INDIAN NURSING COUNCIL NURSE PRACTITIONER IN FAMILY HEALTH NPFH POSTGRADUATE RESIDENCY PROGRAM REGULATIONS 2024

रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99 सी.जी.-डी.एल.-अ.-03012025-259878 xxxGIDHxxx CG-DL-E-03012025-259878 xxxGIDExxx असाधारण EXTRAORDINARY भाग III—खण् ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 1081] नई दिल्ली, िुक्रवार, दिसम्ब र 27, 2024/पौष 6, 1946 No. 1081] NEW DELHI, FRIDAY, DECEMBER 27, 2024/PAUSHA 6, 1946 अजधसचू ना नई दिल्ली, 18 दिसम् बर, 2024 & फा.स.ं (VI)––le;&le; ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 ¼1947 dk XLVIII½ dh èkkjk 16¼1½ ds vèkhu çnÙk 'kfDr;ks a dk ç;ksx djrs gq,] Hkkjrh; mip;kZ ifj"kn~ ,rí~okjk fuEufyf[kr fofu;e cukrh gS] ;Fkk & 1. i. ;s fofu;e & dgs tk,axsA ii. ;s fofu;e Hkkjr ds jkti= es a budh vfèklwpuk dh frfFk ls çHkkoh gksxa sA 2. bu fofu;eksa es]a tc rd fd lanHkZ ls vU;Fkk visf{kr u gks] i. ^vfèkfu;e* dk vfHkçk; le;&le; ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~] 1947 ¼1947 dk XLVIII½ ls gS( ii. ^ifj"kn~* dk vfHkçk; vfèkfu;e ds rgr xfBr Hkkjrh; mip;kZ ifj"kn~ ls gS( 8446 GI/2024 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] iii. ^,l,uvkjlh* dk vfHkçk; lacafèkr jkT; ljdkjks a }kjk fdlh Hkh uke ls xfBr jkT; mip;kZ ,oa çlkfodk iathdj.k ifj"kn~ ls gS( iv. ^vkj,u ,aM vkj,e* dk vfHkçk; ,d iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½ ls gS vkSj ,d ,sl s ulZ dks n'kkZrk gS ftlus ekU;rk çkIr uÉlx Lukrd ¼ch-,llh- uÉlx½ ;k fMIyksek bu tujy uÉlx ,aM feMokbQjh ¼th,u,e½ ikBîØe] tSlk fd ifj"kn ~ }kjk fuèkkZfjr fd;k x;k gks] lQyrkiwoZd iwjk dj fy;k gks vkSj fdlh ,d ,l,uvkjlh es a iathÑr mip;kZ ,oa iathÑr çlkfodk ds :i es a iathÑr gks( v. ^ulZ iathdj.k ,oa VªSÇdx ç.kkyh ¼,uvkjVh,l½* dk vfHkçk; ifj"kn~ }kjk jk"Vªh; lwpuk foKku dsæa ¼,uvkbZlh½] Hkkjr ljdkj ds lg;ksx ls fodflr lkW¶Vos;j ç.kkyh ls gS] ftls Hkkjrh; mip;kZ jftLVj ds j[kj[kko o lapkyu ds fy, ,uvkbZlh }kjk gkWLV fd;k x;k gSA bles a iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½@iathÑr lgk;d ulZ feMokbQ ¼vkj,,u,e½@iathÑr efgyk LokLF; ifjnÆ'kdk ¼vkj,y,poh½ ds vkadM+ksa ds laxzg ds fy, ^vkèkkj* ck;ksesfVªd çek.khdj.k ij vkèkkfjr ekudhÑr çk:i gSa( vi. ^,u;wvkbZMh* dk vfHkçk; ,uvkjVh,l ç.kkyh }kjk çR;k'kh dks fn;k tku s okyk ulsZt ;wfud vkbMsfaVfQds'ku uca j ls gS( vii. ^tujy uÉlx ,aM feMokbQjh ¼th,u,e½* dk vfHkçk; ifj"kn~ }kjk vfèkfu;e dh èkkjk 10 ds rgr LohÑr rFkk vfèkfu;e dh vuqlwph ds Hkkx&I es a 'kkfey fMIyksek bu tujy uÉlx ,aM feMokbQjh çf'k{k.k ls gSA & I. Hkkjr es]a LokLF; ds lHkh vk;keksa eas LokLF; ç.kkfy;ks a dks u;k :i nsus dks jk"Vªh; LokLF; uhfr] 2017 ¼,u,pih 2017½ eas ,d egRoiw.kZ vko';drk ds :i es a ekU;rk nh xbZ gSA ;g fofu;eu vkSj dkuwu ds lkFk&lkFk f'k{kk vkSj çf'k{k.k ds {ks=ks a eas ekuo lalkèku fodkl ij tkjs nrs h gSA ljdkj lkoZtfud vkSj futh LokLF; nksuksa {ks=ks a eas fof'k"V vkSj vfr fof'k"V lsokvks a eas egRoiw.kZ o`f) dks ekU;rk nrs h gSA ;g vR;ar egRoiw.kZ gS fd LokLF; n[s kHkky dfeZ;ks a dks fof'k"V n[s kHkky çnku djus eas viuh {kerk ds fuekZ.k ds fy, mUur 'kSf{kd rS;kjh dh vko';drk gksrh gSA ns[kHkky ds {ks= es a çf'k{k.k dk;ZØe vkSj ikBîØe fodflr djuk le; dh vko';drk ds :i es a igpkuk tkrk gSA ulZ çSfDV'kuj bl ekax dks iwjk djus esa l{ke gksxa s] c'krZs os vPNh rjg ls çf'kf{kr gks a vkSj vH;kl djus ds fy, vfèkÑr gksAa dsæa vkSj jkT; Lrj ij u, laoxZ dh LFkkiuk ds lkFk] ijkLukrd Lrj ij rS;kj ,uih fo'ks"k :i ls ulZ çSfDV'kuj bu Qsfeyh gSYFk fofHkUu lkeqnkf;d lek;kstuksa eas jksfx;ks a dks ykxr çHkkoh] mfpr] lqjf{kr vkSj xq.koÙkk ijd çkFkfed LokLF; ns[kHkky çnku djus eas l{ke gksxa sA ulZ çSfDV'kulZ la;qDr jkT; vesfjdk ¼;w,l,½ eas 1960 ds n'kd ls] fczVsu ¼;wds½ eas 1980 ds n'kd ls] vkWLVªfsy;k eas 1990 ds n'kd ls o uhnjyaSM esa 2010 ls rS;kj fd, tk jgs gSa rFkk dk;Zjr gSaA ulZ çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½ dks çkFkfed vkSj f}rh;d n[s kHkky lek;kstuksa eas dk;Z djus ds fy, rS;kj fd;k tk ldrk gSA lgh 'kSf{kd rS;kjh mUgs a jksdFkke o LokLF; laoèkZu nksuks a eas xaHkhj vkSj th.kZ jksxks a ls ihfM+r jksfx;ks a dk vkadyu djus rFkk muds mipkj eas Hkkx yus s eas l{ke cuk,xhA ijkLukrd Lrj ij ulZ çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½ rS;kj djus ds fy, ifj"kn~ }kjk ,d ikBîp;kZ lajpuk@:ij[s kk çLrkfor dh xbZ gSA bl dk;ZØe dh fof'k"V y{k.k ;g gS fd ;g ,d uSnkfud vkoklh; dk;ZØe gS tks 15% lS)kafrd funsZ'k vkSj 85% O;kogkfjdrk ds lkFk ,d etcwr uSnkfud ?kVd ij cy nrs k gSA bldk çeq[k n`f"Vdks.k n{krk vkèkkfjr çf'k{k.k gS vkSj ,uih f'k{kk baVjus'kuy dkmafly vkWQ ulsZt ¼vkbZlh,u] 2020½ rFkk ,uvks,uih,Q daihVsla ht ¼2022½ ls yh xbZ n{krkvks a ij vkèkkfjr gSA çR;sd ikBîØe ulZ çSfDV'kuj n{krkvks a dh miyfCèk ij vkèkkfjr gSA ulZ çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½ & vkoklh; dk;ZØe dk mís'; iathÑr ch-,llh- ulks± dks ifjokj&dsfaær n`f"Vdks.k dk mi;ksx djds xaHkhj vkSj th.kZ jksxks a ls ihfM+r jksfx;ks a dks mUur uÉlx ns[kHkky çnku djus ds fy, rS;kj djuk gSA uÉlx n[s kHkky jksfx;ks a dh fLFkfr dks fLFkj djus] tfVyrkvks a dks de djus vkSj LokLF; dh vfèkdre cgkyh ij dsfaær gSA ulZ çSfDV'kuj bu Qsfeyh gSYFk dks çkFkfed ;k f}rh;d LokLF; n[s kHkky lek;kstuks a es a vH;kl djuk vko';d gSA dk;ZØe eas vè;;u ds fofHkUu ikBîØe 'kkfey gSa tks lk{; vkèkkfjr vH;kl vkSj tfVy LokLF; ç.kkfy;ks a ds çcaèku lfgr etcwr oSKkfud uÈo ij vkèkkfjr gSaA ;s ch-,llh- çf'kf{kr ulks± dh lS)kafrd vkSj[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3 O;kogkfjd n{krkvks a ij vkèkkfjr gSaA dk;ZØe ds iwjk gksus vkSj lacafèkr ,l,uvkjlh eas iathÑr gksus ij] mUgs a ifj"kn ~ ikBîØe dh ykWx cqd eas lwphc) lHkh n{krkvks a dk vH;kl djus vkSj laLFkkxr çksVksdkWy@LFkk;h vkns'kks a ds vuqlkj Lor=a :i ls vkS"kfèk;ks a dk çcaèku djus vkSj uSnkfud ijh{k.kks]a çfØ;kvks]a fpfdRlk midj.kks a vkSj mipkjks a dk vkn's k nus s dh vuqefr nh tkrh gSA ulZ çSfDV'kuj bu Qsfeyh gSYFk] bl vfèkdkj dk ç;ksx djrs le;] bu n{krkvks a dk çn'kZu djus ds fy, tokcngs gksrs gSa a) ikfjokfjd LokLF; lacaèkh uÉlx vH;kl es a oSKkfud tkudkjh vkSj lS)kafrd vkèkkj dk mi;ksx djukA b) fofHkUu LokLF; n[s kHkky lek;kstuksa es a jksxh dk p;u@HkrhZ vkSj NqV~VhA c) mfpr vkadyu }kjk leL;k dh igpkuA d) vkS"kfèk ;k midj.kks a ;k mipkj dk p;u@ç'kkluA e) fpfdRlh; mi;ksx ds fy, jksxh f'k{kkA f) vkS"kfèkvks@a fpfdRlk dh ikjLifjd fØ;k dh tkudkjhA g) ifj.kkeks a dk fu:i.kA h) tfVyrkvks a vkSj çfrdwy çfrfØ;kvks a dh igpku vkSj çcaèkuA i) ikfjokfjd LokLF; ns[kHkky ds lacaèk eas Nk=a] ulZ vkSj vU; LokLF; dfeZ;ks a dks ekxZn'kZu] ijke'kZ] lykg vkSj 'kSf{kd vuHq ko çnku djukA j) ikfjokfjd LokLF; uÉlx vH;kl eas lk{;&vkèkkfjr uokpkjks a eas ;ksxnkuA ulZ çSfDV'kuj bu Qsfeyh gSYFk viuh n[s kj[s k es a ifjokj dh n[s kHkky ds fy, ftEens kjh vkSj tokcnsgh ysus ds fy, rS;kj vkSj ;ksX; gksrs gSaA mDr LukrdksÙkj mikfèk dks ,l,uvkjlh }kjk vfrfjDr ;ksX;rk ds :i eas iathÑr fd;k tk,xkA ifj"kn dk ekuuk gS fd fofHkUu ikfjokfjd LokLF; n[s kHkky lek;kstuksa eas xaHkhj vkSj th.kZ jksxks a ls ihfM+r jksfx;ks a vkSj muds ifjtuks a dks xq.koÙkkiw.kZ n[s kHkky çnku djus gsrq Hkkjr eas çkFkfed vkSj f}rh;d LokLF; n[s kHkky lsokvks a dh pqukSfr;ks a rFkk ekaxks a dks iwjk djus ds fy, ulZ çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½ uked LukrdksÙkj dk;ZØe LFkkfir djuk vR;fèkd vko';d gS] tSlk fd jk"Vªh; LokLF; uhfr] 2017 es a ifjyf{kr gSA ifj"kn~ dk ekuuk gS fd lqn`<+ uSnkfud ?kVd vkSj n{krk&vkèkkfjr çf'k{k.k ij dsfaær ,d vkoklh; dk;ZØe ls çkIr Bksl lS)kafrd vkSj lk{;&vkèkkfjr Kku ds vkèkkj ij LukrdksÙkj dks uSnkfud {kerk çnf'kZr djus eas l{ke gksuk pkfg,A f'k{k.k&vfèkxe n`f"Vdks.k dks o;Ld vè;;u fl)karks]a n{krk&vkèkkfjr f’k{kk] lg;ksxh vè;;u] fpfdRlh; o uÉlx çhlsIVjksa }kjk uSnkfud vè;;u] vuqHkokRed vè;;u vkSj Lo&funsZf'kr vè;;u ij dsfaær gksuk pkfg,A f'k{kk çnkrkvks@a çhlsIVlZ@esVa lZ dks viu s orZeku Kku vkSj çFkkvks a dks v|ru j[kuk pkfg,A çf'k{k.k eas çhlsIVjksa ds :i eas Hkkx yus s ds fy, fpfdRlk ladk; dks vkeaf=r fd;k tkrk gSA ifj"kn~ dk ;g Hkh ekuuk gS fd ;ksX; Qsfeyh gSYFk uÉlx ladk; dh deh dks nwj djus ds fy, uSnkfud lek;kstuksa es a fofHkUu çdkj dh 'kS{kf.kd j.kuhfr;ks a dk mi;ksx fd;k tk ldrk gSA vk'kk dh tkrh gS fd iathdj.k@ykblsla dh fn'kk eas uhfr;ks a dks fodflr djus eas enn feysxh vkSj bu LukrdksÙkj ulZ çSfDV'kuj bu Qsfeyh gSYFk dks çkFkfed LokLF; n[s kHkky lek;kstuksa es a dk;Z djus ds fy, inks a dk l`tu fd;k tk,xkA ulZ çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½ ikBîØe ds fy, ,d 'kS{kf.kd :ijs[kk fuEukuqlkj çLrkfor gS% ¼n[s ks a ½A4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • • • QudQuQu sfe yÉl xs e wysfe yÉl xsfe yÉl x m Uu r v H; kl h; u Él x • d s fy , l S) kafr d v kèkkj Q sfe y h g SY F k u Él x e as • ' kksèk v u qç ; ksx r F kk l k{ ; v kèkkfj r v H; kl u sr `Ro ] ç c aèku r F kk f' k{ k. k • e as m Uu r d kS' ky • Q sfe y h g SY F k u Él x•h g SY F k e as v u qç ; qD r m Uu r v H; kl i SF kksfQ ft ; ksy kWt h v kèkkj Q sfe y h g SY F k u Él x•h g SY F k e as v u qç ; qD r m Uu r I Q ke kZd ksy kWt h h g SY F k m Uu r L o kL F ; @ • ' kkj hfj d I I v kad y u & II. ulZ çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½ dk;ZØe ,d vkoklh; uÉlx dk;ZØe gS ftleas eq[;r% n{krk vkèkkfjr çf'k{k.k ij cy fn;k tkrk gSA lS)kfUrd ?kVd ds lkFk ikBîØe dh vofèk nks o"kZ gS ftleas ewy ikBîØe] mUur vH;kl ikBîØe vkSj uSnkfud ikBîØe ds vykok uSnkfud vH;kl 'kkfey gSa tks fd ,d çe[q k ?kVd gS ¼ eas n[s ks½aA III. ,uih,Q,p dk;ZØe] iathÑr ch-,llh- ulks± dks mUur vH;kl Hkwfedkvks a tSls uSnkfud fo'ks"kK] çcaèkd] f'k{kd vkSj lykgdkj ds fy, ulZ çSfDV'kuj ds :i eas rS;kj djrk gS] tks vkxs pydj ,e-,llh- uÉlx ¼,uih bu Qsfeyh gSYFk½ curs gSaA IV. dk;ZØe ds iwjk gksus ij] ,uih,Q,p fuEufyf[kr dk;ks± ds laiknu eas l{ke gksxa s & 1. çkFkfed vkSj f}rh;d n[s kHkky dsæa ksa@lek;ktuksa eas ifjokj dsfaær n`f"Vdks.k dk mi;ksx djds xaHkhj vkSj th.kZ jksxk sa ls ihfM+r jksfx;ks a vkSj ifjtuksa dks l{ke ns[kHkky çnku djus ds fy, ftEens kjh vkSj mÙkjnkf;Ro ysukA 2. n[s kHkky çnku djus eas uSnkfud {kerk@fo'ks"kKrk çnÆ'kr djuk ftles a fu:i.k] uSnkfud rdZ] fuxjkuh] mipkj] ?kjys w n[s kHkky vkSj iquokZl 'kkfey gSaA 3. n[s kHkky dks ykxw djus eas lS)kafrd] iSFkksfQft;ksykWftdy o QkekZdksykWftdy fl)karks a vkSj lk{; vkèkkj dks ykxw djukA 4. jksxh ds LokLF; dks fLFkj vkSj cgky djus ds fy, xaHkhj jksxks a ls ihfM+r+ jksfx;ksa dk fu:i.k djuk rFkk muds mipkj eas Hkkx ysuk vkSj ny ds lnL; ds :i eas Lora= :i ls ;k lg;ksxkRed :i ls tfVyrkvks a dks de djuk ;k çcafèkr djukA 5. n[s kHkky dh fujarjrk eas ny eas 'kkfey vU; LokLF; n[s kHkky dÆe;ks a ds lkFk lg;ksx djukA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5 V. laLFkk dks ,uih,Q,p dk;ZØe vkSj mlds Nk=ks a ds çfr tokcnsgh Lohdkj djuh gksxh vkSj dk;ZØe dh is'kd'k ifj"kn~ ds ekudks a ds vuq:i djuh gksxhA bls fuEufyf[kr vgZrkvks a dks iwjk djuk gksxk% 1. vfuok;Zrk çek.ki= a. tks dksbZ Hkh laLFkku ulZ çSfDV'kuj bu Qsfeyh gSYFk dk;ZØe 'kq: djuk pkgrs gSa] mUgsa jkT; ls vfuok;Zrk çek.ki=@ljdkjh vkns'k yus k gksxkA b. fuEufyf[kr laLFkkuks a dks vfuok;Zrk çek.ki= yus s ls NwV nh xbZ gS% i. ifj"kn~ }kjk vfèkfu;e dh èkkjk 13 vkSj 14 ds rgr mi;qDr ik, x, rFkk ch-,llh- uÉlx ;k ,e-,llh- uÉlx dk;ZØeks a dh igys ls gh is'kd'k djus okys laLFkku@fo'ofo|ky;( ii. ,echch,l@Mh,uch dk;ZØe dk lapkyu djus oky s laLFkku@fo’ofo|ky;A 2. uSnkfud lqfoèkk,a • vLirky ,d r`rh;d ns[kHkky dsæa gksuk pkfg,] ftles a de s ls de 200 'k¸;k miyCèk gksAa • lqLFkkfir lkeqnkf;d fpfdRlk@ikfjokfjd fpfdRlk foHkkx gksuk pkfg,A • vkJqr lkeqnkf;d LokLF; {ks= & f}rh;d LokLF; n[s kHkky lqfoèkk ds lkFk 30]000 vkcknh oky s xzkeh.k@ 'kgjh@tutkrh; lek;kstuA • lac) xkzeh.k vLirky@lh,plh@ih,plh vkSj LokLF; ,oa dY;k.k dsæa ¼mi dsæa ½A • lkekU; jksx] lapkjh ,oa xSj&lapkjh jksx] f’k’kq jksx] çlwfr o L=h jksx vkSj ekufld LokLF; fLFkfr;ks a ds mipkj ds fy, cká jksxh lqfoèkk,aA • f’k’kq jksx] tjkjksx] lapkjh ,oa xSj&lapkjh jksx] çlwfr o L=h jksx lacaèkh fLFkfr;ks a ds fy, var% jksxh lqfoèkk,aA • ekr` ,oa uotkr f’k’kq bdkb;kaA • 8&10 Lrj II uotkr f'k'kq 'k¸;kA • lqLFkkfir lkekU; fpfdRlk vkSj f’k’kq fpfdRlk foHkkxA • r`rh;d n[s kHkky vLirky ds fy, jQs jy ÇydA • Lrj III uotkr f'k'kq 'k¸;k ds lkFk lac)rkA • fof'k"V fDyfud% vkjlh,p fDyfud] Vhch fDyfud] dq"B jksx fDyfud] eysfj;k fDyfud] eèkqegs fDyfud vkSj euksjksx fDyfudA 3. ladk;@LVkQ lalkèku a. i. uÉlx çhlsIVj% çkFkfed LokLF; n[s kHkky@ikfjokfjd n[s kHkky uÉlx eas 6 o"kZ vuqHko ds lkFk iw.kZdkfyd th,u,e ;k çkFkfed LokLF; n[s kHkky@ikfjokfjd ns[kHkky uÉlx eas 2 o"kZ vuqHko ds lkFk ch-,llh- uÉlx ;k çkFkfed LokLF; ns[kHkky@ikfjokfjd n[s kHkky uÉlx es a 1 o"kZ vuqHko ds lkFk ,e-,llh- ¼fof’k"Vrk & lkeqnkf;d LokLF; uÉlx] esfMdy lftZdy uÉlx@ihfM;kfVªd uÉlx@vkWCLVsfVªDl ,aM xkbukdksykWth uÉlx½A ii. efsMdy çhlsIVj% ikfjokfjd fpfdRlk] lkeqnkf;d fpfdRlk vkSj f’k’kq jksx] çlwfr] tjkjksx] lkekU; fpfdRlk eas esfMdy ihth@lykgdkjA iii. çhlsIVj Nk= vuiqkr% uÉlx 1 % 10] esfMdy 1 % 10 ¼çR;sd Nk= ds fy, ,d efsMdy vkSj ,d uÉlx çhlsIVj gksuk pkfg,½A b. i. çksQslj@,lksfl,V çksQslj% 1 ¼'kS{kf.kd vuqHko% LukrdksÙkj&,e,llh ds ckn 5 o"kZ] fof’k"Vrk & ulZ çSfDV'kuj bu Qsfeyh gSYFk ¼,uih,Q,p½@lkeqnkf;d LokLF; uÉlx] efsMdy lftZdy uÉlx@ ihfM;kfVªd uÉlx@vkWCLVsfVªDl ,Ma xkbukdksykWth uÉlx½ ¼çR;sd 10 Nk=ks a ds fy, ,d ladk;½A ii. lgk;d çksQslj% 1 ¼3 o"kZ ’kS{kf.kd vuHq ko ds lkFk ,e-,llh- uÉlx½A c. mijksDr ladk; nksgjh Hkwfedk fuHkk,axs ;k fof’k"Vrk es a ,e-,llh- uÉlx ;ksX;rk ds lkFk ,d ofj"B ulZ gksaxsA d. QkekZdksykWth] iSFkksfQft;ksykWth vkSj ikfjokfjd fpfdRlk ds fy, vfrfFk çkè;kidA 4. vLirky@dkWyst eas HkkSfrd vkSj f'k{k.k lalkèku a. uSnkfud {ks= eas ,d vè;;u d{k@lEeys u d{kA b. flE;qysVsM vè;;u ds fy, dkS'ky ç;ksx'kkyk ¼vLirky@dkWyst½A c. vkWuykbu@vkWQykbu if=dkvks a rd igqap ds lkFk iqLrdky; vkSj daI;Vw j lqfoèkk,aA d. bZ&yÆud lqfoèkk,aA 5. mUur uSnkfud vkadyu@lkeqnkf;d LokLF; uÉlx dkS'ky ç;ksx'kkyk gsrq midj.k lwph ¼layXu ½ 6. Nk= HkrÊ@ços'k lacaèkh vgZrk,a a. ukekadu ls igy s vkosndks a dks vfèkekur% fdlh lkeqnkf;d@ikfjokfjd LokLF; ns[kHkky lek;kstu eas de ls de 1 o"kZ uSnkfud vuqHko ds lkFk iathÑr ch-,llh-@ih-ch-ch-,llh- ulZ gksuk pkfg,A6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] b. ifj"kn~ }kjk mi;qDr ik, x, laLFkku ls ch-,llh- uÉlx dh gksuh pkfg, vkSj lacafèkr ,l,uvkjlh }kjk iathÑr gksuk pkfg,A c. ch-,llh- uÉlx dk;ZØe es a dqy çkIrkad 55% ls de ugÈ gksus pkfg,A d. p;u ,d ços'k ijh{kk dh Js"Brk vkSj l{ke çkfèkdkjh }kjk vk;ksftr lk{kkRdkj ds vkèkkj ij gksuk pkfg,A e. 'kkjhfjd :i ls LoLFk gksuk pkfg,A vH;fFkZ;ks adh la[;k% 10]000 vkcknh dh lsok djus oky s ,d ikfjokfjd ns[kHkky dsæa ds fy, 1 vH;FkhZ ;k ikfjokfjd fpfdRlk çf'k{k.k ds lkFk 40]000&50]000 vkcknh dh lsok djus oky s ikfjokfjd fpfdRlk dsæa ds fy, 4 vH;FkhZA 1. lsokjr vH;FkhZ dks fu;fer osru feysxkA 2. vU; vH;fFkZ;ks a ds fy, o`fÙkdk@osru ml vLirky dh osru lajpuk ds vulq kj gksxk tgka dk;ZØe lapkfyr fd;k tk jgk gSA VI. ijh{kk eas cSBus ds fy, ik=rk mifLFkfr% fo'ofo|ky; dh vafre ijh{kk eas cSBus ls igy s lS)kafrd vkSj ç;ksxkRed ds fy, U;wure 80%] ysfdu fMxzh çnku djus ls igy s ç;ksxkRed es a 100% iwjh djuh vfuok;Z gSA vkarfjd vkadyu vadks a ds fy, dksbZ U;wure lhek ugÈ gS] D;ksfad mÙkh.kZ ?kksf"kr djus ds fy, vkarfjd vkSj cká vad ,d lkFk tksM+ s tkr s gSaA ijh{kk lapkyu ,oa fMxzh çnkrk çkfèkdj.k% lacafèkr fo'ofo|ky;A ifj.kkeks adh ?kks"k.kk ;fn çkIrkad 60% ;k mlls vfèkd gSa rks vH;FkhZ dks ijh{kk eas mÙkh.kZ ?kksf"kr dj fn;k tkrk gSA ;g çkIrkad çR;sd ikBîØe@fo"k; eas lS)kafrd vkSj ç;ksxkRed dh vkarfjd ,oa cká fo'ofo|ky;h nksuks a ijh{kkvks a dk dqy ;ksx gS vkSj 60% ls de vuqÙkh.kZ ekuk tk,xkA Js.kh dh x.kuk ds fy,] nksuks a o"kZ ds dqy vadks a dks ekuk tk,xkA ;fn dksbZ vH;FkhZ lS)kfUrd vFkok ç;ksxkRed ijh{kk eas vuqÙkh.kZ gks tkrk gS] rks mls og ç'u&i= fQj ls nus k gksxk ftles a og vuqÙkh.kZ gqvk gSA fdlh Hkh fo"k; eas vuqÙkh.kZ gksus oky s vH;FkhZ dh Js.kh ?kksf"kr ugÈ dh tk,xhA dk;ZØe dks iwjk djus dh vfèkdre vofèk 4 o"kZ gksxhA çk;ksfxd ijh{kk vks,llhbZ ijh{kk ds lkFk&lkFk ekSf[kd ijh{kk gksxh & eas fn, x, vks,llhbZ fn'kkfunsZ'k n[s ksAa çk;ksfxd ijh{kk ds fy, çfr fnu Nk=ks a dh vfèkdre la[;k 10 gksxhA ijh{kk dsoy uSnkfud {ks= eas gh vk;ksftr djuh gksxhA rhu&lnL;h; çk;ksfxd ijh{kd ny eas fuEufyf[kr lnL; 'kkfey gksxa s & i. ,d vkarfjd ijh{kd ¿,uih,Q,p dk;ZØe i<k+u s ds 2 o"kZ vuqHko ds lkFk ,e-,llh- uÉlx ladk;@ LukrdksÙkj ds mijkar 5 o"kZ vuqHko ds lkFk lkeqnkf;d LokLF; uÉlx fof’k"Vrk es a ,e-,llh- uÉlx ladk; ¼vfèkekur% ,uih,Q,p½ÀA ii. ,d cká ijh{kd ¼mijksDr ds leku½A iii. ,d fpfdRlh; vkarfjd ijh{kd] ftlus ,uih,Q,p dk;ZØe ds fy, çhlsIVj ds :i eas dk;Z fd;k gksA 'kksèk fucaèk* 'kksèk xkbM% eq[; xkbM & LukrdksÙkj ds mijkar ,uih,Q,p dk;ZØe i<+kus ds 3 o"kZ vuqHko okyk uÉlx ladk;] lg&xkbM% efsMdy çhlsIVjA 'kksèk çLrko dh çLrqfr% çFke o"kZ es a ços'k dh frfFk ds 6&9 ekg mijkarA xkbM Nk= vuiqkr% 1 % 5 'kksèk lfefr% dkWyst@vLirky eas 'kksèk ds ekxZn'kZu vkSj mldh çxfr dk i;Zos{k.k djus ds fy, ,d vyx 'kksèk lfefr gksxh ¼çèkkukpk;Z ;k lh,uvks] tks ,e-,llh- uÉlx mikfèk èkkjd gksuk pkfg,] ds lkFk U;wure 5 lnL;½A uSfrd eta wjh% pwqfd bles a uSnkfud 'kksèk 'kkfey gS] laLFkkxr leh{kk cksMZ@vLirky vkpkj lfefr }kjk ufSrd eta wjh çkIr djuh gksxhA fo"k; dk p;u% fo"k; Qsfeyh gSYFk uÉlx ds fy, çklafxd gksuk pkfg, tks uÉlx eè;orZu eas tkudkjh ;k lk{; tksM+As 'kksèk fdlh Hkh ikfjokfjd LokLF; n[s kHkky lek;kstu@çkFkfed ;k f}rh;d ns[kHkky lek;kstu eas vk;ksftr fd;k tkuk pkfg,A MsVk laxzg.k% MsVk laxzg.k ds fy, 7 lIrkg vkoafVr fd, tkr s gSa] ftls igy s o"kZ eas 6 ekg ds ckn vkSj nwlj s o"kZ eas 6 ekg ls igy s uSnkfud vuHq ko ds nkSjku ,dhÑr fd;k tk ldrk gSA 'kksèk fjiksVZ y[sku% nlw js o"kZ ds 6&9 ekg easA 'kksèk fucaèk dh çLrqfr% nlw js o"kZ ds iwjk gksus ls 3 ekg igysA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7 'kksèk fucaèk ijh{kk vkarfjd vkadyu% ekSf[kd ijh{kk vkSj 'kksèk fucaèk fjiksVZ ¾ 50 vad fo'ofo|ky;h ijh{kk% ekSf[kd vkSj 'kksèk fucaèk fjiksVZ ¾ 50 vad ¼vkadyu gsrq vU; ,e-,llh- uÉlx fof'k"Vrkvks a ds fy, mi;ksx eas yk, tkus oky s vad fn'kkfunsZ'kks a dk mi;ksx fd;k tk ldrk gSA½ * VII. • ç'uksÙkjh • lsfeukj • fyf[kr fufgr dk;Z@vkofèkd ijh{kk i= • ekey s dh çLrqfr@uSnkfud çLrqfr • uSnkfud ;k ns[kHkky ekxZ@ns[kHkky vè;;u fjiksVZ • uSnkfud çn'kZu fu:i.k • efsMdy@uÉlx ladk;@çhlsIVj }kjk çfrgLrk{kfjr ykWx cqd ¼çfØ;kRed n{krk lwph rFkk uSnkfud vgZrk,a½ • oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ½ • ç'u i= • vafre ijh{kk ¼vkadyu fn'kkfunsZ'kks a ds fy, ns[ksa½ % % 1 mUur vH;klh; uÉlx ds fy, lS)kafrd vkèkkj 2 50 2 Qsfeyh gSYFk uÉlx eas 'kksèk vuçq ;ksx rFkk lk{; vkèkkfjr 3 30 70 vH;kl 3 urs `Ro] çcaèku rFkk f'k{k.k es a mUur dkS'ky 3 30 70 4 Qsfeyh gSYFk uÉlx eas vuqç;qDr mUur iSFkksfQft;ksykWth 3 30 70 rFkk mUur QkekZdksykWth 5 mUur LokLF;@'kkjhfjd vkadyu 3 30 70 50 50 1 Qsfeyh gSYFk uÉlx vH;kl ds ewy vkèkkj 3 30 70 100 100 2 Qsfeyh gSYFk uÉlx I 3 30 70 100 100 3 Qsfeyh gSYFk uÉlx II 3 30 70 100 100 4 'kksèk fucaèk@bZchih ifj;kstuk vkSj ekSf[kd ijh{kk 50 50 VIII. I mUur vH;klh; uÉlx ds fy, lS)kafrd vkèkkj 40 II Qsfeyh gSYFk uÉlx eas 'kksèk vuçq ;ksx rFkk lk{; 56 24 336 ¼7 lIrkg½ vkèkkfjr vH;kl III urs `Ro] çcaèku rFkk f'k{k.k es a mUur dkS'ky 56 24 192 ¼4 lIrkg½ IV Qsfeyh gSYFk uÉlx eas vuqç;qDr mUur 60 336 ¼7 lIrkg½ iSFkksfQft;ksykWth V Qsfeyh gSYFk uÉlx eas vuqç;qDr mUur QkekZdksykWth 54 336 ¼7 lIrkg½8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] VI mUur LokLF;@'kkjhfjd vkadyu 70 48 576 ¼12 lIrkg½ dqy ;ksx ¾ 2208 ?kaVs 336 ¼7 lIrkg½ 96 ¼2 lIrkg½ 1776 ¼37 lIrkg½ VII Qsfeyh gSYFk uÉlx vH;kl ds ewy vkèkkj 96 48 576 ¼12 lIrkg½ VIII Qsfeyh gSYFk uÉlx I 96 48 576 ¼12 lIrkg½ IX Qsfeyh gSYFk uÉlx II 96 48 624 ¼13 lIrkg½ dqy ;ksx ¾ 2208 ?kaVs 288 ¼6 lIrkg½ 144 ¼3 lIrkg½ 1776 ¼37 lIrkg½ ,d o"kZ eas miyCèk lIrkgksa dh la[;k ¾ 52 & 6 ¼okÆ"kd vodk'k] vkdfLed vodk'k] #X.krkodk'k ¾ 6 lIrkg½ ¾ 46 lIrkg × 48 ?kaVs ¾ 2208 ?kaVs ¼ijh{kk uSnkfud inLFkkiu ds nkSjku½ nks o"kZ ¾ 4416 ?kaVs lS)kafrd ¾ 624 ?kaV]s dkS'ky ç;ksx'kkyk ¾ 240 ?kaV]s uSnkfud ¾ 3552 ?kaVs dqy ;ksx ¾ 4416 ?kaVs çFke o"kZ% 336&96&1776 ?kaVs ¼lS)kfUrd&dkS'ky ç;ksx'kkyk&uSnkfud½ ¿lS)kfUrd¾15%] O;kogkfjd ¼dkS’ky ç;ksx’kkyk ,oa uSnkfud¾85%½À f}rh; o"kZ% 288&144&1776 ?kaV s ¼lS)kfUrd&dkS'ky ç;ksx'kkyk&uSnkfud½ ¼lS)kfUrd¾15%] O;kogkfjd¾85%½ çFke o"kZ ¾ 46 lIrkg@2208 ?kaVs ¼46×48 ?kaVs½ ¼lS)kfUrd $ ç;ksx'kkyk% 44 lIrkg ds fy, 7-5 ?kaVs çfr lIrkg ¾ 330@336 $ 96 ?kaVs*½ *lS)kfUrd $ ç;ksx'kkyk ¾ ifjp;kRed CykWd d{kkvks a vkSj dk;Z'kkykvks a ds :i eas 2 lIrkg ds fy, 96 ?kaVs fn, tk ldr s gSa f}rh; o"kZ ¾ 46 lIrkg@2208 ?kaVs ¼46×48 ?kaVs½ ¼lS)kfUrd $ ç;ksx'kkyk% 45 lIrkg ds fy, 8-5 ?kaVs çfr lIrkg ¾ 384$48 ?kaVs½ ¼1 lIrkg CykWd d{kk,a ¾ 48 ?kaVs½ A. U;wure 48 ?kaVs çfr lIrkg fuèkkZfjr gS] gkykafd] ;g f}rh;d LokLF; n[s kHkky lqfoèkk es a vyx&vyx ikfj;ks a vkSj vkWu dkWy MîVw h djus ds ckn Nqêh ds vkèkkj ij ifjorZu'khy gSA B. ¼ifjp;kRed CykWd d{kkvks a vkSj dk;Z'kkyk ds 2 lIrkg dks NksM+dj½ • efsMdy okMZ & 10 lIrkg • lÆtdy okMZ & 6 lIrkg • dkÆM;ksykWth okMZ & 2 lIrkg • vkWUdksykWth okMZ & 2 lIrkg • U;wjksykWth okMZ & 2 lIrkg • uÝs ksykWth okMZ & 2 lIrkg • vkikrdkyhu foHkkx & 2 lIrkg • iquokZl bdkbZ & 2 lIrkg • çlwfr okMZ & 2 lIrkg • f'k'kw fpfdRlk okMZ & 4 lIrkg ¼ f'k'kw fpfdRlk vkikrdkyhu bdkbZ ds 1 lIrkg lfgr½ • xgu ns[kHkky bdkb;ka & 4 lIrkg • f'k'kw fpfdRlk vksihMh & 2 lIrkg • çlwfr vksihMh & 2 lIrkg • euksjksx vksihMh & 2 lIrkg ¼CykWd d{kkvks a dk ,d lIrkg NksM+dj½ • vkikrdkyhu foHkkx & 2 lIrkg • vkbZlh;w & 2 lIrkg • QhYM çSfDVl ds fy, lkeqnkf;d {ks= ¼?kjsyw ns[kHkky½ & 6 lIrkg o 'kgjh & 2 lIrkg o xzkeh.k & 2 lIrkg o tutkrh; & 2 lIrkg[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9 • vkmVjhp@eksckby Dyhfud & 2 lIrkg o xzkeh.k & 1 lIrkg o 'kgjh & 1 lIrkg • midsæa & 2 lIrkg • çkFkfed LokLF; dsæa & 2 lIrkg • lkeqnkf;d LokLF; dsæa & 2 lIrkg • ftyk vLirky & 2 lIrkg • cká jksxh foHkkx ¼'kkfey djus ds fy,½ & 3 lIrkg o f'k'kw fpfdRlk vksihMh & 1 lIrkg o çlwfr vksihMh & 2 lIrkg • f}rh;d LokLF; n[s kHkky lqfoèkk@leqnk;&vkèkkfjr vLirky & 4 lIrkg • lapkjh jksx okMZ & 2 lIrkg • ç'kked n[s kHkky dsæa vkSj gkWLikbl & 3 lIrkg • çlwfr d{k & 3 lIrkg • euksjksx okMZ & 2 lIrkg • Ldwy & 2 lIrkg • O;kolkf;d LokLF; bdkb;ka & 1 lIrkg • tjkjksxh okMZ@?kj & 2 lIrkg • {ks=h; nkSjs & 3 lIrkg C. f'k{k.k & lS)kafrd] ç;ksx'kkyk rFkk uSnkfud fuEufyf[kr rjhdks a ls fd;k tk ldrk gS vkSj uSnkfud inLFkkiu ds nkSjku ,dhÑr fd;k tk ldrk gS & • vuqHkokRed vè;;u • Çpru'khy vè;;u • fleqy’s ku • uSnkfud lEeys u • ekey s dh çLrqfr@uSnkfud çLrqfr • xgu vkS"kfèk vè;;u] çLrqfr vkSj fjiksVZ • uÉlx jkmaM~l • uSnkfud lsfeukj • tuZy Dyc • ekey s dk vè;;u@uSnkfud ;k n[s kHkky ekxZ • mUur LokLF; vkadyu • uSnkfud {ks= eas ladk; O;k[;ku • funsZf'kr iBu • fufgr dk;Z • ekey s ds vè;;u dk fo'y"sk.k • dk;Z'kkyk,a • egkekjh tkap • jksx fuxjkuh • uSnkfud ifj;kstuk • vkbZbZlh xfrfofèk;ka • ,QthMh & ihvkj, dk mi;ksx djuk D. çR;sd uSnkfud inLFkkiu ds var eas] uSnkfud ykWx cqd ¼fof'k"V çfØ;kRed n{krk,@a uSnkfud dkS'ky½ 3 vkSj uSnkfud vgZrk, a ij çR;sd i[kokM+ s çhlsIVj@ladk; }kjk gLrk{kj fd, tkus pkfg,A E. 1- mUur O;kid vkadyu] funku] mipkj ;kstuk] dk;kZUo;u vkSj fu:i.k dkS'ky dk mi;ksx djrk gSA 2- th.kZ vkSj@;k vfLFkj okrkoj.k eas mUur dkS'ky dk s ykxw djrk gS vkSj viukrk gSA 3- O;ogkj es a lwfpr dju]s ekxZn'kZu dju s vkSj fl[kkus ds fy, Bksl mUur uSnkfud rdZ vkSj fu.kZ; ykxw djrk gSA 4- nLrkostks a dk vkadyu] funku] çcaèku vkSj jksfx;ks a dh Hkkxhnkjh eas mipkj vkSj vuqorÊ n[s kHkky dh fuxjkuh djrk gSA10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 5- laLFkkxr çksVksdkWy ds vuqlkj vkS"kfèk;ks a vkSj mipkjks a dk çcaèku djrk gSA 6- fpfdRlh; lacaèkks a dks 'kq: dju]s fodflr djus vkSj can djus ds fy, vuçq ;qDr lapkj] ijke'kZ] odkyr vkSj ikjLifjd dkS'ky dk mi;ksx djrk gSA 7- n[s kHkky dh fujarjrk cuk, j[ku s ds fy, vU; LokLF; ns[kHkky dfeZ;ks a dks jQs j djrk gS vkSj muls jQs jy Lohdkj djrk gSA 8- jksxh] ifjtuks a vkSj leqnk; ds fgr es a çkfèkdj.k vkSj fu;ked <kapk tgka vuqefr nsrk gS] Lor=a :i ls vH;kl djrk gSA 9- vU; LokLF; n[s kHkky dfeZ;ks a vkSj vU; yksxks a ds lkFk ijke'kZ djrk gS vkSj muls ijke'kZ yrs k gSA 10- jksxh ds fgr es a LokLF; ny ds lnL;ks a ds lkFk feydj dk;Z djrk gSA 11- ,d ,slh çFkk fodflr djrk gS tks orZeku oSKkfud lk{;ks a ij vkèkkfjr gks rFkk uotkr f'k'kq] ifjtuks a vkSj leqnk; ds LokLF; çcaèku es a 'kkfey gkAs 12- Lor=a vkSj var%is'ksoj 'kksèk ds }kjk n[s kHkky dh lqj{kk] n{krk vkSj çHkko'khyrk es a lqèkkj yku s ds fy, lk{;&vkèkkfjr vH;kl dk çn'kZu djus ds fy, 'kksèk dk mi;ksx djrk gSA 13- ,ih,u Hkwfedk vkSj ftEesnkjh ds lHkh igyvq ks a eas uSfrd vH;kl eas layXu jgrk gSA 14- viu s mUur is'ksoj fu.kZ;] dk;ks± vkSj fujarj {kerk ds fy, tokcngs h vkSj ftEens kjh Lohdkj djrk gSA 15- tksf[ke çcaèku j.kuhfr;ks a vkSj xq.koÙkk lqèkkj ds mi;ksx }kjk ,d lqjf{kr fpfdRlh; okrkoj.k cukrk gS vkSj cuk, j[krk gSA 16- cnyrh LokLF; n[s kHkky ç.kkyh eas dq'ky mUur vH;kl uÉlx lsokvks a ds forj.k eas urs `Ro vkSj çcaèku dh ftEesnkfj;ka laHkkyrk gSA 17- LokLF; n[s kHkky ç.kkfy;ks a eas jksfx;ks a ds fy, vfèkoDrk ds :i eas dk;Z djrk gS vkSj oS;fDrd jksxh] ifjtuks a vkSj leqnk; dks c<k+ok nus s vkSj mudh j{kk djus okyh LokLF; uhfr;ka fodflr djrk gSA 18- vH;kl dks çklafxd vkSj lkaLÑfrd ifjos'k ds vuq:i <kyrk gSA F. ,uih,Q,p ds fy, vH;kl dk nk;jk dkQh O;kid gS] D;ksfad ,uih,Q,p lHkh mez ds jksfx;ks a dk çcaèku djrk gS vkSj vDlj çkFkfed@f}rh;d n[s kHkky lek;kstuksa eas dk;Z djrk gS] u fd fof'k"V ns[kHkky lek;kstu easA ,d ulZ çSfDV'kuj dh ftEens kjh dk nk;jk f'k'kw n[s kHkky ls yds j o`)koLFkk n[s kHkky rd gks ldrk gSA ,uih,Q,p dh ftEesnkfj;ks a ds fy, n[s ksAa G. Nk=ks a dks laLFkkxr çksVksdkWy@LFkk;h vkns'kks a ds vuqlkj Lora= :i ls vkS"kfèk nus s vkSj uSnkfud ijh{k.k] çfØ;k] fpfdRlk midj.k o mipkj dk vkns'k nus s ds fy, çf'kf{kr fd;k tk,xk ¼ LFkk;h vkns'k½A vkikrdkyhu vkS"kfèk;ka lacafèkr