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

रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99 सी.जी.-डी.एल.-अ.-22102026-277351 xxxGIDHxxx CG-DL-E-22102026-277351 xxxGIDExxx असाधारण EXTRAORDINARY भाग III—खण् ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 635] नई दिल्ली, सोमवार, अक्त बू र 19, 2026/आज‍व न 27, 1948 ष 22, 1947 No.635] NEW DELHI, MONDAY, OCTOBER 19, 2026/ASVINA 27, 1948 s 1947 Hkkjrh; mip;kZ ifj"kn ~ अजधसचू ना नई दिल्ली, 19 अक् तूबर, 2026 Qk-la- 11&1@2026 I¼I½ &vkbZ,ulh.— le;≤ ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn ~ vfèkfu;e] 1947 ¼1947 dk XLVIII½ dh èkkjk 16¼1½ ds vèkhu çnÙk 'kfDr;ks a dk ç;ksx djrs gq, Hkkjrh; mip;kZ ifj"kn~ ,rn~}kjk fuEufyf[kr fofu;e cukrh gS] ;Fkk %& 1- y?kq 'kh"kZd vkSj ço rZu i. ;s fofu;e Hkkjrh; mip;kZ ifj"kn~ ¼vkWijs’ku :e Lisf'k;fyVh uÉlx esa iksLV csfld fMIyksek & vkoklh; dk;ZØe½ fofu;e] 2026 dgs tk,axsA ii. ;s fofu;e Hkkjr ds jkti= `eas budh vfèklwpuk dh frfFk ls çHkkoh gksxa sA 2- ifjHkk"kk ,a bu fofu;eksa es]a tc rd fd lanHkZ ls vU;Fkk visf{kr u gks] i. ^vfèkfu;e* dk vfHkçk; le;≤ ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 ¼1947 dk XLVIII½ ls gS( ii. ^ifj"kn~* dk vfHkçk; vfèkfu;e ds rgr xfBr Hkkjrh; mip;kZ ifj"kn~ ls gS( iii. ^,l,uvkjlh* dk vfHkçk; lacafèkr jkT; ljdkjks a }kjk fdlh Hkh uke ls xfBr jkT; mip;kZ ,oa çlkfodk iathdj.k ifj"kn~ ls gS( 8019 GI/2026 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] iv. ^vkj,u ,aM vkj,e* dk vfHkçk; ,d iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½ ls gS vkSj ,d ,sl s ulZ dks n'kkZrk gS ftlus ekU;rk çkIr uÉlx Lukrd ¼ch-,llh- uÉlx½ ;k fMIyksek bu tujy uÉlx ,aM feMokbQjh ¼th,u,e½ ikBîØe] tSlk fd ifj"kn~ }kjk fuèkkZfjr fd;k x;k gks] lQyrkiwoZd iwjk dj fy;k gks vkSj fdlh ,d ,l,uvkjlh eas iathÑr mip;kZ ,oa iathÑr çlkfodk ds :i eas iathÑr gks( v. ^ulZ iathdj.k ,oa VªSÇdx ç.kkyh ¼,uvkjVh,l½* dk vfHkçk; Hkkjrh; mip;kZ ifj"kn~ }kjk jk"Vªh; lwpuk foKku dsæa ¼,uvkbZlh½] Hkkjr ljdkj ds lg;ksx ls fodflr lkW¶Vos;j ç.kkyh ls gS] ftls Hkkjrh; mip;kZ jftLVj ds j[kj[kko o lapkyu ds fy, ,uvkbZlh }kjk gkWLV fd;k x;k gSA bles a iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½@iathÑr lgk;d ulZ feMokbQ ¼vkj,,u,e½@iathÑr efgyk LokLF;

ifjnf'kZdk ¼vkj,y,poh½ ds vkadM+ksa ds laxzg ds fy, ^vkèkkj* ck;ksesfVªd çek.khdj.k ij vkèkkfjr ekudhÑr çk:i gSa( vi. ^,u;wvkbZMh* dk vfHkçk; ,uvkjVh,l }kjk çR;k'kh dks fn;k tku s okyk ulsZt ;wfud vkbMsfaVfQds'ku uca j ls gS( vii. ^tujy uÉlx ,aM feMokbQjh ¼th,u,e½* dk vfHkçk; ifj"kn~ }kjk vfèkfu;e dh èkkjk 10 ds rgr LohÑr rFkk vfèkfu;e dh vuqlwph ds Hkkx&1 esa 'kkfey fMIyksek bu tujy uÉlx ,aM feMokbQjh çf'k{k.k ls gSA vkWijs’ku :e Lisf'k;fyVh uÉlx esa iksLV csfld fMIyksek &vk oklh; dk;ZØe I. çLrkouk vkèkqfud LokLF; n[s kHkky eas] thou 'kSyh es a rts h ls cnyko ds dkj.k LokLF; t:jrs a rts h ls cny jgh gSa] ftldk jksx o`f)] mudh çfØ;kvks a vkSj mipkj ds rjhdks a ij egRoiw.kZ vlj iM+ jgk gSA mUur lÆtdy çfØ;kvks a vkSj çks|ksfxdh u s mipkj ds rjhdks a eas vge Hkwfedk fuHkkà gSA tSls&tSls ltZjh vfèkd tfVy vkSj rduhdh ij vkèkkfjr gksrh tk jgh gS] nqfu;k Hkj ds LokLF; n[s kHkky laLFkkuks a eas dq'ky vkWij's ku :e ulks± dh ekax dkQh c< + xà gS vkSj vkWij's ku fFk,Vj esa çf'kf{kr fo'ks"kK ulks± dh vko’;drk gksrh gSA jk"Vªh; LokLF; uhfr nLrkots ¼,u,pih] 2017½ eas fo'ks"kK ulZ rS;kj djus vkSj ulks± ds uSnkfud çf'k{k.k dks ekudhÑr djus ij tksj fn;k x;k gSA blds çR;qÙkj Lo:i] ifj"kn~ us ekStwnk fof'k"V uÉlx dk;ZØeks a dks ;ksX;rk ij vkèkkfjr çf'k{k.k nf`"Vdks.k viukrs gq, ,d&o"khZ; iksLV csfld fMIyksek vkoklh; dk;ZØeks a ds :i eas ifjofrZr djus dh ;kstuk cukà gSA vkWij’sku :e Lisf'k;fyVh uÉlx dk mís'; ,sl s fo'ks"kK ulZ rS;kj djuk gS tks ltZjh djok jgs fofHkUu tfVyrkvks a ls xzflr jksfx;ks a dks l{ke ns[kHkky çnku dj ldsAa baVªkvkWijfsVo n[s kHkky rc 'kq: gksrh gS tc jksxh vkWijsÇVx :e eas vkrk gS rFkk ltZjh iwjh gksus vkSj fjdojh ,fj;k eas LFkkukarfjr gksus rd pyrh gSA baVªkvkWijfsVo ns[kHkky blfy, vko’;d gS D;ksfad ;g jksxh dh lqj{kk lqfuf'pr djrh gS] pksV vkSj çfrdwy ifjfLFkfr;ks a ls cpkrh gS vkSj jksxh dks ltZjh ds ckn dh tfVyrkvks a ls cpkrh gSA blds vykok] baVªkvkWijfsVo n[s kHkky nyh; rkyeys vkSj n{krk dks c<k+ok nrs h gSA ;g rkyeys ltZjh dh vofèk dks de djus esa enn djrk gS vkSj ns[kHkky dh xq.koÙkk dks c<k+rk gSA baVªkvkWijfsVo uÉlx lqjf{kr vkSj lQy lÆtdy vH;kl dh vkèkkjf’kyk gSA baVªkvkWijfsVo ulZ lÆtdy ny ds egRoiw.kZ lnL; gksrs gSa] tks ltZu] ,uLs FksfVLV vkSj LokLF; n[s kHkky ny ds vU; lnL;ks a ds lkFk feydj dke djrs gSa rkfd ;g lqfuf'pr fd;k tk lds fd gj lÆtdy çfØ;k lqjf{kr] dq'ky vkSj çHkkoh <ax ls dh tk,A os fdlh Hkh cnyko ;k tfVyrk ij rqjar çfrfØ;k nsrs gSa] ftlls le;c) eè;orZu vkSj fLFkfr dks fLFkj djuk lqfuf'pr gksrk gSA blfy,] os tksf[ke igpkuus vkSj mUgs a de djus eas egRoiw.kZ Hkwfedk fuHkkrs gSa] ftlls iwjh çfØ;k ds nkSjku jksxh dks vkjke vkSj lqj{kk lqfuf’pr gksrh gSA vkWijs'ku :e Lisf’k;fyVh uÉlx eas iksLV csfld fMIyksek ulks± dks baVªkvkWijfsVo n[s kHkky çnku djus es a çHkkoh <xa ls dk;Z djus gsrq vko';d mUur tkudkjh vkSj rduhdh fo'ks"kKrk ds lkFk rS;kj djus ds fy, vfHkdfYir fd;k x;k gSA l{ke] lkglh vkSj lgkuqHkwfr’khy is'ksoj fodflr djds] ;g ikBîØe lqjf{kr] mPp&xq.koÙkk okyh lÆtdy ns[kHkky lqfuf'pr djrk gS vkSj LokLF; n[s kHkky ra= dh lexz çHkko'khyrk dks etcwr cukrk gSA II. n'kZu ifj"kn~ dk ekuuk gS fd iathÑr ulks± dks] fo'ks"kK ulZ ds rkSj ij] ltZjh djok jgs jksfx;ks a dks O;kid n[s kHkky çnku djus ds fy, mUur tkudkjh] dkS'ky vkSj joS;s eas vkxs çf’kf{kr gksus dh vko’;drk gSA ulks± dh c<+rh Hkwfedk vkSj vkWijs'ku :e uÉlx eas gqbZ çxfr ds fy, vfrfjDr ;ksX;rk&vkèkkfjr çf’k{k.k dh vko’;drk gS rkfd ltZjh djok jgs jksfx;ks a dks l{ke] le>nkjh Hkjh vkSj lgh ns[kHkky çnku djus ds fy, ulks± dks fof’k"V dkS'ky vkSj tkudkjh ds lkFk rS;kj fd;k tk ldsA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3 III. ikBîØe lajpuk vkWijs'ku :e Lisf'k;fyVh uÉlx eas iksLV csfld fMIyksek çf'k{k.k ,d ,d&o"khZ; vkoklh; dk;ZØe gS vkSj bl ikBîØe dh voèkkj.kk es a eyw y?kq ikBîØe vkSj fof'k"V uÉlx vH;kl ds fy, c`gn fof'k"V ikBîØe lfEefyr fd, x, gSaA O;kolkf;d dq'kyrk( laokn] jksxh f'k{kk o ijke’kZ( uSnkfud urs `Ro o lalkèku çcaèku( vkSj lk{; vkèkkfjr o vuqç;qDr 'kksèk] vkWijs’ku :e uÉlx vH;kl ds eyw y?kq ikBîØe gSa] ftudk y{; Nk=ks a dks ftEesnkj] lefiZr] dq'ky vkSj l{ke fo'ks"kK ulZ dh rjg dk;Z djus dh vko';d tkudkjh] n`f"Vdks.k ,oa n{krk çnku djuk gSA çe[q k fof'k"V ikBîØeks a dks vkWijs’ku :e Lisf'k;fyVh uÉlx&1 vkSj vkWijs’ku :e Lisf'k;fyVh uÉlx&2 ds rgr lqfu;ksftr fd;k x;k gSA vkWij's ku :e Lisf’k;fyVh uÉlx&1 eas vkWijs'ku :e uÉlx dk ifjp;] vkSj vkWijs'ku :e uÉlx eas vuqç;qDr lkekU; foKku ¼vkWijs'ku :e uÉlx vH;kl eas lkekU; foKku dh tkudkjh dk vuqç;ksx½ 'kkfey gSA vkWijs'ku :e uÉlx&2 dks vkWijs'ku :e ulks± dks fofHkUu lÆtdy çfØ;kvks a eas lgk;rk djus rFkk vkWijsÇVx :e eas laØe.k fu;a=.k mik; cjrus vkSj jksfx;ks a dks lqjf{kr j[kus gsrq fo'ks"k tkudkjh vkSj dkS'ky ds lkFk rS;kj djus ds fy, cuk;k x;k gSA vkWij's ku :e Lisf’k;fyVh uÉlx vkoklh; dk;ZØe ds ikBîØe dh lajpuk fuEufyf[kr fp=&1 eas n'kkZbZ xà gSA vkWijs’ku :e Lisf'k;fyVh uÉlx esa iksLV csfld fMIyksek &vk oklh; dk;ZØe vkWijs'ku :e uÉlx ds ewy y?kq & ikBîØe vkWijs'ku :e Lisf'k;fyVh uÉlx & ikBîØe iathÑr ulks± ,oa nkbZ;ksa ds fy, ,d&o"khZ; vkoklh; dk;Z Øe 10 çfr'kr lS)kafrd ,oa 90 çfr'kr vH;kl ¼dkS'kyç ;ksx'kkyk $ uSnkfud ½ fp=&1- vkWijs’ku :e Lisf'k;fyVh uÉlx & vkoklh; dk;ZØe dh ikBîØe lajpuk IV.mís';@vfHkçk; vkSj dk;ZfuokZg {ke rk,a mís';

