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Date: 2020-09-25 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

Executive Summary: This document outlines regulations for the Post Basic Diploma in Burns Reconstructive Surgery Specialty Nursing Residency Program, 2019, as established by the Indian Nursing Council. It details the curriculum, requirements, and scope of practice for specialist nurses in this field, effective from the date of notification in the Official Gazette of India. The program aims to enhance tertiary care services and standardize training for nurses specializing in burn and reconstructive surgery care. Key Points / Main Content: * **Program Overview:** * The program is a one-year, post-basic diploma residency program focused on competency-based training. * It aims to prepare specialist nurses for providing care to patients with burns and those undergoing reconstructive surgery. * The curriculum includes foundational short courses and major specialty courses. * 10% of the program is theory, and 90% is practicum (clinical and lab). * **Eligibility and Admission:** * Applicants must be registered nurses (R.N. or R.M.) with any State Nurses Registration Council (SNRC) having NUID number. * A minimum of one year of clinical experience as a staff nurse, preferably in burns/reconstructive surgery, is required prior to enrollment. * Physical fitness is mandatory. * Selection is based on an entrance examination and interview. * **Curriculum Structure:** * The curriculum encompasses foundational short courses (Professionalism, Communication, Clinical leadership, and Research). * Major specialty courses are organized under Burns Reconstructive Surgery Specialty Nursing I & II. *Specialty NursingI includes ContextIntroduction to Burns Nursing Reconstructive Surgery, and Basic Sciences applied to Burns Reconstructive Surgical Nursing application of basic science knowledge in the diagnosis, treatment and care of clinical conditions under Burns Reconstructive Surgery Specialty Nursing. *Specialty NursingII includes nursing management of burns patients with different types of burn injuries and deformities including reconstructive surgery comprising assessment, diagnosis, treatment and specialized interventions and patient safety quality including illness specific considerations. *Clinical practice includes rotations in Burns OPD, Casualty, Ward, ICU, Reconstructive Surgery Ward, OT, and Rehab, along with a field trip. * **Faculty and Resources:** * Requires affiliated specialty or tertiary hospital with a minimum of 200 beds and specialized burns care units. * Specific requirements for teaching faculty qualifications and experience are defined. * Budgetary provisions for staff, guest faculty, library, and contingencies must be available. * Skill labs, libraries, and computer facilities with internet access are necessary. * **Examination and Certification:** * Awarded by respective examination board/State Nursing Council/University approved by the Indian Nursing Council. * Requires 80% attendance in theory and practical, and 100% in clinical. * Passing requires at least 60% marks in aggregate of internal assessment and external examination. * Maximum of three attempts are allowed for passing. * A diploma is awarded upon successful completion of the program. * **Scope of Practice:** * Specialist nurses will be employed in burns/reconstructive surgery specialty areas. * They will practice according to competencies gained during the program and INC syllabus. * Specialist nurse cadre positions should be created in government, public, and private sectors. Impact Analysis: * **Nursing Colleges/Institutions:** * Impact: Institutions must meet minimum requirements for infrastructure, faculty, and clinical facilities to offer the program. They also have to get recognition from the concerned State Nursing Council for Post Basic Diploma in Burns Reconstructive Surgery Specialty Nursing for the particular academic year. * Action Required: Ensure compliance with INC guidelines, secure recognition from the State Nursing Council, and prepare for inspections. * **Registered Nurses:** * Impact: Provides an opportunity for specialization in burns and reconstructive surgery nursing, enhancing career prospects. * Action Required: Meet eligibility criteria, apply for the program, and successfully complete the curriculum and examinations. * **Hospitals (Tertiary/Quaternary):** * Impact: Enables the provision of higher-quality and specialized care in burns units. * Action Required: Employ graduates of the program and create specialist nurse cadre positions to improve patient outcomes. Hospitals must have a minimum of 30 specialty beds with advanced diagnostic, treatment and care facilities. * **Patients (Burns/Reconstructive Surgery):** * Impact: Ensures access to competent and specialized nursing care, improving recovery and rehabilitation outcomes. * Action Required: N/A

Key Entities Referenced

Indian Nursing Council: Regulatory body that has created regulations for nursing programs. Indian Nursing Council Act, 1947: Act that provides the Indian Nursing Council with the power to create regulations. Post Basic Diploma in Burns Reconstructive Surgery Specialty Nursing Residency Program, 2019: The name of the nursing program that is the subject of this policy document. National Health Policy (NHP), 2017: A policy document that emphasizes the need to expand tertiary care services and standardization of clinical training for nurses. Burns and Reconstructive Surgical Nursing: A specialized area of nursing practice focused on patients with burn injuries and those undergoing reconstructive surgery. New Delhi: Location where Indian Nursing Council Notification was released. State Nursing Council: A state-level nursing regulatory body responsible for recognizing and approving nursing programs. Burns ICU: Burns intensive care unit of the hospital
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रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99 सी.जी.-डी.एल.-अ.-28092020-222063 xxxGIDHxxx CG-DL-E-28092020-222063 xxxGIDExxx असाधारण EXTRAORDINARY भाग III—खण् ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 392] नई दिल्ली, िुक्रवार, जसतम्ब र 25, 2020/आज‍व न 3, 1942 No. 392] NEW DELHI, FRIDAY, SEPTEMBER 25, 2020/ASVINA 3, 1942 ubZ fnYyh] 25 flrEcj] 2020 .— 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 djr s gq, Hkkjrh; mip;kZ ifj"kn~ cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x eas iksLV csfld fMIyksek & vkoklh; dk;ZØe] 2019 gsrq fuEufyf[kr fofu;e cukrh gS%& 1- ;s fofu;e dgyk;sxa sA 2- ;s fofu;e Hkkjr ds jkti= es a budh vfèklwpuk@çdk'ku dh rkjh[k ls ykxw gksxa sA I. jk"Vªh; LokLF; uhfr nLrkost ¼,u,pih] 2017½ eas r`rh;d n[s kHkky lsokvks a dk foLrkj djus] fo'ks"kK ulZ rS;kj dju s vkSj ulks± ds fy;s uSnkfud çf'k{k.k ds ekudhdj.k ij tksj fn;k x;k gSA blds çR;qÙkj Lo:i] Hkkrh; mip;kZ ifj"kn~ u s ekStwnk fof'k"V ufl±x dk;ZØe dks ;ksX;rk ij vkèkkfjr çf'k{k.k nf`"Vdks.k viukr s gq, ,d ,d&o"khZ; iksLV 4513 GI/2020 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] csfld fMIyksek vkoklh; dk;ZØeksa ds :i eas ifjofrZr dju s dh ;kstuk cukà gSA cUlZ ,aM fjdaLVªfDVo lftZdy ufl±x dk;ZØe] la'kkfsèkr fn'kkfunsZ'kks a dk mi;ksx djr s gq, Hkkjrh; mip;kZ ifj"kn ~ }kjk fodflr fd;k x;k ,d ,slk u;k fof'k"V ikBîØe gS] ftldk mís'; ,sl s fo'ks"kK ulZ rS;kj djuk gS tks tyus ls ihfM+r vkSj iqufuZekZ.k 'kY; fpfdRlk ikus oky s jksfx;ks]a ftudh uSnkfud ijh{k.k] mipkj vkSj n[s kHkky dh vko';drk;s a tfVy vkSj xgu gksrh gSa] dk s l{ke n[s kHkky çnku dj ldsAa ^tyuk* LoLFk O;fDr ds thou eas vku s okyh lcls Hk;adj ifLFkfr;ks a eas ls ,d gSA blds ?kko jksxh ds thou ds gj igyw ij çgkj djr s gq, fn[kkbZ iM+rs gSaA 'kkjhfjd :i ls n`'; vkSj euksoSKkfud :i ls vn`'; ?kkoks a ds fu'kku cgqr yca s le; rd pyu s oky s gksrs gSa vkSj jksxh dks vDlj fpjdkfyd fodykaxrk dh vksj y s pkr s gSaA tyus ds ?kko LokLF; dfeZ;ks a ds fy;s fofHkUu çdkj dh fo'ks"k pqukSfr;ka [kM+h dj nrs s gSaA tyu s ls ihfM+r jksfx;ks a dh b"Vre n[s kHkky ds fy;s ,d cgq&fo"k;d nf`"Vdks.k dh vko';drk gksrh gSA blls 'kjhj ds cgqr ls Hkkx çHkkfor gksrs gSa vr% budh tfVyrk dks n[s kr s gq, tyu s ls ihfM+r jksfx;ks a dk s cUlZ es a çf'kf{kr ulksZa }kjk xgu fof'k"V ns[kHkky dh vko';drk gksrh gSA ldkjkRed jksxh ifj.kke cUlZ ds;j Vhe dh lajpuk] mudh çfrc)rk] fof'k"V dkS'ky vkSj mlds lnL;ks a ds chp ?kfu"B lg;ksx ij fuHkZj gSaA tyus ls ihfM+r jksfx;ks a ds mipkj çcaèku es a ulks± dh ,d egRoiw.kZ Hkwfedk gSA cUlZ uflaZx vH;kl es a ÅtZLoh vkSj vR;fèkd dq'ky rFkk tfVy n[s kHkky dh vko';drk gksrh gSA tyu s ls ihfM+r jksfx;ks a ds lkFk&lkFk muds ifjokj ds lnL;ks a dks Hkh dkQh pksV igqaprh gSA tyu s ls ihfM+r jksfx;ks a dk LokLF; ykHk eq[;r% dq'ky uflaZx ns[kHkky ij fuHkZj djrk gSA tyu s ls ihfM+r jksfx;ks a dh n[s kHkky eas fo'ks"kK ulksZa dk s laonus 'khy gksuk pkfg;s vkSj jksxh rFkk muds ifjokj ds lnL;ks a ds lkFk feyulkj gksuk pkfg;sA II. Hkkjrh; mip;kZ ifj"kn~ dk ekuuk gS fd iathÑr ulks± dks vH;kl ds fofHkUu u;s fof'k"V {ks=ks a eas dk;Z djus ds fy;s fo'ks"kK ulks± ds :i eas vkxs çf'kf{kr gksus dh vko';drk gS vkSj ;g çf'k{k.k ;ksX;rk ij vkèkkfjr gksuk pkfg;sA fo'ks"kK ulks± dh t:jr okyk ,d ,slk {ks= cUlZ ,aM fjdaLVªfDVo ltZjh ufl±x gSA cUlZ ufl±x] fjdaLVªfDVo ltZjh rFkk rduhd eas gqbZ çxfr vkSj ulks± dh c<r+ h Hkwfedkvks a ds eísutj tyus ds dkj.k fofHkUu çdkj ds ?kkoks a ls ihfM+r jksfx;ks a vkSj lkFk gh iqufuZekZ.k 'kY; fpfdRlk iku s oky s jksfx;ks a dk s l{ke] dq'ky vkSj mfpr ns[kHkky çnku dju s ds fy;s ulks± dks fo'ks"k dkS'ky vkSj tkudkjh çnku dju s ds fy;s vfrfjDr çf'k{k.k dh vko';drk gksrh gSA III. cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x eas iksLV csfld fMIyksek çf'k{k.k ,d&o"khZ; vkoklh; dk;ZØe gS vkSj bl ikBîØe dh voèkkj.kk es a vH;kl ds vykok cqfu;knh y?kq ikBîØe vkSj fof'k"V ufl±x vH;klks a ds fy;s c`gn fof'k"V ikBîØe lfEefyr fd;s x;s gSaA O;kolkf;d dq'kyrk] laokn vkSj jksxh çf'k{k.k] uSnkfud urs `Ro vkSj lalkèku çcaèku] rFkk lk{; vkèkkfjr vkSj vuqç;qDr vuqlaèkku] cUlZ ufl±x ,aM fjdaLVªfDVo lftZdy ufl±x vH;kl ds cqfu;knh y?kq ikBîØe gSa] ftudk y{; Nk=ks a dks tokcnsg] çfrc)] dq'ky vkSj l{ke fo'ks"kK ulZ dh rjg dk;Z djus dh vko';d tkudkjh] n`f"Vdks.k vkSj n{krk çnku djuk gSA çeq[k fof'k"V ikBîØeks a dks cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x&1 vkSj cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x&2 ds rgr lqfu;ksftr fd;k x;k gSA Lisf'k;fyVh ufl±x&1 eas cUlZ ufl±x ,aM fjdaLVªfDVo ltZjh dk lanHkZ@ifjp; vkSj cUlZ ,aM fjdaLVªfDVo lftZdy ufl±x eas ç;qDr lkekU; foKku ¼cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x ds varxZr vku s okyh uSnkfud ifjfLFkfr;ks a ds funku] mipkj vkSj ns[kHkky eas lkekU; foKku dh tkudkjh dk mi;ksx½ 'kkfey gSaA Lisf'k;fyVh ufl±x&2 eas tyu s ds dkj.k fofHkUu çdkj ds ?kkoks a vkSj foÑfr;ks a rFkk lkFk gh iqufuZekZ.k 'kY; fpfdRlk iku s oky s jksfx;ks a dk ufl±x çcaèku 'kkfey gS] ftlesa ewY;kadu] funku] mipkj vkSj fof'k"V eè;orZu rFkk jksxh dh lqj{kk vkSj xq.koÙkk vkSj lkFk gh chekjh dh fof'k"V {kfriwfrZ lfEefyr gSaA cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x vkoklh; dk;ZØe ds ikBîØe dh :ij[s kk fuEufyf[kr fp=&1 es a n'kkZbZ xà gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3 IV. bl dk;ZØe dks fo'ks"k dkS'ky] tkudkjh vkSj ço`fÙk oky s ,sl s ulZ rS;kj dju s ds fy;s cuk;k x;k gS tks tyu s ls ihfM+r vkSj iqufuZekZ.k 'kY; fpfdRlk iku s oky s jksfx;ks a dks vLirky eas HkrhsZ ls iwoZ ,oa HkrhZ ds ckn rFkk LokLF; ykHk ¼iquokZl½ ds nkSjku n[s kHkky çnku dj ldsAa bldk mís'; rduhdh :i ls ;ksX; vkSj çf'kf{kr ,sl s fo'ks"kK ulZ rS;kj djuk gS] tk s r`rh;d vkSj prqFkZd vLirkyks a dh cUlZ bdkbZ;ks a esa mPp Lrj dh n[s kHkky çnku dj lQyrkiwoZd b"Vre dk;Z dj ldsaA dk;ZØe ds iwjk gksus ij] cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyLV ulZ fuEukafdr dk;Z djus es a l{ke gksxa s%& 1- Hkkjrh; mip;kZ ifj"kn~ ds lnkpkjh] ijksidkjh] dkuuw h] uSfrd] fofu;ked vkSj ekuorkoknh fl)karks a ds vuq:i ekudks a ds vuqlkj vH;kl es a ufl±x n[s kHkky çnku djus es a is'ksoj tokcnsgh çnf'kZr djukA 2- jksfx;ks]a ifjokjhtuks a vkSj O;kolkf;d lg;ksfx;ks a ds lkFk çHkkoh <ax ls ckrphr djuk ftlls vkil eas lEeku dh Hkkouk dk s c<k+ok feys vkSj LokLF; ifj.kkeks a eas lqèkkj yku s ds lk>k fu.kZ; fy;s tk ldsA 3- mipkj vkSj n[s kHkky eas jksfx;ksa vkSj ifjokjhtuks a dh çHkkoh :i ls Hkkxhnkjh lqfuf'pr dju s ds fy;s mUgs a çf'kf{kr djuk vkSj ijke'kZ nsuk vkSj ladV rFkk fo;ksx dh fLFkfr es a mudh eqdkcyk djus dh {kerk eas o`f) djukA 4- uSnkfud urs `Ro vkSj lalkèku çcaèku j.kuhfr;ks a dh le> dk çn'kZu djuk vkSj lg;ksxh rFkk çHkkoh Vhe odZ dks c<k+ok nus s ds fy;s mudk cUlZ ,aM fjdaLVªfDVo ltZjh n[s kHkky ifjfLFkfr;ks a eas mi;ksx djukA4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 5- cUlZ ,aM fjdaLVªfDVo lftZdy ufl±x vH;kl es a O;kogkfjd fu.kZ; yus s ds fy;s uSnkfud fo'ks"kKrk vkSj jksxh dh ojh;rkvks a ds fygkt ls] vuqHko vkSj eYw ;ks a ds lkFk cUlZ ,aM fjdaLVªfDVo ltZjh ns[kHkky vkSj mipkj eas lkef;d loksZÙke çek.kks a dh igpku] ewY;kadu vkSj mi;ksx djukA 6- cUlZ ,aM fjdaLVªfDVo ltZjh eas ,sl s oSKkfud dk;ZØeks a dk mÙkjnkf;Ro yus k] tks 'kksèk çfØ;k dh cqfu;knh le> ds lkFk lk{;&vkèkkfjr cUlZ ufl±x n[s kHkky es a ;ksxnku nsrs gSaA 7- tyu s ls ihfM+r vkSj iqufuZekZ.k 'kY; fpfdRlk ikus oky s jksfx;ks a vkSj muds ifjokjhtuks a dh nSfgd] 'kkjhfjd] euksoSKkfud] lkekftd vkSj vkè;kfRed leL;kvks a ds vkadyu] funku vkSj mipkj es a lkekU; foKku dks viukukA 8- cUlZ ,aM fjdaLVªfDVo ltZjh ufl±x dh voèkkj.kk vkSj fl)karksa dks viukukA 9- tyu s ls ihfM+r jksfx;ks a dh vLirky eas HkrhZ ls iwoZ ns[kHkky vkSj vLirky rd y s tku s eas le>cw> dk çn'kZu djukA 10- tyu s ij vLirky es a lqjf{kr l{ke ns[kHkky] vkikfrd ns[kHkky vkSj rhoz ns[kHkky çnku djukA 11- tyu s ls ihfM+r vkSj iqufuZekZ.k 'kY; fpfdRlk iku s okys jksfx;ks a dh n[s kHkky es a ufl±x çfØ;k dks viukukA 12- rjyh; iquthZou çnku dju s ls çklafxd tyu s ls ihfM+r jksfx;ks]a tyu s ds ?kkoks a ds bykt vkSj iqufuZekZ.k 'kY; fpfdRlk ikus oky s jksfx;ks a dh n[s kHkky es a fof'k"V n[s kHkky n{krk@dkS'ky dk çn'kZu djukA 