Chhattisgarh Rajya Upcharya Griha… Bare Act

The source publishes this enactment as a single document rather than provision by provision, so the whole text is below and there are no per-section pages for it. Nothing has been shortened.

Type	Rules
Year	2010
Jurisdiction	State of Chhattisgarh
Ministry	State Government
Status	In force as published by the source
Text	Published as one document, as the source published it
Subjects	health, social

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Raipur, the 20th August 2013 NOTIFICATION No. F 21-01/2013/JX/l 7.-Jn exercise of the powers conferred by sub-section (I) of Section 18 of the Chhattisgar~ State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Adhiniyam, 2010 (No. 23 of 2010), the State Government, hereby, makes the following rules, the same have been previously published as required by sub-section (J)ofSection 18 of the said Adhiniyam, namely:--

1. Short title, extent and commencement.- (1) These rules may be called the Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Niyam, 2013.

(2) They shalJ extend to the whole State ofChhattisgarh.

(3) They shall come into force from the date of its publication in the Official Gazette.

2. Definitions.- (1) ln these rules, unless the context otherwise require,--

(a) "Act" means the State of Chhauisgarh Upcharyagriha Tatha Rogopchar Samhandhi Sthapanaye Anugyapan Adhiniyam, 20 l O;

(b) "Appellate Authority" means the authority defined in rule 9 of these rules;

(d) ''Schedule" means a Schedule appended to these rules;

(e) "State. Government" means the Government ofChhattisgarh~

(f) "Unethical Act" means any unethical act defined in Chapter 6 or any misconduct defined in Chapter 7 of the Indian Medical Council (Professional conduct, Etiquette, and Ethics) Regulations 2002.

(2) Words and expressions used and not defined in these rules, but defined in the Act, shall have the same meaning respectively assigned to them in the Act.

3. Supervisory Authority.- (1) The District Collector of the concerned district shall be the Supervisory Authority under these rules and shall be assisted by a District Committee in discharge of the functions assigned to it under the Act.

(2) The Supervisory Authority shall consider the recommendations ma.de by the District Committee in all matters and shall make decisions relating to registration and /or grant of licenses to a Clinical Establishment.

l'T::·>t----,1/,-- • 738 ( :,4) i-9-ffi+l'I~ m, ~ 20 -Wm1 2013 ------- ................ ,., .. -,. -·-- ___ ., ..

. . . . . . . . --- ·-· ------~--·--·--~--·--·-

4. Functions of Supervisory Authority.- The Supervisory Authority shall perform all functions necessary to regulate the functioning of Clinical Establishments in the State of Chhattisgarh, which are as follows:- {a) To grant/renew, suspend or cancel registration/license of a Clinical Establishment as per the provisions under Section 3, 6, 8 and 9 of the Act;

(b) To enforce imposition of penalties as provided for under Section 4 and 12 of the Act;

( c) To obtain fees for registration/ issue of license as required under Section 5 of the Act;

(d) To enforce standards as required under Section 7 and 18(2) of the Act;

(e) To inspect and investigate as required under Section 11 of the Act;

(f) To investigate complaints related to shallful negligence with the provisions of the Act, as required under Section 13 and 14 of the Act:

Provided that, the above functions of the Supervisory Authority are not exhaustive in nature.

5. Office of the Supervisory Authority.- The Supervisory Authority shall maintain an office 10 be designated as "Office of ( .... district name) Clinical Establishment Registration and Licensing Authority". The office shall work as the Secretariat of the District Committee.

The office shall be served by appropriate staff who shalJ report to the Chairperson of the District Committee.

6. Income of the office of Supervisory Authority.- The fees / penalties payable by the Clinical Establishm~-~~all become the income of the office of the Supervisory Authority of the concerned district and shall be used for the purposes of carrying the activities assigned to it.

7. Initial corpus of the Supervisory Authority.- The State Government may provide grant in-aid to the Supervisory Authority to supplement its resources, provided that, the quantum of such grant-in-aid shall be determined on the basis of an assessment of their income and expenditure.