bl dk;ZØe dks fof'k"V dkS'ky] tkudkjh vkSj ço`fÙk oky s ,sl s ulZ rS;kj djus ds fy, cuk;k x;k gS tks ltZjh djok jgs jksfx;ks a dks xq.koÙkkijd n[s kHkky çnku dj ldsAa bldk mís'; rduhdh :i ls ;ksX; vkSj çf'kf{kr ,sl s fo'ks"kK ulZ Hkh rS;kj djuk gS] tks vLirkyks a ds vkWij's ku :e eas mPp Lrjh; n[s kHkky çnku djus eas lQyrkiwoZd b"Vre dk;Z dj ldsAa dk;ZfuokZg {ker k,a dk;ZØe ds iwjk gksus ij] vkWij's ku :e Lisf'k;fyLV ulZ fuEukafdr dk;Z laiknu djus es a l{ke gksxa s%& 1- baVªkvkWijfsVo n[s kHkky vH;kl eas ifj"kn~ ds ekudks a ds vuq:i xq.koÙkkijd baVªkvkWijsfVo n[s kHkky nus s gsrq is’ksoj tokcngs h çnf'kZr djuk tks lnkpkjh] ijksidkjh] dkuwuh] uSfrd] fofu;ked vkSj ekuoh; fl)karks a ds vuqdwy gksA4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 2- jksfx;ks]a ifjtuks a vkSj O;kolkf;d lg;ksfx;ks a ds lkFk çHkkoh <ax ls ckrphr djuk ftlls vkil eas lEeku dh Hkkouk dks c<+kok feys vkSj LokLF; ifj.kkeks a eas lqèkkj yku s ds lk>k fu.kZ; fy, tk ldsAa 3- uSnkfud urs `Ro rFkk lalkèku çcaèku j.kuhfr;ks a dh le> dk çn'kZu djuk vkSj lg;ksxh rFkk çHkkoh Vhe odZ dks c<k+ok nus s ds fy, mudk baVªkvkWijfsVo ns[kHkky ra= eas mi;ksx djukA 4- vkWijs'ku :e uÉlx vH;kl esa O;kogkfjd fu.kZ; yus s ds fy, baVªkvkWijsfVo n[s kHkky vkSj çcaèku eas lkef;d ekStwnk lk{;ks a dks igpkuuk] ewY;kadu djuk vkSj mi;ksx djuk] lkFk gh uSnkfud fo'ks"kKrk vkSj jksxh dh ilan] vuHq ko vkSj eYw ;ks a ij Hkh fopkj djukA 5- ,sl s 'kksèk vè;;uksa eas Hkkx yus k] tks 'kksèk çfØ;k dh ewyHkwr le> ds lkFk lk{;&vkèkkfjr vkWij’sku :e uÉlx n[s kHkky eè;orZu esa ;ksxnku nsr s gSaA 6- ltZjh djok jgs jksfx;ks a vkSj muds ifjtuks a dh nSfgd] 'kkjhfjd] euksoSKkfud] lkekftd rFkk vkè;kfRed leL;kvks a ds vkadyu] funku vkSj mipkj eas lkekU; foKku dks viukukA 7- ltZjh djok jgs jksfx;ksa dks baVªkvkWijfsVo n[s kHkky çnku djus es a uÉlx çfØ;k dks viukukA 8- cM+h ltZjh djok jgs jksfx;ks a dks ns[kHkky dju s eas çklafxd fof'k"V vH;kl n{krkvks@a dkS'ky dk çn'kZu djukA 9- mipkj ls lacafèkr çfrdwy çHkkoks a ,oa vkikr fLFkfr;ks a dh igpku djuk rFkk mudh çHkkoh <xa ls ns[kHkky djukA 10- vkS"kfèk;ks a vkSj vkiwfrZ dh [kjhn] HkaMkj.k vkSj j[kj[kko ds rjhds dh le> fodflr djuk vkSj vPNs vH;kl dk çn’kZu djukA 11- vkWijs'ku :e Vcs y] dkWVjh e'khu] ekbØksLdksi vkSj jksckVs vkfn tSls fof’k"V midj.kks a ds j[kj[kko eas tkudkjh dk mi;ksx djukA 12- jksfx;ks a dks lqjf{kr baVªkvkWijfsVo n[s kHkky çnku djuk vkSj mUgsa O;kolkf;d uqdlku ls cpkukA 13- uSnkfud laijh{k.k djuk vkSj vkWijs'ku :e dh xq.koÙkk vk’oklu xfrfofèk;ks a eas Hkkx yus kA 14- isjhvkWijfsVo n[s kHkky çnku dju s eas vkWij's ku :e lÆtdy ny ds lnL; ds rkSj ij çHkkoh dk;Z djukA 15- LokLF; ny lnL; ds rkSj ij çHkkoh Hkkx yus k] vkWijs'ku :e ny ds lnL;ks a ds lkFk ckrphr djuk vkSj rkyeys fcBkukA V. dk;ZØe dk fooj.k vkSj vH;kl dk {ks= vkWijs'ku :e Lisf’k;fyVh uÉlx eas iksLV csfld fMIyksek & vkoklh; dk;ZØe ,d ,d&o"khZ; vkoklh; dk;ZØe gS] ftldk eq[; Qksdl ;ksX;rk vkèkkfjr çf'k{k.k j[kk x;k gSA ikBîØe dh voèkkj.kk es a vH;kl ds vykok eyw ikBîØe vkSj fof'k"V ikBîØe lfEefyr fd, x, gSaA bldk 10 çfr'kr Hkkx lS)kafrd vkSj 90 çfr'kr Hkkx çk;ksfxd ¼uSnkfud ,oa ç;ksx'kkyk½ gSA dk;ZØe ds iwjk gksus ij çek.ki= feyu s vkSj lacafèkr ,l,uvkjlh es a vfrfjDr ;ksX;rk ds :i es a iathÑr gksus ij] fo'ks"kK ulks± dks dsoy Lisf’k;fyVh vLirky@foHkkx@bdkbZ eas fo'ks"kK ulZ ds :i es a fu;qDr fd;k tkuk pkfg,A os dk;ZØe ds nkSjku çf'kf{kr n{krkvks]a fo'ks"k :i ls ifj"kn ~ ds ikBîØe dh ykWx cqd es a fuèkkZfjr fof'k"V çfØ;kRed n{krkvks@a uSnkfud dkS'ky ds vuqlkj vH;kl djus eas l{ke gksxa sA fo'ks"kK ulks± dks lacafèkr laLFkkuks a }kjk laLFkkxr çksVksdkWy ds vuqlkj mu fof'k"V çfØ;kRed n{krkvks a dk vH;kl djus dk fo'ks"kkfèkdkj fn;k tk ldrk gSA fo'ks"kK ulZ laoxZ@inks a dk l`tu ljdkjh@lkoZtfud vkSj futh lHkh {ks=ks a esa fd;k tkuk pkfg,A ;g fMIyksek ifj"kn~ }kjk vuqeksfnr lacafèkr ijh{kk cksMZ@,l,uvkjlh@fo'ofo|ky; }kjkn kçu fd;k tk,xkA VI. vkWijs’ku :e Lisf'k;fyVh uÉlx esa iksLV csfld fMIyksek & vkoklh; dk;ZØe çkjaHk djus ds fy, U;wure vgZrk,a@fn'kkfu nsZ'k dk;ZØe dk lapkyu dgka&dgka fd;k tk ldrk gS & 1- uÉlx eas fMxzh dk;ZØe dk lapkyu djus oky s ,sl s uÉlx dkWyst tks viu s Lo;a ds 200 'kS¸;k oky s vLirky@ r`rh;d vLirky ls lac) gks]a ftues a tujy ltZjh] ihfM;kfVªd] dkÆM;ksFkksjsfld] xk;uds ksykWth ,oa vkWCLVsfVªDl] vkWFkksZisfMDl] vkWIFksfYed] bZ,uVh vkSj U;wjks ltZjh dh lqfoèkk,a vkSj lkFk gh ,d mUur vkSj vR;kèkqfud fFk,Vj dkWEIyDs l miyCèk gksA vFkok 2- ltZjh es a Mh,uch dk lapkyu djus oky s ,sl s vLirky ftuesa U;wure 200 'kS¸;k gks a vkSj tujy ltZjh] ihfM;kfVªd] dkÆM;ksFkksjsfld] xk;uds ksykWth ,oa vkWCLVsfVªDl] vkWFkksZisfMDl] vkWIFksfYed] bZ,uVh vkSj U;wjks ltZjh dh lqfoèkk,a vkSj lkFk gh ,d mUur vkSj vR;kèkqfud fFk,Vj dkWEIysDl miyCèk gksA 3- mijksDr ik= laLFkku dks lacafèkr ,l,uvkjlh ls fo'ks"k 'kS{kf.kd o"kZ ds fy, vkWij’sku :e Lisf'k;fyVh uÉlx eas iksLV csfld fMIyksek dk;ZØe çkjaHk djus ds fy, ekU;rk yus h gksxh] tksfd ,d vfuok;Z vko';drk gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5 4- ifj"kn~ }kjk mijksDr nLrkostks@a çLrkoks a dh çkfIr ds i'pkr ekU;rk çkIr uÉlx çf'k{k.k laLFkku dk vfèkfu;e ds çkoèkkuks a ds rgr cuk, x, fofu;eksa ds vuq:i vè;kiu ladk; vkSj uSnkfud ,oa eyw Hkwr lqfoèkkvks a dh miyCèkrk ds lacaèk eas mi;qDrrk dk vkadyu dju s ds fy, vfèkfu;e dh èkkjk 13 ds rgr oSèkkfud fujh{k.k fd;k tk,xkA 1- uÉlx f'k{k.k ladk;

d½ 1%10 ds vuqikr es a iw.kZdkfyd f'k{k.k ladk; [k½ f'k{k.k ladk; eas U;wure nks lnL; gksus pkfg, x½ ;ksX;rk ,oa la[;k% 1- efsMdy lÆtdy uÉlx ds lkFk ,e-,llh- uÉlx 2- csfld ch-,llh- uÉlx@ih-ch-ch-,llh- uÉlx ds lkFk vkWij’sku :e uÉlx eas iksLV csfld fMIyksek & 1 ?k½ vuqHko% vkWij’sku :e uÉlx es a U;wure rhu o"kZ dk uSnkfud vuqHkoA ³½ vfrfFk ladk;% lacafèkr fof'k"Vrkvks a eas cgq&fo"k;dA p½ çhlsIVj% • uÉlx çhlsIVj% iw.kZdkfyd th,u,e ds lkFk vkWijs’ku :e uÉlx eas N% o"kZ] ;k ch-,llh- uÉlx ds lkFk vkWijs’ku :e uÉlx eas nks o"kZ] ;k ,e-,llh- uÉlx ds lkFk vkWij’sku :e uÉlx es a ,d o"kZ vuqHkoA • efsMdy çhlsIVj% LukrdksÙkj ;ksX;rk çkIr ltZu ¼LukrdksÙkj ;ksX;rk çkIr djus ds i’pkr ladk;

Lrj@lykgdkj Lrj ij rhu o"kZ vuHq ko okyks a dks ojh;rk nh tk,xh½A • çhlsIVj Nk= vuqikr% uÉlx eas 1%10] efsMdy eas 1%10 ¼çR;sd Nk= ,d efsMdy çhlsIVj vkSj ,d uÉlx çhlsIVj ls lac) gksuk pkfg,½A 2- ctV laLFkku ds dqy ctV eas bl dk;ZØe ds fy, vko';d deZpkfj;ks a ds osru] vfrfFk ladk; vkSj va'kdkfyd f'k{kdks a ds fy, ekuns;] fyfidh; lgk;rk] iqLrdky;h vkSj vkdfLed O;; ds fy, çkoèkku gksuk pkfg,A 3- vLirky@dkWyst esa HkkSfrd vkSj f'k{k.k lqf oèkk,a d½ uSnkfud {ks= eas ,d vè;;u d{k@lEeys u d{kA [k½ vLirky@dkWyst eas flE;qysVsM yfu±x ds fy, dkS'ky ç;ksx'kkykA dkS'ky ç;ksx'kkyk vgZrk,a ifjf'k"V&1 eas nh xbZ gSaA x½ vkWuykbu if=dkvks a rd igqap ds lkFk iqLrdky; vkSj daI;Vw j lqfoèkk,a 1- dkWyst eas vkWijs’ku :e uÉlx] uÉlx ç'kklu] uÉlx f'k{kk] uÉlx 'kksèk vkSj lkaf[;dh ls lacafèkr orZeku iqLrdks]a tuZy vkSj if=dkvks a ls lqlfTtr iqLrdky; gksuk pkfg,A vFkok vkWijs’ku :e uÉlx] uÉlx ç'kklu] uÉlx f'k{kk] uÉlx 'kksèk vkSj lkfa[;dh ls lacafèkr orZeku iqLrdks]a tuZy vkSj if=dkvks a ds fy, efsMdy@vLirky ds iqLrdky; dk mi;ksx djus dh vuqefr gksuh pkfg,A 2- baVjusV dh lqfoèkk ds lkFk daI;wVjA ?k½ Ã&yÉux lqfoèkk,a ³½ f'k{k.k lalkèku & mi;ksx djus gsrq fuEukafdr lqfoèkk,a miyCèk gksuh pkfg, 1- vksojgsM çkstsDVj 2- ohfM;ks ns[kus dh lqfoèkk 3- ,ylhMh çkstsDVj 4- lhMh] MhohMh vkSj MhohMh Iy;s j 5- dkS'ky vè;;u ds fy, mi;qDr midj.k] eSuhfdal vkSj fleqysVlZ p½ dk;kZy;h lqfoèkk,a 1- fyfid] pijklh] lQkbZ deZpkjh dh lsok,a6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 2- dk;kZy;] midj.k vkSj vkiwfrZ dh lqfoèkk] tSls • LVs'kujh • fçaVj ds lkFk daI;Vw j • thjksDl e'khu • Vys hQksu ,oa QSDl 4- uSnkfudl qfoèkk, a d½ viu s Lo;a ds U;wure 200 'kS¸;k oky s ,sl s vLirky] ftues a tujy ltZjh] ihfM;kfVªd] dkÆM;ksFkksjsfld] xk;uds ksykWth ,oa vkWCLVsfVªDl] vkWFkksZisfMDl] vkWIFksfYed] bZ,uVh vkSj U;wjks ltZjh dh lqfoèkk,a vkSj lkFk gh ,d mUur vkSj vR;kèkqfud fFk,Vj dkWEIysDl miyCèk gksA [k½ vkWijs’ku :e dk ulZ LVkQ ifj"kn~ ds ekunaMks a ds vuqlkj gksuk pkfg, ¼çR;sd Vcs y ds fy, 1%2½A 5- ços'k gsrq fu;e o 'krs±@çfof"V vgZr k,a bl dk;ZØe ea s ços'k ikus ds bPNqd Nk= dks d½ ,u;wvkbZMh uca j ds lkFk fdlh ,d ,l,uvkjlh es a ,d iathÑr ulZ ,oa nkbZ ¼vkj,u ,aM vkj,e½ ;k led{k gksuk pkfg,A [k½ ukekadu ls igy s vfèkekur% vkWij’sku :e eas LVkQ ulZ ds in ij U;wure ,d o"kZ dk uSnkfud vuqHko gksuk pkfg,A x½ 'kkjhfjd :i ls LoLFk gksuk pkfg,A ?k½ p;u] vk;ksftr ços'k ijh{kk dh efsjV vkSj l{ke vfèkdkjh }kjk fy, x, lk{kkRdkj ds vkèkkj ij gksuk pkfg,A ³½ vU; n's kks a ds ulks± dks ços'k ls igy s ifj"kn~ ls lerqY;rk çek.k i= çkIr djuk gksxkA 6- lhVksa dh la[; k 200 'kS¸;k rFkk 10 vkWijs’ku :e Vcs y oky s vLirky ds fy, lhVks a dh la[;k ¾ 10] 500 vkSj blls vfèkd 'kS¸;k rFkk 20 vkWij’sku :e Vcs y oky s vLirky ds fy, lhVks a dh la[;k ¾ 20- 7- vH;fFkZ;ksa dh la[ ;k 1 Vcs y ds fy, 1 vH;FkhZA 8- osru d½ lsokjr vH;fFkZ;ks a dks fu;fer osru feyrk jgsxkA [k½ vU; vH;fFkZ;ks a dks dk;ZØe dk lapkyu dju s oky s vLirky dh osru lajpuk ds vuqlkj othQk@osru fn;k tk,xkA VII. ijh{kk fofu;e ,oa çek.khdj.k ijh{kk lapkyu ,oa fMIyksek çnku djus okys çkfèkdj.k% ifj"kn~ }kjk vuqeksfnr lacafèkr ijh{kk cksMZ@ ,l,uvkjlh@fo'ofo|ky;A 1- ijh{kk esa cSBus gsrq ik =rk d½ mifLFkfr% lS)kafrd ,oa çk;ksfxd & 80 çfr'krA gkykafd] çek.ki= feyu s ls igys 100 çfr'kr uSnkfud mifLFkfr gksuk vfuok;Z gSA [k½ ykWx cqd vkSj uSnkfud vko';drkvks a tSlh t:jh vko';drkvks a dks lQyrkiwoZd iwjk dju s oky s vH;FkhZ ijh{kk eas cSBus ds fy, ik= gksaxs vkSj vafre ijh{kk eas cSB ldr s gSaA 2- çk;ksfxd ijh{kk d½ vks,llhÃ% vkarfjd vkSj vafre ijh{kk nksuks a eas ekSf[kd ijh{kk ds lkFk&lkFk vks,llhà çdkj dh ijh{kk vk;ksftr dh tk,xhA foLr`r fn'kkfunsZ'k ekxZn'kZu iqfLrdk es a fn, x, gSaA [k½ çk;ksfxd@uSnkfud voyksdu% vafre vkarfjd vkSj cká ijh{kk eas ekSf[kd ijh{kk ds lkFk&lkFk okLrfod ifjfLFkfr;ks a eas uSnkfud çn'kZu dk vkadyu & 3&4 ?kaVs dk y?kq uSnkfud ewY;kadu vH;kl ¼uÉlx çfØ;k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7 vkosnu vkSj dk;Zfofèkd n{krk dk çR;{k voyksdu½ Hkh 'kkfey gksxkA uSnkfud {ks= eas vkadyu dh U;wure vofèk 5&6 ?kaVs gksxhA ewY;kadu fn'kkfunsZ'k ekxZn'kZu iqfLrdk eas fn, x, gSaA x½ çfr fnu Nk=ks a dh vfèkdre la[;k ¾ 10 Nk=A ?k½ çk;ksfxd ijh{kk dsoy uSnkfud {ks= eas gh vk;ksftr dh tkuh pkfg,A ³½ çk;ksfxd ijh{kd ny eas] ,d vkarfjd ijh{kd ¿lacafèkr fof'k"V dk;ZØe es a f'k{k.k ds 2 o"kZ ds vuqHko ds lkFk ,e-,llh- vgZrk èkkjd ladk;@LukrdksÙkj mikfèk ds i’pkr 5 o"kZ ds vuqHko ds lkFk ,e-,llh- ¼efsMdy lÆtdy uÉlx½ vgZrk èkkjd ladk;À] ,d cká ijh{kd & mijksDr vuHq ko ,oa vgZrk èkkjd uÉlx ladk;] vkSj ,d fpfdRlh; vkarfjd ijh{kd tks lacafèkr vkWij’sku :e uÉlx dk;ZØe ds fy, çhlsIVj gksuk pkfg,] 'kkfey gksxa sA p½ çk;ksfxd ijh{kd vkSj lS)kafrd ijh{kd ,d gh uÉlx ladk; gksus pkfg,A 3- mÙkh.kZrk ek ud d½ çR;sd vH;FkhZ dks mÙkh.kZ gksus ds fy, lS)kafrd vkSj çk;ksfxd ijh{kk ds vkarfjd vkadyu rFkk cká ijh{kk nksuksa eas feykdj U;wure dqy 60 çfr'kr vad çkIr djuk vfuok;Z gSA 60 çfr'kr ls de vad çkIr djus ij vuqÙkh.kZ ekuk tk,xkA [k½ Nk= dks mÙkh.kZ gksus ds fy, vfèkdre rhu volj çnku fd, tk,axsA x½ ;fn Nk= lS)kafrd vFkok çk;ksfxd ijh{kk eas ls fdlh ,d es a vuqÙkh.kZ gks tkrk gS] rks mls lS)kafrd vFkok çk;ksfxd ijh{kk eas ls ftles a vuqÙkh.kZ gqvk gS dsoy ogh ijh{kk iqu% nsuh gksxhA çek.khdj.k d½ 'kh"kZd & vkWijs’ku :e Lisf'k;fyVh uÉlx eas iksLV csfld fMIyksek [k½ fuèkkZfjr vè;;u ikBîØe ds lQy lekiu ij] ifj"kn~ }kjk vuqeksfnr ijh{kk cksMZ@,l,uvkjlh@ fo'ofo|ky;

