▪ vafxvkWy;fVDl
• Lok;Ùk vkS"kfèk;ka
▪ ,MªhuÆtd ,tsVa @flEiSFkksfeesfVDl
▪ ,MªhuÆtd CykWÇdx ,tsVa
▪ dksyhuÆtd ,tsVa
▪ ,aVh dksyhuÆtd ,tsaV
• Çprk vkSj vfuæk ds çcaèku es a vkS"kfèk;ka
▪ volknjksèkh
▪ csta ksMk;tsikbu
▪ ckÆcVqjsV~l
▪ Luk;fod vkikr fLFkfr
• rhoz euksfoÑfr ds çcaèku es a vkS"kfèk;ka
▪ mPp baVªkØsfu; nkc ds lkFk flj vkSj jh< + dh gìh dh xaHkhj pksV ds çcaèku es a vkS"kfèk;ka
▪ ekalisf'k;ks a dh ,saBu ds çcaèku es a vkS"kfèk;ka
▪ laLrHa krk ds çacaèku es a vkS"kfèk;ka
▪ efLr"dokfgdh; jksx vkSj efLr"dokfgdh; pksV ds çcaèku es a vkS"kfèk;ka
▪ efLr"d foÑfr ds çcaèku es a vkS"kfèk;ka
▪ fxfy;u cs;j ÇlMªkse vkSj ek;LFksfu;k xzsfol ds çcaèku es a vkS"kfèk;ka
▪ czsu gÆu;s'ku ÇlMªkse ds çcaèku es a vkS"kfèk;ka
▪ m}sx fodkj ds çcaèku es a vkS"kfèk;ka
▪ dksek] csgk's kh vkSj yxkrkj fuf"Ø;rk ds çcaèku es a vkS"kfèk;ka
▪ jksxh dh lqj{kk ds fy, mfpr uÉlx n[s kHkky
• Luk;fod vkikr fLFkfr;ks a ds fy, LFkk;h vkn's k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25
VI 3
• Mkb;wjsfVd
• æo çfrLFkkiu
▪ fØLVyksbM~l
▪ dksyksbM~l
• byDs VªksykbV~l
▪ lksfM;e
▪ iksVkf'k;e
▪ dSfY'k;e
▪ eSxfuf'k;e
▪ QkWLQksjl
• uÝs ksykWth vkikrdkyhu fLFkfr;ka
▪ xaHkhj@th.kZ xqnZs ds çcaèku es a vkS"kfèk;ka
▪ xaHkhj Vîcw yj uØs ksfll ds çcaèku eas vkS"kfèk;ka
▪ laØe.k ds çcaèku es a vkS"kfèk;ka
▪ tsfuVks ;wfjujh VªkWek ds çcaèku es a vkS"kfèk;ka
▪ byDs VªksykbV vlarqyu ds çcaèku es a vkS"kfèk;ka
▪ vEy {kkj vlarqyu ds çcaèku esa vkS"kfèk;ka
▪ Mk;fyfll ds nkSjku ç;qDr vkS"kfèk;ka
• uÝs ksykWth vkirfLFkfr;ks a ds fy, LFkk;h vkn's k
VII 4
• vYlj&jksèkh vkS"kfèk;ka
• jps d vkS"kfèk;ka
• Mk;fj;k jksèkh vkS"kfèk;ka
• ,aVh besfVDl
• isufØ;kfVd ,Utkbe
• U;wfVª'kuy lIyhesVa ~l] foVkfeu vkSj [kfut
• tBjka= lacaèkh vkirdkyhu ns[kHkky fLFkfr;ka
• xaHkhj thvkbZ jDrlzko] ;Ñr foQyrk ds çcaèku es a vkS"kfèk;ka
▪ laØe.k vkSj lwtu ds çcaèku esa vkS"kfèk;ka
▪ mnj dh pksV ds çcaèku es a vkS"kfèk;ka
▪ gsisfVd ,UlsQSyksiSFkh ds çcaèku es a vkS"kfèk;ka
▪ xaHkhj vka= #dkoV ds çcaèku es a vkS"kfèk;ka
▪ fNæiw.kZ isfjVksfufVl ds çcaèku es a vkS"kfèk;ka
▪ tBjkU= ltZjh vkSj yhoj VªkalIykaV ds nkSjku mi;ksx eas ykbZ tku s okyh vkS"kfèk;ka
• tBjka= lacaèkh vkikr fLFkfr;ks a ds fy, LFkk;h vkns'k
VIII 4
• balqfyu vkSj vU; gkbiksXykblsfed ,tsVa
• var%lzkoh vkikrdkyhu fLFkfr;ka
▪ MkbcsfVd dsVks,flMksfll] gkbijksLeksyj ukWu&dsVksfVd dksek ds çcaèku es a vkS"kfèk;ka
▪ vYiXywdksljDrrk ds çcaèku es a vkS"kfèk;ka
▪ Fkk;jkbM LVkWeZ ds çcaèku es a vkS"kfèk;ka
▪ feDlsMsek dksek ds çcaèku es a vkS"kfèk;ka
▪ vfèko`ô ladV ds çcaèku es a vkS"kfèk;ka
▪ ,lvkbZ,Mh,p ds çcaèku es a vkS"kfèk;ka
• var%lzkoh vkikr fLFkfr;ks a ds fy, LFkk;h vkn's k26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
IX 5
• LdUnujksèkh
• ,aVhIysVyVs MªXl
• FkzksEcksykbfVDl
• gseksLVSfVDl@,aVhfQfczuksfyfVDl
• gseVksiksb,fVd xkzsFk QSDVlZ
▪ ,fjFkzksikbs fVu
▪ dkWyksuh fLVeqysÇVx QSDVlZ
▪ IyVs ysV ,ugkullZ
• jDr vkSj jDr mRikn
▪ laiw.kZ jDr] iSDM yky jDr dksf'kdk,a] Y;wdkslkbV de dh gqbZ yky dksf'kdk,a] èkqyh gqbZ yky
jDr dksf'kdk,a] rktk te s gq, IykTek] Øk;ksçsflfiVsV
▪ ,Ycqfeu
▪ vkèkku çfrfØ;k,a] vkèkku ç'kklu çfØ;k
• Vhds
• bE;wuksfLVeqyasV~l
• çfrj{kkneudkjh
• #fèkjfoKku vkikrdkyhu fLFkfr;ka
▪ xaHkhj jksx eas ,uhfe;k ds çcaèku es a vkS"kfèk;ka
▪ MhvkbZlh ds çcaèku es a vkS"kfèk;ka
▪ FkzksEckslkbVksisfu;k vkSj xaHkhj Y;wdsfe;k ds çcaèku es a vkS"kfèk;ka
▪ gsifju çsfjr FkzksEckslkbVksisfu;k ds çcaèku es a vkS"kfèk;ka
▪ fldy lsy ,uhfe;k ds çcaèku es a vkS"kfèk;ka
▪ Vîwej ysfll ÇlMªkse ds çcaèku es a vkS"kfèk;ka
• #fèkjfoKku lacaèkh vkikr fLFkfr;ks a ds fy, LFkk;h vkn's k
X 3
• Roph; vkikrdkyhu fLFkfr;ka
▪ tyk çcaèku es a ç;qDr vkS"kfèk;ka
▪ ?kko çcaèku es a ç;qDr vkS"kfèk;ka
• u=s ] bZ,uVh vkikrdkyhu fLFkfr;ka
▪ u=s laØe.k eas ç;qDr vkS"kfèk;ka
▪ u=s dh pksVks a eas ç;qDr vkS"kfèk;ka
▪ bZ,uVh laØe.kks a eas ç;qDr vkS"kfèk;ka
▪ bZ,uVh pksVks a eas ç;qDr vkS"kfèk;ka
• Roph; vkikr fLFkfr;ks a ds fy, LFkk;h vkns'k
XI 4
• lne]s lsfIll] fofoèk vaxh; f'kfFkyrk] ç.kkyhxr lwtu çfrfØ;k ÇlMªkse] rhozxzkfgrk ds çcaèku es a
vkS"kfèk;ka
• vk?kkr] pksV ds çcaèku es a vkS"kfèk;ka ¼xeÊ] fctyh dk >Vdk yxuk] yxHkx yVduk] yxHkx
Mwcuk½
• dkVus] Mªx vksojMkst vkSj fo"k çcaèku es a vkS"kfèk;ka
• bZMh eas Toj ds çcaèku es a vkS"kfèk;ka
▪ Tojuk'kd
▪ NSAIDS
▪ dkWÆVdksLVjs kWbM~l
• cgq ç.kkyh vkikr fLFkfr;ks a ds fy, LFkk;h vkn's k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27
XII 4
• thok.kqjksèkh vkS"kfèk;ka
▪ ifjp;
▪ chVk ySDVe & isfuflfyu] lsQyksLiksfju] eksukscSDVe] dkckZisue
▪ vehuksXykbdkslkbM~l
▪ ,aVh ,evkj,l,
▪ eSØksykbM~l
▪ fDouksyksu
▪ fofoèk & fyudkslkekbM legw ] ukbVªksbfeMktksy] VVs ªklkbfDyu vkSj DyksjSEQsfudkWy]
ikWyhehfDlu] eysfj;k jksèkh] dodjksèkh] fo"kk.kq jksèkh
• dodjksèkh vkS"kfèk;ka
• çksVkstksvk jksèkh vkS"kfèk;ka
• fo"kk.kq jksèkh vkS"kfèk;ka
• jksxk.kqjksèkh dk fodYi
• laØked vkikr fLFkfr
▪ ,pvkbZoh] VVs ul] lklZ] fjdsfV~l;ksfll] yIsVksLik;jksfll] Msaxw] eysfj;k] fpduxqfu;k] jscht]
,fo;u ¶yw] Lokbu ¶yw vkSj dksfoM 19 ds çcaèku es a vkS"kfèk;ka
• laØked jksx vkikr fLFkfr ds fy, LFkk;h vkn's k
XIII 2
• cPpks a eas fofHkUu vkikr fLFkfr;ks a eas mi;ksx dh tkus okyh vkS"kfèk;ka
• cky fpfdRlk [kqjkd vkSj x.kuk
XIV 2
fuEufyf[kr ds çcaèku es a ç;qDr vkS"kfèk;ka
• çloiwoZ vkikr fLFkfr
▪ gkbijesfll xszfoMsje
▪ vLFkkfud xHkkZoLFkk
▪ çloiwoZ jDrlzko
▪ xHkkZoLFkk çsfjr mPp jDrpki
• çlodkyhu vkikr fLFkfr
▪ ckfèkr çlo
▪ QVk gqvk xHkkZ'k;
• çloksÙkj vkikr fLFkfr
▪ ihih,p
▪ çlwfr lacaèkh lnek
▪ I;wijy lsfIll
▪ ,pbZ,y,yih ÇlMªkse
▪ MhvkbZlh
▪ ,efu;ksfVd æo ,EcksfyTe
• L=h jksx lacaèkh vkikr fLFkfr%
• fMEcxzafFk iqVh@QksM+k@ejksM+
• ;kSu vkØe.k
• ;ksfu ls [kwu cguk28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
XV 3
fuEufyf[kr ds çcaèku es a ç;qDr vkS"kfèk;ka
• vkRegR;k
• gR;k
• eknd æO;ks a dk lsou & 'kjkc] u'khy s inkFkZ
• ?kcM+kgV ds nkSjs
• xgu volkn
• ;kSu vkØe.k
• vfHk?kkrt ds ckn dk ruko fodkj ¼PTSD½
XVI 3
fuEufyf[kr ds nnZ çcaèku es a ç;qDr vkS"kfèk;ka
• fVVuls çksfQySfDll
• jksxfujksèkh ,aVhck;ksfVDl
• fuEufyf[kr pksVks a eas ç;qDr nok
▪ vfHk?kkrt lnek
▪ diky vkSj psgjs dh pksVsa
▪ dadky&is'kh; pksVs a vkSj jh<+ dh gìh dh pksV
▪ dkÆM;ks FkksjSfld pksV
▪ mnj dh pksV
▪ xHkkZoLFkk ds nkSjku pksV yxuk
▪ cky fpfdRlh; lnek
XVII 2
• fofHkUu vkinkvks a ds çcaèku es a ç;qDr vkS"kfèk;ka
tkWulu] Vh-ts- ¼2012½- fØfVdy ds;j QkekZdksFksjsI;fwVDl] tksUl ,aM ckVZysV yÉux% ;wukbVMs LVsV~l vkWQ vesfjdkA
O;u]s ,-,y-] ow] Vh-,e- vkSj vksy;kbZ] ,-ts- ¼2007½- QkekZdksFksjsI;fwVDl QkWj ulZ çSfDV'kuj fçLØkbclZ ¼nwljk laLdj.k½]
fQykMsfYQ;k% MsfolA
VI.
1- mi;qDr ç.kkyh ds vuqlkj ijh{k.k dkS'ky fodflr djus es a 'kkjhfjd vkadyu fl)karks a dks ykxw djukA
2- lkekU; vkSj vlkekU; fu"d"kks± dh fofoèkrkvks a ds chp varj djus ds fy, mUur LokLF; vkadyu dkS'ky dk mi;ksx
djukA
3- ijh{k.k ds fu"d"kks± vkSj laLFkkxr çksVksdkWy ds vkèkkj ij LØhÇux vkSj uSnkfud ijh{k.k ds vkn's k nus kA
4- 'kkjhfjd ijh{k.k ds fu"d"kks± vkSj fofHkUu tk¡pks a ds ifj.kkeks a dk fo'ys"k.k djuk vkSj unS kfud fodkl ds fy,
vkikrdkyhu fpfdRldks a ds lkFk feydj dke djukA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29
1- LokLF; ns[kHkky ny ds lnL;ks]a jksfx;ks a vkSj ifjokjks a dh lk>snkjh es a nLrkost vkadyu] funku] vkSj çcaèku djuk
vkSj vuqorÊ n[s kHkky dh fuxjkuh djukA
I 4
• bfro`Ùk
• 'kkjhfjd tk¡p
II 6
• ân; lacaèkh bfro`Ùk
• 'kkjhfjd tk¡p
• ân; ç;ksx'kkyk vè;;u & tSo jklk;fud ekdZj] #fèkj lacaèkh vè;;u
• ân; jksx funku vè;;u & byDs VªksdkÆM;ksxzke] bdksdkÆM;ksxzkQh] LVªsl VÇsLVx] jfsM;ksykWftdy beÇstx
III 6
• bfro`Ùk
• 'kkjhfjd tk¡p
• 'olu fuxjkuh & èkeuh; jDr xSls]a iYl vkWDlheVs ªh] var&Tokjh; dkcZu MkbvkWDlkbM fuxjkuh
• 'olu funku ijh{k.k & psLV jsfM;ksxzkQh] osfaVy's ku ij¶;wtu LdSÇux] iYeksujh ,aft;ksxzkQh]
czksda ksLdksih] FkksjSlsUVfsll] LI;wVe dYpj] iYeksujh QaD'ku VsLV
IV 6
• rfa=dk lacaèkh bfro`Ùk
• lkekU; 'kkjhfjd ijh{kk
• laKkukRed dk;Z dk vkadyu
• diky raf=dk dk;Z dk vkadyu
• is'kh; vkadyu & ekalisf'k;ks a dh rkdr] 'kfDr vkSj ltxrk
• laosnh vkadyu & peZjksx vkadyu
• U;wjksMk;XuksfLVd vè;;u & lhVh LdSu] ,evkjvkbZ] ihbZVh] bZbZth] bZ,eth
V 6
• bfro`Ùk
• 'kkjhfjd tk¡p
• xqnZs ds dk;Z dk vkadyu
• byDs VªksykbV~l vkSj ,flM csl cSyasl dk vkadyu
• æo larqyu dk vkadyu
VI 4
• bfro`Ùk
• 'kkjhfjd tk¡p
• iks"k.k vkadyu
• ç;ksx'kkyk vè;;u & ;Ñr ds dk;Z dk vè;;u] jDr iSjkehVj] ey ijh{k.k
• uSnkfud vè;;u & jfsM;ksykWftdy vkSj beÇstx vè;;u] baMksLdksfid vè;;u30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
VII 4
fuEufyf[kr dk bfro`Ùk] 'kkjhfjd ijh{k.k] ç;ksx'kkyk vè;;u] vkSj uSnkfud vè;;u
& gkbiksFksysel vkSj fiVîwVjh xzafFk
& Fkk;jkWbM xzafFk
& iSjkFkkbjkWbM xzafFk
& ,fMªuy xazfFk
VIII 4
• bfro`Ùk
• 'kkjhfjd tk¡p
• ç;ksx'kkyk vè;;u & jDr iSjkehVj
• uSnkfud vè;;u & vfLFk eTtk ,sLij's ku
IX 2
• bfro`Ùk
• 'kkjhfjd tk¡p
• jksx ijh{k.k & Ård ijh{k.k
X 6
• bfro`Ùk
• 'kkjhfjd tk¡p & xfr vkadyu] tksM+ vkadyu]
• ç;ksx'kkyk vè;;u & jDr iSjkehVj ¼bU¶ykeVs jh ,atkbe] ;wfjd ,flM½
• uSnkfud vè;;u & jfsM;ksykWftdy vkSj beÇstx vè;;u
XI 5
• bfro`Ùk
• 'kkjhfjd tk¡p
• ç;ksx'kkyk vè;;u
• uSnkfud vè;;u
XII 4
• bfro`Ùk
• 'kkjhfjd tk¡p
• ç;ksx'kkyk vè;;u
• uSnkfud vè;;u & jfsM;ksykWftdy vkSj beÇstx vè;;u] baMksLdksfid vè;;u
XIII 5
o`f) ,oa fodkl
iks"kkgkj vkadyu
fof'k"V ç.kkyh vkadyu
XIV 5
• bfro`Ùk
• 'kkjhfjd vkadyu
• ç;ksx'kkyk vè;;u & jDr iSjkehVj
• uSnkfud vè;;u & vYVªklksuksxzke] ikVksZxzke[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31
XV 3
• bfro`Ùk
• euf'pfdRlh; vkadyu
• ç;ksx'kkyk vè;;u & jDr iSjkehVj
• O;kid bfro`Ùk tkuuk
• dsfaær bfro`Ùk tkuuk ¼ç.kkyhokj½
• O;kid 'kkjhfjd tk¡p
• dsfaær 'kkjhfjd tk¡p ¼ç.kkyhokj½
• uSnkfud ekinMa kas dh fuxjkuh ¼ç.kkyhokj½
• buosflo chih ekWfuVÇjx] eYVh&iSjkehVj ekWfuVlZ] bZlhth] iYl baMsDl daVhU;wvl dkÆM;d vkmViqV ¼ PiCCO½]
isfjQsjy oSLdqyj LVsVl] ABG] iYl vkWDlhesVªh] ,aM VkbMy CO (ETCO )] baVªkØSfu;y çs'kj ¼ ICP½] Xyklxks
2 2
dksek Ldsy ¼GCS½] ØSfu;y rfa=dk vkadyu] nnZ ¼VAS½ vkSj csgks'k djus dh fØ;k ¼RASS½ Ldksj] is'kh;
vkadyu] laosnh vkadyu] xqnZs ds dk;Z dk ijh{k.k] æo larqyu] ,flM csl cSysla ] byDs VªksykbV~l] vka= dh vkokt]
mnj nkc] vof'k"V xSfLVªd ek=k] yhoj QaD'ku ijh{k.k] GRBS] ç;ksx'kkyk ijh{k.k] jsfM;ksykWftdy vkSj besÇtx
ijh{k.k ¼ç.kkyhokj½
• LØhÇux vkSj uSnkfud ijh{k.kks a dk vkn's k nus k vkSj O;k[;k djuk ¼ç.kkyhokj½ ¼layXu ½
• cPpks a dk vkadyu&uotkr vkSj cPps
• xHkZorh efgykvks a dk vkadyu
fcDyh] ,y-,l- vkSj fLtykxh] ih-th- ¼2013½- csV~l xkbM V wfQftdy ,aM fgLVªh VÇsdx ¼X;kjgoka laLdj.k½] ubZ fnYyh%
fyÇidkWV fofy;El ,aM foÇYdlA
jksM~l] ts- ¼2006½- ,MokaLM gSYFk ,lsleaVs ,aM Mk;XuksfLVd fjtÇux] fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA
foYlu] ,l-,Q-] vkSj fxMsla ] ts-,Q- ¼2006½- gSYFk ,lsleasV QkWj uÉlx çSfDVl ¼pkSFkk laLdj.k½] lsaV yqbl] felkSjh%
lkWUMlZ ,Ylsfo;jA
I
II
1- vkikrdkyhu vkSj VªkWek uÉlx dh mUur voèkkj.kkvks a dks buds csgrj Kku ds vkèkkj ij ykxw djukA
2- 'kkjhfjd fLFkjrk dk vkadyu djus] fuxjkuh djus vkSj c<+kok nus s ds fy, vkØked vkSj xSj&vkØked rduhd vkSj
eè;orZuks a dk mi;ksx djukA
3- LokLF; n[s kHkky ny ds vU; lnL;ks a ds lg;ksx ls dke djuk vkSj xaHkhj ifjfLFkfr;ks a oky s jksfx;ks a ds vkadyu vkSj
çcaèku es a n[s kHkky@uSnkfud ekxZ rS;kj djukA
4- vU; LokLF; n[s kHkky dÆe;ks a ds lkFk ijke'kZ djuk vkSj muds }kjk mlds lkFk ijke'kZ djukA
5- xaHkhj chekjh vkSj pksVks a ds çcaèku] LokLF; lqj{kk] jksx dh jksdFkke] vfxze ekxZn'kZu] ijke'kZ] mi'kked n[s kHkky vkSj
ej.kklUu le; dh n[s kHkky ls lacafèkr uÉlx ns[kHkky çnku djukA
6- tfVy vkSj vfLFkj okrkoj.k esa mUur dkS'ky dk mi;ksx djukA
7- O;fDr;ks]a tuleqnk; vkSj ns[kHkky dh ç.kkfy;ks a ls lacafèkr tfVy eqíks a ds fy, uSfrd :i ls Bksl lekèkku ykxw
djukA
8- vkikrdkyhu vkSj VªkWek ns[kHkky ds fy, çklafxd laØe.k fu;a=.k ds vH;kl fl)karks a dk ikyu djukA
9- jksfx;ks]a ifjokjks a vkSj leqnk;ks a ds fgr ds fy, n's k ds dkuuw h <kaps ds Hkhrj Lora= :i ls O;ogkj djukA
10- oSKkfud çek.kks a ij vkèkkfjr vH;kl fodflr djukA
11- fpfdRlh; lacaèkks a dks 'kq# dju]s fodflr djus vkSj can djus ds fy, ykxw lapkj] ijke'kZ] odkyr vkSj ikjLifjd
dkS'ky dk mi;ksx djukA32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
12- tksf[ke çcaèku j.kuhfr;ks a vkSj xq.koÙkk es a lqèkkj dk mi;ksx djds ,d lqjf{kr fpfdRlh; okrkoj.k dk fuekZ.k vkSj
j[kj[kko djukA
14- vH;kl dks lkekftd] lkaLÑfrd vkSj çklafxd ifjos'k ds vuqdwy cukukA
VII.