8. District Committee.- (1) The constitution of the District Committee shall be as follows:- l . Chief Medical and Health Officer (CMHO) 1 District Collector's nominee l l\ot below the rank of Deputy Col \ector] b'l-1~ ~ - ". ___ .,,,.,/ Page 2 of 57 Chairperson Member ----------

3. Commissioner/CMO of the Urban Local Dody of the Headquarter Town of the District 4, CEO, Zilla Panchayat

5. Representative of Chhattisgarh Environment Conservation Board

6. District Ayu'rveda Officer

7. Civil surgeon, District I Iospital 738 (55) Member Member Member Member Member-Secretary

(2) At least 50 % of the members must be present in order to fonn quorum in any meeting of the District Committee. The representation from the Urban Local Body/Municipal Corporation shall be compulsory.

(3) The District Comw.ittee may fonn one or more teams for the purpose of inspection of Clinical Establishments. Such tcam(s) shall comprise of minimum 4 members, from various disciplines including a representative from A YUSH and the representative of Urban Local Body shall compulsorily be present.

( 4) The reports of Inspection Team(S) sha II be p !act:d before the District Committee for making recommendations to the Supervisory Authority in respect to Clinical Establishments, inspected by the team(s).

9. Appellate Authority.~-oJ.,ij Following authorities are delegated the powers to pcrfonn lhe functions of the Appellate Authority, to consider appeals against the orders issued by the Supervisory Authority, as provided under Section IO of the Act:- a) Director of Health Services- In respect of all Allopathic Clinical Establishments, other than hospitals attached to Medical Colleges;

b) Director of Medical Education- In respect of Medical College Hospitals;

c) Director, A YUSH- In respect of Clinical Establishments belonging to Ayurveda, Yoga, Unani, Siddha and Homeopathy systems.

(2) The Appellate Authority shall issue a written receipt for every appeal letter/ application received by it and shall dispose of the appeal within 90 calendar days from the date of issue of the receipt.

?-'- P;;ge 3 of 57 738 (56)

(3) The Appellate Authority may confinn, modify or set aside the Supervisory Authority's order or pass any such an order as it may deem justified.

10. Prescribed Standards.- (1) Every Clinical Establishment Hable to obtain a license under the Act must fulfill the standards prescribed in Schedule 1 appended to these rules in this regard which may be amended from time to time.

(2) No Clinical Establishment shall be allowed to operate without a valid license after the expiry of9 months from the date of notification of these rules. The time period includes the initial 3 months for applicatio\n,. followed by 6 months ~or inspection and rectification of gaps, found during the inspection by the District Committe~( any delay in the inspection by • I -- .

the District Committee beyond 9 months from the date of notification of these rules, shall entitle the Clinical Establishment to continue its operations until the inspection is done by the committee.

(3) The establishments who fail to comply with the prescribed standards after the above mentioned additional period shall not be issued license under Section 6 of the Act.

(4) Notwithstanding, anything contained in sub-rule (2) of this rule, the Supervisory Authority may grant an existing Clinical Establishment further time for rectifying the gaps in respect of shortage of nursing staff only, provided that:

(a) Such relaxation shall be given against a written request from the owner/proprietor of the Clinical Establishment;

(b) The application for relaxation must be made along with the application for registration;

....... -- .. ,..,-~

(c) The maximum permissible time for rectification of gaps shall not be more than 3 years from the <late of grant of registration;

(d) During this period the unskilled and untrained staff working in the establishment shall have to undergo a course of nursing/midwifery/paramedical of 6 months duration and obtain a certi tic ate under Ch hattis garh State Skill Development Mission;

(e) After the relaxation period of 3 years all the standards as described herein the rules shall be applicable for the establishment and only qualified staff shall be allowed to work in the Clinical Establishment.

