Home India Indian Nursing Council In exercise of the powers conferred by subsection 1 of Secti...
Date: 2021-08-18 Category: Extra Ordinary State: Union Government Country: India

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

Issued by Indian Nursing Council · Not Applicable

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Okay, I will analyze the provided government policy text and generate a comprehensive report as a policy analyst, following the specified structure. **Report: Analysis of Indian Nursing Council Regulations on Post Basic Diploma in Orthopaedic Rehabilitation Specialty Nursing Residency Program** **1. Executive Summary:** This report analyzes the Indian Nursing Council's (INC) regulations concerning the Post Basic Diploma in Orthopaedic Rehabilitation Specialty Nursing Residency Program, effective as of August 18, 2021. This is a *new policy* establishing a one-year residency program to standardize and enhance the training of specialist nurses in orthopaedic rehabilitation. The program aims to address the need for skilled nurses in this specialized field, as highlighted by the National Health Policy (NHP) 2017. Key findings include detailed curricular framework, emphasis on competency-based training, eligibility criteria for institutions and students, and examination regulations. The program seeks to produce technically competent nurses capable of delivering high-quality care in tertiary and quaternary hospitals. **2. Introduction:** This report provides an overview and analysis of the Indian Nursing Council (INC) regulations regarding the Post Basic Diploma in Orthopaedic Rehabilitation Specialty Nursing Residency Program based *solely* on the provided policy text. The purpose is to inform stakeholders, particularly in the nursing and healthcare industries, about the key aspects of this new program and its potential implications. **3. Policy Overview:** * **Core Objective(s):** Based on the provided text, the core objectives of the policy are: * To expand and standardize the training of specialist nurses in orthopaedic rehabilitation. * To develop technically competent and skilled nurses who can provide quality care to patients with orthopaedic disorders. * To align nursing education with the National Health Policy (NHP) 2017's emphasis on specialized tertiary care services. **4. Background and Rationale:** * **New Policy:** The policy addresses the need for specialized nursing skills in orthopaedic rehabilitation, a field characterized by complex diagnostic, treatment, and care requirements. The National Health Policy (NHP) 2017 emphasizes the need for expanding tertiary care services and standardizing clinical training, thus creating the impetus for this new policy. The text explicitly states that the Council is responding to this need by redesigning specialty nursing programs, making them one-year post-basic diploma residency programs with a competency-based training approach. **5. Key Provisions / Changes:** * **New Policy:** The regulations establish the following key provisions: * **Program Structure:** A one-year Post Basic Diploma in Orthopaedic Rehabilitation Specialty Nursing Residency Program. * **Curriculum:** Conceptualized with foundational short courses (professionalism, communication, leadership, research) and major specialty courses (Orthopaedic Rehabilitation Specialty Nursing I and II). * **Aim/Purpose/Competencies:** Aims to prepare technically qualified specialist nurses capable of providing quality care in tertiary and quaternary hospitals. Defines specific competencies upon program completion, encompassing ethical practice, communication, patient education, leadership, evidence-based practice, and application of basic sciences to orthopaedic nursing. * **Scope of Practice:** Graduates will be employed as orthopaedic rehabilitation specialist nurses in designated centers/hospitals/departments/units. Privileges can be granted based on institutional protocols. * **Minimum Requirements for Institutions:** Affiliation with a parent specialty hospital with a minimum of 200 beds, advanced diagnostic and therapeutic facilities, physiotherapy, occupational therapy, and specialized nursing care. Requires recognition from the relevant State Nurse and Midwives Registration Council (SNRC). * **Admission Requirements:** Registered Nurse and Registered Midwife (RNRM) status with any SNRC and NUID number, a minimum of one-year clinical experience, and physical fitness. Selection is based on merit in an entrance examination and interview. * **Examination Regulations:** Outlines eligibility criteria (80% attendance in theory/practical, 100% in clinical, Log Book completion), OSCE and Observed PracticalClinical examination formats, and standard for passing (60% in aggregate). Allows a maximum of three attempts to pass. * **Certification:** Upon successful completion of the program the candidate is awarded a diploma from the Examination BoardSNRCUniversity approved by the Council, * **Student-Patient Ratio:** Set at 1:3. * **Faculty requirements:** Specifies qualifications and experience for nursing teaching faculty and preceptors. * **Number of Seats:** For hospital having 200 beds and 30 specialty beds, number of seats 10, For hospital having 500 beds or more and with 60 specialty beds, the number of seats 20 **6. Target Audience and Stakeholders:** Based on the text, the target audience and stakeholders include: * Registered Nurses (RNRMs) seeking specialization in orthopaedic rehabilitation. * Nursing colleges and hospitals offering degree programs in nursing or DNBFellowship programs in Orthopaedics and Rehabilitation. * State Nurse and Midwives Registration Councils (SNRCs). * Healthcare facilities and organizations involved in orthopaedic rehabilitation services. **7. Implementation Aspects (Inferred):** * **Responsible Agency/Bodies:** Indian Nursing Council (INC), State Nurse and Midwives Registration Councils (SNRCs), Examination BoardSNRCUniversity approved by the Council, and affiliated hospitals/institutions. * **Timelines/Procedures:** The regulations are effective from the date of notification (August 18, 2021). Institutions must seek recognition from the SNRC. The INC will conduct inspections to assess suitability. Students must complete the prescribed curriculum and examination requirements to be certified. Specific timelines for application, admissions, and examinations are not detailed in the provided text, indicating these may be set by the individual institutions and SNRCs. Examination BoardSNRCUniversity approved by the Council is responsible for examining and awarding the diploma. **8. Expected Outcomes / Impact of Changes:** * **New Policy:** The likely intended outcomes include: * Increased availability of qualified specialist nurses in orthopaedic rehabilitation. * Improved quality of care for patients with orthopaedic disorders. * Standardized training programs across institutions. * Enhanced career opportunities for nurses in a specialized field. * Alignment of nursing education with national health policy objectives. **9. Conclusion:** The Indian Nursing Council's regulations on the Post Basic Diploma in Orthopaedic Rehabilitation Specialty Nursing Residency Program represent a significant step towards enhancing and standardizing the training of specialist nurses in a critical area of healthcare. The program's focus on competency-based training, coupled with defined eligibility criteria and examination regulations, aims to produce skilled professionals capable of delivering high-quality care. The successful implementation of this policy is expected to positively impact patient outcomes and address the growing need for specialized nursing expertise in orthopaedic rehabilitation.

Key Entities Referenced

Indian Nursing Council: The governing body making the regulations related to nursing in India. Indian Nursing Council Act, 1947: The act that empowers the Indian Nursing Council. Orthopaedic Rehabilitation Specialty Nursing Residency Program: A nursing program by Indian Nursing Council Official Gazette of India: Official publication for notifications. State Nurse and Midwives Registration Council: State-level councils for nurse registration. Registered Nurse and Registered Midwife: 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 Bachelor of Nursing: A nursing degree Diploma in General Nursing and Midwifery: A nursing diploma Nurses Registration Tracking System: A system developed by Indian Nursing 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 National Informatics Centre NIC: Indian Government organisation that develops software systems. Nurses Unique Identification Number: Unique identification number for nurses in the NRTS system. National Health Policy, 2017: A policy document emphasizing the need to expand tertiary care services, prepare specialist nurses and standardization of clinical training for nurses. Post Basic Diploma in Orthopaedic Rehabilitation Specialty Nursing: A one-year residency program utilising competency based training approach. Orthopaedic Rehabilitation NursingI: Includes ContextIntroduction to Orthopaedic Rehabilitation Nursing, and Basic Sciences applied to Orthopaedic Rehabilitation Nursing application of basic science knowledge in the diagnosis, treatment and care of clinical conditions under Orthopaedic Rehabilitation Specialty Nursing. Orthopaedic Rehabilitation Specialty NursingII: Includes nursing management of specific orthopaedic conditions comprising assessment, diagnosis, treatment and specialized interventions and patient safety quality including illness specific considerations. DNBFellowship programs in Orthopaedics and Rehabilitation: Fellowship programs in Orthopaedics and Rehabilitation Medical Surgical NursingOrthopaedic Rehabilitation Specialty Nursing: M.Sc. Nursing with Medical Surgical NursingOrthopaedic Rehabilitation Specialty Nursing
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रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99 xxxGIDHxxx सी.जी.-डी.एxलxx.-GअID.-E1x9xx0 82021-229137 CG-DL-E-19082021-229137 असाधारण EXTRAORDINARY भाग III—खण्ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 344] नई दिल्ली, बधु वार, अगस्ट्त 18, 2021/श्रावण 27, 1943 No. 344] NEW DELHI, WEDNESDAY, AUGUST 18, 2021/SHRAVANA 27, 1943 ubZ fnYyh] 18 vxLr] 2021 .—le;&le; ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 ¼1947 dk XLVIII½ dh èkkjk 16¼1½ ds vèkhu çnÙk 'kfDr;ksa dk ç;ksx djrs gq, Hkkjrh; mip;kZ ifj"kn~ ,rn~}kjk fuEufyf[kr fofu;e cukrh gS] ;Fkk %& i. ;s fofu;e dgs tk,xa sA ii. ;s fofu;e Hkkjr ds jkti= esa budh vfèklwpuk dh frfFk ls çHkkoh gksaxsA bu fofu;eksa esa] tc rd fd lanHkZ ls vU;Fkk visf{kr u gks] i. ^vfèkfu;e* dk vfHkçk; le;&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; ljdkjksa }kjk fdlh Hkh uke ls xfBr jkT; mip;kZ ,oa çlkfodk iathdj.k ifj"kn~ ls gS( iv. ^vkj,u ,aM vkj,e* dk vfHkçk; ,d iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½ ls gS vkSj ,d ,sls ulZ dks n'kkZrk gS ftlus ekU;rk çkIr ufl±x Lukrd ¼ch-,llh- ufl±x½ ;k fMIyksek bu tujy ufl±x ,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 esa iathÑr mip;kZ ,oa iathÑr çlkfodk ds :i esa iathÑr gks( 4622 GI/2021 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] v. ^ulZ iathdj.k ,oa VªSÇdx ç.kkyh ¼,uvkjVh,l½* dk vfHkçk; Hkkjrh; mip;kZ ifj"kn~ }kjk jk"Vªh; lwpuk foKku dsaæ 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;s ,uvkbZlh }kjk gkWLV fd;k x;k gSA blesa 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;s ^vkèkkj* ck;ksesfVªd çek.khdj.k ij vkèkkfjr ekudhÑr çk:i gS(a vi. ^,u;wvkbZMh* dk vfHkçk; ,uvkjVh,l }kjk çR;k'kh dks fn;k tkus okyk ulsZt ;wfud vkbMsafVfQds'ku uEcj ls gS( vii. ^tujy ufl±x ,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 ufl±x ,aM feMokbQjh çf'k{k.k ls gSA I. jk"Vªh; LokLF; uhfr nLrkost ¼,u,pih] 2017½ esa r`rh;d ns[kHkky lsokvksa dk foLrkj djus] fo'ks"kK ulZ rS;kj djus vkSj ulks± ds fy;s uSnkfud çf'k{k.k ds ekudhdj.k ij tksj fn;k x;k gSA blds çR;qÙkj Lo:i] ifj"kn~ us ekStnw k fof'k"V ufl±x dk;ZØe dks ;ksX;rk ij vkèkkfjr çf'k{k.k n`f"Vdks.k viukrs gq, ,d&o"khZ; iksLV csfld fMIyksek vkoklh; dk;ZØeksa ds :i esa ifjofrZr djus dh ;kstuk cukà gSA ifj"kn~ ds gìh jksx rFkk iquokZl ufl±x esa ekStnw k ,d o"kÊ; iksLV csfld fMIyksek dk;ZØe dks la'kksfèkr fn'kkfunsZ'kksa ds vuq:i vkoklh; dk;ZØe ds :i esa iqu% fodflr fd;k tk jgk gS] ftldk mís'; ,sls fo'k"skK ulZ rS;kj djuk gS tks gìh jksx rFkk iquokZl vko';drkvksa okys jksfx;ksa ftudh uSnkfud] mipkjkRed vkSj ns[kHkky dh vko';drk,a tfVy gksrh gSa] dks l{ke ns[kHkky çnku dj ldsaA gìh jksx rFkk iquokZl ufl±x esa gfì;ksa ls lacafèkr çkFkfed fodkjksa ds lkFk&lkFk gfì;ksa ij vU; chekfj;ksa ds çHkko Hkh 'kkfey gSAa çkFkfed gìh jksx tUetkr ;k vfèkxzfgr gks ldrs gSAa fofHkUu pj.kksa esa pksV] jksxtfur] vid"kZd vkSj mikip;h ifjfLFkfr;ksa esa fpfdRlh; mipkj ds lkFk&lkFk tfVy 'kY;&fpfdRlk dh vko';drk gksrh gS] ftuds dkj.k xaHkhj fodykaxrk vkSj iquokZl lacèa kh ifjfLFkfr;ka iSnk gks ldrh gSAa gìh jksx rFkk iquokZl ufl±x vH;kl ,d ÅtZLoh vkSj vR;fèkd tfVy ns[kHkky okyh fo'ks"krk gSA gìh jksx rFkk iquokZl fo'ks"kK ulks± ds dk;Z{ks= esa gìh jksx ls lacfaèkr lHkh ifjfLFkfr;ksa dk Kku 'kkfey gSA gìh jksx rFkk iquokZl ufl±x vH;kl esa jksfx;ksa dh fuokjd] çksRlkgd] mipkjkRed vkSj mi'kked ns[kHkky 'kkfey gSA dqN ifjfLFkfr;ka pqukSrhi.w kZ gksrh gS a ftuesa ;FkklaHko okLrfod thoup;kZ fcrkus ds fy;s nh?kZdkfyd iquokZl dh vko';drk gksrh gS] ftlls u dsoy jksxh cfYd ifjokj ds lnL; Hkh vR;fèkd çHkkfor gksrs gSaA fo'ks"kK ulZ] gìh jksx lacèa kh lHkh çdkj dh ifjfLFkfr;ksa okys jksfx;ksa ds çHkkoh çcaèku esa ,d egRoiw.kZ Hkwfedk fuHkkrs gSAa II. ifj"kn~ dk ekuuk gS fd iathÑr ulks± dks vH;kl ds fofHkUu u;s fof'k"V {ks=ks a esa dk;Z djus ds fy;s fo'ks"kK ulks± ds :i esa vkxs çf'kf{kr gksus dh vko';drk gS vkSj ;g çf'k{k.k ;ksX;rk ij vkèkkfjr gksuk pkfg;sA gìh jksx rFkk iquokZl ufl±x] fo'ks"kK ulks± dh t:jr okyk ,d ,slk {ks= gSA gìh jksx rFkk iquokZl ufl±x esa gqbZ çxfr vkSj ulks± dh c<+rh Hkwfedkvksa ds eísutj gìh jksx rFkk iquokZl dsaæksa esa çcafèkr gìh jksx rFkk 'kY; fpfdRlh; fLFkfr;ksa okys jksfx;ksa dks l{ke] dq'ky vkSj mfpr ns[kHkky çnku djus ds fy;s ulks± dks fo'ks"k dkS'ky vkSj tkudkjh çnku djus ds fy;s vfrfjDr çf'k{k.k dh vko';drk gksrh gSA III. gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x esa iksLV csfld fMIyksek çf'k{k.k ,d&o"khZ; vkoklh; dk;ZØe gS vkSj bl ikBîØe dh voèkkj.kk esa vH;kl ds vykok eyw Hkwr y?kq ikBîØe vkSj fof'k"V ufl±x vH;klksa ds fy;s c`gn fof'k"V ikBîØe lfEefyr fd;s x;s gSAa O;kolkf;d dq'kyrk] laokn rFkk jksxh çf'k{k.k] uSnkfud usr`Ro rFkk lalkèku çcaèku] vkSj lk{; vkèkkfjr rFkk vuqç;qDr 'kksèk] gìh jksx rFkk iquokZl ufl±x vH;kl ds eyw Hkwr y?kq ikBîØe gS]a ftudk y{; Nk=ksa dks tokcnsg] 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 çeq[k fof'k"V ikBîØeksa dks gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x&1 vkSj gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x&2 ds rgr lqfu;ksftr fd;k x;k gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3 gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x&1 esa gìh jksx rFkk iquokZl ufl±x dk lanHkZ@ifjp; vkSj gìh jksx rFkk iquokZl ufl±x esa ç;qDr lkekU; foKku ¼gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x ds varxZr vkus okyh uSnkfud ifjfLFkfr;ksa ds funku] mipkj vkSj ns[kHkky esa lkekU; foKku dh tkudkjh dk