Guideline for Health Institutions Establish, Operation and

,

, २०७०

( २०७०/९/२१)

नेपाल सरकार

पौष, २०७०

2

3

:jf:Yo ;+:yf :yfkgf, ;~rfng tyf :t/f]Gglt dfkb08 ;DaGwL lgb{]lzsf, @)&)

k|:tfjgf M cfdgful/snfO{ ;j{;'ne / u'0f:t/Lo :jf:Yo ;]jf k|bfg ug{] k|of]hgsf] nflu k|rlnt sfg"gadf]lhd ;/sf/L, lghL, ;fd'bflos, u}/;/sf/L jf ;xsf/L :t/df :yfkgf x'g] :jf:Yo ;+:yfsf] ;]jflj:tf/, :t/a[l4, :jf:Yo ;]jf ;~rfng ubf{ kfng ug'{ kg]{ dfkb08 tyf :jf:Yo ;]jf ;~rfng cg'dltk|bfg ug]{ k|s[ofnfO{ ;/n, ;xh, Jojl:yt tyf k|efjsf/L agfO{ :jf:Yo ;]jf ;~rfng ug{ jf~5gLoePsf]n],

;'zf;g P]g, @)^$ sf] bkmf $% n] lbPsf] clwsf/ k|of]u u/L g]kfn ;/sf/n] b]xfosf] lgb]{lzsfagfPsf]5 .

kl/R5]b !

k|f/lDes

!= ;+lIfKt gfd / k|f/De M-!_ o; lgb]{lzsfsf] gfd æ:jf:Yo ;+:yf :yfkgf, ;~rfng tyf :t/f]Ggltdfkb08 ;DaGwL lgb{]lzsf, @)&)Æ /x]sf] 5 .

-@_ of] lgb]{lzsf g]kfn ;/sf/, dlGqkl/ifb\af6 :jLs[t ePsf] ldltb]lv nfu' x'g]5 .

@= kl/efiff Mljifo jf k|;Ën] csf]{ cy{ gnfu]df o; lgb{]lzsfdf,–

-s_ æcg'udg ;ldltÆ eGgfn] cg';"rL ! df plNnlvt cg'udg ;ldlt ;Demg' k5{ .

-v_ æcg'dlt k|bfg ug]{ lgsfoÆ eGgfn] bkmf % df plNnlvt cg'dlt k|bfg ug]{lgsfo ;Demg' k5{ .

-u_ æc:ktfnÆ eGgfn] :jf:Yo ;]jf k|bfg ug]{ p2]Zon] k|rlnt sfg"g adf]lhd;+:yflkt ;/sf/L c:ktfn, lghL c:ktfn, gl;{Ë xf]d, ;fd'bflos c:ktfn,u}/;/sf/L c:ktfn jf ;xsf/L c:ktfn ;Demg' k5{ / ;f] zAbn] lzIf0fc:ktfn ;d]tnfO{ hgfpF5 .

-3_ æcfo'j]{b c:ktfnÆ eGgfn] cfo'j]{b lrlsT;f k4ltdf cfwfl/t eO{ :jf:Yo ;]jfk|bfg ug]{ :jf:Yo ;+:yf ;Demg' k5{ / ;f] zAbn] cfo'j]{b lrlsT;f k4ltaf6pkrf/ ug]{ u/L ;~rfng ul/Psf] gl;{ª xf]d, kf]ln lSnlgs, k~rsd{ c:ktfn;d]tnfO{ hgfpF5 .

-ª_ æsG;N6]G6Æ eGgfn] ;DalGwt laifodf dfGotf k|fKt lzIf0f ;+:yfaf6 :gftsf]Q/pkflw l8u|L jf l8Knf]df k|fKt u/]sf] jf tf]lsP adf]lhdsf] ljz]if1 tfnLd k|fKtu/L ;DalGwt sfplG;ndf btf{ ePsf] ljz]if1 lrlsT;s ;Demg' k5{ .

-r_ æu}/;/sf/L c:ktfnÆ eGgfn] d'gfkmf /lxt p2]Zon] :jf:Yo ;]jf k|bfg ug]{k|of]hgsf] nflu k|rlnt sfg"g adf]lhd btf{ e} cg'dlt k|bfg ug]{ lgsfoaf6:jf:Yo ;]jf ;~rfng ug{ cg'dlt k|fKt c:ktfn ;Demg' k5{ .

-5_ æ8fO{Ugf]:6Ls ;]G6/Æ eGgfn] lgbfgfTds ;]jfx? h:t} k|of]uzfnf ;]jf, /]l8of]O{d]lhª h:tf ;]jfx? k|bfg ug{ sfg"g adf]lhd btf{ eO{ :jf:Yo ;]jf ;~rfngug{] ;+:yfnfO{ ;Demg' k5{ .

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-h_ ælghL c:ktfn jf gl;{Ëxf]dÆ eGgfn] :jf:Yo ;]jf k|bfg ug]{ p2]Zon] k|rlntsDkgL sfg"g adf]lhd ;+:yfkgf eO{ cg'dlt k|bfg ug]{ lgsfoaf6 :jf:Yo ;]jf;~rfng ug{ cg'dlt k|fKt lghL c:ktfn jf gl;{Ëxf]d ;Demg' k5{ .

-em_ ækf]nL lSngLsÆ eGgfn] k|rlnt sfg"g adf]lhd btf{ eO{ Ps} :yfgaf6 slDtdfkfFr j6f ;]jf h:t} alx/Ë ;]jf, k|of]uzfnf, /]l8of] O{d]lhË, lkmhLof]y]/fkL,kl/jf/ lgof]hg, vf]k ;]jf cflb h:tf ax';]jf pknAw u/fpg] ;+:yfnfO{;Demg' k5{ .

-`_ æejg ;+lxtfÆ eGgfn] ejg P]g, @)%% sf] bkmf # sf] pkbkmf -@_ adf]lhdg]kfn ;/sf/af6 :JfLs[t /fli6«o ejg ;+lxtf ;Demg' k5{ .

-6_ æejg lgdf{0f dfkb08Æ eGgfn] sf7df08f} pkTosfsf] xsdf sf7df08f} pkTosfleqsf gu/kflnsf / gu/f]Gd'v ufpF ljsf; ;ldltx?df nfu" ul/Psf] ejglgdf{0f ;DaGwL dfkb08, @)^$ ;Demg' k5{ / ;f] zAbn] cGo If]qsf] nflu;DalGwt gu/kflnsf jf ufpF ljsf; ;ldtaf6 hf/L ePsf] ejg lgdf{0f ;DaGwLdfkb08 tyf :jf:Yo ;DaGwL ejgsf] nflu 5'§} dfkb08 gePsf] :yfgsf] xsdfcg';"rL @ df plNnlvt ejg lgdf{0f dfkb08 ;d]tnfO{ hgfpF5 .

-7_ ædGqfnoÆ eGgfn] g]kfn ;/sf/, :jf:Yo tyf hg;+Vof dGqfno ;Demg' k5{ .

-8_ ælzIf0f c:ktfnÆ eGgfn] lrlsT;f lj1fgsf] ljifodf cWofkg ug]{ p2]Zo lnO{k|rlnt sfg"g adf]lhd :yfkgf eO{ :jf:Yo ;DaGwL ;]jf ;d]t k|bfg ug{sf] nflucg''dlt k|bfg ug]{ lgsfojf6 cg'dlt k|fKt lzIf0f c:ktfn ;Demg' k5{ .

-9_ æ;/sf/L c:ktfnÆ eGgfn] g]kfn ;/sf/sf] k"0f{ jf cf+lzs :jfldTj /xg] u/L;fj{hlgs lxtsf] nflu :yfkgf ePsf] jf x'g] :jf:Yo ;]jf k|bfos c:ktfn;Demg' k5{ .

:ki6Ls/0f M o; v08sf] k|of]hgsf] nflu æcf+lzs :jfldTjÆ eGgfn] g]kfn;/sf/sf] sDtLdf PsfpGg k|ltzt nufgLnfO{ ;Demg' k5{ .

-0f_ æ;xsf/L c:ktfnÆ eGgfn] ;xsf/Lsf] l;4fGt adf]lhd ;b:o ;d]tnfO{ :jf:Yo;]jf lbg] p2]Zon] ;xsf/L P]g, @)$* adf]lhd btf{ e} cg'dlt k|bfg ug]{lgsfojf6 :jf:Yo ;]jf ;~rfng ug{ cg'dlt k|fKt c:ktfn ;Demg' k5{ .

-t_ æ;fd'bflos c:ktfnÆ eGgfn] ;DalGwt ;/sf/L lgsfodf ;+:yf btf{ eO{;d'bfos} nufgL / Joj:yfkgdf ;+rfng x'g] u/L d'gfkmf /lxt p2]Zo lnOcg'dlt k|bfg ug]{ lgsfoaf6 :jf:Yo ;]jf ;~rfng ug{ cg'dlt k|fKt c:ktfn;Demg' k5{ .

-y_ æ:jf:Yo lSnlgsÆ eGgfn] k|rlnt sfg"g adf]lhd btf{ eO{ s'g} klg JolQmnfO{:jf:Yo ;DaGwL hfFr ug]{, pkrf/ ;DaGwL cfjZos k/fdz{ Ps} :yfgaf6 kfFrj6f eGbf sd ;]jf h:t} alx/Ë ;]jf, k|of]uzfnf, /]l8of] O{d]lhË, lkmhLof]y]/fkL,kl/jf/ lgof]hg, vf]k ;]jf h:tf ;]jf pknAw u/fpg] ;+:yfnfO{ ;Demg' k5{ /;f] zAbn] lghL lSnlgs ;d]tnfO{ hgfpFb5 .

-b_ æ:jf:Yo ;+:yfÆ eGgfn] k|rlnt sfg"g adf]lhd btf{ eO{ cg'dlt k|bfg ug]{lgsfoaf6 :jf:Yo ;]jf ;~rfng ug{ cg'dlt k|fKt c:ktfn, lzIf0f c:ktfn,c:ktfn tyf cg';Gwfg s]Gb|, kf]nL lSngLs, :jf:Yo lSngLs, k|of]uzfnf h:tf;]jfx? ;~rfng ug{] ;+:yf ;Demg' k5{ / ;f] zAbn] cfo'j]{b c:ktfn ;d]tnfO{hgfpF5 .

5

kl/R5]b @

:jf:Yo ;]jf ;~rfng tyf u'0f:t/ ;DaGwL Joj:yf

#= :jf:Yo ;]jf ;~rfng M -!_ o; lgb]{lzsf adf]lhd cg'dlt glnO{ s;}n] klg :jf:Yo ;]jf;~rfng ug{' x'b}g .

-@_ :jf:Yo ;+:yfn] cfkm\gf] p2]Zo / Ifdtf cg';f/ cg'dlt k|bfg ug]{ lgsfoaf6 cg'dltlnO{ b]xfosf ;]jfsf] ;d'lrt Joj:Yff u/L :jf:Yo ;]jf ;~rfng ug{ ;Sg]]5 M–

-s_ cfsl:ds ;]jf,

-v_ alx/+u ;]jf,

-u_ cGt/+u ;]jf,

-3_ lgbfgfTds ;]jf -k|of]uzfnf, /]l8of] O{d]lhª cflb_,

-ª_ zNolqmof ;]jf,

-r_ ;3g pkrf/ ;]jf,

-5_ k|a4{gfTds tyf k|lt/f]wfTds ;]jf,

-h_ ljz]if1 ;]jf,

-em_ kmfd{];L ;]jf,

-`_ /Qm ;~rf/ ;]jf,

-6_ lkmlhof]y]/fkL ;]jf,

-7_ zju[x Joj:yf,

-8_ c:ktfn Joj:yfkg,

-9_ jftfj/0f Joj:yfkg,

-0f_ :jf:Yo ;+:yfaf6 lgisflzt kmf]x/d}nf Joj:yfkg .

$= u'0f:t/ ;'lglZrttf ;DaGwL dfkb08 M -!_ :jf:Yo ;+:yfn] bkmf # adf]lhdsf] :jf:Yo ;]jf;~rfng ubf{ b]xfosf] u'0f:t/sf] ;'lglZrttf ug'{sf ;fy} b]xfodf plNnlvt dfkb08x?sf] ;d]tkfngf u/]sf] x'g' kg]{5 M–

-s_ alx/+u ljefudf cfpg] la/fdLsf] rfksf cfwf/df la/fdL btf{, ljz]if1 k/fdz{,lgbfgfTds ;]jfx? / cf}iflw sIfdf l56f] 5l/tf] ;]jf lbg] Joj:yf ldnfpg'kg{]5 .

-v_ :jf:Yo ;+:yfdf ljZj :jf:Yo ;+u7gn] lgwf{/0f u/]sf dfkb08 adf]lhd ;+qmd0flgoGq0f (Infection Prevention) sf] Joj:yf x'g' kg{]5 / ;f]sf] lgoldt /k|efjsf/L cg'udg ug'{' kg{]5 .

-u_ :jf:Yo ;+:yfn] ljleGg O{sfO{af6 k|bfg ug{] :jf:Yo ;]jfx? :t/Lo ?kdf;~rfng ug{ sfo{;~rfng lgb{]lzsf (Standard Operating Manual)tof/u/L nfu" ug'{ kg{]5 .

-3_ :jf:Yo ;+:yfn] alx/Ë ;]jf k|bfg ug{] laz]if1 lrlsT;s jf cGo lrlsT;sx?pknAw x'g] ;do tflnsf -lbg / af/ v'Ng] u/L_ ;j}n] b]Vg] 7fpFdf /flvPsf] x'g'kg{]5 .

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-ª_ :jf:Yo ;+:yfn]] pknAw u/fpg] elgPsf] ljz]if1 ;]jf ;DalGwt laz]if1lrlsT;saf6} k|bfg ug{] Joj:yf ldnfpg' kg{]5 .

-r_ la/fdLn] cfkm"n] ;]jf lng rfx]sf] lrlsT;saf6 ;]jf lng kfpg] Joj:Yff;'lglZrt ug{' kg{]5 .

-5_ la/fdL jf la/fdLsf] /]vb]v ug]{ JolQmnfO{ /f]u / pkrf/ k4lt af/] :ki6hfgsf/L lbg] Joj:yf x'g' kg{]5 .

-h_ c:ktfn kl/;/ tyf ;]jf lbg] sIfx? lgoldt?kdf ;kmf ;'U3/ /flvPsf] x'g'kg{]5 .

-em_ ;j}n] b]Vg] :yfgdf ph'/L k]l6sf /flvPsf] x'g' kg{]5 .

-`_ hgu'gf;f] Joj:yfkgsf nflu u'gf;f] ;'Gg] clwsf/L tf]sL hgu'gf;f] tyf kg{cfPsf] ph'/L ;dfwfg ug{] Joj:yf ldnfPsf] x'g' kg{]5 . ;fy} ;dfwfg x'g g;Sg]ePdf ;f] sf] sf/0f ;DalGwt JolQmnfO{ hfgsf/L u/fpg' kg{]5 .

-6_ la/fdLn] ;+:yfaf6 ;]jf k|fKt ug{ nfUg] z'Ns, k|s[of tyf cjlw ;d]t v'nfPsf]la/fdL a8fkq (Patient Charter) c:ktfnsf] cu| efudf b]lvg] u/L /fVg' kg{]5/ ;f]xL cg'?k ;]jfsf] ;'lglZrttf ug{' kg{]5 .

-7_ c:ktfndf cfpg] la/fdLnfO{ cfjZos kg{] hfgsf/L u/fpg ;f]wk'5 jf ;xfotfsIfsf] Joj:yf u/L ;]jfu|fxLnfO{ cfjZos hfgsf/L lbg]] Joj:yf u/]sf] x'g' kg{]5tyf krf; z}of jf ;f] eGbf a9L Ifdtfsf c:ktfnx?n] ;fdflhs ;]jf OsfO{sf]clgjfo{ Joj:yf u/]sf] x'g' kg]{5 .

-8_ ;]jf k|bfos lrlsT;s tyf :jf:YosdL{x?sf] ;'/Iffsf nflu ljleGg ;?jf /f]ula?4sf] vf]k tyf JolQmut ;'/Iff Joj:yf u/]sf] x'g' kg]{5 .

-9_ x/]s :jf:Yo ;+:yfdf sfo{/t sd{rf/Lx?sf] ;]jf zt{ ;DaGwL ljlgod agfPsf]x'g' kg]{5 .

-0f_ :jf:Yo ;+:yfn] g]kfn ;/sf/af6 ;~rflnt ;]jf jf sfo{qmd ;~rfng ubf{ g]kfn;/sf/n] tf]s]sf] k|f]6f]sn÷dfkb08÷lgb{]lzsf clgjfo{ ?kdf kfngf u/]sf] x'g'kg{]5 .

-t_ c:ktfnn] rf}aL;} 306f lrlsT;s tyf bIf :jf:Yo sfo{stf{af6 cfsl:ds ;]jflbg] Joj:yf ldnfPsf] x'g' kg]{5 .

-y_ c:ktfndf /x]sf] cfsl:ds z}of Ifdtfsf] cfwf/df lrlsT;s tyf cGo:jf:YosdL{sf] Joj:yf u/]sf] x'g' kg]{5 .

-b_ cfsl:ds ljefujf6 la/fdL egf{ ug{, l/km/ ug]{ la/fdLsf] /]km/n k|s[of / la/fdL;fg]{ k4lt :ki6 kl/eflift ePsf] x'g' kg]{5 .

-w_ c:ktfndf pkrf/sf nflu cfpg] ljkGg, c;xfo, a]jfl/;] la/fdLsf nflu s'nz}ofsf] bz k|ltzt z}of 5'6\ofO{ lgMz'Ns pkrf/ clgjfo{ ?kdf pknAw u/fpg'kg]{5 .

-g_ v08 -w_ adf]lhdpknAw u/fPsf]] pkrf/ ;]jfsf] clen]v /fvL lhNnf:jf:Yo÷hg:jf:Yo sfof{nodf ;f] sf] k|ltj]bg lgoldt ?kdf k7fpg' kg{]5 .

-k_ krf; z}of jf ;f] eGbf a9L Ifdtfsf c:ktfnx?df Ho]i7 gful/sx?nfO{ ljz]iflsl;dsf] ;'ljwfsf] Joj:yf x'g' kg{] / cfjZos dfqfdf z}of 5'6\ofpg' kg{]5 .

-km_ :jf:Yo ;+:yf ;~rfng ul/g] ejg / cGo k"jf{wf/ ejg ;+lxtf / ;DalGwtIf]qsf] ejg lgdf{0f ;DaGwL dfkb08 cg'?k x''g kg{]5 .

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-a_ c:ktfnn] ljkb\ Joj:yfkgsf] sfo{of]hgf agfPsf] x'g' kg{]5 . ;f] sfo{sf nflu;Dks{ JolQm tf]ls ;f] sf] hfgsf/L lhNnf hg÷:jf:Yo sfof{nodf lbg' kg{]5 .

-e_ c:ktfnn] ;"rgf clwsf/L tf]Sg' kg{]5 .

-@_ c:ktfnn] k|bfg ug]{ :jf:Yo ;]jfsf] u'0f:t/nfO{ ;'lglZrttf k|bfg ug{ /fli6«o tyfcGt/f{li6«o u'0f:t/ lrGx lng c:ktfnnfO{ k|f]T;fxg ul/g]5 .

kl/R5]b #:jf:Yo ;]jf ;~rfng cg'dlt k|lqmof

%= :jf:Yo ;]jf ;~rfng ug{ cg'dlt k|bfg ug]{ lgsfox? M -!_b]xfo adf]lhdsf :jf:Yo ;+:yfsf]:yfkgf, ;]jf lj:tf/ jf :t/f]Gglt ug{ b]xfosf] lgsfon] cg'dlt lbg ;Sg]5 M–

-s_ :jf:Yo lSnlgs, 8fO{Ugf]li6s ;]G6/, kf]nL lSngLs tyf klRr; z}of ;Ddsfc:ktfnsf] nflu ;DalGwt lhNnf :jf:Yo÷hg:jf:Yo sfof{noaf6, t/ 8fO{Ugf]li6s;]G6/ tyf kf]nL lSngLsx?df /xg] k|of]uzfnf ;]jfsf nflu /fli6«o hg:Jff:Yok|of]uzfnf jf If]qLo hg:jf:Yo k|of]uzfnfaf6 l;kmfl/; k|fKt u/]sf] x''g' kg]{5 .

-v_ 5lAa; b]lv krf; z}of;Ddsf] c:ktfnsf] nflu ;DjlGwt If]qLo :jf:Yolgb]{zgfnoaf6,

-u_ PsfpGg z}of b]lv b'O{ ;o z}of;Ddsf]] c:ktfnsf] nflu :jf:Yo ;]jf ljefuaf6,

-3_ b'O{ ;o z}of eGbf dflysf] c:ktfnsf] nflu dGqfnoaf6,

-ª_ cfo'j{]b tyf cGo j}slNks lrlsT;f;Fu ;DalGwt :jf:Yo ;+:yfx?sf] xsdf bz z}of;Ddsf] c:ktfnsf] nflu ;DalGwt lhNnf cfo'j{]b :jf:Yo s]Gb|af6 tyf krf; z}of;Ddsf] nflu cfo'j{]b ljefuaf6 / ;f] eGbf dflysf] :jf:Yo ;+:yfx?sf] nfludGqfnoaf6 .

-@_ pkbkmf -!_ df h'g;'s} s'/f n]lvPsf] eP tfklg g]kfn ;/sf/af6 :yfkgf x'g] :jf:Yo;+:yfsf] xsdf g]kfn ;/sf/sf] lg0f{o adf]lhd x'g]5 .

^= lzIf0f c:ktfn ;]jf ;~rfng ug{ cg'dlt k|bfg ug]{ ;DaGwL Joj:yf M -!_ lzIf0f c:ktfn ;]jf;~rfng cg'dlt g]kfn d]l8sn sfplG;nsf] dfkb08 adf]lhd dGqfnon] k|bfg ug]{5 .

-@_ pkbkmf -!_ df h'g;'s} s'/f n]lvPsf] eP tfklg lghL c:ktfn jf gl;{Ë xf]d,;fd'bflos c:ktfn, u}/;/sf/L ;+:yf jf ;xsf/L ;+:yfn] ;/sf/L c:ktfnnfO{ cfwf/ agfO{lzIf0f sfo{qmd ;~rfng ug{ cg'dlt k|bfg ul/g] 5}g .

t/ k|of]UffTds cEof;sf] nflu of] Aoj:yf nfu" x'g] 5}g .

&= k"jf{wf/ lgdf{0f dg;fokqsf] nflu lgj]bg lbg' kg ]{ M -!_ o; lgb{]lzsf adf]lhd :jf:Yo ;+:yfsf]:yfkgf, :jf:Yo ;]jf lj:tf/ jf :t/f]Gglt u/L :jf:Yo ;]jf ;~rfng ug{ OR5's :jf:Yo ;:+yfn]cfjZos k"jf{wf/ lgdf{0f ug]{ k|of]hgsf] nflu cg';"rL # adf]lhdsf] 9fFrfdf dg;fo kqsf] nflulgj]bg lbg' kg]{5 .

t/ kRrL; z}of eGbf a9L z}of ;~rfng ug]{ c:ktfnn] jftfj/0f ;+/If0f P]g, @)%# ÷jftfj/0f ;+/If0f lgodfjnL, @)%$ adf]lhd :jLs[t k|f/lDes jftjf/0fLo kl/If0f jf jftfj/0fLok|efj d"Nof+sg k|ltj]bg ;d]t k]z ug'{ kg]{5 .

8

-@_ pkbkmf -!_ adf]lhd lgj]bg k|fKt x'g cfPdf cg'dlt k|bfg ug]{ lgsfon] lgj]bg k|fKtePsf] kGw| sfo{lbg leq b]xfosf ljj/0fx? k/LIf0f ug]{ k|of]hgsf] nflu cg'udg ;ldlt v6fpg;Sg]5 M–

-s_ k|:tfljt :jf:Yo ;+:yfsf] Jofj;flos sfo{ of]hgf,

-v_ k|:tfljt :jf:Yo ;+:yf /xg] :yfgsf] pko'Qmtf / hUufsf] kof{Kttf,

-u_ k|f/lDes jftjf/0fLo kl/If0f jf jftfj/0fLo k|efj d"NofÍgk|ltj]bg,

-3_ k|:tfljt :jf:Yo ;+:yfn] ;]jf k'¥ofpg] If]q, ;f] If]qsf] hg;+Vof÷hg3gTj,

-ª_ k|:tfljt :jf:Yo ;+:yfn] ;]jf k'¥ofpg]] If]qdf cGo c:ktfnx?sf] cjl:ylt /k|:tfljt c:ktfnn]] k'¥ofpg] yk of]ubfg,

-r_ ljz]if1 c:ktfn eP ;f] c:ktfnn] k'¥ofpg] ;]jf .

-#_ cg'udg ;ldltn] pkbkmf -@_ df plNnlvt laifox?sf] ljZn]if0f u/L :ki6 /fo;lxtsf] k|ltj]bg tL; sfo{ lbgleq cg'dlt k|bfg ug]{ lgsfo ;dIf k]z ug'{ kg]{5 .

-$_ pkbkmf -#_ adf]lhdsf] k|ltj]bg k|fKt ePkl5 ;f] k|ltj]bgsf] cfwf/df k'jf{wf/lgdf{0fsf nflu cg'dlt lbg pko'Qm x'g] b]lvPdf k|ltj]bg k|fKt ePsf] ldltn] kGw| sfo{ lbgleqcg'dlt k|bfg ug]{ lgsfon] a9Ldf tLg jif{;Ddsf] ;dofalw lbO{ k"jf{wf/ lgdf{0fsf] nflulgj]bsnfO{ dg;fokq (Letter of Intent) k|bfgug{ ;Sg]5 .

-%_ pkbkmf -$_ adf]lhdsf] cjlwleq dgfl;j sf/0f k/L k"jf{wf/ lgdf{0f ug{ g;s]sf]egL ;dofjlw yksf] nflu ;DalGwt c:ktfn jf :jf:Yo ;+:yfn] cg'/f]w u/]df cg'dlt k|bfgug]{ lgsfon] To:tf] c:ktfnnfO{ a9Ldf b'O{ jif{df ga9\g] u/L k"jf{wf/ lgdf{0fsf] nflu ;dofjlwyk ug{ ;Sg]5 .

-^_ lzIf0f c:ktfnsf] xsdf g]kfn d]l8sn sfplG;nn] tf]s] adf]lhdsf] dfkb08 k'/fu/]sf] x'g' kg]{5 .

*= ;~rfng cg'dlt lbg ;lsg]M -!_ bkmf % adf]lhd k"jf{wf/ lgdf{0f sfo{ ;DkGg eP kl5 ;f]k"jf{wf/ tof/ ePsf] Joxf]/f ;lxt ;DalGwt :jf:Yo ;+:yfn] ;]jf ;~rfng ug{ cfjZossfuhftx? ;+nUg u/L cg';"rL $ adf]lhdsf] 9fFrfdf cg'dlt k|bfg ug]{ lgsfo ;dIf lgj]bg lbg;Sg]5 .

t/ :jf:Yo lSnlgs, /]l8of] O{d]lhª ;]jf tyf kf]ln lSnlgs :yfkgf tyf ;~rfngcg'dltsf] nflu cg';"rL % adf]lhdsf] 9fFrfdf lgj]bg lbg' kg]{5 .

-@_ pkbkmf -!_ adf]lhdsf] lgj]bg k|fKt x'g cfPdf cg'dlt k|bfg ug]{ lgsfon] lgj]bgk|fKt ePsf] ldltn] kGw| sfo{lbg leq cg'udg ;ldlt v6fpg' kg]{5 .

-#_ pkbkmf -@_ adf]lhd vl6Psf] cg'udg ;ldltn] k}+tfln; sfo{lbg leq :ynutlg/LIf0f u/L :jf:Yo ;]jf ;~rfng ug{ cg'dlt k|bfg ug{ pko'Qm eP gePsf] /fo ;lxtsf]k|ltj]bg cg'dlt k|bfg ug]{ lgsfo ;dIf k]z ug'{ kg{]5 .

-$_ pkbkmf -#_ adf]lhd cg'udg ;ldltsf] k|ltj]bgsf] cfwf/ / o; lgb]{lzsfdfplNnlvt cGo dfkb08 k"/f u/]sf] :jf:Yo ;+:yfnfO{ cg'dlt k|bfg ug]{ lgsfon] kfFr jif{sf] nflu:jf:Yo ;]jf ;~rfng ug{ dGqfnon] tf]s]sf] 9fFrfdf cg'dlt lbg ;Sg]5 .

-%_ o; bkmf adf]lhd :jf:Yo ;+:yfnfO{ :jf:Yo ;]jf ;~rfng ug{ cg'dlt lbg] glbg];DaGwdf pkbkmf -$_ adf]lhd cg'udg ;ldltsf] k|ltj]bg k|fKt ePsf] ldltn] !% sfo{lbg leqlg0f{o u/L ;Sg' kg]{5 / ;f] sf] hfgsf/L ;DalGwt :jf:Yo ;+:yfnfO{ lbg' kg]{5 .

(= yk ;]jf lj:tf/ ug{ jf zfvf :yfkgf ug{ cg'dlt lng' kg ]{ M :jf:Yo ;+:yfn] cfkm"n] ;]jf;~rfng ug{ cg'dlt kfPsf] ;]jfsf cltl/Qm yk ;]jf lj:tf/ ug{ jf zfvf :yfkgf u/L ;]jf

9

;~rfng ug{ rfx]df cg'dlt k|bfg ug]{ lgsfoaf6 o; lgb]{lzsf adf]lhdsf] k|s[of k'/f u/Lcg'dlt k|fKt ug{' kg{]5 .

!)= k'gM cg'dlt k|fKt ug{ lgj]bg lbg' kg] { M -!_ of] lgb{]lzsf k|f/De x'Fbfsf avt ;~rfng :jLs[ltlnPsf] :jf:Yo ;+:yfn] o; lgb]{lzsf adf]lhdsf] tf]lsPsf] k"jf{wf/ tyf dfkb08 sfodug{]k|of]hgsf] nflu of] lgb]{lzsf k|f/De eP kl5 dGqfnoaf6 hf/L ePsf] ;fj{hlgs ;"rgfdf tf]s]sf]cjlwleq k"jf{wf/ tof/L of]hgf -ejg k|anLs/0f jf gofF lgdf{0f of]hgf_ ;lxt ;DalGwt cg'dltk|bfg ug]{ lgsfo ;dIf lgj]bg lbg' kg{]5 .

-@_ pkbkmf -!_ adf]lhd lgj]bg k|fKt x'g cfPdf cg'dlt k|bfg ug]{ lgsfon] To:tf]:jf:Yo ;+:yfnfO{ o; lgb{]lzsf adf]lhd tf]s]sf] k"jf{wf/ k'/f ug{sf nflu tLg jif{ / dfkb08sfod ug{sf nflu Ps aif{sf] sf] ;dofjlw lbg ;Sg]5 .

-#_ pkbkmf -@_ adf]lhd ;dofjlw yk ePsf] :jf:Yo ;+:yfn] k|To]s 5÷5 dlxgfdf k|ultk|ltj]bg ;DalGwt cg'dlt k|bfg ug]{ lgsfo ;dIf k]z ug{' kg]{5 .

-$_ k|alns/0f x'g] c:ktfn jf gofF lgdf{0f ug{ cg'dlt lnO{ ;fljss} ejgaf6 ;]jflbO{/x]sf] :jf:Yo ;+:yfn] lgdf{0f cjlwe/sf nflu ejgsf sf/0f jf c:ktfnsf cf}hf/ pks/0fn]x'g ;Sg] b'3{6gfsf nflu z}of Ifdtf a/fa/sf] ;+Vofdf k|lt JolQm krf; xhf/ ?k}+of a/fa/sf];fd'lxs b'3{6gf aLdfsf] Joj:yf ug{' kg{]5 .

-%_ o; bkmf adf]lhdsf] k|s[of k'/f u/]sf] :jf:Yo ;+:yfnfO{ bkmf * adf]lhd :jf:Yo;+:yf ;~rfng ug{ cg'dlt k|bfg ul/g]5 .

-^_ o; bkmf adf]lhd cg'dltsf] nflu lgj]bg glbg], lgj]bg lbP klg cg'dlt gkfpg] jflgwf{l/t calw leq k"jf{wf/ jf dfkb08 sfod gug{] :jf:Yo ;+:yfsf] cg'dlt To:tf] cg'dlt lbg]lgsfon] /b\b ug{]5 .

!!= cg'dlt b:t'/ a'emfpg' kg ]{ M:jf:Yo ;+:yfsf :yfkgf, ;]jf lj:tf/ jf :t/f]Gglt ug{ cg'dlt k|fKtePdf ;DalGwt :jf:Yo ;+:yfn]] cg';"rL ^ df pNn]v eP adf]lhdsf] cg'dlt b:t'/ cg'dlt k|bfgug]{ lgsfonfO{ a'emfpg' kg]{5 .

!@= gjLs/0f u/fpg' kg] { M -!_ o; lgb]{lzsf adf]lhd :jf:Yo ;]jf ;~rfng ug{ cg'dlt k|fKt :jf:Yo;+:yfn] ;]jf ;~rfng cg'dltsf] cjlw ;dfKt ePsf] ldltn] tLg dlxgfleq cg'dlt k|bfg ug]{lgsfo ;dIf gjLs/0fsf nflu lgjb]g lbg' kg]{5 .

-@_ pkbkmf -!_ adf]lhd lgj]bg k|fKt ePdf cg'dlt k|bfg ug]{ lgsfon] cg';"rL ^ df pNn]veP adf]lhdsf] b:t'/ lnO{ tLg jif{sf] nflu :jf:Yo ;+:yfnfO{ ;]jf ;~rfng cg'dltsf] gjLs/0f ul/ lbg;Sg]5 . t/ of] lgb{]lzsf k|f/De x''g' cl3 :jf:Yo ;+:yf ;~rfng ug{ c:yfoL ?kn] cg'dlt kfPsf:jf:Yo ;+:yfsf] xsdf To:tf] :Jff:Yo ;+:yfn] o; lgb{]lzsf adf]lhd tf]lsPsf] dfkb08 tyf k"jf{wf/sfod gu/];Dd tLg aif{df ga9fO{ k|To]s Ps aif{sf] nflu cg'dlt gljs/0f ul/ lbg' kg{]5 .

-#_ pkbkmf -!_ adf]lhdsf] cjlw leq dgfl;a sf/0f k/L lgj]bg k]z ug{ g;s]sf] egL sf/0fv'nfO{ yk 5 dlxgfleq lgj]bg k]z u/]df bf]Aa/ gjLs/0f b:t'/ lnO{ ;DalGwt lgsfon] ;]jf ;~rfngcg'dlt gjLs/0f ul/ lbg ;Sg]5 .

-$_ pkbkmf -@_ jf -#_ adf]lhdsf] cjlwleq gjLs/0fsf] nflu lgj]bg k]z gug]{ :jf:Yo;+:yfsf] ;]jf ;~rfng cg'dltkq :jtM vf/]h x'g]5 / ;f] sf] hfgsf/L To:tf] :Jf:Yo ;+:yf btf{ ePsf]lgsfonfO{ ;d]t lbO{g]5 .

