Home India Indian Nursing Council In exercise of the powers conferred by subsection 1 of Secti...
Date: 06-Mar-2024 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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Executive Summary & Key Takeaways

Key Changes

  • Establishes a structured two-year postgraduate residency program for Nurse Practitioners in Mental Health/Psychiatric Nursing (NPMH).
  • Specifies that the program consists of 20% theoretical instruction and 80% clinical experience.
  • Defines the eligibility criteria for admission, requiring a registered B.Sc. Nurse with at least one year of clinical experience.
  • Mandates that institutions offering the program meet specific requirements, including recognition as a Centre of Excellence in Mental Health Care or having a minimum number of beds and facilities.
  • Sets the nurse-patient ratio at 1:1 for emergency units/psychiatric ICUs and 1:5 for other psychiatric wards.
  • Outlines the faculty requirements, including qualified nursing and medical preceptors.
  • Details the curriculum structure, including core courses, advanced practice courses, and clinical courses.
  • Provides examination regulations, including attendance requirements, passing criteria, and practical examination guidelines.
  • Specifies the assessment methods, including formative and summative assessments, OSCE guidelines, and dissertation requirements.
  • Includes detailed lists of equipment required for psychiatric ICUs and wards.
  • Requires students to achieve Level 3 competency in listed skills and competencies, indicating the ability to perform the skill without supervision.

What it means

  • The gazette notification introduces the Indian Nursing Council {Nurse Practitioner in Mental Health/Psychiatric Nursing (NPMH) - Postgraduate Residency Program} Regulations, 2023. These regulations aim to standardize and govern the postgraduate residency program for Nurse Practitioners specializing in mental health and psychiatric nursing in India.
  • The program focuses on competency-based training with a strong clinical component, preparing registered B.Sc. Nurses for advanced practice roles in mental health care.
  • The regulations outline the program's objectives, minimum requirements for institutions offering the program, curriculum structure, examination regulations, and assessment guidelines.

Impact Analysis

Healthcare Institutions

  • Action Item: Conduct a gap analysis to identify areas where the institution needs to improve to meet the regulatory requirements. Develop a plan to address these gaps.

Nursing Professionals

  • Action Item: Registered nurses interested in specializing in mental health should explore opportunities to enroll in the NPMH program. Update skills.

Patients and Families

  • Action Item: Advocate for the integration of Nurse Practitioners into mental health care teams to improve patient outcomes.

Indian Nursing Council

  • Action Item: Monitor the implementation of the regulations and provide guidance and support to institutions offering the NPMH program.

State Nurse and Midwives Registration Councils (SNRCs)

  • Action Item: Develop a process for registering the postgraduate degree as an additional qualification for Nurse Practitioners.