mi;ksx½ 'kkfey gSaA Lisf'k;fyVh ufl±x&2 esa gìh jksx lacaèkh fof'k"V ifjfLFkfr;ksa dk ufl±x çcaèku 'kkfey gS] ftlesa eYw ;kadu] funku] mipkj vkSj fof'k"V eè;orZu rFkk jksxh dh lqj{kk vkSj xq.koÙkk rFkk lkFk gh chekjh dh fof'k"V {kfrifwrZ lfEefyr gSAa gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x vkoklh; dk;ZØe ds ikBîØe dh lajpuk fuEufyf[kr fp=&1 esa n'kkZbZ xà gSA IV. bl dk;ZØe dks fo'ks"k dkS'ky] tkudkjh vkSj ço`fÙk okys ,sls ulZ rS;kj djus ds fy;s cuk;k x;k gS tks gìh jksx fodkjksa ls ihfM+r jksfx;ksa dks xq.koÙkkijd ns[kHkky çnku dj ldsaA bldk mís'; rduhdh :i ls ;ksX; vkSj çf'kf{kr ,sls fo'ks"kK ulZ rS;kj djuk gS] tks r`rh;d@prqFkZd vLirkyksa ds gìh jksx rFkk iquokZl dsaæksa esa mPp Lrj dh ns[kHkky çnku dj lQyrkiwoZd b"Vre dk;Z dj ldsaA dk;ZØe ds iwjk gksus ij] gìh jksx rFkk iquokZl Lisf'k;fyLV ulZ fuEukafdr dk;Z djus esa l{ke gkasxs%& 1- ifj"kn~ ds lnkpkjh] ijksidkjh] dkuwuh] uSfrd] fofu;ked vkSj ekuorkoknh fl)karksa ds vuq:i ekudksa ds vuqlkj gìh jksx rFkk iquokZl vH;kl eas ufl±x ns[kHkky çnku djus esa is'ksoj tokcnsgh çnf'kZr djukA 2- jksfx;ksa] ifjtuksa vkSj O;kolkf;d lg;ksfx;ksa ds lkFk çHkkoh <xa ls ckrphr djuk ftlls vkil esa lEeku dh Hkkouk dks c<k+ok feys vkSj LokLF; ifj.kkeksa esa lqèkkj ykus ds lk>k fu.kZ; fy;s tk ldsaA4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3- mipkj vkSj ns[kHkky esa jksfx;ksa rFkk ifjtuksa dh çHkkoh :i ls Hkkxhnkjh lqfuf'pr djus ds fy;s mUgsa çf'kf{kr djuk vkSj ijke'kZ nsuk rFkk ladV dh pqukSfr;ksa esa mudh eqdkcyk djus dh {kerk esa o`f) djukA 4- uSnkfud usr`Ro rFkk lalkèku çcaèku j.kuhfr;ksa dh le> dk çn'kZu djuk vkSj lg;ksxh rFkk çHkkoh Vhe odZ dks c<k+ok nsus ds fy;s mudk gìh jksx rFkk iquokZl ns[kHkky ifjfLFkfr;ksa esa mi;ksx djukA 5- gìh jksx rFkk iquokZl ufl±x vH;kl esa O;kogkfjd fu.kZ; ysus ds fy;s uSnkfud fo'ks"kKrk vkSj jksxh dh ojh;rkvksa ds fygkt ls] vuqHko vkSj eYw ;ksa ds lkFk gìh jksx rFkk iquokZl ns[kHkky vkjS mipkj esa lkef;d loksZÙke çek.kksa dh igpku] eYw ;kadu vkSj mi;ksx djukA 6- ,sls 'kksèk vè;;uksa esa Hkkx ysuk] tks 'kksèk çfØ;k dh ewyHkwr le> ds lkFk lk{;&vkèkkfjr gìh jksx rFkk iquokZl ufl±x ns[kHkky eè;orZu esa ;ksxnku djrs gSaA 7- gìh jksx fodkjksa rFkk iquokZl vko';drkvksa okys jksfx;ksa vkSj muds ifjtuksa dh nSfgd] 'kkjhfjd] euksoSKkfud] lkekftd vkSj vkè;kfRed leL;kvksa ds vkadyu] funku vkSj mipkj esa lkekU; foKku dks viukukA 8- gìh jksx fodkjksa rFkk iquokZl vko';drkvksa okys jksfx;ksa dh ns[kHkky esa ufl±x çfØ;k dks viukukA 9- gìh jksx fodkjksa rFkk iquokZl vko';drkvksa okys jksfx;ksa ds mipkj esa fQft;ksFksjsih] O;kolkf;d fpfdRlk] okd~ fpfdRlk] ijke'kZ] lkeqnkf;d iqu%,dhdj.k ds fl)karksa dk o.kZu djukA 10- fofHkUu mipkj O;oLFkkvksa ds rgr jksfx;ksa dk s ns[kHkky çnku djus esa çklafxd fof'k"V vH;kl n{krkvksa@dkS'ky dk çn'kZu djukA 11- nh?kZdkfyd iquokZl ds nkSj ls xqtj jgs jksfx;ksa ds çcaèku esa dkS'ky dk çn'kZu djukA 12- mipkj ls lacafèkr çfrdwy çHkkoksa vkSj vkikr fLFkfr;ksa dh igpku djuk rFkk mudh çHkkoh <ax ls ns[kHkky djukA 13- dk;Z i)fr dh Li"V le> ds lkFk gìh jksx lacaèkh fof'k"V midj.kksa] ;a=ksa vkSj lgk;d midj.kksa dh lkj&laHkky djuk vkSj mudk çHkkoh <ax ls mi;ksx djukA 14- jksfx;ksa dks lqj{kkRed <xa ls fofHkUu mipkj çnku djuk vkSj mUgsa O;kolkf;d uqdlku ls cpkukA 15- gìh jksx rFkk iquokZl bdkbZ@dsaæksa esa uSnkfud vkadyu djuk vkSj xq.koÙkk vk'oklu xfrfofèk;ksa esa Hkkx ysukA 16- iquokZl dsaæksa@leqnk; esa v'kDr vkSj nh?kZdkfyd iquokZl vko';drkvksa okys jksfx;ksa ds çHkkoh iquokZl esa LokLF; lsok ny ds lnL; ds :i esa Hkkx ysukA V. gìh jksx rFkk iquokZl Lis'kfyVh ufl±x esa iksLV csfld fMIyksek ,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 esa vH;kl ds vykok eyw Hkwr ikBîØe vkSj fof'k"V ikBîØe lfEefyr fd;s x;s gSAa bldk 10 çfr'kr Hkkx lS)kafrd vkSj 90 çfr'kr Hkkx uSnkfud ,oa ç;ksx'kkyk vH;kl gSA dk;ZØe ds iwjk gksus ij çek.ki= feyus vkSj lacafèkr ,l,uvkjlh esa vfrfjDr ;ksX;rk ds :i esa iathÑr gksus ij] gìh jksx rFkk iquokZl fo'ks"kK ulks± dks dsoy gìh jksx rFkk iquokZl Lisf'k;fyVh dsaæks@vLirkyksa@foHkkxksa@bdkÃ;ksa esa gìh jksx rFkk iquokZl fo'ks"kK ulZ ds :i esa fu;qDr fd;k tkuk pkfg;sA os dk;ZØe ds nkSjku çf'kf{kr n{krkvksa] fo'ks"k :i ls ifj"kn~ ds ikBîØe dh ykWx cqd esa fuèkkZfjr fof'k"V çfØ;kRed n{krkvksa@uSnkfud dkS'ky ds vuqlkj vH;kl djus esa l{ke gksaxsA fo'ks"kK ulks± dks lacafèkr laLFkkuksa }kjk laLFkkxr çksVksdkWy ds vuqlkj mu fof'k"V çfØ;kRed n{krkvksa dk vH;kl djus dk fo'ks"kkfèkdkj fn;k tk ldrk gSA fo'ks"kK ulZ laoxZ@inksa dk l`tu ljdkjh@lkoZtfud vkSj futh lHkh {ks=ks a esa fd;k tkuk pkfg;sA ;g fMIyksek ifj"kn~ }kjk vuqeksfnr lacafèkr ijh{kk cksMZ@,l,uvkjlh@fo'ofo|ky; }kjk çnku fd;k tk;sxkA VI. 1- ufl±x esa fMxzh dk;ZØe dk lapkyu djus okys ufl±x dkWyst tks U;wure 200 'kS¸;k okys vius Lo;a ds ,sls fof'k"V vLirky@r`rh;d vLirky ls lac) gksa ftuesa fQft;ksFksjsih] O;kolkf;d fpfdRlk] okd~ fpfdRlk] lgk;d ns[kHkky ds fy;s ijke'kZ bdkbZ] vkSj fo'ks"k ufl±x ns[kHkky lqfoèkkvksa ds lkFk mUur uSnkfud] fpfdRlh; vkSj vR;kèkqfud gìh jksx rFkk iquokZl bdkbZ miyCèk gksaA vFkok gìh jksx rFkk iquokZl esa Mh,uch@Qsyksf'ki dk;ZØe dk lapkyu djus okys ,sls vLirky ftuesa U;wure 200 'kS¸;k gksa] vkSj ftuesa fQft;ksFksjsih] O;kolkf;d fpfdRlk] okd~ fpfdRlk] lgk;d ns[kHkky ds fy;s ijke'kZ bdkbZ] vkSj fo'ks"k ufl±x ns[kHkky lqfoèkkvksa ds lkFk mUur uSnkfud] fpfdRlh; vkSj vR;kèkqfud gìh jksx rFkk iquokZl bdkbZ miyCèk gksaA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5 2- mijksDr ik= laLFkku dks lacafèkr ,l,uvkjlh ls fo'ks"k 'kS{kf.kd o"kZ ds fy;s gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x esa iksLV csfld fMIyksek dk;ZØe çkjaHk djus ds fy;s ekU;rk ysuh gksxh] tksfd ,d vfuok;Z vko';drk gSA 3- ifj"kn~ }kjk mijksDr nLrkostksa@çLrkoksa dh çkfIr ds i'pkr ekU;rk çkIr ufl±x çf'k{k.k laLFkku dk vfèkfu;e ds çkoèkkuksa ds rgr cuk;s x;s fofu;eksa ds vuq:i vè;kiu ladk; vkSj uSnkfud ,oa ewyHkwr lqfoèkkvksa dh miyCèkrk ds lacaèk esa mi;qDrrk dk vkadyu djus ds fy;s vfèkfu;e dh èkkjk 13 ds rgr oSèkkfud fujh{k.k fd;k tk;sxkA d½ 1 % 10 ds vuqikr esa i.w kZdkfyd f'k{k.k ladk;A [k½ f'k{k.k ladk; esa U;wure nks ¼2½ lnL; gksus pkfg;sA x½ ;ksX;rk ,oa la[;k% 1- esfMdy lftZdy ufl±x@gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x esa ,e-,llh- & 1 ¼gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x dks ojh;rk nh tk;sxh½ 2- ch-,llh- ¼ufl±x½@ih-ch-ch-,llh- ¼ufl±x½ ds lkFk gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x esa iksLV csfld fMIyksek & 1 ?k½ vuqHko% gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x esa U;wure rhu ¼3½ o"kZ dk vuqHkoA ³½ vfrfFk ladk;% lacafèkr fof'k"Vrkvksa esa cgq&fo"k;dA p½ çhlsIVj%  ufl±x çhlsIVj% iw.kZdkfyd th-,u-,e- ds lkFk gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x esa N% ¼6½ o"kZ] ;k ch-,llh- ¼ufl±x½ ds lkFk lacafèkr fof'k"V ufl±x esa nks ¼2½ o"kZ] ;k ,e-,llh- ¼ufl±x½ ds lkFk lacafèkr fof'k"V ufl±x esa ,d ¼1½ o"kZ dk fof'k"V ns[kHkky bdkbZ esa dk;Z djus dk vuqHkoA  esfMdy çhlsIVj% LukrdksÙkj ;ksX;rk çkIr fo'ks"kK ¼gìh jkxs fo'ks"kK½ MkWDVj ¼LukrdksÙkj ;ksX;rk çkIr djus ds ckn rhu ¼3½ o"kZ dk vuqHko@ladk; Lrj vFkok lykgdkj Lrj okyksa dks ojh;rk nh tk;sxh½A  çhlsIVj Nk= vuqikr% esa 1 % 10] esa 1 % 10 ¼çR;sd Nk= ,d esfMdy çhlsIVj vkSj ,d ufl±x çhlsIVj ls lca ) gksuk pkfg;s½A laLFkku ds dqy ctV esa bl dk;ZØe ds fy;s vko';d deZpkfj;ksa ds osru] vfrfFk ladk; vkSj va'kdkfyd f'k{kdksa ds fy;s ekuns;] fyfidh; lgk;rk] iqLrdky;h vkSj vkdfLed O;; ds fy;s çkoèkku gksuk pkfg;sA d½ uSnkfud {ks= esa ,d vè;;u d{k@lEesyu d{kA [k½ vLirky@dkWyst esa Ñf=e vè;;u ¼flE;qysVsM yfu±x½ ds fy;s dkS'ky ç;ksx'kkykA x½ vkWuykbu if=dkvksa rd igqap ds lkFk iqLrdky; vkSj dIa;wVj lqfoèkk;sa% 1- dkWyst esa gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x] ufl±x ç'kklu] ufl±x f'k{kk] ufl±x 'kksèk vkSj lkaf[;dh ls lca afèkr orZeku iqLrdksa] tuZy vkSj if=dkvksa ls lqlfTtr iqLrdky; gksuk pkfg;sA vFkok gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x] ufl±x ç'kklu] ufl±x f'k{kk] ufl±x 'kksèk vkSj lkaf[;dh ls lacafèkr orZeku iqLrdksa] tuZy vkSj if=dkvksa ds fy;s esfMdy dkWyst@vLirky ds iqLrdky; dk mi;ksx djus dh vuqefr gksuh pkfg;sA 2- baVjusV dh lqfoèkk ds lkFk dIa;wVjA ?k½ Ã&yfu±x lqfoèkk;sa ³½ f'k{k.k lalkèku & mi;ksx djus gsrq fuEukfadr lqfoèkk;s a miyCèk gksuh pkfg;s% 1- vksojgsM çkstsDVj] 2- ohfM;ks ns[kus dh lqfoèkk] 3- ,ylhMh çkstsDVj] 4- lhMh] MhohMh vkSj MhohMh Iys;j] 5- dkS'ky vè;;u ds fy;s mi;qDr midj.k] eSuhfdal vkSj fleqysVlZA p½ dk;kZy;h lqfoèkk;sa%6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 1- fyfid] pijklh] lQkbZ deZpkjh dh lsok;sAa 2- dk;kZy;] midj.k vkSj vkiwfrZ dh lqfoèkk] tSls  LVs'kujh]  fçaVj ds lkFk dIa;wVj]  thjksDl e'khu]  VsyhQksu ,o a QSDlA d½ U;wure 200 'kS¸;k okys vius Lo;a ds ,sls fof'k"V vLirky@r`rh;d vLirky ftuesa fQft;ksFksjsih] O;kolkf;d fpfdRlk] okd~ fpfdRlk] lgk;d ns[kHkky ds fy;s ijke'kZ bdkbZ] vkSj fo'ks"k ufl±x ns[kHkky lqfoèkkvksa ds lkFk mUur uSnkfud] fpfdRlh; vkSj vR;kèkqfud gìh jksx rFkk iquokZl bdkbZ miyCèk gksaA [k½ U;wure 200 'kS¸;k okys {ks=h; gìh jksx rFkk iquokZl@gìh jksx Lisf'k;fyVh vLirky ftuesa fQft;ksFksjsih] O;kolkf;d fpfdRlk] okd~ fpfdRlk] lgk;d ns[kHkky ds fy;s ijke'kZ bdkbZ] vkSj fo'ks"k ufl±x ns[kHkky lqfoèkkvksa ds lkFk mUur uSnkfud] fpfdRlh; vkSj vR;kèkqfud gìh jksx rFkk iquokZl bdkbZ miyCèk gksaA x½ vLirky esa mUur uSnkfud] fpfdRlh; vkSj ns[kHkky lqfoèkkvksa okys U;wure 30 'kS¸;k miyCèk gksus pkfg;sA ?k½ bdkb;ksa esa ifj"kn~ ds ekunaMksa ds vuqlkj ulZ LVkQ miyCèk gksuk pkfg;sA ³½ Nk= jksxh vuqikr 1 % 3 gksuk pkfg;sA bl dk;ZØe esa ços'k ikus okys Nk= dks] d½ ,u;wvkbZMh uacj ds lkFk fdlh ,d ,l,uvkjlh esa ,d iathÑr ulZ ¼vkj-,u- ,aM vkj-,e-½ ;k led{k gksuk pkfg;sA [k½ ukekadu ls igys vfèkekur% gìh jksx rFkk iquokZl bdkbZ esa LVkQ ulZ ds in ij U;wure ,d o"kZ dk uSnkfud vuqHko gksuk pkfg;sA x½ 'kkjhfjd :i ls LoLFk gksuk pkfg;sA ?k½ p;u] vk;ksftr ços'k ijh{kk esa vftZr ;ksX;rk vkSj l{ke vfèkdkjh }kjk fy;s x;s lk{kkRdkj ds vkèkkj ij gksuk pkfg;sA ³½ vU; ns'kksa ds ulks± dks ços'k ls igys ifj"kn~ ls lerqY;rk çek.k i= çkIr djuk gksxkA 200 'kS¸;k rFkk 30 fof'k"V 'kS¸;k okys vLirky ds fy;s lhVksa dh la[;k ¾ 10] 500 ;k blls vfèkd 'kS¸;k rFkk 60 fof'k"V 'kS¸;k okys vLirky ds fy;s lhVksa dh la[;k ¾ 20 3 fof'k"V 'kS¸;kvksa ds fy;s 1 vH;FkhZA d½ lsokjr vH;fFkZ;ksa dks fu;fer osru feyrk jgsxkA [k½ vU; vH;fFkZ;ksa dks dk;ZØe dk lapkyu djus okys vLirky dh osru lajpuk ds vuqlkj othQk@osru fn;k tk;sxkA VII. ifj"kn~ }kjk vuqeksfnr lacafèkr ijh{kk cksMZ@ ,l,uvkjlh@fo'ofo|ky;A d½ mifLFkfr% lS)kafrd ,oa çk;ksfxd & 80 çfr'krA ijUrq çek.ki= feyus ls igys 100 çfr'kr uSnkfud mifLFkfr gksuk vfuok;Z gSA [k½ ykWx cqd vkSj uSnkfud vko';drkvksa tSlh t:jh vko';drkvksa dks lQyrkiwoZd iwjk djus okys vH;FkhZ ijh{kk esa cSBus ds fy;s ik= gksxa s vkSj vafre ijh{kk esa cSB ldrs gSaA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7 d½ vks,llhÃ% vkra fjd vkSj vafre ijh{kk nksuksa esa ekSf[kd ijh{kk ds lkFk&lkFk oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhý vk;ksftr dh tk;sxhA ¼foLr`r fn'kkfunsZ'k ekxZn'kZu iqfLrdk esa fn;s x;s gSAa ½ [k½ çk;ksfxd@uSnkfud voyksdu% vafre vkarfjd vkSj cká ijh{kk esa ekSf[kd ijh{kk ds lkFk&lkFk okLrfod ifjfLFkfr;ksa esa uSnkfud çn'kZu dk vkda yu vkSj 3&4 ?kaVs dk y?kq uSnkfud eYw ;kadu vH;kl ¼ufl±x çfØ;k vkosnu vkSj dk;Zfofèkd n{krk dk çR;{k voyksdu½ Hkh 'kkfey gksxkA uSnkfud {ks= esa vkadyu dh U;wure vofèk 5&6 ?kaVs gksxhA ¼ewY;kda u fn'kkfunsZ'k ekxZn'kZu iqfLrdk esa fn;s x;s gSaA½ x½ çfr fnu Nk=ksa dh vfèkdre la[;k ¾ 10 Nk=A ?k½ çk;ksfxd ijh{kk dsoy uSnkfud {ks= esa gh vk;ksftr dh tkuh pkfg;sA ³½ çk;ksfxd ijh{kd ny esa] ,d vkra fjd ijh{kd ¿lacfaèkr fof'k"V dk;ZØe esa f'k{k.k ds 2 o"kZ ds vuqHko ds lkFk ,e-,llh- vgZrk èkkjd ladk;@5 o"kZ ds vuqHko ds lkFk ,e-,llh- ¼esfMdy lftZdy ufl±x½ vgZrk èkkjd ladk;À] ,d cká ijh{kd & mijksDr vuqHko ,oa vgZrk èkkjd ufl±x ladk;] vkSj ,d fpfdRlh; vkra fjd ijh{kd tks fof'k"V dk;ZØe ds fy;s çhlsIVj gksuk pkfg;s] 'kkfey gksaxsA p½ çk;ksfxd ijh{kd vkSj lS)kafrd ijh{kd ,d gh ufl±x ladk; gksus pkfg;sA d½ çR;sd vH;FkhZ dks mÙkh.kZ gksus ds fy;s lS)kafrd vkSj çk;ksfxd ijh{kk ds vkra fjd vkadyu rFkk cká ijh{kk nksuksa esa 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;sxkA [k½ Nk= dks mÙkh.kZ gksus ds fy;s vfèkdre rhu ¼3½ volj çnku fd;s tk;saxsA x½ ;fn Nk= lS)kafrd vFkok çk;ksfxd ijh{kk esa ls fdlh ,d esa vuqÙkh.kZ gks tkrk gS] rks mls lS)kafrd vFkok çk;ksfxd ijh{kk esa ls ftl eas vuqÙkh.kZ gqvk gS dsoy ogh ijh{kk iqu% nsuh gkxs hA d½ & gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x esa 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 fMIyksek ls lEekfur fd;k tk;sxk] ftlesa fy[kk gksxk fd] 1- vH;FkhZ us gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x esa iksLV csfld fMIyksek & vkoklh; dk;ZØe ds rgr ikBîØe ds lHkh igyqvksa dk vè;;u iwjk dj fy;k gSA 2- vH;FkhZ us lS)kafrd esa 80 çfr'kr vkSj uSnkfud esa 100 çfr'kr vko';drk;sa iwjh dj yh gSaA 3- vH;FkhZ us fuèkkZfjr ijh{kk mÙkh.kZ dj yh gSA VIII. 25 75 100 3 gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x ¼10$15½ ¼35$40½ ¼Hkkx&1 o Hkkx&2½ ¿Hkkx&1 & ewyHkwr ufl±x ds lkFk gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x&1] Hkkx&2 & gìh jksx rFkk iquokZl Lisf'k;fyVh ufl±x&2À 75 150 225 uSnkfud {ks= esa  ekSf[kd ijh{kk lfgr oLrqfu"B lajfpr uSnkfud ijh{kk ¼25$50½ ¼50$100½ U;wure 5&6 ¼vks,llhý ¼vks,llhÃ&25 ¼vks,llhÃ&50 ?kaVs  i;Zosf{kr çk;ksfxd@uSnkfud voyksdu% ekSf[kd ijh{kk ds ,oa çk;ksfxd ,oa çk;ksfxd lkFk&lkFk okLrfod ifjfLFkfr;ksa esa çR;{k voyksdu & 3&4 voyksdu&50½ voyksdu&100½ ?kaVs dk y?kq uSnkfud eYw ;kadu vH;kl ¼ufl±x çfØ;k vkosnu o dk;Zfofèkd n{krk dk çR;{k voyksdu½ IX. 1- vuqns'k ikB&;kstuk 2- ikBîØe dk dk;kZUo;u8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3- uSnkfud vH;kl ¼vkoklh; inLFkkiu½ 4- çf'k{k.k fofèk;ka 5- eYw ;kadu fofèk;ka 6- ykWx cqd vkSj uSnkfud vko';drk;sa 40 1- O;kolkf;d dq'kyrk 2- fof'k"V ufl±x dk;ZØe esa laokn] jksxh f'k{kk o ijke'kZ 3- fo'ks"k ns[kHkky ifjfLFkfr;ksa esa uSnkfud usr`Ro vkSj lalkèku çcèa ku 4- fof'k"V ufl±x dk;ZØe esa lk{; vkèkkfjr vkSj vuqç;qDr 'kksèk 50 10 1- fof'k"V ufl±x dk lanHkZ@ifjp; 2- fo'ks"k ns[kHkky esa ç;qDr lkekU; foKku & ,ukVkWeh o fQft;ksykWth] ekbØksck;ksykWth] QkekZdksykWth o iSFkksfQft;ksykWth tSlh uSnkfud fLFkfr;ksa dk funku vkSj mipkj 1- eYw ;kadu] funku] mipkj vkSj fo'ks"k eè;orZu ds lkFk 110 30 1730 uSnkfud ifjfLFkfr;ksa esa ufl±x çcaèku 2- jksxh lqj{kk vkSj xq.koÙkk 3- fof'k"V@chekjh fof'k"V foospu ¼lgk;d ns[kHkky@ ç'kked ns[kHkky@iquokZl] O;fDr] ifjokj vkSj leqnk; ij chekjh dk çHkko½ ¼lS)kafrd% 10 çfr'kr ,oa dkS'ky ç;ksx'kkyk $ uSnkfud% 90 çfr'kr½  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 × ×  CykWd d{kk;sa% lS)kafrd vkSj dkS'ky ç;ksx'kkyk vuqHko ¾ 2 lIrkg × 40 ?kaVs çfr lIrkg ¼80 ?kaVs½ ¼lS)kafrd ¾ 74 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 6 ?kaVs] dqy ¾ 80 ?kaVs½  lS)kafrd vkSj dkS'ky ç;ksx'kkyk lfgr uSnkfud vH;kl ¾ 42 lIrkg × 45 ?kaVs çfr lIrkg ¼1890 ?kaVs½ ¼lS)kafrd ¾ 126 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 34 ?kaVs] uSnkfud ¾ 1730 ?kaVs] dqy ¾ 1890 ?kaVs½ lS)kafrd ¾ 200 ¼74$126½ ?kaVs] dkS'ky ç;ksx'kkyk ¾ 40 ¼6$34½ ?kVa s] uSnkfud ¾ 1730 ?kaVs[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9 gkykfad U;wure 45 ?kaVs çfr lIrkg fuèkkZfjr gS] ysfdu vyx&vyx ikfj;ksa vkSj çR;sd lIrkg ;k i[kokM+s vkWu dkWy MîwVh djus ij ifjfLFkfr vuqlkj gksxkA çf'k{k.k vofèk ds nkSjku Nk=ksa dk fuEukfadr uSnkfud {ks=ksa esa inLFkkiu fd;k tk;sxk%& 1  o;Ld esfMdy ,oa lftZdy 10  f'k'kq 04  vkWijs'ku fFk,Vj 02 2 U;wjksykWth okMZ 04 3 vkikr lqfoèkk;sa 08 4 cká jksxh