In India reshaping health systems in all dimensions of health has been recognized as an important need in the National Health Policy 2015

jftLVªh laö Mhö ,yö&33004@99 REGD. NO. D. L.-33004/99 vlk/kj.k EXTRAORDINARY Hkkx III—[k.M 4 PART III—Section 4 izkf/dkj ls izdkf'kr PUBLISHED BY AUTHORITY la- 351] ubZ fnYyh] eaxyokj] flrEcj 20] 2016@Hkkæ 29] 1938 No. 351] NEW DELHI, TUESDAY, SEPTEMBER 20, 2016/BHADRA 29, 1938 Hkkjrh; mip;kZ ifj"kn vf/klwpuk ub Z fnYyh] 2 flrEcj] 2016 ikB;~ Øe vkSj fofu;eu ulZ çsfDV’kuj bu fØfVdy ds;j iksLV xzstq,V jsthMsalh çksxzke Qk- la- 11&1@2015&Hkk-m-i-—1- ifjp; vkSj i`"BHkwfe Hkkjr e sa jk"Vªh; LokLF; uhfr] 2015 ¼,u-,p-ih-] 2015 Mªk¶V nLrkots ½ e sa LokLF; d s lHkh vk;kek sa e as LokLF; ç.kkfy;k sa dk s u;k :i nus s dk s ,d egRoi.w k Z vko';drk d s :i e sa igpkuk x;k gSA ble sa fofu;eu vkSj dkuuw d s lkFk&lkFk f'k{kk vkSj çf'k{k.k d s {ks= e sa ekuo lla k/ku fodkl ij tksj fn;k x;k gSA ljdkj LokLF; d s lkotZ fud vkSj futh nkus k sa {ks=k sa e sa r`rh;d LokLF; n[s kHkky lsokvk sa e sa egRoi.w k Z foLrkj dk s le>rh gAS mud s {kerk fuek.Z k e]as ;g vR;f/kd egRoi.w k Z gS fd LokLF; n[s kHkky dfe;Z k sa dk s fof'k"V ¼Lifs”k;fyVh½ vkSj vfr fof”k"V ¼liq j Lifs”k;fyVh½ LokLF; lsokvk sa e sa mUur 'kSf{kd rS;kjh dh vko';drk gksrh gSA fof'k"V vkSj vfr fof'k"V LokLF; lsokvk sa e]sa mUur rS;kjh d s lkFk fo'k"skK ulks± dh vko';drk gSA r`rh;d LokLF; n[s kHkky lsokvk sa d s {ks= e sa çf'k{k.k dk;ØZ e vkSj ikBîØe dk fodkl le; dh ek¡x ekuk x;k gSA ;fn ul Z fpfdRld (NPs) vPNh rjg l s çf'kf{kr vkSj vH;kl dju s d s fy, l'kä gkxas s rks os bl ek¡x dk s iwjk dju s e sa l{ke gk s tk,¡xAs jk"Vªh; vkSj jkT; Lrj ij u, dk;dZ rkvZ k sa dh LFkkiuk d s lkFk rS;kj LukrdkÙs kj Lrj ij çf”kf{kr ul Z fpfdRld (NPs) r`rh;d LokLF; n[s kHkky dUs æk sa dh fofHkUu fØfVdy d;s j lfsVXa l e sa jkfsx;k as dk s lLrh] l{ke] lqjf{kr vkSj x.q koÙkk lpa kfyr fo'k"sk ufl±x n[s kHkky çnku dju s e sa l{ke gkxsa sA ul Z fpfdRld l;a äq jkT; vefsjdk ¼;-w,l-,-½ e sa 1960 d s n”kd d s ckn l]s fcVz su ¼;w-ds-½ e sa 1980 d s n”kd d s ckn l]s v‚LVªfsy;k e sa 1990 d s n'kd d s ckn l s vkSj uhnjyS.M e sa 2010 l s rS;kj fd; s tk jg s gS a vkSj dk; Z dj jg s gSAa ul Z fpfdRldk sa dk s fØfVdy d;s j@xEHkhj n[s kHkky] dSla j] vkikrdkyhu n[s kHkky] U;jw kys ‚th] ân; jkxs ] cgs k's kh ¼lKa kgj.k½ vkSj vU; fof”k"Vrkvk sa e sa n[s kHkky d s fy, r`rh;d LokLF; n[s kHkky Lrj ij dk; Z dju s d s fy, rS;kj fd;k tk ldrk gSA dBksj 'kSf{kd rS;kjh l s o s xEHkhj chekfj;k sa l s ihfMr+ jkfsx;k sa dk chekjh dh jkds Fkke vkSj mud s LokLF;o)Zu] nkus k as e]sa lg;kxs kRed funku vkSj bykt dju s e sa l{ke gk s tk,¡xAs Hkkjrh; mip;k Z ifj"kn ¼vkb-Z,u-lh-½ }kjk LukrdkÙs kj Lrj ij ul Z çfsDV”kuj bu fØfVdy d;s j ¼,u-ih-lh-lh-½ dh rS;kjh dh fn'kk e sa ,d ikB;Øe dh lja puk@<k¡p s dk çLrko j[kk gSA bl dk;ØZ e dh fo'k"skrk gS fd ;g ,d ,slk fDyfudy jts hMlsa h çkxs zke gS ftle sa 15 çfr“kr l)S kfUrd f'k{kk vkSj 80 4503 GI/2016 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] çfr”kr O;kogkfjdrk tSl s etcrw uSnkfud ?kVdk sa ij vf/kd cy fn;k x;k gAS bldk çe[q k –f"Vdk.s k ;kXs ;rk vk/kkfjr çf'k{k.k gS vkSj ,u-ih- f'k{kk] bUVju”s kuy dkmflya vkWQ ufl±x ¼vkb-Zlh-,u-] 2005½] vkSj ,u-vk-s,u-ih-,Q- n{krk,¡ ¼2012½ l s vudq fwyr n{krkvk sa ij vk/kkfjr gSA gj dksl Z n{krkvk sa dh miyfC/k ij vk/kkfjr gSA ul Z çfsDV”kuj bu fØfVdy d;s j çksxzke dk mnn~ ”s ; xEHkhj chekfj;k sa l s ihfMr+ jkfsx;k sa d s fy, mUur ufl±x n[s kHkky çnku dju s d s fy, ita h—r ch-,l-lh- ulks± dk s rS;kj djuk gAS uflx± n[s kHkky d s vUrxZr jkfsx;k sa dh gkyr e as fLFkjrk yku]s xEHkhj tfVyrkvk as dk s de dju s vkSj LokLF; dh cgkyh dk s vf/kdre dju s ij /;ku dfsUær djuk gAS bu ul Z fpfdRldk sa (NPs) dk s r`rh;d LokLF; n[s kHkky dUs æk sa dh fØfVdy d;s j bdkb;Z ksa e sa vH;kl djuk gkxs kA bl dk;ØZ e e sa v/;;u d s fofHkUu ikBîØe gksr s gS a tkfsd lcrw k sa ij vk/kkfjr vH;kl vkSj tfVy LokLF; ç.kkfy;k sa d s çcU/ku lfgr etcwr oSKkfud uhao ij vk/kkfjr gSAa tkfsd ch-,l-lh- çf'kf{kr ulks± dh lS)kfard vkSj vH;kl n{krkvk sa d s vk/kkj ij cuk;k tkrk gSA bl dk;ØZ e d s i.w k Z :i l s lEiUu gkus s ij vkSj lEcfU/kr jkT; ifj"kn d s lkFk ita hdj.k d s i”pkr laLFkkxr çkVs kds ‚y d s vuqlkj ; s ul Z fpfdRld (NPs) LorU= :i l s nokb;Z k¡ vkSj vU; uSnkfud ijh{k.k] çfØ;k] fpfdRlk midj.k a vkSj fpfdRlk ç'kklu fu/kkfZjr dju s d s fy, vueq fr nh tkrh gSA fØfVdy d;s j e sa ul Z fpfdRld (NPs) tc bl vf/kdkj dk ç;kxs djr s gS a rk s o s fuEukfadr n{;rkvk sa d s fy, tokcngs gksr s gS a %& ¼,½ jkxs h dk vkb-Zlh-;w- e sa p;u@ço's k vkSj NVq V~ h ¼ch½ mfpr eYw ;kda u d s ek/;e l s leL;k dh igpku ¼lh½ bykt ;k midj.kk sa ;k mipkj dk p;u@ç'kklu ¼Mh½ fpfdRlk fo/kku d s ç;kxs d s fy, ejhtk sa dh f'k{kk ¼b½Z ;fn dkbs Z gk]s rk s fpfdRlk fo/kku dh ckrphr dk Kku] ¼,Q½ ifj.kkek sa dk eYw ;kda u] vkSj ¼th½ tfVyrkvk sa vkSj vugkus h çfrfØ;kvk sa dh igpku vkSj çcU/kuA fØfVdy d;s j e sa ul Z fpfdRld viuh n[s kHkky d s rgr xEHkhj :i l s chekj jkfsx;k sa dh n[s kHkky dh ftEens kjh vkSj tokcngs h d s fy, çf”kf{kr ,o a rS;kj gksrk gSA jkT; ufl±x ifj"knk sa }kjk bl LukrdkÙs kj mikf/k dk s ,d vfrfjDr ;kXs ;rk d s :i e sa ita h—r fd;k tk,xkA n'kZu Hkkjrh; mip;k Z ifj"kn dk ekuuk gS fd Hkkjr e sa r`rh;d LokLF; n[s kHkky lsokvk sa dh puq kSfr;k sa vkSj ekxa k as dh ifwr Z d s fy, ul Z çfsDV”kuj bu fØfVdy d;s j ¼,u-ih-lh-lh-½ uked LukrdkÙs kj dk;ØZ e dh LFkkiuk dju s dh vfr vko”;drk gS tk s fd xEHkhj :i l s chekj jkfsx;k as vkSj mud s ifjokjk sa dk s x.q koÙkki.w k Z n[s kHkky çnku dju s d s fy, jk"Vªh; LokLF; uhfr] 2015 ¼,u-,p-ih-] 2015 Mªk¶V nLrkots ½ e as Hkh ifjyf{kr gAS Hkkjrh; mip;k Z ifj"kn dk ekuuk gS fd etcrw uSnkfud ?kVd vkSj ;kXs ;rk vk/kkfjr çf'k{k.k ij /;ku j[kr s g,q jts hMsalh çkxs zke d s vUrxZr çf’kf{kr LukrdkÙs kj dk s etcrw lS)kfUrd vkSj lk{; vk/kkfjr Kku d s vk/kkj ij uSnkfud {kerk dk çn'kuZ dju s esa l{ke gkus k pkfg,A f'k{k.k vf/kxe nf`"Vdk.s k e sa o;Ld f'k{kk d s fl)kUrk]sa ;kXs ;rk d s vk/kkj ij f'k{kk] lg;kxs kRed f'k{k.k] fpfdRlk vkSj ufl±x cfq)thfo;k sa d s lkFk uSnkfud vuHq ko] vuHq kokRed vf/kxe ¼lh[ku½s vkSj vkRe funfsZ'kr lh[ku s ij /;ku dfsaær djuk pkfg,A f'k{kk çnkrkvk sa @ çf”k{kdk sa @ vkdkvk sa @ cfq)thfo;k sa }kjk mud s ektS nw k Kku vkSj çFkkvk sa dk v|ru djuk pkfg,A çf'k{k.k d s fy, efsMdy lda k; dk s çf'k{k.k vkdkvk sa d s :i e sa Hkkx yus s d s fy, vkefa=r fd;k tkrk gAS Hkkjrh; mip;k Z ifj"kn dk ;g Hkh ekuuk gS fd çf”kf{kr fØfVdy d;s j ufl±x lda k; dh deh d s lek/kku d s fy, fpfdRldh; O;oLFkk e sa fofHkUu f'k{kk j.kuhfr;k sa dk bLres ky fd;k tk ldrk gSA ;g vk'kk dh tkrh gS fd fodkl'khy uhfr;k sa d s ita hdj.k @ ykblsal dh lfqo/kk nus s ,o a mfpr LFkku d s fy, dMS j in cuku s d s fy, r`rh;d LokLF; n[s kHkky lsok dUs æk sa dh fØfVdy d;s j bdkb;Z k sa e sa dk; Z dju s d s fy, bu LukrdkÙs kj fØfVdy d;s j ul Z çfsDV”kuj d s IysleVsa dk çko/kku gkus k pkfg,A ul Z çfsDV”kuj ¼,u-ih-½ ikBîØe d s fy, fuEukfadr 'kSf{kd <kp¡ s dk çLrko gS ¼n[s k sa fp= l[a ;k 1½A 2- dk;ZØe fooj.k ul Z çfsDV”kuj dk;ØZ e ,d ,slk ufl±x jts hMlsa h çkxs zke gS ftldk e[q ; y{; ;kXs ;rk ij vk/kkfjr çf'k{k.k gAS bl dk;ØZ e dh vof/k nk s o"k Z gSA ikBîØe e sa l)S kfUrd f”k{kk ftle sa eyw ikBîØe] mUur vH;kl ikBîØe vkSj uSnkfud ikBîØe d s vykok O;kogkfjd uSnkfud ikBîØe çe[q k ?kVd gS a ¼ikB;Øe <kpa s e sa n[s k½saA¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 3 fp= 1- ulZ çsfDV’kuj bu fØfVdy ds;j & ,d 'kSf{kd ikB~;Øe <k¡pk ¼ços'k ds fy, vko';drk½ vf/kekur% fØfVdy fpfdRldh; O;oLFkk esa 1 o"kZ ds uSnkfud vuqHko ds lkFk iath—r ch-,l-lh- ulZ etcwr uSnkfud ?kVd ¼ufl±x jsthMsalh½ lS)kfUrd - 15% II. ewy ikB~;Øe • mUur ufl±x vH;kl d s fy, lS)kfard vk/kkj • fØfVdy d;s j e sa vuqlU/kku dk mi;kxs vkSj lk{; vk/kkfjr vH;kl • usr`Ro vkSj f'k{k.k dkS'ky III. fo’ks"k fØ fVdy II. mUur vH;kl ikB~;Øe ikB~;Øe ds;j çksxzke • fØfVdy d;s j • fØfVdy d;s j esa ,u-ih- ufl±x vH;kl mUur dh uhao iSFkkfs Qft;kys kWth • fØfVdy d;s j viukbZ xb Z ufl±x-I • mUur vkS"k/k foKku • fØfVdy d;s j • mUur LokLF; ufl±x-II vkdyu uSnkfud - 85% ;ksX;rk vk/kkfjr mUur Kku vkSj f'k{kk vkSj çf'k{k.k vkpkj4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 3- y{; fØfVdy d;s j ul Z çfsDV”kuj dk;ØZ e ita h—r ch-,l-lh- ulks± dk s vx.z kh unS kfud fo'k"skKk]sa çcU/kdk]sa f'k{kdk as vkSj lykgdkj d s :i e sa mUur vH;kl Hkfwedkvk sa d s fy, rS;kj djr s gq, fØfVdy d;s j ul Z çfsDV”kuj e sa LukrdkÙs kj mikf/k dh vksj vxzlj djrk gSA 4- mn~ns’; dk;ØZ e dh lekfIr ij] ul Z çfsDV”kuj ¼,u-ih-½ fuEukfadr dk;ks± d s fy, ;kXs ; gk s tk,xk %& 1- r`rh;d LokLF; n[s kHkky dUs æk as e sa xEHkhj :i l s chekj jkfsx;k sa dh l{ke n[s kHkky dju s dh ftEens kjh vkSj tokcngs h yus k vkSj mud s ifjokjk sa dh mi;Dq r n[s kHkky djuk( 2- fØfVdy d;s j e sa uSnkfud {kerk @ fo'k"skKrk dk çn'kuZ djuk ftle sa uSnkfud rd]Z tfVy fuxjkuh vkSj mipkj Hkh 'kkfey gS( 3- mipkj @ fØfVdy d;s j e as gLr{kis dk s ykx w dju s esa lS)kfUrd] iSFkkfsQft;kys kWth vkSj vkS"k/kh; fl)kUrk as dk s lk{; d s vk/kkj ij ykx w djuk( 4- jkxs h d s LokLF; dk s cgky dju s vkSj tfVyrkvk sa dk s de l s de dju s vFkok tfVyrkvk sa d s çcU/ku d s fy, fLFkfr dh xEHkhjrk @ mipkj dk s igpkuuk vkSj jkxs h dk s fLFkj dju s d s fy, fofHkUu funkuk sa dk mi;kxs djr s gq, Lor% vFkok fØfVdy d;s j Vhe d s ,d Hkkx d s :i e sa igpku vkSj mipkj d s fy, ckgj y s tku s d s fy, gLr{kis djuk( 5- fØfVdy d;s j e sa fujUrjrk d s fy,] fØfVdy d;s j ny d s vU; LokLF; n[s kHkky dfe;Z k sa d s lkFk lg;kxs djuk@yus kA 5- ulZ çsfDV’kuj bu fØfVdy ds;j çksxzke çkjEHk djus ds fy, fu/kkZfjr U;wure vko';drk,¡ f'k{k.k laLFkkuk sa dk s ,u-ih- dk;ZØe vkSj bld s Nk=k sa d s çfr tokcngs h Lohdkj djr s g,q Hkkjrh; mip;k Z ifj"kn d s ekudk sa d s vudq yw bl dk;ØZ e dh i's kd'k djuh pkfg,A lLa Fkkuk sa dk s fuEufyf[kr ekun.Mk sa dk s ifji.w k Z djuk vko”;d gS%& 1- vfuok;Zrk çek.ki= ,½ ;fn dkbs Z laLFkku igy s l s gh ch-,l-lh- ¼ufl±x½ ikB;~ Øe ;k ,e-,l-lh- ¼ufl±x½ ikB;~ Øe pyku s d s fy, Hkkjrh; mip;k Z ifj"kn }kjk ekU;rk çkIr gS] vkjS og ,u-ih- dk;ØZ e 'k:q djuk pkgrk gS] rk s ml s ul Z çfsDV”kuj bu fØfVdy d;s j ¼iksLV xzts ,q V jsthMsalh çkxs zke½ dk;ØZ e 'k:q dju s d s fy, fu/kkfZjr ekud @ vko';drkvk sa d s ckor jkT; ljdkj l s ,u-vk-slh- ¼vukifÙk çek.k i=½ @ vfuok;Zrk çek.k i= yus k vko”;d ugh a gkxs kA ch½ ;fn dkbs Z laLFkku ulks± vkSj M‚DVjk sa d s fy, dkbs Z çf'k{k.k dk;ØZ e fdlh Hkh fo'ofo|ky; f'k{kk dk;ØZ e d s vUrxZr pyk jgk gS vFkok og Mh-,u-ch- dk;ZØe pyk jgk gS] rk s ml s ,u-ih- dk;ØZ e 'k:q dju s d s fy, ,u-vk-slh- ¼vukifÙk çek.k i=½ yus k vko';d ugh a gkxs kA 2- vLirky vLirky dk s ,d r`rh;d LokLF; n[s kHkky dUs æ gkus k pkfg, ftle sa de l s de 200 cMs ¼fcLrjk½as gkAas ;g ,d efsMdy d‚yts @ ufl±x d‚yts Hkh gk s ldrk gSA 3- vkbZ-lh-;w- csM vLirky e sa de l s de 4 vkb-Zlh-;w- vFkkZr~ efsMdy vkb-Zlh-;w-] lftdZ y vkb-Zlh-;w-] dkfM;Z k s @ dkfM;Z kFs kksjfsdd vkbZ-lh-;-w vkSj vkikrdkyhu fpfdRlk bdkb Z gkus s pkfg,A çR;sd e sa de l s de 5 cMs ¼fcLrj½ rFkk dyq 20 cMs ¼fcLrj½ gkus s pkfg,A 4- vkbZ-lh-;w- LVkfQax ,½ çR;ds vkb-Zlh-;w- e sa ,d ch-,l-lh- vFkok ,e-,l-lh- çf’kf{kr çHkkjh ul Z gkus k pkfg,A ch½ ok;&q lpa kfjr jkfsx;k sa d s fy, gj f”k¶V e sa ul Z vkSj jkxs h dk vuiq kr 1 % 1 gkus k pkfg,A lh½ vU; vkb-Zlh-;w- fcLrjk sa d s fy, gj f”k¶V e sa ul Z vkSj jkxs h dk vuiq kr 1 % 2 gkus k pkfg,A Mh½ Nêq h vFkok fjto Z d s fy, 45 çfr”kr vfrfjä LVkQ dk çko/kku gkus k pkfg,A b½Z M‚DVj vkSj jkxs h dk vuiq kr 1 % 5 gk s ldrk gSA¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 5 5- LVkQ lalk/ku ,½ uSnkfud {ks= %& fØfVdy d;s j ufl±x e sa 6 o"k Z d s vuHq ko d s lkFk i.w kdZ kfyd çf”kf{kr th-,u-,e- vFkok fØfVdy d;s j ufl±x esa 2 o"k Z d s vuHq ko d s lkFk ch-,l-lh- ¼ufl±x½ vFkok fØfVdy d;s j ufl±x es a 1 o"k Z d s vuHq ko vkSj 'kY; fpfdRlk fo'k"skrk d s lkFk ,e-,l-lh- ¼fo'k"skrk & esfMdy lftdZ y ufl±x @ cky fpfdRlk ufl±x @ çlfwr ,o a L=h jkxs ufl±x½ gkus k vfuok; Z gSA ¼gj 10 Nk=k sa d s fy, ,d f”k{k.k lda k; gkus k pkfg,½A ch½ f”k{k.k lda k; %& çkQs slj @ ,lkfsl,V çkQs slj & 1 ¼f'k{k.k vuHq ko & iksLVxtzs q,”ku d s i”pkr 5 o"k½Z lgk;d çkQs slj & 1 ¼f'k{k.k vuHq ko & ch-,l-lh- d s i”pkr 3 o"k½Z lh½ mifyfZ[kr lda k; r`rh;d vLirky e sa dk;Zjr ,e-,l-lh- ¼ufl±x½ ;kXs ;rk çkIr ,d ofj"B ul Z dh rjg dk; Z djr s gq, nkgs jh Hkfwedk fuHkk;xsa As Mh½ vfrfFk O;k[;krk %& vkS"k/k foKku d s fy, x:q vkSj Nk=k sa dk vuiq kr ufl±x 1 % 10 efsMdy 1 % 10 6- d‚yst @ vLirky esa vko’;d HkkSfrd vkSj f’k{k.k lalk/ku ,½ uSnkfud {ks= e sa ,d d{kk xg` @ lEeys u d{k ch½ vudq j.kh; f”k{kk d s fy, dkS'ky ç;kxs 'kkyk ¼vLirky @ d‚yts ½ lh½ ykbczsjh vkSj if=dkvk sa rd v‚uykbu igq¡p d s lkFk dEI;Vw j dh lfqo/kk,¡ Mh½ b&Z yfu±x lfqo/kk,¡ 7- midj.kksa dh lwph %& ¼lya Xu½ ifjf'k"V&1 8- Nk=ksa dh HkrhZ @ ços'k ds fy, vko';drk,¡ ,½ vkons dk sa dk s ukekda u l s igy s vf/kekur% fdlh Hkh fØfVdy d;s j dUs æ esa U;uw re ,d o"k Z d s uSnkfud vuHq ko d s lkFk ita h—r ch-,l-lh- ul Z dh mikf/k /kkjd gkus k vfuok; Z gSA ch½ Hkkjrh; ufl±x ifj"kn }kjk ekU;rk çkIr fdlh laLFkk l s ch-,l-lh- çf”kf{kr gkus k vfuok; Z gSA lh½ ch-,l-lh- çksxzke e sa dyq vda k sa d s de l s de 55 çfr'kr vda gkus s vfuok; Z gSAa Mh½ l{ke çkf/kdkjh }kjk vk;kfstr ,d ço's k ijh{kk vkSj lk{kkRdkj dh ;kXs ;rk d s vk/kkj ij p;u fd;k tkuk pkfg,A mEehnokjk sa dh l[a ;k % 4 l s 5 vkb-Zlh-;-w fcLrjk sa d s fy, ,d mEehnokj osru 1- lsokjr mEehnokjk sa dk s fu;fer osru feyxs k 2- vU; mEehnokjk sa dk osru ml vLirky dh osru lja puk d s vuqlkj tgk¡ ikBîØe dk vk;kts u fd;k tk jgk gSA 6- ijh{kk fofu;eu ijh{kk esa cSBus ds fy, ik=rk mifLFkfr %& lS)kfUrd] O;kogkfjd vkSj uSnkfud & 100 çfr”kr ifj.kkeksa dk oxhZdj.k mÙkh.k Z %& lS)kfUrd vkSj uSnkfud vuHq ko e sa 50 çfr”kr vda f}rh; J.s kh %& 50&59 çfr”kr vda çFke J.s kh %& 60&74 çfr”kr vda fMlfVDa ”ku ¼lEeku d s lkFk½ %& 75 çfr”kr vkSj Åij vda6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] jSda dh ?kk"sk.kk nk s o"k Z d s dyq vda k sa d s vk/kkj ij gkxs hA ;fn dkbs Z mEehnokj lS)kfUrd vFkok ç;kxs kRed ijh{kk e sa foQy jgrk gS] rk s ml s og ijh{kk i= ¼iis j½ esa ftle as og ukdke jgk @ jgh gS] fQj l s nus k gkxs kA ç;klk sa dh vf/kdre l[a ;k ¾ 2 dk;ØZ e dk s iwjk dju s d s fy, vf/kdre vof/k ¾ 4 o"kZ O;kogkfjd %& çfr Nk= 6 ?k.V s dh ijh{kk çfr fnu Nk=k sa dh vf/kdre l[a ;k ¾ 5 Nk= ijh{kk uSnkfud {ks= e sa gh vk;kfstr dh tkuh pkfg,A ,d vkUrfjd ijh{kd vkSj ,d ckg;~ ijh{kd }kjk ijh{kk yh tkuh pkfg,A ijh{kd de l s de nk s lky ,u-ih- dk;ØZ e çf'k{k.k d s vuHq ko d s lkFk ,e-,l-lh- lda k; gksuk pkfg,A 'kks/k çcU/k @ fMLljVs’ku vuqlU/kku çLrko dh çLrfqr %& igy s lky d s 6 eghu s esa Qkbuy 'kk/s k çcU/k dh çLrfqr %& nwlj s o"k Z d s ijw k gkus s l s 6 eghu s igy s vuqlU/kku xkbM %& e[q ; xkbM & ufl±x lda k; ¼3 o"k Z dk vuHq ko½ ,u-ih- dk;ØZ e çf'k{kd] lg&xkbM & efsMdy x:q xkbM Nk= vuiq kr %& 1 % 5 ekxnZ 'kuZ vkSj vuqlU/kku dh çxfr dh fuxjkuh d s fy, d‚yts @ vLirky e sa ¼fçfaliy ;k lh-,u-vk-s&,e-,l-lh- ufl±x lfgr U;uw re 5 lnL;k sa dh½ ,d vyx vuqlU/kku lfefr gkus h pkfg,A ,fFkdy Dyh;jsal vLirky vkpkj lfefr }kjk çkIr fd;k tkuk pkfg,A 7- ewY;kadu ¼ jpukRed vkSj x.kukRed½ • lxa k"sBh • fyf[kr dk; Z @ vof/kxr ijh{kk • çdj.kkRed @ uSnkfud çLrfqr • ufl±x çfØ;k fjikVs Z @ çdj.k v/;;u fjikVs Z • uSnkfud çn'kuZ dk eYw ;kda u • mipkj@ufl±x lda k; f'k{kdk sa }kjk dkm.Vj gLrk{kfjr y‚x&cdq ¼;kXs ;rk lpw h vkSj uSnkfud vko';drkvk as dh½ • mí's ; lajfpr uSnkfud ijh{kk ¼vk-s,l-lh-bZ- @ vk-s,l-ih-bZ-½ • ijh{k.k d s dkxtkr • vfUre ijh{kk¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 7 vfUre ijh{kk dh ;kstuk Øe ’kh"kZd lS)kfUrd % ç;ksxkRed % la[;k ?k.Vs vkUrfjd Ckkg~; ?k.Vs vkUrfjd Ckkg~; çFke o"kZ çeq[k ikBîØe 1 mUur ufl±x vH;kl d s fy, l)S kfUrd 3 ?k.V s 50 vk/kkj 2 fØfVdy d;s j e sa vuqlU/kku ykx w 3 ?k.V s 30 70 djuk vkSj lk{; vk/kkfjr vH;kl 3 usrR` o] çcU/ku vkSj f'k{k.k e as mUur 3 ?k.V s 30 70 dkS'ky mUur vH;kl ikBîØe 4 fØfVdy d;s j e sa mUur 3 ?k.V s 30 70 iSFkkfsQft;kykWth vkSj mUur QkekdZ kys kWth ykx w djuk 5 mUur LokLF; @ HkkSfrd eYw ;kda u 3 ?k.V s 30 70 50 50 f}rh; o"kZ fo’ks"k ikBîØe 1 fØfVdy d;s j ufl±x vH;kl dh uhao 3 ?k.V s 30 70 100 100 2 fØfVdy d;s j ufl±x-I 3 ?k.V s 30 70 100 100 3 fØfVdy d;s j ufl±x-II 3 ?k.V s 30 70 100 100 4 fucU/k vkj okbok 3 ?k.V s 50 50 8- ikBîØe ikBîØe ds vuqns’k lS)kfUrd ç;kxs 'kkyk@ uSnkfud ¼?k.V½s ¼?k.V½s dkS'ky ç;kxs 'kkyk ¼?k.V½s çFke o"kZ eq[; ikBîØe 1- mUur vH;kl ufl±x d s fy, l)S kfUrd vk/kkj 40 2- fØfVdy d;s j e sa vuqlU/kku dk mi;kxs vkSj lk{; vk/kkfjr 56 24 336 vH;kl ¼7 lIrkg½ 3- usrR` o] çcU/ku vkSj f'k{k.k dyk e sa mUur dkS'ky 56 24 184 ¼4 lIrkg½ mUur vH;kl ikBîØe 4- fØfVdy d;s j e sa mUur iSFkkfsQft;kykWth ykx w djuk 60 336 ¼7 lIrkg½ 5- fØfVdy d;s j e sa mUur QkekdZ kys kWth ykx w djuk 54 336 ¼7 lIrkg½ 6- mUur LokLF; @ HkkSfrd eYw ;kda u 70 48 556 ¼12 lIrkg½ dyq = 2208 ?k.V s 336 96 1776 ¼7 lIrkg½ ¼2 lIrkg½ ¼37 lIrkg½8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] f}rh; o"kZ fo’ks"k ikBîØe 7- fØfVdy d;s j ufl±x vH;kl dh uhao 96 48 552 ¼11 lIrkg½ 8- fØfVdy d;s j ufl±x-I 96 48 552 ¼13 lIrkg½ 9- fØfVdy d;s j ufl±x-II 96 48 644 ¼13 lIrkg½ dyq = 2208 ?k.V s 288 144 1748 ¼6 lIrkg½ ¼4 lIrkg½ ¼37 lIrkg½ ,d o"kZ esa miyC/k lIrkg ¾ 52 & 6 ¼okf"kZd Nqêh] vkdfLed Nqêh] chekjh ds fy, Nqêh ¾ 6 lIrkg½ ¾ 46 lIrkg x 48 ?k.Vs ¾ 2208 ?k.Vs nks o"kZ ¾ 4416 ?k.Vs funsZ'kkRed ?k.Vs % lS)kfUrd ¾ 624 ?k.Vs] dkS'ky ç;ksx'kkyk ¾ 240 ?k.Vs] Dyhfudy ¾ 3552 ?k.Vs dqy ¾ 4416 ?k.Vs çFke o"kZ % 336 & 96 & 1776 ?k.Vs ¼lS)kfUrd & dkS'ky ç;ksx'kkyk & uSnkfud½ ¿lS)kfUrd $ ySc ¾ 20 çfr’kr] Dyhfudy ¾ 80 çfr’krÀ f}rh; o"kZ % 288 & 144 & 1776 ?k.Vs ¼lS)kfUrd & dkS'ky ç;ksx'kkyk & uSnkfud½ ¿lS)kfUrd $ ySc ¾ 20 çfr’kr] Dyhfudy ¾ 80 çfr’krÀ çFke o"k Z ¾ 46 lIrkg @ 2208 ?k.V s ¼46 x 48 ?k.V½s ¼lS)kfUrd $ ç;kxs 'kkyk % 7-5 ?k.V s çfr lIrkg 44 lIrkg d s fy, ¾ 336 $ 96 ?k.V*s ½ *lS)kfUrd $ ç;kxs 'kkyk ¾ 2 lIrkg rd 96 ?k.V s ifjp;kRed d{kkvk sa vkSj dk;'Z kkykvk sa d s :i e sa fn, tk ldr s gS a f}rh; o"k Z ¾ 46 lIrkg @ 2208 ?k.V s ¼46 x 48 ?k.V½s ¼l)S kfUrd $ ç;kxs 'kkyk % 8-5 ?k.V s çfr lIrkg 45 lIrkg d s fy, ¾ 384 $ 48 ?k.V½s ¼1 lIrkgcykdW d{kk,¡ ¾ 48 ?k.V½s uSnkfud vH;kl ,½ jsthMsalh uSnkfud vuqHko ¼U;uw re fu/kkfZjr vof/k 48 ?kVa s çfr lIrkg gS] gkykf¡d] ble sa vyx ikfj;k as e as dke dju s vkSj NVq V~ h d s ckn vkWu d‚y MîVw h ij yphykiu gS½ ch½ lIrkg esa ,d fnu NqV~Vh vkSj lIrkg esa ,d fnu vkWu d‚y MîwVh ds lkFk çfrfnu 8 ?k.Vs MîwVh uSnkfud LFkkiu çFke o"kZ % 44 lIrkg ¼ifjp;kRed CykWd d{kkvk sa vkSj dk;’Zkkyk d s 2 lIrkg d s vfrfjDr½ esfMdy vkbZ-lh-;w- & 12 lIrkg lftZdy vkbZ-lh-;w- & 12 lIrkg dkfMZ;ks @ dkfMZ;ksFkksjsfld ¼lh-Vh-½ vkbZ-lh-;w- & 8 lIrkg vkikrdkyhu foHkkx & 6 lIrkg vU; vkbZ-lh-;w- ¼U;wjks] tyk@cuZ~l] Mk;fyfll ;wfuV½ & 6 lIrkg f}rh; o"kZ % 45 lIrkg ¼ifjp;kRed CykWd d{kkvk sa d s 1 lIrkg d s vfrfjDr½ esfMdy vkbZ-lh-;w- & 12 lIrkg lftZdy vkbZ-lh-;w- & 12 lIrkg¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 9 dkfMZ;ks @ dkfMZ;ksFkksjsfld ¼lh-Vh-½ vkbZ-lh-;w- & 8 lIrkg vkikrdkyhu foHkkx & 8 lIrkg vU; vkbZ-lh-;w- ¼U;wjks] tyk@cuZ~l] Mk;fyfll ;wfuV½ & 6 lIrkg lh½ f'k{k.k fof/k;k¡ lS)kfUrd] ç;kxs 'kkyk vkSj uSnkfud f'k{k.k fuEu rjhdk sa esa fd;k tk ldrk gS vkSj uSnkfud ikfsLVxa d s nkSjku ,dh—r fd;k tk ldrk g S • uSnkfud lEeys u • çdj.k @ unS kfud çLrfqr • xgjkb Z iwodZ nok dk v/;;u] çLrfqr @ çts Vsa 's ku vkSj fjikVs Z • ufl±x nkSj s • uSnkfud lfseukj • tuyZ Dyc • çdj.k v/;;u @ ufl±x çfØ;k • mUur LokLF; dk vkdyu • uSnkfud {ks= e sa lda k; O;k[;ku • funfsZ'kr iBu • dk; Z • v/;;u ekey s dk fo'y"sk.k • dk;'Z kkyk,¡ Mh½ çfØ;k @ y‚x cqd çR;sd uSnkfud iksfLVax ds vUr esa ¼fo'ks"k n{krk @ uSnkfud dkS'ky vkSj uSnkfud vko';drk½ y‚x cqd esa gj i[kokM+s ds ckn f’k{kd }kjk gLrk{kj fd, tkus pkfg, ¼vuqcU/k 2,] 2ch] 3½ bZ½ ,u-ih- fØfVdy ds;j n{krk,¡ ¼vkbZ-lh-,u-] 2005 ls vuqdwfyr½ 1- mUur O;kid eYw ;kda u] funku] mipkj ;kts uk] dk;kUZ o;u vkjS eYw ;kda u dkS'ky dk mi;kxs djrk gSA 2- tfVy vkSj @ ;k vfLFkj okrkoj.k e sa mUur dkS'ky ykx w djrk gS vkSj mldk vudq yw u djrk gSA 3- O;ogkj es a ekxnZ 'kZu] fl[kku s vkSj lfwpr dju s d s fy, etcrw mUur uSnkfud rd Z vkSj fu.k;Z yus k ykx w djrk gSA 4- ejht d s lg;kxs l s nLrkots eYw ;kda u] funku] çcU/ku vkSj e‚fuVj djd s mipkj vkSj vuqorh Z n[s kHkky djrk gAS 5- laLFkkxr çkVs kds ‚y d s vuqlkj nokvk sa vkSj mipkj djrk gSA 6- fpfdRlh; fj'rk sa dk s fodflr vkSj cUn dju s d s fy, mi;Dq r lpa kj] ijke'k]Z odkyr vkSj ikjLifjd dkS'ky dh “k#q vkr dk mi;kxs djrk gSA 7- n[s kHkky dh fujUrjrk cuk, j[ku s d s fy, vU; LokLF; n[s kHkky dfe;Z k sa dk s lUnHk Z (Refer) djrk gS vkSj lUnHk Z Lohdkj djrk gAS 8- tgk¡ vf/k—r gS vkSj fofu;ked <k¡pk vueq fr nsrk g S & jkfsx;k]sa ifjokjk sa vkSj lenq k;k sa d s fgr e sa LorU= :i l s vkpj.k djrk gSA 9- vU; LokLF; n[s kHkky dfe;Z k as vkSj vU; ykxs k sa l s ijke'k Z ysrk g S vkSj nsrk gSA10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 10- jkxs h d s fgr e sa LokLF; ny d s lnL;k sa d s lg;kxs l s dke djrk gSA 11- oreZ ku oSKkfud lk{; d s vk/kkj ij ,d vH;kl fodflr djrk gS tk s fd jkfsx;k]sa ifjokjk sa vkSj lenq k;k sa d s LokLF; çcU/ku e sa 'kkfey gSA 12- ifjp;] ijh{k.k] eYw ;kda u] vkSj lk{; vk/kkfjr vH;kl dk çcU/ku djrk gAS 13- LorU= vkSj vUrj&i's ksoj vuqlU/kku d s ek/;e l s lqj{kk] n{krk vkSj n[s kHkky dh çHkko'khyrk e sa l/q kkj yku s d s fy, lk{; vk/kkfjr vH;kl dk mi;kxs dju s d s fy, vuqlU/kku djrk gAS 14- ,-ih-,u- Hkfwedk dh ftEens kjh d s lHkh igyvq k sa d s uSfrd vkpj.k e sa lya Xu gksrk gSA 15- viu s mUur O;kolkf;d fu.k;Z ] dk;ks± vkSj fujUrj {kerk d s fy, tokcngs h vkSj ftEens kjh Lohdkj djrk gSA 16- tkfs[ke çcU/ku j.kuhfr vkSj x.q koÙkk e sa l/q kkj d s mi;kxs d s ek/;e l s ,d lqjf{kr fpfdRlh; okrkoj.k dk s cuk, j[krk gSA 17- ,d puq kSrhi.w k Z LokLF; n[s kHkky ç.kkyh e sa ufl±x lsokvk sa e sa d'q ky mUur vH;kl lfquf”pr dju s e sa urs R` o vkSj çcU/ku dh ftEens kjh lEHkkyrk gSA 18- LokLF; n[s kHkky ç.kkyh e as jkfsx;k sa d s fy, ,d odhy dh rjg dk; Z djrk gS vkSj jkxs h O;fä] ifjokj vkSj lenq k; dh lqj{kk d s fy, LokLF; uhfr;k sa d s fodkl dk s c<k+ok nsrk gSA 19- çklfaxd vkSj lkaL—frd ifjo's k dk s vH;kl e sa ykrk gSA ,Q½ laLFkkxr çksVksd‚y @ LFkk;h vkns'kksa ds vuqlkj nokvksa dh O;oLFkk vkSj tkap ,oa mipkj ds vkns'k Nk=k sa dk s LorU= :i l s laLFkkxr çkVs kds ‚y @ LFkk;h vkn's kk sa d s vuqlkj nokvk sa dh O;oLFkk] uSnkfud ijh{k.k] çfØ;kvk]as fpfdRlk midj.kk sa vkSj fpfdRlk ç'kklu d s vkn”s k nus s d s fy, çf'kf{kr fd;k tk,xk ¼ifjf'k"V 4 LFkk;h vkns'k½A vkikrdkyhu nokvk sa dh O;oLFkk lEcfU/kr fpfdRld d s ijke'k Z l s dh tkrh gS ftldk ckn e sa fyf[kr vkn's k }kjk leFkuZ fd;k tkrk gSA ikBîØe dk dk;kZUo;u & ,d vLFkk;h ;kstuk çFke o"kZ ifjp;kRed dk;Z'kkyk uSnkfud O;ogkj esa ,dh—r f'k{k.k ds rjhds dk ikBîØe d{kk,¡ lS)kfUrd f’k{kk ¼fo"k; fufnZ"V fd;k tk ldrk gS½ 1- mUur ufl±x vH;kl 8 ?k.V s 1 x 32 ?k.V s = 32 ?k.Vs • lxa k"sBh @ fl)kUr ykx w d s fy, l)S kfUrd djuk vk/kkj ¼40½ • O;k[;ku ¼lda k;½ 2- fØfVdy d;s j e sa 8 ?k.V s 40 ¼5 fnu½ 1 x 26 ?k.V s = 26 ?k.Vs • vuqlU/kku v/;;u vuqlU/kku ykx w djuk $ 6 ?k.V s fo'y"sk.k @ vkSj lk{; vk/kkfjr ç;kxs @ vlkbueVas vH;kl ¼56$24½ ¼ç;kxs 'kkyk½ 3- usrR` o] çcU/ku vkSj 12 ?k.V s 2 ?k.V s ¼CyWd 1 x 26 ?k.V s = 26 ?k.V s 2.5 • uSnkfud lEeys u f ¼' 5k 6{ $k. 2k 4e ½ sa mUur dkS'ky d{kk,¡½ x 16 ?k.V s = 40 ?k.V s • lxa k"sBh • ç;kxs @ vlkbueasV ¼ç;kxs 'kkyk½ 4. mUur 1.5 x 37 ?k.V s = 56 ?k.V s • dsl çLrfqrdj.k iSFkkfsQft;kys kWth ¼60½ • lxa k"sBh • uSnkfud lEeys u 5. mUur QkekdZ kys kWth 1 x 44 ?k.V s = 44 ?k.Vs • ufl±x jkm.M~l ¼54½ • Mªx v/;;u çLrfqr • LFkk;h vkn's k @ çLrfqr¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 11 6. mUur LokLF; 6 ?k.V s 2 x 26 ?k.V s = 52 ?k.V s • uSnkfud çn'kuZ ¼lda k;½ vkdyu ¼70$40½ 1.5 x 18 ?k.V s = 27 ?k.V s • okilh çn'kuZ 1 x 12 ?k.V s = 12 ?k.Vs • ufl±x jkm.M~l 2 x 7 ?k.V s = 14 ?k.V s • HkkSfrd eYw ;kda u ¼lHkh 2 x 2 ?k.V s = 4 ?k.V s ç.kkfy;k¡½ • ekey s dk v/;;u çFke o"k Z & ifjp;kRed d{kk,¡ = 1 lIrkg] dk;'Z kkyk = 1 lIrkg] 44 lIrkg & 7-5 ?k.V s çfr lIrkg f}rh; o"kZ dk ikBîØe uSnkfud O;ogkj esa ,dh—r f'k{k.k ds rjhds 1 lIrkg CykWd d{kk,¡ ¼48 lS)kfUrd f’k{kk ?k.Vs½ 1- eyw k/kkj 9 x 16 = 144 ?k.Vs • çn'kuZ ¼ç;kxs 'kkyk½ ¼9+ 6 $ 48 ?k.V½s • okilh çn'kuZ ¼ç;kxs 'kkyk½ = 144 ?k.V s • uSnkfud f'k{k.k • ekey s dk v/;;u • lxa k"sBh • uSnkfud lEeys u • lda k; O;k[;ku 2- fØfVdy d;s j ufl±x-I 9 x 16 = 144 ?k.Vs • çn'kuZ ¼ç;kxs 'kkyk½ ¼9+ 6 $ 48 ?k.V½s • okilh çn'kuZ ¼ç;kxs 'kkyk½ = 144 ?k.V s • uSnkfud lEeys u @ if=dk Dyc • lxa k"sBh • dsl çLrfqrdj.k • Mªx v/;;u ¼nok ckrphr lfgr½ • uflx± jkm.M~l • lda k; O;k[;ku 3- fØfVdy d;s j ufl±x-II 9 x 16 = 144 ?k.Vs • çn'kuZ ¼ç;kxs 'kkyk½ ¼9+ 6 $ 48 ?k.V½s • okilh çn'kuZ = 144 ?k.V s • uflx± jkm.M~l • uSnkfud lEeys u @ if=dk Dyc • lxa k"sBh • lda k; O;k[;ku f}rh; o"k Z & 45 lIrkg & 8-5 @ 9 ?k.V s çfr lIrkg mifLFkfr % lS)kfUrd] ç;kxs kRed vkSj uSnkfud d{kkvk sa e sa 100 çfr’kr gj f'k{k.k i)fr ds fy, fo"k; & lEcfU/kr f'k{kd @ lEcfU/kr laLFkk }kjk foLr`r ;kstuk esa & fufnZ"V fd;k tk,xkA12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] ewy ikB~;Øe 1- mUur ufl±x vH;kl ds fy, lS)kfUrd vk/kkj n{krk,¡ 1- oSf'od LokLF; d s #>ku vkSj puq kSfr;k sa dk fo'y"sk.k djrk gAS 2- Hkkjr e sa LokLF; vkSj f'k{kk uhfr;k sa dk ufl±x ijke'k Z ij miyC/k nLrkots k sa ij çHkko dk fo’y"sk.k djrk gSA 3- Hkkjr e sa LokLF; lsok n[s kHkky ç.kkyh dh xgjkb Z l s le>u s d s fy, fodkl djuk vkSj mldh puq kSfr;k sa dk lkeuk djrk gSA 4- fØfVdy d;s j e sa LokLF; los kvk sa dk s lpq k: <xa l s pyku s d s fy, çklfaxd vkfFkdZ fl)kUr ykx w djrk gSA 5- çHkkoh LokLF; ifj.kkek sa tSl s ykxr] x.q koÙkk vkSj lUrfq"V dk çcU/k djrk gS vkSj LokLF; lEcU/kh tkudkjh dk :ikUrj.k djrk gAS 6- ul Z O;olk;h dh Hkfwedk vkSj n{krkvk sa d s vH;kl e sa tokcngs h vkSj ftEens kjh Lohdkj djrk gAS 7- fØfVdy d;s j e sa lfØ; LokLF; ny d s lHkh lnL;k sa d s lkFk lg;kxs kRed O;ogkj e sa Hkkx ysrk g S vkSj vf/k—r nk;j s d s Hkhrj vkn's kkRed Hkfwedk,¡ fuHkkrk gAS 8- mUur ufl±x vH;kl d s fy, dkuuw ] uSfrdrk vkSj fofu;eu dh vPNh tkudkjh j[kr s gq, uSfrd O;ogkj e as lfayIr gksrk gSA 9- lfqu;kfstr f’k{kdk sa d s ek/;e l s çnÙk çf'k{k.k d s voljk sa dk mi;kxs djrk gS vkSj ufl±x çfØ;k dk s ykx w djr s gq, lqjf{kr vkSj l{ke n[s kHkky djrk gSA 10- xEHkhj :i l s chekj jkfsx;k as dh s l{ke n[s kHkky çnku dju s e sa ufl±x fl)kUrk sa d s Kku dk s ykx w djrk gSA 11- fo'k"sk :i l s Hkkjr e sa LokLF; n[s kHkky dh fofHkUu ifLFkfr;k sa e sa ul Z çSfDV’kuj dh Hkfwedk e sa puq kSfr;k as dh Hkfo";ok.kh djrk gSA vuqns’k ds fy, ?k.Vs ¾ 46 ?k.Vs Ø-la- ’kh"kZd ?k.Vs 1- oSf'od LokLF; n[s kHkky puq kSfr;k¡ vkSj #>ku ¼;kXs ;rk&1½ 2 2- Hkkjr dh LokLF; ç.kkyh 2 Hkkjr dh LokLF; lsok n[s kHkky ç.kkyh & cnyr s ifj–'; ¼;kXs ;rk&3½ 3- jk"Vªh; LokLF; ;kts uk & ipa o"kh;Z ;kts uk vkSj jk"Vªh; LokLF; uhfr ¼;kXs ;rk&2½ 2 4- LokLF; lEcU/kh vFk'Z kkL= vkSj