Key Entities Referenced

Indian Nursing Council (INC): The national regulatory body for nursing education and practice in India, responsible for setting standards and guidelines for nursing programs. Indian Nursing Council Act, 1947: The legislation that empowers the Indian Nursing Council to regulate nursing education and practice. State Nurse and Midwives Registration Councils (SNRCs): State-level regulatory bodies responsible for registering nurses and midwives and ensuring their competence. National Health Policy, 2017 (NHP 2017): A policy document that recognizes the need to reshape health systems and emphasizes human resource development in healthcare. Nurses Registration & Tracking System (NRTS): A software system developed by the Indian Nursing Council in collaboration with the National Informatics Centre (NIC) for maintaining the Indian Nurses Register. National Informatics Centre (NIC): Government of India organization that collaborates with the Indian Nursing Council to develop and host the Nurses Registration & Tracking System (NRTS). International Council of Nurses (ICN): A global organization representing nurses and nursing, whose competencies are adapted for the Nurse Practitioner education program. National Organization of Nurse Practitioner Faculties (NONPF): A national organization whose competencies are adapted for the Nurse Practitioner education program. ICD 11/DSM 5: International classification of diseases and Diagnostic and Statistical Manual of Mental Disorders, used for diagnosing independently.
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रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99 सी.जी.-डी.एल.-अ.-12032024-252866 xxxGIDHxxx CG-DL-E-12032024-252866 xxxGIDExxx असाधारण EXTRAORDINARY भाग III—खण् ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 152] नई दिल्ली, बुधवार, माच च6, 2024/फाल्ग नु 16, 1945 No. 152] NEW DELHI, WEDNESDAY, MARCH 6, 2024/PHALGUNA 16, 1945 अजधसचू ना नई दिल् ली,16 फरवरी, 2024 फा. स.ं (II).—le;&le; ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 ¼1947 dk XLVIII½ dh èkkjk 16¼1½ ds vèkhu çnÙk 'kfDr;ks a dk ç;ksx djrs gq,] Hkkjrh; mip;kZ ifj"kn~ ,rí~okjk fuEufyf[kr fofu;e cukrh gS] ;Fkk & i. ;s fofu;e dgs tk,axsA ii. ;s fofu;e Hkkjr ds jkti= es a budh vfèklwpuk dh frfFk ls çHkkoh gksxa sA bu fofu;eksa es]a tc rd fd lanHkZ ls vU;Fkk visf{kr u gks] i. ^vfèkfu;e* dk vfHkçk; le;&le; ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~] 1947 ¼1947 dk XLVIII½ ls gS( ii. ^ifj"kn~* dk vfHkçk; vfèkfu;e ds rgr xfBr Hkkjrh; mip;kZ ifj"kn~ ls gS( iii. ^,l,uvkjlh* dk vfHkçk; lacafèkr jkT; ljdkjks a }kjk fdlh Hkh uke ls xfBr jkT; mip;kZ ,oa çlkfodk iathdj.k ifj"kn~ ls gS( iv. ^vkj,u ,aM vkj,e* dk vfHkçk; ,d iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½ ls gS vkSj ,d ,sl s ulZ dks n'kkZrk gS ftlus ekU;rk çkIr uÉlx Lukrd ¼ch-,llh- uÉlx½ ;k fMIyksek bu tujy uÉlx ,aM 1607 GI/2024 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] feMokbQjh ¼th,u,e½ ikBîØe] tSlk fd ifj"kn ~ }kjk fuèkkZfjr fd;k x;k gks] lQyrkiwoZd iwjk dj fy;k gks vkSj fdlh ,d ,l,uvkjlh es a iathÑr mip;kZ ,oa iathÑr çlkfodk ds :i es a iathÑr gks( v. ^ulZ iathdj.k ,oa VªSÇdx ç.kkyh ¼,uvkjVh,l½* dk vfHkçk; Hkkjrh; mip;kZ ifj"kn~ }kjk jk"Vªh; lwpuk foKku dsæa ¼,uvkbZlh½] Hkkjr ljdkj ds lg;ksx ls fodflr lkW¶Vos;j ç.kkyh ls gS] ftls Hkkjrh; mip;kZ jftLVj ds j[kj[kko o lapkyu ds fy, ,uvkbZlh }kjk gkWLV fd;k x;k gSA bles a iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½@iathÑr lgk;d ulZ feMokbQ ¼vkj,,u,e½@iathÑr efgyk LokLF; ifjnÆ'kdk ¼vkj,y,poh½ ds vkadM+ks a ds laxzg ds fy, ^vkèkkj* ck;ksesfVªd çek.khdj.k ij vkèkkfjr ekudhÑr çk:i gSa( vi. ^,u;wvkbZMh* dk vfHkçk; ,uvkjVh,l ç.kkyh }kjk çR;k'kh dks fn;k tku s okyk ulsZt ;wfud vkbMsafVfQds'ku uca j ls gS( vii. ^tujy uÉlx ,aM feMokbQjh ¼th,u,e½* dk vfHkçk; ifj"kn~ }kjk vfèkfu;e dh èkkjk 10 ds rgr LohÑr rFkk vfèkfu;e dh vuqlwph ds Hkkx&I eas 'kkfey fMIyksek bu tujy uÉlx ,aM feMokbQjh çf'k{k.k ls gSA I. Hkkjr es]a LokLF; ds lHkh vk;keksa eas LokLF; ç.kkfy;ks a dks u;k :i nsus dks jk"Vªh; LokLF; uhfr] 2017 ¼,u,pih 2017½ eas ,d egRoiw.kZ vko';drk ds :i es a ekU;rk nh xbZ gSA ;g fofu;eu vkSj dkuwu ds lkFk&lkFk f'k{kk vkSj çf'k{k.k ds {ks=ks a eas ekuo lalkèku fodkl ij tksj nrs h gSA ljdkj LokLF; ds lkoZtfud vkSj futh nksuks a {ks=ks a eas r`rh;d n[s kHkky lsokvks a ds lkFkZd foLrkj dks ekU;rk nrs h gSA viuh {kerk fuekZ.k eas] ;g vR;fèkd egRoiw.kZ gS fd LokLF; n[s kHkky dfeZ;ks a dks fof'k"V vkSj vfr&fof'k"V lsokvks a eas mUur 'kSf{kd rS;kjh dh vko';drk gksrh gSA fof'k"V vkSj vfr&fof'k"V LokLF; lsokvks a dk leFkZu djus ds fy,] mUur rS;kjh okyh fo'ks"kK ulks± dh vko';drk gSA r`rh;d n[s kHkky {ks= eas çf'k{k.k dk;ZØe vkSj ikBîØe fodflr djuk le; dh vko';drk ekuk tkrk gSA ulZ çSfDV'kulZ ¼,uih½ bl ekax dks iwjk djus eas l{ke gksxa s] c'krZs os vPNh rjg ls çf'kf{kr gks a vkSj vH;kl djus ds fy, dkuwuh :i ls l'kDr gkAsa u, laoxZ dh LFkkiuk vkSj dkuwuh l'kfDrdj.k ds lkFk] ijkLukrd Lrj ij rS;kj ulZ çSfDV'kulZ r`rh;d n[s kHkky dsæa ksa ds fofHkUu lek;kstuksa eas jksfx;ks a dks ykxr çHkkoh] l{ke] lqjf{kr vkSj xq.koÙkk lapkfyr fo'ks"k uÉlx n[s kHkky çnku djus esa l{ke gksxa sA ulZ çSfDV'kulZ 1960 ds n'kd ls la;qDr jkT; vefsjdk ¼;w,l,½ es]a 1980 ds n'kd ls fczVus ¼;wds½ eas] 1990 ds n'kd ls vkWLVªfsy;k eas vkSj 2010 ls uhnjySaM eas rS;kj fd, tk jgs gSa vkSj dk;Z dj jgs gSaA ulZ çSfDV'kulZ bu easVy gSYFk@lkbfd,fVªd uÉlx ¼,uih,e,p½ dks r`rh;d ns[kHkky lek;kstuksa eas dk;Z djus ds fy, rS;kj fd;k tk ldrk gSA dBksj 'kS{kf.kd rS;kjh easVy gSYFk@lkbfd,fVªd ulZ çSfDV'kulZ dks euksjksfx;ks a dk funku vkSj mipkj djus ds lkFk&lkFk ,slh chekfj;ks a ls lacafèkr fuokjd vkSj n[s kHkky dks c<+kok nus s vkSj jksfx;ks a dh chekjh ij çfrfØ;kvks a dks le>us eas l{ke cuk,xhA ifj"kn~ }kjk ijkLukrd Lrj ij ulZ çSfDV'kuj bu easVy gSYFk@lkbfd,fVªd uÉlx ¼,uih,e,p½ dk;ZØe r;S kj djus ds fy, ,d ikBîp;kZ lajpuk@:ijs[kk dk çLrko j[ku s dk ç;kl fd;k x;k gSA bl dk;ZØe dh çeq[k fo'ks"krk ;g gS fd ;g ,d uSnkfud vkoklh; dk;ZØe gS tks dkS'ky ç;ksx'kkyk lfgr 20% lS)kafrd funsZ'k vkSj 80% uSnkfud vuqHko ds lkFk ,d Bksl uSnkfud ?kVd ij tksj nsrk gSA bldk çeq[k n`f"Vdks.k ;ksX;rk vkèkkfjr çf'k{k.k gS vkSj ulZ çSfDV'kuj f'k{kk baVjus'kuy dkmafly vkWQ ulsZt ¼vkbZlh,u] 2020½ rFkk u's kuy vkWxZukbts'ku vkWQ ulZ çSfDV'kuj QSdYVht ¼,uvks,uih,Q] 2022½ ls vuqdwfyr n{krkvks a ij vkèkkfjr gSA ulZ çSfDV'kuj bu easVy gSYFk@lkbfd,fVªd uÉlx ¼,uih,e,p½ dk;ZØe dk mís'; iathÑr ch-,llh- ulks± dks ekufld chekjh vkSj ekufld LokLF; leL;kvks a oky s O;fDr;ks a dks mUur uÉlx n[s kHkky çnku djus ds fy, rS;kj djuk gSA uÉlx ns[kHkky] ns[kHkky ds vkadyu vkSj igpku] jksfx;ks a ds fLFkjhdj.k] tfVyrkvks a dks de djus vkSj ekufld LokLF; rFkk ekufld rna q#Lrh dh cgkyh dks vfèkdre djus ij dsfaær gSA bu ulZ çSfDV'kulZ }kjk lkeqnkf;d vkSj uSnkfud ns[kHkky lek;kstuksa eas vH;kl djuk vko';d gSA dk;ZØe es a vè;;u ds fofHkUu ikBîØe 'kkfey gSa tks lk{; vkèkkfjr vH;kl vkSj tfVy LokLF; ç.kkfy;ks a ds çcaèku lfgr Bksl oSKkfud uÈo ij vkèkkfjr gSaA ;s uÉlx es a Lukrd dk;ZØe ij vkèkkfjr gSaA uÉlx fu;ked ifj"kn~] jkT; ;k jk"Vªh; dkuwuks a }kjk vfèkÑr fd, tkus ij os vkS"kfèk] fpfdRlk midj.k vkSj mipkj fuèkkZfjr dj ldr s gSaA easVy gSYFk@lkbfd,fVªd ulZ çSfDV'kuj] tc laLFkkxr çksVksdkWy ds vuqlkj vkS"kfèk fuèkkZj.k ;k ç'kklu ds vfèkdkj dk ç;ksx djrs gSa] rks os fuEufyf[kr n{krkvks a ds fy, tokcngs gksrs gSa% a. ekufld LokLF; n[s kHkky lek;kstu es a jksxh dk p;u@HkrhZ o NqV~Vh( b. ;Fkksfpr vkadyu }kjk leL;k dh igpku( c. vkS"kfèk ;k midj.k ;k mipkj dk p;u@çcaèku( d. fpfdRlkfoèkku mi;ksx gsrq jksxh f'k{kk( e. fpfdRlkfoèkku ds nq"çHkkoks a dh tkudkjh] ;fn dksbZ gks( f. ifj.kkeks a dk vkadyu( g. tfVyrkvks a rFkk vugksuh çfrfØ;kvks a dh igpku o çcaèku( h. vkbZlhMh 11@Mh,l,e 5 ds vuqlkj Lora= :i ls funku djuk( vkSj[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3 i. de ls de LFkk;h vkn’skks a ds vkèkkj ij vkS"kfèk fuèkkZj.k djukA easVy gSYFk@lkbfd,fVªd ulZ çSfDV’kuj] viuh n[s kj[s k eas ekufld :i ls chekj jksfx;ks a dh n[s kHkky dh ftEesnkjh rFkk tokcngs h yus s ds fy, rS;kj vkSj f'kf{kr fd, tkrs gSaA mDr LukrdksÙkj fMxzh dks ,l,uvkjlh }kjk vfrfjDr n{krk ds :i eas iathÑr fd;k tk,xkA ifj"kn~ dk ekuuk gS fd ekufld chekjh ls ihfM+r O;fDr;ks a vkSj muds ifjtuks a dks O;kid x.q koÙkkijd ns[kHkky çnku djus ds fy, Hkkjr eas ekufld LokLF; n[s kHkky vko';drkvks a dh pqukSfr;ks a vkSj ekaxks a dks iwjk djus gsrq ulZ çSfDV'kuj bu easVy gSYFk@lkbfd,fVªd uÉlx ¼,uih,e,p½ uked ,d LukrdksÙkj dk;ZØe LFkkfir djus dh l[r t:jr gS] tSlk fd jk"Vªh; LokLF; uhfr] 2017 ¼,u,pih 2017½ es a ifjyf{kr gksrk gSA ifj"kn~ dk ekuuk gS fd lqn`<+ uSnkfud ?kVd vkSj n{krk&vkèkkfjr çf'k{k.k ij dsfaær ,d vkoklh; dk;ZØe ds LukrdksÙkj dks Bksl lS)kafrd vkSj lk{;&vkèkkfjr tkudkjh ds vkèkkj ij uSnkfud {kerk çnf'kZr djus eas l{ke gksuk pkfg,A f'k{kk çnkrkvks@a çhlsIVlZ@esVa lZ dks viu s orZeku Kku vkSj vH;kl dks v|ru j[kuk pkfg,A fpfdRlk ladk;@çhlsIVlZ dks fo’ks"kdj çf'k{k.k dh çkjfaHkd vofèk ds nkSjku bl çf'k{k.k eas Hkkx ysus ds fy, vkeaf=r fd;k tkrk gSA ifj"kn~ dk ;g Hkh ekuuk gS fd ;ksX; lkbfd,fVªd ¼esVa y gSYFk½ uÉlx ladk; dh deh dks njw djus ds fy, uSnkfud lek;kstu eas fofHkUu 'kS{kf.kd j.kuhfr;ks a dk mi;ksx fd;k tk ldrk gSA vk'kk dh tkrh gS fd blls ykblsfalax dh fn’kk eas uhfr;ka fodflr djus eas enn feysxh vkSj lkeqnkf;d rFkk uSnkfud n[s kHkky lek;kstuksa eas bu LukrdksÙkj easVy gSYFk@lkbfd,fVªd ulZ çSfDV'kulZ ds mfpr inLFkkiu ds fy, dSMj inks a dk l`tu fd;k tk ldsxkA ,uih ikBîØe ds fy, ,d 'kS{kf.kd :ijs[kk çLrkfor gS ¼ n[s ks½aA II. ;g ,uih dk;ZØe ,d uÉlx vkoklh; dk;ZØe gS ftles a eq[;r% n{krk vkèkkfjr çf'k{k.k ij è;ku fn;k tkrk gSA ikBîØe dh vofèk nks o"kZ dh gS ftles a lS)kafrd eyw ikBîØe] mUur vH;kl ikBîØe vkSj uSnkfud ikBîØe ds vykok uSnkfud vH;kl 'kkfey gSa tks fd ,d çeq[k ?kVd gS ¼ n[s ks½aA4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] III. ulZ çSfDV'kuj bu easVy gSYFk@lkbfd,fVªd uÉlx ¼,uih,e,p½ dk;ZØe] iathÑr ch-,llh- ulks± dks uSnkfud fo'ks"kK] çcaèkd] f'k{kd vkSj lykgdkj tSlh mUur vH;kl Hkwfedkvks a ds fy, rS;kj djrk gS] tks vkxs pydj ,e-,llh- uÉlx ¼ulZ çSfDV'kuj bu esVa y gSYFk@lkbfd,fVªd uÉlx½ cuasxsA IV. dk;ZØe ds iwjk gksus ij] esVa y gSYFk@lkbfd,fVªd ulZ çSfDV'kuj fuEufyf[kr dk;ks± ds laiknu es a l{ke gks tk,axs% 1- ekufld LokLF; dks c<+kok nus s vkSj ekufld chekjh ls ihfM+r O;fDr;ks a dks lkeqnkf;d rFkk uSnkfud ns[kHkky lek;kstuks a eas] ftues a dY;k.k dsæa Hkh 'kkfey gSa] mfpr ikfjokfjd n[s kHkky ds lkFk l{ke n[s kHkky çnku djus dh ftEesnkjh yus k vkSj tokcnsgh çnf’kZr djukA 2- ekufld LokLF; n[s kHkky çnku djus es a uSnkfud {kerk@fo'ks"kKrk çnÆ'kr djuk ftles a uSnkfud rdZ] O;kid fuxjkuh vkSj mipkj 'kkfey gSaA 3- ekufld LokLF; n[s kHkky es a mipkj@eè;orZu ykxw djus eas fl)kar] euksfoÑfr foKku ¼lkbdksiSFkksykWth½] euksvkS"kèk foKku ¼lkbdksQkekZdksykWth½ vkSj lk{;&vkèkkfjr çFkkvks a dh tkudkjh vkSj fu;eksa dks ykxw djukA LFkk;h vkns'kks a ds vkèkkj ij vkS"kfèk fuèkkZj.k dk dkS'ky çnÆ'kr djukA 4- ekufld LokLF; fLFkfr;ks a dks igpkuuk vkSj jksxh ds LokLF; dks fLFkj vkSj cgky djus rFkk lekt eas okil iquokZl ds fy, eè;orZu djukA 5- n[s kHkky dh fujarjrk eas] ekufld LokLF; n[s kHkky ny eas vU; ekufld LokLF; ns[kHkky dfeZ;ksa ds lkFk lg;ksx djukA V. @ çf’k{k.k laLFkku dks ,uih dk;ZØe vkSj mlds Nk=ks a ds çfr tokcngs h Lohdkj djuh gksxh vkSj ifj"kn~ ds ekudks a ds vuq:i dk;ZØe dh is'kd'k djuh gksxhA bls fuEufyf[kr vko';drkvks a dks iwjk djuk gksxkA 1- vfuok;Zrk çek.ki= a. tks laLFkku ,uih dk;ZØe 'kq# djuk pkgrs gS mUgs a jkT; ls vfuok;Zrk çek.ki=@ljdkjh vkn's k yus k gksxk( b. fuEufyf[kr laLFkkuks a dks vfuok;Zrk çek.ki= yus s ls NwV nh xbZ gS% i. ifj"kn~ }kjk vuqeksfnr ch-,llh- uÉlx ;k ,e-,llh- uÉlx dk;ZØe igys ls gh lapkfyr dj jgs laLFkku@fo'ofo|ky;( ii. ,echch,l@Mh,uch dk;ZØe lapkfyr dj jgs laLFkku@fo'ofo|ky;A 2- vLirky vLirky dks ekufld LokLF; n[s kHkky eas mRÑ"V dsæa @jk"Vªh; egRo ds laLFkku ds :i ekU;rk çkIr gksuk pkfg,@vLirky dks euksjksx foHkkx ds lkFk de ls de 200 'k¸;k okyk gksuk pkfg, ;k de ls de 100 'k¸;k okys okMZ@bdkbZ ds lkFk ewy r`rh;d n[s kHkky dsæa gksuk pkfg,A bles a efsMdy dkWyts ;k uÉlx dkWyst gks ldrk gSA vLirky esa de ls de fuEufyf[kr lqfoèkk,a gksuh pkfg,% & euksjksx vkblZ h;w@vkikrdkyhu bdkbZ & lkeqnkf;d euksjksx lek;kstu & Qksjsfald euksjksx bdkbZ & f’k’kq euksjksx bdkbZ & iqulqZèkkj dsaæ & u'kk eqfDr dsæa & o`)koLFkk ekufld LokLF; bdkbZ[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5 3- euksjksx 'k¸;k euksjksx vLirky eas de ls de 100 'k¸;k gksuh pkfg, ;k r`rh;d vLirky eas de ls de 100 'k¸;k okyk ,d euksjksx foHkkx@euksjksx okMZ gksuk pkfg,A 4- euksjksx bdkbZ deZpkjh ¼LVkÇQx½ a. euksjksx bdkbZ eas ch-,llh- ;k ,e-,llh- uÉlx ;ksX;rk okyk ,d çHkkjh ulZ gksuk pkfg,( b. vkikrdkyhu bdkbZ@euksjksx vkbZlh;w ds fy, ulZ jksxh vuiq kr 1%1 gksuk pkfg,( c. 'ks"k euksjksx okMk±s ds fy,] çR;sd ikyh eas ulZ jksxh vuqikr 1%5 gksuk pkfg,( d. vkjf{kr vodk'k ds fy, 40% vfrfjDr dfeZ;ks a dk çkoèkku gksuk pkfg,( e. MkWDVj jksxh vuiq kr euksjksx okMZ ds fy, 1%20 vkSj euksjksx vkbZlh;w ds fy, 1%10 gks ldrk gSA 5- ladk;@deZpkjh lalkèku a. i. uÉlx çhlsIVj% euksjksx ns[kHkky bdkbZ eas 5 o"kZ ds vuqHko ds lkFk iw.kZdkfyd th,u,e vgZrkèkkjd ¼vfèkekur% lkbfd,fVªd uÉlx eas iksLV csfld fMIyksek vgZrkèkkjd½ ;k euksjksx n[s kHkky bdkbZ eas 2 o"kZ ds vuqHko ds lkFk ch-,llh- uÉlx ;k euksjksx n[s kHkky bdkbZ eas ,d o"kZ ds vuqHko ds lkFk ,e-,llh- ¼lkbfd,fVªd uÉlx½( ii. efsMdy çhlsIVj% ,eMh lkbfd,Vªh( iii. çhlsIVj Nk= vuiqkr% uÉlx 1%10] efsMdy 1%10 ¼çR;sd Nk= ds fy, ,d esfMdy rFkk ,d uÉlx çhlsIVj gksuk pkfg,½A b. Lisf’k;fyVh eas ulZ çSfDV’kuj@lkbfd,fVªd uÉlx eas ,e-,llh-@lkbfd,fVªd uÉlx es a ih,pMh- vgZrkèkkjd iw.kZdkfyd ladk; ¼çR;sd 10 Nk=ks a ds fy, 1 ladk;½% i. çksQslj@,lksfl,V çksQslj ,oa leUo;d% 1 ¼f'k{k.k vuqHko% LukrdksÙkj ds ckn 5 o"kZ½( ii. lgk;d çksQslj% 1 ¼vuHq ko% ,e-,llh- uÉlx ds ckn 3 o"kZ½A c. euksjksx vLirky@bdkb Z eas dk;Zjr ,e-,llh- ¼lkbfd,fVªd uÉlx½ vgZrkèkkjd mijksDr ladk; nksgjh Hkwfedk fuHkk,xa s ;k ,d lhfu;j ulZ gksxa sA d. lkbdksQkekZdksykWth] lkbfd,Vªh] euksjksx lacaèkh vkikrfLFkfr;ks a vkSj euksoSKkfud mipkjksa ds fy, vfrfFk çkè;kidA 6- laLFkku@vLirky esa HkkSfrd vkSj vè;;u lalkèku a. uSnkfud lek;kstu es a ,d vè;;u d{k@dkUÝsla d{k( b. flE;qysVsM vè;;u ds fy, dkS'ky ç;ksx'kkyk ¼vLirky@dkWyst½( c. vkWuykbu@vkWQykbu tuYZ l rd igqap ds lkFk iqLrdky; vkSj daI;Vw j lqfoèkk( d. bZ&yÆud lqfoèkkA 7- 10 'k¸;k okys euksjksx vkbZlh;w vkSj 30 'k¸;k okys euksjksx okMZ@bdkbZ ds fy, midj.kks a dh lwph ¼ n[s ks½aA 8- Nk= HkrÊ@ços'k lacaèkh vko';drk,a a. vH;FkhZ dks iathdj.k ls igys vfèkekur% fdlh ekufld LokLF; n[s kHkky lek;kstu eas de ls de ,d o"kZ uSnkfud vuqHko ds lkFk iathÑr ch-,llh- uÉlx@ih-ch-ch-,llh- uÉlx vgZrkèkkjd gksuk pkfg,( b. ifj"kn~ }kjk mi;qDr ik, x, laLFkku ls ch-,llh- uÉlx mÙkh.kZ gksuk pkfg, vkSj lacafèkr ,l,uvkjlh es a iathÑr gksuk pkfg,( c. ch-,llh- uÉlx dk;ZØe es a dqy çkIrkad 55% ls de ugÈ gksu s pkfg,A6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] d. 'kkjhfjd :i ls LoLFk gksuk pkfg,A vH;fFkZvks adh la[;k% 20 vkarfjd jksxh 'k¸;kvks a ds fy, 1 vH;FkhZA 1- lsokjr vH;fFkZ;ks a dks fu;fer osru fn;k tk,xkA 2- vU; vH;fFkZ;ks a ds fy, othQk@osru ml vLirky dh osru lajpuk ds vuqlkj fn;k tk,xk tgka ikBîØe lapkfyr fd;k tk jgk gSA VI. ijh{kk eas cSBus ds fy, ik=rk mifLFkfr% fo'ofo|ky; dh vafre ijh{kk eas cSBus ls igy s lS)kafrd rFkk O;kogkfjd ds fy, U;wure 80%] yfsdu fMxzh çnku djus ls igy s O;kogkfjd eas 100% mifLFkfr iwjk djuk vfuok;Z gSA vkarfjd vkadyu vadks a ds fy, dksbZ U;wure lhek ugÈ gS] D;ksfad mÙkh.kZ ?kksf"kr djus ds fy, vkarfjd vkSj cká vad ,d lkFk tksM+ s tkr s gSaA ijh{kk lapkyu ,oa fMxzh çnkrk çkfèkdj.k% lacafèkr fo'ofo|ky;A ifj.kkeks adk oxÊdj.k ;fn çkIrkad 60% vkSj mlls vfèkd gSa rks vH;FkhZ dks ijh{kk eas mÙkh.kZ ?kksf"kr dj fn;k tkrk gSA ;s çkIrkad çR;sd ikBîØe@fo"k; eas lS)kafrd rFkk O;kogkfjd dh vkarfjd ,oa cká fo'ofo|ky;h nksuks a ijh{kkvks a dk dqy ;ksx gSa vkSj 60% ls de vuqÙkh.kZ gksxa sA Js.kh ¼jsda ½ dh x.kuk ds fy,] nksuksa o"kZ ds dqy vadks a ij fopkj fd;k tk,xkA ;fn dksbZ vH;FkhZ lS)kafrd vFkok O;kogkfjd eas vuqÙkh.kZ gks tkrk gS] rks mls og ç'u&i= fQj ls nus k gksxk ftles a og vuqÙkh.kZ gqvk gSA fdlh Hkh fo"k; eas vuqÙkh.kZ gksus okys vH;FkhZ dh Js.kh ¼jsda ½ ?kksf"kr ugÈ dh tk,xhA dk;ZØe dks iwjk djus dh vfèkdre vofèk 4 o"kZ gksxhA O;kogkfjd ijh{kk vks,llhbZ ijh{kk ds lkFk&lkFk ekSf[kd ijh{kk yh tk,xh ¼ eas fn, x, vks,llhbZ fn'kkfunsZ'k n[s ks½aA çfr fnu Nk=ks a dh vfèkdre la[;k ¾ 10 Nk=A ijh{kk uSnkfud {ks= eas gh vk;ksftr dh tkuh pkfg,A O;kogkfjd ijh{kd ny es a ,d vkarfjd ijh{kd ¿ulZ çSfDV’kuj bu easVy gSYFk@lkbfd,fVdª uÉlx i<k+u s ds nks o"kZ vuqHko ds lkFk ,e-,llh- uÉlx ladk;@5 o"kZ LukrdksÙkj vuqHko ds lkFk ,e-,llh- ¼lkbfd,fVªd uÉlx½ ladk;À] ,d cká ijh{kd ¼mijksDr ds leku½ vkSj ,d efsMdy vkarfjd ijh{kd] tks ulZ çSfDV’kuj bu easVy gSYFk@lkbfd,fVªd uÉlx dk;ZØe ds fy, çhlsIVj gksuk pkfg,] 'kkfey gksxa sA 'kksèk fucaèk 'kksèk xkbM% eq[; xkbM% LukrdksÙkj ds mijkar ,uih dk;ZØe eas 3 o"kZ i<k+u s dk vuqHko okyk uÉlx ladk;] lg&xkbM% efsMdy çhlsIVjA 'kksèk çLrko dh çLrqfr% çFke o"kZ es a ços'k dh frfFk ds 6&9 ekg mijkarA xkbM Nk= vuiqkr% 1%5 'kksèk lfefr% dkWyst@vLirky eas 'kksèk dh çxfr dk ekxZn'kZu vkSj i;Zos{k.k djus ds fy, çèkkukpk;Z ;k lh,uvks] tks ,e-,llh- uÉlx vgrkZèkkjd gksuk pkfg,] ds lkFk U;wure 5 lnL; okyh ,d vyx 'kksèk lfefr gksxhA uSfrd eatwjh% vLirky vkpkj lfefr }kjk çkIr dh tkuh pkfg,] D;ksfad bles a uSnkfud 'kksèk 'kkfey gSA fo"k; dk p;u% fo"k; ekufld LokLF; uÉlx ls çklafxd gksuk pkfg, tks uÉlx eè;orZu eas tkudkjh ;k lk{; tksM+As 'kksèk euksjksx n[s kHkky lek;kstu es a vk;ksftr fd;k tkuk pkfg,A[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7 MsVk laxzg.k% MsVk laxzg.k ds fy, 7 lIrkg vkoafVr fd, tkr s gSa] ftls igy s o"kZ eas 6 ekg ds ckn vkSj nwlj s o"kZ eas 6 ekg ls igy s uSnkfud vuHq ko ds nkSjku ,dhÑr fd;k tk ldrk gSA 'kksèk fjiksVZ y[sku% nlw js o"kZ ds 6&9 ekg easA vafre 'kkèsk fucaèk dh çLrqfr% nlw js o"kZ ds iwjk gksus ls 3 ekg igyAs 'kksèk fucaèk ijh{kk vkarfjd vkadyu% ekSf[kd vkSj 'kksèk fucaèk fjiksVZ ¾ 50 vadA fo'ofo|ky;h ijh{kk% ekSf[kd vkSj 'kksèk fucaèk fjiksVZ ¾ 50 vadA ¼vkadyu gsrq vU; ,e-,llh- uÉlx fof'k"Vrkvks a ds fy, mi;ksx eas yk, tkus oky s vad fn'kkfunsZ'kks a dk mi;ksx fd;k tk ldrk gSA½ VII. • ç'uksÙkjh • lsfeukj • fyf[kr dk;Z • ekey s dh@uSnkfud çLrqfr • uÉlx çfØ;k fjiksVZ@ekey s dk ekeys dk vè;;u fjiksVZ@ns[kHkky ekxZ • vkS"kèk vè;;u • uSnkfud çn'kZu ewY;kadu • ykWx cqd ¼;ksX;rk lwph vkSj uSnkfud vko';drk,a½ efsMdy@uÉlx ladk;@çhlsIVj }kjk çfrgLrk{kfjr • oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ½@vks,lihbZ • ç’u i= • vafre ijh{kk ¼vkadyu fn'kkfunsZ'kksa ds fy, n[s ks½a % % 1 mUur uÉlx vH;kl ds fy, lS)kafrd vkèkkj 2 ?kaVs 50 2 ekufld LokLF; n[s kHkky es a 'kksèk vuqç;ksx rFkk lk{; 3 ?kaVs 30 70 vkèkkfjr vH;kl 3 urs `Ro] çcaèku rFkk f'k{k.k es a mUur dkS'ky 3 ?kaVs 30 70 4 mUur lkbdksQkekZdksykWth vkSj mUur lkbdksck;ykWth rFkk 3 ?kaVs 30 70 lkbdksiSFkksykWth 5 mUur ekufld LokLF; vkadyu 3 ?kaVs 30 70 50 50 1 ekufld LokLF; uÉlx ds ewy 3 ?kaVs 30 70 100 100 2 ekufld LokLF; uÉlx - I 3 ?kaVs 30 70 100 100 3 ekufld LokLF; uÉlx - II 3 ?kaVs 30 70 100 100 4 'kksèk fucaèk vkSj ekSf[kd 50 508 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] VIII. I mUur uÉlx vH;kl ds fy, lS)kafrd vkèkkj 40 II ekufld LokLF; n[s kHkky es a 'kksèk vuqç;ksx rFkk 56 24 336 ¼7 lIrkg½ lk{; vkèkkfjr vH;kl III urs `Ro] çcaèku rFkk f'k{k.k es a mUur dkS'ky 56 24 192 ¼4 lIrkg½ IV mUur lkbdksQkekZdksykWth 60 336 ¼7 lIrkg½ V mUur lkbdksck;ykWth rFkk lkbdksiSFkksykWth 54 336 ¼7 lIrkg½ VI mUur ekufld LokLF; vkadyu 70 48 576 ¼12 lIrkg½ ¼7 lIrkg½ ¼2 lIrkg½ ¼37 lIrkg½ VII ekufld LokLF; uÉlx ds ewy 96 48 576 ¼12 lIrkg½ VIII ekufld LokLF; uÉlx - I 96 48 576 ¼12 lIrkg½ IX ekufld LokLF; uÉlx - II 96 48 624 ¼13 lIrkg½ ¼6 lIrkg½ ¼3 lIrkg½ 1776 ¼37 lIrkg½ × lS)kafrd ¾ 624 ?kaV]s dkS'ky ç;ksx'kkyk ¾ 240 ?kaV]s uSnkfud ¾ 3552 ?kaVs] dqy ;ksx ¾ 4416 ?kaVs çFke o"kZ% 336&96&1776 ?kaV s ¼lS)kafrd&dkS'ky ç;ksx'kkyk&unS kfud½ ¼lS)kafrd$ç;ksx'kkyk¾15%] uSnkfud¾85%½ f}rh; o"kZ% 288&144&1776 ?kaV s ¼lS)kafrd&dkS'ky ç;ksx'kkyk&uSnkfud½ ¼lS)kafrd$ç;ksx'kkyk¾15%] uSnkfud¾85%½ çFke o"kZ ¾ 46 lIrkg@2208 ?kaVs ¼46 × 48 ?kaVs½ ¼lS)kafrd $ ç;ksx'kkyk% 44 lIrkg ds fy, 7-5 ?kaVs çfr lIrkg ¾ 336 $ 96 ?kaVs*½ *lS)kafrd $ ç;ksx'kkyk ¾ 96 ?kaV s 2 lIrkg es a ifjp;kRed CykWd d{kk o dk;Z'kkyk ds :i eas fn, tk ldr s gSa f}rh; o"kZ ¾ 46 lIrkg@2208 ?kaV s ¼46 × 48 ?kaVs½ ¼lS)kafrd $ ç;ksx'kkyk% 45 lIrkg ds fy, 8-5 ?kaVs çfr lIrkg ¾ 384 $ 48 ?kaVs½ ¼1 lIrkg CykWd d{kk,a ¾ 48 ?kaVs½ d- U;wure 48 ?kaVs çfr lIrkg fuèkkZfjr gSa] gkykafd] ;g vyx&vyx ikfj;ks a vkSj vkWu dkWy MîwVh djus ds ckn NqV~Vh ds vkèkkj ij ifjorZu'khy gSA [k- lIrkg es a ,d fnu dh NqV~Vh ds lkFk 8 ?kaVs dh MîVw h vkSj çfr lIrkg ,d vkWu dkWy MîVw hA 44 lIrkg ¼ifjp;kRed CykWd d{kkvks a vkSj dk;Z'kkyk ds 2 lIrkg dks NksM+dj½ • o;Ld euksjksx ¼iq#"k½ & 12 lIrkg • o;Ld euksjksx ¼efgyk½ & 12 lIrkg • Qksjsfald okMZ & 6 lIrkg • vksihMh ,oa vkikrdkyhu foHkkx & 6 lIrkg • O;ogkj fpfdRlk ¼chVh½] ikfjokfjd fpfdRlk] ijke'kZ lsok,a & 8 lIrkg 45 lIrkg ¼CykWd d{kkvks a dk ,d lIrkg NksM+dj½ • f’k’kq ,oa fd'kksj euksjksx & 10 lIrkg • u'kk eqfDr vkS"kfèk;ka & 8 lIrkg • o`)koLFkk ekufld LokLF; bdkbZ & 8 lIrkg • lkeqnkf;d ekufld LokLF; & 12 lIrkg • vksihMh@U;wjksykWth & 4 lIrkg • vkbZlh;w@vkikrdky & 4 lIrkg çR;sd lIrkg ;k i[kokM+ s eas fuÆn"V NqV~Vh ds lkFk 8 ?kaVs dh MîwVh vkSj vkWu dkWy MîwVh fnu[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9 x- lS)kafrd] ç;ksx'kkyk vkSj uSnkfud f'k{k.k fuEufyf[kr fofèk;ks a ls fd;k tk ldrk gS vkSj uSnkfud inLFkkiu ds nkSjku ,dhÑr fd;k tk ldrk gS% • çk;ksfxd vè;;u • Çpru'khy vè;;u • fleqy's ku • uSnkfud dkUÝsla • ekey s dh@uSnkfud çLrqfr • vkS"kèk vè;;u] çLrqfr vkSj fjiksVZ • uÉlx jkmaM~l • uSnkfud lsfeukj • tuZy Dyc • ekey s dk vè;;u@uÉlx çfØ;k • ladYiuk ekufp=.k • leL;k&vkèkkfjr vè;;u • uSnkfud {ks= eas ladk; O;k[;ku • vkRe-funsZf'kr vè;;u • Hkwfedk fuoZgu ¼jksy Iys½ • fufgr dk;Z • ekey s ds vè;;u dk fo'y"sk.k • dk;Z'kkyk,a • vks,llhbZ • ekey s dk ifjn`'; ?k- çR;sd uSnkfud in~LFkkiu ds var eas] uSnkfud ykWx cqd ¼çfØ;kRed n{krk,a@dkS'ky½ ¼ vkSj ½ vkSj uSnkfud vko';drk, a ¼ ½ ij gj i[kokM+ s çhlsIVj@ladk; }kjk gLrk{kj fd, tkus pkfg,A ³- Nk=ks a dks laLFkkxr çksVksdkWy@LFkk;h vkn's kks a ds vuqlkj Lor=a :i ls vkS"kfèk nus s vkSj uSnkfud ijh{k.k] çfØ;k o mipkjk sa dk vkn's k nus s ds fy, çf'kf{kr fd;k tk,xk ¼ LFkk;h vkn's k½A vkikrdkyhu vkS"kfèk;ka lacafèkr fpfdRld ds ijke'kZ ls nh tkrh gSa vkSj ckn es a fyf[kr vkn's k }kjk leÆFkr dh tkrh gSaA ¼fo"k; fuÆn"V fd;k tk ldrk gS½ 1- mUur uÉlx vH;kl ds fy, 8 ?kaVs 1 × 32 ¾ 32 ?kaVs • lsfeukj@lS)kafrd vuqç;ksx lS)kafrd vkèkkj ¼40½ • O;k[;ku ¼ladk;½ 2- ekufld LokLF; n[s kHkky es a 8 ?kaVs 40 ¼5 fnu½ 1 × 24 ¾ 24 ?kaVs • 'kksèk vè;;u fo'y"sk.k 'kksèk vuqç;ksx rFkk lk{; $ 8 ?kaVs • vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½ vkèkkfjr vH;kl ¼56 $ 24½ 3- urs `Ro] çcaèku rFkk f'k{k.k eas 12 $ 2 ?kaVs 1 × 26 ¾ 26 ?kaVs • uSnkfud dkUÝsla mUur dkS'ky ¼56 $ 24½ ¼CykWd d{kk,a½ 2-5 × 16 ¾ 40 ?kaVs • lsfeukj • vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½ 4- mUur lkbdksQkekZdksykWth 1-5 × 40 ¾ 60 ?kaVs • ekey s dh çLrqfr ¼60½ • lsfeukj • uSnkfud dkUÝsla 5- mUur lkbdksck;ykWth rFkk 10 ?kaVs 1 × 44 ¾ 44 ?kaVs • uÉlx jkmaM~l lkbdksiSFkksykWth ¼54½ • vkS"kèk vè;;u çLrqfr • LFkk;h vkns'k@çLrqfr 6- mUur ekufld LokLF; 8 ?kaVs 2 × 26 ¾ 52 ?kaVs • uSnkfud çn'kZu ¼ladk;½ vkadyu ¼70 $ 48½ 1-5 × 18 ¾ 27 ?kaVs • okilh çn'kZu 1 × 15 ¾ 15 ?kaVs • uÉlx jkmaM~l 2 × 6 ¾ 12 ?kaVs • 'kkjhfjd vkadyu ¼lHkh ç.kkfy;ka½ 2 × 2 ¾ 4 ?kaVs • ekey s dk vè;;u10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ifjp;kRed d{kk,a ¾ 1 lIrkg ¼48 ?kaVs½] dk;Z'kkyk ¾ 1 lIrkg ¼48 ?kaVs½] 44 lIrkg ¾ 7-5 ?kaVs çfr lIrkg ¼48 ?kaVs½ 1- ekufld LokLF; uÉlx ds ewy 9 ?kaVs × 11 lIrkg ¾ 99 ?kaVs • çn'kZu ¼ç;ksx'kkyk½ ¼96 $ 48 ?kaVs½ ¾ 144 ?kaVs • okilh çn'kZu ¼ç;ksx'kkyk½ • uSnkfud çf'k{k.k • ekey s dk vè;;u • lsfeukj • uSnkfud dkUÝsla • ladk; O;k[;ku 2- ekufld LokLF; uÉlx - I 9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½ ¼96 $ 48 ?kaVs½ ¾ 144 ?kaVs • okilh çn'kZu ¼ç;ksx'kkyk½ • uSnkfud dkUÝsla @tuZy Dyc • lsfeukj • ekey s dh çLrqfr • vkS"kèk vè;;u ¼vkS"kèkh; ikjLifjd çHkko lfgr½ • uÉlx jkmaM~l • ladk; O;k[;ku 3- ekufld LokLF; uÉlx - II 9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½ ¼96 $ 48 ?kaVs½ ¾ 144 ?kaVs • okilh çn'kZu • uÉlx jkmaM~l • uSnkfud dkUÝsla @tuZy Dyc • lsfeukj • ladk; O;k[;ku CykWd d{kk,a & 1 lIrkg] 45 lIrkg & 8-5@9 ?kaVs çfr lIrkg çR;sd f'k{k.k i)fr gsrq fo"k; dks lacafèkr f'k{kd@laLFkku }kjk foLr`r ;kstuk eas fuÆn"V fd;k tk,xkA I. 1- oSf'od LokLF; n[s kHkky ço`fÙk;ks a vkSj pqukSfr;ks a dk fo'y"sk.k djrk gSA 2- Hkkjr es a LokLF; n[s kHkky vkSj f'k{kk uhfr;ks a ds uÉlx ij çHkko dk fo'y"sk.k djrk gSA 3- Hkkjr es a LokLF; lsok forj.k ç.kkyh vkSj bldh pqukSfr;ks a dh xgu le> fodflr djrk gSA 4- n[s kHkky lsokvks a ds forj.k ds fy, çklafxd vkÆFkd fl)karks a dks ykxw djrk gSA 5- ykxr] xq.koÙkk vkSj larqf"V tSls LokLF; ifj.kkeks a lacafèkr LokLF; tkudkjh dk çcaèku vkSj :ikarj djrk gSA 6- ulZ çSfDV’kuj dh Hkwfedkvks a vkSj n{krkvks a dk vH;kl djus es a tokcngs h rFkk ftEens kjh Lohdkj djrk gSA 7- LokLF; n[s kHkky ny ds lHkh lnL;ks a dks 'kkfey djrs gq, lg;ksxh vH;kl es a lfØ; :i ls Hkkx yrs k gS vkSj vfèkÑr nk;j s ds Hkhrj funsZ'kkRed Hkwfedk fuHkkrk gSA 8- fofèkd] uSfrd vkSj mUur uÉlx vH;kl ds fu;eu dh vPNh tkudkjh ds lkFk uSfrd vH;kl eas layXu gksrk gSA 9- lqfu;ksftr çhlsIVjf'ki ds ekè;e ls çnku fd, x, çf'k{k.k ds voljks a dk mi;ksx djrk gS vkSj uÉlx çfØ;k dks ykxw djr s gq, lqjf{kr vkSj l{ke ns[kHkky djrk gSA 10- l{ke ns[kHkky çnku dju s eas uÉlx fl)karks a dh tkudkjh dks ykxw djrk gSA 11- fofHkUu LokLF; n[s kHkky lek;kstuksa eas] fo'ks"k :i ls Hkkjr eas] ulZ çSfDV’kuj dh Hkwfedkvks a eas vkxkeh pqukSfr;ks a dk iwokZuqeku yxkrk gSA 1- oSf'od LokLF; n[s kHkky pqukSfr;ka vkSj #>ku ¼n{krk&1½ 2 2- Hkkjr es a LokLF; ç.kkyh% 2 Hkkjr es a LokLF; n[s kHkky forj.k ç.kkyh & cnyr s ifjn`'; ¼n{krk&3½ 3- jk"Vªh; LokLF; ;kstuk & iapo"kÊ; ;kstuk,a vkSj jk"Vªh; LokLF; uhfr ¼n{krk&2½ 2[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11 4- LokLF; vFkZ'kkL= vkSj LokLF; n[s kHkky foÙkik"sk.k ¼n{krk&4½ 4 5- uÉlx lwpuk foKku ds lkFk LokLF; lwpuk ç.kkyh ¼daI;Vw j dk mi;ksx½ ¼n{krk&5½ 4 6- ,,uih & ifjHkk"kk] nk;jk] n'kZu] tokcngs h] Hkwfedk vkSj ftEens kfj;ka 3 ¼lg;ksxh vH;kl vkSj ulZ dh fuèkkZj.k Hkwfedk,a½ ¼n{krk&6 o 7½ 7- fofu;eu ¼çf'k{k.k laLFkkuks a dh ekU;rk rFkk çek.ku½ vkSj mUur uÉlx vH;kl Hkwfedk ds uSfrd vk;ke 3 ¼n{krk&8½ 8- ulZ çSfDV'kuj & Hkwfedk] çdkj] n{krk] vH;kl ds fy, uSnkfud lek;kstu] lkaLÑfrd {kerk ¼n{krk&6½ 3 9- ,uih ds fy, çf'k{k.k & çhlsIVjf'ki ¼n{krk&9½ 2 10- ,uih vH;kl dh Hkfo"; dh pqukSfr;ka ¼n{krk&11½ 4 11- ,ih,u ij ykxw uÉlx ds fl)kar ¼n{krk&10½ 3 12- ,ih,u ij ykxw uÉlx çfØ;k@ns[kHkky iFk ¼n{krk&9½ 2 6 1- LokLF; n[s kHkky ,oa f'k{kk uhfr;ks a dh igpku djuk vkSj uÉlx ij blds çHkko dk fo'ys"k.k djuk 2- Hkkjr es a ,uih vH;kl ds fy, dkuuw h fLFkfr dh O;k[;k djukA Hkkjr eas ulZ fuèkkZj.k uhfr;ksa dk vU; n's kks a eas bu uhfr;ks a dh çklafxdrk ds lkFk D;k Hkfo"; gS\ 3- çR;kjksi.k ns[kHkky bdkb;ks a eas ik, tkus oky s ,uih vH;kl ls lacafèkr uÉlx çksVksdkWy dh tkap djuk • fM fuLdks o ckdZlZ ,-,e- ¼2015½- ,MokaLM çSfDVl uÉlx% ,lsfal;y uksyts QkWj n çksQs'ku ¼rhljk laLdj.k½A eSlkpqlsV~l% tksla ,aM ckVZyVs ifCy’klZ bad- • fgDdh ts-oh-] vkWbeVs vkj-,e- o osusxksuh ,l-,y- ¼1996½- ,MokaLM çSfDVl uÉlx% pasftax jksYl ,aM fDyfudy ,fIyds’akalA fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA • vkbZlh,u ¼2020½- xkbMykbal vkWu ,MokaLM çSfDVl uÉlxA ftuos k% vkbZlh,uA • ,uvks,uih,Q ¼2022½- ulZ çSfDV'kuj jksy daihVaslht] us'kuy vkWxsZukbts'ku vkWQ ulZ çSfDV'kuj QSdYVhtA • Ldkscj ,e- o vQkjk ,Q-,- ¼2006½- ,MokaLM uÉlx çSfDVlA vkWDlQksMZ% CySdosy ifCyÇ'kxA II. 1- ekufld LokLF; n[s kHkky lek;kstu es a Lor=a 'kksèk djus es a xgu 'kkès k lacaèkh tkudkjh o dkS'ky ykx w djrk gSA 2- jksxh n[s kHkky xq.koÙkk es a lqèkkj ykus ds fy, lg;ksxh 'kksèk eas Hkkx yrs k gSA 3- bZchih çLrqfr ds fy, 'kksèk fu"d"kks± dh O;k[;k vkSj mi;ksx djrk gSA 4- mUur vH;kl eas loksZÙke vH;kl vkSj xq.koÙkkijd ns[kHkky fodflr djus ds fy, orZeku vH;kl dk ijh{k.k@ vkadyu djrk gSA 5- ekufld LokLF; vkSj gkypky dks c<k+ok nus s ds fy, ekufld LokLF; n[s kHkky lek;kstu eas uÉlx eè;orZu rFkk mipkj ds lk{; dk fo'y"sk.k djrk gSA 6- oSKkfud 'kksèk fjiksVZ y[s ku es a dkS'ky fodflr djrk gSA 1- 'kksèk vkSj mUur uÉlx vH;kl% 2 mUur uÉlx Hkwfedk ls lacafèkr 'kksèk vkSj iwNrkN dk egRo ¼n{krk&1½ 2- ,ih,u vH;kl ds fy, 'kksèk ,tsMa k% 5 loksZÙke vH;kl fodflr djus ds fy, orZeku vH;kl dk ijh{k.k] LokLF; ifj.kke vkSj mUur vH;kl12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] eas xq.koÙkkijd ns[kHkky ds ladsrd ¼n{krk&3] 4] 5½] 'kksèk laLÑfr dks c<k+ok nus k 3- 'kksèk lacaèkh tkudkjh rFkk dkS'ky% 40 ,ih,u ds fy, vko';d 'kksèk n{krk, a ¼'kksèk dh O;k[;k vkSj mi;ksx] vH;kl dk vkadyu] lg;ksxh ¼5 fnolh; 'kksèk eas Hkkxhnkjh½ dk;Z'kkyk½ lk{; vkèkkfjr vH;kl ¼bZchih½ ifj;kstuk dk ifjp; & PICOT ç'u] ;kstuk ds pj.k] dk;kZUo;u] eYw ;kadu vkSj foLrkj ¼ifj;kstuk çLrko vkSj ifj;kstuk fjiksVZ½ pj.k@lksiku ¼'kksèk ç'u] lkfgfR;d leh{kk] oSpkfjd lajpuk] 'kksèk fMtkbu] uewukdj.k] MsVk laxzg.k] i)fr;ka rFkk midj.k] fo'y"sk.k vkSj fjiksÉVx½ 'kksèk çLrko vkSj 'kksèk fjiksVZ y[s ku ¼n{krk&1] 2½ 4- çdk'ku ds fy, y[s ku 5 ¼y[s ku dk;Z'kkyk & ik.Mqfyfi rS;kj djuk vkSj foÙk iks"k.k ds lzksr <aw<uk½ ¼n{krk&6½ ¼dk;Z'kkyk½ 5- lk{; vkèkkfjr vH;kl 4 • voèkkj.kk] fl)kar] egRo vkSj pj.k • dk;Z ifjos'k eas bZchih dks ,dhÑr djuk • ekufld LokLF; n[s kHkky es a lk{; ds {ks= • bZchih dks ykxw dju s eas ckèkk,a • bZchih dks c<k+ok nsus dh j.kuhfr;ka ¼n{krk&3] 4] 5½ • 'kksèk y[s ku çkFkfedrk,a • leL;k dFku] mís';] 'kksèk ç'u vkSj ifjdYiuk ij vH;kl ys[ku • 'kksèk çLrko@bZchih ifj;kstuk çLrko ys[ku • oSKkfud i= y[s ku & çdk'ku ds fy, ikaMqfyfi rS;kj djuk • O;ofLFkr leh{kk@lkfgR; leh{kk & ekufld LokLF; n[s kHkky ds fy, fn, x, uÉlx eè;oruZ ds lk{; dk fo'y"sk.k djuk • O;kogkfjd 'kksèk% 'kksèk fucaèk@lk{; vkèkkfjr vH;kl ifj;kstuk ¼bZchih ifj;kstuk½ ¼336 ?kaVs ¾ 7 lIrkg½ • xzs ts- o xzkso ,l-ds- ¼2020½- cUlZ ,aM xzksOl] n çSfDVl vkWQ uÉlx fjlpZ% vçkbty] flaFkfsll ,aM tujs'ku vkWQ ,ohMsal ¼9oka laLdj.k½A lsaV yqbl% ,Ylfo;j lkWUMlZA • fQV~tiSfVªd ts-ts- ¼2018½- ,ulkbDyksihfM;k vkWQ uÉlx fjlpZ ¼pkSFkk laLdj.k½A U;w;kWdZ% ÇLçxj ifCyÇ'kx daiuhA • iksfyr Mh-,Q- o csd lh-Vh- ¼2018½- uÉlx fjlp%Z tsusjsÇVx ,aM ,lsÇlx ,foMsal QkWj uÉlx çSfDVl ¼11oka laLdj.k½A ubZ fnYyh% okWYVlZ DywojA • f'eV ,u-,- o czkmu ts-,e- ¼2009½- ,foMsla csLM çSfDVl QkWj ulsZl vçkbty ,aM ,fIyds'ku vkWQ fjlpZA ,lMh% tklsa ,aM ckVZyVs ifCy’klZ bad- III. 1- ekufld LokLF; n[s kHkky lek;kstu es a urs `Ro rFkk çcaèku ds fl)karks a dks ykxw djrk gSA 2- çcaèku dh tkudkjh vkSj fl)karks a dk mi;ksx djds ekufld LokLF; n[s kHkky lek;kstu eas ruko vkSj la?k"kks± dks çHkkoh <ax ls çcafèkr djrk gSA 3- leL;k lekèkku vkSj fu.kZ; ysus ds dkS'ky dk s çHkkoh <ax ls ykxw djrk gSA 4- jksxh rFkk okMZ çcaèku es a egRoiw.kZ Çpru o lapkj dkS'ky dk mi;ksx djrk gSA 5- ekufld LokLF; n[s kHkky lek;kstu es a ny cukrk gS vkSj nwljks a dks çsfjr djrk gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13 6- bdkbZ dk ctV rS;kj djrk gS] vkiwÆr vkSj LVkQ dk çHkkoh <xa ls çcaèku djrk gSA 7- uokpkj vkSj cnyko ds fy, Hkkx yrs k gS vkSj dk;Z djrk gSA 8- f'k{k.k ds fl)karks a ds vkèkkj ij çHkkoh f'k{k.k fofèk;ks]a ehfM;k vkSj vkadyu dk mi;ksx djrk gSA 9- ekufld LokLF; n[s kHkky lek;kstu eas jksxh n[s kHkky] xq.koÙkk vkSj uSfrdrk cuk, j[ku s eas i{k&leFkZu Hkwfedk fodflr djrk gSA 10- xq.koÙkk ,oa lqj{kk mik;] xq.koÙkk vk’oklu rFkk çcaèku ¼D;w,,e½] ykblsaÇlx] çR;k;u vkfnA I 12 • fl)kar] urs `Ro 'kSyh vkSj orZeku #>ku • fl)kar] çcaèku 'kSyh vkSj orZeku #>ku • ekufld LokLF; n[s kHkky lek;kstu ij ykxw usr`Ro vkSj çcaèku fl)kar • ruko çcaèku vkSj la?k"kZ çcaèku & fl)kar vkSj LokLF; ns[kHkky okrkoj.k es a vuqç;ksx • çHkkoh le; çcaèku II 12 • xq.koÙkk lqèkkj vkSj uÉlx vkWfMV • xq.koÙkk ,oa lqj{kk mik;] D;w,,e] ykblsÇalx rFkk ekU;rk • LVkQ çn'kZu ,oa ewY;kadu ¼çn'kZu leh{kk½ • LVkQ f'k{kk ,oa ewY;kadu ¼midj.k rFkk rduhd½ III 16 • leL;k lekèkku] fNækUos"kh lksp vkSj fu.kZ; yus k] ekufld LokLF; n[s kHkky uÉlx vH;kl ij ykxw lapkj dkS'ky • ny fuekZ.k] çsj.kk vkSj ekxZn'kZu • lalkèku çcaèku rFkk ctV ¼ekuo lalkèku] ctV] lkexzh çcaèku] LVkÇQx] fufgr dk;Z½ • uÉlx vH;kl eas ifjorZu vkSj uohurk • ekufld LokLF; n[s kHkky lek;kstu es a i{kleFkZu • uÉlx eas uSfrdrk vkSj dkuuw h igyw • efsMdks&yhxy eqís] miHkksDrk laj{k.k vfèkfu;e IV 4 • f'k{k.k & vè;;u fl)kar rFkk fu;e • ,ih,u & ,d f'k{kd ds :i eas Hkwfedk V 12 • ;ksX;rk vkèkkfjr f'k{kk vkSj ifj.kke vkèkkfjr f'k{kk • f'k{k.k fofèk;ka@j.kuhfr;ka] ehfM;k% LokLF; n[s kHkky lek;kstu eas jksfx;ks a o deZpkfj;ks a dks f'kf{kr djuk • f'k{k.k fofèk;ka@j.kuhfr;ka% vuqHkokRed] Çpru'khy] ifjn`'; vkèkkfjr] vuqdj.k vkfn] ehfM;k% ekufld LokLF; n[s kHkky lek;kstu es a jksfx;ks a o deZpkfj;ks a dks f'kf{kr djuk • leL;k&vkèkkfjr vè;;u vkSj dk;ZØe funsZ'k • ekiu ,oa ewY;kadu • bZ&yÉux ekWMîwy • vkWuykbu f'k{kd çf'k{k.k ¼vksVhVh½ fofèk;ka • byDs VªkWfud ehfM;k ij vkèkkfjr f'k{kk vkSj vkadyu • laxBukRed pkVZ rS;kj djuk • bdkbZ dk ctV rS;kj djuk • LVkQ MîwVh jksLVj rS;kj djuk • LVkQ ds fy, jksxh fufgr dk;Z rS;kj djuk • jksxh n[s kHkky laijh{kk • laØe.k fu;a=.k çFkkvks a dh fuxjkuh] leh{kk vkSj fjiksVZ y[s ku • f'k{k.k ;kstuk dk fodkl14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • lw{e f'k{k.k • Nk= f'k{kk l= • jksfx;ks a vkSj deZpkfj;ks a ds fy, f'k{k.k ehfM;k dh rS;kjh • fookn çcaèku • ekufld LokLF; vH;kl es a dkuuw h eqíks a dks igpkuuk • okMZ çcaèku uhfr;ka rS;kj djuk % uÉlx n[s kHkky çksVksdkWy rS;kj djuk • ckLVscy ,l-ch- ¼2019½- ulZ ,t ,MwdsVj% fçafliYl vkWQ Vhfpax ,aM yÉux QkWj uÉlx çSfDVl ¼5oka laLdj.k½A ubZ fnYyh% tksla ,aM ckVZysV ifCy’klZ bad- • fcÇyXl Mh-,e- o gSYLVsM ts-,- ¼2019½- Vhfpax bu uÉlx% v xkbM QkWj QSdYVh ¼NBk laLdj.k½A lsaV yqbl] felkSjh% lkWUMlZ ,Ylfo;jA • DykdZ lh-lh- ¼2010½- fØ,fVo uÉlx yhMjf'ki ,aM esuts easVA ubZ fnYyh% tksla ,aM ckVZysV ifCy’klZ bad- • yhcyj ts-th- o eSDdksusy lh-vkj- ¼2008½- esusteasV fçafliYl QkWj gSYFk çksQs'kuYlA lMcjh] ,e-,-% tksla ,aM ckVZysV ifCy’klZ bad- • ekÆDol ch-,y- o gLVu lh-tsM- ¼2017½- yhMjf’ki jksYl ,aM eus ts easV QaD’kal bu uÉlx% F;ksjh ,aM ,fIyds’ku ¼9oka laLdj.k½A ubZ fnYyh% okWYVlZ Dyow j ¼bafM;k½ çk- fyfeVMs A • jkslsy ,y- o LokalcxZ vkj-lh- ¼2010½- eus ts easV ,aM yhMjf'ki QkWj ulZ ,MfefuLVªVs lZ ¼5oka laLdj.k½A ubZ fnYyh% tklsa ,aM ckVZyVs ifCy’klZ bad- IV. a 1- ekufld jksx oky s O;fDr;k sa dks n[s kHkky çnku djus es a vkS"kèkh; fl)kar ykxw djrk gSA 2- u’khyh nokvks a eas QkekZdksdkbufsVDl vkSj QkekZdksMk;usfeDl ykxw djrk gSA 3- lS)kafrr vkSj laLFkkxr çksVksdkWy ds vkèkkj ij lqjf{kr vkS"kfèk nrs k gSA 4- nh xbZ vkS"kfèk;ks a dk lVhd nLrkosthdj.k djrk gS vkSj vuqorÊ n[s kHkky çnku djrk gSA 5- vkS"kfèk nsus eas vkS"kfèk dh var%fØ;kvks a dk vPNk tkudkjh ykxw djrk gSA I 2 • bfro`Ùk • vkS"kfèk;ks a dk oxÊdj.k vkSj vuqlwfp;ka II 8 • ifjp; • lkbdksQkekZdksykWftdy vkS"kfèk fØ;kvks a eas U;wjksVªkalehVj] fjlsIVlZ] ,atkbe • vo'kks"k.k] forj.k] p;kip; vkSj mRltZu • IykTek lkæa rk] v)Z vk;q ¼gkQ ykbQ½ • Hkkj.k ¼yksÇMx½ o j[kj[kko dh [kqjkd • mipkjkRed lwpdkad] mipkjkRed >jks[kk vkSj vkS"kfèk lqj{kk • {kerk vkSj çHkkodkfjrk • vkS"kfèk dh fØ;k,a] var%fØ;k,a] nq"çHkko] çfrdwy çHkko • ikWyhQkesZlh • vkS"kfèk nsus ds fl)kar ▪ vkS"kfèk nsus ds vfèkdkj ▪ eki ç.kkfy;ka ▪ ,aVjy vkS"kfèk ç'kklu ▪ lkef;d vkS"kfèk ç'kklu ▪ iSjasVjy vkS"kfèk ç'kklu III 10 • lkekU; ifjp;] oxÊdj.k] vkS"kfèk fuèkkZj.k ds fl)kar] euksfodkj uk’kd ¼,aVhlkbdksfVDl½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15 • lerqY; [kqjkd • ,aVhlkbdksfVd çksfQySfDll • igyh ih<+h ds euksfodkj uk’kd • ubZ ih<h+ ds euksfodkj uk’kd • yca s le; rd dke dju s okys@fMiks rS;kj dju s okys euksfodkj uk’kd • euksfodkj uk’kd dk ç'kklu • euksfodkj uk’kdksa ds çfrdwy çHkko • euksfodkj uk’kdks a }kjk çsfjr nq"çHkkoks a dk uÉlx vkadyu vkSj çcaèku • ,aVhdksfyuÆtd vkS"kfèk • laLFkkxr çksVksdkWy@LFkk;h vkn's k IV 10 • lkekU; ifjp;] oxÊdj.k] eMw LVscykbtlZ fuèkkZfjr djus ds fl)kar • fyfFk;e • vk{ksijksèkh ¼,aVhdkWUoylsVa ~l½ ewM LVcs ykbtlZ ds :i es a & oSYçks,V] dkckZektsikbu] ySeksfVªftu] vkWDldkckZtsikbu] VksfijkesV • euksfodkj uk’kd ¼,aVhlkbdksfVDl½ eMw LVscykbtlZ ds :i eas • eMw LVscykbtlZ dk ç'kklu • eMw LVscykbtlZ ds çfrdwy çHkko • eMw LVscykbtlZ }kjk çsfjr nq"çHkkoks a dk uÉlx vkadyu vkSj çcaèku • laLFkkxr çksVksdkWy@LFkk;h vkn's k V 10 • lkekU; ifjp;] oxÊdj.k] volknjksèkh vkS"kfèk fuèkkZj.k ds fl)kar • eksuks,ehu vkWDlhMst bufgfcVj ¼,e,vksvkbZ½ • mRÑ"V volknjksèkh% VªkblkbfDyd ,aVhfMçslUV • lysfDVo lsjksVksfuu jhviVds bufgfcVlZ ¼,l,lvkjvkbZ½½ • lsjksVksfuu vkSj ukWjisusfÝu jhviVds bufgfcVlZ ¼,l,uvkjvkbZ½ • ukWjisusfÝu vkSj Mksikekbu jhviVds bufgfcVlZ ¼,uMhvkjvkbZ½ • lysfDVo ukWjisusfÝu jhviVsd bufgfcVlZ ¼,uvkjvkbZ½ • lsjksVksfuu ,aVkxksfuLV@jhviVsd bufgfcVlZ ¼,l,vkjvkbZ½ • volknjksèkh vkS"kfèk;ks a dks lao)Zu • volknjksèkh vkS"kfèk;ks a dk ç'kklu • volknjksèkh vkS"kfèk;ks a ds çfrdwy çHkko • volknjksèkh vkS"kfèk;ks a }kjk çsfjr nq"çHkkoks a dk uÉlx vkadyu vkSj çcaèku • laLFkkxr çksVksdkWy@LFkk;h vkn's k VI 5 • lkekU; ifjp;] oxÊdj.k] ,aft;ksykbfVd vkS"kfèk fuèkkZj.k ds fl)kar • xkek vehuks C;wfVfjd ,flM ¼th,ch,½ vkSj csta ksMk;tsikbu • tsM&MªXl ¼ukWu&csta ksMk;tsikbu½ • csta ksMk;tsikbu dk nq#i;ksx] fuHkZjrk] fo"kgj.k vkSj ,aft;ksykbfVd vkS"kfèkvks a dks can djuk • ,aft;ksykbfVd vkS"kfèkvks a dk ç'kklu • ,aft;ksykbfVd vkS"kfèkvks a ds çfrdwy çHkko • ,aft;ksykbfVd vkS"kfèkvks a }kjk çsfjr nq"çHkkoks a dk uÉlx vkadyu vkSj çcaèku • laLFkkxr çksVksdkWy@LFkk;h vkn's k VII 5 • 'kjkc ds lsou ls gksus okys fodkjks a eas ç;qDr vkS"kfèk & csta ksMk;tsikbu ¼DykjMs k;tsikWDlkbM½] Fkk;feu] ,dSEçkslVs ] ukYVªsDlksu] ukYefsQu] fMlfYQje ¼,aVkC;wt½] cSDyksQsu • vksfivksbM fuHkZjrk eas ç;qDr vkS"kfèk & ukyksDlksu] vksfivksbM çfrLFkkiu mipkj ¼esFkkMksu vkSj C;wçsuksÆQu½ • fudksVhu fjIysleasV Fksjsih ¼,uvkjVh½ • mÙkstd fuHkZjrk eas ç;qDr vkS"kfèk;ka • eknd æO; mi;ksx ls gksus oky s fodkjks a dk vkS"kèkh; çcaèku • laLFkkxr çksVksdkWy@LFkk;h vkn's k VIII 5 • [kkl vkcknh ds fy, vkS"kfèk fuèkkZj.k fl)kar16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • ,Mh,pMh] f’k’kq o fd'kksjks a eas vU; euksoSKkfud vkSj ekufld fodkjks a dk vkS"kèkh; mipkj • o`)koLFkk eas vYVMZ QkekZdksdkbufsVDl • laKkukRed oèkZd • xHkkZoLFkk vkSj Lruiku es a lkbdksVªksfiDl dk mi;ksx • ç.kkyhxr vkSj nh?kZdkfyd 'kkjhfjd LokLF; fLFkfr;ks a eas lkbdksVªksfiDl dk mi;ksx • laLFkkxr çksVksdkWy@LFkk;h vkn's k IX 5 • u'khyh nokvks a dh vfèkd ek=k vkSj uÉlx çcaèku • mipkj vuqikyu] mipkj vuqikyu eas ifjokj dh Hkwfedk • u'khyh nokvks a ls lacafèkr vkikr fLFkfr • mipkj lacaèkh euksf'k{kk • laLFkkxr çksVksdkWy@LFkk;h vkn's k • tkWulu Vh-ts- ¼2012½- fØfVdy ds;j QkekZdksFksjsI;fwVDl- tksUl ,aM ckVZysV yÉux% ;wukbVMs LVsV~l vkWQ vesfjdkA • 'ksV~tcxZ ,-,Q- o ues js kWQ+ lh-ch- ¼2009½- n vesfjdu lkbfd,fVªd ifCyÇ'kx VDs LVcqd vkWQ lkbdksQkekZdksykWth ¼pkSFkk laLdj.k½A vkÉyxVu% vefsjdu lkbfd,fVªd ifCyÇ'kx bad- • LVky ,l-,e- LVkYl ,lsfa'k;y lkbdksQkekZdksykWth ¼pkSFkk laLdj.k½A dSfEczt ;wfuoÆlVh çsl% U;w;kWdZA • LVky ,l-,e- ¼2008½- LVkYl ,lsaf'k;y lkbdksQkekZdksykWth ¼rhljk laLdj.k½A bafM;k% dSfEczt ;wfuoÆlVh çslA • Vk;yj Mh-,e-] ckUlZ Vh-vkj-bZ- o ;ax ,-,p- n ekWMLys fçLØkbÇcx xkbMykbal bu lkbfd,Vªh ¼14oka laLdj.k½A okbyh CySdosyA • fou s ,-,y-] ow Vh-,e- o vksysbZ ,-ts- ¼2007½- QkekZdksFksjsI;fwVDl QkWj ulZ çSfDV'kuj fçLØkbclZ ¼nwljk laLdj.k½A fQykMsfYQ;k% MsfolA V. 1- uÉlx funku vkSj n[s kHkky ;kstuk fodflr djus eas ekufld LokLF; fLFkfr;ks a eas euksfpfdRlk ds Kku dk lekdyu djrk gSA 2- ekufld chekfj;ks a ds y{k.k çcaèku vkSj ekè;fed jksdFkke ea s euksfpfdRlh; fl)karks a dks ykxw djrk gSA 3- funku] mipkj] ns[kHkky vkSj jksx funku ds egRo dks igpkurs gq, çR;sd ekufld chekjh ls lacafèkr euksfoÑfr lacaèkh ifjorZuks a dk fo'ys"k.k djrk gSA I 10 • U;wjks,ukVkWeh & czsu vkWxsZukbts’ku] eksVj flLVe] fyfEcd flLVe] QaD’kal vkWQ czsu yksCl] uoZ lSy] flusIlsl • U;wjksfQft;ksykWth & byDs VªksfQft;ksykWth] dsfedy U;wjksVªkalfe'ku( U;wjksVªkalehVlZ] U;wjksisIVkbM~l] fjlsIVlZ vkSj ,atkbEl • lkbdks&U;wjks,aMksfØuksykWth • lkbdks&U;wjksbE;wuksykWth • U;wjks beÇstx • ekufld fodkjks a dk vkuqoaf'kd vkèkkj • czsu fjokMZ ikFkos vkSj U;wjksck;ykWth vkWQ ,fMD’ku • CyM dsfeLVªh • var%lzkoh ç.kkyh ¼,aMksØkbu flLVe½ • U;wjksck;ykWth vkWQ Lyhi II 10 • euksfo'y"sk.kkRed fl)kar • ikjLifjd fl)kar[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17 • eukslkekftd fodkl fl)kar • laKkukRed fodkl dk fl)kar • uSfrd fodkl dk fl)kar • layXurk fl)kar • vè;;u fl)kar • lapkj fl)kar III 10 • ok.kh ds fodkj • fopkjks a ds fodkj • èkkj.kk ds fodkj • Hkkoukvks a ds fodkj • Le`fr ds fodkj • prs uk ds fodkj • Lo&vuqHko ds fodkj • eksVj lacaèkh fodkj • euksjksx ÇlMªkse IV 12 • fltksÝsfu;k vkSj vU; ekufld fodkjks a dh euksfpfdRlk • euksn'kk lacaèkh fodkjks a dh euksfpfdRlk • cpiu dh ekufld LokLF; leL;kvks a dh euksfpfdRlk • eknd æO;ks a ds lsou lacaèkh fodkjks a dh euksfpfdRlk • lek;kstu vkSj O;fDrRo fodkjks a dh euksfpfdRlk • [kkus ds fodkjks a dh dh euksfpfdRlk • fof{kIr vkSj ruko lacaèkh fodkjksa dh euksfpfdRlk V 6 • uÈn ds pj.k@uÈn pØ] fldsZfM;u fjn~e] fQft;ksykWth vkWQ Lyhi VI 6 • laØe.k • ânokfguh jksx • fejxh • lnek • var%lzkoh fodkj • vkWxsZfud czsu ÇlMªkse • xqnZs lacaèkh fodkj • cksySaM vkj- o osjMqbu ,e-,y- ¼,M-½- ¼2022½- diyku ,aM lSMkWDl fluksfIll vkWQ lkbfd,Vªh ¼12oka laLdj.k½A pkbuk% oksYVlZ DyqojA • lsEiy Mh- o fLeFk vkj- ¼2019½- vkWDlQksMZ gSaMcqd vkWQ lkbfd,Vªh ¼pkSFkk laLdj.k½A ;wukbVMs ÇdxMe% vkWDlQksMZ ;wfuoflZVh çslA • jhck ,e-ch-] joÈæukFk Mh- o ÇoMj th-lh- fDyfudy eSuqvy vkWQ bejtsla h lkbfd,Vªh ¼nwljk laLdj.k½A vkÉyxVu% vefsjdu lkbfd,fVªd ,lkfsl,'ku ifCyÇ'kxA VI. 1- easVy gSYFk@lkbfd,fVªd uÉlx vH;kl es a vkadyu fl)karks a dks ykxw djrk gSA 2- ç.kkyhokj ijh{k.k es a 'kkjhfjd vkadyu fl)kar dkS'ky dk s ykxw djrk gSA 3- lkekU; vkSj vlkekU; fu"d"kks± dh fofoèkrkvks a ds chp varj djus ds fy, mUur LokLF; vkadyu dkS'ky dk mi;ksx djrk gSA 4- easVy gSYFk@lkbfd,fVªd uÉlx vH;kl esa ekud LØhÇux vkSj uSnkfud ijh{k.k djrk gSA 5- fofHkUu tkap@vkadyu ifj.kkeks a dk fo'ys"k.k djrk gS vkSj uÉlx funku ds fodkl ds fy, lg;ksxkRed :i ls dk;Z djrk gSA18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 6- vkadyu] funku vkSj çcaèku dk nLrkosthdj.k djrk gS vkSj LokLF; ns[kHkky ny ds lnL;ks]a jksfx;ks a vkSj ifjtuks a ds lkFk lk>snkjh eas vuqorÊ n[s kHkky dh fuxjkuh djrk gSA I 6 • lk{kkRdkj rduhd • jksxh vkadyu fl)kar • vkadyu rduhd • lkbfd,fVªd uÉlx es a fjdkWMZ vkSj fjiksVZ • vkbZlhMh 11 vkSj Mh,l,e V II 6 • bfro`Ùk ysuk • ekufld fLFkfr dh tkap • ekufld fLFkfr dh y?kq tkap • vlg;ksxh jksfx;ks a dh tkap • vkS"kfèk ds nq"çHkko dk vkadyu III 5 • Dzsfu;y uoZ QaD’ku dk vkadyu • ltxrk dk vkadyu • eksVj vkadyu • laosnh vkadyu IV 8 • lkbdksiSFkksykWth eas mi;ksx fd, tku s okys jsÇVx Ldsy vkSj vU; midj.k • cqf)eÙkk] nf`"Vdks.k] ;ksX;rk eas mi;ksx fd, tkus oky s jÇsVx Ldsy vkSj midj.k • O;fDrRo vkadyu • jksx funku es a fofHkUu ekudhÑr iSekuks a dks ykxw djuk V 3 • foLr`r ikfjokfjd bfro`Ùk] thuksxzke • ikfjokfjd vkadyu midj.k vkSj ;a= VI 3 • ç.kkyhxr 'kkjhfjd tkap VII 7 • ck;ksekdZlZ bu lkbfd,Vhª • euksjksx mipkj es a ç;ksx'kkyk tkap • euksjksx eas jsfM;ksykWftdy tkap • bZbZth] bZ,eth] ,evkjvkbZ] lhVh LdSu] jsfM;ksxzkQh • lh,l,Q fo'ys"k.k VIII 5 • fDyfudy bfro`Ùk ysuk vkSj ,e,lbZ • udkjkRed y{k.kks a dk vkadyu • fofHkUu euksfpfdRlkvks a ¼lkbdksiSFkksykWth½ dk vkadyu • vkikrdkyhu vkadyu & vkRe?kkrh tksf[ke] thou dks [krjs es a Mkyus okyh fLFkfr@nq"çHkko • uÉlx vko';drk dk vkadyu IX 8 • o`f) vkSj fodkl dk vkadyu • f’k’kqvks a dk bfro`Ùk yus k vkSj ekufld fLFkfr dh tkap djuk • O;kogkfjd voyksdu • {kfr vkSj dk;Z fuèkkZj.k] ikyu&iks"k.k vkSj ikfjokfjd vkadyu • cqf)erk] O;kogkfjd leL;kvks]a euksoSKkfud vkSj fof'k"V fodkjksa dk vkadyu dju s ds fy, ekudhÑr midj.kks a dk mi;ksx X 6 • o`) o;Ldks a ds fy, bfro`Ùk vkSj ,e,lbZ • U;wjkslkbdksykWftdy vkadyu • laKkukRed vkadyu & ,e,e,lbZ] lhMhvkj,l] iwjd & lhMhvkj,l[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19 • cqtqxks± ds lkFk nqO;Zogkj dk vkadyu • laosnh vkSj eksVj dk;ks± dk vkadyu • cqtqxks± dh ç.kkyhxr 'kkjhfjd tkap • dk;kZRed {kerkvks a dk vkadyu & ,Mh,y] vkbZ,Mh,y] thou ds y{k.k • lkekftd vkSj i;kZoj.kh; vkadyu • euksjksx jksxlwpdrk ds mik; XI 8 • eknd æO; lsou dk bfro`Ùk • fofHkUu lkbdks,fDVo inkFkks± ds u'ks dk vkadyu • fofHkUu lkbdks,fDVo inkFkks± ls ckgj fudyus ¼NksM+us½ ds y{k.kks a dk vkadyu • eqdkcyk] çsj.kk] n`<+rk dk vkadyu • pwd vkSj iqujko`fÙk dk vkadyu • mPp tksf[ke oky s O;ogkj vkSj fLFkfr dk vkadyu • vU; O;kogkfjd yr dk vkadyu • vkarfjd vkSj cká fodkjks a dk vkadyu XII 5 • detksj vkcknh dk vkadyu • efgykvks a vkSj muds ekufld LokLF; dk fd'kksjkoLFkk] xHkkZoLFkk] çloksÙkj vkSj jtkfsuo`fÙk vofèk ds nkSjku vkadyu • fodykaxrk vkadyu • fu%’kDrtuks a dk eukslkekftd vkadyu • detksj vkcknh ds vkadyu ds fy, fo'ks"k Dyhfud LFkkfir djuk • O;kid bfro`Ùk yus k • ,e,lbZ • O;kid ç.kkyhxr 'kkjhfjd vkadyu • uSnkfud ekinMa kas dh fuxjkuh ¼ç.kkyhokj½ • ltxrk dk vkadyu • ,e,e,lbZ vkSj vU; U;wjks&dkWfXufVo vkadyu • ekud midj.kks a dk mi;ksx djds lkbdkiSFkksykWth dk vkadyu • jfsM;ksykWftdy vkSj beÇstx ijh{k.kks a dh O;k[;k • ç;ksx'kkyk ijh{k.kks]a lhje Mªx ysoy dh O;k[;k • tkap vkSj uSnkfud ijh{k.kks a dk vkn's k vkSj O;k[;k ¼ç.kkyhokj½ ¼layXu ½ • f’k’kqvksa vkSj fd'kksjks a dk vkadyu • o`) o;Ldks a dk vkadyu • xHkZorh efgykvks a dk eukslkekftd vkadyu • eknd æO; lsou lacaèkh fodkjks a ls xzLr O;fDr;ks a dk vkadyu • vfHkçsjdrk dk vkadyu • fodykaxrk dk vkadyu • vkRe?kkrh tksf[ke vkadyu • vkS"kfèk;ks a ds nq"çHkko dk vkadyu • ikfjokfjd vkadyu • vkbZlhMh 11 vkSj Mh,l,e V20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • ckWy ,e-ts-] gUuk ds-ts-] U;wcksYM ,l-ds- o Mxyl ts-Mh- ¼2000½- uÉlx baQkWeZsfVDl% Ogs;j ds;Çjx ,aM VDs uksykWth ehV ¼rhljk laLdj.k½A U;w;kWdZ% ÇLçxj&osjykx U;w;kWdZ bad- • fcdys ,y-,l- o fLtykxh ih-th- ¼2013½- csV~l xkbM V q fQftdy ,Dtkfeus’ku ,aM fgLVªh Vfsdax ¼11oka laLdj.k½A ubZ fnYyh% fyÇidkWV fofy;El ,aM foÇYdlA • gSefjd ,-ch-] Lçksl ts-,- o gSulu lh-,e- ¼2000½- ,MokaLM uÉlx çSfDVl% ,u baVhxzsfVo vçksp ¼nlw jk laLdj.k½A isfalYosfu;k% MCY;w-ch- lkWUMlZ daiuhA • fgDdh ts-oh-] vkWbeVs vkj-,e- o osusxksuh ,l-,y- ¼1996½- ,MokaLM uÉlx çSfDVl% psfatax :Yl ,aM fDyfudy ,fIyds’kalA fQykMsfYQ;k% fyÇidkWVA • jksM~l ts- ¼2006½- ,MokaLM gSYFk vlSlesVa ,aM fDyfudy jhtfuxa A fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA • foYlu ,l- o fxMsla ts-,Q- ¼2006½- gSYFk vlSlesVa QkWj uÉlx çSfDVl ¼pkSFkk laLdj.k½A lsaV yqbl] felkSjh% lkWUMlZ ,Ylfo;jA - I - II 1- lkbdksck;ykWth voèkkj.kkvks a dh lqn`<+ tkudkjh ds vkèkkj ij esVa y gSYFk@lkbfd,fVªd ds;j uÉlx dh mUur voèkkj.kkvks a dks ykxw djrk gSA 2- ekufld LokLF; dk vkadyu] fuxjkuh vkSj lao)Zu ds fy, ck;kslkbdkslksfl;y voèkkj.kkvks a vkSj eè;orZuks a dk mi;ksx djrk gSA 3- vU; LokLF; n[s kHkky ny ds lnL;ks a ds lkFk feydj dke djrk gSA 4- vU; LokLF; n[s kHkky dfeZ;ks a ds lkFk ijke'kZ fd;k tkrk gS vkSj muls ijke'kZ fy;k tkrk gSA 5- ekufld LokLF; lao)Zu] jksx dh jksdFkke] vfxze ekxZn'kZu] ijke'kZ vkSj euksjksx fodkjks a ds çcaèku ls lacafèkr uÉlx n[s kHkky çnku djrk gSA 6- tfVy vkSj vfLFkj okrkoj.k esa mUur dkS'ky dk mi;ksx djrk gSA 7- O;fDr] tulkèkkj.k o ns[kHkky ç.kkyh lacafèkr tfVy eíq ks a ds fy, uSfrd :i ls lqn`<+ lekèkku ykxw djrk gSA 8- n[s kHkky çnku djrs le; lkbfd,fVªd uÉlx fl)karks a dk viukrk djrk gSA 9- jksxh] ifjtu vkSj lkeqnkf;d fgr ds fy, ns'k ds dkuwuh <kap s ds vanj Lor=a :i ls vH;kl djrk gSA 10- ,slk vH;kl fodflr djrk gS tks oSKkfud çek.kks a ij vkèkkfjr gksA 11- fpfdRlh; lacaèkks a dks 'kq: dju]s fodflr djus vkSj can djus ds fy, ykxw lapkj] ijke'kZ] odkyr vkSj ikjLifjd dkS'ky dk mi;ksx djrk gSA 12- tksf[ke çcaèku j.kuhfr;ks a vkSj xq.koÙkk lqèkkj dk mi;ksx djrs gq, lqjf{kr fpfdRlh; okrkoj.k cukrk gS vkSj cuk, j[krk gSA 13- vH;kl dks lkekftd] lkaLÑfrd vkSj çklafxd ifjos'k ds vuq:i <kyrk gSA VII. I 10 • ekufld LokLF; uÉlx dh mRifÙk@bfro`Ùk • ekufld LokLF; uÉlx es a orZeku #>ku vkSj eqís • euksjksx uÉlx ds lkekU; fl)kar • ekufld LokLF; uÉlx ds ekud[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21 • euksjksx uÉlx dh pqukSfr;ka vkSj nk;jk • lkbfd,fVªd ulZ dh foLr`r vkSj foLrkfjr Hkwfedk II 5 • ekufld LokLF; vkSj ekufld chekjh dh voèkkj.kk,a o ekufld LokLF; vkSj ekufld chekjh dks ifjHkkf"kr djuk o ekufld LokLF; vkSj ekufld chekjh dh fujarjrk o ekufld LokLF; ds y{k.k ,oa ladsrd • ekufld LokLF; n[s kHkky es a lkaLÑfrd laosnu'khyrk,a o ekufld chekjh ls lacafèkr n`f"Vdks.k] dyad] feFkd vkSj Hkzkafr;ka o ekufld chekjh] èkeZ vkSj ekufld LokLF;] euksoSKkfud dY;k.k vkSj xq.koÙkkiw.kZ thou dk eukslkekftd lacaèk III 5 • ekufld LoPNrk • thou Hkj ekufld LokLF; lao)Zu • ekufld LokLF; dk vkadyu] ekeys dk 'kh?kz irk yxkuk] funZsf’kr djuk • lkeqnkf;d tkx:drk dk;ZØe] fo}ky;h ekufld LokLF; dk;ZØe • jksdFkke ds fofHkUu Lrjksa es a euksjksx ulZ dh Hkwfedk IV 5 • ikjLifjd lapkj ds mís'; • Lo;a vkSj nwljks a ds ckj s eas vè;;u • ikjLifjd lapkj ds rRo • ikjLifjd lapkj ds ekWMy • fpfdRlh; lapkj dkS'ky • fpfdRlh; ulZ jksxh lacaèk o ulZ jksxh lacaèk dh xfr'khyrk o pj.k] fpfdRlh; xfrjksèk vkSj mldk çcaèku V 10 • ijke'kZnkrk dh voèkkj.kk] fl)kar] çfØ;k] xq.k • ijke'kZ & lgk;d ijke'kZ] fookg&iwoZ ijke'kZ] oSokfgd ijke'kZ] vkuoq af'kd ijke'kZ] çloiwoZ ijke'kZ] vfHkHkkodh; ijke'kZ] Nk= ijke'kZ] fd'kksj ijke'kZ] cykRdkj ihfM+rk ijke'kZ] ;kSu mRihM+u ls ihfM+r dk ijke'kZ] o`)koLFkk ijke'kZ] vkink ls cp s yksxks a dk ijke'kZ] e`R;q vkSj e`R;qdkyhu ijke'kZA • ijke'kZ eas vku s okys eqís vkSj leL;k,a VI 20 • euksfpfdRlk es a vuqHkotU; :i ls leÆFkr eukslkekftd eè;orZu • euksxfrd euksipkj o èkkj.kk,a] eqDr laxfr] LoIu fo'y"sk.k] lEeksgu] okrk;u] jspu] Hkkofojps u mipkj • O;kogkfjd euksipkj o O;kogkfjd vkadyu o fjySDls'ku Fksjsih] O;ofLFkr vlaosnhdj.k] çfrdwy mipkj] vkdfLedrk çcaèku] ekWMÇyx] e[q kj çf'k{k.k] lpsr è;ku] funZsf’kr dYiuk è;ku] xfrfofèk fuèkkZj.k] lkekftd dkS'ky çf'k{k.k o ck;ksQhMcSd% byDs Vªksek;ksxzkQh ck;ksQhMcSd] FkeZy ;k VaSijps j ck;ksQhMcSd] byDs Vªks,UlsQsyksxzkQh ck;ksQhMcSd] xYS osfud fLdu fjliksla Vªsfuxa ] ân; ifjorZu'khyrk ck;ksQhMcSdA • laKkukRed O;ogkj mipkj ¼lhchVh½ n`f"Vdks.k o lhchVh dh ewy voèkkj.kk,a] laKkukRed foÑfr;ka] lhchVh rduhd o midj.k] ,chlh fo'y"sk.k o csd dk laKkukRed mipkj] ,fyl dk rdZlaxr HkkoukRed O;ogkj mipkj] lpsr vkèkkfjr laKkukRed O;ogkj mipkj • ekuorkoknh@vuqHkokRed euksipkj o voèkkj.kk,a] çdkj vkSj rduhdsa • O;fDrxr euksipkj o rduhds]a çdkj vkSj çfØ;k,a] varn`Zf"V mUeq[k] dk;Z&mUeq[k euksipkj] ikjLifjd mipkj] ldkjkRed n`f"Vdks.k • lkefwgd mipkj o lkefwgd xfr'khyrk] rduhd] çfØ;k] Lo;a lgk;rk lewg22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • ikfjokfjd mipkj o ikfjokfjd xfr'khyrk] ikfjokfjd uÉlx ds n`f"Vdks.k] ikfjokfjd euksjksx uÉlx eè;orZu] oSokfgd@;qxy mipkj • çsj.kknk;d lk{kkRdkj o fl)kar] rduhd] ifjorZu ekWMy ds pj.k] çfØ;k • euksf'k{kk o fl)kar] ekWMy] çfØ;k] O;fDrxr] ikfjokfjd vkSj lkefwgd euksf'k{kk] iqujko`fÙk dh jksdFkke • ifjos'k mipkj • fpfdRlh; leqnk; • xfrfofèk mipkj o Iy s Fksjsih] O;kolkf;d mipkj] euksjatd mipkj] laxhrh; mipkj] uR` ; mipkj] ikyrw i'kq mipkj vkfn VII 5 • byDs Vªks&dUofYlo Fksjsih] bZlhVh dh uÉlx ns[kHkky • nksgjkonkj Vªkal diky paqcdh; mÙkstuk & ulk±s dh Hkwfedk VIII 10 • oSdfYid mipkj ds varÆufgr fl)kar] euksfpfdRlk eas mi;ksx dh tku s okyh iwjd vkSj oSdfYid fpfdRlk ds çeq[k {ks= • oSdfYid fpfdRlk ç.kkfy;ka o ,D;wiaDpj@ncko] vk;qosZn] gksE;ksiSFkh] çkÑfrd fpfdRlk] ;wukuh] fl)k • eu vkSj 'kjhj dk eè;orZu o è;ku] foJke] çkFkZuk] dYiuk] 'kjhj vkSj eu dk vkfRed eè;orZu • tSfod vkèkkfjr mipkj o gcZy mipkj o vjksekFksjsih] fo'ks"k vkgkj mipkj] foVkfeu ;k [kfutks a dh exs k [kqjkd • tksM+&rksM+ vkSj 'kjhj&vkèkkfjr rjhds o rkbZ ph] ;ksx] ekfy'k • ÅtkZ mipkj o