~~- Page 4 of 57 s..li'ffi(.-lli~ {l\i;!T5f, ~ 20 ~ 2073 738 (57) ----------------· _, .. -- . --··· --·-....._·--~----. --·------- ··-·· --· ·--· ·----··-· ·--. -·-·. --· ·--- I I. Procedure for issue of license,• (1) Procedure for Registration and licensing of existing establishments shall be as follows:· a) All Clinical Establishments already in existence on the date of notification of these rules shall apply for registration to the office of the concerned Supervisory Authority within 90 days from the date of notification of these rules, as per the format given in Schedule 2;

b) As per Section 5 of the Act, every application must be accompanied by fees as prescribed in Schedule 3 and in the fonn of a bank draft or postal order in the name of the Supervisory Authority. The fees prescribed in Schedule 3 may be revised from time to time;

c) The Supervisory Authority shall issue a Registration Certificate upon receipt of such application with the prescribed fee. The Registration Certificate shall be issued in the format given in Schedule 4. The Registration Certificate shall be valid for a period of 6 months from the date of issuance;

d) The Supervisory Authority shall order the District Committee to inspect the Clinical Establishment of the applicant within the validity period of the Registration Certificate to confirm (or otherwise) eligibility for issue of license;

c) Where the Establishment is certified to be operating as per the prescribed standards, the Supervisory Authority shall issue a license under Section 3 and 6 of the Act, which shall be valid for a period of 5 years, as prescribed under Section 8 of the Act. The license shall be issued in the format given in Schedule 5;

O Where it is found on inspection, that the establishment does not tidfill the prescribed-·sfiridards, Supervisory Authority may refuse to issue a license;

g) Where the Establishment fails to obtain a license under these rules, the establishment shall have to apply afresh for license. The fee for application shall be same as prescribed for a new Clinical Establishment. Establishments applying for the second time under these rules shall not be issued Registration Certificate and the establishments shall not be deemcd·to be registered.

(2) Procedure for Licensing of new cstabJishments:- a) Any new Clinical Establishment shall only be allowed to operate after obtaining a valid license, after the Rules have been notified.

Page S of 57 738 ( 58) ~- c:............_ ___ - ------ - - ih1 'l -w 1~ ~, f ~ 20 3l1'IBf 20 n ----- ·-·---- b) An applicant intending to set up a Clinical Establishment, after the notification of these Rules, shall apply to the concerned Supervisory Authority as per the format prescribed in Schedule 2 along with the fees prescribed in Schedule 3.

c) The Application form must indicate the date of commencement of Clinical Establishment which shall not be less than 30 days from the date of application.

d) The Supervisory Authority shall indicate a tentative date for inspection in its acknowledgment letter/ receipt.

c) Where it is found on inspection that the Establishment does not fulfill the prescribed standards, Supervisory Authority may refuse to issue a license.

f) Where the establishment fails to obtain a license under these rules, the establishment shall have to apply afresh for license. The fee for application shall be same as prescribed for a new Clinical Establishment. Establishments applying for the second time under these Rules shall not be issued registration certificate and the establishments shall not be deemed to be registered.

(3) General conditions applicable to all Clinical Establishments are-as follows:- a) The license shall be kept affixed in a conspicuous place in the Clinical Establishment in such a manner so as to be visible to everyone visiting the establishment;

b) In case the license is lost, destroyed, mutilated or damaged, the Supervisory Authority may issue a duplicate license against the application of the Clinical Establishment and after the payment of fees as prescribed in Schedule 3. A certifica~~--~ registration / license issued under this rule shall be marked 'Duplicate' in hand /seal;

c) The license shall be non-transferable. In case of change of ownership or management, the Clinical Establishment shall inform the Supervisory Authority of any such change and shall have to apply again for registration or issuance of a fresh license, as the case may be;

d) In the event of change of ownership/ change in the category of license / change in location or closure of the es tab Ii shm ent, the I 1ccnsc sh all be surrendered to the Supervisory Authority;

c) All inspection reports of the Supervisory Authority shall be placed in the public domain and shall be available on demand to the General Public;

Po1ge 6 of 57 " ..

738 (59) ~···-····~ ----" ------ t) License shall be issued/granted in the name of Establishment and the Proprietor and not in the name of the Owner;

g) In case of Multi-Specialty /Super-Specia]ty hospitals having Diagnostic Facilities or Physiotherapy Units separate application should be filed for licensing of such Diagnostic and Physiotherapy Units. Small Clinical Establishments where routine/small pathological procedures are carried out shall not require separate license under these rules.