LokLF; lsok n[s kHkky foÙk ik"sk.k ¼;kXs ;rk&4½ 4 5- ufl±x lpw uk lfgr LokLF; lpw uk ç.kkyh ¼dEI;Vw j dk mi;kxs ½ ¼;kXs ;rk&5½ 4 mUur ufl±x vH;kl ¼,-,u-ih-½ 6- ,-,u-ih- & ifjHkk"kk] {ks=] n'kuZ ] tokcngs h] Hkfwedk,¡ vkSj ftEens kfj;k¡ ¼lg;kxs kRed vH;kl vkSj 3 fu/kkfZjr ufl±x Hkfwedk,¡½ ¼;kXs ;rk&6 ,o a 7½ 7- fofu;eu ¼çf'k{k.k laLFkkuk as dh ekU;rk vkSj lk[k½ ,o a mUur ufl±x vH;kl Hkfwedk d s uSfrd 3 vk;ke ¼;kXs ;rk&8½ 8- ul Z çSfDV’kuj & Hkfwedk,¡] çdkj] l{kerk] vH;kl d s fy, uSnkfud dUs æ] 3 lkaL—frd {kerk ¼;kXs ;rk&6½ 9- ,u-ih-,l- d s fy, çf'k{k.k & f’k{kdrk ¼;kXs ;rk&9½ 2 10- ,u-ih- vH;kl dk s Hkfo"; e sa pqukSfr;k¡ ¼;kXs ;rk&11½ 4 11- ,-ih-,u- d s fy, ykx w ufl±x d s fl)kUr ¼;kXs ;rk&10½ 3 12- ,-ih-,u- d s fy, ykx w ufl±x çfØ;k ¼;kXs ;rk&9½ 2¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 13 Lo;a lh[kus ;ksX; dk;Z 6 1- LokLF; lsok n[s kHkky vkSj f'k{kk uhfr;k sa dh igpku vkSj ufl±x ij bld s çHkko dk fo'y"sk.k 2- ,u-ih- vH;kl d s fy, Hkkjr esa dkuuw h fLFkfr dk o.kuZ djAsa vU; n's kk sa e sa bu uhfr;k sa dh çklfaxdrk d s vk/kkj ij Hkkjr e sa ulks± d s fy, fu/kkfZjr bu uhfr;k sa dk Hkfo"; D;k gS\ 3- viu s r`rh;d LokLF; lsok dæas e sa fofHkUu vkb-Zlh-;w- e sa ik; s x, çklfaxd ,u-ih- vH;kl d s fy, ufl±x çkVs kds ‚y dk ijh{k.k djas dqy 40 ?k.Vs xzUFk lwph cds l]Z ,-,e- ¼2009½A ,MokalM~ çfsDV”k ufl±xA eSlkpqlVs ~l % tkUs l ,.M ckjyVs ifCy”klAZ fgDdh] t-soh-] vkbs eVs h] vkj-,e- vkSj ous xs kus h] ,l-,y- ¼1996½A ,Mokla ~M çfsDV”k ufl±x- pfsatxa jkYs l ,.M fDyfudy ,Iyhd’skalA fQykMfsYQ;k % fyfiud‚V fofy;El ,.M fofYdla A Ldkcs j] ,e- vkSj vQkjk] ,Q-,- ¼2006½A ,Mokal~M çfsDV”k uflx± A v‚DlQkMs % CySdoys ifCyf”kxa A LVhokV]Z th-,l- vkSj MfsuLdk]s ,l-,e-] ¼2015½A jkys MoyieVsa QkWj n ul Z çfsDV”kujA ;-w,l-,- % fLçaxj ifCyf’kxa dEiuhA 2- fØfVdy ds;j esa vuqlU/kku ykxw djuk vkSj lk{; vk/kkfjr vH;kl n{krk,¡ 1- fØfVdy d;s j dUs æk sa e sa LorU= vuqlU/kku d s lpa kyu e sa lpq k: vuqlU/kku Kku vkSj dkS'ky ykx w djrk gSA 2- lg;kxs kRed vuqlU/kku d s {k=s e sa jkxs h n[s kHkky dh x.q koÙkk e sa l/q kkj dju s d s fy, Hkkx ysrk gSA 3- bZ-ch-ih- d s mRiknu d s mUur vH;kl e sa vuqlU/kku d s fu"d"kks± dk mi;kxs vkSj O;k[;k djrk gSA 4- mUur vH;kl e sa lokÙsZ ke çFkkvk as vkSj LokLF; d s ifj.kkek sa vkSj x.q koÙkk dh n[s kHkky fodflr dju s d s fy, oreZ ku vH;kl dk ijh{k.k @ eYw ;kda u djrk gAS 5- fØfVdy d;s j ufl±x vH;kl e sa LokLF; lsokvk sa dh n[s kHkky dh çHkko'khyrk vkSj lqj{kk dk s c<+kok nus s d s fy, ufl±x gLr{kis d s fy, lk{; dk fo'y”s k.k djrk gAS 6- oSKkfud vuqlU/kku fjikVs Z fy[ku s e sa dk'S ky fodflr djrk gSA vuqns’k ds fy, ?k.Vs ¼lS)kfUrd % 56 ?k.Vs $ ç;ksx’kkyk @ dkS’ky ç;ksx’kkyk % 24 ?k.Vs½ ¾ 80 ?k.Vs Ø-la- ’kh"kZd ?k.Vs 1- vuqlU/kku vkSj mUur vH;kl ufl±x % mUur ufl±x Hkfwedk l s lEcfU/kr vuqlU/kku vkSj tk¡p 2 dk egRo ¼;kXs ;rk & 1½ 2- ,-ih-,u- vH;kl d s fy, vuqlU/kku dk;Zlpw h % 5 lcl s vPN s vH;kl] LokLF; d s ifj.kke vkSj mUur vH;kl e sa x.q koÙkk d s lda srd fodflr dju s d s fy, oreZ ku ç.kkyh dk ijh{k.k djuk ¼;kXs ;rk,¡ & 3] 4 vkSj 5½ 3- vuqlU/kku Kku vkSj dkS'ky % 40 ,-ih-,u- d s fy, vko';d vuqlU/kku n{krk, ¡ ¼vuqlU/kku dh O;k[;k vkSj mldk mi;kxs ] ¼5 fnolh; vH;kl dk eYw ;kda u] lg;kxs kRed vuqlU/kku d s {ks= e sa Hkkxhnkjh½ dk;’Zkkyk½ vuqlU/kku fØ;kfof/k pj.k @ dne ¼vuqlU/kku ç’u] lkfgR; dh leh{kk] oSpkfjd <k¡pk] vuqlU/kku fMtkbu] ueuw k] MVs k lxa gz ] rjhd s vkSj fof/k] fo'y"sk.k vkSj fjikfsV±x½ vuqlU/kku çLrko vkSj fjikVs Z y[s ku ¼;kXs ;rk,¡ & 1 vkSj 2½ 4- çdk'ku d s fy, y[s ku % 5 ¼dk;'Z kkyk y[s ku & ik.Mfqyfi rS;kj djuk vkSj /ku d s lzksr [kkts uk½ ¼dk;”Z kkyk½ ¼;kXs ;rk & 6½14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Ø-la- ’kh"kZd ?k.Vs 5- çek.k vk/kkfjr vH;kl 4 & fopkj] fl)kUr] egRo vkSj dne & vkb-Zlh-;w- i;kZoj.k d s fy, bZ-ch-ih- dk ,dhÑr djuk & fØfVdy d;s j e sa lcwrk as d s {ks= & bZ-ch-ih- dk s ykx w dju s e sa ck/kk,¡ & c<+kok nus s d s fy, j.kuhfr;k¡ ¼;kXs ;rk,¡ & 3] 4 vkSj 5½ dqy 56 ?k.Vs ç;ksxkRed @ ç;ksx’kkyk vkSj dk;Z & 24 ?k.Vs • vuqlU/kku çkFkfedrkvk sa dh igpku • vuqlU/kku ç'uk]sa mí's ;k sa vkSj ifjdYiuk ij y[s ku vH;kl • y[s ku vuqlU/kku çLrko • oSKkfud çi= y[s ku & çdk'ku d s fy, ik.Mfqyfi dh rS;kjh • O;ofLFkr leh{kk fy[kuk & vkbZ-lh-;-w e sa fdlh Hkh ufl±x gLr{kis d s fy, lk{; dk fo'y"sk.k uSnkfud O;kogkfjdrk • vuqlU/kku O;kogkfjdrk % fucU/k ¼336 ?k.V s ¾ 7 lIrkg½ xzUFk lwph cuZ~l] ,u- vkSj xzkso] ,l-ds- ¼2011½A v.MjLVfs.Mx ufl±x fjlp Z % fcfYMxa ,u ,ohMlsa csLM çfsDVl ¼5ok¡ laLdj.k½A çFke Hkkjrh; iuq eæqZ .k 2012] ub Z fnYyh % ,YlfsovjA ikfsyr] Mh-,Q- vkSj cds ] lh-Vh- ¼2012½A ufl±x fjlp Z % tujfsVxa ,.M vlSflxa ,ohMlsa QkWj ufl±x çfsDVl ¼9ok¡ laLdj.k½A fQykMfsYQ;k % fyfiud‚V fofy;El vkSj fofYdalA flfeV] ,u-,- vkSj czkmu] ts-,e- ¼2009½A ,ohMlsa csLM çfsDVl QkWj ultsZ ,çkbty ,.M ,Iyhd’sku vkQW fjlpAZ ,l-Mh- tkUs l vkSj ckVyZ Vs ifCy’klAZ 3- usr`Ro] çcU/ku vkSj f'k{k.k esa mUur dkS'ky n{krk,¡ 1- fØfVdy d;s j ;fwuV es a urs R` o vkSj çcU/ku d s fl)kUr ykx w djrk gSA 2- fl)kUrk sa d s vPN s Kku dk mi;kxs dj fØfVdy d;s j rU= e sa çHkkoh :i l s rukok sa vkSj l?a k"kks± dk çcU/k djrk gSA 3- leL;k dk s gy dju s vkSj fu.k;Z yus s d s dkS'ky dk çHkkoh :i l s ykx w djrk gSA 4- vkb-Zlh-;-w esa ejhtk sa dh n[s kHkky d s çcU/ku vkSj usrR` o çnku dju s esa egRoi.w kZ lkps vkSj lpa kj dkS'ky dk mi;kxs djrk gSA 5- Vhe cukrk gS vkSj vkb-Zlh-;w- rU= e sa nlw jk sa dk s çfsjr djrk gSA 6- bdkb Z ctV fodflr djrk gS vkSj çHkkoh <xa l s vkifwr Z vkSj LVkfQxa dk çcU/ku djrk gSA 7- uokUs e"sk vkSj ifjoruZ d s le; mfpr :i l s Hkkx ysrk gSA 8- çHkkoh f'k{k.k fof/k;k]sa ehfM;k vkSj f'k{k.k dh iDd s fl)kUrk sa ij vk/kkfjr eYw ;kda u dk mi;kxs djrk gSA 9- vkb-Zlh-;-w okrkoj.k e sa x.q koÙkk vkSj ufSrdrk dk s cuk, j[ku s vkSj jkxs h dh n[s kHkky e sa odhy dh Hkfwedk fodflr djrk gSA 10 lda V dh fLFkfr e sa ifjokj vkSj jkfsx;k sa dk s ijke'k Z çnku djrk gS] fo'k"sk :i l s thou d s vUr dh n[s kHkky d s le;¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 15 vuqns’k ds fy, ?k.Vs ¼lS)kfUrd % 56 ?k.Vs $ ç;ksx’kkyk @ dkS’ky ç;ksx’kkyk % 24 ?k.Vs½ ¾ 80 ?k.Vs Ø-la- ’kh"kZd ?k.Vs 1- fl)kUr] usrR` o dh 'kSyh vkSj ekStnw k #>ku 2 2- fl)kUr] çcU/ku dh 'kyS h vkSj ekStnw k #>ku 2 3- fØfVdy d;s j rU= e sa çfrikfnr usrR` o vkSj çcU/ku d s fl)kUr 4 4- ruko çcU/ku vkSj l?a k"k Z çcU/ku & 4 fl)kUr vkSj mudk fØfVdy d;s j rU= e sa çfriknu] çHkkoh le; çcU/ku 5- x.q koÙkk l/q kkj vkSj v‚fMV @ ijh{k.k 4 6- leL;k gy djuk] egRoi.w k Z lkps fopkj djuk vkSj fu.k;Z yus k] fØfVdy d;s j ufl±x vH;kl 5 e sa lpa kj dkS'ky dk mi;kxs djuk 7- vkb-Zlh-;-w rU= d s vUnj Vhe cukuk] çfsjr djuk vkSj lykg nus k 2 8- ctV vkSj ekuo lalk/ku lfgr lalk/kuk sa dk çcU/ku & 5 vkb-Zlh-;-w ctV] lkexzh çcU/ku] LVkQ vkSj dk; Z 9- ifjoruZ vkSj uohurk 2 10- LVkQ dk çn'kuZ ] vkSj eYw ;kda u ¼çn'kuZ ewY;kda u½ 6 11- fØfVdy d;s j ufl±x e sa çfrikfnr Vhfpxa &yfu±x fl)kUr 2 12- ;kXs ;rk vk/kkfjr f'k{kk vkSj ifj.kke vk/kkfjr f'k{kk 2 13- f”k{k.k rjhd s @ j.kuhfr;k¡] ehfM;k % fØfVdy d;s j rU= e sa ejhtk sa vkSj LVkQ dk s çf'kf{kr 8 djuk 14- LVkQ f'k{kk vkSj eYw ;kda u e as midj.kk sa dk mi;kxs 4 15- ,-ih-,u- & ,d f'k{kd d s :i e sa Hkfwedk 2 16- fØfVdy d;s j okrkoj.k e as odkyrh Hkfwedk 2 dqy 56 ?k.V s ç;ksxkRed @ ç;ksx’kkyk & 24 ?k.Vs 1- LVkQ ejht d s dke dh rS;kjh 2- bdkb Z ctV dh rS;kjh 3- depZ kjh MîVw h jksLVj dh rS;kjh 4- jkfsx;k sa dh n[s kHkky dh y[s kk ijh{kk 5- ufl±x n[s kHkky ekudk sa vkSj çkVs kds ‚y dh rS;kjh 6- midj.k vkSj vkifwr Z dk çcU/ku 7- fuxjkuh] eYw ;kda u] vkSj lØa e.k fu;a=.k çFkkvk sa dh fjikVs Z rS;kj djuk 8- f'k{k.k ;kts uk dk fodkl 9- ekbØk s f'k{k.k @ jkfsx;k sa d s fy, f'k{kk l= 10- ejhtk sa vkSj depZ kfj;k sa d s fy, f'k{k.k i)fr vkjS ehfM;k dh rS;kjh 11- vk-s,l-lh-bZ- @ vk-s,l-ih-bZ- dh ;kts uk cukuk vkSj vk;kts u djuk 12- ijh{k.kk sa dk fuek.Z k @ rS;kjh16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] dk;Z & vkb-Zlh-;w- dk;ZLFky esa fgalk xzUFk lwph cLVkcy] ,l-ch- ¼2010½A ul Z ,t ,tdw Vs j % fçla hfiYl vkWQ Vhfpxa ,.M yfu±x QkWj ufl±x çfsDVl ¼rhljk laLdj.k½A ubZ fnYyh % tkUs l ,.M ckjySV ifCy”klAZ fcfyXa l] Mh-,e- vkSj gkYlVhM] t-s,- ¼2009½A Vhfpxa bu ufl±x % , xkbM QkWj QSdYVh ¼rhljk lLa dj.k½A lVas ybq l] felkSjh] lkW.Ml Z ,Ylos;jA Dykd]Z lh-lh ¼2010½A Øh,fVo ufl±x yhMjf”ki ,.M eus ts eVsa A ub Z fnYyh % tkUs l ,.M ckjySV ifCy”klAZ eSdkuys ¼2008½A eus ts esaV fçla hfiYl QkWj gSYFk çkQs ”s kuYlA lMcjh] ,e-,- % tkUs l ,.M ckjyVS ifCy”klAZ jlSy] ,y- vkSj Lokucx]Z vkj-lh- ¼2010½A eus ts eVsa ,.M yhMjf”ki QkWj ulZ ,MfefuLVªVs lZ ¼5ok¡ lLa dj.k½A ub Z fnYyh % tkUs l ,.M ckjySV ifCy”klAZ 4- mUur ufl±x ikB~;Øe 4&,- fØfVdy ds;j ufl±x esa ykxw mUur iSFkksfQft;ksykWth&I n{krk,¡ • xEHkhj fLFkfr e sa funku d s fodkl vkSj n[s kHkky dh ;kts uk e sa iSFkkfsQft;kys kts hdy çfØ;k d s Kku dk s ,dh—r djukA • xEHkhj chekfj;k sa d s y{k.k çcU/ku vkSj ek/;fed jkds Fkke e sa iSFkkfsQft;kys kts hdy fl)kUrk sa dk s ykx w djukA • jkxs funku dh egRork] mipkj] n[s kHkky vkSj jkxs d s funku dk s n[s kr s gq, çR;ds xEHkhj chekjh l s lEcfU/kr iSFkkfsQft;kys kts hdy fl)kUrk as dk fo”y"sk.k djukA vuqns’k ds fy, ?k.Vs ¾ lS)kfUrd % 30 ?k.Vs ;wfuV ?k.Vs lkexzh I ¼ 8 ½ 1- ân; ds dk;Z ân; dh fLFkfr dh mUur iSFkkfsQft;kys kts hdy çfØ;k • mPp jäpki l s xzLr fodkj • ifj/kh; /keuh fodkj • f'kjkijd fodkj • dksjkus jh /keuh jkxs • okYoyq j ân; jkxs • dkfM;Z kes k;kis SFkh vkSj gV Z QYs ;j • ân; rho z lEihM+u • ,fjFkfe;kl • dkWiewZ kus ys • gV Z Cy‚d vkSj pkyu e sa xMc+ M+h 2- QsQM+s ds dk;Z ¼ 4 ½ QQs M +s dh fLFkfr dh mUur iSFkkfsQft;kys kts hdy çfØ;k • fpjdkfyd çfrjk/s kh Q¶q Qqlh; jkxs • QQs M +s d s okfgdk d s fodkj • lØa ked jkxs • lkal dh foQyrk • lhu s e sa nnZ¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 17 3- U;wjksy‚ftdy dk;Z U;wjkys ‚ftdy fLFkfr dh mUur iSFkkfsQft;kys kts hdy çfØ;k • tCrh fodkj ¼ 6 ½ • jä /keuh dk jkxs • lØa e.k • jh< + dh gìh e sa fodkj • vi{k;h efLr"d lEcU/kh chekfj;k¡ • U;wjkys ‚ftdy vk?kkr • dkes k] cgs k's kh 4- xqnsZ ds dk;Z xnq s Z dh fLFkfr dh mUur iSFkkfsQft;kys kts hdy çfØ;k • ,D;Vw jhuy QYs ;j ¼ 4 ½ • fpjdkfyd xnq k Z fuf"Ø;rk • ew=k'k; vk?kkr • lØa e.k ¼Xykes :s ykus fsÝfVl½ • xnq s Z dk jkxs @ uÝs kfsVd fl.Mªkes 5- xSLVªksbaVsLVkbuy vkSj fgikVksfcfyvjh QaD’ku fgikVkfscfyvjh fLFkfr dh mUur iSFkkfsQft;kys kts hdy çfØ;k • tBjkU= jälzko ¼ 4 ½ • vkar e sa #dkoV • vXuk'k; 'kkFs k • ;—r foQyrk • xSLVªkbs Va sLVkbuy o/s k 6- vUr%lzkoh dk;Z vUr%lzkoh fLFkfr dh mUur iSFkkfsQft;kys kts hdy çfØ;k • Mk;fcVht lEcU/kh dhVk,s flMkfsll ¼ 4 ½ • gkbijLekys j ukWu dhVkfsud dkes k • gkbikXs ykblhfe;k • Fkk;jkbM rQw ku • feDlMs es k dkes k • vf/koD` d lda V • bu,çkfsç,V ,Va hMkb;Z wjfsVd gkekusZ d s lzko dk fl.Mªkes18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 4&ch- fØfVdy ds;j ufl±x esa ykxw mUur iSFkksfQft;ksykWth & II vuqns’k ds fy, ?k.Vs ¾ lS)kfUrd % 30 ?k.Vs ;wfuV ?k.Vs lkexzh I ¼ 8 ½ 1- gsekVksykWth QaD’ku jä dh fLFkfr dh mUur iSFkkfsQft;kys kts hdy çfØ;k • yky jä dkfs'kdkvk sa d s fodkj & ikWfylhFkSfe;k & ,uhfe;k & fldy lys jkxs • 'osr jä dkfs'kdkvk sa d s fodkj & Y;dw kis hfu;k & fu;kIsykfLVd fodkj • [kuw d s fodkj & IyVs yVs fodkj & tekoV fodkj & fNf=r vUrj&ukM+h; teko II 2- baVhxqesaVjh QaD’ku bVa hxeq Vsa jh fLFkfr dh mUur iSFkkfsQft;kys kts hdy çfØ;k ¼ 2 ½ • ?kko Hkjuk • cuZ~l • LVhou tkus lu fl.Mªkes 3- eYVh&flLVe QaD’ku III ¼ 8 ½ Luk;fod fLFkfr dh mUur iSFkkfsQft;kys kts hdy çfØ;k • 'k‚d & gkbiksokWfYed & dkfM;Z kts fsud & forj.k • flLVes fsVd bu¶yes Vs jh fl.Mªkes • db Z vxa k sa e sa f'kfFkyrk fl.Mªkes • Vªkes k & Nkrh jkxs & iVs & eLdyq ksLdyS Vs y & eSfDlykQs fs'k;y • nok dh vf/kd ek=k vkSj fo"kkärk • ,ufoukes ’sku 4- fof'k"V laØe.k IV ¼ 6 ½ fof'k"V lØa e.k dh mUur iSFkkfsQft;kys kts hdy çfØ;k • ,p-vkb-Zoh-¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 19 • VVs ul • ,l-,-vkj-,l- ¼lkl½Z • fjdVs flvkfsll • yIsVksLikbjkfsll • Msaxw • eyfsj;k • fpduxfqu;k • jcs ht • ,fo;u ¶yw • Lokbu ¶y w V 5- çtuu QaD’ku ¼ 6 ½ çtuu dh fLFkfr dh mUur iSFkkfsQft;kys kts hdy çfØ;k • çlo iwo Z jä lzko • xHkkZoLFkk çfsjr mPp jäpki • ckf/kr çlo • QBh xHkk'Z k; • çlokÙs kj jä lzko • tPpk ifwr ¼I;wjisjy ¶Y;Mw Lifsll½ • ,efu;kfsVd æo dk vko's k • ,p-bZ-,y-,y-ih- & gSYi ¼jäki?kVu] Åpa k yhoj ,ta kbe] de IyVs yVs dkmVa ½ • Vªkes k xzUFk lwph áFw kj] ,l-bZ- vkSj eds kUl]s d-s,y- ¼2012½A v.MjLVfs.Mxa iSFkkfsQft;kys kWth ¼5ok¡ lLa dj.k½A lsaV ybq l] felkSjh % ,Ylo;s jA tkus ] th-] lcq ez uh] ds-] ihVj] t-soh-] fipkeFq Fk]q ds- vkSj pkd]w ch- ¼2011½A ,lfsal;Yl vkWQ fØfVdy d;s j ¼8ok¡ laLdj.k½A fØf”p;u eMs hdy dkWyts ] oSYykjs A ikFs k]Z lh-,e- ¼2007½A ,lfsal;Yl vkWQ iSFkkfsQft;kys kWth % dalSIVl~ vkWQ vYVM Z gSYFk LVVs l~ ¼nwljk laLdj.k½A fQykMfsYQ;k % fyfIiudkWV fofy;El ,.M foyfdalA mMuZ ] ,y-Mh-] LVslh] d-s,e- vkSj ykWQ] ,e-b-Z ¼2014½A fØfVdy d;s j ufl±x % Mk;Xukfsll ,.M eus ts eVsa ¼7ok¡ laLdj.k½A ,Ylo;s j % felkSjhA 5- fØfVdy ds;j ufl±x ls çklafxd mUur QkekZdksykWth n{krk,¡ • xEHkhj :i l s chekj jkfsx;k as vkSj mud s ifjokjk sa dh n[s kHkky e sa vkS"k/kh; fl)kUr ykx w gksr s gSAa • fØfVdy d;s j dh fLFkfr d s mipkj e sa bLres ky çklfaxd nokvk sa dk QkekdZ kFs khjkI;fwVd ,o a QkekdZ kMs k;ukfed fo'y"sk.k fd;k tkrk gAS • fl)kUrk sa vkSj laLFkkxr çkVs kds ‚y ij vk/kkfjr lqjf{kr vkS"kf/k ç'kkluA • nLrkots k sa dk s lgh <xa l s j[kuk vkSj vuqorh Z n[s kHkky çnku djukA • fØfVdy d;s j rU= e sa xEHkhj :i l s chekj jkfsx;k sa d s nokvksa d s ç'kklu e sa nokvk sa d s vPN s Kku dk s ykx w djrk gS vkSj Lo; a dh n[s kHkky d s çcU/ku e sa mud s ifjokjk sa dk ekxnZ 'kuZ djrk gSA20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] vuqns’k ds fy, ?k.Vs ¾ lS)kfUrd % 54 ?k.Vs ;wfuV ?k.Vs lkexzh I ¼ 2 ½ fØfVdy ds;j esa vkS"k/k foKku dk ifjp; • bfrgkl • nokvk sa vkSj dk;ØZ e dk oxhdZ j.k II ¼ 4 ½ QkekZdksdkbusfVDl vkSj QkekZdksMk;usfeDl • ifjp; • fØfVdy d;s j e sa vo'kk"sk.k] forj.k] p;kip;] forj.k vkSj mRltuZ • IykTek ,dkxzrk] vk/kk thou • ynku vkSj vuqj{k.k [kqjkd • fpfdRlh; lpw dkda vkjS nok lqj{kk • 'kfä vkSj çHkkodkfjrk • vkS"kf/k ç'kklu d s fl)kUr (cid:1) vkS"kf/k ç'kklu dk vf/kdkj (cid:1) eki dh O;oLFkk (cid:1) vkUrfjd vkS"kf/k ç'kklu (cid:1) lkef;d vkS"kf/k ç'kklu (cid:1) iSrd` vkS"kf/k ç'kklu III ¼ 5 ½ fØfVdy ds;j esa vkS"k/kh; vkSj ân; lEcU/kh ifjorZu • oSlk,s fDVo nok,¡ (cid:1) oSlkfsMyVs j] (cid:1) oSlkçs slj] (cid:1) bUVªkIsl (cid:2) dkfM,Z d XykbdkslkbM & MkbxkfsDlu (cid:2) flEiSFkkfseeSfVDl & Mkis kekbu] Mkcs Vw kekbu] ,fiuÝs hu] vkblkçs kVs sjhukys ] uksjfiuÝs hu] fQukbyÝs hu (cid:2) QkWLQkMs k;LVhjts bufgfcVl Z & ,ezhukWu] feyjhukWu • ,.Vh,jFs kfed nok,¡ • dkfM;Z kd fØfVdy d;s j dh fLFkfr (cid:1) ân; fldMq u+ e sa l/q kkj d s fy, nok,¡ (cid:1) fØfVdy d;s j e sa mPp jäpki d s çcU/ku d s fy, nok,¡ (cid:1) fny dh foQyrk d s çcU/ku e sa nok,¡ (cid:1) ,utkbuk iSDVkfsjl vkSj jk/s kxyu d s çcU/ku d s fy, nok,¡ (cid:1) fMlfjFkfe;kl] gkV Z Cy‚d vkSj çokgdRo xMc+ Mh+ d s çcU/ku d s fy, nok,¡ (cid:1) QQs M +s d s mPp jäpki] okYoyq j ân; jkxs ] dkfM;Z kes hiSFkh d s çcU/ku d s fy, nok,¡ (cid:1) egk/keuh d s jkxs vkSj ifj/kh; /keuh jkxs d s çcU/ku d s fy, nok,¡ (cid:1) Mhi osu FkzkEs ckfsll d s çcU/ku d s fy, nok,¡ • fØfVdy d;s j e sa ân; dh vkikr fLFkfr d s fy, lLa Fkkxr çkVs kds ‚y @ LFkk;h vkn's k IV ¼ 4 ½ fØfVdy ds;j esa vkS"k/k vkSj QsQM+s ifjorZu • eSdfsudy ofsaVy's ku (cid:1) ifjp; (cid:1) eSdfsudy oVsa hyVs j d s lkFk ejhtk sa ij bLres ky dh xb Z nok,¡¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 21 (cid:1) QkekdZ kFs khjSih ij edS fsudy ofsaVy's ku dk çHkko & cgs k's k dju s dh fØ;k vkSj ,uytSfld] U;jw keLdyw j CykWdMs ] ik"sk.k • iYekus jh fØfVdy d;s j dh fLFkfr (cid:1) LVVs l vLFkefsVdl d s çcU/ku d s fy, nok,¡ (cid:1) iYekus jh ,fMek d s çcU/ku d s fy, nok,¡ (cid:1) iYekus jh ,EckfsyTe d s çcU/ku d s fy, nok,¡ (cid:1) rho z 'olu foQyrk vkSj rho z 'olu lda V fl.Mªkes d s çcU/ku d s fy, nok,¡ (cid:1) lhu s e sa nn Z d s çcU/ku d s fy, nok,¡ (cid:1) Økfsud çfrjk/s kh QQs M s+ d s jkxs d s çcU/ku d s fy, nok,¡ (cid:1) fuekfsu;k d s çcU/ku d s fy, nok,¡ (cid:1) Q¶q Qql cgko d s çcU/ku d s fy, nok,¡ (cid:1) 'okl jk/s k d s çcU/ku d s fy, nok,¡ • QQs M +s d s fØfVdy d;s j e sa vkikr fLFkfr;k sa d s fy, LFkk;h vkn's k V ¼ 6 ½ fØfVdy ds;j esa vkS"k/k vkSj efLr"d lEcU/kh ifjorZu • nnZ (cid:1) ,u-,l-,-vkbZ-Mh- (cid:1) vkfsivkWbM ,uytfsl;k • cgs k's k dju s dh fØ;k (cid:1) xkek vehuk s C;fwVªd ,flM mÙkts d (cid:1) MSDlefsMVkfseMhu (cid:1) ,¡XykslhM's ku • çyki (cid:1) gSykis SjhMkWy (cid:1) vlkekU; fojk/s kh lkbdkfsVDl • LFkkuh; vkSj lkekU; lKa kgj.k d s fy, bLres ky dh tku s okyh nok,¡ (cid:1) LFkkuh; & ,ekbM~l] ,LVl]Z vkjS fofo/k ,tVsa ~l (cid:1) tujy & xSl] ok"i'khy rjy inkFk]Z prFq k Z fu'psrd (cid:1) ltZjh d s fy, lgk;d xSj loa ns ukgkjh nok,¡ • ydok d s fy, nok,¡ (cid:1) ukWu&Mhikys jkbftxa vkSj Mhikys jkbftxa ,tVsa ~l (cid:1) ,¡ft;kys kbfVDl • Lok;r nok,¡ (cid:1) ,MªhuftdZ ,tVsa ~l@flEiSFkkfseeSfVDl (cid:1) ,MªhuftdZ vo#) ,tVsa ~l (cid:1) dkys huftdZ ,tVsa ~l (cid:1) ,.Vh&dkys huftdZ ,tVsa ~l • fpUrk vkSj vfuæk d s çcU/ku d s fy, nok,¡ (cid:1) volknjk/s kh nok,¡ (cid:1) ctsa kMs k;thikbUl (cid:1) ckjchpqjsV~l • U;wjkys ‚ftdy fØfVdy d;s j dh fLFkfr (cid:1) lkbdkfsll d s çcU/ku d s fy, nok,¡22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] (cid:1) mPp bVa ªkØfsu;y ncko d s lkFk flj vkSj jh< + dh gìh e sa xgjh pkVs d s çcU/ku d s fy, nok,¡ (cid:1) ekalifs'k;k sa dh ,Bsa u d s çcU/ku d s fy, nok,¡ (cid:1) LikLVhflVh d s çcU/ku d s fy, nok,¡ (cid:1) lsjhczk s oLdyw j jkxs vkSj lsjhczks oLdyw j n?q kVZ uk d s çcU/ku d s fy, nok,¡ (cid:1) ,ulhQkykis SFkh d s çcU/ku d s fy, nok,¡ (cid:1) fxfy;u c;s j fl.Mªkes vkSj feLFkfsu;k xfzsol d s çcU/ku d s fy, nok,¡ (cid:1) czsu gfuZ;'s ku fl.Mªkes d s çcU/ku d s fy, nok,¡ (cid:1) tCrh fodkj d s çcU/ku d s fy, nok,¡ (cid:1) dkes k] cgs k's kh vkSj yxkrkj ouLifr tSlh voLFkk d s çcU/ku d s fy, nok,¡ (cid:1) jkxs h dh lqj{kk d s fy, mfpr ufl±x n[s kHkky • U;wjkys ‚th fØfVdy d;s j e sa vkikr fLFkfr;k sa d s fy, LFkk;h vkn's k VI ¼ 5 ½ fØfVdy ds;j esa vkS"k/k vkSj usÝksy‚th ifjorZu • Mkb;wjfsVDl • rjy çfrLFkkiu (cid:1) fØLVys kWbM~l (cid:1) dkys kWbM~l • byDs Vªkys kbV~l (cid:1) lkfsM;e (cid:1) ikVs fs'k;e (cid:1) dSfY'k;e (cid:1) eSxuhf'k;e (cid:1) Q‚LQksjl • uÝs kys kts h fØfVdy d;s j dh fLFkfr (cid:1) ,D;Vw @ Økfsud jhuy QYs ;ksj d s çcU/ku d s fy, nok,¡ (cid:1) rho z Vîwcyw j ifjxyu d s çcU/ku d s fy, nok,¡ (cid:1) ew=k'k; vk?kkr d s çcU/ku d s fy, nok,¡ (cid:1) byDs Vªkys kbV vlUryq u d s çcU/ku d s fy, nok,¡ (cid:1) ,flM vk/kkj vlUryq u d s çcU/ku d s fy, nok,¡ (cid:1) Mk;fyfll d s nkSjku bLres ky dh tku s okyh nok,¡ • uÝs kys ‚th fØfVdy d;s j vkikr fLFkfr;k sa d s fy, LFkk;h vkn's k VII ¼ 5 ½ fØfVdy ds;j esa vkS"k/k vkSj tBjkU= ifjorZu • ,Va h&vYlj nok,¡ • tyq kc • ,Va h Mk;fjgYl • ,Va h ,efsVDl • vXuk'kf;d ,ta kbe • ik"skd rRoh; [kqjkd] foVkfeu vkSj [kfut • xSLVªk s bVa fsLVuy fØfVdy d;s j dh fLFkfr (cid:1) ,D;Vw th-vkbZ- jälzko] ;—r foQyrk d s çcU/ku d s fy, nok,¡ (cid:1) ,D;Vw ifsaØ;kfVfVl d s çcU/ku d s fy, nok,¡ (cid:1) iVs dh pkVs d s çcU/ku d s fy, nok,¡¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 23 (cid:1) ;—r efLr"d fo—fr d s çcU/ku d s fy, nok,¡ (cid:1) ,D;Vw vkU= #dkoV d s çcU/ku d s fy, nok,¡ (cid:1) ijQksjfsVo ifsjVkfsufVl d s çcU/ku d s fy, nok,¡ (cid:1) xSLVªkbs Va sLVkbuy ltZjh vkSj yhoj çR;kjkis .k d s nkSjku bLres ky dh tku s okyh nok,¡ • xSLVªk s bVa fsLVuy fØfVdy d;s j e sa vkikr fLFkfr;k sa d s fy, LFkk;h vkn's k VIII ¼ 4 ½ fØfVdy ds;j esa vkS"k/k vkSj vUr%lzkoh ifjorZu • gkekusZ fpfdRlk • balfqyu vkSj vU; gkbikXs ykblfsed ,tVsa • vUr%lzkoh fØfVdy d;s j dh fLFkfr (cid:1) Mk;cfsVd dhVkvs flMkfsll] gkbiZ jksLekys j ukWu dhVkfsed dkes k d s çcU/ku d s fy, nok,¡ (cid:1) gkbikXs ykblhfe;k d s çcU/ku d s fy, nok,¡ (cid:1) Fkk;jkbM LVkWe Z d s çcU/ku d s fy, nok,¡ (cid:1) feDlMs es k dkes k d s çcU/ku d s fy, nok,¡ (cid:1) vf/koD` d lda V d s çcU/ku d s fy, nok,¡ (cid:1) ,l-vkbZ-,-Mh-,p- d s çcU/ku d s fy, nok,¡ • vUr%lzkoh fØfVdy d;s j e sa vkikr fLFkfr;k sa d s fy, LFkk;h vkn's k IX ¼ 5 ½ fØfVdy ds;j esa vkS"k/k vkSj #f/kj ifjorZu • ,.Vhdk,s xyq Vsa ~l • ,.VhIyVs ySV nok,¡ • FkzkEs ckys kbfVDl • gheksLVfsVDl @ ,.VhfQfcuz kysa kbfVDl • ghekVkis kbs fVd of`) dkjd (cid:1) ,jhFkzkis kbs Vhu (cid:1) d‚ykus h mÙkts d dkjd (cid:1) IyVs yVs c<k+u s oky s • jä vkSj jä mRikn (cid:1) i.w k Z jä] iSd dh gbq Z yky jä dkfs'kdk,¡] Y;dq kslkbV de dh gbq Z yky jä dkfs'kdk,¡] /kkbs Z gqb Z yky jä dkfs'kdk,¡] rktk tek gvq k IykTek] Øk;kçs slhfiVVs (cid:1) ,Ycfqeu (cid:1) vk/kku çfrfØ;k,¡] Vªkla ¶;tw u nus s dh çfØ;k • Vhd s • bE;uw ksLVheyq Vsa ~l • bE;uw kslçq SlVa • dhekFs ksjis h nok,¡ & {kkjhdj.k ,tVsa ~l] fojk/s kh p;kip;k]sa fojk/s kh Vîew j ,Va hck;kfsVd nok,¡] ,Ydy‚bM~l] gkekUsZ l vkSj gkeksZu çfri{kh] dkVs hdZ ksLVhjkWbM~l] tuukxa k sa d s gkekUsZ l] ,LVªkts us fojk/s kh nok,¡] ,.Mªkts u fojk/s kh] thofoKku çfrfØ;k l'a kk/s kd • #f/kj fØfVdy d;s j dh fLFkfr (cid:1) xEHkhj chekjh e sa ,uhfe;k d s çcU/ku d s fy, nok,¡ (cid:1) Mh-vkbZ-lh- d s çcU/ku d s fy, nok,¡ (cid:1) FkzkEs ckslkbVkis fsu;k vkSj rho z Y;wdfse;k d s çcU/ku d s fy, nok,¡ (cid:1) gis fju çfsjr FkzkEs ckslkbVkis fsu;k d s çcU/ku d s fy, nok,¡ (cid:1) fldy lys ,uhfe;k d s çcU/ku d s fy, nok,¡24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] (cid:1) Vîew j ykbfll fl.Mªkes d s çcU/ku d s fy, nok,¡ • #f/kj fØfVdy d;s j e sa vkikr fLFkfr;k sa d s fy, LFkk;h vkn's k X ¼ 3 ½ fØfVdy ds;j esa vkS"k/k vkSj Ropk ifjorZu • #f/kj fØfVdy d;s j dh fLFkfr (cid:1) ty s d s çcU/ku e sa bLres ky gkus s okyh nok, ¡ (cid:1) ?kko çcU/ku e sa bLres ky gkus s okyh nok,¡ • Ropk fØfVdy d;s j es a vkikr fLFkfr;k sa d s fy, LFkk;h vkn's k XI ¼ 5 ½ fØfVdy ds;j esa vkS"k/k vkSj eYVh&flLVe ifjorZu • lnek] Lifsll] db Z vxa k sa e sa f'kfFkyrk] flLVfsed buQyes Vs jh fjliksal fl.Mªkes ] ,ukQhySfDll d s çcU/ku d s fy, nok,¡ • Vªkes k] pkVs yxu s dh ?kVuk,¡ ¼xeh]Z fctyh] yxHkx Qkla h] yxHkx Mcw u½s d s çcU/ku d s fy, nok,¡ • dkVu]s nok dh vf/kd ek=k vkjS fo"kkärk d s çcU/ku d s fy, nok,¡ • fØfVdy d;s j rU= e sa c[q kkj d s çcU/ku d s fy, nok,¡ (cid:1) ,.VhikbjfsVDl (cid:1) ,u-,l-,-vkbZ-Mh-,l- (cid:1) dkVs hdZ ksLVhjkWbM~l • eYVh flLVe fØfVdy d;s j esa vkikr fLFkfr;k sa d s fy, LFkk;h vkn's k XII ¼ 6 ½ fØfVdy ds;j esa vkS"k/k vkSj laØe.k • thok.kqjk/s kh nok, ¡ (cid:1) ifjp; (cid:1) chVk ySDVkEl & ifsuflfyu] lQs kyksLikfsju] ekus kcs Ds VEl] dkckiZ huEl (cid:1) ,ehukXs ykbdkslkbM~l (cid:1) ,e-,l-vkj-,- fojk/s kh (cid:1) eØs kys kbM~l (cid:1) dbq ukys kUs l (cid:1) fofo/k & fyda ksles kbM legw ] ukbVªkfseMktkys ] VVs ªklkbfDyla vkjS DyksjSeQfsud‚y] ikWyhfefDlUl] eyfsj;k fojk/s kh] Qxa y fojk/s kh] ok;jy fojk/s kh nok,¡ • ,Va h Qxa y nok,¡ • ,Va h çkVs kts kys nok,¡ • ,Va h ok;jy nok,¡ • ,Va h ekbØkfsc;Yl dh ilUn • lØa ked fØfVdy d;s j dh fLFkfr (cid:1) ,p-vkb-Zoh-] fVVusl] ,l-,-vkj-,l- ¼lkl½Z ] fjdSVflvkfWll] yIsVksLikbjkfsll] Mxas ]w eyfsj;k] fpduq xfqu;k] jscht] ,fo;u ¶y w vkSj Lokbu ¶y w d s çcU/ku d s fy, nok,¡ • lØa ked fØfVdy d;s j e sa vkikr fLFkfr;k sa d s fy, LFkk;h vkn's k xzUFk lwph tkus lu] Vh-t-s ¼2012½A fØfVdy d;s j QkekdZ kFs khjIS;fwVDlA tkUs l ,.M ckjyVs yfux± % ;wukbVZ sM LVVs ~l vkWQ vefsjdkA ok;u]s ,-,y-] o]w Vh-,e- vkSj vkys ;bs ]Z ,-t-s ¼2007½A QkekdZ kFs khjSI;fwVDl QkWj ul Z çSfDVluj çsLØkbcl Z ¼nlw jk laLdj.k½A fQykMfSYQ;k % MfsolA¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 25 6- fØfVdy ds;j ufl±x esa mUur LokLF; @ HkkSfrd ewY;kadu n{krk,¡ • mi;äq O;ofLFkr ijh{kk dkS'ky fodflr dju s e sa HkkSfrd eYw ;kadu fl)kUr ykx w gksr s gSAa • lkekU; vkSj vlkekU; fu"d"kk±s dh fofo/krkvk sa d s chp vUrj dju s d s fy, mUur LokLF; eYw ;kda u dkS'ky dk mi;kxs djr s gSAa • LØhfuxa vkSj ijh{kk fu"d"kk±s d s vk/kkj ij uSnkfud ijh{k.k dk vkn's k nsr s gSAa • fofHkUu tkpa k sa d s ifj.kkek sa dk fo'y"sk.k djr s gS a vkSj funku d s fodkl d s fy, lg;kxs l s dke djr s gSAa • nLrkots k sa dk eYw ;kda u] funku vkSj çcU/ku djr s g aS vkSj LokLF; n[s kHkky Vhe d s lnL;k]s jkfsx;k sa vkSj ifjokj d s lnL;k sa d s lkFk feydj vuqorh Z n[s kHkky dh fuxjkuh djr s gSAa vuqns’k ds fy, ?k.Vs ¾ lS)kfUrd % 70 ?k.Vs ] ç;ksxkRed @ ç;ksx’kkyk % 46 ?k.Vs ;wfuV ?k.Vs lkexzh ¼ 4 ½ 1- ifjp; • bfrgkl yus k • 'kkjhfjd tk¡p ¼ 6 ½ 2- lapkj ç.kkyh • dkfM,Z d bfrgkl • 'kkjhfjd tk¡p • dkfM,Z d ç;kxs 'kkyk v/;;u & tSo jklk;fud ekdZj] jä lEcU/kh tk¡p • dkfM,Z d uSnkfud v/;;u & byDs Vªkds kfM;Z kxs zke] bdkds kfM;Z kxs zkQh] ruko ijh{k.k] jfsM;kys ‚ftdy befstxa ¼ 6 ½ 3- 'olu ç.kkyh • bfrgkl • 'kkjhfjd tk¡p • 'olu fuxjkuh & /keuh; jä xSl] ukMh+ @ iYl vkWMhehVªh] ,.M&VkbMy dkcuZ &Mkb&Z vkWDlkbM fuxjkuh • 'olu uSnkfud ijh{k.k & Nkrh dh jfsM;kxs zkQh] ofsaVy's ku ij¶;tw u LdfSuxa ] QQs M +s dh ,¡ft;kxs zkQh] czkpsa ksLdkWih] FkksjSlUS Vªfsll] Fkdw lLa —fr @ LiVq e dYpj] QQs M s+ d s dk; Z ijh{k.k ¼ 6 ½ 4- raf=dk rU= • U;wjkys ‚ftdy bfrgkl • lkekU; 'kkjhfjd ijh{kk • lKa kukRed fØ;kvk sa dk vkdyu • diky rfa=dk dh fØ;kvk sa dk vkdyu • ekVs j vkdyu & ekla ifs'k;k sa dh 'kfä] 'kfä] vkSj ltxrk • laons h eYw ;kda u & pe Z lEcU/kh vkdyu • U;wjkMs k;XukfsLVd v/;;u & lh-Vh- LdSu] ,e-vkj-vkbZ-] ih-bZ-Vh- ¼ 6 ½ 5- xqnkZ ç.kkyh • bfrgkl26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] • 'kkjhfjd tk¡p • xnq s Z dh fØ;kvk sa dk vkdyu • byDs Vªkys kbV~l vkSj ,flM vk/kkj lUryq u dk vkdyu • æo lUryq u dk vkdyu ¼ 4 ½ 6- xSLVªksbaVsLVkbuy ç.kkyh • bfrgkl • 'kkjhfjd tk¡p • ik"skkgkj vkdyu • ç;kxs 'kkyk v/;;u & ftxj fØ;kvk sa dk v/;;u] jä iSjkehVl]Z ey ijh{k.k • uSnkfud v/;;u & jfsM;kys ‚ftdy vkSj befstxa v/;;u] b.MksLdkfsid v/;;u ¼ 4 ½ 7- vUr%lzkoh ç.kkyh • bfrgkl] 'kkjhfjd ijh{kk] ç;kxs 'kkyk v/;;u] vkSj fuEufyf[kr d s uSnkfud v/;;u & gkbikFs kSyes l vkSj fiVîVw jh xfzaFk & Fkkbj‚;M xfzaFk & iSjkFkkbj‚bM xfzaFk & vUr%lzkoh xfzaFk & vf/koD` d xfzaFk ¼ 4 ½ 8- fgekVksyksthdy flLVe • bfrgkl • 'kkjhfjd tk¡p • ç;kxs 'kkyk v/;;u & jä lEcU/kh ekin.M • uSnkfud v/;;u & vfLFk eTtk vkdk¡{kk ¼ 3 ½ 9- bUVhxqesVªh flLVe • bfrgkl • 'kkjhfjd tk¡p • jkxs ijh{kk & Ård ijh{kk ¼ 6 ½ 10- eLdqyksLdsVy ç.kkyh • bfrgkl • 'kkjhfjd ijh{kk & pky @ xSV eYw ;kda u] l;a äq eYw ;kda u • ç;kxs 'kkyk v/;;u & jä ekud ¼bu¶yes Vs jh ,ta kbe] ;fwjd ,flM½ • uSnkfud v/;;u & jfsM;kys ‚ftdy vkSj befstxa v/;;u] b.MksLdkfsid v/;;u ¼ 5 ½ 11- çtuu ç.kkyh • bfrgkl • 'kkjhfjd tk¡p • ç;kxs 'kkyk v/;;u¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 27 • uSnkfud v/;;u ¼ 4 ½ 12- laosnh vax • bfrgkl • 'kkjhfjd tk¡p • ç;kxs 'kkyk v/;;u • uSnkfud v/;;u & jfsM;kys ‚ftdy vkSj befstxa v/;;u] b.MksLdkfsid v/;;u ¼ 6 ½ 13- cPpksa dk vkdyu • rjDdh vkSj fodkl • ik"skkgkj vkdyu • fof'k"V ç.kkyh vkddu ¼ 6 ½ 14- cqtqxZ o;Ldksa dk vkdyu • bfrgkl • HkkSfrd eYw ;kda u • euksoSKkfud eYw ;kda u dkS'ky