fpfdRld ds ijke'kZ ls nh tkrh gSa vkSj ckn es a fyf[kr vkn's k }kjk leÆFkr dh tkrh gSaA & 1- mUur vH;klh; uÉlx ds 8 ?kaVs 1×32¾32 ?kaVs • lsfeukj@lS)kafrd vuqç;ksx fy, lS)kafrd vkèkkj ¼40½ • O;k[;ku ¼ladk;½ 2- Qsfeyh gSYFk uÉlx eas 'kkès k 8 ?kaVs 40 ¼5 fnu½ 1×24¾24 ?kaVs • 'kksèk vè;;u fo'y"sk.k vuqç;ksx rFkk lk{; vkèkkfjr $ 8 ?kaVs • vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½ vH;kl ¼56$24½ 3- urs `Ro] çcaèku rFkk f'k{k.k eas 12$2 ?kaVs 1×26¾26 ?kaVs • uSnkfud lEeys u mUur dkS'ky ¼56$24½ ¼CykWd d{kk,a½ 2-5×16¾40 ?kaVs • lsfeukj • vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½ 4- Qsfeyh gSYFk uÉlx eas 1-5×40¾60 ?kaVs • ekey s dh çLrqfr vuqç;qDr mUur • lsfeukj iSFkksfQft;ksykWth ¼60½ • uSnkfud lEeys u 5- Qsfeyh gSYFk uÉlx eas 10 ?kaVs 1×44¾44 ?kaVs • uÉlx jkmaM~l vuqç;qDr mUur QkekZdksykWth • vkS"kfèk vè;;u çLrqfr ¼54½ • LFkk;h vkns'k@çLrqfr[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11 6- mUur LokLF;@'kkjhfjd 8 ?kaVs 2×26¾52 ?kaVs • uSnkfud çn'kZu ¼ladk;½ vkadyu ¼70$48½ 1-5×18¾27 ?kaVs • okilh çn'kZu 1×15¾15 ?kaVs • uÉlx jkmaM~l 2×6¾12 ?kaVs • 'kkjhfjd vkadyu ¼lHkh ç.kkfy;ka½ 2×2¾4 ?kaVs • ekey s dk vè;;u & ifjp;kRed d{kk,a ¾ 1 lIrkg ¼48 ?kaVs½] dk;Z'kkyk ¾ 1 lIrkg ¼48 ?kaVs½] 44 lIrkg ¾ 7-5 ?kaVs çfr lIrkg ¼330@336 ?kaVs½ ¼48 ?kaVs½ 1- Qsfeyh gSYFk uÉlx vH;kl ds 9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½ eyw vkèkkj • okilh çn'kZu ¼ç;ksx'kkyk½ ¼96$48½ ¾ 144 ?kaVs • uSnkfud çf'k{k.k • ekey s dk vè;;u • lsfeukj • uSnkfud lEeys u • ladk; O;k[;ku 2- Qsfeyh gSYFk uÉlx I 9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½ ¼96$48½ ¾ 144 ?kaVs • okilh çn'kZu ¼ç;ksx'kkyk½ • uSnkfud lEeys u@tuZy Dyc • lsfeukj • ekey s dh çLrqfr • vkS"kfèk vè;;u ¼vkS"kèkh; ikjLifjd çHkko lfgr½ • uÉlx jkmaM~l • ladk; O;k[;ku 3- Qsfeyh gSYFk uÉlx II 9 ?kaVs × 16 lIrkg ¾ 144 ?kaVs • çn'kZu ¼ç;ksx'kkyk½ ¼96$48½ ¾ 144 ?kaVs • okilh çn'kZu • uÉlx jkmaM~l • uSnkfud lEeysu@tuZy Dyc • lsfeukj • ladk; O;k[;ku CykWd d{kk,a & 1 lIrkg] 45 lIrkg & 8-5@9 ?kaVs çfr lIrkg çR;sd f'k{k.k i)fr gsrq fo"k; dks lacafèkr f'k{kd@laLFkku }kjk foLr`r ;kstuk eas fuÆn"V fd;k tk,xkA I. 1- oSf'od LokLF; n[s kHkky ço`fÙk;ks a vkSj pqukSfr;ks a dk fo'y"sk.k djukA 2- Hkkjr eas LokLF; n[s kHkky rFkk f'k{kk uhfr;ks a ds uÉlx ij çHkko dk miyCèk nLrkots ks a ls ijke'kZ djds fo'y"sk.k djukA 3- Hkkjr es a LokLF; lsok forj.k ç.kkyh vkSj bldh pqukSfr;ks a dh xgu le> fodflr djukA 4- Qsfeyh gSYFk uÉlx eas LokLF; lsokvks a ds forj.k ds fy, çklafxd vkÆFkd fl)karks a dks ykxw djukA 5- ykxr] xq.koÙkk rFkk larqf"V tSls LokLF; ifj.kkeks a dks çHkkfor djus ds fy, LokLF; tkudkjh dk çcaèku vkSj :ikarj.k djukA 6- ulZ çSfDV’kuj dh Hkwfedkvks a rFkk n{krkvks a dk vH;kl djus es a tokcngs h vkSj ftEens kjh Lohdkj djukA 7- ikfjokfjd LokLF; ns[kHkky eas LokLF; ns[kHkky ny ds lHkh lnL;ks a dks 'kkfey djrs gq, lg;ksxh vH;kl es a lfØ; :i ls Hkkx ysuk vkSj vfèkÑr nk;j s ds vanj funsZ'kkRed Hkwfedk fuHkkukA 8- fofèkd] uSfrd vkSj mUur uÉlx vH;kl ds fu;eu dk vPNk Kku j[kus oky s uSfrd vH;kl eas layXu gksukA12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 9- lqfu;ksftr çhlsIVjf'ki ds ekè;e ls çnku fd, x, çf'k{k.k ds voljks a dk mi;ksx djuk rFkk uÉlx çfØ;k@ds;j ikFkos ;k fDyfudy ikFkos ykxw djr s gq, lqjf{kr vkSj l{ke ns[kHkky djukA 10- fofHkUu LokLF; n[s kHkky lek;kstuksa eas xaHkhj vkSj th.kZ jksxks a ls ihfM+r jksfx;ks a dks l{ke ikfjokfjd LokLF; uÉlx n[s kHkky çnku djus es a uÉlx fl)karks a dh tkudkjh dks ykxw djukA 11- fo'ks"k :i ls Hkkjr eas fofHkUu LokLF; n[s kHkky lek;kstuksa eas ulZ çSfDV'kuj dh Hkwfedkvks a eas vkxkeh pqukSfr;ks a dk iwokZuqeku yxkukA 1- oSf'od LokLF; n[s kHkky pqukSfr;ka vkSj #>ku ¼n{krk 1½ 2 2- Hkkjr es a LokLF; ç.kkyh & Hkkjr eas LokLF; n[s kHkky forj.k ç.kkyh & cnyr s ifjn`'; ¼n{krk 3½ 2 3- jk"Vªh; LokLF; ;kstuk & iapo"kÊ; ;kstuk,a vkSj jk"Vªh; LokLF; uhfr ¼n{krk 2½ 2 4- LokLF; vFkZ'kkL= vkSj LokLF; n[s kHkky foÙkik"sk.k ¼n{krk 4½ 4 5- uÉlx lwpuk foKku lfgr LokLF; lwpuk ç.kkyh ¼daI;Vw j rFkk rduhdh dk mi;ksx½ ¼n{krk 5½ 4 6- ,ih,u & ifjHkk"kk] nk;jk] n'kZu] tokcngs h] Hkwfedk vkSj ftEens kfj;ka ¼lg;ksxh vH;kl vkSj ulZ fuèkkZfjr 3 Hkwfedk,a½ ¼n{krk 6 o 7½ 7- fofu;eu ¼çf'k{k.k laLFkkuks a dh ekU;rk vkSj çek.ki=½ vkSj mUur vH;klh; uÉlx Hkwfedk ds uSfrd 3 vk;ke ¼n{krk 8½ 8- ulZ çSfDV'kuj% Hkwfedk] çdkj] n{krk] vH;kl ds fy, uSnkfud lek;kstu] lkaLÑfrd {kerk ¼n{krk 6½ 3 9- ,uih ds fy, çf'k{k.k & çhlsIVjf'ki ¼n{krk 9½ 2 10- ,uih vH;kl dh Hkfo"; dh pqukSfr;ka ¼n{krk 11½ 4 11- ,ih,u eas vuqç;qDr uÉlx ds fl)kar ¼n{krk 10½ 3 12- ,ih,u eas vuqç;qDr uÉlx çfØ;k@ds;j ikFkos ¼n{krk 9½ 2 6 1- LokLF; n[s kHkky rFkk f'k{kk uhfr;ks a dh igpku djuk vkSj uÉlx ij blds çHkko dk fo'y"sk.k djuk 2- ,uih vH;kl ds fy, Hkkjr eas dkuuw h fLFkfr dk o.kZu djukA vU; n's kks a eas bu uhfr;ks a dh çklafxdrk ds lkFk Hkkjr eas uhfr fuèkkZfjr djus okyh ulZ dk Hkfo"; D;k gS\ 3- ns'k ds vanj vkSj ckgj laLFkkuksa eas ik, tku s oky s ,uih vH;kl ls lacafèkr uÉlx çksVksdkWy dh tkap djuk • ,,lh,u ¼2021½ n ,lsfa'k;Yl% dksj daihVsla ht QkWj çksQs'kuy uÉlx ,twds'ku & ,aVªh yos y ,aM ,MokaLM yos y uÉlx ,twds'ku] vesfjdu ,lksfl,'ku vkWQ dkWystst vkWQ uÉlx • MsfuLdks ,aM ckdZlZ ,-,e- ¼2015½ ,MokaLM çSfDVl uÉlx% ,lsfa'k;y uksyts QkWj n çksQs'ku ¼r`rh; laLdj.k½ eSlkpqlsV~l% tksla ,aM ckVZyVs ifCy'klZ bad • fgdh ts-oh-] vksbesV vkj-,e- ,aM osusxksuh ,l-,y- ¼1996½ ,MokaLM çSfDVl uÉlx% pasÇtx jksYl ,aM fDyfudy ,Iyhds'kUl] fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl • vkbZlh,u ¼2020½ xkbMykbal vkWu ,MokaLM çSfDVl uÉlx] ftuos k% vkbZlh,u • ,uvks,uih,Q ¼2022½ ulZ çSfDV'kuj jksy daihVaslht] us'kuy vkWxsZukbts'ku vkWQ ulZ çSfDV'kuj QSdYVht • 'kkWcj ,e- ,aM vQkjk ,Q-,- ¼2006½ ,MokaLM uÉlx çSfDVl] vkWDlQksMZ% CydS osy ifCyÇ'kx • LVhoVZ th-ts- ,aM MsfuLdks ,l-,e- ¼2015½ jksy MsoyieasV QkWj n ulZ çSfDV'kuj] ;w,l,% ÇLçxj ifCyÇ'kx daiuh II. 1- Qsfeyh gSYFk uÉlx eas Lor=a 'kksèk djus es a xgu 'kksèk tkudkjh vkSj dkS'ky dks ykxw djukA 2- jksxh n[s kHkky xq.koÙkk es a lqèkkj ykus ds fy, lg;ksxh 'kksèk eas Hkkx ysukA 3- bZchih dks c<k+ok nsus ds fy, mUur vH;kl eas 'kkès k fu"d"kks± dh O;k[;k vkSj mi;ksx djukA 4- mUur vH;kl eas loksZÙke vH;klks a vkSj LokLF; ifj.kkeks a rFkk xq.koÙkkijd n[s kHkky dks fodflr djus ds fy, orZeku vH;kl dk ijh{k.k@vkda yu djukA 5- n[s kHkky dh lqj{kk vkSj çHkko'khyrk dks c<k+u s ds fy, Qsfeyh gSYFk uÉlx vH;kl eas fd, x, uÉlx eè;orZu ds fy, lk{; dk fo'y"sk.k djukA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13 6- oSKkfud 'kksèk fjiksVZ y[s ku es a dkS'ky fodflr djukA 1- 'kksèk vkSj mUur uÉlx vH;kl% 2 mUur uÉlx Hkwfedk ls lacafèkr 'kksèk vkSj iwNrkN dk egRo ¼n{krk 1½ 2- ,ih,u vH;kl ds fy, 'kksèk ,tsMak% 5 loksZÙke vH;kl fodflr djus ds fy, orZeku vH;kl dk ijh{k.k] LokLF; ifj.kke vkSj mUur vH;kl eas xq.koÙkkiw.kZ n[s kHkky ds ladsrd ¼n{krk 3] 4] 5½] 'kksèk laLÑfr dks c<+kok nsuk 3- 'kksèk tkudkjh vkSj dkS'ky% 40 ,ih,u ds fy, vko';d 'kksèk n{krk, a ¼'kksèk dh O;k[;k vkSj mi;ksx] vH;kl dk vkadyu] lg;ksxh ¼5 fnolh; 'kksèk eas Hkkxhnkjh½ dk;Z'kkyk½ lk{; vkèkkfjr vH;kl ¼bZchih½ ifj;kstuk dk ifjp; & PiCOT ç'u] ;kstuk ds pj.k] dk;kZUo;u] vkadyu vkSj çlkj ¼ifj;kstuk çLrko vkSj ifj;kstuk fjiksVZ½ 'kksèk fØ;kfofèk pj.k@lksiku ¼'kksèk ç'u] lkfgfR;d leh{kk] oSpkfjd lajpuk] 'kksèk fMtkbu] ueuw kdj.k] MsVk laxzg.k] i)fr;ka vkSj midj.k] fo'ys"k.k vkSj fjiksÉVx½ 'kksèk çLrko vkSj 'kksèk fjiksVZ y[s ku ¼n{krk 1 vkSj 2½ 4- çdk'ku ds fy, y[sku 5 ¼y[s ku dk;Z'kkyk & ik.Mqfyfi rS;kj djuk vkSj foÙk iks"k.k ds lzksr <aw<uk½ ¼n{krk 6½ ¼dk;Z'kkyk½ 5- lk{; vkèkkfjr vH;kl 4 • voèkkj.kk,a] fl)kar] egRo vkSj pj.k • Qsfeyh gSYFk uÉlx n[s kHkky lek;kstu es a bZchih dks ,dhÑr djuk • Qsfeyh gSYFk uÉlx n[s kHkky es a lk{; ds {ks= • bZchih dks ykxw dju s eas ckèkk,a • bZchih dks c<k+ok nsus okyh j.kuhfr;ka ¼n{krk 3] 4] 5½ 24 ?kaVs • 'kksèk çkFkfedrkvks a dh igpku djuk • 'kksèk ç'u] mís'; vkSj ifjdYiuk ij vH;kl ys[ku • 'kksèk çLrko ys[ku • oSKkfud i= y[s ku & çdk'ku ds fy, ikaMqfyfi rS;kj djuk • O;ofLFkr leh{kk@lkfgfR;d leh{kk y[s ku & ikfjokfjd LokLF; n[s kHkky lek;kstu eas fn, x, uÉlx eè;orZu ds lk{; dk fo'y"sk.k djuk • O;kogkfjd 'kksèk% fucaèk ¼336 ?kaV s ¾ 7 lIrkg½@lk{; vkèkkfjr vH;kl ifj;kstuk ¼bZchih ifj;kstuk½ • xzs ts- ,aM xzkso ,l-ds- ¼2020½ n çSfDVl vkWQ uÉlx fjlpZ% vçsty] ÇlFksfll ,aM tuj's ku vkWQ ,foMsal ¼9oka laLdj.k½ lsVa yqbl% ,Ylsfo;j lkWUMlZ • iksfyr Mh-,Q- ,aM csd lh-Vh- ¼2021½ uÉlx fjlpZ% tsusjsÇVx ,aM ,lsÇlx ,foMsla QkWj uÉlx çSfDVl ¼11oka laLdj.k½ ubZ fnYyh% okWYVlZ ,aM Dywoj • f'eV ,u-,- ,aM czkmu ts-,e- ¼2021½ ,foMsla &csLM çSfDVl QkWj ulsZl vçsty ,aM ,fIyds'ku vkWQ fjlpZ] ,lMh% tklsa ,aM ckVZyVs ifCy'klZ bad III. 1- ikfjokfjd LokLF; n[s kHkky lek;kstu eas usr`Ro vkSj çcaèku ds fl)karks a dks ykxw djukA 2- fl)karks a dh csgrj tkudkjh dk mi;ksx djds Qsfeyh gSYFk uÉlx lek;kstu eas ruko o la?k"kks± dks çHkkoh <xa ls çcafèkr djukA 3- leL;k lekèkku vkSj fu.kZ; ysus okys dkS'ky dks çHkkoh <xa ls ykxw djukA14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 4- çkFkfed vkSj f}rh;d n[s kHkky@ikfjokfjd LokLF; n[s kHkky lek;kstuks a eas urs `Ro çnku dju s vkSj jksxh n[s kHkky ds çcaèku es a egRoiw.kZ fparu vkSj lapkj dkS'ky dk mi;ksx djukA 5- ny cukuk vkSj ikfjokfjd LokLF; n[s kHkky eas nwljks a dks çsfjr djukA 6- bdkbZ dk ctV rS;kj djuk] vkiwÆr vkSj LVkQ dk çHkkoh <ax ls çcaèku djukA 7- uokpkj vkSj cnyko ds le; mfpr :i ls Hkkx ysukA 8- f'k{k.k ds Bksl fl)karks a ds vkèkkj ij çHkkoh f'k{k.k fofèk;ks]a ehfM;k vkSj vkadyu dk mi;ksx djukA 9- jksxh n[s kHkky es a i{kèkj Hkwfedk fodflr djuk] ikfjokfjd LokLF; n[s kHkky lek;kstu ea s xq.koÙkk vkSj ufSrdrk cuk, j[kukA 1- fl)kar] urs `Ro 'kSyh vkSj orZeku #>ku 2 2- fl)kar] çcaèku 'kSyh vkSj orZeku #>ku 2 3- ikfjokfjd LokLF; n[s kHkky lek;kstu es a vuqç;qDr usr`Ro vkSj çcaèku ds fl)kar 4 4- ruko çcaèku ,oa Vdjko çcaèku & çkFkfed ns[kHkky okrkoj.k ds fl)kar vkSj vuqç;ksx] çHkkoh le; 4 çcaèku 5- xq.koÙkk lqèkkj ,oa ijh{k.k 4 6- ikfjokfjd LokLF; uÉlx vH;kl eas vuqç;qDr leL;k lekèkku] egRoiw.kZ Çpru o fu.kZ;] lapkj 5 dkS'ky 7- ikfjokfjd LokLF; n[s kHkky lek;kstu es a ny cukuk] çsfjr djuk vkSj lykg nus k 2 8- ctV o lalkèku çcaèku ftles a ekuo lalkèku & ctV] lkexzh çcaèku] LVkQ] fufgr dk;Z ’kkfey gSa 5 9- cnyko vkSj uokpkj 2 10- LVkQ çn'kZu vkSj vkadyu ¼çn'kZu vkadyu½ 6 11- Qsfeyh gSYFk uÉlx eas vuqç;qDr f'k{k.k&vè;;u fl)kar vkSj fu;e 2 12- n{krk vkèkkfjr f'k{kk vkSj ifj.kke vkèkkfjr f'k{kk 2 13- f'k{k.k fofèk;ka@j.kuhfr;ka] ehfM;k% ikfjokfjd LokLF; ns[kHkky lek;kstu es a jksxh] ifjtuks a vkSj 8 deZpkfj;ks a dks f'kf{kr djuk 14- deZpkjh f'k{kk vkSj vkadyu es a midj.kks a dk mi;ksx 4 15- ,ih,u & ,d f'k{kd ds :i eas Hkwfedk 2 16- ikfjokfjd LokLF; n[s kHkky lek;kstu es a leFkZu Hkwfedk,a 2 • LVkQ jksxh fufgr dk;Z rS;kj djuk • bdkbZ dk ctV rS;kj djuk • LVkQ MîwVh jksLVj rS;kj djuk • jksxh n[s kHkky ijh{k.k • uÉlx n[s kHkky ekud vkSj çksVksdkWy rS;kj djuk • midj.k vkSj vkiwÆr çcaèku • laØe.k fu;a=.k vH;klks a dh fuxjkuh] vkadyu vkSj fjiksVZ y[s ku • f'k{k.k ;kstuk dk fodkl • lw{e f'k{k.k@jksxh çf’k{k.k l= • jksxh rFkk deZpkfj;ks a ds fy, çf'k{k.k i)fr vkSj ehfM;k rS;kj djuk • vks,llhbZ@vks,lihbZ dh ;kstuk cukuk vkSj lapkyu djuk • ijh{k.k fuekZ.k dk;Z&LFky fgalk@HkhM+ }kjk fgalk • ckLVscy ,l-ch- ¼2019½ ulZ ,t ,tqdsVj% ÇçfliYl vkWQ VhÇpx ,aM yÉux QkWj uÉlx çSfDVl ¼5oka laLdj.k½ ubZ fnYyh% tksla ,aM ckVZysV ifCy'klZ bad-[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15 • fcÇyXl Mh-,e- ,aM gYLVhM ts-,- ¼2019½ VhÇpx bu uÉlx% , xkbM QkWj QSdYVh ¼6oka laLdj.k½ lsaV yqbl felkSjh% lkWUMlZ ,Ylsfo;j • DykdZ lh-lh- ¼2010½ fØ,fVo uÉlx yhMjf'ki ,aM eSuts easV] ubZ fnYyh% tksla ,aM ckVZyVs ifCy'klZ bad- • yhcyj ts-th- vkSj eSddksusy lh-vkj- ¼2008½ eus ts easV fçafliYl QkWj gSYFk çksQs’kuYl] lMcjh ,e-,-% tksla ,aM ckVZysV ifCy'klZ bad- • jlSy ,y- ,aM LokalcxZ vkj-lh- ¼2010½ esusteasV ,aM yhMjf’ki QkWj ulZ ,MfefuLVªVs lZ ¼5oka laLdj.k½ ubZ fnYyh% tklsa ,aM ckVZyVs ifCy'klZ bad- IV. A. 1- rhoz vkSj th.kZ fLFkfr eas funku vkSj ns[kHkky ;kstuk fodflr djus eas iSFkksfQft;ksykWftdy çfØ;k dh tkudkjh dks ,dhÑr djukA 2- rhoz vkSj th.kZ jksxks a ds y{k.k çcaèku vkSj çkFkfed ,oa f}rh;d jksdFkke eas iSFkksfQft;ksykWftdy fl)karks a dks ykxw djukA 3- funku] mipkj] n[s kHkky vkSj jksx funku ds eYw ; dks igpkurs gq, çR;sd rhoz vkSj th.kZ jksx dh vko';drk okyh fLFkfr ds fy, çklafxd iSFkksfQft;ksykWftdy ifjorZuks a dk fo'y"sk.k djukA I 8 ân; lacaèkh fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k • mPp jDrpki fodkj • ifjèkh; èkeuh fodkj • f'kjkijd fodkj • dksjksujh èkeuh jksx • okfgdk ân; jksx • dkÆM;ksek;ksiSFkh vkSj ân; dh èkM+du #duk • dkfMZ;kd VSEiskusM ¼ân; rhozlEihM+u½ • vrkyrk • dkWjiYeksusy ¼ Qq¶QqltU; ân; jksx½ • gVZ CykWd vkSj pkyu eas xM+cM+h II 4 Qq¶Qqlh; fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k • QsQM+ksa es a yacs le; ls #dkoV • Qq¶Qqlh; okfgdk ds fodkj • laØked jksx • lkal #duk • lhu s dh pksV III 6 rfa=dk lacaèkh fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k • lhtj fMlvkWMZj • lsjhczksoLdwyj fMlht ¼jDr èkeuh dk jksx½ • laØe.k • jh<+ dh gìh ds fodkj • vi{k;h raf=dk lacaèkh jksx • rfa=dk lacaèkh pksV • dksek] csgk's kh IV 4 xqnZs lacaèkh fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k • ,D;wV jhuy QsY;j • Øksfud jhuy QsY;j • e=w k'k; dh pksV • laØe.k ¼Xykses#yksuÝs kbfVl½16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • u¶s jksfVd ÇlMªkse V 4 gsisVksfcyjh fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k • tBjka= eas jDrlzko • varfM+;ks a eas #dkoV • isfaØ;kfVfVl ¼vXuk'k;'kksFk½ • gsisfVd QsY;j • tBjka= fNæ VI 4 var%lzkoh fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k • Mk;csfVd dhVks,flMksfll • gkbij&vkWLeksyj ukWudhVksfVd dksek • gkbiksXykblhfe;k • Fkk;jkbM LVkWeZ • ek;DlsMsek dksek • ,fMªuy Økbfll • ÇlMªkse vkWQ bu,çksfç,V ,fUVMk;;wjsfVd gkeksZu lsfØ’ku IV. B. I 8 #fèkj lacaèkh fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k • yky jDr dksf'kdkvks a ds fodkj & ikWyhflFksfe;k & ,uhfe;k & fldy lsy jksx • 'osr jDr dksf'kdkvks a ds fodkj & Y;wdksisfu;k & fu;ksIykfLVd fodkj • gseksLVfsll ds fodkj & IyVs ysV fodkj & dks,xqys'ku fodkj & NksVh ulks a eas jDr ds NksVs&NksVs FkDds cuuk II 2 vè;ko.khZ; fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k • ?kko Hkjuk • tyuk • LVhou tkWulu ÇlMªkse III 8 eYVhflLVe fMlQaD'ku dh mUur iSFkksfQft;ksykWftdy çfØ;k • 'kkWd ¼lnek½ & gkbiksokys fsed & dkÆM;kstsfud[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17 & fMLVªhC;fwVo • flLVfsed bu¶ysesVjh ÇlMªkse • eYVhiy vkWxZu fMlQaD'ku ÇlMªkse • VªkWek & o{kjksx & mnj & eLdqyksLdsyVs y & eSfDlyksQsf'k;y • vkS"kfèk dh vfèkd ek=k vkSj fo"kkDrrk • fo"kgj.k IV 6 fof'k"V laØe.kks a dh mUur iSFkksfQft;ksykWftdy çfØ;k • ,pvkbZoh • VVs ul • lklZ • fjdsVf~l;ksfll • yIsVksfLijksfll • Msaxw • eysfj;k • fpduxqfu;k • jcs ht • ,fo;u ¶yw • Lokbu ¶yw V 6 çtuu fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k • çloiwoZ jDrlzko • xHkkZoLFkk çsfjr mPp jDrpki • ckfèkr çlo • xHkkZ'k; dk QV tkuk • çloksÙkj jDrlzko • tPpk iwfr • ,efu;ksfVd ¶Y;wbM ,EcksfyTe • ,pbZ,y,yih ¼gseksfyfll] ,yhosVsM fyoj ,atkbe] yks IysVyVs dkmaV½ • VªkWek ¼lnek½ • cdksZfoV~t ,- ¼2021½ fDyfudy iSFkksfQft;ksykWth ¼nwljk laLdj.k½ esMekLVj bad- • áFw kj ,l-bZ-] eSDdSal ds-,y- ,aM czk'klZ oh-,y- ¼2019½ vaMjLVsfaMax iSFkksfQft;ksykWth ¼7oka laLdj.k½ lsaV yqbl] felkSjh% ,Ylsfo;j • ukWfjl Vh-,y- ¼2020½ iksFlZ ,lsafl;Yl vkWQ iSFkksfQft;ksykWth ¼5oka laLdj.k½ okYVlZ ,aM Dywoj • iksFkZ lh-,e- ¼2014½ ,lsfa'k;Yl vkWQ iSFkksfQft;ksykWth% dkWUlsIV~l vkWQ vYVMZ gSYFk LVsV~l ¼pkSFkk laLdj.k½ fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • LVksjh ,y- ,aM Myqxk'k ,y- ¼2019½ ,MokaLM iSFkksfQft;ksykWth QkWj n ,MokaLM çSfDVl ulZ ¼igyk laLdj.k½ tksla ,aM ckVZysV ifCy'klZ bad- • fofyl ,y-,e- ¼2019½ çksQs'kuy xkbM Vw iSFkksfQft;ksykWth ¼pkSFkk laLdj.k½ ,yMCY;wMCY;w V. 1- xaHkhj vkSj th.kZ jksxks a ls ihfM+r jksfx;ks a rFkk ifjtuks a dks ns[kHkky çnku djus es a vkS"kèkh; fl)karks a dks ykxw djukA 2- xaHkhj vkSj th.kZ jksxks a ds mipkj eas mi;ksx dh tkus okyh vkS"kfèk;ks a ls lacafèkr QkekZdksFksjsI;wfVDl vkSj QkekZdksMk;usfeDl dk fo'ys"k.k djukA 3- fl)karks a rFkk laLFkkxr çksVksdkWy@LFkk;h vkns’kksa ds vkèkkj ij lqjf{kr vkS"kfèk nsukA 4- lVhd nLrkost rS;kj djuk vkSj vuqorÊ ns[kHkky çnku djukA 5- ikfjokfjd LokLF; n[s kHkky lek;kstuksa eas xaHkhj vkSj th.kZ jksxks a ls ihfM+r jksfx;ks a ds vkS"kfèk ç’kklu eas vkS"kfèk;ks a ds ikjLifjd çHkko dh csgrj tkudkjh ykxw djuk vkSj muds ifjtuks a dk Lo&ns[kHkky çcaèku es a ekxZn'kZu djukA I 2 • bfro`Ùk • vkS"kfèk;ks a dk oxÊdj.k rFkk vulq wph • ikfjokfjd LokLF; n[s kHkky es a laLFkkxr çksVksdkWy@LFkk;h vkn's k II 4 • ifjp; • vkS"kfèk;ks a dk lekos'k.k] forj.k] p;kip; vkSj mRltZu • IykTek dalaVªs'ku] gkQ ykbQ • vkS"kfèk;ks a dh yksÇMx vkSj j[kj[kko • fpfdRlh; lwpdkad vkSj vkS"kfèk lqj{kk • {kerk vkSj çHkkodkfjrk • vkS"kfèk nsus ds fl)kar ▪ vkS"kfèk nsus ds vfèkdkj ▪ eki ç.kkyh ▪ vkS"kfèk nsuk% vkarfjd] lkef;d] vkSj vka=srj ¼iSjasVsjy½ III 5 • oSlks,fDVo vkS"kfèk;ka ▪ oSlksfMyVs j ▪ oSlksçslj ▪ vkbuksVªksIl - dkÆM;d XykbdkslkbM~l & fMxkWfDlu - flEiSFkksfeesfVDl & Mkis kekbu] MkscqVkekbu] ,fiufsÝu] vkblkçs ksVsjsukWy] uksjsfiufsÝu] fQukbyfÝu - QkWLQksfM,LVjts bufgfcVlZ & ,fezuksu] fefyzuksu • ,aVhfjFkfed vkS"kfèk;ka • ân; lacafèkr xHa khj ns[kHkky fLFkfr;ks a ds çcaèku dh vkS"kfèk;ka • ân; ladqpu eas lqèkkj ds fy, vkS"kfèk;ka ▪ xaHkhj ns[kHkky es a mPp jDrpki ▪ gVZ QsY;j ▪ ,utkbuk isDVksfjl vkSj ek;ksdkÆM;y buQkjsD’ku ▪ vrkyrk] ân; vojksèk vkSj pkyu lacaèkh xM+cfM+;ka ▪ Qq¶Qqlh; mPp jDrpki] okYoqyj ân; jksx] dkÆM;ksek;ksiSFkh[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19 ▪ egkèkeuh dk ,FksjksLDyhjksfVd jksx vkSj ifjèkh; èkeuh jksx ▪ xgjh f'kjk ?kukL=rk ¼Mhi ohu FkzksEcksfll½ IV 4 • eSdsfudy osfaVys'ku • ifjp; • eSdsfudy osVa hysVj yxs jksfx;ksa ij mi;ksx dh tkus okyh vkS"kfèk;ka • QkekZdksFksjsih ij eSdsfudy osfaVys'ku dk çHkko & csgk's k djus dh fØ;k vkSj ihM+k'kwU;rk] U;wjkseLdqyj CykWdsM] iks"k.k • Qq¶Qqlh; xHa khj ns[kHkky fLFkfr;ks a ds çcaèku es a vkS"kfèk;ka ▪ LVsVl vLFkefsVdl ▪ iYeksujh ,fMek ▪ iYeksujh ,EcksfyTe ▪ ,D;wV jls fijVs jh QsY;j vkSj ,D;wV jls fijVs jh fMLVªSl ÇlMªkse ¼,vkjMh,l½ ▪ lhu s dh pksV ▪ ØkWfud vkWClVªfDVo iYeksujh fMtht ▪ fueksfu;k ▪ Qq¶Qqlh; cgko ▪ ,Vys Ds VSfll • Qq¶Qqlh; vkikr fLFkfr ds fy, LFkk;h vkns'k V 6 • nnZ ▪ ,u,l,vkbZMh ▪ vksfivksbM ,uYtsfl;k • csgk's k djus dh fØ;k ▪ xkek vehuks C;wfVfjd ,flM fLVeqyasV ▪ MsDlesMsVksfeMkbu ▪ vuq:ihdj.k • çyki ▪ gsyksisfjMksy ▪ ,fVfidy ,aVhlkbdksfVDl • yksdy rFkk tujy ,uLs Fkhfl;k ds fy, mi;ksx dh tku s okyh vkS"kfèk;ka ▪ yksdy & ,ekbM~l] ,LVj vkSj fofoèk ,tsVa ~l ▪ tujy & xSls]a ok"i'khy ¶Y;wM~l] IV ,uLs FksfVDl ▪ ltZjh es a lgk;d xSj laosnukgkjh vkS"kfèk;ka • iSjys kbfVd efsMds’kal ▪ xSj&foèkzqo.k vkSj foèkzqo.k ,tsVa ~l ▪ ,afDlvksfyfVDl • vkWVksuksfed MªXl ¼Lok;Ùk vkS"kfèk;ka½ ▪ ,MªhuÆtd ,tsVa ~l@flEisFkksfeesfVDl ▪ ,MªhuÆtd CykWfdax ,tsVa ~l ▪ dksyhuÆtd ,tsVa ~l ▪ ,aVh&dksyhuÆtd ,tsVa ~l • Çprk vkSj vfuæk ds çcaèku dh vkS"kfèk;ka ▪ volknjksèkd20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ▪ csta ksMk;tsikbu ▪ ckÆcVqjsV~l • U;wjksykWftdy lacafèkr xHa khj ns[kHkky fLFkfr;ks a ds çcaèku dh vkS"kfèk;ka ▪ euksfodkj ▪ ,D;wV gSM ,aM Likbuy dkWMZ batjh fon ,yhosVsM baVªkØSfu;y çslj ▪ ekalisf'k;ks a eas ,sBa u ¼ely LikLe½ ▪ papyrk ¼LikLVhflVh½ ▪ lsjsczksoLdqyj jksx vkSj lsjsczksoLdqyj nq?kZVuk ▪ ,UlsQSyksiSFkh ▪ fxfy;u cs;j ÇlMªkse vkSj ek;LFksfu;k xzsfol ▪ czsu gÆu;s'ku ÇlMªkse ▪ nkSj s dk fodkj ¼lhtj fMlvkWMZj½ ▪ dksek] csgk's kh vkSj ijflLVasV osftVfsVo LVsV ▪ jksxh dh lqj{kk ds fy, mfpr uÉlx n[s kHkky • U;wjksykWftdy vkikr fLFkfr ds fy, LFkk;h vkns'k VI 5 • e=w y ¼Mkb;wjsfVDl½ • ¶Y;wM çfrLFkkiu ▪ fØLVykbM~l ▪ dksykbM~l • byDs VªksykbV~l ▪ lksfM;e ▪ iksVSf'k;e ▪ dSfY'k;e ▪ eSXuhf'k;e ▪ QkLQksjl • uÝs ksykWth lacafèkr xHa khj ns[kHkky fLFkfr;ks a ds çcaèku dh vkS"kfèk;ka ▪ ,D;wV@Øksfud jhuy QsY;j ▪ ,D;wV Vîwcwyj usØksfll ▪ CyMs j VªkWek ▪ byDs VªksykbV vlarqyu ▪ ,flM csl vlarqyu ▪ Mk;fyfll ds nkSjku mi;ksx dh tku s okyh vkS"kfèk;ka • uÝs ksykWth vkikr fLFkfr ds fy, LFkk;h vkns'k VII 5 • vYlj jksèkh vkS"kfèk;ka • jps d • vfrlkj jksèkh • ,aVh,esfVDl ¼oeujksèkh½ • iSafØ;kfVd ,atkbe • iks"kd rRo] foVkfeu vkSj [kfut • xSLVªksbaVsLVkbuy lacafèkr xHa khj n[s kHkky fLFkfr;ks a ds çcaèku dh vkS"kfèk;ka ▪ rhoz thvkbZ jDrlzko] ;Ñr foQyrk ▪ rhoz vXuk'k;'kksFk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21 ▪ isV eas pksV ▪ gsisfVd ,UlsQSyksiSFkh ▪ rhoz vka= #dkoV ▪ ijQksjsfVo isfjVksfufVl ▪ xSLVªksbaVsLVkbuy ltZjh vkSj yhoj çR;kjksi.k ds nkSjku mi;ksx dh tku s okyh vkS"kfèk;ka • xSLVªksbaVsLVkbuy vkikr fLFkfr ds fy, LFkk;h vkns'k VIII 4 • gkeksZuy Fksjsih • balqfyu vkSj vU; gkbiksXykblsfed ,tsVa • ,aMksØkbu lacafèkr xHa khj ns[kHkky fLFkfr;ks a ds çcaèku dh vkS"kfèk;ka ▪ Mk;fcfVd dhVks,flMksfll] gkbij&vkWLeksyj ukWu&dsVksfud dksek ▪ gkbiksXykblhfe;k ▪ Fkk;jkbM LVkWeZ ▪ ek;DlsMsek dksek ▪ ,fMªuy Økbfll ¼vfèko`Dd ladV½ ▪ ,lvkbZ,Mh,p • ,aMksØkbu vkikr fLFkfr ds fy, LFkk;h vkns'k IX 5 • ,aVh&dks,xqyasV~l • ,aVhIysVyVs vkS"kfèk;ka • FkzksEcksykbfVDl • gseksLVSfVDl@,aVhfQfczuksfyfVDl • gsesVksiks,fVd xzksFk QSDVlZ ▪ ,fjFkzksikbs fVu ▪ dkWyksuh fLVeqysfVax QSDVlZ ▪ IyVs ysV ,ugkallZ • jDr vkSj jDr mRikn ▪ laiw.kZ jDr] iSDM yky jDr dkfs'kdk,a] Y;wdkslkbV&fjMîwLM yky dksf'kdk,a] èkqyh gqbZ yky jDr dksf'kdk,a] rktk te s gq, IykTek] Øk;ksçsflfiVVs ▪ ,Ycqfeu ▪ vkèkku çfrfØ;k,a] vkèkku ç'kklu çfØ;k • Vhds • bE;wuksfLVeqyasV • çfrj{kkneudkjh • dheksFksjkI;wfVd vkS"kfèk;ka & ,YdkbysÇVx ,tsVa ] ,aVh&esVkcksykbV~l] ,aVh&Vîew j ,aVhck;ksfVDl] ,YdykWbM~l] gkeksZu vkSj gkeksZu ,aVkxksfuLV] dkWÆVdksLVjs kWbM~l] xksukMy gkeksZu] ,aVh&,LVªkstsla ] ,.Mªkstu ,aVkxksfuLV~l] tSfod çfrfØ;k la'kksèkd • gsesVksykWth lacafèkr xHa khj ns[kHkky fLFkfr;ks a ds çcaèku dh vkS"kfèk;ka ▪ xaHkhj chekjh eas ,uhfe;k ▪ MhvkbZlh ▪ FkzksEckslkbVksisfu;k vkSj ,D;wV Y;wdsfe;k ▪ gsifju buMîwLM FkzksEckslkbVksisfu;k ▪ fldy lsy ,uhfe;k ▪ Vîwej ,fyfll ÇlMªkse ¼Vîwej vi?kVu y{k.k½22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] X 3 • gsesVksykWth lacafèkr xHa khj ns[kHkky fLFkfr;ka ▪ tyu çcaèku es a mi;ksx dh tku s okyh vkS"kfèk;ka ▪ ?kko çcaèku es a mi;ksx dh tkus okyh vkS"kfèk;ka XI 5 • lnek ¼'kkWd½] lsfIll] fofHkUu vaxks a dh f'kfFkyrk] ç.kkyhxr lwtu çfrfØ;k ÇlMªkse] ,ukfQyfsDll ds çcaèku dh vkS"kfèk;ka • vk?kkr] pksV ¼xeÊ] fctyh] yxHkx Qkalh] yxHkx Mwcuk½ ds çcaèku dh vkS"kfèk;ka • dkVus ds çcaèku dh vkS"kfèk;ka] vkS"kfèk dh vfèkd ek=k vkSj fo"kkDrrk • xaHkhj ns[kHkky lek;sktu es a Toj çcaèku vkS"kfèk;ka ▪ Tojuk'kd ▪ ,u,l,vkbZMh,l ▪ dkWÆVdksLVjs kWbM~l XII 6 • thok.kqjksèkh vkS"kfèk;ka ▪ ifjp; ▪ chVk ySDVe & isfuflfyu] lhQkyksLiksfjla ] eksukscSDVEl] dkckZisusEl ▪ vehuksXykbdkslkbM~l ▪ ,aVh&,evkj,l, ▪ eSØksykbM~l ▪ d+qbuksyksla ▪ fofoèk & fyUdksles kbM xzqi] ukbVªksbfeMktksy] VVs ªklkbfDyu vkSj DyksjSEQsfudkWy] ikWyhfefDlu] vkSj ,aVh&eyfsj;y] ,aVh&Qaxy] ,aVh&ok;jy vkS"kfèk;ka • jksxk.kqjksèkdks a dk p;u • buQSfD’k;l fØfVdy ds;j daMh’kal ▪ ,pvkbZoh] VsVul] lklZ] fjdsVfl;ksfll] yIsVksLik;jksfll] Msaxw] eyfsj;k] fpduxqfu;k] jcs ht] ,fo;u ¶y w vkSj Lokbu ¶yw ds çcaèku dh vkS"kfèk;ka • bZlsu ,p-ts- ¼2020½ QkekZdksykWth vkWQ bE;wukslçs'ku ¼çFke laLdj.k½ ÇLçxj • eSds th-,- ,aM okYVlZ ,e-vkj- ¼2021½ fDyfudy QkekZdksykWth ,aM FksjsI;fwVDl ¼10oka laLdj.k½ foyh&CySdosy • f=ikBh ds-Mh- ¼2019½ ,lsaf'k;Yl vkWQ efsMdy QkekZdksykWth ¼8oka laLdj.k½ tsih cznlZ efsMdy ifCy'klZ] ubZ fnYyh • fou s ,-,y-] ow Vh-,e- ,aM vksY;kbZ ,-ts- ¼2007½ QkekZdksFksjsI;wfVDl QkWj ulZ çSfDV'kuj fçLØkbclZ ¼nwljk laLdj.k½ fQykMsfYQ;k% Msfol VI. 1- mi;qDr ç.kkyh ds vuqlkj ijh{k.k dkS'ky fodflr djus es a 'kkjhfjd vkadyu fl)karks a dks ykxw djukA 2- lkekU; o vlkekU; fu"d"kks± dh fofoèkrkvks a ds chp varj djus ds fy, mUur LokLF; vkadyu dkS'ky dk mi;ksx djukA 3- ijh{k.k ds fu"d"kks± rFkk laLFkkxr çksVksdkWy ds vkèkkj ij LØhÇux vkSj uSnkfud ijh{k.k ds vkn's k nus kA 4- 'kkjhfjd tkap fu"d"kks± vkSj fofHkUu tkapks a ds ifj.kkeks a dk fo'y"sk.k djuk rFkk uSnkfud fodkl ds fy, lkekU; fpfdRlk@lkeqnkf;d fpfdRlk@ikfjokfjd fpfdRlk fpfdRldks a ds lkFk feydj dke djukA 5- LokLF; n[s kHkky ny ds lnL;ks]a jksfx;ks a vkSj ifjtuksa dh lk>snkjh eas nLrkost vkadyu] funku] rFkk çcaèku djuk vkSj vuqorÊ n[s kHkky dh fuxjkuh djukA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23 I 4 • bfro`Ùk ysuk • 'kkjhfjd tkap II 6 • ân; lacaèkh bfro`Ùk • 'kkjhfjd tkap • ân; ç;ksx'kkyk vè;;u & tSo jklk;fud ekdZj] gseVksykWftdy vè;;u • ân; uSnkfud vè;;u & byDs VªksdkÆM;ksxzke] bdksdkÆM;ksxzkQh] ruko ijh{k.k] jsfM;ksykWftdy beÇstx III 6 • bfro`Ùk • 'kkjhfjd tkap • 'olu fuxjkuh & vkfVfZj;y CyM xSl] iYl vkWDlhesVªh] ,aM&VkbMy dkcZu MkbvkWDlkbM fuxjkuh • 'olu uSnkfud ijh{k.k & pSLV jfsM;ksxzkQh] osfaVys'ku ij¶;wtu LdSÇux] iYeksujh ,aft;ksxzkQh] czksda ksLdksih] FkksjSlsUVfsll] LiqVe dYpj] iYeksujh QaD’ku VSLV IV 6 • rfa=dk lacaèkh bfro`Ùk • lkekU; 'kkjhfjd tkap • laKkukRed dk;Z dk vkadyu • diky raf=dk dk;Zç.kkyh dk vkadyu • eksVj vkadyu & ekalisf'k;ks a dh rkdr] 'kfDr vkSj ltxrk • laosnh vkadyu & Roph; vkadyu • U;wjksMk;XuksfLVd vè;;u & lhVh LdSu] ,evkjvkbZ] ihbZVh V 6 • bfro`Ùk • 'kkjhfjd tkap • xqnZs dh dk;Zç.kkyh dk vkadyu • byDs VªksykbV~l dk vkadyu vkSj ,flM csl cSyasl • æo larqyu dk vkadyu VI 4 • bfro`Ùk • 'kkjhfjd tkap • iks"k.k lacaèkh vakdyu • ç;ksx'kkyk vè;;u & ;Ñr dk;Z vè;;u] jDr iSjkehVj] ey ijh{k.k • uSnkfud vè;;u & jfsM;ksykWftdy vkSj beÇstx vè;;u] ,aMksLdksfid vè;;u VII 4 • bfro`Ùk • 'kkjhfjd tkap • fuEufyf[kr dk ç;ksx'kkyk vè;;u vkSj uSnkfud vè;;u ▪ gkbiksFkSysel vkSj fiVîwVjh XySaM ▪ Fkk;jkWbM XySaM ▪ iSjkFkkbjkWbM XySaM ▪ ,aMksØkbu XySaM ▪ ,fMªuy XyaSM VIII 4 • bfro`Ùk • 'kkjhfjd tkap • ç;ksx'kkyk vè;;u & jDr iSjkehVj • uSnkfud vè;;u & cksu ejs ks ,lfijs’ku IX 3 • bfro`Ùk • 'kkjhfjd tkap • iSFkksykWftdy ijh{k.k & Årdh; tkap24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] X 6 • bfro`Ùk • 'kkjhfjd tkap & xVs vlsleasV] tkWbaV vlsleasV • ç;ksx'kkyk vè;;u & jDr iSjkehVj ¼bu¶ysesVjh ,atkbe] ;wfjd ,flM½ • uSnkfud vè;;u & jfsM;ksykWftdy vkSj beÇstx vè;;u] ,aMksLdksfid vè;;u XI 5 • bfro`Ùk • 'kkjhfjd tkap • ç;ksx'kkyk vè;;u • uSnkfud vè;;u XII 4 • bfro`Ùk • 'kkjhfjd tkap • ç;ksx'kkyk vè;;u • uSnkfud vè;;u & jfsM;ksykWftdy vkSj beÇstx vè;;u] ,aMksLdksfid vè;;u XIII 6 • o`f) vkSj fodkl • iks"k.k lacaèkh tkap • fof'k"V ç.kkyh tkap XIV 6 • bfro`Ùk • 'kkjhfjd tkap • euksoSKkfud tkap ¼48 ?kaVs eas ladk; }kjk çn'kZu vkSj Nk=ks a}kjk vH;kl 'kkfey gS½ • O;kid bfro`Ùk yus k • dsfaær bfro`Ùk ysuk ¼ç.kkyh okj½ • O;kid 'kkjhfjd tkap • dsfaær 'kkjhfjd tkap ¼ç.kkyh okj½ • uSnkfud ekinMa kas dh fuxjkuh ¼ç.kkyh okj½ buosfto chih ekWfuVÇjx] eYVh&iSjkehVj ekWfuVlZ] bZlhth] iYl baMsDl daVhU;wvl dkÆM;d vkmViqV (PiCCO), isfjQsjy oLdqyj LVsVl] ,chth] iYl vkWDlheVs ªh] ,aM VkbMy CO (ETCO ), baVªkØSfu;y çs'kj (ICP), Xyklxks 2 2 dksek Ldsy (GCS), Øsfu;y uoZ vlsleaVs ] xaHkhj :i ls chekj dk nnZ vkSj csgks'kh Ldksj] eksVj vkadyu] laosnh vkadyu] jhuy QaD’ku VSLV] ¶Y;wM larqyu] ,flM csl larqyu] byDs VªksykbV~l] ckWoy lkmaM] isV dk ncko] jfstMqvy xSfLVªd okWY;we] fyoj QaD'ku VSLV] GRBS, ySc VSLV] jfsM;ksykWftdy rFkk beÇstx VSLV ¼ç.kkyh okj½ • LØhÇux vkSj Mk;XuksfLVd ijh{k.kks a dh O;k[;k ¼ç.kkyh okj½ • f'k'kw vkadyu & f'k'kw rFkk cPpk • o`)tu vkadyu • xHkZorh efgykvks a dk vkadyu • fcdyh ,y-,l- ,aM fLtykxh ih-th- ¼2018½ csV~l xkbM Vq fQftdy ,Xtkfeus'ku ,aM fgLVªh VÇsdx] lkmFk ,f'k;u laLdj.k] oksYVlZ Dywoj bafM;k çkbosV fyfeVMs • jksM~l ts- ¼2013½ ,MokaLM gSYFk vlsleaVs ,aM Mk;XuksfLVd jhtfuax ¼nlw jk laLdj.k½ fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl • foYlu ,l-,Q- ,aM fxMsla ts-,Q- ¼2021½ gSYFk vlsleaVs QkWj uÉlx çSfDVl ¼7oka laLdj.k½ ,Ylsfo;j% gSYFk lkbalst fMfotu I II 1. bu voèkkj.kkvks a dh Bksl tkudkjh ds vkèkkj ij Qsfeyh gSYFk uÉlx dh mUur voèkkj.kkvks a dks ykxw djrk gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25 2. 