}kjk ,d fMIyksek ls lEekfur fd;k tk,xk] ftles a fy[kk gksxk fd] 1- vH;FkhZ u s vkWij’sku :e Lisf'k;fyVh uÉlx es a iksLV csfld fMIyksek & vkoklh; dk;ZØe ds rgr ikBîØe ds lHkh igyvq ks a dk vè;;u iwjk dj fy;k gSA 2- vH;FkhZ us lS)kafrd es a 80 çfr'kr vkSj uSnkfud eas 100 çfr'kr vko';drk,a iwjh dj yh gSaA 3- vH;FkhZ us fuèkkZfjr ijh{kk mÙkh.kZ dj yh gSA VIII. ijh{kk ç.kkyh ikBîØe vkarfjd cká vkadyu dqy ijh{kk vofèk vkadyu vad vad vad ?kaVs ¼c ká½ lS)kafrd ¼vuqHkfod@vkoklh; vè;;u ½ vkWijs’ku :e Lisf'k;fyVh uÉlx ¼Hkkx&1 o Hkkx&2½ 25 75 100 3 ¿Hkkx&1 & ewy uÉlx lfgr vkWij’sku :e Lisf'k;fyVh ¼10$15½ ¼35$40½ uÉlx&1] Hkkx&2 & vkWijs’ku :e Lisf'k;fyVh uÉlx&2À çk;ksfxd ¼vkWijs’ku : eLisf'k;fyVh uÉlx½ 75 150 • ekSf[kd ijh{kk lfgr vks,llhà ¼25$50½ ¼50$100½ • i;Zosf{kr çk;ksfxd@uSnkfud voyksdu% ekSf[kd ijh{kk ds uSnkfud {ks= eas ¼vks,llhÃ&25 ¼vks,llhÃ&50 225 lkFk&lkFk okLrfod ifjfLFkfr;ks a eas çR;{k voyksdu & U;wure 5&6 ?kaVs ,oa çk;ksfxd ,oa çk;ksfxd 3&4 ?kaVs dk y?kq uSnkfud ewY;kadu vH;kl ¼uÉlx voyksdu&50½ voyksdu&100½ çfØ;k vkosnu o dk;Zfofèkd n{krk dk çR;{k voyksdu½ dqy ;ksx 100 225 325 IX. dk;ZØe dh cukoV@lajpuk 1- vuqns'k ikB&;kstuk 2- ikBîØe dk dk;kZUo;u 3- uSnkfud vH;kl ¼vkoklh; inLFkkiu½ 4- çf'k{k.k fofèk;ka 5- vkadyu fofèk;ka8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 6- ykWx cqd vkSj uSnkfud vko';drk,a 1- vè;;u fuiq.krk ¼dkS'ky ç;ksx'kkyk vH;kl½ vkSj vuqHkokRed vè;;u ¼uSnkfud vH;kl½ n`f"Vdks.k viukrs gq, vuqns'k ikB&;kstu k ikBîØe lS)kafrd ç;ksx'kkyk@dkS'ky uSnkfu d ¼?ka Vs½ ç;ksx'kkyk ¼?k aVs½ ¼?ka Vs½ 1- vkWi’jksu :e Lisf'k;fyVh uÉlx vH;kl ds ewy 40 1- O;kolkf;d dq'kyrk 2- laokn] jksxh f'k{kk o ijke'kZ 3- vkWij’sku :e r=a eas uSnkfud urs `Ro o lalkèku çcaèku 4- vkWij’sku :e uÉlx es a lk{; vkèkkfjr o vuqç;qDr 'kksèk vkWijs’ku :e uÉlx ikBîØe vkWijs’ku :e Lisf'k;fyVh uÉlx&1 2- 1- vkWij’sku :e uÉlx dk ifjp;

2- vkWij's ku :e uÉlx vH;kl eas vuqç;qDr lkekU; 50 10 1730 foKku ¼,ukVkWeh o fQft;ksykWth] ck;ksfQftDl o dSfeLVªh] ekbØksck;ksykWth o QkekZdksykWth½ vkWijs’ku :e Lisf'k;fyVh uÉlx&2 1- baVªkvkWijfsVo ns[kHkky es a uÉlx çcaèku] ftlesa vkadyu] vkSj fofHkUu lÆtdy çfØ;kvks a eas lgk;rk 'kkfey gS 2- jksxh lqj{kk ftles a lÆtdy lqj{kk vkSj xq.koÙkk 'kkfey 110 30 gS 200 40 1730 dqy ;ksx ¾ 1970 ?ka Vs ¼5 lIrkg½ ¼1 lIrkg½ ¼38 lIrkg½ ,d o"kZ esa miyCèk dqy lIrkg ¾ 52 lIrkg • okf"kZd vodk'k $ vkdfLed vodk'k $ vLoLFkrk vodk'k $ lkoZtfud vodk'k ¾ 6 lIrkg • ijh{kk dh rS;kjh vkSj ijh{kk ¾ 2 lIrkg • lS)kafrd vkSj çk;ksfxd ¾ 44 lIrkg 2- ikBîØe dk dk;kZUo;u ¼lS)kafrd & 10 çfr'kr ,oa dkS'ky ç;ksx'kkyk $ uSnkfud & 90 çfr'kr½ CykWd d{kk,a & 2 lIrkg × 40 ?kaV s çfr lIrkg ¾ 80 ?kaVs( vkoklh; & 42 lIrkg × 45 ?kaVs çfr lIrkg ¾ 1890 ?kaVs dqy ¾ 1970 ?kaVs • CykWd d{kk,a% lS)kafrd vkSj dkS'ky ç;ksx'kkyk vuHq ko ¾ 2 lIrkg × 40 ?kaVs çfr lIrkg ¼80 ?kaV½s ¼lS)kafrd ¾ 74 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 6 ?kaVs] dqy ¾ 80 ?kaVs½ • lS)kafrd vkSj dkS'ky ç;ksx'kkyk lfgr uSnkfud vH;kl ¾ 42 lIrkg × 45 ?kaVs çfr lIrkg ¼1890 ?kaV½s ¼lS)kafrd ¾ 126 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 34 ?kaVs] uSnkfud ¾ 1730 ?kaV½s • lS)kafrd ¾ 200 ¼74$126½ ?kaVs] dkS'ky ç;ksx'kkyk ¾ 40 ¼6$34½ ?kaVs] uSnkfud ¾ 1730 ?kaVs • uSnkfud vuqHko ds nkSjku lS)kafrd ds 126 ?kaVs vkSj dkS'ky ç;ksx'kkyk vè;;u ds 34 ?kaVs dks ,dhÑr fd;k tk ldrk gSA laiw.kZ dk;ZØe ds nkSjku Nk=ks a dks çf'kf{kr djus eas fuiq.k vè;;u vkSj vuHq kokRed vè;;u n`f"Vdks.k dk mi;ksx fd;k tkuk gSA dkS'ky ç;ksx'kkyk vgZrk,a ifjf'k"V&1 eas nh xbZ gSaA 3- uSnkfudv H;kl vkoklh; uSnkfud vuqHk og%kykafd U;wure 45 ?kaVs çfr lIrkg fuèkkZfjr gS] yfsdu vyx&vyx ikfj;ks a vkSj çR;sd lIrkg ;k i[kokM+ s vkWu dkWy MîVw h djus ij ifjfLFkfr vuqlkj gksxkA uSnkfud inLFkkiu%çf 'k{k.k vofèk ds nkSjku Nk=ks a dk fuEukafdr uSnkfud {ks=ks a eas inLFkkiu fd;k tk,xk%& Ø-la- uSnkfud {k s= lIrkg fVIi.kh 1 tujy ltZjh 4 viuk Lo;a dk vLirky 2 vkWFkksZisfMd ltZjh 4[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9 3 bejtsla h ,aM VªkWek 3 4 xk;uds ksykWth ,aM vkWCLVsfVªDl ¼L=h jksx vkSj çlwfr foKku½ 4 5 ihfM;kfVªd ltZjh ¼cky fpfdRlk½ 3 6 ;wjksykWth 3 7 U;wjks ltZjh 3 8 dkÆM;ksoLdqyj ,aM Fkksjsfld ltZjh 3 9 Ã,uVh 2 10 vkWIFksfYed ¼us= foKku½ 2 11 iksLV ,uLs Fkhfl;k ds;j ;wfuV ¼ih,lh;w½ 2 12 lh,l,lMh 2 13 Ms ds;j 3 14 MsaVy ltZjh 2 viuk Lo;a dk@ lac) vLirky 15 cUlZ ,aM IykfLVd ltZjh 2 dqy ;ksx 42 vkoklh; Nk= vyx&vyx ikfj;ks a eas LVkQ ulZ@uÉlx vfèkdkfj;ks a dh dk;Z lwph dk gh ikyu djsxa sA blds vykok] 40 lIrkg rd çR;sd lIrkg 4 ?kaVs muds vè;;u ds fy, gksxa s] ftUgs a lS)kafrd ds fy, fn;k tk ldrk gS ¼tSls] ladk; O;k[;ku & 1 ?kaVk] uÉlx o baVjfMflfIyujh jkmaM & 1 ?kaVk] uSnkfud çLrqfr;ka & 1 ?kaVk] dsl LVMh fjiksVZ] uSnkfud dk;Z½ vkSj dkS'ky ç;ksx'kkyk vH;kl & 1 ?kaVk] bl çdkj dqy 126 ?kaVs lS)kafrd vkSj 34 ?kaVs dkS'ky ç;ksx'kkyk vH;kl ds fy, gksxa sA uSnkfud inLFkkiu ds nkSjku 'kksèk çfØ;k ds lksikuks a ij vkèkkfjr ,d y?kq lkefwgd 'kksèk ifj;kstuk vk;ksftr dh tk ldrh gS ftldh fyf[kr fjiksVZ çLrqr djuh gksxhA 4- çf'k{k.k fofèk; ka 1- lS)kafrd] dkS'ky ç;ksx'kkyk vkSj uSnkfudf' k{k.k fuEufyf[kr i)fr;ksa }kjk fd, tk ldrs gSa vkSj uSnkfud inLFkkiu ds nkSjku ,dÑhr fd, tk ldrs gSa% • dsl@uSnkfud çLrqfr vkSj dsl LVMh fjiksVZ • Mªx LVMh vkSj çLrqfr • csMlkbM fDyfud@uÉlx jkmaM@baVjfMflfIyujh jkmaM • tuZy Dyc@uSnkfud laxks"Bh • uSnkfud {ks= eas f'k{kdks a ds O;k[;ku vkSj ifjppkZ • dkS'ky ç;ksx'kkyk eas rFkk csMlkbM ij vfHkO;fDr vkSj dkS'ky çf'k{k.k • funsZf'kr i<+u@Lo&vè;;u • jksy Iy s • laxks"Bh@lkefwgd çLrqfr • lkefwgd 'kksèk ifj;kstuk • uSnkfud dk;Z • çf’k{k.k nkSjs 2- vkadyu fofè k • fyf[kr ijh{kk ¼dsl@ifjn`'; vkèkkfjr½ • çk;ksfxd ijh{kk & vks,llhbZ vkSj çk;ksfxd voyksdu ¼okLrfod ifjfLFkfr;ks a eas uSnkfud çn'kZu dk çR;{k voyksdu½ • fyf[kr dk;Z10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • ifj;kstuk • dsl LVMh@ns[kHkky ;kstuk@uSnkfud çLrqfr@Mªx LVMh • uSnkfud çn'kZu ewY;kadu • uSnkfud dk;Zfofèkd n{krkvksa vkSj uSnkfud vko';drkvks a dks iwjk djuk eYw ;kadu fn'kkfunsZ'kks a ds fy, ifjf'k"V&2 n[s ksAa 3- uSnkfud ykWx cqd@çfØ;k iqLrd vkSj uSnkfud vko';d rk çR;sd uSnkfud inLFkkiu ds var eas] uSnkfud ykWx cqd ¼fof'k"V dk;Zfofèkd n{krk,@a uSnkfud dkS'ky½ ¼ifjf'k"V&3½] uSnkfud vgZrk, a ¼ifjf'k"V&4½ vkSj uSnkfud vuqHko fooj.k ¼ifjf'k"V&5½ ij lacafèkr uSnkfud ladk;@çhlsIVj }kjk gLrk{kj fd, tku s pkfg,A X. vè;;u ikBîØe 1- vkWijs’ku :e Lisf'k;fyVh uÉlx vH;kl ds ewy fl)kar% vkWijs’ku :e Lisf'k;fyVh uÉlx vH;kl esa O;kolkf;d dq'kyrk] laokn] jksxh f'k{kk o ijke'kZ] uSnkfud us or` Rlaolkèku çcaèku vkSj lk{; vkèkkfjr o vuqç;qDr 'kk sèk dqy lS)kafrd% 40 ?k aVs ikBîØe fooj.k% ;g ikBîØe vkWijs’ku :e uÉlx vH;kl eas O;kolkf;d dq'kyrk] laokn] jksxh f'k{kk o ijke'kZ] uSnkfud usr`Ro o lalkèku çcaèku vkSj lk{; vkèkkfjr o vuqç;qDr 'kksèk dh le> fodflr djus ds fy, rS;kj fd;k x;k gSA bdkb Zle; vè;;u ds urhts fo"k; f'k{k.k@vè;;u fufgr dk;Z@ ¼?ka Vs½ xfrfofèk;k a vkadyu fofèk; ka I 8 vkWijs’ku :e uÉlx O;kolkf;d dq'kyrk • ifjppkZ • vkWijs’ku :e eas O;kolkf;d • vfHkçk; vkSj fl)kar & vkWij’sku :e uÉlx ls lacafèkr dq'kyrk dh le> uÉlx vH;kl eas tokcngs h] lqfoKrk] vkpkj lafgrk dk vkSj vH;kl es a n`';rk vkSj uSfrdrk o.kZu djuk O;kolkf;d • O;kolkf;d ewY; ,oa O;kolkf;d O;ogkj dq'kyrk dk çn'kZu • Hkkjrh; mip;kZ ifj"kn~ vkpkj lafgrk] djuk O;kolkf;d vkpj.k lafgrk vkSj vH;kl ekud • ulZ dh çlkjh Hkwfedk & ulZ çsfDV'kuj • O;kolkf;d laxBu • lrr uÉlx f'k{kk vkWijs’ku :e uÉlx fpfdRlh;&fofèkd igyw • baVªkvkWijfsVo ds • vkWijs’ku :e uÉlx ls lacafèkr dkuuw vkSj • O;k[;ku fjdkWMZ fpfdRlh;&fofèkd fofu;e igyvq ks a vkSj • miHkksDrk laj{k.k vfèkfu;e fuokjd j.kuhfr;ks a • ykijokgh o dnkpkj dh O;k[;k djuk • fuokjd j.kuhfr;ka & jksfx;ks a ds vfèkdkjks a dh lqj{kk] lgefr] jksfx;ks a dh igpku] Liat vkSj midj.kks a dh n[s kHkky • fpfdRlh;&fofèkd igyw • fjdkWMZ o fjiksVZ • vkWijs’ku :e ulks± dh dkuwuh ftEens kfj;ka II 12 jksfx;ks]a ifjtuks a laokn ekWMîyw & • fMftVy fjdkWMZ vkSj O;kolkf;d • laoknh; ç.kkyh vkSj rduhdsa • O;k[;ku lg;ksfx;ks a ds lkFk • ifjtuks a dks nq%[kn lekpkj lqukuk • nq%[kn lekpkj vkilh esytksy • laLÑfr vuqdwy laosnu’khy laokn nus s esa Hkwfedk }kjk LokLF; • uÉlx n[s kHkky ;kstukvks a dk fodkl vkSj fuHkkuk ifj.kkeks a eas lqèkkj fjdkWMZ ykus ds fy, lk>k • laokn es a lgk;d lwpuk çkS|ksfxdh fu.kZ; yds j çHkkoh midj.k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11 bdkb Zle; vè;;u ds urhts fo"k; f'k{k.k@vè;;u fufgr dk;Z@ ¼?ka Vs½ xfrfofèk;k a vkadyu fofèk; ka <xa ls laokn • vkWijs'ku :e eas nyh; xfr'khyrk vkSj LFkkfir djuk lapkj jksfx;ks a vkSj ifjtuks a dks jksxh vkSj ikfjokfjd f'k{k k • led{k çf'k{k.k • lkefwgd LokLF;