ç;ksx'kkyk esa vH;kl fd;k tkus okyh dykvksa dh lwph ¼46 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl nksuksa 'kkfey gSa½ (cid:1) O;kid bfrgkl yus k (cid:1) i.w k Z lko/kkuh iwodZ bfrgkl yus k ¼flLVe okj½ (cid:1) O;kid 'kkjhfjd ijh{kk (cid:1) i.w k Z lko/kkuh iwodZ 'kkjhfjd ijh{kk ¼flLVe okj½ (cid:1) uSnkfud ekudk sa dh fuxjkuh ¼flLVe okj½ buofslo ch-ih- fuxjkuh] eYVh iSjkehVj e‚fuVl]Z bZ-lh-th-] iYl b.MSDl dUVhU;vw l dkfM;Z kd vkmViVq ¼ihdk s @ ih-vkbZ- lh-lh-vk-s½] ifj/kh; laoguh fLFkfr] ,-ch-th-] iYl vkWDlheVs ªh] vra Tokj @ ,.M VkbMy lh-vk-s2 ¼b-ZVh-lh-vk-s2½] bVa ªkØfsu;y ncko ¼vkb-Zlh-ih-½] XykLxk s dkes k Ldys ¼lh-th-,l-½] diky rfU=dk eYw ;kda u] xHa khj :i l s chekj jkfsx;k sa d s nn Z vkSj cgs k's k dju s dh fØ;k dk Ldksj] ekVs j eYw ;kda u] laons h ewY;kda u] xnq s Z dh dk; Z ç.kkyh dk ijh{k.k] æo lUryq u] vEyh; vkSj {kkjh; lUryq u] byDs Vªkys kbV~l] ckos ys lkm.M~l] iVs ncko] vof'k"V xSfLVªd ek=k] yhoj QDa 'ku VsLV] th-vkj-ch-,l-] ç;kxs 'kkyk ijh{k.k] jfsM;kys ‚ftdy vkSj befstxa ijh{k.k ¼flLVe okj½ (cid:1) LØhfuxa vkSj uSnkfud ijh{k.k d s vkn's k nus k vkSj mudh O;k[;k djuk ¼flLVe okj½ ¼lya Xu&ifjf'k"V 3½ (cid:1) cPpk sa dk vkdyu & uotkr f'k'k q vkSj cPp s (cid:1) ctq qx Z o;Ldk sa dk vkdyu (cid:1) xHkZorh efgykvk sa dk vkdyu xzUFk lwph fcdy]s ,y-,l- vkSj f>ykKh] ih-th- ¼2013½A cVs ~l xkbM Vq fQthdy ,.M fgLVªh Vfsdxa ¼11ok¡ lLa dj.k½A ub Z fnYyh % fyfIiudkWV fofy;El ,.M foyfdalA jkgs ~M~l] t-s ¼2006½A ,MokalM~ gSYFk vlSleVsa ,.M Mk;XukfsLVd jhtfuxa A fQykMSfYQ;k % fyfIiudkWV fofy;El ,.M foyfdalA foylu] ,l-,Q- vkSj fxMu~l] t-s,Q- ¼2006½A gSYFk vlsleVsa QkWj ufl±x çSfDV’k ¼pkSFkk lLa dj.k½A lVaS ybq l] felkSjh % lkS.Ml Z ,Ylo;s j28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] fØfVdy ds;j fo'ks"k ikBîØe ¼fØfVdy d;s j ufl±x vH;kl dh uhao] fØfVdy d;s j ufl±x-I vkSj fØfVdy d;s j ufl±x-II½ n{krk,¡ • bu vo/kkj.kkvk sa d s vPN s Kku d s vk/kkj ij fØfVdy d;s j ufl±x dh mUur vo/kkj.kkvk as dk s ykx w djrk gSA • vkdyu] fuxjkuh vkSj 'kkjhfjd fLFkjrk dk s c<k+ok nus s ds fy, buofsto vkSj ukWu&buofsto çkS|kfsxdh vkSj gLr{kis k sa dk mi;ksx djrk gSA • LokLF; Vhe d s vU; lnL;k as ds lg;kxs l s dke djrk gSA • vU; LokLF; n[s kHkky dfe;Z k as l s lykg ysrk gS vkSj lykg nsrk gSA • xEHkhj chekjh] mi'kked n[s kHkky vkSj thou d s vUr e sa n[s kHkky l s lEcU/k e sa d s LokLF; laj{k.k] jkxs fuokj.k] vfxez ekxnZ 'kuZ ] ijke'k]Z çcU/ku vkSj ufl±x n[s kHkky çnku djrk gSA • tfVy vkSj vfLFkj okrkoj.k eas mUur dkS'ky dk mi;kxs djrk gSA • O;fä;k]sa vkcknh vkSj n[s kHkky dh ç.kkyh l s lEcfU/kr tfVy eíq ksa d s fy, uSfrdrk dh –f"V l s vR;f/kd mfpr lek/kku ykx w djrk gSA • fØfVdy d;s j l s çklfaxd lØa e.k fu;U=.k d s vkpj.k d s fl)kUrk sa dk s viukrk gSA • jkfsx;k]sa ifjokjk sa vkSj lenq k;k as d s fgr dh fn'kk e sa n's k d s dkuuw h <k¡p s d s vUrxZr LorU= :i l s vkpj.k djrk gSA • oSKkfud lcwrk sa ij vk/kkfjr vH;kl fodflr djrk gSA • fpfdRlh; fj'rk sa dk s fodflr vkSj cUn dju s d s fy, mi;Dq r lpa kj] ijke'k]Z odkyr vkSj ikjLifjd dkS'ky dh ’k#q vkr dk mi;kxs djrk gSA • tkfs[ke çcU/ku j.kuhfr vkSj x.q koÙkk e sa l/q kkj d s mi;kxs d s ek/;e l s ,d lqjf{kr fpfdRlh; okrkoj.k dk s cuk, j[krk gSA • lkekftd] lkaL—frd vkSj çklfaxd ifjo's k d s vH;kl dk vudq yw u djrk gAS 7- fØfVdy ds;j ufl±x ds vH;kl dh uhao vuqns’k ds fy, ?k.Vs ¾ lS)kfUrd % 96 ?k.Vs] ç;ksxkRed @ ç;ksx’kkyk % 48 ?k.Vs ;wfuV ?k.Vs lkexzh I ¼ 10 ½ fØfVdy ds;j ufl±x ds fy, ifjp; • ikBîØe dk ifjp; • 'kkjhfjd lajpuk vkSj egRoi.w k Z vxa k sa d s 'kjhj fØ;k foKku dh leh{kk ¼efLr"d] jh< + dh gìh] QQs M]+s ân;] xnq s]Z ftxj] iSufØ;kl] Fkk;jkbM] vf/koD` d vkSj fiVîVw jh xfzaFk½ • ,fsrgkfld leh{kk & çxfr'khy jkxs h n[s kHkky ¼ih-ih-lh-½ • fØfVdy d;s j ufl±x dh vo/kkj.kk,¡ • fØfVdy d;s j ufl±x d s fl)kUr • fØfVdy d;s j ufl±x dk Ldkis • fØfVdy d;s j ;fwuV dh LFkkiuk ¼vkb-Zlh-;w- d s çdkj] midj.kk sa dh vkifwr]Z fcLrj @ csM vkSj lEcfU/kr lkeku] fofHkUu ekus hVl Z vkSj ofsaVyVs l Z dk mi;kxs vkSj n[s kHkky] ¶yk s’khV~l] vkifwr Z ykbu vkSj i;kZoj.k dh n[s kHkky d s lkFk½ • vkbZlh; w e sa dkfedZ (cid:3) ufl±x LVkQ (cid:3) M‚DVj (cid:3) fØfVdy d;s j rduhf'k;u (cid:3) lgk;d LVkQ¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 29 • fØfVdy d;s j e sa çk|S kfsxdh • LoLFk dke dk ekgkSy • fØfVdy d;s j ufl±x e sa Hkfo"; dh puq kSfr;k ¡ II ¼ 5 ½ fØfVdy ds;j ufl±x vH;kl ls lEcfU/kr lEiw.kZ ns[kHkky dh ladYiuk • xEHkhj :i l s chekj dh n[s kHkky e sa ufl±x çfØ;k dk viukuk • vkb-Zlh-;-w e sa ço's k vkSj çxfr & ,d lex z –f"Vdk.s k • vkb-Zlh-;-w çcU/ku dk voykds u (cid:3) Årdk sa dk s i;kIZr vkWDlhtu lfquf'pr djuk (cid:3) jklk;fud okrkoj.k cuk, j[kuk (cid:3) rkieku cuk, j[kuk (cid:3) vxa laj{k.k (cid:3) ik"skkgkj leFkuZ (cid:3) lØa e.k fu;U=.k (cid:3) HkkSfrd fpfdRlk vkSj iuq okZl (cid:3) ifjokj d s feyu s dk le; @ ?kVa s • fØfVdy d;s j e sa l;a e & HkkfSrd] jklk;fud vkSj l;a e d s fy, fodYi • fØfVdy d;s j ;fwuV es a ekSr & thou d s vfUre {k.kk sa esa n[s kHkky @ ej.kklUu dh n[s kHkky] ifjokj dh n[s kHkky] vxa nku • xEHkhj :i l s chekj jkfsx;k sa dk ifjogu & gokb Z ,Ecyq lsa vkSj lrg ,Ecyq sal }kjk • LokLF; Vhe d s lnL;k sa d s chp ruko vkSj cu&Z vkmV fl.Mªkes III ¼ 10 ½ xEHkhj :i ls chekj dk ewY;kadu Vªfsuxa vo/kkj.kk] çfØ;k vkSj fl)kUr xEHkhj :i l s chekj dk vkdyu • lkekU; vkdyu • 'olu vkdyu • dkfMvZ kd vkdyu • xnq ks± dk vkdyu • U;wjkys ‚ftdy eYw ;kda u • xSLVªkbs Va sLVkbuy vkdyu • vUr%lzkoh vkdyu • eLdyq ksLdyS Vs y vkdyu • bVa hxeq Vs jh vkdyu xEHkhj :i ls chekj dh fuxjkuh • /keuh jä xSl ¼,-ch-th-½ • dSIukxs zkQh • ghekMs k;ufseDl • bySDVªkds kfM;Z kxs zkQh ¼b-Zlh-th-½ • Xyklxk s dkes k Ldys ¼th-lh-,l-½30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] • fjpe.M ,thV’sku csgk's k dju s dh fØ;k d s iSeku s ¼vkj-,-,l-,l-½ • nn Z Ldksj • czsMu Ldksj xEHkhj :i ls chekj dk ewY;kadu • xEHkhj chekjh l s iow Z dk eYw ;kda u • xEHkhj chekjh dk eYw ;kda u • ifj.kke vkSj Ldkfsjxa flLVe (cid:3) ,D;Vw fQft;kys ‚th vkSj Økfsud LokLF; eYw ;kda u ¼vikp s I-IV½ (cid:3) eR` ; q lEHkkouk e‚My ¼,e-ih-,e- I-II½ (cid:3) ljyh—r rho z 'kjhj fØ;k foKku Ldksj ¼,l-,-ih-,l- I-II½ (cid:3) vxa ç.kkyh dh foQyrk (cid:3) vuÙq kjnkf;rk dh ijw h :ij[s kk ¼,Q-vk-s;-wvkj-½ (cid:3) ftxj dh chekjh d s vfUre pj.k d s fy, e‚My ¼,e-b-Z,y-Mh-½ IV ¼ 14 ½ fØfVdy ds;j dh mUur vo/kkj.kk,¡ vkSj fl)kUr • ân; QQs M +s vkSj fnekx d s iquthZou d s fl)kUr • fØfVdy d;s j e sa vkikr fLFkfr (cid:3) lh-ih-vkj- (cid:3) ch-,y-,l- (cid:3) ,-lh-,y-,l- • 'okl uyh çcU/ku • vkWDlhtu's ku vkSj vkWfDleVs ªh] v‚Dlhtu nus s oky s midj.kk sa d s lkFk jkxs h dh n[s kHkky • ofsaVy's ku vkSj oVsa hyVs j likVs Z ¼ vknZzhdj.k vkSj lk¡l nok fpfdRlk lfgr½] buofslo vkSj xSj&buofslo ofsaVy's ku d s lkFk jkxs h dh n[s kHkky • ifjlpa j.k vkSj fNMd+ ko ¼jä lpa kj çdj.k eYw ;kda u vkSj rjxa xzkfQDl lfgr½ • rjy inkFk Z vkSj byDs Vªkys kbV~l ¼leh{kk½] rjy inkFk Z vkSj byDs Vªkys kbV~l d s vlUryq u oky s jkfsx;k sa dh n[s kHkky • ,flM vk/kkj fLFkfr dk eYw ;kda u • FkeksZjxs yw 's ku] rkieku] gkbij@gkbik s Fkfe;Z k d s jkfsx;k sa dh n[s kHkky • thou d s leFkuZ l s efqä ¼NqMk+uk½ • Xykblfsed fu;U=.k] Xykblfsed vlUryq u oky s jkfsx;k sa dh n[s kHkky V ¼ 8 ½ nnZ vkSj çcU/ku • xEHkhj :i l s chekj jkfsx;k sa d s nnZ • nn Z & çdkj] fl)kUr • fQft;kys ‚th] nn Z dh fy, ç.kkyhxr çfrfØ;k,¡ vkSj nn Z dh leh{kk dk eukfsoKku • rho z nn Z lsok,¡ • nn Z vkdyu & nn Z Ldys ] O;ogkj vkSj vfHkO;fä • nn Z çcU/ku & vkS"k/kh; ¼vkis kbs M~l] ctsa kMs k;thikbu~l] çkis kQs ‚y] vYQk ,xkfsuLV] VªSfaDofytl]Z U;wjkes Ldyq j Cy‚fdxa ,tVsa ~l½¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 31 VI ¼ 8 ½ eukslkekftd vkSj vk/;kfRed ifjorZu % vkdyu vkSj çcU/ku • ruko vkSj lkbdkUs ;jw kbs E;uw kys kts h • iksLV vfHk?kkrtU; ruko çfrfØ;k • vkb-Zlh-;-w eukfso—fr] fpUrk] mdlku] çyki • 'kjkc NkMs u+ s dk fl.Mªkes vkSj Mfsyfj;e Vªes sla • lg;kxs kRed çcU/ku • cgs k's k dju s dh fØ;k vkSj mll s l s ckgj fudkyuk • fØfVdy d;s j e sa vk/;kfRed puq kSfr;k sa • ruko vkSj chekjh d s lkFk edq kcyk • xEHkhj :i l s chekj jkfsx;k sa d s ifjokj dh n[s kHkky • ijke'k Z vkSj lpa kj VII ¼ 4 ½ jksxh vkSj ifjokj f'k{kk • ejht vkSj ifjokj f'k{kk dh puq kSfr;k ¡ • o;Ldk sa d s lh[ku s dh çfØ;k • f'k{k.k vf/kxe çfØ;k dk s çHkkfor dju s oky s dkjd • fØfVdy d;s j e sa ifjokjk sa d s fy, tkudkjh dh t:jr • ejht vkSj ifjokj d s fy, ijke'k Z dh t:jr • ijke'k Z dh rduhd sa VIII ¼ 5 ½ iks"k.k cnyko vkSj fØfVdy ds;j esa çcU/ku • ik"skd rRo p;kip; vkSj ifjoruZ • ik"sk.k dh fLFkfr dk vkdyu • ik"sk.k leFkuZ • ik"sk.k vkSj ç.kkyhxr ifjoruZ • ,UVjuy vkSj isjUs Vjuy ik"sk.k ij jkxs h dh n[s kHkky IX ¼ 4 ½ uhan ifjorZu vkSj çcU/ku • lkekU; ekuo uhna • Lyhi iSVu Z fMLVjclsa • Lyhi ,ifu;k fl.Mªkes X ¼ 5 ½ fØfVdy ds;j esa laØe.k fu;U=.k • xgu fpfdRlk bdkb Z e sa ukslkds kfse;y lØa e.k] feFkkby çfrjk/s kh LrkfQykds kPs pql vkjW l ¼,e- vkj-,l-,-½ vkSj vU; gky gh e sa igpku x, miHkns • dhVk.k'q kk/s ku] cU/;kdj.k • ekud lqj{kk mik; • depZ kfj;k sa d s fy, çkfsQySfDll • jkxs k.kqjk/s kh fpfdRlk & leh{kk XI ¼ 6 ½ fØfVdy ds;j esa dkuwuh vkSj uSfrd eqís & ulZ dh Hkwfedk dkuwuh eqís • ukxfjd edq necs kth dk s c<k+u s oky s eíq s32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] • Hkkjr e sa lEcfU/kr dkuuw • fpfdRlk fujFkdZ rk • ç'kklfud dkuuw % O;kolkf;d fofu;eu • VkSV Z dkuuw % ykijokgh] i's ksoj dnkpkj] tkucuw s VkVs Z~l] xyr rjhd s l s ekSr] ekugkfu] geyk vkSj cSVjh • laoS/kkfud dkuuw % jksxh d s ckj s e sa fu.k;Z yus k uSfrd eqís • uSfrdrk vkSj uhfr d s chp vUrj • uSfrd fl)kUr • fØfVdy d;s j e sa uSfrd fu.k;Z yus k • uSfrd fu.k;Z yus s dk s c<k+ok nsu s d s fy, j.kuhfr;k ¡ • fØfVdy d;s j d s fy, çklfaxd uSfrd eíq s • mipkj dk s jkds dj j[ku s vFkok cUn dju s d s fy, j.kuhfr;k¡ • fØfVdy d;s j e sa nyq HZ k lla k/kuk sa dk çcU/ku • efLr"d eR` ;]q vxa nku vkSj ijke'k Z • iuq thfZor ugh a djk s ¼Mh-,u-vkj-½] bPNk eR` ;]q thu s dh bPNk • ul Z dh Hkfwedk XII ¼ 8 ½ xq.koÙkk vk'oklu • vkb-Zlh-;-w @ lh-lh-;w- dk fMtkbu • vkb-Zlh-;-w d s fy, ykx w x.q koÙkk vk'oklu e‚My • ekud] çkVs kds ‚y] uhfr;k¡] çfØ;k,¡ • lØa e.k fu;U=.k uhfr;k¡ vkSj çkVs kds ‚y • ekud lqj{kk mik; • fØfVdy d;s j d s fy, çklfaxd ufl±x v‚fMV • LVkfQxa XIII ¼ 3 ½ fØfVdy ds;j ufl±x esa lk{; vk/kkfjr vH;kl • fØfVdy d;s j e sa lk{; vk/kkfjr vH;kl • dk;kUZ o;u e sa ck/kk,¡ • dk;kUZ o;u dk s c<k+ok nus s d s fy, j.kuhfr;k ¡ ¼ 5 ½ d{kk dh ijh{kk dqy ¼ 96 ½ dkS'ky ç;ksx'kkyk esa vH;kl fd;k tkus okyh dykvksa dh lwph ¼46 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl nksuksa 'kkfey gSa½ (cid:1) lh-ih-vkj- ¼ch-,y-,l- vkSj ,-lh-,y-½ (cid:1) 'okluyh çcU/ku o Yfsjfat;y ekLd ,;jos o dQ bu¶y's ku vkSj ,¡dfjxa n V;~ wc o bZ-Vh- Vîcw dh n[s kHkky¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 33 o Vªds ksLVkes h n[s kHkky o lD’kfuxa & [kyq k @ cUn o Nkrh dh fQft;kFs kSjis h (cid:1) vkWDlhtu’sku vkSj vkWfDleVs ªh] v‚Dlhtu nus s oky s midj.kk sa d s lkFk jkxs h dh n[s kHkky o v‚Dlhtu @ v‚Dlhtu’ku dk s ekiu s d s fy, midj.k (cid:1) b±/ku lys (cid:1) iSjk pEq cdh; v‚Dlhtu fo'y"skd (cid:1) ih-vk-s2 byDs VªksM~l & Dykd Z byDs VªkMs ~l (cid:1) VªkalD;Vw fsu;l v‚Dlhtu byDs VªkMs ~l (cid:1) vkWDlheVs ªh & iYl vkWDlheVs ªh] f'kjkijd vkfsDleVs ªh o dSIukxs zkQh o xSj&buofslo ofsaVy's ku (cid:2) de çokg pj dkedkth midj.k % ukd dFS kVs j @ dSU;yw s @ Mcy usly çkXsa l @ Qls ekLd] tyk'k; cSx d s lkFk Qsl ekLd (cid:2) mPp çokg r; dkedkth midj.k % ,uVªus eVsa ¼opsa qjh½ midj.k] ,u-vkb-Zoh- @ lh-ih-,-ih- @ laons ukgkjh ekLd] Vh Vdq M]s+ 'okl lfdVZ o vkluh; ty fudklh (cid:1) ofsaVy's ku vkSj oVsa hyVs j leFkuZ o oVsa hyVs j l s tkMs u+ k o oVsa hyVs j l s gVkuk o ,DlVqc’sku o g;~ fwefMQk;l Z o ucs yw kbtl Z & tVs ] vYVªklkfsud o bugys 's ku Fksjis h & ehVj d s tfj, [kqjkd bugys j ¼,e-Mh-vkbZ-½] 'k"qd ikmMj bugys j ¼Mh-ih-vkb-Z½ (cid:1) ifjlpa j.k vkSj fNMd+ ko ¼jä lpa kj çdj.k eYw ;kda u vkSj rjxa xzkfQDl lfgr½ o buofslo jä pki dh fuxjkuh o xSj&buofslo jDr pki dh fuxjkuh o f'kjkijd ncko ¼ifj/kh;] e/; vkSj iYekus jh /keuh jkMs k+ ncko½ o /keuh ykbu dk s yxkuk vkSj gVkuk o lVsa ªy ykbu dk s yxkuk vkSj gVkuk o iYl b.MSDl dUVhU;vw l dkfM;Z d vkmViVq ¼ihdk s @ ih-vkbZ-lh-lh-vk-s½ o bySDVªkds kfM;Z kxs zkQh ¼b-Zlh-th-½ o osoQkWEl Z (cid:1) rjy inkFk Z vkSj byDs Vªkys kbV~l o æo x.kuk vkSj ç'kklu ¼fØLVyS kbM~l vkSj dkys kbM~l½ o jä vkSj jä mRiknk sa dk ç'kklu o vkbukVs ªkfsid x.kuk] VkbVª's ku vkSj ç'kklu (cid:1) dkfM;Z kd XykbdkslkbM~l & fMtkfsDlu (cid:1) flEiSFkkfseeSfVDl & Mkis kekbu] Mkcs Vq kekbu] ,fiuÝs hu] blkçs kVs sjus kys ] uksj,fiuÝs hu] fQukbyfsÝu (cid:1) QksLQkfsM,LVsjsl bufgfcVl Z & vfejkus ] feyfjukus o byDs Vªkys kbV djDs 'ku ¼lkfsM;e] ikVs Sf'k;e] dSfY'k;e] QksLQjksl] eSXuhf'k;e½ o rjy inkFk Z fudkyu s dh e'khu vkSj vklo iEik sa dk mi;kxs (cid:1) ,flM vk/kkj fLFkfr dk eYw ;kda u34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] o /keuh jä xSl ¼,-ch-th-½ (cid:1) FkeksZjxs yw ’sku] gkbij @ gkbikFs kfe;Z k d s jkxs h dh n[s kHkky o rkieku tk¡p o gkbij vkSj gkbikFs kfe;Z k dk fØfVdy d;s j çcU/ku (cid:1) Xykblfsed fu;U=.k] Xykblfsed vlUryq u d s jkxs h dh n[s kHkky o th-ch-vkj-,l- dh fuxjkuh o balfqyu Fksjis h ¼LykbfMxa Ldys vkSj bu¶;tw u½ o gkbijXXySlhfe;k dk çcU/ku & vkb-Zoh- rjy inkFk]Z balfqyu Fksjis h] ikVs fs'k;e iwjdrk o gkbikXs ykblhfe;k dk çcU/ku & MSDlVªkts vkb-Zoh- (cid:1) nn]Z cgs k's k dju s dh fØ;k] mdlkuk] vkSj çyki d s vkS"k/kh; çcU/ku o e‚fQuZ ] QVsa uhy] feMktkys e] yksjktis ke] Mk;tis ke] çkis kQs ‚y] DykfsuMkbu] MslesMVs kfseMkbu] gSykis fsjMkys dh x.kuk] ynku vkSj bu¶;tw u o ,ihMîwjy ,uytfsl;k & loa ns h vkSj ekVs j Cy‚d eYw ;kda u] fpfdRlk jkds u s d s i'pkr ,ihMîjw y dSFkVs j dk gVkuk] ,ihMîwjy dSFkVs j dh lkbV Mªfslxa cnyuk] ,ukYtfsld ,MfefuLVª's ku d s fy, lcD;Vw fsu;l ikVs Z dk yxkuk vkSj gVkuk] ,ihMîjw y ,uytfsl;k @ ih-lh-,- ij jkfsx;k sa d s fy, e=w çfr/kkj.k d s fy, #d&#d dj dSFkhVsjkbt's ku] ,ihMîjw y bu¶;tw u d s fy, [kqjkd vueq kiu] ,ihMîwjy dSFkVs j dk lek;kts u] ,ihMîwjy nokvk as dk s feVku s d s fy, dSFkVs j dh 'kfDr vkSj ,uytfsl;k d s fy, tk¡p djuk (cid:1) dkmfalfyxa (cid:1) ikfjokfjd f'k{kk IIII 8- fØfVdy ds;j ufl±x---- vuqns’k ds fy, ?k.Vs ¾ lS)kfUrd % 96 ?k.Vs] ç;ksxkRed % 48 ?k.Vs ;wfuV ?k.Vs lkexzh I ¼ 6 ½ ifjp; • 'kkjhfjd jpuk vkSj egRoi.w k Z vxa k sa d s 'kjhj fØ;k foKku dh leh{kk • xEHkhj :i l s chekj jkfsx;k sa d s vkdyu vkSj fuxjkuh dh leh{kk II ¼ 16 ½ ân; ifjorZu • uSnkfud eYw ;kda u] iSFkkfsQft;kys kts h vkSj vkS"k/k foKku dh leh{kk • fo'k"sk uSnkfud v/;;u • ân; dh fLFkfr e sa fØfVdy d;s j çcU/ku dh vko';drk (cid:3) mPp jäpki l s xzLr lda V (cid:3) dkfM;Z d ,fjfFkfevkl (cid:3) fny Cy‚d vkSj çogdRo v'kkfUr (cid:3) dksjkus jh ân; jkxs (cid:3) jk/s k&xyu (cid:3) Q¶q Qqlh; mPp jäpki (cid:3) okYoyq j ân; jkxs (cid:3) egk/keuh d s /keuhdykdkfBU; jkxs (cid:3) ifj/kh; /keuh jkxs (cid:3) dkfM;Z kfseiSFkh (cid:3) fny dh foQyrk (cid:3) Mhi osu FkzkEs ckfsll (cid:3) tUetkr ân; jkxs @ dutfsuVy gV Z fMlht ¼lk;ukfsVd vkSj vlk;ukfsVd½¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 35 • ân; fpfdRlh; çcU/ku (cid:3) dkfM,Z d çR;kjkis .k (cid:3) isleds j (cid:3) dkfM;Z ksojtu (cid:3) fMfÝczhy’sku (cid:3) bEIykVa dkfM;Z ksoV Z fMfÝczhy’sku (cid:3) FkzkEckfsyfVd fpfdRlk (cid:3) jfsM;kÝs hDolsa h dSFkVs j vCy’sku (cid:3) ijdVw fsu;l VªkLa yfweuy dksjkus jh ,¡ft;kIsykLVh ¼ih-Vh-lh-,-½ (cid:3) dkfM;Z kd ltZjh & dksjkus jh vkVZjh ckbikl xzkf¶Vxa ¼lh-,-ch-th-½ @ fefueyh buofslo dksjkus jh vkVZjh ltZjh ¼,e-vkb-Zlh-,-,l- @ fedkl½] okYoyq j ltZjh] okYdyq j ltZjh (cid:3) ;kfa=d lpa kj lgk;d midj.k & bVa ªk ,vkWfVdZ cSyuw iEi (cid:3) ân; nokvk sa d s çHkko (cid:3) ofsaVªdyq j lgk;d midj.k ¼oh-,-Mh-½ (cid:3) ,DLVªk dkWikfsZj;y eEs cuzs vkWDlhtu's ku ¼bZ-lh-,e-vks-½ • u, çxfr vkjS fodkl III ¼ 15 ½ iYeksujh ifjorZu • uSnkfud eYw ;kda u] iSFkkfsQft;kys kWth vkSj vk"Sk/k foKku dh leh{kk • fo'k"sk uSnkfud v/;;u • fØfVdy d;s j çcU/ku dh vko';drk d s QQs M s+ dh fLFkfr (cid:3) LVVs l vLFkefsVdl (cid:3) Q¶q Qqlh; 'kkFs k (cid:3) Q¶q Qqlh; vUr%'kY;rk (cid:3) rh{.k 'olu foQyrk (cid:3) rho z 'olu lda V fl.Mªkes (cid:3) lhu s dk nn Z (cid:3) fpjdkfyd çfrjk/s kh Q¶q Qqlh; jkxs (cid:3) fuekfsu;k (cid:3) Q¶q Qql cgko (cid:3) ,VySfDVSfll (cid:3) nh?kdZ kfyd edS fsudy oVsa hyVs j fuHkZjrk • iYekus jh fpfdRlh; çcU/ku (cid:3) o{k 'kY; fpfdRlk (cid:3) QQs M+k sa dk çR;kjkis .k @ yxa Vªkla IykVa (cid:3) czkfsUd;y LoPNrk % ucs yw kbt's ku] xgjh lkla yus s vkSj [kk¡lh O;k;ke] lhu s dh fQft;kFs khjis h vkSj vkluh; ty fudklh (cid:3) lhu s e sa ty fudklh d s lkFk jkxs h dh Nkrh e sa Vîcw çfof"V vkjS n[s kHkky • u, çxfr vkjS fodkl36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] IV ¼ 15 ½ Luk;fod ifjorZu • uSnkfud eYw ;kda u] iSFkkfsQft;kys kWth] vkSj vk"Sk/k foKku dh leh{kk • fo'k"sk uSnkfud v/;;u • U;wjkys kts hdy d.MhlU'k ftlesa fØfVdy d;s j çcU/ku dh vko';drk gksrh gS (cid:3) lsjhczk s oLdyw j jkxs vkSj lsjhczks oLdyw j n?q kVZ uk (cid:3) ,ulhQkykis SFkh (cid:3) fxfy;u cvs j fl.Mªkes vkSj feLFkfsu;k xfzsol (cid:3) czsu gfuZ;'s ku fl.Mªkes (cid:3) tCrh fodkj (cid:3) dkes k] ePw Nk Z (cid:3) yxkrkj ouLifr tSlh voLFkk (cid:3) flj ij pkVs (cid:3) jh< + dh gìh e sa pkVs (cid:3) FkeksZjxs yw ’sku • U;wjkys kfsd fpfdRlh; çcU/ku (cid:3) bUVªkØfsu;y ncko & vkdyu vkSj bUVªkØfsu;y mPp jäpki dk çcU/ku (cid:3) Øfsu;kVs kes h • u, çxfr vkjS fodkl V ¼ 15 ½ usÝksy‚th ifjorZu • uSnkfud eYw ;kda u] iSFkkfsQft;kys kWth] vkSj vk"Sk/k foKku dh leh{kk • fo'k"sk uSnkfud v/;;u • uÝs kys kts h d.MhlU’k ftle sa fØfVdy d;s j çcU/ku dh vko';drk gksrh g S (cid:3) ,D;Vw jhuy QYs ;ksj (cid:3) fpjdkfyd xnq k Z fuf"Ø;rk (cid:3) rho z Vîwcyj ifjxyu (cid:3) ew=k'k; vk?kkr • uÝs kys kts h fpfdRlh; çcU/ku (cid:3) oD` d çfrLFkkiu fpfdRlk % Mk;fyfll (cid:3) xnq s Z çR;kjkis .k • u, çxfr vkjS fodkl VI ¼ 12 ½ xSLVªksbaVsLVkbuy ifjorZu • uSnkfud eYw ;kda u] iSFkkfsQft;kys kWth] vkSj vk"Sk/k foKku dh leh{kk • fo'k"sk uSnkfud v/;;u • xSLVªkbs Va sLVkbuy d.MhlU’k ftle sa fØfVdy d;s j çcU/ku dh vko';drk gksrh g S (cid:3) rho z th-vkbZ- jälzko (cid:3) ;—r foQyrk (cid:3) ,D;Vw iSfaØ;kfVVht (cid:3) iVs es a pkVs (cid:3) fgikfVd ,ulhQkykis SFkh (cid:3) rho z vkU= #dkoV¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 37 (cid:3) ijQksjfsVo ifsjVkfsufVl • xSLVªkbs Va sLVkbuy fpfdRlh; çcU/ku (cid:3) xSLVªkbs Va sLVkbuy ltZjh (cid:3) fyoj çR;kjkis .k • u, çxfr vkjS fodkl VII ¼ 12 ½ vUr%lzkoh ifjorZu • uSnkfud eYw ;kda u] iSFkkfsQft;kys kWth] vkSj vk"Sk/k foKku dh leh{kk • fo'k"sk uSnkfud v/;;u • vUr%lzkoh fLFkfr ftle sa fØfVdy d;s j çcU/ku dh vko';drk gksrh gS (cid:3) ruko dh U;jw k,s .MkfsØukys ukts h vkSj xEHkhj chekjh (cid:3) Mk;cfsVd dhVk,lhMkfsll (cid:3) gkbijLekys j xSj&dhVkfsud dkes k (cid:3) gkbikXs ykblhfe;k (cid:3) Fkk;jkbM LVke Z (cid:3) feDlMs Sek dkes k (cid:3) vf/koD` d lda V (cid:3) flvk/k @ ,l-vkb-Z,-Mh-,p- (cid:3) vUr%lzkoh fpfdRlh; çcU/ku • u, çxfr vkjS fodkl ¼ 5 ½ d{kk dh ijh{kk dqy 96 ?kaVs dkS'ky ç;ksx'kkyk esa vH;kl fd;k tkus okyh dykvksa dh lwph ¼48 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl nksuksa 'kkfey gSa½ (cid:1) ân; ifjorZu o FkzkEckfsyfVd fpfdRlk o midj.kk sa vkSj mudh lfsVXa l dk ç;kxs & fMfQfcyz Vj] fiDdk]s isl eds l]Z bUVªk vvkWfVd cys uw iEi ¼vkb-Z,-ch-ih-½ (cid:1) iYeksujh ifjorZu o VªSdksLVkes h n[s kHkky o ucs yq kbt’sku o Nkrh dh fQft;kFs kSjis h o Nkrh e sa Vîwc çfof"V o lhu s l s ty fudklh (cid:1) Luk;fod ifjorZu o th-lh-,l- fuxjkuh o gk's k e sa vkSj dkes k e sa fuxjkuh o vkb-Zlh-ih- dh fuxjkuh o cgs k's k dju s dh fØ;k dk Ldksj @ lhM's ku Ldksj o efLr"d eR` ; q ewY;kda u @ czus MSFk eYw ;kda u38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] (cid:1) usÝksyksth ifjorZu o Mk;fyfll (cid:1) Mk;fyfll e'khu dh fçfexa (cid:1) Mk;fyfll d s fy, jkxs h dh r;S kjh (cid:1) Mk;fyfll d s fy, dus yq fsVxa (cid:1) Mk;fyfll dk çkjEHk vkSj vUr (cid:1) xSLVªksbaVsLVkbuy ifjorZu o iVs d s ncko dh fuxjkuh o dSyksjh vkSj çkVs hu vko';drk dh x.kuk o fo'k"sk vkgkj & lSfIll] lkla dh foQyrk] xnq sZ dh foQyrk] ftxj dh foQyrk] ân; dh foQyrk] n/w k NMq +kuk @ ohfuxa ] vXuk'k;'kkFs k o bVa jy QhfMxa @ ,u-th- @ xSLVªksLVkes h @ Qkj;xa y @ tts uw ksLVkes h QhM~l o dyq vfHkHkkodh; ik"sk.k (cid:1) vUr%lzkoh ifjorZu o dkfsVZlkys Lrj] 'kdZjk Lrj] vkjS Fkk;jkbM gkekusZ Lrj d s fy, jä d s ueuw k sa dk lxa gz o dkVs hdZ ksLVhjkbs M~l dh x.kuk vkSj mudk ç'kklu o balfqyu dh x.kuk vkSj ç'kklu & leh{kk IIIIIIII 9- fØfVdy ds;j ufl±x---- vuqns’k ds fy, ?k.Vs ¾ lS)kfUrd % 96 ?k.Vs] ç;ksxkRed % 48 ?k.Vs ;wfuV ?k.Vs lkexzh I ¼ 12 ½ gsekVksyksthdy ifjorZu • uSnkfud eYw ;kda u] iSFkkfsQft;kys kWth] vkSj vk"Sk/k foKku dh leh{kk • fo'k"sk uSnkfud v/;;u • ges kVkys kts hdy d.MhlU’k fte sa fØfVdy d;s j çcU/ku dh vko';drk gksrh gS (cid:3) Mh-vkbZ-lh- (cid:3) FkzkEs ckslkbVkis fsu;k (cid:3) gis fju çfsjr FkzkEs ckslkbVkis fsu;k (cid:3) fldy lys ,uhfe;k (cid:3) Vîew j lys fl.Mªkes (cid:3) xEHkhj chekjh e sa ,uhfe;k • #f/kj fpfdRlh; çcU/ku (cid:3) vkWVkys kxs l jä vk/kku (cid:3) vfLFk eTtk çR;kjkis .k • u, çxfr vkjS fodkl II ¼ 8 ½ Ropk ifjorZu • uSnkfud eYw ;kda u] iSFkkfsQft;kys kWth] vkSj vk"Sk/k foKku dh leh{kk • fo'k"sk uSnkfud v/;;u • ges kVkys kts hdy d.MhlU'k fte sa fØfVdy d;s j çcU/ku dh vko';drk gksrh gS (cid:3) cuZ~l (cid:3) ?kko • fpfdRlh; çcU/ku (cid:3) tyu s d s fy, iuq fueZ k.k ltZjh¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 39 (cid:3) ?kko dk çcU/ku • u, çxfr vkjS fodkl III ¼ 12 ½ cgq ç.kkyh ifjorZu ftuesa fØfVdy ds;j dh vko';drk gksrh gS • Vªkek • lSfIll • 'k‚d • db Z vxa k sa e sa f'kfFkyrk • ç.kkyhxr bu¶yes Vs jh çfrfØ;k fl.Mªkes • rhoxz zkfgrk @ ,ukQkbySfDll • Mh-vkbZ-lh- • vU; pkVs sa ¼xeh]Z fctyh] Qk¡lh tSlk] Mcw u s tSlk½ • ,uous kes 's ku • nokb Z dh vf/kd ek=k • fo"kkärk IV ¼ 10 ½ fØfVdy ds;j esa fof'k"V laØe.k • ,p-vkb-Zoh- • VVs ul • lkl Z @ ,l-,-vkj-,l- • fjdVs flvkfsll • yIsVksLikbjkfsll • Msaxw • eyfsj;k • fpduq xfqu;k • jcs ht • ,fo;u ¶yw • Lokbu ¶y w V ¼ 9 ½ çlwfr esa fØfVdy ds;j • xHkkZoLFkk e sa 'kkjhfjd ifjoruZ • fuEukfadr fLFkfr;k sa e sa fØfVdy d;s j dh vko';drk gksrh gS (cid:3) çlo iwo Z udlhj (cid:3) ih-vkbZ-,p- (cid:3) ckf/kr çlo (cid:3) jIVM Z ¼mBh½ xHkk'Z k; (cid:3) ih-ih-,p- (cid:3) I;iw hjy lfSIll (cid:3) çlfwr d s >Vd s (cid:3) gSYi @ ,p-bZ-bZ-,y-ih- fl.Mªkes (cid:3) Mh-vkbZ-lh- (cid:3) ,efu;kfsVd æo dk vko's k (cid:3) ,-vkj-Mh-,l- (cid:3) Vªkes k40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] VI ¼ 10 ½ cPpksa esa fØfVdy ds;j • çe[q k lajpukRed vkSj 'kkjhfjd erHkns vkSj fufgr vFk Z • fuEukfadr fLFkfr;k sa e sa fØfVdy d;s j dh vko';drk gksrh gS (cid:3) vLQfSDl;k uhvkus SVsje (cid:3) eVs kckfsyd fodkj (cid:3) bUVªkØs fsu;y udlhj (cid:3) uotkr ifwr @ uh;kus SVy lfSIll (cid:3) futyZ hdj.k (cid:3) ,-vkj-Mh-,l- (cid:3) fo"kkärk (cid:3) Ckkgjh rRo (cid:3) lhtl Z (cid:3) LVVs l vLFkefsVdl (cid:3) lk;ukfsVd ân; jkxs (cid:3) dutSuhVy gkbiZ jVªkfsQd ikbykfsjd LVhukfsll (cid:3) VªfSpvkslkQs fsxvy fQLVyq k (cid:3) beijQksjVs xnq k (cid:3) ,D;Vw 'oluh Q¶q Qql'kkFs k (cid:3) cPpk sa e sa Vªkes k • cky fpfdRlk e sa p;fur pqukSfr;k¡ (cid:3) thou j{kd ç.kkyh eíq k (cid:3) nok ç'kklu (cid:3) nn Z çcU/ku • cPpk sa vkSj ifjokjk sa d s lkFk bVa jsD'ku VII ¼ 10 ½ iqjkus o;Ldksa esa fØfVdy ds;j • me z c<u+ s d s lkekU; euksoSKkfud tfSod fo'k"skrkvksa (cid:3) tSfod eíq s (cid:3) euksoSKkfud eíq s (cid:3) me z c<u+ s dh vo/kkj.kk,¡ vkSj fl)kUr (cid:3) ctq qx Z o;Ldk sa e sa ruko vkSj mll s edq kcyk (cid:3) lkekU; LokLF; leL;k,¡ vkSj ufl±x çcU/ku • 'kkjhfjd puq kSfr;k sa (cid:3) Jo.kh; ifjoruZ (cid:3) –f"V l s lEcfU/kr ifjoruZ (cid:3) vU; loa ns h ifjoruZ (cid:3) Ropk l s lEcfU/kr ifjoruZ (cid:3) ân; l s lEcfU/kr ifjoruZ (cid:3) 'oluh; ifjoruZ (cid:3) xnq s Z l s lEcfU/kr ifjoruZ (cid:3) xSLVªk s vkU= l s lEcfU/kr ifjoruZ (cid:3) eLdyq ksLdyS Vs y ifjoruZ (cid:3) vUr%lzkoh ifjoruZ (cid:3) jkxs çfrj{k.k ifjoruZ¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 41 • euksoSKkfud puq kSfr;k ¡ (cid:3) lKa kukRed ifjoruZ (cid:3) cM+ s O;fä d s lkFk nOq;Zogkj (cid:3) 'kjkc dk lsou • nok d s mi;kxs e sa puq kSfr;k¡ (cid:3) nok vo'kk"sk.k (cid:3) nok forj.k (cid:3) nok p;kip; (cid:3) Mªx mRltuZ • iqjku s o;Ldk sa d s fy, vLirky l s tMq s+ tkfs[ke oky s dkjd • fØfVdy d;s j dh nh?kdZ kfyd tfVyrk,¡ (cid:3) n[s kHkky cnyko (cid:3) ç'kked n[s kHkky vkSj fØfVdy d;s j e sa thou d s vUr VIII ¼ 10 ½ iSfj,uSfLFkSfVd @ iwoZ laosnugkjh vof/k esa fØfVdy ds;j • laons ugj.k@csgk's kh dk p;u • lkekU; cgs k's kh • laons ukgkjh ,tVsa ~l • iSfj,uSfLFkfSVd vkdyu vkSj n[s kHkky • laons ugj.k d s ckn fuEufyf[kr leL;kvk sa dh vkikr fLFkfr e sa fØfVdy d;s j dh vko';drk gksrh gS (cid:3) 'oluh; & lkla e sa vojk/s k] yfsjxa hvy bfMek] yfsjxa ksLikLe] czksapksLikLe] ukWu&dkfM;Z kts fsud iYekus jh bfMek] vfLij’sku] gkbikfsDlvk] gkbiksofsaVy'ku (cid:3) ân; & ân; d s dk; Z ij lKa kgj.k d s çHkko] nkSj s jkxs ] ek;kds kfM;Z y f'kfFkyrk] fMlfjFkfevkl] iksLV v‚ijfsVo gkbijV'sa ku] iksLV v‚ijfsVo gkbikVs 'sa ku (cid:3) FkeksZjxs yq Vs jh & gkbikFs kfe;Z k] dEiu] vfrrki] ?kkrd vfrrki (cid:3) U;wjkys kts h & foyfacr mnH~ ko] mnH~ ko çyki (cid:3) eryh vkSj mYVh IX ¼ 10 ½ fØfVdy ds;j esa vU; fo'ks"k ifjfLFkfr;k¡ • çfrfØ;k Vhe vkSj xEHkhj :i l s chekj jkfsx;k sa dk tYnh l s ifjogu • vkink çcU/ku • us= vkikr fLFkfr & vk¡[k dh pkVs ]sa ekfsr;kfcUn] jfsVuk fMVps eVsa • bZ-,u-Vh- vkikr fLFkfr & ckgjh rRo] LVªhMj] [kuw cguk] d.Bekyk] rho z ,yth Z dh fLFkfr • euksjkxs e sa vkikr fLFkfr & vkRegR;k] lda V e sa gLr{kis ¼ 5 ½ d{kk dh ijh{kk dqy 96 ?kaVs dkS'ky ç;ksx'kkyk esa vH;kl fd;k tkus okyh dykvksa dh lwph ¼48 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl nksuksa 'kkfey gSa½42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] (cid:1) fgekVksyksthdy ifjorZu o jä vk/kku @ CyM Vªkal¶;tw u o ckus esjk s VªkalIykVa 's ku o d;s j vkWQ dFS khVj lkbV o ckus esjk s ,lfij's ku (cid:1) Ropk ifjorZu o cu Z ¶ybw M fjlDlhV's ku o cu Z QhM~l dSydyq 's ku o cu Z Mªfslxa o cuZ~l ckFk o okm.M Mªfslxa (cid:1) eYVh &flLVe vYVjs’kUl fjDokfjax fØfVdy ds;j o Vªk;ts o Vªkes k Vhe ,fDVo's ku o ,MfefuLVª's ku vkWQ ,Va h Luds ous kes o ,UVhMkVs ~l (cid:1) LifslfQd bUQDs 'kal bu fØfVdy d;s j o vkblkys 's ku fçd‚'kUl o fMlbuQDs 'ku ,.M fMLikts y v‚WQ bfDoieVsa ~l (cid:1) fØfVdy ds;j bu vkClVsfVªDl] fpYMªu ,.M vksYMj ,MYV~l o ikVkxsZ zke o bfDoieVsa ~l & buD;cw Vs l]Z okeZl Z (cid:1) fØfVdy ds;j bu isfjvusLFksfVd ihfj;M o ,flfLVxa fon Iyk.M bVa cq 's ku o e‚fuVfjxa vkWQ i's kVsa ~l v.Mj ,usLFkhfl;k o ,MfefuLVª's ku v‚WQ uo Z Cy‚Dl o VkbVª’sku v‚WQ MªXl & ,QfsMªu] ,Vªkis hu] uSy‚Dlkus ] ,foy] vk.s Mkla Vs ªkus o lsaljh ,.M ekVs j Cy‚d vlls esaV Q‚j i's kVsa ~l vkWu ,fiMwjy ,uYtfsl;k o VfsDudy Vªcy'kfwVxa v‚WQ flfjta @bu¶;tw u iEil (cid:1) vnj Lis'ky flVq,’kal~ bu fØfVdy ds;j o fMtkLVj fçi;s MZuSl ,.M çkVs kds ‚Yl cfqu;knh fØfVdy