fpfdRlh; Li'kZ] fj¶ysDlksykWth] fo|qr pqEcdh; mipkj] çdk'k mipkj IX 10 • ekufld :i ls chekj O;fDr ds vfèkdkj & lkekU; rkSj ij vkSj euksjksx lek;kstu esa • detksj jksxh dh lqj{kk] jksxh ds vfèkdkjks a dh lqj{kk] jksfx;ks]a ifjtuks a vkSj ns[kHkky çnkrkvks a ds fy, lsok igqap dk vfèkdkj] odkyr] tkx:drk dk;ZØe • euksjksx uÉlx ds vH;kl es a uSfrd eqís o ekSfyd uSfrd fl)kar o euksjksx ulks± ds fy, vkpkj lafgrk o ekufld LokLF; eas lkekU; çdkj ds VksVds • uSfrd fu.kZ; yus k • la;e vkSj ,dkar ls lacafèkr dkuuw h vkSj uSfrd eqís • ekufld LokLF; n[s kHkky vfèkfu;e 2017 vkSj ekufld LokLF; n[s kHkky ls lacafèkr vU; vfèkfu;e • ikWDlks vfèkfu;e • ,uMhih,l vfèkfu;e • Qksjsafld lkbfd,Vªh vkSj lkbfd,fVªd uÉlx o vijkèk vkSj ekufld fodkj] euksjksx ls lacafèkr dkuwu] euksjksx vLirky eas ços'k lacaèkh dkuuw h çfØ;k,a] ekufld :i ls chekj yksxks a ds ukxfjd vfèkdkj o eknd ,oa euksnSfgd inkFkks± rFkk voSèk eknd inkFkks± dh rLdjh ls lacafèkr vfèkfu;e o ços'k vkSj fuoZgu ¼NqV~Vh½ çfØ;k,a vkSj ulZ dh Hkwfedk] ulZ dnkpkj] xksiuh;rk] lwfpr[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23 lgefr] vkSj LFkkukiUu lgefr] fjdkWMZ j[kuk vkfn • euksjksx ulZ dh Hkwfedk vkSj ftEens kjh% o Qksjsfald lkbfd,fVªd uÉlx o euksoSKkfud 'ko ijh{k.k o ;kSu mRihM+u tkap X 4 • euksjksx n[s kHkky es a lk{; vH;kl & euksoSKkfud] tSfod vkSj iwjd eè;orZu • lelkef;d ekufld LokLF; eíq s & jksx dk çdksi] vkradokn • ekufld LokLF; uÉlx ns[kHkky ds fy, lk{;&vkèkkfjr eè;orZu o ekufld LokLF; uÉlx es a lk{;&vkèkkfjr n[s kHkky dk dk;kZUo;u & fofHkUu j.kuhfr;ka o ekufld LokLF; n[s kHkky uÉlx eas lk{;&vkèkkfjr n[s kHkky ykxw dju s ds ykHk o ekufld LokLF; n[s kHkky uÉlx eas lk{;&vkèkkfjr n[s kHkky ykxw dju s eas pqukSfr;ka o pqukSfr;ks a ij dkcw iku s dh j.kuhfr;ka XI 4 • xq.koÙkk ns[kHkky] xq.koÙkk vk’oklu & ekWMy vkSj rjhds • O;ogkj es a xq.koÙkk ekiuk • uSnkfud laijh{kk vkSj ekud LFkkfir djuk • lVhd fjdkWMZ j[ku s vkSj fjiksVZ y[s ku dk egRo XII 3 • jk"Vªh; ekufld LokLF; uhfr • Hkkjr es a ekufld n[s kHkky ds fy, çklafxd dkuuw ] uhfr vkSj uSfrdrk • uhfr dks çHkkfor djus vkSj vkdkj nsus es a ekufld LokLF; ulZ dh Hkwfedk • O;kolkf;d vkpkj lafgrk vkSj ns[kHkky ds çcaèku vkSj laxBu eas mudk vuqç;ksx • fo'ks"kK ekufld LokLF; çkoèkku ls lacafèkr uhfr;ka vkSj dkuwu XIII 5 • nnZukd ?kVukvks a ds çdkj] nnuZ kd ?kVukvks a dh fo'ks"krk,a vkjS tfVy lnes dh çÑfr • lnek&lwfpr vkadyu • lacaèkijd lnek vkSj yxko • mRihM+u vkèkkfjr lnek • ruko ls lacafèkr ?kVuk,a] çfrfØ;k,a vkSj fVªxj • ladV vkSj lnek ls eqfDr • lnek mipkj ds fy, çeq[k lS)kafrd :ijs[kk,a • lnek&dsafær rkSj&rjhdks a dk vuqç;ksx • lkeqnkf;d ekufld LokLF; tkx:drk dk;ZØe dk vk;kstu • fo|ky;h ekufld LokLF; dk;ZØe dk vk;kstu • ijke'kZ & lgk;d ijke'kZ] fookgiwoZ ,oa oSokfgd ijke'kZ] ikfjokfjd ijke'kZ] Nk=ks a dk ijke’kZ] vkbZlhVhlh ijke'kZ • euksf'k{kk & O;fDrxr euksf'k{kk] ikfjokfjd euksf'k{kk] lkewfgd euksf'k{kk • ços'k ijke'kZ] fuoZgu ijke'kZ • bZlhVh iwoZ] bZlhVh ds nkSjku vkSj bZlhVh ds i’pkr dh ns[kHkky] bZlhVh iwoZ ijke’kZ • foJke mipkj] è;ku • uSnkfud laijh{kk@ns[kHkky leh{kk • ckW;M ,-,e- ¼2012½- lkbfd,fVdª uÉlx & daVsEiksjsjh çSfDVlA fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA • xsYMj ,e- o es;w vkj- ¼2009½- 'kkWVZ vkWDlQksMZ VSDLVcqd vkWQ lkbfd,VhªA bVyh% vkWDlQ+ksMZ ;wfuoÆlVh çslA • dsYVuj ,y-,u-] Losds ,p-,y- o cksLVªkse bZ-lh- ¼2010½- lkbfd,fVªd uÉlxA lsVa yqbl% eksLch ,Ylfo;jA • eksgj ds-MCY;w- ¼2006½- lkbfd,fVªd & esVa y gSYFk uÉlxA fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • uca wfnjh oh-,e-Mh- ¼2009½- dalkbt VSDLVcqd vkWQ lkbfd,VªhA ubZ fnYyh% ,Ylfo;jA • uos sy vkj- o xkSuZs ds- ¼2008½- easVy gSYFk uÉlx & ,u ,foMsal csLM vçkspA lsVa yqbl% ,Ylfo;jA • lSMkWd o isMªks #bt ¼2017½- diyku ,aM lSMkWDl fluksfIll vkWQ lkbfd,Vªh% fcgsfovjy lkbal@fDyfudy lkbfd,Vªh 12oka laLdj.k½A fQykMsfYQ;k% oksYVlZ Dyow jA • jasVkyk ,l- ¼2017½- v xkbM V q easVy gSYFk ,aM lkbfd,fVªd uÉlxA ubZ fnYyh% tsih ifCy'klZA • f'kosl] yqbZl jcs zkdk ¼2008½- csfld dalsIV~l bu lkbfd,fVªdA uÉlxA fQykMsfYQ;k% oksYVlZ Dyow jA • LVqvVZ] xsy foLdktZ o fe'ksy Vh- ykjS;k ¼2001½- fçafliYl ,aM çSfDVl vkWQ lkbfd,fVªd uÉlxA lsVa yqbl% eksLchA • VkmulsMa ,e-lh- ¼2014½- lkbfd,fVªd esVa y gSYFk uÉlx% dalsIV~l vkWQ ds;j bu ,foMsal csLM çSfDVl ¼bZ&cqd½ ¼8oka laLdj.k½A ,Q-,- Msfol daiuh] fQykMsfYQ;kA • foMcsd ,y-,l- ¼2019½- lkbfd,fVªd easVy gSYFk uÉlxA fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA • oksEcy ,e-Mh- ¼2019½- baVªksMDVªh easVy gSYFk uÉlxA fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA VIII. - I I 15 • ifjHkk"kk,a] 'kCnkoyh • tkuifnd jksx foKku ¼,fiMsfe;ksykWth½ o ?kVuk] O;kidrk] fodykaxrk] #X.krk vkSj e`R;q nj o ekufld LokLF; vkSj chekjh dks çHkkfor djus oky s dkjd & tSfod] euksoSKkfud] lkekftd vkSj vkè;kfRed çHkko • f’k"Vkpkj lacaèkh ¼,fVvkWykWftdy½ dkjd • ekufld fodkjks a dk oxÊdj.k o Mh,l,e V oxÊdj.k] vkbZlhMh 11 II 5 • euksfpfdRlk vkSj euksjksx uÉlx dk fodkl • ekufld LokLF; n[s kHkky ds fy, mipkj lek;kstu • LFkkuh;] {ks=h;] jkT; vkSj dsæa h; Lrj ij miyCèk ekufld LokLF; lsok,a] lkoZtfud] futh vkSj LoSfPNd {ks= eas vkSipkfjd rFkk vukSipkfjd :i ls miyCèk lsok,a • euksfpfdRlk es a cgqfo"k;d n`f"Vdks.k & ulZ dh Hkwfedk III 5 • ruko dh voèkkj.kk,a] ekWMy] ruko pØ] fuiVu s dh j.kuhfr;ka • ladV eè;orZu] rduhd] fl)kar] rkSj&rjhds] ulZ dh Hkwfedk • vuqdwyh vkSj dqfRlr edq kcyk] j.kuhfr;ks a dk çHkkoh <ax ls lkeuk djuk IV 5 • larki ds fl)kar] larki dh çfØ;k] dqfRlr larki çfrfØ;k] mipkj] euksjksx uÉlx eè;orZu] ulZ dh Hkwfedk • uk’k vkSj 'kksd ds fl)kar] eè;orZu V 10 • ,fiMsfe;ksykWth] oxÊdj.k] çdkj] ,fV;yft] uSnkfud fo'ks"krk,a] funku] mipkj ds rkSj&rjhds] uÉlx çcaèku] vuqorÊ] ?kjys w ns[kHkky vkSj iquokZl VI 10 • mUeÙk çdj.k] volknxzLrrk çdj.k] f}èkzqoh HkkokRed fodkj] yxkrkj ewM fodkj • ,fiMsfe;ksykWth] oxÊdj.k] çdkj] ,fV;yft] uSnkfud fo'ks"krk,a] funku] mipkj ds rkSj&rjhds] uÉlx çcaèku] vuqorÊ] ?kjys w ns[kHkky vkSj iquokZl VII 10 • Q+ksfcd ,atkbVh fodkj] ?kcM+kgV fodkj] tujykbTM ,atkbVh fodkj] vkWClsflo daifYlo fodkj] ruko vkSj lek;kstu fodkjks a ij çfrfØ;k] vfHk?kkrt ds ckn ds ruko fodkj] :ikarj.k vkSj fo?kVudkjh fodkj] vU; U;wjksfVd fodkj • ,fiMsfe;ksykWth] oxÊdj.k] çdkj] ,fV;yft] uSnkfud fo'ks"krk,a] funku] mipkj ds rkSj&rjhds] uÉlx çcaèku] vuqorÊ] ?kjys w ns[kHkky vkSj iquokZl VIII 5 • ,fiMsfe;ksykWth] oxÊdj.k] çdkj] ,fV;yft] uSnkfud fo'ks"krk,a] funku] mipkj ds rkSj&rjhds] uÉlx çcaèku] vuqorÊ] ?kjys w ns[kHkky vkSj iquokZl[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25 IX 5 • ,fiMsfe;ksykWth] oxÊdj.k] çdkj] ,fV;yft] uSnkfud fo'ks"krk,a] funku] mipkj ds rkSj&rjhds] uÉlx çcaèku] vuqorÊ] ?kjys w ns[kHkky X 5 • ,fiMsfe;ksykWth] oxÊdj.k] çdkj] ,fV;yft] uSnkfud fo'ks"krk,a] funku] mipkj ds rkSj&rjhds] uÉlx çcaèku] vuqorÊ] ?kjys w ns[kHkky vkSj iquokZl XI 5 euks'kkjhfjd fodkj • lkekU; euks'kkjhfjd fodkj • ,fiMsfe;ksykWth] oxÊdj.k] çdkj] ,fV;yft] uSnkfud fo'ks"krk,a] funku] mipkj ds rkSj&rjhds] uÉlx çcaèku] vuqorÊ] ?kjys w ns[kHkky XII 10 • euksHkza'k] çyki] tSfod Hkwyu s dh chekjh] f'kfFkyrk vkSj 'kkjhfjd jksx ds dkj.k ekufld fodkj] efLr"d jksx] {kfr vkSj f'kfFkyrk ds dkj.k O;fDrRo vkSj O;ogkj lacaèkh fodkj • ,fiMsfe;ksykWth] oxÊdj.k] çdkj] ,fV;yft] uSnkfud fo'ks"krk,a] funku] mipkj ds rkSj&rjhds] uÉlx çcaèku] vuqorÊ] ?kjys w ns[kHkky vkSj iquokZl XIII 6 • rF;kRed fodkj • lkaLÑfrd fodkj • o;Ldks a ds fofoèk ekufld fodkj • ekey s dk foLr`r vkadyu & fldksÝsfu;k] chih,Mh] volknxzLrrk fodkj] fo{kfIr vkSj ruko lacaèkh fodkj] fexÊ] tSfod ekufld fodkj] O;fDrRo fodkj] [kkus ds fodkj] vkslhMh] Çprk fodkj] ihVh,lMh • ladV es a chp cpko djuk • 'kksddkyhu ijke'kZ • yacs le; rd dke dju s okys ,aVhlkbdksfVDl lfgr lkbdksVªksfid vkS"kfèk;ks a dk ç'kklu • vkS"kfèk;ks a ds nq"çHkkoks a dk vkadyu • vkS"kfèk f'k{kk • lkekftd dkS'ky çf'k{k.k • ços'k ,oa fuoZgu ijke'kZ • mipkj ikyu eè;orZu • fofHkUu ekufld fodkjks a oky s o;Ldks a dh n[s kHkky • vkS"kfèk;ks a ds nq"çHkkoks a dh fo'ks"k n[s kHkky • ckW;M ,-,e- ¼2012½- lkbfd,fVdª uÉlx & daVsEiksjsjh çSfDVlA fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA • xsYMj ,e- o es;w vkj- ¼2009½- 'kkWVZ vkWDlQksMZ VSDLVcqd vkWQ lkbfd,VhªA bVyh% vkWDlQ+ksMZ ;wfuoÆlVh çslA • dsYVuj ,y-,u-] Losds ,p-,y- o cksLVªkse bZ-lh- ¼2010½- lkbfd,fVªd uÉlxA lsVa yqbl% eksLch ,Ylfo;jA • eksgj ds-MCY;w- ¼2006½- lkbfd,fVªd & esVa y gSYFk uÉlxA fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA • uca wfnjh oh-,e-Mh- ¼2009½- dalkbt VSDLVcqd vkWQ lkbfd,VªhA ubZ fnYyh% ,Ylfo;jA • uos sy vkj- o xkSuZs ds- ¼2008½- easVy gSYFk uÉlx & ,u ,foMsal csLM vçkspA lsVa yqbl% ,Ylfo;jA • lSMkWd o isMªks #bt ¼2017½- diyku ,aM lSMkWDl fluksfIll vkWQ lkbfd,Vªh% fcgsfovjy lkbal@fDyfudy lkbfd,Vªh 12oka laLdj.k½A fQykMsfYQ;k% oksYVlZ Dyow jA • jasVkyk ,l- ¼2017½- v xkbM V q easVy gSYFk ,aM lkbfd,fVªd uÉlxA ubZ fnYyh% tsih ifCy'klZA • f'kosl] yqbZl jcs zkdk ¼2008½- csfld dalsIV~l bu lkbfd,fVªdA uÉlxA fQykMsfYQ;k% oksYVlZ Dyow jA • LVqvVZ] xsy foLdktZ o fe'ksy Vh- ykjS;k ¼2001½- fçafliYl ,aM çSfDVl vkWQ lkbfd,fVªd uÉlxA lsVa yqbl% eksLchA • VkmulsMa ,e-lh- ¼2014½- lkbfd,fVªd esVa y gSYFk uÉlx% dalsIV~l vkWQ ds;j bu ,foMsal csLM çSfDVl ¼bZ&cqd½ ¼8oka laLdj.k½A ,Q-,- Msfol daiuh] fQykMsfYQ;kA • foMcsd ,y-,l- ¼2019½- lkbfd,fVªd easVy gSYFk uÉlxA fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA IX. - II I 5 • ;kSou lacaèkh eukslkekftd eíq s26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • xHkkZèkku] xHkkZoLFkk] lwfrdkoLFkk dh lkekU; çfrfØ;k • ekfld èkeZ ls igy s gksus okyh cspSuh lacaèkh fodkj • çloksÙkj ekufld fodkj • fookg iwoZ] oSokfgd] vkuoq af'kd] vfookfgr ekrk] cka>iu vkfn ij ijke'kZ nus k II 10 • vkerkSj ij mi;ksx fd, tku s oky s euksnSfgd inkFkZ • oxÊdj.k] ,fV;ykWftdy dkjd] ifj.kke • 'kjkc ds lsou ls gksus oky s fodkj • vU; eknd æO;ks a ds lsou ls gksus oky s fodkj • mipkj ds rkSj&rjhds • uÉlx çcaèku • fuokjd j.kuhfr;ka • foèkk;h j.kuhfr;ka III 10 • vkikrdky ds nkSjku çkjafHkd nf`"Vdks.k • euksjksx lacaèkh vkikr fLFkfr;ks a ds çdkj o Çgld ;k vkØked O;ogkj] vkRegR;k dh èkedh] ?kcjkgV ds nkSj]s dSVsVksfud LrCèkrk] mUeÙk geys] {kf.kd fLFkfrxr v'kkafr] çyki daiu] fexÊ dk çdksi] ,D;wV Mªx bUM~;wLM ,DLVªkfijsfeMy ÇlMªkse] vkS"kfèk fo"kkDrrk] vkink ds f'kdkj] cykRdkj ihfM+rk • ,fV;yft] çcaèku] ulZ dh Hkwfedk IV 15 • vVas'ku MsfQflV gkbij,fDVfoVh fMlvkWMZj ¼,Mh,pMh½] O;kid fodkl lacaèkh fodkj & vkWfVTe] fof'k"V fodkl lacaèkh fodkj & vè;;u v{kerk,a • vkpj.k fodkj] foi{kh míaM fodkj] ,U;wfjfll vkSj uÈn eas pyuk] fVDl] gdykuk vkSj rksrykiu] cpiu es a nqO;Zogkj ds ekufld LokLF; ifj.kke • fd'kksjks a eas ekufld LokLF; leL;k,a & Çprk fodkj] volkn] vijkèkh O;ogkj] eknd æO;ks a dk lsou] ikfjokfjd lek;kstu • fo'ks"krk,a] oxÊdj.k] ,fV;yft] O;ogkj lacaèkh vfHkO;fDr;ka] funku] iwokZuqeku] mipkj ds rkSj&rjhds] jksdFkke] ns[kHkky vkSj iquokZl] fnO;kax f’k’kqvks a dk uÉlx çcaèku • thou dkS'ky çf'k{k.k] ekrk&firk ls f’k’kq dk tqM+ko] f’k’kqvks a dh O;ogkj lacaèkh leL;kvks a ds çcaèku ds fy, ekrk&firk dk dkS'ky çf'k{k.k • jksdFkke ,oa mipkjkRed mik; • cpiu ds ekufld fodkjks a ds fy, vuoq rÊ dkjoZ kbZ] ?kjsyw ns[kHkky vkSj iquokZl V 5 • mez c<u+ s ds tSo&eukslkekftd igyw • cqtqxks± dh [kkl Çprk • cqtqxks± es a euksjksx • cqtqxks± dh eukslkekftd leL;k,a • ladV es a chp cpko djuk • mipkj ,oa uÉlx çcaèku VI 10 • ,pvkbZoh@,M~l jksxh ds euksoSKkfud&lkekftd eíq s o ijh{k.k ls igy s vkSj ckn eas ijke'kZ] eukslkekftd vkadyu] tksf[ke vkadyu] laØe.k ds fofHkUu pj.kks a eas U;wjkslkbdksykWftdy fu"d"kZ] O;fDr;ks]a ifjokj ds lnL;ks@a ns[kHkky djus okyksa dks ijke'kZ • dSalj ds dkj.k vlkè; :i ls chekj O;fDr o 'kksd larIr ifjokj dk eukso`fÙk] cqjh [kcj lqukus dh j.kuhfr;ka] fo;ksx vkSj 'kksd ijke'kZ] nnZ dk çcaèku] jksfx;ks a eas thou ds var eas ladV ls tqM+s euksoSKkfud y{k.kks a dk çcaèku] gkWLikbl es a dke dju s ls lacafèkr is'ksoj eíq s] bPNkeR` ;q o thou dh xq.koÙkk] 'kkjhfjd ifjorZu] mipkj dk Mj] iqujko`fÙk] yphykiu] vkadyu midj.k][भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27 O;fDrxr vkSj ikfjokfjd mipkj • nqO;Zogkj ;k mis{kk ls lacafèkr leL;k,a o detksj lewg] efgyk,]a f’k’kq] cqtqxZ] ekufld jksxh] oafpr] fof{kIr & mipkj] uÉlx çcaèku vkSj ijke'kZ VII 5 • voèkkj.kk,a] iquokZl ds ekWMy • fodykaxrk ds eukslkekftd igyw • Hkkjr es a iquokZl lsok,a & ljdkjh vkSj xSj&ljdkjh laxBu] Ms ds;j lsaVj] gkYQ&os gkse] xSj&ljdkjh laxBu • leqnk; eas iqu% ,dhÑr gksus dh j.kuhfr;ka VIII 10 • Hkkjr es a lkeqnkf;d ekufld LokLF; dk fodkl • jk"Vªh; ekufld LokLF; dk;ZØe • ftyk ekufld LokLF; dk;ZØe • fuokjd euksfpfdRlk & ulZ dh Hkwfedk • vkink@vkink ds ckn lkeqnkf;d euksjksx lsok,a IX 10 • çeq[k lh,u,l jksxks a eas O;kogkfjd vkSj HkkoukRed fodkj o lnek] laoguh euksHkza'k] lsjsczy ikYlh] ikÉdlal jksx] nnZukd efLr"d vkSj jh<+ dh gìh dh pksV] fexÊ o eukslkekftd eè;orZu vkSj uÉlx eè;orZu • lhoh,l fodkjks a dh euks&O;kogkfjd çfrfØ;k,a o ,evkbZ] lh,chth jksxh] vU; ân; jksx] lhoh,l jksfx;ks a ds thou dh xq.koÙkk • 'olu lacaèkh fodkjks a ds eukslkekftd igyw o vLFkek] ok;q ekxZ es a #dkoV ds jksx] lhvksihMh vkfn • xSLVªksbaVsLVkbuy fodkjks a ds eukslkekftd igyw o dk;kZRed thvkbZ fodkjks]a bjhZVcs y ckWoy ÇlMªkse] vka= lwtu jksx] isfIVd vYlj jksx] ,lksQSxy fodkj vkfn eas ruko vkSj eqdkcyk djus dh 'kSyh • tuukax vkSj çtuu lacaèkh fodkjksa ds eukslkekftd igyw o vafre pj.k ds o`Dd jksx] çkFkfed vkSj ekè;fed cka>iu] ;kSu jksx] eyR;kx dh leL;k vkfn • Roph; fodkjks a ds eukslkekftd igyw o lksjk;fll] Øksfud mVhZdsfj;k] Ropk’kksèk] [kkfyR; & 'kjhj dh Nfo] vkRelEeku ij çHkko • fpfdRlh; fodkjks a ds eukslkekftd igyw o eèkqegs ] eksVkik] tyu] foPNsnu] vax nku] laosnh gkfu] vkeokrh jksx] LokLF; Çprk vkfn • euksoSKkfud eè;orZu vkSj ulZ dh Hkwfedk • ijke'kZ & laidZ euksjksx vkSj euksjksx ulZ X 16 • ekufld LokLF; lsok lek;kstu fMtkbu vkSj ysvkmV • ekufld LokLF; uÉlx lsok dk laxBu vkSj çcaèku & LVkÇQx] midj.k] vkiwÆr] ekunMa ] uhfr;ka vkSj çksVksdkWy • drZO;ks a ,oa mÙkjnkf;Roks a dk çR;k;kstu • ctV fu;a=.k • ,d cgqfo"k;d ny ds lnL; ds :i eas dk;Z djuk • ekufld LokLF; ns[kHkky lsok eas 'kkfey oSèkkfud] LoSfPNd vkSj futh ,tsfal;ks a ds lkFk dke djuk • euksjksx bdkb;ks a eas ekud lek;kstu • LVkQ vfHkfoU;kl] çf'k{k.k] fodkl] lrr uÉlx f'k{kk vkSj uSnkfud f'k{k.k • ekufld :i ls chekj jksfx;ks a dh ?kjsy w n[s kHkky • f’k’kq vkSj fd'kksjks a dh ekufld LokLF; leL;kvks a dk foLr`r vkadyu28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • o`)koLFkk dh ekufld LokLF; leL;kvks a dk foLr`r vkadyu • ,Mh,y] vkbZ,Mh,y dk vkadyu • Iy s Fksjsih • vfHkHkkodh; çcaèku çf'k{k.k • çsjd lao)Zu Fksjsih ¼,ebZVh½ • iqujko`fÙk jksdFkke mipkj • n`<+rk çf'k{k.k • vkRegR;k ds fopkj dk vkadyu • ,d ekufld LokLF; n[s kHkky bdkbZ fMtkbu djuk • n[s kHkky çksVksdkWy rS;kj djuk • fofHkUu ekufld LokLF; leL;kvks a oky s cqtqxZ jksfx;ks a dh n[s kHkky • fofHkUu ekufld LokLF; leL;kvks a oky s f’k’kq vkSj fd'kksjks a dh n[s kHkky • x`g Hkze.k ,oa lkeqnkf;d ekeyks a ls lacafèkr dk;Z • ckW;M ,-,e- ¼2012½- lkbfd,fVdª uÉlx & daVsEiksjsjh çSfDVlA fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA • xsYMj ,e- o es;w vkj- ¼2009½- 'kkWVZ vkWDlQksMZ VSDLVcqd vkWQ lkbfd,VhªA bVyh% vkWDlQ+ksMZ ;wfuoÆlVh çslA • dsYVuj ,y-,u-] Losds ,p-,y- o cksLVªkse bZ-lh- ¼2010½- lkbfd,fVªd uÉlxA lsVa yqbl% eksLch ,Ylfo;jA • eksgj ds-MCY;w- ¼2006½- lkbfd,fVªd & esVa y gSYFk uÉlxA fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA • uca wfnjh oh-,e-Mh- ¼2009½- dalkbt VSDLVcqd vkWQ lkbfd,VªhA ubZ fnYyh% ,Ylfo;jA • uos sy vkj- o xkSuZs ds- ¼2008½- easVy gSYFk uÉlx & ,u ,foMsal csLM vçkspA lsVa yqbl% ,Ylfo;jA • lSMkWd o isMªks #bt ¼2017½- diyku ,aM lSMkWDl fluksfIll vkWQ lkbfd,Vªh% fcgsfovjy lkbal@fDyfudy lkbfd,Vªh 12oka laLdj.k½A fQykMsfYQ;k% oksYVlZ Dyow jA • jasVkyk ,l- ¼2017½- v xkbM V q easVy gSYFk ,aM lkbfd,fVªd uÉlxA ubZ fnYyh% tsih ifCy'klZA • f'kosl] yqbZl jcs zkdk ¼2008½- csfld dalsIV~l bu lkbfd,fVªdA uÉlxA fQykMsfYQ;k% oksYVlZ Dyow jA • LVqvVZ] xsy foLdktZ o fe'ksy Vh- ykjS;k ¼2001½- fçafliYl ,aM çSfDVl vkWQ lkbfd,fVªd uÉlxA lsVa yqbl% eksLchA • VkmulsMa ,e-lh- ¼2014½- lkbfd,fVªd esVa y gSYFk uÉlx% dalsIV~l vkWQ ds;j bu ,foMsal csLM çSfDVl ¼bZ&cqd½ ¼8oka laLdj.k½A ,Q-,- Msfol daiuh] fQykMsfYQ;kA • foMcsd ,y-,l- ¼2019½- lkbfd,fVªd easVy gSYFk uÉlxA fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdlA • MkW- Vh- fnyhi dqekj] vè;{k [जवज्ञापन-III/4/असा./797/2023-24] 1- ,MtLVscy bysDVªkWfud dkWV fon esVªls & 10 2- IV LVSaM & 10 3- csM lkbM ykWdj & 11 ¼10 & jksxh( 01 & LVkWd½ 4- vksoj csM VªkWyh & 10 5- MªsÇlx VªkWyh ¼NkVs h½ & 01 6- MªsÇlx VªkWyh ¼eè;e½ & 01 7- flÇjt iai & 10 8- bU¶;wtu iai & 10 9- ekWfuVlZ & 11 ¼10 & jksxh( 01 & LVkWd½ 10- VªkaliksVZ ekWfuVj@iYl vkWDlhehVj & 02 11- osVa hysVj & 01 12- iksVsZcy osVa hysVj & 01 13- ,chth e'khu & 01 14- bZlhth e'khu & 01 15- fMfQfczyVs j & 01 16- ØS'k dkVZ & 01 17- VªkalQj VªkWyh & 02 18- dEI;wVj & 04 19- ÇçVj & 01 20- vkWDlhtu ¶yksehVj & 05 21- lD'ku iksVZ fon tkj & 01 22- jfsÝtjVs j & 01 ¼vkS"kfèk;ka½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29 23- ,acqys'ku p;s j & 01 24- ;wih,l & 01 25- LikWV ykbV & 02 26- fofHkUu vkdkj ds vacq cSx & 02 lsV ¼o;Ld o f’k’kq½ 27- jLs VªsaV~l ¼04 lsV½ 28- bZbZth e'khu 29- bZlhVh e'khu 30- ,uLs Fkhfl;k MªXl 31- lhlh dSejk 1- vyekjh & 02 2- t:jh ladsr ¼okbVy lkbal½ Vªs & 02 3- 'kkjhfjd tkap Vªs & 02 4- U;wjksykWftdy tkpa Vªs & 02 5- ch-ih- midj.k & 02 6- LVsFkksLdksi & 02 7- FkekZehVj & 02 8- otu ekius dh e'khu & 01 9- batsD'ku Vª s & 02 10- vksjy esfMds’ku Vªs & 02 11- ilZuy ds;j Vª s ¼xzwÇex½ & 05 12- MªsÇlx Vªs & 02 13- jLs VªsaV~l & 02 lsV 14- bZlhth e'khu & 01 15- bZbZth e'khu & 01 16- VkpZ 17- XywdksehVj 1- ekufld fLFkfr tkap xfrfofèk iqfLrdk 2- Ldsp ckWDl 3- okVj dylZ 4- xe@QsfofLVd@Qsfodksy 5- dyj 'khV~l QkWj Mªkbax ,DVhfoVht 6- fMLikstscy di dyj Vsi 7- Ldsy 8- if=dk@dgkfu;ks a dh iqLrd@lekpkj i= 9- bu&Mksj vkSj vkmV&Mksj [ksy lkexzh 1- gSfeYVu ,utkbVh Ldsy 2- cqf)eÙkk vkadyu midj.k 3- O;fDrRo lwph 4- O;fDrRo ç{ksI; ijh{k.k 5- csd fMçs'ku Ldsy 6- gSfeYVu fMç's ku jsÇVx Ldsy 7- vYdksgy LØhÇux Ldsy ¼dst½ 8- 'kjkc lsou fodkj igpku tkap 9- lkbdkslksfl;y oSychbax Ldsy 10- ekufld fLFkfr dh lw{e tkap 11- ijlhOM LVªSl Ldsy ¼vuqekfur ruko iSekuk½ 12- LoSfPNd ,oa vuSfPNd ços'k çk:i 13- fuoZgu lkjka'k çk:i 14- jLs VªsaV~l ;wt QkWesZV~l 15- bZlhVh iwoZ] bZlhVh ds nkSjku vkSj bZlhVh ds i’pkr vkadyu tkap lwph30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] dsoy lS)kafrd dkWyts ijh{kk% 50 vad ç'u&i= vkSj ç'uksÙkjh% 10 vad fyf[kr dk;Z@vkofèkd ç'u&i=% 10 vad ¼oSf'od vkSj jk"Vhª; LokLF; n[s kHkky ds #>ku vkSj uhfr;ka½ uSnkfud lsfeukj ¼fof'k"V uSnkfud fLFkfr es a uSnkfud@ns[kHkky ekxZ@fof'k"V uÉlx fl)kar dk vuqç;ksx½% 5 vad vafre lS)kafrd dkWyst ijh{kk% 25 vad ç'u&i=% 20 vad fyf[kr dk;Z% 5 vad ¼lkfgfR;d leh{kk@'kksèk midj.k dh rS;kjh½ tuZy Dyc% 5 vad ¼ekufld LokLF; uÉlx n{krkvks a ds fy, 'kksèk lk{; dk fo'ys"k.k½ ç'u&i=% 15 vad tuZy Dyc% 5 vad ¼usr`Ro@çcaèku@f'k{k.k es a #>ku½ fyf[kr dk;Z% 5 vad ¼ekufld LokLF; n[s kHkky lek;kstu eas LVkQ dk çn'kZu vkSj fu:i.k½ lw{e f'k{k.k% 5 vad ç'u&i= vkSj ç'uksÙkjh% 20 vad ¼lkbdksiSFkksykWth & 10] lkbdksQkekZdksykWth & 10½ vkS"kèk vè;;u% 5 vad ¼vkS"kèk vè;;u ,oa çLrqfr½ ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ ¼lkbdksiSFkksykWth½% 5 vad ç'u&i=% 20 vad fyf[kr dk;Z% 10 vad ¼fu"d"kks± dh euksoSKkfud vkadyu O;k[;k vkSj fo'y"sk.k½ uSnkfud çn'kZu vkadyu% 10 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ% 5 vad vkarfjd vks,llhbZ% 25 vad inLFkkiu dh lekfIr ijh{kk euksjksx vLirky esa vk;ksftr dh tk ldrh gS ç'u&i= vkSj ç'uksÙkjh% 20 vad fyf[kr dk;Z% 10 vad ¼euksjksx vkikrdkyhu okMZ@;wfuV çksVksdkWy½ uSnkfud çn'kZu vkadyu% 20 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad vkS"kèk vè;;u ¼vkS"kèk vè;;u vkSj çLrqfr½% 10 vad ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ ¼ikfjokfjd f'k{kk vkSj ijke'kZ½% 5 vad ekey s dh çLrqfr ¼uSnkfud@ds;j ikFkos dk vuçq ;ksx½% 5 vad[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31 vkarfjd vks,llhbZ% 50 vad - I ç'u&i= vkSj ç'uksÙkjh% 20 vad uSnkfud lsfeukj vkSj tuZy Dyc% 10 vad uSnkfud çn'kZu vkadyu% 20 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad uSnkfud çLrqfr% 10 vad ekey s dh vè;;u fjiksVZ% 10 vad vkarfjd vks,llhbZ% 50 vad - II ç'u&i=% 20 vad uSnkfud lsfeukj% 10 vad uSnkfud çn'kZu vkadyu% 20 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad uSnkfud çLrqfr% 10 vad ekey s dh vè;;u fjiksVZ ¼fodflr uSnkfud@ds;j ikFkos½% 10 vad vkarfjd vks,llhbZ% 50 vad inLFkkiu dh lekfIr ijh{kk ekufld LokLF; n[s kHkky lek;kstu eas vk;ksftr dh tk ldrh gS O;kogkfjd% 50 vad ¼ikBîØe eas nh xbZ vuqlwph ds vuqlkj½ × × × vks,llhbZ% 25 vad 1- o;Ld jksxh dk dsfaær bfro`Ùk yus k vkSj ekufld fLFkfr dh tkap djuk 2- f’k’kq jksxh dk dsfaær bfro`Ùk yus k vkSj ekufld fLFkfr dh tkap djuk 3- fu"d"kZ vkSj ifj.kkeks a dh O;k[;k 4- euksoSKkfud ekinMa kas dh fuxjkuh ¼n{krk tkap lwph vkSj vkoafVr vadks a ds vuqlkj½ × vks,llhbZ% 50 vad 1- o;Ld jksxh dk dsfaær bfro`Ùk yus k 2- o;Ld jksxh dh dsfaær ekufld fLFkfr dh tkap djuk 3- f’k’kq jksxh dk dsfaær bfro`Ùk yus k32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 4- f’k’kq jksxh dh dsfaær ekufld fLFkfr dh tkap djuk 5- bfro`Ùk vkSj ekufld fLFkfr tkap fu"d"kks± dh O;k[;k 6- euksfo'y"sk.kkRed ijh{k.kks a ds ifj.kkeks a dh O;k[;k 7- euksoSKkfud ekinMa kas dh fuxjkuh djuk ¼n{krk tkap lwph vkSj vkoafVr vadks a ds vuqlkj½ × vks,llhbZ% 50 vad 1- dsfaær bfro`Ùk vkSj ekufld fLFkfr dh tkap vkSj fu"d"kZ rFkk ifj.kkeks a dh O;k[;k 2- n{krkvks a dh fuxjkuh ¼euksoSKkfud vkadyu vkSj euksoSKkfud ijke'kZ dkS'ky½ 3- fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;kRed n{krk,a] vkRe?kkrh vkSj vkØked jksfx;ks a dk çcaèku & lkbdksVªksfid vkS"kfèk ç'kklu lfgr½ 4- ikfjokfjd f'k{kk vkSj ijke'kZ ¼n{krk tkap lwph vkSj vkoafVr vadks a ds vuqlkj½ × vks,llhbZ% 100 vad 1- o;Ld jksxh dk dsfaær bfro`Ùk yus k] ekufld fLFkfr dh tkap djuk vkSj ifj.kkeks a dh O;k[;k djuk 2- f’k’kq jksxh dk dsfaær bfro`Ùk yus k] ekufld fLFkfr dh tkap djuk vkSj ifj.kkeks a dh O;k[;k djuk 3- n{krkvks a dh fuxjkuh ¼euksoSKkfud vkadyu vkSj ijke'kZ dkS'ky½ 4- uÉlx n[s kHkky ;kstuk fodflr djuk 5- ikfjokfjd f'k{kk vkSj ijke'kZ 6- fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;kRed n{krk,a] vkRe?kkrh vkSj vkØked jksfx;ks a dk çcaèku & lkbdksVªksfid vkS"kfèk ç'kklu lfgr½ ¼n{krk tkap lwph vkSj vkoafVr vadks ds vuqlkj½ × - I II vks,llhbZ% 50 vad 1- dsfaær bfro`Ùk vkSj ekufld fLFkfr dh tkap vkSj fu"d"kZ rFkk ifj.kkeks a dh O;k[;k 2- n{krkvks a dh fuxjkuh ¼euksoSKkfud vkadyu vkSj ijke'kZ dkS'ky½ 3- n[s kHkky ;kstuk@ns[kHkky ekxZ fodflr djuk 4- fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;kRed n{krk,a] vkRe?kkrh vkSj vkØked jksfx;ks a dk çcaèku & lkbdksVªksfid vkS"kfèk ç'kklu lfgr½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33 ¼n{krk tkap lwph vkSj vkoafVr vadks ds vuqlkj½ × vks,llhbZ% 100 vad 1- o;Ld jksxh dk dsfaær bfro`Ùk yus k] ekufld fLFkfr dh tkap djuk vkSj ifj.kkeks a dh O;k[;k djuk 2- f’k’kq jksxh dk dsfaær bfro`Ùk yus k] ekufld fLFkfr dh tkap djuk vkSj ifj.kkeks a dh O;k[;k djuk 3- n{krkvks a dh fuxjkuh ¼euksoSKkfud vkadyu vkSj ijke'kZ dkS'ky½ 4- ikfjokfjd f'k{kk vkSj ijke'kZ 5- n[s kHkky ;kstuk@ns[kHkky ekxZ fodflr djuk 6- vkS"kfèk ç'kklu 7- fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;kRed n{krk,a] vkRe?kkrh vkSj vkØked jksfx;ks a dk çcaèku & lkbdksVªksfid vkS"kfèk ç'kklu lfgr½ ¼n{krk tkap lwph vkSj vkoafVr vadks ds vuqlkj½ × I 1 'kksèk midj.k dh rS;kjh 2 çdk'ku ds fy, ikaMqfyfi rS;kj djuk ¼çFke@f}rh; o"kZ½ 3 O;ofLFkr leh{kk@lkfgR;d leh{kk ys[ku 4 'kksèk fucaèk ¼f}rh; o"kZ½ fo"k;% II 1 LVkQ jksxh fufgr dk;Z rS;kj djuk 2 LVkQ MîwVh jksLVj rS;kj djuk 3 bdkbZ es a jksxh n[s kHkky laijh{kk djuk 4 uÉlx n[s kHkky ekud@çksVksdkWy rS;kj djuk 5 laØe.k fu;a=.k ls lacafèkr fuxjkuh] eYw ;kadu vkSj fjiksVZ y[s ku 6 lw{e f'k{k.k@jksxh f'k{kk l= 7 jksfx;ks a rFkk deZpkfj;ks a ds fy, f'k{k.k ;kstuk vkSj f'k{k.k lkexzh rS;kj djuk 8 vks,llhbZ@vks,lihbZ dh ;kstuk cukuk vkSj lapkyu djuk 9 ijh{k.kks a dk fuekZ.k34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 1- ços'k çfØ;k 2 jksxh dk LFkkukarj.k 3 NqV~Vh dh ¼fuoZgu½ çfØ;k 4 efsMdks&yhxy vuqikyu ¼ços'k vuqHkkx cnyuk½ 5 Qjkj gksus dh ?kVuk dh fjiksVZ 6 ikfjokfjd euks&f'k{k.k 7 ikfjokfjd ijke'kZ@mipkj 8 vkRegR;k dh jksdFkke vkSj voyksdu 9 vkØked jksxh dk ruko de djuk 10 jLs VªsaV~l dk ç;ksx 11 lkbfd,Vªh eas bfro`Ùk ysuk 12 ekufld fLFkfr ijh{k.k 13 ,e,e,lbZ 14 ikfjokfjd lfØ;rk dk vkadyu 15 & ldkjkRed y{k.k & udkjkRed y{k.k & volkn & nksèkzqoh fodkj ¼ckbiksyj fMLvkMZj½ & i`FkDdj.k & Çprk & O;fDrRo & Lo&n[s kHkky vkSj ,Mh,y & eq[kjrk & mipkj dk ikyu & u'kkeqfDr ds fy, çsj.kk & u’khy s inkFkZ ij fuHkZjrk & [kku s eas fnDdr & vkslhMh & uÈn dh xq.koÙkk & vkRegR;k dk Hkko & vU;] fuÆn"V dja s 16 a. lkekU; 'kkjhfjd tkap b. U;wjksykWftdy tkpa 17 CyM fjiksVZ ,uys fsll ¼#Vhu] flLVfsed o lhje Mªx ysoy½ 18 vkS"kfèk;ks a ds nq"çHkkoks a dk vkadyu 19 f’k’kq dh ekufld fLFkfr dh tkap 20 lg;ksx u djus oky s jksxh dh ekufld fLFkfr dh tkap 21 ¼cqtqxZ o;Ldks a dk bfro`Ùk vkSj ,e,lbZ] U;wjkslkbdksykWftdy vkadyu] laKkukRed vkadyu] nqoZpu vkadyu] laosnh eksVj vkadyu vkfn½ 22 a. eknd æO; lsou dk bfro`Ùk yus k ¼'kjkc] Hkkax] vQhe vkSj vU;½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35 b. ckgj fudyus ¼NksM+us½ ds y{k.kks a dk vkadyu ¼ljy vkSj çyki daiu½ c. çsj.kk vkadyu 23 a. çloiwoZ vkadyu b. çloksÙkj vkadyu 24 fodykaxrk vkadyu 25 iquokZl ds fy, dk;kZRed vkadyu 26 dk;Z çsj.kk vkadyu 1- fof'k"V euksfodkj uk'kd ¼fVihdy ,aVhlkbdksfVDl½ ¼uke½ 2- vlkekU; euksfodkj uk'kd ¼,fVihdy ,aVhlkbdksfVDl½ 3- yca s le; rd dke dju s okyh ,aVhlkbdksfVd vkS"kfèk;ka 4- ,aVhfMçslasV 5- eMw LVsfcykbtj 6- ,aVh,atkbVh 7- ,aVhikÉdlkfsu;u 8- ,aVh&Øsfoax ,tsVa 9- f’k’k o fd'kksjks a ds euksjksx esa mi;ksx dh tku s okyh vkS"kfèk;ka 10- vU; vkS"kfèk;ka 11- mipkj ikyu eè;orZu * & Nk= ds dkS'ky çn'kZu es a l{ke ik, tku s ij] ml ij çhlsIVj }kjk gLrk{kj fd, tk,axsA Nk=ks a ls ;g vis{kk dh tkrh gS fd os lwphc) dkS'kyks@a n{krkvks a dks rc rd djrs jgs a tc rd fd os Lrj 3 n{krk rd ugÈ igqap tkrs] ftlds ckn çR;sd n{krk ds le{k çhlsIVj }kjk gLrk{kj fd, tk,axsA ;g lqfuf'pr djsaxs fd çR;sd n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh fd, tk,aA • Lrj 3 n{krk ;g n'kkZrh gS fd ,uih Nk= i;Zos{k.k ds fcuk ml n{krk dk çn'kZu dju s eas l{ke gSA • Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk çn'kZu djus es a l{ke gSA • Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml n{krk@dkS'ky dk çn'kZu dju s eas l{ke ugÈ gSA 1 ekufld LokLF; tkx:drk dk;ZØe dk vk;kstu 2 fo|ky;h ekufld LokLF; dk;ZØe dk vk;kstu 3 a. lgk;d ijke'kZ b. fookgiwoZ ,oa oSokfgd ijke'kZ c. ikfjokfjd ijke'kZ d. Nk=ks a dk ijke’kZ e. vkbZlhVhlh ijke'kZ f. 