!#= u'0f:t/ tyf dfkb08 cg'udg ;DaGwL Joj:yf M -!_ :jf:Yo ;+:yfn] cfkm"n] k|bfg u/]sf];]jfx?sf] o; lgb]{lzsfdf plNnlvt dfkb08 adf]lhdsf] u'0f:t/ eP gePsf] ;DaGwdf k|To]s aif{k/LIf0f -:jMd"Nof+sg_ u/fO{ ;f] sf] k|ltj]bg cfly{s jif{ ;dfKt ePsf] ldltn] tLg dlxgfleqcg'dlt k|bfg ug{] lgsfo / c:ktfn /x]sf] lhNnf :jf:Yo÷hg:jf:Yo sfof{nodf dGqfnon] tf]s]adf]lhdsf] 9fFrfdf clgjfo{ ?kdf k]z ug{' kg{]5 .

-@_ pkbkmf -!_ adf]lhd tf]lsPsf] cjlwleq k|ltj]bg k]z gug]{ :jf:Yo ;+:yfnfO{ ;f]k|ltj]bg k]z ug{ ;DalGwt cg'dlt k|bfg ug]{ lgsfon] lgb]{zg lbg ;Sg]5 .

10

-#_ pkbkmf -!_ df h'g;'s} s'/f n]lvPsf] eP tfklg cg'dlt k|bfg ug{] lgsfo /dGqfnon] cfjZostf cg';f/ hf]lvd, ef}uf]lns cjl:ylt, la/fdLsf] rfk, zNolqmofsf] ;+Vof,ljQLo nufgLsf cfwf/df gd"gf 5gf}6 u/L :jf:Yo ;+:yfn] k|bfg u/]sf] ;]jfsf] u'0f:t/ tyf o;lgb]{lzsfsf] dfkb08 k'/f u/] gu/]sf] ;DaGwdf lg/LIf0f tyf cg'udg ug{ jf u/fpg ;Sg]5 .

-$_ o; bkmfdf cGoqdf h'g;'s} s'/f n]lvPsf] eP tfklg ;DalGwt lgsfo jf :jf:Yo;+:yf /x]sf] lhNnf :jf:Yo÷hg:jf:Yo sfof{non] j:t'ut cfwf/df h'g;'s} avt cg'udg 6f]nLv6fO{ cfsl:ds cg'udg ug{ ;Sg]5 .

-%_ o; lgb]{lzsfdf cGoq h'g;'s} s'/f n]lvPsf] eP tfklg dGqfnon] h'g;'s} lgsfoaf6;]jf ;~rfng cg'dlt k|fKt u/]sf] c:ktfn jf :jf:Yo ;+:yf / cg'dlt k|bfg ug{] lgsfosf] ;d]tcg'udg ug{ ;Sg]5 .

-^_ pkbkmf -$_ jf -%_ adf]lhd lgoldt jf cfsl:ds cg'udg ubf{ tf]lsPsf] u'0f:t/ jfk"jf{wf/ k"/f gu/L ;]jf ;~rfng u/]sf] kfO{Pdf To:tf] ;+:yfnfO{ tTsfn ;'wf/sf nflu a9Ldf tLgdlxgfsf] Dofb lbO{ ;'wf/sf] df}sf lbg ;lsg]5 .

-&_ o; bkmf adf]lhd lg/LIf0f tyf cg'udgsf qmddf lbPsf] lgb]{zg kfngf gug]{, o;lgb]{lzsf adf]lhdsf] u'0f:t/ tyf k"jf{wf/ dfkb08 k"/f gug{] / u'0f:t/ k/LIf0fsf] jflif{s k|ltj]bgk]z gug]{ :jf:Yo ;+:yfnfO{ ;DalGwt cg'dlt k|bfg ug]{ lgsfon] To:tf] :jf:Yo ;+:yfn] k|bfg ul/cfPsf] ;]jf k"0f{ jf cf+lzs?kdf tTsfn aGb ug{ cfb]z lbg ;Sg]5 .

-*_ pkbkmf -&_ adf]lhd :jf:Yo ;+:yfnfO{ sf/afxL ug'{ k"j{ ;DalGwt :jf:Yo ;+:yfnfO{dgfl;a dflkmssf] ;kmfO k]z ug]{ df}sf lbg' kg]{5 .

-(_ o; lgb]{lzsfdf cGoq h'g;'s} s'/f n]lvPsf] eP tfklg cGo k|rlnt sfg"g adf]lhdul/g] cg'udgnfO{ of] Joj:yfn] ;Lldt ug]{ 5}g .

!$= lgj]bg lbg ;Sg] M -!_ bkmf !# sf] pkbkmf -&_ adf]lhd lbPsf] cfb]z jf cg'udg ;ldltn] o;lgb]{lzsf adf]lhd k]z u/]sf] cg'udg k|ltj]bg pk/ lrQ ga'‰g] :jf:Yo ;+:yfn] To:tf] k|ltj]bgk]z ePsf] ldltn] !% lbg leq lrQ ga'‰g'sf] :ki6 cfwf/ / sf/0f ;lxt k'g/fanf]sgsf nfludGqfnosf ;lrj ;dIf lgj]bg lbg ;Sg]5 .

-@_ pkbkmf -!_ adf]lhd k|fKt ePsf] lgj]bg pk/ ;DalGwt lgsfosf] k|lts[of ;d]t lnO{dGqfnon] 5fgljg u/L oyfzL3| lg0f{o ug{' kg]{5 / ;f] ;DaGwdf dGqfnon] u/]sf] lg0f{o clGtdx'g]5 .

!%= :jf:Yo ;+:yf ufleO{ ;]jf ;~rfng ug{ ;Sg ] M :jf:Yo ;]jfnfO{ u'0f:t/Lo, k|efjsf/L tyf;'ljwfo'Qm agfpg ;~rfngdf /x]sf Ps eGbf j9L :jf:Yo ;+:yfx? Ps cfk;df ufleO{ ;]jf;~rfng ug{ rfx]df dGqfnon] tf]s]sf] cfwf/df ;]jf ;~rfng ug{ cg'dlt k|bfg ug]{lgsfo;dIf To:tf :jf:Yo ;+:yfx?n] ;+o'Qm?kdf lgj]bg lbg ;Sg]5g\ .

kl/R5]b $c:ktfn ;DaGwL dfkb08x¿

!^= c:ktfnsf] k"jf{wf/ ;DaGwL dfkb08x? M -!_ c:ktfnn] ;]jf ;~rfng ubf{ b]xfo adf]lhdsf]k"jf{wf/ ;DaGwL dfkb08 k"/f u/]sf] x'g' kg]{5 M–

-s_ c:ktfn /xg] :yfg w'“'jf, w'nf], Wjlg, hn tyf hldg k|b"if0faf6 d'Qm ePsf] .

-v_ c:ktfn /xg] If]q / xftfleq pko'Qm ;'/Iffsf] Aoj:yf ePsf] .

-u_ c:ktfn :yfkgf x'g] :yfg ;8s oftfoftsf] kx“'r ePsf] .

11

-3_ kfgL, lah'nL / ;~rf/ ;'lawf pknAw ePsf] .

-ª_ ;jf/L ;fwg kfls{ªsf nflu kof{Kt Joj:yf ePsf] .

-r_ c:ktfn kl/;/df :j:ys/ jftfj/0fsf nflu a[Iff/f]k0f tyf au}rfsf] Joj:yfePsf] .

-5_ hf]lvdk"0f{ kmf]x/Joj:yfkgsf nflu pko'St k|ljlwsf] Joj:yf ug{'sf ;fy}kmf]x/d}nf Joj:yfkg P]g, @)^* / kmf]x/d}nf Joj:yfkg lgodfjnL, @)&)adf]lhd kmf]x/Joj:yfkgsf nflu cfjZos k"jf{wf/ Joj:yf ldnfPsf] .

-@_ cfsl:ds ;]jfsf nflu b]xfo adf]lhdsf] k"jf{wf/ ;DaGwL dfkb08 k'/f u/]sf] x'g'kg]{5 M–

-s_ s'n z}of Ifdtfsf] slDtdf bz k|ltztsf b/n] cfsl:ds sIfdf z}ofx¿pknAw x'g' kg]{5 . cfsl:ds ;]jfsf nflu 5'6\ofPsf] z}ofnfO{ b]xfo cg'?kjuL{s/0f u/L ;]jf lbg] Joj:yf ldnfpg' kg]{5 M–

-!_ Red (R) = clt l;ls:t la/fdLsf] ;]jf lbg] z}of a/fa/ Ps k|ltzt,

-@_ Yellow (Y) = l;ls:t la/fdLsf] ;]jf lbg] z}of a/fa/ b'O{ k|ltzt,

-#_ Green (G) = ;fdfGo la/fdLsf] ;]jf lbg] z}of a/fa/tLg k|ltzt,

-$_ Black (B) = d[To' eO{;s]sf la/fdLnfO{ /fVg]] z}of a/fa/ Ps k|ltzt,

-%_ Observation Room/Bed a/fa/ tLg k|ltzt,

bz k|ltzt eGbf a9L z}of 5'6\ofPsf] ;Gbe{df dfly pNn]v ePsfjuL{s/0fsf] cg'kftdf z}ofsf] afF8kmfF8 x'g' kg{]5 .

-v_ cfsl:ds sIf ;~rfng ubf{ cN6«f;fp08, PS;/] Od]lhª ;]jf, k|of]uzfnf,cf]=kL=8L=, cf]=6L= tyf cGo jf8{x¿df ;d]t ;lhn} la/fdL Nofpg n}hfg ;lsg] -lJxnr]/ ÷6«nL ,:6]r/_ u/L ;~rfngdf NofPsf] x''g' kg]{5 .

-u_ cfsl:ds sIfdf k|ltIffno, zf}rfno, 6«foh (Triage Room)r]lGhË ?d,Medico-legal Case h:t} Rape victimcflbsf] nflu uf]klgotf ;'lglZrt x'g]sf]7fsf] ;d]t Joj:yf ePsf] x'g' kg]{5 .

-3_ rf}aL;} 306f cfsl:ds ;]jf lbg] Joj:yf ldnfPsf] x'g' kg]{5 .

-ª_ klRr; z}of Ifdtfsf c:ktfndf cfsl:ds ;]jfsf nflu bIf :jf:YosdL{{ rf}aL;}306f / lrlsT;s cgsn (on call)df pknAw x'g] Joj:yf x''g' kg]{5 . ;fy}kRrL; z}of jf ;f] eGbf dflysf] Ifdtf ePsf c:ktfnx?df cfsl:ds ;]jfsIfdf rf}aL;} 306f lrlsT;s ;]jf pknAw x'g'sf ;fy} ;Dalwt laifosf]sG;N6\of06 lrlsT;s cgsndf clgjfo{ ?kdf pknAw x'g' kg]{5 .

-r_ cfsl:ds ljefujf6 la/fdL egf{ ug{, l/km/ ug]{ la/fdLsf] /]km/n k|s[of tyfla/fdL ;fg]{ k4lt :ki6?kdf kl/eflift /x]sf] x'g' kg]{5 .

-5_ k|sf]khGo /f]ux?, k|fs[lts k|sf]k h:tf kIfx?nfO{ larf/ u/L cfsl:ds pkrf/;]jfsf nflu ;+:yfn] ljkt–Joj:yfkg of]hgf agfPsf] x'g' kg]{5 .

-h_ cfsl:ds ;]jfdf sfd ug]{ hgzlQm slDtdf Basic Life Support (BLS)/PrimaryTrauma Care (PTC)/Advance Cardiac Life Support (ACLS)/ Advance Trauma LifeSupport (ATLS)cflb ;DaGwL tflnd lnPsf] x'g' kg]{5 .

-#_ alx/+u ljefusf nflu b]xfo adf]lhdsf] k"jf{wf/ ;DaGwL dfkb08 k'/f u/]sf] x'g'kg]{5 M–

12

-s_ c:ktfnaf6 k|bfg x'g] k|To]s ljz]if1 ;]jfsf nflu cf]=kL=8L= sIfsf] Joj:yfldnfPsf] .

-v_ c:ktfnsf nflu ;fdfGotof ;fdfGo lrlsT;f, jfn/f]u, ;fdfGo zNolqmof, :qLtyf k|;'tL ;]jf x'g'kg]{ tyf k"jf{wf/ k"/f u/L xf8 hf]gL{, gfs sfg 3fF6L, 5fnftyf of}g/f]u, cfFvf, bGt ;]jf h:tf ;]jfsf] nflu :j]lR5s ?kdf ;~rfng ug{;Sg] .

-u_ pknAw ePsf lrlsT;sx? dWo] ;]jfu|fxLn] pknAw eP;Dd /f]h]sf]lrlsT;s;Fu k/LIf0f ug{ kfpg] Joj:yf ePsf] .

-3_ krf; z}of jf ;f] eGbf dflysf c:ktfnn] Pd=;L=Pr= lSnlgssf] cnUu} Joj:yfu/]sf].

-$_ cGt/+u ljefusf nflu b]xfo adf]lhdsf] k"jf{wf/ ;DaGwL dfkb08 k'/f u/]sf] x'g'kg]{5 M–

-s_ c:ktfndf zNolqmof kZrft klg la/fdLsf] cj:yf l:y/ geP;Dd pQmzNolqmof ug]{ ;d"x tyf ;h{g lrlsT;s / Pg]:y]l;of]nf]lhi6 c:ktfndf/lx/xg' kg]{ / tt\kZrft klg ;h{/Lsf] k|s[lt x]/L cfjZos k/]sf] v08df tTsfnpknAw x'g] Joj:yf ldnfpg' kg]{ .

-v_ gl;{Ë 8\o"6L :6]zgaf6 k|To]s la/fdLsf] k|ToIf lgu/fgL x'g] Joj:yf ug'{ kg]{ .pQm ;'ljwf gePdf k|To]s la/fdLsf] z}ofdf sn a]n /fVg' kg]{ .

-u_ Ps sG;N6\of06sf] dftxtdf :jf:Yo ;]jfsf] s'g}klg o'lg6df kRrL; z}of eGbfa9L z}of /fVg gkfOg] .

-%_ PnfO{8 x]Ny tyf lgbfgfTds ;]jfsf nlfu b]xfo adf]lhdsf] k"jf{wf/ ;DaGwL dfkb08k'/f u/]sf]x'g' kg]{5 M–

-s_ k|To]s lsl;dsf k/LIf0fsf] nflu /fli6«o hg:jf:Yo k|of]uzfnf gLlt cg'?ksf]k|of]uzfnfsf] Joj:yf ePsf] x'g' kg]{ .

-v_ /]l8of] 8fOUgf]l;;, cN6«f;fp08, PS;/] lkmNd nf]l8ª, cgnf]l8ª tyf k|f];]l;ªnufotsf Od]lhª ;]jf sIfx¿ cf]=kL=8L=, cf]=6L= tyf jf8{x¿nfO{ ;d]t ;lhn}la/fdL Nofpg n}hfg ;lsg] -JxLnr]o/÷6«nL, :6]r/_ u/L ;+rfngdf NofPsf]x''g'kg]{ .

-u_ o:tf ;]jf k|bfg ul/g] sf]7fx¿df k|ltIffno, zf}rfno, r]lGhª ?dsf] ;d]tJoj:yf ePsf] x'g' kg]{ .

-^_ zNolqmof ug]{ :jf:Yo ;+:yfdf ;]jfsf] k|sf/ x]/L kfFrb]lv bz k|ltzt ;3g pkrf/;]jfsf High dependency Unit/ cfO{= l;= o'= z}ofx? /xg' kg]{5 .

-&_ c:ktfndf kf]if0f, vf]k, cfdf / jRrfsf] :jf:Yo, kl/jf/ lgof]hg h:tf ;]jfx?sf]g]kfn ;/sf/sf] gLlt adf]lhd k|j4{gfTds tyf k|lt/f]wfTds ;]jf pknAw x'g' kg]{5 .

-*_ c:ktfndf sDtLdf jRrf tyf cfdfsf] nflu ljz]if1 ;]jf / ljz]if1 c:ktfndf ;f]c:ktfnsf] k|s[lt cg';f/sf] ljz]if1 ;]jf pknAw u/fpg' kg]{5 .

-(_ cf}iflw k;n (Pharmacy) sf nflu b]xfo adf]lhdsf] k"jf{wf/ dfkb08 k'/f u/]sf]x'g' kg]{5 M–

-s_ c:ktfn xftf leq cf}iflw k;nsf] Joj:yf c:ktfn kmfd]{;L ;]jf lgb]{lzsf,@)&) adf]lhd ug'{ kg]{5 .

13

-v_ rf}la;} 306f kmfd{];L ;~rfngsf nflu kmfd]{;L ljifo cWoog u/]sf] bIfhgzlQmsf] Joj:yf x'g' kg{]5 .

-u_ kmfd{];L sIfdf cf}iflwsf] u'0f:t/df x|f; gx'g] u/L ;'/lIft e08f/0f ug{] Joj:yfldnfpg' kg{] . ;fy} tfk ;+j]bgzLn cf}iflw tyf EoflS;gsf] e08f/0f tf]lsPsf]tfkqmddf e08f/0f x'g'kg{] .

-3_ pkrf/df k|of]u ul/g] nfu" cf}ifwx? (Narcotic drugs) nfu" cf}ifw -lgoGq0f_P]g, @)##adf]]lhd :jf:Yo ;+:yfn] lrlsT;ssf] lnlvt k|]:s|LK;g cg';f/ dfqljt/0f ug{] Joj:yf ldnfPsf] x'g' kg{]5 . ;fy} cf}iflwsf] cfDbfgL tyf ljt/0fsf]clen]v /fVg' kg{]5 .

-ª_ Dofb gf3]sf cf}iflwx? lgoldt ?kdf g]kfn :jf:Yo cg';Gwfg kl/ifbsf]Hospital Waste Management Guideline df pNn]v ePsf]df ;f]xL adf]lhd/ gePsf] v08df ljZj :Jff:Yo ;+u7gsf] lgb]{lzsf adf]lhdsf] ljlw ckgfO{ gi6ug'{ kg]{5 .

-r_ cfsl:ds ;]jfsf nflu rflxg] cfjZos cf}iflwx? rf}la;} 306f pknAw x'g]Aoj:yf x'g' kg{] .

-5_ c:ktfnn] afXo JolQm jf ;+:yfnfO{ kmfd]{;L ;]jf ;+rfng ug{ lbPsf] cj:yfdf;f] JolQm jf ;+:yfn] klg c:ktfnn] kfngf ug'{kg]{ dfly pNn]v ePsf ;Dk"0f{zt{x? clgjfo{ ?kdf kfngf ug{] Joj:yf ldnfPsf] x'g' kg]{ .

-h_ cf}ifwLsf] v'b|f d"Nodf 5'6sf] Joj:yf ePdf ;a}n] b]Vg] u/L ;"rgf 6fF; ug{'kg{]5.

-em_ ejg ;+lxtfdf pNn]lvt dfkb08 cg'?Kf cf}iflw k;n ;~rfng x'g] ejg lgdf{0fePsf] x'g' kg]{ .

-!)_ /Qm ;~rf/ ;]jf (Blood Bank) sf nflu b]xfo adf]lhdsf] k"jf{wf/ ;DaGwLdfkb08 k'/f u/]sf] x'g' kg]{5 M–

-s_ c:ktfn xftfdf An8 a}+ssf] Joj:yf ePsf] x'g'kg{] . ;f] gePdf la/fdLsf] nflucfjZos kg{] An8 pknAw x'g] u/L Joj:yf ldnfOPsf] x'g' kg{] .

-v_ Jn8 a}+ssf] ;DaGwdf /fli6«o hg:jf:Yo k|of]uzfnf gLlt cg'?ksf] Joj:yfePsf] x'g' kg]{ .

-!!_ krf; z}of eGbf dfly Ifdtfsf] c:ktfndf lkmlhof]y]/flk ;]jf clgjfo{?kdf pknAwx'g' kg]{5 .

-!@_ c:ktfndf /x]sf la/fdL tyf cGo ;]jfu|fxLnfO{ c;xh gx'g] u/L cnUu} lr:ofgsIf jf zju[xsf] Joj:yf ePsf] x''g' kg]{5 .

-!#_ c:ktfn Joj:yfkg (Hospital Management) sf nflu b]xfo adf]lhdsf] k"jf{wf/;DaGwL dfkb08 k"/f u/]sf] x'g' kg]{5 M–

-s_ ;f]wk'5 tyf u'gf;f] ;'g'jfO{ sIf M

-!_ ;]jfu|fxLx¿sf] ;'ljwfsf] nflu cfjZos sd{rf/L ;lxtsf] ;f]wk"5 sIfsf]Joj:yf x'g'kg]{ .

-@_ c:ktfnn] k|bfg ug]{ ;]jfsf ljifodf ;]jfu|fxLsf] u'gf;f] ;'g'jfO ug]{ plrtk|jGw ldnfOPsf] x'g' kg]{ .

-v_ ;"rgf ;+k|]if0f M

14

-!_ c:ktfnleq k|efjsf/L ;"rgf ;Dk|]if0fsf nflu cfGtl/s 6]lnkmf]g sn(Intercom) sf] Aoj:yfsf ;fy} cfjZos cfw'lgs ;+oGqsf] ;d'lrtk|of]u x'g'kg]{ .

-@_ c:ktfnx?df ;fj{hlgs ;+rf/ ;]jfsf] Joj:yf x'g'kg]{ .

-#_ k|x/L, PDa'n]G;, bdsn h:tf ;]jf nufotsf cfsl:ds ;]jfsf 6]lnkmf]ggDa/x? :ki6 b]lvg] u/L /fVg' kg]{ .

-u_ kfgL ljt/0f M

-!_ c:ktfndf la/fdL / cGo AolQmx?sf nflu rf}aL;} 306f z'4 kfgL ljZj:jf:Yo ;+3n] tf]s]cg'?ksf] cfk"lt{ x'g' kg{] .

-@_ c:ktfnåf/f ljt/0f x'g] kfgLsf] u'0f:t/ kl/If0f $÷$ dlxgfdf u/fO{clen]v /flvPsf] x'g'kg]{ . alx/+u, gl;{Ë sIf, cGt/+u, ck/]zg lyP6/ /cfktsfnLg sIfx?df kfgL Joj:yf x'g' kg]{ .

-3_ ljB't cfk"lt{ M

-!_ c:ktfn If]qleq / ;a} ljefux¿df rf}aL;} 306f ljB't cfk"lt{ x'g]Joj:yf ldnfPsf] x'g'kg]{ . ;fy} nf]8;]l8ªsf] ;dodf ljB't cfk"lt{ ug{c6f]d]l6s Aofs ck l;i6d :yfkgf u/]sf] x'g'kg]{ .

-@_ cf]=6L=, cfO{=l;=o"=, l;=l;=o"=, Odh{]G;L sIf nufotsf ;+j]bgzLnsIfx¿df cfktsfnLg ljB't Jofs–ck l;i6d /fv]sf] x'g'kg]{ .

-ª_ ;/;kmfO{ tyf zf}rfno Aoj:yf M

-!_ c:ktfnsf] ;Dk"0f{ If]q ;w}+ ;kmf /fVg' kg]{5 .

-@_ c:ktfndf b]xfo adf]lhdsf] ;]jf lbOg] sIfx? jf lSnlgsdf zf}rfnosf]Joj:yf x'g' kg]{5 M–

-s_ cfsl:ds sIf

-v_ n]j/ ?d

-u_ Kofyf]nf]hL ;]jf

-3_ alx/+u ljefu -cfjZostf cg';f/ dlxnf / k'?ifsf nflu cnucnu _

-ª_ k|lt 5 a]8sf] hg/n ;]jfdf Ps

-r_ dlxnf tyf ckfªusf nflu cnu}

-5_ Sofljg tyf 8an ?dsf nflu -P6]r ePsf]_

-h_ 8fS6/ tyf :6fkmsf nflu -cfjZostfg';f/_

-#_ c:ktfn xftfleq ;]jfu|fxL tyf ;]jfk|bfossf nflu kof{Kt kfgL /;fa'g ;lxtsf] zf}rfnosf] Aoj:yf x'g' kg]{5 .

-$_ zf}rfno ;w} ;kmf /fVg] Aoj:yf u/]sf] x'g' kg]{5 .

-%_ dd{t ;Def/ Joj:yf M

-s_ c:ktfnn] k|of]u ug]{{ pks/0f tyf cf}hf/x¿ ;dodfg} dd{tsf]Joj:Yff x'g' kg]{5 . ;fy} 7"nf / uDeL/ k|s[tLsf cf}hf/

15

pks/0fx?sf] sDkgLn] lglb{i6 u/]sf] dd{t cjlw cg';f/ dd{t;Def/ sfo{of]hgf agfO{ ;f]xL cg';f/ dd{t u/]sf] x'g' kg{]5 .

-v_ c:ktfnsf] ejg, ;jf/L ;fwg, d]l;g/L cf}hf/, oGq, pks/0f,ljB'tLo pks/0f / cGo ljB'tLo pks/0fx¿sf] lgoldt dd{t;+ef/ ug]{ Joj:yf ldnfPsf] x'g' kg]{5 .

-^_ la/fdL s'?jfnfO{ ;'ljwf M c:ktfnsf] jf8{ tyf cGo pkrf/ lbg]:yfgdf cfjZostf cg';f/ la/fdLsf] ;fydf /xg] Ps hgf s'?jfnfO{a:g ;Sg] k|jGw x'g' kg]{5 .

-&_ SoflG6g ;'ljwf M :jf:Yo ;+:yf xftf leq vfgf ksfpg] (Kitchen) /vfgf vfg] -Dining_ cnu–cnu 7fpF ;lxtsf] ;kmf / ;'ljwfo'QmSoflG6gsf] Joj:yf ePsf] x'g' kg]{5 .

-*_ n08«L Joa:yf M

-s_ c:ktfndf k|of]u x'g] Pk|f]g, kGhf, 6f]kL, h'Qf, tGgf, tlsof,vf]n, ?dfn h:tf n'uf sk8f w'gsf] nflu n08«Lsf] Joj:yfePsf] x'g' kg]{ .

-v_ c:ktfn egf{ ePsf la/fdLsf] n'uf w'g] ;'ljwfsf] Joj:yfePsf] x'g' kg]{ .

-(_ e08f/ (Store) Joj:yf M

-s_ cfkt\sfnLg cj:yfdf k|of]u x'g] ;fdu|Lx¿sf] cnUu} e08f/sIf x'g'kg]{ . o:tf] e08f/df slDtdf Ps dlxgfsf] nflucTofjZos ;fdu|L :6s /fVg] Joj:yf x'g'kg]{ .

-v_ c:ktfnsf] nflu cfjZos nQfsk8f, ;/;kmfO ;fdu|L, cf}hf/,pks/0f tyf cf}iflwsf] Go"gtd df}Hbft /xg' kg{] / ;f];fdu|Lx?sf] pko'SQ e08f/0fsf] -Refrigerator, Ventilation, A/Ccflb)Joj:yf u/]sf] x'g' kg]{ .

-!)_ ;'/Iff Joj:yf M

-s_ c:ktfndf ;'/Iff Joj:yf ldnfpg ;'/Iff uf8{sf] Joj:yf ePsf]x''g'kg]{ .

-v_ cfkt\sfnLg cj:yfsf] nflu tTsfn ;]jf k|bfg ug{ /fHosf;'/Iff lgsfo;Fu ;dGjo sfod ug{] Joj:Yff ldnfPsf] x'g'kg{] .

-!!_ PDa'n]G; ;~rfng M c:ktfndf d]l8sn P6]08]06 ;lxtsf] ! j6fPDa'n]G; clgjfo{ x''g'kg]{ / c:ktfnn] To:tf d]l8sn P6]08]06nfO{ BasicEmergency Medicine Training lbg] Joj:yf ldnfpg'sf ;fy}PDj'n]G; ;]jf ;~rfng gLlt, @)^) adf]lhd PDj'n]G; ;]jf ;+rfng ug{]Joj:yf ldnfPsf] x'g' kg]{5 .

-!@_ oftfoftsf] Joj:yf Mc:ktfnn] slDtdf /fqLsflng ;dodf sfd ug]{sd{rf/LnfO{ cfpg hfg oftfoftsf] Joj:yf clgjfo{ ?kdf ldnfpg'kg]{5 .

-!#_ :yfg tyf hUuf k"jf{wf/ M

-s_ c:ktfn /xg] :yfg (Location) M c:ktfn /xg] :yfg 5gf}6ubf{ kfos kg{] u/L k|b"if0fd'Qm If]qsf] 5gf}6 ug{ kg]{5 . 5gf}6

16

ul/Psf] :yfg To:t} k|s[ltsf] c:ktfn /x]sf] :yfgsf] slDtdfPs sLnf]dL6/ 6f9f x'g' kg{]5 . ljlzi6 k|s[ltsf] ax';]jf pknAwu/fpg] c:ktfn, cfo"j{]b, xf]dLof]Koflys h:tf km/s k|s[ltsfc:ktfnsf] xsdf / hg3gTjsf] cfwf/df c:ktfnsf] z}ofcfjZos b]lvPdf of] aGb]h nfu" x'g]5}g .

-v_ c:ktfn ;~rfngsf] nflu cfk\mg} :jfldTjsf] kof{Kt hUuf x'g'kg{]5 . cfkm\gf] hUuf gePsf] xsdf sDtLdf kGw| aif{sf nfluhUuf ef8fdf lnO{ ;f] hUufdf k"jf{wf/ lgdf{0f u/L ;~rfngdfNofpg ;Sg]5 . klRr; z}of eGbf dfly Ifdtf la:tf/ ubf{ jfkrf; z}of eGbf dflysf] c:ktfn ;~rfng ug{'kg{] cj:yfdfcfkm\g} ejg x'g' kg{]5 .

-u_ cfk\mgf] hUuf gePsf klRr; z}ofsf c:ktfnn] slDtdf kGw|aif{sf nflu 3/ hUuf ef8f -lnh_ df lnO{ ;]jf ;~rfng ug{;Sg]5 . t/ ef8fdf lnO{Psf] ejg, ejg ;+lxtfsf dfkb08cg'?k lgdf{0f ePsf] x'g' k5{ .

-3_ lzIf0f c:ktfnsf] xsdf d]l8sn sfplG;nsf] dfkb08 cg';f/x'g' kg]{5 .

-!$_ c:ktfnsf] ejg(Building) M

-s_ c:ktfn ;]jf ;~rfng ul/g] ejgsf] gS;f / l8hfOg ejgP]g, @)%% sf] bkmf !! df ePsf] Joj:Yff cg'?k :jLs[t ePsf]x'g' kg]{5 . g]kfn ;/sf/n] c:ktfnsf ;DaGwdf 5'§} dfkb08tf]s]sf] ePdf ;f]xL adf]lhd / pkTosfsf] xsdf sf7df08f}pkTosf ljsf; k|flws/0faf6 c:ktfn ejg lgdf{0f ;DaGwLof]hgf :jLs[t ePsf] x'g' kg]{5 . ejg ;+lxtf tyf ;DalGwtgu/kflnsf jf gu/ ljsf; ;ldltn] hf/L u/]sf] dfkb08adf]lhd ;f] ejg lgdf{0f ePsf] ;x/L ljsf; tyf ejg lgdf{0fljefu, l8lehg sfof{noaf6 l;kmfl/; k|fKt u/]sf] x'g' kg]{5 .

-v_ ejgdf;j{;fwf/0fsf] hfgsf/Lsf nflu DisasterManagement Plantof/ u/L ;'/Iff ;DaGwL ;+s]t lrGxx?pko'Qm :yfgdf k|:6 b]lvg] u/L /flvPsf] x'g' kg{]5 .

-u_ c:ktfnsf] sf]7fx? pko'Qm e]G6Ln];g jf jftfg's'lnt oGq/flvPsf] x'g' kg]{5 .

-3_ c:ktfndf k|zf;lgs sfof{no, cf]=kL=8L=, k|of]uzfnf, jf8{,kmfd{];L, SoflG6gsf] Joj:yf x'g'kg]{5 .

-ª_ c:ktfndf lJxnr]o/ tyf 6«lnsf] ;xh cfjfudgsf] Joj:yfsfnflu lnk\m6÷¥ofDksf] Joj:yf ePsf] x'g'kg]{5 .

-r_ k|ltIffnodf cfjZostfg';f/ a:g] s';L{sf] Joj:yf x'g'kg]{ /;"rgf–kf6L, 6]lnlehg, kqklqsf nufotsf dfWodaf6 ;"rgfk|bfg ug]{ Joj:yf ldnfPsf] x'g'kg]{5 .

-5_ c:ktfnsf] s'n lgdf{0f If]qkmn, k|lt z}of %% ju{ dL6/sf b/n]x'g' kg{]5 . pQm If]q leq ;f]wk'5, btf{ sIf, k|ltIffno, k|j]zåf/;lxts]f xnsf] If]q ;dfj]z ePsf] x'g'kg{]5 . ;f]] afx]s efG;f3/, n'ufw'g] sf]7f, h]g/]6/ sIf, sd{rf/L cfjf; tyf e08f/

17

sIf, dd{t ;Def/ sIf cflbsf nflu yk Joj:yf u/]sf] x'g'kg{]5 .

-h_ cfk\mgf] hUuf gePsf klRr; z}ofsf c:ktfnn] 3/ hUufef8fdf lnO{ ;]jf ;~rfng ubf{ ;f] 3/ e"sDkLo hf]lvd k|lt/f]wIfdtf ePsf] elg ;x/L ljsf; tyf ejg ljefu÷l8lehgsfof{noaf6 k|dfl0ft ePsf] x'g' kg{]5 . klRr; z}of eGbf dflyIfdtf lj:tf/ ubf{ jf krf; z}of eGbf dflysf] c:Ktfn;~rfng ug'{ kg{] cj:yfdf ejg lgdf{0f l:js[lt lnbf k|of]hgdfc:ktfn ;]jf ;+rfngsf nflu egL :ki6 v'n]sf] x'g' kg]{5 .

-em_ lzIf0f c:ktfnsf] xsdf s'n lgdf{0f If]qkmn g]kfn d]l8snsfpG;Lnn] tf]s] adf]lhd / gtf]s]sf] ePdf Go"gtd k|lt z}ofgJj]ju{dL6/ x'g' kg{]5 .

-`_ alx/+Uf ljefusf] k|To]s sf]7fsf] If]qkmn slDtdf rf}w ju{ dL6/x'g' kg{]5 . zf}rfno, k|ltIffno, laz]if1sf] ;xof]uL /xg] sIfsfnflu kof{Kt :yfg x'g' kg{]5 .

-6_ la/fdLsf] rfksf] cg'kftdf kof{Kt / ;'ljwfhgs x'g] u/Lkmlg{r/ ;lxtsf] k|ltIffnosf] Joj:yf ePsf] x''g'kg]{5 .

-7_ c:ktfn leq k|j]z ug{] / aflx/ lg:sg] cnu–cnu k|j]z åf// alxu{dg åf/ x'g'kg{]5 .