foHkkx ¼vksihMh½ 02 5 iquokZl dsaæ 08 6 fQft;ksFksjsih] O;kolkf;d fpfdRlk] okd~ fpfdRlk] ØhMk fpfdRlk bdkbZ;ka 03 7 {ks=h; nkSjs 01 lS)kafrd] dkS'ky ç;ksx'kkyk vkSj uSnkfud f'k{k.k fuEufyf[kr i)fr;ksa }kjk fd;s tk ldrs gSa vkSj uSnkfud inLFkkiu ds nkSjku ,dhÑr fd;s tk ldrs gSa%&  dsl@uSnkfud çLrqfr vkSj dsl LVMh fjiksVZ  Mªx LVMh vkSj çLrqfr  csMlkbM fDyfud@ufl±x jkmaM~l@bVa jfMflfIyujh jkmaM  tuZy Dyc@uSnkfud laxks"Bh  uSnkfud {ks= esa f'k{kdksa ds O;k[;ku vkSj ifjppkZ  dkS'ky ç;ksx'kkyk esa rFkk csMlkbM ij vfHkO;fDr vkSj dkS'ky çf'k{k.k  funsZf'kr i<u+ @Lo&vè;;u  jksy Iys  laxks"Bh@lkefwgd çLrqfr  lkewfgd 'kksèk ifj;kstuk  uSnkfud dk;Z  jksxh dh opuo)rk f'k{kk ¼lwpuk çkS|ksfxdh dk mi;ksx dj LokLF; ifj.kkeksa esa lqèkkj ykus ds fy;s Nqêh nsus dh ;kstuk vkSj vuqorhZ dk;Zokgh vkfn esa jksfx;ksa dks lk>h cukuk½A  jk"Vªh;@{ks=h; dsaæksa ds 'kSf{kd nkSjs vkSj iquokZl dsaæksa esa iquokZl ds ckn jksfx;ksa ds lkeqnkf;d iqu%,dhdj.k dk fujh{k.k djukA  fyf[kr ijh{kk ¼dsl@ifjn`'; vkèkkfjr½  çk;ksfxd ijh{kk & vks,llhbZ vkSj çk;ksfxd voyksdu ¼okLrfod ifjfLFkfr;ksa esa uSnkfud çn'kZu dk çR;{k voyksdu½  fyf[kr dk;Z  ifj;kstuk  dsl LVMh@ns[kHkky ;kstuk@uSnkfud çLrqfr@Mªx LVMh  uSnkfud çn'kZu eYw ;kadu  uSnkfud dk;Zfofèkd n{krkvksa vkSj uSnkfud vko';drkvksa dks iwjk djukA10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] çR;sd uSnkfud inLFkkiu ds var esa] uSnkfud ykWx cqd ¼fof'k"V dk;Zfofèkd n{krk,@a uSnkfud dkS'ky½ ] uSnkfud vgZrk;sa vkSj uSnkfud vuqHko fooj.k ij lacafèkr uSnkfud ladk;@çhlsIVj }kjk gLrk{kj fd;s tkus pkfg;sA X. ;g ikBîØe gìh jksx rFkk iquokZl ufl±x vH;kl esa O;kolkf;d dq'kyrk] laokn] jksxh çf'k{k.k vkSj ijke'kZ] uSnkfud usr`Ro vkSj lalkèku çcaèku rFkk lk{; vkèkkfjr vkSj vuqç;qDr 'kksèk dh le> fodflr djus ds fy;s rS;kj fd;k x;k gSA 1 6 O;kolkf;d  ifjppkZ  gìh jksx rFkk dq'kyrk dh le>  vfHkçk; vkSj fl)kar & gìh jksx rFkk iquokZl ufl±x ls dk çn'kZu vkSj iquokZl Lisf'k;fyVh ufl±x vH;kl esa lacafèkr vkpkj gìh jksx rFkk tokcnsgh] lqfoKrk] n`';rk vkSj uSfrdrk lafgrk dk o.kZu iquokZl ufl±x  O;kolkf;d ewY; vkSj O;kolkf;d O;ogkj djuk vH;kl esa  Hkkjrh; mip;kZ ifj"kn~ vkpkj lafgrk] O;kolkf;d O;kolkf;d vkpj.k lafgrk vkSj vH;kl dq'kyrk dk çn'kZu ekud djuk  gìh jksx rFkk iquokZl ufl±x vH;kl ls lacafèkr uSfrd eqís  ulZ&ulZ çsfDV'kuj dh çlkjh Hkwfedk  O;kolkf;d laxBu  lrr ufl±x f'k{kk  gìh jksx rFkk iquokZl ufl±x ls lacfaèkr gìh jksx rFkk dkuwu vkSj fu;e  O;k[;ku  jksfx;ksa dk iquokZl ufl±x  miHkksDrk laj{k.k vfèkfu;e fjdkWMZ j[kuk vH;kl ds  ykijokgh vkSj dnkpkj fpfdRlh;&fofèkd  fpfdRlh;&fofèkd igyw igyqvksa dk o.kZu  fjdkWMZ vkSj fjiksVZ djuk  gìh jksx rFkk iquokZl Lisf'k;fyLV ulks± dh dkuwuh ftEesnkfj;ka 2 12 gìh jksx rFkk  ekWMîyw &  fMftVy iquokZl dh  laokn ç.kkyh vkSj rduhd laokn fjdkWMZ~l vko';drk okys  gìh jksx ds xyr funku okys jksfx;ksa dks  O;k[;ku jksfx;ksa] ifjtuksa nq%[kn lekpkj lqukuk  nq%[kn lekpkj vkSj O;kolkf;d  laLÑfr vuqlkj laosnukiow Zd laokn nsus esa Hkwfedk lg;ksfx;ksa ls  ufl±x ns[kHkky ;kstukvksa dk fodkl vkSj fuHkkuk vkilh esytksy ds fjdkWMZ~l lkFk LokLF;  laokn esa mi;ksxh lwpuk çkS|ksfxdh ifj.kkeksa esa lqèkkj midj.k ykus ds fy;s lk>k  Vhe laokn fu.kZ; ysdj çHkkoh <xa ls loa kn LFkkfir djuk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11 mipkj vkSj  led{k çf'k{k.k  gìh jksx fodkjksa ns[kHkky esa çHkkoh  f'k{k.k vkSj vè;;u ds fl)kar ls ihfMr+ jksfx;ksa <xa ls Hkkxhnkjh  LokLF; f'k{kk ds fl)kar ds fy;s ,d fuHkkus ds fy;s  lwpuk dh t:jrksa dk vkadyu vkSj jksxh lkewfgd LokLF; jksfx;ksa vkSj çf'k{k.ks çf'k{k.k dk;ZØe ifjtuksa dks f'kf{kr  jksxh çf'k{k.k lkexzh fodflr djuk dk lapkyu djuk vkSj ijke'kZ  ijke'kZ l= djuk nsuk  ijke'kZ rduhd  çklafxd fo"k;  nq%[kn lekpkj] xgu mipkj] ladVdkyhu ij jksxh çf'k{k.k eè;orZu vkSj ej.kklUu voLFkk esa jksxh lkexzh rS;kj vkSj ifjtuksa dks ijke'kZ nsuk djuk 3 12 uSnkfud usr`Ro vkSj  O;k[;ku  gìh jksx@ çcaèku j.kuhfr;ksa  usr`Ro vkSj çcaèku U;wjksykWth@ dh le> dk  gìh jksx rFkk iquokZl ufl±x ns[kHkky ds iquokZl çn'kZu djuk vkSj çcaèku ds rRo & ;kstuk] vk;kstu] LVkQ] foHkkx@bdkbZ esa mudk gìh jksx fjiksfV±x] fjdkWfM±x vkSj ctV dk;Zjr dfu"B rFkk iquokZl  uSnkfud usr`Ro vkSj bldh pqukSfr;ka ufl±x ns[kHkky vkSj  f'k"V eaMy vfèkdkfj;ksa@ lg;ksxh ,oa çHkkoh  gìh jksx rFkk iquokZl bdkb;ksa esa ekuo LVkQ ulks± ds Vhe odZ dks c<k+ok lalkèku çcaèku fy;s MîwVh nsus okyh  lkexzh çcaèku jksLVj rS;kj ifjfLFkfr;ksa esa  ,d vkn'kZ gìh jksx okMZ rFkk iquokZl djuk ç;ksx eas ykuk dsaæ@bdkbZ dh :ijs[kk rS;kj djuk  vkn'kZ gìh jksx  HkkoukRed cqf)eÙkk vkSj Lo&çcaèku okMZ@iquokZl dkS'ky dsaæ dh :ijs[kk rS;kj djuk  var%fo"k;d ny ds lnL; ds :i esa dk;Z djuk  gìh jksx rFkk iquokZl okys jksfx;ksa dh ns[kHkky ds fy;s uhfr;ksa dks çklafxd cukus esa Hkkxhnkj cuuk gìh jksx rFkk  ekWMîyw &  gìh jksx okMZ@ iquokZl bdkb;ksa ekU;rk vkSj iquokZl dsaæ ds vFkok dsaæksa esa vH;kl ekud fy;s ,lvksih • ufl±x vkWfMV xq.koÙkk vk'oklu fodflr djuk • ufl±x ekud xfrfofèk;ksa esa Hkkx • xq.koÙkk vk'oklu ysuk vkSj uSnkfud ijh{k.k djuk 4 10 'kksèk çfØ;k dk  O;k[;ku  gìh jksx foHkkx o.kZu djuk vkSj • ufl±x 'kksèk vkSj 'kksèk çfØ;k dk ifjp; ds xr ikap o"kZ eyw Hkwr lkaf[;dh; • MsVk çLrqfr] ewyHkrw lkaf[;dh; ijh{k.k  ekWMîyw & ds lkaf[;dh; ijh{k.k djuk vkSj blds vuqç;ksx oSKkfud çi= vkda M+s rS;kj • gìh jksx rFkk iquokZl ufl±x esa 'kksèk ys[ku djuk 'kksèk fl)karksa vkSj çkFkfedrk,a mlds pj.kksa dks  gìh jksx rFkk • gìh jksx rFkk iquokZl ufl±x vH;kl ds viukrs gq, 'kksèk iquokZl ufl±x fy;s çklafxd leL;kvksa@ç'uksa dh djuk eè;orZu@ vfHkO;fDr lkewfgd 'kksèk • gìh jksx rFkk iquokZl ufl±x vH;kl esa ifj;kstuk ij lk{; vkèkkfjr@loksZÙke çFkkvksa dh lkfgfR;d leh{kk igpku djus ds fy;s lkfgfR;d leh{kk dk lapkyu • nSfud O;kolkf;d vH;kl esa lk{; djuk vkèkkfjr eè;orZu dk dk;kZUo;u • 'kksèk esa uSfrdrk12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ;g ikBîØe gìh jksx rFkk iquokZl dh vko';drk okys jksfx;ksa ds funku] mipkj vkSj LokLF; ykHk esa gìh jksx rFkk iquokZl ufl±x ns[kHkky çkoèkku vkSj lkekU; foKku ykxw djus ds lanHkZ esa le> vkSj xgu tkudkjh fodflr djus esa Nk=ksa dh enn djus ds fy;s rS;kj fd;k x;k gSA 1 Vh&3 gìh jksx ds  O;k[;ku vkSj  lkaf[;dh; lkekU; fodkjksa esa  gìh jksx fodkjksa esa tkuifnd jksx & ifjppkZ çLrqfrdj.k tkuifnd jksxksa ds çlkj vkSj lkaf[;dh y{k.kksa dh O;k[;k  tksf[ke dkjd vkSj mudh igpku djuk] tksf[keksa dks  tksf[ke dkjd de djus gsrq j.kuhfr;ka igpkuuk vkSj mUgsa de djus ds fy;s j.kuhfr rS;kj djuk 2 Vh&3 gìh jksx rFkk  O;k[;ku vkSj iquokZl ufl±x ds ifjppkZ fl)karksa dh O;k[;k  gìh jksx rFkk iquokZl ufl±x dh ladYiuk djuk vkSj fl)kar gìh jksx rFkk  iquokZl LokLF; ny iquokZl  gìh jksx rFkk iquokZl Lisf'k;fyLV ulks± Lisf'k;fyLV ulks± dh Hkwfedk dh Hkwfedk ij ppkZ  gìh jksx rFkk iquokZl Lisf'k;fyLV ulks± djuk dk dk;Z{ks= 3 Vh&2 lacafèkr jk"Vªh;  O;k[;ku@  uhfr;ksa vkSj  v'kDr jksfx;ksa ds iquokZl ds fy;s jk"Vªh; Lo&vè;;u fofHkUu iquokZl dk;ZØeksa dh uhfr;k a vkSj dk;ZØe vfèkfu;eksa ij O;k[;k djuk fjiksVZ  Hkkjrh; iquokZl ifj"kn~ 4 Vh&10 gìh jksx rFkk  O;k[;ku iquokZl ufl±x ns[kHkky ds  ekuo O;ogkj vkSj gìh jksx fodkjksa dk eukslkekftd lkeuk djuk] mipkj rFkk iquokZl igyqvksa dh O;k[;k vko';drk,a djuk  euksoSKkfud vuqfØ;kvksa dks çHkkfor djus okys dkjd & jksx] O;fDrxr rFkk i;kZoj.kh; vfHky{k.k  jksx ds çfr euksoSKkfud vuqfØ;k  eukslkekftd leL;kvksa dk çcèa ku  ekxZn'kZu vkSj ijke'kZ  ijke'kZ ds pj.k  ijke'kZ l= & leh{kk vk;ksftr djuk 5 Vh&8 gìh jksx rFkk  O;k[;ku  tksMk+sa ds ,y&2 iquokZl O;oLFkk esa lafèklaèkku esfMdy lftZdy d{k@jksxh  vfHkO;fDr ,lsfIll vkSj  ,lsfIll] jksxk.kuq k'ku vkSj dhVk.kq'kksèku ns[kHkky bdkà esa laØe.k fu;a=.k dh ds fl)kar laØe.k fu;a=.k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13 O;k[;k djuk  ekud lqj{kk mik;@LokLF; lsok vfHkfuèkkZfjr çnkrkvksa ds fy;s ,gfr;krh mik; djuk@,lvksih  tSo fpfdRlh; vif'k"V çcaèku rS;kj djuk  csfj;j ufl±x vkSj laØe.k fu;a=.k çFkk  fyf[kr dk;Z% tksMk+sa ds lafèklaèkku d{k@jksxh ns[kHkky bdkà esa laØe.k fu;a=.k çFkk,a 6 Vh&12 'kkjhfjd lajpuk  O;k[;ku ,y&4 ¼,ukVkWeh½ vkSj 'kjhj foKku  Lo&vè;;u ¼fQft;ksykWth½ ls  vfLFk Ård lacafèkr leh{kk  vfLFk Årdksa ds çdkj  vfLFk rFkk varfoZ"V eTtk ds dk;Z gfì;ksa ,oa tksM+ksa  gfì;ksa dk ifjoèkZu vkSj c<+ko dh lajpuk o dk;Z dh O;k[;k  tksMk+sa dk oxÊdj.k  tksMk+sa esa xfr'khyrk dk lapkj o lhek ekla isf'k;ksa dh  ekWMîyw & lajpuk o dk;Z dh  ekla isf'k;ksa ds Ård is'kh;&dda ky r=a dh ,ukVkWeh O;k[;k  ekla isf'k;ksa dh xfrfofèk vkSj  dda ky dh ekla isf'k;ksa dk eksVj vkSj fQft;ksykWth laosnh rfa=dk forj.k  O;k[;ku@  LoSfPNd xfr'khryk & fijkfeMd o ifjppkZ ,DLVªk&fijkfefMd iFk  ltxrk@çfrorZrk  ekWMîyw & efLr"d dh lajpuk efLr"d dh o dk;Z dh O;k[;k  U;wjkWu] raf=dk vkosx vkSj U;wjksfXy;k ,ukVkWeh vkSj  czsu&lsjscze] fQft;ksykWth lsfjcSye] czsu LVse  ulsa o iFk  diky o es#nMa dh ulsa  iSjkflEisFksfVd o flEisFksfVd rfa=dk r=a 7 Vh&2 is'kh;&dda ky r=a  O;k[;ku  eSaMsfy;u dkuwu dh le> rFkk  xq.klw= lacèa kh fodkj ij fjiksVZ ys[ku mldk vkuqoaf'kd  vkuqoaf'kd ijke'kZ vkèkkj  vuqofa'kd ijke'kZ esa ulks± dh Hkwfedk 8 Vh&10 gìh jksx ds fofHkUu  vkS"kfèk  vkS"kèkh; vè;;u ,y&4 fodkjksa dh çfrikfnr djuk rFkk vkS"kfèk QkekZdksFksjsih dh  ,usytsflDl ¼nnZ uk'kd½  vkbZoh feFkkby iqLrd dk O;k[;k  ,aVhLikLeksfMDl çsMfulksyksu dk j[kj[kko çfriknu  ,aVhduoYtsaV~l ¼vk{ksijksèkh½  ,aVhfMçslUV~l  ely fjysDlsaV~l14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ;g ikBîØe fofHkUu gìh jksx fodkjksa ls ihfM+r rFkk iquokZl vko';drk okys jksfx;ks a ds vkda yu] funku] mipkj] ufl±x çcaèku] vkSj lgk;d@ç'kked ns[kHkky ds fy;s vko';d n{krkvksa dks fodflr djus esa Nk=ksa dh enn djus ds fy;s rS;kj fd;k x;k gSA 1 Vh&8 gìh jksx fodkjksa ls  ifjppkZ ,o a  cká jksxh foHkkx ,y&6 ihfM+r rFkk iquokZl vfHkO;fDr ¼vksihMh½ esa vko';drk okys cqtqxZ o;Ld rFkk f'k'kq ,oa o;Ld jksfx;ksa ds jksfx;ksa dk eYw ;kadu esa n{krk vkda yu ,oa  gìh jksx fodkjksa ls ihfMr+ jksfx;ksa dk çnf'kZr djuk vkSj fjiksVZ ys[ku vkda yu le>kuk  iwoZo`Ùk ysuk] 'kkjhfjd vkSj uSnkfud ijh{k.k djuk gìh jksx fodkjksa ls ihfM+r rFkk iquokZl vko';drk okys f'k'kq jksfx;ksa ds ewY;kadu esa  gìh jksx fodkjksa ls ihfMr+ cPpksa dk n{krk çnf'kZr djuk vkda yu vkSj le>kuk r=a dh; fodkjksa ls ihfM+r rFkk iquokZl  r=a dh; fodkjksa ls ihfMr+ jksfx;ksa dk  r=a dh; fodkjksa vko';drk okys ls ihfMr+ jksfx;ksa vkda yu jksfx;ksa ds ewY;kadu esa dk vkda yu ,oa n{krk çnf'kZr djuk fjiksVZ ys[ku vkSj le>kuk 2 Vh&4 uSnkfud ijh{k.kksa ds  O;k[;ku ,oa  jksfx;ksa dks gìh ,y&2 fy;s rS;kjh djuk ;k vfHkO;fDr jksx ls lacfaèkr muesa lgk;rk djuk  cksu Ldsu] lhVh Ldsu] ,evkjvkbZ fofHkUu uSnkfud Ldsu] ukfHkdh; vè;;u]  lacafèkr ijh{k.kksa ds fy;s bysDVªksek;ksxzkQh] ç;ksx'kkyk@ rS;kj djuk bysDVªks,aflQkyksxzkQh foHkkx dk nkSjk 3 Vh&5 gìh jksx bdkbZ esa  O;k[;ku ,oa ,y&5 mi;ksx fd;s tkus okys vfHkO;fDr midj.kksa dh le> vkSj mi;ksx çnf'kZr  fLdu ,aM LdsysVy VªsD'ku fdV  çksLFksfVd ,oa  çksLFksfVd ,oa djuk  dkLV fdV vkWFkksZfVd vkWFkksZfVd  ihvksih dVj dk;Z'kkyk dk dk;Z'kkyk nkSjs ij nkSjk fjiksVZ  fLFkjhdj.k midj.k ¼beksfcykbÇtx fMokbl½  vkWFkksZfVDl vkSj çksLFksfVDl  lhih,e e'khu 4 Vh&5 gìh jksx  vfHkO;fDr bdkbZ@o;Ld ,oa[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15 ,y&5 f'k'kq jksfx;ksa ds fy;s vkWijs'ku fFk,Vj  gìh jksx ls lacfaèkr fofHkUu çfØ;kvksa  LdsysVy VªsD'ku ¼vksVh½ çfØ;kvksa esa ls xqtjus okys jksfx;ksa dh ns[kHkky rFkk vkFkzksZLdksih lgk;rk djus rFkk  Ropkd"kZ.k ds vkosnu esa lgk;rk esa lgk;rk djus çfrikfnr djus esa djuk ds fy;s dkS'ky fodflr djuk dk;Z'kkyk dk  fiu lkbV dh ns[kHkky nkSjk  vkFkksZLdksfid çfØ;k esa lgk;rk djuk 5 Vh&5 gìh jksx fodkj ,oa  Lo&vè;;u  gìh jksx fodkjksa iquokZl vko';drkvksa ls ihfMr+ jksfx;ksa okys o;Ld rFkk f'k'kq ds iks"k.k çcaèku jksfx;ksa dh iks"k.k  gìh jksx fodkjksa ls ihfM+r rFkk ij l=h; i= lacaèkh ns[kHkky dh iquokZl vko';drkvksa okys o;Ld ,oa O;k[;k djuk f'k'kq jksfx;ksa dh iks"k.k lacaèkh leL;k,a  iks"k.k çcaèku rFkk ns[kHkky 6 Vh&5 gìh jksx fodkj ,oa  ppkZ iquokZl vko';drkvksa  nnZ & çdkj] iSFkksfQft;ksykWth esa nnZ çcaèku ds  lkekU; nnZ çcaèku j.kuhfr;ka & fl)karksa dh O;k[;k vkS"kèkh; rFkk xSj&vkS"kèkh; djuk  rfa=dk&foÑrh; nnZ çcaèku 7 Vh&2 gìh jksx fodkjksa esa  O;k[;ku ,oa  fu;r dk;Z Toj rFkk ifwr ds ppk çcaèku ij ppkZ djuk  gìh jksx fodkjksa esa Toj rFkk iwfr  Tojh; ,saBu  csfj;j ufl±x ij  çcaèku vfHkO;fDr 8 Vh&5 gfì;ksa rFkk tksMk+sa ds  O;k[;ku ,oa  ufl±x laØe.k okys jksfx;ksa ppkZ fDyfud@nkSjs dh ,fV;ksykWth]  {k; jksx iSFkksfQft;ksykWth]  vfLFkdksi ¼vksfLV;ksekbfyfVl½ uSnkfud vfHkO;fDr] uSnkfud ijh{k.k vkSj  xfB;k çcaèku dk o.kZu djuk  tSo&[krjksa okys jksfx;ksa dh ns[kHkky  dq"B jksx 9 Vh&4 tksMk+sa rFkk  O;k[;ku  fu;fer jfDre Lo&çfrjf{kr fodkjksa peZ{k; ds mipkj ds tfVy jksxksa ls ls lca afèkr  lsfeukj ihfM+r jksfx;ksa dh  vfLFklafèk'kksèk vkèkqfud lk{;ksa ,fV;ksykWth] dk ys[ku  lafèkokr xfB;k iSFkksfQft;ksykWth] uSnkfud vfHkO;fDr]  jh<+ ds tksM+ksa esa xfrfofèk jksèkd lwtu funku vkSj çcaèku dk  flLVe Y;wil ,fjFksesVksll o.kZu djuk 10 Vh&5 rfa=dkis'kh; fodkjksa ls  O;k[;ku  ufl±x nkSjs ihfM+r jksfx;ksa dh ,fV;ksykWth]  iksfy;ks  Lo&vè;;u iSFkksfQft;ksykWth]  efLr"dh; i{kk?kkr uSnkfud vfHkO;fDr]16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] funku vkSj çcaèku dk  fe;kLFkhfu;k xzsfol o.kZu djuk  vèkjkxa ?kkr] vèkjkaxokr] rqjkax?kkr  ekla is'kh; nqÆodkl 11 Vh&10 jh<+ dh gìh dh  O;k[;ku  ekeys dh çLrqfr foÑfr vkSj fodkjksa ls ihfM+r jksfx;ksa dh  ik'oZdqCtrk  lsfeukj ,fV;ksykWth]  dqcM+kiu iSFkksfQft;ksykWth] uSnkfud vfHkO;fDr]  vxzdqCtrk funku vkSj çcaèku dk  baVjoVsZczy fMLd çksySIl o.kZu djuk  ihB dh fupys Hkkx ds fodkj & ihB dh fupys Hkkx dk nnZ] ih,uMh] jh<+ dh gìh dk ladqpu] LiksafMyksfll] LiksafMyksfyLFkhfll 12 Vh&4 tUetkr gìh jksx  O;k[;ku  ekeys dh Øfer fodkjksa ls ihfM+r rS;kjh jksfx;ksa dh  lhMh,p] iVsyk ;k ?kqVus dk fopyu ,fV;ksykWth]  eqga klk rFkk oSyxl foÑfr iSFkksfQft;ksykWth] uSnkfud vfHkO;fDr]  vadksa dh foÑfr funku vkSj çcaèku dk  tUetkr vdM+h gqbZ xnZu o.kZu djuk  esÇuxkslsys] esÇuxksehykslsys  es#naM  xq.klw= lacèa kh fodkj 13 Vh&4 gìh jksx fodkjksa ls  O;k[;ku  ekeys ij ppkZ lacafèkr p;kip; rFkk var%lzkoh fodkjksa ls  vfLFke`nqrk] lw[kk jksx ihfM+r jksfx;ksa dh  vfLFk&lqf"kjrk ,fV;ksykWth] iSFkksfQft;ksykWth]  LdoÊ uSnkfud vfHkO;fDr]  ixsV dk jksx funku vkSj çcaèku dk  xfB;k o.kZu djuk  egkdk;nk] ckSukiu] ,Øksesxkyh 14 Vh&5 gìh jksx fodkjksa ls  O;k[;ku  ufl±x nkSjs lacafèkr r=a dh; fodkjksa ls ihfM+r  lhoh, jksfx;ksa dh  gkbiksfDld bLdsfed ,UlsQSyksiSFkh ,fV;ksykWth] iSFkksfQft;ksykWth]  nkSjs uSnkfud vfHkO;fDr]  efLr"d dh vfHk?kkrt pksV funku vkSj çcaèku dk o.kZu djuk 15 Vh&6 gìh jksx ls lacfaèkr  O;k[;ku  laxks"Bh ij fjiksVZ çeq[k 'kY;&fpfdRlkvksa rFkk  fjIyslesaV ltZjh ¼fgi] ?kqVus] daèks½  laxks"Bh@ çcaèku ds fl)karksa dk  jh<+ dh gìh dk vkWijs'ku lkewfgd çLrqfr o.kZu djuk  vaxfoPNsn tSlh 'kY;fØ;k  xzk¶V rFkk ¶ySi ltZjh gìh jksx ls lacfaèkr[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17 'kY;&fpfdRlk ikus  foÑfr lqèkkj okys jksfx;ksa ds ufl±x çcaèku ij ppkZ djuk 16 Vh&4 fuæk lacèa kh f'kfFkyrk  O;k[;ku  dsl LVMh ys[ku ,y&2 rFkk Qq¶Qqlh; iquokZl dh O;k[;k djuk  ufl±x ewY;kadu  lkewfgd çLrqfr  uSnkfud mik;  vkS"kèkh; fpfdRlk  v{kq..k ok;qekxZ okys jksfx;ks a ds fy;s ufl±x eè;orZu  Vªsfd;ksLVkseh okys jksfx;ksa ds fy;s ufl±x eè;orZu  {kh.k xSl fofue; okys jksfx;ks a ds fy;s ufl±x eè;orZu  Qq¶Qqlh; iquokZl ds rjhds 17 Vh&4 Lor=a dk;ks± dh  O;k[;ku  xfr'khyrk esa ,y&2 O;k[;k djuk % lgk;d midj.kksa xfr'khyrk ,oa  xfr'khyrk dk ufl±x vkadyu  vfHkO;fDr ij fxjus ls fodykxa rk jksdFkke ds fy;s  xfr'khyrk ds fy;s ufl±x funku ,lvksih  y{;  iquokZl ufl±x eè;orZu  fxjus ls jksdFkke  LFkkiu