12. Procedure for Renewal of License.- (1) Every Establishment must apply for renewal of its license at least 3 months before the date of expiry of its license.

(2) The procedure for renewal shall be the same as for licensing of new Establishments.

13. Register of Clinical Establishments.~ (1) The Supervisory Authority shall maintain a register indicating category wise list of Clinical Establishments licensed to operate in its jurisdiction. The information shall be in the public domain and shall be easily available on demand to General Public.

(2) The Register shall be prepared and updated in the format prescribed in Schedule 6 (Table 1) which may be amended from time to time.

14. Records to be maintained by Clinical Establishments.- Every Clinical Establishment shall maintain such records of patient treated and I or admitted by it for treatment as prescribed in Schedule 7 and may be amended from time to time.

---~#

15. Reporting of contagious or communicable / notifiable diseases.- (I) Every Clinical Establishment shall submit the report data and statistics on contagious or communicable / notifiable diseases to the Chief Medical and Health Officer of the concerned district:- a) Imrnediate written report through e-mail or Fax (within 24 hours or on next working day in case of holidays) as per format in Schedule 8 in case a person with any of the following notifiable diseases is received / admitted / treated by a Clinical Establishment like: Dengue, Swine Flu, Bird flu, Tuberculosis, Small Pox, Cholera, Plague, Scarlet fever, Yellow fever, Diphtheria, Typhus, Relapsing Fever, Cerebrospinal Fever, Poliomyelitis, Viral Encephalitis, AIDS, Meningococcal Meningitis or any other disease notified by the Government of India, from time to time;

b) Monthly report as per format in Schedule 9.

Page 7 of 57 ..

738 (60) •m-flw1~ ~, ~ 20 m 2013 ::.:.........::;::,:_:._=:::=====

16. Participation in National /State Public Health Programmes.- Every Clinical Establishment shall participate in all .\lational I State Public Health Programmes subject to such guidelines which the Directorate of Health Services may issue in this regard, from time to time. Participation under various schemes of National/ State Government shall be voluntary. Statistical reports of National or State Programmes/ Schemes like- Delivery, Caesarean Section Operation, Immunization, Sterilization operation under Family welfare, Cataract, Sickle Cell etc. shall be produced before the Chief Medical and Health Officer of the concerned District when demanded.

17. Obligation to secure Patient's Convenience.- (J) Every Clinical Establishment shall ensure that the patient and I or a person authorized by him/ her receives the following:- a) The relevant information aboul the nature, cause, likely outcome of the present illness/ treatment/ operation;

b) The relevant information about expected costs and complications;

c) An access to his / her clinical records, at all times during admission and treatment and after discharge;

d) Photocopy of medical records after discharge or death (after paymg fees for photocopy, if necessary);

e) A discharge summary at the time of discharge, which should contain date of admission/d~~,:~e, diagnosis, treatment given, operations, investigations, and follow up;

(2) Every Clinical Establishment shall ensure following rights of the patient and his/her attendant:- a) Right to dignity and privacy during examination, procedures and treatment;

b) Right to get informed consent before anesthesia, blood and blood product transfusions and invasive/ high risk procedures/ treatment, risks, benefits.

alternatives if any and as to who shall perform the requisite procedure. lnfonned consent includes information in a language and in a manner that patient can understand; can take risks and benefits; has alternatives available and requisite procedures to be performed accordingly;

c) Right of a female patient to have proper privacy during examination. In case of examination by a male doctor, a female attendant must he present;

Page 8 of S7 • 73R ( 61) d) Rights to confidentiality of reports. Such reports and infonnation should not to be disclosed to anyone other than the patient or person authorized by the patient;

e) Right of a person suffering from HIV to receive care without any discrimination.

Not having a Voluntary Testing and Counseling Centre cannot be a ground to refuse care. For management of patients who are HJV positive, the nursing home should follow guidelines circulated by NACO (National AIDS Control Organization) from time to time;

f) Right to dignity in case of death or withholding of the body by the hospital;

g) Right to referral/transfer to any other facility that the patient or his/her attendant may want/wish;

h) Right to be asked for a prior consent before being examined by students/interns for training.