I 10
• ikBîØe dk ifjp;
• egRoiw.kZ vxa ks a ¼efLr"d] jh<+ dh gìh] QsQM+]s ân;] xqnZ]s ;Ñr] vXU;k'k;] Fkk;jkbM] vfèko`ô vkSj fiVîVw jh xazfFk½
dh 'kkjhfjd jpuk vkSj 'kjhj fØ;k foKku dh leh{kk
• ,sfrgkfld leh{kk & vkikrdkyhu vkSj VªkWek uÉlx
• vkikrdkyhu uÉlx dh ifjHkk"kk
• vkikrdkyhu vkSj VªkWek uÉlx ds fl)kar
• vkikrdkyhu vkSj VªkWek uÉlx ds #>ku vkSj nk;jk
• uÉlx vkikrdkyhu vkSj VªkWek ns[kHkky bdkbZ dh LFkkiuk ¼iquolZ u {ks=] fujh{k.k {ks=] midj.k] vkiwÆr] 'k¸;k
vkSj lgk;d midj.k] fofHkUu çdkj ds ekWfuVj vkSj osfaVysVj dk mi;ksx vkSj ns[kHkky] ¶yks 'khV] vkiwÆr ykbua s
vkSj i;kZoj.k½
• vkikrdkyhu vkSj VªkWek ns[kHkky bdkbZ deÊ
▪ uÉlx LVkQ
▪ MkWDVj
▪ vkikrdkyhu fpfdRlk rduhf'k;u
▪ lkekftd dk;dZ rkZ
▪ lgk;d deÊ
• vkikrdkyhu vkSj VªkWek ns[kHkky es a çkS|ksfxdh
• LoLFk dk; Z okrkoj.k
• vkikrdkyhu vkSj VªkWek uÉlx es a Hkfo"; dh pqukSfr;ka[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33
II 5
• vkikrdkyhu vkSj VªkWek ns[kHkky dh vko';drk okys jksfx;ksa dh ns[kHkky es a uÉlx çfØ;k vkSj ,dhÑr
n[s kHkky@uSnkfud ekxks± dk vuçq ;ksx
• vkikrdkyhu vkSj VªkWek ns[kHkky bdkbZ es a jksfx;ksa dh HkrÊ vkSj fuxjkuh
• vkikrdkyhu vkSj VªkWek ns[kHkky bdkbZ çcaèku dk voyksdu
▪ i;kZIr ok;qekxZ lqfuf'pr djuk
▪ b"Vre Ård vkWDlhdj.k lqfuf'pr djuk
▪ i;kZIr ifjlapj.k lqfuf'pr djuk
▪ rkieku cuk, j[kuk
▪ i;kZIr nnZ çcaèku lfquf'pr djuk
▪ æo vkSj bysDVªksykbV lra yq u cuk, j[kuk
▪ çkjfaHkd jksxlpw d çcaèku lqfuf'pr djuk
▪ vax lqj{kk
▪ lØa e.k fu;a=.k
• vkikrdkyhu vkSj VªkWek ns[kHkky es a çfrcèak & 'kkjhfjd] jklk;fud vkSj la;e ds fodYi
• vkikrdkyhu vkSj VªkWek ns[kHkky bdkbZ es a e`R;q% thou ds var es a n[s kHkky@ej.kklUu dh ns[kHkky] ifjtuks a dh
n[s kHkky] vax nku
• vkikrdkyhu vkSj VªkWek ds jksfx;ksa dk ,;j ,Ecqysla vkSj lrgh ,Ecqylsa }kjk vkokxeu
• LokLF; ny ds lnL;ksa es a ruko vkSj vfØ;k'khy ÇlMªkse
III 10
• vkikrdkyhu vkadyu
• 'olu vkadyu
• ân; dk vkadyu
• xnq Z s dk vkadyu
• Luk;fod vkadyu
• tBjkU= vkadyu
• var%lkzoh vkadyu
• dadky&is'kh; vkadyu
• vè;o.kÊ vkadyu
• u=s ] bZ,uVh vkadyu
• cPpks a dk vkadyu
• xHkZorh efgykvks a dk vkadyu
• vkikrdkyhu fLFkfr;ks a okys jksfx;ksa dh fuxjkuh
• èkeuh jDr xSl ¼,chth½
• dSiuksxzkQh
• gseksMk;ukfeDl
• bysDVªksdkÆM;ksxzkQh ¼bZlhth½
• Xyklxks dksek Ldsy ¼thlh,l½
• fjpeaM ,ftVs'ku lsMs'ku Ldsy ¼vkj,,l,l½
• nnZ Ldksj
• czSMsu Ldksj34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
IV 14
• dkÆM;ks&iYeksujh&czsu fjlflVs'ku ds fl)kar
▪ BLS
▪ ACLS
▪ PALS
▪ NALS
• ok;qekxZ çcaèku
• vkWDlhtu vkSj vkWDlhesVªh] vkWDlhtu forj.k midj.kks a ds lkFk jksxh dh n[s kHkky
• osfaVys'ku vkSj osfaVysVj liksVZ ¼áwfefMfQds'ku vkSj bugYs M Mªx Fksjsih lfgr½] vkØked vkSj xSj&vkØked
osfaVys'ku ds lkFk jksxh dh ns[kHkky
• ldqZys'ku vkSj i¶;wtZ u ¼gheksMk;ukfed vkadyu vkSj osoQkWeZ xzkfQDl lfgr½
• lnes ds çdkj vkSj çcaèku
• Xykblfsed fu;a=.k] Xykblsfed vlra yq u oky s jksxh dh ns[kHkky
V 8
• vkikrdkyhu vkSj VªkWek dh fLFkfr ls ;qDr jksfx;ksa e sa nnZ
• nnZ & çdkj] fl)kar
• fQft;ksykWth] nnZ ds fy, ç.kkyhxr çfrfØ;k,a vkSj nn Z dh euksoSKkfud leh{kk
• xHakhj nn Z lsok,a
• nnZ dk vkadyu & nnZ dk iSekuk] O;ogkj vkSj ekSf[kdhdj.k
• nnZ çcaèku&vkS"kèkh; ¼vksfivksbM] csta ksMk;tsikbu] çksiksQksy] vYQk ,xksfuLV] VªafSDoykbtj] U;wjkseLdqyj CykWÇdx
,tsVa ½
• xSj&vkS"kèkh; çcaèku
• VªkalD;wVsfu;l bysfDVªdy uoZ fLVeqys'ku ¼VhbZ,u,l½
VI 8
• ruko vkSj lkbdksU;wjksbE;wuksykWth
• vfHk?kkrt ds ckn ruko çfrfØ;k
• rhoz euksfoÑfr] Çprk] ?kcjkgV] çyki
• ,YdksgkWy foMªkWy ÇlMªkse vkSj vpsruk Lianu
• lg;ksxkRed çcaèku
• lMs s'ku vkSj fjysDlsVa
• vkikrdkyhu vkSj VªkWek ns[kHkky es a vkè;kfRed pqukSfr;ka
• ruko vkSj chekjh ls fuiVuk
• vkikrdkyhu vkSj VªkWek fLFkfr okys jksxh ds ifjokj dh ns[kHkky
• lda V ijke'kZ vkSj lapkj
VII 4
• jksxh vkSj ikfjokfjd ijke'kZ dh pqukSfr;ka
• vkikrdkyhu vkSj VªkWek ns[kHkky bdkbZ es a jksfx;ksa vkSj ifjokjksa dh lwpukRed vko'drk,a
• jksxh vkSj ifjokj dh ijke'kZ lacaèkh vko';drk,a
• lda V ijke'kZ rduhd[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35
VIII 6
• æo] bysDVªksykbV vkSj vEy {kkj lra yq u dh leh{kk
• æo] bysDVªksykbV vkSj vEy {kkj vlarqyu dk vkadyu vkSj çcaèku
IX 4
• FkeksjZ Xs ;wys'ku ij leh{kk
• vfrrki ls lca afèkr vkikr fLFkfr
• vYirki ls lca afèkr vkikr fLFkfr
• FkeksjZ xs yq sVjh vkikr fLFkfr;ks a okys jksfx;ksa dk çcaèku
X 5
• vkikrdkyhu ns[kHkky bdkbZ es a ukslksdksfe;y laØe.k( feFkkby jfstLVUV LVSfQyksdksdl vkWfj;l ¼MRSA½ vkSj
vU; gky gh es a igpkus x, miHksn
• dhVk.kq'kksèku] folaØe.k
• ekud lqj{kk mik;
• LVkQ ds fy, çksfQySfDll
• jksxk.kqjksèkh fpfdRlk & leh{kk
XI 6
• vkikrdkyhu ns[kHkky ls lca afèkr dkuwu vkSj fofu;e
• miHkksDrk laj{k.k vfèkfu;e ¼lhih,½
• mis{kk vkSj dnkpkj
• fpfdRlk fujFkZdrk
• loa Sèkkfud dkuwu% jksxh ds ckj s es a fu.kZ; yus k
• ulks± dh dkuwuh ftEesnkfj;ka
• vkikrdkyhu vkSj VªkWek ns[kHkky es a fpfdRldh; fofèkd igyw
• ,e,ylh ls lacfaèkr uhfr;ka vkSj çksVksdkWy
• ,e,ylh ls lacfaèkr nLrkost
• ifjp;
• Hkkjr es a vkpkj lafgrk] is'ksoj vkpkj lafgrk vkSj uÉlx ds vH;kl ekud
• uSfrd fl)kar
• vkikrdkyhu vkSj VªkWek ns[kHkky es a uSfrd eqís
• vkikrdkyhu vkSj VªkWek ns[kHkky es a uSfrd fu.kZ; yus k & mipkj jksduk] vkikrdkyhu n[s kHkky es a nyq ZHk lla kèkuks a
dk çcaèku
• uSfrd fu.kZ; yus s dks c<k+ok nsus ds fy, j.kuhfr;ka
• czsu MsFk] vaxnku vkSj ijke'kZ]
• iqutÊfor u djuk ¼DNR½] bPNke`R;q] thfor jgu s dh bPNk
XII 8
• vkikrdkyhu vkSj VªkWek ns[kHkky bdkb;ks a dk fMtkbu
• vkikrdkyhu vkSj VªkWek ns[kHkky bdkb;ks a ij ykxw x.q koÙkk vk'oklu ekWMy
• ekud] çksVksdkWy] uhfr;ka] çfØ;k,a
• lØa e.k fu;a=.k uhfr;ka vkSj çksVksdkWy
• ekud lqj{kk mik;
• vkikrdkyhu vkSj VªkWek ns[kHkky ds fy, çklafxd uÉlx vkWfMV
• LVkQ
XIII 3
• vkikrdkyhu vkSj VªkWek ns[kHkky es a lk{; vkèkkfjr vH;kl
• fØ;kUo;u es a ckèkk,a
536 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
• CPR ¼BLS vkSj ACLS½
• ok;qekxZ çcaèku
o ok;qekxZ j[kj[kko rduhd
▪ flj >qdku s vkSj Bqìh mBkus dk dkS'ky
▪ tcM+ s ij tkjs Mkyus dk dkS'ky
▪ Ç[kpko & [kqyk@can
▪ vkWjksQÇjft;y ,;jos
▪ uklksQsÇjft;y ,;jos
▪ yÇsjft;y ekLd ,;jos
o fuf'pr ok;qekxZ çcaèku
▪ ,aMksVªfsdvy baVqcS'ku
o lÆtdy ,;jos çcaèku
▪ fØdksFkk;jkbMksVkWeh
▪ VªsdksLVkseh
• vkWDlhdj.k vkSj vkWDlheVs ªh] vkWDlhtu forj.k midj.kks a ds lkFk jksxh dh ns[kHkky
o vkWDlhtu@vkWDlhdj.k dks ekiu s ds fy, midj.k
▪ vkWDlhesVªh & iYl vkWDlheVs ªh] osul vkWDlheVs ªh
▪ PF (PaO /FiO ) vuqikr
2 2
o dSiuksxzkQh
o fcuk phjQkM+ dk ok;qekxZ
▪ de çokg oky s ifjorZu'khy fu"iknu midj.k% uts y dSFksVj@dSuqyk@Mcy usty çksXa l] Qsl ekLd] jts OokZj cSx
ds lkFk Qsl ekLd
▪ vfèkd çokg okys ifjorZu'khy fu"iknu midj.k% ,aVªus esVa ¼ospa qjh½ fMokbl] ,uvkbZoh] Vh ihl] czhÇnx lÆdV
• osfaVys'ku vkSj osfaVysVj liksVZ[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37
o osfaVysVj yxkuk
o osfaVysVj ls tksM+uk
o osfaVysVj ls gVkuk
o ,DlVqcs'ku
o áfwefMQk;j
o uCs;qykbtj & tsV] vYVªklksfud
o bugsy's ku Fksjsih & ehVMZ Mkts bugsylZ ¼MDI½] MªkbZ ikmMj bugsyj ¼DPI½
• ifjlapj.k vkSj i¶;wZtu ¼gseksMk;ukfed vkadyu vkSj rjax xzkfQDl lfgr½
o fcuk phjQkM+ ds jDrpki dh fuxjkuh
o phjQkM+ ds lkFk jDrpki dh fuxjkuh
o f'kjkijd nkc ¼ifjèkh;] eè; vkSj Qq¶Qqlh; èkeuh vojksèku nkc½
o èkeuh j[s kk dk varosZ'ku vkSj gVkuk
o dsæa h; j[s kk dk varosZ'ku vkSj gVkuk
o iYl baMsDl daVhU;wvl dkÆM,d vkmViqV ¼PiCCO½
o byDs VªksdkÆM;ksxzkQh ¼ECG½
o rjax
• æo vkSj bysDVªksykbV~l
o æo xM+uk vkSj çcaèku ¼fØLVyksbM~l vkSj dksyksbM~l½
o jDr vkSj jDr mRiknks a dk çcaèku
o buksVªksi ldqZys'ku] vuqekiu vkSj çcaèku
▪ dkÆM,d XykbdkslkbM~l & fMxkWfDlu
▪ flEiSFkksfeesfVDl & Mkis kekbu] MkscqVkekbu] ,fiufsÝu] vkblkçs ksVsjsukWy] ukWjisusfÝu] fQukbysfÝu
▪ QkWLQksfM,LVjts bufgfcVj & ,efjuksu] fefyfjuksu
o byDs VªksykbV djDs 'ku ¼lksfM;e] iksVsf'k;e] dSfY'k;e] QkWLQksjl] eSXuhf'k;e½
o æo fMLisla j] flÇjt iai vkSj bU¶;wtu iai dk mi;ksx
• vEy {kkj dh fLFkfr dk vkadyu
o èkeuh jDr xSl ¼ABG½
o vEyjDrrk vkSj {kkje;rk dk lqèkkj
• FkeksZjsX;wys'ku] gkbij@gkbiksFkÆe;k oky s jksxh dh n[s kHkky38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
o rkieku tk¡p
o gkbij vkSj gkbiksFkÆe;k dk vkikrdkyhu ns[kHkky çcaèku
• Xykblsfed fu;a=.k] Xykblsfed vlarqyu okys jksxh dh ns[kHkky
o thvkjch,l fuxjkuh
o balqfyu Fksjsih ¼LykbÇMx Ldsy vkSj bU¶;wtu½
o gkbijXyslfse;k dk çcaèku & IV æo] balqfyu Fksjsih] iksVsf'k;e iwjdrk
o gkbiksXykblhfe;k dk çcaèku & MsDlVªkst IV
• nnZ] csgk's k djus dh fØ;k] mdlkuk vkSj çyki dk vkS"kèkh; çcaèku
o ldqZys'ku] yksÇMx vkSj p<+kuk & ekWÆQu] QsVa us y] feMktksye] yksjktsie] Mk;tsie] çksikQs ksy] DyksfuMkbu]
MsDlesMsVksfeMkbu] gsyksifjMksy] dsVkekbu
o ,fiMîwjy ,ukYtsfl;k& laosnh vkSj is'kh; CykWd vkadyu] fpfdRlk can djus ds ckn ,fiMîjw y dSFksVj dks gVkuk]
,fiMîwjy dSFksVj ds LFkku ij ejge&iêh cnyuk] ,ukYtsfld ç'kklu ds fy, lcD;wVsfu;l iksVZ dks yxkuk vkSj
gVkuk] ,fiMîwjy ,ukYtsfl;k@ihlh, ij jksfx;ks a ds fy, e=w çfrèkkj.k gsrq vkarjkf;d dSFksVjkbts'ku] ,fiMîwjy
bU¶;wtu ds fy, [kqjkd dk vuqekiu] ,fiMîwjy dSFksVj lek;kstu] ,fiMîwjy vkS"kfèk;ks a dks feVku s ds fy, dSFksVj
dh 'kfDr vkSj ,ukYtsfl;k ds fy, tk¡p djuk
• ijke'kZ
• ikfjokfjd f'k{kk
VIII. I
I 5
• 'kjhj fØ;k foKku vkSj egRoiw.kZ vxa ks a dh thou i)fr dh leh{kk
• bfro`Ùk] çkFkfedrk fuèkkZj.k dh voèkkj.kk,a] çkFkfedrk fuèkkZj.k i)fr] çkFkfedrk fuèkkZj.k rh{.krk ;ksX;rk
fuèkkZj.k i)fr] çkFkfedrk fuèkkZj.k çfØ;k] ,Ecqylsa dk çkFkfedrk fuèkkZj.k] çkFkfedrk fuèkkZj.k dk
nLrkosthdj.k] çkFkfedrk fuèkkZj.k iquewYZ ;kadu] çkFkfedrk fuèkkZj.k ulZ dh Hkwfedk vkSj n{krk,a]
• ok;q vkSj lrg jksxh ifjogu] ifjogu ds çdkj] ifjogu çfØ;k]
• dsæa hÑr nq?kZVuk vkSj VªkWek lsok,a ¼CATS½ ,Ecqysla[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39
II 12
• uSnkfud vkadyu] iSFkksfQft;ksykWth] vkSj vkS"kfèk foKku dh leh{kk
• fof'k"V uSnkfud vè;;u
• vkikrdkyhu çcaèku dh vko';drk okyh ân; lacèakh fLFkfr;ka
▪ dkÆM,d vrkyrk & gkVZ CykWd vkSj Mk;LVhfe;k
▪ dksjksujh ân; jksx & ,D;wV dksjksujh ÇlMªkse] ,utkbuk isDVksfjl] fLFkj ,utkbuk] ek;ksdkÆM;y baQkD'kZu
▪ fldqM+u fodkj & dkÆM;ksek;ksiSFkh] datsfLVo gkVZ QsY;ksj] iYeksujh ,fMek] dkÆM;kstsfud 'kkWd VSEiksuSM
▪ lØa ked vkSj ltw u lacèakh ân; fodkj & okYoqyj ân; jksx] ,aMksdkÆMfVl] ek;ksdkÆMfVl] isfjdkÆMfVl
▪ loa guh vkSj FkzksEcksEcksfyd fodkj & egkèkeuh foPNsnu@èkeuhfoLQkj QwVu] xgu f'kjh; ?kukL=rk] mPp
jDrpki dh vkikr fLFkfr] vDywflo èkeuh jksx] FkzksEcksf¶yfcfVl] Qq¶Qqlh; vUr%'kY;rk] Qq¶Qqlh; mPp
jDrpki
• dkÆM;ksoSLdqyj fpfdRlh; çcaèku
▪ MhfQfczys'ku
▪ dkÆM;ksotZu
▪ çR;kjksi.k ;ksX; dkÆM;ksoVZj fMfQfczysVj
▪ islesdj
▪ FkzksEcksykbfVd Fksjsih
▪ jfsM;ksÝhDosla h dSFksVj vcys'ku
▪ ijD;Vw fsu;l VªkalY;wfeuy dksjksujh ,aft;ksIykLVh ¼ihVhlh,½
▪ dkÆM,d ltZjh&dksjksujh vkVZjh ckbZikl xkzǶVx ¼lh,chth½@fefueyh buofslo dksjksujh vkVZjh ltZjh
¼,evkbZlh,,l½] okWYoqyj ltZjh] oSLdqyj ltZjh] dkÆM,d VªkalIykaV
▪ ;kaf=d lapkj lgk;d midj.k & baVªk ,vksÆVd cSywu iai
▪ ân; lacaèkh vkS"kfèk;ks a ds çHkko
▪ osafVªdqyj vflLV fMokbl ¼oh,Mh½
▪ ,DLVªk dkWiksfZj;y eSEcjku vkWfDlftu's ku ¼blZ h,evks½
• vfHkuo ç;kl ,oa fodkl40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
III 12
• uSnkfud vkadyu] iSFkksfQft;ksykWth vkSj vkS"kfèk foKku dh leh{kk
• fo'ks"k uSnkfud vè;;u
• vkikrdkyhu ns[kHkky çcaèku dh vko';drk okyh iYeksujh fLFkfr;ka
▪ xgu ltw u vkSj laØked fodkj & vLFkek] nek czksadkbfVl fLFkfr] czksafd;ksykbfVl] fueksfu;k] ,Eikbek]
lhvksihMh mÙkstuk] QsQMs+ dk QksM+k] Qq¶Qql vkSj Qq¶Qql lkzo
▪ vU; fodkj% QsQMs+ dh ddZ'k pksV] ,VsysDVkfll] ,vkjMh,l] LokHkkfod U;weksFkksjSDl
▪ Qq¶Qqlh; vkSj esVkLVfsVd Vîwej dh ddZ'k tfVyrk,a
• iYeksujh fpfdRlh; çcaèku
▪ czksfUd;y gkbftu% uscyq kbts'ku] xgjh lkal ysus vkSj [kkalu s dk vH;kl] Nkrh dh fQft;ksFksjsih vkSj
iksLVjq y Mªus ts
▪ psLV Vîwc bal'kZu vkSj psLV Mªus ts okys jksfx;ks a dh n[s kHkky
▪ ;kaf=d osVa hys'ku & buofslo vkSj ukWu buosflo ofsaVys'ku
• vfHkuo ç;kl ,oa fodkl
IV 12 • rfa=dk ra= lacaèkh vkikr fLFkfr;ka
• uSnkfud vkadyu] iSFkksfQft;ksykWth vkSj vkS"kfèk foKku dh leh{kk
• fo'ks"k uSnkfud vè;;u
▪ vkikrdkyhu ns[kHkky çcaèku dh vko';drk okyh U;qjksykWftdy fLFkfr;ka
▪ xHakhj ltw u vkSj laØked fodkj & efLr"d QksM+k] efLr"ddksi] xqbysu&cSj s ÇlMªkse] efLr"d Toj] isfjQsjy
Qsf'k;y ikYlh ¼csYl ikYlh½] VEsiksjy vkVZjs kbfVl
▪ Vîwej dk lkekU; fn[kko vkSj Luk;fod vkSj esVkLVfsVd Vîwej dh ddZ'k tfVyrk,a
▪ loa guh fodkj% dSjksfVM èkeuh foPNns u] LVªksd] lcjkpuksbM jDrlzko] lcMîwjy vkSj ,DlVªMS jy gsesVksekVk]
{kf.kd bLdsfed geyk] f'kjkijd lkbul ?kukL=rk
▪ Luk;fod fLFkfr;ks a dh rhoz tfVyrk,a & dksek] c<k+ gqvk baVªk ØSfu;y ncko] ,D;wV isfjQsjy U;wjksiSFkh]
,UlQs syksiSFkh] nkSjs vkSj LVsVl ,fiysfIVdl
▪ vax nku & fnekxh ekSr dk ekunaM
• rfa=dk lacèakh fpfdRlh; çcaèku
▪ baVªkØSuhy ncko & baVªkØSuhy mPp jDrpki dk vkadyu vkSj çcaèku
▪ ckgjh osfaVªdqyj Mªus
▪ LVªksd çksVksdkWy vkSj LVªksd ny dh voèkkj.kk
▪ rhoz bLdsfed LVªksd es a FkzksEcksfyfll]
▪ ;kaf=d FkzksEcks,EcksysDVkseh
▪ ØSfu;ksVkWeh
▪ vaxnku dh çfØ;k
• vfHkuo ç;kl ,oa fodkl[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41
V 12
• uSnkfud vkadyu] iSFkksfQft;ksykWth vkSj vkS"kfèk foKku dh leh{kk
• fo'ks"k uSnkfud vè;;u
• vkikrdkyhu ns[kHkky çcaèku dh vko';drk okyh usÝksykWth dh fLFkfr;ka
▪ xHakhj lwtu vkSj laØked jksx & ,fiMhfMeks&vkWdkZbfVl] Xykses#yksusÝkbfVl] ikbyksuÝkbfVl]
çksLVVs kbfVl] ;kSu lapkfjr jksx] ew= iFk ds lØa e.k
▪ p;kip; lacèakh fodkj & xnq Z s dh xHakhj foQyrk] usÝksfVd ÇlMªkse] uÝs ksfyfFk;kfll] ;wfj;kfe;k xqnZ s dh
iFkjh]
▪ loa guh fodkj% bfLdfe;k vkSj jDrlzko
▪ vU; fodkj & xqnkZ çfrjksfir vkSj Mk;fyfll okys jksfx;ksa es a lg#X.krk] ew= lacaèkh çfØ;kvks a vkSj midj.kks a
dh tfVyrk,a] gseksfyfVd ;wjsfed ÇlMªkse
• uÝs ksykWth fpfdRlh; çcaèku
▪ vUr;kZferk ew=ekxZ dSFksVj yxkuk
▪ lçq kI;fwcd flLVksLVkWeh
▪ o`"k.k ejksM+ es a deh
▪ jhuy fjIyls esVa Fksjsih% Mk;fyfll & gseksMk;fyfll vkSj isfjVksfu;y Mk;fyfll
• vfHkuo ç;kl ,oa fodkl
VI 10
• uSnkfud vkadyu] iSFkksfQft;ksykWth vkSj vkS"kfèk foKku dh leh{kk
• fo'ks"k uSnkfud vè;;u
• vkikrdkyhu ns[kHkky çcaèku dh vko';drk okyh tBjkU= fLFkfr;ka
▪ xHakhj ltw u vkSj laØked jksx & ,isfaMlkbfVl] dksysflfLVfVl] dksysuftfVl] Mk;oVÊdqfyfVl] lwtu vka=
jksxks a dh rhozrk vkSj tfVyrk,a] xSfLVªfVl] xSLVªks,Va js kbfVl] xSLVªks&vkslksQsxy fj¶yDl jksx] gsiVs kbfVl]
vXuk'k;'kksFk] isfIVd vYlj] isfjVksfufVl
▪ p;kip; lacèakh fodkj ;Ñr fodkj] ;Ñr foQyrk
▪ ;kaf=d leL;k,a & cká vo;o] gÆu;k 'oklojksèk] vkarksa es a #dkoV vkSj vojksèku
▪ loa guh fodkj@LFkkfudkjDrrk vkSj jDrlzko% bLdsfed dksykbfVl] Åijh vkSj fupys tBjka= lacèakh
jDrlkzo] vka=;kstuh LFkkfudkjDrrk
▪ tBjkU= midj.kks a vkSj lÆtdy çfØ;kvks a dh vU; leL;k,a@tfVyrk,a
• tBjkU= fpfdRlh; çcaèku
▪ xSfLVªd ySost
▪ isfjVksfu;y ySost
▪ mnj lca aèkh iSjklsUVfsll
• vfHkuo ç;kl ,oa fodkl42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
VII 8
• uSnkfud vkadyu] iSFkksfQft;ksykWth vkSj vkS"kfèk foKku dh leh{kk
• fo'ks"k uSnkfud vè;;u
• vkikrdkyhu ns[kHkky çcaèku dh vko';drk okyh dadky&is'kh; lacaèkh fLFkfr;ka
▪ xHakhj ltw u vkSj laØked fodkj] clkZbfVl] lsY;qykbfVl] ç.kkyhxr vkeokrh jksxksa dh tfVyrk,a]
uØs ksVkbÇtx QkfllkbfVl] vkWfLV;ksekbykbfVl] uje Ård laØe.k
▪ p;kip; lacèakh fodkj & vkWfLV;ksiksjksfll vkSj vU; ç.kkyhxr jksxksa dh tfVyrk,a
▪ Vîwej% jksxkRed ÝSDpj
• gìh jksx fpfdRlh; çcaèku
▪ ,aVhck;ksfVd fpfdRlk
▪ fLFkjhdj.k
• vfHkuo ç;kl ,oa fodkl
VIII 10
• uSnkfud vkadyu] iSFkksfQft;ksykWth vkSj vkS"kfèk foKku dh leh{kk
• fo'ks"k uSnkfud vè;;u
• vkikrdkyhu ns[kHkky çcaèku dh vko';drk okyh var%lkzoh fLFkfr;ka
▪ vfèko`ô vi;kZIrrk vkSj ladV
▪ Xywdkst p;kip; gkbijksLeksyj gkbijXykbdsfed voLFkk ds fodkj] gkbiksXykbdsfe;k] dhVks,flMksfll
▪ Fkk;jkbM jksx vkikr fLFkfr feDlksMsek dksek] Fkk;jkbM >a>kokr
▪ ruko vkSj xaHkhj chekjh ds U;wjks,aMksfØuksykWth
▪ SIADH
• var%lkzoh fpfdRlh; çcaèku
▪ balfqyu Fksjsih & LykbÇMx Ldsy
• vfHkuo ç;kl ,oa fodkl[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43
IX 10