midj.k ij LokLF; f'k{kk  eyw fLFkfr l= dk lapkyu  fpfdRlh; vH;kl djuk  pky çf'k{k.k & cSBuk] [kM+k gksuk] fuf"Ø; [kMs+ gksus ij larqyu  ifg;snkj dqlhZ ds lkFk xfr'khyrk] [kjhn ds fy;s :ikra j.k rFkk ekunaM  LFkkukarj.k  fLFkjhdj.k ls tqM+h tfVyrkvksa dh jksdFkke 18 Vh&4 Lo&ns[kHkky rFkk  O;k[;ku  O;fDrxr ,y&2 nSfud thou dh ns[kHkky ds fy;s xfrfofèk;ksa dk o.kZu  O;fDrxr LoPNrk rFkk vyadj.k  vfHkO;fDr ç;qDr la'kksfèkr djuk xfrfofèk;ka djus dh {kerk esa Lo&ns[kHkky ifjorZu djus okyh fLFkfr;ka midj.k dh  O;kolkf;d fjiksVZ  ufl±x ewY;kadu fpfdRlk bdkà  Lo&ns[kHkky dk ufl±x funku dk nkSjk  y{;  iquokZl ufl±x eè;orZu & O;fDrxr ns[kHkky ds fy;s fof'k"V rduhd 19 Vh&4 [kkus rFkk fuxyus ij  O;k[;ku foLrkjiwoZd O;k[;k djuk  'kkjhfjd vkèkkj & ekSf[kd rS;kjh  Lo&vè;;u pj.k] ekSf[kd pj.k] xzluh pj.k rFkk18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] xzkluyh pj.k  Luk;fod nqcZyrk  'kkjhfjd detksjh  ufl±x ewY;kadu & thou o`Ùk] HkkSfrd eYw ;kadu] uSnkfud ijh{k.k  fuxyus dh rduhd  iquokZl ufl±x eè;orZu 20 Vh&3 fuækoLFkk rFkk foJke  O;k[;k  fuæk fodkj ls ,y&2 iquokZl ij  fuæk dh xMc+ M+h dk oxÊdj.k] fuæk  fuæk ç;ksx'kkyk ihfM+r jksxh dh foLrkjiwoZd O;k[;k dks çHkkfor djus okys dkjd dk nkSjk vkSj fuæk vkadyu djuk  fuæk vkadyu fjiksVZ ys[ku rS;kj djuk  fuæk ç;ksx'kkyk  fuæk dh xMc+ M+h esa ufl±x eè;orZu ds nkSjs ij fjiksVZ & nnZ] ckfèkr fuæk] {kh.k xfr'khyrk ys[ku  fuæk dk çcaèku & vkS"kèkh; ,o a xSj&vkS"kèkh; 21 Vh&6 vk=a ,oa e=w k'k; dh  O;k[;ku  e=w k'k; rFkk vka= ,y&2 nqcZyrk vkSj mlds çf'k{k.k ij iquokZl ij ppkZ djuk  vla;e ds çdkj & {kf.kd] LFkkfir  vfHkO;fDr LokLF; f'k{k.k rFkk rfa=dktu  rfa=dktu ew=k'k; dk oxÊdj.k vk=a dh nqcZyrk vkSj  ufl±x ewY;kadu & thou o`Ùk] HkkSfrd mlds iquokZl ij eYw ;kadu rFkk uSnkfud ijh{k.k O;k[;k djuk  vla;e dk çcaèku & O;ogkj rFkk vH;kl  vkWVksuksfed fMfLØysfDl;k dk çcaèku  {kh.k vka= dk fudkyuk  ufl±x ewY;kadu  iquokZl ufl±x eè;orZu 22 Vh&4 Roph; lexzrk dh  ncko vYlj dh ,y&2 {kh.krk rFkk mlds jksdFkke ij iquokZl ij O;k[;k  Roph; çdk;Z esa ifjorZu ykus okys LokLF; f'k{k.k djuk dkjd  ?kko Hkjus dks çHkkfor djus okys dkjd  ncko vYlj dk jksxtuu  ufl±x ewY;kadu rFkk midj.kksa dk mi;ksx  iquokZl ufl±x eè;orZu 23 Vh&4 gìh jksx ,oa iquokZl  O;k[;ku  bdkbZ dh bdkà esa xq.koÙkk rFkk ys[kk&ijh{kk jksxh lqj{kk dh  gìh jksx rFkk iquokZl bdkà esa jksxh lapkyu djuk voèkkj.kk ij O;k[;k lqj{kk ladsrd djuk  gìh jksx rFkk iquokZl bdkà esa xq.koÙkk fu;=a .k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19 dqy vofèk% 1770 ?kaVs ¼40 $ 1730½ ¼dkS'ky ç;ksx'kkyk & 40 ?kaVs vkSj uSnkfud & 1730 ?kaVs½ dk;ZØe ds var esa Nk= fuEufyf[kr dk;Z laiknu djus esa l{ke gksxa s%& 1- gìh jksx ls ihfMr+ ,oa fofHkUu iquokZl vko';drkvksa okys jksfx;ksa dk vkadyu djuk vkSj ufl±x ns[kHkky çnku djuk 2- gìh jksx ls ihfMr+ ,oa iquokZl ifjfLFkfr;ksa esa fo'ks"k çfØ;kvksa esa lgk;rk djuk vkSj laikfnr djuk 3- gìh jksx esa fofHkUu 'kY; fpfdRlh; çfØ;kvksa ls xqtjus okys jksfx;ksa dks rS;kj djuk vkSj ns[kHkky çnku djuk 4- nnZ dk vkadyu vkSj fofHkUu rjhdksa dk mi;ksx dj mldk çcaèku djuk 5- fofHkUu rjhdksa ls nok nsuk 6- laoguh vfHkxeu midj.k ¼oh,Mh½ yxkuk] mlesa lgk;rk djuk vkSj ns[kHkky çnku djuk 7- gìh jksx okMZ] vkÃlh;w vkSj vkWijs'ku fFk,Vj esa laØe.k fu;a=.k çFkkvksa dk ikyu djuk 8- fofHkUu çdkj ds fLFkjhdj.k midj.kksa dk mi;ksx djus okys jksfx;ksa dk vkda yu djuk vkSj ns[kHkky djuk 9- fofHkUu lgk;d midj.kksa dk mi;ksx djus okys jksfx;ksa dk vkadyu djuk vkSj ns[kHkky djuk 10- iquokZl dh vko';drk okys fof'k"V jksxh lewgksa dk eYw ;kadu djuk vkSj çcaèku djuk 11- lgk;rk dh vko';drk okys jksfx;ksa esa vka= ,oa e=w k'k; ds iquokZlu dks c<+kok nsuk 12- fuoZgu vkSj ?kj ij ns[kHkky ds fy;s jksfx;ks a dks rS;kj djuk 13- ?kj ij ns[kHkky] iquokZl rFkk fujarjrk ds lacaèk esa LokLF; f'k{kk çnku djuk 14- nLrkostksa ds fu"d"kZ] vlkekU;rk,a vkSj ufl±x ns[kHkkyA fofHkUu gìh jksx  iwoZo`Ùk ysuk  LokLF;  uSnkfud ewY;kadu fodkjksa ls ihfM+r  'kkjhfjd vkadyu djuk vkda yu  LokLF; vkda yu ¿o;Ld o;Ld ,o a f'k'kq  vkgkj vkadyu djuk  vkgkj ij fjiksVZ fpfdRlh; ,oa jksfx;ksa dks ufl±x  uSnkfud ijh{k.kksa esa lgk;rk vkda yu 'kY;& ns[kHkky çnku djuk fpfdRlh; & djuk 10 ¼6$4½ f'k'k q & 4 vkWijs'ku fFk,Vj ¼vksVh½ & 2À  ekeys ds vè;;u o;Ld 6 lIrkg fofHkUu fLFkjhdj.k  fofHkUu çdkj dh [kiPph  ekeys dk ij fjiksVZ ¼fpfdRlh;½ midj.kksa ds lkFk ¼fLifyaV~l½ ckaèkus esa lgk;rk vè;;u jksfx;ksa dks rS;kj djuk  çksLFksfVDl rFkk djuk vkSj mudh  Ropkd"kZ.k djus esa lgk;rk vkWFkksZfVDl lgk;rk djuk djuk bdkbZ;ksa ds nkSjksa  ykWx jksÇyx laikfnr djuk ij fjiksVZ  dkWyj ns[kHkky  ost rfd;k dk mi;ksx djus esa lgk;rk djuk  laihMu+ midj.kksa ds vkosnu esa  nnZ vkadyu ij lgk;rk djuk fjiksVZ nnZ fuokj.k esa  nnZ dk vkadyu vkSj çcaèku  nnZ dk vkda yu lgk;rk djuk o;Ld ¼'kY;& 4 lIrkg gìh jksx ls ihfMr+  jksfx;ksa dks 'kY;&fpfdRlk ds  ekeys dk  uSnkfud ewY;kadu20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] fpfdRlh;½ jksfx;ksa dks fy;s rS;kj djuk vè;;u 'kY;&fpfdRlk ls  'kY;&fpfdRlk ds ckn dh igys vkSj ckn esa ns[kHkky ns[kHkky çnku  jksx çfØ;k ds lHkh pj.kksa ds  ijke'kZ l= djuk nkSjku lgk;rk  jksfx;ksa rFkk ifjtuksa dks ijke'kZ jksfx;ksa vkSj muds nsuk ifjtuksa dks ijke'kZ çnku djuk  tksMk+sa ds lafèklaèkku ds ckn jksfx;ksa ds fy;s thok.kqjfgr  tksMk+sa ds tksMk+sa dh lafèklaèkku lkexzh dh lQkà vkSj fuxjkuh lafèklaèkku esa bdkbZ esa laØe.k lqfuf'pr djuk laØe.k fu;a=.k fu;a=.k dk fujh{k.k ds fy;s ,lvksih rFkk j[kj[kko ij fjiksVZ djuk f'k'kq okMZ 4 lIrkg gMM+ h jksx fodkjksa  cPpksa dk 'kkjhfjd ewY;kadu  LokLF;  uSnkfud ewY;kadu ls ihfMr+ cPpksa dks  laØe.k fu;a=.k çFkk,a rFkk vkda yu  LokLF; vkda yu ufl±x ns[kHkky csfj;j ufl±x  ekeys dk fjiksVZ çnku djuk  isfeMªksusV batsD'ku yxkuk vè;;u  ekeys ds vè;;u  vkgkj ;kstuk  vkS"kèkh; ij fjiksV  vfHkHkkodksa dks ijke'kZ nsuk vè;;u  vkS"kèkh; vè;;u  LokLF; ppkZ vkSj LokLF; okrkZ  ijke'kZ l= ij fjiksVZ vkWijs'ku 2 lIrkg gìh jksx ls lacfaèkr  gìh jksx ls lacfaèkr  vksVh esa  uSnkfud ewY;kadu fFk,Vj ¼vksVh½ fofHkUu 'kY;&fpdRlk dh rS;kjh djuk laØe.k  vksVh esa laØe.k 'kY;&fpdRlh; vkSj mlesa lgk;rk djuk fu;a=.k ds fu;a=.k ds çfØ;kvksa esa  dhVk.kq'kksèku çFkkvksa esa lgk;rk fy;s ,lvksih ij lgk;rk djuk djuk ,lvksih fjiksVZ  èkwezhdj.k esa lgk;rk djuk U;wjksykWth okMZ 4 lIrkg jksfx;ksa dks ra=dh;  rfa=dk fodkj ls ihfMr+ jksfx;ksa  ekeys dk  uSnkfud ewY;kadu çfØ;kvksa vkSj dh ns[kHkky djuk] mUgsa rS;kj vè;;u  ekeys ds vè;;u 'kY;&fpfdRlk ds djuk vkSj jksfx;ksa dh fuxjkuh  LokLF; ppkZ ij fjiksVZ fy;s rS;kj djuk  rfa=dk fodkj ls ihfMr+ jksfx;ksa  LokLF; okrkZ ij dks LokLF; f'k{kk çnku djuk fjiksVZ vkikrdkyhu 8 lIrkg ikWyh&VªkWek okys  iwoZ o`Ùk ysuk  uSnkfud ewY;kadu okMZ jksfx;ksa dh tkap esa  'kkjhfjd tkpa lgk;rk djuk  uSnkfud ijh{k.kksa esa lgk;rk djuk  eyw Hkwr thou leFkZu vkSj mUur thou leFkZu çfØ;kvksa dk çn'kZu djuk@muesa lgk;rk djuk  fLFkjhdj.k midj.kksa ds ç;ksx esa lgk;rk djuk  vk?kkr lfgr gìh jksx fodkjksa ls ihfMr+ jksfx;ksa dh vkikrdkyhu ns[kHkky cká jksxh 2 lIrkg gìh jksx fodkjksa ls  iwoZ o`Ùk ysuk  LokLF;  uSnkfud ewY;kadu foHkkx ¼vksihMh½ ihfM+r jksfx;ksa dh  'kkjhfjd tkpa vkda yu tkpa esa lgk;rk  LokLF; f'k{kk fjiksVZ djuk  lkaps esa <kyus vkSj gVkus esa uSnkfud çfØ;kvksa lgk;rk djuk esa lgk;rk djuk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21 iquokZl 8 lIrkg iquokZl pqukSfr;ksa  iwoZ o`Ùk ysuk  LokLF;  uSnkfud ewY;kadu bdkbZ@dsaæ okys jksfx;ksa dh  'kkjhfjd tkpa vkda yu  ekeys ds vkS"kèkh; ns[kHkky djuk  Vîwc }kjk vkgkj nsuk fjiksVZ vè;;u ij fjiksVZ  vkS"kfèk nsuk  ekeys ds  fuæk ç;ksx'kkyk  pw"k.k rFkk jDrkèkku ns[kHkky vè;;u ij dh fjiksVZ  vkgkj vkda yu fjiksVZ  fxjus ls jksdFkke  fuæk vkadyu vkSj fuæk jftLVj  vkS"kèkh; ij ,lvksih dk j[kj[kko vè;;u  e=w k'k; rFkk vka=  fxjus dh tksf[ke dk vkda yu çf'k{k.k ij  e=w k'k; vkadyu vkSj ew=k'k; fjiksVZ jftLVj dk j[kj[kko  e=w k'k; rFkk  e=w k'k; ds ckjs esa çf'kf{kr djuk vk=a çf'k{k.k  jksxh dks dSFkhVj yxkuk  vkra jkf;d LoPN dSFkhVsjkbts'ku  vk=a vkadyu vkSj vka= jftLVj dk j[kj[kko  vk=a çf'k{k.k  fMftVy mÙkstuk vkSj fMftVy fudklh djuk  okd~&fpfdRld }kjk fd;s tkus okys fuxyus ds vkda yu esa lgk;rk djuk  Vîwc vkgkj  'kS¸;koz.k dh ns[kHkky  çR;sd 2 ?kVa s ckn fLFkfr cnyuk  euksoSKkfud }kjk fd;s tkus okys euksoSKkfud vkadyu esa lgk;rk djuk  iquokZl ny ds lkFk dke djuk  çksLFksfVDl rFkk vkWFkksZfVDl yxkus dh çfØ;k dk voyksdu djuk  ;wjksMk;ukfed vè;;u ds fy;s jksfx;ksa dks rS;kj djuk vkSj  ;wjksMk;ukfed mudh lgk;rk djuk vè;;u ij fjiksVZ  ;wjks& Mk;ukfed  pky&<ky ds fo'ys"k.k ds fy;s vè;;u  pky&<ky jksfx;ksa dks rS;kj djuk vkSj ç;ksx'kkyk ç;ksx'kkyk ij mudh lgk;rk djuk dk nkSjk fjiksVZ  pky&<ky ç;ks'kkyk dk nkSjk mipkj bdkbZ 3 lIrkg gìh jksx fodkj  fofHkUu mipkjksa esa lgk;rk çnku  la'kksfèkr vkSj iquokZl djuk Lo&ns[kHkky vko';drk okys  nSfud t:jrksa dks iwjk djus esa midj.k dh jksfx;ksa ds mipkj la'kksfèkr Lo&ns[kHkky midj.kksa fjiksVZ esa lgk;rk djuk ds mi;ksx dk voyksdu  Vsal yxkus ds fy;s jksfx;ks a dh rS;kjh] lgk;rk vkSj fuxjkuh {ks=h; nkSjs 1 lIrkg22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ufl±x dkWyst dh ewyHkwr dkS'ky ç;ksx'kkyk ds fy, vko';d oLrqvksa ds vykok fuEufyf[kr vko';d gSAa 1 MªsÇlx di 2 2 dkWVu iSd 2 3 xkWt iSd 2 4 vkVZjh Dyai 2 5 Fkac QkslsZi 2 6 ds&csflu ¼NksVk½ 1 7 ds&csflu ¼cMk+½ 1 8 'kY;&fpfdRlh; rkSfy;k ¼lftZdy VkWoy½ 1 9 f[kMd+ h rkSfy;k ¼foaMks VkWoy½ 1 e=w dSFkhVsjkbts'ku 10 flÇjt 10 lhlh 1 11 batsD'ku ds fy;s ty 1 12 tkbyksdsu tsyh 1 13 thok.kqjfgr nLrkus ¼LVsjkby XyOl½ 1 tksM+h 14 ekLd 1 15 jksxk.kqjksèkd ?kksy ¼tsÝku rFkk chVkMhu½ 1 cksry çR;sd 16 QkWyhl dSFksVj ¼14&20 vkdkj½ 1 çR;sd 17 ;qjkslsd 1 18 vklatd iêh ¼vMsflo Vsi½ 1 jksy 19 QkWyhl dSFksVj ¼14&20 vkdkj½ 1 çR;sd 20 I;kyk ¼NksVk vkSj cMk+½ 1 çR;sd dSFkhVsjkbts'ku dks 21 ex 1 #d&#d dj lkQ djuk 22 QkWyhl dSFksVj cSx 1 23 ckYVh 1 24 cjlkrh ¼eSÇdVkW'k½ 1 25 tkbyksdsu tsyh 1 fMftVy çksRlkgu 26 diM+s ds VqdMs+ 1 jksy@i;kZIr ek=k esa vkSj fu"Øe.k 27 ds&csflu ¼cMk+½ 1 28 ex 1 29 nLrkus@ekLd@,çu 1 çR;sd[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23 30 ds&csflu 1 31 MªsÇlx di 2 32 Fkac QkslsZi 1 33 vkVZjh Dyai 2 34 thok.kqjfgr dkWVu rFkk xkWt iSd 2 'k¸;k oz.k ij iêh djuk 35 thok.kqjfgr MªsÇlx iSM iSd 2 36 thok.kqjfgr nLrkus 1 tksM+h 37 vklatd iêh ¼vMsflo Vsi½ 1 38 jksxk.kqjksèkd ?kksy ¼lykbu@chVkMhu@MSÇdl@gkbMªkstu 1 cksry çR;sd ijkWDlkbM½ 39 ds&csflu 1 40 MªsÇlx di 2 41 vkVZjh Dyai 2 42 Fkac QkslsZi 1 Vªsfd;ksLVkseh dh ns[kHkky 43 thok.kqjfgr dkWVu rFkk xkWt iSd 2 44 thok.kqjfgr nLrkus 1 tksM+h 45 LoPN ,çu rFkk ekLd 1 46 jksxk.kqjksèkd ?kksy ¼chVkMhu] gkbMªkstu ijkWDlkbM rFkk lykbu½ 1 cksry çR;sd 47 thok.kqjfgr lD'ku Vªs 1 48 jksxk.kqjksèkd ?kksy ¼lykbu½ 1 cksry 49 lD'ku dSFksVj ¼vkdkj 10] 12] 14½ 1 çR;sd pw"k.k ¼lD'kfuax½ 50 MªsÇlx di 1 51 thok.kqjfgr xkWt iSd@ekLd@#bZ 1 52 lD'ku r=a 1 53 Ropkd"kZ.k fdV 1 54 iqyh ds lkFk cká pj[kh 1 55 jsr dh cksjh ;k otu ¼5@10 fdyksxzke½ 1 Ropkd"kZ.k 56 jksyj iêh 1 jksy 57 fDyIl@vklatd ¼vMsflo½ 5@1 58 fØdsV iSM ÇLIyV 1 59 cksgyj czkWu ÇLIyV 1 fLIya V~l ds çdkj 60 Øsej ok;j 124 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 61 FkkWel ÇLIyV 1 62 ,ady QqV vkWFkksZfll ¼,,Qvks½ 1 63 uh ,ady QqV vkWFkksZfll ¼ds,,Qvks½ 1 64 dkWd vi ÇLIyV 1 65 fQykMsfYQ;k dkWyj 1 66 iêh 1 jksy 67 vklatd ¼vMsflo½ 1 jksy  ç'u i= vkSj ç'uksÙkjh & 10 vad  fyf[kr dk;Z & 10 vad ¼gìh jksx rFkk iquokZl ufl±x vH;kl ls çklfaxd uSfrd vkpkj lafgrk] gìh jksx rFkk iquokZl ufl±x@laØe.k fu;=a .k çfØ;kvksa esa lk{; vkèkkfjr dk;Z ¼Ãchih½ ij lkfgR;d leh{kk] jksfx;ks a dh iks"k.k lacèa kh ns[kHkky½  lkewfgd ifj;kstuk & 5 vad 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 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  oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhý & 25 vad ¼inLFkkiu ds var esa vks,llhà & 10 vad $ o"kZ ds var esa vkarfjd vks,llhà & 15 vad½  vU; vH;kl % 50 vad d½ çk;ksfxd dk;Z & 20 vad ¼uSnkfud çLrqfr vkSj dsl LVMh fjiksVZ & 5 vad] ijke'kZ fjiksVZ@nkSjksa dh fjiksVZ & 5 vad] & 5 vad vkSj LokLF; ifjppkZ & 5 vad½ [k½ dk;Zfofèkd n{krkvksa vkSj uSnkfud vgZrkvksa 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 esa okLrfod fu"iknu½ & 20 vda[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25 oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhý & ] voyksfdr vH;kl & I 1 jksxh çf'k{k.k lkexzh rS;kj djuk ih 2 gìh jksx fodkjksa ls ihfM+r jksfx;ksa ds çf'k{k.k gsrq jksxh çf'k{k.k ;kstuk ih rS;kj djuk 3 ufl±x vfèkdkfj;ksa@LVkQ ulks± ds fy;s MîwVh jksLVj rS;kj djuk ih 4 lkfgfR;d leh{kk ys[ku@O;ofLFkr leh{kk ih ¼lk{; vkèkkfjr ufl±x eè;orZu@çFkkvksa dh igpku djuk½ 5 çdk'ku@isij çstsaVs'ku ds fy;s ikaMqfyfi rS;kj djuk ih 6 lkewfgd 'kksèk ifj;kstuk ih fo"k;% II 1-1 gìh jksx fodkjksa ls ihfM+r o;Ld jksfx;ksa ds iwoZo`Ùk dh tkudkjh ysuk ih vkSj 'kkjhfjd ijh{k.k djuk rFkk iks"k.k lacèa kh vkadyu djuk 1-2 gìh jksx fodkjksa ls ihfM+r f'k'kq jksfx;ks a ds iwoZo`Ùk dh tkudkjh ysuk ih vkSj 'kkjhfjd ijh{k.k djuk rFkk iks"k.k lacèa kh vkadyu djuk 1-3 r=a dh; fodkjksa ls ihfMr+ o;Ld@cqtqxZ jksfx;ksa ds iwoZo`Ùk dh tkudkjh ih ysuk vkSj 'kkjhfjd ijh{k.k djuk rFkk iks"k.k lacaèkh vkda yu djuk 2-1 cksu LdSu esa lgk;rk djuk , 2-2 Ropkd"kZ.k esa lgk;rk djuk ih 2-3 dda ky d"kZ.k esa lgk;rk djuk vks 2-4 ,Dl&js dh foops uk djuk vks 2-5 lkaps ds vuqç;kxs ¼dkLV ,Iyhds'ku½ esa lgk;rk djuk , 2-6 lkaps ¼dkLV½ dks gVkuk , 3-126 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]  lsaVªy ykbu ,  isfjQsjy ykbu ih 3-2 var%f'kjk ¼vkbZoh½ dh nSfud ns[kHkky rFkk j[kj[kko ih 3-3 gsifju CykWd ih 3-4 nnZ ds fy;s f'kjk CykWd ih 3-5 ykbu gVkuk , 4-1 es#naM dh 'kY;&fpfdRlk ds fy;s jksfx;ks a dh rS;kjh ih 4-2 d"kZ.k dk çcaèku ih 4-3 Likbuy czsl dk mi;ksx ih 4-4 dkWyj dh ns[kHkky ih 4-5 ykWx jksÇyx ih 4-6 VsM LVkWÇdXl dk yxkuk ih 4-7 VsM LVkWÇdXl dk gVkuk ih 4-8 fo'ks"k xís dk mi;ksx ¼CykWd@foHkkftr@vYQk½ ih 4-9 Vîwc QhM dk yxkuk ih 4-10 voLFkk & fpÙk ysVuk@isV ds cy ysVuk@ik'oZ fLFkfr ih ¼likbu@çksu@ysVjy½ 4-11 dSFkhVsjkbts'ku dks #d&#d dj lkQ djuk ih 4-12 dSFkhVsjkbts'ku ih 4-13 'k¸;k oz.k ij iêh djuk ih 4-14 Vªsfd;ksLVkseh dh ns[kHkky ih 4-15 pw"k.k ¼lD'kfuax½ ih 4-16 uscqykbts'ku ih 4-17 fMftVy çksRlkgu ih 4-18 fMftVy fu"Øe.k ih 5-1 gìh jksx 'kY;&fpfdRlk ds fy;s jksfx;ksa dh rS;kjh ih 5-2 gìh jksx fodkjksa dh tkap ds fy;s jksfx;ks a dh rS;kjh ih 5-3 var%f'kjh; vkS"kfèk;ksa dh rS;kjh vkSj p<+kuk ih 5-4 var%f'kjh; vkS"kèkh; fpfdRlk ds nkSjku jksfx;ksa dh fuxjkuh ih 5-5 ifjL=o.k çcaèku ih[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27 5-6 var%efLr"dkoj.kh; nnZ ls jkgr , 5-7 jDrkèkku rFkk ns[kHkky ih 5-8 vkèkku çfrfØ;kvksa dk çcèa ku ih 5-9 nnZ ls jkgr ds fy;s BMa h iêh yxkuk ih 5-10 vax lapkyu ¼okWdj@cSlk[kh½ , 6-1 tksMk+sa ds lafèklaèkku d{k dk j[kj[kko ih 6-2 tksMk+sa ds lafèklaèkku dh ns[kHkky ih 6-3 gìh jksxh dk vkgkj ih 6-4 ckWMhxkMZ ds ekè;e ls vkS"kfèk p<+kuk ih 6-5 gìh jksx dh vkS"kfèk;ksa ds nq"çHkkoksa dh fuxjkuh djuk ih 6-6 laihMu+ midj.kksa dk mi;ksx ih 6-7 vax&lapkyu ih 6-8 fØdsV iSM ÇLIyV dk mi;ksx djuk ih 6-9 iPpj ds lgkjs ¼ost fiYyks½ dk mi;ksx ih 6-10 lafèklaèkku d{k esa laØe.k fu;a=.k çFkk,a ih 6-11 tksMk+sa ds lafèklaèkku ij jksfx;ksa vkSj ifjtuksa dks ijke'kZ nsuk ih 7-1 jDr uewukdj.k ih 7-2 f'k'kq voLFkk esa f'kjkosèk ih 7-3 jDrkèkku ds nkSjku ns[kHkky ih 7-4 oh,Mh dh ns[kHkky ih 7-5 isehMªksusV bU¶;wtu dk ç'kklu ih 7-6 isehMªksusV bU¶;w'ku ij f'k'kq dh fuxjkuh djuk ih 7-7 vkgkj ;kstuk ih 7-8 ijke'kZ & f'k'kq rFkk ekrk&firk ih 7-9 lh&VªSD'ku ds nkSjku ns[kHkky ih 7-10 fiu lkbV dh ns[kHkky ih 7-11 lkaps dh ns[kHkky ij ekrk&firk dks ijke'kZ nsuk ih 8-1 vfLFk Hkax dk fuèkkZj.k , 8-2 iquÆuekZ.k 'kY;&fpfdRlk ,28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 8-3 es#naM dh 'kY;&fpfdRlk , 8-4 xzk¶V ltZjh , 8-5 ¶ySi ltZjh , 8-6 tksMk+sa dk lafèklaèkku , 8-7 var%lafèkn'kZu , 8-8 lafèk fLFkjhdj.k , 9-1 lafèklaèkku 'kY; d{k esa laØe.k fu;=a .k ds fy;s ekud lapkyu çfØ;k ih ¼,lvksih½ rS;kj djuk 9-2 fxjus ls cpko ds fy;s ekud lapkyu çfØ;k ¼,lvksih½ rS;kj djuk ih 9-3 lafèklaèkku ls xqtjus okys jksfx;ksa ds fy;s ufl±x ekud fodflr djuk ih 9-4 bdkbZ dk ijh{k.k djuk ih 10-1 jksxk.kquk'ku@folaØehdj.k ih 10-2 èkwezhdj.k ih 11-1 lgefr ysuk ih 11-2 ekxZn'kZu vkSj ijke'kZ ih 11-3 11-4 11-5 *Nk= ds dkS'ky çn'kZu djus ds fy;s l{ke ik;s tkus ij bl ij ladk; }kjk gLrk{kj fd;s tk;saxsA Nk=ksa ls lwphc) dkS'ky@n{krkvksa dk laiknu ckj&ckj djuk rc rd visf{kr gS tc rd fd os Lrj&3 dh n{krk rd ugh a igqap tkrs gSa] mlh ds ckn ladk; }kjk çR;sd n{krk ds le{k gLrk{kj fd;s tk;saxsA ;g lqfuf'pr fd;k tkuk pkfg;s fd Nk=ksa ds Lrj&3 rd igqapus ij gh çR;sd n{krk ds le{k gLrk{kj fd;s tk;saA  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 esa l{ke gSA  Lrj&1 dh ;ksX;rk n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml dkS'ky@n{krk dk laiknu djus esa l{ke ugha gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29 1-1 LokLF; ifjppkZ ¼gìh jksx cká jksxh foHkkx@vkikrdkyhu lsok,a½ fo"k;% 1-2 LokLF; ifjppkZ ¼gìh jksx okMZ@U;wjksykWth okMZ½ fo"k;% 1-3 LokLF; ifjppkZ ¼iquokZl okMZ½ fo"k;% 2-1 ijke'kZ fjiksVZ 1 ¼gìh jksx@U;wjksykWth & 1½ 2-2 ijke'kZ fjiksVZ 2 ¼iquokZl okMZ & 1½ 2-3 ijke'kZ fjiksVZ 3 ¼cky jksx & 1½ 3-1 LokLF; vkda yu ¼gìh jksx½ & iwoZo`Ùk vkSj 'kkjhfjd ijh{kk ¼nks fyf[kr fjiksVZ½ 3-1-1 ¼o;Ld½ 3-1-2 ¼f'k'kq½ 3-2 LokLF; vkda yu ¼U;wjks½ & iwoZo`Ùk vkSj 'kkjhfjd ijh{kk ¼,d fyf[kr fjiksVZ½ fo"k;% 5-1 uSnkfud fLFkfr dk uke ¼o;Ld gìh jksx½ 5-2 uSnkfud fLFkfr dk uke ¼f'k'kq gìh jksx½ 5-3 uSnkfud fLFkfr dk uke ¼U;wjksykWth½ 5-4 uSnkfud fLFkfr dk uke ¼iquokZl½ ¼nks fyf[kr fjiksVZ çLrqr dh tkuh gSa½ 6-1 vkS"kfèk dk uke% 6-2 6-3 6-4 8-1 vkWFkksZfVDl rFkk çksLFksfVDl 8-2 ;wjksMk;ukfed ç;ksx'kkyk 8-3 'k;u ç;ksx'kkyk 8-4 xfr ç;ksx'kkyk ¼xSV ySc½ 8-5 gìh jksx@iquokZl ds fy;s {ks=h; dsaæ30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] MkW- Vh- fnyhi dqekj] vè;{k [foKkiu-III/4/ vlk-/208/21][भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31 INDIAN NURSING COUNCIL NOTIFICATION New Delhi, the 18th August, 2021 F.No. 11-1/2019-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 (Orthopaedic & Rehabilitation Specialty Nursing Residency Program), Regulations 2020. 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 Indian Nursing 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. POST BASIC DIPLOMA IN ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING RESIDENCY PROGRAM I. INTRODUCTION The National Health Policy document (NHP, 2017) emphasizes the need to expand tertiary care services, prepare specialist nurses and standardization of clinical training for nurses. Responding to this, the Council planned to redesign the existing specialty nursing programs making it as a one-year post basic diploma residency programs utilizing competency based training approach. The existing one-year post basic diploma in Orthopaedic & Rehabilitation Nursing of the Council is being reframed as a residency program using revised guidelines that aim to prepare specialist nurses who can provide competent care to patients with orthopaedic & rehabilitation needs whose diagnostic, treatment and care needs are complex. Orthopaedic & Rehabilitation Nursing encompasses both primary disorders of the bone as well as how other diseases affect the bone. Primary orthopaedic diseases can be congenital or acquired. Injuries, infective, degenerative and metabolic conditions in various stages require medical treatment as well as complex surgeries. These conditions can lead to severe disability and rehabilitation issues. Orthopaedic & Rehabilitation Nursing practice is characterized by dynamic and highly complex care. The area of expertise of the orthopaedic & rehabilitation specialist nurses includes knowledge of all orthopaedic conditions. The Orthopaedic & Rehabilitation Nursing practice encompasses preventive, promotive, curative and palliative care for the patients. The nature of some of the conditions are challenging that requires long term rehabilitation to live a near real life as possible, which affect not only the patients but also the family members significantly. Specialist nurses play a great role in the effective management of patients with all types of orthopaedic conditions. II. PHILOSOPHY The Council believes that registered nurses need to be further trained as specialist nurses to function in various emerging speciality areas of practice and the training should be competency based. One such area that demands32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] specialist nurses is Orthopaedic & Rehabilitation Nursing. Expanding roles of nurses and advances in orthopaedics and rehabilitation necessitates additional training to prepare nurses with specialized skills and knowledge to deliver competent, intelligent and appropriate care to patients with orthopaedic medical and surgical conditions, managed in Orthopaedic & Rehabilitation centres. III. CURRICULAR FRAMEWORK The Post Basic Diploma in Orthopaedic & Rehabilitation 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 Orthopaedic & Rehabilitation Nursing practice such as Professionalism, Communication & patient education, 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 Orthopaedic & Rehabilitation Specialty Nursing-I and Orthopaedic & Rehabilitation Specialty Nursing-II. Orthopaedic & Rehabilitation Specialty Nursing-I includes Context/Introduction to Orthopaedic & Rehabilitation Nursing, and Basic Sciences applied to Orthopaedic & Rehabilitation Nursing (application of basic science knowledge in the diagnosis, treatment and care of clinical conditions under Orthopaedic & Rehabilitation Specialty Nursing). Specialty Nursing-II includes nursing management of specific orthopaedic conditions comprising assessment, diagnosis, treatment and specialized interventions and patient safety & quality including illness specific considerations. The curricular framework for the Orthopaedic & Rehabilitation Specialty Nursing Residency Program is illustrated in the following figure-1. POST BASIC DIPLOMA IN ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING RESIDENCY PROGRAM Foundations to Orthopaedic & Rehabilitation Speciality (Orthopaedic & Rehabilitation) Nursing Courses Nursing Courses ONE YEAR RESIDENCY PROGRAM (For Registered Nurses & Midwives) Theory – 10% and Practicum – 90% (Skill Lab + Clinical) Figure-1. Curricular Framework: Orthopaedic & Rehabilitation Specialty Nursing Residency Program[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33 IV. AIM/PURPOSE & COMPETENCIES AIM The program is designed to prepare nurses with specialized skills, knowledge and attitude in providing quality care to patients with orthopaedic disorders. It further aims to prepare technically qualified and trained specialist nurses who will function effectively and optimally at Orthopaedic & Rehabilitation Centres of Tertiary/ Quaternary hospitals providing high standards of care. COMPETENCIES On completion of the program, the orthopaedic & rehabilitation specialist nurse will be able to:— 1. Demonstrate professional accountability for the delivery of nursing care as per the Council standards that is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles in orthopaedic & rehabilitation practice. 2. Communicate effectively with patients, families and professional colleagues fostering mutual respect and shared decision making to enhance health outcomes. 3. Educate and counsel patients and families to participate effectively in treatment and care and enhance their coping abilities through the challenges of crisis. 4. Demonstrate understanding of clinical leadership and resource management strategies and use them in orthopaedic & rehabilitation care and settings promoting collaborative and effective teamwork. 5. Identify, evaluate and use the best current evidence in orthopaedic & rehabilitation care and treatment coupled with clinical expertise and consideration of patient’s preferences, experience and values to make practical decisions in orthopaedic & rehabilitation nursing practice. 6. Participate in research studies that contribute to evidence-based orthopaedic & rehabilitation nursing care interventions with basic understanding of research process. 7. Apply basic sciences in the assessment, diagnosis and treatment of the physiological, physical, psychological, social and spiritual problems of patients and their families with orthopaedic disorders and rehabilitation needs. 8. Apply nursing process in caring for patients with orthopaedic disorders and rehabilitation needs. 9. Describe the principles of physiotherapy, occupational therapy, speech therapy, counselling, community reintegration in treatment of patients with orthopaedic disorders and rehabilitation needs. 10. Demonstrate specialized practice competencies/skills relevant in providing care to patients under different treatment regimes. 11. Demonstrate skill in managing patients undergoing long term rehabilitation. 12. Identify treatment related adverse effects and emergencies and manage them effectively. 13. Maintain and effectively use special orthopaedic equipment, devices, and aids with clear understanding of functioning. 14. Demonstrate safe delivery of various therapies to patients and protect them from occupational harm. 15. Conduct clinical audit and participate in quality assurance activities in orthopaedic & rehabilitation units/centres. 16. Participate as member of healthcare team in effective rehabilitation of patients with disability and long term rehabilitation needs in rehabilitation centres/community. V. PROGRAM DESCRIPTION & SCOPE OF PRACTICE The Post Basic Diploma in Orthopaedic & Rehabilitation specialty nursing 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 orthopaedic & rehabilitation specialist nurses should be employed only in the orthopaedic & rehabilitation specialty centre/hospital/department/unit as orthopaedic & rehabilitation 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 Log Book of the Council syllabus. The specialist nurses can be privileged to practice those specialized procedural competencies by the respective institution as per institution protocols. Specialist34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] nurse cadres/positions should be created at government/public/private sectors. The diploma will be awarded by respective Examination Board/SNRC/University approved by the Council. VI. MINIMUM REQUIREMENTS/GUIDELINES FOR STARTING THE POST BASIC DIPLOMA IN ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING RESIDENCY PROGRAM The program may be offered at 1. College of Nursing offering degree programs in nursing attached to parent speciality hospital/tertiary hospital having minimum of 200 beds with advanced diagnostic, therapeutic and state of the art orthopaedic & rehabilitation units with facilities of physiotherapy, occupational therapy, speech therapy, counselling units for supportive care and specialized nursing care facilities. OR Hospitals offering DNB/Fellowship programs in Orthopaedics and Rehabilitation having minimum of 200 beds with advanced diagnostic, therapeutic and state of the art orthopaedic & rehabilitation units with facilities of physiotherapy, occupational therapy, speech therapy, counselling units for supportive care and specialized nursing care facilities. 2. The above eligible institution shall get recognition from the concerned SNRC for Post Basic Diploma in Orthopaedic & Rehabilitation Specialty Nursing for the particular academic year, which is a mandatory requirement. 3. The Council shall after receipt of the above documents/proposal would then conduct statutory inspection of the recognized training nursing institution under Section 13 of the Act in order to assess suitability with regard to availability of teaching faculty, clinical and infrastructural facilities in conformity with Regulations framed under the provision 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/Orthopaedic & Rehabilitation Specialty Nursing – 1 (Orthopaedic & Rehabilitation Specialty Nursing preferred) ii. Post Basic Diploma in Orthopaedic & Rehabilitation Speciality Nursing with Basic B.Sc. (Nursing)/P.B.B.Sc. (Nursing) – 1 d. Experience: Minimum three years of experience in Orthopaedic & Rehabilitation Specialty Nursing. e. Guest Faculty: Multi-disciplinary in related specialities. f. Preceptors:  Nursing Preceptor: Full time qualified GNM with 6 years of experience in orthopaedic & rehabilitation specialty nursing or B.Sc. (Nursing) with 2 years’ experience in respective specialty nursing or M.Sc. (Nursing) with one-year respective specialty nursing experience working in the specialty care unit.  Medical Preceptor: Specialist (Orthopaedics Specialist) doctor with PG qualification (with 3 years post PG experience/faculty level/consultant level preferable)  Preceptor Student Ratio: Nursing 1 : 10, Medical 1 : 10 (Every student must have a medical and nursing preceptor) 2. Budget: There should be budgetary provision for staff salary, honorariums for guest faculty, and part time teachers, clerical assistance, library and contingency expenditure for the program in the overall budget of the institution. 3. Physical and Learning Resources at Hospital/College: a. One classroom/conference room at the clinical area. b. Skill lab for simulated learning at hospital/college. Skill Lab Requirements are listed in Appendix-1. c. Library and computer facilities with access to online journals:[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35 i. College library having current books, journals and periodicals related to Orthopaedic & Rehabilitation Specialty Nursing, Nursing Administration, Nursing Education, Nursing Research and Statistics. OR Permission to use medical/hospital library having current books, journals and periodicals related to Orthopaedic & Rehabilitation Specialty Nursing, Nursing Administration, Nursing Education, Nursing Research and Statistics. ii. Computer with internet facility. d. E-Learning facilities: e. Teaching Aids – Facilities for use of: i. Overhead Projectors, ii. Video viewing facility, iii. LCD Projector, iv. CDs, DVDs and DVD players, v. Appropriate equipment, manikins and simulators for skill learning. f. Office facilities: i. Services of typist, peon, Safai Karamchari. ii. Facilities for office, equipment and supplies such as  Stationery,  Computer with printer,  Xerox machine,  Telephone and Fax. 4. Clinical Facilities: a. Parent speciality hospital/tertiary hospital having minimum of 200 beds with advanced diagnostic, therapeutic and state of the art orthopaedic & rehabilitation units with facilities of physiotherapy, occupational therapy, speech therapy, counselling units for supportive care and specialized nursing care facilities. b. Regional Orthopaedic and Rehabilitation/Orthopaedic Specialty Hospitals having minimum of 200 beds with advanced diagnostic, therapeutic and state of the art orthopaedic & rehabilitation units with facilities of physiotherapy, occupational therapy, speech therapy, counselling units for supportive care and specialized nursing care facilities. c. Hospital must have a minimum of 30 specialty beds with advanced diagnostic, treatment and care facilities. d. Nurse staffing of units as per the Council norms. e. Student patient ratio: 1 : 3 5. Admission Terms and Conditions/Entry Requirements: The student seeking admission to this program should: a. Be a registered nurse (RN&RM) or equivalent with any SNRC having NUID number. b. Possess a minimum of one year clinical experience as a staff nurse preferably in the orthopaedic & rehabilitation unit prior to enrolment. c. Be physically fit. d. Selection must be based on the merit obtained in an entrance examination and interview held by the competent authority. e. Nurses from other countries must obtain an equivalence certificate from the Council before admission. 