'kksddkyhu ijke'kZ g. ços'k ijke'kZ36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] h. fuoZgu ijke'kZ i. bZlhVh ¼bles a bZlhVh iwoZ] bZlhVh ds nkSjku vkSj bZlhVh ds i’pkr dh n[s kHkky 'kkfey gSa½ 4 a. O;fDrxr euksf'k{kk b. ikfjokfjd euksf'k{kk c. lkefwgd euksf'k{kk 5 a. xgjh lkla yus s ds O;k;ke ¼Mhi czhfnax Fksjsih½ b. funsZf'kr dYiuk c. lpsru d. tsih,evkj 6 a. lkadsfrd vFkZO;oLFkk b. ldkjkRed lqn`<hdj.k c. udkjkRed lqn`<hdj.k d. vU; 7 laKkukRed O;ogkj mipkj ¼voyksdu fjiksVZ½ 8 lkefwgd mipkj@eè;orZu 9 lkekftd dkS'ky çf'k{k.k 10 xfrfofèk fuèkkZj.k 11 Iy s Fksjsih 12 vfHkHkkodh; çcaèku çf'k{k.k 13 çsj.kk lao)Zu mipkj 14 iqujko`fÙk jksdFkke mipkj 15 n`<+rk çf'k{k.k 16 ekufld LokLF; n[s kHkky bdkbZ fMtkbu djuk 17 a. vkØked jksxh b. vkRe?kkrh jksxh c. vU; 18 uSnkfud laijh{kk@ns[kHkky leh{kk 19 fofHkUu ekufld LokLF; leL;kvks a oky s o;Ld jksfx;ks a dh n[s kHkky 20 a. ekufld eanrk b. ,Mh,pMh c. crkZo eas xM+cM+h d. Loyhurk ¼vkWfVTe½ e. vU; 21 vkS"kfèk;ks a ds nq"çHkkoksa dk fof'k"V è;ku 22 vkS"kfèk;ks a dh vfèkd ek=k dk çcaèku 23 ekufld :i ls chekj jksfx;ks a dh ?kjsy w n[s kHkky 24 ladV es a chp&cpko djuk * & Nk= ds dkS'ky çn'kZu es a l{ke ik, tku s ij] ml ij çhlsIVj }kjk gLrk{kj fd, tk,axsA Nk=ks a ls ;g vis{kk dh tkrh gS fd os lwphc) dkS'kyks@a n{krkvks a dks rc rd djrs jgs a tc rd fd os Lrj 3 n{krk rd ugÈ igqap tkrs] ftlds ckn çR;sd n{krk ds le{k çhlsIVj }kjk gLrk{kj fd, tk,axsA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37 ;g lqfuf'pr djsaxs fd çR;sd n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh fd, tk,aA • Lrj 3 n{krk ;g n'kkZrh gS fd ,uih Nk= i;Zos{k.k ds fcuk ml n{krk dk çn'kZu dju s eas l{ke gSA • Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk çn'kZu djus es a l{ke gSA • Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml n{krk@dkS'ky dk çn'kZu dju s eas l{ke ugÈ gSA * fof'k"V uSnkfud fLFkfr es a uSnkfud ekxZ@ fof'k"V uÉlx fl)kar dk vuqç;ksx ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% * ekufld LokLF; n[s kHkky n{krkvks a ds fy, lk{; dh [kkst ¼uSnkfud dkUÝsla @tuZy Dyc½ fo"k; dk 'kh"kZd% * urs `Ro@çcaèku@f'k{k.k es a #>ku ¼tuZy Dyc½ fo"k; dk 'kh"kZd% ¼uSnkfud çLrqfr½ uSnkfud fLFkfr dk uke% ¼ekey s dk vè;;u & fyf[kr fjiksVZ½ uSnkfud fLFkfr dk uke% vkS"kèk vè;;u ¼LFkk;h vkn's kks a ds rgr lwphc) vkS"kfèk;ka½ & 5 çLrqfr;ks a dh fyf[kr fjiksVZ ¼csMlkbM çLrqfr;ka½ vkS"kfèk dk uke% vkS"kfèk dk uke% ¼fyf[kr fjiksVZ tek djus gsrq gS½ ekufld LokLF; vkadyu ¼o;Ld vkSj o`)½ & bfro`Ùk vkSj 'kkjhfjd tkap ¼nks fyf[kr fjiksVZ½ 3-1-1- 3-1-2- 3-1-3- 3-1-4-38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3-1-5- ekufld LokLF; vkadyu ¼f’k’kq½ & bfro`Ùk vkSj 'kkjhfjd tkap ¼,d fyf[kr fjiksVZ½ 3-2-1- 3-2-2- 3-2-3- ekufld LokLF; vkadyu ¼fd’kksj½ ¼,d fyf[kr fjiksVZ½ 3-3-1- 3-3-2- *mUur uÉlx vH;kl & ,ih,u] 'kksèk vuçq ;ksx & vkj,] urs `Ro] çcaèku rFkk f'k{k.k & ,y,e,aMVh ¼uSnkfud dkUÝsla ½ fo"k; dk 'kh"kZd%[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39 - I ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% - I ¼tuZy Dyc½ fo"k; dk 'kh"kZd% - II ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% - II ¼tuZy Dyc½ fo"k; dk 'kh"kZd% ¼fyf[kr fjiksVZ tek djus gsrq gSa½ ¼ikfjokfjd f'k{kk@ijke'kZ½ ¼fyf[kr fjiksVZ½ fo"k; dk 'kh"kZd% ¼ds;j ikFkos@uÉlx çfØ;k½ fo"k; dk 'kh"kZd% - I ¼uSnkfud çLrqfr½ uSnkfud fLFkfr dk uke% - I ¼ekey s dh vè;;u fjiksVZ½ uSnkfud fLFkfr dk uke% - II ¼uSnkfud çLrqfr½ uSnkfud fLFkfr dk uke% - II ¼ekey s dh vè;;u fjiksVZ½ uSnkfud fLFkfr dk uke% ¼LFkk;h vkn's kksa ds rgr lwphc) vkS"kfèk;ka½ ¼ikap fyf[kr fjiksVZ½ - I uSnkfud fLFkfr dk uke% ¼ekey sdh vè;;u fjiksVZ½ - II40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ¼ekey sdh vè;;u fjiksVZ½ fyf[kr fjiksVZ ¼fodflr uSnkfud@ns[kHkky ekxZ½ ekeys dh vè;;u fjiksVZ ds fy, uSnkfud çLrqfr fy[kh tk ldrh gSA • ulZ çSfDV’kuj ekufld :i ls chekj jksfx;ks a dh n[s kHkky ds fy, ftEens kjh o tokcnsgh laHkkyus gsrq rS;kj vkSj f’kf{kr fd, tkr s gSaA • os mPp rh{.krk dh vko';drk okys jksfx;ks a dh lVhd fpfdRlk lqfuf'pr djus ds fy, euksfpfdRld] uSnkfud euksoSKkfud] euksfpfdRlh; lkekftd dk;ZdrkZ vkSj ijke'kZnkrkvks a ds lkFk lg;ksx djrs gSaA • dk;ZØe ds iwjk gksus ij] ulZ çSfDV’kuj dks laLFkkxr çksVksdkWy@LFkk;h vkns'kks a ds vuqlkj LFkk;h vkns'kks a ds rgr lwphc) vkS"kfèk ç’kklu dh vueq fr gksxhA • mUgs a uSnkfud ijh{k.k@çfØ;kvks a vkSj mipkjks a dk vkn’sk nus s dh Hkh vuqefr gksxhA • fdlh Hkh euksjksx okMZ@vkikrdkyhu bdkbZ eas vkikrfLFkfr ds nkSjku ulZ çSfDV'kuj }kjk fuEufyf[kr baVªk&ohul batsD'ku ;k vkS"kfèk;ka nh tk ldrh gSaA vkØkedrk vkSj cspSuh batsD’ku yksjkthsike batsD’ku gsyksisfjMksy vkSj batsD’ku çksesFkkthu batsD’ku Mk;tsike fMLVksfuvk batsD’ku çksesFkkthu[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41 LVsVl ,fiyfsIVdl batsD’ku Mk;tsike • Dykstkikbu ysus oky s jksfx;ks a ds fy, & daiyhV CyM & thou dh nfSud xfrfofèk;ks a eas lgk;rk djuk dkmaV ¼O;fDrxr@Lo&ns[kHkky½ • fyfFk;e yus s oky s jksfx;ks a ds fy, & lhje fyfFk;e & fjysD’kslu Fksjsih ¼Mhi czhfnxa ,Dljlkbt½ yos y & çksxzsflo ely fjysD’kslu Fksjsih • bZlhVh ysus oky s jksfx;ks a ds fy, & bZlhth] CyM Xyqdkst] & ,fDVfoVh Fksjsih ,y,QVh] ds,QVh] fyfiM çksQkby] Fkk;jkbM Q+Da 'ku & nq"çHkkoks a dk vkadyu VSLV & vkS"kfèk;ks a ds nq"çHkkoks a dk xSj&vkS"kèkh; çcaèku • eMw LVsfcykbtlZ vkSj ,aVhlkbdksfVd vkS"kfèk;ka yus s okys & ikfjokfjd fpfdRlk jksfx;ks a ds fy, & bZlhth] CyM Xywdkst] ,y,QVh] & lkefwgd fpfdRlk ds,QVh] fyfiM çksQkby] Fkk;jkbM Q+Da 'ku VSLV & O;kogkfjd eè;orZu ¼vkdfLedrk çcaèku½ INDIAN NURSING COUNCIL NOTIFICATION New Delhi, the 16th February, 2024 INDIAN NURSING COUNCIL {NURSE PRACTITIONER IN MENTAL HEALTH/PSYCHIATRIC NURSING (NPMH) - POSTGRADUATE RESIDENCY PROGRAM} REGULATIONS, 2023 F. No. 11-1/2022-INC (ii).—In exercise of the powers conferred by sub-section (1) of Section 16 of Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations, namely — 1. SHORT TITLE AND COMMENCEMENT i. These Regulations may be called the Indian Nursing Council {Nurse Practitioner in Mental Health/Psychiatric Nursing (NPMH) - Postgraduate Residency Program} Regulations, 2023. ii. These shall come into force on the date of notification of the same in the Official Gazette of India. 2. DEFINITIONS In these Regulations, unless the context otherwise requires, i. ‘the Act’ means the Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time; ii. ‘the Council’ means the Indian Nursing Council constituted under the Act; iii. ‘SNRC’ means the State Nurse and Midwives Registration Council, by whichever name constituted, by the respective State Governments; iv. ‘RN & RM’ means a Registered Nurse and Registered Midwife (RN & RM) and denotes a nurse who has completed successfully, recognised Bachelor of Nursing (B.Sc. Nursing) or Diploma in General Nursing and Midwifery (GNM) course, as prescribed by the Council and is registered in a SNRC as Registered Nurse and Registered Midwife; v. ‘Nurses Registration & Tracking System (NRTS)’ means a system developed by the Council and software developed in association with National Informatics Centre (NIC), Government of India, and hosted by NIC for the purpose of maintenance and operation of the Indian Nurses Register. It has standardised forms for collection of the data of Registered Nurse and Registered Midwife (RN & RM)/ Registered Auxiliary Nurse Midwife (RANM)/Registered Lady Health Visitor (RLHV) upon Aadhar based biometric authentication; vi. ‘NUID’ is the Nurses Unique Identification Number given to the registrants in the NRTS system; vii. ‘General Nursing and Midwifery (GNM)’ means Diploma in General Nursing and Midwifery qualification recognized by the Council under Section 10 of the Act and included in Part-I of the Schedule of the Act. NURSE PRACTITIONER IN MENTAL HEALTH/PSYCHIATRIC NURSING (NPMH) - POSTGRADUATE RESIDENCY PROGRAM I. Introduction and Background In India, reshaping health systems in all dimensions of health has been recognized as an important need in the National Health Policy, 2017 (NHP 2017). It emphasizes human resource development in the areas of education and training alongside regulation and legislation. The government recognizes significant expansion in tertiary care services42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] both in public and private health sectors. In building their capacity, it is highly significant that the health care professionals require advanced educational preparation in specialty and super-specialty services. To support specialized and super-specialized healthcare services, specialist nurses with advanced preparation are essential. Developing training programs and curriculum in the area of tertiary care is recognized as the need of the hour. Nurse Practitioners (NPs) will be able to meet this demand provided they are well trained and legally empowered to practice. With establishment of new cadres and legal empowerment, master level prepared Nurse Practitioners will be able to provide cost effective, competent, safe and quality driven specialized nursing care to patients in a variety of settings in tertiary care centers. Nurse Practitioners have been prepared and functioning in USA since 1960s, UK since 1980s, Australia since 1990s and Netherlands since 2010. Nurse Practitioners in Mental Health/Psychiatric Nursing (NPMH) can be prepared to function in tertiary care settings. Rigorous educational preparation will enable the mental health/psychiatric nurse practitioners to diagnose and treat patients with mental illnesses as well as preventive and promoting care relevant to such illnesses and patients’ responses to illness. An attempt has been made to propose a curricular structure/framework by the Council towards preparation of Nurse Practitioner in Mental Health/Psychiatric Nursing (NPMH) Program at Masters Level. The special feature of this program is that it is a clinical residency program emphasizing a strong clinical component with 20% of theoretical instruction including skill lab and 80% of clinical experience. Competency based training is the major approach and Nurse Practitioner education is based on competencies adapted from International Council of Nurses (ICN, 2020), and National Organization of Nurse Practitioner Faculties (NONPF, 2022). Nurse Practitioner in Mental Health/Psychiatric Nursing (NPMH) Program is intended to prepare registered B.Sc. Nurses to provide advanced nursing care to individuals with mental illness and mental health issues. The nursing care is focused on assessment and identification of care, stabilizing patients’ condition, minimizing complications and maximizing restoration of mental health and mental wellbeing. These Nurse Practitioners are required to practice in community and clinical care settings. The program consists of various courses of study that are based on strong scientific foundations including evidenced based practice and the management of complex health systems. These are built upon the bachelor’s program in nursing. When authorized by the nursing regulatory council(s), state or national laws, they may prescribe drugs, medical equipment and therapies. The Mental Health/Psychiatric Nurse Practitioner, when exercising prescriptive authority or drug administration as per institutional protocols, they are accountable for the competency in a) Patient selection/admission into mental health care setting and discharge; b) Problem identification through appropriate assessment; c) Selection/administration of medication or devices or therapies; d) Patients’ education for use of therapeutics; e) Knowledge of interactions of therapeutics, if any; f) Evaluation of outcomes; g) Recognition and management of complications and untoward reactions; h) Diagnosing independently as per ICD 11/DSM 5; and i) Prescribing at least based on standing orders. The Mental Health/Psychiatric Nurse Practitioner is prepared and qualified to assume responsibility and accountability for the care of mentally ill patients under his/her care. The said postgraduate degree will be registered as an additional qualification by the SNRC. Philosophy The Council believes that there is a great need to establish a postgraduate program titled Nurse Practitioner in Mental Health/Psychiatric Nursing (NPMH) to meet the challenges and demands of mental health care needs in India which is reflected in the National Health Policy, 2017 (NHP 2017) in order to provide comprehensive quality care to persons with mental illness and their families. The Council believes that the postgraduates from a residency program focused on strong clinical component and competency-based training must be able to demonstrate clinical competence based on sound theoretical and evidence- based knowledge. Education providers/preceptors/mentors must update their current knowledge and practices. Medical faculty/preceptors are invited to participate in this training more in the initial period of training. The Council also believes that a variety of educational strategies can be used in the clinical settings to address the deficit of qualified Psychiatric (Mental Health) nursing faculty. It is hoped to facilitate developing policies towards licensure and create cadre positions for appropriate placement of these postgraduate Mental Health/Psychiatric Nurse Practitioners in clinical care settings and community.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43 An educational framework for the NP curriculum is proposed (See Figure-1). II. Program Description The NP program is a nursing residency program with a main focus on competency-based training. The duration is of two years with the curriculum consisting of theory that includes core courses, advanced practice courses and clinical courses besides clinical practicum which is a major component (Refer Curriculum Framework). III. Aim The Nurse Practitioner in Mental Health/Psychiatric Nursing (NPMH) program prepares registered B.Sc. nurses for advanced practice roles such as clinical experts, managers, educators and consultants leading to M.Sc. Nursing (Nurse Practitioner in Mental Health/Psychiatric Nursing) IV. Objectives On completion of the program, the Mental Health/Psychiatric Nurse Practitioner will be able to 1. Assume responsibility and accountability to promote mental health and provide competent care to persons with mental illness along with appropriate family care in the community and clinical care settings including wellness centres. 2. Demonstrate clinical competence/expertise in providing mental health care which includes diagnostic reasoning, comprehensive monitoring and therapies. 3. Apply knowledge and principles of theory, psychopathology, psychopharmacology and evidence-based practices in implementing therapies/interventions in mental health care. Demonstrate skills on prescribing based on standing orders. 4. Identify the mental health conditions and carry out interventions to stabilize and restore patient’s health and rehabilitate back in society. 5. Collaborate with other mental health care professionals in the mental health care team, across the continuum of care. V. Minimum requirements to start the Nurse Practitioner in Mental Health/Psychiatric Nursing (NPMH) Program The teaching institution must accept the accountability for the NP program and its students and offer the program congruent with the Council standards. It must fulfill the following requirements:44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 1. Essentiality Certificate a. Institution who wishes to start NP program shall obtain Essentiality Certificate/Government Order from the State; b. The following institutions are exempted from obtaining Essentiality Certificate: i. Institutions/Universities already offering B.Sc. Nursing or M.Sc. Nursing programs approved by the Council; ii. Institutions/Universities offering MBBS/DNB programs. 2. Hospital The hospital should be recognized as Centre of Excellence in Mental Health Care/Institute of National Importance/the hospital should be parent tertiary care centre with a minimum of 200 beds with a Psychiatric department or wards/units with 100 beds. It can have a medical college or nursing college. The hospital should have at least the following facilities: - Psychiatric ICU/emergency unit - Community psychiatric setup - Forensic psychiatry unit - Child psychiatry unit - Rehabilitation centre - De-addiction centre - Geriatric Mental Health Unit 3. Psychiatric Beds There should be a minimum of 100 beds in the psychiatric hospital or a tertiary hospital should have a psychiatric department/psychiatric ward/s with a minimum of 100 beds. 4. Psychiatric Unit Staffing a. Psychiatric unit should have an in-charge nurse with B.Sc. or M.Sc. nursing qualification; b. The nurse patient ratio should be 1:1 for emergency unit/psychiatric ICU; c. For the rest of psychiatric wards, the nurse patient ratio should be 1:5 for every shift; d. Provision of additional 40% staff towards leave reserve; e. Doctor patient ratio can be 1:20 for a psychiatric ward and 1:10 for psychiatric ICU. 5. Faculty/Staff Resources a. Clinical area: i. Nursing Preceptor: Full time qualified GNM (preferably qualification in post basic diploma in psychiatric nursing) with 5 years of experience in psychiatric care unit or B.Sc. Nursing with 2 years of experience in psychiatric care unit or M.Sc. (Psychiatric Nursing) with one year experience in psychiatric care unit; ii. Medical Preceptor: MD Psychiatry; iii. Preceptor Student Ratio: Nursing 1:10, Medical 1:10 (Every student must have a medical and a nursing preceptor). b. Teaching faculty: Full time faculty qualified Nurse Practitioner in the Specialty/M.Sc. in Psychiatric Nursing/Ph.D. in Psychiatric Nursing (1 faculty for every 10 students): i. Professor/Associate Professor-cum-Coordinator: 1 (Teaching experience: 5 years post PG); ii. Assistant Professor: 1 (Experience: 3 years post M.Sc. Nursing). c. The above faculty shall perform dual role or be a senior nurse with M.Sc. qualification in Psychiatric Nursing employed in Psychiatric hospital/unit. d. Guest lecturers for psycho-pharmacology, psychiatry, psychiatric emergencies and psychological therapies. 6. Physical and Learning Resources at Institute/Hospital a. One classroom/conference room at the clinical setting; b. Skill lab for simulated learning (hospital/college); c. Library and computer facilities with access to online/offline journals; d. E-learning facilities. 7. List of equipment for 10 bedded psychiatric ICU & 30 bedded psychiatric ward/unit (See Appendix-1). 8. Student Recruitment/Admission Requirements a. The applicants must be a registered nurse with B.Sc. Nursing/P.B.B.Sc. Nursing qualification and minimum of one-year clinical experience, preferably in any mental health care setting prior to enrollment; b. Must have undergone B.Sc. Nursing in an institution found suitable by the Council and have been registered by the respective SNRC; c. Must have scored not less than 55% aggregate marks in the B.Sc. Nursing program; d. Must be physically fit. Number of candidates: 1 candidate for 20 inpatient beds. Salary 1. In-service candidates will get regular salary.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45 2. Stipend/Salary for the other candidates as per the salary structure of the hospital where the course is conducted. VI. Examination Regulations Eligibility for appearing in the examination Attendance: Minimum 80% for theory and practical before appearing for final University examination but must complete 100% in practical before the award of degree. There is no minimum cut off for the internal assessment marks, as internal and external marks are added together for declaring pass. Examining and Degree Awarding Authority: Respective University. Declaration of Results The candidate is declared to have passed the exam if the score is 60% and above. This score is the aggregate of both internal and external university examination in theory and practical in every course/subject and less than 60% is fail. For calculating the rank, the aggregate of the two years’ marks will be considered. If a candidate fails in theory or practical, he/she must appear for the paper in which he/she has failed. Rank will not be declared for candidates who fail in any subject. Maximum period to complete the program is 4 years. Practical Examination OSCE type of examination is to be conducted alongside viva (Refer OSCE Guidelines found in Appendix-2). Maximum number of students per day = 10 students. Examination should be held in the clinical area only. The team of practical examiners will include one internal examiner {M.Sc. Nursing faculty with two years of experience in teaching the Nurse Practitioner in Mental Health/Psychiatric Nursing / M.Sc. (Psychiatric Nursing) faculty with 5 years of post PG experience}, one external examiner (same as above) and one medical internal examiner who should be preceptor for Nurse Practitioner in Mental Health/Psychiatric Nursing program. Dissertation Research Guide: Main guide: Nursing faculty (3 years post PG experience) teaching NP program, Co-guide: Medical preceptor. Submission of Research Proposal: 6 to 9 months after date of admission in the first year. Guide Student Ratio: 1:5 Research Committee: There shall be a separate research committee in the college/hospital to guide and oversee the progress of the research (minimum of 5 members with principal or CNO who is M.Sc. Nursing qualified). Ethical Clearance: It must be obtained by the hospital ethics committee since it involves clinical research. Topic Selection: The topic should be relevant to mental health nursing that will add knowledge or evidence for nursing intervention. The research should be conducted in psychiatric care settings. Data Collection: 7 weeks are allotted for data collection, which can be integrated during clinical experience after 6 months in first year and before 6 months in second year. Writing the Research Report: 6-9 months in second year. Submission of Dissertation Final: 3 months before completion of the second year. Dissertation Examination Internal assessment: Viva and dissertation report = 50 marks. University Examination: Viva and dissertation report = 50 marks. (Marking guide used for other M.Sc. Nursing specialties can be used for evaluation). VII. Assessment (Formative and Summative) • Quiz • Seminar • Written assignments • Case/clinical presentation • Nursing process report/case study report/care pathway • Drug studies • Clinical performance evaluation • Log book (competency list and clinical requirements) counter signed by the medical/nursing faculty/ preceptor • Objective structured clinical examination (OSCE)/OSPE • Test papers46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Final examination (See Appendix-2 for Assessment Guidelines) Scheme of Final Examination S.No. Title Theory % Practical % Hours Internal External Hours Internal External Ist year Core Courses 1 Theoretical Basis for Advanced Practice 2 hours 50 Nursing 2 Research Application and Evidence Based 3 hours 30 70 Practice in Mental Health Care 3 Advanced Skills in Leadership, Management 3 hours 30 70 and Teaching Advanced Practice Courses 4 Advanced Psychopharmacology & Advanced 3 hours 30 70 Psychobiology and Psychopathology 5 Advanced Mental Health Assessment 3 hours 30 70 50 50 IInd year Specialty Courses 1 Foundations of Mental Health Nursing 3 hours 30 70 100 100 2 Mental Health Nursing - I 3 hours 30 70 100 100 3 Mental Health Nursing - II 3 hours 30 70 100 100 4 Dissertation and viva 50 50 VIII. Courses of Instruction S.No. Title Theory (hours) Lab/Skill Lab (hours) Clinical (hours) Ist year Core Courses I Theoretical Basis for Advanced Practice 40 Nursing II Research Application and Evidence Based 56 24 336 (7 weeks) Practice in Mental Health Care III Advanced Skills in Leadership, Management 56 24 192 (4 weeks) and Teaching IV Advanced Practice Courses 60 336 (7 weeks) Advanced Psychopharmacology V Advanced Psychobiology and 54 336 (7 weeks) Psychopathology VI Advanced Mental Health Assessment 70 48 576 (12 weeks) TOTAL = 2208 hours 336 (7 weeks) 96 (2 weeks) 1776 (37 weeks) IInd year Specialty Courses VII Foundations of Mental Health Nursing 96 48 576 (12 weeks) VIII Mental Health Nursing - I 96 48 576 (12 weeks) IX Mental Health Nursing - II 96 48 624 (13 weeks) TOTAL = 2208 hours 288 (6 weeks) 144 (3 weeks) 1776 (37 weeks)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 47 Number of weeks available in a year = 52 - 6 (Annual leave, Casual leave, Sick leave = 6 weeks) = 46 weeks × 48 hours = 2208 hours Two years = 4416 hours Instructional hours: Theory = 624 hours, Skill Lab = 240 hours, Clinical = 3552 hours, Total = 4416 hours Ist year: 336-96-1776 hours (Theory-Skill Lab-Clinical) (Theory + Lab = 15%, Clinical = 85%) IInd year: 288-144-1776 hours (Theory-Skill Lab-Clinical) (Theory + Lab = 15%, Clinical = 85%) Ist year = 46 weeks/2208 hours (46 × 48 hours) (Theory + Lab: 7.5 hours per week for 44 weeks = 336 + 96 hours*) *Theory + Lab = 96 hours can be given for 2 weeks in the form of introductory block classes