d;s j] uflx± vH;kl] fØfVdy d;s j ufl±x-I vkSj fØfVdy d;s j ufl±x-II, tSl s fof'k"V ikBîØe d s rgr lpw hc) dkS'ky f'k{k.k lda k; }kjk dkS'ky ç;kxs 'kkyk e sa i<k+; s tkr s gSAa ç;kxs 'kkyk e sa bud s vH;kl d s ckn Nk= budk vH;kl lEcfU/kr vkb-Zlh-;w- esa tkjh j[kxsa As y‚x cdq lHkh ijw h dh tku s okyh vko';drkvk sa vkSj Nk=k sa }kjk Lora= dkS'ky dju s e sa n{krk çkIr gkus s ij lHkh dkS'ky ftu ij f'k{kd }kjk gLrk{kj fd, tku s gS a dh lpw h fufn"ZV djrk gSA xzUFk lwph fMius dkWd] ,u-,p- ¼2008½A fDod fjQjsal V q fØfVdy d;s j ¼rhljk lLa dj.k½A fyfiud‚V fofy;El vkSj fofYdal % fQykMfSYQ;kA tkus ] th-] lcq ez uh] ds-] ihVj] t-soh-] fipkeFq Fk]q ds- vkSj pkd]w ch- ¼2011½A ,lfsal;Yl vkWQ fØfVdy d;s j ¼8ok¡ laLdj.k½A fØf’p;u eMs hdy dkWyts ] oSYykjs A eksjVu] ih-th- vkSj Qkus Vus ] Mh-ds- ¼2009½A fØfVdy d;s j ufl±x % , gkfsyfLVd ,ijksp ¼9ok¡ laLdj.k½A fyfiud‚V fofy;El vkSj fofYdal % fQykMSfYQ;kA iSfju] d-svk-s ¼2009½A v.MjLVfsaMxa n ,lfasl;Yl vkWQ fØfVdy d;s j ufl±xA U; w tlh Z % ih;jlu ,Mdw 's kuA mMuZ ] ,y-Mh-] LVslh] d-s,e- vkSj ykWQ] ,e-b-Z ¼2014½A fØfVdy d;s j ufl±x % Mk;Xukfsll ,.M eus ts eVsa ¼7ok¡ laLdj.k½A ,Ylo;s j % felkSjhA¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 43 ok;dkWQ] ,e-] gkWxVu] Mh vkSj fyits ] lh- ¼2009½A fØfVdy d;s jA U; w ;kds Z % fLçaxj ifCyf'kxa dEiuhA Vh- fnyhi deq kj] v/;{k [ foKkiu III@4@vlk-@241¼102½] ifjf'k"V 1 ,d nl fcLrjksa okys vkbZ-lh-;w- ds fy, midj.kksa dh lwph 1- xí s d s lkFk ,MtLVcs y byDs Vª‚fud fcLrj & 10 2- IV LV.s M & 20 3- fcLrj dh lkbM e sa y‚dj & 11 ¼10 & jkxs h d s fy,] 1 & Hk.Mkj e½sa 4- fcLrj d s Åij Vªkyh & 10 5- Mªfslxa Vª‚yh ¼NkVs k½ & 5 6- Mªfslxa Vª‚yh ¼e/;e½ & 2 7- flfjta iEi & 60 8- bu¶;tw u iEi & 35 9- ekuW hVl Z & 11 ¼10 & jkxs h d s fy,] 1 & Hk.Mkj e½sa 10- ifjogu e‚fuVj @ iYl vkWDlhehVj & 2 11- ofsaVyVs l Z & 12 ¼10 & jkxs h d s fy,] 2 & Hk.Mkj e½sa 12- ikVs sZcy ofsaVyVs l Z & 2 13- ,-ch-th- e'khu & 2 14- bZ-lh-th- e'khu & 1 15- vYVªklkm.M e'khu & 1 16- M‚iyj e'khu & 1 17- fMfQfcyz Vs j & 2 18- ifj/kh; rfa=dk mÙkts d @ ijs hQsjy dEç's ku fMokbl & 1 19- jä xje dju s dk ;U= @ CyM okeZj & 3 20- jkxs h dk s xje j[ku s dk ;U= @ i’skVsa okeZj & 5 21- lhDofsa’k;y dEç's ku fMokbl & 10 22- ekVs j d s lkFk vYQk xí s & 15 23- ,y-b-ZMh- 'khYM & 1 24- ØS’k dkV Z & 1 25 VªkalQj Vª‚yh & 4 26- vk-svkj- Vª‚yh & 2 27- lQs LykbMj & 2 28- dEI;Vw j & 4 29- fçVa j & 2 30- cSu lfdVZ & 12 31- v‚Dlhtu ¶yk s ehVj & 30 32- tkj d s lkFk lD'ku ikVs Z & 15 33- ,;j ¶yk s ehVj @ iYek s ,M & 10 34- fÝt & 3 ¼1 & [kkuk j[ku s d s fy,] 1 & nok j[ku s d s fy,½ 35- eSVy lh<+h @ eSVy LVyw & 10 36- ,Ecyq ’sku dqlh Z & 544 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 37- ;-wih-,l- & 1 38- ¶ySV VªkyW h & 1 39- Mk;fyfll e'khu & 1 40- Li‚V ykbV & 2 41- ycs fyxa e'khu & 1 42- Xydw kes hVj & 2 43- fofHkUu vkdkjk sa d s ,Ec q cSx & 10 lVs ~l 44- QkbcjvkWfIVd czkpsa ksLdkis & 1 45- bVa qcfsVax fofMvksLdkis & 1 46- Hkkjrh; vkb-Zlh-;w-,l- ¼vkbZ-lh-;-w 6&12 csM½ ¼vkb-Z,l-lh-lh-,e-] 2010½ d s fy, U;uw re ekud fcLrj d s fy, txg & de l s de 100 ox Z QVq A vfrfjä txg ¼Hk.Mkj.k] uflx± LV's ku] M‚DVjk sa d s dejs vkjS lpa kyu d s fy, txg½ & fcLrj d s fy, txg dk 100 çfr'kr vfrfjäA vkDlhtu vkmVyVs ~l & 2 oSD;ew vkmVyVs ~l & 2 lia hfM+r gok ¼dEçSLM ,;j½ vkmVyVs & 1 fctyh d s vkmVyVs ~l & jkxs h d s nkus k sa lkbM ij 2 & 2 5@15 ,Eih;j fiu d s lkFk dUs æh; ufl±x LV's ku ifjf'k"V 2&, fØfVdy ds;j dk;ZØe esa ulZ çsfDV’kuj ¼,u-ih-½ ds fy, uSnkfud y‚x cqd ¼fo'ks"k n{krk @ dkS'ky½ çFke o"kZ Ø-la- dkS'ky çnf'kZr la[;k frfFk f'k{kd ds gLrk{kj* 1- vuqlU/kku vkosnu vkSj lcwr vk/kkfjr vH;kl ¼fjlpZ ,Iyhds’ku ,oa ,ohMsal csLM çsfDVl½ 1 'kk/s k midj.k dh rS;kjh 2 çdk'ku d s fy, ,d ik.Mfqyfi dh rS;kjh 3 O;ofLFkr leh{kk dk y[s ku 4 fucU/k @ fMlVsZlu fo"k;% 1 2- usr`Ro] çcU/ku vkSj f'k{k.k {ks= esa mUur dkS'ky 1 LVkQ ejht vlkbueVsa dh rS;kjh 2 bdkb Z ctV dh rS;kjh 3 LVkQ MîVw h jksLVj dh rS;kjh 4 jkxs h n[s kHkky y[s kk ijh{kk 5 ufl±x n[s kHkky d s fy, ekudk as vkSj çkVs kds ‚y dh rS;kjh 6 midj.k vkSj vkifwr Z dk çcU/ku 7 lØa e.k fu;a=.k çFkkvk sa dh fjikVs Z dk y[s ku] fuxjkuh vkSj eYw ;kda u 8 ekbØk s f'k{k.k @ jkxs h f'k{kk l= 9 ejhtk sa vkSj depZ kfj;k sa d s fy, f'k{k.k i)fr vkSj ehfM;k dh rS;kjh¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 45 Ø-la- dkS'ky çnf'kZr la[;k frfFk f'k{kd ds gLrk{kj* 10 Vk-s,l-lh-bZ- @ vk-s,l-ih-bZ- dh ;kts uk cukuk vkSj vk;kts u 11 VsLV dk fuek.Z k 3- mUur LokLF; vkdyu 1 O;kid bfrgkl yus k @ dfEigfsalo fgLVªh Vfsdxa 2 dfsaær HkkSfrd eYw ;kda u @ Qkds LM fQthdy vlsleVsa ¼ç.kkyh okj½ 2-1 'olu ç.kkyh 2-2 dkfM,Z d ç.kkyh 2-3 xSLVªkbs Va sLVkbuy 2-4 uoZl flLVe 2-5 tfsuVkbs Va sLVkbuy 2-6 ,.MkØs kbu 2-7 ges kVkys kWftdy 2-8 eLdyq ksLdys Vs y 2-9 bVa hxeq Vsa ªh 2-10 laons h vxa @lsaljh vkWxUZ l 3 me z lEcfU/kr 'kkjhfjd ijh{kk vkSj bfrgkl 3-1 o)` koLFkk 3-2 çkS< + 3-3 cPp s 3-4 uotkr f’k’k q 4 xHkZorh efgyk dh 'kkjhfjd ijh{kk vkSj bfrgkl 4- uSnkfud çfØ;k,¡ 1 [kuw dk ueuw k ,df=r djuk 1-1 ck;kds fseLVªh 1-2 Dyhfudy iFS kkys ‚th 1-3 ekbØkcs k;kys ‚th 1-4 ,-ch-th- 2 çfØ;kvk sa dh lgk;rk djuk @ ,flfLVxa çkslhtl Z 2-1 isjklVsa fsll 2-2 FkksjklVsa fsll 2-3 yEq cj ipa j 2-4 ftxj @ fyoj ck;kIslh 2-5 xnq sZ @ jhuy ck;kIslh 2-6 vfLFk eTtk vkdk{a kk @ ckus esjk s ,fLij’sku 3 lk{kh çfØ;k @ foVufslxa çkls htl Z46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Ø-la- dkS'ky çnf'kZr la[;k frfFk f'k{kd ds gLrk{kj* 3-1 Nkrh @ psLV ,Dl&js 3-2 bZ-vkj-lh-ih- 3-3 ih-bZ-Vh- @ iSV LdSu 3-4 ,.MksLdkis h 3-5 ,e-vkj-vkbZ- @ lh-Vh- 3-6 vYVªklkm.M 3-7 bZ-,e-th- 3-8 bdkds kfMvZ kxs zke 4 bZ-lh-th- 5- LorU= dkS'ky 1 ço’sk 2 gLrkUrj.k 3 VªkalikVs Z @ ifjogu 4 fuogZ u ¼fMLpkt½Z @ ykek 5 efsMdk&s yhxy vuiq kyu 6 ikfjokfjd f'k{kk ,o a ijke'k Z 7 thou d s vfUre {k.kk sa e sa n[s kHkky 7-1 efLr"d dh eR` ;q 7-2 vxa nku 8 thou d s ckn n[s kHkky 9 fØfVdy d;s j midj.kk sa dh LFkkiuk] mi;kxs vkSj j[kj[kko 9-1 oVsa hyVs j 9-2 e‚fuVj 9-3 VªkUa lMîwlj@ncko cSx 9-4 rkieku çkCsl 9-5 ,l-ih-vk-s2 çkCsl 9-6 vuØq fed ncko ;U= 9-7 12&yhM b-Zlh-th- e‚fuVj 9-8 okeZj 9-9 æo okeZj 9-10 bZ-Vh- dQ ncko ekWfuVj 9-11 MhfQczhyVs j 9-12 isleds j 9-13 flfjta iEi 9-14 bu¶;tw u iEi 9-15 vYQk xí s 9-16 Ø'S k Vª‚yh¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 47 Ø-la- dkS'ky çnf'kZr la[;k frfFk f'k{kd ds gLrk{kj* 10 Vªkb,t 11 ,;j ,Ecyq sal vkSj lrg ,Ecyq las }kjk LFkkukUrj.k d s nkSjku n[s kHkky ifjf'k"V 2&ch fØfVdy ds;j dk;ZØe esa ulZ çsfDV’kuj ¼,u-ih-½ ds fy, uSnkfud y‚x cqd ¼fo'ks"k n{krk @ dkS'ky½ çFke o"kZ Ø-la- dkS'ky çnf'kZr la[;k frfFk f'k{kd ds gLrk{kj* 1- LorU= dkS'ky 1 fØfVdy d;s j midj.kk sa dh LFkkiuk] mi;kxs vkSj j[kj[kko 1-1 oVsa hyVs j 1-2 e‚fuVj 1-3 VªkUa lMîwlj @ ncko cSx 1-4 rkieku çkCsl 1-5 ,l-ih-vk-s2 çkCsl 1-6 vuØq fed ncko ;U= 1-7 12&yhM b-Zlh-th- e‚fuVj 1-8 okeZj 1-9 æo okeZj 1-10 bZ-Vh- dQ ncko ekWfuVj 1-11 MhfQczhyVs j 1-12 isleds j 1-13 flfjta iEi 1-14 bu¶;tw u iEi 1-15 vYQk xí s 1-16 ØS'k Vª‚yh 1-17 lh-ih-,-ih- @ ch-vkbZ-ih-,-ih- 2 xHa khj :i l s chekj jkfsx;k as dh fuxjkuh 2-1 /keuh jä xSl @ vkVhfZjvy CyM xSl ¼,-ch-th-½ 2-2 v‚Dlhtu lUrf`Ir @ lps qj's ku 2-3 ,.MkVs ªfspvy Vîcw dQ ç's kj 2-4 dIsukxs zkQh 2-5 fgekMs k,ufseDl48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Ø-la- dkS'ky çnf'kZr la[;k frfFk f'k{kd ds gLrk{kj* 2-6 byDs Vªkds kfM;Z kxs zke ¼bZ-lh-th-½ 2-7 bVa ªkØfsuvy ncko 2-8 buofslo ch-ih- fuxjkuh 2-9 xSj&buofslo ch-ih- fuxjkuh 2-10 ihdk s ¼ih-vkb-Zlh-lh-vks-½ 2-11 ifj/kh; laoguh fLFkfr 2-12 Xyklxk s dkes k Ldys 2-13 cgs k's k dju s dh fØ;k dk Ldys @ lhMslu Ldys 2-14 nn Z Ldksj 2-15 czkMu Ldksj 2-16 vka= vkokt @ ckWoy lkm.M 2-17 th-vkj-ch-,l- 2-18 ikjVkxs zke 3 bykt dk ç'kklu 3-1 cgs k's k dju s dh fØ;k @ lhMls u 3-2 ely fjyDs lVsa 3-3 byDs Vªkys kbV bu¶;tw u 3-4 balfqyu bu¶;tw u 3-5 vk;ukVs ªkis ,MfefuLVª'ku 3-6 FkzkWEckfsyfVd Mªx 3-7 dkWVhdZ kWLVhjkWM 4 lØa e.k fu;U=.k 5 ;fwuolyZ ,gfr;kr 6 dhVk.k'q kk/s ku @ cU/;kdj.k 7 ekudk sa @ uhfr;k sa @ çkVs kds ‚y dh rS;kjh 8 ch-,y-,l- 9 ,-lh-,y-,l- 10 ân; ifjoruZ d s çcU/ku 10-1 ¶ybw M ,MfefuLVª's ku ¼dkys kWbM @ fØLvkykWbM½ 10-2 jä vkSj jä inkFk Z ,MfefuLVª's ku 10-3 ,iyhd’sku vkWQ Vh-b-ZMh- LVkWfdax 10-4 bulluZ ,.M ds;j vkWQ lh-oh-ih- ykbu 10-5 lh-oh-ih- ykbu dk fudkyuk 10-6 vflfLVxa fon bullZu vkWQ vkVhfZjvy ykbu¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 49 Ø-la- dkS'ky çnf'kZr la[;k frfFk f'k{kd ds gLrk{kj* 10-7 /keuh ykbu dh n[s kHkky 10-8 /keuh ykbu dk fudkyuk 10-9 vflfLVxa fon bullZu vkWQ iYekus jh vkVZjh dSFkVs j 10-10 isleds j yx s jkxs h dh n[s kHkky 10-11 /keuh ykbu l s jä lxa gz 11 QQs M +s d s cnyko dk çcU/ku 11-1 'okluyh vkons u @ ,;jo s ,Iyhd's ku 11-2 yfsjfax;y ekLd ,;jos 11-3 vflfLVxa fon bVa cq slu 11-4 bZ-Vh- Vîcw dh n[s kHkky 11-5 ,DLVqcslu 11-6 vflfLVxa QkWj Vªfsd;ksLVkes h bulluZ 11-7 Vªfsd;ksLVkes h d;s j ,.M lD'kfuxa 11-8 ,.MkVs ªfspvy lD'kfuxa & vkis u 11-9 ,.MkVs ªfspvy lD'kfuxa & DykTs M 11-10 Nkrh Vîcw dh çfof"V d s lkFk lgk;rk 11-11 Dvs j vkWQ islVsa fon pSLV Mªus st 11-12 pSLV Vîcw fjewoy 11-13 ucs yw kbt's ku 11-14 v‚Dlhtu ,MfefuLVª's ku 11-15 eSdfsudy ofsaVyVs j yx s jkxs h dh n[s kHkky 11-16 ukWu&buofslo ofsaVy's ku 11-17 duDs 'ku V q osfaVyVs j 11-18 ohfuxa Ýkes ofsaVyVs j 11-19 Vh&Vîcw ,o a oVsa qjh midj.kk as dk mi;kxs 11-20 ikLvqjy Mªus ts 11-21 ohfuxa Ýkes Vªfsd;ksLVkes h 11-22 Nkrh dh fQft;kFs kSjis h 11-23 vflfLVxa QkWj czkdsa ksLdkis h 12 ,MfefuLVª's ku vkWQ U;wjkys ‚ftdy vYVª's ku 12-1 laons h mÙkts uk@lsaljh fLVeyq 's ku 12-2 psruk@ dkes k dh fLFkfr dh fuxjkuh 12-3 efLr"d eR` ; q ewY;kda u @ czsu MSFk boys ,q 'ku50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Ø-la- dkS'ky çnf'kZr la[;k frfFk f'k{kd ds gLrk{kj* 13 ,MfefuLVªs'ku vkWQ tfsuVk;s wjus jh vkYVª's kUl 13-1 dus yq fsVxa QkWj fgekMs kbfyfll 13-2 LVkfV±x ,.M Dykfslxa v‚Q ges kMs kbfyfll 13-3 d;s j v‚Q i's kVsa vkWQ ges kMs kbfyfll 13-4 bfuf'k;fsVxa ifsjVkfsu;y Mkbfyfll 13-5 d;s j v‚Q i's kVsa vkWQ ifsjVkfsu;y Mkbfyfll 13-6 dWYD;yq 's ku v‚Q ¶ybw ZM fjIyLs eVas 13-7 dsj v‚Q i's kVsa fon dfaVU;vq l ;fwjujh Mªus ts 14- eus ts esaV v‚Q xWLVªkbs Va sLVkbuy v‚YVj's kUl 14-1 vkgkj HkÙkk dk vkdyu 14-2 ,Va juy U;Vw ªh'ku 14-2-1 ,u-th- QhfMxa 14-2-2 xWLVªksLVkes h@tts uq ksLrkes h QhfMxa 14-3 VsLV QhM~l 14-4 isjsVa sjy U;Vw ªh'ku 14-5 fpfdRlh; vkgkj ;kts uk@ FksjkI;fwVd MkbV IyWfuxa 15 eus ts esaV v‚Q ,.MkØs kbu v‚YVj's kUl 15-1 VkbfVaªx balfqyu 15-2 dWYD;yq 's ku v‚Q LVjk;M ,MfefuLVª's ku 16 v‚MfZjxa çkslhtl Z ,.M bUofsLVx's kUl 16-1 bZ-lh-th- 16-2 ,-ch-th- 16-3 psLV ,Dl&js 16-4 vYVªklkm.M 16-5 ck;kds fseLVªh bUofsLVx's kUl 16-6 ekbØkcs k;ykts h bUofsLVx's kUl 17 v‚MfZjxa VªhVesaV 17-1 ucs yq kbt's ku 17-2 psLV fQft;kFs ksjih 17-3 fMLVy dkys ‚LVeh o‚'k 17-4 bUlj'ku v.M fjewoy v‚Q ;fwjujh dSFkVs j Q‚j Qheys i's kVsa ~l 17-5 VsLV QhM~l 17-6 Vh-b-ZMh-,l- 17-7 lftdZ y Mªfslxa¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 51 Ø-la- dkS'ky çnf'kZr la[;k frfFk f'k{kd ds gLrk{kj* 17-8 LVkfV±x ,.M Dykfslxa Mkbfyfll 17-9 ,Mf~efuLVª's ku v‚Q Vh-ih-,u- bu¶;tw u fon fjfVu v‚MZj 17-10 eWXuhft;e lYQVs Mªfslxa Q‚j FkzkEs c‚QyfscVhl @ ,DlVªWots 's ku 17-11 ,fIyd's ku v‚Q bdFkkEekys fxfyljhu 17-12 fiu lkbV d;s j Q‚j i's kVsa ~l vkWQ ,DlVuyZ fQDlVs l Z 17-13 vkblkes fsVªd ,.M vkblkVs ‚fud ,DllkbZ tl 17-14 g‚V ,.M dkYs M ,fIyd's kUl * Nk= d s dkS'ky çn'kuZ dju s ;kXs ; ik; s tku s ij f'k{kd }kjk bl ij gLrk{kj fd, tk,¡xAs ifjf'k"V 3 uSnkfud vko';drk,¡ & fØfVdy ds;j ufl±x dk;ZØe Ø-la- uSnkfud t:jrsa frfFk f’k{kd ds gLrk{kj I uSnkfud lEesyu Mªx LVMht vkWQ LVSf.Max v‚MZlZ II dsl @ fDyfudy çtsaVs’ku III ufl±x jkm.M~l IV fDyfudy lsfeukj V tuZy Dyc VI ufl±x çkslsl ¼,u-ih-½ @ dsl LVMh fjiksVZ VII mUur LokLF; vkdyu @ ,MokaLM gSYFk vlslesaV52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Ø-la- uSnkfud t:jrsa frfFk f’k{kd ds gLrk{kj VIII ladk; O;k[;ku @ QsdYVh ySDpj IX Lo;a lh[kus ds funsZ'k @ lsYQ Mk;jsDVsM yfu±x X fyf[kr dk;Z XI ekeys ds v/;;u dk fo'ys'k.k@dsl LVMh vukfyfll XII dk;Z'kkyk çR;ds J.s kh d s vUrxZr lS)kfUrd] çSDVhdy vkSj uSnkfud dk;kUZ o;u ;kts uk d s vk/kkj ij l[a ;k dk s vfare :i fn;k tk,xkA¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 53 ifjf'k"V 4 LFkk;h vkns'k fØfVdy ds;j esa ulZ çsfDV’kuj ul Z çfsDV'kuj xHa khj :i l s chekj ejhtk as dh n[s kHkky dh ftEens kjh yus s vkSj mud s çfr tokcngs h dh ;kXs ;rk d s lkFk rS;kj fd; s tkr s gSAa mPp rh{.krk t:jrk sa oky s jkfsx;k sa ds fy, lVhd fpfdRlk lfquf'pr dju s d s fy, o s balaslhfo’V~l] fpfdRldk]sa ltuZ ~l vkSj fo'k"skKk sa d s lkFk lg;kxs djr s gSAa dk;ØZ e d s lekiu ij ul Z çfsDV'kul Z ¼,u-ih-,l-½ dk s laLFkkxr çkVs kds ‚y@LFkk;h vkn's kk sa d s vuqlkj LFkk;h vkn's k e sa lpw hc) nokb;Z k¡ nus s dh vuqefr nh tk,xhA mUgkusa s uSnkfud ijh{k.k@VsLV~l vkSj mipkj d s vkn's k dh vueq fr Hkh gkxs hA vkikr fLFkfr e sa fdlh Hkh vkbZ-lh-;-w e sa fuEufyf[kr bVa ªkohul bta Ds 'ku ;k bu¶;tw 'a k ulZ çfsD'kuj }kjk fn; s tk ldr s gS a %& dWFksd‚yekbUl 1- vMªus fyu 2- u‚jMªus fyu 3- M‚iekbu 4- Mkcs Vq kekbu ,.Vh&fMlfjn~fed 5- vMus kfslu 6- vkfe;Mªkus 7- fyMkslu@tk;ykds kM Z vMªsuftZd ,tsaV 8- ,QMs jhu czkap‚fMysVlZ 9- vfeukQs k;fyu 10- MsjhQk;fyu ukWu&Mhiksyjk;ftax LdsysVy ely fjySDlsaV 11- ,Vªkdfqj;e ¼ods wjkfsu;e] ikda fqj;e½ ,.VhpksfyuftZd 12- vVªkfsiu lYQVs ,.VhfgLVkfeu 13- ,foy ,.VhgkbijVsfUlo 14- Dykus hfMu 15- Xyk;lfsjuVªk;ukbVªVs 16- blkfsIVu d‚fVZdksLVsjkWbM 17- gkbMªkds kVs hZlkus 18- MDs lkehFklkus ,.Vh,ihysfIVd 19- yfsoVªkjlhVe 20- Qus k;V‚bu lsMsfVOl & jsyD’kVsaV~l 21- ofsy;e 22- feMktkys We 23- e‚fQuZ lYQVs 24- iUs Vktkfslu yDs VVs ¼QkVs Zf~ou½54 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 25- isrkbfMu gkbMªkDs ysjkbM 26- çkis kQs kys ,ysDVªksykbV~l & ,flM csl djsD’ku ,tsaV~l 27- lkMs k ckbdkcuZ Vs 8-4 çfr'kr 28- lkMs k ckbdkcuZ Vs 7-5 çfr'kr 29- eWXuhft;e lYQVs 30- iVklh;e Dy‚jkbM çR;sd vkbZ-lh-;w- ds fy, fof'k"V vfrfjä nok,¡] tks ,u-ih- }kjk nh tk ldrh gSa] bl çdkj gSa %& lftZdy baVsuflo ds;j ;wfuV esfMdy baVsuflo ds;j ;wfuV dkfMZ;ksFkksjsfdd dkfMZ;kd ¼usQj‚y‚th] cuZ~l] vkWCLVsfVªd ¼usQj‚y‚th] gsekVksyksth] fØfVdy ds;j ;wfuV fØfVdy ds;j ,.M xk;uksdksy‚ftd is'ksaV~l MjesV‚ykWth ,.M bUQsfdf’k;l ;wfuV lfgr½ is'ksaV~l lfgr½ uSykDs 'kkus fMxkDs lkbu lkfsM;e ukbVªkçs qlkbM lksjfcVªVs fiDVkslhu VªkuDs lfsed ,flM yjxkfDVy ,ta hlMs çk,s VkehulYw QVs osjifey ,ejhukus LVªis Vkds kbuls feyfjukus ;jw kfsduts Mds kMªkus ,yfDte ,etsZUlh lfoZlst iSfM;kfVªd baVsfUlo ds;j U;wjksykWftdy baVsfUlo ;wfuV ds;j ;wfuV feFkk;yçMs fulkys kus fnykfaVu Vfsalykus ,ehlVs fuvkfsLVXekbu ,.VhLuds osue Fkk;kis Vsa kus esLVhukus çkfsLVXekbu ulZ çWfDV'kuj }kjk fuEufyf[kr bUosfLVxs'kUl ¼tk¡p½ ,oa Fksjsiht ¼mipkj½ ds fy, vkns’k fn;k tk ldrk gS%& tk¡p ds fy, vkns'k mipkj ds fy, vkns'k (cid:1) bZ-lh-th- (cid:1) ucs yw kbt's ku (cid:1) ,-ch-th- (cid:1) Nkrh dh fQft;kFs kSjis h (cid:1) Nkrh dk ,Dl&j s (cid:1) fMLVy dkys ksLVkes h ok'k (cid:1) cfqu;knh ck;k&s dfseLVªh@tSo jlk;u tk¡p&,p-ch-] ih-lh-oh-] (cid:1) efgyk jkfsx;k sa d s fy, e=w dSFkVs j dk s yxkuk o Vh-vkb-Zch-lh-] MCY;w-ch-lh- VkVs y] MCY;w-ch-lh- fMQjfsal;y] gVkuk bZ-,l-vkj-] byDs Vªkys kbV~l] IyVs yVs ~l] ih-Vh-] ,-ih-Vh-Vh-] [kuw (cid:1) VsLV QhM~l cgu s vkSj FkDd s teu s dk le;] çkDs ykflVkfsuu] Mh Mk;ej] (cid:1) Vh-b-ZMh-,l- fØ,fVfuu] ,p-ch-,1-lh-] ,-lh-] ih-lh-] ,p-Mh-,y-] ,y-Mh- (cid:1) lftdZ y Mªfslxa ,y-] Vh-vkbZ-th-] dkys sLVª‚y VkVs y] ,p-vkbZ-oh-] ,p-ch-,l-,- th-] ,p-lh-oh- (cid:1) Mk;fyfll çkjEHk djuk vkSj cUn djuk (cid:1) cfqu;knh ekbØkcs k;kys ‚th tk¡p&laL—fr@dYpj vkSj (cid:1) fyf[kr vkn's k d s lkFk Vh-ih-,u- bu¶;tw u nsuk laons u'khyrk ekiu s d s fy, jä d s ueuw ]s fVIl QkWj oLdyq j (cid:1) FkzkEs ck¶s ySfcfVl@,DLVªosl's ku d s fy, bpkekys ,Dlsl vkSj b-ZVh- V;~ cw QkWj dYpj fxfylfju dk ç;kxs @eSXufsl;e lYQVs dh Mªfslxa (cid:1) ,DLVjuy fQDlVs l Z ij jkfsx;ksa d s fy, fiu lkbV n[s kHkky (cid:1) vkblkes fsVªd vkSj vkblkVs kfsud ,Dljlkbt¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 55 INDIAN NURSING COUNCIL NOTIFICATION New Delhi, the 2nd September, 2016 SYLLABUS AND REGULATION NURSE PRACTITIONER IN CRITICAL CARE POST GRADUATE RESIDENCY PROGRAM F. No. 11-1/2015-INC.—I. Introduction and Background In India, reshaping health systems in all dimensions of health has been recognized as an important need in the National Health Policy, 2015 (NHP, 2015 draft document). It emphasizes human resource development in the areas of education and training alongside regulation and legislation. The government recognizes significant expansion in tertiary care services both in public and private health sectors. In building their capacity, it is highly significant that the health care professionals require advanced educational preparation in specialty and super-specialty services. To support specialized and super-specialized healthcare services, specialist nurses with advanced preparation are essential. Developing training programs and curriculum in the area of tertiary care is recognized as the need of the hour. Nurse practitioners (NPs) will be able to meet this demand provided they are well trained and empowered to practice. With establishment of new cadres in the center and state level, master level prepared NPs will be able to provide cost effective, competent, safe and quality driven specialized nursing care to patients in a variety of critical care settings in tertiary care centres. Nurse practitioners have been prepared and functioning in USA since 1960s, UK since 1980s, Australia since 1990s and Netherlands since 2010. Nurse practitioners in critical care / acute care, oncology, emergency care, neurology, cardiovascular care, anesthesia and other specialties can be prepared to function in tertiary care settings. Rigorous educational preparation will enable them to collaboratively diagnose and treat patients with critical illnesses both for prevention and promotion of health. A curricular structure / framework is proposed by INC towards preparation of Nurse Practitioner in Critical Care (NPCC) at Masters Level. The special feature of this program is that it is a clinical residency program emphasizing a strong clinical component with 15% of theoretical instruction and 85% of practicum. Competency based training is the major approach and NP education is based on competencies adapted from International Council of Nurses (ICN, 2005), and NONPF competencies (2012). Every course is based on achievement of competencies. Critical Care Nurse Practitioner Program is intended to prepare registered BSc Nurses to provide advanced nursing care to patients who are critically ill. The nursing care is focused on stabilizing patients’ condition, minimizing acute complications and maximizing restoration of health. These NPs are required to practice in critical care units of tertiary care centers. The program consists of various courses of study that are based on strong scientific foundations including evidenced based practice and the management of complex health systems. These are built upon the theoretical and practice competencies of BSc trained nurses. On completion56 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] of the program and registration with respective state council they are permitted to independently administer drugs and order diagnostic tests, procedures, medical equipment and therapies as per institutional protocols. The NPs in CC when exercising this authority, they are accountable for the competencies in a)(cid:32) Patient selection/admission into ICU and discharge b)(cid:32) Problem identification through appropriate assessment c)(cid:32) Selection/administration of medication or devices or therapies d)(cid:32) Patients’ education for use of therapeutics e)(cid:32) Knowledge of interactions of therapeutics, if any f)(cid:32) Evaluation of outcomes and g)(cid:32) Recognition and management of complications and untoward reactions. The NP in critical care is prepared and qualified to assume responsibility and accountability for the care of critically ill patients under his/ her care. The said post graduate degree will be registered as an additional qualification by the State Nursing Council. Philosophy Indian Nursing Council believes that there is a great need to establish a postgraduate program titled Nurse Practitioner in Critical Care to meet the challenges and demands of tertiary health care services in India which is reflected in the National Health Policy (NHP draft document 2015) in order to provide quality care to critically ill patients and families. INC believes that postgraduates from a residency program focused on strong clinical component and competency based training must be able to demonstrate clinical competence based on sound theoretical and evidence based knowledge. The teaching learning approach should focus on adult learning principles, competency based education, collaborative learning, clinical experience with medical and nursing preceptors, experiential learning and self-directed learning. Education providers/preceptors/mentors must update their current knowledge and practices. Medical faculty are invited to participate as preceptors in the training. INC also believes that a variety of educational strategies can be used in the clinical settings to address the deficit of qualified critical care nursing faculty. It is hoped to facilitate developing policies towards registration/licensure and create cadre positions for appropriate placement of these postgraduate critical care NPs to function in critical care units of tertiary care centers. An educational framework for the NP curriculum is proposed (See Figure 1).¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 57 Figure1. Nurse Practitioner in Critical Care – An Educational Curricular Framework Registered B.Sc Nurse with 1 year Clinical Experience preferably in Critical Care Setting (cid:69)(cid:40)(cid:110)(cid:116)(cid:113)(cid:32)(cid:117)(cid:114)(cid:114)(cid:101)(cid:121)(cid:105)(cid:109)(cid:114)(cid:101)(cid:116)(cid:41)(cid:110)(cid:101) Strong Clinical Component (Nursing Residency (cid:183) (cid:32) Theoretical basis for Advanced nursing practice (cid:183) (cid:32) Research application and Evidence Based Practice in Critical Care (cid:183) (cid:32) Leadership and Teaching skills (cid:183) (cid:32) Foundations NP (cid:183) (cid:32) Advanced of Critical CRITICAL Pathophysiology Care Nursing CARE applied to Critical Practice PROGRAM Care (cid:183) (cid:32) Critical care (cid:183) (cid:32) Advanced Nursing I Pharmacology (cid:183) (cid:32) Critical care Nursing II (cid:183) (cid:32) Advanced Health Assessment Competency Based Advanced Education and Knowledge and Training Ethics58 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] II. Program Description The NP program is a Nursing residency program with a main focus on Competency based training. The duration is of two years with the curriculum consisting of theory that includes core courses, advanced practice courses and clinical courses besides clinical practicum which is a major component (Refer Curricular framework). III. Aim The critical care NP program prepares registered BSc nurses for advanced practice roles as clinical experts, managers, educators and consultants leading to M.Sc degree in critical care NP IV. Objectives On completion of the program, the NP will be able to 1.(cid:32) assume responsibility and accountability to provide competent care to critically ill patients and appropriate family care in tertiary care centres 2.(cid:32) demonstrate clinical competence / expertise in providing critical care which includes diagnostic reasoning, complex monitoring and therapies 3.(cid:32) apply theoretical, patho-physiological and pharmacological principles and evidence base in implementing therapies / interventions in critical care 4.(cid:32) identify the critical conditions using differential diagnosis and carry out treatment/interventions to stabilize and restore patient’s health and minimize or manage complications independently or collaboratively as a part of critical care team 5.(cid:32) collaborate with other health care professionals in the critical care team, across the continuum of critical care V. Minimum requirements to start the NP Critical care program The institution must accept the accountability for the NP program and its students and offer the program congruent with the INC standards. It must fulfill the following requirements. (cid:49)(cid:46) (cid:32) (cid:101)(cid:69)(cid:110)(cid:115)(cid:115)(cid:97)(cid:105)(cid:116)(cid:121)(cid:116)(cid:105)(cid:108)(cid:32)(cid:101)(cid:67)(cid:99)(cid:105)(cid:102)(cid:105)(cid:116)(cid:97)(cid:114)(cid:101)(cid:116)(cid:32) a.(cid:32) If any institution opting to start NP program already has BSc (N) or MSc (N) program recognized by INC, it will be exempted from NOC (No Objection Certificate)/Essentiality Certificate for NP in critical care post graduate residency program from State Government b.(cid:32) If the institution is having any University education program of training nurses and doctors or if they have DNB program, NOC will not be required to start NP program 2. (cid:72)(cid:111)(cid:112)(cid:32)(cid:115)(cid:97)(cid:116)(cid:105)(cid:108) The hospital should be a parent tertiary care centre, with a minimum of 200 beds. It can have a medical college or nursing college 3. (cid:73)(cid:85)(cid:32)(cid:67)(cid:66)(cid:101)(cid:100)(cid:32)(cid:115) The hospital should have a minimum of 4 ICUs namely medical ICU, surgical ICU, cardio/cardiothoracic ICU and Emergency care unit with a minimum of 5 beds each and total of 20 beds. 4(cid:46)(cid:32)(cid:73)(cid:85)(cid:32)(cid:97)(cid:67)(cid:116)(cid:115)(cid:110)(cid:105)(cid:102)(cid:102)(cid:103) (cid:32) a.(cid:32) Every ICU should have a charge nurse with BSc or MSc qualification b.(cid:32) The nurse patient ratio should be 1:1 for every shift for ventilated patients c.(cid:32) For the rest of ICU beds the nurse patient ratio should be 1:2 for every shift d.(cid:32) Provision of additional 45% staff towards leave reserve e.(cid:32) Doctor patient ratio can be 1:5 (cid:53)(cid:46)(cid:32)(cid:70)(cid:97)(cid:99)(cid:117)(cid:121)(cid:116)(cid:97)(cid:108)(cid:32)(cid:47)(cid:83)(cid:32)(cid:102)(cid:102)(cid:111)(cid:101)(cid:115)(cid:114)(cid:116)(cid:117)(cid:99)(cid:101)(cid:114)(cid:115)(cid:32) a. Clinical area: Full time qualified GNM with 6 years of experience in critical care nursing or BSc with 2 years experience in critical care nursing or MSc(Specialty-Medical Surgical Nursing/Pediatric Nursing/Obsetrics & Gynaecology Nursing) with one year critical care nursing experience (One faculty for every 10 students) b. Teaching faculty: Professor/Associate professor- 1(Teaching experience- 5 years post PG), Assistant professor- 1 (Teaching experience- 3 years post BSc) c. The above faculty shall perform dual role or a senior nurse with MSc qualification employed in the tertiary hospital.¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 59 d. Guest lecturers: for pharmacology Preceptor student ratio -Nursing 1:10, Medical 1:10 6. (cid:80)(cid:104)(cid:99)(cid:105)(cid:121)(cid:97)(cid:115)(cid:110)(cid:32)(cid:108)(cid:97)(cid:100)(cid:32)(cid:101)(cid:108)(cid:97)(cid:110)(cid:103)(cid:114)(cid:110)(cid:105)(cid:32)(cid:111)(cid:101)(cid:115)(cid:114)(cid:117)(cid:99)(cid:32)(cid:101)(cid:114)(cid:115)(cid:97)(cid:32)(cid:116)(cid:104)(cid:111)(cid:112)(cid:115)(cid:97)(cid:116)(cid:105)(cid:99)(cid:47)(cid:108)(cid:111)(cid:101)(cid:108)(cid:108)(cid:103)(cid:101) a. One classroom/conference room at the clinical area b. Skill lab for simulated learning (hospital/college) c. Library and computer facilities with access to online journals d. E-Learning facilities 7. List of equipment for ICU (enclosed) Appendix-1 (cid:56)(cid:46)(cid:32)(cid:83)(cid:117)(cid:116)(cid:101)(cid:110)(cid:100)(cid:32)(cid:116)(cid:82)(cid:101)(cid:117)(cid:99)(cid:114)(cid:109)(cid:116)(cid:105)(cid:101)(cid:110)(cid:65)(cid:47)(cid:116)(cid:100)(cid:111)(cid:105)(cid:115)(cid:109)(cid:115)(cid:105)(cid:110)(cid:32)(cid:82)(cid:101)(cid:113)(cid:117)(cid:101)(cid:109)(cid:114)(cid:105)(cid:101)(cid:110)(cid:32)(cid:115)(cid:116) a.(cid:32) Applicants must possess a registered B.Sc nurse with a minimum of one year clinical experience, preferably in any critical care setting prior to enrollment. b.(cid:32) Must have undergone the BSC in an institution recognized by the Indian Nursing Council. c.(cid:32) Must have scored not less than 55% aggregate marks in the BSc program d.(cid:32) Selection must be based on the merit of an entrance examination and interview held by the competent authority Number of candidates: 1 candidate for 4-5 ICU beds, Salary: 1. In-service candidates will get regular salary 2. Salary for the other candidates as per the salary structure of the hospital where the course is conducted VI. Examination Regulations (cid:69)(cid:103)(cid:105)(cid:108)(cid:98)(cid:105)(cid:121)(cid:116)(cid:105)(cid:108)(cid:105)(cid:32)(cid:111)(cid:102)(cid:32)(cid:114)(cid:97)(cid:112)(cid:112)(cid:101)(cid:97)(cid:110)(cid:105)(cid:114)(cid:103)(cid:32)(cid:111)(cid:102)(cid:101)(cid:32)(cid:32)(cid:114)(cid:104)(cid:116)(cid:101)(cid:120)(cid:97)(cid:109)(cid:110)(cid:105)(cid:97)(cid:111)(cid:105)(cid:116)(cid:32)(cid:110) Attendance: Theory, practical and Clinical – 100% (cid:97)(cid:108)(cid:105)(cid:67)(cid:115)(cid:115)(cid:99)(cid:105)(cid:102)(cid:97)(cid:111)(cid:105)(cid:116)(cid:110)(cid:32)(cid:111)(cid:32)(cid:102)(cid:117)(cid:101)(cid:115)(cid:114)(cid:115)(cid:116)(cid:108)(cid:32) Pass: 50% pass in theory and Clinical Practicum Second Division: 50-59% First Division: 60-74% Distinction: 75% and above For declaring the rank, aggregate of two years marks will be considered If a candidate fails in theory or practical, he/she has to reappear for the paper in which he/she has failed. Maximum number of attempts = 2, Maximum period to complete the program = 4 years Practicum: 6hours of examination per student Maximum number of students per day = 5 students Examination should be held in clinical area only Examined by one internal and one external examiner The examiner should be MSc faculty teaching the NP program with minimum two years of experience. (cid:101)(cid:115)(cid:68)(cid:115)(cid:105)(cid:97)(cid:116)(cid:114)(cid:111)(cid:105)(cid:116)(cid:110)(cid:32) Submission of the research proposal: By 6 months in first year Submission of the dissertation final: 6 months before completion of second year Research guides: Main guide – Nursing faculty (3years experience) teaching NP program, Co guide: Medical preceptor Guide student ratio- 1:5 There should be a separate research committee in the college/hospital to guide and oversee the progress of the research (minimum of 5 members with principal or CNO-MScN) Ethical clearance should be obtained by the hospital ethics committee60 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] VII. Assessment (Formative and Summative) (cid:183) (cid:32) Seminar (cid:183) (cid:32) Written assignments/Term papers (cid:183) (cid:32) Case/Clinical presentation (cid:183) (cid:32) Nursing process report/Care study report (cid:183) (cid:32) Clinical performance evaluation (cid:183) (cid:32) Log book- (Competency list and clinical requirements) counter signed by the medical/nursing faculty preceptor (cid:183) (cid:32) Objective Structured Clinical Examination(OSCE)/OSPE (cid:183) (cid:32) Test papers (cid:183) (cid:32) Final examination Scheme of Final Examination S. No. Title Theory % Practical % Hours Internal External Hours Internal External I Year I Year Core Courses 1 Theoretical Basis for Advanced 3 hrs 50 Practice Nursing 2 Research Application and Evidence Based Practice in Critical Care 3 hrs 30 70 3 Advanced skills in Leadership, Management and Teaching Skills 3 hrs 30 70 Advanced Practice Courses Advanced Pathophysiology & 4 Advanced Pharmacology relevant to 3 hrs 30 70 Critical Care 5 Advanced Health/physical Assessment 3 hrs 30 70 50 50 II Year Specialty Courses 1 Foundations of Critical Care 3 hrs 30 70 Nursing Practice 100 100 2 Critical Care Nursing I 3 hrs 30 70 100 100 3 Critical Care Nursing II 3 hrs 30 70 100 100 4 Dissertation and viva 3 hrs 50 50¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 61 VIII. Curriculum COURSES OF INSTRUCTION Theory(Hrs) Lab/Skill Clinical (Hrs) Lab(Hrs) I Year I Core Courses Theoretical Basis for Advanced Practice Nursing 40 II Research Application and Evidence Based Practice in Critical Care 56 24 336 III Advanced skills in Leadership, Management and 7wks Teaching Skills 56 24 184 4wks Advanced Practice Courses IV Advanced Pathophysiology applied to Critical Care 60 336 7wks Advanced Pharmacology applied to Critical Care V 54 336 Advanced Health/physical Assessment 7wks VI 70 48 576 12wks TOTAL= 2208hrs 336 96 1776(37wks) (7wks) (2wks) II year Specialty Courses VII Foundations of Critical Care Nursing Practice 96 48 552 11wks VIII Critical Care Nursing I 96 48 552 13wks IX Critical Care Nursing II 96 48 644 13wks TOTAL=2208hrs 288 144 1748 (6wks) (4wks) (37wks) No of weeks available in an year =52 -6 (Annual leave, Casual leave, sick leave = 6 weeks) =46 weeks x 48 hrs = 2208 hrs Two years = 4416 hrs Instructional Hours: Theory = 624hrs, Skill lab= 240hrs, Clinical =3552hrs TOTAL= 4416 hrs I year : 336-96-1776hrs (Theory-skill lab-clinical) [Theory + Lab=20%, Clinical=80%] II year : 288-144-1776hrs ( ’’ ’’ ) [Theory + Lab=20%, Clinical=80%] I YEAR =46 weeks/ 2208 hrs(46x48hrs)( Theory +Lab :7.5 hrs/week for 44wks =336+96 hrs*) *Theory + Lab= 96 hrs can be given for 2wks in the form of introductory block classes and workshops II YEAR=46 weeks/ 2208 hrs(46x48hrs) ( Theory +Lab : 8.5hrs/week for 45wks=384+48hrs) (1 week Block classes = 48 hrs) CLINICAL PRACTICE A.(cid:32) Clinical Residency experience(A minimum of 48 hrs/ week is prescribed, however, it is flexible with different shifts and OFF followed by on call duty ) B.(cid:32) 8 hours duty with one day Off in a week and on call duty one per week62 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Clinical placements: I year: 44 wks (excludes 2 weeks of introductory block classes and workshop) Medical ICU – 12 weeks Surgical ICU – 12 weeks Cardio/Cardio thoracic (CT) ICU – 8 weeks Emergency Department - 6 weeks Other ICUs (Neurology, Burns, Dialysis unit) - 6 weeks II Year: 45wks (Excludes one week of block classes) Medical ICU – 12 weeks Surgical ICU – 12 weeks Cardio/Cardio thoracic (CT) ICU – 8 weeks Emergency Department - 8 weeks Other ICUs (Neurology, Burns, Dialysis unit) - 6 weeks C.(cid:32) Teaching methods: Teaching-theoretical, lab & Clinical can be done in the following methods and integrated during clinical posting (cid:183) (cid:32) Clinical conference (cid:183) (cid:32) Case/clinical presentation (cid:183) (cid:32) In depth drug study, presentation and report (cid:183) (cid:32) Nursing rounds (cid:183) (cid:32) Clinical seminars (cid:183) (cid:32) Journal clubs (cid:183) (cid:32) Case study/Nursing process (cid:183) (cid:32) Advanced health assessment (cid:183) (cid:32) Faculty lecture in the clinical area (cid:183) (cid:32) Directed reading (cid:183) (cid:32) Assignments (cid:183) (cid:32) Case study analysis (cid:183) (cid:32) Workshops D.(cid:32) Procedures/log book (cid:32)(cid:116)(cid:65) (cid:101)(cid:104)(cid:116)(cid:32) (cid:101)(cid:100)(cid:110)(cid:32) (cid:111)(cid:102)(cid:32) (cid:101)(cid:97)(cid:99)(cid:32)(cid:104) (cid:99)(cid:99)(cid:105)(cid:110)(cid:105)(cid:108)(cid:97)(cid:32)(cid:108) (cid:112)(cid:111)(cid:103)(cid:110)(cid:105)(cid:116)(cid:115)(cid:44)(cid:32) (cid:99)(cid:99)(cid:105)(cid:110)(cid:105)(cid:108)(cid:97)(cid:32)(cid:108) (cid:111)(cid:108)(cid:103)(cid:32) (cid:98) (cid:111)(cid:32)(cid:111)(cid:107) (cid:40)(cid:112)(cid:83)(cid:101)(cid:99)(cid:102)(cid:105)(cid:99)(cid:105)(cid:32) (cid:109)(cid:99)(cid:111)(cid:112)(cid:101)(cid:101)(cid:116)(cid:108)(cid:99)(cid:110)(cid:67)(cid:47)(cid:101)(cid:105)(cid:115)(cid:105)(cid:99)(cid:105)(cid:110)(cid:97)(cid:32)(cid:108) (cid:107)(cid:115)(cid:32)(cid:115)(cid:108)(cid:108)(cid:105) (cid:38)(cid:32) (cid:99)(cid:99)(cid:105)(cid:110)(cid:105)(cid:108) (cid:97)(cid:32)(cid:108) (cid:101)(cid:113)(cid:114)(cid:101)(cid:109)(cid:114)(cid:105)(cid:117)(cid:41)(cid:101)(cid:115)(cid:116)(cid:110)(cid:32)(cid:97)(cid:104)(cid:32)(cid:115)(cid:111)(cid:116)(cid:32)(cid:98)(cid:101)(cid:32)(cid:103)(cid:105)(cid:115)(cid:101)(cid:110)(cid:100)(cid:32)(cid:98)(cid:121)(cid:32)(cid:101)(cid:104)(cid:116)(cid:32)(cid:112)(cid:101)(cid:99)(cid:114)(cid:101)(cid:112)(cid:111)(cid:116)(cid:32)(cid:114)(cid:101)(cid:118)(cid:101) (cid:121)(cid:32)(cid:114)(cid:102)(cid:111)(cid:103)(cid:105)(cid:110)(cid:116)(cid:114)(cid:32)(cid:116)(cid:104)(cid:40)(cid:112)(cid:65)(cid:112)(cid:101)(cid:100)(cid:110)(cid:120)(cid:105)(cid:32)(cid:50)(cid:97)(cid:50)(cid:44)(cid:98)(cid:32)(cid:32)(cid:51)(cid:44)(cid:41)(cid:32) E.(cid:32) NP Critical Care Competencies ( Adapted from ICN,2005) 1.(cid:32) Uses advanced comprehensive assessment, diagnostic, treatment planning, implementation and evaluation skills 2.(cid:32) Applies and adapts advanced skills in complex and / or unstable environments 3.(cid:32) Applies sound advanced clinical reasoning and decision making to inform, guide and teach in practice 4.(cid:32) Documents assessment, diagnosis, management and monitors treatment and follow-up care in partnership with the patient 5.(cid:32) Administer drugs and treatments according to institutional protocols 6.(cid:32) Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and discontinue therapeutic relationships 7.(cid:32) Refers to and accepts referrals from other health care professionals to maintain continuity of care 8.(cid:32) Practices independently where authorizes and the regulatory framework allows in the interest of the patients, families and communities 9.(cid:32) Consults with and is consulted by other health care professionals and others 10.(cid:32) Works in collaboration with health team members in the interest of the patient 11.(cid:32) Develops a practice that is based on current scientific evidence and incorporated into the health management of patients, families and communities 12.(cid:32) Introduces, tests, evaluates and manages evidence based practice¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 63 13.(cid:32) Uses research to produce evidence based practice to improve the safety, efficiency and effectiveness of care through independent and inter-professional research 14.(cid:32) Engages in ethical practice in all aspects of the APN role responsibility 15.(cid:32) Accepts accountability and responsibility for own advanced professional judgement, actions, and continued competence 16.(cid:32) Creates and maintains a safe therapeutic environment through the use of risk management strategies and quality improvement 17.(cid:32) Assumes leadership and management responsibilities in the delivery of efficient advanced practice nursing services in a changing health care system 18.(cid:32) Acts as an advocate for patients in the health care systems and the development of health policies that promote and protect the individual patient, family and community 19.(cid:32) Adapts practice to the contextual and cultural milieu F.(cid:32) Institutional Protocol/standing orders based administration of drugs & ordering of investigations and therapies The students will be trained to independently administer drugs and order diagnostic tests, procedures, medical equipment and therapies as per institutional protocols/standing orders. (cid:40)(cid:112)(cid:65)(cid:112)(cid:101)(cid:100)(cid:110)(cid:32)(cid:120)(cid:105) (cid:52)(cid:32) (cid:97)(cid:116)(cid:83)(cid:100)(cid:110)(cid:103)(cid:110)(cid:105)(cid:32) (cid:111)(cid:100)(cid:32)(cid:114)(cid:41)(cid:115)(cid:101)(cid:46)(cid:114) Administration of(cid:32)emergency drugs is carried out in consultation with concerned physician and endorsed later by written orders.(cid:32) (cid:32)(cid:32)(cid:32) Implementation of curriculum-A tentative plan I yr. Courses Introductory Workshop Theory Methods of teaching classes integrated in (Topic can be specified) clinical practicum 1. Theoretical basis for Advanced 8hrs 1x32=32hrs (cid:183) (cid:32) Seminar / Theory application practice Nursing (40) Lecture (faculty) 2. Research Application and 8 40 (5days) 1x26=26hrs (cid:183) (cid:32) Research study analysis/ Evidence Based Practice in +6hrs Exercise / Assignment (lab) Critical Care (56+24) 3. Advanced skills in leadership, 12 2hrs(Block 1x26=26hrs (cid:183) (cid:32) Clinical conference Management and Teaching classes ) 2.5x16=40hrs (cid:183) (cid:32) Seminar (56+24) Exercises/Assignment (lab) 4. Advanced Pathophysiology 1.5x37=56hrs (cid:183) (cid:32) Case presentation (60) (cid:183) (cid:32) Seminar Clinical conference 5. Advanced Pharmacology 1x44=44hrs (cid:183) (cid:32) Nursing rounds (54) (cid:183) (cid:32) Drug study presentation Standing orders / presentation 6. Advanced Health Assessment 6hrs 2x26=52hrs (cid:183) (cid:32) Clinical demonstration (70+40) 1.5x18=27hrs (faculty) 1x12=12hrs (cid:183) (cid:32) Return demonstration 2x7=14hrs (cid:183) (cid:32) Nursing rounds 2x2=4hrs (cid:183) (cid:32) Physical assessment(all systems) Case study I year – Introductory classes= 1 week, Workshop = 1 week ,44 weeks= 7.5 hrs/week64 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] II year courses Theory Methods of teaching 1wk Block classes (48hrs) integrated into clinical practicum 1. Foundations (96+48hrs) 9hrs (cid:183) (cid:32) Demonstration (lab) =144hrs x11wks=99hrs (cid:183) (cid:32) Return demonstration (lab) (cid:183) (cid:32) Clinical teaching (cid:183) (cid:32) Case study (cid:183) (cid:32) Seminar (cid:183) (cid:32) Clinical conference (cid:183) (cid:32) Faculty lecture 2. Critical Care 9x16=144hrs (cid:183) (cid:32) Demonstration (lab) Nursing 96+48hrs) -------- (cid:183) (cid:32) Return Demonstration (lab) =144hrs (cid:183) (cid:32) Clinical conference / journal club (cid:183) (cid:32) Seminar (cid:183) (cid:32) Case presentation (cid:183) (cid:32) Drug study(including drug interaction) (cid:183) (cid:32) Nursing rounds (cid:183) (cid:32) Faculty lecture 3. Critical Care 9x16=144hrs (cid:183) (cid:32) Demonstration (lab) Nursing II 96+48hrs) (cid:183) (cid:32) Return Demonstration =144hrs (cid:183) (cid:32) Nursing rounds (cid:183) (cid:32) Clinical conference / journal club (cid:183) (cid:32) Seminar (cid:183) (cid:32) Faculty lecture II year 45 wks – 8.5/9hrs/wk Attendance: 100% in theory, practical and clinical. Topic for every teaching method will be specified in the detailed plan by the respective teacher/ institution concerned Core Courses I.(cid:32) Theoretical Basis for Advanced Practice Nursing COMPETENCIES 1.(cid:32) Analyses the global healthcare trends and challenges 2.(cid:32) Analyses the impact of Healthcare and Education policies in India on nursing consulting the documents available. 3.(cid:32) Develops in depth understanding of the healthcare delivery system in India, and its challenges 4.(cid:32) Applies economic principles relevant to delivery of healthcare services in critical care 5.(cid:32) Manages and transforms health information to effect health outcomes such as cost, quality and satisfaction 6.(cid:32) Accepts the accountability and responsibility in practicing the Nurse practitioner’s roles and competencies 7.(cid:32) Actively participates in collaborative practice involving all healthcare team members in critical care and performs the prescriptive roles within the authorized scope 8.(cid:32) Engages in ethical practice having a sound knowledge of law, ethics and regulation of advanced nursing practice 9.(cid:32) Uses the training opportunities provided through well planned preceptorship and performs safe and competent care applying nursing process 10.(cid:32) Applies the knowledge of nursing theories in providing competent care to critically ill patients 11.(cid:32) Predicts future challenges of nurse practitioner’s roles in variety of healthcare settings particularly in India¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 65 Hours of instruction: 40hrs. Sl.No. Topic Hours 1. Global Health Care Challenges and Trends(Competency-1) 2 2. Health System in India 2 Health Care Delivery System in India – Changing Scenario(Competency-3) 3. National Health Planning – 5 year plans and National Health Policy(Competency-2) 2 4. Health Economics & Health Care financing(Competency- 4) 4 5. Health Information system including Nursing Informatics (use of computers)(Competency-5) 4 Advanced Nursing Practice (ANP) 6. ANP-Definition, Scope, Philosophy, Accountability, Roles & Responsibilities (Collaborative 3 practice and Nurse Prescribing roles)(Competency-6&7) 7. Regulation (accreditation of training institutions and Credentialing) & Ethical Dimensions of 3 advanced nursing practice role (Competency-8) 8. Nurse Practitioner – Roles, Types, Competencies, Clinical settings for practice, cultural 3 competence(Competency-6) 9. Training for NPs – Preceptorship (Competency-9) 2 10. Future challenges of NP practice(Competency-11) 4 11. Theories of Nursing applied to APN(Competency-10) 3 12. Nursing process applied to APN(Competency-9) 2 Self Learning assignments 6 1. Identify Health Care and Education Policies and analyse its impact on Nursing 2. Describe the legal position in India for NP practice. What is the future of nurse prescribing policies in India with relevance to these policies in other countries? 3. Examine the nursing protocols relevant to NP practice found in various ICUS in you tertiary centre Total 40 hrs. Bibliography: Barkers,A.M.(2009). Advanced Practice Nursing. Massachussets: Jones & Bartlett Publishers Hickey, J. V., Ouimette, R. M., & Venegoni, S. L. (1996).(cid:118)(cid:97)(cid:100)(cid:110)(cid:65)(cid:99)(cid:101)(cid:112)(cid:100)(cid:97)(cid:114)(cid:32)(cid:99)(cid:99)(cid:105)(cid:116)(cid:101)(cid:32)(cid:110)(cid:117)(cid:110)(cid:105)(cid:115)(cid:114)(cid:103)(cid:58)(cid:32)(cid:104)(cid:110)(cid:67)(cid:97)(cid:103)(cid:110)(cid:105)(cid:103)(cid:32)(cid:111)(cid:114)(cid:32)(cid:101)(cid:108)(cid:115)(cid:97)(cid:100)(cid:110)(cid:32)(cid:99)(cid:110)(cid:105)(cid:108)(cid:105) (cid:99)(cid:97)(cid:32)(cid:108) (cid:97)(cid:112)(cid:112)(cid:99)(cid:105)(cid:108)(cid:97)(cid:111)(cid:105)(cid:116)(cid:110) s. Philadelphia: Lippincott Williams and Wilkins. Schober, M., & Affara, F. A. (2006).(cid:65)(cid:100)(cid:110)(cid:118)(cid:97)(cid:99)(cid:101)(cid:110)(cid:100)(cid:117)(cid:110)(cid:32)(cid:105)(cid:115)(cid:114)(cid:103)(cid:32)(cid:112)(cid:99)(cid:105)(cid:101)(cid:97)(cid:46)(cid:114)(cid:99)(cid:116) Oxford: Blackwell publishing. Stewart,G.J.,& Denisco,S.M.(2015).Role Development for the Nurse Practitioner. USA: Springer Publishing Company II.(cid:32) Research Application and Evidence Based Practice in Critical Care COMPETENCIES 1.(cid:32) Applies sound research knowledge and skills in conducting independent research in critical care setting 2.(cid:32) Participates in collaborative research to improve patient care quality 3.(cid:32) Interprets and uses research findings in advanced practice to produce EBP 4.(cid:32) Tests / Evaluates current practice to develop best practices and health outcomes and quality care in advanced practice 5.(cid:32) Analyzes the evidence for nursing interventions carried out in critical care nursing practice to promote safety and effectiveness of care 6.(cid:32) Develops skill in writing scientific research reports Hours of Instruction (Theory: 56+Lab/skill lab: 24hrs) =80hrs Sl.No. Topic Hours 1. Research and Advanced Practice Nursing : Significance of Research and inquiry related to 2 Advanced nursing role (Competency 1) 2. Research agenda for APN practice :Testing current practice to develop best practice, health 5 outcomes and indicators of quality care in advanced practice (Competency 3,4,5), promoting research culture66 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 3. Research Knowledge and skills: 40 Research competencies essential for APNs (interpretation and use of research, evaluation of (5 days practice, participation in collaborative research) workshop) Research Methodology Phases / steps (Research question, Review of literature, conceptual framework, research designs, sampling, data collection, methods & tools, Analysis and Reporting) writing research proposal and research report (Competency – 1 & 2) 4. Writing for publication 5 (writing workshop – Manuscript preparation and finding funding sources) (Competency – 6) (workshop) 5. Evidence based practice 4 -(cid:32) Concepts, principles, importance and steps -(cid:32) Integrating EBP to ICU environment -(cid:32) Areas of evidence in critical care -(cid:32) Barriers to implement EBP -(cid:32) Strategies to promote (Competency – 3,4,5) Total 56hrs. Practical / Lab & Assignments- 24hrs (cid:183) (cid:32) Identifying research priorities (cid:183) (cid:32) Writing exercises on Research question, objectives and hypothesis (cid:183) (cid:32) Writing research proposal (cid:183) (cid:32) Scientific paper writing – preparation of manuscript for publication (cid:183) (cid:32) Writing systematic review – Analyze the evidence for a given nursing intervention in ICU Clinical Practicum (cid:183) (cid:32) Research practicum: Dissertation ( 336 hrs=7 weeks) Bibliography: Burns, N., & Grove, S. K. (2011).(cid:85)(cid:110)(cid:100)(cid:97)(cid:116)(cid:115)(cid:101)(cid:114)(cid:110)(cid:100)(cid:103)(cid:110)(cid:105)(cid:32)(cid:110)(cid:117)(cid:110)(cid:105)(cid:32)(cid:115)(cid:114)(cid:103)(cid:101)(cid:101)(cid:97)(cid:115)(cid:114)(cid:99)(cid:104)(cid:114)(cid:58)(cid:32)(cid:66)(cid:117)(cid:100)(cid:108)(cid:105)(cid:110)(cid:105)(cid:103)(cid:32)(cid:97)(cid:110)(cid:32)(cid:101)(cid:110)(cid:118)(cid:100)(cid:105)(cid:99)(cid:101) (cid:101)(cid:45)(cid:98)(cid:97)(cid:101)(cid:100)(cid:115)(cid:32)(cid:112)(cid:97)(cid:114)(cid:99)(cid:99)(cid:105)(cid:116)(cid:101)(cid:32) (5th ed.). Ist Indian reprint 2012, New Delhi: Elsevier. Polit, D. F., & Beck, C. T. (2012).(cid:117)(cid:110)(cid:105)(cid:78)(cid:115)(cid:114)(cid:103)(cid:32)(cid:101)(cid:101)(cid:97)(cid:115)(cid:114)(cid:99)(cid:104)(cid:114)(cid:58)(cid:71)(cid:101)(cid:110)(cid:97)(cid:101)(cid:114)(cid:110)(cid:105)(cid:116)(cid:103)(cid:32)(cid:97)(cid:110)(cid:100)(cid:32)(cid:110)(cid:105)(cid:97)(cid:115)(cid:101)(cid:115)(cid:115)(cid:103)(cid:115)(cid:32)(cid:101)(cid:118)(cid:100)(cid:105)(cid:101)(cid:110)(cid:99)(cid:101)(cid:32) (cid:111)(cid:102)(cid:32)(cid:114)(cid:110)(cid:117)(cid:110)(cid:105)(cid:115)(cid:114)(cid:103)(cid:32)(cid:112)(cid:97)(cid:114)(cid:99)(cid:99)(cid:105)(cid:116)(cid:101)(cid:32) (9th ed.). Philadelphia: Lippincott Williams & Wilkins. Schmidt, N. A., & Brown, J. M. (2009). Evidence – based practice for nurses appraisal and application of research. Sd: Jones and Bartlet Publishers. III.(cid:32) Advanced skills in Leadership, Management and Teaching COMPETENCIES 1.(cid:32) Applies principles of leadership and management in critical care units 2.(cid:32) Manages stress and conflicts effectively in a critical care setting using sound knowledge of principles 3.(cid:32) Applies problem solving and decision making skills effectively 4.(cid:32) Uses critical thinking and communication skills in providing leadership and managing patient care in ICU 5.(cid:32) Builds teams and motivates others in ICU setting 6.(cid:32) Develops unit budget, manages supplies and staffing effectively¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 67 7.(cid:32) Participates appropriately in times of innovation and change 8.(cid:32) Uses effective teaching methods, media and evaluation based on sound principles of teaching 9.(cid:32) Develops advocacy role in patient care, maintaining quality and ethics in ICU environment 10.(cid:32) Provides counseling to families and patients in crisis situations particularly end of life care Hours of Instruction –(56+24=80Hrs) Sl.No. Topic Hours 1. Theories, styles of leadership and current trends 2 2. Theories, styles of management and current trends 2 3. Principles of leadership and management applied to critical care settings 4 4. Stress management and conflict management – principles and application to critical care 4 environment, Effective time management 5. Quality improvement and audit 4 6. Problem solving, critical thinking and decision making, communication skills applied to critical 5 care nursing practice 7. Team building, motivating and mentoring within ICU set up 2 8. Budgeting and management of resources including human resources – ICU budget, material 5 management, staffing, assignments 9. Change and innovation 2 10. Staff performance, and evaluation (performance appraisals) 6 11. Teaching – Learning theories and principles applied to Critical Care Nursing 2 12. Competency based education and outcome based education 2 13. Teaching methods / strategies, media: educating patients and staff in Critical Care settings 8 14. Staff education and use of tools in evaluation 4 15. APN – Roles as a teacher 2 16. Advocacy roles in critical care environment 2 Total 56 hrs. Practical / Lab = 24 hrs. 1.