'kkjhfjd fLFkjrk dk vkadyu] fuxjkuh vkSj c<k+ok nus s ds fy, buosftl vkSj ukWu&buosfto VSDuksykWth vkSj eè;orZuks a dk mi;ksx djrk gSA 3. LokLF; n[s kHkky ny ds vU; lnL;ks a ds lkFk feydj dke djrk gS vkSj xaHkhj o th.kZ jksxks a ls ihfM+r jksfx;ks a ds vkadyu vkSj çcaèku es a n[s kHkky@uSnkfud ekxZ rS;kj djrk gSA 4. vU; LokLF; n[s kHkky dfeZ;ks a ds lkFk ijke'kZ djrk gS vkSj os muls ijke'kZ ysrs gSaA 5. LokLF; lqj{kk] jksx jksdFkke] vfxze ekxZn'kZu] ijke'kZ] xaHkhj jksx dk çcaèku] mi'kked n[s kHkky vkSj thou ds var dh n[s kHkky ls lacafèkr uÉlx n[s kHkky çnku djrk gSA 6. tfVy vkSj vfLFkj okrkoj.k esa mUur dkS'ky dk mi;ksx djrk gSA 7. O;fDr] leqnk; o ns[kHkky ç.kkfy;ks a ls lacafèkr tfVy eqíks a ds fy, uSfrd :i ls lqn`<+ lekèkku ykxw djrk gSA 8. Qsfeyh gSYFk uÉlx ds çklafxd laØe.k fu;a=.k fl)karks a dk ikyu djrk gSA 9. jksxh] ifjtuks a vkSj leqnk; ds fgr es a n's k ds dkuuw h <kap s ds Hkhrj Lor=a :i ls vH;kl djrk gSA 10. ,sl s vH;kl fodflr djrk gS tks oSKkfud çek.kks a ij vkèkkfjr gksAa 11. fpfdRlh; lacaèkks a dks 'kq: dju]s fodflr djus vkSj can dju s ds fy, ykxw lapkj] ijke'kZ] odkyr vkSj ikjLifjd dkS'ky dk mi;ksx djrk gSA 12. tksf[ke çcaèku j.kuhfr;ks a vkSj xq.koÙkk lqèkkj dk mi;ksx djds ,d lqjf{kr fpfdRlh; okrkoj.k cukrk gS vkSj cuk, j[krk gSA 13. vH;kl dks lkekftd] lkaLÑfrd vkSj çklafxd ifjos'k ds vuq:i <kyrk gSA VII. I 10 • ikBîØe dk ifjp; • egRoiw.kZ vaxks a ¼efLr"d] jh< + dh gìh] QsQM+]s ân;] xqnsZ] ;Ñr] vXU;k'k;] Fkk;jkW;M] vfèko`Dd vkSj fiVîwVjh xzafFk½ dh 'kkjhfjd jpuk vkSj dkf;Zdh dh leh{kk • ,sfrgkfld leh{kk & ulZ çSfDV'kuj bu Qsfeyh gSYFk • ikfjokfjd LokLF; uÉlx vH;kl dh voèkkj.kk,a vkSj fl)kar • ikfjokfjd LokLF; uÉlx vH;kl dk nk;jk • ikfjokfjd LokLF; uÉlx vH;kl lek;kstu ¼ftles a xzkeh.k] 'kgjh] cLrh o tutkrh;] midj.k] vkiwÆr vkSj i;kZoj.k 'kkfey gSa½ • ny ds lnL; ▪ uÉlx deZpkjh ▪ lgk;d deZpkjh ▪ LokLF; dk;ZdrkZ@,,u,e@LokLF; Lo;alsod ▪ lkekftd dk;ZdrkZ ▪ ijke'kZnkrk ▪ LokLF; f'k{kk ▪ lkekftd&vkÆFkd fodkl dk;ZdrkZ ▪ ikfjokfjd fpfdRlk fpfdRld • mi;qDr çkS|kfsxdh dk mi;ksx • LoLFk dk;Z okrkoj.k • ikfjokfjd LokLF; uÉlx vH;kl eas Hkfo"; dh pqukSfr;ka II 5 • xaHkhj vkSj th.kZ jksxks a ls ihfM+r jksfx;ks a dh n[s kHkky es a uÉlx çfØ;k vkSj ,dhÑr ns[kHkky@ uSnkfud ekxks± dk vuqç;ksx • ifjokj dh ifjHkk"kk • ifjokj ds dk;Z ,oa mldh lajpuk • ikfjokfjd tulkaf[;dh • ikfjokfjd LokLF; uÉlx ds n`f"Vdks.k • ikfjokfjd LokLF; uÉlx ds fl)kar • ikfjokfjd LokLF; tksf[ke vkadyu • ikfjfLFkfrdh ekufp= • fodkl ,oa ikfjokfjd thou'kSyh • thou'kSyh tksf[ke vkSj vkadyu26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • O;kogkfjd tksf[ke • i;kZoj.kh; tksf[ke • lkekftd tksf[ke III 10 • lkekU; vkadyu • 'olu vkadyu • ân; dk vkadyu • xqnZs dk vkadyu • U;wjksykWftdy vkadyu • tBjka= vkadyu • var%lzkoh vkadyu • eLdqyksLdsyVs y vkadyu • vè;koj.kh vkadyu • gseksMk;ukfeDl • byDs VªksdkÆM;ksxzkQh ¼bZlhth½ • Xyklxks dksek Ldsy ¼thlh,l½ • fjpeaM ,thVs’ku lhMs’ku Ldsy ¼vkj,,l,l½ • nnZ Ldksj • czSMsu Ldksj • xaHkhj jksxks a dk vkadyu • th.kZ jksxks a dk vkadyu • ifj.kke vkSj LdksÇjx ç.kkyh ▪ ,D;wV fQft;ksykWth vkSj Øksfud gSYFk bosY;,q ’ku (APACHE I-IV) ▪ eksVZfyVh çkscsfcfyVh ekWMy (MPM I, II) ▪ flaIyhQkbM ,D;wV fQft;ksykWth Ldksj (SAPS I, II) ▪ vkWxZu flLVe QsY;j ▪ Qqy vkmVykbu vkWQ vufjliksfalousl (FOUR) ▪ ekWMy QkWj ,aM&LVts fyoj fMlht (MELD) IV 14 • dkÆM;ks&iYeksujh&czsu fjllhV’s ku ds fl)kar • çkFkfed vkSj ekè;fed LokLF; n[s kHkky es a vkikr fLFkfr% lhihvkj ▪ ch,y,l ▪ ,lh,y,l • ok;qekxZ çcaèku • vkWDlhtu's ku vkSj vkWDlhesVªh] vkWDlhtu forj.k midj.kks a ds lkFk jksxh dh n[s kHkky • osfaVys'ku vkSj osfaVysVj liksVZ ¼vkæÊdj.k vkSj bugsYM Mªx Fksjsih lfgr½] buosfto vkSj ukWu&buosfto osfaVys'ku ds lkFk jksxh dh n[s kHkky • ldqZys’ku vkSj ij¶;wtu ¼gseksMk;ukfed ewY;kadu vkSj rjxa :i xzkfQDl lfgr½ • ¶Y;wM~l vkSj byDs VªksykbV~l ¼leh{kk½] ¶Y;wM~l vkSj byDs VªksykbV~l ds vlarqyu okys jksxh dh n[s kHkky • ,flM csl fLFkfr dk ewY;kadu • FkeksZjsX;wys'ku] gkbij@gkbiksFkÆe;k oky s jksxh dh n[s kHkky • Xykblsfed fu;a=.k] Xykblsfed vlarqyu okys jksxh dh ns[kHkky V 8 • jksfx;ks a eas nnZ • nnZ & çdkj] fl)kar • fQft;ksykWth] nnZ ds çfr ç.kkyhxr çfrfØ;k,a vkSj nnZ dk euksHkko & leh{kk • xaHkhj nnZ lsok,a • nnZ dk vkadyu & nnZ ds iSeku]s O;ogkj vkSj ekSf[kdhdj.k • nnZ çcaèku & vkS"kèkh; ¼vksfi;ksbM] csta ksMk;tsikbu] çksikQs ksy] vYQk ,xksfuLV] VªSafDoykbtj] U;wjkseLdqyj CykWÇdx ,tsVa ½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27 • xSjvkS"kèkh; çcaèku • VªkalD;wVsfu;l byfsDVªdy uoZ fLVeqys’ku (TENS) VI 8 • ruko vkSj lkbdksU;wjksbE;wuksykWth • vfHk?kkrt ds ckn dh ruko çfrfØ;k • euksfoÑfr] Çprk] mÙkstuk] çyki • vYdksgy fonMªkoy ÇlMªkse vkSj çyki daiu • lg;ksxkRed çcaèku • csgk's k djus okyh vkS"kfèk;ka vkSj vkjke nsus okyh vkS"kfèk;ka • xaHkhj ns[kHkky es a vkè;kfRed pqukSfr;ka • ruko vkSj chekjh ls fuiVuk • xaHkhj vkSj th.kZ jksxks a ls ihfM+r jksfx;ks a ds ifjokj dh ns[kHkky • ijke'kZ vkSj lapkj VII 5 • jksxh vkSj ikfjokfjd f'k{kk dh pqukSfr;ka • o;Ld vfèkxe çfØ;k • f'k{k.k vfèkxe çfØ;k dks çHkkfor dju s okys dkjd • Qsfeyh gSYFk uÉlx es a ifjokjks a dh lwpukRed vgZrk,a • jksxh vkSj ifjokj dh ijke'kZ lacaèkh vgZrk,a • ijke'kZ rduhdsa VIII 5 • iks"kd rRoks a dk p;kip; vkSj ifjorZu • iks"k.k lacaèkh fLFkfr dk vkadyu djuk • iks"k.k lacaèkh lgk;rk • iks"k.k vkSj ç.kkyhxr ifjorZu • ,aVsjy vkSj iSjasVsjy iks"k.k ij jksxh dh ns[kHkky IX 4 • lkekU; ekuo uÈn • uÈn ds iSVuZ es a xM+cM+h • Lyhi ,ifu;k ÇlMªkse X 5 • ukslksdkWfe;y buQSD'ku ¼ vLirky esa HkrÊ gksus ds ckn 48 ?kaVs es a lkeus vku s oky s laØe.k½( feFkkby jfstLVsVa LVSfQyksdksdl vkWfj;l ¼,evkj,l,½ vkSj vU; gky gh es a igpku s x, miHksn • dhVk.kq'kksèku] jksxk.kq'kksèku • ekud lqj{kk mik;@lkoZHkkSfed lkoèkkfu;ka • deZpkfj;ks a ds fy, çksfQySfDll • jksxk.kqjksèkh fpfdRlk & leh{kk • tSofpfdRlh; vif'k"V çcaèku XI 6 • nhokuh eqdnesckth dks c<k+ok nus s oky s eqís • Hkkjr es a lacafèkr dkuwu • fpfdRlh; fujFkZdrk • ç'kklfud dkuwu% O;kolkf;d fofu;eu • viÑR; dkuwu ¼VkWVZ ykW½% ykijokgh] is'ksoj dnkpkj] tkucw>dj viÑR;] xyr ekSr] ekugkfu] geyk vkSj fcuk lgefr ds tkucw>dj Nwuk • laoSèkkfud dkuuw % èkS;ZiwoZd fu.kZ; yus k • lnkpkj vkSj uSfrdrk ds chp varj • uSfrd fl)kar] xHa khj ns[kHkky es a uSfrd fu.kZ; yus k] uSfrd fu.kZ; yus s dks c<k+ok nus s ds fy, j.kuhfr;ka • mipkj jksduk vkSj can djuk • nqyZHk lalkèku çcaèku28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • efLr"d e`R;q] vax nku vkSj ijke'kZ • iqutÊfor u djuk ¼Mh,uvkj½] bPNkeR` ;q] fyÇox foy • ulks± dh Hkwfedk XII 8 • LokLF; dsæa @vLirky dh :ij[s kk • xq.koÙkk vk’oklu ekWMy • ekud] çksVksdkWy] uhfr;ka] çfØ;k,a • laØe.k fu;a=.k uhfr;ka vkSj çksVksdkWy • uÉlx laijh{kk • LVkÇQx • Hkkjrh; lkoZtfud LokLF; ekud • ,uD;w,,l XIII 3 • ikfjokfjd LokLF; xHa khj ns[kHkky es a lk{; vkèkkfjr vH;kl • dk;kZUo;u es a ckèkk,a • dk;kZUo;u dks c<+kok nsus ds fy, j.kuhfr;ka 5 ¼48 ?kaVs eas ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl 'kkfey gS½ • thou'kSyh tksf[ke vkSj vkadyu • O;kogkfjd tksf[ke vkadyu • i;kZoj.kh; tksf[ke • çkFkfedrk fuèkkZj.k • iks"k.k lacaèkh vkadyu • lhihvkj ¼ch,y,l vkSj ,lh,y,l½ • ok;qekxZ çcaèku o ySÇjft;y ekLd ,;jos o dQ bu¶ys’ku ,aM ,adfjxa n Vîwc o bZVh&Vîcw dh n[s kHkky o Vªsfd;ksLVkseh n[s kHkky o lD'kÇux & [kqyk@can o pSLV fQft;ksFksjsih • vkWDlhtu's ku vkSj vkWDlhesVªh] vkWDlhtu forj.k midj.kks a ds lkFk jksxh dh n[s kHkky o vkWDlhtu@vkWDlhtus'ku ekiu midj.k o ¶;wy lsy o iSjk eXS usfVd vkWDlhtu ,uys kbtj o PO byDs VªksM & DykdZ bysDVªksM 2 ▪ VªkalD;wVsfu;l vkWDlhtu bysDVªksM ▪ vkWDlhesVªh & iYl vkWDlheVs ªh] ohul vkWDlhesVªh o dSIuksxzkQh o ukWu&buosfto osfaVys'ku ▪ de çokg oky s ifjorZuh; fu"iknu midj.k% uls y dSFksVj@dsuqyk@Mcy usly çksxa ] Qsl ekLd] fjtjok;j cSx ds lkFk Qsl ekLd[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29 ▪ mPp çokg fuf'pr fu"iknu midj.k% ,aVªus esaV ¼ospa qjh½ midj.k] ,uvkbZoh@lhih,ih@,uLs FksfVd ekLd] Vh ihlst] czhfnax lÆdV o iksLVqjy Mªus ts • osfaVys'ku vkSj osfaVysVj liksVZ o osfaVysVj ls tksM+uk o osVa hysVj ls gVkuk o ,DlVîcw s'ku o áfwefMQk;j o uCs;qykbtj & tsV] vYVªklksfud • bugsy's ku Fksjsih & ehVMZ Mkst bugsylZ ¼,eMhvkbZ½] MªkbZ ikmMj bugsylZ ¼MhihvkbZ½ • ldqZys’ku vkSj ij¶;wtu ¼gseksMk;ukfed ewY;kadu vkSj osoQkWeZ xzkfQDl lfgr½ o buosfto CyM çSlj ekWfuVfjax o ukWu&buosfto CyM çSlj ekWfuVfjax o ohul çSlj ¼isfjQsjy] lsVa ªy vkSj iYeksujh vkVZjh vkWDywtu çSlj½ o baVªkohul ykbu LVkfV±x ,aM bu¶;wtu o bul'kZu ,aM fjewoy vkWQ vkfVfZj;y ykbu o bul'kZu ,aM fjewoy vkWQ lsaVªy ykbu o iYl baMsDl daVhU;wvl dkÆM;d vkmViqV ¼PiCCO½ o byDs VªksdkÆM;ksxzkQh ¼bZlhth½ o osoQkWe Z • ¶Y;wM~l vkSj byDs VªksykbV~l o ¶Y;wM x.kuk vkSj ç'kklu ¼fØLVykW;M vkSj dksykW;M½ o jDr vkSj jDr mRikn p<+kuk o buksVªksi x.kuk] vuqekiu vkSj ç'kklu ▪ dkÆM,d XykbdkslkbM~l & fMxkWfDlu ▪ flEiSFkksesfVDl & Mksikekbu] MkscqVkekbu] ,fiusÝhu] vkblksçksVsjsukWy] ukWjisusÝkbu] fQukbyÝkbu ▪ QkWLQksfM,LVjst bufgfcVlZ & ,fezuksu] fefyzuksu o byDs VªksykbV djsD’ku ¼lksfM;e] iksVsf'k;e] dSfY'k;e] QkWLQksjl] eSXuhf'k;e½ o ¶Y;wM fMLisla j vkSj bU¶;wtu iai dk mi;ksx • vEy {kkj fLFkfr dk ewY;kadu o vkfVZfj;y CyM xSl ¼,chth½ • FkeksZjsX;wys'ku] gkbij@gkbiksFkÆe;k oky s jksxh dh n[s kHkky o VSEçspj çksCl o fØfVdy ds;j esustesVa vkWQ gkbij ,aM gkbiksFkÆe;k • Xykblsfed fu;a=.k] Xykblsfed vlarqyu okys jksxh dh ns[kHkky o thvkjch,l dh fuxjkuh djuk o balqfyu Fksjsih ¼LykbÇMx Ldsy vkSj bU¶;wtu½ o gkbijXykblsfe;k dk çcaèku & IV ¶Y;wM~l] balqfyu Fksjsih] iksVsf'k;e vuqijw .k o gkbiksXykblsfe;k dk çcaèku & MsDlVªkst IV • nnZ] csgk's kh] mÙkstuk vkSj çyki dk vkS"kèkh; çcaèku30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] o ekWÆQu] QsVa fsuy] feMktksye] yksjktsike] Mk;tsike] çksiksQksy] DyksfuMkbu] MsDleMs sVksfeMkbu] gsyksisfjMksy dh x.kuk] yksÇMx vkSj bu¶;wtu o ,fiMîwjy ,uYtsfl;k & lsaljh ,aM eksVj CykWd vlsleaVs ] mipkj can djus ds ckn ,fiMîwjy dSFksVj dks gVkuk] ,fiMîwjy dSFksVj lkbV MªsÇlx cnyuk] ,uYtsfld ç'kklu ds fy, Ropk ds uhps iksVZ yxkuk vkSj gVkuk] ,fiMîwjy ,uYtsfl;k@ihlh, ij jksfx;ks a ds fy, ew= çfrèkkj.k ds fy, vkarjkf;d dSFkhVjs kbts'ku] ,fiMîwjy bU¶;wtu ds fy, [kqjkd vuqekiu] ,fiMîwjy dSFksVj dk leta u] dSFksVj dh lgu'khyrk dh tkap djus vkSj ,uYtsfl;k ds fy, ,fiMîwjy vkS"kfèk;ks a dks 'kq) djuk • ijke'kZ & O;fDrxr] ikfjokfjd vkSj lkewfgd • ikfjokfjd f'k{kk • tSo fpfdRlh; vif'k"V çcaèku VIII. I I 10 • ,ukVkWeh vkSj fQft;ksykWthdy ifjorZuks a dh leh{kk • efgykvks a ds fof'k"V jksxks a dk vkadyu] funku vkSj mipkj • efgykvks a dh lkekU; LokLF; leL;k,a • çtuu ,oa cky LokLF; o xHkkZoLFkk ▪ lkekU; ifjorZu ▪ xHkkZoLFkk lacaèkh leL;k,a@çlwfr lacaèkh tfVyrk,a ▪ xHkZèkkj.k iwoZ] çloiwoZ] çlodkyhu vkSj çloksÙkj ns[kHkky ▪ ekr` e`R;q o ifjokj fu;kstu & xHkZfujksèkd] ,eVhih • vkbZ;wlhMh yxkuk vkSj gVkuk • ;kSu LokLF;] ,lVhvkbZ ftles a tuukax iFk laØe.k 'kkfey gS • tuukax iFk ds ?kkrd jksx] jksdFkke] tkpa ] vkSj çkjafHkd mipkj & iSi ijh{k.k] ohvkbZ, • jtksfuo`fÙk ds iwoZ] jtksfuo`fÙk] jtksfuo`fÙk ds i’pkr • çtuu r=a ds lkekU; fodkj • ekufld LokLF; • lkekftd eíq s & eknd æO;ks a dk lsou] ;kSu 'kks"k.k] Çglk • efgyk LokLF; f'k{kk • efgyk, a vkSj iks"k.k II 15 • ,ukVkWeh vkSj fQft;ksykWth dh leh{kk • lkekU; jksxks a dk vkadyu] funku vkSj mipkj • gky dh çxfr vkSj fodkl • o;Ldks a dh lkekU; LokLF; leL;k,a o ân; lacaèkh leL;k,a o 'olu lacaèkh jksx o xSLVªks,aVsjksykWftdy jksx o tsfuVks;wjhujh fodkj o eLdqyksLdsyVs y fodkj o rfa=dk lacaèkh fodkj o iks"k.k lacaèkh fodkj & jksdFkke vkSj çcaèku o fo"kdj.k III 15 • ,ukVkWeh vkSj fQft;ksykWth dh leh{kk • lkekU; o`f) vkSj fodkl • uotkr f'k'kq dh n[s kHkky • Lruiku lacaèkh leL;k,a vkSj çcaèku[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31 • lkekU; tUe lacaèkh folaxfr;ks a dh igpku vkSj jsQjy • Vhdkdj.k • cky mRihM+u vkSj pksV ls cpko dh jksdFkke • lkekU; jksxks a dk vkadyu] funku vkSj mipkj & f'k'kq] çh&Ldwyj vkSj Ldwy tku s okys cPps o cpiu es a gksus oky s lkekU; laØe.k o cky iks"k.k ,oa iks"k.k lacaèkh fodkj ftles a eksVkik 'kkfey gS o Ldwy ds fy, rS;kjh] uÈn dh leL;k o 'kkjhfjd xfrfofèk vkSj O;k;ke o fo'ks"k vko';drk okys cPps o ân; lacaèkh leL;k,a o ’olu lacaèkh jksx o xSLVªks,aVsjksykWftdy fodkj o tsfuVks;wjhujh fodkj o eLdqyksLdsyVs y fodkj o rfa=dk lacaèkh fodkj • lkekU; cpiu ds dSalj & tkap vkSj çcaèku • lkekU; cky fpfdRlk vkikrdkyhu ifjfLFkfr;ka • vkbZ,e,ulhvkbZ ¼leh{kk½ IV 15 • ;qokoLFkk ds ifjorZu & iq#"k o efgyk • lkekU; fd'kksj LokLF; leL;k,a & vkadyu] funku vkSj çcaèku • iks"k.k ,oa O;k;ke • ;kSu LokLF; • O;ogkj lacaèkh leL;k,a] ruko vkSj eukslkekftd leL;k,a • fd'kksj vkSj dkuwu ¼POSH vkfn½ • fd'kksj ijke'kZ V 25 • lapkjh jksxks a dh leh{kk • lkekU; lapkjh jksx & vkadyu] funku vkSj çcaèku o ok;q tfur jksx o ty tfur jksx o [kk| tfur jksx o osDVj tfur jksx o okgu tfur jksx o mHkjrs vkSj nksckjk mHkjrs jksx • fuokjd mik; • lapkjh jksxks a dh egkekjh foKku • lapkjh jksxks a ls lacafèkr jk"Vªh; dk;ZØe VI 11 • LokLF; vkSj chekjh dh voèkkj.kk] çkFkfed LokLF; n[s kHkky vkSj bldk dk;kZUo;u • egkekjh foKku vkSj egkekjh foKku ds rjhds & lapkjh vkSj xSj&lapkjh jksxks a dh egkekjh foKku • egkekjh ,oa egkekfj;ks a dk çcaèku • vkink çcaèku • i;kZoj.kh; LokLF; • LokLF; n[s kHkky forj.k ç.kkyh • jk"Vªh; LokLF; dk;ZØe vkSj uhfr;ka • Ldwy LokLF; • tulkaf[;dh vkSj ifjokj fu;kstu • LokLF; lwpuk vkSj LokLF; vkadM+s • LokLF; chek ;kstuk, a & jk"Vªh; vkSj futh • xSj ljdkjh laxBuks a dh Hkwfedk 532 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ¼48 ?kaVs esa ladk; }kjk çn'kZu vkSj Nk=ks a}kjk vH;kl 'kkfey gS½A • efgykvks a dh ekufld fLFkfr dh tkap • iSi ijh{k.k • ohvkbZ, LØhÇux • Lru Lo&ijh{kk ¼ch,lbZ½ • vkbZ;wlhMh dks yxkuk vkSj gVkuk • ekSf[kd xHkZfujksèkd xksfy;ka 'kq# djus eas lgk;rk vkSj fuxjkuh djuk • uotkr f'k'kq dh vko';d n[s kHkky • uotkr f'k'kq dk iqutÊou • cPpks a dh o`f) vkSj fodkl dk vkadyu • fd'kksj LokLF; o fd'kksj tksf[ke eYw ;kadu o fd'kksj ijke'kZ • ?kjsyw n[s kHkky o ?kko dh ns[kHkky o ?kj ij Vªfsd;ksLVkseh n[s kHkky o ?kj ij jaèkz dh n[s kHkky o ?kj ij dSFksVj ns[kHkky o fodykax O;fDr;k sa dh n[s kHkky • ikfjokfjd ijke'kZ o oSokfgd ijke'kZ o ifjokj fu;kstu ijke'kZ o 'kksd ijke'kZ • egkekjh dh tkap • vkink ekWd fMªy • vkink rS;kjh vkSj çksVksdkWy • lapkjh jksxks a ls lacafèkr jk"Vªh; dk;ZØe & tkudkjh ,oa Hkkxhnkjh IX. II I 18 • mez c<u+ s dh çfØ;k • cqtqxks± eas leL;k dk ewY;kadu] funku vkSj çcaèku • fodV leL;k,a • th.kZ jksx • cqtqxks± eas vkS"kèk foKku • ekufld jksx • lkekftd leL;k,a ,oa çcaèku • cqtqxks± eas LokLF; laoèkZu vkSj jksx dh jksdFkke • mez c<u+ s dh lkekU; euksoSKkfud fo'ks"krk,a o tSfod eíq s o euksoSKkfud eíq s o mez c<u+ s dh voèkkj.kk,a vkSj fl)kar o o`)ks a eas ruko vkSj mldk lkeuk djuk o lkekU; LokLF; leL;k,a ,oa uÉlx çcaèku • 'kkjhfjd pqukSfr;ka o Jo.k ifjorZu o n`f"V lacaèkh ifjorZu o vU; laosnh ifjorZu o Roph; ifjorZu o ân; lacaèkh ifjorZu o 'olu lacaèkh ifjorZu o xqnZs eas ifjorZu o xSLVªksbuVsfLVuy ifjorZu[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33 o eLdqyksLdsyVs y ifjorZu o var%lzkoh ifjorZu o çfrj{kkfoKkuh ifjorZu • euksoSKkfud pqukSfr;ka o laKkukRed ifjorZu o o`) O;fDr ds lkFk nqO;Zogkj o 'kjkc lsou • vkS"kfèk mi;ksx eas pqukSfr;ka o vkS"kfèk vo'kks"k.k o vkS"kfèk forj.k o vkS"kfèk p;kip; o vkS"kfèk mRltZu • jk"Vªh; ekufld LokLF; uhfr;ka vkSj dk;ZØe II 18 • lkekU; ekufld fodkjks a dk vkadyu] funku ,oa çcaèku • Çprk • volkn • [kkus es a fnDdr • O;fDrRo fodkj • ,Mh,pMh • lh[kus lacaèkh fodkj • fVd fodkj • euksjksx lacaèkh jksxks a eas vkS"kèk foKku • dkuuw h vkSj uSfrd tokcngs h • ekufld LokLF; eas o`f) • ,sl s ifjokj ftues a ekrk&firk vkSj cPpks a ds chp ckrphr dh leL;k dk mPp tksf[ke gS] f'kfFkyrk • euksjksx lacaèkh vkikrfLFkfr;ka ftles a vkRegR;k 'kkfey gS III 15 • vlkè; jksxks a ls ihfM+r jksfx;ks a ds lkekU; y{k.k vkSj budk çcaèku • nnZ çcaèku & vksfivksbM ,uYtsfld vkSj dks ,uYtsfld • gkWLikbl ns[kHkky • thou dh var%dkyhu ns[kHkky • 'kksd çcaèku IV 10 • 'kjhj jpuk foKku vkSj 'kjhj foKku • iq#"kks a ls lacafèkr lkekU; LokLF; leL;k,a • lkekU; ?kkrd jksx & jksdFkke] tkap] 'kh?kz mipkj • iks"k.k • tksf[ke O;ogkj • ijke'kZ V 10 • çoklh • ;k=h • ;k=h dk Vhdkdj.k • cs?kj • pqukSrhiw.kZ legw & 'kkjhfjd] ekufld vkSj lkekftd :i ls • lkeqnkf;d iquokZl o fodykax jksfx;ks a ds çcaèku es a ,uih dh Hkwfedk o e=w k'k; dh n[s kHkky o 'k¸;k ij iM+ s jksfx;ks a ds fy, ?kjsy w n[s kHkky o iquokZl eas nyh; voèkkj.kk vkSj vU; mipkjks a dh Hkwfedk VI 20 • eèkqegs • mPp jDrpki • eksVkik34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • gkbijfyfiMsfe;k • fny dh èkeuh dk jksx • ân; jksx • vkj,pMh • vk?kkr ¼LVªksd½ • fexÊ • nek • lhvksihMh • var%lzkoh fodkj • eqag ds jksx • u=s LokLF; • nq?kZVuk vkSj pksVsa • lkekU; dSalj vkSj dSalj LØhÇux • xSj&lapkjh jksxks a ls ihfM+r xzkgdks a dh iks"k.k lacaèkh vgZrk,a 5 ¼48 ?kaVs eas ladk; }kjk çn'kZu vkSj Nk=ksa }kjk vH;kl 'kkfey gS½ • o`)tu vkadyu o bfro`Ùk o 'kkjhfjd tkap o iks"k.k lacaèkh vkadyu o ,Mh,y vkadyu o ÝsfxfyVh vlsleaVs vkSj QkWy fjLd vlsleasV o eukslkekftd vkadyu o uSnkfud midj.k% xsfj;kfVªd fMçs’ku Ldsy] feuh dkWx VSLV] lh,,e vkbZlh;w Ldsy • y?kq iks"k.k vkadyu • fpfdRlh; vkgkj ;kstuk • ekufld LokLF; losZ{k.k ,oa LØhÇux • ekufld :i ls chekj yksxks a dh ?kjsyw n[s kHkky • VfsLVdqyj lsYQ ,Xtkfeus'ku ¼Vh,lbZ½ • èkweziku lekfIr l= • iSjks a dh n[s kHkky • thou dh var%dkyhu ns[kHkky • nnZ dk vkadyu vkSj LdksÇjx & MCY;w,pvks yMs j] oh,,l • mi'kked xzkgd dk nnZ çcaèku • ladVdkyhu ijke'kZ • n`f"V tkap • ekSf[kd tkap • ,ulhMh dh jksdFkke vkSj fu;a=.k ij jk"Vªh; LokLF; dk;ZØe & tkudkjh vkSj Hkkxhnkjh I II • vfHkyk"k ds-ih-ih- ¼2019½ ,ejtsla h efsMflu] cSLV çSfDVl ,V lh,elh ¼bZ,e,lh½ ¼nlw jk laLdj.k½ tsih cznlZ ifCyds'kal • ,MsyeSu Mh-,l- ,aM fVeksFkh ts- yxs ¼2011½ fMtkLVj uÉlx% , gSaMcqd QkWj çSfDVl] ÇLçxj ifCyÇ'kx daiuh] U;w;kWdZ[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35 • v#yjkt ,l-] t;yky ts-,-] vCnqy glu ds-,e- ,aM jfo'kadj Vh-,u- ¼2017½ VSDLV cqd vkWQ Qsfeyh esfMflu ¼rhljk laLdj.k½ ,Ylsfo;j • cVyj ts- FkkWel ¼2000½ fçafliYl vkWQ gSYFk ,twds’ku ,aM gSYFk çkseks’ku ¼rhljk laLdj.k½ oM~loFkZ ifCyÇ'kx daiuh bad- • dS'k fty ,aM Xykl psfj;k ¼2019½ ,MYV tsjksUVksykWth xkbMykbal ¼nlw jk laLdj.k½ ÇLçxj ifCyds'ku] U;w;kWdZ • Dyes asV&LVksu] lqlku ¼2002½ dkWfEçgsfalo QSfeyh ,aM dE;qfuVh gSYFk uÉlx% QSfeyh] ,xzhxsV ,aM dE;qfuVh çSfDVl ¼6oka laLdj.k½ lsVa yqbl% eksLch bad- • MS'k ch- ¼2023½ , dkWfEçgsfalo VSDLV cqd vkWQ dE;qfuVh gSYFk uÉlx ¼nlw jk laLdj.k½ tsih cznlZ esfMdy ifCy'klZ çkbosV fyfeVMs • QsLa Vjekpj ds- ,aM gMlu ch-Vh- ¼2024½ çsfDVl xkbMykbal QkWj QSfeyh ulZ çSfDV'kulZ ¼6oka laLdj.k½ ,Ylsfo;j • gksdsucsjh eÆyu ts-] jkWtlZ psfjy lh- ,aM foYlu MsfoM ¼2022½ oksXa l ,lsfa'k;Yl vkWQ ihfM;kfVªd uÉlx ¼11oka laLdj.k½ lsVa yqbl% ,Ylsfo;j • gksdsucsjh eÆyu ts- MQh ,fytkcsFk ,- ,aM fxCl djsu fMoys fsj;ks ¼2024½ oksXa l uÉlx ds;j vkWQ bUQSaV~l ,aM fpYMªsu ¼12oka laLdj.k½ lsVa yqbl% ,Ylsfo;j • b;ku Mh- isueSu] LVqvVZ ,p- jkYLVu] ekdZ MCY;w-ts- LVªps u ,aM fjpMZ ih- gkWClu ¼2022½ MsfoMlal Ççfliy ,aM çSfDVl vkWQ esfMflu ¼24oka laLdj.k½ ,Ylsfo;j • tSdc ,- ¼2023½ , dkWfEçgsfalo VSDLV cqd vkWQ feMokbQjh ,aM xk;uksdkys kWftdy uÉlx ¼6oka laLdj.k½ tsih cznlZ efsMdy ifCy'klZ • djus QsaLVjekpj ,aM ckjcjk Vksuh gMlu ¼2020½ çsfDVl xkbMykbal QkWj QSfeyh ulZ çSfDV'kulZ ¼5oka laLdj.k½ ,Ylsfo;j ifCysds’ku] lVsa yqbl • dkfdusu ts-vkj- ¼2009½ QSfeyh gSYFk ds;j uÉlx F;ksjh çSfDVl ,aM fjlpZ ¼pkSFkk laLdj.k½ MsfolQk • fd'kksj ts- ¼2022½ u’s kuy gSYFk çksxzkEl vkWQ bafM;k% us’kuy ikWfylht ,aM yfstLy’s kal fjysVsM Vq gSYFk ¼14oka laLdj.k½ ubZ fnYyh% lspa qjh ifCyds s’kal • fdjkyky dksukj ¼2023½ Mh-lh- nÙkk*t VSDLV cqd vkWQ vkWCLVSfVªDl% buDyqfMax isfjusVksykWth ,aM daVªklsI’ku ¼10oka laLdj.k½ tsih cznlZ • yksLdkYtks QkSlh] dSLij gkmtj ,aM yksaxks ¼2022½ gSfjlal ÇçfliYl vkWQ baVjuy efsMflu ¼21oka laLdj.k½ okWY;we 1] eSd xzk fgy • ek'kZy ts- ,aM jus ksj ,e- ¼2020½ ekbYl VSDLV cqd QkWj feMokbOl ¼17oka laLdj.k½ ,Ylsfo;j • LokLF; ,oa ifjokj dY;k.k e=a ky; ¼2022½ bafM;u ifCyd LVsMa MZ~l QkWj dE;qfuVh gSYFk lsVa lZ] https://nhsrcindia.org/sites/default/files/CHC%20IPHS%202022%20Guidelines%20pdf.pdf ls fy;k x;k • LokLF; ,oa ifjokj dY;k.k e=a ky; ¼2022½ bafM;u ifCyd LVsMa MZ~l QkWj dE;qfuVh gSYFk lsaVlZ] okWY;we II] https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2022/03_PHC_IPHS_Guidelines-2022.pdf ls fy;k x;k • LokLF; ,oa ifjokj dY;k.k e=a ky; ¼2012½ bafM;u ifCyd LVsMa MZ~l QkWj gSYFk lc lsaVlZ] okWY;we II] https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2012/sub-centers.pdf ls fy;k x;k • ikdZ ds- ¼2023½ ikDlZ VSDLVcqd vkWQ lk's ky ,aM fçosfaVo efsMflu ¼27oka laLdj.k½ cukjlhnkl HkuksV • LVSugkis ,e- ,aM ySadsLVj ts- ¼2024½ ifCyd gSYFk uÉlx ¼11oka laLdj.k½ • Çlg esgjcku ¼2021½ ds;j vkWQ n U;wcksuZ ¼9oka laLdj.k½ ubZ fnYyh% lhch,l ifCy'klZ ,aM fMLVªhC;w'ku çkbosV fyfeVMs • LVSugkis ,e- ,aM yaSdsLVj ts- ¼2019½ ifCyd gSYFk uÉlx% iksiwy’s ku lsaVMZ gSYFk ds;j bu n dE;qfuVh ¼10oka laLdj.k½ bokWYo • lqj's k ds-] 'kekZ ,l- ,aM ekèkoh ¼2022½ czwuj ,aM lqMkFlZ VSDLV cqd vkWQ efsMdy lÆtdy uÉlx] okWY;we 2 ¼14oka laLdj.k½ lkmFk ,f'k;u laLdj.k] oksYVlZ Dyqoj • foMscsd ,y-,l- ¼2019½ lkbfd;kfVªd easVy gSYFk uÉlx] fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl • fouksn ds- ikWy ,aM vjÇon cXxk ¼2023½ th,p,vkbZ ,lsfa'k;y ihfM;kfVªDl ¼10oka laLdj.k½ lhch,l ifCy'klZ çkbosV fyfeVMs • FkkWucZ kW; xszVk ¼2014½ daVsEijjs h vkWD;wis'kuy gSYFk uÉlx] , xkbM V w çSfDV'kulZ] :Vyst] Vh ,aM ,Q xzqi] ;wds36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] dkWyts vkWQ uÉlx dh cqfu;knh dkS'ky ç;ksx'kkyk vgZrkvksa ds vykok] fuEufyf[kr vko';d gSa% 1- ,MYV eSfufdu & iq#"k 2 LokLF; vkadyu 2- ,MYV eSfufdu & tuu ra= okyh efgyk 3 3- csM fon esVªls 5 4- fyusu lsV 5 5- CyM çslj vijsVl 10 6- osbax Ldsy 10 7- gkbV Ldsy 10 8- iks"k.k vkadyu di 10 lsV iks"kd vkgkj rS;kj djuk 9- iks"k.k çn'kZu ds fy, crZu ¼di] pEep] IysV] iSu vkfn½ 5 lsV vkSj mldk iks"k.k vkadyu 10- xSl LVkso 2 djuk 11- flysaMj 2 12- vkbZbZlh lkexzh 13- iksLVj 10 vkbZbZlh lkexzh rS;kj 14- iSEQyVs 10 djuk vkSj mldk mi;ksx 15- ¶ykuys xzkQ 10 djuk 16- ¶yS'k dkMZ 10 17- f¶yi pkVZ 10 18- LykbM çkstsDVj 1 19- ,ylhMh çkstsDVj 1 20- ih, flLVe 1 21- ySiVkWi 1 22- pkWd cksMZ 1 23- Xykl LykbM 10 uSnkfud çfØ;k,a 24- flÇjt 20 25- fuMYl ¼lqbZ½ 20 26- osD;wVsulZ 20 27- Vªs 20 28- fuMy fMLisla j 20 29- vYdksgy csLM LoSc 20 30- osfuiaDpj ,aM batsD'ku Vªfsuxa vkeZ 1 31- iSfYod ,Dtkfeus’ku ekWMy 1 pkbYl cFkZ flE;qyVs j 1 ,fiflvksVkWeh flE;qysVj 1 U;wcksuZ efsufdu fjllhVs’ku flE;qyVs j 1 vkbZ;wlhMh bul’kZu ekWMy 1 batsD'ku Vªfsuxa vkeZ flE;qysVj QkWj baVªkMeZy ,Ma lcD;wVsfu;l batsD'ku 1 csch Meh QkWj oSDlhus’ku 1 32- O;fDrxr lqj{kk midj.k 4 lsV laØe.k fu;a=.k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37 33- gkFk èkksus dk LFkku 2 34- tSofpfdRlh; vif'k"V fuiVku bdkbZ 1 35- ;ksfu ijh{k.k iSfYod ,Dtkfeus’ku Vªs 4 vkVZjh DyaSi & 1 vkVZjh QkslZsIl & 1 ckmy & 1 dkWVu ckWy & dqN tsfQju lksY;w'ku 36- isfYod ,Dtkfeus'ku Vscy 1 37- isfYod ,Dtkfeu'ku ekWMy Lisdqye ijh{kk 38- isfYod ,Dtkfeus'ku Vscy 39- flEl@ckbokYo Lisdqye 1 40- LikWV ykbV 1 41- pkbYM cFkZ flE;qyVs j lkekU; çlo dk lapkyu 42- 4 dSaph 1 fuMy gksYMj 1 vkVZjh QkslZsIl@DyaSi 1 MkblsfDVxa QkslZsIl 1 Liat QkslZsIl 1 osftuy Lisdqye 1 ,çu@MªsIl 1 xkSxy 1 Qsl ekLd 1 xkmu 1 LVsjkby XyOl 1 dkWMZ Vkb 1 LVsjkby dkWVu dqN ckmy 2 43- ,fiflvksVkWeh Vªsfuxa flE;qyVs j ,fiflvksVkWeh ,aM lqVfjxa 44- ,fiflvksVkWeh lsV 4 ,fiflvksVkWeh dSaph & 1 fuMy gksYMj & 1 fuMy & 1 lhaou lkexzh & 1 ckmy & 1 45- isfYod ,Dtkfeus’ku ekWMy vkbZ;wlhMh yxkuk vkSj 46- isfYod ,Dtkfeus’ku Vªs fudkyuk 47- baVªk;wVhfju fMokbl 4 48- U;w cksuZ efsufdu fon fjllhVs’ku