and workshops IInd year = 46 weeks/2208 hours (46 × 48 hours) (Theory + Lab: 8.5 hours per week for 45 weeks = 384 + 48 hours) (1 week Block Classes = 48 hours) CLINICAL PRACTICE A. Clinical Residency experience: A minimum of 48 hours per week is prescribed, however, it is flexible with different shifts and OFF followed by ON CALL duty. B. 8 hours duty with one day OFF in a week and ON CALL duty one per week. Clinical placements: Ist year: 44 weeks (excludes 2 weeks of introductory block classes and workshop) • Adult Psychiatry (Male) - 12 weeks • Adult Psychiatry (Female) - 12 weeks • Forensic ward - 6 weeks • OPD & Emergency Department - 6 weeks • Behavioral Therapy (BT), Family therapy, counseling services - 8 weeks IInd year: 45 weeks (excludes one week of block classes) • Child and Adolescent Psychiatry - 10 weeks • De-addiction Medicines - 8 weeks • Geriatric Mental Health Unit - 8 weeks • Community Mental Health - 12 weeks • OPD/Neurology - 4 weeks • ICU/Emergency - 4 weeks 8 hours duty with specified OFFS and ON CALL duty days every week or fortnight. C. Teaching methods: Teaching - Theoretical, Lab & Clinical can be done in the following methods and integrated during clinical posting: • Experiential learning • Reflective learning • Simulation • Clinical conference • Case/clinical presentation • Drug studies, presentation and report • Nursing rounds • Clinical seminars • Journal clubs • Case study/Nursing process • Concept mapping • Problem-based learning • Faculty lecture in the clinical area • Self-directed learning • Role play • Assignments • Case study analysis • Workshops • OSCE • Case Scenario D. Procedures/Log Book: At the end of each clinical posting, Clinical Log Book (Procedural Competencies/Skills) (Appendix-3a and 3b) and Clinical Requirements (Appendix-4) has to be signed by the preceptor/faculty every fortnight. E. Institutional Protocols/Standing Order-based administration of drugs and ordering of investigations and therapies: The students will be trained to independently administer drugs and order diagnostic tests, procedures, and therapies as per institutional protocols/standing orders (Appendix 5: Standing Orders). Administration of emergency drugs is carried out in consultation with concerned psychiatrist and endorsed later by written orders.48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Implementation of Curriculum - A Tentative Plan Ist year Courses Introductory Workshop Theory integrated in Methods of Teaching Classes Clinical Practicum (Topic can be specified) 1. Theoretical Basis for 8 hours 1 × 32 = 32 hours • Seminar/Theory application Advanced Practice • Lecture (faculty) Nursing (40) 2. Research Application 8 hours 40 (5 days) 1 × 24 = 24 hours • Research study analysis and Evidence Based + 8 hours • Exercise/Assignment (lab) Practice in Mental Health Care (56 + 24) 3. Advanced Skills in 12 + 2 hours 1 × 26 = 26 hours • Clinical conference Leadership, (Block 2.5 × 16 = 40 hours • Seminar Management and Classes) • Exercises/Assignment (lab) Teaching (56 + 24) 4. Advanced 1.5 × 40 = 60 hours • Case presentation Psychopharmacology • Seminar (60) • Clinical conference 5. Advanced 10 hours 1 × 44 = 44 hours • Nursing rounds Psychobiology and • Drug study presentation Psychopathology (54) • Standing orders/presentation 6. Advanced Mental 8 hours 2 × 26 = 52 hours • Clinical demonstration Health Assessment (70 1.5 × 18 = 27 hours (faculty) + 48) 1 × 15 = 15 hours • Return demonstration 2 × 6 = 12 hours • Nursing rounds 2 × 2 = 4 hours • Physical assessment (all systems) • Case study TOTAL 48 hours 48 hours 336 hours Ist year: Introductory classes = 1week (48 hours), Workshop = 1week (48 hours), 44 weeks = 7.5 hours per week IInd year Courses Theory integrated into Methods of Teaching 1 week Block classes (48 hours) Clinical Practicum 1. Foundations of Mental Health 9 hours × 11 weeks = 99 hours • Demonstration (lab) Nursing • Return demonstration (lab) (96 + 48 hours) = 144 hours • Clinical teaching • Case study • Seminar • Clinical conference • Faculty lecture 2. Mental Health Nursing - I 9 hours × 16 weeks = 144 hours • Demonstration (lab) (96 + 48 hours) = 144 hours • Return demonstration (lab) • Clinical conference/journal club • Seminar • Case presentation • Drug study (including drug interaction) • Nursing rounds • Faculty lecture 3. Mental Health Nursing - II 9 hours × 16 weeks = 144 hours • Demonstration (lab) (96 + 48 hours) = 144 hours • Return Demonstration • Nursing rounds[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 49 IInd year Courses Theory integrated into Methods of Teaching 1 week Block classes (48 hours) Clinical Practicum • Clinical conference/journal club • Seminar • Faculty lecture IInd year: Block classes - 1 week, 45 weeks - 8.5/9 hours per week. Topic for every teaching method will be specified in the detailed plan by the respective teacher/institution concerned. CORE COURSES I. Theoretical Basis for Advanced Practice Nursing COMPETENCIES 1. Analyzes the global healthcare trends and challenges. 2. Analyzes the impact of Healthcare and Education policies in India on nursing. 3. Develops in depth understanding of the healthcare delivery system in India, and its challenges. 4. Applies economic principles relevant to delivery of healthcare services. 5. Manages and transforms health information on health outcomes such as cost, quality and satisfaction. 6. Accepts the accountability and responsibility in practicing the Nurse Practitioner’s roles with competencies. 7. Actively participates in collaborative practice involving all healthcare team members and performs the prescriptive roles within the authorized scope. 8. Engages in ethical practice having a sound knowledge of law, ethics and regulation of advanced nursing practice. 9. Uses the training opportunities provided through well planned preceptorship and performs safe and competent care applying the nursing process. 10. Applies the knowledge of nursing theories in providing competent care. 11. Predicts future challenges of nurse practitioner’s roles in variety of healthcare settings particularly in India. A.1 Hours of Instruction: Theory: 40 hours Unit Topic Hours 1. Global Health Care Challenges and Trends (Competency-1) 2 2. Health System in India: 2 Health Care Delivery System in India - Changing Scenario (Competency-3) 3. National Health Planning - 5-year plans and National Health Policy (Competency-2) 2 4. Health Economics & Health Care Financing (Competency-4) 4 5. Health Information System including Nursing Informatics (use of computers) (Competency-5) 4 Advanced Nursing Practice (ANP) 6. ANP - Definition, Scope, Philosophy, Accountability, Roles & Responsibilities (Collaborative 3 Practice and Nurse Prescribing Roles) (Competency-6 & 7) 7. Regulation (Accreditation of Training Institutions and Credentialing) & Ethical Dimensions of 3 Advanced Nursing Practice Role (Competency-8) 8. Nurse Practitioner (NP) - Roles, Types, Competencies, Clinical Settings for Practice, Cultural 3 Competence (Competency-6) 9. Training for NPs - Preceptorship (Competency-9) 2 10. Future Challenges of NP Practice (Competency-11) 4 11. Theories of Nursing applied to APN (Competency-10) 3 12. Nursing Process/Care Pathway applied to APN (Competency-9) 2 Self-Learning Assignments 6 1. Identify Health Care and Education Policies and analyze its impact on Nursing 2. Describe the legal position in India for NP practice. What is the future of nurse prescribing policies in India with relevance to these policies in other countries? 3. Examine the nursing protocols relevant to NP practice found in transplant care units Total 40 hours Bibliography • De Nisco & Barkers A.M. (2015). Advanced Practice Nursing: Essential Knowledge for the Profession (3rd ed.). Massachusetts: Jones & Bartlett Publishers Inc.50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Hickey J.V., Ouimette R.M. & Venegoni S.L. (1996). Advanced Practice Nursing: Changing Roles and Clinical Applications. Philadelphia: Lippincott Williams and Wilkins. • ICN (2020). Guidelines on Advanced Practice Nursing. Geneva: ICN. • NONPF (2022). Nurse Practitioner Role Competencies, National Organization of Nurse Practitioner Faculties. • Schober M. & Affara F.A. (2006). Advanced Nursing Practice. Oxford: Blackwell Publishing. II. Research Application and Evidence Based Practice in Mental Health Care A.2 COMPETENCIES 1. Applies sound research knowledge and skills in conducting independent research in mental health care settings. 2. Participates in collaborative research to improve patient care quality. 3. Interprets and uses the research findings to produce EBP. 4. Tests/evaluates current practice to develop the best practices and quality care in advanced practice. 5. Analyses the evidence for nursing interventions and therapies in mental health care settings to promote mental health and wellbeing. 6. Develops skill in writing scientific research reports. A.3 Hours of Instruction: Theory: 56 + Lab/Skill Lab: 24 = 80 hours Unit Topic Hours 1. Research and Advanced Practice Nursing: 2 Significance of research and inquiry related to advanced nursing role (Competency-1) 2. Research Agenda for APN Practice: 5 Testing current practice to develop best practice, health outcomes and indicators of quality care in advanced practice (Competency-3, 4, 5), promoting research culture 3. Research Knowledge and Skills: 40 Research competencies essential for APNs (interpretation and use of research, evaluation of (5 days practice, participation in collaborative research) workshop) Introduction to Evidence Based Practice (EBP) project - PICOT question, steps of planning, implementation, evaluation and dissemination (project proposal and project report) Research Methodology Phases/steps (Research question, Review of literature, conceptual framework, research designs, sampling, data collection, methods & tools, Analysis and Reporting) Writing research proposal and research report (Competency-1, 2) 4. Writing for publication 5 (Writing workshop - Manuscript preparation and finding funding sources) (Competency-6) (workshop) 5. Evidence based practice 4 • Concepts, principles, importance and steps • Integrating EBP to ICU environment • Areas of evidence in mental health care • Barriers to implement EBP • Strategies to promote EBP (Competency-3, 4, 5) Total 56 hours Lab/Skill Lab & Assignments: 24 hours • Writing research priorities • Writing exercises on problem statements, objectives, Research questions and hypothesis • Writing research proposal/EBP project proposal • Scientific paper writing - preparation of manuscript for publication • Systematic review/literature review - analyze the evidence for a given nursing intervention for mental health care A.4 Clinical Practicum • Research practicum: Dissertation/Evidence Based Practice Project (EBP project) (336 hours = 7 weeks)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 51 A.5 Bibliography • Gray J. & Grove S.K. (2020). Burns & Groves. The Practice of Nursing Research: Appraisal, Synthesis and Generation of Evidence (9th ed.). St. Louis: Elsevier Saunders. • Fitzpatrick J.J. (2018). Encyclopedia of Nursing Research (4th ed.). New York: Springer Publishing Company. • Polit D.F. & Beck C.T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). New Delhi: Wolters Kluwer. • Schmidt N.A. & Brown J.M. (2021). Evidence-based practice for nurses’ appraisal and application of research. Sd: Jones & Bartlett Publishers Inc. III. Advanced Skills in Leadership, Management and Teaching A.6 COMPETENCIES 1. Applies principles of leadership and management in mental health care settings. 2. Manages stress and conflicts effectively in mental health care settings using knowledge and principles of management. 3. Applies problem solving and decision-making skills effectively. 4. Uses critical thinking and communication skills in patient and ward management. 5. Builds teams and motivates others in mental health care settings. 6. Develops unit budget, manages supplies and staffing effectively. 7. Participates and works for innovations and changes. 8. Uses effective teaching methods, media and evaluation based on principles of teaching. 9. Develops advocacy role in patient care, maintaining quality and ethics in mental health care settings. 10. Quality and safety measures, Quality Assurance and Management (QAM), Licensing, Accreditation etc.52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] A.7 Hours of Instruction: Theory: 56 + Lab/Skill Lab: 24 = 80 hours A.8 UnAit.9 Hours A.10 Topic A.11 I A.12 1A2. 13 Leadership and management • Theories, styles of leadership and current trends • Theories, styles of management and current trends • Principles of leadership and management applied to mental health care settings • Stress management and conflict management - principles and application to healthcare environment • Effective time management A.14 II A.15 1A2. 16 Standards and quality control in nursing • Quality improvement and nursing audit • Quality and Safety measures, QAM, Licensing and Accreditation • Staff performance and evaluation (performance appraisals) • Staff education and evaluation (tools and techniques) A.17 III A.18 1A6. 19 Components in Advanced Nursing Management • Problem solving, critical thinking and decision making, communication skills applied to mental health care nursing practice • Team building, motivating and mentoring • Budgeting and management of resources (human resources, budget, material management, staffing, assignments) • Change and innovation in nursing practice • Advocacy in mental health care settings • Ethics and legal aspects in nursing • Medico-legal issues, consumer protection act A.20 IV A.21 4A .22 Teaching and Learning theories • Teaching - Learning theories and principles • APN - Roles as a teacher A.23 V A.24 1A2. 25 Teaching Strategies • Competency-based education and outcome-based education • Teaching methods/strategies, media: educating patients and staff in health care settings • Teaching methods/strategies: experiential, reflective, scenario based, simulation etc., media: educating patients and staff in mental health care settings • Problem-based learning and program instruction • Measurement and evaluation • E-learning modules • Online Teacher Training (OTT) methods • Electronic media-based education and assessment A.26 TAot.a2l7 56 hAou.2r8s Lab/Skill Lab = 24 hours • Preparation of Organizational Chart • Preparation of unit budget • Preparation of staff duty roster • Preparation of patient assignment for staff • Patient care audit • Monitoring, evaluation, and writing report of infection control practices • Development of teaching plan • Microteaching • Student education sessions • Preparation of teaching media for patients and staff • Conflict Management • Identifying legal issues in mental health practice • Preparation of ward management policies Assignment: Nursing care protocol preparation[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 53 A.29 Bibliography • Bastable S.B. (2019). Nurse as educator: Principles of teaching and learning for nursing practice (5th ed.). New Delhi: Jones & Bartlett Publishers Inc. • Billings D.M. & Halstead J.A. (2019). Teaching in nursing: A guide for faculty (6th ed.). St. Louis, Missouri: Saunders Elsevier. • Clark C.C. (2010). Creative nursing leadership and management. New Delhi: Jones & Bartlett Publishers Inc. • Liebler J.G. & McConnel C.R. (2008). Management principles for health professionals. Sudbury, M.A.: Jones & Bartlett Publishers Inc. • Marquis B.L. & Huston C.Z. (2017). Leadership Roles and Management Functions in Nursing: Theory and Application (9th ed.). New Delhi: Wolters Kluwer (India) Pvt. Ltd. • Roussel L. & Swansburg R.C. (2010). Management and leadership for nurse administrators (5th ed.). New Delhi: Jones & Bartlett Publishers Inc. B ADVANCED NURSING COURSES IV. Advanced Psychopharmacology B.1 COMPETENCIES 1. Applies the pharmacological principles in providing care to persons with mental illness. 2. Applies pharmacokinetics and pharmacodynamics of psychotropic drugs. 3. Performs safe drug administration based on principles and institutional protocols. 4. Documents accurately drug administration and provides follow up care. 5. Applies sound knowledge of drug interactions in administration of drugs. B.2 Hours of Instruction: Theory: 60 hours Unit Hours Content I 2 Introduction to psychopharmacology • History • Classification of drugs and schedules II 8 Pharmacokinetics and Pharmacodynamics • Introduction • Neurotransmitters, receptors, enzymes in psychopharmacological drug actions • Absorption, Distribution, Metabolism and Excretion • Plasma concentration, half life • Loading and maintenance dose • Therapeutic index, therapeutic window and drug safety • Potency and efficacy • Drug actions, interactions, side effects, adverse effects • Polypharmacy • Principles of drug administration ▪ The rights of drug administration ▪ Systems of measurement ▪ Enteral drug administration ▪ Topical drug administration ▪ Parenteral drug administration III 10 Antipsychotic Medications • General introduction, classification, principles of prescribing, antipsychotics • Equivalent doses • Antipsychotic prophylaxis • First generation antipsychotics • Newer generation antipsychotics • Long acting/depot preparation antipsychotics • Administration of antipsychotics • Adverse effects of antipsychotics • Nursing assessment and management of antipsychotic induced side-effects54 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content • Anticholinergic drugs • Institutional protocols/standing orders IV 10 Mood Stabilizers • General introduction, classification, principles of prescribing mood stabilizers • Lithium • Anticonvulsants as mood stabilizers - valproate, carbamazepine, lamotrigine, oxcarbazepine, topiramate • Antipsychotics as mood stabilizer • Administration of mood stabilizer • Adverse effects of mood stabilizer • Nursing assessment and management of mood stabilizer induced side-effects • Institutional protocols/standing orders V 10 Antidepressants • General introduction, classification, principles of prescribing antidepressants • Monoamine oxidase inhibitors (MAOIs) • Classic antidepressants: tricyclic antidepressants • Selective serotonin reuptake inhibitors (SSRIs)) • Serotonin and norepinephrine reuptake inhibitors (SNRIs) • Norepinephrine and dopamine reuptake inhibitors (NDRIs) • Selective norepinephrine reuptake inhibitors (NRIs) • Serotonin antagonist/reuptake inhibitors (SARIs) • Augmenting antidepressants • Administration of antidepressants • Adverse effects of antidepressants • Nursing assessment and management of antidepressants induced side-effects • Institutional protocols/standing orders VI 5 Anxiolytics • General introduction, classification, principles of prescribing anxiolytics • Gama Amino Butyric Acid (GABA) and benzodiazepine • z-drugs (non-benzodiazepine) • Benzodiazepine misuse, dependence, detoxification and discontinuation of anxiolytics • Administration of anxiolytics • Adverse effects of anxiolytics • Nursing assessment and management of anxiolytics induced side-effects • Institutional protocols/standing orders VII 5 Drugs used in addiction and substance use • Drug used in alcohol use disorders - Benzodiazepines (chlordiazepoxide), thiamine, Acamprosate, Naltrexone, Nalmefene, Disulfiram (antabuse), Baclofen • Drug used in opioid dependence - Naloxone, Opioid substitution treatment (methadone and buprenorphine) • Nicotine replacement therapy (NRT) • Drugs used in stimulant dependence • Pharmacological management of substance use disorders • Institutional protocols/standing orders VIII 5 Drugs used in special patient groups • Prescribing principles for special population • Pharmacological treatment for ADHD, other psychological and psychiatric disorders in children and adolescents • Altered pharmacokinetics in geriatric • Cognitive enhancers[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 55 Unit Hours Content • Use of psychotropics in pregnancy and breast feeding • Use of psychotropics in systemic and chronic physical health conditions • Institutional protocols/standing orders IX 5 Special conditions • Drug overdose and nursing management • Treatment compliance, role of family in treatment compliance • Drug-related emergencies • Treatment related psychoeducation • Institutional protocols/standing orders Total 60 hours B.3 Bibliography • Johnson T.J. (2012). Critical care pharmacotherapeutics. Jones & Bartlett Learning: United States of America. • Schatzberg A.F. & Nemeroff C.B. (2009). The American Psychiatric Publishing Textbook of Psychopharmacology (4th ed.). Arlington: American Psychiatric Publishing Inc. • Stahl S.M. Stahl’s Essential Psychopharmacology (4th ed). Cambridge University Press: New York. • Stahl S.M. (2008). Stahl’s Essential Psychopharmacology (3rd ed.). India: Cambridge University Press. • Tylor D.M., Barnes T.R.E. & Young A.H. The Maudsley Prescribing guidelines in Psychiatry (14th ed). Wiley Blackwell. • Wynne A.L., Woo T.M. & Olyaei A.J. (2007). Pharmacotherapeutics for nurse practitioner prescribers (2nd ed.). Philadelphia: Davis. V. Advanced Psychobiology and Psychopathology COMPETENCIES 1. Integrates the knowledge of psychopathology in mental health conditions in developing nursing diagnosis and plan of care. 2. Applies the psychopathological principles in symptom management and secondary prevention of mental illnesses. 3. Analyzes the psychopathological changes relevant to each mental illness recognizing the value of diagnosis, treatment, care and prognosis. Hours of Instruction: Theory: 54 hours Unit Hours Content I 10 Applied psychobiology • Neuroanatomy - brain organization, motor systems, limbic system, functions of brain lobes, nerve cell, synapses • Neurophysiology - electrophysiology, chemical neurotransmission; neurotransmitters, neuropeptides, receptors and enzymes • Psycho-neuroendocrinology • Psychoneuroimmunology • Neuro imaging • Genetical basis of psychiatric disorders • Brain reward pathway and neurobiology of addiction • Blood chemistry • Endocrine system • Neurobiology of sleep II 10 Theories of personality development and psychosocial theories • Psychoanalytic theory • Interpersonal theories • Psychosocial development theory • Theory of cognitive development • Theory of Moral development • Attachment theory • Learning theories56 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content • Communication theories III 10 Signs and symptoms in psychiatry • Disorders of speech • Disorders of thought • Disorders of perception • Disorders of emotions • Disorders of memory • Disorders of consciousness • Disorders of the experience of self • Motor disorders • Psychiatric syndromes IV 12 Psychopathology of mental disorders • Psychopathology of schizophrenia and other psychotic disorders • Psychopathology of mood disorders • Psychopathology of childhood mental health problems • Psychopathology of substance use disorders • Psychopathology of adjustment and personality disorders • Psychopathology of eating disorders • Psychopathology of neurotic and stress related disorders V 6 Neurobiology of sleep • Stages of sleep/sleep cycle, circadian rhythm, physiology of sleep VI 6 Psychopathology in other disease condition related to mental illness • Infection • Cardio-vascular disease • Epilepsy • Trauma • Endocrine disorders • Organic brain syndromes • Renal disorders Total 54 hours B.4 Bibliography • Boland R. & Verduin M.L. (Ed.). (2022). Kaplan & Sadock’s Synopsis of Psychiatry (12th ed.). China: Wolters Kluwer. • Semple D. & Smyth R. (2019). Oxford Handbook of Psychiatry (4th ed.). United Kingdom: Oxford University Press. • Riba M.B., Ravindranath D. & Winder G.C. Clinical Manual of Emergency Psychiatry (2nd ed.). Arlington: American Psychiatric Association Publishing. VI. ADVANCED MENTAL HEALTH ASSESSMENT B.5 COMPETENCIES 1. Applies the principles of assessment in practice of mental health/psychiatric nursing. 2. Applies the skills of physical assessment principles in system wise examination. 3. Uses advanced health assessment skills to differentiate between variations of normal and abnormal findings. 4. Perform standard screening and diagnostic tests in practice of mental health/psychiatric nursing. 5. Analyzes the results of various investigations/assessments and works collaboratively for development of nursing diagnoses. 6. Documents assessment, diagnosis, and management and monitors follow up care in partnership with healthcare team members, patients, and families.