13- laØe.k fu;a=.k vkSj jksxh lqj{kk çksVksd‚y viukukA 14- cUlZ ,aM fjdaLVªfDVo ltZjh mipkj vkSj ns[kHkky {ks= eas gky es a gqbZ çxfr dh le> dk çn'kZu djukA 15- tyu s ij çHkkoh eukslkekftd n[s kHkky vkSj iquokZl çnku djukA 16- cUlZ bdkbZ vkSj fjdaLVªfDVo lftZdy bdkbZ es a uSnkfud vkdyu djuk vkSj xq.koÙkk vk'oklu xfrfofèk;ks a eas Hkkx yus kA 17- uflaZx dfeZ;ks a dh fofHkUu Jsf.k;ks a ds fy;s çf'k{k.k dk;ZØe vk;ksftr djukA V. cUlZ ,aM fjdaLVªfDVo ltZjh Lis'kfyVh ufl±x eas iksLV csfld fMIyksek ,d o"khZ; vkoklh; dk;ZØe gS] ftldk eq[; Qksdl ;ksX;rk vkèkkfjr çf'k{k.k j[kk x;k gSA ikBîØe dh voèkkj.kk es a vH;kl ds vykok cqfu;knh ikBîØe vkSj fof'k"V ikBîØe lfEefyr fd; s x;s gSaA bldk 10 çfr'kr Hkkx lS)kafrd vkSj 90 çfr'kr Hkkx uSnkfud vkSj ç;ksx'kkyk vH;kl gSA dk;ZØe ds iwjk gksus ij çek.ki= feyu s vkSj lacafèkr jkT; mip;kZ ifj"kn~ es a vfrfjDr ;ksX;rk ds :i eas iathÑr gksus ij] ,sls fo'ks"kK ulks± dks dsoy cUlZ@fjdaLVªfDVo ltZjh Lisf'k;fyVh vLirkyks@a foHkkxks@a bdkÃ;ks a eas fo'ks"kK ulZ ds :i es a fu;qDr fd;k tkuk pkfg;sA os dk;ZØe ds nkSjku çf'kf{kr n{krkvks]a fo'ks"k :i ls Hkkjrh; mip;kZ ifj"kn~ }kjk fuèkkZfjr ikBîØe dh y‚xcqd eas fuèkkZfjr çfØ;kRed n{krkvks@a uSnkfud dkS'ky ds vuqlkj vH;kl dju s eas l{ke gksxa sA fo'ks"kK ulksZa dks lacafèkr laLFkkuks a }kjk laLFkkxr izksVksdkWy ds vuqlkj mu fof'k"V çfØ;kRed n{krkvks a dk vH;kl djus dk fo'ks"kkfèkdkj fn;k tk ldrk gSA fo'ks"kK ulZ laoxZ@inks a dk l`tu ljdkjh@lkoZtfud vkSj futh nksuks a {ks=ksa eas fd;k tkuk pkfg;sA ;g fMIyksek Hkkjrh; mip;kZ ifj"kn ~ }kjk vuqeksfnr lacafèkr ijh{kk cksMZ@jkT; mip;kZ ifj"kn~@fo'ofo|ky; }kjk çnku fd;k tk;sxkA VI. 1- ufl±x eas fMxzh dk;ZØe dk lapkyu dju s oky s ufl±x dkWyst tks Lo;a ds viu s 200 fcLrj oky s vius Lo;a ds ,sl s fof'k"V vLirky@r`rh;d vLirky ls lac) gks a ftueas fo'ks"k ufl±x n[s kHkky lqfoèkkvks a ds lkFk uSnkfud] fpfdRlh; vkSj vR;kèkqfud cUlZ ns[kHkky bdkbZ] cUlZ vkbZlh;w] vkSj fjdaLVªfDVo ltZjh bdkbZ@foHkkx miyCèk gksaA vFkok 200 fcLrj oky s cUlZ ,aM fjdaLVªfDVo ltZjh es a Mh,uch@Qsyksf'ki dk;Zdze dh is'kd'k djus oky s vLirky ftues a 'kh?kz mUeyw u] Ropk xzkf¶Vax] Ropk cSafdax vkSj Ropk iqutZuu ç;ksx'kkyk rFkk fo'ks"k uflaZx n[s kHkky lqfoèkkvks a okyh uSnkfud] fpfdRlh; vkSj lefiZr cUlZ vkbZlh;w ds lkFk vR;kèkqfud cUlZ n[s kHkky bdkbZ vkSj fjdaLVªfDVo ltZjh bdkbZ@foHkkx miyCèk gksAa 2- mijksDr ik= laLFkku dk s lacafèkr jkT; mip;kZ ifj"kn~ ls fo'ks"k 'kS{kf.kd o"kZ ds fy;s cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x eas iksLV csfld fMIyksek dk;ZØe çkjaHk dju s ds fy;s ekU;rk ysuh gksxhA tkfsd ,d vfuok;Z vko';drk gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5 3- Hkkjrh; mip;kZ ifj"kn~ }kjk mijksDr nLrkostks@a çLrkoks a dh çkfIr ds i'pkr ekU;rk çkIr ufl±x çf'k{k.k laLFkku dk Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 ds çkoèkkuksa ds rgr cuk;s x;s fofu;eksa ds vu:q i vè;kiu ladk; vkSj uSnkfud ,oa eyw Hkrw lqfoèkkvksa dh miyCèkrk ds lacaèk eas mi;qDrrk dk vkdyu dju s ds fy;s Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 dh èkkjk 13 ds rgr oSèkkfud fujh{k.k fd;k tk;sxkA d½ 1 % 10 ds vuqikr es a iw.kZdkfyd f'k{k.k ladk;A [k½ f'k{k.k ladk; eas de ls de nks ¼2½ lnL; gksus pkfg;sA x½ ;ksX;rk ,oa la[;k% 1- efsMdy lftZdy ufl±x@cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x eas ,e-,llh- & 1 2- ch-,llh- ¼ufl±x½@ih-ch-ch-,llh- ¼ufl±x½ ds lkFk cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x esa iksLV csfld fMIyksek & 1 ?k½ vuqHko% cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x eas de ls de rhu ¼3½ o"kZ dk uSnkfud vuHq koA ³½ vfrfFk ladk;% lacafèkr fof'k"Vrkvks a eas cgq&fo"k;dA p½ çhlsIVj%  ufl±x çhlsIVj% iw.kZdkfyd th-,u-,e- ds lkFk fof'k"V ufl±x ¼cUlZ@fjdaLVªfDVo ltZjh ufl±x½ eas N% ¼6½ o"kZ] ;k ch-,llh- ¼ufl±x½ ds lkFk fof'k"V ufl±x eas nks ¼2½ o"kZ] ;k ,e-,llh- ¼ufl±x½ ds lkFk fof'k"V ufl±x eas ,d ¼1½ o"kZ dk fof'k"V n[s kHkky dsæa es a dk;Z dju s dk vuHq koA  efsMdy çhlsIVj% LukrdksÙkj ;ksX;rk çkIr fo'ks"kK ¼cUlZ@fjdaLVªfDVo ltZjh fo'ks"kK½ MkWDVj ¼LukrdksÙkj ;ksX;rk çkIr dju s ds ckn rhu ¼3½ o"kZ dk vuqHko@ladk; Lrj vFkok lykgdkj Lrj okyks a dks ojh;rk nh tk;sxh½A  çhlsIVj Nk= vuqikr% eas 1 % 10] eas 1 % 10 ¼çR;sd Nk= ,d efsMdy çhlsIVj vkSj ,d ufl±x çhlsIVj ls lac) gksuk pkfg;s½A laLFkku ds dqy ctV es a bl dk;ZØe ds fy;s vko';d deZpkfj;ks a ds osru] vfrfFk ladk; vkSj va'kdkfyd f'k{kdks a ds fy;s ekuns;] fyfidh; lgk;rk] iqLrdky;h vkSj vkdfLed O;; ds fy;s çkoèkku gksuk pkfg;sA d½ uSnkfud {ks= eas ,d vè;;u d{k@lEeys u d{kA [k½ vLirky@dkWyst eas Ñf=e vè;;u ¼flE;qyVs Ms yfu±x½ ds fy;s dkS'ky ç;ksx'kkykA x½ vkWuykbu if=dkvks a rd igqap ds lkFk iqLrdky; vkSj daI;wVj lqfoèkk;s%a 1- dkWyst eas cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x] ufl±x ç'kklu] ufl±x f'k{kk] ufl±x vuqlaèkku vkSj lkaf[;dh ls lacafèkr orZeku iqLrdkas] tuZy vkSj if=dkvksa ls lqlfTtr iqLrdky; gksuk pkfg;sA vFkok cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x] ufl±x ç'kklu] ufl±x f'k{kk] ufl±x vuqlaèkku vkSj lkaf[;dh ls lacafèkr orZeku iqLrdkas] tuZy vkSj if=dkvks a ds fy;s efsMdy dkWyst@vLirky ds iqLrdky; dk mi;ksx djus dh vuqefr gksuh pkfg;sA 2- baVjusV dh lqfoèkk ds lkFk daI;wVjA ?k½ Ã&yfu±x lqfoèkk;sa ³½ f'k{k.k lalkèku & mi;ksx djus gsrq fuEukafdr lqfoèkk;s a miyCèk gksuh pkfg;s% 1- vksojgsM çkstsDVj] 2- ohfM;ks ns[kus dh lqfoèkk] 3- ,ylhMh çkstsDVj] 4- lhMh] MhohMh vkSj MhohMh Iy;s j] 5- dkS'ky vè;;u ds fy;s mi;qDr midj.k] eSuhfdal vkSj fleqyVs lZA p½ dk;kZy;h lqfoèkk;s%a6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 1- fyfid] pijklh] lQkbZ deZpkjh dh lsok;sAa 2- dk;kZy;] midj.k vkSj vkiwfrZ dh lqfoèkk] tSls  LVs'kujh]  fçaVj ds lkFk daI;wVj]  thjksDl e'khu]  Vys hQksu ,oa QSDl d½ de ls de 200 fcLrj oky s viu s Lo;a ds Lisf'k;fyVh vLirky@r`rh;d vLirky ftueas fo'ks"k ufl±x n[s kHkky lqfoèkkvks a ds lkFk mUur uSnkfud] fpfdRlh; vkSj vR;kèkqfud cUlZ n[s kHkky bdkbZ] cUlZ vkbZlh;w] vkSj fjdaLVªfDVo ltZjh bdkbZ@foHkkx miyCèk gksAa [k½ 200 oky s {ks=h; dsanz ;k cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh vLirky ftueas fo'ks"k ufl±x n[s kHkky lqfoèkkvks a ds lkFk mUur uSnkfud] fpfdRlh; vkSj vR;kèkqfud cUlZ n[s kHkky bdkbZ] cUlZ vkbZlh;w] vkSj fjdaLVªfDVo ltZjh bdkbZ@foHkkx miyCèk gksAa x½ vLirky es a mUur uSnkfud] fpfdRlh; vkSj ns[kHkky lqfoèkkvks a oky s de ls de 30 fcLrj gksus pkfg;sA ?k½ bdkb;ks a eas Hkkjrh; mip;kZ ifj"kn~ ekunaMks a ds vuqlkj ulZ LVkQ miyCèk gksuk pkfg;sA ³½ Nk= jksxh vuiq kr 1 % 3 gksuk pkfg;sA bl dk;ZØe es a ços'k ikus okys Nk= dks] d½ ,u;wvkbZMh uca j ds lkFk fdlh ,d jkT; mip;kZ iathdj.k ifj"kn~ ¼,l,uvkjlh½ eas ,d iathÑr ulZ ¼vkj-,u- ,aM vkj-,e-½ ;k led{k gksuk pkfg;sA [k½ ukekadu ls igys vfèkekur% cUlZ ,aM fjdaLVªfDVo ltZjh bdkbZ es a LVkQ ulZ ds in ij de ls de ,d o"kZ dk uSnkfud vuqHko gksuk pkfg;sA x½ 'kkjhfjd :i ls LoLFk gksuk pkfg;sA ?k½ vk;ksftr ços'k ijh{kk vkSj l{ke vfèkdkjh }kjk lk{kkRdkj dh ;ksX;rk ds vkèkkj ij p;u fd;k tkuk pkfg;sA ³½ vU; n's kks a ds ulks± dks ço's k ls igy s Hkkjrh; mip;kZ ifj"kn ~ ls lerqY;rk çek.k i= çkIr djuk gksxkA 200 fcLrj rFkk 30 fof'k"V fcLrj oky s vLirky ds fy;s lhVks a dh la[;k ¾ 10 vkSj 500 fcLrj o 60 fof'k"V fcLrj okys vLirky ds fy;s lhVks a dh la[;k ¾ 20 3 fof'k"V fcLrjks a ds fy;s 1 vH;FkhZA d½- lsokjr vH;fFkZ;ks a dks fu;fer osru feyrk jgsxkA [k½ vU; vH;fFkZ;ks a dk s dk;ZØe dk lapkyu dju s oky s vLirky dh osru lajpuk ds vuqlkj othQk@osru feysxkA VII. Hkkjrh; mip;kZ ifj"kn~ }kjk vuqeksfnr lacafèkr ijh{kk cksMZ@jkT; mip;kZ ifj"kn~@fo'ofo|ky;A d½ mifLFkfr% lS)kafrd ,oa çk;ksfxd & 80 çfr'krA ijUrq izek.ki= feyu s ls igy s 100 çfr'kr uSnkfud mifLFkfr gksuk vfuok;Z gSA [k½ y‚xcqd vkSj uSnkfud vko';drkvksa a tSlh t:jh vko';drkvks a dk s lQyrkiwoZd iwjk dju s oky s vH;FkhZ ijh{kk eas cSBus gsrq ik= gksxa s vkSj vafre ijh{kk eas cSB ldrs gSaA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7 d½ oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhý% vkarfjd vkSj vafre ijh{kk nksuksa eas ekSf[kd ijh{kk ds lkFk&lkFk oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhý vk;ksftr dh tk;sxhA foLr`r fn'kkfunsZ'k ekxZn'kZu iqfLrdk eas fn;s x;s gSaA [k½ çk;ksfxd@uSnkfud voyksdu% vafre vkarfjd vkSj cká ijh{kk eas ekSf[kd ijh{kk ds lkFk&lkFk okLrfod ifjfLFkfr;ks a eas uSnkfud çn'kZu dk vkadyu vkSj 3&4 ?kaVs dk y?kq uSnkfud eYw ;kadu vH;kl ¼ufl±x çfØ;k vkosnu vkSj dk;Zfofèkd n{krk dk çR;{k voyksdu½ Hkh 'kkfey gksxkA uSnkfud {ks= eas vkadyu dh U;wure vofèk 5&6 ?kaVs gksxhA eYw ;kadu fn'kkfunsZ'k ekxZn'kZu iqfLrdk eas fn;s x;s gSaA x½ çfr fnu Nk=ks a dh vfèkdre la[;k ¾ 10 Nk=A ?k½ ijh{kk dsoy uSnkfud {ks= eas gh vk;ksftr dh tkuh pkfg;sA ³½ çk;ksfxd ijh{kd ny es]a ,d vkarfjd ijh{kd & lacafèkr fof'k"V dk;ZØe es a f'k{k.k ds nks ¼2½ o"kZ ds vuqHko ds lkFk ,e-,llh-@LukrdksÙkj ijh{kk mÙkh.kZ djus ds i'pkr ikap ¼5½ o"kZ ds vuqHko ds lkFk ,e- ,llh- ¼efsMdy lftZdy ufl±x½ vgZrk èkkjd ufl±x ladk;] ,d cká ijh{kd & mijksDr vuqHko ,oa vgZrk èkkjd ufl±x ladk;] vkSj ,d fpfdRlh; vkarfjd ijh{kd tks fof'k"V dk;ZØe ds fy;s çhlsIVj gksuk pkfg;s] 'kkfey gksxa sA p½ çk;ksfxd ijh{kd vkSj lS)kafrd ijh{kd ,d gh ufl±x ladk; gksus pkfg;sA d½ çR;sd vH;FkhZ dk s mÙkh.kZ gksus ds fy;s lS)kafrd vkSj çk;ksfxd ijh{kk ds vkarfjd vkadyu vkSj cká ijh{kk nksuks a eas feykdj de ls de dqy 60 çfr'kr vad çkIr djuk vfuok;Z gSA 60 çfr'kr ls de vad izkIr dju s ij vuqÙkh.kZ ekuk tk;sxkA [k½ Nk= dks mÙkh.kZ gksus ds fy;s vfèkdre rhu ¼3½ volj çnku fd; s tk;sxa sA x½ ;fn Nk= lS)kafrd vFkok çk;ksfxd ijh{kk eas ls fdlh ,d es a vuqÙkh.kZ gks tkrk gS] rks mls lS)kafrd vFkok çk;ksfxd ijh{kk eas ls ftl es a vuqÙkh.kZ gqvk gS dsoy ogh ijh{kk iqu% nsuh gksxa hA d½ & cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x eas iksLV csfld fMIyksek [k½ fuèkkZfjr vè;;u ikBîØe ds lQy lekiu ij] Hkkjrh; mip;kZ ifj"kn~ }kjk vuqeksfnr ijh{kk cksMks±@jkT; mip;kZ ifj"kn~@fo'ofo|ky; }kjk ,d fMIyksek ls lEekfur fd;k tk;sxk] ftles a fy[kk gksxk fd] 1- vH;FkhZ us cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x eas iksLV csfld fMIyksek dk;ZØe ds rgr ikBîØe ds lHkh igyqvks a dk vè;;u iwjk dj fy;k gSA 2- vH;FkhZ us lS)kafrd es a 80 izfr'kr vkSj uSnkfud eas 100 çfr'kr vko';drk;s a iwjh dj yh gSaA 3- vH;FkhZ us fuèkkZfjr ijh{kk mÙkh.kZ dj yh gSA VIII. cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x 25 75 100 3 ¼Hkkx&1 o Hkkx&2½ ¼10$15½ ¼35$40½ ¼Hkkx&1 & cqfu;knh ufl±x ds lkFk cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x&1] Hkkx&2 & cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'k;fyVh ufl±x&2½  oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhý 75 150 225 uSnkfud {ks= eas ¼25$50½ ¼50$100½ de ls de  i;Zosf{kr çk;ksfxd@uSnkfud voyksdu% ekSf[kd ijh{kk ds ¼vks,llhÃ&25 ¼vks,llhÃ&50 5&6 ?kaVs lkFk&lkFk okLrfod ifjfLFkfr;ks a eas çR;{k voyksdu & 3&4 ,oa çk;ksfxd ,oa çk;ksfxd ?kaVs dk y?kq uSnkfud eYw ;kadu vH;kl ¼ufl±x çfØ;k vkosnu voyksdu&50½ voyksdu&100½ o dk;Zfofèkd n{krk dk çR;{k voyksdu½8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] IX. 1- vuqns'k ikB&;kstuk 2- ikBîØe dk dk;kZUo;u 3- uSnkfud vH;kl ¼vkoklh; inLFkkiu½ 4- çf'k{k.k fofèk;ka 5- eYw ;kadu fofèk;ka 6- ykWx cqd vkSj uSnkfud vko';drk;sa 40 1- O;kolkf;d dq'kyrk 2- fof'k"V ufl±x dk;ZØe es a laokn] jksxh f'k{kk vkSj ijke'kZ 3- fo'ks"k ns[kHkky ifjfLFkfr;ks a eas uSnkfud urs `Ro vkSj lalkèku çcaèku 4- fof'k"V ufl±x dk;ZØe es a lk{; vkèkkfjr vkSj vuqç;qDr vuqlaèkku 40 10 1- fof'k"V ufl±x dk lanHkZ@ifjp; 2- fo'ks"k ns[kHkky es a ç;qDr lkekU; foKku & ,ukVkWeh o fQft;ksykWth] ekbØksck;ksykWth] QkekZdksykWth o iSFkksfQft;ksykWth tSlh uSnkfud fLFkfr;ks a dk funku vkSj mipkj 1- eYw ;kadu] funku] mipkj vkSj fo'ks"k eè;orZu ds lkFk 120 30 1730 uSnkfud ifjfLFkfr;ks a eas ufl±x çcèa ku 2- jksxh lqj{kk vkSj xq.koÙkk 3- fof'k"V@chekjh fof'k"V foospu ¼lg;ksxh n[s kHkky@ ç'kked n[s kHkky@iquokZl] O;fDr] ifjokj vkSj leqnk; ij chekjh dk çHkko½ ¼lS)kafrd% 10 çfr'kr ,oa dkS'ky iz;ksx'kkyk $ uSnkfud% 90 izfr'kr½  okf"kZd vodk'k $ vkdfLed vodk'k $ vLoLFkrk vodk'k $ lkoZtfud vodk'k ¾ 6 lIrkg  ijh{kk dh rS;kjh vkSj ijh{kk ¾ 2 lIrkg  lS)kafrd vkSj çk;ksfxd ¾ 44 lIrkg × ×  CykWd d{kk;s a ¼lS)kafrd vkSj dkS'ky ç;ksx'kkyk vuHq ko ¾ 2 lIrkg × 40 ?kaVs çfr lIrkg ¼80 ?kaVs½ ¼lS)kafrd ¾ 74 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 6 ?kaVs] dqy ¾ 80 ?kaVs½  lS)kafrd vkSj dkS'ky ç;ksx'kkyk lfgr uSnkfud vH;kl ¾ 42 lIrkg × 45 ?kaVs çfr lIrkg ¼1890 ?kaVs½ ¼lS)kafrd ¾ 126 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 34 ?kaVs] uSnkfud ¾ 1730 ?kaVs] dqy ¾ 1890 ?kaVs½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9 lS)kafrd ¾ 200 ¼74$126½ ?kaVs] dkS'ky ç;ksx'kkyk ¾ 40 ¼6$34½ ?kaVs] uSnkfud ¾ 1730 ?kaVs gkykafd U;wure 45 ?kaVs çfr lIrkg fuèkkZfjr gS] yfsdu vyx&vyx ikfj;ks a vkSj çR;sd lIrkg ;k i[kokM+ s vkWu dkWy MîVw h djus ij ifjfLFkfr vuqlkj gksxkA çf'k{k.k vofèk ds nkSjku Nk=ks a dk fuEukafdr uSnkfud {ks=ks a eas inLFkkiu fd;k tk;sxk%& 1 cUlZ cká jksxh foHkkx ¼vksihMh½ ,aM fjdaLVªfDVo ltZjh@IykfLVd ltZjh cká jksxh foHkkx 2 2 cUlZ vkikrdkyhu vkSj cUlZ iV~Vh d{k ¼cUlZ dstqvfYVh ,aM cUlZ Mªsflax :e½ 2 3 cUlZ okMZ 22 4 cUlZ vkbZlh;w 8 5 fjdaLVªfDVo ltZjh okMZ 4 6 cUlZ@fjdaLVªfDVo ltZjh vkWij's ku fFk,Vj 2 7 iquokZl@fQft;ksFksjsih@vkWD;wis'kuy Fksjsih 1 8 {ks=h; nkSj s ¼QhYM fVªi½ 1 lS)kafrd] dkS'ky ç;ksx'kkyk vkSj uSnkfud f'k{k.k fuEufyf[kr i)fr;ks a }kjk fd; s tk ldr s gSa vkSj uSnkfud inLFkkiu ds nkSjku ,dhÑr fd; s tk ldrs gSa%&  dsl@uSnkfud çLrqfr vkSj dsl LVMh fjiksVZ  Mªx LVMh vkSj çLrqfr  csMlkbM fDyfud@ufl±x jkmaM~l@baVjfMflfIyujh jkmaM  tuZy Dyc@uSnkfud laxks"Bh  uSnkfud {ks= eas f'k{kdks a ds O;k[;ku vkSj ifjppkZ  dkS'ky ç;ksx'kkyk eas vkSj csMlkbM ij vfHkO;fDr vkSj dkS'ky çf'k{k.k  funsZf'kr i<+u@Lo&vè;;u  jksy Iy s  laxks"Bh@lkefwgd çLrqfr  lkefwgd vuqlaèkku ifj;kstuk  uSnkfud dk;Z  jksxh dh opuo)rk f'k{kk ¼lwpuk çkS|ksfxdh dk mi;ksx dj LokLF; ifj.kkeks a dk s lqèkkjus eas lqèkkj ykus ds fy;s lkoèkkuhiwoZd fu.kZ; yus s gsrq NqV~Vh nus s dh ;kstuk vkSj vuoq rhZ dkjoZ kà vkfn es a jksfx;ks a dks lk>h cukuk½A  jk"Vªh;@{ks=h; cUlZ ,aM fjdaLVªfDVo ltZjh dsaæ ds 'kSf{kd nkSjsA  fyf[kr ijh{kk10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4]  çk;ksfxd ijh{kk & vks,llhbZ vkSj çk;ksfxd voyksdu ¼okLrfod ifjfLFkfr;ks a eas