baVªkvkWijfsVo • f'k{k.k vkSj vè;;u ds fl)kar çf'k{k.k l= dk n[s kHkky ds lacaèk eas • LokLF; f'k{kk ds fl)kar lapkyu djuk f'kf{kr djuk vkSj • lwpuk dh t:jrks a vkSj jksxh o ifjtuks a • jksxh çf'k{k.k ijke'kZ nus k dh çf'k{k.k vko’;drkvks a dk vkadyu lkexzh rS;kj • jksxh çf'k{k.k lkexzh fodflr djuk djuk • fjiksVZ ijke'kZ • ijke'kZ l= • ijke'kZ rduhd • nq%[kn lekpkj nsus] xgu mipkj] ladVdkyhu eè;orZu vkSj ej.kklUu n[s kHkky es a jksxh vkSj ifjtuks a dks ijke'kZ nus k III 10 uSnkfud usr`Ro vkSj uSnkfudu sr`Ro vkSj lalkèku çcaèku • O;k[;ku o • vkWijs’ku :e eas lalkèku çcaèku • urs `Ro ,oa çcaèku ifjppkZ dk;Zjr dfu"B j.kuhfr;ks a dh • vkWijs’ku :e çcaèku ds rRo & ;kstuk] uÉlx le> dk çn'kZu vk;kstu] LVkQ] fjiksÉVx] fjdkWÉMx vkSj vfèkdkfj;ks@a djuk vkSj vkWij’sku ctV LVkQ ulks± ds :e eas mudk • uSnkfud usr`Ro vkSj bldh pqukSfr;ka fy, MîwVh jksLVj mi;ksx djds • f'k"V eMa y rS;kj djuk lg;ksxh ,oa çHkkoh • vkWijs’ku :e eas ekuo lalkèku çcaèku • vkn'kZ vkWij’sku Vhe odZ dks c<k+ok • lkexzh çcaèku :e rS;kj djuk nus k • ,d vkn'kZ vkWij’sku fFk,Vj vkSj odZ¶yks • laijh{k.k djuk

dh :ij[s kk rS;kj djuk • HkkoukRed cqf)eÙkk vkSj Lo&çcaèku dkS'ky • var%fo"k;d ny ds lnL; ds :i eas dk;Z djuk • uhfr;ks a dks baVªkvkWijsfVo n[s kHkky çklafxd cukus es a Hkkxhnkj cuuk vkWijs’ku :e eas vkWijs’ku :e esa xq.koÙkk vk'o klu • ekWMîyw & xq.koÙkk vk'oklu • xq.koÙkk ladsrd ekU;rk vkSj xfrfofèk;ks a eas Hkkx • lsafVuy vkSj fu;j fel ?kVuk,a vH;kl ekud yus k vkSj uSnkfud • yxkrkj xq.koÙkk lqèkkj & uÉlx ekud laijh{k.k djuk vkSj laijh{k.k • vkink dh rS;kjh IV 10 'kksèk çfØ;k dk lk{; vkèkkfjr vkSj vuqç;qDr 'kks èk • O;k[;ku • vkWijs’ku :e ds o.kZu djuk vkSj • uÉlx 'kksèk vkSj 'kksèk çfØ;k dk ifjp; • vH;kl & lkaf[;dh;

eyw Hkwr lkaf[;dh; • vkadM+ksa dh çLrqfr] ewyHkwr lkaf[;dh; oSKkfud çi= vkadM+ s rS;kj ijh{k.k djuk ijh{k.k vkSj blds vuqç;ksx y[s ku djuk • vkWijs’ku :e ea s 'kksèk çkFkfedrk,a • vkWijs’ku :e uÉlx vH;kl çklafxd • lkefwgd 'kksèk • vkWijs’ku :e leL;kvks@a ç'uks a dh vfHkO;fDr ifj;kstuk uÉlx vH;kl ij • vkWijs’ku :e uÉlx vH;kl eas lk{; lkfgfR;d leh{kk vkèkkfjr@loksZÙke çFkkvks a dh igpku dk lapkyu djus ds fy, lkfgfR;d leh{kk djuk@ lkewfgd • nSfud O;kolkf;d vH;kl eas lk{; 'kksèk ifj;kstuk vkèkkfjr eè;orZu dk dk;kZUo;u fjiksVZ12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] bdkb Zle; vè;;u ds urhts fo"k; f'k{k.k@vè;;u fufgr dk;Z@ ¼?ka Vs½ xfrfofèk;k a vkadyu fofèk; ka • 'kksèk eas uSfrdrk 2- vkWijs’ku :e Lisf'k;fyVh uÉlx&1 vkWijs’ku :e uÉlx dk lanHkZ@ifjp; vkSj vkWijs’ku :e uÉlx vH;kl esa ç;qDr lkekU; foKku ¼,IykbM ,ukVkWeh] fQft;ksykWth] QkekZdksykWth] ck;ksfQftDl o dsfeLVªh] ekb Øksck;ksykWth½ lS)kafrd% 50 ?kaVs vkSj ç;ksx'kkyk% 1 0 ?kaVs ikBîØe fooj.k% ;g ikBîØe ekuo 'kjhj dh cukoV vkSj dk;Z] 'kjhj ds vyx&vyx r=a ks a ij vljdkjd vkS"kfèk;ks a dh QkekZdksMk;ukfeDl vkSj LokLF; dks csgrj cukus eas mudk lacaèk] vkSj vkWij's ku :e eas laØe.k fu;a=.k ds rjhdks a eas ekbØksck;ksykWth ds fl)karks a ds bLrseky ds ckjs eas le> vkSj xgu tkudkjh fodflr djus eas Nk=ks a dh enn djus ds fy, rS;kj fd;k x;k gSA bdkb Z le; vè;;u ds urhts fo"k; f'k{k.k@vè;;u fufgr dk;Z@ ¼?ka Vs½ xfrfofèk;k a vkadyu fofèk; ka I Vh&8 ,ukVkWeh vkSj ,ukVkWeh vkSj fQft;ksykWth & l eh{•k kifjppkZ • ç’uksÙkjh@ fQft;ksykWth dh • ekuo ,ukVkWeh ,oa lÆtdy çklafxdrk ,elhD;w leh{kk djuk vkSj 'kkjhfjd ç.kkfy;ks a ¼thvkbZ] eLdqyksLdsyVs y] 'olu] dkÆM;ksoLdqyj] dsæa h; rfa=dk] xqnsZ] ylhdk] var%lzkoh] çtuu] bZ,uVh] vka[k] vkSj baVsxqeasVjh r=a ½ dh fQft;ksykWth dk voyksdu • rjy inkFkZ vkSj bysDVªksykbV larqyu • eVs kckWfyTe vkSj iks"k.k% foVkfeu vkSj [kfut II Vh&12 lÆtdy çfØ;kvks a lÆtdy ,ukVkWe h • ekWMYl@pkVZ~l • fufgr dk;Z ,y&8 ls lacafèkr ekuo tujy ltZjh 'kjhj ds fofHkUu • ,CMkfseuy ltZjh & mnj fHkfÙk ds phjks a r=a ks a dh lajpuk dh ,ukVkWeh] gÆu;k ,fyesVa ªh duky] vkSj dk;ks± dh fiÙkk'k;] fiÙk uyh] ;Ñr] Iyhgk tkudkjh ykxw vXU;k'k;] flj o xnZu] eqag o Lru] djuk Fkk;jkW;M XysMa dh ltZjh vkWFkksZi sfMDl • gfM~M;ka vkSj tksM+ ;wjksykW th • xqnkZ] ew=okfguh] ew=k'k;] çksLVsV] vaMdks"k dku] ukd vkSj xyk • xzluh] Loj;a=] ukd o dku dh ltZjh L=h jksx vkSj çlwf r • Jksf.k ds vax vkSj vU; lgk;d lajpuk,a] xHkkZ'k;] QSyksfi;u Vîcw ] vaMk'k;] xHkkZ'k; xzhok] ;ksfu dkÆM;ksFkks jsfld • o{k fHkfÙk] ân;] jDr okfgdk,a] 'okluyh] czkadkÃ] QsQM+s U;w jks • efLr"d] e#s naM] ifjèkh; vkSj vuqdaih rfa=dk,a cky jksx • 'kkjhfjd ra= us= foKku • vka[ks a[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13 bdkb Z le; vè;;u ds urhts fo"k; f'k{k.k@vè;;u fufgr dk;Z@ ¼?ka Vs½ xfrfofèk;k a vkadyu fofèk; ka III Vh&5 fofHkUu xStsV~l ds ck;ksfQftDl vkSj dsfeLV ªh • ifjppkZ ,y&2 mi;ksx eas • leh{kk & eki dh bdkb;ka] xSl ds fu;e] ck;ksfQftDl vkSj Å"ek] byDs VªksLVSfVDl dsfeLVªh ds fl)karks a • vkWijs'ku :e eas ç;qDr gksus okyh yts j dks ykxw djuk fdj.ks]a jlk;fud rRo vkSj jsfM;ksèkeÊ lkexzh • vkWijs'ku :e eas O;kolkf;d [krjs & jksdFkke] fu;a=.k vkSj çcaèku • vkWijs'ku Vscy & e'khuas] fLFkfr fuèkkZj.k • fofHkUu xStsV ds mi;ksx ds varÆufgr fl)kar IV Vh&20 vkWijs'ku :e eas QkekZdksMk;ukf eDl • O;k[;ku • Mªx Mk;jh ç;qDr vke • vkS"kfèk;ka vkS"kfèk;ks a vkSj o ,aVhlsfIVDl o dhVk.kquk'kd laKkgj.k ,tsVa ksa ds o fgIuksfVDl] ckÆcVîwjsV~l QkekZdksMk;ukfeDl o VªSafDoykbtj o lsMsfVo dk o.kZu djuk o U;wjksysfIVd vkS"kfèk;ka o QsuksfFk;kthu o C;wVksckÆcVksu o ,aVhdkWUoYlsVa o ,uYtsfld o baVªkvkWijfsVo ,uYtsfl;k o ukWu&LVsjkW;My ,aVh&ba¶yes sVjh vkS"kfèk;ka o ukjdksfVd ,aVkxksfuLV o baVªkous l baMD'ku ,tsVa o vkblk¶s yqjus o vkblkçs sukfyu o czksUdksMk;yVs j o 'olu mÙkstd o ,aVhfMlfjFkfed o oSlksçslj o oSlksfMyVs j o ,aVhgkbijVsfalo ,tsVa o xSafXy;u CykWdlZ o IykTek ,DliSaMlZ o ekalisf'k;ks a dks vkjke nsus okyh vkS"kfèk;ka o chVk CykWdlZ o xHkkZ'k; mÙkstd o xHkkZ'k; vojksèkd o balqfyu o fgLVkekbu vkSj H1 vkSj H2 fjlsIVj ,aVkxksfuLV o ,aVhdks,xqyasV o ,aVhefsVDl o ,aVhdksfyuÆtd o vka[k] dku] ukd] xys vkfn ds mipkj eas ç;qDr vkS"kfèk;ka o ulks± dh Hkwfedk vkSj ftEesnkfj;ka V Vh&5 vkWijs'ku :e eas ekbØksck;ksyk Wth • ifjppkZ laØe.k fu;a=.k • lwtu vkSj laØe.k çFkkvks a eas • lw{ethoks a dk oxÊdj.k14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] bdkb Z le; vè;;u ds urhts fo"k; f'k{k.k@vè;;u fufgr dk;Z@ ¼?ka Vs½ xfrfofèk;k a vkadyu fofèk; ka ekbØksck;ksykWth ds • ekbØksck;ksykWth es a Mk;XuksfLVd VsLV fl)karks a dks ykxw vkSj lacafèkr ulks± dh ftEesnkjh djuk • dYpj vkSj xzksFk 3- vkWijs’ku :e Lif'k;fyVh uÉlx&2 lS)kafrd% 110 ?kaVs vkSj çk;ksfxd% 3 0 ?kaVs ikBîØe fooj.k% ;g ikBîØe vkWij's ku :e ulks± dks vyx&vyx lÆtdy çfØ;kvks a eas enn djus vkSj jksfx;ks a dh lqj{kk vkSj laØe.k fu;a=.k ds mik;ks a dks viukus ds fy, [kkl tkudkjh vkSj dkS’ky ds lkFk rS;kj djus ds fy, fodflr fd;k x;k gSA blds vykok] ;g Nk=ks a dks ,uLs Fkhfl;k] vkWij's ku :e ulZ dh Hkwfedkvks a vkSj ftEens kfj;ks a ds ckj s es a tkudkjh gkfly djus es a Hkh enn djxs kA bdkb Z le; vè;;u ds urhts fo"k; f'k{k.k@vè;;u fufgr dk;Z@ xfrfofèk;k a vkadyu fofèk; ka I Vh&5 isfjvkWijfsVo uÉlx ds isfjvkWijsfVo uÉlx ds fl)kar • ifjppkZ • fçvkWijsfVo fl)karks a dks le>uk • isfjvkWijfsVo ulks± ds fy, vH;kl vkadyu ekud • vkWijsÇVx :e ulZ dk nk;jk vkSj Hkwfedk • fçvkWijsfVo vkadyu vkSj jksxh dh rS;kjh • isfjvkWijfsVo ulZ dh Hkwfedk II Vh&5 ,uLs Fkhfl;k ds ,usLFkhfl;k • ifjppkZ fl)kar] çdkj vkSj • ifjp;] fl)kar] çdkj] pj.k] ,y&1 rjhdks a vkSj ulZ dh ç'kklu dh fofèk] ,usLFksfVd e'khuas ftEesnkfj;ks a dh vkSj midj.k] ulks± dh Hkwfedk vkSj C;k[;k djuk ftEesnkfj;ka • ,uLs Fkhfl;k es a ç;qDr vkS"kfèk;ka • ,uLs FksfVd ,tsVa & çdkj] ç'kklu dh fofèk] fØ;k vkSj çHkko] nq"çHkko] ,aVhMkVs ~l • ,uLs Fkhfl;k ds ckn dh n[s kHkky III Vh&10 dk;Z] le;] xfr] vk-svkj- Vscy vkSj lqfu;kstu • ifjppkZ vkSj • fjVuZ MseksaLVªs'ku ,y&2 midj.k] lIykÃ] • midj.k vkSj lqfoèkk,a çn'kZu lkexzh vkSj lalkèku • fofHkUu çdkj dh Vcs y vkSj lgk;d O;oLFkk eas dkS'ky lkexzh çnf’kZr djuk • Vcs y vkSj midj.kks a dk lqfu;kstu • ulks± dh Hkwfedk vkSj ftEesnkfj;ka vkWijs'ku :e esa midj. k • lÆtdy midj.kks a dk oxÊdj.k vkSj igpku • vkWijs'ku :e midj.kks a dh ns[kHkky vkSj j[kj[kko vkWijsÇVx ekbØksL dksi • çdkj] lgk;d lkexzh] layXu oLrq] mi;ksx] dhVk.kq'kksèku] j[kj[kko vkSj HkaMkj.k • ulks± dh Hkwfedk vkSj ftEesnkfj;ka Vkads dk lkeku vkSj lqb; ka • çdkj] mi;ksx] dhVk.kq'kksèku vkSj HkaMkj.k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15 bdkb Z le; vè;;u ds urhts fo"k; f'k{k.k@vè;;u fufgr dk;Z@ xfrfofèk;k a vkadyu fofèk; ka ,aMksLdk sih • ifjHkk"kk] çdkj] mi;ksx] j[kj[kko vkSj HkaMkj.k • ulks± dh Hkwfedk vkSj ftEesnkfj;ka] ftles a jksxh rS;kjh 'kkfey gS csaMst] ÇLIyV] dkLV vkSj VªS D'ku • çdkj] mi;ksx] rS;kjh] j[kj[kko vkSj HkaMkj.k IV Vh&15 LVsfjykbts'ku vkSj laØe.k fu;a=.k • ifjppkZ • vkWijs'ku :e eas ,y&2 fMlbaQsD'ku dh • vkWijsÇVx :e ea s laØe.k fu;a=.k laØe.k fu;a=.k tkudkjh vkSj fl)kar • i;kZoj.k & lQkbZ] vkWijsÇVx :e ij fyf[kr dk;Z çnf’kZr djuk midj.kks]a ,;j daMh'kÇux flLVe dk dhVk.kq'kksèku] LoSÇcx vkSj dYpj] èkweu • ,lsfIVd rduhds a & ,lsfIll ds fl)kar] LØÇcx] xkmÇux vkSj nLrkus iguuk • LVsfjykbts'ku vkSj dhVk.kq'kksèku & midj.k] MªsÇlx lkexzh] fyuu] Vkads dh lkexzh] Mªsust Vîwc vkSj dSFksVj dh rS;kjh vkSj iSÇdx] byDs Vªks&efsMdy midj.kks a dh n[s kHkky • LVsfjykbT+M lkexzh] midj.k] ;a=ks a dh laHkky vkSj HkaMkj.k • lÆtdy MªsIl vkSj Vkads dk s laHkkyuk • ç;ksx'kkyk ijh{k.kks a ds fy, fofHkUu uewuks a dk laxzg.k • tSo&fpfdRlh; vif'k"V çcaèku & lkoZHkkSfed ekud vkSj vkWijs'ku :e uÉlx eas budk vuqç;ksx • ulks± dh Hkwfedk vkSj ftEesnkfj;ka V Vh&5 vkWijs’ku :e ea s vkWijs'ku :e lqj{k k • ifjppkZ lqjf{kr ekgkSy cukuk • vkWijs'ku :e eas lqj{kk ekud • vkWijs'ku :e eas vfXu lqj{kk lfgr • Qk;j fMªy [krjks a vkSj pksV dh jksdFkke • lÆtdy x.kuk vkSj tokcngs h • tksf[ke çcaèku vkSj lÆtdy lqj{kk • byDs VªksdkWVjh vkSj ystj lqj{kk VI Vh&50 fofHkUu vkWij's ku ldqZysÇVx vkSj LØc ulZ ds rkSj • ifjppkZ vkSj • fofHkUu ltZjh es a ,y&25 çfØ;kvks a eas lgk;rk ij fofHkUu lÆtdy çfØ;kvksa dh çn'kZu enn dju s ds djus es a dkS'ky çnf’kZr rS;kjh vkSj muesa lgk;r k fy, ,lvksih djuk • vkWijs'ku :e vkSj Vscy rS;kj djuk fodflr djuk • fofHkUu lÆtdy çfØ;kvks a ds fy, Vªs vkSj VªkWyh rS;kj djuk • fofHkUu lÆtdy çfØ;kvks a ds fy, rS;kjh djuk • jksxh dks LFkkukarfjr djuk • lÆtdy çfØ;kvks a ds vuqlkj iksft'kÇux vkSj MªsÇix16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] bdkb Z le; vè;;u ds urhts fo"k; f'k{k.k@vè;;u fufgr dk;Z@ xfrfofèk;k a vkadyu fofèk; ka • foHkUu lÆtdy çfØ;kvks a ds fy, phjk yxkuk • ekbuy ltZjh & lÆtdy midj.k vkSj Vkads yxku s dk lkeku • ets j ltZjh & lÆtdy midj.k vkSj Vkads yxku s dk lkeku% o tujy o xk;uds ksykWth o vkWCLVsfVªDl o vkWFkksZisfMDl o IykfLVd ,aM fjdaLVªfDVo ltZjh o vkWIFksfYed o flj vkSj xnZu o bZ,uVh o dkÆM;ksFkksjsfld o U;wjks ltZjh o ihfM;kfVªd o MsaVy o yts j vkSj jksckfsVd ltZjh • fjdkWMZ vkSj fjiksVZ VII Vh&5 ,uLs Fkhfl;k ds ckn fjdojh :e@lÆtdy baVsaflo • ifjppkZ • uÉlx ekud jksfx;ks a dh n[s kHkky ds;j ;wfuV fodflr djuk djus es a dkS'ky çnf’kZr • lsVvi vkSj vkWxZukbts'ku djuk • jksfx;ks a dk çcaèku • fjiksÉVx vkSj fjdkWÉMx • jksfx;ks a dks ys tkuk • ulks± dh Hkwfedk vkSj ftEesnkfj;ka VIII Vh&10 vkWijs'ku ds nkSjku ¶ywbM Fks jsih • O;k[;ku • ,ukfQyfsDVd n[s kHkky es a æo çcaèku • ¶ybw M vkSj bysDVªksykbV~l 'kkWd çcaèku ij ds egRo dks le>uk • jDr vkSj jDr vo;o fyf[kr dk;Z • ,ytÊ vkSj fj,D'ku • mPp tksf[ke oky s jksxh • ,ukQkbyfSDVd 'kkWd çcaèku • fjdkWMZ vkSj fjiksVZ • ulks± dh Hkwfedk vkSj ftEesnkfj;ka IX Vh&5 vkWijs'ku :e eas vkWijs'ku :e esa vkikrdkyhu • ifjppkZ • lhihvkj vkikrdkyhu fLFkfr;ks a fLFkfr;k a • dksM Cy w fMªy ls fuiVuas es a lgh • lÆtdy tfVyrk,a rjhds ls dke djuk • lhihvkj vkSj vkWij's ku :e eas dksM Cyw • vkx ls lqj{kk ¼tSls byDs VªkslÆtdy tksf[ke½] Qk;j fMªy • CyhÇMx@'kkWd çcaèku vH;kl ¼dkS'ky ç;ksx'kkyk vkSj uSnkf ud½ dqy vofèk% 1770 ?kaVs ¼40 $ 1 730½ ¼dkS'ky ç;ksx'kkyk & 40 ?kaVs vkSj uSn&kf 1u7d3 0 ?ka½V s vH;kl n{krk,a dk;ZØe ds var es a Nk= fuEufyf[kr dk;Z laiknu djus es a l{ke gksxa s%&[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17 1- ltZjh djok jgs jksfx;ks a dk vkadyu djuk 2- lÆtdy çfØ;kvks a eas enn djuk vkSj LØc ulZ o ldqZysÇVx ulZ dh Hkwfedk fuHkkuk 3- iksLV ,uLs Fkhfl;k ds;j ;wfuV es a jksfx;ks a dh n[s kHkky djuk 4- jksfx;ks a dh fuxjkuh djuk vkSj 'kq#vkrh psrkouh ds ladsrks a dks rqjra igpkuuk 5- vkS"kfèk;ks a dh miyCèkrk lqf'uf’pr djuk o HkaMkj.k djuk vkSj nSfud fjdkWMZ j[kuk 6- ltZjh djok jgs mPp tksf[ke oxZ ;kuh cPp]s cqtqxZ vkSj xaHkhj :i ls chekj jksfx;ks a dk vkadyu vkSj çcaèku djuk O;kogkfjd@çSfDVde ¼dkS’ky ç;ksx’kkyk vkSj uSn kfud½ uSnkfud inLFkkiu vkWijs'ku :e vofèk uSnkfud vè;;u ds dkS'ky@çfØ;kRed n{krk ,afufgr dk;Z vkadyu fofèk; ka {ks = ¼lIrkg½ ifj.kke tujy ltZjh 4 vkWijs'ku :e uhfr o fofHkUu ltZjh ds fy, fofHkUu uSnkfud vkadyu ekudks a ls ifjfpr vkVZsfj;y ykbu] vkVsZfj;y lÆtdy vkWFkksZisfMDl 4 jguk chih ekWfuVÇjx] lsVa ªy ykbu] çfØ;kvks a ds dsl LVMh vkschth 4 Vªs lsV djuk] MªsÇix o fy, ,lvksih ltZjh ls igys jksfx;ks a ;wjksykWth 3 iksft'kÇux fufgr dk;Z dk dh igpku vkSj bejtsla h vkSj 3 eYw ;kadu lqjf{kr LFkkukarj.k dk VªkWek LØc ulZ vH;kl djuk ihfM;kfVªd 3 fofHkUu lÆtdy ldqZysVjh ulZ ltZjh çfØ;kvks a ds fy, U;wjks 3 vkbZlhih ekWfuVÇjx iksft'kÇux vkSj MªsÇix dkÆM;ksoSLdqyj 3 eas lgk;rk djuk vkVZsfj;y CyM xSl] ,chth vkSj Fkksjsfld dyDs 'ku fofHkUu Lisf'k;fyVht ltZjh eas ljy ls tfVy bZ,uVh 2 jksxh LFkkukarj.k ltZjh ds fy, LØc u=s foKku 2 ulZ vkSj ldqZysÇVx MsaVy 2 ulZ dh Hkwfedk es a egkjr gkfly djuk cUlZ vkSj 2 IykfLVd ltZjh ?kko dh ns[kHkky es a lgk;rk djuk uewuks a dh lgh laHkky Ms ds;j 3 jksfx;ks a dks ltZjh ds LokLF; vkadyu çhvkWijsfVo vkWijs'ku :e fy, rS;kj djus dk vkadyu dkS'ky fodflr djuk ijke’kZ LokLF;