-8_ cfktsfnLg ;]jfsf nflu k|of]u x'g] ;jf/L ;fwgx¿ c:ktfnsf]cfktsfnLg sIf / cGo cTofjZs 7fpFdf ;xh ?kdf hfg;Sg] u/L cnUu} af6f] / u]6sf] Joj:yf u/]sf] x'g'kg{]5 .

-0f_ ;]jfu|fxL / c:ktfn sd{rf/Lx¿n] k|of]u ug{] ;jf/L ;fwg /PDj'n]G; bdsn h:tf ;jf/L ;fwgsf nflu kfls{Ësf] Joj:yfx'g'kg{]5 . Go"gtd kfls{ª s"n hUUffsf] kRrL; k|ltzt jf k|lttLg z}ofsf nflu Pp6f sf/ kfls{ª ug{ ldNg] :yn dWo] h'ga9L x'G5 ;f]xL cg';f/ x'g' kg{]5 .

-t_ c:ktfn h]i7 gful/s, afnaflnsf tyf ckf+ud}qL x'g' kg{]5 .

-y_ lJxnr]o/, 6«ln, :6]«r/sf] kof{Kt Joj:yf x'g'kg]{ / o:tf ;fdu|L/fVg] 7fpF / rnfpg ;lsg] kof{Kt 7fFp / rnfpg] dflg;sf];d]t Joj:yf ePsf] x''g' kg]{5 .

-!%_ jftfj/0f Joj:yfkgsf nflu b]xfo adf]lhdsf] dfkb08 k'/f u/]sf] x'g' kg{]5 M–

-s_ krf; z}of / ;f] eGbf dflysf] c:ktfnn] ;]jf ;+rfng ug{'k"j{ jftfj/0f ;+/If0fP]g, @)%# tyf jftfj/0f ;+/If0f lgodfjnL, @)%$ adf]lhd ;DalGwtlgsfoaf6 k|f/lDes jftfj/0fLo k/LIf0f jf jtfj/0fLo k|efj d"Nof+sg u/]sf] x'g'kg]{5 .

-v_ k|f/lDes jftfj/0fLo k/LIf0f jf jftfj/0fLo k|efj d"Nof+sg ubf{kmf]x/d}nfJoj:yfkgsf] ;DaGwdf cfjZos Wofg lbg' kg]{5 .

-u_ k|f/lDes jftfj/0fLo k/LIf0f jf jftfj/0fLo k|efj d"Nof+sgdf k|:tfj ePadf]lhd sfof{Gjog ug{] Joj:Yff ldnfPsf] x'g' kg{]5 .

-!^_ kmf]x/d}nf Joj:yfkgsf nflu b]xfo adf]lhdsf] k"jf{wf/ dfkb08 k"/f u/]sf] x'g'kg]{5 M–

18

-s_ c:ktfnaf6 lgisflzt kmf]x/d}nfsf] Joj:yfkg kmf]x/d}nf Joj:yfkg P]g, @)^*/ kmf]x/d}nf Joj:yfkg lgodfjnL, @)&) n] tf]s] adf]lhd x'g'kg]{ .

-v_ c:ktfnaf6 lg:sf;g x'g] ;fdfGo tyf lrlsT;fhGo kmf]x/d}nf k|s[lt cg';f/;|f]td} cnu cnu 5'6ofpg], ;+sng, 9'jfgL tyf plrt lj;h{g ug{] Joj:yfldnfpg' kg]{ .

-u_ c:ktfnaf6 ;[lht ;+qmd0fhGo kmf]x/nfO{ lgM;+qmd0f u/]/ clGtd Joj:yfkgug{'kg{] .

-3_ c:ktfndf ds{/Lo'Qm pks/0fsf] ;§f l8hL6n k|lalwo'Qm pks/0f k|of]u ug{' kg{]5.

!&= c:ktfn ;DaGwL cGo dfkb08Mbkmf !^ df plNnlvt dfkb08sf cltl/Qm b]xfosf z}of Ifdtfsfc:ktfnx?n] b]xfo adf]lhdsf] dfkb08 k'/f u/]sf] x'g' kg]{5 M–

-s_ krf; z}of eGbf a9L Ps ;o Ifdtf ;Ddsf] c:ktfnsf] nflu M

-!_ ejg dfkb08 M

-s_ ef}uf]lns ljifdtfsf] cfwf/df ejgsf] x/]s tnfsf] prfO{ dfgj:jf:YonfO{ cg's'n x'g] u/L agfPsf] x'g' kg{]5 . ;fdfGotM sf]7fsf] prfO{slDtdf t/fO{sf nflu #=^ ld6/ / cGo If]qsf nflu # ld6/ x'g' kg{]5 .

-v_ c:ktfnsf] u'?of]hgf (Master Plan) tof/ u/]sf] x'g' kg{]5 .

-u_ c:ktfnsf] ejgdf Ps tnf eGbf j9L tnf ePsf] ejg jf c:ktfn;]jf k|bfg ug'{kbf{ Ramp/Lift sf] clgjfo{ Joj:yf ePsf] x''g' kg]{{5 .

-3_ c:ktfndf k|To]s ljz]if1 ;]jfsf] nflu 5'§f5'§} ljefu x'g' kg]{5 .

-ª_ k|zf;lgs sfof{nodf a}7s sf]7f / k':tsfnosf] Joj:yf ePsf] x'g'kg]{5 .

-r_ alx/+u ljefu, cGt/+u ljefu, k|of]uzfnf, ck/];g lyP6/ / k|zf;lgssfof{no h:tf ;]jfu|fxL / la/fdLn] lxF88'n ug'{kg]{ If]qx¿df ;xhcfjfudg ug{ ;lsg] u/L Joj:yf x''g' kg]{5 .

-5_ c:ktfndf cfpg] la/fdL, s'?jf / lelh6;{sf nflu cfjZos kg{] ;jf/L;fwgx? kfls{Ësf] nflu c:ktfnn] cfjZos Joj:yf ug'{ kg{]5 .

-h_ cfsl:ds cj:yfdf alx{udg åf/sf] cfjZos Joj:yf ePsf] x'g' kg{]5 .

-em_ cfunfuL ePsf] a]]nfdf af?0foGqsf] nflu c:ktfn xftfleq kof{Kt:yfgdf kfgL eg{] Joj:yf ldnfPsf] x'g' kg{]5 .

-`_ k|fs[lts k|sf]ksf] cj:yfdf af?0foGq cfjfudgdf ;xh x'g] u/L ejglgdf{0f ePsf] x'g'kg{], kof{Kt ;+Vofdf clUg ;dgoGq (FireExtinguisher) h8fg ePsf] x'g' kg{] ;fy} cfsl:ds ;+s]tsf nflu;fO{/gsf] Joj:yf x'g' kg]{5 .

-@_ cGt/+u ;]jf (Indoor service) M

-s_ c:ktfnsf] z}of Ifdtfsf] cfwf/df 8fS6/sf] 8\o'6L ?d, k]G6«L -b/fh,¥ofs, vfgf /fVg] 7fpF cflb_, cfO;f]n];g ?d, l6«6d]06 ?d, zf}rfnocflbsf] Joj:yf ePsf] x'g' kg]{5 .

19

-v_ z}+of jLrsf] b"/Lsf] ;DaGwdf ;fwf/0f z}of (General) aLrsf] b'/LslDtdf $ lkm6 x'g'kg]{ / ;fy} leQfaf6 slDtdf Ps lkm6sf] b"/Ldf z}+of/fVg' kg]{5 .

-u_ c:ktnfdf aRrf, ;'Ts]/L, cAhe]{;g tyf ;?jf /f]usf nflu 5'§f5'§}jf8{sf] Joj:yf ePsf] x'g' kg]{5 .

-3_ hg/n z}+ofsf] xsdf $ b]lv ^ z}ofsf] cg'kftdf ! :6fkm g;{ Aoj:yfePsf] x'g' kg]{5 .

-ª_ n]a/ ?dsf] 5'§} Joj:yf ePsf] x'g'kg{]5 ;fy} n]a/ ?dsf nflu 5'§}zf}rfnosf] Joj:yf x'g' kg{]5 .

-#_ ;3g pkrf/ ;]jf (cfO{=l; o"=, l;=l;=o"=, Pg= cfO{= l;=o"=)M

-s_ rf}la;} 306f ;3g pkrf/ ;]jf lbg] Joj:yf ldnfPsf] x'g' kg]{5 .

-v_ k|To]s c:ktfndf cfsl:ds sIf;Fu} Observation Ward / MinorOT/Major OT af6 ;xh kxF'r k'Ug] cfO{= l;= o"= - OG6]lG;j–s]o/o'lg6_ sIf x'g' kg]{5 .

-u_ s'n pknAw j]8sf] kfFr k|ltztsf] cg'kftdf cfO{= l;= o"= j]8 Joj:yfu/]sf] x'g' kg]{5 .

-3_ cfO=l;=o"= sIfdf k|lt b"O{ z}ofsf nflu Ps e]lG6n]6/ x'g' kg]{]{5 .

-ª_ t'?Gt} c;/ ul/xfNg] (Acute) /f]uLx¿sf] nflu cfjZos dfqfdf cnUu}z}of 5'6\ofpg' kg]{5 .

-r_ cfO{=l;=o'=, l;=l;=o"=, Pg=cfO{=l;=o"= h:tf ;3g ;]jf k|bfg ug]{ o'lg6dfk|lt z}ofsf] cg'kftdf Ps hgf :6fkm g;{sf] Joj:yf x'g'kg]{ . ;DalGwtIf]qdf tflnd k|fKt lrlsT;s rf}la;} 306f pkl:yt /xg' kg]{ /;DalGwt sG;N6\of06 cgsndf pknAw x'g' kg]{5 .

-5_ d]h/ cf]=6L= ePsf] h'g;'s} c:ktfndf cfO=l;=o"= clgjfo{ x'g' kg]{5 .

-h_ cfO=l;=o"= o'lg6df egf{ ePsf la/fdLx?sf] cj:yfaf/] rf}lj; 306fdfslDtdf b'O{ k6s la/fdLsf cfkmGtnfO{ la/fdLsf] cj:yfsf] hfgsf/Llbg] Aoj:yf ldnfpg' kg]{5 .

-em_ s8f ;?jf/f]u ePsf la/fdLnfO{ ;3g pkrf/ cfjZos k/]sf la/fdLnfO{5'§} cfO;f]n]zgdf pkrf/sf] k|jGw ldnfPsf] kg{]5 .

-`_ ;3g pkrf/ sIf jftfg's'lnt x'g' kg{]5 .

-$_ cf]= 6L= -ck/]zg lyP6/_ (Operation Theater) M

-s_ k|lt krf; z}of Ifdtf a/fa/ Pp6f d]h/ cf]=6L= / Pp6f dfOg/cf]=6L=sf] Joj:yf ePsf] x'g' kg{]5 . ;f] sf cltl/St k|To]s kRrL;z}of ;lh{sn a]8sf nflu Ps d]h/ cf]=6L= / cfjZos dfOg/ cf]=6L= sf]yk Joj:yf x'g' kg{]5 .

-v_ k|lt krf; z}of Ifdtf a/fa/ Pp6f Pg]:y]l;s tof/L sIfsf] Joj:yfePsf] x'g' kg]{5 .

-u_ cf]= l6=, Zjf;–k|Zjf; tyf x]df]8fOnfO{l;; o'lg6;Fu kx'Fr ePsf] x'g'kg{]5 .

20

-3_ clS;hg cfk"lt{sf] lgoldt Joj:yf x'g' kg{]5 .

-ª_ cf]= 6L= jftfg's"lnt u/fO{Psf] x'g' kg]{5 .

-r_ cTofjZosLo ;]jf tyf ;fdu|Lx¿ pknAw ePsf] x'g' kg]{5 .

-5_ cf]= 6L= sf] aflx/ la/fdL s'?jf a:g] Joj:yf x'g' kg{]5 .

-h_ k|To]s d]h/ cf]=6L= sf] nflu kf]i6 ck/]l6e jf8{sf] Joj:yf ePsf] x'g'kg{]5 .

-%_ PnfO{8 x]Ny ;]jf (Allied Health Services)M

-s_ PS;/] d]lzg Install ug{sf] nflu slDtdf @@% :Sjfo/ kmL6sf] sf]7f x'g'kg]{5 .

-v_ PS;/] ug]{ sf]7fsf] wall thickness -!_ (OGrwith plaster of paris jf -

@_ 6Inches with 0.2 mm lead barrier jf -#_2.0 mm leadThickness dWo] s'g} Ps x'g' kg]{5 . ;fy} em\ofn, 9f]sf tyf leQfaf6ljls/0fsf] r'xfj6 gx'g] u/L cfjZos Joj:yf ePsf] x'g' kg]{5 .

-u_ X-ray Expose ug]{ JolQmsf] nflu PS;/] sf]7fleq 0.5 mm sf] leadAprone or Equivalent Radiation Protective Materialk|of]u ug]{Aoj:yf x'g' kg]{5 .

-3_ krf; j]8 eGbf dflysf c:ktfndf slDtdf Ps j6f df]jfOn PS;/]d]l;g x''g' kg]{5 .

-ª_ PG6Lg]6n, Go"/f]nf]hL / g]k|mf]nf]hL h:tf ljz]if1 ;]jf k|bfg ug]{c:ktfndf l8K;l6s h:tf kl/If0f ug]{ Joj:yf x'g' kg]{5 .

-r_ dfOqmf]–afof]nf]hL ;DaGwL k|of]uzfnf jftfg's'lnt ePsf] x''g' kg{]5 .

-^_ ;"rgf ;+k|]if0f M

-s_ cfw'lgs ;"rgf k|ljlw ;lxtsf] c:ktfn ;"rgf s]Gb|sf] :yfkgf ePsf]x'g' kg{]5 .

-v_ c:ktfn k|j]z ugf{;fy c:ktfnsf] n]–cfp6 b]lvg] gS;fåf/f s'g ;]jfs'g 7fpFdf k|fKt ug{ ;lsG5 egL b]lvg] la/fdL a8fkqsf] Joj:yf x'g'kg]{5 .

-u_ ;"rgf–kf6L, l6=le=l:qmg, j]e;fO6, a|f]l;o/h:tf dfWodaf6 :jf:Yo;DaGwL hfgsf/L / c:ktfnaf6 k|bfg ul/g] ;]jf / o;sf] nflucfjZos z'Ns ;DaGwL hfgsf/L ;d]t lbg] Joj:yfsf nflu gful/sj8fkq ;xh?kdf b]lvg] 7fpFdf /fVg' kg]{5 .

-3_ k|of]uzfnfaf6 ;]jfu|fxLx¿n] kfpg'kg{] ;"rgf Jojl:yt ?kn] k|bfg ug{o:tf] ;"rgf k|0ffnLnfO{ c:ktfnsf] ;"rgf k|0ffnL;Fu cfj4 u/]sf] x'g'kg{]5 .

-ª_ jf8{ tyf cGo ;Dj]bgzLn sf]7fx¿ h:t} n]j/–?d, 8]lne/L–?d,cfO=;L=o", ;L=;L=o", ck/]zg lyP6/, cfktsfnLg sIfdf zL3| ;"rgflbg] k4lt :yfkgf ePsf] x'g' kg{]5 .

-v_ Ps ;o z}of eGbf a9L Ifdtfsf] c:ktfnsf] nflu M

-!_ cGt/+u ljefu M cGt/+u ljefudf nflu b]xfosf] dfkb08 k'u]sf] x'g' kg{]5 M–

21

-s_ dlxnf / k'?ifsf] nflu cnu–cnu jf8{sf] Joj:yf x'g' kg]{ .

-v_ c:ktfndf jf8{sf] ;'ljwf x'g]u/L 8«]l;ª ?d, TT Room, sfplG;lnª ?dcflbsf] Joj:yf ePsf] x'g'kg]{ .

-u_ ckf+ux¿sf] JolQmut ;/;kmfO{ / n'uf km]g]{ k|of]hgsf nflu cfjZosJoj:yf x'g'kg{] / c:ktfn ejg afnaflnsf tyf ckfËd}qL x'g'kg]{ .

-3_ Ps hg/n jf8{df clwstd kRrL; z}of eGbf a9L /fVg gkfO{g] .

-ª_ k|To]s sdg ?ddf 5 z}of eGbf a9L /fVg gkfO{g] .

-r_ k|To]s jf8{df l;+un, 8an / Soflag ;lxtsf] z}of ePsf sf]7fx¿sf];d]t Aoj:yf x'g'kg]{ .

-5_ 7"nf / hl6n k|sf/sf zNolqmof (Major Surgery) ;]jf k|bfg ug]{c:ktfndf sfl8{ofs dlg6/ e]lG6n]6/ ;d]tsf kf]i6 ck/]l6e l/se/Lz}of clgjfo{ ?kdf pknAw x'g' kg]{5 .

-h_ k|To]s jf8{sf] nflu cnu–cnu gl;{ª :6]zg x'g'kg]{ .

-em_ c:ktfndf cfjZostf cg';f/ r]lGhª ?d, zf}rfno, afy?d, gl;{ª:6f]/,tyf 8\o'6L ?dsf] Joj:yf ul/Psf] x'g'kg]{ .

-`_ n]a/ ?d / k|;"lt sIfdf sfl8{of]–6f]sf]u|fkmL d]lzg h8fg ePsf] x'g'kg{] .

-6_ o:tf] k|ljlw c:ktfnsf] ;"rgf k|ljlwdf hf]l8Psf] x'g'kg{].

-@_ PnfO8 x]NyM PnfO8 x]Nysf] nflu b]xfosf] dfkb08 k'u]sf] x'g' kg{]5 M–

-s_ afof]s]d]i6«L, dfOqmf]afof]n]fhL, x]df6f]nf]hL, Kofyf]nf]hL ;]jfx? ;~rfngePsf] x'g'kg]{ .

-v_ slDtdf Ps hgf lkmlhof]y]/flki6 ;lxtsf] lkmlhof]y]/fkL o'lg6 ePsf]x'g'kg]{ . To;df lkmlhof]y]/fkL tyf l:kr y]/fkLsf] Aoj:yf ePsf] x'g'kg]{ .

-u_ k|of]uzfnf k/LIf0fsf] nflu sDKo'6/ k|ljlw k|of]u u/L Go"d]l6«s 6\o'ak|0ffnLaf6 gd'gfsf] ;+s]t / k|ltj]bg lbg] Joj:yf ldnfPsf] x'g'kg{] .

-3_ y]/fk]l6s (Therapeutic) cf}iflw cg'udgsf] Joj:yf ePsf] x'g'kg{] .

-ª_ gd'gf ;+sng, l/kf]6{ ljt/0f / ;f]wk'5sf] nflu cnu–cnu sf]7fx¿ePsf] x'g'kg]{ .

-r_ Radiologydf sfo{/t sd{rf/Lx?sf] nfluRadiation Dose monitorug]{Monitor (Thermo Luminescent Dosimeters- TLDbadges)pknAw u/fpg'kg]{ / ;do ;dodfRadiation surveyMonitoringug'{kg]{Eye, Gonadal, Thyroid glandcflbsf]Protectionsf] nfluLead glass/Gloves & Lead Apron sf]Aoj:yfx'g'kg]{ .

-5_ X-ray exposeug]{ sf]7f, 8fs{?d / k|tLIff sIf 5'§f5'§} x'g'kg]{ .

-h_ Radiology ljefudf hg;fwf/0fn] b]Vg] 7fpFdf X-ray ljls/0fn]:jf:Yodf v/fj c;/ kg{;S5 eGg]jf/] ;"rgf 6fF:g] . ;fy} ;"rgfdfue{jtL dlxnf tyf afnjflnsfnfO{ cgfjZos ljls/0faf6 aRg cg'/f]wug]{ .

22

-em_ Pd=cf/=cfO{=÷l;=6L=:Sofg /fVg] sf]7fsf] ;fOh slDtdf !^×@) lkm6sf]x'g'kg]{ .

-`_ l;=l6=:Sofgsf] nflu /]l8o;g lns]h x'g glbgsf nflu dfly PS;/]sf]nflu pNn]v eP adf]lhd Joj:yf ldnfpg' kg]{ .

-6_ Pd=cf/=cfO{ sf] sf]7fsf] nfluExternal Magnetic c;/ x'g gx'g]Joj:yf ldnfpg' kg]{ .

-7_ sG6«f]n ?d slDtdf !) × !@ kmL6sf] x'g' kg]{ .

-8_ l;=6L=:Sofg d]lzg u'0f:t/o'Qm / Spiral (Helical) x'g' kg]{ .

-9_ Pd=cf/=cfO{= 0.5 Tesla or 0.2 Tesla ePdf M.R. Angiography;'ljwf ePsf] x'g' kg]{ .

-#_ An8 a}+s (Blood Bank)M Ps z}of jf ;f] eGbf j9Lsf] c:ktfndf /Qm ;]jfsf]Aoj:yf pknAw x'g'kg]{5 ;fy} cyf]{k]l8s, sfl8{ofs ;h{/L, ufOg] tyf cJ;, Go"/f];h{/L, g]k|mf]nf]hL ;]jf lbg] Ps ;o z}of eGbf sd ePsf c:ktfnn] klgcfjZostf cg';f/ /Qm ;]jf pknAw u/fpg' kg]{5 . g]kfn /]8qm; ;f];fO{6Laf6/Qm ;+rf/;]jf pknAw ePsf] 7fpFdf of] Joj:yf clgjfo{ x'g] 5}g .

-$_ zj u[x (Mortuary)M

-s_ zju[x c:ktfn sDkfp08leq t/ cnUu}+ :yfgdf x''g' kg]{ .

-v_ zju[xdf /flvg] zj g;8\g] u/L /fVg ;lsg] vfnsf] k|ljlwo'Qm x'g' kg{] .

-u_ c:ktfndf /x]sf] zj u[xn] 5/ l5d]sdf c;/ gk'–ofpg] Joj:yfsf]Uof/]G6L c:ktfnn] ug{' kg]{ .

-%_ kmf]x/d}nf Joj:yfkg (Waste Management)M

-s_ kmf]x/sf] ;]lu|u]zg, sn]S;g, 6«fG;kf]6{]zg, l6«6d]G6 / clGtd la;h{g 5'§}of]hgf tof/ u/L pko'Qm k|ljlwaf6 kf]x/Joj:yfkg ug{' kg{] .

-v_ ds{/Lo'Qm pks/0fx?sf] ;§fdf l8lh6fnfOH8 pks/0f k|of]udf Nofpg'kg{] .

-u_ c:ktfnaf6 lgisflzt kmf]x/d}nfsf] Joj:yfkg kmf]x/d}nf Joj:yfkgP]g, @)^* / kmf]x/d}nf Joj:yfkg lgodfjnL, @)&) n] tf]s] adf]lhdx'g' kg]{ .

-3_ Ps ;o z}+of eGbf dflysf c:ktfndf lrlsT;fhGo kmf]x/ Aoj:yf;DaGwL sfo{sf] lgoldt cg'udg ug{ hg:jf:yo sIf÷jftfj/0fljb;lxtsf] :oflg6];g o"lg6 / sd{rf/L Aoj:yf x'g' kg]{ .

-^_ ;/;kmfO{ Aoj:yf M

-s_ la/fdL tyf s'?jfsf] nflu g'xfpg] 3/sf] Aoj:yf x'g' kg]{ .

-v_ dlxnf tyf k'?ifsf] nflu 5'§f5''§} zf}rfno tyf g'xfpg] 3/sf] Aoj:yfx'g' kg]{ .

-u_ c:ktfn kl/;/ tyf jf8{x? xd];f ;kmf /fVg' kg]{ .

23

-&_ ;'/Iff Joj:yf M

-s_ c:ktfn ejgdf r6\ofË 5Ng] (Anti-Lightening) k|ljlwsf] h8fg,j}slNks e¥ofªsf] Joj:yf, cfuf] lgefpg] ;+oGq, c6f]kmfo/ cnfd{,:df]s l86]S6/ h8fg ul/Psf] x'g' kg]{ .

-v_ c:ktfnsf :jf:YosdL{ tyf cGo hgzlQmnfO{ ljkb Joj:yfkgsf nflu-cfuhgL, e'sDk, x'nb+uf cflb _ / cfkTsfnLg p4f/ tyf pkrf/ ug]{k|efjsf/L ljlwsf] sfo{ of]hgf agfO{ ;f] ;DaGwL cled'vLs/0f tflndslDtdf jif{sf] b"O{ k6s / gd"gf cEof; (Drill practice) slDtdf Psk6s u/fpg' kg]{{ .

-*_ alx/+u ljefu / cGt/+u ljefu M jlx/+u ljefu / cGt/+u ljefudf cfjZosljz]if1 ;]jf (Specialized Services)sf] nflu b]xfo adf]lhd dfkb08 k'u]sf] x'g'kg{]5 M–

-s_ klRr; b]lv krf; z}+of;Dd Ifdtfsf] c:ktfndf ;fdfGo lrlsT;f,hg/n ;h{/L, afn/f]u / k|;'tL tyf :qL/f]u ;]jf clgjfo{ ?kdf x'g'kg]{ .

-v_ PsfpGg b]lv Ps ;o z}of Ifdtfsf c:ktfnx?df v08 -s_ dfplNnlvt ;]jfsf cltl/St cyf]{k]l8S;, 8]G6n, gfs, sfg tyf 3f+6L, of}gtyf 5fnf/f]u, ;fOlsofl6«s h:tf ljz]if1 ;]jfx? dWo]af6 yk b'O{ ;]jf;d]t x'g'kg{] .

-u_ ;o z}of b]lv b'O ;o z}of Ifdtfsf c:ktfnx?df dfly -v_df ;dfj]ze} af+sL /x]sf yk b'O{ ;]jf x'g' kg]{ .

-3_ b'O ;o b]lv tLg ;o z}of ;Ddsf c:ktfndf dfly -u_df ;dfj]z ug{af+sL /x]sf ;]jf ;d]t yk tLg j6f ljz]if1 ;]jfsf] Joj:Yff x'g' kg{] .

-ª_ tLg ;o b]lv kfFr ;o z}of;Ddsf Ifdtfsf c:ktfnsf nflu v08 -3_df ;dfj]z ePsf afx]s yk tLg j6f ljz]if ljz]if1 ;]jf (SuperSpeciality Service) x'g'kg]{ .

-r_ kfFr ;o z}ofeGbf dflysf Ifdtfsf c:ktfnx?df v08 -ª_ df pNn]vePsf ;]jfdf sDtLdf yk kfFr ljz]if ljz]if1 ;]jf yk ePsf] x'g'kg]{ .

-5_ b'O{ ;o z}ofeGbf a9Lsf c:ktfnsf] cGt/+u ljefudf s'g} Ps8fof]nfOl;; ;]jf x'g'kg]{ .

-h_ v08 -s_ b]lv -5_ df h'g ;'s} s'/f n]lvPsf] eP tfklg Ps dfqlaz]if1 ;]jf lbg] u/L vf]lng] c:ktfnsf] xsdf of] Joj:yf afWosf/Lx'g] 5}g .

-u_ o; lgb]{lzsfdf plNnlvt cGo dfkb08sf cltl/Qm c:ktfnn] b]xfo adf]lhdsf] dfkb08x? tyfk"jf{wf/x?sf] Joj:yf ug'{ kg]{5 M–-!_ c:ktfnsf nflu cfjZos ef}lts k"jf{wf/

l;=g= hgzlQm @% z}of;fdfGo

laz]if1 ;]jf

%) z}of;fdfGo

laz]if1 ;]jf

&% z}of;fdfGo

laz]if1 ;]jf

!)) z}of;fdfGolaz]if1 ;]jf

!)!—@))z}of ;fdfGolaz]if1 ;]jf

@)!— #))z}of ;fdfGolaz]if1 ;]jf

#)) z}ofeGbf dfyL

;]jf! hUuf

s_ %% au{ ld6/ k|ltz}ofv_ e'Otnf hUufdf slDtdf!_ ejg ;+lxtf dfkb08 cg';f/ vfnL hUuf x'g'kg]{@_ @% k|ltzt hUuf kfls{ªsf nflu 5'6\ofpg' kg{]5÷# z}ofsf] cg'kftdf !sf/ kfs{ x'g'kg]{ -km/s kg{ cfPdf h'gn] a9Lx'G5 ;f]xLnfO{ cfwf/ dfGg' kg{]5_ .gf]6M vfnL hUufdf lgdf{0f ug{ gkfOg]

@ cfsl:ds ;]jf / ;fdfu|L pks/0f o; lgb]{lzsfdf pNn]v eP adf]lhd x'g]5 .

24

± k|lt %) z}ofsf nflu yk ! d]h/ cf]=6L= x'g'kg]{5 .

-@_ cfsl:ds ;]jf ;~rfng ug{ b]xfosf] adf]lhdsf] dfkb08 k'/f u/]sf] x'g' kg]{5 M–l;=g

ljj/0f @% z}ofljz]if1;]jf

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!) cjnf]sg sIfz}of_*

!-)_ * !-!_ * !-@ _* !-$_ * ,, ,, ,, ,,

!! cfsl:ds ! ! ! ! ,, ,, ,, ,,

# cf}iflw ;DaGwdflgb]{lzsfdf pNn]v eP adf]lhd @$ ;} 306f x'g]5 .$ alx/Ë ;]jf ;DaGwL dfkb08 lgb]{lzsfdf pNn]v eP adf]lhd x'g]5 .% cGt/Ë ;]jf lgb]{lzsfdf pNn]v eP adf]lhd x'g]5 .^ zNols|of

sIf! dfOg/ !

d]h/! dfOg/ !

d]h/! dfOg/ !

d]h/±! dfOg/ !

d]h/±! dfOg/ !

d]h/±! dfOg/ !

d]h/±! dfOg/ !

d]h/±& cfO=l;=o" :j}lR5s clgjfo{ s'n z}ofsf] sDtLdf % k|ltzt* k|ltsf/fTds

k|a{wgfTds;]jf

vf]k,dft[lzz';]jf,

:jf:YolzIff,

>Job[:o

vf]k,dft[lzz';]jf,

:jf:YolzIff,

>Job[:o,k/fdz{ ;]jf

vf]k,dft[lzz';]jf,

:jf:YolzIff,

>Job[:o,kf]if0f,

k/fdz{ ;]jf

vf]k,dft[lzz';]jf,

:jf:YolzIff,

>Job[:o,kf]if0f,

k/fdz{ ;]jf

vf]k,dft[lzz';]jf,

:jf:YolzIff,

>Job[:o,kf]if0f,

k/fdz{ ;]jf

vf]k,dft[lzz';]jf,

:jf:YolzIff,

>Job[:o,kf]if0f,

k/fdz{ ;]jf

vf]k,dft[lzz';]jf,

:jf:YolzIff,

>Job[:o,kf]if0f,

k/fdz{ ;]jf( zj u[x sf]7f sf]7f u[x u[x u[x u[x u[x!) SoflG6g

;]jf

!! dd{t ;]jf

25

l;=g


%) z}ofljz]if1;]jf

&% z}ofljz]if1;]jf

!))z}of

ljz]if1;]jf

!))–@))

@))–#))

#))–%))

%))eGbfdfly

zNos[of sIf!@ ;~rf/ ;'ljwf-

6]nLkmf]g,O{G6/g]6, cflb_

!# z'4 vfg]kfgLsf]Joj:yf

!$ zf}rfno /zf}rfnodfkof{Kt kfgLsf]Joj:yf

lgb]{lzsfdf pNn]v eP adf]lhd

!% ;fj{hlgs6]lnkmf]g ;]jf

!^ cfsl:ds;]jfsf] nflu 5'§}k|of]uzfnf ;]jf

]

cfjZos pks/0fM! ;S;g d]l;g

k|To]s pkrf/sIfdf

! @ # % cfjZostfcg';f/

cfjZostfcg';f/

cfjZostf

cg';f/

cfjZostf

cg';f/

@ ;'r/ ;]6 –k|To]s pkrf/sIfdf_

! @ # % ,, ,, ,, ,,

# PDj' Jofu(Resuciation bagwithLaryngoscope)

@ # $ % ,, ,, ,, ,,

$ clS;hg –k|To]s pkrf/sIfdf_

@ $ % & ,, ,, ,, ,,

O{ ;L hL d]lzg ! ! ! @ ,, ,, ,, ,,

Cardic Monitor ! ! ! @ ,, ,, ,, ,,

8LkmLj|Ln]6/(AutomaticElectricDefribillator)

! ! ! ! ,, ,, ,, ,,

e]G6Ln6/(Portable)

! ! ! @ ,, ,, ,, ,,

jL kL ;]6–k|To]spkrf/ sIfdf_

cfO eL :6]08-pkrf/ z}ofsf]cg'kftdf_

Knfi6/ ug{] ! ! ! @ cfjZostfcg';f/

cfjZostfcg';f/

cfjZostf

cfjZostf

26

l;=g


%) z}ofljz]if1;]jf

&% z}ofljz]if1;]jf

!))z}of

ljz]if1;]jf

!))–@))

@))–#))

#))–%))

%))eGbfdfly

;fdu|L cg';f/ cg';f/

8fO{Ugf]l6s ;]6 ! @ @ $ ,, ,, ,, ,,

cfsl:dssfo{sf] nflucf}iflw ;lxtsf]sf6{ -6«nL_

! ! ! @ ,, ,, ,, ,,

6«flsof]:6f]dL ;]6 ! ! ! ! ,, ,, ,, ,,

Intra ocious ! ! ! @ ,, ,, ,, ,,

e]g; ;]S;g ;]6 ! ! ! @ ,, ,, ,, ,,

CVP Line Set ! ! ! @ ,, ,, ,, ,,

lgj'nfO{h/ ;]6 ! ! ! ! ,, ,, ,, ,,

jf6/;Ln 8«]g]h;]6

! ! @ @ ,, ,, ,, ,,

;"rgf kf6L ! ! ! ! ,, ,, ,, ,,

XjLn lro/,6«nL, :6«]r/

Foot step j}slNks ljB'tJoj:yf

Uofl:6«s 6\o'j÷N/G tubeAspirationset

8'; ;]6(Enema)

v'§fn] rnfpg];S;g d]l;g(Non Electric)

AreaRoom(Beds)

R1,Y+G=2

OB1,Bo

R1,Y+G=3

OB2,Bo

R1,Y1,G3,OB3,B1

R2,Y2,G3

OB4,

tnlbPsf]

cg'kftdf

tnlbPsf]

cg'kftdf

tnlbPsf]cg'kft

df

tnlbPsf]cg'kft

df*c:ktfndf !) k|ltzt cfsl:ds z}of cGt/ut b]xfosf] Joj:yf x'g'kg]{5M

Red(R) = clt l;ls:t la/fdLsf] ;]jf lbg] z}of = ! ÜYellow (Y) = l;ls:t la/fdLsf] ;]jf lbg] z}of = @ ÜGreen (G) = ;fdfGola/fdLsf] ;]jf lbg] z}of = # ÜBlack(B) = d[To' eO{;s]sf la/fdLnfO{ /fVg]] z}of = ! ÜObservation Room /Bed = 3%

-#_ alx/+u ;]jf ;~rfngsf] nflu c:ktfnn] b]xfosf k"jf{wf/ tyf dfkb08x?sf] kfngf u/]sf] x'g'kg]{5 M–