uSnkfud çn'kZu dk çR;{k voyksdu½  fyf[kr dk;Z  ifj;kstuk  dsl LVMh@ns[kHkky ;kstuk@uSnkfud çLrqfr@Mªx LVMh  uSnkfud çn'kZu ewY;kadu  uSnkfud dk;Zfofèkd n{krkvks a vkSj uSnkfud vko';drkvks a dks iwjk djukA çR;sd uSnkfud inLFkkiu ds var eas] uSnkfud ykWx cqd ¼fof'k"V dk;Zfofèkd n{krk,a@uSnkfud dkS'ky½ ] uSnkfud vgZrk;s a vkSj uSnkfud vuqHko fooj.k ij lacafèkr uSnkfud ladk;@çhlsIVj }kjk gLrk{kj fd;s tku s pkfg;sA ;g ikBîØe cUlZ ,aM fjdaLVªfDVo ltZjh ufl±x vH;kl eas O;kolkf;d dq'kyrk] laokn] jksxh çf'k{k.k vkSj ijke'kZ] uSnkfud urs `Ro vkSj lalkèku çcaèku rFkk lk{; vkèkkfjr vkSj vuqç;qDr vuqlaèkku dh le> fodflr dju s ds fy;s rS;kj fd;k x;k gSA 1 6 O;kolkf;d  ifjppkZ  cUlZ ,aM dq'kyrk dh le>  vfHkçk; vkSj fjdaLVªfDVo dk çn'kZu vkSj fl)kar & cUlZ ,aM fjdaLVªfDVo ltZjh ltZjh ufl±x ls cUlZ ,aM Lisf'k;fyVh ufl±x vH;kl es a tokcngs h] lacafèkr vkpkj fjdaLVªfDVo ltZjh lqfoKrk] n`';rk vkSj uSfrdrk lafgrk dk o.kZu ufl±x vH;kl es a  O;kolkf;d eYw ; vkSj O;kolkf;d O;ogkj djuk O;kolkf;d  Hkkjrh; mip;kZ ifj"kn~ vkpkj lafgrk] dq'kyrk dk çn'kZu O;kolkf;d vkpj.k lafgrk vkSj vH;kl djuk ekud  cUlZ ufl±x vkSj fjdaLVªfDVo ltZjh ls lacafèkr uSfrd eqís  ulZ&ulZ çsfDV'kuj dh çlkjh Hkwfedk  O;kolkf;d laxBu  lrr ufl±x f'k{kk 2 cUlZ ,aM  O;k[;ku  jksfx;ks a dk fjdkWMZ fjdaLVªfDVo ltZjh  cUlZ ,aM fjdaLVªfDVo lftZdy ufl±x ls j[kuk ufl±x vH;kl ds lacafèkr dkuwu vkSj fu;e fpfdRlh;&fofèkd  miHkksDrk laj{k.k vfèkfu;e igyvq ks a dk o.kZu  ykijokgh vkSj dnkpkj djuk  fpfdRlh;&fofèkd igyw  fjdkWMZ vkSj fjiksVZ  cUlZ Lisf'k;fyLV ulks± dh dkuwuh ftEesnkfj;ka 2 12 tyu s ls ihfM+r  ekWMîyw &  fMftVy fjdkWMZ~l jksfx;ks]a ifjokjhtuksa s  laokn ç.kkyh vkSj rduhd laokn vkSj O;kolkf;d  cqjh rjg ty s jksfx;ks a dks nq%[kn lwpuk lg;ksfx;ks a ls lqukuk  O;k[;ku vkilh esytksy ds  laLÑfr vuqlkj laosnukiwoZd laokn[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11 lkFk LokLF;  ufl±x n[s kHkky ;kstukvks a dk fodkl vkSj  nq%[kn lwpuk ifj.kkeks a eas lqèkkj fjdkWMZ~l nus s esa Hkwfedk ykus ds fy;s lk>k  laokn es a lwpuk çkS|ksfxdh midj.kks a dk fuHkkuk fu.kZ; yds j çHkkoh mi;ksx <xa ls laokn  Vhe laokn LFkkfir djuk mipkj vkSj  tyu s ls ihfM+r n[s kHkky es a çHkkoh  led{k çf'k{k.k vkSj iqufuZekZ.k <xa ls Hkkxhnkjh fuHkkus ds fy;s  f'k{k.k vkSj vè;;u ds fl)kar 'kY; fpfdRlk jksfx;ks a vkSj  LokLF; f'k{kk ds fl)kar  jksxh dks e'kxwy iku s oky s jksfx;ks a ifjokjhtuks a dks  lwpuk dh t:jrks a vkSj jksxh çf'k{k.k dk j[ku s dh ds fy;s ,d vkadyu dok;n & tSls lkefwgd LokLF; f'kf{kr djuk vkSj ijke'kZ nsuk  jksxh çf'k{k.k lkexzh fodflr djuk NqV~Vh dh çf'k{k.k dk;ZØe ;kstuk cukuk dk lapkyu djuk  çklafxd fo"k;  ijke'kZ l= ij jksxh çf'k{k.k  ijke'kZ rduhd lkexzh rS;kj djuk  nq%[kn lwpuk] xgu mipkj] ladVdkyhu eè;orZu vkSj ej.kklUu voLFkk eas jksxh vkSj ifjokjhtuks a dks ijke'kZ nsuk 3 10 uSnkfud urs `Ro vkSj  O;k[;ku  cUlZ ,aM çcaèku j.kuhfr;ks a  urs `Ro vkSj çcaèku fjdaLVªfDVo dh le> dk  cUlZ ufl±x n[s kHkky ds çcaèku ds rRo & ltZjh bdkb;ks a eas çn'kZu djuk vkSj ;kstuk] vk;kstu] LVkQ] fjikfsV±x] dk;Zjr dfu"B mudk tyus dh fjdkWfM±x vkSj ctV ufl±x n[s kHkky vkSj  uSnkfud urs `Ro vkSj bldh pqukSfr;ka vfèkdkfj;ks@a lg;ksxh ,oa çHkkoh  f'k"V eMa y LVkQ ulks± ds Vhe odZ dks c<+kok  cUlZ ,aM fjdaLVªfDVo ltZjh bdkb;ks a eas fy;s MîwVh jksLVj nus s okyh ekuo lalkèku çcaèku rS;kj djuk ifjfLFkfr;ks a eas  lkexzh çcaèku ç;ksx eas ykuk  HkkoukRed cqf)eÙkk vkSj Lo&çcaèku dkS'ky  tyu s ls ihfM+r jksfx;ks a dh n[s kHkky ds fy;s uhfr;ks a dks çklafxd cuku s eas Hkkxhnkj cuuk  cUlZ okMZ@  ekWMîyw & vkbZlh;w ds fy;s cUlZ ,aM fjdaLVªfDVo ltZjh  ekU;rk vkSj ,lvksih fodflr vH;kl ekud djuk bdkb;ks@a dsaæks a esa • ufl±x vkWfMV xq.koÙkk vk'oklu • ufl±x ekud xfrfofèk;ks a eas Hkkx • xq.koÙkk vk'oklu yus k vkSj uSnkfud ijh{k.k djuk 4 10 vuqlaèkku çfØ;k  O;k[;ku  cUlZ@fjdaLVªfDVo dk o.kZu djuk • ufl±x vuqlaèkku vkSj vuqlaèkku çfØ;k dk ltZjh ds xr vkSj cqfu;knh ifjp;  ekWMîyw & ikap o"kZ ds lkaf[;dh; ijh{k.k • MsVk çLrqfr] cqfu;knh lkaf[;dh; ijh{k.k  oSKkfud çi= lkaf[;dh; vkadM+ s djuk vkSj blds vuqç;ksx y[s ku rS;kj djuk • cUlZ ,aM fjdaLVªfDVo ltZjh ufl±x eas lk{; vkèkkfjr@ vuqlaèkku çkFkfedrk,a  cUlZ ufl±x O;kolkf;d vH;kl eè;orZu@lk{; • cUlZ ufl±x vH;kl ds fy;s çklafxd dh csgrjhu dk;Z vkèkkfjr vH;kl leL;kvks@a ç'uks a dh vfHkO;fDr12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] ç.kkfy;ks a dks • cUlZ ufl±x vH;kl es a lk{; vkèkkfjr@ ifj;kstuk ij viukuk loksZÙke çFkkvks a dh igpku dju s ds fy;s lkfgfR;d leh{kk lkfgfR;d leh{kk dk lapkyu djuk • nSfud O;kolkf;d vH;kl es a lk{; vkèkkfjr eè;orZu dk dk;kZUo;u • vuqlaèkku es a uSfrdrk ;g ikBîØe tyu s ls ihfM+r vkSj iqufuZekZ.k 'kY; fpfdRlk iku s okys jksfx;ks a ds funku] mipkj vkSj LokLF; ykHk es a cUlZ ufl±x n[s kHkky çkoèkku vkSj lkekU; foKku ykxw dju s ds lanHkZ eas le> vkSj xgu tkudkjh fodflr djus es a Nk=ks a dh enn dju s ds fy;s rS;kj fd;k x;k gSA 1 Vh&4 tyu s dh n'kk es a  O;k[;ku vkSj  lkaf[;dh tkuifnd jksxks a ds  çlkj vkSj lkaf[;dh ifjppkZ çLrqfrdj.k y{k.kks a dh O;k[;k  tyu s dh pksV ds tkuifnd jksx] djuk] tksf[keks a dks tulka[;dh vkSj ifj.kkeh vfHky{k.k igpkuuk vkSj mUgs a  tksf[ke dkjd vkSj mudh igpku de djus ds fy;s  tksf[ke dkjd de djus gsrq j.kuhfr;ka j.kuhfr rS;kj djuk 2 Vh&4 cUlZ ufl±x ds  O;k[;ku vkSj ,y&2 iwoZo`Ùk] O;kidrk ifjppkZ vkSj fl)karks a dh  cUlZ ufl±x dk iwoZo`Ùk vkSj ço`fÙk O;k[;k djuk  cUlZ ,aM fjdaLVªfDVo ltZjh ufl±x dh O;kidrk vkSj fl)kar cUlZ ,aM fjdaLVªfDVo ltZjh  cUlZ çcaèku es a cgqfo"k;h Vhe Lisf'k;fyLV ulks±  cUlZ Lisf'k;fyLV ulks± dh Hkwfedk dh Hkwfedk  vkn'kZ cUlZ bdkbZ dh ;kstuk r;S kj djuk  çn'kZu &  vkn'kZ cUlZ okMZ vkSj lajpuk djuk  cUlZ bdkbZ vkSj Ms ds;j dh cUlZ bdkbZ dh  cUlZ bdkbZ es a HkrhZ djus vkSj NqV~Vh nsu s rS;kj djuk ;kstuk rS;kj ;kstuk rS;kj djuk dh çfØ;k vkSj uhfr;ka djuk 3 Vh&12 cUlZ ,aM  O;k[;ku  ijke'kZ l= ,y&5 fjdaLVªfDVo vk;ksftr djuk lftZdy ufl±x  ekuo O;ogkj vkSj tyus dh pksV dk  vkSj fjikVs Z rS;kj n[s kHkky es a lkeuk djuk rFkk mipkj djuk eukslkekftd  ladV dh ?kM+h eas ruko dk lkeuk djuk igyvq ks a dh O;k[;k  Hkkouk,a djuk  O;fDrxr erHksn  'kkjhfjd Nfo vkSj vkRelEeku dh xM+cM+h  tyu s dk euksoSKkfud vkSj HkkoukRed çHkko  tyu s ls lacafèkr euksjksfxd folaxfr;ka  e`R;q vkSj ej.kklUu  ijke'kZ ds pj.k  tyu s dh  ekxZn'kZu vkSj ijke'kZ & leh{kk eukslkekftd[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13  tyu s ls ihfM+r jksxh dh ns[kHkky es a leL;kvks a ij ifjokj dh Hkwfedk iBu dk;Z  tyu s vkSj tyu s dh ns[kHkky ds lkekftd vkfFkZd igyw  lkekftd laxBu vkSj lkeqnkf;d lalkèku  tyu s ls lacafèkr eukslkekftd leL;kvks a dk çcaèku 4 Vh&5 cUlZ ,aM  O;k[;ku  cUlZ bdkà eas ,y&3 fjdaLVªfDVo ltZjh laØe.k fu;a=.k bdkbZ es a efsMdy  vfHkO;fDr ds fy;s ,lvksih lftZdy ,lsfIll  jksx çfrjksèkd 'kfDr rS;kj djuk vkSj laØe.k  ,lsfIll] jksxk.kquk'ku vkSj dhVk.kq'kksèku  fyf[kr dk;Z% fu;a=.k dh O;k[;k ds fl)kar cUlZ bdkà eas djuk  ekud lqj{kk mik; laØe.k fu;a=.k  tSo fpfdRlh; vif'k"V çcaèku vH;kl  cSfj;j ufl±x vkSj laØe.k fu;a=.k çFkk  ,pvkbZlhlh vkWfMV 5 Vh&5 'kkjhfjd lajpuk  O;k[;ku  Lo&funsZf'kr ¼,ukVkWeh½ vkSj iBu 'kjhj foKku  Ropk dh 'kkjhfjd lajpuk vkSj 'kjhj ¼fQft;ksykWth½ ls foKku dh leh{kk lacafèkr leh{kk  tyu s dh pksV ds fy;s LFkkuh; vkSj ç.kkyhxr çfrfØ;k,a  ?kko Hkjus dh çfØ;k & ra=] çdkj vkSj pj.k  nks"ki.w kZ ?kko Hkjus ds dkj.k  ?kko Hkjus dh çfØ;k dks rst djus oky s dkjd  æoh; bysDVªksykbV larqyu] vEyjDrrk vkSj {kkje;rk 6 Vh&5  O;k[;ku tyu s dk oxhZdj.k  tyu s dh ifjHkk"kk vkSj oxhZdj.k djuk tyu s ds dkj.kks a  tyu s ds dkj.k dh x.kuk djuk tyu s dh iSFkksfQft;ksykWth  tyu s dh iSFkksfQft;ksy‚th vkSj uSnkfud vkSj uSnkfud vfHkO;fDr vfHkO;fDr dk o.kZu djuk 7 Vh&5 tyu s dh  nok çfrikfnr  nokvks a dk QkekZdksFksjsih dh  nok ç'kklu ds fl)kar vkSj ulZ dh djuk vè;;u djuk O;k[;k djuk Hkwfedk  ,aVhck;ksfVDl  ,uLs FksfVd ,tsVa ~l  ,uys tsflDl ¼nnZ uk'kd½  vkikrdkyhu nok,a  tyu çcaèku es a u;s QkekZdksFksjsih14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] ;g ikBîØe tyu s ls ihfM+r vkSj iqufuZekZ.k 'kY; fpfdRlk iku s oky s jksfx;ks a ds vkdyu] funku] mipkj] ufl±x çcaèku] vkSj lgk;d@ç'kked n[s kHkky ds fy;s vko';d n{krkvks a dks fodflr dju s eas Nk=ks a dh enn dju s ds fy;s rS;kj fd;k x;k gSA 1 Vh&4 tyu s ls ihfM+r  ifjppkZ vkSj  cká jksxh foHkkx ,y&2 cqtqxZ ,oa o;Ld  tyu s ls ihfM+r vkSj iqufuZekZ.k 'kY; vfHkO;fDr ¼vksihMh½ es a jksfx;ks a dk eYw ;kadu fpfdRlk ikus oky s o;Ld ,oa cqtqxZ o;Ld vkSj f'k'kq jksfx;ks a dk vkdyu ¼iwoZo`Ùk yus k] jksfx;ks a dk tyu s ls ihfM+r 'kkjhfjd vkSj uSnkfud ijh{k.k djuk½ vkdyu vkSj f'k'kq jksfx;ks a dk  tyu s ls ihfM+r vkSj iqufuZekZ.k 'kY; fjikVs Z y[s ku eYw ;kadu fpfdRlk ikus oky s f'k'kq jksfx;ks a dk tyu s ls ihfM+r vkdyu jksfx;ks a ds ufl±x  ufl±x çfØ;kvks a dks viukr s gq, tyus çcaèku ij ppkZ ls ihfM+r jksfx;ks a dk ufl±x çcaèku 2 Vh&2 tyu s ls ihfM+r  O;k[;ku vkSj  led{k çf'k{k.k ,y&1 vkSj iqufuZekZ.k 'kY;  jDr dh tkap & lhchlh] ,y,QVh] vfHkO;fDr fpfdRlk ikus oky s vkj,QVh] çksVhu] byDs VªksykbVl~ ] ,chth jksfx;ks a ds uSnkfud fo'ys"k.k] laoèkZu ¼dYpj½ ijh{k.k vkSj fofHkUu  Ãlhth çfØ;kvks a dh  iYeksujh QaD'ku VsLV O;k[;k djuk] mUgs a  Nkrh dk ,Dl&js laikfnr djuk ;k  iYl v‚DlheVs ªh mueas lgk;rk  e=w fo'ys"k.k djuk  ?kko dk laoèkZu vkSj laosnu'khyrk 3 Vh&15 tyu s ls ihfM+r  O;k[;ku vkSj  tyu s ls ihfM+r ,y&10 jksfx;ks a ds mUur vfHkO;fDr jksfx;ks a ds fy;s uSnkfud ijh{k.k  csfld ykbQ liksVZ vko';d mUur djuk ;k mues a  ,MokaLM dkfMZ;kd ykbQ liksVZ ufl±x çfØ;kvks a lgk;rk djuk  eSdsfudy osfaVysVj ij dk;Z'kkyk dk  VªsfdvksLVkWeh vk;kstu  v‚Dlhtu Fksjsih] fuxjkuh  baVªkohul dSFksVj bul'kZu  lsVa ªy ykbu bul'kZu@ ihvkbZlhlh bul'kZu vkSj ns[kHkky  e=w dSFkhVsjkbts'ku 4 Vh&10 tyu s ls ihfM+r  O;k[;ku vkSj  led{k çf'k{k.k ,y&2 jksfx;ks a ds 'kh?kz vfHkO;fDr çcaèku dh O;k[;k  çkFkfed fpfdRlk] tys gq, jksxh dks djuk vkSj n{krk ykuk vkSj çkjfaHkd çcaèku çkIr djuk  cuZ lsVa j@;wfuV es a ços'k ds ekunaM  tys gq, jksxh dk lexz vkdyu  tyu s dh lhek vkSj xgjkà dk vkdyu  rkRdkfyd vkSj xaHkhjrkiw.kZ n[s kHkky  tyu s ds >Vds dk çcaèku  laØe.k dk çcaèku[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15 5 Vh&5 tyu s ls ihfM+r  O;k[;ku vkSj  tyu s ls ihfM+r ,y&1 jksfx;ks a ds æo vfHkO;fDr jksfx;ks a dks æo çcaèku dh O;k[;k  tyu s ls ihfM+r jksfx;ks a dks æo }kjk iqu% nds j gks'k eas djuk vkSj n{krk gks'k eas ykuk vkSj æo dh x.kuk ykus ds fy;s çkIr djuk  gks'k eas yku s ds fy;s ç;qDr æo inkFkks± ekud lapkyu ds çdkj çfØ;k ¼,lvksih½  tyu s ls ihfM+r jksfx;ks a ds çcèa ku es a rS;kj djuk mi;qDr gksus oky s jDr vkSj jDr mRikn  æo fpfdRlk ds nkSjku ufl±x ftEesnkfj;ka 6 Vh&3 tyu s ls ihfM+r  O;k[;ku vkSj  tyu s ls ihfM+r ,y&1 jksfx;ks a ds nnZ  nnZ & çdkj] iSFkksfQft+;ksy‚th vfHkO;fDr jksfx;ks a ds nnZ fuokj.k çcaèku ds  tyu s ls ihfM+r jksfx;ks a dk nnZ çcaèku fuokj.k ds fy;s fl)karks a dh O;k[;k & vkS"kèkh; vkSj xSj&vkS"kèkh; mik; ekud lapkyu djuk çfØ;k ¼,lvksih½ rS;kj djuk 7 Vh&5 tyu s ls ihfM+r  O;k[;ku vkSj  jksfx;ks a ds ekSf[kd ,y&2 jksfx;ks a ds ik"sk.k vfHkO;fDr vkSj vkarfjd çcaèku dh O;k[;k  tyu s ls ihfM+r jksfx;ks a esa iks"k.k dh iks"k.k ds fy;s djuk vko';drk ;kstuk rS;kj  tyu s ls ihfM+r jksfx;ks a eas dSyksjh vkSj djuk çksVhu dh vko';drk  foVkfeu vkSj [kfut laiwjd  vka=srj vkSj vka= iks"k.k çkIr dju s oky s jksfx;ks a ds fy;s Hkkstu&lwph rS;kj djuk 8 Vh&10 ?kko çcaèku dh  O;k[;ku vkSj  lkfgfR;kd ,y&4 O;k[;k djuk vfHkO;fDr leh{kk & Roph;  tys es a ?kko dh ns[kHkky ds fl)kar cSad tyu s ls ihfM+r  tys es a ?kko çcaèku jksfx;ks a dk ?kko  MªsÇlx vkSj ifV~V;ks a ds çdkj çcaèku djuk  tys ds ?kko ds çcaèku es a vkèkqfud rjhds  tys gq, ?kko dk lÆtdy çcaèku & fLdu xzkǶVx] ¶ySi ltZjh  Ropk xzk¶V dk HkaMkj.k vkSj Ropk cSaÇdx  Ård bathfu;Çjx vkSj Ård foLrkj  fLdu xzk¶V@¶yiS ltZjh ds iwoZ vkSj ckn dh n[s kHkky  tys ds ?kko es a laØe.k ls cpko 9 Vh&8 fofHkUu çdkj ls  O;k[;ku vkSj  iBu dk;Z ,y&2 tyu s ls ihfM+r vfHkO;fDr jksfx;ks a ds çcèa ku  ykS ls tyuk dh O;k[;k djuk  fctyh ls tyuk 'kjhj ds fo'ks"k  jklk;uks a ls tyuk Hkkxks a eas tyu s ds  fofdj.k ls tyuk çcaèku dk o.kZu  'kjhj ds fo'ks"k Hkkxks a & flj] xnZu] Nkrh] isV vkSj isfjfu;y {ks= ds tyus djuk dh fLFkfr es a çcaèku 'olu ç.kkyh dh  gkFk] dksguh vkSj cxy dk tyuk pksV ds çcèa ku dh O;k[;k djuk  'olu ç.kkyh dh pksV dk çcaèku BMa ds dkj.k yxh pksVks a ds çcèa ku dh  BMa dh pksVks a dk çcaèku O;k[;k djuk16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 10 Vh&10 tyu s ls ihfM+r  O;k[;ku vkSj  y[s ku dk;Z ,y&2 f'k'kq jksfx;ks a ds vfHkO;fDr çcaèku dh O;k[;k  tyu s ls ihfM+r f'k'kq jksxh ds çfr djuk n`f"Vdks.k  tyu s ls ihfM+r f'k'kq dk vkdyu  tyu s ls ihfM+r f'k'kq dk çcaèku  f'k'kq jksfx;ks a eas æo fpfdRlk vkSj iks"k.k çcaèku  f'k'kq jksfx;ks a eas FkeksZjXs ;yw 's ku  f'k'kq jksfx;ks a ds ?kko dh n[s kHkky  tyu s ls ihfM+r f'k'kq vkSj muds ifjokj ds lnL;ks a ds fy;s euksoSKkfud foospu  tyu s ls ihfM+r f'k'kq jksfx;ks a ds fy;s Iy s Fksjsih vkSj vU; iwjd vkSj oSdfYid fpfdRlk i)fr;ks a dk mi;ksx  uÉlx çfØ;k dk mi;ksx djrs gq, uÉlx çcaèku 11 Vh&3 tyu s ls ihfM+r  O;k[;ku  æzo dh x.kuk ds xHkZorh efgykvks a ds fy;s jksxh fof'k"V fof'k"V çcaèku ij  'kkjhfjd ifjorZu vkSj eukslkekftd vH;kl ppkZ djuk foospuk  xHkkZoLFkk ij tyus vkSj mlds mipkj ds çHkko  æo x.kuk vkSj iks"k.k lacaèkh lgk;rk  uÉlx çfØ;k dk mi;ksx djrs gq, uÉlx çcaèku 12 Vh&5 'kjkc ds lsou]  O;k[;ku  y[s ku dk;Z eknd æO;ks a ds lsou] eèkqegs vkSj mPp jDrpki tSlh vU; chekfj;ks a ds  tyu s ls ihfM+r cqtqxZ jksfx;ks a dh xzLr tyus ls n[s kHkky & mez lacaèkh tfVyrkvks a dk ihfM+r jksfx;ks a ds çcaèku çcaèku dh O;k[;k  'kjkc vkSj eknd æO;ks a dk lsou dju s djuk oky s tyus ls ihfM+r jksfx;ks a dh n[s kHkky & NksM+us ds y{k.kks a dk vkdyu] fo'ks"k uÉlx foospuk vkSj uÉlx çcaèku  tyu s ls ihfM+r eèkqegs jksfx;ks a dh n[s kHkky & gkbijXyslfse;k dk çcaèku] tfVyrk  tyu s ls ihfM+r mPp jDrpki ds jksfx;ks a dh n[s kHkky 13 Vh&4 tyu s ls ihfM+r  O;k[;ku jksfx;ks a dks vkus okyh lacafèkr pksVksa  tyu s ds lkFk jh< + dh gìh dh pksV] ds çcaèku es a dkS'ky flj dh pksV] ikWfyVªksek vkSj vax Hkax fodkl djuk vkSj tSlh vU; pksVks a ls xzLr jksfx;ks a dk mudk o.kZu djuk çcaèku  vU; pksVks a ds lkFk tyu s ls ihfM+r jksfx;ks a dk uÉlx çcaèku 14 Vh&2 tyu s ls ihfM+r  O;k[;ku  çfØ;k ij jksfx;ks a dh  ,LdsjV‚eh@QkfldkVs ‚eh fVIi.kh rS;kj vkikrdkyhu 'kY; djuk fpfdRlk es a[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17 lgk;rk djuk 15 Vh&5 tyu s ds dkj.k  O;k[;ku  Lovè;;u vku s okyh tfVyrkvks a dh  dfy±Xl vYlj jksdFkke vkSj çcaèku  cgq&vaxh; foQyrk dh O;k[;k djuk ¼eYVh&vkWxZu QsY;ksj½  ,D;wV jls fijVs jh fMLVªls flaMªkse  xqnZs dh xgjh pksV  lSfIVlhfe;k 16 Vh&5 tyu s ds dkj.k  O;k[;ku  dk;Z'kkyk@ vku s okyh foÑfr;ks a  tyu s ls mRiUu foÑfr;ks a dk çcaèku tuZy Dyc ds çcaèku dh  tyu s ds ckn vku s okyh ladqpu dk O;k[;k djuk çcaèku  LdklZ vkSj dsyksbM~l dk çcaèku 17 Vh&5 tyu s dh fLFkfr es a  O;k[;ku vkSj  Nk=ks a ds fy;s ,y&2 vkink çcaèku dh  vkink çcaèku ds fl)kar vkSj voèkkj.kk vfHkO;fDr vkink çf'k{k.k O;k[;k djuk  lkefwgd Çglk  vkdfLed nq?kZVuk eas vR;fèkd la[;k eas tyu s ls ihfM+r jksxh  tyu s dh vkink ls cpus ds fy;s rS;kjh 18 Vh&4 tyu s ls ihfM+r  O;k[;ku vkSj  iBu dk;Z ,y&1 jksfx;ks a ds fy;s vfHkO;fDr fQft;ksFksjsih vkSj  tyu s ls ihfM=r jksfx;ks a vkSj iqufuZekZ.k O;kolkf;d 'kY; fpfdRlk iku s okys jksfx;ks a ds fy;s fpfdRlk dh Hkwfedk fQft;ksFksjsih dh O;k[;k djuk  gkbMªksFksjsih] oSDl ckFk] ghV Fksjsih  O;kolkf;d fpfdRlk vkSj nSfud thou dh xfrfofèk;ks a dk çf'k{k.k 19 Vh&5 tyu s ls ihfM+r  O;k[;ku  tyu s ls ihfM+r jksfx;ks a vkSj  LokLF; ykHk dh ifjHkk"kk vkSj voèkkj.kk jksfx;ks a ds iqufuZekZ.k 'kY;  LokLF; ykHk ds fl)kar LokLF; ykHk ij fpfdRlk ikus oky s  tyu s ls ihfM+r jksfx;ks a dk LokLF; ykHk y[s ku dk;Z jksfx;ks a ds LokLF;  leqnk; vkèkkfjr LokLF; ykHk dk;ZØe ykHk dh O;k[;k  tyu s ls ihfM+r jksfx;ks a dk ifjokj ij djuk dsafær LokLF; ykHk  tyu s ls ihfM+r jksfx;ks a ds LokLF; ykHk eas vku s okyh pqukSfr;ka  jk"Vªh; LokLF; ykHk vkSj LokLF; ykHk uhfr  tyu s ls yxh pksV oky s jksfx;ks a ij ykxw fodykaxrk vfèkfu;e 20 Vh&10 fjdaLVªfDVo ltZjh  O;k[;ku  lsfeukj dk iqoZo`Ùk] çdkjks a  fjdULVªfDVo ltZjh dk bfrgkl vkSj ladsrks a dh O;k[;k djuk  çdkj vkSj ladsr  tUetkr foÑfr;ks a ds fy;s fjdULVªfDVo ltZjh cUlZ vkSj Vªksek eas fjdaLVªfDVo ltZjh  tyu s eas fjdULVªfDVo ltZjh vkSj d‚LesfVd  d‚LesfVd ltZjh ltZjh dh Hkwfedk18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] dh O;k[;k djuk  Vªksek eas fjdULVªfDVo ltZjh  fjdULVªfDVo ltZjh ls xqtju s oky s jksfx;ksa dh n[s kHkky fjdULVªfDVo ltZjh ls xqtju s oky s  fjdULVªfDVo ltZjh ls xqtju s jksfx;ks a ds ufl±x oky s f'k'kq jksfx;ks a dh ns[kHkky çcaèku dh O;k[;k  vkWijs'ku ds ckn dh lkekU; tfVyrk,a dk;ZØe ds var es a Nk= fuEufyf[kr dk;Z laiknu djus es a l{ke gksxa s%& 1- tyu s ls ihfM+r jksfx;ks a dk vkdyu djuk 2- tyu s ls ihfM+r jksfx;ks a dks ysus ds fy;s bdkbZ rS;kj djuk 3- tyu s ls ihfM+r jksfx;ks a dh vkikrdkyhu çkFkfed fpfdRlk djuk 4- vkdfLed vkSj fodV voLFkk es a jksfx;ks a dh n[s kHkky djuk 5- e`rçk; tyus ls ihfM+r jksfx;ks a dks rjy inkFkZ nsdj gks'k eas ykuk 6- tyu s ls ihfM+r jksfx;ks a ds ?kkoks a dh n[s kHkky djuk 7- tyu s ls ihfM+r f'k'kq] cqtqxZ vkSj xHkZorh efgyk tSls fo'ks"k jksxh lewgks a dk vkdyu vkSj çcaèku djuk 8- ihvkbZlhlh ykbu Mkyuk vkSj vU; laoguh vfHkxe midj.k Mkyus es a lgk;rk djuk 9- laoguh vfHkxe midj.kks a ¼oh,Mh½ dh n[s kHkky djuk 10- tyu s ls ihfM+r jksfx;ks a dh vkikrdkyhu@'kY; çfØ;kvks a eas lgk;rk djuk 11- jksfx;ks a dks iqufuZekZ.k 'kY; fpfdRlk ¼fjdaLVªfDVo ltZjh½ ds fy;s rS;kj djuk 12- 'kY; fpfdRlk ds ckn jksfx;ks a dh n[s kHkky djuk 13- jksfx;ks a vkSj ifjokj ds lnL;ks a dks ijke'kZ nsuk 14- tyu s ls ihfM+r jksfx;ks a eas laØe.k QSyus ls jksdu s ds fy;s laØe.k fu;a=.k mik; viukuk 15- tyu s ls ihfM+r jksfx;ks a ds LokLF; ykHk gsrq igy djuk vkSj LokLF; ykHk dk;ZØe es a Hkkx ysuk cUlZ lsVa j 32 tyu s ls ihfM+r jksfx;ks a  vkikrdkyhu çkFkfed  o`Ùk vè;;u  uSnkfud ¼cUlZ vkikr ¼2$22$8½ ds fy;s vkdfLed vkSj fpfdRlk çcaèku vkSj cUlZ eYw ;kadu ,oa ejge Rofjr ufl±x ns[kHkky bdkbZ rd igqapkuk iV~Vh d{k & çnku djuk  iwoZo`Ùk ysuk  o`Ùk@  o`Ùk vè;;u@ 2] cUlZ okMZ  'kkjhfjd vkdyu djuk uSnkfud o`Ùk & 22 vkSj  uSnkfud ijh{k.kks a eas lgk;rk çLrqfrdj.k çLrqfrdj.k@ cUlZ vkbZlh;w djuk o`Ùk fjiksVZ & 8½ e`rçk; jksfx;ks a dks rjy  e`rçk; jksfx;ks a dks rjy inkFkZ  LokLF;  LokLF;[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19 inkFkZ nsdj gks'k eas yku s nds j gks'k eas ykuk ifjppkZ ifjppkZ ds fy;s rS;kjh djuk vkSj lgk;rk djuk ,ukYtsfld]  nok nus k ,aVhck;ksfVDl vkSj vU; nok;s a nus k laoguh vfHkxe midj.kks a  oh,Mh dh ns[kHkky  çfriknu ¼oh,Mh½ vkSj nh?kZdkfyd  ykax VeZ vkbZoh ,Dlsl dSFksVj vkSj dSFksVj Mkyuk vkSj çfrLFkkfir djuk & çek.khdj.k lgk;rk djuk ihvkbZlhlh] fgdeSu dSFksVj vkSj nSfud j[kj[kko jDr vkSj jDr mRikn  xzqi tkuus vkSj ØkWl eSfpax ds p<+kuk fy;s jDr ysuk  jDr vkSj jDr mRiknks a dks tys es a ?kkoks a dh n[s kHkky p<+kuk djuk  ?kko dk vkdyu djuk  ?kko dh ns[kHkky djuk  ?kko dks <+du s ds fy;s fofHkUu jklk;fud ,oa tSfod inkFkks± vkSj Ñf=e Ropk dk mi;ksx vkikrdkyhu 'kY; djuk fpfdRlk vkSj fLdu xzk¶V  jksfx;ks a dks 'kY; fpfdRlk ds iku s oky s jksfx;ks a dh fy;s rS;kj djuk vkWijs'ku ls igy s vkSj  'kY; fpfdRlk ds i'pkr ckn es a n[s kHkky djuk n[s kHkky djuk tyu s ls ihfM+r jksfx;ks a ds fy;s iks"k.k dk çcaèku djuk  dSyksjh x.kuk djuk vkgkj ;kstuk cukuk  jksfx;ks a dks vkgkj nsuk jksfx;ks a vkSj ifjokj ds  jksxh dh lHkh voLFkkvks a ds  ijke'kZ fjiksVZ lnL;ks a dks ijke'kZ nus k nkSjku lgk;rk djuk & 01  jksfx;ks a vkSj ifjokj ds lnL;ks a dks ijke'kZ nsuk cUlZ@ 02 tyu s ls ihfM+r jksfx;ks a  'kY; fpfdRlk ls igy s  çfØ;k ij  uSnkfud fjdaLVªfDVo dh 'kY; fpfdRlk vkSj eYw ;kadu djuk fVIi.kh eYw ;kadu ltZjh fjdaLVªfDVo ltZjh eas  'kY; fpfdRlk eas lgk;rk vkijs'ku lgk;rk djuk djuk  ykWx cqd fFk,Vj  'kY; fpfdRlk ds rqjra i'pkr jksfx;ks a dh n[s kHkky djuk  cUlZ ,oa fjdaLVªfDVo ltZjh okMZ eas jksfx;ks a dh tkap ,oa lgk;rk djuk fjdaLVªfDVo 04 iqufuZekZ.k 'kY; fpfdRlk  jksfx;ks a dks 'kY; fpfdRlk ds  o`Ùk vè;;u  uSnkfud ltZjh okMZ iku s oky s jksfx;ks a dh fy;s rS;kj djuk eYw ;kadu n[s kHkky djuk  ?kkoks a dh ns[kHkky djuk  o`Ùk@  jksfx;ks a dks ijke'kZ nus k uSnkfud  vodqapu vkSj vU; tfVyrkvks a çLrqfrdj.k ls cpus ds fy;s fQft;ksFksjsih djuk20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] cUlZ@ 02 tyu s ls ihfM+r jksfx;ks a  i`oZo`Ùk yus k  jksfx;ks a dk  uSnkfud fjdaLVªfDVo dh tkap es a lgk;rk  'kkjhfjd ijh{kk vkSj ewY;kadu LokLF; eYw ;kadu ltZjh vksihMh djuk djuk vkdyu  vkikrdky es a gks'k eas ykuk fjikVs Z ¼iwoZ  LokLF; f'k{kk o`Ùk yus k o 'kkjhfjd ijh{k.k djuk½ ufl±x dkWyst dh cqfu;knh dkS'ky ç;ksx'kkyk ds vykok fuEufyf[kr vko';d gSaA 1- n`';&JO; lkèku ¼, oh ,M~l½ ds 3&Mh e‚My fuEufyf[kr dk;Z fl[kk;s tk;s%a& a) Ropk dh fofHkUu ijrsa 1 - Ropk dh cqfu;knh lajpuk b) tyu s dk Lrj 1 - tyu s ds çdkj c) tyu s ds ?kko Hkjko dk pj.k 1 - æO; p<k+u s ds fy;s vklkuh ls d) f'kjkosèk ds fy;s vklkuh ls lqyHk ulks a vkSj èkefu;ks a dks 1 lqyHk LFkkuA çnf'kZr dju s okyk ifjlapj.k r=a 2- lsVa ªy ykbu bul'kZu fdV] osuslsD'ku fdV 1@1 ulks a rd lqjf{kr igqap LFkkfir dju s ds fy, 3- Vªsfd;ksLVkseh lsV 1 ok;q ekxZ ls lqjf{kr igqap LFkkfir djus ds fy, 4- out ekius dk ;a= ¼jksxh vkSj fcLrj½ 1@1 æo p<+kdj iquthZou nsus ds fy;s jksxh dk otu djuk 5- fuEufyf[kr oLrqvks a ds lkFk ØS'k dkVZ 1 a) iqu% gks'k eas yku s okyh nok ¼vk;uksVªksIl vkSj çR;sd ds ,ukfQyfsDVd MªXl½ de ls de 2 ,aI;wYl b) ekLd ds lkFk vacq cSx] vkWDlhtu lIykbZ 1 c) fMfQfczyVs j 'k‚d :e & çkjaHk eas iqu% gks'k eas 1 d) lHkh vkdkjks a ds CysM ds lkFk yfsjxa ksLdksi ykus ds fy, 1 e) yfsjfat;y ekLd ,;jos 1 f) vkbZ&tsy 1 g) ,aMksVªSfp;y Vîcw fofHkUu çdkj ds h) baVªkdSFl fofHkUu çdkj ds i) ulks a eas p<+ku s oky s rjy inkFkZ ¼vkbZoh ¶YwbM~l½ fofHkUu çdkj ds 6- fLifyaV~l fofHkUu çdkj ds vodqapu dks jksdu s ds fy, 7- fuEufyf[kr midj.kks a ds lkFk iks"k.k ySc QksfVZQkbM QhM rS;kj dju s ds[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21 a) feDlj xzkbaMj 1 fy, b) lkWlisu 2 c) ekiu s dk tkj 2 d) pkdw] Nqjh bR;kfn ¼dVyjh½ fofHkUu çdkj ds e) Vcs y VkWi fdpu osbax Ldsy 1 f) pyuh@Nyuh 1 g) [kk| dSyksjh pkVZ 1 8- fuEufyf[kr oLrqvks a ds lkFk Mªfslax Vª‚yh 1 a) LVsjkby vksVh rkSfy, 2 b) fdMuh Vsª 2 c) Mªfslax ckmYl ¼15 lseh½ 2 d) fdMuh Vsª 2 e) ,pih Mhi Mªe 2 f) ,pih 'kSyks Mªe 1 g) ,e, Mhi Mªe 1 h) ,e, 'kSyks Mªe 1 i) Mªfslax lkexzh & xkSt ihlsl] xeth iSM~l] Øsi ifV~V;ka 1 lsV@jksy fofHkUu vkdkj ds cUlZ Mªsflax ds fy, 9- midj.k a) èkeuh laMk'k ¼vkVZjh QkWlsZIl½ 2 b) foPNsnu laMk'k ¼Mk;'ksDlu QkWlsZIl½ 2 c) phVy laMk'k ¼phVy QkWlsZIl½ 2 d) dqna èkeuh laMk'k ¼CyaV vkVZjh QkWlsZIl½ 2 e) dSaph 2 f) Ldsyisy 2 g) CyMs fofHkUu çdkj ds 10- Mªfslax lkexzh fofHkUu çdkj ds a) gkbMªkstsy vkosnu ds b) vYxhusV çn'kZu ds fy;s c) dksystu çR;sd dk d) Qkse 1 ueuw k e) ,l,lMh tys ds ?kkoks a ds fy;s bLrseky f) ,aVhdkVs dh tku s okyh iV~Vh ¼Mªsflax½ g) gkbMªksghy h) oSV dksystu i) MªkbZ dksystu j) ,yfsou ,th Mªsflax k) gksfyLVj l) dkWeQhy m) fc;kVSu ,th ¼fpidus okyk ugha½22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4]  ç'u i= vkSj ç'uksÙkjh & 10 vad  fyf[kr dk;Z & 10 vad ¼cUlZ ,aM fjdaLVªfDVo ltZjh Lisf'kfyVh ufl±x vH;kl ls çklafxd uSfrd vkpkj lafgrk] cUlZ ,aM fjdaLVªfDVo ltZjh ufl±x@laØe.k fu;a=.k çfØ;kvks a esa lk{; vkèkkfjr dk;Z ¼Ãchih½ ij lkfgR;d leh{kk] Toyu ls ihfM+r vFkok fjdaLVªfDVo ltZjh fd; s tku s oky s jksfx;ks a dh iks"k.k lacaèkh n[s kHkky½  lkefwgd ifj;kstuk & 5 vad 35 vad ¼fucaèk 1 × 15 ¾ 15 vad] y?kq mÙkj 4 × 4 ¾ 16 vad] vfr y?kq mÙkj 2 × 2 ¾ 4 vad½ vkSj 40 vad ¼fucaèk 1 × 15 ¾ 15 vad] y?kq mÙkj 5 × 4 ¾ 20 vad] vfr y?kq mÙkj 5 × 1 ¾ 5 vad½  oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhý & 25 vad ¼inLFkkiu ds var eas vks,llhà & 10 vad $ o"kZ ds var eas vkarfjd vks,llhà & 15 vad½  vU; vH;kl % 50 vad d½ çk;ksfxd dk;Z & 20 vad ¼uSnkfud çLrqfr vkSj dsl LVMh fjiksVZ & 5 vad] ijke'kZ fjikVs Z@nkSjks a dh fjikVs Z & 5 vad] Mªx LVMh fjiksVZ & 5 vad vkSj LokLF; ifjppkZ & 5 vad½ [k½ dk;Zfofèkd n{krkvks a vkSj uSnkfud vgZrkvks a ds iw.kZ gksus ij & 5 vad x½ uSnkfud dk;Z fu"iknu dk fujarj uSnkfud eYw ;kadu & 5 vad ?k½ vafre voyksfdr vH;kl ijh{kk ¼uSnkfud dk;Z es a okLrfod fu"iknu½ & 20 vad oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhý & 50 vad] voyksfdr vH;kl & 100 vad[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23 I 1 jksxh çf'k{k.k lkexzh rS;kj djuk 2 tyu s ls ihfM+r jksfx;ks a ds çf'k{k.k gsrq jksxh çf'k{k.k ;kstuk r;S kj djuk 3 ufl±x vfèkdkfj;ks@a LVkQ ulks± ds fy;s MîwVh jksLVj rS;kj djuk 4 lkfgfR;d leh{kk y[s ku ¼lk{; vkèkkfjr ufl±x eè;orZu@çFkkvks a dh igpku djuk½ 5 çdk'ku@isij çstsaVs'ku ds fy;s ikaMqfyfi rS;kj djuk 6 lkefwgd vuqlaèkku ifj;kstuk fo"k;% II 1-1 tyu s ls ihfM+r o;Ld jksfx;ks a ds iwoZo`Ùk dh tkudkjh gkfly djuk vkSj 'kkjhfjd ijh{k.k djuk 1-2 tyu s ls ihfM+r f'k'kq jksfx;ks a ds iwoZo`Ùk dh tkudkjh gkfly djuk vkSj 'kkjhfjd ijh{k.k djuk 2-1 tkpa ds fy;s jDr@ew= ysuk 2-2 èkeuh jDr xSl fo'ys"k.k ¼,chth vuys fsll½ djuk 2-3 bZlhth djuk 2-4 ?kko dh laLÑfr ¼dYpj½ ds fy;s Qkok ¼LoSc½ ysuk 3-1 lsVa ªy dSFksVj vkSj ihvkbZlhlh Mkyuk ¼laLFkkxr çksVksdkWy ds vuqlkj½ 3-2 var%f'kjk çosf'kuh ¼vkbZoh dsU;wyk½ Mkyuk 3-3 lsVa ªy dSFksVj vkSj ihvkbZlhlh dh n[s kHkky 4-1 'okl uyh dk vkWijs'ku djuk 4-2 'okl uyh vkWij's ku dh ns[kHkky 4-3 baVqos"k.k vkSj ;kaf=d ok;q lapkj ¼eSdsfudy osfaVys'ku½ ¼laLFkkxr çksVksdkWy ds vuqlkj½ 4-4 e=w dSFksVj yxkuk 4-5 ,LdjksVkWeh vkSj QsflvksVkWeh 5-1 'kjhj dh tyh gqbZ lrg ds {ks= ¼ch,l,½ dk vkdyu 5-2 vko';d rjy inkFkZ dh ek=k dh x.kuk 5-3 rjy inkFkZ p<k+uk 6-1 ?kko rFkk 'kjhj dh tyh gqbZ lrg ds {ks= ¼ch,l,½ dk vkdyu 6-2 ?kko dh vkoik'kh 6-3 ?kko dk {kr'kksèku ¼laLFkkxr çksVksdkWy ds vuqlkj½24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 6-4 ?kko dh iV~Vh djuk 6-5 Ropk dk HkaMkj.k ¼laLFkkxr çksVksdkWy ds vuqlkj½ 6-6 Ropk ij iScan yxkuk ¼fLdu xkz¶V½ 6-7 ?kko ij tSfod vkoj.k yxkuk 7-1 vko';d dSyksjh dh x.kuk 7-2 O;atu lwph rS;kj djuk 7-3 ekSf[kd@vka=srj@vka=srj rjhds ls vkgkj nsuk 7-4 le;&le; ij vkgkj dh fLFkfr dk vkdyu 8-1 cUlZ bdkbZ dk folaØe.k vkSj jksxk.kquk'ku 8-2 tSo&fpfdRlh; vif'k"V dk fuiVku 8-3 cSfj;j ufl±x 8-4 èkwuh 9-1 Nkrh dh fQft;ksFksjsih djuk 9-2 balsafVo fLijksesVªh djuk 9-3 xfr dh lhek ¼vkjvks,e½ ls lacafèkr vH;kl djuk 10-1 f'k'kqvks a ds ueuw s yus k 10-2 f'k'kqvks a dk f'kjkosèk djuk 10-3 f'k'kqvks a dks nok p<k+uk ¼[kqjkd eas la'kksèku½ ¼laLFkkxr çksVksdkWy ds vuqlkj½ 10-4 vkgkj çcaèku 11-1 cUlZ bdkbZ es a laØe.k fu;a=.k ds fy;s ekud lapkyu çfØ;k ¼,lvksih½ rS;kj djuk 11-2 tyu s ls ihfM+r jksfx;ks a dh n[s kHkky ds fy;s ufl±x ekud fodflr djuk 11-3 bdkbZ dk ijh{k.k djuk 12-1 lgefr yus k 12-2 ekxZn'kZu vkSj ijke'kZ *Nk= ds dkS'ky çn'kZu dju s ds fy;s l{ke ik;s tkus ij bl ij ladk; }kjk gLrk{kj fd;s tk;sxa sA Nk=ks a ls lwphc) dkS'ky@n{krkvks a dk laiknu ckj&ckj djuk rc rd visf{kr gS tc rd fd os Lrj&3 dh n{krk rd ugÈ igqap tkrs gSa] mlh ds ckn ladk; }kjk çR;sd n{krk ds le{k gLrk{kj fd; s tk;sxa sA ;g lqfuf'pr fd;k tkuk pkfg;s fd Nk=ks a ds Lrj&3 rd igqapus ij gh çR;sd n{krk ds le{k gLrk{kj fd;s tk;sAa  Lrj&3 dh ;ksX;rk n'kkZrh gS fd Nk= fcuk fdlh i;Zos{k.k ds ml n{krk dk laiknu dju s eas l{ke gSA  Lrj&2 dh ;ksX;rk n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk laiknu djus es a l{ke gSA  Lrj&1 dh ;ksX;rk n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml dkS'ky@n{krk dk laiknu dju s eas l{ke ugÈ gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25 1-1 fo"k;% 1-2 fo"k;% ijke'kZ fjiksVZ&1 3-1 LokLF; vkadyu ¼o;Ld vkSj f'k'kq½ & iwoZo`Ùk vkSj 'kkjhfjd ijh{kk ¼nks fyf[kr fjikVs Z½ 3-1-1 o;Ld 3-1-2 f'k'kq 3-1-3 fo"k;% ¼ufl±x@var%fo"k;d ppkZ½ 5-1 uSnkfud fLFkfr dk uke% 5-2 uSnkfud fLFkfr dk uke% ¼nks fyf[kr fjikVs Z çLrqr dh tkuh gSa½ 6-1 vkS"kf/k dk uke% 6-2 6-3 6-4 8-1 jk"Vªh;@{ks=h; cUlZ dsæa26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] MkW- Vh- fnyhi dqekj] v/;{k [ foKkiu&III@4@vlk-@257@2020&21][भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27 INDIAN NURSING COUNCIL NOTIFICATION New Delhi,the 25th September, 2020 F.No. 11-1/2019-INC.—In exercise of the powers conferred by sub-section (1) of Section 16 of Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations for Post Basic Diploma in Burns & Reconstructive Surgery Specialty Nursing – Residency Program, 2019:— Short Title and Commencement.— 1. These Regulations may be called Post Basic Diploma in Burns & Reconstructive Surgery Specialty Nursing – Residency Program, 2019. 