6. Number of Seats: For hospital having 200 beds and 30 specialty beds, number of seats = 10, For hospital having 500 beds or more and with 60 specialty beds, the number of seats = 20. 7. Number of Candidates: 1 candidate for 3 specialty beds.36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 8. Salary: a. In-service candidates will get regular salary. b. Stipend/Salary for the other candidates will be given as per the salary structure of the hospital where the program is conducted. VII. EXAMINATION REGULATIONS AND CERTIFICATION EXAMINATION REGULATIONS Examining and Diploma Awarding Authority: Respective Examination Board/SNRC/University approved by the Council. 1. Eligibility for Appearing for the Examination: a. Attendance: Theory & practical – 80%. However, 100% Clinical attendance have to be completed prior to certification. b. Candidate who successfully completes the necessary requirements such as Log Book and clinical requirements is eligible and can appear for final examination. 2. Practical Examination: a. OSCE: Objective Structured Clinical Examination (OSCE) type of examination will be conducted alongside viva (oral examination) both in the internal and final examination. (Detailed guidelines are given in guidebook.) b. Observed Practical/Clinical: Final internal and external examination will also include assessment of actual clinical performance in real settings including viva and mini clinical evaluation exercise for 3-4 hours (Nursing process application and direct observation of procedural competencies). Minimum period of assessment in the clinical area is 5-6 hours. (Evaluation guidelines are given in guidebook.) c. Maximum number of students per day = 10 students. d. Practical Examination should be held in clinical area only. e. The team of practical examiners will include one internal examiner [(M.Sc. faculty with two years of experience in teaching the respective specialty program/M.Sc. faculty (Medical Surgical Nursing) with 5 years of experience], one external examiner (nursing faculty with the same qualification and experience stated as above) and one medical internal examiner who should be preceptor for specialty program. 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 Orthopaedic & Rehabilitation Specialty Nursing. b. The 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 Orthopaedic & Rehabilitation Specialty Nursing Residency Program. ii. Candidate has completed 80% theory and 100% clinical requirements. iii. Candidate has passed the prescribed examination.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37 VIII. SCHEME OF EXAMINATION Courses Int. Ass. Ext. Ass. Total Exam Hours Marks Marks Marks (External) Theory (Experiential/Residential Learning) 25 75 100 3 Orthopaedic & Rehabilitation Specialty Nursing (10+15) (35+40) (Part I & Part II) {Part I – Orthopaedic & Rehabilitation Specialty Nursing I including Foundations, Part II – Orthopaedic & Rehabilitation Specialty Nursing II} Practicum (Orthopaedic & Rehabilitation Specialty Nursing) 75 150 225  OSCE including Viva (25+50) (50+100) Minimum 5-6  Observed Practical/Clinical (Direct observation of actual performance at real settings) including viva – mini clinical (OSCE – (OSCE – hours in the evaluation exercise for 3-4 hours (Nursing process application 25 & 50 & clinical area and direct observation of procedural competencies) Observed Observed Practical – Practical – 50) 100) Grand Total 100 225 325 IX. PROGRAM ORGANIZATION/STRUCTURE 1. Courses of Instruction 2. Implementation of Curriculum 3. Clinical Practice (Residency Postings) 4. Teaching Methods 5. Methods of Assessment 6. Log Book and Clinical Requirements. 1. Courses of Instruction – Delivered through mastery of learning (Skill Lab Practice) and experiential learning (Clinical Practice) approaches Unit Courses Theory Lab/Skill Clinical (Hrs) Lab (Hrs) (Hrs) I Foundations to Orthopaedic & Rehabilitation Specialty Nursing 40 Practice 1. Professionalism 2. Communication, patient education and counselling in specialty nursing 3. Clinical leadership and resource management in the specialty care setting 4. Evidence based and applied research in specialty nursing Orthopaedic & Rehabilitation Specialty Nursing Courses Orthopaedic & Rehabilitation Specialty Nursing I II 1. Context/Introduction to specialty nursing 50 10 2. Basic sciences applied to specialty care – diagnosis and treatment of clinical conditions (Anatomy & Physiology, Microbiology, Pharmacology & Pathophysiology) Orthopaedic & Rehabilitation Specialty Nursing II 3. Nursing management of clinical conditions including assessment, diagnosis, treatment and specialized interventions 110 30 1730 4. Patient safety and quality 5. Specialty/Illness specific considerations (Supportive care/palliative care/rehabilitation, Impact of illness on individual, family and community) TOTAL= 1970 hours 200 40 1730 (5 wks) (1 wk) (38 wks)38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Total weeks available in a year: 52 weeks (Theory – 10% and Skill Lab + Clinical – 90%)  Annual Leave + Casual Leave + Sick Leave + Public Holidays = 6 weeks  Exam preparation and Exam = 2 weeks  Theory and Practical = 44 weeks 2. Implementation of Curriculum Block Classes – 2 weeks × 40 hours per week = 80 hours Residency – 42 weeks × 45 hours per week = 1890 hours Total = 1970 hours  Block Classes: Theory and Skill Lab Experience = 2 weeks × 40 hours per week (80 hours) (Theory = 74 hours, Skill Lab = 6 hours, Total = 80 hours)  Clinical Practice including Theory and Skill Lab = 42 weeks × 45 hours per week (1890 hours) (Theory = 126 hours, Skill Lab = 34 hours, Clinical = 1730 hours, Total = 1890 hours) Theory = 200 (74+126) hours, Skill Lab = 40 (6+34) hours, Clinical = 1730 hours. 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 (Residency Postings) Clinical Residency Experience: A minimum of 45 hours per week is prescribed, however, it is flexible with different shifts and OFF followed by on call duty every week or fortnight. Clinical Placements: The students will be posted to the under mentioned clinical area during their training period: S.No. Clinical Area Week(s) 1. Orthopaedic Wards 16 (10+4+2)  Adult Medical & Surgical 10  Paediatric 04  Operation Theatre 02 2. Neurology wards 04 3. Emergency services 08 4. OPD 02 5. Rehabilitation Centre 08 6. Physiotherapy, Occupational therapy, Speech therapy, Play therapy units 03 7. Field Trip 01 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 and skill lab practice (For example: faculty lecture – 1 hour, nursing & interdisciplinary rounds – 1 hour, clinical presentations, case study report, clinical assignments – 1 hour and skill lab practice – 1 hour) to cover a total of 126 hours of theory and 34 hours of skill lab practice. A small group research project can be conducted during clinical posting applying the steps of research process and written report to be submitted. 4. Teaching Methods Theoretical, Skill Lab and Clinical teaching can be done in the following methods and integrated during clinical posting:-  Case/Clinical presentation and case study report[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39  Drug study and presentation  Bedside clinic/Nursing rounds/Interdisciplinary rounds  Journal clubs/Clinical seminar  Faculty lecture and Discussion in the clinical area  Demonstration and skill training in skill lab and at bedside  Directed reading/Self-study  Role play  Symposium/Group presentation  Group research project  Clinical assignments  Patient engagement exercise (engaging patients in care decisions to improve health outcomes using information technology) for example discharge planning and follow up.  Educational visits to national/regional centres and observe community reintegration of patients after rehabilitation in the rehabilitation centres. 5. Methods 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. 6. Log Book and Clinical Requirements 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 FOUNDATIONS TO ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING PRACTICE: PROFESSIONALISM, COMMUNICATION, PATIENT EDUCATION & COUNSELING, CLINICAL LEADERSHIP & RESOURCE MANAGEMENT AND EVIDENCE BASED AND APPLIED RESEARCH IN ORTHOPAEDIC & REHABILITATION SPECIALTY 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 Orthopaedic & Rehabilitation Nursing practice.40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] COURSE CONTENT Unit Time Learning Content Teaching/ Assignments/ (Hrs) Outcomes Learning Assessment Activities Methods I 6 Demonstrate Professionalism  Discussion  Write about understanding of  Meaning and elements – accountability, code of ethics professionalism and knowledgeable, visibility and ethical in related to exhibit orthopaedic & rehabilitation specialty orthopaedic & professionalism in nursing practice rehabilitation the practice of  Professional values and professional nursing orthopaedic & behaviour rehabilitation  INC code of ethics, code of professional nursing conduct and practice standards  Ethical issues related to orthopaedic & rehabilitation nursing practice  Expanding role of Nurse – Nurse Practitioner  Professional organizations  Continuing nursing education Describe medico- Medico-Legal Issues  Lecture  Maintain legal aspects of  Legislations and regulations related to record of orthopaedic & orthopaedics & rehabilitation nursing patients rehabilitation  Consumer protection act nursing  Negligence and malpractice  Medico-legal aspects  Records and reports  Legal responsibilities of orthopaedics & rehabilitation specialist nurses II 12 Communicate Communication  Module:  Digital records effectively with  Channels and techniques of Communication orthopaedic & communication  Lecture rehabilitation  Breaking bad news to patients with  Breaking bad patients, families orthopaedic conditions with poor news – Role play and professional prognosis colleagues fostering  Culturally sensitive communication mutual respect and  Development of nursing care plans and shared decision records making to enhance  Information technology tools in support of health outcomes communication  Team communication Educate and counsel  Peer teaching  Conduct a patients and families Patient & Family Education group health to participate  Principles of teaching and learning education effectively in  Principles of health education program for the treatment and care  Assessment of informational needs and patients with patient education orthopaedic  Developing patient education materials disorders  Prepare patient education  Counselling materials on Counselling sessions relevant topic  Counselling techniques  Patient and family counselling during breaking bad news, intensive treatment, crisis intervention and end of life stage III 12 Demonstrate Clinical Leadership & Resource  Lecture  Plan a duty understanding of Management roster for the clinical leadership  Leadership and management junior nursing and management  Elements of management of orthopaedic officers/staff strategies and use & rehabilitation nursing care – planning, nurses working[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41 Unit Time Learning Content Teaching/ Assignments/ (Hrs) Outcomes Learning Assessment Activities Methods them in orthopaedic organizing, staffing, reporting, recording in the & rehabilitation care and budgeting orthopaedics/ and settings  Clinical leadership and its challenges neurology/ promoting  Delegation rehabilitation collaborative and  Managing human resources in orthopaedic department/ effective & rehabilitation units unit teamwork  Material management  Designing of an ideal orthopaedic ward  Plan an ideal and rehabilitation centre/unit lay out of an orthopaedic  Emotional intelligence and self- ward/ management skills rehabilitation  Working as interdisciplinary team centre member  Participation in making policies relevant to care of orthopaedic & rehabilitation patients Conduct clinical audit and participate Quality Assurance Program in  Module:  Develop SOPs in quality assurance Orthopaedic & Rehabilitation Unit Accreditation for orthopaedic activities in  Nursing audit and Practice wards/ orthopaedic &  Nursing standards Standards rehabilitation rehabilitation units  Quality assurance centre or centres IV 10 Describe research Evidence Based and Application of  Lecture  Preparation of process and perform Research statistical data basic statistical tests  Introduction to nursing research and  Module: Writing of orthopaedic research process of scientific department for Conduct research  Data presentation, basic statistical tests paper last five years project using and its application principles and steps  Research priorities in orthopaedic & of research rehabilitation nursing  Formulation of problem/question that are Apply evidence relevant to orthopaedic & rehabilitation  Conduct based/best practices nursing practice literature in professional  Review of literature to identify evidence review on practice based/best practices in orthopaedic & orthopaedic & rehabilitation nursing practice rehabilitation  Implementation of evidence based nursing interventions in daily professional practice interventions/ Group research  Ethics in research project ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING – I CONTEXT/INTRODUCTION TO ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING & BASIC SCIENCES APPLIED TO ORTHOPAEDIC & REHABILITATION NURSING PRACTICE (Applied Psychology, Sociology, Microbiology, Pathology, Anatomy, Physiology & Pharmacology) Theory: 50 hours and Lab: 10 hours Course description: This course is designed to help students to develop understanding and in-depth knowledge regarding the context of orthopaedic & rehabilitation care provision and application of basic sciences in the diagnosis, treatment and care of patients suffering from orthopaedic & rehabilitation needs.42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] COURSE CONTENT Unit Time Learning outcomes Content Teaching/ Assignments/ (Hrs) Learning Assessment Activities Methods I T-3 Describe Epidemiology of Orthopaedic Disorders  Lecture and  Presentation of epidemiology of  Epidemiology of orthopaedic disorders – Discussion statistics common Prevalence and statistics orthopaedic  Risk factors and identification disorders, risk  Risk reduction strategies identification and reduction strategies II T-3 Explain principles Roles and Responsibilities of Orthopaedic  Lecture and of orthopaedic & & Rehabilitation Specialist Nurses Discussion rehabilitation  Concepts and Principles of orthopaedic & nursing rehabilitation nursing  Rehabilitation health team  Role of orthopaedic & rehabilitation Discuss the role of specialist nurses orthopaedic &  Scope of orthopaedic & rehabilitation rehabilitation specialist nurses specialist nurses III T-2 Describe the related National Policies & Programmes  Lecture/Self  Assignment: National policies  National policies & programs for study Report on and programs rehabilitation of persons with disabilities various  Rehabilitation Council of India rehabilitation acts IV T-10 Explain Psychosocial Aspects in Orthopaedic &  Lecture psychosocial aspects Rehabilitation Nursing Care in orthopaedic &  Human behaviour and coping with rehabilitation orthopaedic disorders, treatment & nursing care rehabilitation needs  Factors influencing psychological responses – Illness, personal & environment related characteristics.  