(cid:32) Preparation of staff patient assignment 2.(cid:32) Preparation of unit budget 3.(cid:32) Preparation of staff duty roster 4.(cid:32) Patient care audit 5.(cid:32) Preparation of nursing care standards and protocols 6.(cid:32) Management of equipment and supplies 7.(cid:32) Monitoring, evaluation, and writing report of infection control practices 8.(cid:32) Development of teaching plan 9.(cid:32) Micro teaching / patient education sessions 10.(cid:32) Preparation of teaching method and media for patients and staff 11.(cid:32) Planning and conducting OSCE/OSPE 12.(cid:32) Construction of tests Assignment - ICU work place violence Bibliography: Bastable, S. B. (2010).(cid:117)(cid:101)(cid:78)(cid:32)(cid:115)(cid:114)(cid:97)(cid:32)(cid:115)(cid:101)(cid:100)(cid:117)(cid:99)(cid:97)(cid:111)(cid:116)(cid:58)(cid:114)(cid:32)(cid:80)(cid:110)(cid:105)(cid:114)(cid:99)(cid:112)(cid:105)(cid:32)(cid:101)(cid:108)(cid:115)(cid:111)(cid:32)(cid:102)(cid:101)(cid:116)(cid:97)(cid:99)(cid:104)(cid:110)(cid:105)(cid:103)(cid:32)(cid:97)(cid:100)(cid:110)(cid:32)(cid:101)(cid:108)(cid:97)(cid:110)(cid:114) (cid:110)(cid:105)(cid:103)(cid:32)(cid:111)(cid:102)(cid:32)(cid:114)(cid:110)(cid:117)(cid:110)(cid:105)(cid:115)(cid:114)(cid:103)(cid:32)(cid:112)(cid:97)(cid:114)(cid:99)(cid:99)(cid:105)(cid:116)(cid:101)(cid:32) (3rd ed.). New Delhi: Jones & Bartlett Publishers Billings, D. M., & Halstead, J. A. (2009).(cid:101)(cid:84)(cid:97)(cid:99)(cid:104)(cid:103)(cid:110)(cid:105)(cid:32)(cid:110)(cid:105)(cid:32)(cid:110)(cid:117)(cid:110)(cid:105)(cid:115)(cid:114)(cid:103)(cid:58)(cid:32)(cid:65)(cid:32)(cid:103)(cid:100)(cid:117)(cid:101)(cid:32)(cid:105)(cid:111)(cid:102)(cid:32)(cid:114)(cid:97)(cid:102)(cid:99)(cid:117)(cid:121)(cid:116)(cid:108) (3rd ed.). St.Louis, Missouri: Saunders Elsevier. Clark, C. C. (2010). Creative nursing leadership and management. New Delhi: Jones and Bartlet Publishers. McConnel.(2008). Management principles for health professionals. Sudbury, M. A: Jones and Bartlet Publishers.68 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] Roussel, L., &Swansburg, R. C. (2010). Management and leadership for nurse administrators (5th ed.). New Delhi: Jones and Bartlet Publishers. Advanced Nursing Courses IV.(cid:32) A. Advanced Pathophysiology Applied to Critical Care Nursing – I COMPETENCIES (cid:183) (cid:32) Integrates the knowledge of pathopysiological process in critical conditions in developing diagnosis and plan of care (cid:183) (cid:32) Applies the pathophysiogical principles in symptom management and secondary prevention of critical illnesses (cid:183) (cid:32) Analyzes the pathophysiological changes relevant to each critical illness recognizing the value of diagnosis, treatment, care and prognosis Hours of instruction: Theory: 30 hours Unit Hours Content I (8) 1. Cardiovascular function Advanced pathophysiological process of cardiovascular conditions (cid:183) (cid:32) Hypertensive disorder (cid:183) (cid:32) Peripheral artery disorder (cid:183) (cid:32) Venous disorders (cid:183) (cid:32) Coronary artery diseases (cid:183) (cid:32) Valvular heart disease (cid:183) (cid:32) Cardiomyopathy and heart failure (cid:183) (cid:32) Cardiac Tamponade (cid:183) (cid:32) Arrythmias (cid:183) (cid:32) Corpumonale (cid:183) (cid:32) Heart block and conduction disturbances 2. Pulmonary function (4) Advanced pathophysiological process of pulmonary conditions (cid:183) (cid:32) Chronic obstructive pulmonary disease (cid:183) (cid:32) Disorders of the pulmonary vasculature (cid:183) (cid:32) Infectious diseases (cid:183) (cid:32) Respiratory failure (cid:183) (cid:32) Chest trauma 3. Neurological function (6) Advanced pathophysiological process of neurological conditions (cid:183) (cid:32) Seizure disorder (cid:183) (cid:32) Cerebrovascular disease (cid:183) (cid:32) Infections (cid:183) (cid:32) Spinal cord disorder (cid:183) (cid:32) Degenerative neurological diseases (cid:183) (cid:32) Neurological trauma (cid:183) (cid:32) Coma, unconsciousness 4. Renal function (4) Advanced pathophysiological process of renal conditions (cid:183) (cid:32) Acute renal failure (cid:183) (cid:32) Chronic renal failure (cid:183) (cid:32) Bladder trauma (cid:183) (cid:32) Infections(Glomerulonephritis) (cid:183) (cid:32) Nephrotic syndrome¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 69 5. Gastrointestinal and hepatobiliary function (4) Advanced pathophysiological process of hepatobiliary conditions (cid:183) (cid:32) Gastrointestinal bleeding (cid:183) (cid:32) Intestinal obstruction (cid:183) (cid:32) Pancreatitis (cid:183) (cid:32) Hepatic failure (cid:183) (cid:32) Gastrointestinal perforation 6. Endocrine functions Advanced pathophysiological process of endocrine conditions (4) (cid:183) (cid:32) Diabetic ketoacidosis (cid:183) (cid:32) Hyperosmolar non ketotic coma (cid:183) (cid:32) Hypoglycemia (cid:183) (cid:32) Thyroid storm (cid:183) (cid:32) Myxedema coma (cid:183) (cid:32) Adrenal crisis (cid:183) (cid:32) Syndrome of inappropriate antidiuretic hormone secretion IV.B. Advanced Pathophysiology Applied to Critical Care Nursing - II Hours of instruction Theory: 30 hours Unit Hours Content I (8) 1. Hematological function Advanced pathophysiological process of hematological conditions (cid:183) (cid:32) Disorders of red blood cells -(cid:32) Polycythemia -(cid:32) Anemia -(cid:32) Sickle cell diseases (cid:183) (cid:32) Disorders of white blood cells -(cid:32) Leucopenia -(cid:32) Neoplastic disorders (cid:183) (cid:32) Disorders of hemostasis -(cid:32) Platelet disorders -(cid:32) Coagulation disorders -(cid:32) Disseminated intravascular coagulation II 2. Integumenatry function (2) Advanced pathophysiological process of integumentary conditions (cid:183) (cid:32) Wound healing (cid:183) (cid:32) Burns (cid:183) (cid:32) Steven Johnson Syndrome III 3. Multisystem dysfunction Advanced pathophysiological process of neurological conditions (cid:183) (cid:32) Shock -(cid:32) Hypovolemic -(cid:32) Cardiogenic -(cid:32) Distributive (8) (cid:183) (cid:32) Systemic inflammatory syndrome (cid:183) (cid:32) Multiple organ dysfunction syndrome (cid:183) (cid:32) Trauma -(cid:32) Thoracic -(cid:32) Abdominal -(cid:32) Musculoskeletal -(cid:32) maxillofacial70 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] (cid:183) (cid:32) Drug overdose and poisoning (cid:183) (cid:32) Envenomation IV 4. Specific infections Advanced pathophysiological process of specific infections (cid:183) (cid:32) HIV (cid:183) (cid:32) Tetanus (cid:183) (cid:32) SARS (cid:183) (cid:32) Rickettsiosis (6) (cid:183) (cid:32) Leptospirosis (cid:183) (cid:32) Dengue (cid:183) (cid:32) Malaria (cid:183) (cid:32) Chickungunya (cid:183) (cid:32) Rabies (cid:183) (cid:32) Avian flu (cid:183) (cid:32) Swine flu V 5. Reproductive functions Advanced pathophysiological process of reproductive conditions (6) (cid:183) (cid:32) Antepartum hemorrhage (cid:183) (cid:32) Pregnancy induced hypertension (cid:183) (cid:32) Obstructed labour (cid:183) (cid:32) Ruptured uterus (cid:183) (cid:32) Postpartum hemorrhage (cid:183) (cid:32) Puerperal sepsis (cid:183) (cid:32) Amniotic fluid embolism (cid:183) (cid:32) HELLP (Hemolysis, Elevated Liver enzymes, Low Platelet Count) (cid:183) (cid:32) Trauma Bibliography Huether, S. E., &McCance, K. L. (2012). Understanding pathophysiology (5th ed.). St. Louis, Missouri: Elsevier John, G., Subramani, K., Peter, J. V., Pitchamuthu, K., &Chacko, B. (2011). Essentials of critical care (8th ed.) . Christian Medical College: Vellore. Porth, C. M. (2007). Essentials of pathophysiology: Concepts of altered health states (2nded.). Philadelphia: Lippincott Williams and Wilkins. Urden, L. D., Stacy, K. M., & Lough, M. E. (2014). Critical Care Nursing- Diagnosis and management (7th ed.). Elsevier: Missouri V.(cid:32) Advanced Pharmacology relevant to Critical Care Nursing COMPETENCIES (cid:183) (cid:32) Applies the pharmacological principles in providing care to critically ill patients and families (cid:183) (cid:32) Analyzes pharmaco-therapeutics and pharmacodynamics relevant to drugs used in the treatment of critical care conditions (cid:183) (cid:32) Performs safe drug administration based on principles and institutional protocols (cid:183) (cid:32) Documents accurately and provides follow up care (cid:183) (cid:32) Applies sound knowledge of drug interactions in administration of drugs to critically ill patients in the critical care settings and guiding their families in self care management¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 71 Hours of instruction Theory: 54 hours Unit Hours Content I 2 Introduction to pharmacology in critical care (cid:183) (cid:32) History (cid:183) (cid:32) Classification of drugs and schedules II 4 Pharmacokinetics and Pharmaco-dynamics (cid:183) (cid:32) Introduction (cid:183) (cid:32) Absorption, Distribution, Metabolism, Distribution and Excretion in critical care (cid:183) (cid:32) Plasma concentration, half life (cid:183) (cid:32) Loading and maintenance dose (cid:183) (cid:32) Therapeutic index and drug safety (cid:183) (cid:32) Potency and efficacy (cid:183) (cid:32) Principles of drug administration (cid:1)(cid:32) The rights of drug administration (cid:1)(cid:32) Systems of measurement (cid:1)(cid:32) Enteral drug administration (cid:1)(cid:32) Topical drug administration (cid:1)(cid:32) Parentral drug administration III 5 Pharmacology and Cardiovascular alterations in Critical care (cid:183) (cid:32) Vasoactive Medications (cid:1)(cid:32) Vasodilator, (cid:1)(cid:32) Vasopressor, (cid:1)(cid:32) Inotropes (cid:2)(cid:32) Cardiac glycosides – digoxin (cid:2)(cid:32) Sympathomimetics – Dopamine, dobutamine, epinephrine, isoproterenol, norepinephrine, phenylephrine (cid:2)(cid:32) Phosphodiesterase inhibitors – amrinone, milrinone (cid:183) (cid:32) Antiarrhythmic Medications (cid:183) (cid:32) Cardiac critical care conditions (cid:1)(cid:32) Medications to improve cardiac contractility (cid:1)(cid:32) Medications in the management of hypertension in critical care (cid:1)(cid:32) Medications in the management of heart failure (cid:1)(cid:32) Medications in the management of angina pectoris and myocardial infarction (cid:1)(cid:32) Medications in the management of dysrhythmias, Heart block and conduction disturbances (cid:1)(cid:32) Medications in the management of Pulmonary hypertension, Valvular heart disease, Cardiomypathy (cid:1)(cid:32) Medications in the management of Atherosclerotic disease of aorta and Peripheral artery disease (cid:1)(cid:32) Medications in the management of Deep vein thrombosis (cid:183) (cid:32) Institutional Protocols/Standing orders for cardiac critical care emergencies IV 4 Pharmacology and Pulmonary alterations in Critical care (cid:183) (cid:32) Mechanical Ventilation (cid:1)(cid:32) Introduction (cid:1)(cid:32) Medications used on patients with mechanical ventilator (cid:1)(cid:32) Mechanical ventilation impact on pharmacotherapy – Sedation and analgesia, Neuromucsular blockade, Nutrition (cid:183) (cid:32) Pulmonary critical care conditions (cid:183) (cid:32) Medications in the management of Status asthmaticus (cid:183) (cid:32) Medications in the management of Pulmonary edema (cid:183) (cid:32) Medications in the management of Pulmonary embolism (cid:183) (cid:32) Medications in the management of Acute respiratory failure and Acute respiratory distress syndrome (cid:183) (cid:32) Medications in the management of Chest trauma (cid:183) (cid:32) Medications in the management of Chronic obstructive pulmonary disease72 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] (cid:183) (cid:32) Medications in the management of Pneumonia (cid:183) (cid:32) Medications in the management of Pleural effusion (cid:183) (cid:32) Medications in the management of Atelectasis (cid:183) (cid:32) Standing orders for pulmonary critical care emergencies V 6 Pharmacology and Neurological alterations in Critical care (cid:183) (cid:32) Pain (cid:1)(cid:32) NSAID (cid:1)(cid:32) Opioid analgesia (cid:183) (cid:32) Sedation (cid:1)(cid:32) Gamma amino butyric acid stimulants (cid:1)(cid:32) Dexmeditomidine (cid:1)(cid:32) Analgosedation (cid:183) (cid:32) Delirium (cid:1)(cid:32) Haloperidol (cid:1)(cid:32) Atypical anti psychotics (cid:183) (cid:32) Medications used for local and general anesthesia (cid:183) (cid:32) Local- Amides, esters, and miscellaneous agents (cid:183) (cid:32) General – Gases, Volatile liquids, IV anesthetics (cid:183) (cid:32) Non anesthetic drugs adjuncts to surgery (cid:1)(cid:32) Paralytic Medications (cid:1)(cid:32) Non-depolarizing and depolarizing agents (cid:1)(cid:32) Anxiolytics (cid:183) (cid:32) Autonomic drugs (cid:1)(cid:32) Adrenergic agents/ Sympathomimetics (cid:1)(cid:32) Adrenergic blocking agents (cid:1)(cid:32) Cholinergic agents (cid:1)(cid:32) Anti cholinergic agents (cid:183) (cid:32) Medications in the management of anxiety and insomnia (cid:1)(cid:32) Antidepressants (cid:1)(cid:32) Benzodiazepines (cid:1)(cid:32) Barbiturates (cid:183) (cid:32) Neurological critical care conditions (cid:1)(cid:32) Medications in the management of psychoses (cid:1)(cid:32) Medications in the management of acute head and spinal cord injury with elevated intracranial pressure (cid:1)(cid:32) Medications in the management of muscle spasm (cid:1)(cid:32) Medications in the management of spasticity (cid:1)(cid:32) Medications in the management of Cerebro vascular disease and cerebro vascular accident (cid:1)(cid:32) Medications in the management of Encephalopathy (cid:1)(cid:32) Medications in the management of Gillian Bare syndrome and Myasthenia gravis (cid:1)(cid:32) Medications in the management of Brain herniation syndrome (cid:1)(cid:32) Medications in the management of Seizure disorder (cid:1)(cid:32) Medications in the management of Coma, Unconsciousness and persistent vegetative state (cid:1)(cid:32) Appropriate nursing care to safeguard patient (cid:1)(cid:32) Standing orders for neurology critical care emergencies VI 5 Pharmacology and Nephrology alterations in Critical care (cid:183) (cid:32) Diuretics (cid:183) (cid:32) Fluid replacement (cid:1)(cid:32) Crystalloids (cid:1)(cid:32) Colloids (cid:183) (cid:32) Electrolytes¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 73 (cid:1)(cid:32) Sodium (cid:1)(cid:32) Potassium (cid:1)(cid:32) Calcium (cid:1)(cid:32) Magnesium (cid:1)(cid:32) Phosphorus (cid:183) (cid:32) Nephrology critical care conditions (cid:1)(cid:32) Medications in the management of Acute / Chronic renal failure (cid:1)(cid:32) Medications in the management of Acute tubular necrosis (cid:1)(cid:32) Medications in the management of Bladder trauma (cid:1)(cid:32) Medications in the management of Electrolyte imbalances (cid:1)(cid:32) Medications in the management of Acid base imbalances (cid:1)(cid:32) Medications used during dialysis (cid:183) (cid:32) Standing orders for nephrology critical care emergencies VII 5 Pharmacology and Gastrointestinal alterations in Critical care (cid:183) (cid:32) Anti-ulcer drugs (cid:183) (cid:32) Laxatives (cid:183) (cid:32) Anti diarrheals (cid:183) (cid:32) Anti emetics (cid:183) (cid:32) Pancreatic enzymes (cid:183) (cid:32) Nutritional supplements, Vitamins and minerals (cid:183) (cid:32) Gastro intestinal critical care conditions (cid:1)(cid:32) Medications in the management of Acute GI bleeding, Hepatic failure (cid:1)(cid:32) Medications in the management of Acute pancreatitis (cid:1)(cid:32) Medications in the management of Abdominal injury (cid:1)(cid:32) Medications in the management of Hepatic encephalopathy (cid:183) (cid:32) Medications in the management of Acute intestinal obstruction (cid:183) (cid:32) Medications in the management of Perforative peritonitis (cid:183) (cid:32) Medications used during Gastrointestinal surgeries and Liver transplant (cid:183) (cid:32) Standing orders for gastro intestinal critical care emergencies VIII 4 Pharmacology and Endocrine alterations in Critical care (cid:183) (cid:32) Hormonal therapy (cid:183) (cid:32) Insulin and Other hypoglycemic agents (cid:183) (cid:32) Endocrine critical care conditions (cid:1)(cid:32) Medications in the management of Diabetic ketoacidosis, Hyperosmolar non ketotic coma (cid:1)(cid:32) Medications in the management of hypoglycemia (cid:1)(cid:32) Medications in the management of Thyroid storm (cid:1)(cid:32) Medications in the management of Myxedema coma (cid:1)(cid:32) Medications in the management of Adrenal crisis (cid:1)(cid:32) Medications in the management of SIADH (cid:183) (cid:32) Standing orders for endocrine critical care emergencies IX 5 Pharmacology and Hematology alterations in Critical care (cid:183) (cid:32) Anticoagulants (cid:183) (cid:32) Antiplatelet drugs (cid:183) (cid:32) Thrombolytics (cid:183) (cid:32) Hemostatics/ antifibrinolytics (cid:183) (cid:32) Hematopoietic growth factors (cid:1)(cid:32) Erythropoietin (cid:1)(cid:32) Colony stimulating factors (cid:1)(cid:32) Platelet enhancers (cid:183) (cid:32) Blood and blood products (cid:1)(cid:32) Whole blood, Packed red blood cells, Leukocyte-reduced red cells, Washed red blood cells, Fresh frozen plasma, Cryoprecipitate74 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] (cid:1)(cid:32) Albumin (cid:1)(cid:32) Transfusion reactions, Transfusion administration process (cid:183) (cid:32) Vaccines (cid:183) (cid:32) Immunostimulants (cid:183) (cid:32) Immunosuppressant (cid:183) (cid:32) Chemotherapeutic drugs – Alkylating agents, anti metabolites, anti tumor antibiotics, alkaloids, hormones and hormone antagonist, corticosteroids, gonadal hormones, anti estrogens, androgen antagonists, biologic response modifiers (cid:183) (cid:32) Hematology critical care conditions (cid:1)(cid:32) Medications in the management of Anemia in critical illness (cid:1)(cid:32) Medications in the management of DIC (cid:1)(cid:32) Medications in the management of Thrombocytopenia and acute leukemia (cid:1)(cid:32) Medications in the management of Heparin induced thrombocytopenia (cid:1)(cid:32) Medications in the management of Sickle cell anemia (cid:1)(cid:32) Medications in the management of Tumor lysis syndrome (cid:183) (cid:32) Standing orders for hematology critical care emergencies X 3 Pharmacology and Skin alterations in Critical care (cid:183) (cid:32) Hematology critical care conditions (cid:1)(cid:32) Medications used in burn management (cid:1)(cid:32) Medications used in wound management (cid:183) (cid:32) Standing orders for skin critical care emergencies XI 5 Pharmacology and Multisystem alterations in Critical care (cid:183) (cid:32) Medications in the management of shock, sepsis, Multiple Organ Dysfunction, Systemic inflammatory response syndrome, Anaphylaxis (cid:183) (cid:32) Medications in the management of Trauma, Injuries ( Heat, Electrical, Near Hanging, Near drowning) (cid:183) (cid:32) Medications in the management of bites, Drug overdose and Poisoning (cid:183) (cid:32) Medications in the management of fever in critical care setting (cid:1)(cid:32) Antipyretics (cid:1)(cid:32) NSAIDS (cid:1)(cid:32) Corticosteroids (cid:183) (cid:32) Standing orders for multi system critical care emergencies XII 6 Pharmacology and Infections in Critical care (cid:183) (cid:32) Antibacterial drugs (cid:1)(cid:32) Introduction (cid:1)(cid:32) Beta lactams – Penicillins, cephalosporins, monobactams, carbapenams, (cid:1)(cid:32) Aminoglycosides (cid:1)(cid:32) Anti MRSA (cid:1)(cid:32) Macrolides (cid:1)(cid:32) Quinolones (cid:1)(cid:32) Miscellaneous – lincosamide group, nitroimidazole, tetracyclins and chloramphenicol, polymyxins, anti malarials, anti fungals, anti virals (cid:183) (cid:32) Anti fungal drugs (cid:183) (cid:32) Anti protozoal drugs (cid:183) (cid:32) Anti viral drugs (cid:183) (cid:32) Choice of antimicrobials (cid:183) (cid:32) Infectious critical care conditions (cid:1)(cid:32) Medications in the management of HIV, Tetanus, SARS, Rickettsiosis, Leptospirosis, Dengue, Malaria, Chickungunya, Rabies, Avian flu and Swine flu (cid:183) (cid:32) Standing orders for infectious critical care emergencies Bibliography Johnson, T. J. (2012). (cid:99)(cid:105)(cid:116)(cid:105)(cid:97)(cid:114)(cid:67)(cid:32)(cid:108)(cid:99)(cid:97)(cid:101)(cid:32)(cid:114)(cid:112)(cid:104)(cid:97)(cid:109)(cid:97)(cid:114)(cid:99)(cid:111)(cid:104)(cid:116)(cid:112)(cid:97)(cid:101)(cid:101)(cid:114)(cid:117)(cid:99)(cid:105)(cid:116)(cid:115) .Jones & Bartlett Learning: United States of America Wynne, A. L., Woo, T. M., &Olyaei, A. J. (2007). (cid:104)(cid:97)(cid:80)(cid:111)(cid:109)(cid:97)(cid:114)(cid:104)(cid:116)(cid:99)(cid:97)(cid:101)(cid:114)(cid:112)(cid:101)(cid:117)(cid:32)(cid:99)(cid:105)(cid:116)(cid:115)(cid:111)(cid:102)(cid:32)(cid:114)(cid:110)(cid:117)(cid:101)(cid:32)(cid:115)(cid:114)(cid:112)(cid:97)(cid:114)(cid:99)(cid:111)(cid:105)(cid:116)(cid:105)(cid:116)(cid:110)(cid:32)(cid:101)(cid:114)(cid:112)(cid:105)(cid:99)(cid:101)(cid:114)(cid:115)(cid:114) (cid:98)(cid:115)(cid:101)(cid:114) (2nded.). Philadelphia: Davis.¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 75 VI.(cid:32) Advanced Health/Physical Assessment in Critical Care Nursing COMPETENCIES (cid:183) (cid:32) Applies the physical assessment principles in developing appropriate system wise examination skills (cid:183) (cid:32) Uses advanced health assessment skills to differentiate between variations of normal and abnormal findings (cid:183) (cid:32) Orders screening and diagnostic tests based on the examination findings (cid:183) (cid:32) Analyzes the results of various investigations and works collaboratively for development of diagnoses (cid:183) (cid:32) Documents assessment, diagnosis, and management and monitors follow up care in partnership with health care team members, patients, and families Hours of instruction Theory: 70 hours Practical/Lab: 46 hours Unit Hours Content 1. Introduction (cid:183) (cid:32) History taking (4) (cid:183) (cid:32) Physical examination 2. Cardiovascular system (6) (cid:183) (cid:32) Cardiac history (cid:183) (cid:32) Physical examination (cid:183) (cid:32) Cardiac laboratory studies – biochemical markers, hematological studies (cid:183) (cid:32) Cardiac diagnostic studies – Electrocardiogram, echocardiography, stress testing, radiological imaging 3. Respiratory system (cid:183) (cid:32) History (6) (cid:183) (cid:32) Physical examination (cid:183) (cid:32) Respiratory monitoring – Arterial blood gases, pulse oximetry, end-tidal carbondioxide monitoring (cid:183) (cid:32) Respiratory Diagnostic tests – Chest radiography, ventilation perfusion scanning, pulmonary angiography, bronchoscopy, thoracentesis, sputum culture, pulmonary function test 4. Nervous system (cid:183) (cid:32) Neurological history (cid:183) (cid:32) General physical examination (6) (cid:183) (cid:32) Assessment of cognitive function (cid:183) (cid:32) Assessment of cranial nerve function (cid:183) (cid:32) Motor assessment – muscle strength, power, and reflexes (cid:183) (cid:32) Sensory assessment – dermatome assessment (cid:183) (cid:32) Neurodiagnostic studies – CT scan, MRI, PET 5. Renal system (cid:183) (cid:32) History (6) (cid:183) (cid:32) Physical examination (cid:183) (cid:32) Assessment of renal function (cid:183) (cid:32) Assessment of electrolytes and acid base balance (cid:183) (cid:32) Assessment of fluid balance 6. Gastrointestinal system (cid:183) (cid:32) History (cid:183) (cid:32) Physical examination (cid:183) (cid:32) Nutritional assessment (4) (cid:183) (cid:32) Laboratory studies – Liver function studies, blood parameters, stool test (cid:183) (cid:32) Diagnostic studies – radiological and imaging studies, endoscopic studies76 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 7. Endocrine system (cid:183) (cid:32) History, physical examination, laboratory studies, and diagnostic studies of -(cid:32) Hypothalamus and pituitary gland (4) -(cid:32) Thyroid gland -(cid:32) Parathyroid gland -(cid:32) Endocrine gland -(cid:32) Adrenal gland 8. Hematological system (cid:183) (cid:32) History (cid:183) (cid:32) Physical examination (4) (cid:183) (cid:32) Laboratory studies - blood parameters (cid:183) (cid:32) Diagnostic studies – bone marrow aspiration 9. Integumentary system (cid:183) (cid:32) History (cid:183) (cid:32) Physical examination (3) (cid:183) (cid:32) Pathological examination – tissue examination 10. Musculoskeletal system (cid:183) (cid:32) History (6) (cid:183) (cid:32) Physical examination – gait assessment, joint assessment, (cid:183) (cid:32) Laboratory studies – blood parameters (inflammatory enzymes, uric acid) (cid:183) (cid:32) Diagnostic studies - Radiological and imaging studies, endoscopic studies 11. Reproductive system(Male & Female) (cid:183) (cid:32) History (5) (cid:183) (cid:32) Physical examination (cid:183) (cid:32) Laboratory studies (cid:183) (cid:32) Diagnostic studies 12. Sensory Organs (4) (cid:183) (cid:32) History (cid:183) (cid:32) Physical examination (cid:183) (cid:32) Laboratory studies (cid:183) (cid:32) Diagnostic studies - Radiological and imaging studies, endoscopic studies 13. Assessment of children (cid:183) (cid:32) Growth and development (6) (cid:183) (cid:32) Nutritional assessment (cid:183) (cid:32) Specific system assessment 14. Assessment of older adults (cid:183) (cid:32) History (6) (cid:183) (cid:32) Physical assessment (cid:183) (cid:32) Psychological assessment (cid:76)(cid:32)(cid:116)(cid:115)(cid:105)(cid:111)(cid:102)(cid:32)(cid:107)(cid:115)(cid:32)(cid:115)(cid:108)(cid:111)(cid:108)(cid:116)(cid:105)(cid:32)(cid:98)(cid:101)(cid:32)(cid:112)(cid:97)(cid:114)(cid:99)(cid:99)(cid:105)(cid:116)(cid:101)(cid:32)(cid:110)(cid:101)(cid:100)(cid:104)(cid:116)(cid:32)(cid:107)(cid:115)(cid:32)(cid:32)(cid:108)(cid:108)(cid:105)(cid:105)(cid:97)(cid:108)(cid:98)(cid:32)(cid:40)(cid:52)(cid:54) (cid:32)(cid:111)(cid:104)(cid:32)(cid:99)(cid:115)(cid:110)(cid:105)(cid:117)(cid:108)(cid:114)(cid:117)(cid:100)(cid:101)(cid:32)(cid:109)(cid:100)(cid:101)(cid:111)(cid:97)(cid:114)(cid:116)(cid:115)(cid:111)(cid:110)(cid:105)(cid:116)(cid:32)(cid:110)(cid:98)(cid:121)(cid:32)(cid:101)(cid:104)(cid:116)(cid:32)(cid:102)(cid:97)(cid:99)(cid:121)(cid:116)(cid:108)(cid:117)(cid:32)(cid:97)(cid:100)(cid:110)(cid:32)(cid:112)(cid:97)(cid:114) (cid:99)(cid:99)(cid:105)(cid:116)(cid:101)(cid:32)(cid:98)(cid:121)(cid:32)(cid:101)(cid:104)(cid:116)(cid:100)(cid:32)(cid:117)(cid:116)(cid:115)(cid:41)(cid:101)(cid:115)(cid:116)(cid:110)(cid:32) (cid:1)(cid:32) Comprehensive history taking (cid:32) (cid:1)(cid:32) Focused history taking (system wise )(cid:32)¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 77 (cid:1)(cid:32) Comprehensive physical examination (cid:32) (cid:1)(cid:32) Focused physical examination (system wise)(cid:32) (cid:1)(cid:32) Monitoring clinical parameters ( system wise)(cid:32) Invasive BP monitoring, Multi-parameter Monitors, ECG, Pulse index Continuous Cardiac Output (PiCCO), Peripheral vascular status, ABG, Pulse Oximetry, End Tidal CO2 (ETCO2), Intracranial Pressure (ICP), Glasgow Coma Scale (GCS), Cranial nerve assessment, Pain and Sedation score of critically ill, Motor assessment, Sensory assessment, Renal function tests, Fluid balance, acid base balance, electrolytes, Bowel sounds, Abdominal pressure, Residual gastric volume, Liver function tests, GRBS, Lab tests, Radiological and Imaging tests(system wise) (cid:1)(cid:32) Ordering and interpretation of screening and diagnostic tests ( system wise) (Enclosed-Appendix 3) (cid:1)(cid:32) Assessment of children-neonate and child (cid:1)(cid:32) Assessment of Older adults (cid:1)(cid:32) Assessment of pregnant women Bibliography Bickley, L. S., &Szilagyi, P. G. (2013). Bates’ guide to physical examination and history taking (11th ed.). New Delhi: Lippincott Williams and Wilkins. Rhoads, J. (2006). (cid:100)(cid:118)(cid:65)(cid:97)(cid:110)(cid:100)(cid:101)(cid:99)(cid:32)(cid:97)(cid:101)(cid:104)(cid:104)(cid:116)(cid:108)(cid:32)(cid:109)(cid:97)(cid:101)(cid:115)(cid:101)(cid:110)(cid:115)(cid:115)(cid:115)(cid:32)(cid:116)(cid:97)(cid:110)(cid:100)(cid:32)(cid:100)(cid:97)(cid:105)(cid:110)(cid:103)(cid:111)(cid:99)(cid:105)(cid:116)(cid:32)(cid:115)(cid:101)(cid:97)(cid:114)(cid:111)(cid:115)(cid:110)(cid:110)(cid:105)(cid:103) (cid:46)(cid:32) Philadelphia: Lippincott Williams & Wilkins. Wilson, S. F., & Giddens, J. F. (2006).