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 57 Hours of Instruction: Theory: 70 + Lab/Skill Lab: 48 = 118 hours Unit Hours Content I 6 Introduction • Interview techniques • Principles of patient assessment • Techniques of assessment • Record and report in psychiatric nursing • ICD 11 and DSM V II 6 Psychiatric Assessment in OPD • History taking • Mental status examination • Mini mental status examination • Examination of uncooperative patients • Medication side-effect assessment III 5 Neurological assessment • Assessment of cranial nerve function • Assessment of reflexes • Motor assessment • Sensory assessment IV 8 Assessment tools and rating scales in Psychiatry • Rating scales and other tools used for psychopathology • Rating scales and tools used for intelligence, attitude, aptitude • Personality assessment • Applying various standardized scales in diagnosing the disease V 3 Family and psychosocial assessment • Detailed family history, genogram • Family assessment tools and devices VI 3 Physical examination of person with psychiatric illness • Systemic physical examination VII 7 Laboratory and radiological tests in psychiatry • Biomarkers in psychiatry • Laboratory investigations in psychiatric treatment • Radiological investigation in psychiatry • EEG, EMG, MRI, CT scan, radiography • CSF analysis VIII 5 Assessment of adults with psychiatric illnesses • Clinical history taking and MSE • Assessment of negative symptoms • Assessment of various psychopathology • Emergency assessment - suicidal risk, life threatening condition/side-effects • Nursing need assessment IX 8 Assessment of child & adolescent with mental health/psychiatric issues • Assessment of growth and development • History taking and mental status examination for children • Behavioral observation • Impairment and functioning assessment, parenting and family assessment • Use of standardized tools to assess intelligence, behavioral problems, psychological and specific disorders X 6 Assessment of older adult • History and MSE for older adults • Neuropsychological assessments • Cognitive assessments - MMSE, CDRS, supplemental - CDRS • Assessment of elder abuse58 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content • Sensory and motor functions assessment • Systemic physical assessment of elderly • Assessment of functional abilities - ADL, IADL, qualities of life • Social and environmental assessment • Measures of psychiatric symptomatology XI 8 Assessment of persons with substance use disorders • Substance use history • Assessment of intoxication with various psychoactive substances • Assessment of withdrawal symptoms of different psychoactive substances • Assessment of coping, motivation, assertiveness • Lapse and relapse assessment • Assessment of high-risk behavior and situation • Assessment of other behavioral addiction • Assessment of internalizing and externalizing disorders XII 5 Psychiatric assessment of special population, differently able and sensory deprived persons • Assessment of vulnerable population • Assessment of women & their mental health - adolescents, pregnancy, postnatal and menopause period • Disability assessment • Psycho-social assessment of differently able individual • Establish special clinics for assessment vulnerable population Total 70 hours Lab/Skill Lab: 48 hours • Comprehensive history taking • MSE • Comprehensive systemic physical assessment • Monitoring clinical parameters (system-wise) • Assessment of reflexes • MMSE and other neuro-cognitive assessment • Assessment of psychopathology by using standard tools • Interpretation of Radiological and Imaging tests • Interpretation of lab tests, serum drug levels • Ordering and interpretation of screening and diagnostic tests (system wise) (Enclosed Appendix-3) • Assessment of children and adolescents • Assessment of Older adults • Psychosocial assessment of pregnant women • Assessment of persons with substance use disorders • Motivational assessment • Disability assessment • Suicidal risk assessment • Drug side-effect assessment • Family assessment • ICD 11 and DSM V B.6 Bibliography • Ball M.J., Hannah K.J., Newbold S.K. & Douglas J.D. (2000). Nursing informatics: Where caring and Technology Meet (3rd ed.). New York: Springer-Verlag New York Inc. • Bickley L.S. & Szilagyi P.G. (2013). Bates’ guide to physical examination and history taking (11th ed.). New Delhi: Lippincott Williams and Wilkins. • Hamric A.B., Spross J.A. & Hanson C.M. (2000). Advanced Nursing Practice: An Integrative Approach (2nd ed.). Pennsylvania: W.B. Saunder’s Company. • Hickey J.V., Ouimette R.M. & Venegoni S.L. (1996). Advanced Practice Nursing: Changing Roles and Clinical applications. Philadelphia: Lippincott.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 59 • Rhoads J. (2006). Advanced health assessment and diagnostic reasoning. Philadelphia: Lippincott Williams & Wilkins. • Wilson S. & Giddens J.F. (2006). Health assessment for nursing practice (4th ed.). St. Louis, Missouri: Saunders Elsevier. MENTAL HEALTH NURSING SPECIALTY COURSES (Foundations of Mental Health Nursing, Mental Health Nursing - I & Mental Health Nursing - II) COMPETENCIES 1. Applies advanced concepts of mental health/psychiatric care nursing based on sound knowledge of psychobiology concepts. 2. Uses biopsychosocial concepts and interventions to assess, monitor and promote mental health. 3. Works in collaboration with other healthcare team members. 4. Consults with and is consulted by other health care professionals. 5. Provides nursing care related to mental health promotion, disease prevention, anticipatory guidance, counseling and management of psychiatric disorders. 6. Uses advanced skills in complex and unstable environment. 7. Applies ethically sound solutions to complex issues related to individuals, populations and systems of care. 8. Practices principles of psychiatric nursing while providing care. 9. Practices independently within the legal framework of the country towards the interest of patients, families and communities. 10. Develops practice that is based on scientific evidence. 11. Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and discontinue therapeutic relationships. 12. Creates and maintains a safe therapeutic environment using risk management strategies and quality improvement. 13. Adapts practice to the social, cultural and contextual milieu. VII. Foundations of Mental Health Nursing Hours of Instruction: Theory: 96 + Lab/Skill Lab: 48 = 144 hours Unit Hours Content I 10 Introduction to mental health/psychiatric nursing • Origin/history of mental health nursing • Current trends and issues in mental health nursing • General principles of psychiatric nursing • Standards of mental health nursing • Challenges and scope of psychiatric nursing • Extended and expanded role of psychiatric nurse II 5 Concepts of mental health • Concepts of mental health and mental illness o Defining mental health and mental illness o Mental health and mental illness continuum o Characteristics and indicators of mental health • Culture sensitivities in mental health care o Attitudes, stigma, myths and misconceptions related to mental illness o Psychosocial correlates of mental illness, religion and mental health, psychological wellbeing and quality life III 5 Promotion of mental health • Mental hygiene • Mental health promotion across the life span • Assessment of mental health, early case detection, referral • Community awareness programs, school mental health programs • Role of psychiatric nurse in various levels of prevention IV 5 Communication and interpersonal relationships • Purposes of interpersonal communication • Learning about self and others • Elements of interpersonal communication • Models of interpersonal communication • Therapeutic communication skills • Therapeutic nurse patient relationship60 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content o Dynamics of nurse patient relationship o Phases, therapeutic impasses and its management V 10 Counseling • Concept, theories, process, qualities of a counselor • Counseling - supportive counseling, pre-marital counseling, marital counseling, genetic counseling, peri natal counseling, parents counseling, students counseling, adolescents counseling, rape victim counseling, sexual assault victim counseling, geriatric counseling, disaster survivors counseling, death and dying counseling. • Issues and problems in counseling VI 20 Psychosocial interventions • Empirically supported psychosocial interventions in psychiatry • Psychodynamic psychotherapy o Assumptions, free association, dream analysis, hypnosis, ventilation, catharsis, abreaction therapy • Behavioral psychotherapy o Behavioral assessment o Relaxation therapies, systematic desensitization, aversive therapy, contingency management, modeling, assertive training, mindful meditation, guided imagery meditation, activity scheduling, social skill training o Biofeedback: Electromyography biofeedback, thermal or temperature biofeedback, electroencephalography biofeedback, galvanic skin response training, heart variability biofeedback. • Cognitive behavioral therapy (CBT) approaches o Core concepts of CBT, cognitive distortions, CBT techniques and tools, ABC analysis o Beck’s cognitive therapy, Ellis’ rational emotive behavior therapy, mindful based cognitive behavior therapy • Humanistic/experiential psychotherapies o Concepts, types and techniques • Individual psychotherapy o Techniques, types and procedures, insight oriented, task-oriented psychotherapy, interpersonal therapy, affirmative approaches • Group therapy o Group dynamics, techniques, procedure, self-help groups • Family therapy o Dynamics of family, approaches of family nursing, family psychiatric nursing interventions, marital/couple therapy • Motivational interviewing o Principles, techniques, stages of change model, process • Psycho education o Theory, models, process, individual, family and group psychoeducation, relapse prevention • Milieu therapy • Therapeutic community • Activity therapies o Play therapy, occupational therapy, recreational therapy, music therapy, dance therapy, pet therapy etc. VII 5 Physical therapies in mental health care • Electro-convulsive therapy, nursing care of ECT • Repetitive trans cranial magnetic stimulation - nurses role VIII 10 Complementary and Alternative systems of medicine in mental health • Principles underlying alternative healing, major domains of complementary and alternative medicine used in psychiatry • Alternative medical systems o Acupuncture/pressure, ayurveda, homeopathy, naturopathy, Unani, Siddha • Mind body interventions o Meditation, relaxation, prayer, imagery, body-mind spirit interventions • Biological based therapies o Herbal therapies[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 61 Unit Hours Content o Aromatherapy, special diet therapies, mega doses of vitamins or minerals • Manipulative and body-based methods o Tai chi, Yoga, massage • Energy therapies o Therapeutic touch, reflexology, electromagnetic therapy, light therapy IX 10 Legal and ethical issues in psychiatry and forensic psychiatry • Rights of mentally ill individual - in general and at psychiatric setting • Protection of the vulnerable patient, protection of patient’s right, rights to service access for patients, families and caregivers, advocacy, awareness program • Ethical issues in practice of psychiatric nursing o Fundamental ethical principles o Code of ethics for psychiatric nurses o Common types of torts in the mental health • Ethical decision making • Legal and ethical issues related to restraints and seclusion • Mental Healthcare Act 2017 and other acts related to mental health care • POCSO Act • NDPS Act • Forensic psychiatry and psychiatric nursing o Crime and psychiatric disorders, laws relating to psychiatry, legal procedures involved in psychiatric hospital admission, civil rights of mentally ill o Acts related to narcotic and psychotropic substances and illegal drug trafficking o Admission and discharge procedures and role of a nurse, nurse malpractice, confidentiality, informed consent, and substitute consent, record keeping etc. • Role and responsibility of Psychiatric Nurse for: o Forensic Psychiatric Nursing o Psychological autopsy o Sexual assault examination X 4 Evidence based practice in psychiatric nursing • Evidence practices in psychiatric care - psychological, biological and complementary interventions • Contemporary mental health issues - disease outbreak, terrorism • Evidence-based interventions for mental health nursing care o Implementation of evidence-based care in mental health nursing - various strategies o Benefits of implementing evidence-based care in mental health care nursing o Challenges in implementing evidence-based care in mental health care nursing o Strategies to overcome challenges XI 4 Quality assurance in psychiatric nursing • Quality care, quality assurance - models and methods • Measuring quality in practice • Clinical audit and standard setting • Importance of accurate record keeping and report writing XII 3 Mental health policy and legislation • National mental health policy • Legislation, policy and ethics relevant to mental care in India • Role of mental health nurse in influencing and shaping policy • Professional codes of conduct and their application in the management and organization of care • Policies and legislations relevant to specialist mental health provision XIII 5 Trauma related care • Types of traumatic events, characteristics of traumatic events, and the nature of complex trauma • Trauma-informed assessment • Relational trauma and attachment • Oppression based trauma • Stress related events, responses and triggers • Healing from crisis and trauma62 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content • Major theoretical frameworks for trauma therapy • Application of trauma-focused modalities Total 96 hours Lab/Skill Lab: 48 hours • Organizing community mental health awareness program • Organizing school mental health program • Counseling - supportive counseling, pre-marital & marital counseling, family counseling, students counseling, ICTC counseling • Psychoeducation - individual psychoeducation, family psychoeducation, group psychoeducation • Admission counseling, discharge counseling • Pre, intra and post-ECT care, pre-ECT counseling • Relaxation therapies, meditations • Clinical audit/care review Bibliography • Boyd A.M. (2012). Psychiatric Nursing - Contemporary Practice. Philadelphia: Lippincott Williams and Wilkins. • Gelder M. & Mayou R. (2009). Short Oxford Textbook of Psychiatry. Italy: Oxford University Press. • Keltner L.N., Schwecke H.L., Bostrom E.C. (2010). Psychiatric Nursing. St Louis: Mosby Elsevier. • Mohr K.W. (2006). Psychiatric - Mental Health Nursing. Philadelphia: Lippincott Williams and Wilkins. • Namboodiri V.M.D. (2009). Concise Textbook of Psychiatry. New Delhi: Elsevier. • Newell R. & Gournay K. (2008). Mental Health Nursing - An evidence-based approach. St. Louis: Elsevier. • Sadock & Pedro Ruiz (2017). Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry (12th ed.). Philadelphia: Wolters Kluwer. • Rentala S. (2017). A guide to Mental Health and Psychiatric Nursing, New Delhi: Jaypee Publishers. • Shives, Louise Rebraca (2008). Basic concepts in Psychiatric Nursing. Philadelphia: Wolters Kluwer. • Stuart, Gail Wiscarz & Michele T. Laraia (2001). Principles and Practice of Psychiatric Nursing. St. Louis: Mosby. • Townsend M.C. (2014). Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice [e- book] (8th ed.). F.A. Davis Company, Philadelphia. • Videbeck L.S. (2019). Psychiatric Mental Health Nursing. Philadelphia: Lippincott Williams and Wilkins. • Womble M.D. (2019). Introductory Mental Health Nursing. Philadelphia: Lippincott Williams and Wilkins. VIII. Mental Health Nursing - I Hours of Instruction: Theory: 96 + Lab/Skill Lab: 48 = 144 hours Unit Hours Content I 15 Introduction to psychiatry • Definitions, terminology • Epidemiology o Incidence, prevalence, disability, morbidity and mortality o Factors influencing mental health and illness - biological, psychological, social and spiritual influences • Etiological factors • Classification of psychiatric disorders o DSM V classification, ICD11 II 5 Evolution of mental health services in India • Development of psychiatry and psychiatric nursing • Treatment settings for mental health care • Mental health services available at local, regional, state and central level, services available formally and informally in the public, private and voluntary sector • Multidisciplinary approach in psychiatry - role of a nurse III 5 Stress, crisis and defense mechanisms • Stress concepts, models, stress cycle, strategies to deal • Crisis intervention, techniques, principles, modalities, role of a nurse • Adaptive and maladaptive coping, effective coping strategies[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 63 Unit Hours Content IV 5 Loss, grief response and bereavement • Theories of grief, grief process, maladaptive grief response, treatment, psychiatric nursing interventions, nurse’s role • Theories of loss and bereavement, interventions V 10 Schizophrenia and other psychotic disorders • Epidemiology, classification, types, etiology, clinical features, diagnosis, treatment modalities, nursing management, follow-up, home care and rehabilitation VI 10 Mood disorders • Manic episode, depressive episode, bipolar affective disorders, persistent mood disorders • Epidemiology, classification, types, etiology, clinical features, diagnosis, treatment modalities, nursing management, follow-up, home care and rehabilitation VII 10 Neurotic, stress-related and somatoform disorders • Phobic anxiety disorder, panic disorder, generalized anxiety disorder, obsessive compulsive disorder, reaction to stress and adjustment disorders, post-traumatic stress disorders, conversion and dissociative disorders, other neurotic disorders • Epidemiology, classification, types, etiology, clinical features, diagnosis, treatment modalities, nursing management, follow-up, home care and rehabilitation VIII 5 Personality disorders • Epidemiology, classification, types, etiology, clinical features, diagnosis, treatment modalities, nursing management, follow-up, home care and rehabilitation IX 5 Sexual disorders • Epidemiology, classification, types, etiology, clinical features, diagnosis, treatment modalities, nursing management, follow-up, and home care X 5 Eating and sleep disorders • Epidemiology, classification, types, etiology, clinical features, diagnosis, treatment modalities, nursing management, follow-up, home care and rehabilitation XI 5 Psychophysiological disorders • Common psychophysiological disorders • Epidemiology, classification, types, etiology, clinical features, diagnosis, treatment modalities, nursing management, follow-up, and home care XII 10 Organic psychiatric disorders • Dementia, delirium, organic amnestic syndrome, mental disorders due to dysfunction and physical disease, personality and behavioral disorders due to brain disease, damage and dysfunction • Epidemiology, classification, types, etiology, clinical features, diagnosis, treatment modalities, nursing management, follow-up, and home care XIII 6 Other psychiatric disorders • Factitious Disorders • Culture bound disorders • Miscellaneous psychiatric disorders in adults Total 96 hours Lab/Skill Lab: 48 hours • Detailed Case Assessment - Schizophrenia, BPAD, Depressive disorders, Neurotic and stress related disorders, epilepsy, Organic psychiatric disorders, personality disorders, eating disorders, OCD, anxiety disorders, PTSD • Crisis intervention • Grief counseling • Administration of psychotropic medications including long-acting antipsychotics • Assessment of medication side-effects • Medication education • Social skill training • Admission and discharge counseling • Treatment adherence intervention • Care of adults with various psychiatric disorders • Special care for medication side-effects64 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Bibliography • Boyd A.M. (2012). Psychiatric Nursing - contemporary practice. Philadelphia: Lippincott Williams and Wilkins. • Gelder M. & Mayou R. (2009). Short Oxford Textbook of Psychiatry. Italy: Oxford University Press. • Keltner L.N., Schwecke H.L. & Bostrom E.C. (2010). Psychiatric Nursing. St Louis: Mosby Elsevier. • Mohr K.W. (2006). Psychiatric - Mental Health Nursing. Philadelphia: Lippincott Williams and Wilkins. • Namboodiri V.M.D. (2009). Concise Textbook of Psychiatry. New Delhi: Elsevier. • Newell R. & Gournay K. (2008). Mental Health Nursing - An evidence-based approach. St. Louis: Elsevier. • Sadock and Pedro Ruiz (2017). Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/clinical Psychiatry (12th ed.), Philadelphia: Wolters Kluwer. • Rentala S. (2017). A guide to Mental Health and Psychiatric Nursing, New Delhi: Jaypee Publishers. • Shives, Louise Rebraca (2008). Basic concepts in Psychiatric Nursing, Philadelphia: Wolters Kluwer. • Stuart, Gail Wiscarz & Michele T. Laraia (2001). Principles and Practice of Psychiatric Nursing. St. Louis: Mosby. • Townsend M.C. (2014). Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice [e- book] (8th ed.), F.A. Davis Company, Philadelphia. • Videbeck L.S. 92019). Psychiatric Mental Health Nursing. Philadelphia: Lippincott Williams and Wilkins. IX. Mental Health Nursing - II Hours of Instruction: Theory: 96 + Lab/Skill Lab: 48 = 144 hours Unit Hours Content I 5 Women mental health issues • Psychosocial issues related to puberty • Normal reactions to conception, pregnancy, puerperium • Pre-menstrual dysphoric disorders • Post-partum psychiatric disorders • Counseling premarital, marital, genetic, unwed mothers, infertility etc. II 10 Substance abuse and related disorders • Commonly used psychotropic substances • Classification, etiological factors, consequences • Alcohol use disorders • Other substance abuse disorders • Treatment modalities • Nursing management • Preventive strategies • Legislative strategies III 10 Psychiatric emergencies • Initial approach during emergency • Types of psychiatric emergencies o Violent or aggressive behavior, suicide threat, panic attacks, catatonic stupor, hysterical attacks, transient situational disturbance, delirium tremens, epileptic furor, acute drug induced extrapyramidal syndrome, drug toxicity, victims of disaster, rape victim • Etiology, management, nurse’s role IV 15 Behavioral and emotional disorders of childhood and adolescents • Attention Deficit Hyperactivity Disorder (ADHD), pervasive developmental disorders - autism, specific developmental disorders - learning disabilities • Conduct disorder, oppositional defiant disorder, enuresis and sleep walking, tics, stuttering and stammering, mental health consequences of childhood abuse • Mental health problems among adolescents - anxiety disorders, depression, delinquent behavior, substance abuse, family adjustment • Characteristics, classification, etiology, behavioral manifestations, diagnosis, prognosis, treatment modalities, prevention, care and rehabilitation, nursing management of differently able children • Life skill training, parent child connectedness, parental skill training for management of children’s behavioral problems • Prevention and remedial measures • Follow-up, home care and rehabilitation for childhood psychiatric disorders[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 65 Unit Hours Content V 5 Geriatric psychiatry • Bio-psychosocial aspects of aging • Special concerns of elderly • Psychiatric illness in elderly • Psychosocial problems among elderly population • Crisis & Intervention • Treatment and nursing management VI 10 Psycho-social issues of special population • Psycho-social issues of HIV/AIDS patient o Pre and posttest counseling, psychosocial assessment, risk assessment, neuropsychological findings at different stages of infection, counseling to individuals, family members/caregivers • Terminally ill individual with cancer o Psychology of bereaved family, strategies of breaking bad news, bereavement and grief counseling, management of pain, management of psychological symptoms associated with end-of-life distress in patients, professional issues related to working in hospice, euthanasia o Quality of life, bodily changes, fear of treatment, recurrence, resilience, assessment tools, individual and family therapy • Problems related to abuse or neglect o Vulnerable groups, women, children, elderly, psychiatric patients, underprivileged, challenged - treatment, nursing management and counseling VII 5 Psychosocial rehabilitation • Concepts, models of rehabilitation • Psychosocial aspects of disability • Rehabilitation services in India - Government and non-governmental organizations, day care center, halfway homes, NGOs • Strategies to reintegrate into community VIII 10 Community mental health nursing • Development of community mental health in India • National mental health program • District mental health program • Preventive psychiatry - role of a nurse • Psychiatric services in community following disaster/calamity IX 10 Psycho-social aspects of medical conditions • Behavioral and emotional disorders in major CNS diseases o Stroke, vascular dementia, cerebral palsy, Parkinson’s disease, traumatic brain and spinal cord injury, epilepsy o Psychosocial interventions and nursing interventions • Psycho-behavioral responses of CVS disorders o MI, CABG patients, other cardio vascular diseases, quality of life of CVS patients • Psychosocial aspects of respiratory disorders o Asthma, air way obstructs diseases, COPD etc. • Psychosocial aspects of gastrointestinal disorders o Stress and coping styles in functional GI disorders, irritable bowel syndrome, inflammatory bowel disease, peptic ulcer disease, esophageal disorders etc. • Psychosocial aspects of genitourinary and reproductive disorders o End stage renal disease, primary and secondary infertility, sexual dysfunction, voiding problems etc. • Psychosocial aspects of dermatology disorders o Psoriasis, chronic urticaria, dermatitis, alopecia - impact on body image, self esteem • Psychosocial aspects of medical disorders o Diabetes, obesity, burns, amputation, organ donation, sensory impairment, rheumatic disease, health anxiety etc. • Psychological intervention and nurses’ role • Consultation - liaison psychiatry and psychiatric nurse66 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content X 16 Management of psychiatric unit • Design and layout of mental health care setting • Organization and management of mental health nursing service - staffing, equipment, supplies, norms, policies and protocols • Delegation of duties and responsibilities • Budget control • Working as a multidisciplinary team member • Working with statutory, voluntary and private agencies involved in mental health care service • Standard setting in psychiatric units • Staff orientation, training, development, continuing nursing education and clinical teaching Total 96 hours Lab/Skill Lab: 48 hours • Home based care of mentally ill patients • Detailed assessment of child and adolescents’ mental health issues • Detailed assessment of geriatric mental health issues • Assessment of ADL, IADL • Play therapy • Parental management training • Motivational Enhancement Therapy (MET) • Relapse prevention therapy • Assertiveness’ training • Assessment of suicidal ideation • Designing a mental health care unit • Preparation of care protocols • Care of elder patients with various mental health problems • Care of child and adolescents with various mental health problems • Home visits & Community case work Bibliography • Boyd A.M. (2012). Psychiatric Nursing - contemporary practice. Philadelphia: Lippincott Williams and Wilkins. • Gelder M. & Mayou R. (2009). Short Oxford Textbook of Psychiatry. Italy: Oxford University Press. • Keltner L.N., Schwecke H.L. & Bostrom E.C. (2010). Psychiatric Nursing. St Louis: Mosby Elsevier. • Mohr K.W. (2006). Psychiatric - Mental Health Nursing. Philadelphia: Lippincott Williams and Wilkins. • Namboodiri V.M.D. (2009). Concise Textbook of Psychiatry. New Delhi: Elsevier. • Newell R. & Gournay K. (2008). Mental Health Nursing - An evidence-based approach. St. Louis: Elsevier. • Sadock, and Pedro Ruiz (2017). Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/clinical Psychiatry (12th ed.), Philadelphia: Wolters Kluwer. • Rentala S. (2017). A guide to Mental Health and Psychiatric Nursing, New Delhi: Jaypee Publishers. • Shives, Louise Rebraca. (2008). Basic concepts in Psychiatric Nursing, Philadelphia: Wolters Kluwer. • Stuart, Gail Wiscarz & Michele T. Laraia. (2001). Principles and Practice of Psychiatric Nursing. St. Louis: Mosby. • Townsend M.C. (2014). Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice [e-book] (8th ed.), F.A. Davis Company, Philadelphia. • Videbeck L.S. (2019). Psychiatric Mental Health Nursing. Philadelphia: Lippincott Williams and Wilkins. DR. T. DILEEP KUMAR, President [ADVT.-III/4/Exty./797/2023-24] APPENDIX-1 List of Equipment for a 10-bedded Psychiatric ICU 1. Adjustable electronic cot with mattress - 10 2. IV stand - 10 3. Bed side locker - 11 (10 - patient; 01 - stock) 4. Over bed trolley - 10 5. Dressing trolley (Small) - 01[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 67 6. Dressing trolley (medium) - 01 7. Syringe pump - 10 8. Infusion pump - 10 9. Monitors- 11 (10 - patient; 01 - stock) 10. Transport monitor/pulse oximeter - 02 11. Ventilators - 01 12. Portable ventilator - 01 13. ABG machine - 01 14. ECG machine - 01 15. Defibrillator - 01 16. Crash cart - 01 17. Transfer trolley - 02 18. Computer - 04 19. Printers - 01 20. Oxygen flowmeter - 05 21. Suction port with jar - 01 22. Refrigerator - 01 (drugs) 23. Ambulation chair - 01 24. UPS - 01 25. Spot light - 02 26. Ambu bag with different sizes - 02 sets (adult and child) 27. Restraints (04 sets) 28. EEG machine 29. ECT machine 30. Anesthesia drugs 31. CC camera List of Equipment for a 30-bedded Psychiatric Ward/Unit 1. Cupboard - 02 2. Vital Signs tray - 02 3. Physical examination tray - 02 4. Neurological examination tray - 02 5. B.P. Apparatus - 02 6. Stethoscope - 02 7. Thermometers - 02 8. Weighing Machine - 01 9. Injection tray - 02 10. Oral medication tray - 02 11. Personal care tray (Grooming) - 05 12. Dressing Tray - 02 13. Restraints - 02 sets 14. ECG machine - 01 15. EEG machine - 01 16. Torch 17. Glucometer Activity equipment 1. Mental Status examination activity book 2. Sketch box 3. Water colours 4. GUM/Fevistick/Fevicol 5. Colour sheets for drawing activities 6. Disposable cups colour tapes 7. Scales 8. Magazines/story books/news papers 9. In-door and out-door game articles Psychometric assessment instruments 1. Hamilton Anxiety Scale 2. IQ assessment tools 3. Personality inventories68 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 4. Personality projective tests 5. Beck Depression Scale 6. Hamilton Depression Rating Scale 7. Alcohol Screening Scale (CAGE) 8. Alcohol use disorder Identification Test 9. Psychological Wellbeing Scale 10. Mini Mental Status Examination 11. Perceived Stress Scale 12. Voluntary and Involuntary admission formats 13. Discharge summary formats 14. Restraints use format 15. Pre-ECT, intra and Post ECT assessment checklists APPENDIX-2 ASSESSMENT GUIDELINES (including OSCE Guidelines) INTERNAL ASSESSMENT (Theory and Practical) Ist year 1. Theoretical Basis for Advanced Practice Nursing College Examination of theory only: 50 marks Internal Assessment: Test Papers and Quiz: 10 marks Written assignment/term paper: 10 marks (Global and National Healthcare Trends and Policies) Clinical seminar (Clinical/care pathway in specific clinical condition/application of specific nursing theory): 5 marks Final theory college exam: 25 marks Total marks: 50 marks 2. Research Application and Evidence Based Practice in Mental Health Care Theory: Test Paper: 20 marks Written Assignment: 5 marks (Literature review/Preparation of research instrument) Journal Club: 5 marks (Analysis of Research Evidence for Mental Health Nursing Competencies) Total: 30 marks 3. Advanced Skills in Leadership, Management and Teaching Theory: Test Paper: 15 marks Journal Club: 5 marks (Trends in Leadership/Management/Teaching) Written Assignment: 5 marks (Staff performance and evaluation in mental health care setting) Microteaching: 5 marks Total: 30 marks 4. Advanced Psychopharmacology, Advanced Psychobiology and Psychopathology Theory: Test Papers and Quiz: 20 marks (Psychopathology - 10, Psychopharmacology - 10) Drug studies: 5 marks (Drug study and presentation) Case presentation and case study report (Psychopathology): 5 marks Total: 30 marks 5. Advanced Mental Health Assessment Theory: Test Papers: 20 marks Written assignment: 10 marks (Psycho-diagnostic assessment interpretation and analysis of findings) Total: 30 marks Practicum: Clinical performance evaluation: 10 marks End of posting exam (OSCE): 10 marks Case presentation and case study report: 5 marks Internal OSCE: 25 marks Total Internal Practical: 50 marks End of posting exam can be conducted in psychiatric hospital IInd year 1. Foundations of Mental Health Nursing Theory: Test Papers and Quiz: 20 marks[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 69 Written assignment: 10 marks (Psychiatric emergency ward/unit protocols) Total: 30 marks Practicum: Clinical Performance Evaluation: 20 marks End of Postings exam (OSCE): 10 marks Drug studies (Drug study and presentation): 10 marks Case presentation and case study report (Family education and counselling): 5 marks Case presentation (Application of clinical/care pathways): 5 marks Internal OSCE: 50 marks Total Internal Practical: 100 marks 2. Mental Health Nursing - I Theory: Test Papers and Quiz: 20 marks Clinical Seminar and journal club: 10 marks Total: 30 marks Practicum: Clinical performance evaluation: 20 marks End of posting exam (OSCE): 10 marks Clinical Presentation: 10 marks Case Study Report: 10 marks Internal OSCE: 50 marks Total Internal Practical: 100 marks 3. Mental Health Nursing - II Theory: Test Papers: 20 marks Clinical seminar: 10 marks Total: 30 marks Practicum: Clinical performance evaluation: 20 marks End of posting exam (OSCE): 10 marks Clinical presentation: 10 marks Case study report (Developed clinical/care pathways): 10 marks Internal OSCE: 50 marks Total Internal Practical: 100 marks End of posting exam can be conducted in mental health care setting 4. Dissertation Practicum: 50 marks EXTERNAL FINAL EXAMINATION (As per schedule in syllabus) Theory: Short answer and Essay type questions (Weightage can be decided by the university) (Essay 2 × 15 = 30 marks, Short Answer 5 × 6 = 30 marks, Very Short Answer 5 × 2 = 10 marks) OSCE GUIDELINES FOR INTERNAL AND EXTERNAL PRACTICAL EXAMINATION 1st year Mental Health Assessment INTERNAL OSCE: 25 marks Core competency domains 1. Focused history taking and mental status examination of adult patient 2. Focused history taking and mental status examination of paediatric patient 3. Interpretation of findings and results 4. Monitoring of psychological parameters Number of stations: 5 (4 + 1 Rest station) Time for each station: 10 minutes Marks for each station: 5 marks (As per competency Check list and allotted marks) Total: 4 × 5 = 20 marks Oral exam = 5 marks Total = 25 marks EXTERNAL OSCE: 50 marks Core Competency Domains 1. Focused history taking of adult patient 2. Focused mental status examination of adult patient 3. Focused history taking of paediatric patient70 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 4. Focused mental status examination of paediatric patient 5. Interpretation of history and mental status examination findings 6. Interpretation of results of psycho-diagnostic tests 7. Monitoring psychological parameters Number of stations: 10 (8 + 2 Rest stations) Time for each station: 10 minutes Marks for each station: 5 marks (As per competency check list and allotted marks) Total: 8 × 5 = 40 marks Oral exam = 10 marks Total = 50 marks On completion of procedural competencies in log book and clinical requirements, the NP student is qualified to appear for final practical examination IInd year Foundations of Mental Health Nursing INTERNAL OSCE: 50 marks Core Competency domains 1. Focused history and mental status examination and interpretation of findings and results 2. Monitoring competencies (psychological assessment and psychological counselling skills) 3. Therapeutic interventions (Emergency procedural competencies, management of suicidal and aggressive patients - including psychotropic drug administration) 4. Family education and counselling Number of stations: 5 (4 + 1 Rest station) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 10 × 4 = 40 marks Oral exam = 10 marks Total = 50 marks EXTERNAL OSCE: 100 marks Core Competency Domains 1. Focused history taking, mental status examination and interpretation of results of adult patient 2. Focused history taking, mental status examination and interpretation of results of paediatric patient 3. Monitoring competencies (psychological assessment and counselling skills) 4. Development of nursing care plan 5. Family education and counselling 6. Therapeutic interventions (emergency procedural competencies, management of suicidal and aggressive patients - including psychotropic drug administration) Number of stations: 10 (8 + 2 Rest stations) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 8 × 10 = 80 marks Oral exam = 20 marks Total = 100 marks Mental Health Nursing - I and II INTERNAL OSCE: 50 marks Core Competency Domains 1. Focused history and mental status examination and interpretation of findings and results 2. Monitoring competencies (psychological assessment and counselling skills) 3. Development of care plan/care pathways 4. Therapeutic interventions (emergency procedural competencies, management of suicidal and aggressive patients - including psychotropic drug administration) Number of stations: 5 (4 + 1 Rest station) Time for each station: 10 minutes Marks for each station; 10 marks (As per competency check list and allotted marks) Total: 10 × 4 = 40 marks Oral exam = 10 marks Total = 50 marks[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 71 EXTERNAL OSCE: 100 MARKS Core Competency Domains 1. Focused history taking, mental status examination and interpretation of results of adult patient 2. Focused history taking, mental status examination and interpretation of results of paediatric patient 3. Monitoring competencies (psychological assessment and counselling skills) 4. Family education and counselling 5. Development of care plan/care pathways 6. Drug administration 7. Therapeutic interventions (emergency procedural competencies, management of suicidal and aggressive patients - including psychotropic drug administration) Number of stations: 10 (8 + 2 Rest stations) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 8 × 10 = 80 marks Oral exam = 20 marks Total = 100 marks On completion of procedural competencies in log book and clinical requirements, the NP student is qualified to appear for final practical examination. APPENDIX-3 CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN MENTAL HEALTH/PSYCHIATRIC NURSING (NPMH) PROGRAM Appendix 3a: Clinical Log Book for Ist year Procedural Competencies/Skills S.No. Specific Competencies/Skills Number Date Signature of the performed Preceptor/Faculty I RESEARCH APPLICATION AND EVIDENCE BASED PRACTICE 1 Preparation of research instrument 2 Preparation of a manuscript for publication (Ist /IInd year) 3 Writing systematic review/literature review 4 Dissertation (IInd year) Topic: II ADVANCED SKILLS IN LEADERSHIP, MANAGEMENT AND TEACHING 1 Preparation of staff patient assignment 2 Preparation of staff duty roster 3 Patient care audit in the unit 4 Preparation of nursing care standards/protocols 5 Monitoring, evaluation and writing report related to infection control 6 Microteaching/patient education sessions 7 Development of teaching plan and media for patients and staff 8 Planning and conducting OSCE/OSPE 9 Construction of tests Basic Skills for Mental Health Nursing S.No. Specific Competencies/Skills Number Date Signature of the performed Preceptor/Faculty 1. Admission procedure 2 Transfer of patient 3 Discharge procedure 4 Medico-legal compliance (changing admission72 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Date Signature of the performed Preceptor/Faculty section) 5 Absconding incident report 6 Family psycho-education 7 Family counseling/therapy 8 Suicide prevention and observation 9 De-escalation of aggressive patient 10 Application of restraints 11 History taking in psychiatry 12 Mental Status Examination 13 MMSE 14 Assessment of family dynamics 15 Assessment of psychopathology with standardized tools - Positive symptoms - Negative symptoms - Depression - Bipolar disorder - Dissociation - Anxiety - Personality - Self-care & ADL - Assertiveness - Treatment adherence - Motivation for de-addiction - Substance dependence - Eating disorder - OCD - Quality of sleep - Suicidality - Others, specify 16 a. General Physical Examination b. Neurological examination 17 Blood report analysis (routine, systemic and serum drugs level) 18 Assessment of medication side-effects 19 Mental status examination of child 20 Mental status examination of uncooperative patient 21 Assessment of older adult (History and MSE for older adults, neuropsychological assessments, cognitive assessments, abuse assessment, sensory motor assessment etc.) 22 Assessment of persons with substance use disorders a. Substance abuse history collection (alcohol, cannabis, opioids and others) b. Assessment of withdrawal symptoms (simple and delirium tremors) c. Motivations assessment[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 73 S.No. Specific Competencies/Skills Number Date Signature of the performed Preceptor/Faculty 23 Psychosocial assessment of women a. Pre-natal assessment b. Post-natal assessment 24 Disability assessment 25 Functional assessment for rehabilitation 26 Work motivation assessment Skills of Drug administration (Drug project to be submitted) S.No. Name of the Drugs Number Date Signature of the performed Preceptor/Faculty 1. Typical Antipsychotics (Name) 2 Atypical antipsychotics 3 Long-acting antipsychotics 4 Antidepressant 5 Mood stabilizer 6 Antianxiety 7 Antiparkinsonian 8 Anti-craving agent 9 Medication used in child and adolescent psychiatry 10 Other medication 11 Treatment adherence intervention * - When the student is found competent to perform the skill, it will be signed by the preceptor. Students: Students are expected to perform the listed skills/competencies many times until they reach level 3 competency, after which the preceptor signs against each competency. Preceptors/Faculty: Must ensure that the signature is given for each competency only after they reach level 3. • Level 3 Competency denotes that the NP student is able to perform that competency without supervision. • Level 2 Competency denotes that the student is able to perform each competency with supervision. • Level 1 Competency denotes that the student is not able to perform that competency/skill even with supervision. Signature of the Program Coordinator/Faculty Signature of the HOD/Principal Appendix-3b: Clinical Log Book for IInd year S.No. Specific Competencies/Skills Number Date Signature of the performed Preceptor/Faculty 1 Organizing mental health awareness programs 2 Organizing school mental health program 3 Counseling a. Supportive counseling b. Pre-marital & marital counseling c. Family counseling d. Students counseling e. ICTC counseling f. Grief counseling g. Admission counseling h. Discharge counseling i. ECT (includes pre, intra and post ECT care) 4 Psychoeducation a. Individual psychoeducation b. Family psychoeducation74 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Date Signature of the performed Preceptor/Faculty c. Group psychoeducation 5 Relaxation Therapies a. Deep breathing exercises b. Guided imagery c. Mindfulness d. JPMR 6 Behavioral Interventions a. Token economy b. Positive reinforcement c. Negative reinforcement d. Others 7 Cognitive behavior therapy (observation report) 8 Group therapy/intervention 9 Social skill training 10 Activity scheduling 11 Play therapy 12 Parental management training 13 Motivational enhancement therapy 14 Relapse prevention therapy 15 Assertiveness training 16 Designing a mental health care unit 17 Preparation of care protocols a. Aggressive patient b. Suicide patient c. Others 18 Clinical audit/care review 19 Care of elder patients with various mental health problems 20 Care of child and adolescents with various mental health problems a. Mental retardation b. ADHD c. Conduct disorder d. Autism e. Others 21 Special care for medication side-effects 22 Medication overdose management 23 Home based care of mentally ill patients 24 Crisis intervention * - When the student is found competent to perform the skill, it will be signed by the preceptor. Students: Students are expected to perform the listed skills/competencies many times until they reach level 3 competency, after which the preceptor signs against each competency. Preceptors/faculty: Must ensure that the signature is given for each competency only after they reach level 3. • Level 3 Competency denotes that the NP student is able to perform that competency without supervision. • Level 2 Competency denotes that the student is able to perform each competency with supervision. • Level 1 Competency denotes that the student is not able to perform that competency/skill even with supervision. Signature of the Program Coordinator/Faculty Signature of the HOD/Principal[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 75 APPENDIX 4 CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN MENTAL HEALTH/PSYCHIATRIC NURSING (NPMH) PROGRAM Ist year S.No. Clinical Requirement Date Signature of the Preceptor/Faculty 1 Clinical Seminar/Journal Club/Clinical Conference 1.1 *APN - Clinical pathway in specific clinical condition/ Application of specific nursing theory) (Clinical seminar) Title of the topic: 1.2 *RA - Evidence search for mental health care competencies (Clinical Conference/Journal club) Title of the topic: 1.3 *LM&T - Trends in Leadership/Management/Teaching (Journal club) Title of the topic: 2 Clinical Rounds (With Nursing staff, faculty, students) - Case/Clinical presentation 2.1 Psychobiology/Psychopathology (Clinical presentation) Name of clinical condition: 2.2 Psychobiology/Psychopathology (Case study - Written report) Name of clinical condition: 2.3 Psychopharmacology Drug studies (drugs listed under standing orders) – Written report of 5 presentations (bedside presentations) Drug name: 2.4 Drug name: 2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.12 3 Interdisciplinary Clinical Rounds (With Psychiatrists) - Case/Clinical Presentation (Written reports are for submission) 3.1 Mental Health Assessment (adult & older adult) - History & Physical Examination (Two written reports) 3.1.1. 3.1.2. 3.1.3. 3.1.4. 3.1.5. 3.2 Mental Health Assessment (Pediatric) - History & Physical Examination (One written report) 3.2.1.76 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Clinical Requirement Date Signature of the Preceptor/Faculty 3.2.2. 3.2.3. 3.3 Mental Health Assessment (Adolescent) (One written report) 3.3.1. 3.3.2. *Advanced Practice Nursing - APN, Research Application - RA, Leadership, Management and Teaching - LM&T Signature of the Program Coordinator/Faculty Signature of the HOD/Principal CLINICAL EXPERIENCE DETAILS Psychiatric ICU/ Clinical Condition Number of days Signature of Ward/Unit care given Preceptor/Faculty Signature of the Program Coordinator/Faculty Signature of the HOD/Principal CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN MENTAL HEALTH/PSYCHIATRIC NURSING (NPMH) PROGRAM IInd year S.No. Clinical Requirement Date Signature of the Preceptor/Faculty 1 Clinical Seminar/Journal Club/Clinical Conference 1.1 Foundations of Mental Health Nursing (Clinical Conference) Title of the topic: 1.2 Mental Health Nursing - I (Clinical Seminar) Title of the topic: 1.3 Mental Health Nursing - I (Journal Club) Title of the topic: 1.4 Mental Health Nursing - II (Clinical Seminar) Title of the topic:[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 77 S.No. Clinical Requirement Date Signature of the Preceptor/Faculty 1.5 Mental Health Nursing - II (Journal Club) Title of the topic: 2 Clinical Rounds (With Nursing Staff, Faculty, Students) - Clinical/Case Presentation (Written reports are for submission) 2.1 Foundations of Mental Health Nursing (Family Education/Counseling) (Written report) Name of topic: 2.2 Foundations of Mental Health Nursing (Care Pathway/Nursing Process) Name of topic: 2.3 Mental Health Nursing - I (Clinical Presentation) Name of the clinical condition: 2.4 Mental Health Nursing - I (Case Study Report) Name of the clinical condition: 2.5 Mental Health Nursing - II (Clinical Presentation) Name of the clinical condition: 2.6 Mental Health Nursing - II (Case Study Report) Name of the clinical condition: 2.7 Drug Studies (Drugs listed under Standing Orders) Bedside Presentation (Five written reports) Name of the drug 2.8 Name of the drug 2.9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 3 Interdisciplinary Clinical Rounds (With Psych ICU/Ward doctors) - Clinical/Case Presentation 3.1 Mental Health Nursing - I Name of the clinical condition: 3.2 3.3 3.4 3.5 (Case Study Report) 3.6 Mental Health Nursing - II 3.7 3.8 3.9 (Case Study Report) 3.10 Written Report (Developed Clinical/Care Pathway) Note: Clinical presentation can be written for case study report. Signature of the Program Coordinator/Faculty Signature of the HOD/Principal78 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] CLINICAL EXPERIENCE DETAILS Psychiatric ICU/ Clinical Condition Number of days Signature of Ward/Unit care given Preceptor/Faculty Signature of the Program Coordinator/Faculty Signature of the HOD/Principal APPENDIX-5 STANDING ORDERS NURSE PRACTITIONER IN MENTAL HEALTH/PSYCHIATRIC NURSING (NPMH) • Nurse Practitioners are prepared and qualified to assume responsibility and accountability for the care of mentally ill patients. • They collaborate with psychiatrist, clinical psychologist, psychiatric social workers and counsellors to ensure accurate therapy for patients with high acuity needs. • On completion of the program, the Nurse Practitioners will be permitted to administer drugs listed in standing orders as per the institutional protocols/standing orders. • They will also be permitted to order diagnostic tests/procedures and therapies. • The following intravenous injections or medications may be administered by the Nurse Practitioner during emergency in any of the psychiatric ward/emergency unit. INSTITUTIONAL PROTOCOLS BASED DRUG ADMINISTRATION Situations On verbal order only Institutional Protocol Aggression and restlessness Inj. Lorazepam Inj. Haloperidol & Inj. Promethazine Inj. Diazepam Dystonia Inj. Promethazine Status epilepticus Inj. Diazepam INVESTIGATIONS AND THERAPIES THAT CAN BE REQUESTED BY NURSE PRACTITIONER Ordering Investigations Independent Procedures and Ordering Procedure/ Therapies • For patients receiving Clozapine - complete blood - Assisting for activities of daily living (Personal/self-care) count - Relaxation therapies (deep breathing exercises) • For patients receiving Lithium - Serum Lithium - Progressive muscle relaxation therapy[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 79 level - Activity therapies • For patient receiving ECT - ECG, Blood glucose, - Side-effect assessment LFT, KFT, Lipid profile, thyroid function test - Non-pharmacological managements of medication side- • For patient receiving mood stabilizers and effects antipsychotic drugs - ECG, Blood glucose, LFT, - Family therapy KFT, Lipid profile, thyroid function test - Group therapy - Behavioral interventions (contingency management) 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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