flE;qysVj vko';d uotkr n[s kHkky vkSj U;w cksuZ fjllhVs’ku 49- flÇjt 4 Vhdk ç'kklu 50- fuMy 4 51- Vªs 4 52- fuMy fMLisla j 138 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 53- 'kkiZ daVsuj 1 54- oSDlhu ds uewus 1 lsV 55- vYdksgy csLM LoSc 20 56- batsD'ku Vªfsuxa vkeZ flE;qysVj QkWj baVªkMeZy ,Ma lcD;wVsfu;l batsD'ku 57- csch Meh QkWj oSDlhus’ku 58- oSDlhu daVsuj 1 59- vksLVkseh ds;j lsV 1 60- QqV ds;j lsV 1 61- Vcs yVs QkWj MsVk fjdkWÉMx 5 fMftVy fjdkWÉMx 62- fjiksVZ & nSfud] lkIrkfgd] ekfld] okÆ"kd] lsVa husy] cFkZ] MSFk 20 fjdkWÉMx vkSj fjiksÉVx 1- ,MtLVscy csM fon esVªls & 10 2- IV LVSaM & 20 3- csM lkbM ykWdj & 11 ¼10 & jksxh( 1 & LVkWd½ 4- vksoj csM VªkWyh & 10 5- MªsÇlx VªkWyh ¼NkVs h½ & 5 6- MªsÇlx VªkWyh ¼eè;e½ & 2 7- flÇjt iai & 10 8- bU¶;wtu iai & 10 9- ekWfuVj & 11 ¼10 & jksxh( 1 & LVkWd½ 10- VªkaliksVZ ekWfuVj@iYl vkWDlhehVj & 2 11- osVa hysVj & 1 12- iksVsZcy osVa hysVj & 1 13- ,chth e'khu & 1 14- bZlhth e'khu & 1 15- vYVªklkmaM e'khu & 1 16- MkWIyj e'khu & 1 ¼;fn oLdwyj jksxh vkbZlh;w es a HkrÊ gSa½ 17- fMfQfczyVs j & 1 18- isjhQsjy uoZ fLVeqysVj & 1 19- CyM okeZj & 3 20- is'ksVa okeZj & 5 21- lhDosfa’k;y daçs’ku fMokbl & 10 22- vYQk eVs ªsl fon eksVj & 15 23- yhM 'khYM & 1 24- ØS'k dkVZ & 1 25- VªkalQj VªkWyh & 4 26- vksvkj VªkWyh & 2 27- lsQ LykbMj & 2 28- dEI;wVj & 4 29- ÇçVj & 2 30- cSu lÆdV & 12 31- vkWDlhtu ¶yksehVj & 10 32- lD'ku iksVZ fon tkj & 10 33- ,;j ¶yksehVj@iYeks,M & 10 34- jfsÝtjVs j & 2 35- eVs y QqV LVsi@QqV LVwy & 10[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39 36- ,Ecqy's ku p;s j & 5 37- ;wih,l & 1 38- ¶ySV VªkWyh & 1 39- LikWV ykbV & 2 40- XywdksehVj & 2 41- fofHkUu vkdkjks a okys vacq cSx & 10 lsV 42- fofHkUu çfØ;kvks a tSls bul’kZu vkWQ lsaVªy ohul dSFksVj] Vªsfd;ksLVkseh vkfn ds fy, LVsjkby lsV@fMLikstscy lsV ds lkFk Vªs LokLF; ,oa ifjokj dY;k.k e=a ky; ds lkeqnkf;d LokLF; dsæa ksa ds fy, Hkkjrh; lkoZtfud LokLF; ekud ¼2022½ [kaM II dk vuqyXud 10] i`- 132 ns[ksaA https://nhsrcindia.org/sites/default/files/CHC%20IPHS%202022%20Guidelines%20pdf.pdf ls fy;k x;kA LokLF; ,oa ifjokj dY;k.k ea=ky; ds çkFkfed LokLF; dsæa ksa ds fy, Hkkjrh; lkoZtfud LokLF; ekud ¼2022½ [kaM II ds vuqyXud 7 ,oa 8] i`- 118 ns[ksaA https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2022/03_PHC_IPHS_Guidelines-2022.pdf ls fy;k x;kA LokLF; ,oa ifjokj dY;k.k e=a ky; ds LokLF; midsæa ksa ds fy, Hkkjrh; lkoZtfud LokLF; ekud ¼2012½ [kaM II] i`- 16 ns[ksaA https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines- 2012/sub-centers.pdf ls fy;k x;kA ç'u&i=@ç'uksÙkjh% 10 vad fyf[kr dk;Z@vkofèkd ç'u&i=% 10 vad ¼oSf'od vkSj jk"Vhª; LokLF; n[s kHkky ds #>ku vkSj uhfr;ka½ uSnkfud lsfeukj% 5 vad ¼ fof'k"V uSnkfud fLFkfr es a uSnkfud@ns[kHkky ekxZ@fof'k"V uÉlx fl)kar dk vuqç;ksx½ ç'u&i=% 20 vad fyf[kr dk;Z% 5 vad ¼lkfgR;d leh{kk@'kksèk midj.k dh rS;kjh½ tuZy Dyc% 5 vad ¼Qsfeyh gSYFk uÉlx n{krkvks a ds fy, 'kksèk lk{; dk fo'y"sk.k½ ç'u&i=% 15 vad tuZy Dyc% 5 vad ¼usr`Ro@çcaèku@f'k{k.k es a #>ku½ fyf[kr dk;Z% 5 vad ¼tSls dk;ZLFky fgalk½ lw{e f'k{k.k% 5 vad ç'u&i= vkSj ç'uksÙkjh% 20 vad ¼iSFkksfQft;ksykWth & 10] QkekZdksykWth & 10½ vkS"kfèk vè;;u% 5 vad ¼vkS"kfèk vè;;u ,oa çLrqfr½40 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ ¼iSFkksfQft;ksykWth½% 5 vad ç'u&i=% 20 vad fyf[kr dk;Z% 10 vad ¼uSnkfud@tkap fjiksVZ & O;k[;k vkSj fu"d"kks± dk fo'y"sk.k½ uSnkfud çn'kZu vkadyu% 10 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ% 5 vad vkarfjd vks,llhbZ% 25 vad ç'u&i= vkSj ç'uksÙkjh% 20 fyf[kr dk;Z% 10 vad ¼LokLF; dsaæ çksVksdkWy½ uSnkfud çn'kZu vkadyu% 20 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad vkS"kfèk vè;;u ¼vkS"kfèk vè;;u vkSj çLrqfr½% 10 vad ekey s dh çLrqfr vkSj ekeys dh vè;;u fjiksVZ ¼ikfjokfjd f'k{kk@ijke'kZ½% 5 vad ekey s dh çLrqfr ¼uSnkfud@n[s kHkky ekxZ dk vuçq ;ksx½% 5 vad vkarfjd vks,llhbZ% 50 vad I ç'u&i= vkSj ç'uksÙkjh% 20 vad uSnkfud lsfeukj vkSj tuZy Dyc% 10 vad uSnkfud çn'kZu vkadyu% 20 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad uSnkfud çLrqfr% 10 vad ekey s dh vè;;u fjiksVZ% 10 vad vkarfjd vks,llhbZ% 50 vad II ç'u&i=% 20 vad uSnkfud lsfeukj % 10 vad uSnkfud çn'kZu vkadyu% 20 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad uSnkfud çLrqfr% 10 vad ekey s dh vè;;u fjiksVZ ¼fodflr uSnkfud@n[s kHkky ekxZ½% 10 vad[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41 vkarfjd vks,llhbZ% 50 vad çk;kSfxd% 50 vad × × × I. 1- o;Ld jksxh dk ldsfaær bfro`Ùk yus k rFkk 'kkjhfjd tkap djuk 2- f’k’kq jksxh dk ldsfaær bfro`Ùk yus k rFkk 'kkjhfjd tkap djuk 3- bfro`Ùk rFkk 'kkjhfjd tkap fu"d"kks± dh O;k[;k djuk 4- ç;ksx'kkyk rFkk uSnkfud ijh{k.k ifj.kkeks a dh O;k[;k djuk 5- uSnkfud ekinMa kas dh fuxjkuh djuk × 1- o;Ld jksxh dk ldsfaær bfro`Ùk yus k 2- o;Ld jksxh dh ldsfaær 'kkjhfjd tkap djuk 3- f'k'kw jksxh dk ldsfaær bfro`Ùk yus k 4- f'k'kw jksxh dh ldsfaær 'kkjhfjd tkap djuk 5- bfro`Ùk rFkk 'kkjhfjd tkap fu"d"kks± dh O;k[;k djuk 6- ç;ksx'kkyk rFkk uSnkfud ijh{k.k ifj.kkeks a dh O;k[;k djuk 7- uSnkfud ekinMa kas dh fuxjkuh djuk × I.42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 1- o;Ld jksxh dk ldsfaær bfro`Ùk yus k] 'kkjhfjd tkap djuk rFkk fu"d"kks± ,oa ifj.kkeks a dh O;k[;k djuk 2- f'k'kw jksxh dk ldsfaær bfro`Ùk yus k] 'kkjhfjd tkap djuk rFkk fu"d"kks± ,oa ifj.kkeks a dh O;k[;k djuk 3- buosfto rFkk ukWu&buosfto {kerkvks a dh fuxjkuh djuk 4- n[s kHkky ;kstuk fodflr djuk 5- fpfdRlh; eè;orZu] ftles a thou Hkj vkS"kfèk ç'kklu 'kkfey gS 6- vkikrdkyhu çfØ;kRed n{krk,a 7- ikfjokfjd f'k{kk ,oa ijke'kZ 8- ifjokj dsfUær n[s kHkky × 1- o;Ld jksxh dk ldsfaær bfro`Ùk yus k] 'kkjhfjd tkap djuk rFkk ifj.kkeks a dh O;k[;k djuk 2- f'k'kw jksxh dk ldsfaær bfro`Ùk yus k] 'kkjhfjd tkap djuk rFkk ifj.kkeks a dh O;k[;k djuk 3- buosfto rFkk ukWu&buosfto {kerkvks a dh fuxjkuh djuk 4- n[s kHkky ;kstuk fodflr djuk 5- ikfjokfjd f'k{kk ,oa ijke'kZ 6- fpfdRlh; eè;orZu] ftles a thou Hkj vkS"kfèk ç'kklu 'kkfey gS 7- ifjokj dsfUær n[s kHkky × I II 1- o;Ld jksxh dk ldsfaær bfro`Ùk yus k] 'kkjhfjd tkap djuk rFkk ifj.kkeks a dh O;k[;k djuk 2- f'k'kw jksxh dk ldsfaær bfro`Ùk yus k] 'kkjhfjd tkap djuk rFkk ifj.kkeks a dh O;k[;k djuk 3- efgyk LokLF; & vkadyu rFkk fof'k"V çfØ;k,a 4- buosfto rFkk ukWu&buosfto {kerkvks a dh fuxjkuh djuk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43 5- n[s kHkky ;kstuk@ns[kHkky ekxZ fodflr djuk 6- ikfjokfjd f'k{kk ,oa ijke'kZ 7- fpfdRlh; eè;orZu] ftles a thou Hkj vkS"kfèk ç'kklu 'kkfey gS 8- lØa e.k fu;a=.k çFkk,a 9- ifjokj dsfUær n[s kHkky × 1- o;Ld jksxh dk ldsfaær bfro`Ùk yus k] 'kkjhfjd tkap djuk rFkk ifj.kkeks a dh O;k[;k djuk 2- f'k'kw jksxh dk ldsfaær bfro`Ùk yus k] 'kkjhfjd tkap djuk rFkk ifj.kkeks a dh O;k[;k djuk 3- buosfto rFkk ukWu&buosfto {kerkvks a dh fuxjkuh djuk 4- efgyk LokLF; & vkadyu rFkk fof'k"V çfØ;k,a 5- n[s kHkky ;kstuk fodflr djuk 6- ikfjokfjd f'k{kk ,oa ijke'kZ 7- fpfdRlh; eè;orZu] ftles a thou Hkj vkS"kfèk ç'kklu 'kkfey gS 8- lØa e.k fu;a=.k çFkk,a 9- ifjokj dsfUær n[s kHkky × 3 & * I44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 1 'kksèk midj.k dh rS;kjh 2 O;ofLFkr leh{kk@lkfgR;d leh{kk ys[ku 3 çdk'ku ds fy, ikaMqfyfi rS;kj djuk ¼çFke@f}rh; o"kZ½ 4 'kksèk fucaèk@bZchih ifj;kstuk ¼f}rh; o"kZ½ fo"k;% II 1 LVkQ jksxh fufgr dk;Z rS;kj djuk 2 bdkbZ dk ctV rS;kj djuk 3 LVkQ MîwVh jksLVj rS;kj djuk 4 bdkbZ es a jksxh n[s kHkky laijh{k.k 5 midj.k vkSj vkiwÆr çcaèku 6 laØe.k fu;a=.k fuxjkuh] vkadyu vkSj mlls lacafèkr fjiksVZ y[s ku 7 jksfx;ks@a deZpkfj;ks a ds çf’k{k.k ds fy, f'k{k.k ;kstuk rFkk ehfM;k rS;kj djuk 8 lw{e f'k{k.k@ekrk&firk ds fy, f'k{kk l= 9 vks,llhbZ@vks,lihbZ ;kstuk cukuk vkSj lapkyu djuk 10 ijh{k.k fuekZ.k III 1 O;kid bfro`Ùk ysuk 2 ldfsaær bfro`Ùk ysuk ¼çfØ;kokj½ 3 O;kid 'kkjhfjd tkap 4-1 'olu r=a 4-2 ân; r=a 4-3 tBjkU= 4-4 Luk;fod & ekufld fLFkfr dh tkap] diky raf=dk vkadyu 4-5 tuukax&ew= ra= 4-6 var%lzkoh 4-7 gsesVksykWftdy 4-8 eLdqyksLdsyVs y 2-9 baVhxqeasVjh 2-10 laosnh vax & n`f"V ,oa JO; 5-1 uotkr f'k'kq 5-2 cPpk 5-3 o;Ld 5-4 o`) 6 IV 1-1 ck;ksdSfeLVªh 1-2 uSnkfud jksx funku 1-3 ekbØksck;ksykWth 1-4 ,chth 2-1 iSjklsUVfsll 2-2 FkkSjls sUVfsll 2-3 yqEcj iaDpj 2-4 fyoj ck;ksIlh 2-5 jhuy ck;ksIlh[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45 2-6 cksu eSjks ,fLijs'ku 3-1 iSV LdSu 3-2 ,aMksLdksih 3-3 ,evkjvkbZ@lhVh 3-4 vYVªklkmaM 3-5 bdksdkÆM;ksxzke 4-1 èkeuh jDr xSl ¼,chth½ 4-2 vkWDlhtu lar`fIr 4-3 ,aMksVªSfp;y Vîcw dQ ncko 4-4 dSIuksxzkQh 4-5 gseksMk;ukfeDl 4-6 byDs VªksdkÆM;ksxzke ¼bZlhth½ 4-7 baVªkØSfu;y çSlj ¼vkbZlhih½ 4-8 buosfto chih ekWfuVfjax 4-9 ukWu&buosfto chih ekWfuVfjax 4-10 PiCCO ¼iYl baMsDl daVhU;wvl dkÆM;d vkmViqV½ 4-11 ifjèkh; laoguh fLFkfr 4-12 Xyklxks dksek Ldksj 4-13 lhMs’ku Ldksj 4-14 isu Ldksj 4-15 czSMsu Ldksj 4-16 ckWoy lkmaM 4-17 thvkjch,l 4-18 Nkrh dk ,Dl&js V 1 ços'k 2 LFkkukarj.k 3 ifjogu 4 mPp dsæa dks fufn"V djuk 5 NqV~Vh@ykek 6-1 ekWfuVj 6-2 VªkUlMîlw j@çSlj cSx 6-3 VSaijps j çksCl 6-4 SpO çksCl 2 6-5 lhVhth e’khu 6-6 12&yhM bZlhth ekWfuVj 6-7 CyM@¶Y;wM okeZj 6-8 flÇjt iai 6-9 bU¶;wtu iai 6-10 QksVksFksjsih 6-11 vkWDlhtu flysMa j ,oa esfuQksYM fLLVe 6-12 vYQk@,;j eSVªsl *Nk= ds dkS'ky çn'kZu es a l{ke ik, tkus ij] ml ij çhlsIVj }kjk gLrk{kj fd, tk,axsA Nk=ks a ls ;g vis{kk dh tkrh gS fd os lwphc) dkS'kyks@a n{krkvks a dks rc rd dbZ ckj djas tc rd fd os Lrj 3 n{krk rd ugÈ igqap tkr]s ftlds ckn çhlsIVj çR;sd n{krk ds le{k gLrk{kj djsxa sA ;g lqfuf'pr djuk pkfg, fd çR;sd n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh fn, x, gSaA • Lrj 3 n{krk ;g n'kkZrh gS fd ,uih Nk= i;Zos{k.k ds fcuk ml n{krk dk laiknu djus es a l{ke gSA46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk laiknu djus es a l{ke gSA • Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml n{krk@dkS'ky dk laiknu djus es a l{ke ugÈ gSA & I 1 xaHkhj ns[kHkky midj.kks a dh LFkkiuk] mi;ksx vkSj j[kj[kko 1-1 osfaVysVj 1-2 fMfQfczyVs lZ ih 1-3 isleds j ih 1-4 ØS'k VªkWyh ih 1-5 CPAP/BiPAP 2 çkFkfedrk fuèkkZj.k ¼Vªkb,t½ ih 3 IV ykbu bul’kZu ih 4 ,;jos bul’kZu 5 lhihvkj & o;Ld 6 lhihvkj & f'k'kw 7 balqfyu Fksjsih & LykbÇMx Ldsy ih 8 Vªsfd;ksLVkseh vkSj lD'kÇux ih 9 ucs qykbts'ku ih 10 byDs VªksdkÆM;ksxzke ¼bZlhth½ 11 pLs V fQft;ksFksjsih ih 12 bZVh Vîwc ds;j ih 13 bZVh dQ çcaèku ih 14 bZVh lD'kÇux ih 15 efsMdksyhxy vuqikyu ih 16 thou dh var%dkyhu ns[kHkky ih II 1 ohvkbZ, ih 2 O;fDrxr lqj{kk midj.k dk mi;ksx ih 3 laØe.k fu;a=.k çFkk,a ih 4 ekud lkoèkkfu;ka ih 5 e=w fo'y"sk.k ih 6 LiqVe Leh;j ih 7 fLdu Leh;j ih 8 eVa kSDl VSLV ih 9 n`f"V tkap ¼fotu LØhÇux½ ih 10 Jo.k ijh{k.k ih 11 Lru Lo&ijh{k.k ¼ch,lbZ½ ih 12 o`"k.k Lo&ijh{k.k ¼Vh,lbZ½ ih 13 ekSf[kd tkap ¼vksjy ,Dtkfeus’ku½ ih III 1 ,pvkbZoh eka ih 2 cka> naifÙk ih 3 xzkgd u s vkRegR;k dk ç;kl fd;k ih[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 47 4 fof{kIr cPpks a ds ekrk&firk ih 5 ç'kked n[s kHkky ikus oky s xzkgd ih 6 ç'kked n[s kHkky ikus oky s xzkgd ds ns[kHkkydrkZ ih IV 1 iks"k.k vkadyu] vkgkj ;kstuk rFkk iq"V vkgkj dh rS;kjh 1-1 çloiwoZ ih 1-2 çloksÙkj ih 1-3 ç'kked xzkgd ih 2 fpfdRlh; vkgkj ;kstuk ih V 1 fdlh egkekjh dh tkap ih VI 1 fjdkWM~lZ vkSj ikfjokfjd çksQkby dk j[kj[kko ih 2 egRoiw.kZ ?kVukvks a dh fjdkWÉMx vkSj fjiksÉVx ih 3 fMftVy LokLF; fjdkWÉMx ih VII 1 iYl iksfy;ks dk;ZØe es a Hkkxhnkjh ih 2 Vhdks a dk ç'kklu ih VIII 1 'kkjhfjd tkap 1-1 & çloiwoZ eka ih 1-2 & çloksÙkj eka ih 2 çloiwoZ tkap ih lkekU;@fuEu@mPp tksf[ke okyh xHkkZoLFkk 2-1 lkekU; ih 2-2 de tksf[ke ih 2-3 mPp tksf[ke ih 3 ikVksZxzkQ IykWÇVx vkSj O;k[;k ih 4 ;ksfu tkap ih 5 oh{kd tkap ih 6 lkekU; çlo djkuk ih 7 ;ka=dh; çlo es a lgk;rk ih 8 oSD;we lD'ku es a lgk;rk ih 9 ,y,llh,l es a lgk;rk 10 rhlj s pj.k ds çlo dk lfØ; çcaèku ih 11 ihih,p çcaèku ih 12 ,ihflvksVkWeh vkSj Vkads yxkuk ih 13 çloksÙkj ns[kHkky ih 14 uotkr f'k'kq dh n[s kHkky & lkekU; ih 15 mPp tksf[ke oky s uotkr f'k'kqvks a dh n[s kHkky ih 16 vkbZ;wlhMh yxkuk ih 17 vkbZ;wlhMh gVkuk ih 18 ekSf[kd xHkZfujksèkd xksfy;ka 'kq# djus es a lgk;rk 19 vkslhih ij efgykvks a dk vuqlj.k 20 VîwcsDVkseh eas lgk;rk IX 1 vko';d uotkr f'k'kw n[s kHkky ih 2 uotkr f'k'kw dks iqutÊou nsuk ih 3 Dyhfud & fofHkUu Dyhfudks a ds vk;kstu es a Hkkx yus k ih 3-1 {k; jksx fDyfud48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3-2 Vhdkdj.k fDyfud 3-3 ,ulhMh fDyfud 3-4 ifjokj fu;kstu f'kfoj@fDyfud 3-5 u'kk eqfDr fDyfud 3-6 euksjksx fDyfud X 1 O;kolkf;d LokLF; vkadyu ih XI 1 vkink çcaèku ij ekWd fMªy ih 5&10% nqyZHk çfØ;kvks a dk vH;kl dkS'ky ç;ksx'kkyk es a fd;k tkuk pkfg, vkSj Lrj 3 n{krk çkIr djuh pkfg,A & * fof'k"V uSnkfud fLFkfr es a uSnkfud ekxZ@ fof'k"V uÉlx fl)kar dk vuqç;ksx ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% * Qsfeyh gSYFk uÉlx n{krkvks a ds fy, lk{; dh [kkst ¼uSnkfud dkUÝsla @tuZy Dyc½ fo"k; dk 'kh"kZd% * urs `Ro@çcaèku@f'k{k.k es a #>ku ¼tuZy Dyc½ fo"k; dk 'kh"kZd% ¼uSnkfud çLrqfr½ uSnkfud fLFkfr dk uke% ¼uSnkfud çLrqfr½ ekey s dk vè;;u ¼fyf[kr fjiksVZ½ uSnkfud fLFkfr dk uke% vkS"kfèk vè;;u ¼LFkk;h vkns'kks a ds rgr lwphc) vkS"kfèk;ka½ & 5 çLrqfr;ks a dh fyf[kr fjiksVZ 2-3-1 vkS"kfèk dk uke% 2-3-2 2-3-3 2-3-4 2-3-5 2-3-6 2-3-7 2-3-8 2-3-9 2-3-10 ¼fyf[kr fjiksVZ tek djus gsrq gS½ ¼o;Ld½ & bfro`Ùk vkSj 'kkjhfjd tkap ¼nks fyf[kr fjiksVZ½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 49 3-1-1- 3-1-2- 3-1-3- 3-1-4- 3-1-5- ¼f’k’kq½ & bfro`Ùk vkSj 'kkjhfjd tkap ¼,d fyf[kr fjiksVZ½ 3-2-1- 3-2-2- 3-2-3- ¼xHkZorh efgyk½ ¼,d fyf[kr fjiksVZ½ 3-3-1- 3-3-2- *mUur vH;klh; uÉlx & ,ih,u] 'kkès k vuqç;ksx & vkj,] usr`Ro] çcaèku rFkk f'k{k.k & ,y,e,aMVh & ¼uSnkfud dkUÝsal½ fo"k; dk 'kh"kZd% I ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% I ¼tuZy Dyc½50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] fo"k; dk 'kh"kZd% II ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% II ¼tuZy Dyc½ fo"k; dk 'kh"kZd% ¼fyf[kr fjiksVZ tek djus ds fy, gSa½ ¼ikfjokfjd f'k{kk@ijke'kZ½ & fyf[kr fjiksVZ 'kh"kZd dk uke% ¼uSnkfud@ns[kHkky ekxZ½ 'kh"kZd dk uke% I ¼uSnkfud çLrqfr½ uSnkfud fLFkfr dk uke% I ¼ekey s dh vè;;u fjiksVZ½ uSnkfud fLFkfr dk uke% II ¼uSnkfud çLrqfr½ uSnkfud fLFkfr dk uke% II ¼ekey s dh vè;;u fjiksVZ½ uSnkfud fLFkfr dk uke% 2-7-1 ¼ikap fyf[kr fjiksVZ½ 2-7-2 2-7-3 2-7-4 2-7-5 2-7-6 2-7-8 2-7-9 2-7-10 3-1 I uSnkfud fLFkfr dk uke% 3-2 3-3 3-4 3-5 ¼ekey s dh vè;;u fjiksVZ½ 3-6 II 3-7 3-8 3-9 ¼ekey s dh vè;;u fjiksVZ½ 3-10 fyf[kr fjiksVZ¼fodflr uSnkfud@ns[kHkky ekxZ½ 4-1 ftyk Vhch dsæa 4-2 ,vkjVh dsæa 4-3 vkapfyd dhV foKku dk;kZy; 4-4 ifjokj dY;k.k dk;kZy;[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 51 4-5 vkbZlhMh,l dsæa 4-6 cky ekxZn'kZu dsUæ 4-7 mi'kked ns[kHkky dsæa 4-8 iquokZl dsæa 4-9 ih,plh es a jk"Vªh; eysfj;k mUewyu dk;ZØe ¼,u,ebZih½ lapkyu dh la'kksfèkr ;kstuk dk voyksdu vkSj dkedkt 4-10 ,aVh&ykokZ vkWijs'ku dk voyksdu vkSj osDVj fu;a=.k mik; uSnkfud çLrqfr dks ekeys dh vè;;u fjiksVZ ds fy, fy[kk tk ldrk gSA ulZ çSfDV'kuj bu Qsfeyh gSYFk] jksfx;ks a dh thou Hkj n[s kHkky djus ds fy, ftEens kjh vkSj mÙkjnkf;Ro yus s ds fy, rS;kj vkSj ;ksX; gksrs gSaA os mPp rh{.krk dh vko';drk oky s jksfx;ks a ds fy, lVhd fpfdRlk lqfuf'pr djus gsrq Qsfeyh efsMflu fQthf'k;u] çkbZejh ds;j fQthf'k;u vkSj fo'ks"kKks a ds lkFk lg;ksx djrs gSaA dk;ZØe ds iwjk gksus ij] ulZ çSfDV'kuj dks laLFkkxr LFkk;h vkn's kks a ds vuqlkj LFkk;h vkns'kks a eas lwphc) vkS"kfèk;ks a dks ç'kkflr djus dh vuqefr gksxhA mUgs a laLFkkxr çksVksdkWy ds vuqlkj uSnkfud ijh{k.k@çfØ;kvks a vkSj mipkjks a dk vkn's k nus s dh Hkh vuqefr gksxhA vkikrdkyhu le; eas ulZ çSfDV'kuj }kjk fuEufyf[kr baVªkous l batsD'ku ;k bU¶;wtu fn, tk ldrs gSa% 1- ,fMªuys kbu 2- oSlksçsflu 3- vfe;ksMsjksu52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 4- ,QsfMªu 5- ,feuksQkbfyu 6- MsjhQkbfyu 7- fVvksok 8- ,foy 9- fXyljhu VªkbZukbVªsV 10- gkbMªksdkÆVlksu 11- yfsoVªslVs e 12- oSfy;e 13- lksMk ckbdkcksZusV 8-4% 14- lksMk ckbdkcksZusV 7-5% 15- 3% ukeZy lsykbu 16- 0-9% ukeZy lsykbu 17- ,aVhik;jfsVDl ¼Tojuk'kd½ 18- ,aVhikÉdlal vkS"kfèk;ka 19- dSfY'k;e lIyhesVa ~l & lSaMkdksy] 'ksYdy] vkWfLV;ksdSfY'k;e 20- vksjy ,aVhMk;csfVd ,tsVa ~l & esVQkWÆeu] Xykbust] balqfyu • ECG • ucs qykbts'ku • ABG • pSLV fQft;ksFksjsih • pSLV ,Dl&js • fMLVy dksyksLVkWeh ok’k • eyw tSojlk;fud tkap & Hb, PCV, TIBC, WBC • efgyk jksfx;ks a dks ;wfjujh dSFksVj yxkuk vkSj gVkuk VksVy] WBC fMQjasf'k;Yl] ESR, byDs VªksykbV~l] • VSLV QhM~l IyVs ysV~l] PT, aPTT, CyhÇMx vkSj DykWÇVx Vkbe] • TEDS çksdSfYlVksfuu] D-fMej] fØ,fVukbu] HbA1c, AC, PC, • 'kY;&fpfdRlh; ejge&iêh HDL, LDL, TIG, dksysLVªkWy VksVy] HIV, HbsAg, • Mk;fyfll 'kq# djuk vkSj can djuk HCV • ,Iyhds'ku vkWQ bPFkkeksy fXyljhu@eSXuhf'k;e lYQsV • cqfu;knh ekbØksck;ksykWth tkap & CyM lsaiy QkWj dYpj MªsÇlx QkWj FkzksEcksf¶yfcfVl@,DlVªkokls'ku ,aM lsfalfVfoVh • ckgjh fQDlsVlZ ij jksfx;ks a ds fy, fiu lkbV ns[kHkky • vkblkes fsVªd ,aM vkblkVs ksfud ,Dljlkbt • fMftVy fudklh çR;sd vLirky es]a vkikrdkyhu fLFkfr;ks a ds nkSjku nh tkus okyh fof'k"V [kqjkd ds lkFk vkS"kfèk ç'kklu ds LFkk;h vkn's k ,uih,Q,p Lukrdks a ds fy, fn'kkfunsZ'kks a ds :i es a miyCèk djk, tk ldrs gSaA ,uih Nk=ks a dks bu vkS"kfèkvks a dks nus s ds fy, çhlsIVlZ@,uih ladk; dh n[s kj[s k es a çf'kf{kr fd;k tk,xkA p;fur tkap ds vkns'k nus s vkSj fof'k"V fpfdRlh; çfØ;kvks a dks djus ds çksVksdkWy ,uih,Q,p Nk=ks a dks çf'kf{kr djus okys çR;sd vLirky eas Hkh miyCèk gks ldr s gSaA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 53 43- ulZ çSfDV'kulZ bu Qsfeyh gSYFk 'kkjhfjd tkap djrs gSa] fpfdRlh; bfro`Ùk ,d= djrs gSa] vkSj viu s jksfx;ks a dk funku djr s gSaA 44- Qsfeyh ulZ çSfDV'kuj ds :i eas lQyrk ds fy, LokLF; tkap vkSj vkadyu ds mi;ksx dh vko';drk gksrh gS] ftlls dSalj] eèkqegs ;k ân; jksx tSls iqjkus ;k th.kZ jksxks a dk 'kh?kz irk yxku s eas enn feyrh gSA 45- ,d ckj funku gks tkus ij] Qsfeyh ulZ çSfDV'kuj ,d çHkkoh mipkj rS;kj djrk gS] ftlesa thou'kSyh es a cnyko] QkekZL;qfVdy eè;orZu] fQthdy Fksjsih] ;k fdlh fo'ks"kK ds ikl fufnZ"V djuk 'kkfey gks ldrk gSA 46- viu s vH;kl ds nkSjku] Qsfeyh ulZ çSfDV'kulZ ds ikl laHkor% eèkqegs ] xfB;k] ;k lwtu tSls iqjkus jksxks a ls tw>u s okys jksxh+ vk,axsA muds dk;Z dk ,d fgLlk jksfx;ks a dks bu jksxks a ls fuiVu s vkSj çcaèku djuk lh[ku s eas enn djuk gSA 47- ,uih,Q,p] jksfx;ks a dks LoLFk thou 'kSyh thus vkSj jksx ds tksf[ke dks de djus dh lykg Hkh nrs k gSA bles a iks"k.k lacaèkh dksÇpx ;k çHkkoh ruko çcaèku ij ;qfDr;ka gks ldrh gSaA cPpks a ;k fd'kksjks a dk mipkj djrs le;] ulZ çSfDV'kulZ bu Qsfeyh gSYFk dks ekrk&firk ;k vfHkHkkodks a dks n[s kHkky ;kstukvks a ds ckj s eas Hkh crkuk pkfg,A 48- ulZ çSfDV'kuj bu Qsfeyh gSYFk ds uSnkfud vH;kl dks ç;ksxkRed dk;Z ;k 'kksèk ds vU; :iks a ds lkFk loafèkZr fd;k tk ldrk gS] ftlls çHkkoh jksxh n[s kHkky ds ckj s eas mudh le> dks xgjk djus eas enn feysxhA 49- ,uih,Q,p tks lkeqnkf;d Dyhfudks a ;k tfVy n[s kHkky lqfoèkkvks a eas dke djrk gS] leqnk; ds Hkhrj LoLFk thou dks c<+kok nsus ds fy, ftEesnkj gks ldrk gSA 50- dqN ns[kHkky lanHkks± eas] mUur vH;kl uls± n[s kHkky ds mPp ekud çnku djus ds fy, lk>snkjh djrs gq, fpfdRldks a ds lkFk feydj dke dj ldr s gSaA ,uih,Q,p dks viu s jksfx;ks a dks çklafxd fo'ks"kKks]a tSls lClVasl ,C;wt dksp] ekufld LokLF; n[s kHkky çnkrkvks]a vkWUdksykWftLV vkfn ds ikl Hkstu s ds fy, Hkh rS;kj jguk pkfg,A 1- xHkZèkkj.k iwoZ vkSj çloiwoZ ns[kHkky 2- LoLFk efgyk vkSj jksx dh n[s kHkky 3- LoLFk f’k’kq vkSj jksx dh n[s kHkky 4- NksVh&eksVh xHa khj pksVks a lfgr lHkh mez ds yksxks a ds fy, xHa khj jksxks a dh çklafxd n[s kHkky 5- mPp jDrpki] eèkqegs ] vLFkek vkfn tSls iqjkus jksxks a dk çcaèku 6- ân; jksx vkSj U;wjkseLdqyj fLFkfr;ks a tSlh laHkkfor vfLFkj fLFkfr;ks a ds fy, ,d fo'ks"kK ds lkFk çkFkfed ns[kHkky fLFkfr;ks a dh fuxjkuh vkSj lg&çcaèku 7- fdlh nh?kZdkfyd jksx ;k fLFkfr dk çcaèku vkSj iquokZl [जवज्ञापन-III/4/असा./843/2024-25] INDIAN NURSING COUNCIL NOTIFICATION New Delhi, the 18th December, 2024 INDIAN NURSING COUNCIL {NURSE PRACTITIONER IN FAMILY HEALTH (NPFH) - POSTGRADUATE RESIDENCY PROGRAM} REGULATIONS, 2024 F.No. 11-1/2024-INC (VI):––In exercise of the powers conferred by sub-section (1) of Section 16 of Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations, namely:— 1. SHORT TITLE AND COMMENCEMENT i. These Regulations may be called the Indian Nursing Council {Nurse Practitioner in Family Health (NPFH) - Postgraduate Residency Program} Regulations, 2024. ii. These shall come into force on the date of notification of the same in the Official Gazette of India.54 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 2. DEFINITIONS In these Regulations, unless the context otherwise requires, i. ‘the Act’ means the Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time; ii. ‘the Council’ means the Indian Nursing Council constituted under the Act; iii. ‘SNRC’ means the State Nurse and Midwives Registration Council, by whichever name constituted, by the respective State Governments; iv. ‘RN & RM’ means a Registered Nurse and Registered Midwife (RN & RM) and denotes a nurse who has completed successfully, recognised Bachelor of Nursing (B.Sc. Nursing) or Diploma in General Nursing and Midwifery (GNM) course, as prescribed by the Council and is registered in a SNRC as Registered Nurse and Registered Midwife; v. ‘Nurses Registration & Tracking System (NRTS)’ means a system developed by the Council and software developed in association with National Informatics Centre (NIC), Government of India, and hosted by NIC for the purpose of maintenance and operation of the Indian Nurses Register. It has standardised forms for collection of the data of Registered Nurse and Registered Midwife (RN & RM)/Registered Auxiliary Nurse Midwife (RANM)/Registered Lady Health Visitor (RLHV) upon Aadhar based biometric authentication; vi. ‘NUID’ is the Nurses Unique Identification Number given to the registrants in the NRTS system; vii. ‘General Nursing and Midwifery (GNM)’ means Diploma in General Nursing and Midwifery qualification recognized by the Council under Section 10 of the Act and included in Part-I of the Schedule of the Act. NURSE PRACTITIONER IN FAMILY HEALTH (NPFH) - POSTGRADUATE RESIDENCY PROGRAM I. Introduction and Background In India, reshaping health systems in all dimensions of health has been recognized as an important need in the National Health Policy, 2017 (NHP, 2017). It emphasizes human resource development in the areas of education and training alongside regulation and legislation. The government recognizes significant expansion in specialty and super specialty services both in public and private health sectors. It is highly significant that the health care professionals require advanced educational preparation in building their capacity in providing specialized care. Developing training programs and curriculum in the area of care is recognized as the need of the hour. Nurse Practitioners will be able to meet this demand provided they are well trained and empowered to practice. With establishment of new cadres in the Centre and State level, master level prepared NPs particularly Nurse Practitioners in Family Health will be able to provide cost effective, competent, safe and quality driven primary health care to patients in various community settings. Nurse practitioners have been prepared and functioning in USA since 1960s, UK since 1980s, Australia since 1990s and Netherlands since 2010. Nurse Practitioners in Family Health (NPFH) can be prepared to function in primary and secondary care settings. Rigorous educational preparation will enable them to assess and participate in treating patients with acute and chronic illnesses both for prevention and promotion of health. A curricular structure/framework is proposed by the Council towards preparation of Nurse Practitioner in Family Health (NPFH) Program 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, 2020), and NONPF Competencies (2022). Every course is based on achievement of nurse practitioner competencies. Nurse Practitioner in Family Health (NPFH) – Residency Program is intended to prepare registered B.Sc. Nurses to provide advanced nursing care to patients who are acutely and chronically ill, using family centered approach. The nursing care is focused on stabilizing patients’ condition, minimizing complications and maximizing restoration of health. These Nurse Practitioners in Family Health are required to practice in primary or secondary health care settings. The program consists of various courses of study that are based on strong scientific foundations including evidenced based practice and the management of complex health systems. These are built upon the theoretical and practice competencies of B.Sc. trained nurses. On completion of the program and registration with respective SNRC, they are permitted to practice all competencies listed in the log book of the Council syllabus and also independently administer drugs and order diagnostic tests, procedures, medical equipment and therapies as per institutional protocols/standing orders. The Nurse Practitioners in Family Health, when exercising this authority, are accountable for demonstrating the competencies in a) Using scientific knowledge and theoretical foundations in family health related nursing practice. b) Patient selection/admission and discharge in various health care settings. c) Problem identification through appropriate assessment.