jksfx;ks a dks Bhd gksus ifjppkZ dh laHkkfor çfØ;k ds ckj s eas crkuk ih,;wlh 2 ltZjh ds rqjra ckn iYl vkWDlheVs ªh] ucs qykbts'ku] dh vofèk es a jksfx;ks a O Fksjsih] ,;jos eSuts easV 2 dh n[s kHkky djuk vkS"kfèk nsuk & vkbZ] vkbZoh lh,l,lMh 2 fofHkUu lÆtdy dhVk.kq'kksèku] LVsfjykbts'ku] dhVk.kq'kksèku çfØ;kvks a ds fy, midj.k iSÇdx vkSj baLVªew asV iSd rS;kj LVsfjykbts'ku djuk ds rjhds & çLrqfr midj.kks@a ;a=ks a dks LVsjykbt djus es a lgk;rk djuk18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ifjf'k"V&1 dkS'ky ç;ksx'kkyk vgZrk ,a uksVu%Él x dkWyst dh ewyHkwr dkS'ky ç;ksx'kkyk ds fy, vko';d oLrqvks a ds vykok fuEufyf[kr vko';d gSaA Ø-la- dkS'ky ç;ksx'kkyk ds fy, vko';d oLrq la[;k dkS'ky 1 vLirky 'kS¸;k@vkWijs'ku :e Vcs y & xís ds lkFk 02 2 vLirky fyuu lsV 15 lsV 3 jksxh dk fyuu lsV 10 lsV 4 vksVh rkSfy, 20 5 vkbZoh LVaSM 4 6 vksojgsM Vcs y 4 vkWijs'ku :e bdkbZ rS;kj djuk 7 Liat LVSaM 02 8 lD'ku e'khu 02 9 eYVhiSjk ekWfuVj 02 10 vkWDlhtu lIykà 02 11 ØS'k dkVZ VªkWyh 01 12 lkekU; uÉlx n[s kHkky ds lkeku lkekU; vkSj mUur uÉlx ns[kHkk y 13 mUur uÉlx n[s kHkky ds lkeku 14 <Ddu oky s dVksjs 10 lsVa hehVj 10 15 dVksj s 10 lsaVhehVj 10 16 <Ddu okyh baLVªew sVa Vªs 10 17 Iyus vkVZjh QksjlsIl 10 18 VFw M vkVZjh QksjlsIl 10 midj.k 19 ekWLD;wVks vkVZjh QksjlsIl 10 20 Iyus fMlsÇDVx QksjlsIl 10 21 VFw M fMlsÇDVx QksjlsIl 10 22 Liat gksÇYMx QksjlsIl 10[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19 Ø-la- dkS'ky ç;ksx'kkyk ds fy, vko';d oLrq la[;k dkS'ky 23 VkWoy fDyi 20 24 Vªkal¶;wtu lsV 10 25 vkbZoh ¶ywbM~l 10 Vªkal¶;w tu 26 vkbZoh dSuqyk 16@18 ,Q 10 27 bU¶;wtu iai 2 28 ekud lqj{kk midj.k 10 lsV 29 gkFk èkksus dh txg 01 laØe.k fu;a=.k 30 tSofpfdRlh; vif’k"V çcaèku bdkbZ 01 31 ,ylhMh Vhoh 01 ohfM;ks dh enn ls çn'kZ u ifjf'k"V&2 vkadyu fn'kkfunsZ'k ¼lS)kafrd rFkk çk;ks fxd½ I. lS)kafrd 1- vkarfjd vkadyu vkWijs’ku :e Lisf'k;fyVh uÉlx ¼Hkkx 1 & vkWij’sku :e Lisf'k;fyVh uÉlx&1 baDyqfMax QkmaMs'kal vkSj Hkkx 2 & vkWijs’ku :e Lisf'k;fyVh uÉlx&2½ & dqy vad% 25 • ç'u i= vkSj ç'uksÙkjh & 10 vad • fyf[kr dk;Z & 10 vad ¼vkWij’sku :e ulZ dh dkuwuh ftEens kfj;ka@vkWij’sku :e uÉlx eas lk{; vkèkkfjr dk;Z ¼Ãchih½ ij lkfgR;d leh{kk@vkWij’sku :e eas laØe.k fu;a=.k ds rjhds½ • lkefwgd ifj;kstuk & 5 vad 2- cká@vafre ijh{kk vkWijs’ku :e Lisf'k;fyVh uÉlx ¼Hkkx 1 & vkWij’sku :e Lisf'k;fyVh uÉlx&1 baDyqfMax QkmaMs'kal vkSj Hkkx 2 & vkWijs’ku :e Lisf'k;fyVh uÉlx&2½ & dqy vad% 75 Hkkx 1 & 35 vad ¼fucaèk 1 × 15 ¾ 15 vad] y?kq mÙkj 4 × 4 ¾ 16 vad] vfr y?kq mÙkj 2 × 2 ¾ 4 vad½ vkSj Hkkx 2 & 40 vad ¼fucaèk 1 × 15 ¾ 15 vad] y?kq mÙkj 5 × 4 ¾ 20 vad] vfr y?kq mÙkj 5 × 1 ¾ 5 vad½ II. çk;ksfxd 1- vkarfjd vkadyu & 75 vad • vks,llhà & 25 vad ¼inLFkkiu ds var eas vks,llhà & 10 vad $ o"kZ ds var eas vkarfjd vks,llhà & 15 vad½ • vU; vH;kl & 50 vad d½ çk;ksfxd dk;Z & 20 vad ¼unS kfud çLrqfr vkSj dsl LVMh fjiksVZ & 5 vad] ijke'kZ fjiksVZ@nkSjks a dh fjiksVZ & 5 vad] & 5 vad] vkS"kèkh; vè;;u fjiksVZ & 5 vad] vkSj LokLF; ifjppkZ & 5 vad½ [k½ dk;Zfofèkd n{krkvks a vkSj uSnkfud vgZrkvks a ds iw.kZ gksus ij & 5 vad x½ uSnkfud dk;Z fu"iknu dk fujarj uSnkfud eYw ;kadu & 5 vad ?k½ vafre voyksfdr vH;kl ijh{kk ¼uSnkfud dk;Z es a okLrfod fu"iknu½ & 20 vad20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 2- cká@vafre ijh{kk & 150 vad vks,llhà & 50 vad] voyksfdr vH;kl & 100 vad foLr`r fn'kkfunsZ'k ekxZn'kZu iqfLrdk eas fn, x, gSaA ifjf'k"V&3 vkWijs’ku :e Lisf'k;fyVh uÉlx dk;ZØe esa iksLV csfld fMIyks edks fy, uSnkfud ykWx cq d ¼fof'k"V dk;Zfofèkd n{krk,a@uSnkfud d kS'ky½ Ø-la- fof'k"V n{krk,a@dkS 'ky laikfnr@lgk;rk ladk;@ çnku@voyksdu çhlsIVj ds fd, x, & gLrk{kj la[;k ¼ih@,@vks ½ ,oa fnuka d I vkWijs’ku :e Lisf'k;fyVh uÉlx ds ewy 1 jksxh çf'k{k.k lkexzh rS;kj djuk ih 2 ltZjh djok jgs jksfx;ks a ds ifjtuks a gsrq f'k{k.k ;kstuk ih 3 uÉlx vfèkdkfj;ks@a LVkQ ulks± ds fy, MîwVh jksLVj rS;kj djuk ih 4 lkfgfR;d leh{kk y[s ku@O;ofLFkr leh{kk ih ¼lk{; vkèkkfjr uÉlx eè;orZu@çFkkvks a dh igpku djuk½ 5 çdk'ku@isij çstsaVs'ku ds fy, ikaMqfyfi rS;kj djuk ih 6 lkefwgd 'kksèk ifj;kstuk ih fo"k;% II vkWijs’ku :e Lisf'k;fyVh uÉlx 7 LokLF; vkadyu 7-1 ltZjh djok jgs o;Ld jksfx;ks a ds iwoZo`Ùk dh tkudkjh yus k vkSj ih 'kkjhfjd ijh{k.k djuk 7-2 ltZjh djok jgs f’k’kq jksfx;ks a ds iwoZo`Ùk dh tkudkjh yus k vkSj 'kkjhfjd ih ijh{k.k djuk 8 uSnkfudç fØ;k,a 8-1 vkbZlhih ekWfuVÇjx , 8-2 vkfVZfj;y CyM xSl , 8-3 bZlhth fjdkWÉMx , 8-4 vkfVZfj;y dSFksVjkbts'ku , 8-5 pLs V Vîwc bal'kZu , 8-6 ,aMksLdksih , 8-7 baVªk ohul QkbVksxzkQh ¼vkbZohih½ , 8-8 bZbZth , 8-9 czkdsa ksLdksih , 9 FksjkIw; fVd çkslhtl Z 9-1 lsaVªy ykbu , 9-2 vkfVZfj;y ykbu , 9-3 vkfVZfj;y chih ekWfuVÇjx ih 9-4 iYl vkWDlheVs ªh ih 9-5 ,chth dyDs 'ku , 9-6 ,;jos çcaèku 9-7 vksjks QSÇjft;y ,;jos dk vuqç;ksx ih 9-8 vkWDlhtu Fksjsih ih 9-9 lhih,ih ¼daVhU;wvl ikWftfVo ,;jos çs'kj½ , 9-10 ,aMksVªSfd;y baVîcw s'ku ,[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21 Ø-la- fof'k"V n{krk,a@dkS 'ky laikfnr@lgk;rk ladk;@ çnku@voyksdu çhlsIVj ds fd, x, & gLrk{kj la[;k ¼ih@,@vks ½ ,oa fnuka d 9-11 osfaVysVj & LFkkiuk vkSj fuxjkuh , 9-12 ucs qykbts'ku ih 9-13 dkÆM;d isÇlx , 9-14 gheksMk;fyfll , 9-15 isfjVksfu;y Mk;fyfll , 9-16 vksjksxSfLVªd Vîcw bal'kZu ih 9-17 Mªx ,MfefuLVª’sku ¼vkS"kfèk nsuk½ 9-18 baVªkeLdqyj ih 9-19 baVªkohul ih 9-20 vkbZoh dSuqys'ku ih 9-21 bU¶;wtu iai yxkuk vkSj mi;ksx eas ykuk ih 9-22 ¶ybw M Fksjsih dh ekWfuVÇjx ih 10 vkikrdkyhu çcaèk u 10-1 fMfQfczyVs j dk mi;ksx , 10-2 dkÆM;ksiYeksujh fjlflVs'ku , 10-3 ,MokaLM ykbQ liksVZ , 11 baVªkvkWi jsfVo 11-1 lÆtdy çfØ;k ds fy, Vªs vkSj VªkWyh dk lsVvi 11-1-1 ih 11-1-2 ih 11-1-3 ih 11-1-4 ih 11-1-5 ih 11-1-6 ih 11-1-7 ih 11-1-8 ih 11-1-9 ih 11-1-10 ih 11-2 fLdu fçijs'ku ih 11-3 MªsÇix vkSj iksft'kÇux ih 11-3-1 ih 11-3-2 11-3-3 11-3-4 11-3-5 12 lÆtdy çfØ;kvksa esa lgk;rk djuk 12-1 tujy ltZjh ih 12-2 vkWFkksZisfMDl ih 12-3 çlwfr ,oa L=h jksx ih 12-4 bZ,uVh ih 12-5 ;wjksykWth ih22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Ø-la- fof'k"V n{krk,a@dkS 'ky laikfnr@lgk;rk ladk;@ çnku@voyksdu çhlsIVj ds fd, x, & gLrk{kj la[;k ¼ih@,@vks ½ ,oa fnuka d 13 LØc ulZ ih 14 ldqZysVjh ulZ ih 15 Vcs y ls jksxh dk LFkkukarj.k djuk ih 16 fMLikstscy iSd dk mi;ksx ih 17 laØe.k fu;a=.k 17-1 gkFkks a dh LoPNrk ih 17-2 dhVk.kq'kksèku ih 17-3 LVsfjykbts'ku ih 17-4 tSofpfdRlh; vif’k"V dh laHkky@fuiVuk ih 17-5 fuxjkuh , 17-6 èkweu , 18 ?kko çcaèku ih 19 uewus dh n[s kHkky ih 20 jDrkèkku ih 21 baVjdksLVy Mªus ts dh n[s kHkky ih 22 xaHkhj :i ls chekj jksfx;ks a dh fuxjkuh ih 23 FkeksZjsxqy's ku & gkbiksFkÆe;k e'khuks a dk çcaèku vkSj mi;ksx ih 24 nLrkosthdj.k vkSj fjdkWMZ j[kuk ih *Nk= ds dkS'ky çn'kZu dju s ds fy, l{ke ik, tku s ij bl ij ladk; }kjk gLrk{kj fd, tk,axsA Nk=% Nk=ks a ls lwphc) dkS'ky@n{krkvks a dk laiknu ckj&ckj djuk rc rd visf{kr gS tc rd fd os Lrj&3 dh n{krk rd ugha igqap tkr s gSa] mlh ds ckn ladk; }kjk çR;sd n{krk ds le{k gLrk{kj fd, tk,axsA ladk;% ;g lqfuf'pr fd;k tkuk pkfg, fd Nk=ks a ds Lrj&3 rd igqapus ij gh çR;sd n{krk ds le{k gLrk{kj fd, tk,aA • Lrj&3 dh ;ksX;rk n'kkZrh gS fd Nk= fcuk fdlh i;Zos{k.k ds ml n{krk dk laiknu djus esa l{ke gSA • Lrj&2 dh ;ksX;rk n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk laiknu djus es a l{ke gSA • Lrj&1 dh ;ksX;rk n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml dkS'ky@n{krk dk laiknu djus es a l{ke ugha gSA ifjf'k"V&4 uSnkfud vgZrk ,a Ø-la- uSnkfudv gZrk, a fnuka d ladk;@çf'k{kd ds gLrk{kj 1 LokLF; ifjppkZ ¼Ms ds; j½ 1-1 fo"k;% 1-2 fo"k;% 2 jksxh@ifjtuksa dks ijke'kZ n suk ijke'kZ fjiksVZ&1 3 LokLF; vkadyu 3-1 o;Ld[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23 Ø-la- uSnkfudv gZrk, a fnuka d ladk;@çf'k{kd ds gLrk{kj 3-2 f’k’kq 3-3 uotkr vkadyu 4 tuZy Dyc@uSnkfud laxks"B h fo"k;% 5 dsl LVMh@uSnkfud çLrqfr vkSj fjik sVZ ¼uÉlx@baVjfMlfIyujh jkmaM~l½ 5-1 o;Ld 5-2 f'k'kq 6 vkS"kfèk vè;;u] çLrqfr vkSj fjik sVZ 6-1 6-2 6-3 6-4 7 vkWijs’ku :e dh :ijs[kk rS;kj djuk 8 nkSjs & fjiks VZ 8-1 8-2 dk;ZØe leUo;d@ladk; ds gLrk{kj foHkkxkè;{k@çèkkukpk;Z ds gL rk{kj ifjf'k"V&5 uSnkfudv uqHko fooj .k uSnkfud {ks= dk uk e uSnkfud voLFk k ns[kHkky çnku fd, ladk;@çf'k{kd x, fnuksa dh la[;k ds gLrk{kj24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] dk;ZØe leUo;d@ladk; ds gLrk{kj foHkkxkè@;{kçèkkukpk;Z ds gLrk {kj Mk- WVh- fnyhi dqekj] vè;{k [जवज्ञापन-III/4/असा./404/2026-27] INDIAN NURSING COUNCIL