SN

Description 25 beds 50 beds 75 beds 100 beds100-200beds

200-300beds

>300beds

A General Areas1 Inquiry counter/ Cash 1(28) 1(28) 1(56) 1(75) * * *

27

SN


200-300beds

>300beds

counter(sq.m)2 Medical record(sq.m) 1(10.5) 1(10.5) 1(10.5) 1(10.5) * * *3 Janitor's closet(sq.m) 1(3.5) 1(3.5) 1(3.5) 1(3.5) * * *4 Waiting room(sq.m) 1(28.0) 1(29.0) 1(29.0) 1(50.0) * * *

5Public Telephone (SelfOperating ) 1 1 1 1 * * *

6 Toilets (Male and Female)2(17.5)

1+12(28)2+1

3(35)2+2

4(42)2+2 * * *

B Medical Clinic

1Consultation room (each 14sq.m)

2 Sub Waiting room 1(14.0) 1(21.0) 1(28) 1(35.0) * * *C Surgical Clicin


*

2 Treatment nd Dressing room *3 Sub Waiting room 1(14.0) 1(21.0) 1(28) 1(35.0) * * *D Obs/Gyne.Clinic


*

2 Treatment room 1(17.5) 1(17.5) 1(17.5) 1(17.5) * * *

3Toilet com cleaning room(attached to treatment room)

*

4 Waiting room 1(14) 1(14) 1(14) 1(14) * * *E Pediatric Clinic


2 Treatment room 1(14) 1(14) 1(14) 1(14) * * *3 Immunization room 1(14) 1(14) 1(14) 1(14) * * *4 Recreation & Play room 1(14) 1(14) 1(14) 1(14) * * *5 Waiting room 1(14) 1(14) 1(14) 1(14) * * *F Orthopedic Clinic *


*

2 Plaster and Splint storage room 1(14) 1(14) 1(14) 1(14) * * *3 Treatment room 1(14) 1(14) 1(14) 1(14) * * *

4Recovery & Plaster Cuttingroom 1(14) 1(14) 1(14) 1(14) * * *

5 Waiting room 1(14) 1(14) 1(14) 1(14) * * *6 Physlotharapy room 1(28) 1(28) 1(28) 1(28) * * *G ENT Clinic

1Consultation room (each81sq.m)

*

2 Treatment room 3 Audiometry room Speech 1(14) 1(14) 1(14) 1(14) * * *4 Waiting room *H Dental Clinic1 X-ray room *2 Consultation room (each 8 sq.m) *3 Workshop/Lab *4 Recovery room *I Skin & STD clinic1 Consultation room (each 8 sq.m) *2 Treatment room *

28

SN


200-300beds

>300beds

3 Skin Lab *4 Waiting room *5 Counselling room ** Patient load / ;]jfsf] k|s[tL cg';f/ yk ug{ ;lsg]

-$_ cGt/+u ;]jfsf] nflu b]xfosf k"jf{wf/ tyf dfkb08x?sf] kfngf u/]sf] x'g' kg]{5 M–

SN Inpatient (General Ward) 25 beds50

beds75

beds100beds

200beds

300 beds>300beds

1 Ward Area (Per bed /7sqm)) *2 Nursing station 1(17.5) 1(17.5) 1(21) 1(21.0) * * *3 Nurse's changing room *4 Treatment room 1(10.5) 1(14) 1(21) 1(21) * * *5 Clean Utility room 1(14) 1(14) 1(14) 1(14) * * *6 Ward Kitchen /Pantry 1(10.5) 1(14) 1(21) 1(21) * * *7 Sluice room -wf]O{ kvfnL ug]{7fpF___ 1(10.5) 1(14) 1(21) 1(21) * * *8 Ward Store 1(10.5) 1(14) 1(21) 1(21) * * *9 Dr.'s duty room with toilet 1(10.5) 1(14) 1(21) 1(21) * * *

10 Sanitary facilities *

Awater closets/tilet 1 to every 8beds (male)

*

BUrinal /toilet 1 to every 6 beds(female)

*

CWash bashins: 1 for every 12beds

*

D sinks : 1 for each ward *

EKitchen sinks & dishwasher: 1for each ward

*

11 Administrative BlockA Director's Room *B Administrative Unit *C Finance Unit *D Library *E Meeting Hall *F Training Hall *G Record Keeping Unit *H Security Unit *I Toilet Male/Female *J House Keeping *

12 LaundaryA Dirty Receive *B Clean Store Room *C Staffs Room with Toilet *D Cleaning area *E Kitchen *

13 CSSDA Dirty Receiving *B Cleaning Room *C Sterilization Room *D Clean Storage Room *E Common Storage *F Drying & Packing *

29

SN Inpatient (General Ward) 25 beds50

beds75

beds100beds

200beds

300 beds>300beds

G Ambulance* Patient load / ;]jfsf] k|s[tL cg';f/ yk ug{ ;lsg]

kl/R5]b ^

dfgj ;+zfwg Joj:yfkg

!*= hgzlQm ljsf; of]hgf Mc:ktfnsf] z}of Ifdtfsf cfwf/df b]xfo adf]lhdsf] Go"gtd hgzlQmsf]Joj:yf clgjfo{ ?kdf /xg' kg{]5 M–

-s_ k|lt kRrL; z}ofsf] nflu Ps hgf Pd=8L=hL=kL= lrlsT;s x'g' kg{]5 .

t/ Pd=8L=hL=kL= lrlsT;s gkfO{g] cj:yfdf kRrL; z}ofsf] c:ktfndfcJ; tyf ufOg] / afn /f]u laz]if1 x'g'kg{]5 .

-v_ zNolqmof k|bfg ug{] sIfdf k|lt z}of sDtLdf Ps hgf zNolrlsT;s, Ps hgfPg]:y]l6S;, Ps hgf O{Grfh{, Ps hgf zNolqmof ;xfos / Ps hgf g;{ x'g' kg{].

-u_ lzIf0f c:ktfn / tLg ;o z}of eGbf a9L z}of Ifdtfsf c:ktfnsf k|To]sljefudf ;DalGwt ljifosf] 8L Pd (DM)cyjf Pd ;LPr (M.Ch.) of]Uotfxfl;n u/]sf] lrlsT;s x'g' kg]{] .

-3_ hg/n sIfdf k|lt rf/ b]lv 5 z}ofdf Ps hgf :6fkm g;{sf] Aoj:yf ePsf] x'g'kg{] .

-ª_ O{dh]{G;L tyf kf]i6 ck/]l6e sIf (Post Operative Ward) df k|lt b'O{ z}ofdfPs hgf g;{ x'g'kg{] .

-r_ ;3g pkrf/ sIf -cfO{=;L=o"=Pg=cfO{=;L=o", ;L=;L=o"= cflb_ df k|lt z}ofdf Pshgf :6fkm g;{sf] Aoj:yf x'g'kg{] .

-5_ k|;"lt sIfsf] n]j/ j]8df k|lt j]8 b'O{ P;= jL= P= (Skill BirthAttendants)tflnd k|fKt g;{ jf dL8jfO{km/L sf] Joj:yf x'g' kg{] .

-h_ ;o z}of ;Dd Ifdtfsf] c:ktfnsf] xsdf sDtLdf Ps hgf d]l8sn /]s{8/ x'g'kg{] . yk krf; z}ofdf Ps hgf d]l8sn /]s8{/ ;DaGwL hgzlQmsf] yk Joj:yfug'{ kg{] .

-em_ Ps ;o z}of eGbf a9L Ifdtfsf] c:ktfnsf] xsdf u'0f:t/Lo ;]jf ;+rfngdfk|efjsfl/tf cfpg] u/L sDtLdf Ps hgf c:ktfn Joj:Yffks, afof]d]l8snk|fljlws, 8fO{6L;Log, kmf]x/d}nf Joj:yfkg ug{] bIf hgzlQm x'g'kg{] .

-`_ Ps;o z}of eGbf a9L Ifdtfsf] c:ktfndf cfjZos hgzlQm ;lxt ;fdflhs;]jf, :jf:Yo hGo kmf]x/Joj:yfkg, jftfj/0fLo tyf hg:jf:Yo ;]jf OsfO{sf]Joj:yf x'g'kg{] .

-6_ Ps;o z}of eGbf a9L Ifdtfsf] c:ktfndf cfjZos hgzlQm ;lxtsf] xfp;lskLª O{sfO{sf] Joj:yf x'g'kg{] .

30

-7_ k|zf;lgs, n]vf, ;'/Iff Joj:yf, au}rf Aoj:yfkg nufot sfdsf nfluc:ktfnn] ;]jfsf] u'0f:t/ sfod ug{ cfjZos ;+Vofdf hgzlQm Aoj:Yff ug{' kg{].

-8_ krf; z}of / ;f] eGbf dflysf] Ifdtf ePsf] c:ktfndf rf}la;} 306f ;]jfpknAw u/fpg] u/L kmdf{l;i6 nufot cfjZos ;+Vofdf hgzlQmsf] Joj:yf ug'{kg{] .

-9_ Ps ;o z}of eGbf j9Lsf] c:ktfndf c:ktfn k|zf;ssf] Joj:yf x'g' kg]{.

-0f_ c:ktfndf slDtdf b'O{ ltxfO{ :jf:YosdL{x? k"0f{sfnLg x'g' kg{] .

-t_ ;/sf/L :jf:YosdL{x?af6 ;]jf lng'kg]{ cj:yfdf ;DalGwt lgsfosf] :jLs[ltkq ;+nUg /fVg' kg]{ .

-y_ x/]s :jf:YosdL{x?n] ;DalGwt Joj:fflos sfplG;njf6 btf{ gDa/ lnPsf] x'g'kg{] .

-b_ ljb]zL :jf:YosdL{ jf :jo+ ;]jsn] dGqfnosf] l;kmfl/;df ;DalGwtsfplG;njf6 :jLs[lt lng' kg]{ .

!(= hgzlQm ;DaGwL lj:t[t ljj/0f M -!_ lzIf0f c:ktfnsf] xsdf g]kfn d]l8sn sfplG;nn] tf]s]sf]dfkb08 adf]lhd / afsLsf xsdf b]xfosf] z}of Ifdtfsf] c:ktfnn] b]xfodf plNnlvt hgzlQmeGbf sd gx'g] u/L hgzlQmsf] Joj:yf ug'{ kg]{5 M–

;]jf÷;d"x kb÷gfd @%z}of %)z}of &%z}+of

!))z}of

1 lkmlhl;og 1* 1+1# 2 2+1#

2 ;h{g 1* 1 1+1# 2+1#

3 jfn/f]u ljz]if1 1* 1 1+1# 2+1#

4 xf8 tyf hf]gL{ ljz]if1 1* 1* 1 1+1#

5 :qL/f]u ljz]if1 1* 1 2 2+1#

6 of}g tyf 5fnf /f]u ljz]if1 1* 1* 1* 1+1*

7 Kofyf]nf]lhi6÷afof]s]ldi6÷dfOqmf]afof]nf]lhi6 1* 1* 1 1+1*

8 d]l8sn 6]Sgf]nf]lhi6 1# 1# 1 1+1#

9 Nofj 6]lSgl;og 1 1+1# 1+2# 2+2#

10 Nofj cl;:6]G6 1 1+1# 2+1# 3+1#

11 /]l8of]nf]lhi6 1* 1# 1 1+1*

12/]l8of]u|fkmL 6]Sgf]nf]lhi6÷/]l8of]u|fkmL clws[t÷jl/i7/]l8of]u|fkm/

1 3+1# 4+2# 5+2#

13 gfs,sfg, 3f6L/f]u ;h{g 1* 1* 1* 1#

14 g]km|f]nf]lhi6 1* 1* 1* 1*

15 cKyNdf]nf]lhi6 1* 1* 1* 1#

16 Pg]:y]l6i6 1* 1 1+1* 1+1#

17 8]G6n÷la=l8=P;= 1* 1# 1 1

18 d'6'/f]u ljz]if1 1* 1* 1* 1^

19 :gfo"/f]u ljz]if1 1* 1* 1* 1*

20 dfgl;s /f]u ljz]if1 1* 1* 1* 1#

21 Pd=l8=hL=lk= 1*! 1*! 1+1* 1+2*

22 d]l8sn clws[t -Pd=aL=aL=P;_ 4 6 7 9

23 d]=;"÷lgb]{zs 1* 1* 1 1

24 d]6«f]g 1* 1 1 1@

25 ;xfos d]6«f]g 1* 1* 1 2

26 l;i6/÷la=Pg= 1 2 3 4

27 :6fkm g;{ 5 10 15 25

31

;]jf÷;d"x

kb÷gfd @%z}of %)z}of &%z}+of !))z}of

28 cgdL 5 7 7 7

29 x]=c÷ l;cx]j 2 3 3 4

30 cx]j 3 4 4 5

31 lkmlhof]y]/flki6 1* 1* 1* 1

32 bGt ;xfos 1* 1* 1 1+1*

33 xfp; lsk/ 1 1 1 2

34 c:ktfn k|zf;s 1* 1 1 1

35 ;xfos k|zf;s ~ ~ ~ ~

36 n]vf clws[t 1 1 1

37 d]l8sn /]s8{/ 1 1 2 2

38 n]vfkfn÷;=n]vfkfn 1 ~ ~ ~

39 l/;]K;f]lgi6 ~ ~ ~ ~

40 :6f]/ lsk/ ~ ~ ~ ~

41 kmdf{l;i6÷kmfd]{l; ;xfos 1# 1 1 2

42 Ol;hL 6]lSgl;og 1* 1* 1+1* 1+1#

43 8fOl6l;og 1* 1* 1* 1+1*

44 jf8{ P6]G8]G; dlxnf÷k'?if ~ ~ ~ ~

45 ;'/Iff uf8{ ~ ~ ~ ~

46 cl8of]nf]hL cl;:6]G6 1* 1* 1* 1*

47 l:kr y]/flki6 1* 1* 1* 1*

48 Pg]:y]l;of cl;:6]G6 1* 1 1+1* 2

49 O{dh{]G;L lkmhLl;og 1* 1+1*# 1+2*#

50 O{dh{]G;L Kof/fd]l8S; 1+1# 2+2# 3+2# 3+3#

51 O{dh{]G;L g;{ 1+1# 2+2# 3+2# 3+3#

* = Desirable# = Part time^ = If ICU with ventilator! = If other (at least Gynaecologist and Pediatrician) specialist are not available then mandatory@ = Masters in Nursing~ = As per needgf]6M @% z}of Ifdtf c:ktfdf cGo ljz]if1 pknAw gePtfklg Ps hgf Pd= 8L= hL= kL= clgjfo{ .

-@_krf; z}+of b]lv Ps ;o z}of ;Ddsf] Ifdtf ePsf] -ljz]if1 c:ktfn_c:ktfnn] b]xfodfplNnlvt hgzlQm eGbf sd gx'g] u/L hgzlQmsf] Joj:yf ug'{ kg]{5 M–

;]jf÷;d"x kb÷gfd %)—&% z}of !)) z}of1 lkmlhl;og 2 32 ;h{g 2 33 jfn/f]u ljz]if1 2 35 :qL/f]u ljz]if1 2 37 Kofyf]nf]lhi6÷afof]s]ldi6÷dfOqmf]afof]nf]lhi6 1 18 d]l8sn 6]Sgf]nf]lhi6 1 19 Nofj 6]lSgl;og 2 210 Nofj cl;:6]G6 2 211 /]l8of]nf]lhi6 1 112 /]l8of]u|fkm/÷/]l8of]u|flkms clws[t 1+2 1+3

18 Pg]:y]l;i6 1 2

19 d'6'/f]u ljz]if1 2 2+1#

20 :gfo"/f]u ljz]if1 2 2+1#

21 d]l8sn clkm;/ 10 12

22 d]=;"÷lgb]{zs 1 1

32

;]jf÷;d"x kb÷gfd %)—&% z}of !)) z}of23 d]6«f]g 1 1

24 ;xfos d]6«f]g 2 2

25 l;i6/ 4 5

26 :6fkm g;{ 18 25

27 cgdL 1~ 1~

28 x]=c÷ l;cx]j 5 8

29 cx]j 1~ 1~

30 lkmlhof]y]/flki6 1 2

31 bGt ;xfos 2 3

34 xfp; lsk/ 1 2

35 d]l8sn /]s8{/ 2 2

36 c:ktfn k|zf;s 1 1

37 ;xfos k|zf;s ~ ~

38 n]vf clws[t ~ ~

39 n]vfkfn÷;=n]vfkfn ~ ~

40 l/;]K;f]lgi6 ~ ~

41 :6f]/ lsk/ ~ ~

42 kmdf{l;i6 3 4

43 Ol;hL 6]lSgl;og 2 3

44 8fOl6l;og 1 1

45 jf8{ s'NnL dlxnf÷k'?if ~ ~

* = Desirable# = Part time^ = If ICU with ventilator! = If other (at least Gynaecologist and Pediatrician) specialist are not available then mandatory@ = Masters in Nursing~ = As per needgf]6M dfly pNn]lvt ljz]if1 ;]jfsf] xsdf c:ktfnn] h'g ljifosf] ljz]if1 ;]jf k|bfg ug]{ xf] ;f] afx]ssf] ljz]if1 ;]jf

:j}lR5s x'g]5 .

-#_Ps ;oPs z}+of b]lv Ps xhf/ z}of ;Ddsf] hg/nc:ktfnn] b]xfodf plNnlvt hgzlQm eGbfsd gx'g] u/L hgzlQmsf] Joj:yf ug'{ kg]{5 M–

;]jf÷;d"x

kb÷gfd!)!b]lv@))

@)! b]lv#))

#)! b]lv%))

%)! b]lv&%)

&%) b]lv!)))±

d]l8sn8fS6/

c:ktfn ;'k/L6]G8]06 1 1 1 1 1

;xfos c:ktfn ;'k/L6]G8]06 - - 1 2 3

lkmlhl;og 3+1* 5+1* 6+2# 7+3# 10+5#

;h{g 3+1* 5+1* 6+2# 7+3# 10+5#

Pg]:y]l;i6 2 4+1# 5+1# 6+1# 7+2#

/]l8of]nf]lhi6 2 2 3 4+1# 6+1#

Kofyf]nf]lhi6 2 3 4 5+2# 7+3#

dfOqmf]jfof]nf]lhi6 1 1 2 2+1# 2+2#

afof]s]ldi6 1 1 2 2+1# 2+2#

jfn/f]u ljz]if1 2+2# 4+1# 5+1# 6+2# 8+2#

xf8 tyf hf]gL{ ljz]if1 2+1# 3+1# 4+1# 6+2# 8+2#

:qL /f]u ljz]if1 4 6 7 8+2# 10+2#

of}g tyf 5fnf /f]u ljz]if1 1 2 3 4 5

d'6'/f]u ljz]if1 1 2 3 3+1# 3+2#

:gfo' /f]u ljz]if1 1 2 2+1# 2+2# 2+3#

dfgl;s /f]u ljz]if1 1 2 3 3+1# 4+1#

33

;]jf÷;d"x

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cGo ljifout ljz]if1 1 2 3 4 5

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d]l8sn clws[t 10+2# 12+2# 15+7# 20+14# 30+20#

Kof/fd]l8sn/ k|fljlws

O{dh{]G;L Kof/fd]l8S; 4+1# 4+2# 5+2# 6+2# 7+2#

Nofj 6]Sgf]nf]lhi6 4 5 8 10 15

Nofj 6]lSgl;og -Nofj, An8 j}+s_ 5 7 11 14 21

Nofj ;xfos 6]lSgl;og 4 6 9 12 18

/]l8of]y]/flk 6]Sgf]nf]lhi6 1 1+1* 2+1# 3+1# 4+2#

/]l8of]y]/flk 6]lSgl;og 1+ 2+ 3+ 4+ 5+

d]l8sn lkmlhl;i6 1* 1# 1+1# 1+1# 1+2#

;xfos d]l8sn lkmlhl;i6 2 3 4 5 6

/]l8of]u|fkmLs clws[t 3 4 6 7 9

/]l8of]u|fkm/ 5 6 10 12 14

lkmlhof]y]/flki6 1 1 2 2 2+1#

lkmlhof]y]/flk 6]lSgl;og 1 2 3 3+1# 4+1#

lkmlhof]y]/flk ;xfos 2 2 3 5 7

cKyndf]nf]lhi6 1 2 3 3+1# 4+1#

km'8 P08 Go"6L;lgi6 1 2 2+1# 3+1# 4+1#

km'8 P08 Go"6L;g ;xfos 1 2 3 4 5

cg';Gwfg tyf k/fdz{ clws[t -hg:jf:Yo_

1 2 3 4 5

kmfd]{l;i6 2 4 6 7 8

;fO6f]6]lSgl;og 1 2 3 4 5

O{l;lh 6]lSgl;og 2 2 3 4 5+1#

O{sf] 6]lSgl;og 2 2 3 4 6

cf]=6L= ;xfos 3 5 8 10 12

d]l8sn /]s8{ clws[t 1 1 1 2 2

d]l8sn /]s8{ ;xfos - - - - -

;"rgf k|ljlw clws[t 1 1 2 2 2

;"rgf k|ljlw ;xfos - - - - -

P6]G8]06 -Nofj, Jn8 j}+s, jf8{,cf]=kL=8L=_

- - - - -

;/;kmfO{ ;xfos - - - - -

afof]d]l8sn OlGhlgo/ 1* 1 1+1* 2 2+1*

afof]d]l8sn 6]lSgl;og 1 1+1* 3 4 4+2*

O{n]lS6l;og ~ ~ ~ ~ ~

lnˆ6 ck/]6/ ~ ~ ~ ~ ~

KnDj/ ~ ~ ~ ~ ~

au}r] ~ ~ ~ ~ ~

gl;{ª d]6«f]g 1 1 1 2 2

;xfos d]6«f]g 2 2 3 4 6

gl;{ª ;'k/efO{h/ 1 2 3 5 7

gl;{ª clws[t 5 10 15 23 34

:6fkm g;{÷Odh]{G;L g;{ 50+25# 100+25# 150+50# 200+50# 300+100#

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c:ktfn k|zf;s÷Joj:yfks 1 1 1 1 1

;xfos c:ktfn k|zf;s÷Joj:yfks ~ ~ 1 1 1

k|zf;sLo clws[t 1 2 2 3 3

k|zf;g ;xfos ~ ~ ~ ~ ~

l/;]K;lgi6 ~ ~ ~ ~ ~

8«fO{e/ ~ ~ ~ ~ ~

34

;]jf÷;d"x

kb÷gfd!)!b]lv@))

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;xof]lu/P6]G8]G6 ~ ~ ~ ~ ~

n]vf clws[t 1 1 1 1 1

;xfos n]vf clws[t ~ ~ ~ ~ ~

n]vfkfn ~ ~ ~ ~ ~

;xfos n]vfkfn ~ ~ ~ ~ ~

:6f]/ clws[t 1 1 1 1 1

:6f]/ ;xfos ~ ~ ~ ~ ~

* = Desirable# = Part time+ = If oncologist service available~ = As per need

35

kl/R5]b &

cf}hf/ tyf pks/0fx?

@)= pks/0f ;DjGwL dfkb08M lzIf0f c:ktfnsf] xsdf g]kfn d]l8sn sfplG;nn] tf]s]sf] dfkb08adf]lhd / c:ktfndf /xg] k|of]uzfnf tyf pks/0fsf] xsdf b]xfodf pNn]v eP adf]lhdJoj:yf ug'{ kg]{5 M–

-s_ k|of]uzfnfsf cf}hf/ tyf pks/0fx?(Laboratory Instruments):

SN Name of Instruments Unit Bed capacity and number of instruments25

bed50

bed75-100bed

101-200

201-300

301-500

501-750

751-1000+

1. Microscope pcs 1-3 3 3 4 5 6 7 82. Microtome pcs - 1 1 2 2 2 2 33. Tissue processor pcs - 1 1 1 1 1 1 24. Slide Stainer (Histo) pcs - - - - 1 1 1 15. Tissue Floating water bath set - 1 1 1 1 1 1 16. Immuno histo-chemistry set set - - - - - - 1 17. Auto Analyzer (Bio

Chemistry)set - - - - - 1 1 2

8. Semi Auto Alalyzer (BioChemistry)

set 1 1 1 1 2 3 3 4

9. Elisa reader with Washer set - - - 1 1 2 2 210. Incubator set 1 1-2 2 5 5 5 5 611. Chemical Balance set 1 1 1 1 1 2 2 212. Electrolyte Analyzer set 1 1 1 2 2 2 2 313. Colorimeter Set 1-3 1-3 1-3 2-3 2-3 2-3 2-3 2-314. Hot air Oven Set 1 2 2 3 3 3 5 515. Autoclave Set 1 2 2 3 3 3 3 316. Refrigerator Set 1-2 2-4 2-4 4 4 6 6 817. Coagulometer for

coagulation profileset - 1 1 1 2 2 2

18. Blood cell counter(18parameters or above)

pcs 1* 1 1 2 2 2 2 2

19. Blood gas analyzer Set - - 1 1 1 1 1 120. Generator set 1 1 1 1 1 1 1 121. Centrifuge pcs 2 4 4 6 6 6 8 822. Laminar hood - - 1 1 1 1 1 123. Counting Chamber pcs 1-2 1-2 1-2 1-2 1-2 1-2 1-2 1-224. DLC counter pcs 1-2 2 2 2 2 2 2 225. Pipettes, Glassware/kits

/Consumablespcs As per need

26. Biosafety Cabinet (Class II) - - - - - - 2 227. Incinerator set 1 1 1 1 1 1 1 128. Glassware/kits/ reagent

consumablesas per need

29. Computer with printer set 1 1 1 2-4 2-4 4 4 630. Adequate number of

Furniture should beavailable.

-v_ Imaging Equipments:

36

SN Name of theEquipment

No. of Beds

25 50 75 100 201-300 301-500 501-750 751-1000+

1 500 ma X-ray withimage intensifier

- 1* 1* 1* 1* 1+1* 1+2* 2+1*

2 300 ma X-raymachine

1 1 1 1 1 2* 3 4

3 100 ma X-raymachine

1 1 1 1 1 2* 2* 3*

4 100 ma X-raymachine (MOBILE)

1 1 1 1 1 2 2 3

5 Dry View Processer(CR System)

:j}lR5s :j}lR5s :j}lR5s 1 1 2 2-3 2-3

6 Dental X-raymachine

:j}lR5s :j}lR5s :j}lR5s 1 1 1 1 1

7 Ultra-sound machinewith color dropplerand guided biopsy

1 1 1 1 2 2 3 4

8 Spiral C.T. Scan - :j}lR5s :j}lR5s * 1 1 1 19 MRI machine - :j}lR5s :j}lR5s * * 1 1 110 Mammography Unit - - - 1 1 1 1 111 Echocardiogram :j}lR5s 1 1 1 1 2 2 3

* As per need.

-u_ Cardiac EquipmentsM

SN Name of the EquipmentNo. of Beds

101-200 201-300 301-500 501-750 751-1000+

1 Computerized ECG machine 1 1 2 3 5

2 Ordinary ECG machine 2 3 4 6 8

312 Channel stress ECG testequipments Tread Mill * 1 1 2 2

2

4 Cardiac Monitor 3 4 6 8 11

5 Cardiac Monitor with defibrillator 2 2 3 5 8

6 Ventilators (Adult) 2 2 3 5 8

7 Ventilators (Pediatrics) 1 1 3 5 8

8 Pulse Oximeter 3 4 6 9 13

9 Pulse Oximeter with NIB.P* 1 1 2 3 5

10 Infusion pump 1 2 3 5 8

11 B.P.apparatus table model 10 15 20 30 45

12 B.P.apparatus stand model 10 15 20 30 45

13 Stethoscope 15 20 30 40 55

Note: * To be available as per need.

-3_ Operation Theatre EquipmentsM

SN Name of the EquipmentNo. Of Beds

101-200 201-300 301-500 501-750 751-1000+

1 Auto clave HP Horizontal 2 3 5 6 6

2 Auto Clave HP Vertical ( 2 bin) * * * * *

37

3 Operation Table Ordinary Paediatric * * 1 1 2

4 Operation Table Hydraulic Major 2 4 8 8 10

5 Operation Table Hydraulic Minor 2 4 8 8 10

6 Operating table non-hydraulic field type 2 4 1 6 9

7 Operating Table Orthopedic 1 1 2 3 4

8 Autoclave with burners 2 bin * * * * *

9 Autoclave vertical single bin * * * * *

10 Shadowless lamp ceiling type major ** ** ** ** **

11 Shadowless lamp ceiling type minor 1 1 2 2 2

12 Shadowless lamp stand model ** ** ** ** **

13 Focus lamp ordinary 1 1 2 2 3

14 Sterilizer big( Instrument) * * * * *

15 Sterilizer Medium (Instrument) * * * * *

16 Sterilizer Small (Instrument) 3 5 7 10 12

17 Bowl Steriliser-big * * * * *

18 Bowl steriliser-medium * * * * *

19 Diathermy machine (Electric Cautery) 6 7 21 23 25

20 Suction Apparatus- Electircal 3 5 16 20 25

21 Suction Apparatus (foot operated) * * * * *

22 Dehumidifier * * * * *

23 Ultra Voilet Lamp * * * * *

24 Ethylene Oxide Sterilizer * * * * *

25 Microwave sterilizer * * * * *

Note: * To be available as per need** To be available as per no.of OT need.

-ª_ ;o z}of eGbf dflysf] c:ktfndf Pathology Equipmentsb]xfo jdf]lhd x'g' kg]{5 M–

-!) Microbilogy, Bactoriology:


101-200 201-300 301-500 501-750 751-1000+1 Incubator 1 1 2 3 32 Hot Air Oven 1 1 2 2 23 Microscope 2 2 2 3 3

4 Centrifuge 2 2 2 2 25 CO2 Incubator 1 1 1 1 16 Anaerobic Incubator 1 1 1 1 17 Biosafety Cabinet - - - 1 18 Refrigerator 2 2 2 3 39 Auto pipette As per need

10 Glassware/kits/ reagentconsumables

as per need

(@) Biochemistry:

SN Name of the EquipmentNo. of beds

101-200 201-300 301-500 501-750 751-1000+1 Auto Analyzer - - 1 1 22 Semi Auto Analyzer 1 1 2 2 33 Chemical Balance 1 1 2 2 34 Electrolyte Analyzer 2 2 2 2 35 Centrifuge 1 1 2 2 36 Colorimeter 1 1 1 1 2

38

7 Hot air oven 1 1 1 1 28 Refrigerator 1 1 2 2 39 Micro pipettes (as per needs)

10 pH meter 1 1 2 2 311 Blood Gas Analyzer 1 1 1 1 112 Glassware/kits/ reagent


(#) Hematology:

SN Name of the equipmentNo. of beds

101-200 201-300 301-500 501-750 751-1000+1 Microscope (Binoculor) 1 2 2 3 32 Blood cell counter (18

parameters or above)1 1 2 2 3

3 Centrifuge 1 1 2 2 34 Colorimeter 1 1 2 2 35 Hot air oven 1 1 2 2 26 Refrigerator 1 1 2 2 37 Counting Chamber 2 3 4 5 68 Computer with Printer 1 1 2 3 39 Micro pippette (As per nned)10 Coagulometer for

coagulation Profile1 1 2 3 4

11 Hb Electrophoresis set 1 112 Distilation Plant 1 1 1 1 213 CT coagulometer 1 1 2 2 314 Glassware/kits/ reagent


15 Water bath 1 1 2 2 3

($) Histopathology:


101-200 201-300 301-500 501-750 751-1000+

1 Microscope 1 2 2 5 52 Microtome

(Sliding/Rotatory)1 1 1 1 2

3 Tissue processor 1 1 1 1 24 Stainer (Histo/Cyto) 1 1 1 2 25 Incubator 1 1 1 2 26 Chemical Balance 1 1 1 1 27 Centrifuge 1 1 1 1 18 Hot air Oven 1 1 1 1 29 Autoclave 1 1 1 1 1

10 Refrigerator 1 1 1 1 111 Counting Chamber 1 1 1 1 112 Generator 1 1 1 1 113 Computer with Printer 1 2 3 3 414 Micro pipettes As per need15 Cytocentrifuge 1 1 1 1 116 Slide Cabinet 1 2 4 5 517 Block Cabinet 2 3 5 6 618 Tissue Tek-II Embedding

centre1 1 1 1 1

19 Immunohisto chemistry 1 120 Glassware/kits/ reagent


39

(%) Microbiology, Virology, Serology:

SN Name of the EquipmentNo. of beds

101-200 201-300 301-500 501-750 751-1000+

1 Binocular Microscope 1 1 1 2 3

2 ELISA reader with Washer) 1 1 2 2 33 Water Bath 1 1 2 3 34 Hot air oven 1 1 2 2 35 Refrigerator 2 3 5 6 66 Refrigerated Centrifuge 1 1 1 1 27 Multi channle micro pipette 2 2 3 4 48 Variable Micro pipette ( As

per need)9 Micro Mixer 1 1 2 2 310 Incubator 1 1 2 2 311 Centrifuge 1 1 3 3 412 Weighting balance 1 1 1 1 113 Autoclave vertical 1 1 2 2 214 Deep freezer -20°C 1 1 1 1 115 Deep freezer -80°C - - - 1 116 Laminar hood 1 1 1 1 117 Biosafety Cabinet Class-2 - - - 1 118 Vortex mixture 1 1 2 3 319 Stop watch 2 2 4 5 620 Clean bench hood 1 1 1 1 121 Computer with printer 1 1 3 3 422 Glassware/kits/ reagent


23 Adequate furniture shood beavailable

-r_ Anaesthesia EquipmentsMSN Name of the Equipment

No. of Beds101-200 201-300 301-500 501-750 751-1000+

1 Anaesthetic-laryngoscopemagills with four blades

a) Adultb) Paediatric 25

253030

4040

5050

6060

2 Endo Tracheal tube sets 25 30 as per needed 50 (each size) 603 Magills forceps ( two

sizes)25 30 40 50 (each size) 60

4 Connector set of six forE.T.T. (Circuit)

25 30 40 50 60

5 Tubes connecting for ETT(T-Piece)

25 30 40 50 60

6 Air way (Female) 40 60 as per needed 100 1207 Air way (Male) 40 60 as per needed 100 1208 Mouth Prop 40 60 80 100 1209 Tongue Depressors 40 60 80 100 120

10 O2 cylinder for boyles 40 40 60 80 10011 N2O Cylinder for Boyls 20 25 30 40 4512 PFT machine 2 3 4 5 713 Boyles Apparatus with

Fluotec and circle absorber20 25 20 20 25

14 Ventilators 15 20 25 30 3515 Monitors ECG, NIBP,

SPO2 with IBP25 40 50 60 80

16 Monitors ETCO2 / GasAnalyzer IBP

10 15 20 25 30

40


101-200 201-300 301-500 501-750 751-1000+17 Transport Monitor ECG,

SPO2, NIBP10 10 12 15 20

18 Transport Ventilator 1 3 4 5 719 Fibreoptic Bronchoscope

a) Adultb) Paediatric 1

122

11

22

44

20 Portable USG for RegionalAnesthesia

1 2 1 2 4

21 Portable Echocardiographyfor ICU/CCU/OT

1 2 2 2 4

22 Mac Coy Laryngoscope 4 5 8 10 1523 Intubating LMA 3,4 4 5 8 10 1224 Video Laryngoscope 4 5 8 10 1225 Double Lumen Tube 10 15 20 25 (each size) 2826 AMBU bag / Mask 25 50 80 100 sets 11027 GAS analyser 1 2 2 2 328 Defebrilator 5 8 8 10 10

-5_ Teaching EquipmentsM


101-200 201-300 301-500 501-750 751-1000+1 Slide Projector x x X x x

2 O.H.P. 1 1 2 2 23 Screen 1 1 2 4 44 White / colour boards 1 1 2 2 35 Telivision colour 1 1 2 2 36 Tape recorder (2 in 1) 1 1 2 2 37 VCD Player 1 1 2 2 38 Radio * * * * *9 LCD Projectors 1 2 3 3 410 Computer 1 2 3 3 4

Note: * To be available as per needX Not required

-h_ Labour ward, Neonatal and Special Newborn Care Unit (SNCU) EquipmentM

SN Name of the equipment 101-200 bedded 201-300 Bedded 301-500 Bedded

1 Baby Incubators 13 (1 for labourroom & 2 for

neonatal room)2

2 Phototherapy Unit 2 3 43 Emergency Resuscitation Kit-Baby 2 4 4

4 Standard weighing scale1 each for the

laborroom & OT

1 each for thelabor room & OT

1 each for thelabor room & OT

5 newborn Care equipment1 set each for

labor room & OT1 set each for

labor room & OT1 set each for

labor room & OT

6 Double–outlet Oxygen Concentrator1 each for the

labor Concentrator1 each for the

labor Concentrator1 each for the

labor Concentrator

7 Radiant Warmer 23 (1 for labourroom & 2 forneonatal room)

5

8 Room Warmer 2 2 29 Foetal Doppler 2 2 2

10 Cardio Toco Graphy Monitor 2 3 3 (Desirable)11 Delivery Kit 10 15 20

41

SN Name of the equipment 101-200 bedded 201-300 Bedded 301-500 Bedded12 Episiotomy kit 2 10 1013 Forceps Delivery Kit 2 2 314 Crainotomy 1 2 115 Vacuum extractor metal 2 2 216 Silastic vacuum extractor 2 2 317 Pulse Oxymeter baby & adult 1 each 2 each 2 each18 Cardiac monitor baby & adult 1 2 2 each

19 Nebulizer baby 24 (for ICU &

wards)2

20 Weighing machine adult 3 6 421 Weighing machine infant 3 4 422 CPAP Machine - - 123 Head box for oxygen 4 6 824 Haemoglobinometer 1 1 225 Glucometer 1 1 226 Public Address System 1 1 127 Wall Clock 1 1 228 BP Apparatus & Stethoscope 2+2 3+3 4+4

-em_ Equipment for Eclampsia Room (for 300-500 Bedded Hospital)M

SN Equipment No.1 ICU Beds 22 Emergency Resuscitation Tray (Adult) including intubation equipment 33 BP Apparatus 34 Cardiac Monitor 25 Pulse oximeter 26 Airway (Female) 27 nebuliser 18 Oxygen Supply (Central) 29 Suction Apparatus (Electrical) 2

10 Suction Apparatus (Foot) 111 Wall Clock 112 Torch 113 Emergency Call Bell 214 Stethoscope 2

-`_ Special Newborn Care Unit (SNCU) EquipmentM-!_ General Equipment for SNCU :

SN Equipment No.