• uSnkfud vkadyu] iSFkksfQft;ksykWth vkSj vkS"kfèk foKku dh leh{kk
• fo'ks"k uSnkfud vè;;u
• vkikrdkyhu ns[kHkky çcaèku dh vko';drk okyh #fèkjfoKku dh fLFkfr;ka
▪ ,uhfe;k & xaHkhj chekjh es]a fldy lsy ladV
▪ fyEQksek vkSj Y;wdsfe;k dh tfVyrk,a
▪ xHakhj ltw u vkSj laØked fodkj U;wVªksifsud cq[kkj] bE;wuks&dkWEçekbTM jksfx;ks a es a laØe.k
▪ loa guh fodkj@LFkkfudkjDrrk vkSj jDrlzko% vfèkxfzgr jDrlkzo fodkj ¼Ldanu dkjd dh deh] fodh.kZ
baVªkokLdqyj Ldanu½] vkS"kfèk çsfjr jDrlkzo ¼Fkôkjksèkh] ,aVhIysVysV ,tsVa ] QkbfczuksfyfVDl½] bfM;ksiSfFkd
FkzksEckslkbVksifsud iqjijq k] FkzksEcksfVd FkzksEckslkbVksisfud iqjijq k] MhvkbZlh
▪ vkèkku çfrfØ;k,a
• #fèkjfoKku fpfdRlh; çcaèku
▪ vkWVksykWxl jDrkèkku
• vfHkuo ç;kl ,oa fodkl
5
•
o FkzksEcksykbfVd Fksjsih
o midj.kks a dk mi;ksx vkSj mudh LFkkiuk & fMfQfczysVj] fidks] isleds j] baVªk ,vksÆVd cSywu iai ¼vkbZ,chih½]
bZlh,evks
•
o VªsdksLVkWeh n[s kHkky
o ucs qykbts'ku
o Nkrh dh fQft;ksFksjsih
o Nkrh dh Vîwc dk varosZ'ku
o pLs V MªSust
•
o ekWfuVÇjx thlh,l
o ekWfuVÇjx vkbZlhih44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
o lsMs'ku Ldksj
o ljokbdy dkWyj vkSj xzhok VªsD'ku dk vuqç;ksx
o fnekxh ekSr dk vkadyu
•
o vUr;kZferk ew=ekxZ dSFksVj yxkuk
o lqçkI;wfcd flLVksLVkWeh
o Mk;fyfll
o gheksMk;fyfll
o isfjVksfu;y Mk;fyfll
o o`"k.k ejksM+ es a deh
•
o uklksxSfLVªd Vîcw yxkuk
o mnj lacaèkh iSjklsUVfsll
•
o ÇLIyV~l vkSj fLFkjrk midj.kks a dk mi;ksx
•
o dksÆVlksy ds Lrj] 'kdZjk ds Lrj vkSj Fkk;jkbM gkeksZu ds Lrj ds fy, jDr ds ueuw ksa dk laxzg.k
o dkWÆVdksLVjs kWbM~l dk vkadyu vkSj ç'kklu
o balqfyu dk vkadyu vkSj ç'kklu & leh{kk
•
o laØe.k fu;a=.k vH;kl & fjolZ cSfj;j rduhd
o jDrkèkku
o buosflo ykbuks a dh ns[kHkky
o vfLFk eTtk vkdka{kk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45
IX. II
I 10
• uSnkfud vkadyu] iSFkksfQft;ksykWth vkSj vkS"kfèk foKku dh leh{kk
• fo'ks"k uSnkfud vè;;u
• vkikrdkyhu ns[kHkky çcaèku dh vko';drk okyh fLFkfr;ka
• Ropk
▪ tyu s dh pksV
▪ ?kko
• fpfdRlh; çcaèku
▪ ?kkoks a dk çcaèku
▪ tyu s dh pksV es a il iM+uk
▪ us=
▪ xHakhj ltw u vkSj laØked fodkj & us='ys"eyk'kksFk] isfjvkWÆcVy lsY;qykbfVl] ;wokbfVl
▪ loa guh fodkj% jsfVuk èkeuh vkSj f'kjk vojksèku] foVªh;l dk jDrlzko
▪ u=s es a cká vo;o
▪ vU; fLFkfr;ka & xaHkhj eksfr;kÇcn] xaHkhj n`f"V gkfu] jsfVuk foPNsn
• fpfdRlh; çcaèku
▪ u=s ks a es a vkS"kfèk Mkyuk
▪ cká vo;o gVkuk
▪ vfHkuo ç;kl ,oa fodkl
• bZ,uVh
▪ dku] ukd vkSj xys ds xHakhj lØa e.k vkSj lwtu
▪ Vîwej dh tfVyrk,a] ok;eq kxZ es a #dkoV
▪ cká vo;o
▪ xHakhj ltw u vkSj laØked fodkj ,aft;ks&,fMek] ,fiXyksVkbfVl] ySjÈxkbfVl] iSjkVkWfUlyj QksM+k] yqMÇoXl
,utkbuk
• fpfdRlh; çcaèku
▪ ok;qekxZ çcaèku rduhd
▪ vkWjksQjhuDl vkSj Loj;a= dk fujh{k.k
▪ vksVksLdksih
▪ VªsdksLVkseh Vîwc dk vUros'Z ku vkSj çfrLFkkiu
▪ cká vo;o gVkuk
• vfHkuo ç;kl ,oa fodkl46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
II 10
▪ 'kkWd
▪ lfsIll
▪ flLVesfVd bU¶ykesVªh jsLikWUl ÇlMªkse
▪ ,dkfèkd vax jksx
▪ ,ukfQysfDll
▪ MhvkbZlh
▪ vU; pksVs a ¼rki] fctyh ds >Vds] yxHkx yVduk] yxHkx Mcw uk½
▪ fctyh & fctyh vkSj fctyh dh pksVsa
▪ ouLifr vkSj tho&tksf[ke] dkVus vkSj Mad ls pksVsa
▪ vR;fèkd ÅapkbZ ¼fpfdRlk leL;k,a½
▪ rkieku & xeÊ vkSj BMa ls lca afèkr vkikr fLFkfr
▪ ikuh & yxHkx Mcw uk] fMLcfjTe vkSj xksrk[kksjh dh tfVyrk,a] leqæh tho
• vfHkuo ç;kl ,oa fodkl
III 5
▪ fo"k foKku ds lkekU; fl)kar vkSj fo"k [kku s okys jksfx;ksa dk çcaèku
▪ vkS"kfèk nus s ds fl)kar
▪ fo"k & Mªx vksojMkst] jlk;u] la{kkjd] gcZy
• vnkyrh eqís
▪ Hkkjr es a çklfaxd fofèkd lacèakh ewy ckras
▪ mi;qDr bfro`Ùk ysuk vkSj 'kkjhfjd ijh{k.k
▪ lk{; dks igpkuuk vkSj lajf{kr djuk ¼uewuk laxzg.k½
▪ mi;qDr fjiksÉVx vkSj jsQjy ¼tSl s cky 'kks"k.k ;k mis{kk] xksyhckjh vkSj vU; çdkj ds ?kko] cM+ks a ds lkFk
nOq;Zogkj] ;kSu mRihMu+ ds vkjksi½
• fpfdRlh; çcaèku
▪ ,aVhMksV~l dk çcaèku
▪ xSfLVªd ySost
▪ dhVk.kqjfgr djuk
• vfHkuo ç;kl ,oa fodkl[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 47
IV 10
• vke ok;jy vkSj cSDVhfj;y laØe.k
▪ [kk| vkSj ty tfur laØked jksx
▪ ok;q tfur laØked jksx
▪ ,pvkbZoh laØe.k vkSj ,M~l
▪ iSjklkbVksfll & eysfj;k] Msxa w
▪ jcs ht
▪ lfsIll vkSj lsfIVd 'kkWd
▪ fVVuls
• egkekjh & ¶yw Ldkj] ,fo;u bU¶yq,atk A(H5N1)] dksfoM 19
• vfHkuo ç;kl ,oa fodkl
V 10
• xHkkZoLFkk es a 'kkjhfjd ifjoruZ
• vkikrdkyhu ns[kHkky dh vHkh"V fLFkfr;ka
• çloiwo Z vkikr fLFkfr
▪ gkbijesfll xzsfoMsje
▪ vLFkkfud xHkkZoLFkk
▪ ,aVsikVeZ gSejts & ,cfIV;ks IyslsVa k] IyslsVa k fçfo;k
▪ xHkkZoLFkk çsfjr mPp jDrpki
• çlokdkyhu vkikr fLFkfr
▪ ,DyEifl;k
▪ vo#) çlo
▪ QVk gqvk xHkkZ'k;
• çloksÙkj vkikr fLFkfr
▪ ihih,p
▪ çlwfr lacaèkh vk?kkr
▪ I;iw jy lsfIll
▪ ,pbZ,y,yih ÇlMªkse
▪ MhvkbZlh
▪ ,efu;ksfVd ¶ywbM ,EcksfyTe
• L=h jksx lacèakh vkikr fLFkfr
▪ fMEcxazfFk iqVh@QksM+k@ejksM+
▪ Jksf.k lwtu dh chekjh
▪ ;kSu geyk
▪ ;ksfu l s jDrlkzo
• fpfdRlh; çcaèku
▪ vkikrdkyhu çlo
▪ ihih,p dk çcaèku
• vfHkuo ç;kl ,oa fodkl48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
VI 10
• çeq[k lajpukRed vkSj 'kkjhfjd varj vkSj vk'k;
• fpfdRlh; vkSj 'kY; fpfdRlh; vkikr fLFkfr%
▪ 'olu
▪ ân;
▪ Luk;fod
▪ tBjkU=
▪ tuu&ew=h;
▪ var%lkzoh
▪ lØa ked jksx vkikr fLFkfr
▪ Ropk ds ?kko vkSj tyu s dh pksV
▪ fo"k ] cká vo;o] Mwcuk
▪ n?q kZVuk,a
▪ lnek
• p;fur cky fpfdRlk pqukSfr;ka
▪ osfaVysVjh eqís
▪ vkS"kfèk ç'kklu
▪ nnZ çcaèku
▪ cky 'kks"k.k vkSj ;kSu geyk] cPpks a vkSj ifjokjks a ij ikjLifjd çHkko
VII 6
• euf'pfdRlh; vkadyu] iSFkksfQft;ksykWth] vkSj vkS"kfèk foKku dh leh{kk
• vkikrdkyhu ns[kHkky çcaèku dh vko';drk okyh euksjksx fLFkfr;ka
• lkekU; euksjksx vkikr fLFkfr & rhoz euksfoÑfr] ,uksjsfDl;k vkSj cqfyfe;k tfVyrk,a] Çprk vkSj ?kcjkgV ds
nkSj]s dUotZu fodkj] tkucw>dj Lor% pksV yxkuk vkSj vkRegR;k dk ç;kl] volknxLz rrk dk fodkj]
O;fDrRo fodkj] MªXl] u'khyh vkS"kfèk;ksa vkSj 'kjkc dk mi;ksx
• ;kSu geyk
• vfHk?kkrt ds ckn dk ruko fodkj ¼PTSD½
• fpfdRlh; çcaèku
• bysDVªks duofYlo Fksjsih
VIII 15
• VªkWek n[s kHkky dh voèkkj.kk,a] pksV ds ck;kseSdsfuDl] VªkWek dh jksdFkke
• VªkWek dk çkjafHkd vkadyu vkSj 'kh?kz çcaèku
• iSfYod vk?kkr dk rRdky çcaèku] iqutÊou] xHkZorh efgykvk sa dk ifjogu
• fuEu dk çcaèku
▪ VªkWek es a ok;qekxZ
▪ nkar vkSj psgj s dh pksVsa
▪ dkÆM;ks FkksjSfld pksVsa
▪ nnZukd lnek
▪ flj dh pksV
▪ diky vkSj psgj s dh pksVsa
▪ dadky&is'kh; pksVs a vkSj jh<+ dh gìh es a pksV
▪ mnj vkSj Jksf.k dh pksVsa
▪ ikWyh VªkWek
▪ cky fpfdRlk VªkWek
▪ tjkfpfdRlk VªkWek
▪ nnZ çcaèku & ukjdksfVDl] LFkkuh; laKkgj.k] rfa=dk CykWd
▪ lnes dk ckn iquokZl
▪ VªkWek çcaèku es a ul Z dh Hkwfedk
• fpfdRlh; çcaèku
▪ ,aMksVªSfp;y baVcq S"ks.k] fØdksFkk;jkWbMksVkWeh
▪ vkbZlhMh varos'Z ku
▪ cM+ s iSekus ij jDrkèkku çksVksdkWy
▪ Ø'k batjh çksVksdkWy
▪ ?kko çcaèku
▪ nnZ çcaèku rduhd
▪ fLFkjhdj.k rduhd
• vfHkuo ç;kl ,oa fodkl[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 49
IX 10
• ifjp;
• vkink çcaèku dh voèkkj.kk,a vkSj fl)kar
• vkink ds çdkj
• vkink çcaèku dh 'kCnkoyh
• vkink es a çkFkfedrk fuèkkZj.k
• tksf[ke dh igpku vkSj tksf[ke fo'ys"k.k
• vkink çcaèku pØ
• lkeqnkf;d vkink çcaèku
• vLirky es a vkink çcaèku
• lkewfgd vkdfLed nq?kZVuk çcaèku
• vkink çcaèku es a eukslkekftd igyw
• vkink çcaèku es a uSfrdrk
• vkikrdkyhu@vkink çcaèku ls lacafèkr uhfr;ka vkSj çkfèkdj.k( varjkZ"Vªh;] jk"Vªh;] jkT;dh;] laLFkkxr
• vfHkuo ç;kl ,oa fodkl
X 5
• vkikrdkyhu fpfdRlk lsok,a & laxBu
• ,Ecyq sla & uhfr;ka vkSj çksVksdkWy] ç'kklu] LVkÇQx] lla kèku]
• iSjkesfMd çf'k{k.k vkSj dk;Z
• vU; vkikrdkyhu lsokvks a ds lkFk lg;ksx & ljdkj] iqfyl] vfXu'keu foHkkx] xSj ljdkjh laxBu
• njw lapkj vkSj VsyhefsMflu çfØ;k,a
• ifjogu dh rS;kjh
• LFkk;h vkns'k
• ifjogu ds nkSjku fuxjkuh vkSj mipkj
5
•
o cuZ ¶ybw M fjlflVS'ku
o cuZ QhM dydqyslu
o tyus dh ejge iêh
o cUlZ ckFk
o ?kko dh ejge iêh
o cká vo;o fudkyuk & us=] dku] ukd vkSj xyk
o u=s k sa esa vkS"kfèk Mkyuk
•
o lkai jksèkh fo"k nsuk
o ,aVhMkVs ~l nus k
o xSfLVªd ikuh ls èkksuk
o dwÇyx vkSj okÉex rduhd
o fo"k foKku
o u=s k sa esa vkS"kfèk Mkyuk
o Ropk dk ifj'kksèku50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
o Qksjsfald uewuk laxzg
•
o vkblkys 's ku lkoèkkfu;ka
o midj.kks a dk dhVk.kq'kksèku vkSj fuiVku
•
o çlwfr vkadyu] ikVksZxkze
o LisD;qyu dk mi;ksx djds ;ksfu ijh{k.k
o midj.kks a dk mi;ksx & buD;wcsVj] okeZj
o ;kSu mRihfM+r ihfM+rk dk vkadyu
•
o cky fpfdRlk ok;qekxZ çcaèku
o ih,,y,l
o varxZHkkZ'k;h dSuqy's ku
•
o euksjksx vkadyu
o VªkWek çcaèku
o VªkWek eas ok;qekxZ çcaèku rduhd
o vkbZlhMh çfof"V
o æo fjlflVS'ku
o varxZHkkZ'k;h dsuqy's ku
o VªkWek eas lksuksxzkQh ds lkFk QksdLM vlsleaVs
o ÇLIyÇVx
o ykWx jksÇyx
o ?kko çcaèku
o Vkads yxkuk
o ÝSDpj vkSj tksM+ks a dh vO;oLFkk eas deh
o rfa=dk vojksèk
•
o vLirky esa vkink çcaèku ds fy, çksVksdkWy rS;kj djuk
o tksf[ke Hks|rk ekufp=.k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 51
o vkink çcaèku ij lkeqnkf;d Lo;alsodks a dks çf'k{k.k nsuk
I
II
ifj'kksèku
•
o xaHkhj :i ls chekj jksxh ds LFkkukarj.k ds fy, psdfyLV
• vfCy'k ds-ih-ih- ¼2019½- ,ejtslah efsMflu] csLV çSfDVl ,V lh,elh ¼bZ,e,lh½ ¼f}rh; laLdj.k½] tsih cznlZ
ifCy'klZA
• czwuj ,aM lqMkFlZ ¼2014½- VDsLV cqd vkWQ efsMdy lÆtdy uÉlx Hkkx 1 ¼rjs goka laLdj.k½] nf{k.k ,f'k;kbZ
laLdj.k] oksYVlZ Dywoj }kjk çdkf'krA
• Msfu;y fyej] ekbdy ,Q- vks*dhQ] ,ejtslah ds;j ¼ckjgoka laLdj.k½] fi;lZu ,tqds'ku bad-] 2011-
vkbZ,lch,u 10%013254380] vkbZ,lch,u 13%9780132543804-
• Ýstj ,e- Mk;u s vkSj dwij , ekxZjVs ] ¼2001½- ekbZYl VDsLV cqd QkWj feMokbOl ¼pkSngoka laLdj.k½] pÆpy
fyÇoxLVksu] ,fMucxZA
• fgôh] , tksvku ¼2003½- n fDyfudy çSfDVl vkWQ U;wjksykWftdy ,aM U;wjksykWftdy uÉlx ¼ikpoka laLdj.k½]
fyÇidkWV daiuh] fQykMsfYQ;kA
• tkWu] th-] lqczef.k] ds-] ihVj] ts- oh-] fipkeqFkq] ds- vkSj pkdks] ch- ¼2011½- ,lsfa'k;Yl vkWQ fØfVdy ds;j
¼vkBoka laLdj.k½] fØf'p;u esfMdy dkWyst% osYyksjA
• dSFkyhu lSaMlZ tkWMZu] ,ejtsla h uÉlx ds;j dfjdqye] ikapok a laLdj.k] fQykMsfYQ;k] MCY;w- ch- lkWUMlZ daiuh%
, fMfotu vkWQ gkdksZVZ czsl ,aM daiuh] 2000-
• djus ,] eSdfDoyu] ,yhu Ogsyu ¼2008½- VªkWek uÉlxA
• ekWVZu] ih- th-] vkSj QkWuVus ] Mh-ds- ¼2013½- fØfVdy ds;j uÉlx% , gksfyfLVd vçksp ¼ukSoka laLdj.k½] fyÇidkWV
fofy;El ,aM foÇYdl% fQykMsfYQ;kA
• uYs lu] ¼2011½- VDsLV cqd vkWQ ihfM;kfVªDl ¼mUuhloka laLdj.k½] ,Ylsfo;j çdk'ku] fQykMsfYQ;kA
• U;wcsjh] yksosu ¼2003½- 'ksghl ,ejtslah uÉlx & ÇçlhiYl ,aM çSfDVl ¼NBk laLdj.k½] eksLch lsVa yqblA
• isVªhdk dqat gkWoMZ] jscsdk ,- LVkbueSu] 'ksghl ,ejtslah uÉlx ÇçlhiYl ,aM çSfDVl ¼NBk laLdj.k½] ,Ylsfo;j]
vkbZ,lch,u 13%9780323055857-
• isfju] ds-vks- ¼2009½- vaMjLVsÇaMx n ,lsaf'k;Yl vkWQ fØfVdy ds;j uÉlx] U;w tlÊ% fi;lZu ,tqds'ku
• jkslsUl bZ] tkWu ekDlZ] ¼2006½- ,ejtslah esfMflu dkWUlsIV ,aM Dyhfudy çSfDVl ¼NBk laLdj.k½] eksLcht
,Ylsfo;jA
• lqj's k MsfoM] ¼2012½- VsDLV cqd vkWQ bejtslah esfMflu ¼nwljk laLdj.k½] oksYVlZDyqoj] fyÇidkWV] fofy;El ,aM
fofy;El] vkbZ,lch,u 13%978818473628- vkbZ,lch,u 13%978818473202-
• fVufVuYyh] bZ- twfMFk ¼2000½- ,ejtslah efsMflu ¼ikapok a laLdj.k½] eSdxzk fgy U;w;kWdZA52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
• okWY'k] ekbd vkSj dsVa ] ,aMª;w ¼2001½- ,fDlMsaV ,aM ,ejtslah uÉlx ¼pkSFkk laLdj.k½] ,eih,l cqDl fyfeVsM
cksMfeu] dkWuZokyA
• tuZy vkWQ ,ejtsla h uÉlx (http://www.jenonline.org/)
• n ,MokaLM ,ejtsla h uÉlx tuyZ ¼,bZ,uts½
• (http://journals.lww.com/aenjournal/pages/default.aspx)
• ulZdkWe ¼http%@@www-nursecom-com@webTutorials-html½
• ,ejtsla h uÉlx fjlkslZst (https://www.ena.org/ienr/enr/Pages/Default.aspx)
• BLS vkSj CPR iw.kZ CD iSdst
• ladk; }kjk çnku dh tku s okyh byDs VªkWfud lkexzh tSls bZ&O;k[;ku vkSj bZ&iqLrd
• BLS
• ACLS
• ATLS
• PALS
1- xís ds lkFk jksxh VªkWyh & 10
2- vkbZoh LVaSM & 10
3- vksoj csM VªkWyh & 5
4- MªsÇlx VªkWyh ¼NksVk½ & 5
5- MªsÇlx VªkWyh ¼eè;e½ & 2
6- flÇjt iai & 20
7- bU¶;wtu iai & 15
8- ekWfuVj & 11 ¼10 & jksxh( 1 & LVkWd½
9- VªkaliksVZ ekWfuVj@iYl vkWDlhehVj & 2
10- osfaVysVj & 5
11- iksVsZcy osfaVysVj &1
12- ,chth e'khu & 1
13- bZlhth e'khu & 1
14- vYVªklkmaM e'khu & 1
15- MkWiyj e'khu & 1[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 53
16- MhfQfczysVj & 2
17- CyM okeZj & 1
18- yhM 'khYM & 1
19- ØS'k dkVZ & 2
20- vksvkj VªkWyh & 4
21- lsQ LykbMj & 2
22- daI;Vw j & 4
23- ÇçVj & 2
24- cSu lÆdV & 12
25- vkWDlhtu ¶yks ehVj & 15
26- tkj ds lkFk lD'ku iksVZ & 15
27- ,;j ¶yks ehVj@iYeks,M& 2
28- fÝt & 2 ¼1 & vkS"kfèk;ka] 1 & vU; mi;ksx½
29- eVs y QqV LVsi@QqV LVwy & 5
30- ;wih,l &1
31- LikWV ykbV & 2
32- ycs Çyx e'khu & 1
33- XywdksehVj & 2
34- fofHkUu vkdkjks a ds vacq cSx & 10 lsV
35- baVqcsÇVx ohfM;ksLdksi & 1
36- fofHkUu çfØ;kvks a ds fy, LVsjy lsV@fMLikstscy lsV ds lkFk Vªs ¼mnkgj.k ds fy, dsæa h; foukSl dSFksVj dk
varosZ'ku] Vªds ksLVkseh vkfn½
37-
vkikrdkyhu vkSj VªkWek bdkbZ ds lqpk: lapkyu ds fy, fuEufyf[kr {ks=ks a dh vko';drk gS%
➢ Lokxr d{k vkSj çkFkfedrk fuèkkZj.k
➢ ,Ecqyasl cs
➢ folanw"k.k lqfoèkk
➢ fjlflVS'ku ,fj;k
➢ xaHkhj mipkj d{k
➢ ekbuj vkWijÇsVx :e ,fj;k
➢ LVsi Mkmu lqfoèkk
➢ 'kkWVZ LV s okMZ
➢ vkblkys 's ku bdkbZ
➢ xaHkhj euksjksx bdkbZ54 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
➢ jksxh 'kkSpky;@'kkoj
➢ ijke'kZ {ks=
➢ ç;ksx'kkyk {ks=
➢ QkeZslh
➢ LVkQ LV's ku
➢ LVkQ ykmat
➢ LVkQ 'kkSpky; vkSj psÇatx :e dh lqfoèkk
➢ LVksj :e
➢ jksxh VªkWyh d{k
➢ Dyhu ,aM MVÊ ;wfVfyVh :e
ç'u&i=@ç'uksÙkjh% 10 vad
fyf[kr dk;Z@vkofèkd ç'u&i=% 10 vad ¼oSf'od vkSj jk"Vhª; LokLF; n[s kHkky ds #>ku vkSj uhfr;ka½
uSnkfud laxks"Vh ¼fDyfudy@ds;j ikFkos bu LisflfQd fDyfudy daMh'ku@,fIyds'ku vkWQ LisflfQd uÉlx
F;ksjh½& 5 vad
ç'u&i=% 20 vad
fyf[kr dk;Z% 5 vad ¼lkfgR; leh{kk@'kksèk midj.k dh rS;kjh½
tuZy Dyc% 5 vad ¼bZMh uÉlx n{krkvks a ds fy, 'kksèk lk{; dk fo'y"sk.k½
ç'u&i= % 15 vad
tuZy Dyc ¼urs `Ro@çcaèku@f'k{k.k eas #>ku½ % 5 vad
fyf[kr dk;Z% 5 vad ¼bZVhlh½ ;wfuV odZ Iyls okWbysla[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 55
lw{e f'k{k.k% 5 vad
VLs V isij vkSj ç'uksÙkjh% 20 vad ¼iSFkksfQft;ksykWth&10] QkekZdksykWth&10½
vkS"kfèk vè;;u&5 vad ¼vkS"kfèk vè;;u ,oa çLrqfrdj.k½
ekey s dh çLrqfr vkSj ekey s dh vè;;u fjiksVZ ¼iSFkksfQft;ksykWth½% 5 vad
ç'u&i=% 20 vad
fyf[kr dk;Z% 10 vad ¼uSnkfud@tk¡p fjiksVZ&O;k[;k vkSj fu"d"kks± dk fo'y"sk.k½
uSnkfud çn'kZu vkadyu% 10 vad
inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½ &10 vad
ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ &5 vad
vkarfjd vks,llhbZ% 25 vad
ç'u&i= vkSj ç'uksÙkjh% 20
fyf[kr dk;Z% 10 vad ¼bZMh çksVksdkWy½
uSnkfud çn'kZu vkadyu% 20 vad
inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½ & 10 vad
vkS"kfèk vè;;u ¼vkS"kfèk vè;;u vkSj çLrqfr½% 10 vad
ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ ¼ikfjokfjd f'k{kk@ijke'kZ½% 5 vad
ekey s dh çLrqfr ¼fDyfudy@ds;j ikFkos dk vuçq ;ksx½% 5 vad56 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
vkarfjd vks,llhbZ% 50 vad
I
ç'u&i= vkSj ç'uksÙkjh% 20 vad
uSnkfud lsfeukj vkSj tuZy Dyc% 10 vad
uSnkfud çn'kZu vkadyu% 20 vad
inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad
uSnkfud çLrqfr% 10 vad
ekey s dh vè;;u fjiksVZ% 10 vad
vkarfjd vks,llhbZ% 50 vad
II
ç'u&i=% 20 vad
uSnkfud laxks"Bh % 10 vad
uSnkfud çn'kZu vkadyu% 20 vad
inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad
uSnkfud çLrqfr% 10 vad
ekey s dh vè;;u fjiksVZ ¼fodflr uSnkfud@ds;j ikFkos½% 10 vad
vkarfjd vks,llhbZ% 50 vad
çk;kSfxd% 50 vad
× × ×[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 57
I.
1- dsfaær bfro`Ùk ysuk vkSj o;Ld jksxh dh 'kkjhfjd tk¡p
2- dsfaær bfro`Ùk ysuk vkSj cky jksxh dh 'kkjhfjd tk¡p
3- fu"d"kks± vkSj ifj.kkeks a dh O;k[;k
4- uSnkfud ekinMa kas dh fuxjkuh
×
1- o;Ld jksxh dk dsfaær bfro`Ùk yus k
2- o;Ld jksxh dh dsfaær 'kkjhfjd tk¡p
3- cky jksxh dk dsfaær bfro`Ùk ysuk
4- cky jksxh dh dsfaær 'kkjhfjd tk¡p
5- bfro`Ùk dh O;k[;k vkSj 'kkjhfjd ijh{kk ds fu"d"kZ
6- ç;ksx'kkyk vkSj uSnkfud ijh{k.kks a ds ifj.kkeks a dh O;k[;k
7- uSnkfud ekinMa kas dh fuxjkuh
×58 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
II.