NOTIFICATION New Delhi, the 19th October, 2026 F.No. 11-1/2026 (II)- 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 Indian Nursing Council (Post Basic Diploma in Operation Room Specialty Nursing - Residency Program) Regulations, 2026. ii. These Regulations 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.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25 POST BASIC DIPLOMA IN OPERATION ROOM SPECIALTY NURSING - RESIDENCY PROGRAM I. INTRODUCTION In modern health care, health needs are fast changing owing to the rapid change in the life style, having significant impact on the development of diseases, its processes and treatment modalities. The advanced surgical procedures and technology have played a pivotal role in treatment modalities. As surgery becomes increasingly complex and technology-driven, the demand for skilled Operation Room nurses has grown significantly in healthcare institutions worldwide and calls for specialized trained nurses in Operation Theatre.

The National Health Policy document (NHP, 2017) emphasizes the need to prepare specialist nurses and standardization of clinical training for nurses. Responding to this, the Council planned to redesign the existing specialty nursing programs making them as one-year post basic diploma residency programs utilizing competency- based training approach. Operation Room Specialty Nursing aim to prepare specialist nurses who can provide competent care to patients undergoing surgeries with different complexities.

Intraoperative care begins from the time a patient enters the operating room until the completion of surgery and transfer to the recovery area. Intraoperative care is important because it ensures patient safety, preventing injuries and adverse events protecting the patient from postoperative complications. Additionally, intraoperative care promotes team coordination and efficiency. This coordination helps to reduce surgical time and enhances the quality of care.

Intraoperative nursing is a cornerstone of safe and successful surgical practice. Intraoperative nurses are vital members of the surgical team, work closely with surgeons, anaesthetists, and other health care team members to ensure that every surgical procedure is carried out safely, efficiently, and effectively. They respond immediately to any changes or complications, ensuring timely intervention and stabilization. Hence, they play a key role in identifying and minimizing these risks, ensuring patient’s comfort and safety throughout the procedure.

Post Basic Diploma in Operation Room Specialty Nursing is designed to prepare nurses with the advanced knowledge and technical expertise required to function effectively in providing intraoperative care. By developing competent, confident, and compassionate professionals, this course ensures the delivery of safe, high-quality surgical care and strengthens the overall effectiveness of healthcare systems.

II. PHILOSOPHY The Council believes that registered nurses need to be further trained with advanced knowledge, skills and attitude in providing comprehensive care to patients undergoing surgery as specialist nurses. Expanding roles of nurses and advances in Operation Room Nursing necessitates additional competency-based training to prepare nurses with specialized skills and knowledge to deliver competent, intelligent and appropriate care to patients undergoing surgeries III. CURRICULAR FRAMEWORK Post Basic Diploma in Operation Room Specialty Nursing education is a one-year residency program and its curriculum is conceptualized encompassing foundational short courses and major specialty courses for specialty nursing practice.

The foundations to Operation Room Nursing practice such as professionalism; communication, patient education & counselling; clinical leadership & resource management; and evidence based & applied research are short courses that aim to provide the students with the knowledge, attitude and competencies essential to function as accountable, committed, safe and competent specialist nurses. The major specialty courses are organized under Operation Room Specialty Nursing I and Operation Room Specialty Nursing II. Operation Room Specialty Nursing I includes Introduction to Operation Room Nursing, and Basic Sciences applied to Operation Room Nursing (application of basic science knowledge in Operation Room Nursing Practice). Operation Room Nursing II is designed to prepare Operation Room Nurses with specialized knowledge and skill in assisting various surgical procedures and practicing infection control measures and patient safety in the operating room. The curricular framework for the Operation Room Specialty Nursing residency program is illustrated in the following figure-1:26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] POST BASIC DIPLOMA IN OPERATION ROOM SPECIALTY NURSING - RESIDENCY PROGRAM FOUNDATIONS TO OPERATION ROOM OPERATION ROOM NURSING - COURSES SPECIALTY NURSING – COURSES ONE-YEAR RESIDENCY PROGRAM (for Registered Nurses & Midwives) Theory - 10% & Practicum - 90% (Skill Lab + Clinical) Figure 1. Curricular Framework of Operation Room Specialty Nursing - Residency Program IV. AIM/PURPOSE & COMPETENCIES Aim The program is designed to prepare nurses with specialized skills, knowledge and attitude in providing quality care to patients undergoing surgery. It further aims to prepare technically qualified and trained specialist nurses who will function effectively and optimally at the Operation Rooms of hospitals in providing high standards of care.

Competencies On completion of the program, the Operation Room specialist nurse will be able to: -

1. Demonstrate professional accountability for the delivery of quality intraoperative care as per the Council standards that is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles in the intra operative care practice.

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

3. Demonstrate understanding of clinical leadership and resource management strategies and use them in intra operative care and settings promoting collaborative and effective teamwork.

4. Identify, evaluate and use the best current evidence in intraoperative care and management coupled with clinical expertise and consideration of patient’s preferences, experience and values to make practical decisions in the Operation Room nursing practice.

5. Participate in research studies that contribute to evidence-based Operation Room nursing care interventions with basic understanding of research process.

6. Apply basic sciences in the assessment, diagnosis and treatment of the physiological, physical, psychological, social & spiritual problems of patients and their families, undergoing surgeries.

7. Apply nursing process in providing intraoperative care for patients undergoing surgeries.

8. Demonstrate specialized practice competencies/skills relevant in providing care to patients undergoing major surgeries

9. Identify treatment related adverse effects and emergencies and manage them effectively.

10. Develop understanding of the method of drug and supplies procurement, storage, and maintenance and demonstrate sound practice.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27

11. Utilize the knowledge in the maintenance of special equipment such as Operation Room tables, cautery machines, microscopes and robots etc.

12. Demonstrate safe delivery of intraoperative care to patients and protect them from occupational hazards.

13. Conduct clinical audit and participate in the quality assurance activities of operation room.

14. Function effectively as a member of Operation Room surgical team in providing perioperative care.

15. Participate effectively as a member of the health team, communicate and coordinate with the members of Operation Room team.

V. PROGRAM DESCRIPTION & SCOPE OF PRACTICE Post Basic Diploma in Operation Room Specialty Nursing - Residency Program is a one-year residency program with a main focus on competency-based training. Theory includes foundational courses and specialty courses besides practicum. The theory component comprises 10% and practicum 90% (Clinical & Lab). On completion of the program and certification, and registration as additional qualification with respective SNRC, the specialist nurses will be employed only in the specialty hospital/department/unit as specialist nurses. They will be able to practice as per the competencies trained during the program particularly the specialized procedural competencies/clinical skills as per the logbook of the Council syllabus. The specialist nurses can be privileged to practice those specialized procedural competencies by the respective institution as per institution protocols. Specialist nurse cadre/position should be created both at government/public and private sectors. The diploma will be awarded by the respective examination board/SNRC/University approved by the Council.