2. These Regulations shall come into force on the date of notification of the same in the Official Gazette of India. CURRICULUM POST BASIC DIPLOMA IN BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING – RESIDENCY PROGRAM, 2019 I. INTRODUCTION The National Health Policy document (NHP, 2017) emphasizes the need to expand tertiary care services, prepare specialist nurses and standardization of clinical training for nurses. Responding to this, Indian Nursing Council planned to redesign the existing specialist nursing programs making it as a one-year post basic diploma residency programs utilizing competency based training approach. Burns and Reconstructive Surgical Nursing is a new specialty prepared by INC using revised guidelines that aim to prepare specialist nurses who can provide competent care to patients with burns and those undergo reconstructive surgery whose diagnostic, treatment and care needs are complex and intensive. Burns are one of the most devastating conditions encountered in health. The injury represents an assault on all aspects of the patient. The visible physical and invisible psychological scars are long lasting and often lead to chronic disability. Burn injuries represent a diverse and varied challenge to health personnel. Optimal care of burns patients require a multidisciplinary approach. The complexity and multisystem involvement of burns patients demand intensive specialized care by the burns trained nurses. Positive patient outcome is dependent on the composition of the burns care team, their commitment, specialized skills and close collaboration among its members. The nurses play an important role in the management of burns patients. Burns nursing practice requires dynamic and highly skilled and complex care. Burn injury causes significant injury to patients as well as their family members. Recovery of the patients with burns, greatly depend upon efficient nursing care. Nurses specialized in burns care need to be compassionate and should have ability to connect with patient and their family members. II. PHILOSOPHY Indian Nursing Council believes that registered nurses need to be further trained as specialist nurses to function in various emerging speciality areas of practice and the training should be competency based. One such area that demands specialist nurses is Burns & Reconstructive Surgery Nursing. Expanding roles of nurses and advances in Burns Nursing, Reconstructive Surgery and technology necessitates additional training to prepare nurses with specialized skills and knowledge to deliver competent, intelligent and appropriate care to burns patients with different types of injuries and deformities and also to patients who undergo reconstructive surgery. III. CURRICULAR FRAMEWORK The Post Basic Diploma in Burns & Reconstructive Surgery Specialty Nursing education is a one-year residency program and its curriculum is conceptualized encompassing foundational short courses and major specialty courses for specialty nursing practice. The foundations to Burns Nursing & Reconstructive Surgical Nursing practice such as Professionalism, Communication & patient education, Clinical leadership & resource management, and Evidence based & applied research are short courses that aim to provide the students with the knowledge, attitude and competencies essential to function as accountable, sincere, safe and competent specialist nurses. The major specialty courses are organized under Burns & Reconstructive Surgery Specialty Nursing-I and Burns & Reconstructive Surgery Specialty Nursing-II. Specialty Nursing-I includes Context/Introduction to Burns Nursing & Reconstructive Surgery, and Basic Sciences applied to Burns & Reconstructive Surgical Nursing (application of basic science knowledge in the diagnosis, treatment and care of clinical conditions under Burns & Reconstructive Surgery Specialty Nursing). Specialty Nursing-II includes nursing management of burns patients with different types of burn injuries and28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] deformities including reconstructive surgery comprising assessment, diagnosis, treatment and specialized interventions and patient safety & quality including illness specific considerations. The curricular framework for the Burns & Reconstructive Surgery Specialty Nursing residency program is illustrated in the following figure-1. POST BASIC DIPLOMA IN BURNS AND RECONSTRUCTIVE SURGERY SPECIALTY NURSING – RESIDENCY PROGRAM Foundations to Burns Nursing Courses Specialty (Burns & Reconstructive Surgery) Nursing Courses ONE YEAR RESIDENCY PROGRAM (For Registered Nurses & Midwives) Theory – 10% and Practicum – 90% (Skill Lab + Clinical) Figure-1. Curricular Framework for Burns & Reconstructive Surgery Specialty Nursing – Residency Program IV. AIM/PURPOSE & COMPETENCIES AIM The program is designed to prepare nurses with specialized skills, knowledge and attitude in providing pre- hospital care, intra-hospital care and rehabilitation of patients with burns and those who undergo reconstructive surgery. It further aims to prepare technically qualified and trained specialist nurses who will function effectively and optimally at Burns units of Tertiary/Quaternary hospitals providing high quality and standards of care. COMPETENCIES On completion of the program, the burns & reconstructive surgery specialist nurse will be able to:[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29 1. Demonstrate professional accountability for the delivery of nursing care as per INC standards that is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles in practice. 2. Communicate effectively with patients, families and professional colleagues fostering mutual respect and shared decision making to enhance health outcomes. 3. Educate and counsel patients and families to participate effectively in treatment and care and enhance their coping abilities through crisis and bereavement. 4. Demonstrate understanding of clinical leadership and resource management strategies and use them in burns & reconstructive surgery care settings promoting collaborative and effective teamwork. 5. Identify, evaluate and use the best current evidence in burns & reconstructive surgery care and treatment coupled with clinical expertise and consideration of patient’s preferences, experience and values to make practical decisions in burns and reconstructive surgical nursing practice. 6. Undertake scientific projects in burns & reconstructive surgery that contribute to evidence-based burns nursing care interventions with basic understanding of research process. 7. Apply basic sciences in the assessment, diagnosis and treatment of the physiological, physical, psychological, social & spiritual problems of patients and their families with burns and those undergoing reconstructive surgery. 8. Apply the concepts and principles of burns & reconstructive surgery nursing. 9. Demonstrate understanding of pre-hospital care and transportation of burns patients. 10. Provide safe competent hospital care, emergent care and acute care of burns. 11. Apply nursing process in caring for patients with burns and reconstructive surgery. 12. Demonstrate specialized practice competencies/skills in providing care to burns patients relevant to fluid resuscitation, and burn wound management and patients undergoing reconstructive surgery. 13. Practice infection control and patient safety protocols. 14. Demonstrate understanding of recent advances in treatment and care of burns and reconstructive surgery. 15. Provide effective psychosocial care and rehabilitation in burns. 16. Conduct clinical audit and participate in quality assurance activities in burns unit and reconstructive surgical unit. 17. Conduct training programs for various categories of nursing personnel. V. PROGRAM DESCRIPTION & SCOPE OF PRACTICE The Post Basic Diploma in Burns & Reconstructive Surgery specialty nursing program is a one-year residency program with a main focus on competency-based training. Theory includes foundational courses and specialty courses besides practicum. The theory component comprises 10% and practicum 90% (Clinical and Lab). On completion of the program and certification and registration as additional qualification with respective State Nursing Council, the specialist nurses will be employed only in the burns/reconstructive surgery specialty hospital/department/unit as specialist nurses. They will be able to practice as per the competencies trained during the program particularly the procedural competencies/clinical skills as per the logbook of the INC syllabus. The specialist nurses can be privileged to practice those specialized procedural competencies by the respective institution as per institution protocols. Specialist nurse cadre/positions should be created both at government/public and private sectors. The diploma will be awarded by respective examination board/State Nursing Council/ University approved by Indian Nursing Council. VI. MINIMUM REQUIREMENTS/GUIDELINES FOR STARTING THE POST BASIC DIPLOMA IN BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING – RESIDENCY PROGRAM The program may be offered at 1. College of Nursing offering degree programs in nursing attached to parent specialty hospital/tertiary hospital having a minimum of 200 beds with diagnostic, therapeutic and state of the art burns care units and burns ICU and reconstructive surgery unit/department with specialized nursing care facilities. OR Hospitals offering DNB/fellowship programs in Burns & Reconstructive Surgery having minimum of 200 beds with diagnostic, therapeutic and state of the art burns care units with dedicated burns ICU and reconstructive surgery unit/department with latest treatment facilities for early excision, skin grafting, skin banking and skin regeneration lab with specialized nursing care facilities.30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 2. The above eligible institution shall get recognition from the concerned State Nursing Council for Post Basic Diploma in Burns & Reconstructive Surgery Specialty Nursing for the particular academic year, which is a mandatory requirement. 3. The Indian Nursing Council shall after receipt of the above documents/proposal would then conduct statutory inspection of the recognized training nursing institution under Section 13 of Indian Nursing Council Act, 1947 in order to assess the suitability with regard to availability of teaching faculty, clinical and infrastructural facilities in conformity with regulations framed under the provisions of Indian Nursing Council Act, 1947. 1. Nursing Teaching Faculty: a. Full time teaching faculty in the ratio of 1 : 10. b. Minimum number of faculty should be two. c. Qualification and Number: i. M.Sc. with Medical Surgical Nursing/Burns & Reconstructive Surgery Speciality Nursing – 1 ii. Post Basic Diploma in Burns & Reconstructive Surgery Specialty Nursing with Basic B.Sc. (Nursing)/P.B.B.Sc. (Nursing) – 1 d. Experience: Minimum three years of clinical experience in Burns & Reconstructive Surgery Specialty Nursing. e. Guest Faculty: Multi-disciplinary in related specialities. f. Preceptors:  Nursing Preceptor: Full time qualified GNM with 6 years of experience in specialty nursing (Burns/Reconstructive Surgery Nursing) or B.Sc. (Nursing) with 2 years’ experience in specialty nursing or M.Sc. (Nursing) with one year specialty nursing experience working in the specialty care unit.  Medical Preceptor: Specialist (Burns/Reconstructive Surgery specialist) doctor with PG qualification (with 3 years post PG experience/faculty level/consultant level preferable).  Preceptor Student Ratio: Nursing 1 : 10, Medical 1 : 10 (Every student must have a medical and nursing preceptor). 2. Budget: These should have budgetary provision for staff salary, honorariums for guest faculty, and part time teachers, clerical assistance, library and contingency expenditure for the program in the overall budget of the institution. 3. Physical and Learning Resources at Hospital/College: a. One classroom/conference room at the clinical area. b. Skill lab for simulated learning at hospital/college. Skill Lab Requirements are listed in Appendix-1. c. Library and computer facilities with access to online journals: i. College library having current books, journals and periodicals related to Burns & Reconstructive Surgery Specialty Nursing, Nursing Administration, Nursing Education, Nursing Research and Statistics. OR Permission to use medical/hospital library having current books, journals and periodicals related to Burns & Reconstructive Surgery Specialty Nursing, Nursing Administration, Nursing Education, Nursing Research and Statistics. ii. Computer with internet facility. d. E-Learning facilities. e. Teaching Aids – Facilities for use of: i. Overhead Projectors, ii. Video viewing facility, iii. LCD Projector, iv. CDs, DVDs and DVD players,[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31 v. Appropriate equipment, manikins and simulators for skill learning. f. Office facilities: i. Services of typist, peon, Safai Karamchari. ii. Facilities for office, equipment and supplies such as  Stationery,  Computer with printer,  Xerox machine,  Telephone and Fax. 4. Clinical Facilities: a. Parent specialty hospital/tertiary hospital having minimum of 200 beds with advanced diagnostic, therapeutic and state of the art burns care units and burns ICU and reconstructive surgery unit/department with specialized nursing care facilities. b. Regional centres/Burns & Reconstructive Surgery specialty hospitals having minimum of 200 beds with advanced diagnostic, therapeutic and state of the art burns care units and burns ICU and reconstructive surgery unit/department with specialized nursing care facilities. c. Hospital must have a minimum of 30 specialty beds with advanced diagnostic, treatment and care facilities. d. Nurse staffing of units as per INC norms. e. Student patient ratio: 1 : 3 5. Admission Terms and Conditions/Entry Requirements: The student seeking admission to this program should: a. Be a registered nurse (R.N. & R.M.) or equivalent with any State Nurses’ Registration Council (SNRC) having NUID number. b. Possess a minimum of one year clinical experience as a staff nurse preferably in the burns/reconstructive surgery unit prior to enrolment. c. Be physically fit. d. Selection must be based on the merit of an entrance examination and interview held by the competent authority. e. Nurses from other countries must obtain an equivalence certificate from INC before admission. 