Psychological responses to illness  Management of psychosocial problems  Steps of  Guidance & Counselling counselling: Review  Conduct Counselling Session V T-8 Explain medical Applied Microbiology:  Lecture  Identify/ L-2 surgical asepsis and Infection Control Practices Prepare SOP infection control in  Principles of asepsis, sterilization &  Demonstration for infection orthopaedic & disinfection control in joint rehabilitation setup  Standard safety measures/precautionary arthroplasty measures for health care workers theatre/patient  Biomedical waste management care unit  Barrier Nursing & infection control  Written practices Assignment: Infection control practices in joint[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43 Unit Time Learning outcomes Content Teaching/ Assignments/ (Hrs) Learning Assessment Activities Methods arthroplasty theatre/patient care unit VI T-12 Review related Review of Anatomy and Physiology:  Lecture L-4 anatomy & Structure & function of bones & joints physiology  Bone tissue  Self-Study  Types of bone tissue Describe structure &  Functions of bone & contained marrow function of bones  Development & growth of bones and joints  Classification of joints  Movement and range of motion in joints Structure & function of muscles Describe structure &  Muscle tissue function of muscles  Muscle activity  Motor & sensory innervation of skeletal muscles  Voluntary movement – Pyramidal & extra-pyramidal tracts  Reflexes  Module: Describe structure & Structure & function of brain: Review Anatomy & function of brain  Neurone, nerve impulses and neuroglia physiology of musculo-skeletal  Central nervous system: Brain- system Cerebrum, cerebellum, brain stem  Spinal cord: Nerves & tracts  Lecture/  Peripheral nervous system: Cranial & Discussion spinal nerves  Autonomic nervous system:  Module: Parasympathetic & sympathetic nervous Anatomy & system physiology of brain VII T-2 Understand Brief overview of genetics  Lecture  Write a report musculoskeletal  Chromosomal disorders on Mendelian system and its  Genetic counselling laws genetic basis  Nurses role in genetic counselling VIII T-10 Explain Applied pharmacology for orthopaedic  Drug  Drug study & L-4 pharmacotherapy for disorders presentations drug book different  Analgesics maintenance orthopaedic  Antispasmodics  Demonstration disorders  Anticonvulsants of IV Methyl  Antidepressants prednisolone  Muscle relaxants44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING – II NURSING MANAGEMENT OF CLINICAL CONDITIONS INCLUDING ASSESSMENT, DIAGNOSIS, TREATMENT AND SPECIALIZED INTERVENTIONS, PATIENT SAFETY AND QUALITY AND SPECIALTY/ILLNESS SPECIFIC CONSIDERATIONS (SUPPORTIVE CARE/PALLIATIVE CARE/REHABILITATION) Theory: 110 hours and Lab: 30 hours Course description: This course is designed to help students to develop knowledge and competencies required for assessment, diagnosis, treatment, nursing management, and supportive/palliative care to patients with various orthopaedic & rehabilitation disorders COURSE CONTENT Unit Time Learning Content Teaching/ Assignments/ (Hrs) Outcomes Learning Assessment Activities Methods I T-8 Explain and Assessment of adults and children with  Discussion &  Perform L-6 demonstrate skill in orthopaedic disorders Demonstration assessment of assessment of Adults & elderly adult, and patients (adult  Assessment of patients with Orthopaedic Paediatric including elderly) disorders patients in with Orthopaedic  History taking, physical examination & OPD and write disorders & diagnostic tests assessment rehabilitation needs report Explain and Paediatric patients demonstrate skill in assessment of  Assessment of children with orthopaedic paediatric patients disorders with orthopaedic disorders & rehabilitation needs  Perform Explain and assessment of demonstrate skill in  Assessment of patients with neurological neurological assessment of disorders patients and patients with write neurological assessment disorders and report rehabilitation needs II T-4 Prepare/assist in Diagnostic tests for Orthopaedic  Lecture and  Prepare L-2 diagnostic tests disorders Demonstration patients for  Bone scan, CT Scan, MRI Scan, nuclear various studies, electromyography,  Visit to orthopaedic electroencephalography respective lab/ related department diagnostic tests III T-5 Demonstrate Therapeutic equipment used in  Lecture & L-5 understanding and Orthopaedic unit: demonstration use of equipment Nurses’ responsibilities used in orthopaedic  Skin and skeletal traction kit units  Cast kit  POP cutter  Visit to  Report on visit  Immobilising devices Prosthetic & – Prosthetics &  Orthotics & Prosthetics Orthotic Orthotics  CPM machine workshop IV T-5 Develop skill in Care of patients undergoing orthopaedic  Demonstration L-5 assisting and specialized procedures performing  Care of patients undergoing various procedures in orthopaedic procedures[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45 Unit Time Learning Content Teaching/ Assignments/ (Hrs) Outcomes Learning Assessment Activities Methods Orthopaedic  Assisting in application of skin traction  Visit to theatre unit/Operation  Pin site care to assist with Theatre (OT) for  Assisting in arthroscopic procedure skeletal traction adult and paediatric & arthroscopy patients V T-5 Explain nutritional Nutritional management of patients  Self-study  Term paper on care of adult and with orthopaedic disorders and nutritional paediatric patients rehabilitation needs management with orthopaedic  Nutritional problems for adult and for patients disorders and paediatric patients suffering with with rehabilitation needs orthopaedic disorders and rehabilitation orthopaedic needs disorders  Nutritional management and care VI T-5 Explain principles Pain management  Discussion of pain management  Pain – types, pathophysiology in orthopaedic  General pain management strategies – disorders & pharmacological & non-pharmacological rehabilitation needs  Neuropathic pain management VII T-2 Discuss Nursing management of patients with  Lecture &  Assignment management of fever and septicaemia discussion fever and  Fever and septicaemia in orthopaedic septicaemia in disorders  Demonstration orthopaedic  Febrile convulsions on barrier disorders  Management nursing VIII T-5 Describe etiology, Management of patients with infections  Lecture &  Nursing pathophysiology, of bones and joints discussion Clinic/rounds clinical  Tuberculosis manifestations,  Osteomyelitis diagnostic tests, and  Arthritis management of  Care of patients with biohazards patients with  Leprosy infections of bones & joints IX T-4 Describe etiology, Management of patients with chronic  Lecture  Write recent pathophysiology, diseases of joints and autoimmune evidences in clinical disorders  Seminar treating manifestations,  Osteoarthritis systemic lupus diagnosis and  Rheumatoid arthritis erythematosus management of  Ankylosing spondylitis patients with  System lupus erythematosus chronic diseases of joints and autoimmune disorders X T-5 Describe etiology, Management of patients with  Lecture  Nursing rounds pathophysiology, Neuromuscular disorders clinical  Poliomyelitis  Self-study manifestations,  Cerebral palsy diagnosis and  Myasthenia Gravis management of  Paraplegia, Hemiplegia, Quadriplegia patients with  Muscular dystrophy Neuromuscular disorders XI T-10 Describe etiology, Management of patients with  Lecture  Case pathophysiology, deformities & disorders of spine presentation clinical  Scoliosis  Seminar manifestations,  Kyphosis46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching/ Assignments/ (Hrs) Outcomes Learning Assessment Activities Methods diagnosis, and  Lordosis management of  Intervertebral disc prolapse patients with  Low back disorder – Low back pain, deformities & PND, spinal stenosis, spondylosis, disorders of spine spondylolisthesis XII T-4 Describe etiology, Management of patients with  Lecture  Case series pathophysiology, orthopaedic congenital preparation clinical disorders manifestations,  CDH, Dislocation of patella, knee diagnosis, and  Varus and valgus deformities management of  Deformities of the digits patients with  Congenital torticollis orthopaedic  Meningocele, Meningomyelocele congenital disorders  Spina bifida  Chromosomal disorders XIII T-4 Describe etiology, Management of patients with  Lecture  Case pathophysiology, metabolic & endocrine discussion clinical disorders manifestations,  Osteomalacia, Rickets diagnosis, and  Osteoporosis management of  Scurvy patients with  Pagets’s diseases metabolic &  Gout endocrine disorders  Gigantism, Dwarfism, Acromegaly related to orthopaedic disorders XIV T-5 Describe etiology, Management of patients with  Lecture  Nursing rounds pathophysiology, neurological disorders clinical  CVA manifestations,  Hypoxic ischemic encephalopathy diagnosis, and  Seizures management of  Traumatic brain injury neurological disorders associated with orthopaedic conditions XV T-6 Describe major Management of patients  Lecture  Report of orthopaedic undergoing orthopaedic symposium surgeries and surgeries  Symposium/ principles of  Replacement Surgery (Hip, Knee, group management shoulder) presentations  Spine surgery Discuss the nursing  Amputations management of  Grafts and flaps surgery patients undergoing  Deformity corrections orthopaedic surgeries XVI T-4 Explain about Respiratory dysfunction & pulmonary  Lecture  Write a case L-2 respiratory rehabilitation study dysfunction &  Nursing assessment  Group pulmonary  Diagnostic measures Presentations rehabilitation  Pharmacologic therapy  Nursing interventions for patients with intact airways  Nursing interventions for patients with[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 47 Unit Time Learning Content Teaching/ Assignments/ (Hrs) Outcomes Learning Assessment Activities Methods tracheostomies  Nursing interventions for patients with impaired gas exchange  Methods of pulmonary rehabilitation XVII T-4 Explain about Independent function : Movement and  Lecture  SOP for L-2 independent disability prevention of function: Movement  Nursing assessment of movement  Demonstration falls on and disability  Nursing diagnosis for mobility mobility aids  Goals  Rehabilitation nursing interventions  Conduct health  Positioning aids education  Basic position session on  Therapeutic exercises prevention of  Gait training – sitting, standing, falls passive standing balance  Wheelchair mobility, modification & criteria for purchase  Transfers  Prevention of complications associated with immobilization XVIII T-4 Describe self-care Self-care and activities of daily living  Lecture  Report of the L-2 and activities of  Conditions altering ability to perform modified self- daily living personal hygiene & grooming activities  Demonstration care equipment  Nursing assessment used for  Nursing diagnosis of self- care  Visit to the personal care  Goals occupational  Rehabilitation nursing interventions – therapy unit Specific techniques for personal care XIX T-4 Explain in detail on Rehabilitation of patients with eating  Lecture eating & swallowing and swallowing difficulties  Physiological basis – Oral preparatory  Self-study phase, oral phase, pharyngeal phase and esophageal phase  Neurological impairment  Anatomical impairment  Nursing assessment – History, physical assessment, diagnostic tests  Swallowing techniques  Rehabilitation nursing interventions XX T-3 Explain in detail on Sleep and rest rehabilitation  Lecture  Prepare sleep L-2 sleep and rest  Classification of sleep disorders, factors assessment on rehabilitation affecting sleep a patient with  Sleep assessment sleep disorder  Nursing interventions for sleep disturbance – pain, interrupted sleep,  Visit to sleep lab  Write report on impaired mobility and write a visit to sleep  Management of sleep – Pharmacological report lab & non-pharmacological XXI T-6 Discuss impairment Impairment of bladder & bowel and its  Lecture  Health teaching L-2 of bowel and rehabilitation on bladder & bladder & its  Types of incontinence – transient,  Demonstration bowel training rehabilitation established and neurogenic  Classification of neurogenic bladder  Nursing assessment – history, physical assessment and diagnostic tests  Management of incontinence –48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Time Learning Content Teaching/ Assignments/ (Hrs) Outcomes Learning Assessment Activities Methods behavioural and exercises Explain on  Management of autonomic dysreflexia impairment of  Impaired bowel elimination bowel & its  Nursing assessment rehabilitation  Rehabilitation nursing interventions XXII T-4 Explain the Impairment of skin integrity & its  Health teaching L-2 impairment of skin rehabilitation on prevention integrity & its  Factors altering skin function of pressure rehabilitation  Factors influencing wound healing ulcers  Pathogenesis of pressure ulcers  Nursing assessment and use of tools  Rehabilitation nursing interventions XXIII T-4 Explain concept of Quality and patient safety in  Lecture  Conducting quality and patient orthopaedic & rehabilitation unit unit audit safety in  Patient safety indicators in orthopaedic orthopaedic & & rehabilitation unit rehabilitation unit  Quality control in orthopaedic & rehabilitation unit POST BASIC DIPLOMA IN ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING 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 and provide nursing care to patients with orthopaedic disorders and those with various rehabilitation needs 2. Assist and perform special procedures in orthopaedic & rehabilitation settings 3. Prepare and care for patients undergoing various orthopaedic surgeries 4. Assess and manage pain using different methods 5. Administer drugs via various routes 6. Insert, assist and provide care with vascular access devices 7. Follow infection control practices in orthopaedic wards, ICU and operation theatre 8. Assess and care for patients with various types of immobilising devices 9. Assess and care for patients with various assistive devices 10. Assess and manage special groups of patients requiring rehabilitation 11. Promote bowel and bladder rehabilitation in patients requiring assistance 12. Prepare patients for discharge and home care 13. Provide health education concerning home care, rehabilitation and follow up 14. Documents findings, abnormalities and nursing care.