1- dsfaær bfro`Ùk vkSj 'kkjhfjd ijh{kk vkSj fu"d"kks± vkSj ifj.kkeks a dh O;k[;k
2- fuxjkuh n{krk, a ¼vkØked vkSj xSj&vkØked½
3- fpfdRlh; eè;orZu& ¼vkikrdkyhu çfØ;kRed n{krk,a½ ftles a vkS"kfèk ç'kklu 'kkfey gS
4- ikfjokfjd f'k{kk vkSj ijke'kZ
×
1- dsfaær bfro`Ùk ysuk] 'kkjhfjd ijh{k.k vkSj o;Ld jksxh ds ifj.kkeks a dh O;k[;k
2- dsfaær bfro`Ùk ysuk] 'kkjhfjd ijh{k.k vkSj cky jksxh ds ifj.kkeksa dh O;k[;k
3- n{krkvks a dh fuxjkuh ¼vkØked vkSj xSj&vkØked½
4- n[s kHkky ;kstuk dk fodkl
5- ikfjokfjd f'k{kk vkSj ijke'kZ
6- vkS"kfèk ç'kklu lfgr fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;k,a½
×
II III. I II
1- dsfaær bfro`Ùk vkSj 'kkjhfjd ijh{kk vkSj fu"d"kks± vkSj ifj.kkeks a dh O;k[;k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 59
2- fuxjkuh n{krk, a ¼vkØked vkSj xSj&vkØked½
3- n[s kHkky@n[s kHkky ekxZ dh ;kstuk dk fodkl
4- fpfdRlh; eè;orZu&¼vkikrdkyhu çfØ;kRed n{krk,a½ ftles a vkS"kfèk ç'kklu 'kkfey gS
×
1- dsfaær bfro`Ùk ysuk] 'kkjhfjd ijh{k.k vkSj o;Ld jksxh ds ifj.kkeks a dh O;k[;k
2- dasfær bfro`Ùk ysuk] 'kkjhfjd ijh{k.k vkSj cky jksxh ds ifj.kkeksa dh O;k[;k
3- fuxjkuh n{krk, a ¼vkØked vkSj xSj&vkØked½
4- ikfjokfjd f'k{kk vkSj ijke'kZ
5- n[s kHkky@n[s kHkky ekxZ dh ;kstuk dk fodkl
6- vkS"kfèk ç'kklu
7- fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;k,a½
×
*
I60 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
1 'kksèk midj.k dh rS;kjh
2 O;ofLFkr leh{kk@lkfgR;d leh{kk ys[ku
3 çdk'ku ds fy, ikaMqfyfi rS;kj djuk ¼çFke ;k f}rh; o"kZ½
4 fucaèk ¼f}rh; o"kZ½
fo"k;%
II
1 LVkQ jksxh vlkbuesVa rS;kj djuk
2 bdkbZ dk ctV rS;kj djuk
3 LVkQ MîwVh jksLVj rS;kj djuk
4 bdkbZ es a jksxh n[s kHkky vkWfMV djuk
5 midj.k vkSj vkiwÆr dk çcaèku
6 lØa e.k fu;a=.k ls lca afèkr fuxjkuh] vkadyu vkSj fjiksVZ y[s ku
7 jksfx;ksa@deZpkfj;ks a dks i<+ku s ds fy, f'k{k.k ;kstuk vkSj ehfM;k
rS;kj djuk
8 l{w e f'k{k.k@jksxh f'k{kk l=
9 vks,llhbZ@vks,lihbZ dh ;kstuk cukuk vkSj lapkyu djuk
10 ijh{k.kks a dk fuekZ.k
III
4-1 'olu
4-2 ân;
4-3 tBjkU=
4-4 Luk;fod
4-5 tuu&ew=h;
4-6 var%lkzoh
4-7 #fèkj
4-8 dadky&is'kh;
4-9 vè;o.kÊ
4-10 loa snh vax
5-1 uotkr f'k'kq
5-2 ckyd
5-3 O;Ld
5-4 cw<+k
IV
1-1 tSojlk;u
1-2 uSnkfud jksx funku
1-3 l{w e tSo&foKku
1-4 èkeuh jDr xSl ¼,chth½
2-1 iSjklsUVfsll
2-2 FkksjSlUsVfsll
2-3 yEcj iapj[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 61
2-4 fyoj ck;ksIlh
2-5 jus y ck;ksIlh
2-6 cksu eSjks ,fLijs'ku
3-1 bZlhvkjih
3-2 ihbZVh LdSu
3-3 vij thvkbZ Ldksih
3-4 dksyksuksLdksih
3-5 ,evkjvkbZ@lhVh
3-6 vYVªklkmaM
3-7 bZbZth
3-8 bZ,eth
3-9 bdksdkÆM;ksxzke
• ,U;wfjTe fjis;j
• ,aMksokLdqyj ,Ecksfyts'ku
• FkzksEcsDVkseh
• uÝs ksLVkWeh
V
4-1 ekWfuVj
4-2 VªkUlMîlw j
4-3 rkieku tk¡p
4-4 SpO tk¡p
2
4-5 vuØq fed laihM+u midj.k
4-6 12&yhM bZlhth ekWfuVj
4-7 CyM okeZj
4-8 ¶ywM okejZ
4-9 bZVh dQ çs'kj ekWfuVj
4-10 flÇjt iai
4-11 bU¶;tw u iai
5-1 èkeuh jDr xSl ¼,chth½
5-2 vkWDlhtu lar`fIr
5-3 var%'okluyh; Vîcw dQ nkc
5-4 dSIuksxkzQh
5-5 gseksMk;ukfeDl
5-6 bysDVªksdkÆM;ksxzke ¼blZ hth½
5-7 baVªkØSuhy nkc ¼vkbZlhih½
5-8 buofsto chih ekWfuVÇjx
5-9 ukWu&buosfto chih ekWfuVÇjx
5-10 PiCCO ¼iYl baMsDl dUVhU;wl dkÆM;kd vkmViqV½
5-11 ifjèkh; laoguh fLFkfr
5-12 Xyklxks dksek Ldksj
5-13 lMs s'ku Ldksj62 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
5-14 nnZ Ldksj
5-15 czSMsu Ldksj
5-16 vka= èofu
5-16 thvkjch,l
5-17 ikVksZxkze
5-18 Nkrh dk ,Dl&js
* & Nk= ds dkS'ky çn'kZu es a l{ke ik, tku s ij] ml ij çhlsIVj }kjk gLrk{kj fd, tk,axsA
Nk=ks a ls ;g vis{kk dh tkrh gS fd os lwphc) dkS'kyks@a n{krkvks a dks rc rd dbZ ckj djas tc rd fd os Lrj 3
n{krk rd ugÈ igq¡p tkr]s ftlds ckn çhlsIVj çR;sd n{krk ds le{k gLrk{kj djsxa sA
;g lqfuf'pr djuk pkfg, fd çR;sd n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh fn, x, gSaA
• Lrj 3 n{krk ;g n'kkZrh gS fd ulZ fpfdRld Nk= i;Zos{k.k ds fcuk ml n{krk dk çn'kZu djus es a l{ke gSA
• Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk çn'kZu djus es a l{ke gSA
• Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml n{krk@dkS'ky dk çn'kZu dju s eas l{ke ugÈ gSA
*
1-1 osfaVysVj
1-2 fMfQfczysVlZ
1-3 islesdj
1-4 ØS'k VªkWyh
1-5 CPAP / BiPAP
6-1 fnekxh ekSr
6-2 vax nku[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 63
15-1 ¼vkadyu] vueq kiu vkSj ç'kklu½
d- ,fMªuSfyu
[k- uksjkfMªuSfyu
x- Mksikekbu
?k-
M+-
p-
N-
15-2
d- ,Msukslkbu
[k- ,sfe;ksMSjksu
x- fyMksdsu@tkbyksdkMZ
?k-
M+-
15-3
d- ,feuksQkbfyu
[k- MsjhfQfyu
x- eSXuhf'k;e lYQsV
15-4
d- lDlhfuy dksyhu
[k-
15-5
d- ,Vªksikbu lYQsV
[k-
15-6
d- ,foy
[k-
15-7
d- vkblksIVhu
[k-
15-8
d- gkbMªksdkÆVlksu
[k- MsDlkeFs kklksu
x-
15-9
d- ysfoVªklsVe
[k- fQukbVksbu
x-
15-10
d- feMktksye
[k- ekWÆQu lYQsV
x- isVa ktkslkbu ySDVsV ¼QksVZfou½
?k- isfFkMhu gkbMªksDyksjkbM
³- çksiksQkWy
p-
N-
15-11
Na, K, Cal, P, Mg, Fe
d- lksMk ckbdkcksuZ Vs 8-4%
[k- eSXuhf'k;e lyQsV
x- iksVsf'k;e DyksjkbM
?k- 3% yo.k64 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
15-12
d- loa snh vkSj is'kh CykWd vkadyu
[k- ,fiMîwjy dSFksVj dks gVkuk
x- ,fiMîwjy dSFksVj ejge&iêh cnyuk
?k- ,ukYtsfld ç'kklu ds fy, vèkLroph; iksVZ yxkuk vkSj
gVkuk
³- ,fiMîwjy bU¶;tw u ds fy, [kqjkd vuqekiu
p- ,fiMîjw y dSFksVj lek;kstu
N- ,fiMîwjy vkS"kfèk;ksa dk 'kqf)dj.k
15-13
15-14
d- ,aVhMkWV~l
[k- ,aVh Lusd osue ¼,,loh½
x-
?k-
M+-
p-
16-1 bfuf'k,ÇVx baVªkosul ,Dlsl
16-2 baVªkosul ¶ywM ,MfefuLVªs'ku ¼dksyksbM@fØLVkyksbM½
16-3 jDr vkSj jDr mRikn ç'kklu
16-4 VhbZMh LVkWÇdx dk vuçq ;ksx
16-5 lhohih ykbu dk varos'Z ku
16-6 lhohih ykbu dh ns[kHkky vkSj gVkuk
16-7 èkeuh ykbu dk varos'Z ku
16-8 èkeuh ykbu dh ns[kHkky vkSj gVkuk
16-9 Qq¶Qqlh; èkeuh dSFksVj varos'Z ku es a lgk;rk djuk
16-10 islesdj yx s jksxh dh n[s kHkky
16-11 èkeuh ykbu ls jDr lxa gz
17-1 vkWjksQjhfUt;y ok;qekxZ vuçq ;ksx
17-2 ysÇjX;y ekLd ok;qekxZ vuçq ;ksx
17-3 baVqcs'ku vkSj bZVh Vîwc dh ns[kHkky
17-4 ,DlVîcw s'ku
17-5 Vªsfd;ksLVkseh Mkyus es a lgk;rk djuk
17-6 Vªsfd;ksLVkseh n[s kHkky vkSj lD'kÇux
17-7 var%'okluyh; pw"k.k & [kqyk vkSj cna
17-8 psLV Vîwc Mkyus es a lgk;rk djuk
17-9 Nkrh eas Mªsust ds lkFk jksxh dh n[s kHkky
17-10 psLV Vîwc gVkuk
17-11 ucs qykbts'ku
17-12 eSdsfudy osafVysVj ij jksfx;ksa dh n[s kHkky
17-13 xSj&vkØked osfaVys'ku
17-14 osfaVysVj ij yxkuk
17-15 osfaVysVj l s gVkuk
17-16 Vh&Vîwc vkSj osuVîqjh midj.k dk mi;ksx
17-17 iksLVîqjy Mªus ts
17-18 Vªsfd;ksLVkseh l s gVkuk
17-19 psLV fQft;ksFksjsih
17-20 czksadksLdksih ds fy, lgk;rk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 65
18-1 c<s+ gq, vkbZlhih dk çcaèku
18-2 psru@dksek fLFkfr dh fuxjkuh
18-3 fnekxh ekSr dk vkadyu
19-1 lçq kI;fwcd dSFksVj dk varos'Z ku
19-2 gseksMk;fyfll ij jksxh dh ns[kHkky
19-3 isfjVksfu;y Mk;fyfll ij jksxh dh ns[kHkky
19-4 o`"k.k foÑfr
20-1 vkgkj HkÙks dk vueq ku
20-2 fpfdRlh; vkgkj ;kstuk
20-3 vka= iks"k.k & xSLVªksLVkseh@tstquksLVkWeh QhÇMx
20-4 ewy iks"k.k dk ç'kklu ¼Vhih,u½
21-1 balfqyu Fksjsih ¼LykbÇMx Ldsy vkSj bU¶;wtu½ vkadyu] vueq kiu
vkSj ç'kklu
21-2 LVsjkWbM&vkadyu vkSj ç'kklu
22-1 bZlhth
22-2 ,chth
22-3 psLV ,Dl&js
22-4 vYVªklkmaM
22-5 ewy tSojlk;u tk¡p
22-6 ewy ekbØksck;ksykWth tk¡p
23-1 ucs qykbts'ku
23-2 vkWDlhtu Fksjsih
23-3 psLV fQft;ksFksjsih
23-4 vkbZoh ¶ywM bU¶;wtu
23-5 ,uth Vîwc Mkyuk
23-6 ;wfjujh dsFksVj Mkyuk
23-7 'kY;&fpfdRlh; ejge&iêh
23-8 Vkads gVkuk
23-9 FkzksEcksf¶yfcfVl@,DlVªkokls'ku ds fy, bDFkkeksy
fXyljhu@eSXuhf'k;e lYQsV ejge&iêh dk vuqç;ksx
23-10 vkblksesfVªd vkSj vkblksVksfud vH;kl
23-11 xeZ vkSj BaMk vuçq ;ksx
* & Nk= ds dkS'ky çn'kZu es a l{ke ik, tku s ij] ml ij çhlsIVj }kjk gLrk{kj fd, tk,axsA
Nk=ks a ls ;g vis{kk dh tkrh gS fd os lwphc) dkS'kyks@a n{krkvks a dks rc rd dbZ ckj djas tc rd fd os Lrj 3
n{krk rd ugÈ igq¡p tkr]s ftlds ckn çhlsIVj çR;sd n{krk ds le{k gLrk{kj djrs gSaA
;g lqfuf'pr djuk pkfg, fd çR;sd n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh fn, x, gSaA
• Lrj 3 n{krk ;g n'kkZrh gS fd ulZ fpfdRld Nk= i;Zos{k.k ds fcuk ml n{krk dk çn'kZu djus es a l{ke gSA
• Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk çn'kZu djus eas l{ke gSA
• Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml n{krk@dkS'ky dk çn'kZu dju s eas l{ke ugÈ gSA
%66 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
* fof'k"V uSnkfud fLFkfr es a uSnkfud ekxZ@fof'k"V uÉlx fl)kar
dk vuqç;ksx½ ¼uSnkfud laxks"Bh½
fo"k; dk 'kh"kZd%
* vkikrdkyhu vkSj VªkWek uÉlx n{krkvks¡ ds fy, lk{; dh [kkst
¼uSnkfud lEesyu@tuyZ Dyc½
fo"k; dk 'kh"kZd%
* usr`Ro@çcaèku@f'k{k.k es a #>ku ¼tuyZ Dyc½
fo"k; dk 'kh"kZd%
¼uSnkfud fLFkfr;ka½
uSnkfud fLFkfr dk uke%
¼uSnkfud fLFkfr½
ekeys dh vè;;u ¼fyf[kr fjiksVZ½
uSnkfud fLFkfr dk uke%
vkS"kfèk vè;;u ¼LFkk;h vkns'kks a ds rgr lwphc) vkS"kfèk;ka½
& 5 çLrqfr;ksa dh fyf[kr fjiksVZ ¼csMlkbM çLrqfr;ka½
vkS"kfèk dk uke%
vkS"kfèk dk uke%
LokLF; vkadyu ¼o;Ld½ &bfro`Ùk vkSj 'kkjhfjd tk¡p
¼nks fyf[kr fjiksVZ½
3-1-1-
3-1-2-
3-1-3-
3-1-4-
3-1-5-
LokLF; vkadyu ¼cky fpfdRlk½ & bfro`Ùk vkSj 'kkjhfjd tk¡p
¼,d fyf[kr fjiksVZ½
3-2-1-
3-2-2-
3-2-3-
LokLF; vkadyu ¼xHkZorh efgyk½ ¼,d fyf[kr fjiksVZ½
3-3-1-
3-3-2-[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 67
*mUur uÉlx vH;kl & ,ih,u] 'kksèk vuçq ;ksx & vkj,] urs `Ro] çcaèku vkSj f'k{k.k & ,y ,e ,aM Vh
¼uSnkfud lEeys u½
fo"k; dk 'kh"kZd%
I ¼uSnkfud lsfeukj½
fo"k; dk 'kh"kZd%
I ¼tuZy Dyc½
fo"k; dk 'kh"kZd%
II ¼uSnkfud lsfeukj½
fo"k; dk 'kh"kZd%
II ¼tuZy Dyc½
fo"k; dk 'kh"kZd%
'kh"kZd dk uke%
'kh"kZd dk uke%68 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
I
uSnkfud fLFkfr dk uke%
I
uSnkfud fLFkfr dk uke%
II
uSnkfud fLFkfr dk uke%
II
uSnkfud fLFkfr dk uke%
I
uSnkfud fLFkfr dk uke%
¼ekey s dh vè;;u fjiksVZ½
II
¼ekey s dh vè;;u fjiksVZ½
fyf[kr fjiksVZ ¼fodflr uSnkfud@vkikrdkyhu ns[kHkky ikFkos½
uSnkfud çLrqfr dks ekeys dh vè;;u fjiksVZ ds fy, fy[kk tk ldrk gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 69
ulZ fpfdRld vkikrdkyhu vkSj VªkWek ns[kHkky dh vko';drk oky s jksfx;ks a ds fy, ftEens kjh vkSj mÙkjnkf;Ro
laHkkyus ds fy, rS;kj vkSj ;ksX; gksrs gSaA os mPp rh{.krk okys jksfx;ks a ds fy, lVhd fpfdRlk lqfuf'pr djus gsrq
vkikrdkyhu fpfdRldks]a VªkWek ltZuks a vkSj fo'ks"kKks a ds lkFk lg;ksx djrs gSaA dk;ZØe ds iwjk gksus ij] ulZ fpfdRld dks
laLFkkxr LFkk;h vkn's kks a ds vulq kj LFkk;h vkn's kks a eas lwphc) vkS"kfèk;ks a dks ç'kkflr djus dh vuqefr gksxhA mUgs a laLFkkxr
çksVksdkWy ds vuqlkj uSnkfud ijh{k.k@çfØ;kvks a vkSj mipkjks a dk vkn's k nus s dh Hkh vuqefr gksxhA
vkikrdkyhu vkSj VªkWek n[s kHkky bdkbZ eas ulZ fpfdRld }kjk fuEufyf[kr baVªkosul batsD'ku ;k bU¶;wtu fn, tk
ldr s gSa70 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
1- ,fMªufSyu
2- uksjkMªus kykbu
3- Mksikekbu
4- MksC;wVkekbu
5- ,Msukslkbu
6- vfe;ksMsjksu
7- fyMksdsu@tkbyksdkMZ
8- ,QsfMªu
9- ,feuksQkbfyu
10- MsjhQkbfyu
11- ,VªkD;wfj;e ¼osD;wjksfu;e] iSuD;wfj;e½
12- ,Vªksfiu lYQsV
13- ,foy
14- DyksfuMhu
15- fXyljhu VªkbZfuVªVs
16- vkblkIsVhu
17- gkbMªksdkÆVlksu
18- MsDlkeFs kklkus
19- yfsoVªklsVe
20- fQukbVksbu[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 71
21- oSfy;e
22- feMktksye
23- ekWÆQu lYQsV
24- isVa ktkslkbu ySDVsV ¼QksVZfou½
25- isfFkMhu gkbMªksDyksjkbM
26- çkWiksQksy
27- lksMk ckbdkcksZusV 8-4%
28- lksMk ckbdkcksZusV 7-5%
29- eSXuh'kh;e lYQsV
30- iksVsf'k;e DyksjkbM
• bZlhth • ucs qykbts'ku
• ,chth • psLV fQft;ksFksjsih
• Nkrh dk ,Dl js • efgyk jksfx;ks a ds fy, ;fwjujh dSFksVj dks yxkuk vkSj gVkuk
• ewy tSo jlk;u tk¡p & Hb, PCV, TIBC, WBC Total, • TEDS
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[जवज्ञापन-III/4/असा./589/2023-24]72 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
INDIAN NURSING COUNCIL
NOTIFICATION
New Delhi, the 28th November, 2023
INDIAN NURSING COUNCIL (NURSE PRACTITIONER IN EMERGENCY AND TRAUMA CARE –
POSTGRADUATE RESIDENCY PROGRAM) REGULATIONS, 2022
F.No. 11-1/2022-INC—In exercise of the powers conferred by sub-section (1) of Section 16 of Indian
Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby
makes the following regulations, namely:—
1. SHORT TITLE AND COMMENCEMENT
i. These Regulations may be called the Indian Nursing Council (Nurse Practitioner in Emergency and
Trauma Care – Postgraduate Residency Program) Regulations, 2022.
ii. These shall come into force on the date of notification of the same in the Official Gazette of India.
2. DEFINITIONS
In these Regulations, unless the context otherwise requires,
i. ‘the Act’ means the Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time;
ii. ‘the Council’ means the Indian Nursing Council constituted under the Act;
iii. ‘SNRC’ means the State Nurse and Midwives Registration Council, by whichever name constituted, by the
respective State Governments;
iv. ‘RN & RM’ means a Registered Nurse and Registered Midwife (RN & RM) and denotes a nurse who has
completed successfully, recognised Bachelor of Nursing (B.Sc. Nursing) or Diploma in General Nursing
and Midwifery (GNM) course, as prescribed by the Council and is registered in a SNRC as Registered
Nurse and Registered Midwife;
v. ‘Nurses Registration & Tracking System (NRTS)’ means a system developed by the Council and software
developed in association with National Informatics Centre (NIC), Government of India, and hosted by NIC
for the purpose of maintenance and operation of the Indian Nurses Register. It has standardised forms for
collection of the data of Registered Nurse and Registered Midwife (RN & RM)/ Registered Auxiliary Nurse
Midwife (RANM)/Registered Lady Health Visitor (RLHV) upon Aadhar based biometric authentication;
vi. ‘NUID’ is the Nurses Unique Identification Number given to the registrants in the NRTS system;
vii. ‘General Nursing and Midwifery (GNM)’ means Diploma in General Nursing and Midwifery qualification
recognized by the Council under Section 10 of the Act and included in Part-I of the Schedule of the Act.
NURSE PRACTITIONER IN EMERGENCY AND TRAUMA CARE –
POSTGRADUATE RESIDENCY PROGRAM
I. Introduction and Background
In India, reshaping health systems in all dimensions of health has been recognized as an important need in the
National Health Policy, 2017 document. It emphasizes human resource development in the areas of education and
training alongside regulation and legislation. The government recognizes significant expansion in tertiary care services
both in public and private health sectors. In building their capacity, it is highly significant that the health care
professionals require advanced educational preparation in specialty and super-specialty services. To support
specialized and super-specialized healthcare services, specialist nurses with advanced preparation are essential.
Developing training programs and curriculum in the area of tertiary care is recognized as the need of the hour. Nurse
Practitioners (NPs) will be able to meet this demand provided they are well trained and empowered to practice. With
establishment of new cadres in the Center and State level, master level prepared NPs will be able to provide cost
effective, competent, safe and quality driven specialized nursing care to patients in the emergency and trauma care
settings in tertiary care centres. Nurse practitioners have been prepared and functioning in USA since 1960s, UK since
1980s, Australia since 1990s and Netherlands since 2010.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 73
Nurse practitioners in emergency and trauma care/critical care/acute care, oncology, neurology, cardiovascular
care, anesthesia and other specialties can be prepared to function in tertiary care settings. Rigorous educational
preparation will enable them to assess and participate in treating patients requiring emergency and trauma care both
for prevention and promotion of health. A curricular framework is proposed by the Council towards preparation of
Nurse Practitioner in Emergency and Trauma Care (NPETC) at Masters Level. The special feature of this program is
that it is a clinical residency program emphasizing a strong clinical component with 15% of theoretical instruction and
85% of practicum. Competency based training is the major approach and NP education is based on competencies
adapted from International Council of Nurses (ICN, 2005), and NONPF competencies (2012). Every course is based
on achievement of competencies.
Emergency and Trauma Care Nurse Practitioner Program is intended to prepare registered B.Sc. Nurses to
provide advanced nursing care to patients requiring emergency and trauma care. The nursing care is focused on
stabilizing patients’ condition, minimizing acute complications and maximizing restoration of health. These NPs are
required to practice in the emergency and trauma care units of tertiary care centers. The program consists of various
courses of study that are based on strong scientific foundations including evidenced based practice and the
management of complex health systems. These are built upon the theoretical and practice competencies of B.Sc.
trained nurses. On completion of the program and registration with respective SNRC they are permitted to practice all
competencies listed in the log book of the Council syllabus and also independently perform emergency assessment,
order diagnostic tests, perform diagnostic and therapeutic procedures, handle medical equipment, administer drugs and
therapies as per institutional protocols/standing orders. The NPs in Emergency and Trauma Care units when
exercising this authority, they are accountable for the competencies in
a) Patient Triaging;
b) Patient admission into emergency and trauma care units, transfer to wards/ICUs and discharge;
c) Problem identification through emergency assessment;
d) Selection/administration of medication or devices or therapies;
e) Monitoring patient’s response to the emergency management;
f) Patients’ education for use of therapeutics and trauma prevention;
g) Knowledge of interactions of therapeutics, if any;
h) Evaluation of outcomes;
i) Recognition and management of complications and untoward reactions;
j) Contribution towards evidence-based innovations in clinical practice.
The NP in Emergency and Trauma Care (ETC) is prepared and qualified to assume responsibility and
accountability for patients requiring emergency and trauma care under his/her care.
The said post graduate degree will be registered as an additional qualification by the SNRC.
Philosophy
The Council believes that there is a great need to establish a postgraduate program titled Nurse Practitioner in
Emergency and Trauma Care to meet the challenges and demands of tertiary health care services in India which is
reflected in the National Health Policy (2017) document in order to provide quality care to patients requiring
emergency and trauma care and their families.
The Council believes that postgraduates from a residency program focused on strong clinical component and
competency-based training must be able to demonstrate clinical competence based on sound theoretical and evidence-
based knowledge. The teaching learning approach should focus on adult learning principles, competency-based
education, collaborative learning, preceptory clinical learning with medical and nursing preceptors, experiential
learning and self-directed learning. Education providers/preceptors/mentors must update their current knowledge and
practices. Medical faculty are invited to participate as preceptors in the training.74 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
The Council also believes that a variety of educational strategies can be used in the clinical settings to address the
deficit of qualified Emergency and Trauma Care nursing faculty. It is hoped to facilitate developing policies towards
registration/licensure and create cadre positions for appropriate placement of these postgraduate Emergency and
Trauma Care NPs to function in Emergency and Trauma Care Unit/Department of tertiary care centers
An educational framework for the NP curriculum is proposed (See Figure 1)
.
Figure 1. Nurse Practitioner in Emergency and Trauma Care – An Educational Curricular Framework
II . Program Description
The NP program is a nursing residency program with a main focus on competency-based training. The duration is
of two years with the curriculum consisting of theory that includes core courses, advanced practice courses and
clinical courses besides clinical practicum which is a major component (Refer Curricular framework).
II. Program Description
The NP program is a nursing residency program with a main focus on competency-based training. The duration is
of two years with the curriculum consisting of theory that includes core courses, advanced practice courses and
clinical courses besides clinical practicum which is a major component (Refer Curricular framework).
III. Aim
The Emergency and Trauma Care NP program prepares registered B.Sc. nurses for advanced practice roles as
clinical experts, managers, educators and consultants leading to M.Sc. Nursing (Nurse Practitioner in Emergency and
Trauma Care).
IV. Objectives
On completion of the program, the NP will be able to
1. Assume responsibility and accountability to provide competent care to patients with trauma and non-trauma
related emergencies and appropriate family care in tertiary care centres;
2. Demonstrate clinical competence/expertise in providing emergency and trauma care which includes
emergency assessment, diagnostic reasoning, management and complex monitoring;[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 75
3. Apply theoretical, pathophysiological and pharmacological principles and evidence base in implementing
therapies/interventions in emergency and trauma care;
4. Assess and participate in treating patients with life threatening and limb threatening illnesses/injuries to
stabilize and restore patient’s health and minimize or manage complications independently or collaboratively
as a part of emergency and trauma care team;
5. Collaborate with other health care professionals in the emergency and trauma care team, across the
continuum of emergency care.