(cid:72)(cid:101)(cid:97)(cid:104)(cid:116)(cid:108)(cid:32)(cid:109)(cid:97)(cid:101)(cid:115)(cid:101)(cid:110)(cid:115)(cid:115)(cid:115)(cid:116)(cid:32)(cid:111)(cid:102)(cid:32)(cid:114)(cid:110)(cid:117)(cid:110)(cid:105)(cid:115)(cid:114)(cid:103)(cid:32)(cid:112)(cid:97)(cid:114)(cid:99)(cid:99)(cid:105)(cid:116)(cid:101)(cid:32) (4th ed.).St. Louis, Missouri: Saunders Elsevier. Critical care specialty courses (Foundations of Critical Care Nursing Practice, Critical Care Nursing I and Critical Care Nursing II) COMPETENCIES (cid:183) (cid:32) Applies advanced concepts of critical care nursing based on sound knowledge of these concepts (cid:183) (cid:32) Uses invasive and noninvasive technology and interventions to assess, monitor and promote physiologic stability (cid:183) (cid:32) Works in collaboration with other healthcare team members (cid:183) (cid:32) Consults with and is consulted by other health care professionals (cid:183) (cid:32) Provides nursing care related to health protection, disease prevention, anticipatory guidance, counseling, management of critical illness, palliative care and end of life care (cid:183) (cid:32) Uses advanced skills in complex and unstable environments (cid:183) (cid:32) Applies ethically sound solutions to complex issues related to individuals, populations and systems of care (cid:183) (cid:32) Practices principles of infection control relevant to critical care (cid:183) (cid:32) Practices independently within the legal framework of the country towards the interest of patients, families and communities (cid:183) (cid:32) Develops practice that is based on scientific evidence (cid:183) (cid:32) Uses applicable communication, counseling, advocacy and interpersonal skills to initiate , develop and discontinue therapeutic relationships (cid:183) (cid:32) Creates and maintains a safe therapeutic environment using risk management strategies and quality improvement (cid:183) (cid:32) Adapts practice to the social, cultural and contextual milieu VII.(cid:32) Foundations of Critical Care Nursing Practice Hours of instruction: Theory: 96 hours, Practical/skill lab: 48 hours Unit Hours Content I 10 Introduction to Critical Care Nursing (cid:183) (cid:32) Introduction to the course78 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] (cid:183) (cid:32) Review of anatomy and physiology of vital organs (Brain, Spinal Cord, Lungs, Heart, Kidney, Liver, Pancreas, Thyroid, Adrenal and Pituitary gland) (cid:183) (cid:32) Historical review- Progressive patient care(PPC) (cid:183) (cid:32) Concepts of critical care nursing (cid:183) (cid:32) Principles of critical care nursing (cid:183) (cid:32) Scope of critical care nursing (cid:183) (cid:32) Critical care unit set up (including types of ICU, equipment, supplies, beds and accessories, use and care of various type of monitors & ventilators, Flow sheets, supply lines and the environment) (cid:183) (cid:32) Personnel in ICU (cid:3)(cid:32) Nursing staff (cid:3)(cid:32) Doctors (cid:3)(cid:32) Critical care technicians (cid:3)(cid:32) Ancillary staff (cid:183) (cid:32) Technology in critical care (cid:183) (cid:32) Healthy work environment (cid:183) (cid:32) Future challenges in critical care nursing II 5 Concept of Holistic care applied to critical care nursing practice (cid:183) (cid:32) Application of nursing process in the care of critically ill (cid:183) (cid:32) Admission and progress in ICU- An overall view (cid:183) (cid:32) Overview of ICU Management (cid:3)(cid:32) Ensure adequate tissue oxygenation (cid:3)(cid:32) Maintain chemical environment (cid:3)(cid:32) Maintain temperature (cid:3)(cid:32) Organ protection (cid:3)(cid:32) Nutritional support (cid:3)(cid:32) Infection control (cid:3)(cid:32) Physiotherapy and rehabilitation (cid:3)(cid:32) Family visiting hours (cid:183) (cid:32) Restraints in critical care – physical, chemical and alternatives to restraints (cid:183) (cid:32) Death in critical care unit: End of life care/Care of dying, care of family, organ donation (cid:183) (cid:32) Transport of the critically ill – By air ambulance and surface ambulance (cid:183) (cid:32) Stress and burnout syndrome among health team members III 10 Appraisal of the critically ill (cid:84)(cid:97)(cid:105)(cid:114)(cid:103)(cid:103)(cid:110)(cid:105)(cid:32)(cid:99)(cid:111)(cid:99)(cid:110)(cid:101)(cid:112)(cid:44)(cid:116)(cid:32)(cid:112)(cid:111)(cid:114)(cid:32)(cid:99)(cid:115)(cid:101)(cid:97)(cid:115)(cid:100)(cid:110)(cid:32)(cid:112)(cid:99)(cid:110)(cid:105)(cid:112)(cid:105)(cid:114)(cid:101)(cid:108)(cid:115)(cid:32) (cid:101)(cid:115)(cid:115)(cid:65)(cid:109)(cid:115)(cid:115)(cid:101)(cid:32)(cid:116)(cid:110)(cid:111)(cid:102)(cid:32)(cid:101)(cid:104)(cid:116)(cid:32)(cid:99)(cid:105)(cid:116)(cid:105)(cid:99)(cid:97)(cid:114)(cid:121)(cid:108)(cid:108)(cid:32)(cid:108)(cid:108)(cid:105)(cid:32) (cid:183) (cid:32) General assessment (cid:183) (cid:32) Respiratory assessment (cid:183) (cid:32) Cardiac assessment (cid:183) (cid:32) Renal assessment (cid:183) (cid:32) Neurological assessment (cid:183) (cid:32) Gastrointestinal assessment (cid:183) (cid:32) Endocrine assessment (cid:183) (cid:32) Musculoskeletal assessment (cid:183) (cid:32) Integumentary assessment (cid:77)(cid:111)(cid:111)(cid:116)(cid:105)(cid:110)(cid:103)(cid:110)(cid:105)(cid:114)(cid:32)(cid:111)(cid:102)(cid:32)(cid:101)(cid:104)(cid:116)(cid:32)(cid:99)(cid:105)(cid:116)(cid:105)(cid:99)(cid:97)(cid:114)(cid:121)(cid:108)(cid:108)(cid:32)(cid:108)(cid:108)(cid:105)(cid:32) (cid:183) (cid:32) Arterial blood gas (ABG) (cid:183) (cid:32) Capnography (cid:183) (cid:32) Hemodynamics (cid:183) (cid:32) Electrocardiography (ECG) (cid:183) (cid:32) Glasgow Coma Scale (GCS) (cid:183) (cid:32) Richmond agitation sedation scale (RASS) (cid:183) (cid:32) Pain score (cid:183) (cid:32) Braden score¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 79 (cid:118)(cid:97)(cid:69)(cid:97)(cid:117)(cid:108)(cid:111)(cid:105)(cid:116)(cid:32)(cid:110)(cid:111)(cid:102)(cid:32)(cid:101)(cid:104)(cid:116)(cid:32)(cid:99)(cid:105)(cid:116)(cid:105)(cid:99)(cid:97)(cid:114)(cid:121)(cid:108)(cid:108)(cid:32)(cid:108)(cid:108)(cid:105)(cid:32) (cid:183) (cid:32) Evaluation of pre critical illness (cid:183) (cid:32) Evaluation of critical illness (cid:183) (cid:32) Outcome and scoring systems (cid:3)(cid:32) Acute Physiology and Chronic Health Evaluation ( APACHE I-IV) (cid:3)(cid:32) Mortality probability model (MPM I, II) (cid:3)(cid:32) Simplified acute physiology score (SAPS I, II) (cid:3)(cid:32) Organ system failure (cid:3)(cid:32) Full outline of unresponsiveness (FOUR) (cid:3)(cid:32) Model for end-stage liver disease (MELD) IV 14 Advanced Concepts and Principles of Critical Care (cid:183) (cid:32) Principles of cardio-pulmonary-brain resuscitation (cid:183) (cid:32) Emergencies in critical care : CPR (cid:3)(cid:32) BLS (cid:3)(cid:32) ACLS (cid:183) (cid:32) Airway management (cid:183) (cid:32) Oxygenation and oximetry, care of patient with oxygen delivery devices (cid:183) (cid:32) Ventilation and ventilator support (including humidification and inhaled drug therapy), care of patient with invasive and non invasive ventilation (cid:183) (cid:32) Circulation and perfusion (including hemodynamic evaluation and waveform graphics) (cid:183) (cid:32) Fluids and electrolytes (review), care of patient with imbalances of fluid and electrolytes (cid:183) (cid:32) Evaluation of acid base status (cid:183) (cid:32) Thermoregulation, care of patient with hyper/hypo-thermia (cid:183) (cid:32) Liberation from life support (Weaning) (cid:183) (cid:32) Glycemic control, care of patient with glycemic imbalances V 8 Pain and Management (cid:183) (cid:32) Pain in Critically ill patients (cid:183) (cid:32) Pain – Types, Theories (cid:183) (cid:32) Physiology, Systemic responses to pain and psychology of pain Review (cid:183) (cid:32) Acute pain services (cid:183) (cid:32) Pain assessment – Pain scales, behavior and verbalization (cid:183) (cid:32) Pain management-pharmacological (Opioids, benzodiazepines, propofol, Alpha agonist, Tranquilisers, Neuromuscular blocking agents) (cid:183) (cid:32) Nonpharmacological management (cid:183) (cid:32) Transcutaneous electrical nerve stimulation(TENS) VI 8 Psychosocial and spiritual alterations: Assessment and management (cid:183) (cid:32) Stress and psychoneuroimmunology (cid:183) (cid:32) Post traumatic stress reaction (cid:183) (cid:32) ICU Psychosis, Anxiety, Agitation, Delirium (cid:183) (cid:32) Alcohol withdrawal syndrome and delirium tremens (cid:183) (cid:32) Collaborative management (cid:183) (cid:32) Sedation and Relaxants (cid:183) (cid:32) Spiritual challenges in critical care (cid:183) (cid:32) Coping with stress and illness (cid:183) (cid:32) Care of family of the critically ill (cid:183) (cid:32) Counseling and communication VII 4 Patient and family education and counseling (cid:183) (cid:32) Challenges of patient and family education (cid:183) (cid:32) Process of adult learning (cid:183) (cid:32) Factors affecting teaching learning process (cid:183) (cid:32) Informational needs of families in critical care (cid:183) (cid:32) Counseling needs of patient and family (cid:183) (cid:32) Counseling techniques80 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] VIII 5 Nutrition Alterations and Management in critical care (cid:183) (cid:32) Nutrient metabolism and alterations (cid:183) (cid:32) Assessing nutritional status (cid:183) (cid:32) Nutrition support (cid:183) (cid:32) Nutrition and systemic alterations (cid:183) (cid:32) Care of patient on enteral and parentral nutrition IX 4 Sleep alterations and management (cid:183) (cid:32) Normal human sleep (cid:183) (cid:32) Sleep pattern disturbance (cid:183) (cid:32) Sleep apnea syndrome X 5 Infection control in critical care (cid:183) (cid:32) Nosocomial infection in intensive care unit; methyl resistant staphylococcus aureus (MRSA) and other recently identified strains (cid:183) (cid:32) Disinfection, Sterilization, (cid:183) (cid:32) Standard safety measures, (cid:183) (cid:32) Prophylaxis for staff (cid:183) (cid:32) Antimicrobial therapy- review XI 6 Legal and ethical issues in critical care-Nurse’s role (cid:32) (cid:76)(cid:101)(cid:103)(cid:97)(cid:101)(cid:117)(cid:115)(cid:32)(cid:108)(cid:115)(cid:115)(cid:105)(cid:32) (cid:183) (cid:32) Issues giving raise to civil litigation (cid:183) (cid:32) Related laws in india (cid:183) (cid:32) Medical futility (cid:183) (cid:32) Administrative law: Professional regulation (cid:183) (cid:32) Tort law: Negligence, professional malpractice, intentional torts, wrongful death, defamation, assault and battery (cid:183) (cid:32) Constitutional Law: Patient decision making (cid:99)(cid:105)(cid:104)(cid:116)(cid:97)(cid:69)(cid:32)(cid:108)(cid:73)(cid:115)(cid:115)(cid:101)(cid:117)(cid:115)(cid:32) (cid:183) (cid:32) Difference between morals and ethics (cid:183) (cid:32) Ethical principles, ethical decision making in critical care, Strategies for promoting ethical decision making Ethical issues relevaqnt to critical care : (cid:183) (cid:32) withholding and withdrawing treatment, (cid:183) (cid:32) Managing Scarce resource in critical care (cid:183) (cid:32) Brain death, Organ donation & Counseling, (cid:183) (cid:32) Do Not Resuscitate(DNR), Euthanasia, Living will Nurses’ Role XII 8 Quality assurance (cid:183) (cid:32) Design of ICU/CCU (cid:183) (cid:32) Quality assurance models applicable to ICUs (cid:183) (cid:32) Standards, Protocols, Policies, Procedures (cid:183) (cid:32) Infection control policies and protocols (cid:183) (cid:32) Standard safety measures (cid:183) (cid:32) Nursing audit relevant to critical care (cid:183) (cid:32) Staffing XIII 3 Evidence based practice in critical care nursing (cid:183) (cid:32) Evidence based practice in critical care (cid:183) (cid:32) Barriers to implementation (cid:183) (cid:32) Strategies to promote implementation 5 Class tests Total 96¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 81 (cid:76)(cid:32)(cid:116)(cid:115)(cid:105)(cid:111)(cid:102)(cid:32)(cid:107)(cid:115)(cid:32)(cid:115)(cid:108)(cid:111)(cid:108)(cid:116)(cid:105)(cid:32)(cid:98)(cid:101)(cid:32)(cid:112)(cid:97)(cid:114)(cid:99)(cid:99)(cid:105)(cid:116)(cid:101)(cid:32)(cid:110)(cid:101)(cid:100)(cid:104)(cid:116)(cid:32)(cid:107)(cid:115)(cid:32)(cid:32)(cid:108)(cid:108)(cid:105)(cid:105)(cid:97)(cid:108)(cid:98)(cid:32)(cid:40)(cid:52)(cid:54) (cid:32)(cid:111)(cid:104)(cid:32)(cid:99)(cid:115)(cid:110)(cid:105)(cid:117)(cid:108)(cid:114)(cid:117)(cid:100)(cid:101)(cid:32)(cid:109)(cid:100)(cid:101)(cid:111)(cid:97)(cid:114)(cid:116)(cid:115)(cid:111)(cid:110)(cid:105)(cid:116)(cid:32)(cid:110)(cid:98)(cid:121)(cid:32)(cid:101)(cid:104)(cid:116)(cid:32)(cid:102)(cid:97)(cid:99)(cid:121)(cid:116)(cid:108)(cid:117)(cid:32)(cid:97)(cid:100)(cid:110)(cid:32)(cid:112)(cid:97)(cid:114) (cid:99)(cid:99)(cid:105)(cid:116)(cid:101)(cid:32)(cid:98)(cid:121)(cid:32)(cid:101)(cid:104)(cid:116)(cid:100)(cid:32)(cid:117)(cid:116)(cid:115)(cid:41)(cid:101)(cid:115)(cid:116)(cid:110) (cid:32) (cid:32) (cid:32) (cid:32) (cid:32) (cid:1)(cid:32) CPR (BLS and ACLS) (cid:1)(cid:32) Airway Management (cid:111) (cid:32) Laryngeal mask airway (cid:111) (cid:32) Cuff inflation and anchoring the tube (cid:111) (cid:32) Care of ET tube (cid:111) (cid:32) Tracheostomy care (cid:111) (cid:32) Suctioning – open/closed (cid:111) (cid:32) Chest physiotherapy (cid:1)(cid:32) Oxygenation and oximetry, care of patient with oxygen delivery devices (cid:111) (cid:32) Devices to measure oxygen/oxygenation (cid:2)(cid:32) Fuel cell (cid:2)(cid:32) Para magnetic oxygen analyzer (cid:2)(cid:32) PO2 electrodes-Clark electrodes (cid:2)(cid:32) Transcutaneous oxygen electrodes (cid:2)(cid:32) Oximetry – Pulse oximetry, Venous oximetry (cid:111) (cid:32) Capnography (cid:111) (cid:32) Non invasive ventilation (cid:2)(cid:32) Low flow variable performance devices: nasal catheters/cannulae/double nasal prongs, face mask, face mask with reservoir bags (cid:2)(cid:32) High flow fixed performance devices : Entrainment (Venturi) devices, NIV/CPAP/Anesthetic masks, T pieces, breathing circuits (cid:111) (cid:32) Postural drainage (cid:1)(cid:32) Ventilation and ventilator support (cid:111) (cid:32) Connecting to ventilator (cid:111) (cid:32) Weaning from ventilator (cid:111) (cid:32) Extubation (cid:111) (cid:32) Humidifiers (cid:111) (cid:32) Nebulizers – jet, ultrasonic (cid:111) (cid:32) Inhalation therapy – metered dose inhalers (MDI), dry powder inhalers (DPI) (cid:1)(cid:32) Circulation and perfusion (including hemodynamic evaluation and waveform graphics) (cid:111) (cid:32) Invasive blood pressure monitoring (cid:111) (cid:32) Non-invasive BP monitoring (cid:111) (cid:32) Venous pressure (Peripheral, Central and Pulmonary artery occlusion pressure) (cid:111) (cid:32) Insertion and removal of arterial line (cid:111) (cid:32) Insertion and removal of central line (cid:111) (cid:32) Pulse index Continuous Cardiac output (PiCCO) (cid:111) (cid:32) Electrocardiography (ECG) (cid:111) (cid:32) Waveforms (cid:1)(cid:32) Fluids and electrolytes (cid:111) (cid:32) Fluid calculation and administration (crystalloids and colloids) (cid:111) (cid:32) Administration of blood and blood products (cid:111) (cid:32) Inotrope calculation, titration and administration (cid:1)(cid:32) Cardiac glycosides – Digoxin (cid:1)(cid:32) Sympathomimetics – Dopamine, dobutamine, epinephrine, isoproterenol, norepinephrine, phenylephrine (cid:1)(cid:32) Phosphodiesterase inhibitors – amrinone, milrinone (cid:111) (cid:32) Electrolyte correction ( Sodium, potassium, calcium, phosphrous, magnesium) (cid:111) (cid:32) Use of fluid dispenser and infusion pumps82 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] (cid:1)(cid:32) Evaluation of acid base status (cid:111) (cid:32) Arterial blood gas (ABG) (cid:1)(cid:32) Thermoregulation, care of patient with hyper/hypothermia (cid:111) (cid:32) Temperature probes (cid:111) (cid:32) Critical care management of hyper and hypothermia (cid:1)(cid:32) Glycemic control, care of patient with glycemic imbalances (cid:111) (cid:32) Monitoring GRBS (cid:111) (cid:32) Insulin therapy (sliding scale and infusion) (cid:111) (cid:32) Management of Hyperglycemia – IV fluids, insulin therapy, potassium supplementation (cid:111) (cid:32) Management of hypoglycemia – Dextrose IV (cid:1)(cid:32) Pharmacological management of pain, sedation, agitation, and delirium (cid:111) (cid:32) Calculation, loading and infusion of – Morphine, Fentanyl, Midazolam, Lorazepam, Diazepam, Propofol, Clonidine, Desmedetomidine, Haloperidol (cid:111) (cid:32) Epidural analgesia- sensory and motor block assessment, removal of epidural catheter after discontinuing therapy, change of epidural catheter site dressing, insertion and removal of subcutaneous port for analgesic administration, intermittent catheterization for urinary retention for patients on epidural analgesia/PCA, dose titration for epidural infusion, epidural catheter adjustment, purging epidural drugs to check patency of catheter and also for analgesia (cid:1)(cid:32) Counseling (cid:1)(cid:32) Family education VIII.(cid:32) Critical Care Nursing I Hours of instruction: Theory: 96 hours, Practical: 48hours Unit Hours Content I 6 Introduction (cid:183) (cid:32) Review of anatomy and physiology of vital organs (cid:183) (cid:32) Review of assessment and monitoring of the critically ill II 16 Cardiovascular alterations (cid:183) (cid:32) Review of Clinical assessment, pathophysiology, and pharmacology (cid:183) (cid:32) Special diagnostic studies (cid:183) (cid:32) Cardiovascular conditions requiring critical care management (cid:3)(cid:32) Hypertensive crisis (cid:3)(cid:32) Cardiac arrhythmias (cid:3)(cid:32) Heart block and conduction disturbances (cid:3)(cid:32) Coronary heart disease (cid:3)(cid:32) Myocardial infarction (cid:3)(cid:32) Pulmonary hypertension (cid:3)(cid:32) Valvular heart disease (cid:3)(cid:32) Atherosclerotic disease of aorta (cid:3)(cid:32) Peripheral artery disease (cid:3)(cid:32) Cardiomypathy (cid:3)(cid:32) Heart failure (cid:3)(cid:32) Deep vein thrombosis (cid:3)(cid:32) Congenital heart disease(cyanotic and acyanotic) (cid:183) (cid:32) Cardiovascular therapeutic management (cid:3)(cid:32) Cardiac transplant (cid:3)(cid:32) Pacemakers (cid:3)(cid:32) Cardioversion (cid:3)(cid:32) Defibrillation (cid:3)(cid:32) Implantable cardiovert defibrillators, (cid:3)(cid:32) Thrombolytic therapy¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 83 (cid:3)(cid:32) Radiofrequency catheter ablation (cid:3)(cid:32) Percutaneous Transluminal Coronary Angioplasty(PTCA) (cid:3)(cid:32) Cardiac surgery –Coronary artery bypass grafting( CABG)/ Minimally invasive coronary artery surgery)MICAS, Valvular surgery, vascular surgery (cid:3)(cid:32) Mechanical circulatory assistive devices – Intra aortic balloon pump (cid:3)(cid:32) Effects of cardiovascular medications (cid:3)(cid:32) Ventricular assist devices(VAD) (cid:3)(cid:32) Extra corporeal membrane oxygenation(ECMO) (cid:183) (cid:32) Recent advances and development III 15 Pulmonary alterations (cid:183) (cid:32) Review of Clinical assessment, pathophysiology, and pharmacology (cid:183) (cid:32) Special diagnostic studies (cid:183) (cid:32) Pulmonary conditions requiring critical care management (cid:183) (cid:32) Status asthmaticus (cid:183) (cid:32) Pulmonary edema (cid:183) (cid:32) Pulmonary embolism (cid:183) (cid:32) Acute respiratory failure (cid:183) (cid:32) Acute respiratory distress syndrome (cid:183) (cid:32) Chest trauma (cid:183) (cid:32) Chronic obstructive pulmonary disease (cid:183) (cid:32) Pneumonia (cid:183) (cid:32) Pleural effusion (cid:183) (cid:32) Atlectasis (cid:183) (cid:32) Longterm mechanical ventilator dependence (cid:183) (cid:32) Pulmonary therapeutic management (cid:183) (cid:32) Thoracic surgery (cid:183) (cid:32) Lung transplant (cid:183) (cid:32) Bronchial hygiene: Nebulization, deep breathing and coughing exercise, chest physiotherapy and postural drainage (cid:183) (cid:32) Chest tube insertion and care of patient with chest drainage (cid:183) (cid:32) Recent advances and development IV 15 Neurological alterations (cid:183) (cid:32) Review of Clinical assessment, pathophysiology, and pharmacology (cid:183) (cid:32) Special diagnostic studies (cid:183) (cid:32) Neurological conditions requiring critical care management (cid:183) (cid:32) Cerebro vascular disease and cerebro vascular accident (cid:183) (cid:32) Encephalopathy (cid:183) (cid:32) Gillian Bare syndrome and Myasthenia gravis (cid:183) (cid:32) Brain herniation syndrome (cid:183) (cid:32) Seizure disorder (cid:183) (cid:32) Coma, Unconsciousness (cid:183) (cid:32) persistent vegetative state (cid:183) (cid:32) Head injury (cid:183) (cid:32) Spinal cord injury (cid:183) (cid:32) Thermoregulation (cid:183) (cid:32) Neurologic therapeutic management (cid:3)(cid:32) Intracranial pressure – Assessment and management of intracranial hypertension (cid:3)(cid:32) Craniotomy (cid:183) (cid:32) Recent advances and development V 15 Nephrology alterations (cid:183) (cid:32) Review of Clinical assessment, pathophysiology, and pharmacology (cid:183) (cid:32) Special diagnostic studies (cid:183) (cid:32) Nephrology conditions requiring critical care management (cid:183) (cid:32) Acute renal failure84 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] (cid:183) (cid:32) Chronic renal failure (cid:183) (cid:32) Acute tubular necrosis (cid:183) (cid:32) Bladder trauma (cid:183) (cid:32) Nephrology therapeutic management (cid:183) (cid:32) Renal Replacement therapy: Dialysis (cid:183) (cid:32) Renal transplant (cid:183) (cid:32) Recent advances and development VI 12 Gastrointestinal alterations (cid:183) (cid:32) Review of Clinical assessment, pathophysiology, and pharmacology (cid:183) (cid:32) Special diagnostic studies (cid:183) (cid:32) Gastrointestinalconditions requiring critical care management (cid:183) (cid:32) Acute GI bleeding (cid:183) (cid:32) Hepatic failure (cid:183) (cid:32) Acute pancreatitis (cid:183) (cid:32) Abdominal injury (cid:183) (cid:32) Hepatic encephalopathy (cid:183) (cid:32) Acute intestinal obstruction (cid:183) (cid:32) Perforative peritonitis (cid:183) (cid:32) Gastrointestinal therapeutic management (cid:183) (cid:32) Gastrointestinal surgeries (cid:183) (cid:32) Liver transplant (cid:183) (cid:32) Recent advances and development VII 12 Endocrine alterations (cid:183) (cid:32) Review of Clinical assessment, pathophysiology, and pharmacology (cid:183) (cid:32) Special diagnostic studies (cid:183) (cid:32) Endocrine conditions requiring critical care management (cid:183) (cid:32) Neuroendocrinology of stress and critical illness (cid:183) (cid:32) Diabetic ketoacidosis, Hyperosmolar non ketotic coma (cid:183) (cid:32) hypoglycemia (cid:183) (cid:32) Thyroid storm (cid:183) (cid:32) Myxedema coma (cid:183) (cid:32) Adrenal crisis (cid:183) (cid:32) SIADH (cid:183) (cid:32) Endocrine therapeutic management (cid:183) (cid:32) Recent advances and development 5 Class tests Total 96 hours (cid:76)(cid:32)(cid:116)(cid:115)(cid:105)(cid:111)(cid:102)(cid:32)(cid:107)(cid:115)(cid:32)(cid:115)(cid:108)(cid:111)(cid:108)(cid:116)(cid:105)(cid:32)(cid:98)(cid:101)(cid:32)(cid:112)(cid:97)(cid:114)(cid:99)(cid:99)(cid:105)(cid:116)(cid:101)(cid:32)(cid:110)(cid:101)(cid:100)(cid:104)(cid:116)(cid:32)(cid:107)(cid:115)(cid:32)(cid:32)(cid:108)(cid:108)(cid:105)(cid:105)(cid:97)(cid:108)(cid:98)(cid:32)(cid:40)(cid:54)(cid:57) (cid:32)(cid:111)(cid:104)(cid:32)(cid:99)(cid:114)(cid:110)(cid:117)(cid:105)(cid:100)(cid:117)(cid:108)(cid:101)(cid:32)(cid:109)(cid:100)(cid:101)(cid:111)(cid:97)(cid:114)(cid:116)(cid:115)(cid:111)(cid:110)(cid:105)(cid:116)(cid:32)(cid:110)(cid:98)(cid:121)(cid:32)(cid:101)(cid:104)(cid:116)(cid:32)(cid:102)(cid:97)(cid:99)(cid:121)(cid:116)(cid:108)(cid:117)(cid:32)(cid:97)(cid:100)(cid:110)(cid:32)(cid:112)(cid:97)(cid:114)(cid:99) (cid:99)(cid:105)(cid:116)(cid:101)(cid:32)(cid:98)(cid:121)(cid:32)(cid:101)(cid:104)(cid:116)(cid:100)(cid:32)(cid:117)(cid:116)(cid:115)(cid:101)(cid:115)(cid:116)(cid:110)(cid:41)(cid:46)(cid:32) (cid:1)(cid:32) Cardiovascular alterations (cid:111) (cid:32) Thrombolytic therapy (cid:111) (cid:32) Use of equipment and their settings – Defibrillator, PiCCO), Pace makers,Intra aortic ballon pump( IABP) (cid:1)(cid:32) Pulmonary alterations (cid:111) (cid:32) Tracheostomy Care (cid:111) (cid:32) Nebulization (cid:111) (cid:32) Chest physiotherapy (cid:111) (cid:32) Chest tube insertion (cid:111) (cid:32) Chest drainage (cid:1)(cid:32) Neurological alterations (cid:111) (cid:32) Monitoring GCS (cid:111) (cid:32) Conscious and coma monitoring¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 85 (cid:111) (cid:32) Monitoring ICP (cid:111) (cid:32) Sedation score (cid:111) (cid:32) Brain Death Evaluation (cid:1)(cid:32) Nephrology alterations (cid:111) (cid:32) Dialysis (cid:1)(cid:32) Priming of dialysis machine (cid:1)(cid:32) Preparing patient for dialysis (cid:1)(cid:32) Cannulating for dialysis (cid:1)(cid:32) Starting and closing dialysis (cid:1)(cid:32) Gastrointestinal alterations (cid:111) (cid:32) Abodminal pressure monitoring (cid:111) (cid:32) Calculation of calorie and protein requirements (cid:111) (cid:32) Special diets – sepsis, respiratory failure, renal failure, hepatic failure, cardiac failure, weaning, pancreatitis (cid:111) (cid:32) Enteral feeding – NG/Gastrostomy/ Pharyngeal/Jejunostomy feeds (cid:111) (cid:32) Total parenteral nutrition (cid:1)(cid:32) Endocrine alterations (cid:111) (cid:32) Collection of blood samples for cortisol levels, sugar levels, and thyroid harmone levels (cid:111) (cid:32) Calculation and administration of corticosteroids (cid:111) (cid:32) Calculation and administration of Insulin – Review IX.