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

1. College of Nursing offering degree programs in nursing attached to parent hospital/tertiary hospital with 200 beds, having facilities for General Surgery, Pediatric, Cardiothoracic, Gynecology and Obstetrics, Orthopedics, Ophthalmic, ENT and Neuro Surgery with advanced and state of the art theatre complex.

OR

2. Hospitals offering DNB in Surgery with a minimum of 200 beds having facilities for General Surgery, Pediatric, Cardiothoracic, Gynecology and Obstetrics, Orthopedics, Ophthalmic, ENT and Neuro Surgery with advanced and state of the art theatre complex.

3. The above eligible institution shall get recognition from the concerned SNRC for Post Basic Diploma in Operation Room Specialty Nursing Program for the particular academic year, which is a mandatory requirement.

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

1. Nursing Teaching Faculty a. Full time teaching faculty in the ratio of 1:10 b. Minimum number of faculty should be two c. Qualification and number: i. M.Sc. Nursing with Medical Surgical Nursing ii. Post Basic Diploma in Operation Room Nursing with Basic B.Sc. Nursing/P.B.B.Sc. Nursing - 1 d. Experience: Minimum three years of clinical experience in Operation Room Nursing e. Guest Faculty: Multi-disciplinary in related specialities f. Preceptors:

• Nursing Preceptor: Full time qualified GNM with 6 years’ experience in Operation Room Nursing or B.Sc. Nursing with 2 years’ experience in Operation Room Nursing or M.Sc. Nursing with one-year experience in Operation Room Nursing.

• Medical Preceptor: Surgeon with PG qualification (with 3 years post PG experience/faculty level/consultant level preferable).28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Preceptor Student Ratio: Nursing 1:10, Medical 1:10 (every student must have a medical and nursing preceptor).

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

3. Physical and Learning Resources at Hospital/College a. One classroom/conference room at the clinical area. b. Skill lab for simulated learning at hospital/college. Skill Lab requirements are listed in Appendix-1.

c. Library and computer facilities with access to online journals i. College library having current books, journals and periodicals related to Operation Room Nursing, Nursing Administration, Nursing Education, Nursing Research and Statistics.

OR Permission to use medical/hospital library having current books, journals and periodicals related to Operation Room Nursing, Nursing Administration, Nursing Education, Nursing Research and Statistics.

ii. Computer with internet facility. d. E-Learning facilities e. Teaching Aids - Facilities for the use of i. Overhead projectors ii. Video viewing facility iii. LCD projector iv. CDs, DVDs and DVD players v. Appropriate equipment, manikins and simulators for skill learning f. Office facilities i. Services of typist, peon, Safai Karamchari ii. Facilities for office, equipment and supplies such as • Stationery • Computer with printer • Xerox machine • Telephone and Fax

4. Clinical Facilities a. Parent hospital with a minimum of 200 beds having facilities for General Surgery, Pediatric, Cardiothoracic, Gynecology and Obstetrics, Orthopedics, Ophthalmic, ENT and Neuro Surgery, with advanced and state of the art theatre complex.

b. Nurse staffing of Operation Room as per the Council norms (for each table 1:2).

5. Admission Terms and Conditions/Entry Requirements The student seeking admission to this program should a. Be a registered nurse and midwife (R.N.&R.M.) or equivalent with any SNRC having NUID number.

b. Possess a minimum of one-year clinical experience as a staff nurse preferably in the Operating Room prior to enrolment. c. Be physically fit. d. Selection must be based on the merit of an entrance examination and interview held by the competent authority.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29 e. Nurses from other countries must obtain an equivalence certificate from the Council before admission.

6. Number of Seats a. For hospital having 200 beds and 10 Operation Room tables, number of seats = 10, b. For hospital having 500 beds and more with 20 Operation Room tables, the number of seats = 20.

7. Number of Candidates One candidate per table.

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

VII. EXAMINATION REGULATIONS AND CERTIFICATION

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

1. Eligibility for appearing for the Examination a. Attendance: Theory and practical - 80%. However, 100% clinical attendance have to be completed prior to certification. b. Candidate who successfully completes the necessary requirements such as logbook and clinical requirements is eligible and can appear for the final exam.

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

c. Maximum number of students per day = 10 students. d. Practical Examination should be held in the clinical area only. e. The team of practical examiners will include one internal examiner [(M.Sc. faculty with two years of experience in teaching the respective specialty program/M.Sc. faculty (Medical Surgical Nursing) with 5 years of post PG experience], one external examiner (nursing faculty with the same qualification & experience stated as above) and one medical internal examiner who should be a preceptor for the respective Operation Room Nursing program.

f. The practical examiner and the theory examiner should be the same nursing faculty.

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

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

CERTIFICATION a. TITLE - Post Basic Diploma in Operation Room Specialty Nursing b. A diploma is awarded by Examination Board/SNRC/University approved by the Council, upon successful completion of the prescribed study program, which will state that i. Candidate has completed all the courses of study under the Post Basic Diploma in Operation Room Specialty Nursing - Residency Program.

ii. Candidate has completed 80% theory and 100% clinical requirements.30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] iii. Candidate has passed the prescribed examination.

VIII. SCHEME OF EXAMINATION Courses Internal External Total Exam Hours Assessment Assessment Marks (External) Marks Marks Theory - Experiential/Residential Learning Operation Room Specialty Nursing (Part I & Part II) 25 75 100 3 {Part I - Operation Room Specialty Nursing I including (10+15) (35+40) Foundations Part II - Operation Room Specialty Nursing II} Practicum - Operation Room Specialty Nursing • OSCE including Viva 75 150 (25+50) (50+100) Minimum 5-6 • Observed Practical/Clinical (Direct observation of (OSCE-25 & (OSCE-50 & 225 hours in the actual performance at real settings) including viva - Observed Observed clinical area mini clinical evaluation exercise for 3-4 hours Practical-50) Practical-100) (Nursing process application and direct observation of procedural competencies) Grand Total 100 225 325 IX. PROGRAM ORGANIZATION/STRUCTURE

1. Courses of Instruction

2. Implementation of Curriculum

3. Clinical Practice (Residency Posting)

4. Teaching Methods

5. Methods of Assessment

6. Logbook & Clinical Requirements

1. Courses of Instruction - Delivered through Mastery of Learning (Skill Lab Practice) and Experiential Learning (Clinical Practice) Approaches Courses Theory (hours) Lab/Skill Lab Clinical

(hours) (hours) I Foundations to Operation Room Nursing Practice 40

1. Professionalism

2. Communication, patient education & counselling

3. Clinical leadership and resource management in the Operation Room setting

4. Evidence based and applied research in the Operation Room nursing Operation Room Nursing Courses Operation Room Specialty Nursing I II 1. Introduction to Operation Room nursing

2. Basic sciences applied to Operation Room Nursing 50 10 1730 Practice (Anatomy & Physiology, Biophysics & Chemistry, Microbiology & Pharmacology) Operation Room Specialty Nursing II

1. Nursing management of intraoperative care including assessment, and assisting for various surgical 110 30 procedures

2. Patient safety including surgical safety and quality TOTAL = 1970 hours 200 (5 weeks) 40 (1 week) 1730 (38 weeks) Total weeks available in a year = 52 weeks • Annual Leave + Casual Leave + Sick Leave + Public Holidays = 6 weeks • Exam Preparation and Exam = 2 weeks • Theory and Practical = 44 weeks[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31

2. Implementation of the Curriculum (Theory - 10% and Skill Lab + Clinical - 90%) Block classes - 2 weeks × 40 hours per week = 80 hours, Residency - 42 weeks × 45 hours per week = 1890 hours Total = 1970 hours • Block Classes: Theory and Skill Lab experience = 2 weeks × 40 hours per week (80 hours) (Theory = 74 hours, Skill Lab = 6 hours, Total = 80 hours) • Clinical Practice including Theory and Skill Lab = 42 weeks × 45 hours per week (1890 hours) (Theory = 126 hours, Skill Lab = 34 hours, Clinical = 1730 hours) • Theory = 200 (74+126) hours, Skill Lab = 40 (6+34) hours, Clinical = 1730 hours • 126 hours of theory and 34 hours of skill lab learning can be integrated during clinical experience. Mastery learning and experiential learning approaches are used in training the students throughout the program. Skill lab requirements are listed in Appendix-1.

3. Clinical Practice

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

Clinical Placements: The students will be posted to the under mentioned clinical areas during their training

period:

S.No. Clinical Area Weeks Remarks 1 General Surgery 4 2 Orthopaedic Surgery 4 3 Emergency & Trauma 3 4 Gynaecology and Obstetrics 4 5 Paediatric Surgery 3 6 Urology 3 7 Neuro Surgery 3 Own Hospital 8 Cardiovascular and Thoracic Surgery 3 9 ENT 2 10 Ophthalmic 2 11 Post Anaesthesia Care Unit (PACU) 2 12 CSSD 2 13 Day care 3 14 Dental Surgery 2 Own Hospital/Affiliated 15 Burns and Plastic Surgery 2 Total 42 The residency students will follow the same duty schedule as staff nurses/nursing officers with different shift duties. In addition to that, for 40 weeks 4 hours every week is dedicated for their learning that can be offered for theory (For example - faculty lecture - 1 hour, nursing & interdisciplinary rounds - 1 hour, clinical presentations - 1 hour, case study report, clinical assignments) and skill lab practice - 1 hour to cover a total of 126 hours of theory and 34 hours of skill lab practice. A small group research project can be conducted during clinical posting applying the steps of research process and written report to be submitted.

4. Teaching Methods

1. Theoretical, Skill Lab and Clinical teaching can be done in the following methods and integrated

during clinical posting: • Case/Clinical presentation & Case study report • Drug study & Presentation • Bedside clinic/Nursing rounds/Interdisciplinary rounds • Journal clubs/Clinical seminar • Faculty lecture & discussion in the clinical area32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Demonstration & skill training in skill lab and at bedside • Directed reading/Self study • Role play • Symposium/Group presentation • Group research project • Clinical assignments • Educational visits

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

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

X. COURSE SYLLABUS

1. FOUNDATIONS TO OPERATION ROOM SPECIALTY NURSING PRACTICE:

PROFESSIONALISM, COMMUNICATION, PATIENT EDUCATION & COUNSELING, CLINICAL LEADERSHIP & RESOURCE MANAGEMENT AND EVIDENCE BASED AND APPLIED RESEARCH IN OPERATION ROOM NURSING PRACTICE

Total Theory: 40 hours

Course description: This course is designed to develop an understanding of professionalism, communication, patient education and counselling, clinical leadership and resource management and evidence based and applied research in Operation Room nursing practice.

Unit Time Learning Content Teaching/Learning Assignments/

(hours) Outcomes Activities Assessment Methods I 8 Demonstrate Professionalism • Discussion • Write about code of understanding of • Meaning and elements - ethics related to professionalism accountability, knowledgeable, Operation Room and exhibit visibility and ethics in Operation nursing professionalism Room Nursing practice in the practice of • Professional values and professional Operation Room behaviour nursing • INC Code of ethics, code of professional conduct and practice standards • Expanding role of Nurse - Nurse Practitioner • Professional organizations • Continuing nursing education Describe Medico-Legal Issues • Lecture • Intraoperative medico- legal • Legislations and regulations related records aspects and the to Operation Room nursing preventive • Consumer protection act strategies of • Negligence & malpractice Operation Room • Preventive strategies - protecting[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33 Unit Time Learning Content Teaching/Learning Assignments/

(hours) Outcomes Activities Assessment Methods nursing patients’ rights, consent, patient identification, care of sponges, instruments • Medico-legal aspects • Records & reports • Legal responsibilities of Operation Room nurses II 12 Communicate Communication Module - • Digital records effectively with • Channels and techniques of • Lecture patients, families communication and professional • Breaking bad news to families • Breaking bad news colleagues • Culturally sensitive communication - Role play fostering mutual • Development of nursing care plans respect and and records shared decision • Information technology tools in making to support of communication enhance health • Team dynamics and communication outcomes in the Operation Room Educate and Patient & Family Education counsel patients • Principles of teaching & learning • Peer teaching • Conduct a group and families • Principles of health education health education regarding • Assessment of informational needs session intraoperative and education needs of patients and care families • Prepare patient • Developing patient education education materials materials Counselling • Counselling techniques • Patient and family counselling • Counselling • Reports during breaking bad news, intensive sessions treatment, crisis intervention and end of life care III 10 Demonstrate Clinical Leadership & Resource • Lecture cum • Plan a duty roster for understanding of Management discussion the junior nursing clinical • Leadership & management officers/ Staff nurses leadership and • Elements of management of working in the resource Operation Room - planning, operation room management organizing, staffing, reporting, strategies and recording and budgeting • Plan an ideal use them in the • Clinical leadership and its operation room Operation Room challenges promoting • Delegation • Conduct an audit collaborative • Managing human resources in and effective Operation Room teamwork • Material management • Designing an ideal operation theatre layout and workflow • Emotional intelligence and self- management skills • Working as interdisciplinary team member • Participation in making policies relevant to intra operative care Conduct clinical audit and Quality Assurance in the Operation • Module - participate in Room Accreditation & quality Practice Standards34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching/Learning Assignments/

(hours) Outcomes Activities Assessment Methods assurance • Quality indicators activities in the • Sentinel and near miss events Operation Room • Continuous quality improvement - nursing standards & audit • Disaster preparedness IV 10 Describe Evidence Based and Application of • Lecture • Preparation of research process Research statistical data of and perform • Introduction to nursing research and • Practice: writing of operation room basic statistical research process scientific paper tests • Data presentation, basic statistical tests and its application • Group research • Conduct literature • Research priorities in operation project review on Operation room Room nursing • Formulation of problem/question practices/Group relevant to Operation Room nursing research project practice report • Review of literature to identify evidence based/ best practices in Operation Room nursing practice • Implementation of evidence-based interventions in daily professional practice • Ethics in research

2. OPERATION ROOM SPECIALTY NURSING – I CONTEXT/INTRODUCTION TO OPERATION ROOM NURSING & BASIC SCIENCES APPLIED TO OPERATION ROOM NURSING PRACTICE (Applied Anatomy, Physiology, Pharmacology, Bio-physics & Chemistry, Microbiology)

Theory: 50 hours & Lab: 10 hours

Course description: This course is designed to help students to develop understanding and in-depth knowledge regarding the structure and functions of human body, pharmacodynamics of drugs acting on various systems of body & their relation with promotion of health, and application of principles of microbiology as applied to infection control practices in the operation room Unit Time Learning Content Teaching/Learning Assignments/

(hours) outcomes Activities Assessment Methods I T-8 Review anatomy & Anatomy & physiology - • Discussion • Quiz/MCQ physiology review • Overview of human anatomy & surgical relevance and physiology of body systems (GI, Musculoskeletal, Respiratory, Cardiovascular, Central Nervous, Renal, Lymphatic, Endocrine, Reproductive, ENT, Eye, & Integumentary systems) • Fluids & electrolyte balance • Metabolism & Nutrition:

Vitamins & Minerals II T-12 Apply the SURGICAL ANATOMY • Models/Charts • Assignment knowledge of General Surgery structure & • Abdominal Surgery -[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35 Unit Time Learning Content Teaching/Learning Assignments/

(hours) outcomes Activities Assessment Methods L-8 functions of Anatomy of abdominal various systems of wall incisions, Hernia human body Alimentary Canal, Gall relevant to surgical Bladder, Bile Duct, Liver, procedures Spleen Pancreas, Surgery of Head & Neck, Mouth and Breast, Thyroid Gland Orthopedics • Bones and Joints Urology • Kidney, Ureters, Bladder, Prostate, Testes Ear, nose & throat • Surgery of Pharynx, Larynx, Nose & Ear Gynae & obstetrics • Pelvic viscera and other supports, uterus, fallopian tubes, ovaries, cervix, vagina Cardiothoracic • Chest wall, heart, blood vessels, trachea, bronchi, lungs Neuro • Brain, Spinal cord, peripheral & sympathetic nerves Pediatric • Body systems Ophthalmology • Eyes III T-5 Apply principles of BIO-PHYSICS & • Discussion biophysics and CHEMISTIRY L-2 chemistry in use of • Review - unit of various gadgets measurements, gas laws, heat, electrostatics • Laser rays, chemicals & radioactive materials used in Operation Room • Occupational hazards in Operation Room - prevention, control and management • Operation tables - machines, positioning • Principles underlying use of various gadgets IV T-20 Describe the PHARMACODYNAMICS • Lecture • Drug diary pharmacodynamics • Drugs of common drugs o Antiseptics and and anesthetic disinfectants agents used in o Hypnotics, barbiturates Operation Room o Tranquillizers and sedatives36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching/Learning Assignments/

(hours) outcomes Activities Assessment Methods o Neuroleptic drugs o Phenothiazine’s o Butobarbitone o Anticonvulsants o Analgesics o Intraoperative analgesia o Non-steroidal anti- inflammatory drugs o Narcotic antagonists o Intravenous induction agents o Isoflurane o Isoprenaline o Bronchodilators o Respiratory stimulants o Antidysrhythmic o Vasopressor o Vasodilator o Antihypertensive agents o Ganglion blockers o Plasma expanders o Muscle relaxant o Beta blockers o Uterine stimulators o Uterine inhibitors o Insulin o Histamine and H1 & H2 receptor antagonists o Anticoagulants o Antiemetics o Anticholinergic o Drugs acting on eye, ENT etc.

o Nurses’ Role and Responsibilities V T-5 Apply principles of MICROBIOLOGY • Discussion microbiology in • Inflammation and infection control Infection practices in • Micro-organisms Operation Room classification • Diagnostic tests in Microbiology & related nurses’ responsibility • Culture & Growth

3. OPERATION ROOM SPECIALTY NURSING - II

Theory: 110 hours & Lab: 30 hours

Course description: This course is designed to prepare Operation Room Nurses with specialized knowledge and skill in assisting for various surgical procedures and practicing patient safety and infection control measures. Further, it would enable students to acquire knowledge of anesthesia, roles and responsibilities of the Operation Room Nurse.