V. Minimum requirements to start the NP in Emergency and Trauma Care Program
The institution must accept the accountability for the NP program and its students and offer the program
congruent with the Council standards. It must fulfill the following requirements:
1. Essentiality Certificate
a. Institution who wishes to start NP Program shall obtain essentiality certificate/Government order from the
State.
b. The following institutions are exempted from obtaining essentiality certificate:
(i) Institutions/Universities already offering B.Sc. (Nursing) or M.Sc. (Nursing) programs approved by the
Council.
(ii) Institutions/Universities offering MBBS/DNB programs.
2. Hospital
The hospital should be a parent tertiary care centre, with a minimum of 200 beds. It can have a medical college or
nursing college.
3. Emergency and Trauma Care Beds
The hospital should have an Emergency and Trauma Care unit with a minimum of 10 beds.
4. Emergency and Trauma Care Staffing
a. Emergency and Trauma Care unit should have a in-charge nurse with B.Sc. or M.Sc. qualification;
b. The nurse patient ratio should be 1:1 for Resuscitative beds;
c. For the rest of Emergency and Trauma beds the nurse patient ratio should be 1:5 for every shift;
d. Provision of additional 40% staff towards leave reserve;
e. Doctor patient ratio can be 1:5.
5. Faculty/Staff Resources
a. Clinical Area: Nursing Preceptor: Full-time qualified GNM (preferably qualification in Post Basic Diploma
in Emergency and Disaster Nursing) with 6 years of experience in Emergency and Trauma Care units or
B.Sc. (Nursing) with 2 years of experience in Emergency and Trauma Care units or M.Sc. (Specialty-Medical
Surgical Nursing) with one year experience in Emergency and Trauma Care unit.
Medical Preceptor: Medical PG/Emergency Physician
Preceptor Student Ratio: Nursing 1:10, Medical 1:10 (Every student must have a medical and a nursing
preceptor)
b. Teaching Faculty: Professor/Associate Professor: 1 {Teaching experience: 5 years post PG-M.Sc.
(Specialty-Medical Surgical Nursing)/Paediatric Nursing} (One faculty for every 10 students)
Assistant Professor: 1 {Teaching experience: 3 years post B.Sc. (Nursing)}
c. The above faculty shall perform dual role of a senior nurse with M.Sc. (Nursing) qualification employed in
the tertiary hospital.
d. Guest Lecturers for Pharmacology, Pathophysiology, Emergency and Trauma Medicine.
6. Physical and Learning Resources at Hospital/College
a. One class room/conference room at the clinical area;
b. Skill lab for simulated learning (hospital/college);
c. Library and computer facilities with access to online journals;76 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
d. E-Learning facilities.
7. List of Equipment for Emergency and Trauma Care unit (see enclosed Appendix 1).
8. Student Recruitment/Admission Requirements
a. Applicants must be a registered B.Sc./P.B.B.Sc. nurse with a minimum of one-year clinical experience,
preferably in Emergency and Trauma Care unit prior to enrollment.
b. Must have undergone the B.Sc. (Nursing) in an institution found suitable by the Council and have been
registered in any SNRC.
c. Must have scored not less than 55% aggregate marks in the B.Sc. (Nursing) program.
d. Must be physically fit.
Number of candidates: 1 candidate for 4-5 Emergency and Trauma beds.
Salary: 1. In-service candidates will get regular salary.
2. Stipend/Salary for the other candidates as per the salary structure of the hospital where the course is
conducted.
VI. Examination Regulations
Eligibility for appearing in the examination
Attendance: Minimum 80% for theory and practical before appearing for final University examination but must
complete 100% in practical before the award of degree.
There is no minimum cut off for the internal assessment marks, as internal and external marks are added together
for declaring pass.
Examining and Degree Awarding Authority: Respective University.
Classification of results
The declaration of results will be done as pass (60%) or fail and with rank.
Pass marks is 60% and above in the aggregate of both internal and external University examination in theory and
practical in every course/subject and less than 60% is fail. For calculating the rank, the aggregate of the two years’
marks will be considered.
If a candidate fails in theory or practical, he/she has to reappear for the paper in which he/she has failed.
Rank will not be declared for candidates who fail in any subject. Maximum period to complete the program is 4
years.
Practical examination
OSCE type of examination will be followed alongside viva (oral examination) – Refer OSCE guidelines found in
Appendix 2.
Maximum number of students per day – 10.
Examination should be held in the clinical area only.
The team of practical examiners will include one internal examiner {M.Sc. faculty with two years of experience
in teaching the NP in Emergency and Trauma Care program/M.Sc. faculty (Medical Surgical Nursing preferable) with
5 years of Post PG experience}, one external examiner (same as above) and one medical internal examiner who
should be a preceptor for NP in Emergency and Trauma Care program.
Dissertation
Research Guides: Main guide – Nursing faculty (3 years Post PG experience) teaching NP program,
Co-guide: Medical preceptor.
Submission of Research Proposal: 6-9 months after date of admission in the first year.
Guide Student Ratio: 1:5
Research Committee: There shall be a separate research committee in the college/hospital to guide and oversee
the progress of the research {minimum of 5 members with Principal or CNO who is M.Sc. (Nursing) qualified}.
Ethical clearance must be obtained by the hospital ethics committee since it involves clinical research.
Topic Selection: The topic should be relevant to emergency and trauma nursing that will add knowledge or
evidence for nursing intervention. The research should be conducted in emergency and trauma care setting.
Data Collection: 7 weeks are allotted for data collection, which can be integrated during clinical experience after
6 months in first year and before 6 months in second year.
Writing the Research Report: 6-9 months in second year.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 77
Submission of Dissertation Final: 3 months before completion of the second year.
Dissertation Examination Internal Assessment: Viva & Dissertation = 50 marks.
University Examination: Viva & Dissertation Report = 50 marks.
{Marking guide used for other M.Sc. (Nursing) specialties can be used for evaluation.}
VII. Assessment (Formative and Summative)
Assessment (Formative and Summative)
• Clinical and Care Pathway/Case Study Report
Assessment (Formative and Summative)
• Objective Structured Clinical Examination (OSCE)
Assessment (Formative and Summative)
• Assessment Guidelines: Appendix 2
Scheme of Final Examination
S.No. Title Theory % Practical %
Hours Internal External Hours Internal External
Ist year
Core Courses
1 Theoretical Basis for Advanced Practice 50
Nursing
2 Research Application and Evidence Based 3 hours 30 70
Practice in Emergency and Trauma Nursing
3 Advanced Skills in Leadership, Management 3 hours 30 70
and Teaching
Advanced Practice Courses
4 Advanced Pathophysiology & 3 hours 30 70
Advanced Pharmacology relevant to
Emergency and Trauma Nursing
5 Advanced Health/Physical Assessment 3 hours 30 70 50 50
IInd year
Specialty Courses
1 Foundations of Emergency and Trauma 3 hours 30 70 100 100
Nursing Practice
2 Emergency and Trauma Nursing I 3 hours 30 70 100 100
3 Emergency and Trauma Nursing II 3 hours 30 70 100 100
4 Dissertation and viva 50 50
VIII. CURRICULUM
COURSES OF INSTRUCTION
S.No. Title Theory (Hours) Lab/Skill Lab (Hours) Clinical (Hours)
Ist year
Core Courses
I Theoretical Basis for Advanced Practice 40
Nursing
II Research Application and Evidence Based 56 24 336 (7 weeks)
Practice in Emergency and Trauma Nursing
III Advanced Skills in Leadership, Management 56 24 192 (4 weeks)
and Teaching
Advanced Practice Courses
IV Advanced Pathophysiology applied to 60 336 (7 weeks)
Emergency and Trauma Nursing
V Advanced Pharmacology applied to 54 336 (7 weeks)
Emergency and Trauma Nursing78 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
VI Advanced Health/Physical Assessment 70 48 576 (12 weeks)
TOTAL = 2208 hours 336 (7 weeks) 96 (2 weeks) 1776 (37 weeks)
IInd year
Specialty Courses
VII Foundations of Emergency and Trauma 96 48 576 (12 weeks)
Nursing Practice
VIII Emergency and Trauma Nursing I 96 48 576 (12 weeks)
IX Emergency and Trauma Nursing II 96 48 624 (13 weeks)
TOTAL = 2208 hours 288 (6 weeks) 144 (3 weeks) 1776 (37 weeks)
Number of weeks available in a year = 52 – 6 (Annual leave, Casual leave, sick leave = 6 weeks) = 46 weeks × 48
hours = 2208 hours, Two years = 4416 hours (Examination during clinical posting)
Instructional hours: Theory = 624 hours, Skill Lab = 240 hours, Clinical = 3552 hours, Total = 4416 hours
Ist year: 336-96-1776 hours (Theory-Skill Lab-Clinical) (Theory = 15%, Skill Lab-Clinical = 85%)
IInd year : 288-144-1776 hours (Theory-Skill Lab-Clinical) (Theory = 15%, Skill Lab-Clinical = 85%)
Ist year = 46 weeks/2208 hours (46 × 48 hours) (Theory + Lab: 7.5 hours per week for 44 weeks = 336 + 96
hours*)
*Theory + Lab = 96 hours can be given for 2 weeks in the form of introductory block classes and workshops
IInd year = 46 weeks/2208 hours (46 × 48 hours) (Theory + Lab : 8.5 hours per week for 45 weeks = 384 + 48
hours)
(1 week Block Classes = 48 hours)
CLINICAL PRACTICE
A. Clinical Residency experience: A minimum of 48 hours per week is prescribed, however, it is flexible with
different shifts and OFF followed by on call duty.
B. 8 hours duty with one day OFF in a week and on call duty one per week
Clinical Placements
Ist year: 44 weeks (excludes 2 weeks of introductory block classes and workshop)
Emergency Department – Adult – 22 weeks
Emergency Department – Paediatric – 5 weeks
Medical ICU – 2 weeks
Surgical ICU – 2 weeks
Cardio/Cardiothoracic (CT) ICU – 2 weeks
Trauma ICU – 2 weeks
Trauma Ward – 2 weeks
Neuro ICU – 2 weeks
Operation Theatre – 2 weeks
Burns Unit – 2 weeks
Dialysis Unit – 1 week
IInd year: 45 weeks (Excludes one week of block classes)
Emergency Department – Adult – 20 weeks
Emergency Department – Paediatric – 5 weeks
Medical ICU – 2 weeks
Surgical ICU – 2 weeks[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 79
Cardio/Cardiothoracic (CT) ICU – 2 weeks
Trauma ICU – 2 weeks
Neuro ICU – 2 weeks
Obstetric Emergencies (Labour Room) – 2 weeks
Paediatric ICU – 2 weeks
Psychiatric emergency unit – 1 week
Community Disaster Management (Emerging threats in the society like war/conflicts, training of general public
on basic life support, training of family members for home-based care) – 2 weeks
Hospital Disaster Management – 2 weeks
Visit to Defense Research and Development Organization/National exposure visit/International conference
visit/Assignments – 1 week
C. Teaching Methods: Teaching – Theoretical, Lab & Clinical can be done in the following methods and integrated
during clinical posting:
• Clinical conference
• Case/clinical presentation
• In depth drug study, presentation and report
• Nursing rounds
• Clinical seminars
• Journal clubs
• Case study/Clinical or care pathway
• Advanced health assessment
• Faculty lecture in the clinical area
• Directed reading
• Assignments
• Case study analysis
• Workshops
D. Procedures/Log Book: At the end of each clinical posting, Clinical Log Book (Specific Procedural
Competencies/Clinical Skills) (Appendix 3A & 3B) and Clinical Requirements (Appendix 4) have to be signed
by the preceptor every fortnight.
E. NP in Emergency and Trauma Care Competencies (Adapted from ENA, 2019)
A. Professional Role
1. Practices in the role of provider in the emergency and trauma care setting.
2. Acts in accordance with legal and ethical professional responsibilities e.g., patient management,
documentation, advance directives, billing and coding.
3. Integrates culturally competent decision making into emergency and trauma care and management.
4. Provides patient-family-centered care across the lifespan.
5. Provides care which is protective of vulnerable patients, families, and populations.
6. Appropriately documents all patient care in accordance with regulatory and institutional standards.
7. Maintains compliance with current requirements for billing and coding of services rendered.
8. Acts as a mentor, educator, and leader for others in the emergency care team.
9. Collaborates with others as a member of the emergency care team.
10. Engages in translation of current guidelines and best practices in the emergency care environment.
11. Participates in research to advance the science and body of knowledge in emergency care.
12. Actively participates in policy development.80 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
13. Participates in disaster and mass casualty preparedness.
B. Management of Patient Health/Illness Status
1. Obtains a comprehensive problem-focused history as is pertinent to the presenting complaint.
2. Performs a pertinent, developmentally appropriate physical examination as appropriate to the
chief/presenting complaint.
3. Formulates differential diagnosis to determine emergent vs. non-emergent conditions and appropriate
emergency management.
4. Utilizes advanced clinical reasoning specific to emergency and trauma care for prioritization, risk
stratification, holistic decision-making, resource allocation and available services.
5. Prescribes therapeutic agents based on current, evidence-based recommendations for emergency care
within defined scope of practice.
6. Formulates an individualized, dynamic plan of care to address the stabilization and initial treatment of
urgent/emergent conditions.
7. Incorporates technological, diagnostic and procedural interventions (including point-of-care ultrasound)
into the treatment plan, based on clinical findings, current recommendations, and patient treatment goals.
8. Re-assesses and modifies plan of care based on the dynamic patient condition.
9. Appropriately documents history, physical exam, medical decision-making, assessment and plan for
emergency and trauma care.
10. Incorporates tools for standardized communication into interactions with other individuals.
11. Practices antibiotic stewardship in the selection of empiric antibiotic therapies.
12. Determines an appropriate plan for patient disposition.
13. Consults and collaborates with patients, families and the health care team to provide safe, effective, and
individualized culturally competent care.
14. Develops a plan for safe, effective, and evidence-based follow up at discharge.
15. Initiates appropriate communications in the community.
16. Assesses health literacy in patients and families to promote informed decision-making and optimal
participation in care.
F. Institutional Protocol/Standing Orders based administration of drugs & ordering of investigations and
therapies
The students will be trained to independently perform emergency assessment, order diagnostic tests, perform
diagnostic and therapeutic procedures, handle medical equipment, administer drugs and therapies as per institutional
protocols/standing orders (Appendix 5 Standing Orders). Administration of emergency drugs is carried out in
consultation with concerned physician and endorsed later by written orders.
Implementation of Curriculum – A Tentative Plan
Ist year Courses Introductory Workshop Theory integrated in Methods of Teaching
Classes Clinical Practicum
(Topic can be specified)
1. Theoretical Basis for 8 hours 1 × 32 = 32 hours • Seminar/Theory Application
Advanced Practice
Nursing (40) • Lecture (Faculty)
2. Research Application and 8 hours 40 (5 days) 1 × 24 = 24 hours • Research Study Analysis/
Evidence Based Practice Exercise/Assignment (Lab)
+ 8 hours
in Emergency and Trauma
Nursing (56+24)
3. Advanced Skills in 12+2 hours 1 × 26 = 26 hours • Clinical Conference
Leadership, Management
and Teaching (56+24) 2.5 × 16 = 40 hours • Seminar Exercises/ Assignment
(Lab)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 81
4. Advanced Pathophysiology 1.5 × 40 = 60 hours • Case Presentation
(60)
• Seminar
• Clinical Conference
5. Advanced Pharmacology 10 hours 1 × 44 = 44 hours • Nursing Rounds
(54)
• Drug Study Presentation
• Standing Orders/ Presentation
6. Advanced Health 8 hours 2 × 26 = 52 hours • Clinical Demonstration (Faculty)
Assessment (70+48)
1.5 × 18 = 27 hours • Return Demonstration
1 × 15 = 15 hours • Nursing Rounds
2 × 6 = 12 hours • Physical Assessment
(all systems)
2 × 2 = 4 hours
• Case Study
TOTAL 48 hours 48 hours 336 hours
Ist year: Introductory Classes = 1 week (48 hours), Workshop = 1 week (48 hours), 44 weeks = 7.5 hours per week
(330/336 hours)
IInd year Courses Theory integrated into Clinical Methods of Teaching
1 week Block Classes (48 hours) Practicum
1. Foundations of Emergency and 9 hours × 11 weeks = 99 hours • Demonstration (lab)
Trauma Nursing Practice • Return demonstration (lab)
(96 + 48 hours) = 144 hours • Clinical teaching
• Case study
• Seminar
• Clinical conference
• Faculty lecture
2. Emergency and Trauma Nursing I 9 hours × 16 weeks = 144 hours • Demonstration (lab)
(96+48 hours) = 144 hours • Return Demonstration (lab)
• Clinical conference/journal club
• Seminar
• Case presentation
• Drug study(including drug interaction)
• Nursing rounds
• Faculty lecture
3. Emergency and Trauma Nursing II 9 hours × 16 weeks = 144 hours • Demonstration (lab)
(96 + 48 hours) = 144 hours • Return Demonstration
• Nursing rounds
• Clinical conference/journal club
• Seminar
• Faculty lecture
IInd year: Block classes – 1 week, 45 weeks – 8.5/9 hours per week
Topic for every teaching method will be specified in the detailed plan by the respective teacher/institution concerned.
CORE COURSES
I. Theoretical Basis for Advanced Practice Nursing
COMPETENCIES
1. Analyses the global healthcare trends and challenges.
2. Analyses the impact of Healthcare and Education Policies in India on nursing consulting the documents available.
3. Develops in-depth understanding of the healthcare delivery system in India and its challenges.
4. Applies economic principles relevant to delivery of healthcare services in emergency and trauma care.
5. Manages and transforms health information to effect health outcomes such as cost, quality and satisfaction.82 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
6. Accepts the accountability and responsibility in practicing the Nurse Practitioner’s roles and competencies.
7. Actively participates in collaborative practice involving all healthcare team members in emergency and trauma
care and performs the prescriptive roles within the authorized scope.
8. Engages in ethical practice having a sound knowledge of law, ethics and regulation of advanced nursing practice.
9. Uses the training opportunities provided through well planned preceptorship and performs safe and competent
care applying nursing process/care pathways or clinical pathways.
10. Applies the knowledge of nursing theories in providing competent care to patients requiring emergency and
trauma care.
11. Predicts future challenges of Nurse Practitioner’s roles in variety of healthcare settings particularly in India.
Hours of Instruction: 40 hours
S.No. Topic Hours
1. Global Health Care Challenges and Trends (Competency-1) 2
2. Health System in India 2
Health Care Delivery System in India – Changing Scenario (Competency-3)
3. National Health Planning – 5-Year Plans and National Health Policy (Competency-2) 2
4. Health Economics & Health Care Financing (Competency – 4) 4
5. Health Information System including Nursing Informatics (Use of Computers) (Competency-5) 4
Advanced Nursing Practice (ANP)
6. ANP – Definition, Scope, Philosophy, Accountability, Roles & Responsibilities (Collaborative 3
Practice and Nurse Prescribing Roles) (Competency-6 & 7)
7. Regulation (Accreditation of Training Institutions and Credentialing) & Ethical Dimensions of 3
Advanced Nursing Practice Role (Competency-8)
8. Nurse Practitioner – Roles, Types, Competencies, Clinical Settings for Practice, Cultural 3
Competence (Competency-6)
9. Training for NPs – Preceptorship (Competency-9) 2
10. Future Challenges of NP Practice (Competency-11) 4
11. Theories of Nursing applied to APN (Competency-10) 3
12. Nursing Process/Care Pathway applied to APN (Competency-9) 2
Self-Learning Assignments 6
1. Identify Health Care and Education Policies and Analyse its Impact on Nursing
2. Describe the legal position in India for NP practice. What is the future of nurse prescribing
policies in India with relevance to these policies in other countries?
3. Examine the nursing protocols relevant to NP practice found in various emergency and trauma
care units in tertiary centres
Total 40 hours
Bibliography
Barkers, A.M. (2009). Advanced Practice Nursing, Massachusetts: Jones & Bartlett Publishers.
Hickey, J.V., Ouimette, R.M. & Venegoni, S.L. (1996). Advanced Practice Nursing: Changing Roles and Clinical
Applications, Philadelphia: Lippincott Williams and Wilkins.
Schober, M. & Affara, F.A. (2006). Advanced Nursing Practice, Oxford: Blackwell Publishing.
Stewart, G.J. & Denisco, S.M. (2015). Role Development for the Nurse Practitioner, USA: Springer Publishing
Company.
II. Research Application and Evidence Based Practice in Emergency and Trauma Nursing
COMPETENCIES
1. Applies sound research knowledge and skills in conducting independent research in emergency and trauma
nursing.
2. Participates in collaborative research to improve patient care quality.
3. Interprets and uses research findings in advanced practice to produce EBP.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 83
4. Tests/evaluates current practice to develop best practices and health outcomes and quality care in advanced
practice.
5. Analyzes the evidence for nursing interventions carried out in emergency and trauma nursing practice to promote
safety and effectiveness of care.
6. Develops skill in writing scientific research reports.
Hours of Instruction: Theory: 56 + Lab/Skill Lab: 24 = 80 hours
S.No. Topic Hours
1. Research and Advanced Practice Nursing: 2
Significance of research and inquiry related to advanced nursing role (Competency-1)
2. Research Agenda for Advanced Practice Nursing: 5
Testing current practice to develop best practice, health outcomes and indicators of quality care
in advanced practice (Competency-3, 4, 5),
promoting research culture
3. Research Knowledge and Skills: 40
Research competencies essential for Advanced Practice Nursing (interpretation and use of (5 days
research, evaluation of practice, participation in collaborative research) workshop)
Introduction to Evidence Based Practice (EBP) project – PICOT question, steps of planning,
implementation, evaluation and dissemination (project proposal and project report)
Research Methodology
Phases/steps
(Research question, Review of literature, conceptual framework, research designs, sampling,
data collection, methods & tools, Analysis and Reporting)
Writing research proposal and research report (Competency-1 & 2)
4. Writing for Publication 5
(Writing Workshop – Manuscript preparation and finding funding sources) (workshop)
(Competency-6)
5. Evidence based practice 4
- Concepts, principles, importance and steps
- Integrating EBP to emergency and trauma nursing
- Areas of evidence in emergency and trauma care
- Barriers to implement EBP
- Strategies to promote EBP (Competency-3, 4, 5)
Total 56 hours
Practical/Lab & Assignments: 24 hours
• Identifying research priorities
• Writing exercises on research question, objectives and hypothesis
• Writing research proposal/EBP project proposal
• Scientific paper writing – preparation of manuscript for publication
• Writing systematic review/literature review – Analyze the evidence for a given nursing intervention in ED
Practicum
• Research practicum: Dissertation (336 hours = 7 weeks)/Evidence Based Practice Project (EBP project)
Bibliography
Bernadette, M.M. & Ellen, F.O. (2019). Evidence-Based Practice in Nursing & Healthcare (4th ed.), Wolters Kluwer
Health.
Burns, N. & Grove, S.K. (2011). Understanding Nursing Research: Building an Evidence Based Practice (5th ed.), Ist
Indian reprint 2012, New Delhi: Elsevier.
Polit, D.F. & Beck, C.T. (2018). Nursing Research: Generating and Assessing Evidence for Nursing Practice (10th
ed.), Philadelphia: Lippincott Williams & Wilkins.
Schmidt, N.A. & Brown, J.M. (2009). Evidence Based Practice for Nurses’ Appraisal and Application of Research,
Sd: Jones and Bartlett Publishers.84 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
III. Advanced Skills in Leadership, Management and Teaching
COMPETENCIES
1. Applies principles of leadership and management in ED.
2. Manages stress and conflicts effectively in emergency and trauma care units using sound knowledge of principles.
3. Applies problem solving and decision-making skills effectively.
4. Uses critical thinking and communication skills in providing leadership and managing patient care in emergency
and trauma care units.
5. Builds teams and motivates others in emergency and trauma care units.
6. Develops unit budget, manages supplies and staffing effectively.
7. Participates appropriately in times of innovation and change.
8. Uses effective teaching methods, media and evaluation based on sound principles of teaching.
9. Develops advocacy role in patient care, maintaining quality and ethics in emergency and trauma care units
10. Provides counseling to families and patients in crisis situations particularly in end-of-life care.
Hours of Instruction: 56 + 24 = 80 hours
S.No. Topic Hours
1. Theories, styles of leadership and current trends 2
2. Theories, styles of management and current trends 2
3. Principles of leadership and management applied to emergency and trauma care units 4
4. Stress management and conflict management – principles and application to emergency and 4
trauma care units, effective time management
5. Quality improvement and audit 4
6. Problem solving, critical thinking and decision making, communication skills applied to 5
emergency and trauma nursing practice
7. Team building, motivating and mentoring within emergency and trauma care units 2
8. Budgeting and management of resources including human resources – emergency and trauma 5
care unit budget, material management, staffing, assignments
9. Change and innovation 2
10. Staff performance and evaluation (performance appraisals) 6
11. Teaching-learning theories and principles applied to ETN 2
12. Competency based education and outcome-based education 2
13. Teaching methods/strategies, media: educating patients and staff in emergency and trauma care 8
units
14. Staff education and use of tools in evaluation 4
15. APN – Roles as a teacher 2
16. Advocacy roles in emergency and trauma care units 2
Total 56 hours
Practical/Lab: 24 hours
1. Preparation of staff patient assignment
2. Preparation of unit budget[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 85
3. Preparation of staff duty roster
4. Patient care audit
5. Preparation of nursing care standards and protocols
6. Management of equipment and supplies
7. Monitoring, evaluation, and writing report of infection control practices
8. Development of teaching plan
9. Micro teaching/patient education sessions
10. Preparation of teaching method and media for patients and staff
11. Planning and conducting OSCE/OSPE
12. Construction of tests
Assignment: Mob violence in Emergency and Trauma care units
Bibliography
Bastable, S.B. (2010). Nurse as Educator: Principles of Teaching and Learning for Nursing Practice (3rd ed.), New
Delhi: Jones & Bartlett Publishers.
Billings, D.M. & Halstead, J.A. (2009). Teaching in Nursing: A Guide for Faculty (3rd ed.), St. Louis, Missouri:
Saunders Elsevier.
Clark, C.C. (2010). Creative Nursing Leadership and Management, New Delhi: Jones and Bartlett Publishers.
McConnel. (2008). Management Principles for Health Professionals, Sudbury, M.A: Jones and Bartlett Publishers.
Roussel, L. & Swansburg, R.C. (2010). Management and Leadership for Nurse Administrators (5th ed.), New Delhi:
Jones and Bartlett Publishers.
ADVANCED NURSING COURSES
IV. A. Advanced Pathophysiology Applied to Emergency and Trauma Nursing
COMPETENCIES
1. Integrates the knowledge of pathophysiological process in emergency and trauma conditions in developing
diagnosis and plan of care.
2. Applies the pathophysiological principles in symptom management and secondary prevention of emergency and
trauma conditions.
3. Analyzes the pathophysiological changes relevant to each emergency and trauma conditions recognizing the value
of diagnosis, treatment, care and prognosis.