1 Electronic weighing scale 5 (essential)

2 Infantometer 5 (essential)

3 Emergency drugs trolley 5 (essential)

4 Procedure trolley 5 (essential)

5 Wall clock with seconds hand 1 for each room

6 Refrigerator 1 for the unit

7 spot lamp 5 (essential)

8 Portable x-ray machine 1 for the unit (essential)

9Basic surgical instruments e.g. fine scissors, scalpel with blades, fine artery

forceps, suture material & needles, towel, clips etc.1 set per bed (essential)

42

10 Nebulizer 1 for the unit

11Multi-channel monitor with non-invasive BP monitor (3 size: 0, 1, 2-

disposable in plenty-reusable neonatal probe, at least 4)4 (desirable)

12 Room Thermometer 4 (essential)

-@_ Equipment for disinfection of Special Newborn Care Unit:SN Equipment No.

1 Electric heater/boiler 2 (essential)

2 Washing machine with dryer (separate) 1 (essential)

3 electronic fumigator 2 (essential)

4 Vacuum Cleaner 1 (essential)

5 Gowns for doctors, nurses, neonatal aides, Group D staff & mothersAdequate number of each size

(essential)

6 Washable slippersAdequate number of each size

(essential)

7 Vertical Autoclave 1 (essential)

8 Autoclave drums (large & medium & small sizes)At least 6 of each size

(essential)

9 Disinfectant Sprayer 1 (essential)

10 Container for liquid disinfectant 2 (essential)

11 Formalin Vaporizer 1 (essential)

12 Hot Air oven 1 (desirable)

13 Ethylene oxide (ETO) Sterilizer 1 (desirable)

-6_ Administration EquipmentsM

SN Name of the EquipmentNo of Beds

101-200 201-300 301-500 501-750 751-1000+

1

Computer with Modem withUPS, Printer with InternetConnection**

5 5 7 10 20

2 Xerox Machine 1 1 2 4 6

3 Typewriter (Electronic )*

4 Intercom (15 lines)*

5 Intercom (40 lines)*

6 Fax Machine 1 2 3 3 4

7 Telephone 2 2 4 8 10

8 Paging System*

9 Public Address System* 1 1 2 2 2

10 Library facility** Note: * To be available as per need.** At least one for Medical Records and one for IDSP

-7_ Refrigeration & ACM


101-200 201-300 301-500 501-750 751-1000+1 Refrigerator 165 liters 10 12 20 22 25

43

2 Blood Bank Refrigerator 1 1 3 4 63 ILR 1 2 3 3 54 Deep Freezer * * * * *5 Coolers * * * * *6 Air Conditioners 9 10 12 14 167 Central A/C for OT ** ** ** ** **

Note: * To be available as per need** To be available as per no. Of Operation Theater

-8_ Hospital PlantsM

SN Name of the Equipment

No of Beds

101-200 201-300 301-500 501-750 751-1000+

1 Generator 40 / 50 KV

2 Generator 75 KV 1

3 Generator 125 KV 1+ 1+ 1+ 1+

4 Portable 2.5 KV 1 2 2+ 2+ 2+

5 Solar Water heater *

6 Incinerator*

7 Central supply of 02, N20, Vacuum *

8 Cold storage for mortuary *Note: * To be provided as per need+ additional as per need

-9_ TransportM


101-200 201-300 301-500 501-750 751-10001 Ambulance 2 2+ 2+ 2+ 2+2 Van (Family Welfare) * * * * *3 Pickup vehicle * * * * *4 Mortuary Van 1 2 2+ 2+ 2+5 Administrative vehicle * * * * *6 Minidor 3 wheeler * * * * *7 Bicycle * * * * *8 Staff Bus * * * * *9 Programme vehicle * * * * *10 Motorcycle * * * * *

Note: * To be provided as per need. + additional as per need

-0f_ List of emergency and essential Drugs/ InstrumentsM-!_ List of emergency and essential drugs:

SN Name of Drugs1 Ranitidine, Omeprazole, Pantoprazole (Inj)2 Adrenaline (Inj)3 Chlorpheniramine (Inj)4 Aminophylline (Inj)5 Atropine (Inj)6 Hyoscine Bromide (Inj)7 Calcium Gluconate (Inj)8 Ciprofloxacin, Ampicillin, Ampiclox, Ceftrizone, etc. (Inj)9 Deriphylline (Inj)10 Dexamethasone (Inj)

44

SN Name of Drugs11 Dextrose 5% Saline (Inj)12 Dextrose 10% Saline (Inj)13 Dextrose 25% (Inj)14 Dextrose 50% (Inj)15 Diazepam, Lorazepam, Amdazolam (Inj)16 5 % Dextrose Saline (Inj)17 Dopamine (Inj)18 Pentazocine (Inj)19 Hydrocortisone (Inj)20 Frusemide (Inj)21 Mannitol (Inj)22 Metronidazole (Inj)23 Morphine (Inj)24 Nitroglycerine, Labetolol (Inj)25 Normal Saline (Inj)26 Paracetamol (Inj)27 Metachlopramide (Inj)28 Pethidine (Inj)29 Phenergan (Inj)30 Potassium Chloride (Inj)31 Phenobarbitone (Inj)32 Phenytoin (Inj)33 Naloxone (Inj)34 Vitamin 'K' (Inj)35 Ringer's Lactate (Inj)36 Sodium Bicarbonate (Inj)37 Diclofenac (Inj)38 Dobutamine (Inj)39 Noradrenaline (Inj)40 Isoprenaline (Inj)41 Aminodarone (Inj)42 Magnesium Sulphet (Inj)43 Digoxin (Inj)44 Adenosine, Verapamil (Inj)45 Tramostate (Inj)46 Antacids (Tab)47 Aspirin (Tab)48 Diclofenac (Tab)49 Paracetamol Tablet, gel50 Ibuprofun (Tab)51 Codeine Phosphate (Tab)52 Prednisolone (Tab)53 Antidiotics Oral (Tab/Cap)54 Povidinelodine (Sol)55 Antidiotics Ointments56 Others as per necessary

-@_ List of essential instruments for Emergency:

SN Equipment1 Ambu bag with mask2 Artery Forceps3 Salbutamol Inhaler

45

4 Povidone Iodine5 Blood Transfusion Set6 BP Instrument7 Clinwax ear drop8 Crepe Bandage 4"9 Crepe Bandage 6"10 Dissection Forceps non tooth11 Dissection forceps tooth12 Disposable Syringe 3cc, 5cc, 10cc, 20cc13 Endo tracheal tube( Pediatric and Adult ) 3.0-8.5

14 Laryngeal Mask airway 3.0-8.515 Foley's catheter 6f-20f, 3way16 Gloves No.6, 6.5, 7, 7.517 I.V. Cannula 14G-24G18 I.V. Set + Pediatric Burret19 I.V. Infusion Set20 C.V.P. line Set21 Chest Tube (Different Sizes)22 Ipratropium bromide inhaler + Solution23 Knee hammer24 Laryngoscope with blade (Adult, Pediatric sizes)25 Leucoplast26 Oxymetazoline Nasal drop27 Needle holder28 Ryle's tube (N/G Tubes)29 Scissors (different types)30 Silver sulphadiazine cream31 Stethoscope32 Suction Machine with tubes33 Thermometer34 Sphygmomanometer35 Tongue depressor36 Torch Light37 Uro bag38 Wooden Splint Different sizes39 Spinal Board-140 Cervical Collor 1-541 Antibiotic Injection (Different)42 Pulse Oxymeter -143 Otoscope-144 Ophthalmoscope-145 Glucometer -146 Digital Clock

46

kl/R5]b *;]jf ;DaGwL Joj:yf

@!= ljz]if1 ;]jf k|bfg ug]{ c:ktfnsf] k"jf{wf/ tyf dfkb08x¿1M

-s_ d'6'/f]u M-!_ d'6'/f]u ;DaGwL ljz]if1 ;]jf k|bfg ug]{ c:ktfndf o; lgb]{lzsfdf plNnlvts'/fx?sf cltl/Qm b]xfo adf]lhdsf] k"jf{wf/x?sf] Joj:yf x'g' kg]{5 M–

ljj/0f!)!–@))

z}of@)!–#))

z}of#)!–%))

z}of

!=cfsl:ds ;]jf M Observation ward (Should have direct access to cath lab ) Equipment : Monitors Defibrilators Ventilator Intubation Set & Emergency Drug Counter IABP (IntraAorticBalloon Pump

10 14 20

@= cGt/+u ;]jf SICU CCU Intermediate / Monitored Beds Medical Intermediate / Monitored Beds Surgical cGo z}of ;fwf/0f Operating Rooms (Lauminar Flow & Air Filter)

10103030-3

12124040-5

14145050-4

#=sfo{ut ljefux¿(Functional Departmentss= sfl8{of]nf]hL ljefu M Non-Invasive Invasive / Interventional Cardiology Electro-physiology Preventive Rehablitation

√√

OptionalOptional

√√√√

√√√√

v= sfl8{ofs ;h{/L (Cardiovascular) Adult Pediatric Vascular

√√

Optional√

√√√√

√√√√

u= Radiology Imaging Services X-Ray USG general CT Scan MRI for Cardiac Imaging Nuclear Medicine Cath Lab.

√√√

OptionalOptional

√

√√√√√√

√√√√√√

3= Anesthesia √ √ √ª= Pathology : Hematology Bio-chemistry Micro-Biology

√ √ √

r= gl;{ª M ;fdfGo ;]jfsf c:ktfn ;/x √ √ √5= c:ktfn k|zf;g M ;fdfGo ;]jfsf c:ktfn ;/x √ √ √h= Blood Bank √ √ √

1o; kl/R5]bdf pNn]v eP adf]lhdsf ljz]if1 ;]jf afx]s cGo ;]jf h:t}M Zjf;k|Zjf;, ca{'b/f]u, Knfli6s ;h{/L cflbsfxsdf ef}lts k"jf{wf/ / cfsl:ds ;]jf slDtdf hg/n c:ktfn ;/x / cGo ljz]if :jf:Yo ;]jf;'ljwfsf xsdf k|rlntWHO dfkb08 cg';f/ x'g' kg{]5 .

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ljj/0f!)!–@))

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z}ofem= Hospital Pharmacy (own/outsourced) √ √ √`= cGo ljefux¿ ;fdfGo ;]jfsf c:ktfn ;/x - - -6= Additional / Specialty Services : In form of experts Pediatrics Infectious Diseases Nephrology Neurology General Medicine Survey

OptionalOptional

√√√

√√√√√

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$= Key Human Resources :Cardiologist : (Full Time + Part Time) General / Adult /Pediatric Cardiologist Specialist in Intervention Specialist in Non Invasive Rehab/Preventive

Cardiac / Vascular Surgeons (F/P)- Adult- Pediatric- Vascular Intensivist :

- Anesthesiologist : Full Time / Part Time- Radiologist- Pathologist : Histopathologist

BiochemistMicro BiologistHematologist

- Pharmacologist / Pharmacist- Dietician: (Nursing/ Paramedics / Technicians)M ;fdfGo

;]jfsf c:ktfn ;/x Appropriate Skill mix of Admin/Nursing/Auxiliary

Services/Medical Officers/ Registrars and other relevantpersonnel (at least the ratio as per general hospitals) 24 hours coverage by other specialists :

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5

OptionalF/P 5

2541111

Optional

Full TimePreferable

but part time24 hrs on

callmandatory

5

√5

4552222

Optional

5

√7

6763333

Optional

%= Key Equipment (Minimum ECG machines 12 Level ) X-Ray machine 500 MA Portable X-Ray machine USG machine – (as per general hospital) Echocardiography with color doppler and

TEE(Transesophageal Echocardiogram) Cardiac monitors with SPQ2, Temp, IBP, NIBP, CO2, etc Continuous Cardiac output monitor Monitor with gas analyzer : Anesthesia Machine Blood Gas Analyzer Holter Recorder & analyzer Intraaortic Balloon Pump (ABP) Ambulatory BP recorder TMT Auto processor for X-Rays Defibrillator with internal paddles Defibrillator with External Pacing function

10122

315-25

1422223212

13

15232

525-35

2634535223

15

20343

835-55

31046858234

17

48

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z}of Ventilator (adult & Pediatric) Infusion Pump Syringe Pumps Heart lung machine Heater Cooler CT Scan (Multislice= >16) MRI (with cardiac functions) Nuclear medicine system Lab Equipment (as per general hospital guideline)

(as per NTSC of BTA guideline) Blood Bank Equipment (component Separator is a must) Rehab / Physiotherapy Equipment (Set) Bronchoscopy Spirometry Extra corporeal membrane oxygenation machine (ECMO) ECCP device [Extra corporeal (compression) counter-pulsation

device) Equipment for Endoscopic Thoracic / cardiac surgery

105050221

OptionalOptional

As per Guideline111

OptionalOptional

Optional

2075754411

Optional

As perGuideline222

OptionalOptional

Optional

30100100

66211

As perGuideline3331

Optional

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hg/n d]l8l;g -:j}lR5s_ ! @ #

sfl8{ofs -:j}lR5s_ ! @ #

49


!)!–@)) z}of @)!–#)) z}of

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cfO=;L=o'=-Ventilator, syringe Pump,Infusion Punp, Defribilator Monitor;lxt_

@$ $

;S;g o'lg6(Electric & non Electric) @ $ $

clS;hg sG;G6«]6/ @ @ @

Day Care Center @ @ @% lgbfgfTds pks/0fx¿

PS;–/] hg/n c:ktfn ;/x

;L=6L=:Sofg :j]lR5s ! !

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x]df]8fOnfl;; ;Dk"0f{ ;]6 lj:t[t ljj/0f -g]k|mf]_

%!) @)

cN6«f;fp08 d]lzg Regular TRUS US Guided Needle Boppsy

!@ #

Gama Camera: DTPA, DMSA: :j]lR5s ! ! Renal Angiography :j]lR5s

Immobilization :j]lR5s

Bone Scan :j]lR5s ! ! Radioisotope :j]lR5s ! ! o"/f]nf]hL ljz]if c:ktfnfdfURS /PCNL

Cystometry /Urodynamic Studies:j]lR5s

^ zNolqmofsf nflu pks/0f e]lG6n]6/ ! # #

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dfOqmf] ;lh{sn OG:6«d]G6 ! @ #

l/;l:;6]zg ;]6 @ # $

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:j]lR5s@ @

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Endo Urology Set :j]lR5s @ @

c6f]Sn]e d]lzg ! @ @

8foyld{s d]lzg Under water cutting(Urology)

!@ #

50


!)!–@)) z}of @)!–#)) z}of

Lithotrypsy(ESWL)(Urology) :j]lR5s @ @

clS;hg sG;g6«]6/ ! $ ^

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Uro Flowmetry ;]jf cg';f/ ;]jf cg';f/

Cystometry :j}lR5s

Uro dynamic studies :j}lR5s ! !

lkmlhof]y]/fkL clgjfo{ clgjfo{ clgjfo{

l/Xofljln6]zg :j}lR5s :j}lR5s clgjfo{

Nofjf]/]6f]/L M hg/n c:ktfn ;/x

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o'/f]nf]hL ljz]if1 M c:ktfndf o'/f]nf]lhi6 @ $ %

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/lhi6«f/ @ $ %

d]l8sn clkm;/ !) !@ !^

;DalGwt ljz]if1x¿ kf6{–6fOdsf] k|fjwfg @ $ ^

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gl;{ª :6fkm M hg/n c:ktfnsf] cg';f/

Pg]:y]l;:6 $ ^ *

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51

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lehg 8«d ^ &

l/k|m]Szg ;]6 ^ &

8fO/]S6 cˆyndf]:sf]k ÷ Og8fO/]S6cˆyndf]:sf]k

% &

Slit lamp & &

6f]gf]ld6/(Schiotz)AppalanationTonometer & &

ck/]l6Ë dfOqmf]:sf]k ^ ^

ck/]l6Ë 6]a'n & &

s]/f6f]ld6/ % %

cN6«f;fp08 d]lzg(A scan/B scan) % %

n]G; ld6/ % %

ofu n]h/ % %

c6f]Sn]e d]lzg ^ ^

;lh{sn OG:6«d]G6 ;]6 !% !*# hgzlQm

cfO{ ;h{g & *

Pg]:y]l6s @ @

cˆylNds kf/fd]l8s !% !*

gl;{Ë :6fkm -hg/n c:ktfnsf] :6fkm cg';f/_ !% !*

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lehg 8«d !) !% @) #)

l/k|m]Szg ;]6 % * !@ !*

8fO/]S6 cˆyndf]:sf]k !% @) @% #%

Slit lamp % * !@ !*

6f]gf]ld6/ % * !@ !*

ck/]l6Ë dfOqmf]:sf]k # ^ !) !%

ck/]l6Ë 6]a'n ^ & !) !%

s]/f6f]ld6/ @ @ # $

cN6«f;fp08 d]lzg @ @ # $

n]G; ld6/ % * !@ !*

ofu nu/ ! @ @ @

c6f]Sn]e d]lzg # % ^ &

;lh{sn OG:6«d]G6 ;]6 @) #) $% ^)

Opticle coherenceTomograph

! @ # $

Prisms, GDX,

52

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Goldmannperimatry,Humphrey VisualField, IndirectOphthalmoscope,VitrectomyMachine, FundusCamera,synaptophore,Steropsis set, Hertelset, Auto Refractor*

# hgzlQm

cfO{ ;h{g(Fachrosurgeon, vitriol -ratinal surgeon,Occuloplasticsurgeon)

!@ @) #) %)

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gl;{Ë :6fkm -hg/nc:ktfnsf] cg';f/_

!! @) #% %)

* as per need.

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-#_ dfgl;s c:ktfndf Half way hometyf k'g:yf{kg ;]jf k|bfg ug]{ s]Gb|x¿sf] k|fjwfgx''g' kg]{5 .

-$_ dfgl;s c:ktfnsf] nflu b]xfosf] dfkb08 k'/f u/]]sf] x'g' kg]{5 M–

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k/LIf0f

pkrf/

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afn jf8{ k|fjwfg x'g'kg{]

# cGt/+u ;]jfM

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k'?if jf8{ k|fjwfg x'g'kg{]

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PSo'O6 jf8{ k|fjwfg x'g'kg{]

$ ;fOqmfOl6s Odh]{G;L M @$ ;} 306f ;fy} CPRsf] nflu k|fjwfg k|fjwfg x'g'kg{]% lgbfgfTds ;]jf

k|of]uzfnf / PS;-/] hg/n c:ktfnsf k"jf{wf/ ;/x

E.E.G. d]lzg # C.T. Scan ! MRI !

53

l;=g+ ljj/0f !)!–@)) z}of ;fdfGo ;]jf Modified ECT

^ hgzlQm

;fOSofl6«s %

lkmlhl;og kf6{6fOd @

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Go'/f]nf]lhi6 kf6{6fOd @

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:6fkm g;{ #)

k|zf;lgs sd{rf/L M hg/n c:ktfnsf] k"jf{wf/ ;/x

# : Part time

-r_ cyf{]k]l8s ljz]if1 ;]jf c:ktfn M

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$ alx/+u ;]jfM

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@ @ #

% cGt/+u ;]jfM

ck/]zg lyP6/ d]h/ $ $ %

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lkmlhof]y]/fkL # # $

cfO=;L=o'= dlg6/ ;lxt cfjZostf cg';f/

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cfjZostf cg';f/

^ lgbfgfTds pks/0fx?M

PS; /] M hg/n c:ktfn ;/x cfjZostf cg';f/

;L=6L= :Sofg cfjZostf cg';f/

54

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Pd=cf/=cfO= cfjZostf cg';f/

cN6«f;fpG8 d]lzg @ @ #

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e]lG6n]6/ * !) !@

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ck/]l6e OG:6«d]G6 dfOqmf]:sf]k # # $

:kfOgn ;]6 @ @ #

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clS;hg sG;G6«]6/ @ @ #

Isotope Scan :j}lR5s :j}lR5s :j}lR5s

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( hgzlQmM

sG;N6\ofG6 -!M@% z}of_ * !@ @)

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@ @ @

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gl;{Ë :6fkm hg/n c:ktfn cg';f/

Pg]:y]l;:6 % ^ ^

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cg';f/@ cfsl:ds ;]jf c:ktfnsf] dfkb08sf cltl/Qm

lgDgfg';f/ x'g'kg]{

55

sfl8{ofs dlg6/l8lkmla|n]6/cGo cfsl:ds Go"/f] ;]jfsf nflucfjZos pks/0fx?

$ alx/+u ;]jf M (OPD)

d]l8sn Go"/f]nf]hL

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cyf{]k]l8s ;h{/L

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lkmlhof]y]/fkLM ;DalGwt ;fdu|L ;lxt % cGt/+u ;]jf M

cfO=;L=o'= dlg6/ ;lxt !)

;S;g o'lg6 !)

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clS;g sG;G6«]6/ !

;lh{sn jf8{ %)

d]l8sn jf8{ %%

ck/]zg lyP6/ d]h/ #

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PlGhof]u|fd !

cN6«f;fpG8 d]lzg !

C. Arm Portable X-Ray !

zNolqmofsf nflu pks/0f

e]lG6n]6/ *

sfl8{os dlg6/ !%

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Pg]:y]l6s dlg6/ #

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8foyld{s d]lzg #

;S;g o'lg6 $

56

& cGo ;]jfx¿ M ;DalGwt ;]jf cg';f/sf cfjZos pks/0fx¿sf] Joj:yf ug{] M

cyf{]k]l8s :j}lR5s

k]ml;of] DoflUhn/L :j}lR5s

cˆyndf]nf]hL :j}lR5s

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* hgzlQm

Go"/f] sG;N6\ofG6 -!M@% z}of_ $

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cyf{]k]l8s !~ = as per need

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# ljz]if lSnlgs ;]jf -s'g} @ clgjfo{_

SofG;/ l:qmlgË ;akml6{ln6L c8f]n];G6 x]Ny(Adolescent

Health)

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57

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-6_ bGt/f]u MDental Hospital, Specialized Dental Service Center, Dental Clinic and DentalDepartment for General Hospital (INGOS, NGOs and Public)

59

Category of Hospitals Genera Dental Hospital- to provide Dental Services under one roof.

Specialized Dental service Center- to provide spicialized dental service by NMC registeredspecialist.

I. Ora and Maxillofacial CenterII. Orthodontic Center

III. Prosthodontic CenterIV. Periodontic CenterV. pedodontic Center

VI. Restorative CenterVII. Dental Implant Center

Dental Clinic/Polyclinic- to provide general dental services.Dental Dept. of General Hospital- to provide general dental services.

Dental Hospital and Specialized Center should be registered as per as the Governments rules andregulation in four types as

I. Private Limited CompanyII. Public Limited Company

III. NGOIV. INGO

General Dental Hospital - 15 Dental ChairThe basic aim of the general dental hospital should be to provide all basic general dental services under one roof.The general dental hospital should have the following facilities:

InfrastructureAdministrative

Reception, Waiting Room, Account Room, Maintenance Room, Store, Doctor's Meeting Room,Changing Room, Ambulance, Director's Room, Library Room

ClinicalCapacity of minimum 15 dental chairs should have at least five separate dept. namely-1. Oral Surgery: Minor OT with 2 beds and 2 dental chairs (Oral Surgeon visit on call and twice

a week regular visit)2. Orthodontic Dept- 1 dental Chairs (Specialist's visit at least twice a month)3. PosthodonticDept- 2 dental Chairs (Specialist's visit at least once a week)4. Conservative Dept – 2 dental chairs (Specialist's visit at least once a week)5. Periodontics Dept - 2 dental chairs (Specialist's visit at least once a week)

General- 10 dental chairs (Integrated system)24 hrs Emergency Dental servicesOther facilitiesSterilization room, Radiology- OPG and CEPH, Dental Laboratory, Pharmacy, Pathology- Routine test,Waste disposal System, Water Storage, Toilets (Male/Female), Canteen(Space= One dental chairs should have Minimum 50 sqft. and total hospital should have minimum 5000sqft. Hospital complex may be rented, leased or own house, One should have minimum of five years ofagreement with the house owner)

For Minor OT Anesthetist Service- On call Minor OT Equipment Operating table Operating lights Suction Units Electro-cautery Unit Instrument holding tables Infusion Stands

60

X-ray viewers weighing machines (swab weighing)

Staffs Graduate dental surgeons- 10 Staff Nurses- 2 Dental Hygienist- 3 Dental Assistant- 8 x-ray Technician- 1 Lab Technician- 1 Maintenance Technician- 1 Manager- 1 Receptionist- 1 Accountant- 1 Store Keeper- 1 Guard- 1 Sweeper- 3

General Dental Hospital 25 Dental chairs :

The basic aim of the general dental hospital should be to provide all basic general dental services under servicesunder one roof.Infrastructure:Administrative

Reception, Waiting Room, Account Room, Maintenance Room, Store, Drs. Meeting Room, ChangingRoom, Ambulance, Director's Room, Library Room

ClinicalCapacity of minimum 25 dental chairs should have at least five separate department namely-

1. Oral and Maxillofacial Surgery Unit/Oral Medicine Radiology

Minor and Major OT with ICU

5 general beds, 2 ICU

5 Dental chairs

Major equipments for OT and ICU. Boyle's Anesthesia Machine

Pulse Oxymeter

Ventilator

ECG Monitor

Defibrillator

Laryngoscope

Endo-tracheal Tube for nasal and oral intubation

IV fluid warmer

operating table

operating Light

Suction unit

Electri-cautry Unit

Instrument holding table

Infusion stand

X-ray viewer

Weighing machines (swab weighing )2. Team of graduates' dental surgeons headed by Oral and Maxillofacial (regd. with NMC as Specialist)

visit every day and on call.3. Orthodontic Dept.- 2 dental chairs (specialist's visit at least twice a month)

61

4. Posthodontic Dept .- 2 dental chairs (specialist's visit at least once a week)5. Restorative/Pedo. dept - 2 dental chairs (specialist's visit at least once a week)6. Perio/Community Dept - 2 Dental Chairs (specialist's visit at least once a week)7. General -12 dental chair ( General Integrated System)

Other Facilities Sterilization Room Radiology- OPG and CEPH and IOPA Dental Laboratory pharmacy pathology- routine test Waste disposal system Water storage Toilets (Male/ Female) canteen 24 hrs Ambulance Service 24 hrs emergency services

Space= One dental chair should have minimum 50 sqft. and total hospital should have minimum 12,000sq.ft. Hospital Complex may be in rented, leased or own house; should have minimum of five years of agreementwith the house owner. The building must have sufficient open space to catter the need of parking, emergencyescape, rescue in case of emergency etc.

Staff Graduates dental surgeons- 15 Anesthetist –on call Nursing staff- 5 Quality Manager- 1 Dental Hygienist- 3 Dental Assistant- 10 X-ray Technician- 2 Lab Technician- 2 Maintenance-Technician- 1 Receptionist- 2 Store Keeper- 1 Guard- 1 Sweeper- 4 Infection control and Waste disposal system expert- 1

General Dental Hospital 50 Dental chairsthe basic aim of the general dental hospital should be to provide all basic general dental services under one roof.Infrastructure Administrative

1. Reception2. Waiting Room3. Account room4. Administration Room5. Maintenance Room6. Store7. Doctor's Meeting Room8. Changing Room9. Seminar Hall10. Ambulance Garage11. CEO Room12. Library Room

62

Clinical

Capacity of Minimum 50 dental chairs, should have at least 7 separate departments namely1. Oral and Maxillofacial Surgery Unit/ Oral Medicine Radiology

Minor and Major OT with ICU-10 general beds 2 ICU, 7 Dental chairsMajor equipment for OT and ICU Boyle's Anesthesia Machine

Pulse Oxymeter

Ventilator

ECG Monitor

Defibrillator

Laryngoscope

Endotracheal Tube for nasal and oral intubation

IV fluid warmer

operating table

operating Light

Suction unit

Electri-cautry Unit

Instrument holding tables

Infusion stand

X-ray viewer

Weighing machines (swab weighing )2. Team of graduates' dental surgeons headed by Oral and Maxillofacial (regd. with NMC as Specialist) visit

every day and on call.3. Orthodontic Dept.- 4 dental chairs (specialist's visit at least twice a month)4. Posthodontic Dept.- 5 dental chairs (specialist's visit every day)5. Restorative-5 dental chairs (specialist's visit everyday)6. Pedo. dept-3 dental chairs (specialist's visit everyday)7. Perio-3 dental chairs (specialist's visit everyday)8. Community Dept- 2Dental Chairs (specialist's visit everyday )9. General -22 dental chair ( General Integrated System)

Other Facilities Sterilization Room Radiology- OPG and CEPH and IOPA Dental Laboratory pharmacy-24 hrs pathology- routine test,oral pathology/ General pathology Waste disposal system Water storage Toilets (Male/ Female) canteen 24 hrs Ambulance Service 24 hrs emergency services Parking areas

Staff Graduates dental surgeons- 15 Anesthetist – on call Nursing staff- 5 Quality Manager- 1 Dental Hygienist- 3 Dental Assistant- 10 Radiographer 2

63

Dental Lab Technician- 2 Maintenance-Technician- 1 Receptionist- 2 Store Keeper- 1 Guard- 1 Sweeper- 4 Infection control and Waste disposal system expert- 1

Specialized Services CenterAny hospital or clinic can concert its department or unit to a specialized center once it fullfill the followingcriteria of that particular services requirement. They should provide only specialized treatment of their field.