(cid:32) Critical Care Nursing - II Hours of instruction: Theory: 96 hours, Practical: 48 hours Unit Hours Content I 12 Hematological alterations (cid:183) (cid:32) Review of Clinical assessment, pathophysiology, and pharmacology (cid:183) (cid:32) Special diagnostic studies (cid:183) (cid:32) Hematology conditions requiring critical care management (cid:3)(cid:32) DIC (cid:3)(cid:32) Thrombocytopenia (cid:3)(cid:32) Heparin induced thrombocytopenia (cid:3)(cid:32) Sickle cell anemia (cid:3)(cid:32) Tumor lysis syndrome (cid:3)(cid:32) Anemia in critical illness (cid:183) (cid:32) Hematology therapeutic management (cid:3)(cid:32) Autologus blood transfusion (cid:3)(cid:32) bone marrow transplantation (cid:183) (cid:32) Recent advances and development II 8 Skin alterations (cid:183) (cid:32) Review of Clinical assessment, pathophysiology, and pharmacology (cid:183) (cid:32) Special diagnostic studies (cid:183) (cid:32) Conditions requiring critical care management (cid:3)(cid:32) Burns (cid:3)(cid:32) Wounds (cid:183) (cid:32) Therapeutic management (cid:3)(cid:32) Reconstructive surgeries for burns (cid:3)(cid:32) Management of wounds (cid:183) (cid:32) Recent advances and development86 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] III 12 Multi system alterations requiring critical care (cid:183) (cid:32) Trauma (cid:183) (cid:32) Sepsis (cid:183) (cid:32) Shock (cid:183) (cid:32) Multiple Organ Dysfunction (cid:183) (cid:32) Systemic inflammatory response syndrome (cid:183) (cid:32) Anaphylaxis (cid:183) (cid:32) DIC (cid:183) (cid:32) Other injuries ( Heat, Electrical, Near Hanging, Near drowning) (cid:183) (cid:32) Envenomation (cid:183) (cid:32) Drug overdose (cid:183) (cid:32) Poisoning IV 10 Specific infections in critical care (cid:183) (cid:32) HIV (cid:183) (cid:32) Tetanus (cid:183) (cid:32) SARS (cid:183) (cid:32) Rickettsiosis (cid:183) (cid:32) Leptospirosis (cid:183) (cid:32) Dengue (cid:183) (cid:32) Malaria (cid:183) (cid:32) Chickungunya (cid:183) (cid:32) Rabies (cid:183) (cid:32) Avian flu (cid:183) (cid:32) Swine flu V 9 Critical care in Obstetrics (cid:183) (cid:32) Physiological changes in pregnancy (cid:183) (cid:32) Conditions requiring critical care (cid:3)(cid:32) Antepartum hemorrhage (cid:3)(cid:32) PIH (cid:3)(cid:32) Obstructed labour (cid:3)(cid:32) Ruptured uterus (cid:3)(cid:32) PPH (cid:3)(cid:32) Puperal sepsis (cid:3)(cid:32) Obstetrical shock (cid:3)(cid:32) HELLP syndrome (cid:3)(cid:32) DIC (cid:3)(cid:32) Amniotic fluid embolism (cid:3)(cid:32) ARDS (cid:3)(cid:32) Trauma VI 10 Critical care in children (cid:183) (cid:32) Prominent anatomical and physiological differences and implications (cid:183) (cid:32) Conditions requiring critical care (cid:3)(cid:32) Asphyxia neonatarum (cid:3)(cid:32) Metabolic disorders (cid:3)(cid:32) Intracranial hemorrhage (cid:3)(cid:32) Neonatal sepsis (cid:3)(cid:32) Dehydration (cid:3)(cid:32) ARDS (cid:3)(cid:32) Poisoning (cid:3)(cid:32) Foreign bodies (cid:3)(cid:32) Seizures (cid:3)(cid:32) Status asthmaticus (cid:3)(cid:32) Cyanotic heart disease (cid:3)(cid:32) congenital hypertrophic pyloric stenosis (cid:3)(cid:32) Tracheoesophageal fistula¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 87 (cid:3)(cid:32) imperforate anus (cid:3)(cid:32) Acute bronchopneumonia (cid:3)(cid:32) Trauma in children (cid:183) (cid:32) Selected pediatric challenges (cid:3)(cid:32) Ventilatory issue (cid:3)(cid:32) Medication administration (cid:3)(cid:32) Pain Management (cid:183) (cid:32) Interaction with children and families VII 10 Critical Care in Older Adult (cid:183) (cid:32) Normal psycho biological characteristics of aging (cid:3)(cid:32) Biological issues (cid:3)(cid:32) Psychological issues (cid:3)(cid:32) Concepts and theories of ageing (cid:3)(cid:32) Stress & coping in older adults (cid:3)(cid:32) Common Health Problems & Nursing Management; (cid:183) (cid:32) Physical challenges (cid:3)(cid:32) Auditory changes (cid:3)(cid:32) Visual changes (cid:3)(cid:32) Other sensory changes (cid:3)(cid:32) Skin changes (cid:3)(cid:32) Cardiovascular changes (cid:3)(cid:32) Respiratory changes (cid:3)(cid:32) Renal changes (cid:3)(cid:32) Gastro intestinal changes (cid:3)(cid:32) Musculoskeletal changes (cid:3)(cid:32) Endocrine changes (cid:3)(cid:32) Immunological changes (cid:183) (cid:32) Psychological challenges (cid:3)(cid:32) Cognitive changes (cid:3)(cid:32) Abuse of the older person (cid:3)(cid:32) Alcohol abuse (cid:183) (cid:32) Challenges in medication use (cid:3)(cid:32) Drug absorption (cid:3)(cid:32) Drug distribution (cid:3)(cid:32) Drug metabolism (cid:3)(cid:32) Drug excretion (cid:183) (cid:32) Hospital associated risk factors for older adults (cid:183) (cid:32) Long term complications of critical care (cid:3)(cid:32) Care transitions (cid:3)(cid:32) Palliative care and end of life in critical care VIII 10 Critical Care in Perianesthetic period (cid:183) (cid:32) Selection of anesthesia (cid:183) (cid:32) General anesthesia (cid:183) (cid:32) Anesthetic agents (cid:183) (cid:32) Perianesthesia assessment and care (cid:183) (cid:32) Post anesthesia problems and emergencies requiring critical care (cid:3)(cid:32) Respiratory-Airway obstruction, Laryngeal edema, Laryngospasm, Bronchospasm, Noncardiogenic pulmonary edema, Aspiration, Hypoxia, Hypoventilation (cid:3)(cid:32) Cardiovascular – Effects of anesthesia on cardiac function, Myocardial dysfunction, Dysrhythmias, postoperative hypertension, post operative hypotension (cid:3)(cid:32) Thermoregulatory – Hypothermia, shivering, hyperthermia, malignant hyperthermia (cid:3)(cid:32) Neurology- Delayed emergence, emergence delirium, (cid:3)(cid:32) Nausea and vomiting88 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] IX 10 Other special situations in critical care (cid:183) (cid:32) Rapid response teams and transport of the critically ill (cid:183) (cid:32) Disaster management (cid:183) (cid:32) Ophthalmic emergencies – Eye injuries, glaucoma, retinal detachment (cid:183) (cid:32) ENT emergencies - Foreign bodies, stridor, bleeding, quinsy, acute allergic conditions (cid:183) (cid:32) Psychiatric emergencies – Suicide, crisis intervention 5 Class tests Total 96 hours (cid:76)(cid:32)(cid:116)(cid:115)(cid:105)(cid:111)(cid:102)(cid:32)(cid:107)(cid:115)(cid:32)(cid:115)(cid:108)(cid:111)(cid:108)(cid:116)(cid:105)(cid:32)(cid:98)(cid:101)(cid:32)(cid:112)(cid:97)(cid:114)(cid:99)(cid:99)(cid:105)(cid:116)(cid:101)(cid:32)(cid:110)(cid:101)(cid:100)(cid:104)(cid:116)(cid:32)(cid:107)(cid:115)(cid:32)(cid:32)(cid:108)(cid:108)(cid:105)(cid:105)(cid:97)(cid:108)(cid:98)(cid:32)(cid:40)(cid:54)(cid:57) (cid:32)(cid:111)(cid:104)(cid:32)(cid:99)(cid:115)(cid:110)(cid:105)(cid:117)(cid:108)(cid:114)(cid:117)(cid:100)(cid:101)(cid:32)(cid:109)(cid:100)(cid:101)(cid:111)(cid:97)(cid:114)(cid:116)(cid:115)(cid:111)(cid:110)(cid:105)(cid:116)(cid:32)(cid:110)(cid:98)(cid:121)(cid:32)(cid:101)(cid:104)(cid:116)(cid:32)(cid:102)(cid:97)(cid:99)(cid:121)(cid:116)(cid:108)(cid:117)(cid:32)(cid:97)(cid:100)(cid:110)(cid:32)(cid:112)(cid:97)(cid:114) (cid:99)(cid:99)(cid:105)(cid:116)(cid:101)(cid:32)(cid:98)(cid:121)(cid:32)(cid:101)(cid:104)(cid:116)(cid:100)(cid:32)(cid:117)(cid:116)(cid:115)(cid:41)(cid:101)(cid:115)(cid:116)(cid:110)(cid:46)(cid:32) (cid:1)(cid:32) Hematological alterations (cid:111) (cid:32) Blood transfusion (cid:111) (cid:32) Bone marrow transplantation (cid:111) (cid:32) Care of Catheter site (cid:111) (cid:32) Bone marrow aspiration (cid:1)(cid:32) Skin alterations (cid:111) (cid:32) Burn fluid resuscitation (cid:111) (cid:32) Burn feeds calculation (cid:111) (cid:32) Burn dressing (cid:111) (cid:32) Burns bath (cid:111) (cid:32) Wound dressing (cid:1)(cid:32) Multi system alterations requiring critical care (cid:111) (cid:32) Triage (cid:111) (cid:32) Trauma team activation (cid:111) (cid:32) Administration of anti snake venom (cid:111) (cid:32) Antidotes (cid:1)(cid:32) Specific infections in critical care (cid:111) (cid:32) Isolation precautions (cid:111) (cid:32) Disinfection and disposal of equipment (cid:1)(cid:32) Critical care in Obstetrics, children, and Older Adult (cid:111) (cid:32) partogram (cid:111) (cid:32) equipments – incubators, warmers (cid:1)(cid:32) Critical Care in Perianesthetic period (cid:111) (cid:32) Assisting with planned intubation (cid:111) (cid:32) Monitoring of patients under anesthesia (cid:111) (cid:32) Administration of nerve blocks (cid:111) (cid:32) Titration of drugs – Ephedrine, Atropine, Naloxone, Avil, Ondansetron (cid:111) (cid:32) Sensory and motor block assessment for patients on epidural analgesia. (cid:111) (cid:32) Technical troubleshooting of syringe / infusion pumps. (cid:1)(cid:32) Other special situations in critical care (cid:111) (cid:32) Disaster preparedness and protocols¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 89 The skills listed under the Specialty courses such as Foundations of Critical Care Nursing Practice, Critical Care Nursing I and Critical Care Nursing II are taught by the faculty in skill lab. The students after practicing them in the lab, will continue to practice in the respective ICUs. The log book specifies all the requirements to be completed and the list of skills that are to be signed by the preceptor once the students develop proficiency in doing the skills independently. Bibliography Diepenbrock, N. H. (2008). Quick reference to critical care (3rd ed.). Philadelphia: Lippincott Williams and Wilkins. John, G., Subramani, K., Peter, J. V., Pitchamuthu, K., &Chacko, B. (2011). Essentials of critical care (8th ed.) . Christian Medical College: Vellore. Morton, P. G., & Fontaine, D. K. (2013). Critical Care Nursing: A Ho;istic Approach (9th ed.). Lippincott Williams and Wilkins: Philadelphia Perrin, K. O. (2009). Understanding the essentials of critical care nursing. New Jersey: Pearson Edcuation. Urden, L. D., Stacy, K. M., & Lough, M. E. (2014). Critical Care Nursing- Diagnosis and management (7th ed.). Elsevier: Missouri Wyckoff, M., Houghton, D., &Lepage, C. (2009).Critical care. New York: Springer publishing company. T. DILEEP KUMAR, President [ADVT III/4/Exty./241(102)] Appendix 1 EQUIPMENT LIST FOR A TEN BEDDED ICU 1.(cid:32) Adjustable electronic cot with mattress – 10 2.(cid:32) IV stand – 20 3.(cid:32) Bed side locker – 11 (10 – patient; 1 – stock) 4.(cid:32) Over bed trolley – 10 5.(cid:32) Dressing trolley (Small) – 5 6.(cid:32) Dressing trolley (medium) – 2 7.(cid:32) Syringe pump – 60 8.(cid:32) Infusion pump – 35 9.(cid:32) Monitors- 11 (10 –patient; 1- stock) 10.(cid:32) Transport monitor/pulseoximeter – 2 11.(cid:32) Ventilators – 12 (10 – patient; 2 – stock) 12.(cid:32) Portable ventilators -2 13.(cid:32) ABG machine – 2 14.(cid:32) ECG machine – 1 15.(cid:32) Ultrasound machine – 1 16.(cid:32) Doppler machine – 1 17.(cid:32) Defibrillator – 2 18.(cid:32) Peripheral Nerve Stimulator – 1 19.(cid:32) Blood warmer – 3 20.(cid:32) Patient warmer – 5 21.(cid:32) Sequential Compression Device – 10 22.(cid:32) Alpha mattress with motor – 15 23.(cid:32) LED shield – 1 24.(cid:32) Crash cart – 1 25.(cid:32) Transfer trolley – 4 26.(cid:32) OR trolley - 2 27.(cid:32) Safe slider – 290 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] 28.(cid:32) Computer – 4 29.(cid:32) Printers – 2 30.(cid:32) Bain circuit – 12 31.(cid:32) Oxygen flow meter – 30 32.(cid:32) Suction port with jar – 15 33.(cid:32) Air flow meter /pulmoaid– 10 34.(cid:32) Refrigerator – 3 (1- feeds, 1- drugs, 35.(cid:32) Metal foot step/foot stool – 10 36.(cid:32) Ambulation chair – 5 37.(cid:32) UPS -1 38.(cid:32) Flat trolley -1 39.(cid:32) Dialysis machine -1 40.(cid:32) Spot light – 2 41.(cid:32) Labelling machine – 1 42.(cid:32) Glucometer – 2 43.(cid:32) Ambu bag with different sizes – 10 sets 44.(cid:32) Fiberoptic bronchoscope – 1 45.(cid:32) Intubating videoscope - 1 46.(cid:32) Minimum standards for Indian ICUS (ICU 6-12 beds) (ISCCM, 2010) Bed space – minimum 100 sq. ft. Additional space (storage, Nursing station, doctors room and circulation space)- 100% extra of the bed space. Oxygen outlets 2 Vacuum outlets 2 Compressed air outlets 1 Electric outlets (2 on each side of patients) With 5/15 amp pins Central nursing station Appendix 2 a CLINICAL LOG BOOK FOR NURSE PRACTITIONER (NP) PROGRAM IN CRITICAL CARE (Specific competencies/Skills) I YEAR S.No. SKILLS NUMBER DATE SIGNATURE OF PERFORMED THE PRECEPTOR* I RESEARCH APPLICATION AND EVIDENCE BASED PRACTICE 1 Preparation of research instrument 2 Preparation of a manuscript for publication 3 Writing systematic review 4 Dissertation 1.(cid:32) Topic: II ADVANCED SKILLS IN LEADERSHIP, MANAGEMENT, AND TEACHING 1 Preparation of staff patient assignment 2 Preparation of unit budget 3 Preparation of staff duty roster 4 Patient care audit 5 Preparation of nursing care standards and protocols 6 Management of equipment and supplies¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 91 S.No. SKILLS NUMBER DATE SIGNATURE OF PERFORMED THE PRECEPTOR* 7 Monitoring, evaluation, and writing report of infection control practices 8 Micro teaching / patient education sessions 9 Preparation of teaching method and media for patients and staff 10 Planning and conducting OSCE/OSPE 11 Construction of tests III ADVANCED HEALTH ASSESSMENTS 1 Comprehensive history taking 2 Focused physical assessment(System wise) 2.1 Respiratory system 2.2 Cardiac system 2.3 Gastrointestinal 2.4 Nervous 2.5 Genitourinary 2.6 Endocrine 2.7 Hematological 2.8 Musculoskeletal 2.9 Integumentary 2.10 Sensory organs 3 Age specific History & physical examination 3.1 Geriatric 3.2 Adult 3.3 Child 3.4 Neonate 4 History & Physical examination of a Pregnant woman III DIAGNOSTIC PROCEDURES 1 Collecting blood sample 1.1 Biochemistry 1.2 Clinical pathology 1.3 Microbiology 1.4 ABG 2 Assisting procedures 2.1 Paracentesis 2.2 Thoracentesis 2.3 Lumbar puncture 2.4 Liver biopsy 2.5 Renal biopsy 2.6 Bone marrow aspiration 3 Witnessing procedures 3.1 Chest X – ray 3.2 ERCP 3.3 PET scan 3.4 Endoscopy 3.5 MRI / CT 3.6 Ultrasound 3.7 EMG 3.8 Echocardiogram 4 ECG III GENERAL COMPETENCIES 1 Admission92 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] S.No. SKILLS NUMBER DATE SIGNATURE OF PERFORMED THE PRECEPTOR* 2 Transfer 3 Transport 4 Discharge / LAMA 5 Medico-legal compliance 6 Family education and counselling 7 End of life Care 7.1 Brain death 7.2 Organ donation 8 After life Care 9 Setting up, use and maintenance of Critical care equipment 9.1 Ventilator 9.2 Monitor 9.3 Transducer / pressure bag 9.4 Temperature probes 9.5 SpO probes 2 9.6 Sequential compressing device 9.7 12 –lead ECG monitor 9.8 Warmer 9.9 Fluid warmer 9.10 ET Cuff pressure monitor 9.11 Defibrillator 9.12 Pacemaker 9.13 Syringe pump 9.14 Infusion pump 9.15 Alpha mattress 9.16 CRASH trolley 10 Triage 11 Care during transfer by air ambulance and surface ambulance Appendix 2 b CLINICAL LOG BOOK FOR NP IN CRITICAL CARE (Specific competencies/Skills) II Year S.No. SKILLS NUMBER DATE SIGNATURE OF PERFORMED THE PRECEPTOR* I GENERAL COMPETENCIES 1 Setting up, use and maintenance of Critical care equipment 1.1 Ventilator 1.2 Monitor 1.3 Transducer / pressure bag 1.4 Temperature probes 1.5 SpO2 probes 1.6 Sequential compressing device 1.7 12 –lead ECG monitor 1.8 Warmer 1.9 Fluid warmer 1.10 ET Cuff pressure monitor 1.11 Defibrillator¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 93 S.No. SKILLS NUMBER DATE SIGNATURE OF PERFORMED THE PRECEPTOR* 1.12 Pacemaker 1.13 Syringe pump 1.14 Infusion pump 1.15 Alpha mattress 1.16 CRASH trolley 1.17 CPAP / BiPAP 2 Monitoring of critically ill patients 2.1 Arterial blood gas ABG 2.2 Oxygen saturation 2.3 Endotracheal tube cuff pressure 2.4 Capnography 2.5 Hemodynamics 2.6 Electrocardiogram (ECG) 2.7 Intracranial pressure 2.8 Invasive BP monitoring 2.9 Non invasive BP monitoring 2.10 PiCCO 2.11 Peripheral vascular status 2.12 Glasgow Coma Scale 2.13 Sedation Scale 2.14 Pain Score 2.15 Braden Score 2.16 Bowel sounds 2.17 GRBS 2.18 Partogram 3 Administration of medication 3.1 Sedation 3.2 Muscle relaxant 3.3 Electrolyte infusion 3.4 Insulin infusion 3.5 Ionotrope administration 3.6 Thrombolytic drug 3.7 Corticosteroid 4 Infection control 5 Universal precaution 6 Disinfection / Sterilization 7 Preparation of standards/policies/protocols 8 BLS 9 ACLS 10 Management of Cardiovascular Alterations 10.1 Fluid administration (Colloid/Crystalloid) 10.2 Blood and blood product administration 10.3 Application of TED stocking 10.4 Insertion and Care of CVP line 10.5 Removal of CVP line 10.6 Assisting with insertion of arterial line 10.7 Care of arterial line 10.8 Removal of arterial line 10.9 Assisting with insertion of pulmonary artery catheter 10.10 Care of Patient with Pacemaker 10.11 Blood collection from arterial line94 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] S.No. SKILLS NUMBER DATE SIGNATURE OF PERFORMED THE PRECEPTOR* 11 Management of Pulmonary Alterations 11.1 Airway application 11.2 Laryngeal mask airway 11.3 Assisting with intubation 11.4 Care of ET tube 11.5 Extubation 11.6 Assisting for tracheostomy insertion 11.7 Tracheostomy care and suctioning 11.8 Endotracheal suctioning - Open 11.9 Endotracheal suctioning - Closed 11.10 Assisting with insertion of chest tube 11.11 Care of patient with Chest drainage 11.12 Chest tube removal 11.13 Nebulization 11.14 Oxygen administration 11.15 Care of patient on Mechanical ventilator 11.16 Non – invasive ventilation 11.7 Connecting to Ventilator 11.18 Weaning from ventilator 11.19 Use of T-tube and Venturi devices 11.20 Postural drainage 11.21 Weaning from tracheostomy 11.22 Chest physiotherapy 11.23 Assisting for bronchoscopy 12 Management of Neurological Alterations 12.1 Sensory stimulation 12.2 Consciousness/Coma status monitoring 12.3 Brain death evaluation 13 Management of Genitourinary Alterations 13.1 Cannulating for hemodilysis 13.2 Starting and closing of hemodialysis 13.3 Care of patient on hemodialysis 13.4 Initiating peritoneal dialysis 13.5 Care of patient on peritoneal dialysis 13.6 Calculation of fluid replacement 13.7 Care of patient with continuous urinary drainage 14 Management of Gastrointestinal Alterations 14.1 Estimation of dietary allowance 14.2 Enteral nutrition 14.2.1 NG feeding 14.2.2 Gastrostomy / Jejunostomy feeding 14.3 Test feeds 14.4 Parenteral nutrition 14.5 Therapeutic diet planning 15 Management of Endocrine Alterations 15.1 Titrating insulin 15.2 Calculation of steroid administration 16 Ordering procedures and investigations 16.1 ECG 16.2 ABG 16.3 Chest X ray 16.4 Ultrasound¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 95 S.No. SKILLS NUMBER DATE SIGNATURE OF PERFORMED THE PRECEPTOR* 16.5 Biochemistry investigations 16.6 Microbiology investigations 17 Ordering Treatment 17.1 Nebulization 17.2 Chest physiotherapy 17.3 Distal colostomy wash 17.4 Insertion and removal of urinary catheter for female patients. 17.5 Test feeds 17.6 TEDS 17.7 Surgical dressing 17.8 Starting and closing dialysis 17.9 Administration of TPN infusion with written order 17.10 Magnesium Sulphate dressing for Thrombophlebitis / extravasation. 17.11 Application of Icthammol Glycerin / 17.12 Pin site care for patients on external fixators 17.13 Isometric and isotonic exercises 17.14 Hot and cold applications * - When the student is found competent to perform the skill, it will be signed by the preceptor Appendix 3 CLINICAL REQUIREMENTS FOR NP CRITICAL CARE NURSING PROGRAM S.No. CLINICAL REQUIREMENT DATE SIGNATURE OF THE PRECEPTOR I Clinical Conference Drug studies on standing orders II Case/ Clinical Presentation III Nursing Rounds IV Clinical Seminar V Journal Club VI Nursing Process(NP)/Care study Report VII Advanced Health Assessment VIII Faculty Lecture96 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] S.No. CLINICAL REQUIREMENT DATE SIGNATURE OF THE PRECEPTOR IX Self directed learning X Written Assignment XI Case study analysis XII Workshop The number under each category will be finalized based on implementation plan of theory, practical and clinical. Appendix 4 STANDING ORDERS NURSE PRACTITIONER IN CRITICAL CARE Nurse practitioners are prepared and qualified to assume responsibility and accountability for the care of critically ill patients. They collaborate with Intensivists, physicians, surgeons and specialists to ensure accurate therapy for patients with high acuity needs. On completion of the program, the NPs will be permitted to administer drugs listed in standing orders as per the institutional protocols/standing orders. They will also be permitted to order diagnostic tests/procedures and therapies The following intravenous injections or infusions may be administered by the Nurse Practitioner during emergency in any of the ICUs Catecholamines 1.(cid:32) Adrenaline 2.(cid:32) Noradrenaline 3.(cid:32) Dopamine 4.(cid:32) Dobutamine Antidysrhythmic 5.(cid:32) Adenosine 6.(cid:32) Amiodarone 7.(cid:32) Lidocaine/ Xylocard Adrenergic agent 8.(cid:32) Ephedrine Bronchodilators¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 97 9.(cid:32) Aminophylline 10.(cid:32) Deriphylline Non depolarizing skeletal muscle relaxant 11.(cid:32) Atracurium ( Vecuronium, Pancurium) Anticholinergic 12.(cid:32) Atropine Sulphate Antihistamine 13.(cid:32) Avil Antihypertensive 14.(cid:32) Clonidine 15.(cid:32) Glycerine trinitrate 16.(cid:32) Isoptin Corticosteroid 17.(cid:32) Hydrocortisone 18.(cid:32) Dexamethasone Antiepileptic 19.(cid:32) Levitracetam 20.(cid:32) Phenytoin Sedatives & relaxants 21.(cid:32) Valium 22.(cid:32) Midazolam 23.(cid:32) Morphine Sulphate 24.(cid:32) Pentazocin Lactate (Fortwin) 25.(cid:32) Pethidine Hydro Chloride 26.(cid:32) Propofol Electrolytes & acid base correction agents 27.(cid:32) Soda bicarbonate 8.4% 28.(cid:32) Soda bicarbonate 7.5% 29.(cid:32) Magnesium sulphate 30.(cid:32) Potassium chloride Additional drugs that can be administered specific to each ICU are as follows: SURGICAL INTENSIVE MEDICAL INTENSIVE CARDIOTHORACIC CARDIAC CARE UNIT ( including CARE UNIT ( including CRITICAL CARE UNIT CRITICAL CARE nephrology, burns, obstetric and nephrology, hematology, UNIT gynaecologic patients) dermatology and infectious patients) Sodium nitroprusside Sorbitrate Naloxone Digoxin Largactil Angised Pitocin Tranexamic acid Amrinone Streptokinase Proatamine sulphate Verapamil Milrinone Urokinase Decadron Elaxime EMERGENCY SERVICES PAEDIATRIC INTENSIVE NEUROLOGICAL CARE UNIT INTENSIVE CARE UNIT Methylprednisolone Dilantin Tensilon Emeset Neostigmine Antisnake venom Thiopentone Mestinon Prostigmine98 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4] The following investigations and therapies may be ordered by the Nurse Practitioner ORDERING INVESTIGATIONS ORDERING THERAPIES (cid:1)(cid:32) Nebulization (cid:1)(cid:32) ECG (cid:1)(cid:32) Chest physiotherapy (cid:1)(cid:32) ABG (cid:1)(cid:32) Distal colostomy wash (cid:1)(cid:32) Chest X ray (cid:1)(cid:32) Insertion and removal of urinary catheter for (cid:1)(cid:32) Basic Bio chemistry investigations – Hb, PCV, TIBC, WBC female patients. Total, WBC differentials, ESR, Electrolytes, platelets, PT, (cid:1)(cid:32) Test feeds aPTT, bleeding and clotting time, procalcitonin, D diamer, (cid:1)(cid:32) TEDS creatinine, HbA1C, AC, PC, HDL, LDL, TIG, Cholesterol (cid:1)(cid:32) Surgical dressing total, HIV, HbsAg, HCV, (cid:1)(cid:32) Starting and closing dialysis (cid:1)(cid:32) Basic Microbiology investigations – blood samples for (cid:1)(cid:32) Administration of TPN infusion with written culture and sensitivity, tips of vascular access and ET tube order for culture, (cid:1)(cid:32) Application of Icthammol Glycerin / Magnesium Sulphate dressing for Thrombophlebitis / extravasation. (cid:1)(cid:32) Pin site care for patients on external fixators (cid:1)(cid:32) Isometric and isotonic exercises 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.