Hours of Instruction: Theory: 30 hours
Unit Hours Content
I 6 Cardiovascular function
Advanced pathophysiological process of cardiovascular conditions
• Hypertensive disorder
• Coronary artery diseases
• Valvular heart disease86 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
Unit Hours Content
• Cardiomyopathy and heart failure
• Cardiac Tamponade
• Arrythmias
• Corpulmonale
• Heart block and conduction disturbances
• Peripheral artery disorder
• Venous disorders
II 4 Respiratory function
Advanced pathophysiological process of pulmonary conditions
• Chronic obstructive pulmonary disease
• Disorders of the pulmonary vasculature
• Infectious diseases
• Respiratory failure
• Chest trauma
III 4 Neurological function
Advanced pathophysiological process of neurological conditions
• Seizure disorder
• Cerebrovascular disease
• Infections
• Spinal cord disorder
• Degenerative neurological diseases
• Neurological trauma
• Coma, unconsciousness
IV 4 Genitourinary function
Advanced pathophysiological process of renal conditions
• Acute renal failure
• Chronic renal failure
• Infections and urosepsis
• Testicular torsion
• Nephrotic syndrome
• Genitourinary trauma
V 4 Gastrointestinal and Hepatobiliary function
Advanced pathophysiological process of hepatobiliary conditions
• Gastrointestinal bleeding
• Intestinal obstruction
• Infections and inflammations
• Hepatic failure
• Gastrointestinal perforation
• Gastrointestinal tumours
• Abdominal trauma
VI 4 Endocrine functions
Advanced pathophysiological process of endocrine conditions
• Diabetic ketoacidosis
• Hyperosmolar non ketotic coma
• Hypoglycemia
• Thyroid storm
• Myxedema coma[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 87
Unit Hours Content
• Adrenal crisis
• Pheochromocytoma
• Syndrome of inappropriate antidiuretic hormone secretion
VII 4 Hematological function
Advanced pathophysiological process of hematological conditions
• Disorders of red blood cells – Polycythemia, Anemia, Sickle cell diseases
• Disorders of white blood cells – Leucopenia, Neoplastic disorders
• Disorders of hemostasis – Platelet disorders, Coagulation disorders, Disseminated intravascular
coagulation
IV. B. Advanced Pathophysiology Applied to Emergency and Trauma Nursing
Hours of Instruction: Theory: 30 hours
Unit Hours Content
I 3 Sense organs
Advanced pathophysiological process of integumentary conditions
Skin
• Wound healing
• Burns
• Skin and soft tissues infections
• Steven Johnson Syndrome
Eye
• Infections and inflammations
• Foreign bodies
• Injuries
ENT
• Infections and inflammations
• Foreign bodies
• Epistaxis
• Injuries
II 3 Musculoskeletal system
Advanced pathophysiological process of musculoskeletal conditions
• Infections and inflammations
III 4 Multisystem dysfunction
Advanced pathophysiological process of neurological conditions
• Shock – Hypovolemic, Cardiogenic, Distributive
• Systemic inflammatory syndrome
• Multiple organ dysfunction syndrome
• Poly Trauma
• Envenomation
IV 3 Toxicology
Advanced pathophysiological process related to toxins
• Poisoning – Drug overdose, Chemicals, Corrosives, Herbal88 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
V 3 Specific infections
Advanced pathophysiological process of specific infections
• Common viral and bacterial infections
• Food and water-born infectious diseases
• Air born infectious diseases
• HIV infection and AIDS
• Parasitosis – Malaria, Dengue
• Rabies
• Sepsis and septic shock
• Tetanus
• Pandemic – Flu Scares, Avian Influenza A(H5N1), COVID 19
VI 3 Reproductive functions
Advanced pathophysiological process of reproductive conditions
• Physiological changes in pregnancy
• Conditions requiring emergency care
Antenatal emergencies
• Hyperemesis gravidarum
• Ectopic pregnancy
• Antepartum haemorrhage
• Pregnancy induced hypertension
Intra-partum emergencies
• Obstructed labor
• Ruptured uterus
Post-partum emergencies
• PPH
• Obstetrical shock
• Puerperal sepsis
• HELLP syndrome
• DIC
• Amniotic fluid embolism
Gynecological Emergencies:
• Ovarian cyst/abscess/torsion
• Sexual assault
• Vaginal bleeding[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 89
VII 3 Emergencies in children
Advanced pathophysiological process in various emergency conditions among children under each system
• Cardiovascular
• Respiratory
• Neurological
• Gastrointestinal
• Genitourinary
• Endocrine
• Haematology
• Infectious disease emergencies
• Skin lesions and burns
• Poisoning, Foreign bodies, drowning
• Accidents
• Shocks
VIII 4 Mental Health functions
Advanced pathophysiological process of specific mental health conditions
• Suicide
• Homicide
• Substance abuse – alcohol, drugs
• Panic attack
• Acute depression
• Sexual assault
• Post-traumatic stress disorder (PTSD)
IX 4 Traumatic injuries
Advanced pathophysiological process of specific injuries
• Traumatic shock
• Cranio-facial injuries
• Musculo skeletal injuries and spinal injuries
• Cardiothoracic injuries
• Abdominal injuries
• Injuries during pregnancy
• Paediatric Trauma
Bibliography
Huether, S.E. & McCance, K.L. (2012). Understanding Pathophysiology (5th ed.), St. Louis, Missouri: Elsevier.
John, G., Subramani, K., Peter, J.V., Pitchamuthu, K. & Chacko, B. (2011). Essentials of Critical Care (8th ed.),
Christian Medical College: Vellore.
Patrica Kunz Howard, Rebeeca A. Steinmann. Sheehy’s Emergency Nursing Principles and Practice (6th ed.),
Elsevier. ISBN 13: 978-0-323-05585-7.
Porth, C.M. (2007). Essentials of Pathophysiology: Concepts of Altered Health States (2nd ed.). Philadelphia:
Lippincott Williams and Wilkins.
Tintinalli, E. Judith (2000). Emergency Medicine (5th ed.), McGraw Hill: New York.
Urden, L.D., Stacy, K.M. & Lough, M.E. (2014). Critical Care Nursing – Diagnosis and Management (7th ed.).
Elsevier: Missouri.90 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
V. Advanced Pharmacology relevant to Emergency and Trauma Nursing
COMPETENCIES
1. Applies the pharmacological principles in providing care to patients and families requiring Emergency and
trauma care.
2. Analyzes pharmacotherapeutics and pharmacodynamics relevant to drugs used in the treatment of emergency and
trauma conditions.
3. Performs safe drug administration based on principles and institutional protocols.
4. Documents accurately and provides follow up care.
5. Applies sound knowledge of drug interactions in administration of drugs to patients requiring emergency and
trauma care and guiding their families in self-care management.
Hours of Instruction: Theory: 54 hours
Unit Hours Content
I 1 Introduction to Pharmacology in Emergency and Trauma Nursing
• History
• Classification of drugs and schedules
II 2 Pharmacokinetics and Pharmacodynamics
• Introduction
• Absorption, Distribution, Metabolism, Distribution and Excretion in emergency care
• Plasma concentration, half life
• Loading and maintenance dose
• Therapeutic index and drug safety
• Potency and efficacy
• Principles of drug administration
▪ The rights of drug administration
▪ Systems of measurement
▪ Enteral drug administration
▪ Topical drug administration
▪ Parenteral drug administration
III 4 Pharmacology and Cardiovascular Alterations in Emergency Care
• Vasoactive Medications
▪ Vasodilator
▪ Vasopressor
▪ Inotropes
✓ Cardiac glycosides – digoxin
✓ Sympathomimetics – Dopamine, dobutamine, epinephrine, isoproterenol, norepinephrine,
phenylephrine
✓ Phosphodiesterase inhibitors – amrinone, milrinone
• Antiarrhythmic Medications
• Cardiac emergency conditions
▪ Medications to improve cardiac contractility[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 91
Unit Hours Content
▪ Medications in the management of hypertension in emergency care
▪ Medications in the management of heart failure
▪ Medications in the management of angina pectoris and myocardial infarction
▪ Medications in the management of dysrhythmias, Heart block and conduction disturbances
▪ Medications in the management of Pulmonary hypertension, Valvular heart disease,
Cardiomyopathy
▪ Medications in the management of Atherosclerotic disease of aorta and Peripheral artery disease
▪ Medications in the management of Deep vein thrombosis
• Institutional Protocols/Standing orders for cardiac care emergencies
IV 4 Pharmacology and Pulmonary alterations in Emergency care
• Introduction
• Medications used on patients with mechanical ventilator
• Mechanical ventilation impact on pharmacotherapy – sedation and analgesia, neuromuscular
blockade, nutrition
• Pulmonary Emergency conditions
▪ Medications in the management of Status asthmaticus
▪ Medications in the management of Pulmonary edema
▪ Medications in the management of Pulmonary embolism
▪ Medications in the management of Acute respiratory failure and acute respiratory distress
syndrome
▪ Medications in the management of Chest trauma
▪ Medications in the management of Chronic obstructive pulmonary disease
▪ Medications in the management of Pneumonia
▪ Medications in the management of Pleural effusion
▪ Medications in the management of Atelectasis
• Standing orders for pulmonary care emergencies
V 4 Pharmacology and Neurological Alterations in Emergency Care
• Pain
▪ NSAIDS
▪ Opioid analgesia
• Sedation
▪ Gamma amino butyric acid stimulants
▪ Dexmeditomidine
▪ Analgosedation
• Delirium
▪ Haloperidol
• Medications used for local and general anesthesia
▪ Local – Amides, esters, and miscellaneous agents
▪ General – Gases, Volatile liquids, IV anesthetics92 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
Unit Hours Content
▪ Non anesthetic drugs adjuncts to surgery
▪ Paralytic Medications
▪ Non-depolarizing and depolarizing agents
▪ Anxiolytics
• Autonomic drugs
▪ Adrenergic agents/Sympathomimetics
▪ Adrenergic blocking agents
▪ Cholinergic agents
▪ Anti-cholinergic agents
• Medications in the management of anxiety and insomnia
▪ Antidepressants
▪ Benzodiazepines
▪ Barbiturates
• Neurological emergency conditions
▪ Medications in the management of acute psychoses
▪ Medications in the management of acute head and spinal cord injury with elevated intracranial
pressure
▪ Medications in the management of muscle spasm
▪ Medications in the management of spasticity
▪ Medications in the management of Cerebrovascular disease and cerebrovascular accident
▪ Medications in the management of Encephalopathy
▪ Medications in the management of Gillian Bare syndrome and Myasthenia gravis
▪ Medications in the management of Brain herniation syndrome
▪ Medications in the management of Seizure disorder
▪ Medications in the management of Coma, Unconsciousness and persistent vegetative state
▪ Appropriate nursing care to safeguard patient
• Standing orders for neurological emergencies
VI 3 Pharmacology and Genitourinary Alterations in Emergency Care
• Diuretics
• Fluid replacement
▪ Crystalloids
▪ Colloids
• Electrolytes
▪ Sodium
▪ Potassium
▪ Calcium
▪ Magnesium
▪ Phosphorus
• Nephrology emergency conditions[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 93
Unit Hours Content
▪ Medications in the management of Acute/Chronic renal failure
▪ Medications in the management of Acute tubular necrosis
▪ Medications in the management of Infections
▪ Medications in the management of genitourinary trauma
▪ Medications in the management of Electrolyte imbalances
▪ Medications in the management of Acid base imbalances
▪ Medications used during dialysis
• Standing orders for nephrology emergencies
VII 4 Pharmacology and Gastrointestinal Alterations in Emergency Care
• Anti-ulcer drugs
• Laxatives
• Anti-diarroheals
• Anti-emetics
• Pancreatic enzymes
• Nutritional supplements, Vitamins and minerals
• Gastro intestinal emergency care conditions
▪ Medications in the management of Acute GI bleeding, Hepatic failure
▪ Medications in the management of infections and inflammation
▪ Medications in the management of Abdominal injury
▪ Medications in the management of Hepatic encephalopathy
▪ Medications in the management of Acute intestinal obstruction
▪ Medications in the management of Perforative peritonitis
▪ Medications used during Gastrointestinal surgeries and Liver transplant
• Standing orders for gastro intestinal emergencies
VIII 4 Pharmacology and Endocrine Alterations in Emergency Care
• Insulin and Other hypoglycemic agents
• Endocrine emergency conditions
▪ Medications in the management of Diabetic ketoacidosis,
Hyperosmolar non-ketotic coma
▪ Medications in the management of hypoglycemia
▪ Medications in the management of Thyroid storm
▪ Medications in the management of Myxedema coma
▪ Medications in the management of Adrenal crisis
▪ Medications in the management of SIADH
• Standing orders for endocrine emergencies
IX 5 Pharmacology and Hematology Alterations in Emergency Care
• Anticoagulants
• Antiplatelet drugs94 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
Unit Hours Content
• Thrombolytics
• Hemostatics/antifibrinolytics
• Hematopoietic growth factors
▪ Erythropoietin
▪ Colony stimulating factors
▪ Platelet enhancers
• Blood and blood products
▪ Whole blood, packed red blood cells, Leukocyte-reduced red cells, Washed red blood cells,
Fresh frozen plasma, Cryoprecipitate
▪ Albumin
▪ Transfusion reactions, Transfusion administration process
• Vaccines
• Immunostimulants
• Immunosuppressant
• Hematology emergency conditions
▪ Medications in the management of Anemia in acute illness
▪ Medications in the management of DIC
▪ Medications in the management of Thrombocytopenia and acute leukemia
▪ Medications in the management of Heparin induced thrombocytopenia
▪ Medications in the management of Sickle cell anemia
▪ Medications in the management of Tumor lysis syndrome
• Standing orders for hematology emergencies
X 3 Pharmacology and Sense Organs in Emergency Care
• Dermatology emergency conditions
▪ Medications used in burn management
▪ Medications used in wound management
• Eye, ENT emergency conditions
▪ Medications used in Eye infections
▪ Medications used in eye injuries
▪ Medications used in ENT infections
▪ Medications used in ENT injuries
• Standing orders for dermatology emergencies
XI 4 Pharmacology and Multisystem Alterations in Emergency Care
• Medications in the management of shock, sepsis, Multiple Organ Dysfunction, Systemic
inflammatory response syndrome, Anaphylaxis
• Medications in the management of Trauma, Injuries (Heat, Electrical, Near Hanging, Near
drowning)
• Medications in the management of bites, Drug overdose and Poisoning
• Medications in the management of fever in ED[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 95
Unit Hours Content
▪ Antipyretics
▪ NSAIDS
▪ Corticosteroids
• Standing orders for multi system emergencies
XII 4 Pharmacology and Infections in Emergency Care
• Antibacterial drugs
▪ Introduction
▪ Beta lactams – Penicillins, cephalosporins, monobactams, carbapenams
▪ Aminoglycosides
▪ Anti MRSA
▪ Macrolides
▪ Quinolones
▪ Miscellaneous – lincosamide group, nitroimidazole, tetracyclins and chloramphenicol,
polymyxins, anti malarials, anti fungals, anti virals
• Anti-fungal drugs
• Anti-protozoal drugs
• Anti-viral drugs
• Choice of antimicrobials
• Infectious emergency conditions
▪ Medications in the management of HIV, Tetanus, SARS, Rickettsiosis, Leptospirosis, Dengue,
Malaria, Chickungunya, Rabies, Avian flu, Swine flu and COVID 19
• Standing orders for infectious disease emergencies
XIII 2 Pharmacology and Emergencies in Children
• Drugs used in various emergencies in children
• Paediatric doses and calculations
XIV 2 Pharmacology and Obstetric Emergencies
Medications used in the management of the following
• Antenatal emergencies
▪ Hyperemesis gravidarum
▪ Ectopic pregnancy
▪ Antepartum haemorrhage
▪ Pregnancy induced hypertension
• Intra-partum emergencies
▪ Obstructed labor
▪ Ruptured uterus
• Post-partum emergencies
▪ PPH
▪ Obstetrical shock96 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
Unit Hours Content
▪ Puerperal sepsis
▪ HELLP syndrome
▪ DIC
▪ Amniotic fluid embolism
• Gynecological Emergencies:
• Ovarian cyst/abscess/torsion
• Sexual assault
• Vaginal bleeding
XV 3 Pharmacology and Mental Health Alterations in Emergency Care
Medications used in the management of the following
• Suicide
• Homicide
• Substance abuse – alcohol, drugs
• Panic attack
• Acute depression
• Sexual assault
• Post-traumatic stress disorder (PTSD)
XVI 3 Pharmacology and Trauma related emergencies
Medications used in pain management of the following
• Tetanus prophylaxis
• Prophylactic antibiotics
• Medication used in the following injuries
▪ Traumatic Shock
▪ Cranio-Facial Injuries
▪ Musculo skeletal injuries and spinal injuries
▪ Cardio thoracic injuries
▪ Abdominal injuries
▪ Injuries during pregnancy
▪ Paediatric Trauma
XVII 2 Pharmacology in Disaster Management
• Medications used in the management of various disasters
Bibliography
Johnson, T.J. (2012). Critical Care Pharmacotherapeutics, Jones & Bartlett Learning: United States of America.
Wynne, A.L., Woo, T.M. & Olyaei, A.J. (2007). Pharmacotherapeutics for Nurse Practitioner Prescribers (2nd ed.),
Philadelphia: Davis.
VI. Advanced Health/Physical Assessment in Emergency and Trauma Nursing
COMPETENCIES[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 97
1. Applies the physical assessment principles in developing appropriate system wise examination skills
2. Uses advanced health assessment skills to differentiate between variations of normal and abnormal findings
3. Orders screening and diagnostic tests based on the examination findings and institutional protocols
4. Analyzes the physical examination findings and results of various investigations and works collaboratively with
emergency physicians for development of diagnoses
5. Documents assessment, diagnosis, and management and monitors follow up care in partnership with health care
team members, patients, and families
Hours of Instruction: Theory: 70 hours; Practical/Lab: 48 hours
Unit Hours Content
I 4 Introduction
• History
• Physical examination
II 6 Cardiovascular system
• Cardiac history
• Physical examination
• Cardiac laboratory studies – biochemical markers, hematological studies
• Cardiac diagnostic studies – Electrocardiogram, echocardiography, stress testing, radiological imaging
III 6 Respiratory system
• History
• Physical examination
• Respiratory monitoring – Arterial blood gases, pulse oximetry, end-tidal carbondioxide monitoring
• Respiratory Diagnostic tests – Chest radiography, ventilation perfusion scanning, pulmonary angiography,
bronchoscopy, thoracentesis, sputum culture, pulmonary function test
IV 6 Nervous system
• Neurological history
• General physical examination
• Assessment of cognitive function
• Assessment of cranial nerve function
• Motor assessment – muscle strength, power, and reflexes
• Sensory assessment – dermatome assessment
• Neurodiagnostic studies – CT scan, MRI, PET, EEG, EMG
V 6 Genitourinary system
• History
• Physical examination
• Assessment of renal function
• Assessment of electrolytes and acid base balance
• Assessment of fluid balance
VI 4 Gastrointestinal system
• History
• Physical examination
• Nutritional assessment
• Laboratory studies – Liver function studies, blood parameters, stool test
• Diagnostic studies – radiological and imaging studies, endoscopic studies
VII 4 Endocrine system
• History, physical examination, laboratory studies, and diagnostic studies of
- Hypothalamus and pituitary gland
- Thyroid gland
- Parathyroid gland
- Adrenal gland
VIII 4 Hematological system
• History
• Physical examination
• Laboratory studies – blood parameters
• Diagnostic studies – bone marrow aspiration98 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
IX 2 Integumentary system
• History
• Physical examination
• Pathological examination – tissue examination
X 6 Musculoskeletal system
• History
• Physical examination – gait assessment, joint assessment,
• Laboratory studies – blood parameters (inflammatory enzymes, uric acid)
• Diagnostic studies – Radiological and imaging studies
XI 5 Reproductive system (Male & Female)
• History
• Physical examination
• Laboratory studies
• Diagnostic studies
XII 4 Sensory Organs
• History
• Physical examination
• Laboratory studies
• Diagnostic studies – Radiological and imaging studies, endoscopic studies
XIII 5 Assessment of children
• Growth and development
• Nutritional assessment
• Specific system assessment
XIV 5 Assessment of Obstetric patients
• History
• Physical assessment
• Laboratory studies – Blood parameters
• Diagnostic studies – Ultrasonogram, partogram
XV 3 Assessment of Psychiatric patients
• History
• Psychiatric assessment
• Laboratory studies – Blood parameters
List of skills to be practiced in the skill lab (46 hours include demonstration by the faculty and practice by the
students)
• Comprehensive history taking
• Focused history taking (system wise)
• Comprehensive physical examination
• Focused physical examination (system wise)
• Monitoring clinical parameters (system wise)
• Invasive BP monitoring, Multi-parameter Monitors, ECG, Pulse index Continuous Cardiac Output (PiCCO),
Peripheral vascular status, ABG, Pulse Oximetry, End Tidal CO (ETCO ), Intracranial Pressure (ICP), Glasgow
2 2
Coma Scale (GCS), Cranial nerve assessment, Pain (VAS) and Sedation (RASS) score, Motor assessment,
Sensory assessment, Renal function tests, Fluid balance, acid base balance, electrolytes, Bowel sounds,
Abdominal pressure, Residual gastric volume, Liver function tests, GRBS, Lab tests, Radiological and Imaging
tests (system wise)
• Ordering and interpretation of screening and diagnostic tests (system wise) (Enclosed Appendix 3)
• Assessment of children-neonate and child
• Assessment of pregnant women
Bibliography
Bickley, L.S. & Szilagyi, P.G. (2013). Bates’ Guide to Physical Examination and History Taking (11th ed.), New
Delhi: Lippincott Williams and Wilkins.
Rhoads, J. (2006). Advanced Health Assessment and Diagnostic Reasoning, Philadelphia: Lippincott Williams &
Wilkins.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 99
Wilson, S.F. & Giddens, J.F. (2006). Health Assessment for Nursing Practice (4th ed.), St. Louis, Missouri: Saunders
Elsevier.
Emergency and Trauma Specialty Courses
(Foundations of Emergency and Trauma Nursing Practice, Emergency and Trauma Nursing I and Emergency
and Trauma Nursing II)
COMPETENCIES
1. Applies advanced concepts of Emergency and Trauma nursing based on sound knowledge of these concepts.
2. Uses invasive and noninvasive technology and interventions to assess, monitor and promote physiologic stability.
3. Works in collaboration with other healthcare team members and prepares care/clinical pathways in assessment
and management of patients with acute conditions.
4. Consults with and is consulted by other health care professionals.
5. Provides nursing care related to management of acute illness and injuries, health protection, disease prevention,
anticipatory guidance, counseling, palliative care and end of life care.
6. Uses advanced skills in complex and unstable environments.
7. Applies ethically sound solutions to complex issues related to individuals, populations and systems of care.
8. Practices principles of infection control relevant to emergency and trauma care.
9. Practices independently within the legal framework of the country towards the interest of patients, families and
communities.
10. Develops practice that is based on scientific evidence.
11. Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and discontinue
therapeutic relationships.