(3) The indoor patients shal I be considered to be under the custody of treating physician who shall be solely responsible for the safety of such patients.

18. Procedure of Receipt and Registration of Complaints (Grievance Redressal) at the level of Supervisory Authority.- (1) All communications / complaints in writing (by whatsoever mode they are received) addressed to the Supervisory Authority, either by name or designation, shall be received by the office of the Supervisory Authority.

(2) All complaints shall be duly recorded and serially numbered in a register to be maintained by the office of the Supervisory Authority indicating sender's name and address of the complainant as prescribed in Table 2 of Schedule 6.

---..... - .-1'

(3) Complaints receive"'aby hand shall be immediately registered and an acknowledgement receipt shall be issued across the counter. Complaints received through other modes shall be registered within l working day from the date of the receipt of the complaint.

(4) for complaints received through mail/ email /fax, an acknowledgement shall be sent to the complainant within 3 working days of the receipt of the complaint.

(5) Complaints and other communications requiring urgent attention shall be placed expeditiously before Supervisory Authority.

(6) The complaints received in respect to the Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Niyam, 2013, shall be examined through a Committee formed by the Supervisory Authority of the concerned District. The Chairperson of such committee shall be of a rank higher or equivalent to a Deputy Collector and shall include a speciali:;t doctor of the concerned di sci pli nc.

Page 9 of 57 738 (62) B'l'llwllf ~, ~ 20 m 2013

19. Miscellaneous.- (1) Employees of the Supervisory Authority to be public servants- The staff of the office of the Supervisory Authority shall be deemed to be public servants within the meaning of Section 21 oflndian Penal Code, 1860.

(2) The Supervisory Authority shall have the power to cancel the license of any Clinical Establishment found to be in any unethical practices.

(3) Amendments to the rules and /or its schedules- The Government may amend these Rules and /or the Schedules, there of, from time to time.

By order and in the name of the Governor ofChhattisgarh.

M. M. MINJ, Deputy Secretary.

t9\:1l{·PI~ ~. ~ 20 3fl'TRi 2013 ==-----=---===--------=-====--=

SCHEDULE-I (See Rule 10) STANDARDS FOR CLINICAL ESTABLISHMENT A. STANDARD FOR CLINICS l. Minimum Infrastructure Requirement:

l. l Location and Surroundings- 738 ( 63)

1. l. l The clinic shall be located in an open place, having clean surroundings with adequate parking space.

l. l .2 The clinic shall not be adjacent to on open sewer, drain or public lavatory or to a factory/establishment emitting smoke or obnoxious odour.

1.2 Building-

1.2.1 The building used for the clinic shall comply with the relevant municipal bye-laws enforced from time to time.

1.2.2 The access to the clinic building shall be friendly for the persons with disability.

1.2.3 The rooms of the clinic shall be well ventilated, lighted and shall be kept in clean and ........ , ?1:,·:T hygienic conditions. ·

1.2.4 The flooring shall be washable with disinfectants such as not to permit retention or accumulation of dust.

l.2.5 Arrangement for taking anti infectivduisiniection measures in all clinical procedures shall be available.

l .2.6 Each clinic shall have clean and hygienic toilet.

2. Space Requirements:

2.1 Individual AUopathic clinics- It shall have the following minimum standards:- • Consultation/Treatment room and waiting area 200 sq.n

2.2 IndiYidual A YCSII Clinic- It shail ha\'e the fo)lowing minimum starn.lanh.- ........... ~~ ~ ·-~-- .. --· Pe1ge 11 of 5?

738 ( 64) --- ·"---~-------- ------ --- .. ~=--____:;·:::.··_:___:::::~=:::-:=-------=~~..:::::-~~=-. -- ---- • ConsultatiorvTreatmcnt room and waiting area 200 sq.ft

3. Emergency First Aid:

3.1 Every doctor has a professional obligation to extend services to protect life. AU the clinics must provide immediate medical aid in all cases of medical emergency. All clinics providing medical care and are registered under these rules must have the following functional life saving equipments:-

3. I. I Ambu Bag

3. l .2 Oxygen cylinder with flow meter, catheter and mask

3.1.3 IV infusion set and IV fluids like Normal saline, dextrose and ringer lactate J. I .4 There should be staff trained in cardio pulmonary resuscitation

3.1.5 Emergency Medicines

3.2 In case a patient is brought in a critical condition to a clinic and it is decided to refer the patient to a hospital, the patient shall be tre8ted and stabilized before being referred/ shifted to the hospital, provided also that the patient shall be transferred to a higher centre or Nursing Home/Hospital, accompanied by a medical attendant along with all medical records (including X-rays, investigation reports, clinical notes).