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 55 d) Selection/administration of medication or devices or therapies. e) Patients’ education for use of therapeutics. f) Knowledge of interactions of drugs/therapeutics. g) Evaluation of outcomes. h) Recognition and management of complications and untoward reactions. i) Providing guidance, consultation, mentorship and educational experiences to students, nurses and other health professionals regarding family health care. j) Contribution towards evidence-based innovations in family health nursing practice. The Nurse Practitioner in Family Health is prepared and qualified to assume responsibility and accountability for the care of family under his/her care. The said postgraduate degree will be registered as an additional qualification by the SNRC. Philosophy The Council believes that there is a great need to establish a postgraduate program titled Nurse Practitioner in Family Health (NPFH) to meet the challenges and demands of primary and secondary health care services in India which is reflected in the National Health Policy, 2017 in order to provide quality care to acutely and chronically ill patients and families in various family health care settings. The Council 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 learning by 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. The Council also believes that a variety of educational strategies can be used in the clinical settings to address the deficit of qualified Family Health Nursing faculty. It is hoped to facilitate developing policies towards registration/licensure and create cadre positions for appropriate placement of these postgraduate NPs in Family Health to function in primary health care settings. An educational framework for the Nurse Practitioners in Family Health (NPFH) curriculum is proposed as under (See Figure 1).56 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Figure 1. Nurse Practitioner in Family Health (NPFH) - An Educational Curricular Framework II. Program Description The Nurse Practitioner in Family Health (NPFH) 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 in Figure 1). III. Aim The NPFH program prepares registered B.Sc. nurses for advanced practice roles such as clinical experts, managers, educators and consultants as nurse practitioners leading to M.Sc. Nursing (NP in Family Health). IV. Objectives On completion of the program, the NPFH will be able to 1. Assume responsibility and accountability to provide competent care to acutely and chronically ill patients and families using family centered approach in primary and secondary care centers/settings. 2. Demonstrate clinical competence/expertise in providing care which includes assessment, diagnostic reasoning, monitoring, therapies, home care and rehabilitation. 3. Apply theoretical, pathophysiological and pharmacological principles and evidence base in implementing care. 4. Assess and participate in treating patients with critical illnesses to stabilize and restore patient’s health and minimize or manage complications independently or collaboratively as a part of team. 5. Collaborate with other health care professionals in the team, across the continuum of care. V. Minimum requirements to start the Nurse Practitioner in Family Health (NPFH) Program The institution must accept the accountability for the NPFH program and its students and offer the program congruent with the Council standards. It must fulfill the following requirements:[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 57 1. Essentiality Certificate a. Any institution who wishes to start Nurse Practitioner in Family Health Program shall obtain an Essentiality Certificate/Government Order from the State. b. The following institutions are exempted from obtaining Essentiality Certificate: (i) Institutions/Universities already offering B.Sc. Nursing or M.Sc. Nursing programs and found suitable by the Council under Sections 13 and 14 of the Act; (ii) Institutions/Universities offering MBBS/DNB programs. 2. Clinical Facilities Minimum Bed Strength and Other Clinical Facilities • The hospital should be a tertiary care centre, with a minimum of 200 beds. • There should be well established department of community medicine/family medicine. • Adopted Community Health Areas - Rural/Urban/Tribal Settings - 30,000 population with a secondary health care facility. • Affiliated Rural Hospital/CHC/PHC and Health & Wellness Centre (Sub Centre). • Outpatient facilities to treat general illness, Communicable and Non-Communicable diseases, Pediatric, Obstetric, Gynecological and mental health conditions. • In patient facility for Pediatrics, Geriatrics, Communicable and Non-Communicable diseases, Obstetrical and Gynecological conditions. • Maternal and Neonatal units. • 8-10 level II neonatal beds. • Well established departments of general medicine and pediatrics. • Referral links to tertiary care hospital. • Affiliation with level III neonatal beds. • Special Clinics: RCH clinic, TB clinic, leprosy clinic, malaria clinic, diabetic clinic and psychiatric clinic. 3. Faculty/Staff Resources a. Clinical Area i. Nursing Preceptor: Full time qualified GNM with 6 years of experience in Primary Health Care/ Family Health Nursing or B.Sc. Nursing with 2 years’ experience in Primary Health Care/Family Health Nursing or M.Sc. (Specialty - Community Health Nursing, Medical Surgical Nursing/ Pediatric Nursing/Obstetrics & Gynecology Nursing) with one year of Primary Health Care/Family Health Nursing experience. ii. Medical Preceptor: Medical PG/Consultant in Family Medicine, Community Medicine and Pediatrics, Obstetrics, Geriatrics, General Medicine. iii. Preceptor Student Ratio: Nursing 1:10, Medical 1:10 (Every student must have a medical and a nursing preceptor). b. Teaching Faculty i. Professor/Associate Professor: 1 (Teaching experience: 5 years post PG-M.Sc. Specialty – Nurse Practitioner in Family Health (NPFH) / Community Health Nursing / Medical Surgical Nursing / Pediatric Nursing / Obstetrics & Gynecology Nursing) (One faculty for every 10 students). ii. Assistant Professor: 1 (M.Sc. Nursing with 3 years of teaching experience). c. The above faculty shall perform dual role or be a senior nurse with M.Sc. Nursing qualification in the specialty. d. Guest Lecturers for Pharmacology, Pathophysiology, Family Medicine. 4. Physical and Learning Resources at Hospital/College a. One class room/conference room at the clinical area. b. Skill lab for simulated learning (hospital/college). c. Library and computer facilities with access to online/offline journals. d. E-learning facilities. 5. List of equipment for Advanced Clinical Assessment/Community Health Nursing Skill Lab (Appendix 1a). 6. Student Recruitment/Admission Requirements a. Applicants must be a registered B.Sc./P.B.B.Sc. nurse with a minimum of one year clinical experience, preferably in any Community/Family Health Care setting prior to enrollment. b. Must have undergone B.Sc. Nursing in an institution found suitable by the Council and have been registered by the respective SNRC. c. Must have scored not less than 55% aggregate marks in the B.Sc. Nursing program. d. Selection must be based on the merit of an entrance examination and interview held by the competent authority. e. Must be physically fit.58 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Number of Candidates: 1 candidate for one family care center serving 10,000 population or 4 candidates where there is a family medicine department with family medicine training, serving 40,000-50,000 population. Salary 1. In-service candidates will get regular salary. 2. Stipend/Salary for the other candidates as per the salary structure of the hospital where the program is conducted. VI. Examination Regulations Eligibility for appearing for the Examination Attendance: Minimum 80% for theory and practical before appearing for final University examination but must complete 100% in practical before the award of degree. There is no minimum cut off for internal assessment marks, as internal and external marks are added together for declaring pass. Examining and Degree Awarding Authority: Respective University. Declaration of Results The candidate is declared to have passed the exam if the score is 60% and above. This score is the aggregate of both internal and external University examination in theory and practical in every course/subject and less than 60% is fail. For calculating the rank, the aggregate of the two years’ marks will be considered. If a candidate fails in theory or practical, he/she must appear for the paper in which he/she has failed. Rank will not be declared for candidates who fail in any subject. Maximum period to complete the program is 4 years. Practical Examination OSCE type of examination is to be followed alongside viva (oral examination) - Refer OSCE Guidelines found in Appendix 2. Maximum number of students for practical exam per day is 10 students. Examination is to be held in clinical area only. The team of three practical examiners will include i. one internal examiner {M.Sc. Nursing faculty with two years of experiences in teaching the NPFH program/ M.Sc. Nursing faculty with specialty - Community Health Nursing (NPFH preferable) and with 5 years of post PG experience}. ii. one external examiner (same as above). iii. one medical internal examiner who should have served as preceptor for NPFH program. Dissertation* Research Guides: Main guide: Nursing faculty (3 years Post PG experience) teaching NPFH program, Co-guide: Medical preceptor. Submission of Research Proposal: 6-9 months after date of admission in the first year. Guide Student Ratio: 1:5 Research Committee: There shall be a separate research committee in the college/hospital to guide and oversee the progress of the research (minimum of 5 members with Principal or CNO who is M.Sc. Nursing qualified). Ethical Clearance must be obtained by the Institutional Review Board/Hospital Ethics Committee since it involves clinical research. Topic Selection: The topic should be relevant to Family Health Nursing that will add knowledge or evidence for nursing intervention. The research should be conducted in any of the family health care settings/primary or secondary care settings. Data Collection: 7 weeks are allotted for data collection, which can be integrated during clinical experience after 6 months in first year and before 6 months in second year. Writing the Research Report: 6-9 months in second year. Submission of Dissertation Final: 3 months before completion of the second year. Dissertation Examination Internal Assessment: Viva & Dissertation Report = 50 marks University Examination: Viva & Dissertation Report = 50 marks (Marking guide used for other M.Sc. Nursing specialties can be used for evaluation). *EBP project may be conducted in place of dissertation and report submitted for evaluation. VII. Assessment (Formative and Summative) • Quiz • Seminar[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 59 • Written assignments/Term papers • Case/Clinical presentation • Clinical or care pathway/Case study report • Clinical performance evaluation • Log Book (Procedural Competency list and clinical requirements) counter signed by the medical/nursing faculty/preceptor • Objective Structured Clinical Examination (OSCE) • Test papers • Final examination (See Appendix 2 for Assessment Guidelines) Scheme of Final Examination S.No. Title Theory % Practical % Hours Internal External Hours Internal External Ist year Core Courses 1 Theoretical Basis for Advanced Practice 2 50 Nursing 2 Research Application and Evidence-based 3 30 70 Practice in Family Health Nursing 3 Advanced Skills in Leadership, Management 3 30 70 and Teaching Advanced Practice Courses 4 Advanced Pathophysiology & 3 30 70 Advanced Pharmacology applied to Family Health Nursing 5 Advanced Health/Physical Assessment 3 30 70 50 50 IInd year Specialty Courses 1 Foundations of Family Health Nursing Practice 3 30 70 100 100 2 Family Health Nursing I 3 30 70 100 100 3 Family Health Nursing II 3 30 70 100 100 4 Dissertation/EBP Project and Viva 50 50 VIII. Courses of Instruction S.No. Title Theory Lab/Skill Lab Clinical (hours) (hours) (hours) Ist year Core Courses I Theoretical Basis for Advanced Practice Nursing 40 II Research Application and Evidence-based Practice in 56 24 336 (7 weeks) Family Health Nursing III Advanced Skills in Leadership, Management and 56 24 192 (4 weeks) Teaching Advanced Practice Courses IV Advanced Pathophysiology applied to Family Health 60 336 (7 weeks) Nursing V Advanced Pharmacology applied to Family Health 54 336 (7 weeks) Nursing60 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Title Theory Lab/Skill Lab Clinical (hours) (hours) (hours) VI Advanced Health/Physical Assessment 70 48 576 (12 weeks) TOTAL = 2208 hours 336 (7 weeks) 96 (2 weeks) 1776 (37 weeks) IInd year Specialty Courses VII Foundations of Family Health Nursing Practice 96 48 576 (12 weeks) VIII Family Health Nursing I 96 48 576 (12 weeks) IX Family Health Nursing II 96 48 624 (13 weeks) TOTAL = 2208 hours 288 (6 weeks) 144 (3 weeks) 1776 (37 weeks) Number of weeks available in a year = 52 - 6 (Annual leave, Casual leave, Sick leave = 6 weeks) = 46 weeks × 48 hours = 2208 hours (Examination during clinical posting) Two years = 4416 hours Instructional hours: Theory = 624 hours, Skill Lab = 240 hours, Clinical = 3552 hours TOTAL = 4416 hours Ist year: 336-96-1776 hours (Theory-Skill Lab-Clinical) [Theory = 15%, Practicum (Skill Lab & Clinical = 85%)] IInd year: 288-144-1776 hours (Theory-Skill Lab-Clinical) [Theory = 15%, Practicum = 85%] Ist year = 46 weeks/2208 hours (46 × 48 hours) (Theory + Lab: 7.5 hours per week for 44 weeks = 330/336+96 hours*) *Theory + Lab = 96 hours can be given for 2 weeks in the form of introductory block classes and workshops IInd year = 46 weeks/2208 hours (46 × 48 hours) (Theory + Lab: 8.5 hours per week for 45 weeks = 384+48 hours) (1 week Block Classes = 48 hours) CLINICAL PRACTICE A. Clinical Residency Experience A minimum of 48 hours per week is prescribed, however, it is flexible with different shifts and OFF followed by ON CALL duty in Secondary Health Care facility. B. 8 hours duty with one day OFF in a week and ON CALL duty once per week. Clinical Placements Ist year: 44 weeks (excludes 2 weeks of introductory block classes and workshop) • Medical wards - 10 weeks • Surgical wards - 6 weeks • Cardiology ward - 2 weeks • Oncology ward - 2 weeks • Neurology ward - 2 weeks • Nephrology ward - 2 weeks • Emergency department - 2 weeks • Rehabilitation unit - 2 weeks • Obstetrics wards - 2 weeks • Pediatric wards - 4 weeks (including 1 week of Pediatric Emergency Unit) • Intensive Care units - 4 weeks Outpatient Department (OPDs) • Pediatric OPD - 2 weeks • OG OPD - 2 weeks • Psychiatry OPD - 2 weeks IInd year: 45 weeks (excludes one week of block classes) • Emergency Department - 2 weeks • ICU - 2 weeks • Community Area for field practice (Home care) - 6 weeks o Urban - 2 weeks o Rural - 2 weeks o Tribal - 2 weeks • Outreach/Mobile Clinics - 2 weeks[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 61 o Rural - 1 week o Urban - 1 week • Sub centers - 2 weeks • Primary Health Centers - 2 weeks • Community Health Centers - 2 weeks • District Hospital - 2 weeks • Out Patient Department (to include) - 3 weeks o Pediatric OPD - 1 week o OG OPD - 2 weeks • Secondary Health Care Facility/Community-based Hospital - 4 weeks • Communicable Disease Ward - 2 weeks • Palliative Care Centers and Hospice - 3 weeks • Labor Room - 3 weeks • Psychiatry wards - 2 weeks • Schools - 2 weeks • Occupational health units - 1 week • Geriatric ward/homes - 2 weeks • Field Visits - 3 weeks C. Teaching Methods Teaching: Theoretical, Lab & Clinical can be done in the following methods and integrated during clinical posting • Experiential learning • Reflective learning • Simulation • Clinical conference • Case/clinical presentation • In-depth drug study, presentation and report • Nursing rounds • Clinical seminars • Journal clubs • Case study/Clinical or care pathway • Advanced health assessment • Faculty lecture in the clinical area • Directed reading • Assignments • Case study analysis • Workshops • Epidemiological investigation • Disease surveillance • Clinical project • IEC activities • FGD - Using PRA D. Procedures/Log Book At the end of each Clinical Posting, Clinical Log Book (Specific Procedural Competencies/Clinical Skills) (Appendix 3) and Clinical Requirements (Appendix 4) have to be signed by the preceptor/faculty every fortnight. E. NPFH Competencies (Adapted from ICN, 2020) 1. Uses advanced comprehensive assessment, diagnosis, treatment planning, implementation and evaluation skills. 2. Applies and adapts advanced skills in complex and/or unstable environments. 3. Applies sound advanced clinical reasoning and decision making to inform, guide and teach in practice. 4. Documents assessment, diagnosis, management and monitors treatment and follow-up care in partnership with the patient. 5. Administer drugs and treatments according to institutional protocols.62 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 6. Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and discontinue therapeutic relationships. 7. Refers to and accepts referrals from other health care professionals to maintain continuity of care. 8. Practices independently where authorized and the regulatory framework allows in the interest of the patients, families and communities. 9. Consults with and is consulted by other health care professionals and others. 10. Works in collaboration with health team members in the interest of the patient. 11. Develops a practice that is based on current scientific evidence and incorporated into the health management of patients, families and communities. 12. Uses research to produce evidence-based practice to improve the safety, efficiency and effectiveness of care through independent and inter-professional research. 13. Engages in ethical practice in all aspects of the APN role and responsibility. 14. Accepts accountability and responsibility for own advanced professional judgement, actions, and continued competence. 15. Creates and maintains a safe therapeutic environment through the use of risk management strategies and quality improvement. 16. Assumes leadership and management responsibilities in the delivery of efficient advanced practice nursing services in a changing health care system. 17. 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. 18. Adapts practice to the contextual and cultural milieu. F. Scope of Practice The scope of practice for NPFH is fairly wide, as NPs in FH manages patients of all ages and often operate in primary/secondary care setting rather than specialized care setting. The scope of responsibility for a nurse practitioner may range from pediatric to geriatric care. Refer Appendix 6 for responsibilities of NPFH. G. Institutional Protocol/Standing Order-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 (Appendix 5 Standing Orders). Administration of emergency drugs is carried out in consultation with concerned physician and endorsed later by written orders. Implementation of Curriculum - A Tentative Plan Ist year Courses Introductory Workshop Theory integrated Methods of Teaching Classes into Clinical (Topic can be specified) Practicum 1. Theoretical Basis for 8 hours 1×32=32 hours • Seminar/Theory Application Advanced Practice Nursing • Lecture (Faculty) (40) 2. Research Application and 8 hours 40 (5 days) 1×24=24 hours • Research Study Analysis/ Evidence-based Practice in +8 hours Exercise/Assignment (Lab) Family Health Nursing (56+24) 3. Advanced Skills in 12+2 hours 1×26=26 hours • Clinical Conference Leadership, Management (Block 2.5×16=40 hours • Seminar/Exercises/ Assignment and Teaching (56+24) classes) (Lab) 4. Advanced Pathophysiology 1.5×40=60 hours • Case Presentation applied to Family Health • Seminar Nursing (60) • Clinical Conference 5. Advanced Pharmacology 10 hours 1×44=44 hours • Nursing Rounds applied to Family Health • Drug Study Presentation Nursing (54) • Standing Orders/Presentation[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 63 6. Advanced Health/Physical 8 hours 2×26=52 hours • Clinical Demonstration Assessment (70+48) (Faculty) 1.5×18=27 hours • Return Demonstration 1×15=15 hours • Nursing Rounds 2×6=12 hours • Physical Assessment (all systems) 2×2=4 hours • Case Study TOTAL 48 hours 48 hours 336 hours Ist year: Introductory classes = 1 week (48 hours), Workshop = 1 week (48 hours), 44 weeks = 7.5 hours per week (330/336 hours) IInd year Courses Theory including Skill Lab Methods of Teaching 1 week Block Classes (48 hours) integrated into Clinical Practicum 1. Foundations of Family Health 9 hours × 16 weeks = 144 hours • Demonstration (Lab) Nursing Practice • Return Demonstration (Lab) (96+48) = 144 hours • Clinical Teaching • Case Study • Seminar • Clinical Conference • Faculty Lecture 2. Family Health Nursing 1 9 hours × 16 weeks = 144 hours • Demonstration (Lab) (96+48) = 144 hours • Return Demonstration (Lab) • Clinical Conference/Journal Club • Seminar • Case Presentation • Drug Study (including Drug Interaction) • Nursing Rounds • Faculty Lecture 3. Family Health Nursing II 9 hours × 16 weeks = 144 hours • Demonstration (Lab) (96+48) = 144 hours • Return Demonstration • Nursing Rounds • Clinical Conference/Journal Club • Seminar • Faculty Lecture IInd year: Block classes = 1 week, 45 weeks = 8.5/9 hours per week Topic for every teaching method will be specified in the detailed plan by the respective teacher/institution concerned. CORE COURSES I. Theoretical Basis for Advanced Practice Nursing COMPETENCIES 1. Analyses the global health care trends and challenges. 2. Analyses the impact of health care and education policies in India on nursing, consulting the documents available. 3. Develops in depth understanding of the health care delivery system in India, and its challenges. 4. Applies economic principles relevant to delivery of health care services in Family Health Nursing. 5. Manages and transforms health information to effect health outcomes such as cost, quality and satisfaction. 6. Accepts the accountability and responsibility in practicing the Nurse Practitioner’s roles and competencies. 7. Actively participates in collaborative practice, involving all health care team members in family health care and performs the prescriptive roles within the authorized scope. 8. Engages in ethical practice having a sound knowledge of law, ethics and regulation of advanced nursing practice. 9. Uses the training opportunities provided through well planned preceptorship and performs safe and competent care applying nursing process/care pathways or clinical pathways. 10. Applies the knowledge of nursing theories in providing competent family health nursing care to acutely and chronically ill people in various health care settings. 11. Predicts future challenges of Nurse Practitioner’s roles in variety of healthcare settings particularly in India. Hours of Instruction: Theory: 40 hours64 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.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 & Technology) 4 (Competency 5) Advanced Practice Nursing (APN) 6. APN - 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 Practice Nursing 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/Care Pathway applied to APN (Competency 9) 2 Self-Learning Assignments 6 1. Identify Health Care and Education Policies and analyze its impact on Nursing 2. Describe the legal position in India for NP practice. What is the future of nurse prescribing policies in India with relevance to these policies in other countries? 3. Examine the nursing protocols relevant to NP practice found in institutions inside and outside the country Total 40 hours Bibliography • AACN (2021) The Essentials: Core Competencies for Professional Nursing Education - Entry Level and Advanced Level Nursing Education, American Association of Colleges of Nursing • DeNisco & Barkers A.M. (2015) Advanced Practice Nursing: Essential Knowledge for the Profession (3rd ed.) Massachusetts: Jones & Bartlett Publishers Inc. • Hickey J.V., Ouimette R.M. & Venegoni S.L. (1996) Advanced Practice Nursing: Changing Roles and Clinical Applications, Philadelphia: Lippincott Williams & Wilkins • ICN (2020) Guidelines on Advanced Practice Nursing, Geneva: ICN • NONPF (2022) Nurse Practitioner Role Competencies, National Organization of Nurse Practitioner Faculties • Schober M. & Affara F.A. (2006) Advanced Nursing Practice, Oxford: Blackwell Publishing • Stewart G.J. & DeNisco S.M. (2015) Role Development for the Nurse Practitioner, USA: Springer Publishing Company II. Research Application and Evidence-based Practice in Family Health Nursing COMPETENCIES 1. Applies sound research knowledge and skills in conducting independent research in Family Health Nursing. 2. Participates in collaborative research to improve patient care quality. 3. Interprets and uses research findings in advanced practice to produce EBP. 4. Tests/evaluates current practice to develop best practices and health outcomes and quality care in advanced practice. 