12. Creates and maintains a safe therapeutic environment using risk management strategies and quality improvement.
13. Adapts practice to the social, cultural and contextual milieu.
VII. Foundations of Emergency and Trauma Nursing Practice
Hours of Instruction: Theory: 96 hours, Practical/Skill Lab: 48 hours
Unit Hours Content
I 10 Introduction to Emergency and Trauma Nursing
• Introduction to the course
• Review of anatomy and physiology of vital organs (Brain, Spinal Cord, Lungs, Heart, Kidney, Liver,
Pancreas, Thyroid, Adrenal and Pituitary gland)
• Historical review – Emergency and Trauma Nursing
• Definition of Emergency Nursing
• Principles of Emergency and Trauma Nursing
• Trends and scope of Emergency and Trauma Nursing
• Nursing Emergency and Trauma care unit set up (Resuscitation Area, Observation area, equipment,
supplies, beds and accessories, use and care of various type of monitors & ventilators, Flow sheets, supply
lines and the environment)
• Personnel in Emergency and Trauma care unit
▪ Nursing staff
▪ Doctors
▪ Emergency Medical Technicians
▪ Social workers
▪ Ancillary staff
• Technology in Emergency and trauma care
• Healthy work environment
• Future challenges in Emergency and Trauma Nursing
II 5 Concept of Holistic care applied to Emergency and Trauma Nursing practice
• Application of nursing process and integrated care/clinical pathways in caring for patients requiring
emergency and trauma care
• Admission and monitoring of patients in Emergency and Trauma care unit
• Overview of Emergency and Trauma care unit Management
▪ Ensure adequate airway
▪ Ensure optimal tissue oxygenation100 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
Unit Hours Content
▪ Ensure adequate circulation
▪ Maintain temperature
▪ Ensure adequate pain management
▪ Maintain fluid and electrolyte balance
▪ Ensure initial symptomatic management
▪ Organ protection
▪ Infection control
• Restraints in emergency and trauma care – physical, chemical and alternatives to restraints
• Death in Emergency and trauma care unit: End of life care/Care of dying, care of family, organ donation
• Transport of the emergency and trauma patients – By air ambulance and surface ambulance
• Stress and burnout syndrome among health team members
III 10 Appraisal of the patients with emergency and trauma conditions
Assessment of the patients with emergency and trauma conditions
• Emergency assessment
• Respiratory assessment
• Cardiac assessment
• Renal assessment
• Neurological assessment
• Gastrointestinal assessment
• Endocrine assessment
• Musculoskeletal assessment
• Integumentary assessment
• Eye, ENT assessment
• Assessment in children
• Assessment in pregnant women
• Assessment in patients with psychiatric conditions
Monitoring of the patients with emergency conditions
• Arterial blood gas (ABG)
• Capnography
• Hemodynamics
• Electrocardiography (ECG)
• Glasgow Coma Scale (GCS)
• Richmond agitation sedation scale (RASS)
• Pain score
• Braden score
IV 14 Advanced Concepts and Principles of Emergency and trauma Care
• Principles of cardio-pulmonary-brain resuscitation
▪ BLS
▪ ACLS
▪ PALS
▪ NALS
• Airway management
• Oxygenation and oximetry, care of patient with oxygen delivery devices
• Ventilation and ventilator support (including humidification and inhaled drug therapy), care of patient with
invasive and non-invasive ventilation
• Circulation and perfusion (including hemodynamic evaluation and waveform graphics)
• Types of shock and management
• Glycemic control, care of patient with glycemic imbalances
V 8 Pain assessment and Management
• Pain in patients with emergency and trauma conditions
• Pain – Types, Theories
• Physiology, Systemic responses to pain and psychology of pain Review
• Acute pain services
• Pain assessment – Pain scales, behavior and verbalization
• Pain management-pharmacological (Opioids, benzodiazepines, propofol, Alpha agonist, Tranquilisers,
Neuromuscular blocking agents)
• Nonpharmacological management
• Transcutaneous electrical nerve stimulation (TENS)
VI 8
Psychosocial and spiritual alterations: Assessment and management[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 101
Unit Hours Content
• Stress and psychoneuroimmunology
• Post-traumatic stress reaction
• Acute Psychosis, Anxiety, Agitation, Delirium
• Alcohol withdrawal syndrome and delirium tremors
• Collaborative management
• Sedation and Relaxants
• Spiritual challenges in emergency and trauma care
• Coping with stress and illness
• Care of family of the patient with emergency and trauma condition
• Crisis counseling and communication
VII 4
Patient and family education and counseling
• Challenges of patient and family counseling
• Informational needs of patients and families in emergency and trauma care units
• Counseling needs of patient and family
• Crisis counseling techniques
VIII 6
Fluid, electrolyte and acid base alterations
• Review of Fluid, electrolyte and acid base balance
• Assessment and management of Fluid, electrolyte and acid base imbalances
IX 4
Thermoregulation and management
• Review on thermoregulation
• Hyperthermia related emergencies
• Hypothermia related emergencies
• Management of patients with thermoregulatory emergencies
X 5
Infection control in emergency care
• Nosocomial infection in emergency care unit; methyl resistant staphylococcus aureus (MRSA) and other
recently identified strains
• Disinfection, Sterilization,
• Standard safety measures,102 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
Unit Hours Content
• Prophylaxis for staff
• Antimicrobial therapy – review
XI 6 Legal and ethical issues in Emergency and trauma care-Nurse’s role
Legal issues
• Legislations and regulations related to emergency care
• Consumer Protection Act (CPA)
• Negligence & Malpractice
• Medical futility
• Constitutional Law: Patient decision making
• Legal responsibilities of nurses
• Medico legal aspects in emergency and trauma care
• Policies and protocol related to MLC
• Documentation related to MLC
Ethical Issues
• Introduction
• Code of Ethics, code of professional conduct and practice standards of Nursing in India
• Ethical principles
• Ethical issues in emergency and trauma care
• Ethical decision making in emergency and trauma care – withholding treatment, managing Scarce resource
in emergency care
• Strategies for promoting ethical decision making
• Brain death, Organ donation & Counseling,
• Do Not Resuscitate (DNR), Euthanasia, Living will
XII 8 Quality assurance
• Design of Emergency and trauma care units
• Quality assurance models applicable to Emergency and trauma care units
• Standards, Protocols, Policies, Procedures
• Infection control policies and protocols
• Standard safety measures[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 103
Unit Hours Content
• Nursing audit relevant to emergency and trauma care
• Staffing
XIII 3 Evidence based practice in Emergency and Trauma Nursing
• Evidence based practice in emergency and trauma care
• Barriers to implementation
• Strategies to promote implementation
5 Class tests
List of skills to be practiced in the skill lab (46 hours include demonstration by the faculty and practice by the
students)
• CPR (BLS and ACLS)
• Airway Management
o Airway maintenance techniques
▪ Head tilt and chin lift maneuver
▪ Jaw thrust maneuver
▪ Suctioning – open/closed
▪ Oropharyngeal airway
▪ Nasopharyngeal airway
▪ Laryngeal mask airway
o Definitive airway management
▪ Endo tracheal intubation
o Surgical airway management
▪ Cricothyroidotomy
▪ Tracheostomy
• Oxygenation and oximetry, care of patient with oxygen delivery devices
o Devices to measure oxygen/oxygenation
▪ Oximetry – Pulse oximetry, Venous oximetry
▪ PF (PaO /FiO ) ratio
2 2
o Capnography104 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
o Non-invasive ventilation
▪ Low flow variable performance devices: nasal catheters/cannulae/double nasal prongs, face mask, face
mask with reservoir bags
▪ High flow fixed performance devices : Entrainment (Venturi) devices, NIV, T pieces, breathing circuits
• Ventilation and ventilator support
o Setting up of ventilators
o Connecting to ventilator
o Weaning from ventilator
o Extubation
o Humidifiers
o Nebulizers – jet, ultrasonic
o Inhalation therapy – metered dose inhalers (MDI), dry powder inhalers (DPI)
• Circulation and perfusion (including hemodynamic evaluation and waveform graphics)
o Non-invasive BP monitoring
o Invasive blood pressure monitoring
o Venous pressure (Peripheral, Central and Pulmonary artery occlusion pressure)
o Insertion and removal of arterial line
o Insertion and removal of central line
o Pulse index Continuous Cardiac output (PiCCO)
o Electrocardiography (ECG)
o Waveforms
• Fluids and electrolytes
o Fluid calculation and administration (crystalloids and colloids)
o Administration of blood and blood products
o Inotrope calculation, titration and administration
▪ Cardiac glycosides – Digoxin
▪ Sympathomimetics – Dopamine, dobutamine, epinephrine, isoproterenol, norepinephrine, phenylephrine
▪ Phosphodiesterase inhibitors – amrinone, milrinone
o Electrolyte correction (Sodium, potassium, calcium, phosphrous, magnesium)
o Use of fluid dispenser, syringe pump and infusion pumps
• Evaluation of acid base status[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 105
o Arterial blood gas (ABG)
o Correction of acidosis and alkalosis
• Thermoregulation, care of patient with hyper/hypothermia
o Temperature probes
o Emergency care management of hyper and hypothermia
• Glycemic control, care of patient with glycemic imbalances
o Monitoring GRBS
o Insulin therapy (sliding scale and infusion)
o Management of Hyperglycemia – IV fluids, insulin therapy, potassium supplementation
o Management of hypoglycemia – Dextrose IV
• Pharmacological management of pain, sedation, agitation, and delirium
o Calculation, loading and infusion of – Morphine, Fentanyl, Midazolam, Lorazepam, Diazepam, Propofol,
Clonidine, Dexmedetomidine, Haloperidol, Ketamine
o Epidural analgesia – sensory and motor block assessment, removal of epidural catheter after discontinuing
therapy, change of epidural catheter site dressing, insertion and removal of subcutaneous port for analgesic
administration, intermittent catheterization for urinary retention for patients on epidural analgesia/PCA, dose
titration for epidural infusion, epidural catheter adjustment, purging epidural drugs to check patency of
catheter and also for analgesia
• Counseling
• Family education
VIII. Emergency and Trauma Nursing – I
Hours of Instruction: Theory: 96 hours, Practical: 48 hours
Unit Hours Content
I 5 Introduction
• Review of anatomy & physiology of vital organs
Triage
• History, Concepts in Triage, Triage Systems, Triage Acuity Rating Systems, The Triage Process,
Ambulance Triage, Triage Documentation, Triage Reassessment, Triage Nurse role and qualifications,
Ambulance system
• Air and Surface Patient Transport, Types of Transport, Transport Process,
• Centralised Accident and Trauma Services (CATS) Ambulance106 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
II 12 Cardiovascular Emergencies
• Review of Clinical assessment, pathophysiology, and pharmacology
• Special diagnostic studies
• Cardiovascular conditions requiring emergency management
▪ Cardiac arrhythmias – Heart block and Dysthymias
▪ Coronary heart disease – Acute coronary syndrome, Angina Pectoris, Stable angina, Myocardial
infarction
▪ Contractility disorders – Cardiomyopathy, congestive heart failure, Pulmonary edema, Cardiogenic
shock tamponade
▪ Infectious and inflammatory cardiac disorders – Valvular heart diseases, Endocarditis, Myocarditis,
Pericarditis
▪ Vascular and thromboembolic disorders – aortic dissection/aneurysm rupture, deep vein thrombosis,
hypertensive emergencies, occlusive arterial disease, thrombophlebitis, pulmonary embolism,
pulmonary hypertension
• Cardiovascular therapeutic management
▪ Defibrillation
▪ Cardioversion
▪ Implantable cardioverter defibrillators
▪ Pacemakers
▪ Thrombolytic therapy
▪ Radiofrequency catheter ablation
▪ Percutaneous Transluminal Coronary Angioplasty (PTCA)
▪ Cardiac surgery –Coronary artery bypass grafting (CABG)/Minimally invasive coronary artery surgery
(MICAS), Valvular surgery, vascular surgery, Cardiac transplant
▪ Mechanical circulatory assistive devices – Intra aortic balloon pump
▪ Effects of cardiovascular medications
▪ Ventricular assist devices (VAD)
▪ Extra corporeal membrane oxygenation (ECMO)
• Recent advances and development[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 107
III 12 Respiratory Emergencies
• Review of Clinical assessment, pathophysiology, and pharmacology
• Special diagnostic studies
• Pulmonary conditions requiring emergency care management
▪ Acute Inflammatory and Infectious disorders – asthma, Status asthmaticus bronchitis, bronchiolitis,
pneumonia, empyema, COPD exacerbation, lung abscess, pleurisy and pleural effusion
▪ Other disorders: acute lung injury, atelectasis, ARDS, spontaneous pneumothorax
▪ Acute complications of pulmonary and metastatic tumours
• Pulmonary therapeutic management
▪ Bronchial hygiene: Nebulization, deep breathing and coughing exercise, chest physiotherapy and
postural drainage
▪ Chest tube insertion and care of patient with chest drainage
▪ Mechanical ventilation – Invasive and Non-invasive ventilation
• Recent advances and development108 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
IV 12
Neurological Emergencies
• Review of Clinical assessment, pathophysiology, and pharmacology
• Special diagnostic studies
• Neurological conditions requiring emergency care management
▪ Acute Inflammatory and Infectious disorders – brain abscess, encephalitis, Guillain-Barrè syndrome,
meningitis, peripheral facial palsy (Bell’s palsy), temporal arteritis
▪ Tumours common presentations and acute complications of neurological and metastatic tumours
▪ Vascular disorders: carotid artery dissection, stroke, subarachnoid haemorrhage, subdural and extradural
haematomata, transient ischaemic attack, venous sinus thrombosis
▪ Acute complications of neurological conditions coma, increased intra cranial pressure, acute peripheral
neuropathies, encephalopathy, seizures and status epilepticus
▪ Organ donation – Brain death criteria
• Neurologic therapeutic management
▪ Intracranial pressure – Assessment and management of intracranial hypertension
▪ External Ventricular Drain
▪ Stroke protocol and the concept of stroke team
▪ Thrombolysis in acute ischemic stroke,
▪ Mechanical thromboembolectomy
▪ Craniotomy
▪ Process of organ donation
• Recent advances and development
V 12 Genitourinary and Renal Emergencies
• Review of Clinical assessment, pathophysiology, and pharmacology
• Special diagnostic studies
• Nephrology conditions requiring emergency care management
▪ Acute Inflammatory and Infectious disorders – epididymo-orchitis, glomerulonephritis, pyelonephritis,
prostatitis, sexually transmitted diseases, urinary tract infections
▪ Metabolic disorders – acute renal failure, nephrotic syndrome, nephrolithiasis, uraemia Renal calculi,
▪ Vascular disorders: Ischaemia and Bleeding
▪ Other disorders – comorbidities in dialysis and renal transplanted patients, complications of urological
procedures and devices, haemolytic uraemic syndrome
• Nephrology therapeutic management
▪ Insertion of indwelling urethral catheter
▪ Suprapubic cystostomy
▪ Testicular torsion reduction
▪ Renal Replacement therapy: Dialysis – Haemodialysis and peritoneal dialysis
• Recent advances and development[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 109
VI 10 Gastrointestinal Emergencies
• Review of Clinical assessment, pathophysiology, and pharmacology
• Special diagnostic studies
• Gastrointestinal conditions requiring emergency care management
▪ Acute Inflammatory and infectious disorders – appendicitis, cholecystitis, cholangitis, diverticulitis,
exacerbations and complications of inflammatory bowel diseases, gastritis, gastroenteritis, gastro-
oesophageal reflux disease, hepatitis, pancreatitis, peptic ulcer, peritonitis
▪ Metabolic disorders hepatic disorders, hepatic failure
▪ Mechanical problems – foreign bodies, hernia strangulation, intestinal obstruction and occlusion
▪ Vascular disorders/Ischaemia and bleeding: ischaemic colitis, upper and lower gastrointestinal bleeding,
mesenteric ischaemia
▪ Other problems complications of gastrointestinal devices and surgical procedures
• Gastrointestinal therapeutic management
▪ Gastric lavage
▪ Peritoneal lavage
▪ Abdominal paracentesis
• Recent advances and development
VII 8 Musculoskeletal Emergencies
• Review of Clinical assessment, pathophysiology, and pharmacology
• Special diagnostic studies
• Musculoskeletal conditions requiring emergency care management
▪ Acute Inflammatory and Infectious disorders, bursitis, cellulitis, complications of systemic rheumatic
diseases, necrotising fasciitis, osteomyelitis, soft tissue infections
▪ Metabolic disorders complications of osteoporosis and other systemic diseases
▪ Tumours: pathological fractures
• Orthopedic therapeutic management
▪ Antibiotic therapy
▪ Immobilization
• Recent advances and development
VIII 10 Endocrine Emergencies
• Review of Clinical assessment, pathophysiology, and pharmacology
• Special diagnostic studies
• Endocrine conditions requiring emergency care management
▪ Adrenal insufficiency and crisis
▪ Disorders of glucose metabolism hyperosmolar hyperglycaemic state, hypoglycaemia, ketoacidosis
▪ Thyroid disease emergencies myxoedema coma, thyroid storm
▪ Neuroendocrinology of stress and acute illness
▪ SIADH
• Endocrine therapeutic management
▪ Insulin therapy – sliding scale
• Recent advances and development
IX 10 Hematological Emergencies
• Review of Clinical assessment, pathophysiology, and pharmacology
• Special diagnostic studies
• Hematology conditions requiring emergency care management
▪ Anaemia – in acute illness, sickle cell crisis
▪ Complications of lymphomas and leukaemias
▪ Acute Inflammatory and Infectious disorders neutropenic fever, infections in immuno-compromised
patients
▪ Vascular disorders/Ischaemia and bleeding: acquired bleeding disorders (coagulation factor deficiency,
disseminated intravascular coagulation), drug induced bleeding (anticoagulants, antiplatelet agents,
fibrinolytics), idiopathic thrombocytopenic purpura, thrombotic thrombocytopenic purpura, DIC
▪ Transfusion reactions
• Hematology therapeutic management
▪ Autologus blood transfusion
• Recent advances and development
5 Class tests110 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
List of skills to be practiced in the skill lab (69 hour include demonstration by the faculty and practice by the
students)
• Cardiovascular alterations
o Thrombolytic therapy
o Use of equipment and their settings – Defibrillator, PiCCO, Pacemakers, Intra-aortic balloon pump (IABP),
ECMO
• Pulmonary alterations
o Tracheostomy Care
o Nebulization
o Chest physiotherapy
o Chest tube insertion
o Chest drainage
• Neurological alterations
o Monitoring GCS
o Monitoring ICP
o Sedation score
o Application of cervical collar and cervical traction
o Brain Death Evaluation
• Genitourinary and Renal alterations
o Insertion of indwelling urethral catheter
o Suprapubic cystostomy
o Dialysis
▪ Haemodialysis
▪ Peritoneal dialysis
o Testicular torsion reduction
• Gastrointestinal alterations
o Insertion of nasogastric tube
o Abdominal paracentesis
• Musculoskeletal alterations
o Use of splints and immobilizing devices
o
• Endocrine alterations
o Collection of blood samples for cortisol levels, sugar levels, and thyroid hormone levels
o Calculation and administration of corticosteroids
o Calculation and administration of Insulin – Review
• Hematological alterations
o Infection control practices – reverse barrier technique
o Blood transfusion
o Care of invasive lines
o Bone marrow aspiration[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 111
IX. Emergency and Trauma Nursing – II
Hours of Instruction: Theory: 96 hours, Practical: 48 hours
Unit Hours Content
I 10 Sense Organ Emergencies
• Review of Clinical assessment, pathophysiology, and pharmacology
• Special diagnostic studies
• Conditions requiring emergency care management
• Skin
▪ Burns
▪ Wounds
• Therapeutic management
▪ Management of wounds
▪ Fluid resuscitation in burns
▪ Acute Inflammatory and Infectious disorders – conjunctivitis, periorbital cellulitis, uveitis
▪ Vascular disorders: retinal artery and vein occlusion, vitreous haemorrhage
▪ Foreign bodies in the eye
▪ Other conditions – acute glaucoma, acute vision loss, retinal detachment
• Therapeutic management
▪ Eye irrigation
▪ Foreign body removal
▪ Recent advances and development
• ENT
▪ Acute infections and inflammations of Ear, Nose and Throat
▪ Complications of tumours, airway obstruction
▪ Foreign bodies
▪ Acute Inflammatory and Infectious disorders angio-oedema, epiglottitis, laryngitis, paratonsillar
abscess, Ludwing’s angina
• Therapeutic management
▪ Airway management techniques
▪ Inspection of oropharynx and larynx
▪ Otoscopy
▪ Insertion and replacement of tracheostomy tube
▪ Foreign body removal
• Recent advances and development
II 10 • Multi system alterations requiring emergency care
▪ Shock
▪ Sepsis
▪ Systemic inflammatory response syndrome
▪ Multiple Organ Dysfunction
▪ Anaphylaxis
▪ DIC
▪ Other injuries (Heat, Electrical, Near Hanging, Near drowning)
▪ Electricity – electrical and lightening injuries
▪ Flora and Fauna – injuries from exposure, bites and stings
▪ High-altitude (medical problems)
▪ Temperature – heat and cold related emergencies)
▪ Water – near-drowning, dysbarism and complications of diving, marine fauna
• Recent advances and development
III 5 • Toxicology
▪ General principles of toxicology and management of poisoned patients
▪ Principles of drug interactions
▪ Poisoning – Drug overdose, Chemicals, Corrosives, Herbal
• Forensic issues
▪ Basics of relevant legislation in India
▪ Appropriate history collection and physical examination
▪ Recognise and preserve evidence (Sample collection)
▪ Appropriate reporting and referrals (e.g. child abuse or neglect, gunshot and other forms of penetrating
wounds, elder abuse, sexual assault allegations)
• Therapeutic management
▪ Administration of antidotes
▪ Gastric lavage
▪ Decontamination
• Recent advances and development112 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
Unit Hours Content
IV 10 • Specific infections in emergency care
▪ Common viral and bacterial infections
▪ Food and water-born infectious diseases
▪ Air born infectious diseases
▪ HIV infection and AIDS
▪ Parasitosis – Malaria, Dengue
▪ Rabies
▪ Sepsis and septic shock
▪ Tetanus
• Pandemic – Flu Scares, Avian Influenza A(H5N1), COVID 19
• Recent advances and development
V 10 Emergency care in Obstetrics and Gynaecology
• Physiological changes in pregnancy
• Conditions requiring emergency care
• Antenatal emergencies
▪ Hyperemesis gravidarum
▪ Ectopic pregnancy
▪ Antepartum haemorrhage – abruptio placentae, placenta praevia
▪ Pregnancy induced hypertension
• Intra-partum emergencies
▪ Eclampsia
▪ Obstructed labor
▪ Ruptured uterus
• Post-partum emergencies
▪ PPH
▪ Obstetrical shock
▪ Puerperal sepsis
▪ HELLP syndrome
▪ DIC
▪ Amniotic fluid embolism
• Gynecological Emergencies
▪ Ovarian cyst/abscess/torsion
▪ Pelvic inflammatory disease
▪ Sexual assault
▪ Vaginal bleeding
• Therapeutic management
▪ Emergency delivery
▪ Management of PPH
• Recent advances and development
VI 10 Emergency care in children
• Prominent anatomical and physiological differences and implications
• Medical and Surgical emergencies:
▪ Respiratory
▪ Cardiovascular
▪ Neurological
▪ Gastrointestinal
▪ Genitourinary
▪ Endocrine
▪ Infectious disease emergencies
▪ Skin lesions and burns
▪ Poisoning, Foreign bodies, drowning
▪ Accidents
▪ Shocks
• Selected pediatric challenges
▪ Ventilatory issues
▪ Medication administration
▪ Pain Management
▪ Child abuse and Sexual assault, Interaction with children and families
VII 6 Emergency care in Psychiatry
• Review of Psychiatric assessment, pathophysiology, and pharmacology
• Psychiatric conditions requiring emergency care management
• Common psychiatric emergencies – acute psychosis, anorexia and bulimia complications, anxiety and
panic attacks, conversion disorders, deliberate self-harm and suicide attempt, depressive illness, personality
disorders, substance, drug and alcohol abuse[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 113
Unit Hours Content
• Sexual assault
• Post-traumatic stress disorder (PTSD)
• Therapeutic management
• Electro Convulsive Therapy
VIII 15 Trauma Management
• Concepts in trauma care, Biomechanics of Injury, Trauma Prevention,
• Initial assessment & early management of trauma
• Immediate management of pelvic trauma, resuscitation, transport of pregnant women
• Management of:
▪ Airway in trauma
▪ Dental and facial injuries
▪ Cardio thoracic injuries
▪ Traumatic Shock
▪ Head injuries
▪ Cranio Facial Injuries
▪ Musculo skeletal injuries and spinal injuries
▪ Abdominal and pelvic injuries
▪ Poly trauma
▪ Paediatric Trauma
▪ Geriatric trauma
▪ Pain management – Narcotics, local anaesthesia, nerve blocks
▪ Post-trauma rehabilitation
▪ Role of a nurse in trauma management
• Therapeutic management
▪ Endotracheal intubation, Cricothyroidotomy
▪ ICD insertion
▪ Massive transfusion protocol
▪ Crush injury protocol
▪ Wound management
▪ Pain Management techniques
▪ Immobilisation techniques
• Recent advances and development
IX 10 Disaster management
• Introduction
• Concepts & Principles of disaster management
• Types of disaster
• Terminologies in disaster management
• Disaster triage
• Hazard identification and risk analysis
• Disaster management cycle
• Community disaster management
• In hospital disaster management
• Mass casualty management
• Psychosocial aspects in disaster management
• Ethics in disaster management
• Policies and authorities related to emergency/disaster management; International, national, state,
institutional
• Recent advances and development
X 5 Pre-hospital care
• Emergency Medical Services – organisation
• Ambulance – Policies & protocol, administration, staffing, resources,
• Paramedic training and function
• Collaboration with other emergency services – Government, police, fire department, NGOs
Transportation of the critically ill patient
• Telecommunication and telemedicine procedures
• Preparation towards transportation
• Standing orders
• Monitoring and treatment during transportation
5 Class tests114 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
List of skills to be practiced in the skill lab (69 hours include demonstration by the faculty and practice by the
students)
• Sense organs alterations
o Burn fluid resuscitation
o Burn feeds calculation
o Burn dressing
o Burns bath
o Wound dressing
o Foreign body removal – Eye, Ear, Nose and Throat
o Eye irrigation
• Multi system alterations requiring emergency care
o Administration of anti-snake venom
o Administration of Antidotes
o Gastric lavage
o Cooling and warming techniques
o Toxicology
o Eye irrigation
o Skin decontamination
o Forensic sample collection
• Specific infections in emergency care
o Isolation precautions
o Disinfection and disposal of equipment
• Emergency care in Obstetrics and Gynaecology
o Obstetrical assessment, partogram
o Vaginal examination using speculum
o Use equipment – incubators, warmers
o Assessment of the sexual assault victim
▪ Emergency care in Paediatrics
o Paediatric airway management
o PALS
o Intraosseous cannulation
o
▪ Emergency care in Psychiatry
o Psychiatric assessment
▪ Trauma management
o Airway management techniques in Trauma
o ICD insertion
o Fluid resuscitation
o Intraosseous cannulation
o Focused assessment with sonography in trauma
o Splinting[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 115
o Log rolling
o Wound management
o Suturing
o Reduction of fractures and dislocation of joints
o Nerve blocks
• Disaster management
o Formulate protocol for In – Hospital disaster management
o Hazard vulnerability mapping
o Training community volunteers on Disaster management
o Decontamination
▪ Pre-hospital care
o Checklist for transfer of critically ill patient
The skills listed under the Specialty courses such as Foundations of Emergency and Trauma Nursing
Practice, Emergency and Trauma Nursing I and Emergency and Trauma Nursing II are taught by the
faculty in skill lab. The students after practicing them in the lab, will continue to practice in the
Emergency and Trauma Care (ETC) Unit. The log book specifies all the requirements to be completed
and the list of skills that are to be signed by the preceptor once the students develop proficiency in
doing the skills independently.
Learning Resources
1. List of Textbooks
• Abliash K.P.P. (2019). Emergency Medicine, Best Practices at CMC (EMAC) (2nd ed.), Jaypee Brothers
Publications.
• Brunner and Suddarths (2014). Text Book of Medical Surgical Nursing, Vol. 1 (13th ed.), South Asian
Edition, Published by Wolters Kluwer.
• Daniel Limmer, Michael F. O’keefe. Emergency Care (12th ed.), Pearson Education, Inc., 2011. ISBN
10:013254380X, ISBN 13:9780132543804.
• Fraser M. Diane & Cooper A Margaret (2001). Myles Text Book for Midwives (14th ed.), Churchill
Livingstone, Edinburgh.
• Hickey, A. Joanne (2003). The Clinical Practice of Neurological and Neurological Nursing (5th ed.),
Lippincott Company, Philadelphia.
• John, G., Subramani, K., Peter, J.V., Pitchamuthu, K. & Chacko, B. (2011). Essentials of Critical Care (8th
ed.), Christian Medical College: Vellore.
• Kathleen Sanders Jordan, Emergency Nursing Care Curriculum (5th ed.), Philadelphia.
• W.B. Saunders Company: A division of Harcourt Brace & Company, 2000.
• Karen A., McQuillan, Eileen Whalen (2008). Trauma Nursing.
• Morton, P.G. & Fontaine, D.K. (2013). Critical Care Nursing: A Holistic Approach (9th ed), Lippincott
Williams and Wilkins: Philadelphia.
• Nelson (2011). Text book of Paediatrics (19th ed.), Elsevier Publications, Philadelphia.
• Newberry, Lovene (2003). Sheehy’s Emergency Nursing – Principles and Practices (6th ed.), Mosby St.
Louis.
• Patrica Kunz Howard, Rebeeca A. Steinmann. Sheehy’s Emergency Nursing Principles and Practice (6th
ed.), Elsevier. ISBN 13:9780323055857.
• Perrin, K.O. (2009). Understanding the Essentials of Critical Care Nursing. New Jersey: Pearson Education.
• Rosens E, John Marx (2006). Emergency Medicine Concepts & Clinical Practice (6th ed.), Mosbys Elsevier.116 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
• Suresh David (2012). Textbook of Emergency Medicine (2nd ed.), Wolterscluwer, Lippincott, Williams &
Williams. ISBN 13:978818473628. ISBN 13:978818473202.
• Tintinalli, E. Judith (2000). Emergency Medicine (5th ed.), McGraw Hill New York.
• Walsh, Mike & Kent, Andrew (2001). Accident and Emergency Nursing (4th ed.), MPS Books Limited
Bodmin, Cornwall.
2. List of Journals
• Journal of Emergency Nursing (http://www.jenonline.org/)
• The Advanced Emergency Nursing Journal (AENJ)
(http://journals.lww.com/aenjournal/pages/default.aspx)
3. List of Electronic Materials (eg. Web Sites, Social Media, Blackboard, etc.)
• Nursecom (http://www.nursecom.com/webTutorials.html)
• Emergency nursing resources (https://www.ena.org/ienr/enr/Pages/Default.aspx)
4. Other learning materials such as computer-based programs/CD, professional standards or regulations and
software.
• BLS and CPR complete CD package
• Electronic materials provided by the faculty like e-lectures and e-books.
Recommended Course to Complete:
• BLS
• ACLS
• ATLS
• PALS
APPENDIX 1
EQUIPMENT LIST FOR A TEN BEDDED EMERGENCY AND TRAUMA UNIT
1. Patient trolley with mattress – 10
2. IV stand – 10
3. Over bed trolley – 5
4. Dressing trolley (Small) – 5
5. Dressing trolley (medium) – 2
6. Syringe pump – 20
7. Infusion pump – 15
8. Monitors – 11 (10 – patients; 1 – stock)
9. Transport monitor/pulse oximeter – 2
10. Ventilators – 5
11. Portable ventilators – 1
12. ABG machine – 1
13. ECG machine – 1
14. Ultrasound machine – 1
15. Doppler machine – 1
16. Defibrillator – 2
17. Blood warmer – 1
18. LEAD shield – 1
19. Crash cart – 2
20. OR trolley – 4[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 117
21. Safe slider – 2
22. Computer – 4
23. Printers – 2
24. Bain circuit – 12
25. Oxygen flow meter – 15
26. Suction port with jar – 15
27. Air flow meter/pulmoaid – 2
28. Refrigerator – 2 (1 – drugs, 1 – other use)
29. Metal foot step/foot stool – 5
30. UPS – 1
31. Spot light – 2
32. Labelling machine – 1
33. Glucometer – 2
34. Ambu bag with different sizes – 10 sets
35. Intubating videoscope – 1
36. Trays with sterile sets/disposable sets for various procedures (e.g. Insertion of central venous catheter,
tracheostomy etc.)