Oral and Maxillofacial services center- only Surgical Dental Treatment Minimum 3 dental chair (1 complete set, dedicates for minor oral surgery)

Major equipment for OT and ICU Boyle's Anesthesia Machine

Pulse Oxymeter

Ventilator

ECG Monitor

Defibrillator

Laryngoscope

Endotracheal Tube for nasal and oral intubation

IV fluid warmer

operating table

operating Light

Suction unit

Electri-cautry Unit

Instrument holding tables

Infusion stand

X-ray viewer

Weighing machines (swab weighing )

Infrastructure1. Reception2. Waiting Room3. radiology-OPG,IOPA-X-ray and CEPH4. Pathology Lab.5. Toilet6. Ward7. Patient Record Keeping System8. Infection control and waste disposal system/Protocol9. Library Room

Staff- Oral and maxillofacial surgeon- 1 everyday

Graduates Dental surgeon- 3

Nursing Staff- 6

General Anesthetic – On call

2. Orthodontic service center- Work Only Orthodontic Minimum 3 dental chair (1 complete set, dedicates for orthodontia)

64

separate clinic for ortho patient

Sterilization Room/Area

Consultation room

Waiting room

Reception

Toilet

Intra Oral camera + computer

patient Record Keeping System

Infection Control and waste disposal system/ Protocol

Library Room

Orthodontic laboratory

EquipmentsDental Chair with Halogen light spittoon and water supply High Vacuum Suction

Micromotor or Air motor

Airotor Handpiece

Light cure unit

Ultrsonic Scaler Unit/ Pisoscaler

Oil free Medical Grade Compressor

IOPA-X-Ray and OPG and CEPH

Separate Lab MIcromotor

Orthodontic Pliers/Materials

Spot welder

X-Ray viewer

Autoclave/Hot air oven

Needle destroyer with cutter

Staff Orthodontic specialist service - everyday

Graduates Dental Surgeon- 2

Receptionist- 2

Trained Assistant- 2

Cleaner- 1

3. Prosthodontic Service Center- Work Only Prostho Minimum 3 dental chair (1 complete set, dedicates for Prosthodontia)

separate clinic for Prostho patient


Consultation room

Waiting room

Reception

Toilet




Library Room

Prosthodontic laboratory

Equipments

65

Dental Chair with Halogen light spittoon and water supply High Vacuum Suction


Airotor Handpiece

Light cure unit

Ultrsonic Scaler Unit/ Peizo scaler


IOPA-X-Ray


X-Ray viewer



Generator

Staff Prosthodontic Specialist service everyday

Receptionist

Trained assistant cleaner

Waste disposable System

Sterilization Room/Area and Protocol

4. Periodontic Service Center- Work Only Perio (Gum Disease) Minimum 3 dental chair (1 complete set, dedicates for Perio)

separate clinic for Perio patient


Consultation room

Waiting room

Reception

Toilet




Library Room



Airotor Handpiece

Light cure unit



Electrocuatry

IOPA-X-Ray


X-Ray viewer



Generator

66

Staff Perio Specialist service everyday

Receptionist

Trained assistant cleaner

Waste disposable System

Sterilization Room/Area and Protocol

5. Pedodontic (Child) Service Center- Work Only with Pedo patients Minimum 3 dental chair (1 complete set, dedicates for Pedo)

separate clinic for Pedo patient


Nitrous oxide System

Consultation room

Waiting room

Reception

Toilet



Library Room



Airotor Handpiece

Light cure unit



IOPA-X-Ray

Separate Lab Micromotor

Orthodontic Pliers/Materials

Spot welder

X-Ray viewer



Generator

Dental Lab

Intra Oral Camera+ Computer

Staff Pedo Specialist service everyday

Receptionist

Trained assistant

cleaner

Waste disposable System expert

Sterilization Room /Area and ProtocolRecovery Room + One bed

6. Restorative & Endodontic Service Center- Minimum 3 dental chair (1 complete set, dedicates for Restorative and Endodontics)

67

separate clinic,


Consultation room

Waiting room

Reception

Toilet



Library Room



Airotor Handpiece

Light cure unit

Ultrsonic Scaler Unit/ PisoScaler

Endodontic Microscope


IOPA-X-Ray


X-Ray viewer



Generator


Staff Endo Specialist service everyday

two graduates dental surgeons

Receptionist

Trained assistant

cleaner


7. Implant Service Center- Implant and general Minimum 3 dental chair (1 complete set, dedicates for Implant)

separate clinic ,


Consultation room

Waiting room

Reception

Toilet



Library Room

Equipments Electric Dental Chair with Halogen light spittoon and water supply

High Vacuum Suction

Implant Surgical and Prosthetic kit

68

Physio Dispenser ( Implant Micromotor )

Fiber Optic Airotor Handpiece

Light cure unit

Ultrasonic Scaler Unit/ Peizo scaler


IOPA-X-Ray


X-Ray viewer



Ultrasonic cleaner


Generator

Patient Record keeping system

Staff Oral Implant trained Dental Surgeons (Oral Implantologist) with the Minimum 5 years experienced

graduate or 2 years experienced post graduate dental surgeons having official training on Oralimplantology from University or the Original Implant Manufacture about the system

Receptionist

Trained assistant

cleaner


Sterilization Room/ Area and Protocol

Dental ClinicThe aim of the clinic is to provide general dental service in a clean and hygienic environment. Any graduatedental surgeons having permanent reg. from NMC can open dental clinic. The dental clinic should haveminimum following facilities.

Infrastructure Reception

Waiting

Clinic

Toilet

Cleaning and Sterilization area

Equipment Electric Dental Chair with Halogen light spittoon and water supply

High Vacuum Suction


Airotor Handpiece

Light cure unit

Ultrsonic Scaler Unit/ PisoScaler


IOPA-X-Ray

X-ray viewer



Generator

Dental Dept. for General Medical Hospital

69

The aim of the dental department of any general hospital is to provide general dental service in an clean andhygienic environment. The dental department should have minimum following facilities.Infrastructure-Reception , Waiting ,Clinic ,Toilet ,Cleaning and Sterilization area

EquipmentThree dental chairs (two for Drs and one for Hygienist) with Halogen light Halogen light spittoon and watersupply High Vacuum Suction


Airotor Handpiece

Light cure unit

Ultrasonic Scaler Unit/ PisoScaler

Oil free Medical Grade Compressor ,electrocautry

IOPA-X-Ray ,X-ray viewer



Generator

Dental HospitalSN Details 15D. Chairs (DC) 15D.Chairs 50 D. Chairs

Infrastructure(administrative)Reception 1(10 Sq.M) 1(10 Sq.M) 1(10 Sq.M)Waiting room 1(14 Sq.M) 1(14 Sq.M) 1(14 Sq.M)Account room 1(10 Sq.M) 1(10 Sq.M) 1(10 Sq.M)Store 1(10 Sq.M) 1(10 Sq.M) 1(10 Sq.M)Maintenance room 1(14 Sq.M) 1(14 Sq.M) 1(14 Sq.M)Drs. meeting room 1(16 Sq.M) 1(16 Sq.M) 1(16 Sq.M)Changing Room 1(10 Sq.M) 1(10 Sq.M) 1(10 Sq.M)Directors Room 1(10 Sq.M) 1(10 Sq.M) 1(10 Sq.M)Library Room 1(14 Sq.M) 1(14 Sq.M) 1(14 Sq.M)CEO Room 0 1(14 Sq.M) 1(14 Sq.M)Seminar Room 0 1(16 Sq.M) 1(16 Sq.M)ClinicalOral and maxillofacialSurgery

(Oral surgeon visit oncall and twice a week

regular visit)Minor OT-2

Beds-2DC-2

Minor OT-2Major OT-1

General Beds-5 DC-5

ICU beds-2

Minor OT-2Major OT-1

General Beds-10DC-7

ICU beds-2

Orthodontic Department ( specialist's visit at leasttwice a month) DC-1

( specialist's visit atleast twice a month)

DC-2

( specialist's visit atleast twice amonth) DC-4

Prosthodontic Department ( specialist's visit at leastonce a week) DC-1

( specialist's visit atleast once a week)

DC-2

( specialist's visiteveryday) DC-5

General ( Integrated System)DC-10

( Integrated System)DC-12

( IntegratedSystem) DC-22

Periodontic Department Specialist visit at leastonce a week


DC-2


Restorative/Pedo Dept. Specialist visit at leastonce a week


DC-2


24 hrs Emergency Dentalservices

70

StaffGraduate dental surgeon 10 15 25

Staff Nurses 2 5 7Anesthetist on call on call on callDental Hygienist 3 3 5Dental Assistant 8 10 20Radiographer 1 2 2

Lab Technician 1 2 2Maintenance Technician 1 1 1Receptionist 1 2 2Store Keeper 1 1 1Security Guard 1 1 2Sweeper 3 4 4Accountant 1 2 2Manager 1 1 1Other FacilitiesSterilization room 1(14 Sq. m.) 1(14 Sq. m.) 1(14 Sq. m.)radiology-OPG,IOPA andCEPHDental laboratorydental Laboratory 1(14 Sq. m.) 1(14 Sq. m.) 1(16 Sq. m.)Pharmacy-24hrsPathology-oral pathologyGeneral PathologyWaste Disposal System

Water storageToilets (male/female) 2 2 4Canteen24hr ambulance serviceParking areas 1/3 open space 1/3 open space 1/3 open space

Specialists are those who are registered with Nepal Medical Council under Specialist criteria.

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ue{jtL dlxnf tyf afnaflnnfO{ cgfjZos lals/0faf6 aRg cg'/f]wug{]

-*_ :jf:Yo dGqfnosf] :jLs[lt j]u/ Radiology;DaGwL d]lzg g]kfn leqNofpg / ;~rfng ug{ gkfOg] .

-v_ ;L 6L :Sofg (CT Scan) Pd cf/ cfO{(MRI): o:tf pks/0f h8fg ubf{pTkfbg ug{] sDkgLn] tf]s]sf] lgb{]lzsfsf] k"0f{?k]0f kfngf ug{' kg{] / Go"gtdk"jf{wf/x? b]xfo adf]lhdsf] x'g' kg{]5 M–-!_ Pd cf/ cfO{ ÷;L 6L :Sofg /fVg] sf7fsf] ;fO{h slDtdf !^×@)

kmL6sf] x'g' kg{]5 .-@_ ;L 6L :Sofgsf] nflu ljls/0f lns]h x'g glbgsf nflu dfyL PS;/]sf]

nflu pNn]v eP adf]lh Joj:yf ldnfpg' kg{]5 .-@_ Pd cf/ cfO{ sf] sf]7fsf] nflu jfXo r'DasLo c;/ gkg{] Joj:yf

ldnfpg' kg{]5 .-$_ sG6«f]n ?d slDtdf !)×!@ kmL6sf] x'g' kg{]5 .-%_ ;L 6L :Sofg d]lzg u'0f:t/o'Qm / Spiral (Helical) x'g' kg{]5 .-^_ Pd cf/ cfO{ )=% Tesla jf )=@ Telsa ePdfMRI/

Angiography;'ljwf ePsf] x'g' kg{]5 .-&_ d]lzg :jf:Yo dGqfnosf] :jLs[lt j]u/ Nofpg / ;~rfng ug{ kfO{g]

5}g .-u_ /]l8of]nf]hL ;]jfsf] nflu cfjZos hgzlQm tyf of]Uotf M /]l8of]nf]hL ;]jfsf]

nflu cfjzos hgzlQm tyf of]Uotf b]xfo adf]lhd x'g' kg{]5 M–-!_ /]l8of]nf]lhi6M dfGotf k|fKt lzIf0f ;+:yfaf6 lrlsT;f zf:qdf :gfts

tx plt0f{ u/L /]l8of]nf]hL ljifodf Pd 8L, 8L Pd cf/ 8L ,Pkm cf/ ;Lcf/ jf ;f] ;/x sf]if{ ptL0f{ u/]s]f x'g' kg{]5 .

-@_ /]l8of]nf]hL P08 O{d]lhËsf] l/kf]l6{Ë /]l8of]n]flhi6x?n] dfq ug{ kfpg];fy} Radiological Interventional Procedure x? klg oyf;Dej/l8of]nf]lhi6n] ug{] Joj:yf ldnfpg' kg{]5 .

-#_ /]l8of]nf]hL ;]jfsf] nflu cfjZos hgzlQm jf of]Uotf lgDg adf]lhdx'g' kg{]5

-s_ Medical Physicist M. MedicalPhysics laifodf B scjfMscptL0f{{u/sf]

-v_ jfof]d]l8sn O{GhLgLo/, afof]d]l8sn O{GhLgLol/Ë ljifofdf dfGotf k|fKtlzIf0f ;+:yfaf6 :gfts tx ptL0f{ u/s]f x'g' kg{]5 .

-u_ l;lgo/ /]l8of]u|fkmLs 6]Sgf]nf]lhi6– ;DjlGwt ljifodf MSc.

Radiographyu/L slDtdf :gfts txdf # jif{ sfd u/]sf] x'g'k5{ .-3_ /]l8of]u|fkmLs clws[t -/]l8of]u|flkms 6]Sgf]nf]lhi6_ – lrlsT;f zf:q

cWoog ;+:yfg jf g]kfn ;/sf/af6 dfGotf k|fKt cGo ;+:yfg o;/]l8of]u|fkmLs ljifodf -BSc. MIT, Bsc. RT_ :gfts tx plt0f{ u/]sf] x'g'kg]{ . ;fy} NHPC (Nepal Health Professional Council) df btf{ x'g' kg]{ .

-ª_ /]l8of]u|fkm/M lrlsT;f zf:q cWoog ;+:yfgaf6 jf g]kfn ;/sf/af6dfGotf k|fKt cGo ;+:yfaf6 /]l8of]u|fkmL laifodf k|df0f kq tx ptL0f{u/]sf] x'g'kg{] .

-3_ Radiation Measurement and Protection;DaGwL Joj:yfM RadiationProtectionJojl:yt ug{ /X ray Unitx?sf] u'0f:t/ gfk ug{ nfO{ rflxg]cfjZos pks/0f v/Lb u/L :jf:Yo dGqfnon] tf]s]sf] lgsfodf /fVg] / cg'udg

73

tyf lg/LIf0fdf k|of]u ug{] / u'0f:t/, Dose Monior ug{] . ljZj :jf:Yo;+u7gsf] dfkb08 cg';f/ s'g} sfd ug{] JolQmdf radiationsf]dose 20Milisievert per year (WHO) sf] ;g @))@ sf] dfkb08 cg';f/ b]lvPdfpko'Qm Ifltk"lt{sf] Joj:Yf ;DalGwt ;+:yfn] ldnfpg' kg{]5 .

-ª_ Ultrasonogram (USG) USG : Ultrasonogram (USG) USGsf] k|of]u;DaGwdf /]l8ofnf]lhi6x? afx]s cfkmgf] If]qdf dfq k|of]udf Nofpg] u/L dfGotfk|fKt ;+:yaf6 sDtLdf # dlxgfsf] USG tflnd k|fKt u/]sf] :qL tyf k|;"lt /f]u;DaGwL laz]if1x?n] ug{ kfpg]5g\ .;]jf ;~rfng ug{ cfjZos kg{] lgDgadf]lhdsf] pks/0fx?sf] Joj:Yff x'g' kg{]5 M–-!_ Odh{]G;L ;]jfdf rflxg] cf}iflw nufot cf}hf/ pks/0fx?sf] Joj:yf x'g'

kg{] .-@_ :6]«r/, XjLn lro/sf] Joj:yf x'g' kg{] .-#_ zf}rfnosf] /fd|f] Joj:yf x'g' kg{] .-$_ /]sl8{Ë tyf l/kf]l6{Ësf] nflu 5'§} sf]7fsf] Joj:yf x'g' kg{] .-%_ a}slNks laB'tsf] nflu h]g]/]6/sf] Joj:Yff x'g' kg{] .-^_ la/fdLsf] nflu / la/fdL s'?jf a:gsf] nflu sf]7f nufot a]~rsf]

Joj:yf x'g' kg{] .-&_ :6f]/, l/kf]6{ l8:6«LJo";gsf] nflu 5'§f5'§}sf]7fsf] Joj:yf x'g' kg{] .-*_ !)) z}of eGbf dfyLsf :jf:Y o ;+:yfdf Medical Physicist /

Electrical Engineer sf] lgoldt ;]jf pknAw x'g] Joj:yf x'g' kg{] .-(_ Medical Equipment repair & maintenance ubf{ jfof]d]l8sn

O{lGhgLo/ jf /]l8of]nf]lhsn pks/0f ;DaGwL laz]if tflnd k|fKt JolQmx'g' kg{] .

-!)_ A/C Machine sf] Joj:yf / Ps hgf slDtdfPCL u/]sf] JolQmJoj:yf x'g'kg]{ .lals/0f If]qdf sfdug]{nfO{ clgjfo{ ?kdf /]l8o];geQfsf] Joj:yf x'g'kg]{ .

-r_ /]l8of]nf]hL ;]jfsf] nflu Go"gtd pks/0f tyf hgzlQm k"jf{wf/x? M-!_l;=g= ljj/0f SnLgLs @% z}of %) z}of %) z}of eGbf dfyL! PS;/] d]zg !)) Pd P – ! #)) Pd P – ! #)) Pd P – ! %)) Pd P – !*

#)) Pd P – !@ PS;/] d]lzg kf]6{]jn

df]jfO{n:j]lR5s !)) Pd P – ! !)) Pd P – ! !)) Pd P – !

# cN6«f;fp08 d]lzg :j]lR5s :j]lR5s Ps Ps

$ hgzlQm/]l8of]nf]lhi6

cflz+s ;do cf+lzs ;do Ps Ps

l;lgo/ /]l8of]u|flkms6]Sgf]nf]lhi6

! @

/]l8of]u|flkms clws[t ! ! @ @

/]l8of]u|fkm/ b"O{ b"O{ tLg tLg

/]l8of]u|flkms clws[t Ps Ps b"O{ b"O{

-@_

74

l;=g= ljj/0f !)! z}of b]lv #))z}of ;Dd

#)! z}of b]lv %))z}of ;Dd

%)! z}of b]lv dfyL

! PS;/] d]lzg#)) Pd P b]lv %))Pd P ;Dd –!±!

#)) Pd P b]lv %))Pd P ;Dd –@ ±@*

#)) Pd P b]lv %))Pd P ;Dd –#±@*

@ PS;/] d]lzg Image Intensifier Ps Ps Ps

# PS;/] d]lzg kf]6{]jn -df]jfO{n_ ! @ @

$cN6«f;fp08 d]lzg With colourdoppler & Guided Biopsy

@ @ @+!

% CR/DR Processer !±! !±@ !±#

^ Spiral CT Scan ! * !!**

& 0.5 Tesla MRI Machine ! * ! ! **

*PET Scan *

(= Mammography Machine ! ! !& hgzlQm / CR System

! /]l8of]nf]lhi6 @ # b]lv % slDtdf %@= /]l8of]u|flkms clws[t @ $ ^#= /]l8of]u|flkms clws[t @ $ ^# /]l8of]u|fkm/ $ b]lv !) * b]lv !% ± % sDtLdf !% ± #$ jfof]d]l8sn O{l~hgLo/ ! ! sDtLdf @% d]l8sn lkmlhl;i6 cf+l;s ;do ! sDtLdf !

** CT Scan should be minimum of 128 slic, MRI should be minimum of 1.5 Tesla*As per need

@$= lghL k|of]uzfnf ;]jfM-!_lghL k|of]uzfnf ;]jf ;~rfngsf] nflu k|of]uzfnfx?sf] :t/, laefhg /hgzlQm b]xfo adf]lhd x'g' kg]{5 M–

g]kfn :jf:Yo ;]jf Kofyf]nf]hL ;d"x M-s_ hg/n Kofyf]nf]hL M of]UotfM dfGotf k|fKt lzIf0f ;+:yfaf6 Pd lj lj P; jf ;f] ;/x

ptL0f{ u/L MD Path. MRC Path, DCP jf ;f] ;/x ptL0f{ u/s]f x'g' kg{]5 .-v_ lx:6f]nf]hL÷;fO{6f]nf]hLM of]UotfM dfGotf k|fKt lzIf0f ;+:yfaf6 MD Pathpkflw k|fKt jf

DCP jf(Diploma in Clinical Pathology) :ff] ;/x ptL0f{ u/L lx:6f]nf]hL÷;fO{6f]nf]hLdf laz]if tflnd jf DCP pkfwL k|fKt x'g' kg{]5 .

-u_ dfO{qmf]afof]nf]hLM of]UotfM dfGotf k|fKt lzIf0f ;+:yfaf6 MD Microbiology pkfwLk|fKt .

-3_ x]df6f]nf]hL M of]UotfM dfGotf k|fKt lzIf0f ;+:yfaf6 MD Hameatology pkfwL k|fKt .-ª_ MD BiochemistryM of]UotfM dfGotf k|fKt lzIf0f ;+:yfaf6 MD Biochemistry pkfwL

k|fKt .dfly pNn]lvt hgzlQmx?n] of]Uotf xfl;n u/]sf] ljifosf] kf7oqmddf pNn]lvt;DalGwt k/LIf0f ug{ kfpg]5g .

d]l8sn Nofj 6]Sgf]nf]hL ;d"x-s_ d]l8sn 6]Sgf]nf]lhi6M dfGotf k|fKt lzIf0f ;+:yfaf6d]l8sn Nofj 6]Sgf]nf]hL laifodf

:gfts BMLT pkfwL k|fKt .

75

ug{ kfpg] kl/If0fx?M Histopatholoty,Cytopathology & Bone Marrow Studyafx]ssf ;j} k/LIf0fx? .

-v_ laz]if1d]l8sn 6]Sgf]nf]lhi6M dfGotf k|fKt lzIf0f ;+:yfaf6d]l8sn Nofj 6]Sgf]nf]hLlaifodf :gftsf]Q/ pkflw MMLT k|fKt .MMLT/M.Sc.Microiology, MMLT/M.Sc.Haematology, MMLT/M.Sc.Biochemestry, MMLT/M.Sc. Cytology u/]sf]x?n] h'g ljifodf cfk'mn] pkfwL k|fktu/]sf] 5 ;f]xL ljifodfdfq k|of]uzfnf ;~rfng u/L laz]if1 ;]jf k|bfg ug{ kfpg] 5g .

-3_ Nofj 6]SgLlzogM dfGotf k|fKt lzIf0f ;+:yfaf6 ;DalGwt ljifdf k|df0f kq tx jf ;f];/x ptL0f{.ug{ kfpg] kl/If0fx?M lhNnf c:ktfn b]lv s]Gb|Lo c:ktfnx?df ul/g] k|of]uzfnf

;DaGwL cfwf/e"t b]lv ;fwf/0f kl/If0fx? .

-ª_ Nofj cl;i6]06M dfGotf k|fKt lzIf0f ;+:yfaf6 sDtLdf Ps aif{ jf !% dlxgfsf] Nof=ctflnd k'/f u/L k|df0f kq k|fKt u/]sf] .ug{ kfpg] kl/If0fx?M x]Ny kf]i6 b]lv lhNnf c:ktfnx?df ul/g] k|of]uzfnf ;DaGwL

cfwf/e"t kl/If0fx?.

-@_ pkbkmf -!_ df plNnlvt hgzlQmn] cfk"mn] k|fKt u/]sf] k|df0fkqsf] cfwf/df lghLk|of]uzfnf vf]nL ;~rfng ug{ kfpg] 5g\ / Nofj cl;i6]06sf] xsdf cfk"m eGbf dflyNnf] pkflwk|fKt u/]sf JolQmx?sf] k|ToIf lgu/fgLdf k|of]uzfnfdf sfd ug{ kfpg]5g\ .

-#_ pkbkmf -!_ df pNn]lvt hgzlQmn] cfk"mn] k|fKt u/]sf] k|df0fkqsf] cfwf/df Joj;foug{ g]kfn ;/sf/n] tf]s]sf] kl/ifb\af6 ;b:otf lng' kg]{5 .

-$_ o; bkmfdf cGoq h'g;'s} s'/f n]lvPsf] eP tfklg cGrn c:ktfn, pkIf]qLoc:ktfn, If]qLo c:ktfnsf] ;fy} s]Gb|Lo c:ktfnx?df x'g] ljif]z k|sf/sf k/LIf0fx? (HighlySpecelized Test);f] kl/If0f ;DaGwL ljz]if1tf xfFl;n u/]sf JolQmx?n] dfq ug{ kfpg] 5g\ .

@%= k|of]uzfnf ;~rfng ;DaGwL Go"gtd dfkb08M b]xfodf pNn]v eP adf]lhd ;/sf/L :t/df;~rflnt k|of]uzfnfx?sf] :t/ cg';f/sf] dfkb08g} lghL If]qdf ;~rflnt k|of]uzfnfx?sf]Go"gtd dfkb08 x'g]5 M–

-s_ k|of]uzfnfdf sfo{/t hgzlQm cg';f/ b]xfodf n]lvP adf]lhdsf k/LIf0fx? dfqug{ kfO{g]5 .

-v_ cfsl:ds ;]jf k|bfg ug]{ x/]s c:ktfndf z}of cg';f/sf] cfjZos kg{]cfsl:ds k/LIf0fx? ug{'kg{]5 . ;fy} !)) z}of eGbf d'lgsf cfO{ ;L o" jf8{ePsf jf !)) z}of eGbf dfyLsf c:ktfnsf] k|of]uznfdf Blood gasAnalyzer clgjfo{ ?kdf x'g'kg{]5 . cGosf] xsdf National Helath LaboratoryPolicy 2069 cg';f/ tof/ x'g] Guideline cg';f/ x'g]5 .

-u_ /fli6«o hg:jf:Yo k|of]uzfnf jf cGo ;Da4 lgsfoaf6 ;~rfng x'g] u'0f:t/lgoGqs ;DaGwL sfo{qmddf clgjfo{ ?kdf efu lng'kg]{5 .

-3_ /fli6«o hg :jf:Yo k|of]uzfnfaf6 k7fO{g] u'0f:t/ ;DaGwL k/LIf0f lgb{]zgadf]lhd clgjfo{ ?kdf ug]{ u/fpg] k|of]uzfnf k|d'vsf] st{Jo x'g]5 .

-ª_ k|of]uzfnfdf x'g' kg{] sf]7fsf] ;+Vof / ;fOh o; dfkb08df Joj:yf eP c'g;f/x'g'kg{]5 .

-r_ k|To]s sf]7fdf kof{Kt k|sf; / e]G6Ln]zgsf] Joj:yf x'g' kg{]5 .-5_ lah'nL / kfgLsf] /fd|f] Joj:yf x'g' kg{]5 .-h_ c:ktfn k|of]uzfnfn] kf]x/Joj:yfkgsf] plrt Joj:yfkg u/]sf] x''g' kg{]5 .

76

-em_ k|of]uzfnfdf /ut tfGg] sf]7f, ;kmf ug{] sf]7f, cfsl:ds sf]7f k':tsfno /zf}rfnosf] clgjfo{ Joj:Yff x'g' kg{]5 .

-`_ k|of]uzfnfdf cfjZos kg]{ 6]j'n, s';L{ nufotsf cfjZos kmlg{r/x? kof{Ktdfqfdf x'g'kg]{5 .

-6_ k|of]uzfnfdf cfjZos kg{} sfrsf ef8fs'8fx? tf]lsPsf] dfkb08 cg';f/Joj:yf x'g' kg{]5 .

-7_ k|of]uzfnfdf laz]if1 ;]jf k|bfg ubf{ cfkm'n] h'g pkfwL k|fKt u/]sf] 5 ;f]xLc'g;f/dfq ;]jf ;~rfng ug{ kfpg]5 .

-8_ k|of]uzfnfdf sfd ug]{ hgzlQmn] ljifo;Fu ;DjlGwt :jf:Yo kl/ifbdf clgjfo{?kdf btf{ ePsf] x'g'kg]{5 / cfkm\gf] gfd, z}lIfs of]Uotf Pj+ kl/ifbsf] btf{ g+Dj/pNn]lvt :6fkm jf lk|G6sf] k|of]u l/kf]l6ªdf clgjfo{ ?kdf pNn]v u/]sf] x'g'kg]{5.

77

kl/R5]b (

cfo'j]{b tyf j}slNks lrlsT;f ;DaGwL :jf:Yo ;+:yfx?sf] dfkb08

@^= cfo'j]{b tyf j}slNks lrlsT;f ;DaGwL :jf:Yo ;+:yfx?sf] dfkb08 M -!_cfo'j]{b tyfj}slNks lrlsT;f k|0ffnL cGtu{t lghL :t/df :jf:Yo ;+:yfsf] :yfkgf, ;~rfng tyf :t/f]Ggltubf{ b]xfosf] dfkb08x?sf] kfngf ug'{kg]{5 M–-s_ cfo'j]{b :jf:Yo ;]jf M

-!_ cfo'j]{b lrlsT;f k|0ffnL cGtu{t :jf:Yo ;]jf k|bfg ubf{ jf lrlsT;f Joj:ffoubf{ ;DalGwt laifodf dfGotf k|fKt lzIf0f ;+:yfaf6 :gfts jf :gftsf]Q/pkflw xfl;n u/L g]kfn cfo'j]{b lrlsT;f kl/ifb\df btf{ ePsf] x'g' kg]{5 . g]kfn;/sf/sf] jxfnjfnf sd{rf/L ePdf g]kfn ;/sf/sf] k"j{ :jLs[lt lng'kg]{5 .

-@_ k~rsd{ ;]jf s]Gb|df ;DalGwt laifodf slDtdf la=P=Pd=P; jf ;f] ;/x pkflwk|fKt JolQmaf6 jdg, lj/]rg, lz/f]lj/]rg, cf:yfkg, cg'jf;g jl:t / /Stdf]If0fk|of]u ug'{kg]{ / pQ/jl:tsf] nflu ;DalGwt ljz]if1af6 ug'{kg]{5 .

-#_ cfo'j]{b c:ktfndf sfd ug]{ sd{rf/LnfO{ ;+qmd0f ;'/Iff ;DaGwL cfjZos tflndlbg'kg]{5 .

-$_ cfo'j]{b c:ktfnn] hgzlQm, ef}lts k"jf{wf/, cf}hf/–pks/0f / ;]jfsf]u'0f:t/Lotfdf dfq ;+:yf lj:tf/ ug{ :jLs[ltsf] nflu dfu ug]{ / pko'Qm 7x/ePdf zfvf lj:tf/sf] :jLs[lt lbg ;lsg]5 .

-%_ la/fdLsf] pkrf/sf] l;nl;nfdf cfjZostf cg';f/ ljz]if1 lrlsT;s ;dIf jfpko'Qm :yfgdf k|]if0f -l/km/_ ug'{kg]{5 .

-^_ /f]u lgbfgfy{ cfjZos kg]{ O{=l;=hL=, O=O=hL, Kofyf]nf]hL, /]l8of]nf]hL tyf cGocfjZos ;]jfx? ;+rfng ug'{k/]df ;DalGwt laifosf] hgzlQm / ;f] ;DaGwLef}lts k"jf{wf/, cf}hf/ pks/0f gLlt lgodsf] kfngf ug'{kg]{5 .

-&_ OlG6«u|]6]8 lSnlgs, gl;{Ë xf]d jf c:ktfn egL :jLs[ltsf nflu dfu ePdf s'gs'g laifo / ;]jf lbg] p2]Zo /flvPsf] xf] < ;f] k|i6 pNn]v ul/ ;f]xL adf]lhdsfhgzlQm, cf}hf/ pks/0f / ef}lts k"jf{wf/ Joj:yf ug'{kg]{5 .

-*_ cfo'j]{b lrlsT;f ljwfdf :jf:Yo /Iff, /f]u lgjf/0f, cf}iflw b|Jo sfi7f}iflw,/;f}iflwsf] k|of]u ul/g] lrlsT;f ;]jf, ljgf cf}iflw lbOg] ;]jf / cfo'j]{b :jf:Yo;]jfdf pNn]lvt k"j{sd{ cGtu{tsf lg/fUgL :j]b -hn, jfo', ;"o{ls/0f, kfly{jtTjsf] k|of]u_, clUg :j]bg, cEoË (Massage), ;Tjfjho lrlsT;f -of]ufEof;,Wofg cflb_ sf] dfWodaf6 /f]usf] /f]syfd jf bL3{hLjgsf] nflu ;~rfng ul/g];+:yfx?n] cfo'j]{b :jf:YosdL{x?, ef}lts k"jf{wf/, cfjZos cf}hf/ pks/0f /tf]lsPsf] dfkb08 k"/f ul/ h'g ;'s} gfddf ;+rfng ePtfklg cfwf/ u|Gy ;lxtcg'dlt k|bfg ug]{ lgsfoaf6 cg'dlt lnP/ dfq ;~rfng ug{ kfOg]5 .

-v_ cfo'j]{b lrlsT;f cGt/ut /xg] ;]jfx?M

lrlsT;f ;]jf M

!= /f]u pkrf/ -cft'/ ljsf/ k|zdg_-s_ o'lQm Jofkf>o lrlsT;f-v_ ;+zdg -cf}iflw lrlsT;f_-u_ ;+zf]wg -jdgflb k~rsd{ zf]wg lrlsT;f_-3_ b}j Jofkf>o-ª_ ;Tjfjho-r_ z:q–k|l0fwfg

78

-5_ of]ufEof;

@= :jf:Yo k|j4{gfTds, :jf:Yo /Iff tyf k|lt/f]wfTds :jf:Yo ;]jf-s_ k|s[lt ljlgZro / k/fdz{-v_ :j:yj[Q kfng –Ct'rof{, lbgrof{, /flqrof{, kYofkYo, cfxf/ ljxf/-u_ /;fog-3_ jfhLs/0f-ª_ k~rsd{-r_ of]ufEof;

-u_ cfo'j]{b c:ktfn tyf gl;{Ë xf]d ;DaGwL dfkb08 tyf k"jf{wf/M-!_cfo'j]{blrlsT;f k|0ffnL cGtu{t lghL:t/df ;~rfng ug]{ c:ktfn Pj+ gl;{Ë xf]dx?n]cfˆgf] Ifdtf cg';f/ qmdzM Ps jf PseGbf j9L tkl;ndf pNn]lvtljefu÷zfvfx? ;~rfng ug{ ;Sg]5g\ M–cfo'j]{b lrlsT;f ;]jf cGtu{t ljefu jf zfvfx?M-s_ sfolrlsT;f-v_ afn/f]u lrlsT;f-u_ k|;"lt tyf :qL/f]u lrlsT;f-3_ zNo lrlsT;f-ª_ zfnfSo-r_ /;fog-5_ jfhLs/0f .

-@_ cfo'j]{b c:ktfnn] b]xfo adf]lhdsf] ef}lts k"jf{wf/sf] Joj:yf tyfdfkb08sf] kfngf ug'{ kg]{5 M–

l;=g+= laj/0f !)–!% z}of ;Dd !^–@% z}of ;Dd @^–%) z}of ;Dd!= ef}lts k"jf{wf/

-s_ hUuf dfkb08 M ;8s;+u hf]l8Psf]x'g'kg]{ -k|lt z}of %) j=ld=_.

-v_ ;jf/L ;fwg cfjt hfjt tyf kfls{Ësf]nflu kof{Kt 7fpF x'g'kg]{ .

-u_ k|j]zåf/ / lgsf;åf/ – u]6 5'§f5'§}x'g'kg]{ .

-3_ ;~rf/, lah'nL , zf}rfno tyfvfg]kfgLsf] Joj:yf x'g'kg]{ .

x'g'kg]{

@= ;]jfjlx/Ë cGt/Ë

#= hgzlQmcfo'j]{b lrlsT;fdf :gftsf]Q/ pkflw

(M.D./M.S.Ay.)cfjZostf cg';f/ @ hgf $ hgf

lrlsT;s (B.A.M.S.);f] ;/x_ # hgf % hgf * hgf

cfo'j]{b ;xfos (P.C.L.);f] ;/x_ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/cfo'j]{b ;xfos sfo{stf{(AAW);f] ;/x_

@ hgf # hgf $ hgf

k~rsd{ ;x–;xfos cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/cEoËstf{ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/B.N.(B.Sc.Nursing) ! hgf ! hgf

Staff Nurse ! hgf @ hgf @ hgf

79

l;=g+= laj/0f !)–!% z}of ;Dd !^–@% z}of ;Dd @^–%) z}of ;Ddc=g=ld= # hgf $ hgf ^ hgfNofj 6]Sgf]nf]lhi6 :j}lR5s :j}lR5sNofj 6]lSgl;og :j}lR5s ! hgf ! hgfNofj cl;:6]06 cfjZostf cg';f/ ! hgf ! hgf

$= Rediology/USG/]l8of]nf]lhi6 :j}lR5s :j}lR5s/]l8of]u|fkm/ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/;xfos /]l8of]u|fkm/ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/x]Nk/ :j}lR5s :j}lR5s :j}lR5s

%= sd{rf/L k|zf;gk|zf;g clws[t cfjZostf cg';f/ cfjZostf cg';f/fgfoj ;'Aaf cfjZostf cg';f/ ! hgf ! hgfvl/bf/ -n]vf_ + k|zf;g ! hgf ! hgf ! hgfsDKo"6/ k|fljlws vl/bf/ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/lkog + kfn] # hgf # hgf # hgfefG5]÷6xn'jf @ hgf @ hgf @ hgfdfnL cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/8«fOe/ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/s'lrsf/ @ hgf @ hgf # hgf

^= pks/0f:6]y]:sf]k -k|To]s pkrf/ sIfdf_ B.P.Set-k|To]s pkrf/ sIfdf_

Thermometer -cfjZostf cg';f/_ Weighing Machine @ # $prfO{ gfKg] ;fwg ! ! !Torch light ! # ^Cotton, Gauze, Bandage cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/Apron cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/Gloves cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/X-ray view box cfjZostf cg';f/ ! !Oxygen set ! @ @Durm set # $ *Atutoclave # # $Srugical Set ! ! @Sliding ! !Suture Material (different size) $ ^ *Needle (different size & shape) !) @) @%Forceps !@ @$ @$Artery forceps !@ @$ @$Culting scissors @ $ ^Cutting set @ @ @Blunt scissors ! ! !Sharp Scissors ! @ @LancetScalpel & kitle holder etc. @ # #Dressing setKidney tray, small tray, large bowel $ ^ ^Dissecting forceps, Thumb forceps(toothed & untoothed)

$ ^ ^

Dressing trolley, dressing materials,cotton.