5. Analyzes the evidence for nursing interventions carried out in Family Health Nursing practice to promote safety and effectiveness of care. 6. Develops skill in writing scientific research reports. Hours of Instruction: Theory: 56 hours + Lab/Skill Lab: 24 hours = 80 hours S.No. Topic Hours 1. Research and Advanced Practice Nursing 2[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 65 S.No. Topic Hours Significance of research and inquiry related to advanced nursing role (Competency 1) 2. Research Agenda for APN Practice 5 Testing current practice to develop best practice, health outcomes and indicators of quality care in advanced practice (Competency 3, 4, 5), promoting research culture 3. Research Knowledge and Skills 40 Research competencies essential for APNs (interpretation and use of research, evaluation of (5 days practice, participation in collaborative research) workshop) Introduction to Evidence Based Practice (EBP) project - PiCOT question, steps of planning, implementation, evaluation and dissemination (project proposal and project report) Research Methodology Phases/steps (Research question, review of literature, conceptual framework, research designs, sampling, data collection, methods & tools, Analysis and Reporting) Writing research proposal and research report (Competency 1 & 2) 4. Writing for Publication 5 (Writing workshop - Manuscript preparation and finding funding sources) (Competency 6) (workshop) 5. Evidence-based Practice 4 - Concepts, principles, importance and steps - Integrating EBP to Family Health Nursing care settings - Areas of evidence in Family Health Nursing care - Barriers to implement EBP - Strategies to promote EBP (Competency 3, 4, 5) Total 56 hours Lab/Skill Lab & Assignments: 24 hours • Identifying research priorities • Writing exercises on research question, objectives and hypothesis • Writing research proposal • Scientific paper writing - preparation of manuscript for publication • Writing systematic review/literature review - Analyze the evidence for a given nursing intervention in family health care settings. Practicum • Research Practicum: Dissertation ( 336 hours = 7 weeks)/Evidence Based Practice Project (EBP project) Bibliography • Gray J. & Grove S.K. (2020) The Practice of Nursing Research: Appraisal, Synthesis and Generation of Evidence (9th ed.) St. Louis: Elsevier Saunders • Polit D.F. & Beck C.T. (2021) Nursing Research: Generating and Assessing Evidence for Nursing Practice (11th ed.) New Delhi: Wolters & Kluwer • Schmidt N.A. & Brown J.M. (2021) Evidence-based Practice for Nurses Appraisal and Application of Research, Sd: Jones & Bartlett Publishers Inc. III. Advanced Skills in Leadership, Management and Teaching COMPETENCIES 1. Applies principles of leadership and management in Family Health Care settings. 2. Manages stress and conflicts effectively in a Family Health Nursing setting using sound knowledge of principles. 3. Applies problem solving and decision-making skills effectively. 4. Uses critical thinking and communication skills in providing leadership and managing patient care in primary and secondary care/family health care settings. 5. Builds teams and motivates others in family health care. 6. Develops unit budget, manages supplies and staffing effectively. 7. Participates appropriately in times of innovation and change. 8. Uses effective teaching methods, media and evaluation based on sound principles of teaching. 9. Develops advocacy role in patient care, maintaining quality and ethics in Family Health Care settings.66 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Hours of Instruction: Theory: 56 hours + Lab/Skill Lab: 24 hours = 80 hours S.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 Family Health Care settings 4 4. Stress management and conflict management - principles and application to primary care 4 environment, effective time management 5. Quality improvement and audit 4 6. Problem solving, critical thinking and decision making, communication skills applied to family 5 health nursing practice. 7. Team building, motivating and mentoring within family health care settings 2 8. Budgeting and management of resources including human resources - 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 Family Health Nursing 2 12. Competency-based education and outcome-based education 2 13. Teaching methods/strategies, media: educating patients, families and staff in Family Health Care 8 settings 14. Staff education and use of tools in evaluation 4 15. APN - Roles as a teacher 2 16. Advocacy roles in Family Health Care settings 2 Total 56 hours Lab/Skill Lab: 24 hours • Preparation of staff patient assignment • Preparation of unit budget • Preparation of staff duty roster • Patient care audit • Preparation of nursing care standards and protocols • Management of equipment and supplies • Monitoring, evaluation, and writing report of infection control practices • Development of teaching plan • Micro teaching/patient education sessions • Preparation of teaching method and media for patients and staff • Planning and conducting OSCE/OSPE • Construction of tests Assignment: Work place violence/Mob violence Bibliography • Bastable S.B. (2019) Nurse as Educator: Principles of Teaching and Learning for Nursing Practice (5th ed.) New Delhi: Jones & Bartlett Publishers Inc. • Billings D.M. & Halstead J.A. (2019) Teaching in Nursing: A Guide for Faculty (6th ed.) St. Louis Missouri: Saunders Elsevier • Clark C.C. (2010) Creative Nursing Leadership and Management, New Delhi: Jones & Bartlet Publishers Inc. • Liebler J.G. & McConnel C.R. (2008) Management Principles for Health Professionals, Sudbury M.A.: Jones & Bartlett Publishers Inc. • Roussel L. & Swansburg R.C. (2010) Management and Leadership for Nurse Administrators (5th ed.) New Delhi: Jones & Bartlett Publishers Inc. ADVANCED PRACTICE COURSES[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 67 IV. A. Advanced Pathophysiology applied to Family Health Nursing COMPETENCIES 1. Integrates the knowledge of pathophysiological process in acute and chronic conditions in developing diagnosis and plan of care. 2. Applies the pathophysiological principles in symptom management, primary and secondary prevention of acute and chronic illnesses. 3. Analyzes the pathophysiological changes relevant to each acute and chronic illness recognizing the value of diagnosis, treatment, care and prognosis. Hours of Instruction: Theory: 30 hours Unit Hours Content I 8 Cardiovascular function Advanced pathophysiological process of cardiovascular conditions • Hypertensive disorder • Peripheral artery disorder • Venous disorders • Coronary artery diseases • Valvular heart disease • Cardiomyopathy and heart failure • Cardiac tamponade • Arrythmias • Corpulmonale • Heart block and conduction disturbances II 4 Pulmonary function Advanced pathophysiological process of pulmonary conditions • Chronic obstructive pulmonary disease • Disorders of the pulmonary vasculature • Infectious diseases • Respiratory failure • Chest trauma III 6 Neurological function Advanced pathophysiological process of neurological conditions • Seizure disorder • Cerebrovascular disease • Infections • Spinal cord disorder • Degenerative neurological diseases • Neurological trauma • Coma, unconsciousness IV 4 Renal function Advanced pathophysiological process of renal conditions • Acute renal failure • Chronic renal failure • Bladder trauma • Infections (Glomerulonephritis) • Nephrotic syndrome V 4 Gastrointestinal and hepatobiliary function Advanced pathophysiological process of hepatobiliary conditions • Gastrointestinal bleeding • Intestinal obstruction • Pancreatitis • Hepatic failure68 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Gastrointestinal perforation VI 4 Endocrine functions Advanced pathophysiological process of endocrine conditions • Diabetic ketoacidosis • Hyperosmolar nonketotic coma • Hypoglycemia • Thyroid storm • Myxedema coma • Adrenal crisis • Syndrome of inappropriate antidiuretic hormone secretion Total 30 hours IV. B. Advanced Pathophysiology applied to Family Health Nursing Hours of Instruction: Theory: 30 hours Unit Hours Content I 8 Hematological function Advanced pathophysiological process of hematological conditions • Disorders of red blood cells - Polycythemia - Anemia - Sickle cell diseases • Disorders of white blood cells - Leucopenia - Neoplastic disorders • Disorders of hemostasis - Platelet disorders - Coagulation disorders - Disseminated intravascular coagulation II 2 Integumentary function Advanced pathophysiological process of integumentary conditions • Wound healing • Burns • Steven Johnson syndrome III 8 Multisystem dysfunction Advanced pathophysiological process of multisystem dysfunction • Shock - Hypovolemic - Cardiogenic - Distributive • Systemic inflammatory syndrome • Multiple organ dysfunction syndrome • Trauma - Thoracic - Abdominal - Musculoskeletal - Maxillofacial • Drug overdose and poisoning • Envenomation IV 6 Specific infections Advanced pathophysiological process of specific infections • HIV • Tetanus[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 69 • SARS • Rickettsiosis • Leptospirosis • Dengue • Malaria • Chikungunya • Rabies • Avian flu • Swine flu V 6 Reproductive functions Advanced pathophysiological process of reproductive conditions • Antepartum hemorrhage • Pregnancy induced hypertension • Obstructed labor • Ruptured uterus • Postpartum hemorrhage • Puerperal sepsis • Amniotic fluid embolism • HELLP (Hemolysis, Elevated Liver enzymes, Low Platelet count) • Trauma Total 30 hours Bibliography • Berkowitz A. (2021) Clinical Pathophysiology (2nd ed.) MedMaster Inc. • Huether S.E., McCance K.L. & Brashers V.L. (2019) Understanding Pathophysiology (7th ed.) St. Louis, Missouri: Elsevier • Norris T.L. (2020) Porth’s Essentials of Pathophysiology (5th ed.) Walters & Kluwer • Porth C.M. (2014) Essentials of Pathophysiology: Concepts of Altered Health States (4th ed.) Philadelphia: Lippincott Williams & Wilkins • Story L. & Dlugasch L. (2019) Advanced Pathophysiology for the Advanced Practice Nurse (1st ed.) Jones & Bartlett Publishers Inc. • Willis L.M. (2019) Professional Guide to Pathophysiology (4th ed.) LWW V. Advanced Pharmacology applied to Family Health Nursing COMPETENCIES 1. Applies the pharmacological principles in providing care to acutely and chronically ill patients and families. 2. Analyzes pharmacotherapeutics and pharmacodynamics relevant to drugs used in the treatment of acute and chronic diseases. 3. Performs safe drug administration based on principles and institutional protocols/standing orders. 4. Documents accurately and provides follow up care. 5. Applies sound knowledge of drug interactions in administration of drugs to acutely and chronically ill patients in the family health care settings and guiding their families in self-care management. Hours of Instruction: Theory: 54 hours Unit Hours Content I 2 Introduction to Pharmacology in Family Health Nursing • History • Classification of drugs and schedules • Institutional Protocols/Standing Orders in Family Health Care II 4 Pharmacokinetics and Pharmacodynamics • Introduction • Absorption, distribution, metabolism, and excretion of drugs • Plasma concentration, half-life • Loading and maintenance dose • Therapeutic index and drug safety70 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Potency and efficacy • Principles of drug administration ▪ The rights of drug administration ▪ Systems of measurement ▪ Drug administration: Enteral, topical, and parenteral III 5 Pharmacology and Cardiovascular alterations in Family Health Nursing • Vasoactive medications ▪ Vasodilator ▪ Vasopressor ▪ Inotropes - Cardiac glycosides - digoxin - Sympathomimetics - dopamine, dobutamine, epinephrine, isoproterenol, norepinephrine, phenylephrine - Phosphodiesterase inhibitors - amrinone, milrinone • Antiarrhythmic medications • Medications in the management of cardiac critical care conditions • Medications to improve cardiac contractility ▪ Hypertension in critical care ▪ Heart failure ▪ Angina pectoris and myocardial infarction ▪ Dysrhythmias, heart block and conduction disturbances ▪ Pulmonary hypertension, valvular heart disease, cardiomyopathy ▪ Atherosclerotic disease of aorta and peripheral artery disease ▪ Deep vein thrombosis IV 4 Pharmacology and Pulmonary alterations in Family Health Nursing • Mechanical ventilation • Introduction • Medications used on patients with mechanical ventilator • Mechanical ventilation impact on pharmacotherapy - sedation and analgesia, neuromuscular blockade, nutrition • Medications in the management of pulmonary critical care conditions ▪ Status asthmaticus ▪ Pulmonary edema ▪ Pulmonary embolism ▪ Acute respiratory failure and Acute Respiratory Distress Syndrome (ARDS) ▪ Chest trauma ▪ Chronic obstructive pulmonary disease ▪ Pneumonia ▪ Pleural effusion ▪ Atelectasis • Standing Orders for pulmonary emergencies V 6 Pharmacology and Neurological alterations in Family Health Nursing • Pain ▪ NSAID ▪ Opioid analgesia • Sedation ▪ Gamma amino butyric acid stimulants ▪ Dexmedetomidine ▪ Analogizations • Delirium ▪ Haloperidol ▪ Atypical antipsychotics • Medications used for local and general anesthesia ▪ Local - amides, esters, and miscellaneous agents ▪ General - gases, volatile liquids, IV anesthetics ▪ Non anesthetic drugs adjuncts to surgery • Paralytic medications ▪ Non-depolarizing and depolarizing agents ▪ Anxiolytics • Autonomic drugs[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 71 ▪ Adrenergic agents/sympathomimetics ▪ Adrenergic blocking agents ▪ Cholinergic agents ▪ Anti-cholinergic agents • Medications in the management of anxiety and insomnia ▪ Antidepressants ▪ Benzodiazepines ▪ Barbiturates • Medications in the management of neurological critical care conditions ▪ Psychoses ▪ Acute head and spinal cord injury with elevated intracranial pressure ▪ Muscle spasm ▪ Spasticity ▪ Cerebrovascular disease and Cerebrovascular accident ▪ Encephalopathy ▪ Gillian Bare syndrome and myasthenia gravis ▪ Brain herniation syndrome ▪ Seizure disorder ▪ Coma, unconsciousness and persistent vegetative state ▪ Appropriate nursing care to safeguard patient • Standing Orders for neurological emergencies VI 5 Pharmacology and Nephrology alterations in Family Health Nursing • Diuretics • Fluid replacement ▪ Crystalloids ▪ Colloids • Electrolytes ▪ Sodium ▪ Potassium ▪ Calcium ▪ Magnesium ▪ Phosphorus • Medication in the management of nephrology critical care conditions ▪ Acute/Chronic renal failure ▪ Acute tubular necrosis ▪ Bladder trauma ▪ Electrolyte imbalances ▪ Acid base imbalances ▪ Medications used during dialysis • Standing Orders for nephrology emergencies VII 5 Pharmacology and Gastrointestinal alterations in Family Health Nursing • Anti-ulcer drugs • Laxatives • Anti-diarrheal • Anti-emetics • Pancreatic enzymes • Nutritional supplements, vitamins and minerals • Medications in the management of gastrointestinal critical care conditions ▪ Acute GI bleeding, hepatic failure ▪ Acute pancreatitis ▪ Abdominal injury ▪ Hepatic encephalopathy ▪ Acute intestinal obstruction ▪ Perforative peritonitis ▪ Medications used during gastrointestinal surgeries and liver transplant • Standing Orders for gastrointestinal emergencies VIII 4 Pharmacology and Endocrine alterations in Family Health Nursing • Hormonal therapy • Insulin and other hypoglycemic agents • Medications in the management of endocrine critical care conditions72 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ▪ Diabetic ketoacidosis, hyperosmolar non-ketonic coma ▪ Hypoglycemia ▪ Thyroid storm ▪ Myxedema coma ▪ Adrenal crisis ▪ SIADH • Standing Orders for endocrine emergencies IX 5 Pharmacology and Hematology alterations in Family Health Nursing • Anticoagulants • Antiplatelet drugs • Thrombolytics • Haemostatics, antifibrinolytics • Hematopoietic growth factors ▪ Erythropoietin ▪ Colony stimulating factors ▪ Platelet enhancers • Blood and blood products ▪ Whole blood, packed red blood cells, leukocyte-reduced red cells, washed red blood cells, fresh frozen plasma, cryoprecipitate ▪ Albumin ▪ Transfusion reactions, transfusion administration process • Vaccines • Immunostimulants • Immunosuppressant • Chemotherapeutic drugs - alkylating agents, anti-metabolites, anti-tumor antibiotics, alkaloids, hormones and hormone antagonist, corticosteroids, gonadal hormones, anti-estrogens, androgen antagonists, biologic response modifiers • Medications in the management of hematology critical care conditions ▪ Anemia in critical illness ▪ DIC ▪ Thrombocytopenia and acute leukemia ▪ Heparin induced thrombocytopenia ▪ Sickle cell anemia ▪ Tumor lysis syndrome X 3 Pharmacology and Skin alterations in Family Health Nursing • Hematology critical care conditions ▪ Medications used in burn management ▪ Medications used in wound management XI 5 Pharmacology and Multisystem alterations in Family Health Nursing • Medications in the management of shock, sepsis, multiple organ dysfunction, systemic inflammatory response syndrome, anaphylaxis • Medications in the management of trauma, injuries (heat, electrical, near hanging, near drowning) • Medications in the management of bites, drug overdose and poisoning • Medications in the management of fever in critical care setting ▪ Antipyretics ▪ NSAIDS ▪ Corticosteroids XII 6 Pharmacology and Infections in Family Health Nursing • Anti-bacterial drugs ▪ Introduction ▪ Beta lactams - penicillin, cephalosporins, monobactams, carbapenems ▪ Aminoglycosides ▪ Anti MRSA ▪ Macrolides ▪ Quinolones ▪ Miscellaneous - lincosamide group, nitroimidazole, tetracycline and chloramphenicol, polymyxins, and anti-malarial, anti-fungal, anti-viral drugs[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 73 • Choice of antimicrobials • Infectious critical care conditions ▪ Medications in the management of HIV, Tetanus, SARS, Rickettsiosis, Leptospirosis, Dengue, Malaria, Chikungunya, Rabies, Avian flu and Swine flu Total 54 hours Bibliography • Eisen H.J. (2020) Pharmacology of Immunosuppression (1st ed.) Springer • McKay G.A. & Walters M.R. (2021) Clinical Pharmacology and Therapeutics (10th ed.) Wiley-Blackwell • Tripathi K.D. (2019) Essentials of Medical Pharmacology (8th ed.) Jaypee Brothers Medical Publishers, New Delhi • Wynne A.L., Woo T.M. & Olyaei A.J. (2007) Pharmacotherapeutics for Nurse Practitioner Prescribers (2nd ed.) Philadelphia: Davis VI. Advanced Health/Physical Assessment COMPETENCIES 1. Applies the physical assessment principles in developing appropriate system wise examination skills. 2. Uses advanced health assessment skills to differentiate between variations of normal and abnormal findings. 3. Orders screening and diagnostic tests based on the examination findings and institutional protocols. 4. Analyzes the physical examination findings and results of various investigations and works collaboratively with General Medicine/Community Medicine/Family Medicine physicians for development of diagnoses. 5. 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 + Lab/Skill Lab: 48 hours = 118 hours Unit Hours Content I 4 Introduction • History taking • Physical examination II 6 Cardiovascular system • Cardiac history • Physical examination • Cardiac laboratory studies - biochemical markers, hematological studies • Cardiac diagnostic studies - electrocardiogram, echocardiography, stress testing, radiological imaging III 6 Respiratory system • History • Physical examination • Respiratory monitoring - arterial blood gases, pulse oximetry, end-tidal carbon dioxide monitoring • Respiratory diagnostic tests - chest radiography, ventilation perfusion scanning, pulmonary angiography, bronchoscopy, thoracentesis, sputum culture, pulmonary function test IV 6 Nervous system • Neurological history • General physical examination • Assessment of cognitive function • Assessment of cranial nerve function • Motor assessment - muscle strength, power, and reflexes • Sensory assessment - dermatome assessment • Neurodiagnostic studies - CT scan, MRI, PET V 6 Renal system • History • Physical examination74 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Assessment of renal function • Assessment of electrolytes and acid base balance • Assessment of fluid balance VI 4 Gastrointestinal system • History • Physical examination • Nutritional assessment • Laboratory studies - liver function studies, blood parameters, stool test • Diagnostic studies - radiological and imaging studies, endoscopic studies VII 4 Endocrine system • History • Physical examination • Laboratory studies and diagnostic studies of ▪ Hypothalamus and pituitary gland ▪ Thyroid gland ▪ Parathyroid gland ▪ Endocrine gland ▪ Adrenal gland VIII 4 Hematological system • History • Physical examination • Laboratory studies - blood parameters • Diagnostic studies - bone marrow aspiration IX 3 Integumentary system • History • Physical examination • Pathological examination - tissue examination X 6 Musculoskeletal system • History • Physical examination - gait assessment, joint assessment, • Laboratory studies - blood parameters (inflammatory enzymes, uric acid) • Diagnostic studies - radiological and imaging studies, endoscopic studies XI 5 Reproductive system (Male & Female) • History • Physical examination • Laboratory studies • Diagnostic studies XII 4 Sensory Organs • History • Physical examination • Laboratory studies • Diagnostic studies - radiological and imaging studies, endoscopic studies XIII 6 Assessment of children • Growth and development • Nutritional assessment • Specific system assessment XIV 6 Assessment of older adults • History • Physical assessment • Psychological assessment Total 70 hours[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 75 List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) ▪ Comprehensive history taking ▪ Focused history taking (system wise) ▪ Comprehensive physical examination ▪ Focused physical examination (system wise) ▪ Monitoring clinical parameters (system wise) Invasive BP monitoring, Multi-parameter Monitors, ECG, Pulse index Continuous Cardiac Output (PiCCO), Peripheral vascular status, ABG, Pulse Oximetry, End Tidal CO (ETCO ), Intracranial Pressure (ICP), Glasgow 2 2 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) ▪ Interpretation of screening and diagnostic tests (system wise) ▪ Assessment of children - neonate and child ▪ Assessment of older adults ▪ Assessment of pregnant women Bibliography • Bickley L.S. & Szilagyi P.G. (2018) Bates’ guide to physical examination and history taking, South Asian edition, Wolters Kluwer India Pvt. Ltd. • Rhoads J. (2013) Advanced health assessment and diagnostic reasoning (2nd ed.) Philadelphia: Lippincott Williams & Wilkins • Wilson S.F. & Giddens J.F. (2021) Health assessment for nursing practice (7th ed.) Elsevier: Health Sciences Division FAMILY HEALTH NURSING SPECIALTY COURSES (Foundations of Family Health Nursing Practice, Family Health Nursing I and Family Health Nursing II) COMPETENCIES 1. Applies advanced concepts of Family Health Nursing based on sound knowledge of these concepts. 2. Uses invasive and noninvasive technology and interventions to assess, monitor and promote physiologic stability. 3. Works in collaboration with other health care team members and prepares care/clinical pathways in assessment and management of patients with acute and chronic conditions. 4. Consults with and is consulted by other health care professionals. 5. Provides nursing care related to health protection, disease prevention, anticipatory guidance, counseling, management of critical illness, palliative care and end of life care. 6. Uses advanced skills in complex and unstable environments. 7. Applies ethically sound solutions to complex issues related to individuals, populations and systems of care. 8. Practices principles of infection control relevant to Family Health Nursing. 9. Practices independently within the legal framework of the country towards the interest of patients, families and communities. 10. Develops practice that is based on scientific evidence. 11. Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and discontinue therapeutic relationships. 12. Creates and maintains a safe therapeutic environment using risk management strategies and quality improvement. 