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 49 CLINICAL POSTINGS Clinical Duration Clinical Learning Skills/Procedural Assignments Assessment Areas (weeks) Outcomes Competencies Methods Orthopaedic Provide nursing care  History taking  Health  Clinical wards – 16 for adult & paediatric  Physical examination assessment evaluation weeks patients with various  Perform dietary assessment  Dietary  Health {Adult orthopaedic disorders  Assisting in diagnostic tests assessment assessment medical & report surgical – 10 (6 + 4) Paed – 4 Operation Theatre (OT) – 2} Prepare and assist patients with various  Assisting with various Adult 6 weeks immobilising devices splints application  Case study  Case study (medical)  Assisting with skin traction report application  Performing log rolling  Prosthetics and  Collar care orthotics unit  Assisting with use of wedge visit report Assist with pain pillow relief  Assisting with application of compression devices  Pain assessment &  Pain management  Pain assessment assessment report Adult 4 weeks Perform pre- and  Preparation of patients for  Case study  Clinical (surgical) post-operative care surgery evaluation for patients  Post-operative care undergoing  Support during all phases of orthopaedic surgeries disease process  Counselling of patients and  Counselling Perform counselling the relatives session to patients and their  Monitoring and ensuring relatives cleaning & preparation of  Report of SOP Observe & maintain sterile articles for patients for infection infection control in after joint arthroplasty control in joint joint arthroplasty unit arthroplasty Paediatric 4 weeks Provide nursing care  Physical assessment of  Health  Clinical ward for children suffering children assessment evaluation from orthopaedic  Infection control practices &  Case study  Health disorders barrier nursing  Drug study assessment  Administration of Inj.  Health talk report Pamidronate  Counselling  Case study  Diet planning session report  Counselling for parents  Report on drug study & health talk Operation 2 weeks Assist with various  Preparation & assisting with  SOP for  Clinical theatre (OT) orthopaedic surgeries orthopaedic surgeries infection evaluation  Assisting with disinfection control in OT  Report on SOP practices of infection  Assisting with fumigation control in OT Neurology 4 weeks Prepare patients for  Care, preparation of patients  Case study  Clinical wards neurological with neurological disorders Evaluation procedures & and monitoring of patients  Case study surgeries  Health education to patients report with neurological disorders  Health Talk  Report on health talk50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Clinical Duration Clinical Learning Skills/Procedural Assignments Assessment Areas (weeks) Outcomes Competencies Methods Emergency 8 weeks Assist in examination  History taking  Clinical wards of patients with poly-  Physical examination evaluation trauma  Assisting with diagnostic tests  Performing/assisting with basic life support & advanced life support  Assisting with application of immobilising devices  Emergency care to patients with orthopaedic disorders including trauma OPD 2 weeks Assist in examination  History taking  Health  Clinical of the patients with  Physical examination assessment evaluation orthopaedic disorders  Health education report  Assisting in cast application Assist in diagnostic & removal procedures Rehabilitation 8 weeks Provide care for  History taking  Health  Clinical unit/centre patients with  Physical examination assessment evaluation rehabilitation  Tube feeding report challenges  Administration of drugs  Case study  Case study  Suctioning & tracheostomy report drug report care  Drug study  Dietary assessment  Report of sleep  Sleep assessment & lab maintenance of sleep log  Fall risk assessment  SOP on fall prevention  Bladder assessment & maintenance of bladder dairy  Performing bladder training  Bladder &  Report on  Catheterising the patient bowel training bladder &  Intermittent clean bowel training catheterisation  Performing bowel assessment & maintenance of bowel dairy  Bowel training  Performing Digital stimulation & digital evacuation  Assisting with swallowing assessment performed by speech therapists  Tube feeding  Bedsore care  Position changes every 2 hours  Assisting with psychological assessment performed by psychologist  Working with rehabilitation team  Observation of fitting of prosthetics & orthotics  Preparation and assisting patients for urodynamic[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 51 Clinical Duration Clinical Learning Skills/Procedural Assignments Assessment Areas (weeks) Outcomes Competencies Methods studies  Visit to  Report on  Preparing & assisting urodynamic urodynamic patients for gait analysis studies lab studies  Visit to gait lab  Report on gait lab Therapy units 3 weeks Assist patients with  Assisting with various  Report of orthopaedic disorders therapies provided modified self- & rehabilitation  Observation of use of care equipment needs in performing modified self-care therapies equipment in meeting daily needs  Preparation, assisting & monitoring patients with TENS Field trip 1 week APPENDIX – 1 POST BASIC DIPLOMA IN ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING 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 Dressing cups 2 2 Cotton pack 2 3 Gauze pack 2 4 Artery clamp 2 5 Thumb forceps 2 6 K-basin (small) 1 7 K-basin (Large) 1 8 Surgical towel 1 9 Window towel 1 Urinary 10 Syringe 10 cc 1 Catheterisation 11 Water for injection 1 12 Xylocaine jelly 1 13 Sterile gloves 1 pair 14 Mask 1 15 Antiseptic solution (Zephran & Betadine) 1 bottle each 16 Foleys catheter (14–20 sizes) 1 each 17 Urosac 1 18 Adhesive tape 1 roll 19 Foleys catheter (14–20 sizes) 1 each 20 Bowl (Small & big) 1 each Intermittent clean 21 Mug 1 catheterisation 22 Foleys catheter bag 1 23 Bucket 1 24 Mackintosh 1 Digital Stimulation 25 Xylocaine jelly 1 & evacuation52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. SKILL LAB REQUIREMENT Number Skill 26 Rag pieces 1 roll/adequate 27 K-basin (Big) 1 28 Mug 1 29 Gloves/Mask/Apron 1 each 30 K-Basin 1 31 Dressing cups 2 32 Thumb forceps 1 33 Artery clamps 2 34 Sterile cotton & gauze packs 2 Bedsore dressing 35 Sterile dressing pads pack 2 36 Sterile gloves 1 pair 37 Adhesive tape roll 1 38 Antiseptic solution (Saline/Betadine/Dakins/Hydrogen peroxide) 1 bottle each 39 K-basin 1 40 Dressing cups 2 41 Artery clamp 2 42 Thumb forceps 1 Tracheostomy care 43 Sterile cotton and gauze packs 2 44 Sterile gloves 1 pair 45 Clean apron and mask 1 46 Antiseptic solutions (Betadine, hydrogen peroxide and saline) 1 bottle each 47 Sterile suction tray 1 48 Antiseptic solutions (Saline) 1 bottle 49 Suction catheters (sizes 10, 12, 14) 1 each Suctioning 50 Dressing cups 1 51 Sterile gauze pack/mask/cotton 1 52 Suction apparatus 1 53 Skin traction kit 1 54 Out trigger with pulley 1 55 Sand bags or weights (5/10 kgs) 1 Skin traction 56 Roller bandage 1 roll 57 Clips/Adhesive 5/1 58 Cricket pad splint 1 59 Bohler Braun splint 1 60 Crammer wire 1 61 Thomas splint 1 62 Ankle foot orthoses (AFO) 1 Types of splints 63 Knee ankle foot orthoses (KAFO) 1 64 Cock up splint 1 65 Philadelphia collar 1 66 Bandage 1 roll 67 Adhesive 1 roll[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 53 APPENDIX – 2 POST BASIC DIPLOMA IN ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING ASSESSMENT GUIDELINES (THEORY & PRACTICUM) I. THEORY A. INTERNAL ASSESSMENT ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING (Part I – Orthopaedic & Rehabilitation Nursing I including Foundations & Part II – Orthopaedic & Rehabilitation Nursing II) – TOTAL: 25 marks  Test Papers & Quiz – 10 marks  Written Assignments – 10 marks (Code of ethics relevant to Orthopaedic & Rehabilitation Nursing practice, literature review on EBP in Orthopaedic & Rehabilitation Nursing/Infection control practices, Nutritional care of patients)  Group project: 5 marks B. EXTERNAL/FINAL EXAMS ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING (Part I – Orthopaedic & Rehabilitation Nursing I including Foundations & Part II – Orthopaedics & Rehabilitation 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 A. 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, – 5 marks, and Health talk – 5 marks) b) Completion of procedural competencies and clinical requirements – 5 marks c) Continuous clinical evaluation of clinical performance – 5 marks d) Final Observed Practical Exam (Actual performance in clinicals) – 20 marks B. EXTERNAL/FINAL EXAM – 150 marks OSCE – 50 marks, Observed practical – 100 marks Detailed guidelines are given in guidebook.54 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] APPENDIX – 3 POST BASIC DIPLOMA IN ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING CLINICAL LOG BOOK (Specific Procedural Competencies/Clinical Skills) S.No. Specific Competencies/Skills Number Performed/ Date and Signature Assisted/Observed of the (P/A/O) Faculty/Preceptor I FOUNDATIONS TO ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING 1 Preparation of patient education materials P 2 Patient education plan for teaching patients with orthopaedic P disorders 3 Preparation of duty roster for nursing officers/staff nurses P 4 Writing literature review/systematic review P (Identify evidence based nursing interventions/practices) 5 Preparation of a manuscript for publication/paper P presentation 6 Group research project P Topic: II ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING 1 HEALTH ASSESSMENT 1.1 History taking and physical examination for adult patient P with orthopaedic disorder including nutritional assessment 1.2 History taking and physical examination for paediatric P patient with orthopaedic disorder including nutritional assessment 1.3 History taking and physical examination for adult/geriatric P patient with neurological disorder including nutritional assessment 2 DIAGNOSTIC PROCEDURES 2.1 Assisting with bone scan A 2.2 Application of skin traction P 2.3 Assisting with skeletal traction O 2.4 Interpretation of X-rays O 2.5 Assisting with cast application A 2.6 Removal of cast A 3 VENOUS ACCESS DEVICES (VAD) CARE 3.1 Insertion of IV cannula  Central Line A  Peripheral line P 3.2 Daily care and maintenance of IV P 3.3 Heparin block P 3.4 Nerve blocks for pain P 3.5 Line removal A 4 CARE OF PATIENTS IN ORTHOPAEDIC FACILITY (Spine Surgeries) 4.1 Preparation of patients for spine surgeries P 4.2 Management of traction P[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 55 S.No. Specific Competencies/Skills Number Performed/ Date and Signature Assisted/Observed of the (P/A/O) Faculty/Preceptor 4.3 Use of spinal brace P 4.4 Collar care P 4.5 Log rolling P 4.6 Application of TED stockings P 4.7 Removal of TED stockings P 4.8 Use of special mattress (Block/divided/alpha) P 4.9 Administration of tube feeds P 4.10 Positions (Supine/Prone/Lateral) P 4.11 Intermittent clean catheterisation P 4.12 Catheterisation P 4.13 Bed sore dressing P 4.14 Tracheostomy care P 4.15 Suctioning P 4.16 Nebulisation P 4.17 Digital stimulation P 4.18 Digital evacuation P 5 CARE OF PATIENTS IN ORTHOPAEDIC UNIT/FACILITY (General Orthopaedic Surgeries) 5.1 Preparation of patients for orthopaedic surgeries P 5.2 Preparation of patients for orthopaedic investigations P 5.3 Preparation and administration of intravenous drugs P 5.4 Monitoring of patients during intravenous drug therapy P 5.5 Extravasation management P 5.6 Intrathecal pain relief A 5.7 Blood transfusion and care P 5.8 Management of transfusion reactions P 5.9 Cold application for pain relief P 5.10 Ambulation (Walker/Crutches) A 6 CARE OF ADULT PATIENT IN ORTHOPAEDIC UNIT/FACILITY (Joint Arthroplasty) 6.1 Maintenance of joint arthroplasty room P 6.2 Joint arthroplasty care P 6.3 Orthopaedic diet P 6.4 Drug infusion through bodyguard P 6.5 Monitoring side effects of orthopaedic drugs P 6.6 Use of compression devices P 6.7 Ambulation P 6.8 Use of cricket pad splint P 6.9 Use of wedge pillow P 6.10 Infection control practices in joint room P 6.11 Counselling of patients and relatives on joint arthroplasty P 7 CARING FOR PAEDIATRIC PATIENT IN ORTHOPAEDIC UNIT/FACILITY 7.1 Blood sampling P56 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Performed/ Date and Signature Assisted/Observed of the (P/A/O) Faculty/Preceptor 7.2 Paediatric phlebotomy P 7.3 Care during blood transfusion P 7.4 Care of VADs P 7.5 Administration of pamidronate infusions P 7.6 Monitoring child on pamidronate infusions P 7.7 Diet planning P 7.8 Counselling – Child and parents P 7.9 Care during c-traction P 7.10 Pin site care P 7.11 Counselling parents on cast care P 8 ORTHOPAEDIC SURGERIES – ASSISTING 8.1 Fracture fixation A 8.2 Reconstructive surgeries A 8.3 Spinal surgeries A 8.4 Graft surgeries A 8.5 Flap surgeries A 8.6 Joint arthroplasty A 8.7 Arthroscopy A 8.8 Arthrodesis A 9 QUALITY CONTROL 9.1 Preparation of SOP for infection control in joint arthroplasty P OR 9.2 Preparation of SOP for prevention of falls P 9.3 Development of nursing standards for patients undergoing P joint arthroplasty 9.4 Conducting unit audit P 10 ASEPSIS 10.1 Sterilization/Disinfection P 10.2 Fumigation P 11 OTHERS 11.1 Consent taking P 11.2 Guidance & counselling P 11.3 11.4 11.5 *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.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 57 APPENDIX – 4 POST BASIC DIPLOMA IN ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING CLINICAL REQUIREMENTS S.No. Clinical Requirement Date Signature of the Faculty/Preceptor 1 Health Talk 1.1 Health talk (Ortho OPD/Emergency Services) Topic: 1.2 Health talk (Ortho Ward/Neurology Ward) Topic: 1.3 Health talk (Rehabilitation Ward) Topic: 2 Counselling Patient, Parents and Relatives 2.1 Counselling report 1 (Ortho/Neuro – 1) 2.2 Counselling report 2 (Rehabilitation Ward – 1) 2.3 Counselling report 3 (Paed – 1) 3 Health Assessment 3.1 Health Assessment (Ortho) – History & Physical Examination (Two written reports) 3.1.1 (Adult) 3.1.2 (Child) 3.2 Health Assessment (Neuro) – History & Physical Examination (1 written report) 4 Journal Club/Clinical Seminar Topic: 5 Case Study/Clinical Presentation and Report 5.1 Name of clinical condition (Adult Ortho) 5.2 Name of clinical condition (Paed Ortho) 5.3 Name of clinical condition (Neuro) 5.4 Name of clinical condition (Rehab) 6 Drug Study, Presentation and Report (Two written reports for submission) 6.1 Drug Name: 6.2 6.3 6.4 7 Designing Orthopaedic Unit/Rehabilitation Unit 8 Visits – Reports 8.1 Orthotics & prosthetics 8.2 Urodynamic lab 8.3 Sleep lab 8.4 Gait lab 8.5 Regional Centre for Orthopaedics/Rehabilitation Signature of the Program Coordinator/Faculty Signature of the HOD/Principal58 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] APPENDIX – 5 POST BASIC DIPLOMA IN ORTHOPAEDIC & REHABILITATION SPECIALTY NURSING CLINICAL EXPERIENCE DETAILS Name of Clinical Area Clinical Condition Number of Days Signature of the care given Faculty/Preceptor Signature of the Program Coordinator/Faculty Signature of the HOD/Principal Dr. T. DILEEP KUMAR, President [ADVT.-III/4/Exty./208/21] 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.

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