6. Number of Seats: For hospital having 200 beds and 30 specialty beds, number of seats = 10, For hospital having 500 beds and more with 60 specialty beds, the number of seats = 20. 7. Number of Candidates: 1 candidate for 3 specialty beds. 8. Salary: a) In-service candidates will get regular salary. b) Stipend/Salary for the other candidates as per the salary structure of the hospital where the program is conducted. VII. EXAMINATION REGULATIONS AND CERTIFICATION EXAMINATION REGULATIONS Examining and Diploma awarding authority: Respective Examination Boards/State Nursing Council/ University approved by Indian Nursing Council. 1. Eligibility for appearing for the examination: a) Attendance: Theory & Practical – 80%. However, 100% Clinical attendance have to be completed prior to certification.32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] b) Candidate who successfully completes the necessary requirements such as logbook and clinical requirements is eligible and can appear for final examination. 2. Practical examination: a) OSCE: OSCE type of examination will be conducted alongside viva (oral examination) both in the internal and final examination. Detailed guidelines are given in guidebook. b) Observed Practical/Clinical: Final internal and external examination will also include assessment of actual clinical performance in real settings including viva and mini clinical evaluation exercise for 3-4 hours (Nursing process application and direct observation of procedural competencies). Minimum period of assessment in the clinical area is 5-6 hours. Evaluation guidelines are given in guidebook. c) Maximum number of students per day = 10 students. d) Examination should be held in clinical area only. e) The team of practical examiners will include one internal examiner [(M.Sc. faculty with two years of experience in teaching the respective specialty program/M.Sc. faculty (Medical Surgical Nursing) with 5 years of post PG experience], one external examiner (nursing faculty with the same qualification and experience stated as above) and one medical internal examiner who should be preceptor for specialty program. f) The practical examiner and the theory examiner should be the same nursing faculty. 3. Standard of Passing: a) In order to pass, a candidate should obtain at least 60% marks in aggregate of internal assessment and external examination both together, in each of the theory and practical papers. Less than 60% is considered fail b) Students will be given opportunity of maximum of 3 attempts for passing c) If the student fails in either theory or practical, he/she needs to appear for the exam failed either theory or practical only. CERTIFICATION a. TITLE: Post Basic Diploma in Burns & Reconstructive Surgery Specialty Nursing. b. A diploma is awarded by Examination Boards/State Nursing Council/University approved by Indian Nursing Council, upon successful completion of the prescribed study program, which will state that i. Candidate has completed all the courses of study under the Post Basic Diploma in Burns & Reconstructive Surgery Specialty Nursing – Residency Program. ii. Candidate has completed 80% theory and 100% clinical requirements. iii. Candidate has passed the prescribed examination. VIII. SCHEME OF EXAMINATION Courses Int. Ass. Ext. Ass. Total Exam Hours Marks Marks Marks (External) Theory (Experiential/Residential Learning) 25 75 100 3 Burns & Reconstructive Surgery Specialty Nursing (10+15) (35+40) (Part I & Part II) {Part I – Burns & Reconstructive Surgery Specialty Nursing I including Foundations, Part II – Burns & Reconstructive Surgery Specialty Nursing II} Practicum (Burns & Reconstructive Surgery Specialty Nursing) 75 150 225 Minimum (25+50) (50+100) 5-6 hours in  OSCE including Viva (OSCE – (OSCE – the clinical  Observed Practical/Clinical (direct observation of actual 25 & 50 & area performance at real settings) including viva – mini clinical Observed Observed evaluation exercise for 3-4 hours (nursing process Practical – Practical – application and direct observation of procedural 50) 100) competencies) Grand Total 100 225 325[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33 IX. PROGRAM ORGANIZATION/STRUCTURE i. Courses of Instruction ii. Implementation of Curriculum iii. Clinical Practice (Residency posting) iv. Teaching Methods v. Methods of Assessment vi. Log Book and Clinical Requirements 1. Courses of Instruction – Delivered through mastery of learning (Skill Lab Practice) and experiential learning (including Clinical Practice) approaches Theory Lab/Skill Clinical (hrs) Lab (hrs) (hrs) I Foundations to Burns & Reconstructive Surgery Specialty Nursing 40 Practice 1. Professionalism 2. Communication, patient education and counseling in specialty nursing 3. Clinical leadership and resource management in the specialty care setting 4. Evidence based and applied research in specialty nursing Burns & Reconstructive Surgery Specialty Nursing Courses II Burns & Reconstructive Surgery Specialty Nursing I 1. Context/Introduction to specialty nursing 40 10 2. Basic sciences applied to specialty care – diagnosis and treatment of clinical conditions (Anatomy & Physiology, Microbiology, Pharmacology & Pathophysiology) Burns & Reconstructive Surgery Specialty Nursing II 3. Nursing management of clinical conditions including assessment, diagnosis, 120 30 1730 treatment and specialized interventions 4. Patient safety and quality 5. Specialty/Illness specific considerations (Supportive care/palliative care/ rehabilitation, Impact of illness on individual, family and community) 200 40 1730 TOTAL= 1970 hours (5 wks) (1 wk) (38 wks) Total weeks available in a year: 52 weeks (Theory – 10% and Skill Lab + Clinical – 90%)  Annual Leave + Casual Leave + Sick Leave + Public Holidays = 6 weeks  Exam preparation and Exam = 2 weeks  Theory and Practical = 44 weeks 2. Implementation of the Curriculum Block classes – 2 weeks × 40 hours = 80 hours Residency of 42 weeks × 45 hours/week = 1890 hours Total: 1970 hours  Block Classes (Theory and Skill Lab Experience = 2 weeks × 40 hours/week (80 hours) (Theory = 74 hours, Skill Lab = 6 hours, total = 80 hours)  Clinical Practice including Theory and Skill Lab = 42 weeks × 45 hours/week (1890 hours) (Theory = 126 hours, Skill Lab = 34 hours, Clinical = 1730 hours) Theory = 200 (74+126) hours, Skill Lab = 40 (6+34) hours, Clinical = 1730 hours. 126 hours of theory and 34 hours of skill lab learning can be integrated during clinical experience. Mastery learning and experiential learning approaches are used in training the students throughout the program. Skill Lab Requirements are listed in Appendix 1. 3. Clinical Practice Clinical Residency Experience: A minimum of 45 hours/week is prescribed, however, it is flexible with different shifts and OFF followed by on call duty every week or fortnight. Clinical Postings: The students will be posted to the under mentioned clinical areas during their training period:34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] S.No. Clinical Area Week(s) 1 Burns OPD & Reconstructive Surgery/Plastic Surgery OPD 2 2 Burns Casualty & Burns Dressing Room 2 3 Burns Ward 22 4 Burns ICU 8 5. Reconstructive Surgery Ward 4 6 Burns/Reconstructive Surgery OT 2 7 Rehab/Physiotherapy/Occupational Therapy 1 8 Field Trip 1 TOTAL 42 The residency students will follow the same duty schedule as staff nurses/nursing officers with different shift duties. In addition to that, for 40 weeks 4 hours every week is dedicated for their learning that can be offered for theory (For example – faculty lecture – 1 hour, nursing & interdisciplinary rounds – 1 hour, clinical presentations, case study report, and clinical assignments – 1 hour and skill lab practice – 1 hour) to cover a total of 126 hours of theory and 34 hours of skill lab practice. A small group research project can be conducted during clinical posting applying the steps of research process and written report to be submitted. 4. Teaching Methods Theoretical, Skill Lab and Clinical teaching can be done in the following methods and integrated during clinical posting:-  Case/clinical presentation and case study report  Drug study and presentation  Bedside clinic/Nursing rounds/Interdisciplinary rounds  Journal clubs/clinical seminar  Faculty lecture and discussion in the clinical area  Demonstration and skill training in skill lab and at bedside  Directed reading/self-study  Role play  Symposium/group presentation  Group research project  Clinical assignments  Patient engagement exercise (engaging patients in care decisions to improve health outcomes using information technology) for example discharge planning and follow up  Educational visits to National/Regional Burns & Reconstructive Surgery Centre 5. Method of Assessment  Written test  Practical examination – OSCE and Observed Practical (Direct observation of actual clinical performance at real settings)  Written assignments  Project  Case studies/care plans/clinical presentation/drug study  Clinical performance evaluation  Completion of clinical procedural competencies and clinical requirements. For assessment guidelines refer Appendix-2[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35 6. Clinical Log Book/Procedures Book At the end of each clinical posting, Clinical Logbook (Specific Procedural Competencies/Clinical Skills) (Appendix 3), Clinical Requirements (Appendix 4) and Clinical Experience Details (Appendix 5) have to be signed by the concerned clinical faculty/preceptor. FOUNDATIONS TO BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING PRACTICE: PROFESSIONALISM, COMMUNICATION, PATIENT EDUCATION & COUNSELING, CLINICAL LEADERSHIP & RESOURCE MANAGEMENT AND EVIDENCE BASED AND APPLIED RESEARCH IN BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING PRACTICE Total Theory: 40 hours Course description: This course is designed to develop an understanding of professionalism, communication, patient education and counseling, clinical leadership and resource management and evidence based and applied research in Burns & Reconstructive Surgery Nursing practice. COURSE CONTENT Unit Time Learning Outcomes Content Teaching/ Assignments/ (hrs) Learning Assessment Activities Methods I 6 Demonstrate Professionalism  Discussion  Write about understanding of  Meaning and elements – accountability, code of ethics professionalism and knowledgeable, visibility and ethics in related to exhibit burns & reconstructive surgery specialty burns & professionalism in nursing practice reconstructive the practice of burns  Professional values and professional surgery & reconstructive behavior nursing surgery nursing  INC code of ethics, code of professional conduct and practice standards  Ethical issues related to burns nursing and reconstructive surgery  Expanding role of Nurse – Nurse practitioner  Professional organizations  Continuing nursing education 2 Describe medico- Medico-Legal Issues  Lecture  Maintain legal aspects of burns  Legislations and regulations related to record of & reconstructive burns & reconstructive surgical nursing patients surgery nursing  Consumer protection act practice  Negligence and malpractice  Medico-legal aspects  Records and reports  Legal responsibilities of burns specialist nurses II 12 Communicate Communication  Module –  Digital records effectively with  Channels and techniques of communi- burns patients, communication cation families and  Breaking bad news to patients with  Lecture professional intensive burn injuries colleagues fostering  Culturally sensitive communication  Breaking bad mutual respect and  Development of nursing care plans and news – Role shared decision records play making to enhance  Information technology tools in support health outcomes. of communication  Team communication  Conduct a Educate and counsel Patient and Family Education  Peer teaching group health patients and families  Principles of teaching and learning education to participate  Principles of health education  Patient program for effectively in  Assessment of informational needs and engagement the patients treatment and care patient education exercise – Ex. with burns and36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Unit Time Learning Outcomes Content Teaching/ Assignments/ (hrs) Learning Assessment Activities Methods  Developing patient education materials discharge those Counseling planning undergoing  Counseling techniques reconstructive  Patient and family counseling during  Counseling surgery breaking bad news, intensive treatment, sessions  Prepare patient crisis intervention and end of life stage education materials on relevant topic III 10 Demonstrate Clinical Leadership and Resource  Lecture  Plan a duty understanding of Management roster for the clinical leadership  Leadership and management junior nursing and management  Elements of management of burns officers/ staff strategies and use nursing care – planning, organizing, nurses them in burns care staffing, reporting, recording and working in the and settings budgeting burns & promoting  Clinical leadership and its challenges reconstructive collaborative and  Delegation surgery units effective teamwork  Managing human resources in burns & reconstructive surgery units  Material management  Emotional intelligence and self- management skills  Participation in making policies relevant to care of burns patients