Unit Time Learning Content Teaching/Learning Assignments/

(hours) Outcomes Activities Assessment Methods I T-5 Understand the Principles of Perioperative • Discussion • Preoperative principles of Nursing assessment perioperative • Standards of practice for nursing perioperative nurses • Scope and role of the[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37 Unit Time Learning Content Teaching/Learning Assignments/

(hours) Outcomes Activities Assessment Methods operating room nurse • Preoperative assessment and patient preparation • Role of perioperative nurse II T-5 Describe the ANAESTHESIA • Discussion principles, types and • Introduction, principles, L-1 methods of types, stages, method of administration, anesthetic anesthesia and machines and equipment, nurse’s nurses’ roles & responsibilities responsibilities • Drugs used in anesthesia • Anesthetic agents - types, methods of administration, action & effect, side effect, antidotes • Post anesthesia care III T-10 Demonstrate skill in O.R. Table and • Discussion & • Return demonstration L-2 organization of organization Demonstration tasks, time, motion, • Equipment and amenities equipment, supplies, • Different types of tables materials and and accessories resources • Organization of table and equipment • Nurses’ Role and Responsibilities Instruments in Operation Room • Classification and identification of surgical instruments • Care and maintenance of Operation Room instruments Operating microscopes • Types, accessories, attachments, uses, disinfection, maintenance and storage • Nurses’ Role and Responsibilities Suture material & needles • Types, uses, disinfection & storage Endoscopies • Definition, types, uses, maintenance and storage • Nurses’ Role and Responsibilities including patient preparation Bandages, splints, casts and traction • Types, uses, preparation, maintenance and storage38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching/Learning Assignments/

(hours) Outcomes Activities Assessment Methods IV T-15 Demonstrate Infection control • Discussion • Written assignment L-2 knowledge and • Infection control in the on infection control principles of Operating Room practices in sterilization and • Environment - cleaning, Operation Room disinfection disinfecting Operation Room equipment, air conditioning system, swabbing and culture, fumigation • Aseptic techniques - principles of asepsis, scrubbing, gowning & gloving • Sterilization & disinfection - preparing and packing of instruments, dressing materials, linen, suture materials, drainage tubes and catheters, care of electro-medical equipment • Handling and storing of sterilized material, equipment, instruments • Handling of surgical drapes and sutures • Collection of various specimens for laboratory tests • Bio-Medical Waste Management - Universal standards and its application in Operation Room Nursing • Nurses’ Role and Responsibilities V T-5 Create a safe Operation Room safety • Discussion environment in the • Safety standards in Operation Room Operation Room • Fire drill • Prevention of hazards and injury including fire safety in Operation Room • Surgical counts & accountability • Risk management and surgical safety • Electrocautery and laser safety VI T-50 Demonstrate the Preparation and assisting • Discussion & • Develop SOPs for L-25 skill in assisting for various surgical demonstration assisting different different operative procedures; as circulating surgeries procedures and scrub nurse • Setting up of Operation Room and table • Setting up of trays and trolleys for various surgical procedures[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39 Unit Time Learning Content Teaching/Learning Assignments/

(hours) Outcomes Activities Assessment Methods • Preparation for various surgical procedures • Patient transfer • Positioning and draping according to the surgical procedures • Incisions for various surgical procedures • Minor surgeries - surgical instruments and suturing materials • Major surgeries - surgical instruments and suturing

materials: o General o Gynecology o Obstetrics o Orthopedics o Plastic and Reconstructive Surgery o Ophthalmic o Head and neck o ENT o Cardiothoracic o Neuro Surgery o Pediatric o Dental o Laser and Robotic Surgery • Records and Reports VII T-5 Demonstrate skill in Recovery room/surgical • Discussion • Develop nursing caring for patients in intensive care unit standards the post anesthesia • Set up and organization • Management of patients care • Reporting and recording • Transportation of patients • Nurses’ Role and Responsibilities VIII T-10 Understand the Fluid therapy • Lecture • Written assignment importance of fluid • Fluid and electrolytes on management of management in the • Blood and blood anaphylactic shock components intraoperative care • Allergies and reactions • High risk patients • Managements of anaphylactic shock • Records and reports • Nurses’ Role and Responsibilities IX T-5 Act appropriately in Emergency Situations in • Discussion • CPR handling emergency the Operation Room • Code blue drill situations in the • Surgical complications • CPR and code blue in the Operation Room Operation Room • Fire safety (e.g.

electrosurgical risks), fire drill40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching/Learning Assignments/

(hours) Outcomes Activities Assessment Methods • Managing bleeding/ shock PRACTICUM (Skill Lab & Clinical)

Total hours: 1770 hours (40 + 1730) (Skill Lab - 40 hours and Clinical - 1730 hours) Practice Competencies

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

1. Assess patients undergoing surgeries

2. Assist and perform the roles of scrub nurse and circulating nurse for surgical procedures

3. Care for patients in the post anaesthesia care unit

4. Monitor patients and identify early warning signs promptly

5. Maintain and store drugs and keep daily record

6. Assess and manage high-risk groups i.e. paediatric, geriatric, and critically ill patients undergoing surgery PRACTICUM (Skill Lab & Clinical) CLINICAL POSTINGS Operation Room Duration Clinical Learning Skills/Procedural Assignments Assessment Areas (weeks) Outcomes Competencies Method General surgery 4 Be familiar with the polices Arterial line, arterial SOPs for Clinical and standards of Operation BP monitoring, central various evaluation Orthopaedics 4 Room line, setting up trays, surgical OBG 4 draping & positioning, procedures Practice patient Urology 3 for various surgeries identification and safe Emergency & 3 transfer before surgery Scrub nurse Trauma Case study Assist in positioning and Circulatory nurse Paediatric Surgery 3 draping for various surgical Neuro 3 Monitoring ICP procedures Cardiovascular & 3 Arterial blood gas, Master the role of scrub thoracic surgery ABG collection Assignment nurse & circulating nurse for evaluation ENT 2 Patient transfer simple to complex surgeries Ophthalmic 2 in different specialties Dental 2 Assist in wound care Burns & Plastic 2 Handles specimens surgery appropriately Day care 3 Develop skill preparing Health assessment Preoperative Operation Room patients for surgery assessment Counselling Educate patients about the Health talk anticipated recovery process PACU 2 Care for patients in the Pulse oximetry, immediate postoperative Nebulization, O 2 period therapy, airway management Drug administration - IM, IV CSSD 2 Prepare the instrument pack Disinfection, Methods of for different surgical Sterilization, disinfection & procedure Instrument packing sterilization - presentation Assist in sterilizing instruments/equipment[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41 APPENDIX 1 SKILL LAB REQUIREMENTS

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

S.No. Skill Lab Requirement Number Skill 1 Hospital Bed/Operation Room table with mattress 02 2 Hospital linen set 15 sets 3 Patient linen set 10 sets 4 OT towels 20 5 IV stand 4 6 Overhead table 4 Operation Room unit preparation 7 Sponge stand 02 8 Suction machine 02 9 Multipara monitor 02 10 Oxygen supply 02 11 Crash cart trolley 01 12 Basic nursing care articles Basic & Advance Nursing Care 13 Advance nursing care articles 14 Bowls with lid 10 cm 10 15 Bowls 10 cm 10 16 Instrument tray with lid 10 17 Plain artery forceps 10 Instruments 18 Toothed artery forceps 10 19 Mosquito artery forceps 10 20 Plain dissecting forceps 10 21 Toothed dissecting forceps 10 22 Sponge holding forceps 10 23 Towel clip 20 24 Transfusion set 10 25 IV fluids 10 Transfusion 26 IV canula 16/18 F 10 27 Infusion pump 2 28 Standard safety protection devices 10 sets 29 Hand washing area 01 Infection control 30 Biomedical waste disposal unit 01 31 LCD TV 01 Video assisted demonstration APPENDIX 2 ASSESSMENT GUIDELINES (THEORY & PRACTICUM) I. THEORY

1. INTERNAL ASSESSMENT • Operation Room Specialty Nursing (Part I - Operation Room Specialty Nursing I including Foundations & Part II - Operation Room Specialty Nursing II) - TOTAL: 25 marks • Test papers & Quiz - 10 marks • Written assignments - 10 marks (Legal responsibilities of Operation Room Nurse/literature review on EBP in Operation Room nursing/infection control practices in Operation Room) • Group project - 5 marks42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

2. EXTERNAL/FINAL EXAMS Operation Room Specialty Nursing (Part I - Operation Room Specialty Nursing I including Foundations & Part II - Operation Room Specialty Nursing II) - TOTAL: 75 marks Part I - 35 marks (Essay type 1 × 15 = 15 marks, short answers 4 × 4 = 16 marks, very short answers 2 × 2 = 4 marks) and Part II - 40 marks (Essay 1 × 15 = 15 marks, short answers 5 × 4 = 20 marks, very short answers 5 × 1 = 5 marks) II. PRACTICUM

1. INTERNAL ASSESSMENT - 75 marks • OSCE - 25 marks (End of posting OSCE - 10 marks + Internal end of year OSCE - 15 marks) • Other Practical - 50 marks a) Practical Assignments - 20 marks (Clinical presentation & Case study report - 5 marks, Counselling report/visit report - 5 marks, Drug study report - 5 marks, and Health talk - 5 marks) b) Completion of procedural competencies and clinical requirements - 5 marks c) Continuous clinical evaluation of clinical performance - 5 marks d) Final Observed Practical (Actual performance in clinicals) - 20 marks

2. EXTERNAL/FINAL EXAM - 150 marks OSCE - 50 marks, Observed Practical - 100 marks Detailed guidelines are given in Guidebook.

APPENDIX 3 CLINICAL LOG BOOK FOR POST BASIC DIPLOMA IN OPERATION ROOM SPECIALTY NURSING PROGRAM (Specific Procedural Competencies/Clinical Skills) S.No. Specific Competencies/Skills Number Performed/ Date & Signature Assisted/ Observed of the Faculty/ (P/A/O) Preceptor I FOUNDATIONS TO OPERATION ROOM SPECIALTY NURSING 1 Preparation of patient education materials P 2 Education plan for teaching families of patients undergoing P surgery 3 Preparation of duty roster for nursing officers/staff nurses P 4 Writing literature review/systematic review (Identify P evidence-based nursing interventions/practices) 5 Preparation of a manuscript for publication/paper P presentation 6 Group research project P

Topic:

II OPERATION ROOM SPECIALTY NURSING 7 Health Assessment

7.1 History taking and physical examination for adult patient P undergoing surgery

7.2 History taking and physical examination for paediatric P patient undergoing surgery 8 Diagnostic Procedures

8.1 Monitoring ICP A

8.2 Arterial blood gas A

8.3 ECG recording A

8.4 Arterial catheterization A

8.5 Chest tube insertion A

8.6 Endoscopy A

8.7 Intra Venous Phytography (IVP) A

8.8 EEG A

8.9 Bronchoscopy A 9 Therapeutic Procedures[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43 S.No. Specific Competencies/Skills Number Performed/ Date & Signature Assisted/ Observed of the Faculty/ (P/A/O) Preceptor

9.1 Central line A

9.2 Arterial line A

9.3 Arterial BP monitoring P

9.4 Pulse oximetry P

9.5 ABG collection A

9.6 Airway management

9.7 Application of Oro Pharyngeal Airway P

9.8 Oxygen therapy P

9.9 CPAP (Continuous Positive Airway Pressure) A

9.10 Endotracheal intubation A

9.11 Ventilator - setting up & monitoring A

9.12 Nebulization P

9.13 Cardiac pacing A

9.14 Haemodialysis A

9.15 Peritoneal dialysis A

9.16 Orogastric tube insertion P

9.17 Drug administration

9.18 Intramuscular P

9.19 Intravenous P

9.20 IV Cannulation P

9.21 Setting up and use of infusion pump P

9.22 Monitoring fluid therapy P 10 Emergency Management

10.1 Use of defibrillator A

10.2 Cardiopulmonary resuscitation A

10.3 Advanced life support A 11 Intra-operative

11.1 Setting up of trays and trolleys for surgical procedures

11.1.1 P

11.1.2 P

11.1.3 P

11.1.4 P

11.1.5 P

11.1.6 P

11.1.7 P

11.1.8 P

11.1.9 P

11.1.10 P

11.2 Skin preparation P

11.3 Draping and positioning P

11.3.1 P

11.3.2

11.3.3

11.3.4

11.3.5 12 Assisting in surgical procedures44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Performed/ Date & Signature Assisted/ Observed of the Faculty/ (P/A/O) Preceptor

12.1 General surgery P

12.2 Orthopaedics P

12.3 Obstetrics & Gynaecology P

12.4 ENT P

12.5 Urology P 13 Scrub Nurse P 14 Circulatory nurse P 15 Transferring patient from table P 16 Use of disposable packs P 17 Infection control

17.1 Hand hygiene P

17.2 Disinfections P

17.3 Sterilization P

17.4 Handling biomedical waste P

17.5 Surveillance A

17.6 Fumigation A 18 Wound management P 19 Care of specimen P 20 Blood transfusion P 21 Care of intercostal drainage P 22 Monitoring of critically ill P 23 Thermoregulation - management & use of hypothermia P machines 24 Documentation & record keeping P *When the student is found competent to perform the skill, the faculty will sign it.

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

Faculty: Must ensure that the signature is given for each competency only after they reach level 3.

Level 3 competency denotes that the student is able to perform that competency without supervision Level 2 Competency denotes that the student is able to perform each competency with supervision.

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

APPENDIX 4 CLINICAL REQUIREMENTS S.No. Clinical Requirement Date Signature of the Faculty/Preceptor 1 Health Talk ( Day Care)

1.1 Topic:

1.2 Topic:

2 Counselling Patients/Relatives Counselling Report-1 3 Health Assessment

3.1.1 Adult

3.1.2 Child

3.1.3 Assessment of Neonates 4 Journal Club/Clinical Seminar

Topic:

5 Case Study/Clinical Presentation & Report (Nursing/Interdisciplinary Rounds)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45 S.No. Clinical Requirement Date Signature of the Faculty/Preceptor

5.1 Adult

5.2 Paediatric 6 Drug Study, Presentation and Report

6.1

6.2

6.3

6.4 7 Designing Operation Room 8 Visits - Reports

8.1

8.2 Signature of the Program Coordinator/Faculty Signature of the HOD/Principal APPENDIX 5 CLINICAL EXPERIENCE DETAILS Name of clinical Clinical Condition Number of Signature of the area days care given Faculty/Preceptor Signature of the Program Coordinator/Faculty Signature of the HOD/Principal DR. T. DILEEP KUMAR, President [ADVT.-III/4/Exty./404/2026-27] 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.