@ # $

80

l;=g+= laj/0f !)–!% z}of ;Dd !^–@% z}of ;Dd @^–%) z}of ;DdGauge, bandage/teucoplest/xylocain etc. & !) !@Catherer setPlain, folley's & matlicot cather !) @) @)Diagnostic set @ # #GeneralTongue Spatula @ # #Torch light/emergency light @ # $SpecificENT set @ @ @Gynecological Examination Set, D & CSet, Cucus, Sim's Speculum, emema set

! @ #

Neonatal care set ! ! @Macintos sheet, Kally's pad % ^ *OtherProctoscope/Laryngoscope/Ophthalmoscope

@ $ $

Tonometer/Rhinoscope ! ! !Sterilizer/Autoclave drum set ! @ @Equipments & Materials for emergencycase management

@ @ #

Nebulizer ! ! !Ryle's TubeGastric Lavage set @ @ #Bed screen # # $Mask @% @% #)Cap !) #) #)Ear syringing set @ @ @Wooden splint $ ^Urobag @ $ $cGt/Ë ;]jf(Indoor)jf8{M k'?if sf]7f !) x@) :Sjfo/ lkm6 @ # $dlxnf sf]7f !) x @) :Sjfo/ lkm6 @ # $lrlsT;f sf]7f !) x !) :Sjfo/ lkm6 ! @ @zf}rfno -k'?if tyf dlxnfsf nflu 5'6f5'6}_jf; j]lzg tyf kfgL kof{Kt

$ $ $

Wheel chair÷:6«]r/÷6«nL ! # #rf6{÷ns/÷kmfOn s]jLg]6 !% @% %)a]8 Kofg÷z}of ;+Vofsf] cfwf/df s'?jf a:g] 6'n -z}of ;+Vofsf] cfwf/df_

lrlsT;s sIf ! @ @g;]{h 8\o"6L ?d !)X!% :Sjfo/ lkm6 ! @ $la/fdL cf];fg]{ PDa'n]G; ! !cf}ifwL :6f]/sf] k"jf{wf/e]lG6n]zgo'Qm !)X!% :Sjfo/ lkm6;fOhsf] sf]7f

! ! !

la/fdL k"hf{ btf{ ug]{ sIf ! ! !cf}ifwL jgfpg] 6]a'n s';L{ ! ! !la/fdLsfnfuL ;f]wk'5 tyf ;xof]u sIf ! ! !

efG;f3/ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/&= alx/+u ljefu (OPD)

81

l;=g+= laj/0f !)–!% z}of ;Dd !^–@% z}of ;Dd @^–%) z}of ;Ddla/fdL btf{ sIfla/fdL hfFFGg] sf]7fn]vf k|zf;fg sIf

! j6f! j6f@ j6f

! j6f@ j6f@ j6f

! j6f$ j6f@ j6f

*= cfsl:sd ;]jf ;'ljwfclS;hg ;]6cfsl:sf ;]jfdf cfjZos cGo pks/0flaz]if1 ;]jfsf] xsdf ;f]lx cg';f/sfhgzlQ sIf / cfjZos pks/0f x'g'kg]{ .

@ ;]6x/]ssf @/@ ;]6cfjZostf cg';f/

# ;]6x/]ssf #/# ;]6cfjZostf cg';f/

$ ;]6x/]ssf $/$ ;]6cfjZostf cg';f/

(= k|of]uzfnf sf]7f @ # #!)= dgf]k/fdz{ Pj+ hLjgz}nL sf]7f ! ! !!!= of]uf;g, k|f0ffofd,Wofg cflbsf nlu (!^X

#@)! ! !

!@=+ k"j{sd{ ;]jfsf] nfuL k|To]s ;]jfsf] cnucnu sIf

cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/

:g]xg sIf cEoË sIf :j]bg sIf- gfl8 :j]b nufot !#

k|sf/sd :j]bgsfnfuL cnu cnusIf

cEoË 6]a'n ;jf{Ë :j]bg o+q gfl8 :j]bg o+q nufot ljljw !#

k|sf/sd :j]bgsfnfuL cnu cnucfjZos o+Gq

sl6 tyf hfg' :j]bg oGq cjufx :j]bg oGq lg/fUgL :j]b sf] nfuL sDdn,

d[lbsf ,k|:t/,hn,t]h ,k|lyj tTjcflbsf] Joj:yf

k~rsd{ ;]jfsf] nfuL ;fdfu|L jdg 6]a'n ;lxt jdg sIf lj/]rggLo cfzg lz/f]lj/]rgsf] nfuL sIf tyf ;fwg lz/f]wf/f 6]a'n ;lxt ;]6 lz/f] al:t oGq

!!cfjZostf cg';f/

cfjZostf cg';f/!

cfjZostf cg';f/

!!cfjZostf cg';f/

cfjZostf cg';f/cfjZostf cg';f/cfjZostf cg';f/!

!!@

!!cfjZostfcg';f/

cfjZostfcg';f/!

cfjZostf cg';f/

!!cfjZostf cg';f/


!!@

!!cfjZostfcg';f/

cfjZostf cg';f/!

cfjZostf cg';f/

!!cfjZostf cg';f/


!!@

!#= k~rsd{ ;]jf -% j6} ;]jfsf nfuL cnucnu sIf x'g'kg]{ _

cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/

!$= k'g{:yfkg sIf cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/!% km'n kmn ;lxt :jR5 jftfj/0f / cf}iflw o'Q

x{j]{l/od ;d]t x'g'kg]{ .cfjZostf cg';f/ cfjZostf cg';f/ !

-3_ cfo'j]{b :jf:Yo lSnlgs÷kf]lnlSnlgs ;DaGwL dfkb08 tyf k"jf{wf/x?Mcfo'j]{bkf]lnlSnlgs ;]jf ;~rfngubf{ Pp6} Joj:yfkg cGtu{t /xL tLg jf ;f] eGbf a9L ;]jfk|bfg ug'{ kg]{/ cf}iflw ;]jfsf] Joj:yf ;d]t x'g'kg]{5 .:jf:Yo hfFr ug]{ tyf k/fdz{ lbg]JolQm s'g} klg dfGotf k|fKt lzIf0f ;+:yfaf6 slDtdf klg BAMSjf ;f] ;/xsf]lrlsT;f ;DaGwL pkflw k|fKt u/L cfo'j]{b lrlsT;f kl/ifb\df btf{ ePsf] x'g'kg]{5 .

-!_ Ps ;]jf ;~rfngsf nflu cfjZos Go"gtd ef}lts ;'ljwfx? lgDg cg';f/sf] x'g'kg]{5M–

82

-s_ la/fdLsf] hfFr ug]{ e]lG6n]6]8 sf]7f ;]jf cg';f/sf] 5'§f5'§} x'g'kg]{5 . -slDtdf!$!) ju{ lkm6_

-v_ la/fdL a:g] 7fpF -s'g]{ 7fpF_-u_ la/fdL hfFRg] 6]j'n-3_ lrlsT;ssf] nflu s';L{-ª_ lrlsT;ssf] nflu 6]a'n-r_ la/fdL a:g] s';L{÷6'n-5_ la/fdL s'g{ a:g] a]Grx?sf] Joj:yf-h_ zf}rfnosf] Joj:yf-em_ 6]lnkmf]g -:j}lR5s_ .

-@_ cfjZos cf}hf/ pks/0fx? lgDg cg';f/sf] x'g'kg]{5M–

-s_ ydf]{ld6/ –!-v_ tf}n lng] d]lzg –!-u_ prfO{ gfKg] d]lzg –!-3_ 6+u l8k|]z/ – !-ª_ An8 k|]z/ hfFRg] d]lzg –!-r_ :6]yf]:sf]k –!-5_ cfFvf, gfs, sfg hfFRg] ;]6 –!-h_ k|f]S6f]:sf]k –!-em_ k|f]j-`_ l;l/Gh-6_ 6r{ nfO6-7_ k~hf-8_ df:s, Pk|f]g-9_ ls8\gL 6«]-0f_ afN6Lg .

-#_ cGo Joj:yf -yk dfkb08_M-s_ ljz]if1 ;]jf / laifo cg';f/sf] cfjZos cf}hf/ pks/0fx?sf] Joj:yf x'g'kg]{5 .-v_ la/fdLsf] ;Dk"0f{ laj/0f /fVgsf] nflu Pp6f /lhi6/ x'g'kg]{5 .-u_ lSnlgsdf k|of]u ul/g] ;Dk"0f{ cf}hf/x? clgjfo{ ?kdf lgd{ns[t ul/Psf] x'g'kg]{5

.-3_ lSnlgsdf sfd ug]{ JolQmn] cfˆgf] of]Uotfsf] k|df0fkq tyf cfo'j]{b lrlsT;f

kl/ifb\ btf{ g+=, ;]jf z'Ns / cfos/ k|df0fkq ;a}n] b]Vg] 7fpFdf /fVg'kg]{5 .-ª_ dfl;s k|ltj]bg lgod cg';f/ ;DalGwt lgsfodf k7fpg] Joj:yf x'g'kg]{5 .

-ª_ cfo'j]{b k"j{sd{ k~rsd{ ;]jf s]Gb| ;DaGwL dfkb08 tyf k"jf{wf/x? M

-!_ ef}lts k"jf{wf/Mcfo'j]{b k~rsd{ ;]jf k|bfg ug]{ s]Gb|, x]Ny Snj / x]Ny l/;f]6{x?;~rfngsf nflu cfjZos kg]{ cEoË, :j]bg, :gfg, jdg, lj/]rg, lz/f]lj/]rg, jl:tcflb pkrf/ sIfx? / ;f]sf nflu b]xfosf ;fdu|Lx?sf] Joj:yf x'g'kg]{5 . o;sf ;fy}cf}iflw lgdf{0f sIf, k|s[lt k/LIf0f, ;Tjfjho lrlsT;f, of]u Wofg Pj+ cGo ;xfosx?sfnflu cfjZos sIfx? x'g'kg]{5 . ;fy} pko'Qm lsl;dsf k':tsfno, zf}rfno cflbsf]Joj:yf x'g'kg]{5 .

83

-s_ cEoË sIf-v_ :j]bg sIf - Uof; l;ln08/ sIf aflx/ x'g' kg]{_-u_ cEoË 6]a'n-3_ ;jf{Ë :j]bg aS;-ª_ gfl8 :j]bg o+q-r_ jl:t o+q ;]6-5_ jdg 6]a'n ;lxt jdg sIf-h_ zf}rfno ;+nUg /x]sf] lj/]rg sIf-em_ lj/]rg s';L{-`_ g:o s';L{-6_ lz/f]wf/f 6]a'n ;lxt ;]6-7_ lz/f] al:t ;]6-8_ hfg' al:t,sl6 al:t cflb ;]6-9_ sl6 :j]bg 6a-0f_ cjufx :j]bg 6a-t_ ;+;h{g sd{sf nflu ef]hgfno-y_ cGo k"jf{wf/ tyf cfToflos lrlsT;f ;fdfu|L

gf]6 M k+rsd{sf] k|wfgsd{ ;+rfngsf nflu cGt/+u ;]jf ;+rfng l:js[lt clgjfo{ x'g] 5 .

-@_ k~rsd{ ;]jfx?MoL ;]jf s]Gb|x? Jojl:yt ?kdf ;~rflnt ul/g'kg]{5 . oL s]Gb|x?af6lbOg] ;]jfx? cfo'j]{b lrlsT;f l;4fGt cg';f/ /;fog, jfhLs/0f, :jf:Yo k|j4{g,k|lt/f]wfTds, k'g:yf{kg Pj+ pkrf/fTds sd{df cfwfl/t /xg'kg]{5 . /;fog, jfhLs/0f;]jf klg lbg'kg]{5 .k~rsd{ / ;f] ;DaGwL ;]jfx? lgDgfg';f/ ug'{kg]{5M–-s_ k~rsd{

-!_ k"j{sd{x?M :g]xg, :j]bg, cEoË, lk08:j]b, gf8L / lkr' cflb .-@_ ;+;h{g, /;fog sd{-#_ k|wfgsd{x?M jdg, lj/]rg, jl:t -cg'jf;g, cf:yfkg, lz/f]lj/]rg,

/Qmdf]If0f -hnf}sf_ .-$_ kZrft\ sd{ .

-v_ cGo sd{-!_ cEoË, :j]bg, @# k|sf/ :j]b jfXo jl:t, g]q tk{0f, lz/f]wf/f, lz/f]

jl:t, t]n, :gfg, n]k, sl6:gfg, kfb:gfg cflb sd{x? .-@_ ;Tjfjho sd{M ;Tjfjho, of]u, Wofg, gfb lrlsT;f cflb sd{x? .

-#_ cfjZos hgzlQmx?Mcfo'j]{b lrlsT;f cGtu{t k~rsd{ / ;DalGwt s'g} klg sd{x? bIfcg'ejL cfo'j]{b lrlsT;sx?sf] dftxtdf /x]/ dfq lbOg' kg]{5 .lgDgfg';f/ of]Uotf ePsfhgzlQmx?af6 pk/f]Qm ;]jfx? ;~rfng ug'{ kg]{5M–-s_ cfo'j]{b lrlsT;s M cfo'j]{b lrlsT;f k|0ffnLdf :gfts jf :gftsf]Q/ pkflw k|fKt

.-v_ k~rsd{ lrlsT;f ;xfos M cfo'j]{b lrlsT;f k|0ffnLdf k|df0fkq tx jf cfo'j]{b

:jf:Yo ;xfos tx pQL0f{ u/L Go"gtd # dlxgfsf] k~rsd{ tflnd k|fKt u/]sf]x'g'kg]{5 .

-u_ k~rsd{ ;x–;xfos M slDtdf P;=Pn=;L=kf; u/L cfo'j]{b lrlsT;ssf]dftxtdf /xL ;f] ;DaGwL cfjZos sd{x?sf] tflnd ;lxtsf] @ jif{sf] cg'ejk|fKt u/]sf] .

84

-3_ cEoËstf{ -dlxnf / k'?if b'j}_ M slDtdf cf7 sIff k9L @ jif{;Dd cfo'j]{blrlsT;ssf] dftxtdf j;L cEoËstf{sf] ?kdf cg'ej k|fKt u/]sf] .

-$_ cfo'j]{b cEoË sd{ dfq lbOg] s]Gb|x?af6 lj>fGtL cEoË sd{ dfq lbg ;Sg]5g\ / ;f]sd{sf nflu Go"gtd ;'kl/j]If0f k|fljlws lg/LIf0f 6f]nLåf/f ;do ;dodf ul/g]5 .

-%_ k"j{sd{ k~rsd{ lrlsT;f ubf{ k|of]u x'g] cf}iflw tyf cGo b|Jo M-s_ Sjfy, kmf06, cs{, :j/;-v_ cjn]x, kfs, v08, ls|;/f-u_ :g]x, k|:t/, d[lbsf, hn, t]h, w'd|, jf:k, sDjn, j:q, k§, hn cflb .

-^_ kZrftsd{df kd|of]u x'g] b|Jo tyf lgld{t cf}iflw Joj:yf M-s_ ;flTjs cfxf/, Ct' tyf lbgrof{, a|Dxrof{ kfng-v_ cf}iflw–r"0f{, j6L, kmfG6, cjn]x-u_ cf;j, cl/i6-3_ nf}x, d08'/-ª_ t]n, 3[t-r_ /;, /;fog-5_ n]k, dnxd-h_ eid, lki6L .

-ª_ xf]ldof]Koflys lrlsT;f ;]jf :yfkgf tyf ;~rfng dfkb08 M-!_ xf]ldof]Koflys :jf:Yo lSnlgs÷kf]lnlSnlgsdf :jf:Yo hfFr ug]{ tyf k/fdz{ lbg]

JolQm s'g} klg dfGotf k|fKt lzIf0f ;F:yfaf6 slDtdf klg :gfts jf ;f] ;/xsf]pkflw k|fKt u/]sf] x'g'kg]{5 .

-@_ xf]ldof]Koflys :jf:Yo lSnlgs÷kf]lnlSnlgsdf ef}lts k"jf{wf/x? lgDgfg';f/ x'g'kg{]5 M–ef}lts k"jf{wf/M-s_ la/fdL hfFr ug]{ pko'Qm sf]7f-v_ la/fdL s'g]{ a]Gr / s';L{-u_ la/fdL hfFr ug]{ 6]a'n / :6'n-3_ zf}rfnocfjZos :jf:Yo pks/0fx?M-s_ :6]y]:sf]k-v_ la=kL= ;]6-u_ O{=Pg=6L= ;]6-3_ ydf]{ld6/-ª_ PS;/] x]g]{ aS;-r_ Weighing Machine-5_ prfO{ gfKg] ;fwg-h_ 6r{-em_ uh, s6g, AofG8]h-`_ Tongue Depresor-6_ Proctoscope-7_ afN6Lg, hu-8_ la/fdLsf] ljj/0f /fVg] /lhi6/-9_ Catheterization set

hgzlQmM-s_ xf]ldof]Koflys lrlsT;s –! -slDtdf xf]ldofKoflydf :gfts tx jf ;f]

;/x_

85

-v_ ;xfos xf]ldof]Koflys lrlsT;s –! -slDtdf xf]ldof]Koflysdf k|df0fkqtx jf ;f] ;/x_

-u_ xf]ldof]Doflys ;xfos –! -dfGotf k|fKt ;+:yfaf6 xf]ldof]Koflydf tflndk|fKt u/]sf]_

;]jfM-s_ pkrf/-v_ k/fdz{

-r_ xf]ldof]Koflys Odh]{G;L ;]jfM-!_ xf]ldof]Koflysdf Odh]{G;L ;]jf @$ ;} 306f ;Lldt ;]jf v'Nnf /fVg ;lsg]5 .-@_ ef}lts k"jf{wf/M

@)!% ;fO{hsf] e]lG6n]zg tyf zf}rfnoo'Qm sf]7f lrlsT;s a;g] 6]j'n / s';L{ –! yfg :6fkm g;{ a:g] s';L{ –! yfg la/fdL a:g] s';L{, 6'n –! yfg ck/]zg 6]a'n –! yfg Hanging light (100 wt) –! yfg ¥ofs –! yfg lx6/ –! yfg Sterilization set –! yfg zf}rfnodf kof{Kt dfqfdf kfgL pknAw ePsf] .

-#_ pks/0fM :6]yf]:sf]k

BP set Globes X-ray view Box Thermometer Weighing Machine prfO gfKg] ;fwg

Plastic Apron Dressing set Stitching set Torch Mask Cap Cotton, Gauze, bandage Stab, stand + oxygen cylinder, suction machine

-$_ ;]jf ;DaGwLM Dressing Stitching ;fwf/0fInjury

-%_ hgzlQmM

86

lrlsT;s –! hgf :6fkm g;{ –! hgf sfof{no ;xof]uL –! hgf

-^_ cf}iflwMxf]ldof]KofyLdf k|of]u x'g] s]xL Odh]{G;L cf}iflwx?

-5_ lghL :t/sf] xf]ldof]Koflys c:ktfnsf k"jf{wf/ Ml;=g= ljj/0f !)–!% z}of !^–@) z}of @!–@% z}of @^–%)z}of! ef}lts k"jf{wf/x? M c:ktfn ejg cfˆg} jf ef8fdf, kfls{Ë :yn, v'Nnf hUuf, c:ktfn

k|j]zdfu{{, oftfoftsf] ;'ljwf, k|ltIffno, ;f]wk'5 sIf cflb cfjZostf cg';f/ pknAwePsf]

@ ;]jfs_ alx/Ë ;]jfv_ cGt/Ë ;]jf

# hgzlQmlrlsT;s -:gftsf]Q/ tx_

:j}lR5s :j}lR5s ! @

lrlsT;s -:gfts tx_

$ % ^ *

;xfos lrlsT;s # $ % ^:6fkm g;{ :j}lR5s ! ! #c=g=dL= @ # $ %Nofa 6]Sgf]nf]lhi6 :j}lR5s :j}lR5s :j}lR5s !Kofyf]nf]lhi6,Nofa 6]lSg;Log

:j}lR5s :j}lR5s ! !

Nofa Pl;:6]G6 ! ! @ #/]l8of]nf]lhi6,/]l8of]u|fkm/

:j}lR5s :j}lR5s ! !

jf8{ AjfO{ ! ! @ #k|zf;g clws[t — — ! !gfoa ;'Aaf ! ! ! !;xn]vfkfn ! ! ! !sDKo'6/ ;xfos ! ! ! @lkog÷kfn] $ $ % %efG5]÷6xn'jf # # # #dfnL ! ! ! !;jf/L rfns ! ! ! !s'rLsf/ @ @ # $

$ pks/0f:6]y]:sf]k cfjZostfg';f/ cfjZostfg';f/ cfjZostfg';f/ cfjZostfg';f/B.P. Set Æ Æ Æ Æ Æ Æ Æ ÆX-ray view box Æ Æ Æ Æ Æ Æ Æ ÆThermometer Æ Æ Æ Æ Æ Æ Æ Æ

87

WeighingMachine

Æ Æ Æ Æ Æ Æ Æ Æ

prfO{ gfKg] ;fwg Æ Æ Æ Æ Æ Æ Æ ÆApron Æ Æ Æ Æ Æ Æ Æ ÆGloves Æ Æ Æ Æ Æ Æ Æ ÆOxygen set Æ Æ Æ Æ Æ Æ Æ ÆCatheterizationset


Torch Æ Æ Æ Æ Æ Æ Æ ÆCotton, gauze,bandage


/ cGo cfjZos;fdfu|Lx?


% cGt/Ë ;]jfk'?if sf]7f 17×10' 17×10' 17×12' 17×12'dlxnf sf]7f 17×10' 17×10' 17×12' 17×12'lrlsT;f sf]7f 14×10' 14×10' 14×10' 14×10'zf}rfno, jf;a]lzg tyf kfgLk¥ofKt

@ @ # #

WheelChair÷:6«]r/÷6«nL

@ @ # #

rf6{÷ns/÷kmfOn % !) !% @%a]8 Kofg -z}of;+Vofsf] cfwf/df_

% !) !% @%

s'?jf a:g] 6'n % !) !% @%lrlsT;s cf/fdug]{ a]8

! ! ! !

g;{ 8\o'6L ?d!$ ×!)

! ! ! !

la/fdL cf;fg]{PDa'n]G;

! ! ! !

sDKo'6/ tyflk|G6/

# # $ $

^ cf}iflw :6f]/sf] k"jf{wf/e]lG6n]zgo'Qm !$×!) ;fO{hsf]sf]7f

! ! ! !

la/fdLsf] k'hf{btf{ ug]{ 6]a'n,s';L{cf}iflw agfpg]6]a'n, s';L{la/fdL k'hf{ btf{ug]{ /lhi6/alx/Ë ;]jfsf] 25×14' 25×14' 30×14' 30×14'

88

nflu lj/fldx?sf]kv{g] sf]7falx/Ë ;]afsf]nflu la/fdLhfFRg] sf]7f

14×10' 14×10' 14×10' 14×10'

-h_ PSo"k|];/ M cg]s /f]usf] pkrf/ ug]{ PSo"k|]z/ lSnlgs jf kf]ln PSo"k|]z/ -k|fs[ltslrlsT;f_ lSnlgs ;~rfng ug{ lgDg lnlvt Go"gtd Joj:yf x''kg]{5 M–-!_ bIf hgzlQmM

-s_ s'g} ljZjljBfnoaf6 ;DalGwt laifodf cfjZos of]Uotf -8fS6/pkflw_ k|fKt u/]sf] JolQmx? .

-v_ s'g} klg dfGo k|fKt ;+3 ;+:yfaf6 cfjZos tflnd -8fS6/ jf ;f];/xsf] pkflw_ k|fKt u/]sf JolQmx? .

-@_ cw{ bIf hgzlQmM-s_ s'g} klg dfGotf k|fKt ;+3 ;+:yfaf6 Ps jif{ jf ;f]eGbf a9L tflnd

k|fKt JolQmx? .-v_ bIf hgzlQmsf ;fydf Go"gtd tLg jif{;Dd cg'ej k|fKt u/]sf]

s'/f bIf hgzlQmn] k|dfl0ft u/]sf] JolQmx? .

-#_ la/fdL hfFr ug]{ sf]7f

-$_ PSo"k|];/ y]/flki6x?sf] nflu d]r / 6]a'n

-%_ bIf PSo"k|];/ y]/flki6 -pkrf/s_

-^_ cw{bIf PSo"k|];/ y]/flki6 -pkrf/s_ –! hgf

-&_ sfof{no ;xfos –! hgf

-*_ :jLk/ –! hgf

-(_ cfjZos pks/0fx?M-s_ PSo"k|]z/ hfFr ug]{ d]lzg-v_ tf}n lng] d]lzg-u_ PSo"k|]z/ ug]{ lhdsf d]lzgx?-3_ zlQm ;~rf/ ug]{ pks/0fx?-ª_ On]S6«f]lgs PSo"k|]z/ d]lzg-r_ :kfOgn /f]n/-5_ k]ml;on /f]n/ / cGo Jofofdsf pks/0fx? .

-!)_ ;+:yfut ?kdf vf]lng] lSnlgsM-s_ g]kfn ;/sf/af6 :jLs[t k|fKt lgsfosf] cg'dlt lnP/ dfq :jf:Yo

lSnlgs ;~rfng ug'{k5{ .

89

-v_ :jf:Yo lSnlgs ;~rfng ug{ dfly pNn]lvt Joj:yf x'g' clgjfo{5 .

-u_ lrlsT;s pkrf/s nufot sfd ug]{ hgzlQmn] g]kfnLgful/stfsf] k|df0fkq k|fKt u/]sf] x'g'kb{5 .

-!!_ la/fdL egf{ u/]/ klg pkrf/ ug{ ;lsg]5 .

-!@_ la/fdL egf{ ug{ :jf:Yo lSnlgsdf lgDglnlvt yk Joj:yf x'g'kb{5M–-s_ la/fdL /fVg] sf]7f-v_ la/fdL ;'Tg] a]8, cfjzos cf]8\g] cf]5\ofpg] ;fdfg-u_ ;kmf / k|b"if0fd'Qm sf]7f-3_ :gfg 3/-ª_ ;kmf kfgL-r_ ;Gt'lng ef]hg cflb-5_ la/fdL ;'Tg] j]8 Psn] csf{nfO{ g5'g] u/L slDtdf @–# lkm6sf]

b"/Ldf /fVg]-h_ zf}rfno .

-!#_ g]kfn ;/sf/af6 cg'dlt lnP/ ;~rflnt ;a} PSo"k|]z/ :jf:Yo lSnlgsn]cfo'j]{b ljefudf j}slNks lrlsT;fdf ;+:yf btf{ u/]sf] x'g'kg]{5 .

-!$_ PSo"k|]z/ k|fs[lts lrlsT;f laifodf k|rf/÷k|;f/ tyf cg';Gwfg dfq ug]{p2]Zon] klg ;+:yf vf]nL ;~rfng ug{ ;lsg]5 .-s_ ;DalGwt laifosf] cg';Gwfg ug]{ cfjZos of]Uotf k|fKt u/]sf]

hgzlQm x'g'kg]{5 .-v_ k|rf/ ubf{ Pp6f laifo;+u csf]{ laifo af‰g] u/L tyf Psn]

csf{nfO{ xfgL k'¥ofpg] k|rf/ ug'{ x'Fb}g .

-!%_ PSo"k|]z/sf] nflu g]kfn ;/sf/ ;/sf/sf] :jLs[lt k|fKt ;+:yfaf6 jfj}slNks lrlsT;faf6 k|dfl0ft u/]/ dfq o; ;DaGwL laqmL lat/0fdfjhf/df Nofpg' kg]{5 . h:t}M hf]uf8, cGo lhd cfO{6dsf ;fdu|Lx? .

-!^_ ;do kl/l:ylt / :yfg cg';f/ pkrf/df k|of]u x'g] pks/0fsf] ljsf;qmdcg';f/ kl/jt{g x'g ;Sg]5 .

-em_ PSo"k~r/ ;]jf c:ktfnsf k"jf{wf/ / dfkb08x? M PSo"k~r/ ;]jf ;~rfngsf] nflub]xfosf] k"jf{wf/ tyf dfkb08 kfngf u/]sf] x'g' kg]{5 M–

l;=g+= laj/0f % z}of !) z}of !% z}of! ef}lts k"jf{wf/x? hg/n c:ktfn ;/x @ ;]jf

df]lS;a';g PSo"k~r/

# hgzlQm

90

s_ :gftsf]Q/ ) ! @ hgfv_ :gfts ! @ # hgfu_ PSo"k~r/ ;xfos @ # ^ hgf3_ gl;{Ë :6fkm ) @ # hgfª_ k|zf;lgs sd{rf/L hg/n c:ktfn ;/xr_ sfof{no ;xof]uL ! @ $ hgf

$ pks/0fs_ PSo"k~r/ lgl8nv_ df]S;f l:6su_ slkË3_ c6f]Sn]eª_ :6]yf]:sf]kr_ ydf{ld6/5_ /]s8{ /lhi6/h_ cGo Joj:yf hg/n c:ktfn ;/x

gf]6 M c:ktfn :yfkgf tyf ;+rfngsf gLlt tyf lgodx? hg/n c:ktfn ;/x x'g]c:ktfn, gl;{Ë xf]d jf :jf:Yo lSnlgs cfo'j]{b ljefudf btf{ ug'{kg]{5 .

-`_ k|fs[lts lrlsT;f c:ktfnsf k"jf{wf/x? M

l;=g+= laj/0f !)

z}of

!% z}of @) z}of @% z}of s}lkmot

!= cfjZos c:ktfn ejg Pj+ v'NnfhUuf -%% ju{ dL= k|lt z}of_

@ k|j]z dfu{ M–c:ktfn;Dd df]6/;lhn} hfg], kms{g] / /f]Sg ;Sg];'ljwf x'g'kg]{

#= k|ltIffno;f]wk'5÷;Dks{ / ;"rgf÷6]lnkmf]g;]jf x'g'kg]{k|ltIffnodf a:g] 7fpFkof{Kt kfgLsf] Joj:yf ePsf]zf}rfnodlxnf / k'?ifsf] nflu -cnu_XjLn lro/÷6«nL÷:6]r/

@ j6f! j6f

@ j6f@÷@ j6f

$ j6f#÷# j6f

^ j6f$÷$ j6f

$= alx/+u ljefu (OPD)la/fdL hfFRg] sf]7fJoj:yfkg sIf

! j6f! j6f

@ j6f! j6f

# j6f! j6f

% j6f@ j6f

;]jfk|bfg ug]{sf]7fcg';f/

%= cfsl:ds ;]jf ;'ljwfclS;hg ;]6IV Setcfsl:ds ;]jfdf cfjZos cGopks/0f

cfjZostfg';f/

^= k|of]uzfnf sf]7f

91

pkrf/sf ;fdu|L -df6f], kfgLcflbsf] u'0f:t/ hfFr ug]{ sf]7f_

&= dgf]k/fdz{ Pj+ hLjgz}nL / :jf:Yok|lzIf0f sf]7f

! j6f ! j6f @ j6f # j6f

*= of]uf;g, k|f0ffofd, Wofg cflbsfnflu cfjZos xn

@) hgf $) hgf ^) hgf !)) hgf cfjZostfg';f/sf] sf]7f

(= Physiotherapy Unit ! j6f ! j6f ! j6f ! j6f cfjZostfg';f/sf] sf]7f

!)= pkrf/ ;]jfsf sf]7f -hn lrlsT;f,df6f] lrlsT;f, ;"o{ ls/0f lrlsT;f,r'Das lrlsT;f, dfln; Pj+ cGok|fs[lts lrlsT;f ;]jfsf nflu_

!) j6f !% j6f @) j6f @) j6f pkrf/sf]k|s[ltcg';f/;fgf 7"nf

!!= ef]hgfno -lrlsT;sn] lbPsf]ef]hg tflndsf cg';f/sf] ef]hglbg ;Sg] ef]hgfno, ef]hg Pj+kf]if0f ljz]if1sf nflu cfjZossf]7f_

# j6f # j6f # j6f # j6f ;+:yfcg';f/agfO{Psfsf]7fx?

!@= k'gtf{huL sIf – lrlsT;s, ;xfoslrlsT;s cflbsf] nflu

dlxnf÷k'?if5'§f5'§}

!#= z}of÷sf]7fljz]if ;3g pkrf/ sf]7f -! hgfla/fdL dfq /fVg]_@÷@ hgf la/fdL /fVg] ;'ljwfePsf] sf]7f$÷$ hgf la/fdL /fVg] ;'ljwfePsf] sf]7f^÷^ hgf la/fdL /fVg] ;'ljwfePsf] sf]7f

@

@!–

@

@@!

@

$@@

^

*$@

zf}rfno,:yfg;'ljwf;lxt

!$= zf}rfno Pj+ :gfg sf]7f % j6f ^ j6f & j6f ( j6f!%= k'mn lj?jf k|z:t ePsf] au}+rf!^= pks/0f

;Dk"0f{ z/L/sf] jfik:gfg oGq:yfgLo jfik:gfg oGqsl6:gfg 6j/L9:gfg 6jPgLdf (Enema)ljleGg k|sf/sf kl§x? -lr;f] kl§_;]ssf oGqx?df6f] lrlsT;fdf k|of]u x'g]pks/0fx?;"o{ ls/0f lrlsT;fdf k|of]u x'g]pks/0fifb\sd{df k|of]u x'g] pks/0fx?dfln;df k|of]u x'g] pks/0fx?kfgLnfO{ ljleGg tfkqmddf Nofpg]Pj+ jfkm agfpg] oGqydf]{ld6/ -kfgLsf] tfkqmd /z/L/sf] tfdqmd gfKg_

@ j6f@ j6f% j6f# j6f@ j6f@) j6f#÷# j6f%÷%j6f

!) ;]6

!÷! j6f

!)÷!)

# j6f# j6f& j6f% j6f$ j6f#) j6f%÷% j6f!)÷!)j6f

@) ;]6

! j6f

@)÷@)

# j6f# j6f( j6f& j6f% j6f$) j6f&÷& j6f!)÷!) j6f

@) ;]6

@ j6f

#)÷#) j6f!) j6f

$ j6f$ j6f!% j6f( j6f^ j6f$) j6f!!÷!! j6f!%÷!% j6f

@% ;]6

# j6f

#)÷#) j6f!% j6f

laleGgcfsf/Pj+lsl;dsfx'g] x'gfn]5'§}lgwf{/0fug'{ kg]{ .