13. Adapts practice to the social, cultural and contextual milieu. VII. Foundations of Family Health Nursing Practice Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours Unit Hours Content I 10 Introduction to Family Health Nursing Practice • Introduction to the course • Review of anatomy and physiology of vital organs (Brain, Spinal Cord, Lungs, Heart, Kidney, Liver, Pancreas, Thyroid, Adrenal and Pituitary gland) • Historical review - Nurse Practitioner in Family Health • Concepts and principles of Family Health Nursing Practice • Scope of Family Health Nursing Practice • Family Health Nursing Practice Settings (including rural, urban, slum and tribal, equipment, supplies, and the environment)76 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Personnel in the team ▪ Nursing staff ▪ Ancillary staff ▪ Health workers/ANM/Health volunteers ▪ Social worker ▪ Counsellors ▪ Health education ▪ Socio-economic development workers ▪ Family medicine physicians • Use of appropriate technology • Healthy work environment • Future challenges in Family Health Nursing Practice II 5 Concept of Holistic Care applied to Family Health Nursing Practice • Application of nursing process and integrated care/clinical pathways in the care of acutely and chronically ill • Definition of family • Functions of family and its structure • Family demography • Approaches of family health nursing • Theories of family health nursing • Family health risk assessment • Eco map • Development and family lifestyle • Lifestyle risk and assessment • Behavioral risk • Environmental risk • Social risk III 10 Appraisal of the Acutely and Chronically Ill Triaging concept, process and principles Assessment of the acutely and chronically ill • General assessment • Respiratory assessment • Cardiac assessment • Renal assessment • Neurological assessment • Gastrointestinal assessment • Endocrine assessment • Musculoskeletal assessment • Integumentary assessment Monitoring of the acutely and chronically ill • Hemodynamics • Electrocardiography (ECG) • Glasgow Coma Scale (GCS) • Richmond Agitation Sedation Scale (RASS) • Pain score • Braden score Evaluation of the acutely and chronically ill • Evaluation of acute illness • Evaluation of chronic illness • Outcome and scoring systems ▪ Acute Physiology and Chronic Health Evaluation (APACHE I-IV) ▪ Mortality probability model (MPM I, II) ▪ Simplified acute physiology score (SAPS I, II) ▪ Organ system failure ▪ Full outline of unresponsiveness (FOUR) ▪ Model for end-stage liver disease (MELD) IV 14 Advanced Concepts and Principles of Family Health Nursing[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 77 • Principles of cardio-pulmonary-brain resuscitation • Emergencies in Primary and Secondary Health Care: CPR ▪ BLS ▪ ACLS • Airway management • Oxygenation and oximetry, care of patient with oxygen delivery devices • Ventilation and ventilator support (including humidification and inhaled drug therapy), care of patient with invasive and non-invasive ventilation • Circulation and perfusion (including hemodynamic evaluation and waveform graphics) • Fluids and electrolytes (review), care of patient with imbalances of fluid and electrolytes • Evaluation of acid base status • Thermoregulation, care of patient with hyper/hypothermia • Glycemic control, care of patient with glycemic imbalances V 8 Pain and Management • Pain in patients • Pain - types, theories • Physiology, systemic responses to pain and psychology of pain - Review • Acute pain services • Pain assessment - pain scales, behavior and verbalization • Pain management - pharmacological (opioids, benzodiazepines, propofol, alpha agonist, tranquilizers, neuromuscular blocking agents) • Nonpharmacological management • Transcutaneous electrical nerve stimulation (TENS) VI 8 Psychosocial and Spiritual alterations: Assessment and Management • Stress and psychoneuroimmunology • Post-traumatic stress reaction • Psychosis, anxiety, agitation, delirium • Alcohol withdrawal syndrome and delirium tremens • Collaborative management • Sedation and relaxants • Spiritual challenges in critical care • Coping with stress and illness • Care of family of the acutely and chronically ill • Counseling and communication VII 5 Patient and Family Education and Counseling • Challenges of patient and family education • Process of adult learning • Factors affecting teaching learning process • Informational needs of families in Family Health Nursing • Counseling needs of patient and family • Counseling techniques VIII 5 Nutrition alterations and Management in Family Health Nursing • Nutrient metabolism and alterations • Assessing nutritional status • Nutrition support • Nutrition and systemic alterations • Care of patient on enteral and parenteral nutrition IX 4 Sleep alterations and Management • Normal human sleep • Sleep pattern disturbance • Sleep apnea syndrome X 5 Infection Control in Hospital/Health Center • Nosocomial infection; methyl resistant staphylococcus aureus (MRSA) and other recently identified strains • Disinfection, sterilization • Standard safety measures/universal precautions78 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] • Prophylaxis for staff • Antimicrobial therapy - review • Biomedical waste management XI 6 Legal and Ethical Issues in Family Health Nursing – Nurses’ Role Legal issues • Issues giving raise to civil litigation • Related laws in India • Medical futility • Administrative law: Professional regulation • Tort law: Negligence, professional malpractice, intentional torts, wrongful death, defamation, assault and battery • Constitutional Law: Patient decision making Ethical issues • Difference between morals and ethics • Ethical principles, ethical decision making in critical care, strategies for promoting ethical decision making Ethical issues relevant to critical care • Withholding and withdrawing treatment • Managing scarce resource • Brain death, organ donation & counseling • Do Not Resuscitate (DNR), Euthanasia, Living will • Nurses’ Role XII 8 Quality Assurance • Design of health center/hospital • Quality assurance models • Standards, Protocols, Policies, Procedures • Infection control policies and protocols • Nursing audit • Staffing • Indian Public Health Standards • NQAS XIII 3 Evidence-based Practice in Family Health Nursing • Evidence based practice in family health critical care • Barriers to implementation • Strategies to promote implementation 5 Class tests Total 96 hours List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) • Lifestyle risk and assessment • Behavioral risk assessment • Environmental risk • Triaging • Nutritional assessment • CPR (BLS and ACLS) • Airway Management o Laryngeal mask airway o Cuff inflation and anchoring the tube o Care of ET tube o Tracheostomy care o Suctioning - open/closed o Chest physiotherapy[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 79 • Oxygenation and oximetry, care of patient with oxygen delivery devices o Devices to measure oxygen/oxygenation ▪ Fuel cell ▪ Para magnetic oxygen analyzer ▪ PO electrodes - Clark electrodes 2 ▪ Transcutaneous oxygen electrodes ▪ Oximetry - Pulse oximetry, Venous oximetry o Capnography o Non-invasive ventilation ▪ Low flow variable performance devices: nasal catheters/cannulae/double nasal prongs, face mask, face mask with reservoir bags ▪ High flow fixed performance devices: Entrainment (Venturi) devices, NIV/CPAP/Anesthetic masks, T pieces, breathing circuits o Postural drainage • Ventilation and ventilator support o Connecting to ventilator o Weaning from ventilator o Extubation o Humidifiers o Nebulizers - jet, ultrasonic o Inhalation therapy - metered dose inhalers (MDI), dry powder inhalers (DPI) • Circulation and perfusion (including hemodynamic evaluation and waveform graphics) o Invasive blood pressure monitoring o Non-invasive blood pressure monitoring o Venous pressure (Peripheral, Central and Pulmonary artery occlusion pressure) o Intravenous line starting and infusion o Insertion and removal of arterial line o Insertion and removal of central line o Pulse index Continuous Cardiac output (PiCCO) o Electrocardiography (ECG) o Waveforms • Fluids and electrolytes o Fluid calculation and administration (crystalloids and colloids) o Administration of blood and blood products o Inotrope calculation, titration and administration ▪ Cardiac glycosides - digoxin ▪ Sympathomimetics - dopamine, dobutamine, epinephrine, isoproterenol, norepinephrine, phenylephrine ▪ Phosphodiesterase inhibitors - amrinone, milrinone o Electrolyte correction (sodium, potassium, calcium, phosphorus, magnesium) o Use of fluid dispenser and infusion pumps • Evaluation of acid base status o Arterial blood gas (ABG) • Thermoregulation, care of patient with hyper/hypothermia o Temperature probes o Critical care management of hyper and hypothermia • Glycemic control, care of patient with glycemic imbalances o Monitoring GRBS80 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] o Insulin therapy (sliding scale and infusion) o Management of hyperglycemia - IV fluids, insulin therapy, potassium supplementation o Management of hypoglycemia - Dextrose IV • Pharmacological management of pain, sedation, agitation, and delirium o Calculation, loading and infusion of - Morphine, Fentanyl, Midazolam, Lorazepam, Diazepam, Propofol, Clonidine, Dexmedetomidine, Haloperidol o 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 ▪ Counseling - Individual, Family and Group ▪ Family education ▪ Biomedical waste management VIII. Family Health Nursing I Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours Unit Hours Content I 10 Maternal and Women’s Health • Review of anatomy and physiological changes • Assessment, diagnosing and treating diseases specific to women • Common women health problems • Reproductive and child health o Pregnancy ▪ Normal changes ▪ Pregnancy related problems/obstetric complications ▪ Preconception, antenatal, intranatal and postnatal care ▪ Maternal Mortality o Family Planning - Contraception, MTP • Insertion of IUCDs and Removal • Sexual health, STIs including genital tract infections • Genital tract malignancies, prevention, screening, and early treatment - Pap test, VIA • Perimenopause, Menopause, Post menopause • Common disorders of reproductive system • Mental health • Social issues - Substance abuse, Sexual abuse, Violence • Women health education • Women and Nutrition II 15 Primary Care of Adult • Review of anatomy and physiology • Assessment, diagnosing and treating of common diseases • Recent advances and development • Common adult health problems o Cardiovascular problems o Respiratory diseases o Gastroenterological diseases o Genitourinary disorders o Musculoskeletal disorders o Neurological disorders o Nutritional Disorders - Prevention and Management o Poisoning III 15 Primary Care of Well Child • Review of anatomy and physiology • Normal growth and development[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 81 • Care of newborn • Breast feeding problems and management • Recognition and referral of common birth anomalies • Immunization • Child abuse and injury prevention • Assessment, diagnosis and treatment of common diseases - Infants, Pre-schooler & School going children o Common childhood infections o Child nutrition & nutrition disorders including obesity o School readiness, sleep problems o Physical activity and exercises o Children with special needs o Cardiovascular problems o Respiratory diseases o Gastroenterological disorders o Genitourinary disorders o Musculoskeletal disorders o Neurological disorders • Common childhood cancers - screening and management • Common pediatric emergencies • IMNCI (Review) IV 15 Primary Care of Adolescents • Pubertal changes - male and female • Common Adolescent health problems - assessment, diagnosis and management • Nutrition & Exercises Adolescent Risk Assessment • Sexual health • Behavioral problems, stress and psychosocial problems • Adolescents and laws (POSH etc.) • Adolescent counselling V 25 Communicable Diseases • Review of communicable diseases • Common communicable diseases - assessment, diagnosis and management of o Air borne diseases o Water borne diseases o Food borne diseases o Vector borne diseases o Vehicle borne diseases o Emerging and re-emerging diseases • Preventive measures • Epidemiology of communicable diseases • National programs related to communicable diseases VI 11 Community Health relevant for Family Health Nursing • Concept of health and disease, primary health care and its implementation • Epidemiology and epidemiological methods - epidemiology of communicable and non- communicable diseases • Management of epidemics and pandemics • Management of disaster • Environmental health • Health care delivery system • National health programs and policies • School health • Demography and family planning • Health information and health statistics • Health insurance schemes - National and Private • Role of NGOs 5 Class tests82 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Total 96 hours List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) • Mental status examination of women • Pap test • VIA screening • Breast Self-Examination (BSE) • Insertion and removal of IUCDs • Assisting in initiation of oral contraceptive pills and monitoring • Essential newborn care • Newborn resuscitation • Assessment of growth and development of children • Adolescent health o Adolescent risk assessment o Adolescent counseling • Home-based care o Wound care o Tracheostomy care at home o Stoma care at home o Catheter care at home o Care of persons with disabilities • Family counselling o Marital counseling o Family planning counseling o Bereavement counseling • Investigation of an epidemic • Disaster mock drills • Disaster preparedness and protocols • National programs related to communicable diseases - knowledge and participation IX. Family Health Nursing II Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours Unit Hours Content I 18 Geriatric Care • Aging process • Assessment, diagnosis and management of problem in the elderly • Acute problems • Chronic illness • Pharmacology in elderly • Mental Illness • Social Problems & Management • Health promotion and disease prevention in elderly • Normal psycho biological characteristics of aging o Biological issues o Psychological issues o Concepts and theories of ageing o Stress & coping in older adults o Common Health Problems & Nursing Management • Physical challenges o Auditory changes o Visual changes o Other sensory changes o Skin changes o Cardiovascular changes o Respiratory changes[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 83 o Renal changes o Gastrointestinal changes o Musculoskeletal changes o Endocrine changes o Immunological changes • Psychological challenges o Cognitive changes o Abuse of the older person o Alcohol abuse • Challenges in medication use o Drug absorption o Drug distribution o Drug metabolism o Drug excretion • National Mental Health Policies and Programs II 18 Mental Health • Assessment, diagnosis and management of common mental disorders • Anxiety • Depression • Eating disorders • Personality disorder • ADHD • Learning disorders • Tic disorder • Pharmacology in psychiatric illness • Legal and ethical accountability • Enhancement of mental health • Families with high risk for parent child interaction problems, dysfunctions • Psychiatric emergencies including suicidality III 15 Palliative Care • Common symptoms in terminally ill patients and its management • Pain management - opioid analgesics and co analgesics • Hospice care • End of life care • Management of grief IV 10 Men’s Health • Anatomy and physiology • Common health problems related to men • Common malignancies - prevention, screening, early treatment • Nutrition • Risk behaviors • Counseling V 10 Health Care of Special Groups • Migrants • Travelers • Traveler’s vaccination • Homeless • Challenged group - physically, mentally and socially • Community-based Rehabilitation o Role of NPs in management of patients with disabilities o Bladder care o Home based care for bed ridden patients o Team concept in rehabilitation and role of other therapies84 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] VI 20 Non-Communicable Diseases • Diabetes Mellitus • Hypertension • Obesity • Hyperlipidemia • Coronary artery disease • Cardiovascular diseases • RHD • Stroke • Epilepsy • Bronchial asthma • COPD • Endocrine disorders • Oral diseases • Eye health • Accident and injuries • Common cancers and cancer screening • Nutritional needs of clients with non-communicable diseases 5 Class tests Total 96 hours List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students) • Older adult assessment o History o Physical examination o Nutritional assessment o ADL assessment o Fragility assessment & fall risk assessment o Psychosocial assessment o Diagnostic tools: Geriatric depression scale, mini cog test, CAM ICU scale • Mini nutritional assessment • Therapeutic diet planning • Mental health survey & screening • Home based care of mentally ill • Testicular Self Examination (TSE) • Smoking cessation sessions • Podiatric care • End of life care • Pain assessment and scoring - WHO ladder, VAS • Pain management of palliative client • Grief counseling • Vision screening • Oral examination • National health programs on NCD prevention and control - knowledge and participation The skills listed under the specialty courses such as Foundations of Family Health Nursing Practice, Family Health Nursing I and Family Health 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 hospital/health centers. The log book specifies all the requirements to be completed and the list of skills are to be signed by the preceptor/faculty once the students develop proficiency in doing the skills independently. Recommended Reference Books • Abilash K.P.P. (2019) Emergency Medicine, Best Practices at CMC (EMAC) (2nd ed.) Jaypee Brothers Publications[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 85 • Adelman D.S. & Timothy J. Legg (2011) Disaster Nursing: A Handbook for Practice, Springer Publishing Co., New York • Arulraj S., Jayalal J.A., Abdul Hasan K.M. & Ravishanker T.N. (2017) Text Book of Family Medicine (3rd ed.) Elsevier • Butler J. Thomas (2000) Principles of Health Education and Health Promotion (3rd ed.) Wadsworth Publishing Co. Inc. • Cash Jill & Glass Cherya (2019) Adult Gerontology Guidelines (2nd ed.) Springer Publication, New York • Clement-Stone, Susan (2002) Comprehensive Family & Community Health Nursing: Family, Aggregate and Community Practice (6th ed.) St. Louis: Mosby Inc. • Dash B. (2023) A Comprehensive Text Book of Community Health Nursing (2nd ed.) Jaypee Brothers Medical Publishers Pvt. Ltd. • Fenstermacher K. & Hudson B.T. (2024) Practice Guidelines for Family Nurse Practitioners (6th ed.) Elsevier • Hockenberry Marilyn J., Rodgers Cheryl C. & Wilson David (2022) Wong’s Essentials of Pediatric Nursing (11th ed.) St. Louis: Elsevier • Hockenberry Marilyn J., Duffy Elizabeth A. & Gibbs Karen Divalerio (2024) Wong’s Nursing Care of Infants and Children (12th ed.) St. Louis: Elsevier • Ian D. Penman, Stuart H. Ralston, Mark W.J. Strachan & Richard P. Hobson (2022) Davidsons Principle and Practice of Medicine (24th ed.) Elsevier • Jacob A. (2023) A Comprehensive Text Book of Midwifery & Gynecological Nursing (6th ed.) Jaypee Brothers Medical Publishers • Karen Fenstermacher & Barbara Toni Hudson (2020) Practice Guidelines for Family Nurse Practitioners (5th ed.) Elsevier Publication, St. Louis • Kaakinen J.R. (2009) Family Health Care Nursing Theory Practice and Research (4th ed.) Davisfa • Kishore J. (2022) National Health Programmes of India: National Policies and Legislations related to Health (14th ed.) New Delhi: Century Publications • Kiralal Konar (2023) D.C. Dutta’s Text Book of Obstetrics: Including Perinatology and Contraception (10th ed.) Jaypee Brothers • Loscalzo Fauci, Kasper Hauser & Longo (2022) Harrison’s Principles of Internal Medicine (21st ed.) Vol. 1, Mc Graw Hill • Marshall J. & Raynor M. (2020) Myles Text Book for Midwives (17th ed.) Elsevier • Ministry of Health & Family Welfare (2022) Indian Public Health Standards for Community Health Centers, retrieved from https://nhsrcindia.org/sites/default/files/CHC%20IPHS%202022%20Guidelines%20pdf.pdf • Ministry of Health & Family Welfare (2022) Indian Public Health Standards for Primary Health Centers. Vol. II, retrieved from https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines- 2022/03_PHC_IPHS_Guidelines-2022.pdf • Ministry of Health & Family Welfare (2012) Indian Public Health Standards for Health Sub Centers, Vol. II, retrieved from https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2012/sub-centers.pdf • Park K. (2023) Park’s Textbook of Social and Preventive Medicine (27th ed.) Banarsidas Bhanot • Stanhope M. & Lancaster J. (2024) Public Health Nursing (11th ed.) • Singh Meharban (2021) Care of the Newborn (9th ed.) New Delhi: CBS Publishers & Distribution Pvt. Ltd. • Stanhope M. & Lancaster J. (2019) Public Health Nursing: Population Centered Health Care in the Community (10th ed.) Evolve • Suresh K., Sharma S. & Madhavi (2022) Brunner & Suddaarth’s Text Book of Medical Surgical Nursing, Vol. 2 (14th ed.) South Asian Edition, Wolters Kluwer • Videbeck L.S. (2019) Psychiatric Mental Health Nursing, Philadelphia: Lippincott Williams and Wilkins • Vinod K. Paul & Arvind Bagga (2023) GHAI Essential Pediatrics (10th ed.) CBS Publishers Pvt. Ltd. • Thornboy Greta (2014) Contemporary Occupational Health Nursing, A Guide to Practitioners, Routledge, T & F Group, UK APPENDIX 1a SKILL LAB REQUIREMENTS Note: In addition to the basic skill lab requirement of College of Nursing, the following are necessary: S.No. Skill Lab Requirements No. Skill 1. Adult manikin - male 2 Health assessment 2. Adult manikin - female with reproductive system 3 3. Bed with mattress 5 4. Linen set 5 5. Blood pressure apparatus 1086 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 6. Weighing scale 10 7. Height scale 10 8. Nutritional assessment cups 10 sets Nutritional assessment and preparation of 9. Vessels for nutritional demonstration (cups, spoons, plates, pans etc.) 5 sets nutritional diet 10. Gas stove 2 11. Cylinder 2 12. IEC materials 13. Poster 10 Preparation and use of IEC materials 14. Pamphlets 10 15. Flannel graph 10 16. Flash card 10 17. Flip chart 10 18. Slide projector 1 19. LCD projector 1 20. PA system 1 21. Laptop 1 22. Chalk board 1 23. Glass slides 10 Diagnostic procedures 24. Syringes 20 25. Needles 20 26. Vacutainers 20 27. Trays 20 28. Needle dispenser 20 29. Alcohol based swabs 20 30. Venipuncture and injection training arm 1 31. Models Pelvic examination model 1 Child birth simulator 1 Episiotomy simulator 1 New born manikin resuscitation simulator 1 IUCD insertion model 1 Injection training arm simulator for intradermal & subcutaneous injections 1 Baby dummy for vaccination 1 32. Personal protective equipment 4 set Infection control 33. Hand washing area 2 34. Biomedical waste disposal unit 1 35. Vaginal examination model Vaginal examination Pelvic examination tray 4 Artery clamp - 1 Artery forceps-1 Bowl - 1 Cotton ball - few Zephiran solution 36. Pelvic examination table 1 37. Pelvic examination model Speculum examination 38. Pelvic examination table 39. Sims/Bivalve speculum 1 40. Spot light 1 41. Child birth simulator Conduction of normal[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 87 42. Delivery set 4 deliveries Scissors 1 Needle holder 1 Artery forceps/clamps 1 Dissecting forceps 1 Sponge forceps 1 Vaginal speculum 1 Apron/drapes 1 Goggle 1 Face mask 1 Gown 1 Sterile gloves 1 Cord tie 1 Sterile cotton Few Bowls 2 43. Episiotomy training simulator Episiotomy and suturing 44. Episiotomy set 4 Episiotomy scissors - 1 Needle holder - 1 Needle - 1 Suture materials - 1 Bowl - 1 45. Pelvic examination model IUCD insertion and removal 46. Pelvic examination tray 47. Intrauterine device 4 48. New born manikin with resuscitation simulator Essential new born care and new born resuscitation 49. Syringes 4 Vaccine administration 50. Needles 4 51. Trays 4 52. Needle dispenser 1 53. Sharps container 1 54. Samples of vaccine 1 set 55. Alcohol based swabs 20 56. Injection training arm simulator for intradermal & subcutaneous injections 57. Baby dummy for vaccination 58. Vaccine container 1 59. . Ostomy Care set 1 60. Foot Care set 1 61. 