Quality Assurance program in burns & Conduct clinical  Module-  Develop SOPs reconstructive surgery units audit and participate Accreditation for burns  Nursing audit in quality assurance and Practice ward/ICU  Nursing standards activities in burns & Standards  Quality assurance reconstructive surgery units/ centres IV 10 Describe research Evidence based and application of  Lecture  Preparation of process and perform research statistical data basic statistical tests  Introduction to nursing research and  Module- of burns/ research process Writing of reconstructive Apply evidence  Data presentation, basic statistical tests scientific surgery for last based/best practices and its application paper five years in professional  Research priorities in burns & practice reconstructive surgery nursing  Conduct  Formulation of problem/question that are literature relevant to burns nursing practice review on  Review of literature to identify evidence burns nursing based/best practices in burns nursing interventions/ practice evidence based  Implementation of evidence based practice interventions in daily professional project practice  Ethics in research[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37 BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING – I CONTEXT/INTRODUCTION TO BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING & BASIC SCIENCES APPLIED TO BURNS NURSING PRACTICE (Applied Psychology, Sociology, Microbiology, Pathology, Anatomy, Physiology and Pharmacology) Theory: 40 hours & Lab/Skill Lab: 10 hours Course description: This course is designed to help students to develop understanding and in-depth knowledge regarding the context of burns nursing care provision and application of basic sciences in the diagnosis, treatment and rehabilitation of burns patients and patients undergoing reconstructive surgery. COURSE CONTENT Unit Time Learning Outcomes Content Teaching/ Assessment (Hrs) Learning Methods Activities I T-4 Describe Epidemiology of burns  Lecture and  Presentation of epidemiology of  Prevalence and statistics Discussion statistics burns, risk  Epidemiological, demographic and identification and outcome characteristics of burn injury reduction strategies  Risk factors and identification  Risk reduction strategies II T-4 Explain history, Roles and responsibilities of burns &  Lecture and L-2 scope and principles reconstructive surgery specialist Discussion of burns nursing nurses  History and trends in burns nursing Role of burns &  Scope and principles of burns & reconstructive reconstructive surgery nursing surgery specialist  Multidisciplinary team in burns nurses management  Demonstration:  Plan an ideal  Role of burns specialist nurses Unit preparation burns ward Plan a burns unit  Planning and organization of ideal of burns and day care burns unit  Procedure and policies for admission and discharge to burns unit III T-12 Explain psychosocial Psychosocial aspects of burns &  Lecture  Conduct L-5 aspects in burns & reconstructive surgical nursing care counseling reconstructive  Human behavior and coping with burn session and surgical nursing care injuries and treatment write report  Stress and coping during crisis  Emotions  Individual differences  Disturbances of body image and self- esteem  Psychological and emotional impact of burns  Steps of  Reading counseling – assignment on  Psychiatric disorders associated with Review psychosocial burns problems of  Death and dying burns  Guidance and counseling  Role of family in burns care  Socio-economic aspects of burns and burns care  Social organization and community resources  Management of psychosocial problems associated with burns IV T-5 Explain medical Applied Microbiology – Infection  Lecture  Prepare SOP L-3 surgical asepsis and control practices in burns unit for infection infection control in  Demonstration control in burns &  Immunity burns unit38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Unit Time Learning Outcomes Content Teaching/ Assessment (Hrs) Learning Methods Activities reconstructive  Principles of asepsis, sterilization and  Written surgery units disinfection assignment:  Standard safety measures Infection  Biomedical waste management control  Barrier nursing and infection control practices in practices burns unit  HICC audit V T-5 Review related Review of anatomy and physiology  Lecture  Self-directed anatomy and  Review of anatomy & physiology of reading physiology skin  Local and systemic responses to burn injury  Wound healing process – mechanism, type and phases  Causes of impaired wound healing  Factors enhancing wound healing  Fluid electrolyte balance, acidosis and alkalosis VI T-5 Types, etiology, pathophysiology and  Lecture clinical manifestation of burns Classify burns  Definition and classification of burns  Causes of burns Enumerate causes of burns  Pathophysiology and clinical Explain manifestations of burns pathophysiology and clinical manifestations of burns VII T-5 Explain Applied Pharmacology  Drug  Drug study pharmacotherapy of presentation burns  Principles of drug administration and role of nurse  Antibiotics  Anesthetic agents  Analgesics  Emergency drugs  Newer pharmacotherapy in burns management BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING – II NURSING MANAGEMENT OF CLINICAL CONDITIONS INCLUDING ASSESSMENT, DIAGNOSIS, TREATMENT & SPECIALIZED INTERVENTIONS, PATIENT SAFETY & QUALITY AND SPECIALTY/ILLNESS SPECIFIC CONSIDERATIONS (Supportive Care/Palliative Care/Rehabilitation) Theory: 120 hours & Lab: 30 hours Course description: This course is designed to help students to develop knowledge and competencies required for assessment, diagnosis, treatment, nursing management, and supportive care/rehabilitation of patients with burns and reconstructive surgery.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39 COURSE CONTENT Unit Time Learning Outcomes Content Teaching/ Assessment (Hrs) Learning Methods Activities I T-4 Perform assessment Assessment  Discussion and  Perform L-2 of adult including  Assessment of adult and geriatric demonstration assessment of geriatric patients with patients with burns & reconstructive adult, and burns surgery (history taking, physical pediatric examination and diagnostic tests) patients in Perform assessment  Assessment of pediatric patients OPD and write of pediatric patients with burns and reconstructive surgery assessment with burns  Nursing management of patients with report Discuss nursing burns using nursing process management of burns patients II T-2 Explain and perform/ Investigations  Lecture and  Peer teaching L-1 assist diagnostic tests  Blood investigations – CBC, LFT, demonstration and procedures in RFT, protein, electrolytes, ABG patients with burns & analysis, culture reconstructive  ECG surgery  Pulmonary function test  Chest X-Ray  Pulse oximetry  Urine analysis  Wound culture and sensitivity III T-15 Perform and assist in Advanced Procedures in Burns  Lecture and  Arrange L-10 advanced procedures  Basic life support demonstration workshop on in burns patients  Advanced cardiac life support advanced  Mechanical ventilator essential burns  Tracheostomy nursing  Oxygen therapy, monitoring procedures  Intravenous catheter insertion  Central line insertion/PICC insertion and care  Urinary catheterization IV T-10 Explain and develop Early Management of Burns  Lecture and  Peer teaching L-2 skills in early  First Aid, transportation of burns demonstration management of burns patient and early management of patients burns  Admission criteria in burn centre/ unit  Overall assessment of burns patient  Assessment of extent and depth of burns  Emergent and acute care  Management of burns shock  Management of infection V T-5 Explain and develop Fluid Management in Burns  Lecture and  Prepare SOP L-1 competencies in fluid demonstration for fluid management of burns  Fluid resuscitation in burns and fluid resuscitation in patients calculation burns  Types of fluids used for resuscitation  Blood and blood products used in burns management  Nursing responsibilities during fluid therapy VI T-3 Explain principles of Pain management in burns  Lecture and  Prepare SOP L-1 pain management in  Pain – types, pathophysiology Discussion on pain burns  Pain management in burns – management pharmacological and non- of burns pharmacological measures40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Unit Time Learning Outcomes Content Teaching/ Assessment (Hrs) Learning Methods Activities VII T-5 Explain nutritional Nutritional Management in Burns  Lecture and  Plan menu for L-2 management in burns  Nutritional requirement in burns demonstration patients for  Calorie and protein requirement in oral and burns enteral  Vitamins and mineral supplements nutrition  Planning of menu for patients receiving parenteral and enteral nutrition VIII T-10 Explain wound Wound Care in Burns  Lecture and  Literature L-4 management  Principles of wound care in burns demonstration review – skin  Wound management in burns banking Perform wound  Types of dressings and bandages management in burns  Recent trends in management of burns wound  Surgical management of burn wound – skin grafting, flap surgery  Storage of skin grafts and skin banking  Tissue engineering and tissue expansion  Pre and post-operative care after skin graft/flap surgery  Prevention of infection in burn wound IX T-8 Explain management Management of Different Types of  Lecture  Reading L-2 of different types of Burns assignment burns  Demonstration  Flame burns Describe management of burns  Electrical burns involving special  Chemical burns areas  Radiation burns  Management of burns involving Explain management special areas – Burns in head & neck of inhalation injury and chest, abdomen & perineal area Explain management  Burns in hand, elbow and axilla of cold injuries  Management of inhalation injury  Management of cold injuries X T-10 Explain management Management of Burns in Pediatric  Lecture  Written L-2 of pediatric patients Patients assignment with burns  Approach to a pediatric patient with  Demonstration burns  Assessment of child with burns  Management of child with burns  Fluid therapy and nutritional management in pediatric patient  Thermoregulation in pediatric patient  Wound care in child  Psychological consideration for child with burns and their family members  Use of play therapy and other complementary and alternative therapy for child with burns  Nursing management using nursing process[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41 Unit Time Learning Outcomes Content Teaching/ Assessment (Hrs) Learning Methods Activities XI T-3 Discuss specific Care of Pregnant Women with  Lecture  Individual management of Burns exercises on pregnant lady with  Physiological changes and fluid burns psychosocial considerations calculation  Effect of burns and its treatment on pregnancy  Fluid calculation and nutritional support  Nursing management using nursing process XII T-5 Explain management Care of elderly, alcoholic, substance  Lecture  Written of burns patients with abuse, diabetic and hypertensive assignment other conditions like patients with burns alcoholism,  Care of elderly with burns – substance abuse, management of age related diabetes and complications hypertension  Care of burns patients with alcoholism and substance abuse – assessment of withdrawal symptoms, special nursing consideration, and nursing management  Care of diabetic patient with burns – management of hyperglycemia, complication  Care of hypertensive patients with burn injury XIII T-4 Describe and develop Care of patients with other injuries  Lecture skills in management along with burns of burns patients with  Management of burns patient with associated injuries associated injuries – spinal injury, head injury, poly-trauma and limb fractures  Nursing management of burns patients with associated injuries XIV T-2 Assists in emergency Emergency Surgery/Procedures in  Lecture  Prepare surgery of burns Burns procedure note patients  Escharotomy/Fasciotomy XV T-5 Explain prevention Management of Post Burn  Lecture  Self-reading and management of Complications complications of burns  Curling's ulcer  Multi-organ failure  Acute respiratory distress syndrome  Acute kidney injury  Septicemia XVI T-5 Explain management Management of Deformities  Lecture  Seminar/ of burns related  Management of deformities in burns journal club deformities  Management of post burn contractures  Management of scars and keloids XVII T-5 Discuss disaster Disaster Management in Burns  Lecture  Conduct L-2 management in burns  Principles and concept of disaster disaster drill management  Demonstration for students  Social violence  Burns in mass casualty  Disaster preparedness for burns42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Unit Time Learning Outcomes Content Teaching/ Assessment (Hrs) Learning Methods Activities XVIII T-4 Explain role of Physiotherapy and Occupational  Lecture  Reading L-1 physiotherapy and Therapy assignment occupational therapy  Physiotherapy for patients with  Demonstration for burns patient burns and reconstructive surgery  Hydrotherapy, wax bath, heat therapy  Occupational therapy and activities of daily living training XIX T-5 Explain rehabilitation Rehabilitation  Lecture  Written of patients with burns  Definition, concepts of rehabilitation assignment on and patients  Principles of rehabilitation rehabilitation undergoing  Rehabilitation in burns of patients reconstructive  Community based rehabilitation with burns surgery program  Family centred rehabilitation in Burns  Challenges in rehabilitating burns patients.  