37. Minimum standards for Indian ETCU (As per Indian Health facility Guidelines, 2014)
The following areas are required for smooth functioning of Emergency and Trauma Unit
➢ Reception and Triage
➢ Ambulance Bay
➢ Decontamination facility
➢ Resuscitation Area
➢ Acute treatment bay
➢ Minor Operating room area
➢ Step down facility
➢ Short stay ward
➢ Isolation unit
➢ Acute psychiatric unit
➢ Patient toilet/shower
➢ Consultation areas
➢ Laboratory area
➢ Pharmacy
➢ Staff Station
➢ Staff lounge
➢ Staff toilet and changing room facility
➢ Store room
➢ Patient trolley bay
➢ Clean and dirty utility room.118 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
APPENDIX 2
ASSESSMENT GUIDELINES (including OSCE Guidelines)
INTERNAL ASSESSMENT (Theory and Practical)
I Year
1. Theoretical Basis for Advanced Practice Nursing
College Examination of theory only: 50 marks
Internal Assessment:
Test paper/Quiz: 10 marks
Written assignment/term paper: 10 marks (Global and national healthcare trends & policies)
Clinical seminar (Clinical/Care pathway in specific clinical condition/Application of specific nursing theory):
5 marks
Final theory college exam: 25 marks
Total Marks: 50 marks
2. Research Application and Evidence Based Practice in Emergency Care
Theory:
Test papers: 20 marks
Written assignment: 5 marks (Literature review/Preparation of research instrument)
Journal club: 5 marks (Analysis of research evidence for ED nursing competencies)
Total : 30 marks
3. Advanced Skills in Leadership, Management and Teaching Skills
Theory:
Test papers : 15 marks
Journal club (Trends in Leadership/management/Teaching): 5 marks
Written assignment: 5 marks (ETC) unit work place violence)
Microteaching: 5 marks
Total : 30 marks
4. Advanced Pathophysiology & Advanced Pharmacology relevant to Emergency and Trauma Nursing
Theory:
Test papers and Quiz: 20 marks (Pathophysiology-10, Pharmacology-10)
Drug studies-5 marks (Drug study and presentation)
Case presentation and case study report (Pathophysiology): 5 marks
Total : 30 Marks
5. Advanced Health/Physical Assessment
Theory:
Test papers: 20 marks
Written assignment: 10 marks (Diagnostic/investigatory reports-interpretation and analysis of findings)
Total: 30 marks
Practicum:
Clinical performance evaluation: 10 marks
End of posting exam (OSCE)-10 marks
Case presentation and case study report – 5 marks[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 119
Internal OSCE: 25 marks
Total Internal practical: 50 marks
End of posting exam can be conducted in Emergency and Trauma Unit
II Year
1. Foundations of Emergency and Trauma Nursing
Theory:
Test papers and Quiz: 20
Written assignment: 10 marks (ED protocols)
Total: 30 marks
Practicum:
Clinical Performance evaluation: 20 marks
End of posting exam (OSCE) – 10 marks
Drug studies (Drug study and presentation): 10 marks
Case presentation and case study report (Family education/counseling): 5 marks
Case presentation (Application of Clinical/Care Pathway): 5 marks
Internal OSCE: 50 marks
Total Internal practical: 100 marks
2. Emergency and Trauma Nursing I
Theory:
Test papers and Quiz: 20 marks
Clinical Seminar and Journal club: 10 marks
Total: 30 marks
Practicum:
Clinical performance evaluation: 20 marks
End of posting exam (OSCE)-10 marks
Clinical presentation: 10 marks
Case study report: 10 marks
Internal OSCE: 50 marks
Total Internal practical: 100 marks
3. Emergency and Trauma Nursing II
Theory:
Test papers: 20 marks
Clinical Seminar: 10 marks
Total: 30 marks
Practicum:
Clinical performance evaluation: 20 marks
End of posting exam (OSCE)-10 marks
Clinical presentation: 10 marks
Case study report (Developed clinical/care pathway): 10 marks
Internal OSCE:50 marks
Total Internal practical: 100 marks120 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
End of posting exam can be conducted in Emergency and Trauma Unit
4. Dissertation
Practicum: 50 marks
EXTERNAL (FINAL) EXAMINATION (As per schedule in syllabus)
Theory: Short answer and essay type questions (Weightage can be decided by the University) {Essay 2 × 15
marks = 30, Short answers 5 × 6 marks = 30, Very short 5 × 2 marks = 10}
OSCE GUIDELINES FOR INTERNAL AND EXTERNAL PRACTICAL EXAMINATION
Ist YEAR
I. HEALTH ASSESSMENT
INTERNAL
OSCE: 25 marks
CORE COMPETENCY DOMAINS
1. Focused history taking and physical examination of adult patient
2. Focused history taking and physical examination of pediatric patient
3. Interpretation of findings and results
4. Monitoring of clinical parameters
Number of stations: 5 (4 + 1 Rest station)
Time for each station: 10 minutes
Marks for each station: 5 marks (As per competency Check list and allotted marks)
Total: 4 × 5 = 20 marks
Oral exam = 5 marks
Total = 25 marks
EXTERNAL
OSCE: 50 marks
CORE COMPETENCY DOMAINS
1. Focused history taking of adult patient
2. Focused physical examination of adult patient
3. Focused history taking of pediatric patient
4. Focused physical examination of pediatric patient
5. Interpretation of history and physical examination findings
6. Interpretation of results of lab and diagnostic tests
7. Monitoring clinical parameters
Number of stations: 10 (8 + 2 Rest stations)
Time for each station: 10 minutes
Marks for each station: 5 marks (As per competency Check list and allotted marks)
Total: 8 × 5 = 40 marks
Oral exam = 10 marks
Total = 50 marks
On completion of procedural competencies in log book and clinical requirements, the NP student
is qualified to appear for final practical examination[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 121
IInd YEAR
I. FOUNDATIONS OF EMERGENCY AND TRAUMA NURSING
INTERNAL
OSCE: 50 Marks
CORE COMPETENCY DOMAINS
1. Focused history and physical examination and interpretation of findings and results
2. Monitoring competencies (Invasive and noninvasive)
3. Therapeutic interventions-(Emergency procedural competencies) Including drug administration
4. Family Education and counseling
Number of stations: 5 (4 + 1 Rest station)
Time for each station: 10 minutes
Marks for each station: 10 marks (As per competency check list and allotted marks)
Total: 10 × 4 = 40 marks
Oral exam = 10 marks
Total = 50 marks
EXTERNAL
OSCE: 100 marks
CORE COMPETENCY DOMAINS
1. Focused history taking, physical examination and interpretation of results of adult patient
2. Focused history taking, physical examination and interpretation of results of pediatric patient
3. Monitoring competencies (Invasive and noninvasive)
4. Development of care plan
5. Family education and counseling
6. Therapeutic interventions (Emergency procedures) including drug administration
Number of stations: 10 (8 + 2 Rest stations)
Time for each station: 10 minutes
Marks for each station: 10 marks (As per competency Check list and allotted marks)
Total: 8 × 10 = 80 marks
Oral exam = 20 marks
Total = 100 marks
II & III. EMERGENCY AND TRAUMA NURSING I & II
INTERNAL
OSCE: 50 marks
CORE COMPETENCY DOMAINS
1. Focused history and physical examination and interpretation of findings and results
2. Monitoring competencies (Invasive and noninvasive)
3. Development of plan of care/care pathway
4. Therapeutic interventions-(Emergency procedural competencies) Including drug administration
Number of stations: 5 (4 + 1 Rest station)
Time for each station: 10 minutes
Marks for each station: 10 marks (As per competency check list and allotted marks)122 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
Total: 10 × 4 = 40 marks
Oral exam = 10 marks
Total = 50 marks
EXTERNAL
OSCE:100 marks
CORE COMPETENCY DOMAINS
1. Focused history taking, physical examination and interpretation of results of an adult patient
2. Focused history taking, physical examination and interpretation of results of pediatric patient
3. Monitoring competencies (Invasive and noninvasive)
4. Family education and counseling
5. Development of plan of care/care pathway
6. Drug administration
7. Therapeutic interventions (Emergency procedures)
Number of stations: 10 (8 + 2 Rest stations)
Time for each station: 10 minutes
Marks for each station: 10 marks (As per competency check list and allotted marks)
Total: 8 × 10 = 80 marks
Oral exam = 20 marks
Total = 100 marks
On completion of procedural competencies in log book and clinical requirements, the NP student
APPENDIX 3 (3 a & 3b)
is qualified to appear for final practical examination
CLI NICAL LOG BOOK FOR NURSE PRACTITIONER (NP) IN EMERGENCY AND TRAUMA CARE
PROGRAM
APPENDIX 3a – Clinical Log Book – Ist YEAR
(Procedural Competencies/Skills)
S.No. Specific Competencies/Skills Number Date Signature of the
Performed Preceptor*/Faculty
I RESEARCH APPLICATION AND EVIDENCE BASED PRACTICE
1 Preparation of research instrument
2 Writing systematic review/literature review
3 Preparation of a manuscript for publication (Ist or IInd year)
4 Dissertation (IInd year)
Topic:
II LEADERSHIP, MANAGEMENT, AND TEACHING
1 Preparation of staff patient assignment
2 Preparation of unit budget
3 Preparation of staff duty roster
4 Patient care audit in the unit
5 Management of equipment and supplies
6 Monitoring, evaluation, and writing report related to
infection control
7 Preparation of teaching plan and media for teaching
patients/staff
8 Micro teaching/patient education sessions[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 123
S.No. Specific Competencies/Skills Number Date Signature of the
Performed Preceptor*/Faculty
9 Planning and conducting OSCE/OSPE
10 Construction of tests
III HEALTH ASSESSMENT
1 Comprehensive history taking
2 Comprehensive physical examination
3 Focused history taking (system wise)
4 Focused Physical Examination (system wise)
4.1 Respiratory
4.2 Cardiac
4.3 Gastrointestinal
4.4 Nervous
4.5 Genitourinary
4.6 Endocrine
4.7 Hematological
4.8 Musculoskeletal
4.9 Integumentary
4.10 Sensory organs
5 Age Specific History & Physical Examination
5.1 Neonate
5.2 Child
5.3 Adult
5.4 Geriatric
6 History & Physical Examination of a Pregnant
Woman
IV DIAGNOSTIC PROCEDURES
1 Collecting blood sample for laboratory tests
1.1 Biochemistry
1.2 Clinical pathology
1.3 Microbiology
1.4 ABG
2 Assisting procedures
2.1 Paracentesis
2.2 Thoracentesis
2.3 Lumbar puncture
2.4 Liver biopsy
2.5 Renal biopsy
2.6 Bone marrow aspiration
3 Witnessing procedures
3.1 ERCP
3.2 PET scan
3.3 Upper GI scopy
3.4 Colonoscopy
3.5 MRI/CT
3.6 Ultrasound
3.7 EEG
3.8 EMG
3.9 Echocardiogram124 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
S.No. Specific Competencies/Skills Number Date Signature of the
Performed Preceptor*/Faculty
4• DSA procedures
• Aneurysm repair
• Endovascular embolization
• Thrombectomy
• Nephrostomy
V BASIC COMPETENCIES
1 Admission
2 Transfer
3 Transport
4 Setting up, use and maintenance of basic emergency
and trauma care equipment
4.1 Monitor/s
4.2 Transducer
4.3 Temperature probes
4.4 SpO2 probes
4.5 Sequential compressing device
4.6 12-lead ECG monitor
4.7 Blood Warmer
4.8 Fluid warmer
4.9 ET Cuff pressure monitor
4.10 Syringe pump
4.11 Infusion pump
5 Monitoring and interpretation of critical parameters
5.1 Arterial Blood Gas (ABG)
5.2 Oxygen saturation
5.3 Endotracheal tube cuff pressure
5.4 Capnography
5.5 Hemodynamics
5.6 Electrocardiogram (ECG)
5.7 Intracranial pressure (ICP)
5.8 Invasive BP monitoring
5.9 Non-invasive BP monitoring
5.10 PiCCO (Pulse index Continuous Cardiac Output)
5.11 Peripheral vascular status
5.12 Glasgow Coma Score
5.13 Sedation Score
5.14 Pain Score
5.15 Braden Score
5.16 Bowel sounds
5.16 GRBS
5.17 Partogram
5.18 Chest Xray
* – When the student is found competent to perform the skill, it will be signed by the preceptor.
Students: Students are expected to perform the listed skills/competencies many times until they reach level 3
competency, after which the preceptor signs against each competency.
Preceptors/Faculty: Must ensure that the signature is given for each competency only after they reach level 3.
• Level 3 competency denotes that the NP student is able to perform that competency without supervision.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 125
• Level 2 Competency denotes that the student is able to perform each competency with supervision.
• Level 1 competency denotes that the student is not able to perform that competency/skill even with supervision.
Signature of the Program Coordinator/Faculty Signature of the HOD/Principal
APPENDIX 3b – Clinical Log Book – IInd YEAR
S.No. Specific Competencies/Skills Number Date Signature of the
Performed Preceptor*/Faculty
ADVANCED COMPETENCIES
1 Setting up, use and maintenance of Emergency care
equipment
1.1 Ventilator
1.2 Defibrillator
1.3 Pacemaker
1.4 CRASH trolley
1.5 CPAP/BiPAP
2 Triage
3 Family education and counseling
4 Discharge/LAMA
5 Medico-legal compliance
6 End of life care
6.1 Brain death
6.2 Organ donation
7 After life care
8 Care during transfer by ambulance
9 Infection control practices
10 Standard precautions
11 Disinfection/sterilization
12 BLS
13 ACLS
14 Preparation of policies/standards/protocols in
Emergency and Trauma care unit
15 Administration of medication (includes standing
orders) I & II Year
15.1 Catecholamines (calculation, titration &
administration)
a. Adrenaline
b. Noradrenaline
c. Dopamine
d
e.
f.
g.
15.2 Antidysrhythmics
a. Adenosine
b. Amiadarone
c. Lidocaine/Xylocard
d.
e.
15.3 Bronchodilators
a. Aminophylline
b. Deriphylline
c. Magnesium Sulphate
15.4 Skeletal muscle relaxant
a. Succinyl choline
b.126 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
S.No. Specific Competencies/Skills Number Date Signature of the
Performed Preceptor*/Faculty
15.5 Anticholinergic
a. Atropine Sulphate
b.
15.6 Antihistamine
a. Avil
b.
15.7 Anihypertensives
a. Isoptin
b.
15.8 Corticosteroids
a. Hydrocortisone
b. Dexamethasone
c.
15.9 Antiepileptics
a. Levitracetam
b. Phenytoin
c.
15.10 Muscle relaxants & Sedatives
a.Midazolam
b. Morpine sulphate
c. Pentazocin Lactate (Fortwin)
d. Pethidine hydrochloride
e. Propofol
f.
g.
15.11 Electrolyte and acid base correction with/without
device(Na, K, Cal, P, Mg, Fe)
a. Soda bicarbonate 8.4%
b. Magnesium sulphate
c. Potassium chloride
d. 3% Saline
15.12 Epidural analgesia
a. Sensory and motor block assessment
b. Removal of epidural catheter
c. Change of epidural catheter dressing
d. Insertion and removal of subcutaneous port for
analgesic administration
e. Dose titration for epidural infusion
f. Epidural catheter adjustment
g. Purging epidural drugs
15.13 PCA analgesia
15.14 Additional drugs
a. Antidotes
b. Anti-snake venom (ASV)
c.
d.
e.
f.
16 Management of Cardiovascular Alterations
16.1 Initiating Intravenous access
16.2 Intravenous fluid administration (Colloid/Crystalloid)
16.3 Blood and blood product administration
16.4 Application of TED stocking
16.5 Insertion of CVP line
16.6 Care and removal of CVP line
16.7 Insertion of arterial line
16.8 Care and removal of arterial line
16.9 Assisting with insertion of pulmonary artery catheter[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 127
S.No. Specific Competencies/Skills Number Date Signature of the
Performed Preceptor*/Faculty
16.10 Care of Patient with Pacemaker
16.11 Blood collection from arterial line
17 Management of Pulmonary Alterations
17.1 Oropharyngeal airway application
17.2 Laryngeal mask airway application
17.3 Intubation and care of ET tube
17.4 Extubation
17.5 Assisting for tracheostomy insertion
17.6 Tracheostomy care and suctioning
17.7 Endotracheal suctioning – Open and closed
17.8 Assisting with insertion of chest tube
17.9 Care of patient with Chest drainage
17.10 Chest tube removal
17.11 Nebulization
17.12 Care of patient on Mechanical ventilator
17.13 Non – invasive ventilation
17.14 Setting up a Ventilator
17.15 Weaning from ventilator
17.16 Use of T-tube and Venturi devices
17.17 Postural drainage
17.18 Weaning from tracheostomy
17.19 Chest physiotherapy
17.20 Assisting for bronchoscopy
18 Management of Neurological Alterations
18.1 Management of increased ICP
18.2 Consciousness/Coma status monitoring
18.3 Brain death evaluation
19 Management of Genitourinary Alterations
19.1 Insertion of Suprapubic catheter
19.2 Care of patient on hemodialysis
19.3 Care of patient on peritoneal dialysis
19.4 Testicular Detorsion
20 Management of Gastrointestinal Alterations
20.1 Estimation of dietary allowance
20.2 Therapeutic diet planning
20.3 Enteral nutrition – Gastrostomy/Jejunostomy feeding
20.4 Administration of Parenteral nutrition (TPN)
21 Management of Endocrine Alterations
21.1 Insulin therapy (sliding scale & infusion)
Calculation, titration and administration
21.2 Steroids-Calculation and administration
22 Ordering investigations
22.1 ECG
22.2 ABG
22.3 Chest X ray
22.4 Ultrasound
22.5 Basic biochemistry investigations128 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
S.No. Specific Competencies/Skills Number Date Signature of the
Performed Preceptor*/Faculty
22.6 Basic microbiology investigations
23 Ordering procedures/treatment
23.1 Nebulization
23.2 Oxygen therapy
23.3 Chest physiotherapy
23.4 IV fluids infusion
23.5 Insertion of NG tube
23.6 Insertion of urinary catheter
23.7 Surgical dressing
23.8 Suture removal
23.9 Application of Icthammol Glycerin/Magnesium
Sulphate dressing for Thrombophlebitis/extravasation.
23.10 Isometric and isotonic exercises
23.11 Hot and cold applications
* – When the student is found competent to perform the skill, it will be signed by the preceptor.
Students: Students are expected to perform the listed skills/competencies many times until they reach level 3
competency, after which the preceptor signs against each competency.
Preceptors/faculty: Must ensure that the signature is given for each competency only after they reach level 3.
• Level 3 competency denotes that the NP student is able to perform that competency without supervision.
• Level 2 Competency denotes that the student is able to perform each competency with supervision.
• Level 1 competency denotes that the student is not able to perform that competency/skill even with supervision.
NOTE: 5-10% of procedures that are rare should be practiced in skill lab and attained level 3 competency.
Signature of the Program Coordinator/Faculty Signature of the HOD/Principal
APPENDIX 4
CLINICAL REQUIREMENTS FOR NP IN EMERGENCY AND TRAUMA CARE PROGRAM
I YEAR
S.No. Clinical Requirement Date Signature of the
Preceptor/Faculty
1 Clinical Seminar/Journal Club/Clinical Conference
1.1 *APN – Clinical Pathway in Specific Clinical Conditions/ Application
of Specific Nursing Theory) (Clinical Seminar)
Title of the topic:
1.2 *RA – Evidence Search for Emergency and Trauma Nursing
Competencies (Clinical Conference/Journal Club)
Title of the topic:
1.3 *L,M&T – Trends in Leadership/Management/Teaching (Journal Club)
Title of the topic:
2 Clinical Rounds (With Nursing Staff, Faculty, Students)-
Case/Clinical Presentation
2.1 Pathophysiology (Clinical Conditions)
Name of clinical condition:
2.2 Pathophysiology (Clinical Conditions)
Case Study (Written Report)
Name of clinical condition:
2.3 Pharmacology – Drug Studies (drugs listed under Standing Orders) –
Written Report of 5 Presentations (Bedside Presentations)
Drug name:
2.4 Drug name:
2.5[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 129
S.No. Clinical Requirement Date Signature of the
Preceptor/Faculty
2.6
2.7
2.8
2.9
2.10
2.11
2.12
3 Interdisciplinary Clinical Rounds (With ED doctors) – Case/Clinical
Presentation (Written reports are for submission)
3.1 Health Assessment (Adult) – History & Physical Examination (Two
written reports)
3.1.1.
3.1.2.
3.1.3.
3.1.4.
3.1.5.
3.2 Health Assessment (Pediatric) – History & Physical Examination (One
written report)
3.2.1.
3.2.2.
3.2.3.
3.3 Health Assessment (Pregnant woman) (One written report)
3.3.1.
3.3.2.
*Advanced Practice Nursing – APN, Research Application – RA, Leadership, Management and Teaching – LM&T
Signature of the Program Coordinator/Faculty Signature of the HOD/Principal
CLINICAL EXPERIENCE DETAILS
ETC Unit/ Clinical Condition Number of Signature of
ICU days care Faculty/Preceptor
given
Signature of the Program Coordinator/Faculty Signature of the HOD/Principal130 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
CLINICAL REQUIREMENTS FOR NP IN EMERGENCY AND TRAUMA CARE PROGRAM
II YEAR
S.No. Clinical Requirement Date Signature of the
Preceptor/Faculty
1 Clinical Seminar/Journal Club/Clinical Conference
1.1 Foundations of Emergency and Trauma Nursing Practice
(Clinical Conference)
Title of the topic:
1.2 Emergency and Trauma Nursing I (Clinical Seminar)
Title of the topic:
1.3 Emergency and Trauma Nursing I (Journal Club)
Title of the topic:
1.4 Emergency and Trauma Nursing II (Clinical Seminar)
Title of the topic:
1.5 Emergency and Trauma Nursing II (Journal Club)
Title of the topic:
2 Clinical Rounds (With Nursing staff, faculty, students) –
Clinical/Case presentation (Written reports are for submission)
2.1 Foundations of Emergency and Trauma Nursing
(Family Education/Counseling) written report
Name of topic:
2.2 Foundations of Emergency and Trauma Nursing
(Emergency Care Pathway)
Name of topic:
2.3 Emergency and Trauma Nursing I (Clinical Condition)
Name of clinical condition:
2.4 Emergency and Trauma Nursing I (Case Study Report)
Name of clinical condition:
2.5 Emergency and Trauma Nursing II (Clinical Condition)
Name of clinical condition:
2.6 Emergency and Trauma Nursing II (Case Study Report)
Name of clinical condition:
Drug Studies (drugs listed under standing orders)
Bedside Presentation
(Five written reports)
2.7 Name of Drug
2.8 Name of Drug
2.9[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 131
S.No. Clinical Requirement Date Signature of the
Preceptor/Faculty
2.10
2.11
2.12
2.13
2.14
2.15
2.16
3 Interdisciplinary Clinical Rounds (With ED doctors) –
Clinical/Case Presentation
Emergency and Trauma Nursing I
3.1 Name of clinical condition:
3.2
3.3
3.4
3.5 (Case Study Report)
Emergency and Trauma Nursing II
3.6
3.7
3.8
3.9 (Case Study Report)
3.10 Written Report (Developed Clinical/Emergency Care Pathway)
Note: Clinical presentation can be written for case study report.
Signature of the Program Coordinator/Faculty Signature of the HOD/Principal
CLINICAL EXPERIENCE DETAILS
ETC Unit/ Clinical Condition Number of Signature of
ICU days care Faculty/Preceptor
given132 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
Signature of the Program Coordinator/Faculty Signature of the HOD/Principal
APPENDIX 5
STANDING ORDERS
Nurse practitioners are prepared and qualified to assume responsibility and accountability for the patients
requiring emergency and trauma care. They collaborate with emergency physicians, trauma surgeons and specialists to
ensure accurate therapy for patients with high acuity needs. On completion of the program, the NPs will be permitted
to administer drugs listed in standing orders as per the institutional standing orders. They will also be permitted to
order diagnostic tests/procedures and therapies as per institutional protocols.
STANDING ORDERS
The following intravenous injections or infusions may be administered by the Nurse Practitioner in Emergency
and Trauma care units
Catecholamines
1. Adrenaline
2. Noradrenaline
3. Dopamine
4. Dobutamine
Antidysrhythmic
5. Adenosine
6. Amiodarone
7. Lidocaine/Xylocard
Adrenergic agent
8. Ephedrine
Bronchodilators
9. Aminophylline
10. Deriphylline[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 133
Non depolarizing skeletal muscle relaxant
11. Atracurium (Vecuronium, Pancurium)
Anticholinergic
12. Atropine Sulphate
Antihistamine
13. Avil
Antihypertensive
14. Clonidine
15. Glycerine trinitrate
16. Isoptin
Corticosteroid
17. Hydrocortisone
18. Dexamethasone
Antiepileptic
19. Levitracetam
20. Phenytoin
Sedatives & relaxants
21. Valium
22. Midazolam
23. Morphine Sulphate
24. Pentazocin Lactate (Fortwin)
25. Pethidine Hydro Chloride
26. Propofol
Electrolytes & acid base correction agents
27. Soda bicarbonate 8.4%
28. Soda bicarbonate 7.5%
29. Magnesium sulphate
30. Potassium chloride
The following investigations and therapies may be ordered by the NPs
ORDERING INVESTIGATIONS ORDERING THERAPIES
▪ ECG ▪ Nebulization
▪ ABG ▪ Chest physiotherapy134 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]
▪ Chest X ray ▪ Insertion and removal of urinary catheter for female patients
▪ Basic Bio chemistry investigations – Hb, PCV, TIBC, WBC ▪ TEDS
Total, WBC differentials, ESR, Electrolytes, platelets, PT,
▪ Surgical dressing
APTT, bleeding and clotting time, procalcitonin, D dimer,
creatinine, HbA1C, AC, PC, HDL, LDL, TIG, Cholesterol ▪ Starting and closing dialysis
total, HIV, HbsAg, HCV
▪ Application of Icthammol Glycerin/Magnesium Sulphate
▪ Basic Microbiology investigations – blood and urine samples dressing for Thrombophlebitis/ extravasation
for culture and sensitivity
▪ Pin site care for patients on external fixators
▪ Isometric and isotonic exercises
INSTITUTIONAL STANDING ORDERS AND PROTOCOLS
In every hospital, the standing orders for drug administration with specific dosage to be administered during
emergency situations can be made available as guidelines for NPETC graduates. The NP students will be trained to
administer these drugs under supervision by preceptors/NP faculty. The protocols for ordering selected investigations
and carrying out specific therapeutic procedures can also be available in every hospital that trains NPETC students.
Dr. T. DILEEP KUMAR, President, INC
[ADVT.-III/4/Exty./589/2023-24]
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.