6 Tablets for data recording 5 Digital recording 62. Reports - daily, weekly, monthly, annual, sentinel, birth, death 20 Recording & reporting APPENDIX 1b EQUIPMENT LIST FOR A SECONDARY HOSPITAL 1. Adjustable cot with mattress - 10 2. IV stand - 20 3. Bed side locker - 11 (10 - patients; 1 - stock) 4. Over bed trolley - 10 5. Dressing trolley (Small) - 5 6. Dressing trolley (medium) - 2 7. Syringe pump - 10 8. Infusion pump - 10 9. Monitors- 11 (10 - patients; 1- stock)88 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 10. Transport monitor/pulse oximeter - 2 11. Ventilators - 1 12. Portable ventilators - 1 13. ABG machine - 1 14. ECG machine - 1 15. Ultrasound machine - 1 16. Doppler machine - 1 (if vascular patients are admitted in ICU) 17. Defibrillator - 1 18. Peripheral Nerve Stimulator - 1 19. Blood warmer - 3 20. Patient warmer - 5 21. Sequential Compression Device - 10 22. Alpha mattress with motor - 15 23. LEAD shield - 1 24. Crash cart - 1 25. Transfer trolley - 4 26. OR trolley - 2 27. Safe slider - 2 28. Computer - 4 29. Printers - 2 30. Bain circuit - 12 31. Oxygen flowmeter - 10 32. Suction port with jar - 10 33. Air flowmeter/pulmoaid - 10 34. Refrigerator - 2 35. Metal foot step/foot stool - 10 36. Ambulation chair - 5 37. UPS - 1 38. Flat trolley - 1 39. Spot light - 2 40. Glucometer - 2 41. Ambu bag with different sizes - 10 sets 42. Trays with sterile sets/disposable sets for various procedures (e.g. insertion of central venous catheter, tracheostomy etc.) APPENDIX 1c EQUIPMENT LIST FOR CHC - Refer Annexure 10 of the Indian Public Health Standards for Community Health Centers (2022) by Ministry of Health & Family Welfare Vol. II, p. 132, retrieved from https://nhsrcindia.org/sites/ default/files/CHC%20IPHS%202022%20Guidelines%20pdf.pdf EQUIPMENT LIST FOR PHC - Refer Annexure 7 & 8 of the Indian Public Health Standards for Primary Health Centers (2022) by Ministry of Health & Family Welfare Vol. II, p. 118, retrieved from https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2022/03_PHC_IPHS_Guidelines-2022.pdf EQUIPMENT LIST FOR SUB-CENTERS - Refer the Indian Public Health Standards for Health Sub Centers (2012) by Ministry of Health & Family Welfare Vol. II, p. 16, retrieved from https://nhm.gov.in/images/pdf/guidelines/iphs/iphs-revised-guidlines-2012/sub-centers.pdf APPENDIX 2 ASSESSMENT GUIDELINES (including OSCE Guidelines) INTERNAL ASSESSMENT (Theory and Practical) Ist year 1. Theoretical Basis for Advanced Practice Nursing College examination of theory only: 50 marks Internal Assessment: Test paper/Quiz: 10 marks Written assignment/term paper: 10 marks (Global and national health care trends & policies) Clinical seminar: 5 marks (Clinical/Care pathway in specific clinical condition/Application of specific nursing theory) Final theory college exam: 25 marks[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 89 Total: 50 marks 2. Research Application and Evidence-based Practice in Family Health Nursing Theory: Test papers: 20 marks Written assignment: 5 marks (Literature review/Preparation of research instrument) Journal club: 5 marks (Analysis of research evidence for Family Health Nursing competencies) Total: 30 marks 3. Advanced Skills in Leadership, Management and Teaching Theory: Test papers: 15 marks Journal club: 5 marks (Trends in Leadership/management/teaching) Written assignment: 5 marks (Ex. work place violence) Microteaching: 5 marks Total: 30 marks 4. Advanced Pathophysiology & Advanced Pharmacology applied to Family Health Nursing Theory: Test papers and Quiz: 20 marks (Pathophysiology - 10, Pharmacology - 10) Drug studies: 5 marks (Drug study and presentation) Case presentation and case study report (Pathophysiology): 5 marks Total: 30 Marks 5. Advanced Health/Physical Assessment Theory: Test papers: 20 marks Written assignment: 10 marks (Diagnostic/investigatory reports - interpretation and analysis of findings) Total: 30 marks Practicum: Clinical performance evaluation: 10 marks End of posting exam (OSCE): 10 marks Case presentation and case study report: 5 marks Internal OSCE: 25 marks Total Internal practical: 50 marks End of posting exam can be conducted in secondary hospital/health center IInd year 1. Foundations of Family Health Nursing Practice Theory: Test papers and Quiz: 20 Written assignment: 10 marks (Health Center protocols) Total: 30 marks Practicum: Clinical Performance evaluation: 20 marks End of posting exam (OSCE): 10 marks Drug studies (Drug study and presentation): 10 marks Case presentation and case study report (Family education/counseling): 5 marks Case presentation (Application of Clinical/Care Pathway): 5 marks Internal OSCE: 50 marks Total Internal practical: 100 marks 2. Family Health Nursing I Theory: Test papers and Quiz: 20 marks Clinical seminar and Journal club: 10 marks Total: 30 marks Practicum: Clinical performance evaluation: 20 marks90 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] End of posting exam (OSCE): 10 marks Clinical presentation: 10 marks Case study report: 10 marks Internal OSCE: 50 marks Total Internal practical: 100 marks 3. Family Health Nursing II Theory: Test papers: 20 marks Clinical Seminar: 10 marks Total: 30 marks Practicum: Clinical performance evaluation: 20 marks End of posting exam (OSCE): 10 marks Clinical presentation: 10 marks Case study report (developed clinical/care pathway): 10 marks Internal OSCE: 50 marks Total Internal practical: 100 marks End of posting exam can be conducted in any secondary hospital/health center 4. Dissertation Practicum: 50 marks EXTERNAL (FINAL) EXAMINATION (As per schedule in syllabus) Theory: Short answer and essay type questions (Weightage can be decided by the University) {Essay 2×15 marks = 30, Short answers 5×6 marks = 30, Very short 5×2 marks = 10} OSCE GUIDELINES FOR INTERNAL AND EXTERNAL PRACTICAL EXAMINATION Ist year I. ADVANCED HEALTH/PHYSICAL ASSESSMENT INTERNAL OSCE: 25 marks CORE COMPETENCY DOMAINS TO BE EXAMINED 1. Focused history taking and physical examination of adult patient 2. Focused history taking and physical examination of pediatric patient 3. Interpretation of history and physical examination findings 4. Interpretation of results of lab and diagnostic tests 5. Monitoring of clinical parameters Number of stations: 5 (4+1 Rest station) Time for each station: 10 minutes Marks for each station: 5 marks (As per competency check list and allotted marks) Total: 4×5 = 20 marks Oral exam = 5 marks Total = 25 marks EXTERNAL OSCE: 50 marks CORE COMPETENCY DOMAINS 1. Focused history taking of adult patient 2. Focused physical examination of adult patient 3. Focused history taking of pediatric patient 4. Focused physical examination of pediatric patient 5. Interpretation of history and physical exam findings 6. Interpretation of results of lab and diagnostic tests 7. Monitoring clinical parameters Number of stations: 10 (8+2 Rest stations)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 91 Time for each station: 10 minutes Marks for each station: 5 marks (As per competency check list and allotted marks) Total: 8×5 = 40 marks Oral exam = 10 marks Total = 50 marks On completion of procedural competencies in log book and clinical requirements, the NP student is qualified to appear for final practical examination. IInd year I. FOUNDATIONS OF FAMILY HEALTH NURSING PRACTICE INTERNAL OSCE: 50 Marks CORE COMPETENCY DOMAINS TO BE EXAMINED 1. Focused history taking, physical examination and interpretation of findings & results of adult patient 2. Focused history taking, physical examination and interpretation of findings & results of pediatric patient 3. Monitoring competencies (invasive and noninvasive) 4. Development of care plan 5. Therapeutic interventions including drug administration across the lifespan 6. Emergency procedural competencies 7. Family education and counseling 8. Family centered care Number of stations: 5 (4+1 Rest station) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 10×4 = 40 marks Oral exam = 10 marks Total = 50 marks EXTERNAL OSCE: 100 marks CORE COMPETENCY DOMAINS 1. Focused history taking, physical examination and interpretation of results of adult patient 2. Focused history taking, physical examination and interpretation of results of pediatric patient 3. Monitoring competencies (invasive and noninvasive) 4. Development of care plan 5. Family education and counseling 6. Therapeutic interventions including drug administration across the lifespan 7. Family centered care Number of stations: 10 (8+2 Rest stations) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 8×10 = 80 marks Oral exam = 20 marks Total = 100 marks FAMILY HEALTH NURSING I & II INTERNAL OSCE:50 marks CORE COMPETENCY DOMAINS 1. Focused history taking, physical examination and interpretation of results of adult patient 2. Focused history taking, physical examination and interpretation of results of pediatric patient 3. Women’s health - assessment and specific procedures 4. Monitoring competencies (invasive and noninvasive) 5. Development of care plan/care pathway 6. Family education and counseling92 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 7. Therapeutic interventions including drug administration across the lifespan 8. Infection control practices 9. Family centered care Number of stations: 5 (4+1 Rest station) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 10×4 = 40 marks Oral exam = 10 marks Total = 50 marks EXTERNAL OSCE: 100 marks CORE COMPETENCY DOMAINS 1. Focused history taking, physical examination and interpretation of results of adult patient 2. Focused history taking, physical examination and interpretation of results of pediatric patient 3. Monitoring competencies (invasive and noninvasive) 4. Women’s health - assessment and specific procedures 5. Development of care plan 6. Family education and counseling 7. Therapeutic interventions including drug administration across the lifespan 8. Infection control practices 9. Family centered care Number of stations: 10 (8+2 Rest stations) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 8×10 = 80 marks Oral exam = 20 marks Total = 100 marks On completion of procedural competencies in log book and clinical requirements, the NP student is qualified to appear for final practical examination APPENDIX 3 CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN FAMILY HEALTH (NPFH) - POSTGRADUATE RESIDENCY PROGRAM (Specific Procedural Competencies/Clinical Skills) Ist year S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty I RESEARCH APPLICATION AND EVIDENCE BASED PRACTICE 1 Preparation of research instrument 2 Writing systematic review/literature review 3 Preparation of a manuscript for publication (Ist or IInd year) 4 Dissertation/EBP project (IInd year) Topic: II 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 in the unit 5 Management of equipment and supplies 6 Monitoring, evaluation, and writing report related to infection control[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 93 7 Preparation of teaching plan and media for teaching patients/staff 8 Micro teaching/patient education sessions 9 Planning and conducting OSCE/OSPE 10 Construction of tests III HEALTH ASSESSMENT 1 Comprehensive history taking 2 Focused history taking (system wise) 3 Comprehensive physical examination 4 Focused physical examination (system wise) 4.1 Respiratory system 4.2 Cardiac system 4.3 Gastrointestinal 4.4 Nervous - Mental Status Examination, Cranial Nerve Assessment 4.5 Genitourinary 4.6 Endocrine 4.7 Hematological 4.8 Musculoskeletal 4.9 Integumentary 4.10 Sensory organs - vision & hearing 5 Age specific history & physical examination 5.1 Neonate 5.2 Child 5.3 Adult 5.4 Geriatric 6 History & physical examination of a pregnant woman IV DIAGNOSTIC TESTS/PROCEDURES 1 Collecting blood sample for laboratory tests and inferring result 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 PET scan 3.2 Endoscopy 3.3 MRI/CT 3.4 Ultrasound 3.5 Echocardiogram94 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 4 Monitoring and interpretation of critical parameters 4.1 Arterial Blood Gas (ABG) 4.2 Oxygen saturation 4.3 Endotracheal tube cuff pressure 4.4 Capnography 4.5 Hemodynamics 4.6 Electrocardiogram (ECG) 4.7 Intracranial pressure (ICP) 4.8 Invasive BP monitoring 4.9 Non-invasive BP monitoring 4.10 PiCCO (Pulse index Continuous Cardiac Output) 4.11 Peripheral vascular status 4.12 Glasgow Coma Score 4.13 Sedation Score 4.14 Pain Score 4.15 Braden Score 4.16 Bowel sounds 4.17 GRBS 4.18 Chest X-Ray V. BASIC COMPETENCIES 1 Admission 2 Transfer 3 Transport 4 Referral to higher center 5 Discharge/LAMA 6 Setting up, use and maintenance of basic critical care equipment 6.1 Monitor/s 6.2 Transducer/pressure bag 6.3 Temperature probes 6.4 SpO probes 2 6.5 CTG machine 6.6 12-lead ECG monitor 6.7 Blood/Fluid Warmer 6.8 Syringe pump 6.9 Infusion pump 6.10 Phototherapy 6.11 Oxygen cylinder and manifold system 6.12 Alpha/Air mattress * - When the student is found competent to perform the skill, it will be signed by the preceptor. Students: Students are expected to perform the listed skills/competencies many times until they reach level 3 competency, after which the preceptor signs against each competency. Preceptors/Faculty: Must ensure that the signature is given for each competency only after they reach level 3. • Level 3 Competency denotes that the NP student is able to perform that competency without supervision. • Level 2 Competency denotes that the student is able to perform each competency with supervision. • Level 1 Competency denotes that the student is not able to perform that competency/skill even with supervision. Signature of the Program Coordinator/Faculty Signature of the HOD/Principal[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 95 CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN FAMILY HEALTH (NPFH) - POSTGRADUATE RESIDENCY PROGRAM (Specific Procedural Competencies/Clinical Skills) IInd year S.No. Specific Competencies/Skills Number Date Signature of the Performed/Assisted/Observed Preceptor/Faculty (P/A/O) I ADVANCED COMPETENCIES 1 Setting up, use and maintenance of critical care equipment 1.1 Ventilator 1.2 Defibrillator P 1.3 Pacemaker P 1.4 CRASH trolley P 1.5 CPAP/BiPAP 2 Triage P 3 IV Line insertion P 4 Airway insertion 5 CPR - Adult 6 CPR - Pediatrics 7 Insulin therapy - sliding scale P 8 Tracheostomy and suctioning P 9 Nebulization P 10 Electrocardiogram (ECG) 11 Chest Physiotherapy P 12 ET tube care P 13 ET cuff management P 14 ET suctioning P 15 Medicolegal compliance P 16 End of life care P II. PERFORMING PROCEDURES 1 VIA P 2 Use of Personal Protective Equipment P 3 Infection control practices P 4 Standard precautions P 5 Urine Analysis P 6 Sputum Smear P 7 Skin Smear P 8 Mantoux Test P 9 Vision Screening P 10 Hearing Test P 11 Breast Self-Examination (BSE) P 12 Testicular Self-Examination (TSE) P 13 Oral Examination P III COUNSELING OF SPECIAL GROUPS 1 HIV mother P 2 Infertile couple P 3 Client attempted suicide P96 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Date Signature of the Performed/Assisted/Observed Preceptor/Faculty (P/A/O) 4 Parents of Challenged Children P 5 Client on Palliative Care P 6 Caregiver of Palliative Client P IV NUTRITION, NUTRITIONAL ASSESSMENT AND FOOD SAFETY 1 Nutritional assessment, diet planning and preparation of nutritional diet 1.1 Antenatal P 1.2 Postnatal P 1.3 Palliative Client P 2 Therapeutic Diet Planning P V EPIDEMIOLOGY 1 Investigation of an epidemic P VI VITAL STATISTICS & DOCUMENTATION 1 Maintenance of Records and Family P Profiles 2 Recording and reporting of vital events P 3 Digital Health Recording P VII NATIONAL HEALTH PROGRAMMES 1 Participation in Pulse Polio Program P 2 Administration of vaccines P VIII REPRODUCTIVE CHILD HEALTH & FAMILY PLANNING 1 Physical assessment 1.1 - Antenatal mother P 1.2 - Postnatal mother P 2 Antenatal Examination P Normal/Low/High Risk Pregnancy 2.1 Normal P 2.2 Low risk P 2.3 High risk P 3 Plotting and interpretation of partograph P 4 Vaginal examinations P 5 Speculum examinations P 6 Conduct normal deliveries P 7 Assist for instrumental deliveries P 8 Assist in vacuum suction P 9 Assist in LSCS 10 Active management of Third Stage Labor P 11 PPH management P 12 Episiotomy and suturing P 13 Postnatal Care P 14 Newborn Care - Normal P 15 Care of High-Risk Neonates P 16 IUCD Insertion P 17 Removal of IUCD P 18 Assist in Initiation of Oral Contraceptive Pills[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 97 S.No. Specific Competencies/Skills Number Date Signature of the Performed/Assisted/Observed Preceptor/Faculty (P/A/O) 19 Following up of women on OCP 20 Assist in Tubectomy IX CHILD HEALTH - IMNCI MODULE 1 Essential New Born Care P 2 New born resuscitation P 3 Clinics - Participate in organizing various P clinics 3.1 Tuberculosis Clinic 3.2 Immunization Clinic 3.3 NCD Clinic 3.4 Family Planning Camp/Clinic 3.5 Deaddiction Clinic 3.6 Psychiatry Clinic X SPECIALIZED ROLE OF COMMUNITY HEALTH NURSES 1 Occupational Health Assessment P XI DISASTER MANAGEMENT 1 Mock drill on disaster management P Note: 5-10% of procedures that are rare should be practiced in skill lab and attained level 3 competency. Signature of the Program Coordinator/Faculty Signature of the HOD/Principal APPENDIX 4 CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN FAMILY HEALTH (NPFH) - POSTGRADUATE RESIDENCY PROGRAM Ist year S.No. Clinical Requirements Date Signature of the Preceptor/Faculty 1 Clinical Seminar/Journal Club/Clinical Conference 1.1 *APN - Clinical pathway in specific clinical condition/ Application of specific nursing theory) (Clinical Seminar) Title of the topic: 1.2 *RA - Evidence search for family health nursing competencies (Clinical Conference/Journal Club) Title of the topic: 1.3 *LM&T - Trends in Leadership/Management/Teaching (Journal Club) Title of the topic: 2 Clinical Rounds (with Physicians, Nursing Staff, Faculty, Students) - Case/Clinical Presentation 2.1 Pathophysiology (Clinical Presentation) Name of clinical condition: 2.2 Pathophysiology (Clinical Presentation) Case Study (Written Report) Name of clinical condition: 2.3 Pharmacology - Drug Studies (drugs listed under Standing Orders) - written report of 5 presentations 2.3.1 Drug name: 2.3.2 2..3.398 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 2..3.4 2..3.5 2.3.6 2.3.7 2.3.8 2.3.9 2.3.10 3 Interdisciplinary Clinical Rounds (with Physicians, Nursing Staff, Faculty, Students) - Case/Clinical Presentation (Written reports are for submission) 3.1 Health Assessment (Adult) - History & Physical Examination (Two written reports) 3.1.1. 3.1.2. 3.1.3. 3.1.4. 3.1.5. 3.2 Health Assessment (Pediatric) - History & Physical Examination (One written report) 3.2.1. 3.2.2. 3.2.3. 3.3 Health Assessment (Pregnant Woman) (One written report) 3.3.1. 3.3.2. *Advanced Practice Nursing - APN, Research Application - RA, Leadership, Management and Teaching - LM&T Signature of the Program Coordinator/Faculty Signature of the HOD/Principal CLINICAL EXPERIENCE DETAILS Name of the Area Clinical Condition Number of days Signature of care given Faculty/Preceptor[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 99 Signature of the Program Coordinator/Faculty Signature of the HOD/Principal CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN FAMILY HEALTH (NPFH) - POSTGRADUATE RESIDENCY PROGRAM IInd year S.No. Clinical Requirement Date Signature of the Preceptor/Faculty 1 Clinical Seminar/Journal Club/Clinical Conference 1.1 Foundations of Family Health Nursing Practice (Clinical Conference) Title of the topic: 1.2 Family Health Nursing I (Clinical Seminar) Title of the topic: 1.3 Family Health Nursing I (Journal Club) Title of the topic: 1.4 Family Health Nursing II (Clinical Seminar) Title of the topic: 1.5 Family Health Nursing II (Journal Club) Title of the topic: 2 Clinical Rounds (with Physicians, Nursing Staff, Faculty, Students) - Clinical/Case Presentation (Written reports are for submission) 2.1 Foundations of Family Health Nursing (Family Education/Counselling) - Written Report Name of the topic: 2.2 Foundations of Family Health Nursing (Clinical/Care Pathway) Name of the topic: 2.3 Family Health Nursing I (Clinical Presentation) Name of clinical condition: 2.4 Family Health Nursing I (Case Study Report) Name of clinical condition: 2.5 Family Health Nursing II (Clinical Presentation) Name of clinical condition: 2.6 Family Health Nursing II (Case Study Report) Name of clinical condition: 2.7 Drug Studies (drugs listed under Standing Orders) 2.7.1 Bedside Presentation (Five written reports) Name of Drug 2.7.2 Name of Drug 2.7.3 2.7.4 2.7.5 2.7.6 2.7.7 2.7.8 2.7.9 2.7.10 3 Interdisciplinary Clinical Rounds (with Physicians, Nursing Staff, Faculty, Students) - Clinical/Case Presentation 3.1 Family Health Nursing I Name of clinical condition:100 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3.2 3.3 3.4 3.5 (Case Study Report) 3.6 Family Health Nursing II 3.7 3.8 3.9 (Case Study Report) 3.10 Written Report (Developed Clinical/Care Pathway) 4 Visits 4.1 District TB Centre 4.2 ART Centre 4.3 Zonal Entomology Office 4.4 Family Welfare Office 4.5 ICDS Centre 4.6 Child guidance center 4.7 Palliative care center 4.8 Rehabilitation center 4.9 Observation and functioning of modified plan of operation in National Malaria Eradication Program (NMEP) at PHC 4.10 Observation of anti-larval operation and vector control measures Note: Clinical presentation can be written for case study report. Signature of the Program Coordinator/Faculty Signature of the HOD/Principal CLINICAL EXPERIENCE DETAILS Name of the Area Clinical Condition Number of days Signature of care given Faculty/Preceptor Signature of the Program Coordinator/Faculty Signature of the HOD/Principal APPENDIX 5 STANDING ORDERS AND PROTOCOLS[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 101 Nurse Practitioners in Family Health are prepared and qualified to assume responsibility and accountability for the care of patients across the life span. They collaborate with family medicine physicians, primary care physicians and specialists to ensure accurate therapy for patients with high acuity needs. On completion of the program, the Nurse Practitioners will be permitted to administer drugs listed in standing orders as per the institutional standing orders. They will also be permitted to order diagnostic tests/procedures and therapies as per institutional protocols. STANDING ORDERS The following intravenous injections or infusions may be administered by the Nurse Practitioner during emergency. Catecholamines 1. Adrenaline 2. Vasopressin Antidysrhythmic 3. Amiodarone Adrenergic agent 4. Ephedrine Bronchodilators 5. Aminophylline 6. Deriphylline 7. Tiova Antihistamine 8. Avil Antihypertensives 9. Glycerine trinitrate Corticosteroid 10. Hydrocortisone Antiepileptic 11. Levitracetam Sedatives & relaxants 12. Valium Electrolytes & acid base correction agents 13. Soda bicarbonate 8.4% 14. Soda bicarbonate 7.5% 15. 3% normal saline 16. 0.9% normal saline 17. Antipyretics 18. Anti Parkinson’s drugs Repeat medications 19. Calcium supplements - Sandacol, Shelcal, Osteocalcium 20. Oral antidiabetic agents - Metformin, Glynase, Insulin Additional Standing Orders for Home-based Care (Refer GoI protocols) The following investigations and therapies may be ordered by the Nurse Practitioners Ordering Investigations Ordering Therapies ▪ ECG ▪ Nebulization ▪ ABG ▪ Chest physiotherapy ▪ Chest X ray ▪ Distal colostomy wash ▪ Basic Biochemistry investigations - Hb, PCV, ▪ Insertion and removal of urinary catheter for female patients TIBC, WBC Total, WBC differentials, ESR, ▪ Test feeds Electrolytes, platelets, PT, aPTT, bleeding and ▪ TEDS clotting time, procalcitonin, D-dimer, creatinine, ▪ Surgical dressing HbA1c, AC, PC, HDL, LDL, TIG, Cholesterol ▪ Starting and closing dialysis total, HIV, HbsAg, HCV, ▪ Application of ichthammol glycerin/magnesium sulphate102 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Ordering Investigations Ordering Therapies ▪ Basic Microbiology investigations - blood dressing for thrombophlebitis/extravasation samples for culture and sensitivity ▪ Pin site care for patients on external fixators ▪ Isometric and isotonic exercises ▪ Digital evacuation INSTITUTIONAL STANDING ORDERS AND PROTOCOLS In every hospital, the standing orders for drug administration with specific dosage to be administered during emergency situations can be made available as guidelines for NPFH graduates. The NP students will be trained to administer these drugs under supervision by preceptors/NP faculty. The protocols for ordering selected investigations and carrying out specific therapeutic procedures can also be available in every hospital that trains NPFH students. APPENDIX 6 RESPONSIBILITIES OF NPFH 1. Evaluating and diagnosing patients: Nurse Practitioners in Family Health perform physical examinations, collect medical histories, and diagnose their patients. 2. Screening and disease prevention: Success as a family nurse practitioner requires the use of health screenings and evaluations, helping with early detection of chronic or acute conditions such as cancer, diabetes, or cardiovascular disease. 3. Developing and implementing treatment plans: Once a diagnosis has been made, the family nurse practitioner formulates an effective treatment, which may include lifestyle changes, pharmaceutical intervention, physical therapy, or a referral to a specialist. 4. Management of chronic conditions: In the course of their practice, family nurse practitioners will likely have patients who struggle with chronic conditions, such as diabetes, arthritis, or inflammation. Part of their job is helping patients learn to cope with and manage these conditions. 5. Patient education: The NPFH also advise patients on how to live healthy lifestyles and minimize their risk of illness. This might include nutritional coaching or tips on effective stress management. When treating children or adolescents, nurse practitioners in family health must also communicate care plans to parents or guardians. 6. Conducting research: The clinical practice of Nurse Practitioner in Family Health may be augmented with experimental work or other forms of research, helping to deepen their understanding of effective patient care. 7. Public health advocacy: The NPFH who work in community clinics or acute care facilities may be responsible for promoting healthy living within the community. 8. Collaboration with other professionals: In some care contexts, advanced practice nurses may work in collaboration with physicians, partnering to provide high standards of care. The NPFH must also be prepared to refer their patients to relevant specialists, such as substance abuse coaches, mental health care providers, oncologists, etc. Specific Responsibilities of NPs in FH 1. Preconception and prenatal care 2. Well-woman and illness care 3. Well-child and illness care 4. Episodic care for acute illnesses for all ages, including minor acute injuries 5. Management of chronic conditions such as hypertension, diabetes, asthma, etc. 6. Monitoring and co-management of primary care conditions with a specialist for potentially unstable conditions such as cardiac diseases and neuromuscular conditions 7. Case management for any long-term illness or condition and rehabilitation Dr. T. DILEEP KUMAR, President, INC [ADVT.-III/4/Exty./843/2024-25] 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.