National rehabilitation and resettlement policy  Disability act applicable to patients with burn injury XX T-10 Discuss history types Concept of Reconstructive Surgery  Lecture  Seminar and indications of  History of reconstructive surgery reconstructive  Types and indications surgeries  Reconstructive surgeries for congenital deformities Explain role of  Reconstructive surgery in burns reconstructive  Cosmetic surgeries surgery and cosmetic  Reconstructive surgery in trauma surgeries in burns  Nursing care of patients undergoing and trauma reconstructive surgery  Care of pediatric patients Explain nursing undergoing reconstructive surgery management of  Common postoperative patients undergoing complications reconstructive surgery POST BASIC DIPLOMA IN BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING PRACTICUM (SKILL LAB & CLINICAL) Total Hours : 1770 hours (40+1730) (Skill Lab – 40 hours and Clinical – 1730 hours) Practice Competencies: At the end of the program, students will be able to 1. Assess patients with burns 2. Prepare a unit for receiving patients with burns 3. Perform emergency first aid management of burns 4. Care for patients in emergent and acute phase 5. Perform fluid resuscitation in burns patients 6. Perform wound care for burns patients[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43 7. Assess and manage special groups like pediatric, geriatric, pregnant patients with burns 8. Insert PICC line and assist in insertion of other vascular access devices 9. Care for vascular access devices 10. Assist in emergency procedures/surgery in burns 11. Prepare patients for reconstructive surgery 12. Care patients after surgery 13. Counsel patients and family members 14. Undertake infection control measures to prevent infection in burns patients 15. Initiate and participate in rehabilitation of burns patients CLINICAL POSTINGS (Clinical – 40 weeks, Rehab/PT – 1 week, Visit – 1 week) Areas Duration Clinical Learning Procedural Competencies Assignments Assessment (weeks) Outcomes Methods Burns centre 32 Provide emergent  Emergency first aid  Case study  Clinical (Burns casualty (2+22+8) and acute care, management and evaluation and dressing nursing care for transportation to burns unit room – 2, Burns patients suffering  History taking ward – 22 and from burns  Physical assessment  Case/Clinical  Case study/ Burns ICU – 8)  Assisting in diagnostic presentation Case tests presentation/ Case report  Perform fluid resuscitation Prepare and assist  Health talk  Health talk in fluid  Administer drugs resuscitation Administer analgesics, antibiotics and other drugs Perform and assist  Care of VADs  Demonstration in placing VADs  Insertion of long term IV and re- and long term access – PICC, central line demonstration catheters and daily maintenance  Collect blood for grouping Administer blood and cross matching and blood products  Administer blood and blood products  Assess wound Perform wound care in burns  Perform wound care  Use different chemical and biological substances and artificial skin for wound cover  Preparation of patients for Perform pre- and surgery post-operative care  Perform postop care for patients undergoing emergency surgery and skin graft  Calculate calorie and plan Manage nutrition menu44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Areas Duration Clinical Learning Procedural Competencies Assignments Assessment (weeks) Outcomes Methods for patients with  Administer nutrition for burns the patients Perform counseling  Support during all phases  Counseling to patients and their of disease process report – 01 relatives  Counsel patients and the relatives Burns/ 02 Assist in surgery for  Conduct preoperative  Procedure note  Clinical Reconstructive burns and assessment evaluation surgery OT reconstructive  Assist in surgery  Log book surgery  Care patients in immediate post-operative phase  Follow up patients in burns & reconstructive surgery ward Reconstructive 04 Provide care to  Prepare patients for  Case study  Clinical surgery ward patients with surgery Evaluation reconstructive  Perform wound care  Case/clinical surgery  Counsel patients presentation  Perform physiotherapy to prevent contractures and other complications Burns/ 02 Assist in  History taking  Health  Clinical Reconstructive examination of the  Physical examination and assessment evaluation surgery OPD patients with burns assessment report of  Emergency resuscitation patients  Health education (history taking and physical examination) Rehab/Physiotherapy/Occupational therapy – 1 week Field trip (Educational visit to national/regional Burns/reconstructive surgery centre – 1 week APPENDIX 1 POST BASIC DIPLOMA IN BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING SKILL LAB REQUIREMENTS Note: In addition to the basic skill lab requirement of College of Nursing, the following are necessary. S.No. Skill Lab Requirement Number Skill/Procedure/Purpose 1. AV Aids 3D Models of To teach: a) Skin Layers 1 - Basic anatomy of skin b) Degree of Burns 1 - Types of burns c) Burn Wound Healing Stages 1 - Easily accessible sites for d) Circulatory system showing easily accessible veins 1 fluid administration and arteries for venipuncture. 2. Central Line Insertion Kit, Venesection Kit 1/1 For Securing IV Access 3. Tracheostomy Set 1 For Securing Airway 4. Weighing Scale (Patient and Bed) 1/1 To weigh patient for fluid resuscitation 5. Crash Cart with the following items 1 a) Resuscitation Drugs Minimum In Shock Room: (Inotropes and Anaphylactic Drugs) 2 ampoules To do the initial resuscitation each[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45 S.No. Skill Lab Requirement Number Skill/Procedure/Purpose b) Ambu Bag with Mask, Oxygen Supply 1 c) Defibrillator 1 d) Laryngoscope with blades of all sizes 1 e) Laryngeal Mask Airway 1 f) I-Gel 1 g) Endotracheal Tubes Assorted h) Intracaths Assorted i) IV Fluids Assorted 6. Splints Assorted To prevent contractures 7. Nutrition Lab with following equipments a) Mixer Grinder 1 b) Saucepans 2 c) Measuring Jars 2 To prepare fortified feeds d) Cutlery Assorted e) Table Top Kitchen Weighing Scale 1 f) Sieve/Strainer 1 g) Food Calorie Chart 1 8. Dressing Trolley with the following items 1 a) Sterile OT Towels 2 b) Kidney Tray 2 c) Dressings Bowls (15 cms) 2 d) Kidney Tray 2 e) HP Deep Drums 2 f) HP Shallow Drum 1 g) MA Deep Drum 1 h) MA Shallow Drum 1 i) Dressing Materials – Gauze Pieces, Gamzee Pads, 1 set/roll For Burns Dressings Crepe Bandages different sizes 9. Instruments a) Artery Forceps 2 b) Dissection Forceps 2 c) Cheatle Forceps 2 d) Blunt Artery Forceps 2 e) Scissors 2 f) Scalpel 2 g) Blades Assorted 10. Type of Dressings Assorted a) Hydrogel 1 Sample each b) Alginate for c) Collagen demonstration d) Foam of application e) SSD f) Anticoat Dressings to be used for g) HydroHeal Burns wounds h) Wet Collagen i) Dry Collagen j) Allevyn Ag Dressing k) Holister l) Comfeel m) Biatain Ag (Non-Adhesive)46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] APPENDIX 2 POST BASIC DIPLOMA IN BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING ASSESSMENT GUIDELINES (THEORY & PRACTICUM) I. THEORY A. INTERNAL ASSESSMENT BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING (Part I – Burns & Reconstructive Surgery Specialty Nursing I including Foundations and Part II – Burns & Reconstructive Surgery Specialty Nursing II) – TOTAL: 25 marks  Test Papers and Quiz: 10 marks  Written Assignments: 10 marks (Code of ethics relevant to burns & reconstructive surgery specialty nursing practice, literature review on EBP in burns & reconstructive surgery nursing/infection control practices, nutritional care of patients with burns and undergoing reconstructive surgery)  Group Project: 5 marks B. EXTERNAL/FINAL EXAMS BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING (Part I – Burns & Reconstructive Surgery Specialty Nursing I including Foundations and Part II – Burns & Reconstructive Surgery Specialty Nursing II) – TOTAL: 75 marks Part I – 35 marks (Essay type 1 × 15 marks = 15, Short answers 4 × 4 marks = 16, Very short answers 2 × 2 marks = 4) and Part II – 40 marks (Essay 1 × 15 marks = 15, Short answers 5 × 4 marks = 20, Very short answers 5 × 1 mark = 5) II. PRACTICUM A. INTERNAL ASSESSMENT – 75 marks  OSCE – 25 marks (End of Posting OSCE – 10 + Internal End of Year OSCE – 15)  Other Practical: 50 marks a) Practical Assignments – 20 marks (Clinical Presentation and Case Study Report – 5, Counseling Report/ Visit Report – 5, Drug Study Report – 5 and Health Talk – 5) b) Completion of Procedural Competencies and Clinical Requirements – 5 marks c) Continuous Clinical Evaluation of Clinical Performance – 5 marks d) Final Observed Practical Examinations (Actual Performance in Clinicals) – 20 marks B. EXTERNAL/FINAL EXAMS – 150 marks OSCE – 50 marks, Observed Practical – 100 marks Detailed Guidelines given in Guidebook.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 47 APPENDIX 3 POST BASIC DIPLOMA IN BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING CLINICAL LOG BOOK (Specific Procedural Competencies/Clinical Skills) S.No. Specific Competencies/Skills Number Performed/ Date and Assisted/ Observed Signature of the (P/A/O) Faculty/Preceptor I FOUNDATIONS TO BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING 1 Preparation of patient education materials P 2 Patient education plan for teaching patients with burns P 3 Preparation of duty roster for nursing officers/staff nurses P 4 Writing literature review P (Identify evidence based nursing interventions/practices) 5 Preparation of a manuscript for publication/paper P presentation 6 Group research project P Topic: II BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING 1 HEALTH ASSESSMENT 1.1 History taking and physical examination for adult patient P with burns 1.2 History taking and physical examination for pediatric P patient with burns 2 DIAGNOSTIC PROCEDURES 2.1 Collecting blood/urine for investigations P 2.2 Performing ABG analysis P 2.3 Performing ECG P 2.4 Collecting swab for wound culture P 3 VENOUS ACCESS DEVICES (VAD) CARE 3.1 Insertion of central catheter and PICC A/P (as per institutional protocol) 3.2 Insertion of IV cannula P 3.3 Care of central catheter and PICC P 4 EMERGENCY PROCEDURES 4.1 Performing Tracheostomy A 4.2 Tracheostomy care P 4.3 Intubation and mechanical ventilation A/P (as per institutional protocol) 4.4 Performing urinary catheterization P 4.5 Escharotomy and fasciotomy A 5 FLUID RESUSCITATION 5.1 Assessment of BSA burned P 5.2 Calculation of fluid requirement P 5.3 Administration of fluids P 6 WOUND CARE 6.1 Assessment of wound and burned body surface area P 6.2 Wound irrigation P 6.3 Wound debridement A/P (as per institutional protocol)48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] S.No. Specific Competencies/Skills Number Performed/ Date and Assisted/ Observed Signature of the (P/A/O) Faculty/Preceptor 6.4 Dressing of wound P 6.5 Storage of skin A/P (as per institutional protocol) 6.6 Use of skin graft A 6.7 Use of biological wound cover A 7 NUTRITIONAL MANAGEMENT 7.1 Calculation of calorie requirement P 7.2 Planning menu P 7.3 Administration of oral/enteral/parenteral nutrition P 7.4 Assessment of nutritional status periodically P 8 INFECTION CONTROL 8.1 Sterilization and disinfection of burn unit P 8.2 Biomedical waste disposal P 8.3 Barrier nursing P 8.4 Fumigation P 9 PHYSIOTHERAPY 9.1 Performing chest physiotherapy P 9.2 Performing incentive spirometry P 9.3 Performing ROM exercises P 10 CARE OF PAEDIATRIC PATIENTS 10.1 Pediatric sampling P 10.2 Pediatric phlebotomies P 10.3 Pediatric drug infusions (dose modifications) P/A (as per institutional protocol) 10.4 Nutritional management P 11 QUALITY CONTROL 11.1 Preparation of SOP for infection control in burns unit P 11.2 Development of nursing standards for care of burns P patients 11.3 Conducting unit audit P 12 OTHERS 12.1 Consent taking P 12.2 Guidance and counseling P * – When the student is found competent to perform the skill, the faculty will sign it. Students: Students are expected to perform the listed skills/competencies many times until they reach level 3 competency, after which the faculty signs against each competency. Faculty: Must ensure that the signature is given for each competency only after they reach level 3.  Level 3 competency denotes that the student is able to perform that competency without supervision.  Level 2 Competency denotes that the student is able to perform each competency with supervision.  Level 1 competency denotes that the student is not able to perform that competency/skill even with supervision.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 49 APPENDIX 4 POST BASIC DIPLOMA IN BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING CLINICAL REQUIREMENTS S.No. Clinical Requirement Date Signature of the Faculty/Preceptor 1 Health Talk (Burns/Reconstructive Surgery OPD, Burns Ward/Reconstructive Surgery Ward) 1.1 Topic: 1.2 Topic 2 Counseling Patients and Relatives Counseling Report – 1 3 Health Assessment 3.1 Health Assessment (Adult and Pediatric) – History and Physical Examination (Two written reports) 3.1.1. Adult 3.1.2. Pediatric 3.1.3 4 Journal Club/Clinical Seminar Topic: 5 Case Study/Clinical Presentation and Report – Burns Ward/Burns ICU – 1 and Reconstructive Surgery Ward – 1 (Nursing/Interdisciplinary Rounds) 5.1 Name of Clinical Condition: 5.2 Name of Clinical Condition: 6 Drug Study, Presentation and Report (Two written reports for submission) 6.1 Drug Name: 6.2 6.3 6.4 7 Designing Burns Unit 8 Visits – Reports 8.1 National/Regional Burns Centre Signature of the Program Coordinator/Faculty Signature of the HOD/Principal50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] APPENDIX 5 POST BASIC DIPLOMA IN BURNS & RECONSTRUCTIVE SURGERY SPECIALTY NURSING CLINICAL EXPERIENCE DETAILS Name of ICU Clinical Condition Number of Days Signature of the care given Faculty/Preceptor Signature of the Program Coordinator/Faculty Signature of the HOD/Principal Dr. T. DILEEP KUMAR, President [ADVT-III/4/Exty./257/2020-21] Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064 and Published by the Controller of Publications, Delhi-110054.

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