92

/Qmrfk gfKg] oGq (BP Set)gfs,sfg, 3fF6L hfRg] oGq (ENTSet)tf}n gfKg] oGq (WeighingMachine)

j6f% j6f@ j6f

j6f% j6f# j6f

$ j6f ^ j6f

!&= hgzlQmlrlsT;s;xfos lrlsT;spkrf/s;xfos pkrf/sn]vf clws[tn]vfkfnk|zf;sLo k|d'vk|zf;sLo ;xfos;'k/efO{h/Receptionistsfof{no ;xof]uL -lkog_dfnLrf}sLbf/

@ hgf@ hgf!) hgf@ hgf–! hgf–! hgf! hgf! hgf# hgf! hgf# hgf

@±@*hgf

@ hgf!% hgf# hgf–! hgf! hgf! hgf! hgf! hgf$ hgf! hgf$ hgf

#±#*hgf

$ hgf@ hgf$ hgf–! hgf! hgf! hgf! hgf@ hgf% hgf@ hgf$ hgf

#±$*hgf

^ hgf@% hgf% hgf! hgf! hgf! hgf@ hgf@ hgf# hgf^ hgf# hgf% hgf

k|fljlwsk|fljlwsk|fljlwsck|fljlwsck|fljlwsck|fljlwsck|fljlwsck|fljlwsck|fljlwsck|fljlwsck|fljlwsck|fljlwsck|fljlws

* as per need.

93

kl/R5]b !)

cg';Gwfg, clen]v tyf k|ltj]bg ;DaGwL Joj:yf

@&= cg';Gwfg,clen]v tyf k|lbj]bgM-!_cg';Gwfg s]Gb| /fvL cg'dlt lnPsf ;DjlGwt c:ktfnn]/fli6«o :jf:Yo cg';Gwfg kl/ifbsf] dfkb08 cg';f/ slDtdf jif{df @ j6f cg';Gwfg u/L ;f] sf]k|ltj]bg dGqfno tyf cg';Gwfg kl/ifb / cfo'j{]b cg';Gwfgsf xsdf /fli6«o cfo'j{]b cg';Gwfgtyf tfnLd s]Gb|nfO{ ;d]t a'emfpg' kg]{5 . cg'';Gwfg s]Gb|n] To:tf] cg';Gwfg gu/]df;DjlGwtlgsfon] vf/]h ug{ ;Sg]5 .

-@_cg';Gwfg s]Gb|sf] cg['dlt glnPsf cGo c:ktfnn]o; lgb{]lzsf adf]lhd :jLs[t k|fKt:jf:Yo ;+:yfn] :jf:Yo Joj:Yffkg ;"rgf k|0ffnLn] tf]s]sf] 9fFrfdf cfkm'n] k|bfg u/]sf] ;]jfsf]dfl;s k|ltj]bg ;DalGwt lhNnf :jf:Yo ÷hg :jf:Yo sfo{nodf clgjfo{ ?kdf k]z ug'{ kg{]5 .o;/L tf]lsP adf]lhd k|ltj]bg k]z gug{] :jf:Yo ;+:yfnfO{ ;r]t u/fpg;Sg]5 .

-#_;"rgf Joj:yfkg ug{] sd{rf/LnfO{ ;DalGwt lhNnf :jf:Yo÷hg:jf:Yo sfof{noaf6tflnd lng] Joj:yf u/fpg] kg]{5 .

-$_:jf:Yo ;+:yfn] k|bfg u/]sf] ;]jfsf] ljj/0f ICD 10 cg';f/ coding u/L ;f]xLcg';f/ k|ltj]bg ug{] Joj:yf ug{' kg{]5 .

-%_:jf:Yo ;+:yfn] cfkmgf] ;+:yfdf ePsf] hGd tyf d[Tosf] 36gf ljj/0f k|rlnt sfg"gadf]lhd tf]lsPsf] 9Ffrfdf :yfgLo kl~hsflwsf/LnfO{ dfl;s ?kdf k|ltj]bg lbg' kg]{5 .

kl/R5]b !!

;~rfng cg'dlt gjLs/0f x'g g;Sg] cj:yf / vf/]hL :DaGwL Joj:yf

@*= ;~rfng cg'dlt gjLs/0f gx'g]M-!_o; lgb]{lzsfdf cGoq h'g;'s} s'/f n]lvPsf] eP tfklgb]xfosf] cj:yfdf :jf:Yo ;+:yfsf] ;]jf ;~rfng cg'dltsf] gjLs/0f ul/g] 5}g M–

-s_ lgoldt jf cfsl:ds cg'udg ubf{ tf]lsPsf] u'0f:t/ jf k"jf{wf/ k'/f gu/L:Jff:Yo ;]jf ;~rfng u/]s]f kfO{Pdf,

-v_ k|f/lDes jftfj/0fLo k/LIf0f jf jftfj/0fLo k|efj d"Nof+sgdf plNnlvt zt{x?kfngf gu/]sf] kfO{Pdf,

-u_ c:ktfnn] k|bfg u/]sf] ;]jfsf] k|ltj]bg jflif{s ?kdf lhNnf hg:jf:Yo÷:Jff:Yosfof{nodf k|ltj]bg k]z gu/]df,

-3_ :jf:Yo ;+:yfaf6 l;lh{tlrlsT;fhGo kmf]x/d}nffsf] plrt Joj:Yffkg gu/]sf]kfO{Pdf,

-ª_ dGqfno jf ;DjlGwt lgsfon] lbPsf] lgb]{zgsf] k6s k6s pNn+3g u/]df,

-r_ ejg ;+lxtf cg'?k ejg lgdf{0f gePsf] jf k'/fgf] ejgsf] xsdf tf]lsPsf];doleq e'sDkLo b[li6sf]0fn] ejg k|anLs/0f u/]sf] gkfO{Pdf .

@(= vf/]hL ug{ ;lsg] M of] lgb]{lzsf k|f/De x'g' cl3 cg'dlt k|fKt u/L ;~rfngdf /x]sf :jf:Yo;+:yfn] ;+:yf ;~rfng ug{ g;Sg] hgfO{ ;~rfng cg'dlt vf/]hLsf nflu lgj]bg lbPdf;DalGwt lgsfon] To:tf] ;+:yfsf] ;~rfng cg'dlt vf/]hL ug{ ;Sg]5 .

94

kl/R5]b !@

ljljw

#)= ;]jf z'Ns lgwf{/0f ;ldlt ;DaGwL Joj:yf M-!_ ;j{;fwf/0fnfO{ plrt d"Nodf u'0f:t/Lo :jf:Yo;]jf k'¥ofpg] k|of]hgsf] nflu :jf:Yo ;+:yfn] k|bfg ug]{ :jf:Yo ;]jfsf] u'0f:t/sf] cfwf/df To:tf]:jf:Yo ;+:yfn] lng ;Sg] z]jf z'Ns;DaGwL dfkb08 lgwf{/0f ug{sf] nflu cg';"rL & df pNn]veP adf]lhdsf] ;]jf z'Ns lgwf{/0f ;ldlt /xg]5 .

-@_ pkbkmf -!_ sf] k|of]hgsf] nflu ;]jf z'Ns lgwf{/0f ;ldltsf] a}7s cfjZostfcg';f/ j:g]5 .

-#_ ;]jf z'Ns lgwf{/0f ;ldltsf] a}7s ;DaGwL sfo{ljlw ;ldlt cfkm}+n] lgwf{/0f u/]adf]lhd x'g]5 .

#!= dfkb08 tyf cg';"rLdf x]/km]/ M dGqfnon] o; lgb{]lzsfdf plNnlvt dfkb08 tyfcg';"rLx¿df cfjZostf cg';f/ x]/km]/ tyf yk36 ug{ ;Sg]5 .

#@= JofVof ug{] clwsf/Mo; lgb{]lzsfdf plNnlvt dfkb08sf] s'g} k|fjwfgsf] sfof{Gjogdf s'g}låljwf pTkGg eO{ sfof{Gjogdf jfwf cfO{ k/]df dGqfnon] ;f] dfkb08sf] JofVof ug]{5 .

##= :jtM cdfGo x'g] Mo; lgb{]lzsfdf n]lvPsf] s'g} s'/f k|rlnt g]kfn sfg"gsf] s'g} Joj:yf;FuaflemPdf aflemPsf]xb;Dd :jtM cdfGox'g]5 .

#$= vf/]hL tyf arfp M -!_ lghL tyf u}/;/sf/L c:ktfn -c:ktfn tyf gl;{Ë xf]d cflb_ :yfkgf,;+rfng gLlt, dfkb08 Pj+ k"jf{wf/ lgb]{lzsf, @)^! vf/]h ul/Psf] 5 .

-@_ pkbkmf -!_ df plNnlvt lgb]{lzsf adf]lhd eP u/]sf] sfd sf/afxL o;} lgb]{lzsfadf]lhd eP u/]sf] dflgg]5 .

95

cg';"rL !k"jf{wf/, :yfoL Pj+ :t/f]GgtL :jLs[ltsf] k|of]hgsf] nflu cg'udg ;ldlt ;DaGwL Joj:yf

-bkmf @ sf] v08 -s_ ;Fu ;DalGwt_

dGqfno :t/Lo!= k|d'v ljz]if1 -hg:jf:Yo k|zf;g cg'udg tyf d"Nof+sg dxfzfvf_ – ;+of]hs@= dxfzfvf k|d'v -hg:jf:Yo k|zf;g cg'udg tyf d"Nof+sg dxfzfvf_ – ;x;+of]hs#= /]l8of]nf]lhi6÷/]l8of]u|flkms 6]Sgf]nf]lhi6÷/]l8of]u|flkms clws[t÷d]l8sn lkmlhl;i6 -Ps_ – ;b:o$= Kofyf]nf]lhi6÷lSnlgsn dfO{qmf] afof]nf]lhi6÷afof]s]ldi6 -Ps_ – ;b:o%= k|d'v lrlsT;f ;]jf ;dGjo zfvf jf pk;lrj lrlsT;f ;]jf dxfzfvf – ;b:o^= hg:jf:Yo k|;fzs÷ lgb]{zs ÷pk;lrj, cg'udg tyf d"Nof+sg zfvf – ;b:o&= zfvf k|d'v gl;{Ë zfvf – ;b:o*= k|d'v, cfo'j]{b tyf a}slNks lrlsT;f zfvf – ;b:o(= ljz]if1 c:ktfnsf] lg/LIf0fsf] cj:yfdf ;DalGwt ljifosf ljz]if1 – ;b:o!)= ejg ;+lxtf zfvf k|d'v, zx/L ljsf; tyf ejg lgdf{0f ljefu – ;b:o!!= zfvf k|d'v cg'udg d'NofÍg zfvf – ;b:o ;lrj

gf]6M ;ldltn] cfjZostf cg';f/ ;DalGwt ljifosf ljz]if1nfO{ ;ldltsf ;b:osf ?kdf yk ug{ ;Sg]5.

ljefu :t/Lo!= pk dxflgb{]zs, :jf:Yo ;]jf ljefu – ;+of]hs@= lgb{]zs, Joa:yfkg dxfzfvf – ;x–;+of]hs#= Kofyf]nf]lhi6÷lSnlgsn dfO{qmf] afof]nf]lhi6÷afof]s]ldi6 -Ps_ – ;b:o0$= /]l8of]nf]lhi6÷/]l8of]u|fkm/ 6]Sgf]nf]lhi6÷/]l8of]u|flkms clws[t -Ps_ – ;b:o%= zfvf k|d'v gl;{ª zfvf, Joa:yfkg dxfzfvf – ;b:o^= zfvf k|d'v Joj:yfkg ;"rgf zfvf, Joa:yfkg dxfzfvf – ;b:o&= zfvf k|d'v cg'udg tyf d"Nof+sg zfvf, Joa:yfkg dxfzfvf – ;b:o*= hg:jf:Yo clws[t÷lgl/Ifs, u'0f:t/ zfvf, Joa:yfkg dxfzfvf – ;b:o(= zfvf clws[t, Joa:yfkg dxfzfvf – ;b:o!)= O{lhlgo/, ejg ;+lxtf zfvf, zx/L ljsf; tyf ejg lgdf{0f ljefu – ;b:o!!= zfvf k|d'v u'0f:t/ zfvf, Joa:yfkg dxfzfvf – ;b:o ;lrj


ljefu :t/Lo -cfo'j{]b_!= dxflgb{]zs, cfo'j{]b ljefu – ;+of]hs@= hg:jf:Yo k|zf;g cg'udg tyf d"Nof+sg dxfzfvf k|ltlglw – ;b:o#= cfo'j{]b tyf j}slNks lrlsT;f zfvf, :jf=t=h=d= – ;b:o$= g]kfn cfo'j{]b lrlsT;f kl/ifb k|ltlglw – ;b:o%= ;DalGwt j}slNks tyf j}slNks lrlsT;f ljz]if1 – ;b:o^= cfo'j{]b lrlsT;s -cfo'j{]b tyf j}slNks lrls;f zfvf_ cfo'j{]b ljeu – ;b:o ;lrj


If]qLo lgb{]zgfno :t/Lo!= lgb{]zs, If]qLo :jf:Yo lgb{]zgfno – ;+of]hs@= h=:jf=k|=÷j=h=:Jff=c= – ;x–;+of]hs#= Kofyf]nf]lhi6÷lSnlgsn dfO{qmf] afof]nf]lhi6÷afof]s]ldi6 -Ps_ – ;b:o$= /]l8of]nf]lhi6÷/]l8of]u|fkm/ 6]Sgf]nf]lhi6÷/]l8of]u|flkms clws[t -Ps_ – ;b:o%= gl;{Ë clws[t÷klAns x]Ny g;{ – ;b:o^= tYof+s clws[t – ;b:o&= O{lhlgo/ zx/L ljsf; tyf ejg lgdf{0f ljefu l8lehg sfof{no – ;b:o*= hg:jf:Yo clws[t÷lgl/Ifs jf zfvf clws[t – ;b:o ;lrj


96

lhNnf :t/Lo!= k|d'v, lhNnf hg÷:jf:Yo sfof{no – ;+of]hs@= l;lgo/ d]l8sn clws[t – ;x–;+of]hs#= Nofa 6]SgLl;og÷clws[t -Ps_ – ;b:o$= /]l8of]u|fkm/÷clws[t -Ps_ – ;b:o%= klAns x]Ny g;{÷clws[t – ;b:o^= tYof+s clws[t÷;xfos – ;b:o&= hg:jf:Yo clws[t÷lgl/Ifs jf zfvf clws[t – ;b:o ;lrj

gf]6M ;ldltn] cfjZostf cg';f/ ;DalGwt ljifosf ljz]if1nfO{ ;ldltsf ;b:osf?kdf yk ug{ ;Sg]5.

97

cg';"rL @ejg ;DaGwL dfkb08

-bkmf @ sf] v08 -6_ ;Fu ;DalGwt_

sf7df08f}+ pkTosf aflx/ lgdf{0f ul/g] :jf:Yo ;+:yfsf] xsdf dfkb08df pNn]v ul/Psf] eP ;f]xL cg';f/ tyfgePsf] xsdf b]xfosf] dfkb08 cg';f/ sfod ul/g' kg{]5 .

clwstd u|fp08 se/]h – $) k|ltzt loor Area Ratio (FAR) – @=%

Go'gtd kfls{ª :yn – hDdf hUufsf] @% k|ltzt ejgsf] ;]6 Aofs (Set Back) – slDtdf # ld6/ ejgsf] rf/}lt/

nfO6 Kn]g(Light Plane)– ^#=% l8u|L

^#=%

nfO6 Kn]g

ejgsf]prfO{

98

cg';"rL #k"jf{wf/ :jLs[ltsf] dg;fo kqsf nflu lgj]bg kmf/fd

- bkmf & sf] pkbkmf -!_ ;Fu ;DalGwt_

>L ==============================================================

==============================================================

============================================================== .

lgDgfg';f/ k|:tfljt c:ktfnsf] ;+rfng tyf k"jf{wf/ :jLs[ltsf] dg;fo kqsf nflu b]xfo cg';f/ sfuhft ;lxtlgj]bg kmf/fd k]z u/]sf] 5'÷5f} .

lgj]bg kmf/fdMsfo{sf/L clws[t÷;+rfng ;ldltsf] tkm{af6===========================================================

!= c:ktfnsf] gfd M– z}of ;+Vof M–

@= ;fwf/0f ;]jf÷ljz]if1 ;]jf jf c:ktfn s] xf] pNn]v ug{] M–

#= c:ktfnsf] 7]ufgf -kqfrf/ ug{] 7]ufgf_ M–c~rn M– lhNnf M–dxfgu/kflnsf÷pdgkf÷gkf÷uflj; M j8f g+= M– 6f]n M–

Ans g+= M– 6]lnkmf]g M– df]afOn M– kf]=a=g+= M–

$= c:ktfn vf]Ng] JolQmx? -% k|ltzt eGbf a9L z]o/ wf/0f ug]{x?sf] dfq_M–gfd M– 7]ufgf M–gful/stf g+M M– df]afOn g+= M–kmf]g g+= M–

%= c:ktfnsf] nflu cfj:os hUuf / :jfldTjsf]-s_ hUufsf] lsQf, If]qkmn / :jfldTjsf] k|sf/M-v_ lnhdf eP sa'lnotgfdf k]z ug]{M

^= c:ktfnsf] ljQLo ;|f]t M–-s_ lghL nufgL -v_ a}+s shf{ -u_ ;/sf/L -3_ cg'bfg ;xof]u-ª_ u}/;/sf/L ;+:yfaf6 shf{ lnO{ ;+rfng ug{] eP ;f] sf] ljj/0f -r_ cGo

ljQLo nufgL M– -:yL/ k"FhL nfut_ ?= ====================-s_ ejg tyf hUufsf] nflu M– ?= ====================-v_ cf}hf/ pks/0fsf] nflu M– ?= ====================ljQLo nufgL -rfn' k"FhL nfut_ ?= ==================/f]huf/ ;+Vof M–cg'dflgt cfDbfgL M– ?= ==================cg'dflgt d'gfkmf M– =================dfl;s M– ?= =================q}dfl;s M– ?= =================jflif{s M– ?= =================

99

&= b]xfosf ljifox? ;d]t ;dfj]z ePsf] Jofj;flos sfo{of]hgf-s_:jLs[t ;+:yfaf6 k|bfg ug{] ;]jfx¿sf] ljj/0f M

lgbfgfTds ;]jf k|ltsf/fTds ;]jf pkrf/fTds ;]jf

PS;–/] cN6«f;fp08 OG8f]:sf]kL O;LhL, 6«]8ldn k|of]uzfnf ================ ================= ================

vf]k ue{jtL, ;'Ts]/L hfFr kl/jf/ lgof]hg ===================== ===================== ===================== ===================== ===================

k|;"lt tyf :qL /f]u hg/n d]l8l;g hg/n ;lh{sn ljz]if1 ;]jf M h:t} k|;"lt ;]jf, d[uf}nf

/f]u, :gfo', cfFvf, xf8hf]gL{, dfgl;s ;]jf ======================= ===========================

-v_ ;+:yfdf k|of]u x'g] cfjZos pks/0fx¿sf] ljj/0f -;+nUg ug]{ _M-!_ ==============================================================================================-@_ ==============================================================================================-#_ ==============================================================================================-$_ ==============================================================================================

-u_ ;+:yfdf ;]jf k'¥ofpgsf nflu cfjZos kg]{ hgzlQmsf] ljj/0f -;+nUg ug]{ _M-!_ ljz]if1 M

gfd M kb M of]Uotf M kf6{6fOd M k'mn6fOd M-@_ k|fljlws M

gfd M kb M of]Uotf M kf6{6fOd M k'mn6fOd M-#_ k|zf;lgs M

gfd M kb M of]Uotf M kf6{6fOd M k'mn6fOd M

gf]6 M-!_ ;+:yfdf sfo{ ug{] k|fljlws sd{rf/Lx¿ ;DalGwt kl/ifb\df btf{ ePsf] x'g'kg{] . ;DalGwt kl/ifb\sf] k|df0f kq

clgjfo{?kdf k]z ug{'kg{]5 .-@_ sd{rf/Lx¿sf] of]Uotfsf k|dfl0ft k|ltlnlksf] ;fy} sfo{ ug{] dGh'/Lgfdf ;d]t ;+nUg x'g'kg{] .-#_ ;/sf/L sfof{nodf sfo{/t sd{rf/Lx¿ ;+nUg x'g] ePdf g]kfn :jf:Yo ;]jf P]g, @)%# sf] bkmf %(

cg';f/sf] :jLs[lt kq clgjfo{?kdf ;+nUg x'g'kg{] .-$_ k|fljlws sd{rf/Lx?n] cfkm' sfo{ ug{] cGo ;+:yfx?sf] ;d]t ljj/0f v'nfpg] .

100

cg';"rL$:jf:Yo ;+:yfsf] :yfkgf, ;]jf lj:tf/ jf :t/f]Ggltsf] nflu cg'dlt k|fKt ug{ lbg]

lgj]bg kmf/fd-bkmf* sf] pkbkmf -!_ ;Fu ;DalGwt_

!= ;+:yfsf] gfd M– z}of ;+Vof M–

@= ;fwf/0f ;]jf÷ljz]if1 ;]jf c:ktfndf s'g xf] pNn]v ug]{ M–

#= ;+:yfsf] 7]ufgf -kqfrf/ ug]{ 7]ufgf_ M–

c~rn M– j8f g+= M– 6f]n M–

lhNnf M– Jns g+= M– 6]lnkmf]g g= M–

$= ;+:yf vf]Ng] JolQmx? M–

gfd M–

gful/stf g+= M–

7]ufgf M–

kmf]g g+= M–

df]afOn g+= M–

%= ;+:yfsf] ljQLo ;|f]t M–

s= lghL M–

v= z]o/ shf{ M–

u= ;/sf/L M–

3= u}/ ;/sf/L ;+:yfaf6 shf{ lnO{ ;+rfng ug]{ eP ;f] pNn]v ug]{ M–

ljQLo nufgL M–-nfut_ ?=

s= ejg tyf hUufsf] nflu M–

cf}hf/ pks/0f M–

hgzlQm M–

cg'dflgt cfDbfgL M–

cfDbfgL :jb]zL M–

lab]zL M–

c~rn ;DklQsf] ;|f]t M–

cg'dflgt d'gfkmf M–

dfl;s M–

q}dfl;s M–

jflif{s M–

^= gl;{Ë xf]d tyf k|fO}e]6 c:ktfnsf] juL{s/0f cg';f/ k|bfg ug]{ ;]jfx?sf] laj/0f s'g–s'g ;]jf k'¥ofpg] xf] < v'nfpg]

.

lgbfgfTds ;]jf k|ltsf/fTds ;]jf pkrf/fTds ;]jf cGo ;]jf

101

PS;–/] vf]k k|;"lt tyf :qL/f]u Pd=l;=Pr lSnlgs kl/jf/Kofyf]nf]hL Nofj cfxf/ ljxf/ hg/n d]l8l;g lgof]hgcN6«f;fp08 hg/n ;lh{sn ljz]if1 ;]jf h:t} M–O08f]:sf]kL k|;"lt ;]jf, d[uf}nf /f]u, :gfo', bGt,O{=;L=;L=, 6]«8dLn k|of]uzfnf;lh{s ;]jf tyf ?hfx/ Joj:yfkg

&= ;+:yfdf k|of]u x'g] cfjZos d'Vo pks/0fx?sf] laj/0f tyf ;|f]t M–

-s_-v_-u_-3_-ª_-r_-5_-h_-em_

*= ;+:yfdf ;]jf k'¥ofpg] sd{rf/Lx?sf] laj/0f ;DalGwt dfkb08 cg';f/ M–

-s_ ljz]if1 M–

gfd kb of]Uotf kf6{6fO{d k'mn6fO{d

-v_ k|fljlws M–


-u_ k|zf;lgs M–


gf]6M

!_ ;DalGwt ;]jf cg';f/ lgwf{l/t dfkb08x? / k"jf{wf/x? k"/f ePkZrft\ dfq ;]jf ;+rfng ug{ kfO{g]5 .

@_ pko'{Qm adf]lhd s] slt sd{rf/Lx?sf] ;+:yfdf ;+nUg x'g] xf], :ki6 pNn]v x'g'kg]{ .

#_ ;a} z'Ns laj/0f la:t[t ?kdf pNn]v x'g'kg]{ .

$_ ;+:yfdf sfo{ ug]{ k|fljlws sd{rf/Lx? ;DalGwt kl/ifb\df btf{ ePsf] x'g'kg]{, ;DalGwt kl/ifb\sf] k|df0fkq clgjfo{

?kdf k]z ug'{kg]{ .

%_ sd{rf/Lx?sf] of]Uotfsf k|dfl0ft k|ltlnlksf] ;fy} sfo{ ug]{ dGh'/Lgfdf ;d]t ;+nUg x'g'kg]{ .

^_ g]kfn ;/sf/df sfo{/t sd{rf/lx? ;+nUg x'g] ePdf g]kfn :jf:Yo ;]jf P]g, @)%# sf] bkmf %( cg';f/sf] :jLs[lt kq

clgjfo{ ?kdf ;+nUg x'g'kg]{ .

&_ k|fljlws sd{rf/Lx?n] cfkm' sfo{ ug{] cGo ;+:yfx?sf] ;d]t ljj/0f v'nfpg] .

gf]6M :jf:Yo ;+:yf ;~rfngsf nflu lgj]bg lbbf ;“nUg ug'{kg]{ sfuhftx?!= lgj]bg kmf/d@= sDkgL btf{÷;+:yf btf{sf] k|dfl0ft k|ltnlk#= ;+:yf÷sDkgLsf] ljwfg÷k|jGw kq, lgodfjnLs]f k|ltlnlk$= :yfoL n]vf btf{ k|df0f–kqsf] k|ltnlk%= :yfkgf ug{ nfluPsf] 7fpFdf c:ktfn cfjZos 5 eGg] :yfgLo lgsfo / lhNnf hg:jf:Yo sfof{nosf] l;kmfl/; kq^= c:ktfndf sfd ug{] hgzlQm ;DaGwL ljj/0f

-s_ afof]8f6f

102

-v_ z}lIfs of]Uotf, tflndsf k|dfl0ft k|ltlnlk-u_ k|fljlws sd{rf/Lx?n] ;DalGwt sfplG;nsf] btf{ k|df0f–kqsf] k|ltlnlk-3_ gful/stf k|df0fkqsf] k|ltlnlk-ª_ hgzlQmx?sf] sfd ug]{ ;do -kf6{ 6fOd÷k'mn 6fOd ls6fg ug'{kg]{5_-r_ d~h'/Lgfdf÷sa'lnotgfdf

&= cf}hf/ pks/0fsf] laj/0f tyf ;|f]t*= ;Dk"0f{ ;]jf z'Ns laj/0f(= ef}lts ;fdu|Lsf] laj/0f!)= k|f/lDes jftfj/0fLo k/LIf0f (IEE)jf jftfj/0fLo k|efj d"Nof+sg (EIA):jLs[lt kqsf] k|ltlnkL!!= c:ktfnsf] lj:t[t ;e]{If0f ;lxtsf] k|:tfj!@= c:ktfnsf] cfly{s lgodfjnL!#= c:ktfnn] lng] ;]jf z'Ns ljj/0f / u/La tyf c;xfonfO{ 5'6 lbg] gLlt!$= k|bfg ul/g] ;]jfsf] ljj/0f!%= hUuf÷3/sf] :jfldTj!^= 3/÷sf]7f axfndf lnO{ ;~rfng ug]{ eP 3/ axfn ;Demf}tf–kq / ejg :jf:Yo ;+:yf ;+rfng ug{ /fli6«o ejg ;+lxtf adf]lhd

pko'St 5 eGg] ;DalGw l;kmfl/z kq!&= ejgsf] :jLs[t gS;f!*=;+:yfsf] rn crn ;DklQ laj/0f tyf ljQLo ;|f]t!(= ;+:yfsf] sfo{ of]hgf (Scheme)@)=PANdf btf{ gDj/M@!= s/ r'Qmf k|df0f kq -nfu' x'g] cj:yfdf dfq}_@@= n]vfk/LIf0f k|ltj]bg -nfu' x'g] cj:yfdf dfq}_@#= la/fdL a8fkqsf] gd'gf@$= ;DalGwt lgsfosf] ejg ;+lxtf ;DaGwL :jLs[lt kq@%= ?= % sf] x'nfs l6s6@^= d"No clea[l4 s/ jf cfos/df btf{ ePsf] k|df0fkq@&= ejg lgdf{0f ;DkGg k|df0fkq@*=;DalGwt lgsfoaf6 ejgsf] gS;f l8hfOg / lgdf{0f /fli6«o ejg ;+lxtfsf] dfkb08 adf]lhd ePsf] :jLs[lt kq .

103

cg';"rL%:jf:Yo lSnlgs÷/]l8of] O{d]lhª ;]jf÷kf]lnlSnlgs ;~rfngcg'dlt dfu ug]{

lgj]bg kmf/fd-bkmf * sf] pkbkmf -!_ ;Fu ;DalGwt_

!= ;+:yfsf] gfd M– z}of ;+Vof M–

@= ;+:yfsf] 7]ufgf -kqfrf/ ug]{ 7]ufgf_ M–

c~rn M– j8f g+= M– 6f]n M–

lhNnf M– Jns g+= M– 6]lnkmf]g g= M–

kf]=j=g+= M–

#= ;+:yf vf]Ng] JolQmx? M–

gfd M–

gful/stf M–

7]ufgf M–

kmf]g g+= M–

$= ;+:yfsf] ljQLo ;|f]t M–

s= lghL M–

v= z]o/ shf{ M–

u= j}b]lzs M–

3= u}/ ;/sf/L M–

ª= ;fd'bflos M–

r= cGo

%= ;+:yfsf] Ifdtf tyf la:t[t sfo{ of]hgf M–

;]jf k|bfg ug]{ If]qx? M

lgbfgfTds ;]jf k|ltsf/fTds ;]jf pkrf/fTds ;]jfPS;–/] vf]k k|;"lt tyf :qL/f]ucN6«f;fp08 Pd=l;=Pr= hg/n d]l8l;gO08f]:sf]kL kl/jf/ lgof]hg ;]jf hg/n ;lh{sn ljz]if1 ;]jf h:t} M–O{=;L=;L=,6]«8dLn k|of]uzfnf cfFvf,gfs, d'6', d[uf}nf :gfo'/f]u O{ToflbcGo ;]jf M– kmfd]{;L

^= ;]jf z'Ns =cnu / :ki6;Fu_ v'nfpg] M–

&= ;+:yfdf ;]jf x'g] cfjZos pks/0fx?sf] laj/0f tyf ;|f]t M–

*= ;+:yfdf ;]jf k'¥ofpg] hgzlQm laj/0f M–

;+Vof÷of]Uoltf÷cg'ej÷kf6{6fO{d÷k"mn6fO{d÷cGo ;'ljwf

;fdfGo lrlsT;s M

ljz]if1 lrlsT;s M

cGo k|fljlws M

104

gf]6M

!_ ;DalGwt ;]jf cg';f/ lgwf{l/t dfkb08x? / k"jf{wf/x? k"/f eP kZrft\ dfq ;]jf ;+rfng ug{ kfO{g]5 .

@_ pko'{Qm adf]lhd s] slt sd{rf/Lx?sf] ;+:yfdf ;+nUg x'g] xf], :ki6 pNn]v x'g'kg]{ .

#_ ;+:yfdf sfo{ ug]{ sd{rf/Lx? ;DalGwt kl/ifb\df btf{ ePsf] x'g'kg]{, ;DalGwt kl/ifb\sf] k|df0fkq xclgjfo{ ?kdf k]z

ug'{kg]{5 .

$_ sd{rf/Lx?sf] of]Uotfsf k|dfl0ft k|ltlnlkx? ;+nUg x'g'kg]{5 .

^_ g]kfn ;/sf/df sfo{/t sd{rf/lx? ;+nUg x'g] ePdf g]kfn :jf:Yo ;]jf P]g, @)%# sf] bkmf %( cg';f/sf] :jLs[lt kq

clgjfo{ ?kdf ;+nUg x'g'kg]{ .

105

cg';"rL ^

:jf:Yo ;+:yf :yfkgf tyf gjLs/0f cg'dlt b:t'/-bkmf !! / !@ sf] pkbkmf -@_ ;Fu ;DalGwt_

l;=g+= ;+:yfsf] lsl;d z'Ns lgwf{/0fOsfO{

:yfkgfsf nflu b:t'/ /sd ?= gjLs/0fsf nflu b:t'//sd ?=

! c:ktfn tyf gl;{Ë xf]d z}of ;+Vof k|lt z}of ?= $))).– k|lt z}of ?= %)).–@ 8foUgf]l:6s ;]G6/ ;]jf k|sf/ k|lt ;]jf ?= !),))).– k|lt ;]jf ?= !,))).–# kf]lnlSnlgs÷lSnlgs ;]jf k|sf/ k|lt ;]jf ?= !),))).– k|lt ;]jf ?= !,))).–$ cfo'j{]b c:ktfnsf]÷j}slNks

lrlsT;fz}of ;+Vof k|lt z}of ?= @))).– k|lt z}of ?= %)).–

% cfo'j{]b SnLgLs ;]jf k|sf/ k|lt ;]jf ? %,))). k|lt ;]jf ? %)).

gf]6M g]kfn ;/sf/n] tf]s]sf] b'Uf{d If]qdf :jf:Yo ;+:yf :yfkgf jf la:tf/ u/]df g]kfn /fhkqdf ;"rgf k|sfzgul/dfly plNnlvt b:t'/df s au{sf] nflu krxQ/ k|ltzt, v au{sf] nflu krf; k|ltzt / u au{sf] nfluklRr;k|ltzt 5'6 lbO{g]5 .

106

cg';"rL &;]jf z'Ns lgwf{/0f ;ldlt

-bkmf #) ;Fu ;DalGwt_

!= ;lrj, :jf:Yo tyf hg;+Vof dGqfno – cWoIf@= jfl0fHo tyf cfk"lt{ dGqfnosf] k|yd >]0fLsf] k|ltlglw – ;b:o#= dxflgb]{zs , :jf:Yo ;]jf ljefu – ;b:o$= dxflgb]{zs , cfo'{j]b ljefu – ;b:o%= dxflgb]{zs , cf}iflw Joj:yf ljefu – ;b:o^= cWoIf , Plkmg – ;b:o&= k|ltlglw, pkef]Qmf dxf;+3 – ;b:o* pBf]u afl0fHo dxf;+3sf] k|ltlglw – ;b:o(= dxfzfvf k|d'v, lrlsT;f ;]jf dxfzfvf – ;b:o ;lrj

gf]6M ;ldltn] cfjZostf cg';f/ ;DalGwt ljifosf ljz]if1nfO{ ;ldltsf ;b:osf?kdf yk ug{ ;Sg]5 .

107

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Guideline for Health Institutions Establish, Operation and