3 .3 It is also expected that the doctor who had treated the patient initially shall keep in touch with the institution to which the patient has been transfcm:-:d to, so as to remain aware of the patient's condition.

4 Entrance zone:

4.1 Sign age~

4.1.1 Prominent display boards in local language and Pictorial depiction

4.1.2 Boards/Cha1is providing information regarding the services available and the timings of the institute.

4.1.3 Boards or charts mc:ntioning Proprietor's Narne. "\fame of the doctor_ bic: qualification_ Stream of medicine practised, Address. Telephone number. email Id (i r any).

'-l ' Outp:-iticnt Department~ r}!r:::.:Z~- -- Pdgi::' 12 of 57 738 (65)

4.2.1 Clinics for various medical disciplines - If there arc more than one clinic in an Establishment then there shall be separate cabins for various disciplines available in the clinic with separate provision for examination which ensures privacy to the patient. The cabins shall be provided with Doctor's Chair Table, Patients Chair, Attendants' Seat, Wash Basin, X Ray Film View Box and other set of tools as may be required for different disciplines.

4.2.2 Separate toilets for male and female in the premises in case of Polyclinics and common toilet in case of a single clinic.

4.2.3 If there is a pharmacy in the premises it should be located m an area conveniently accessible to the patients.

4.2.4 Emergency Room: The emergency room should have an easy access to the incoming patients.

4.2.5 Treatment Room:

• MinorOT • Dressing Room/lnjection Room

5. Human Resource: Clinical services shall only be provided by a qualified medical practitioner as described in the Act.

6. Support Services:-···~#

6.1 Electricity- Provision for continuous supply of electricity and power back up should be there.

6.2 Water Supply- Provision for safe drinking water and hand washing arrangements shall be there.

6.3 All Clinics have to mai11tain firefighting equipments like extinguishers as prescribed municipal authorities.

7. Waste Disposal: The Disposal of wastes in the hospital shall be in accordance with Bio Medical Waste (Management and Handling) Rule. 1998. Provisions shall be made for segregation and safe disposal of biomedical wastes. sharps and syringes either by thdr ow11 resources or through tie-up with Common Biomedical Waste Treatment facilities.

~-- '\.-... -· Page 13 of 57 738 (66) iJ~ ~. fcr-TT'Er, 20 ~ 2013 B. STANDARDS FOR MEDICAL LABORATORY

1. Pathological laboratory:

a. Small Lab: Routine c1inical Procedures Hke HB, TLC, DLC, Urine Sugar (Blood and Urine) b. Large Lab : Above Procedures plus Blood - Urea , Cholestrol, RFT, LFT, Lipid Profile, Bio Chemistry, Microbiology, Histopathology, Common Hormone Assay T3, T4, TSH, Prolactin, Urine and Blood Culture, Elisa Test, etc The minimum area of the laboratory should be: 120 + 40 Sq. ft

1.1 The clinical laboratory should be provided with 600mm wide and 900mm high bench of length about 2 metres per technician and enough room for pathologist in charge of the laboratory. Each laboratory bench should have a laboratory sink with swan neck fittings, reagent shelving, gas and power point and counter cabinet. Top of the laboratory bench should be acid alkali proof.

I .2 All clinical laboratories should keep records properly with the name of the patients, their address and the name of the referral doctor along with the details of investigation results.

J .3 All Pathology labs have to maintain firefighting equipments like extinguishers as prescribed by municipal authorities.

1.4 All labs should have Personal Protective Equipment (PPE) for the staff.

1.5 Clean toilet facility for sample collection with due privacy.

---~~

1.6 Supervisory Doctor-

1.6. l Minimum qualification to run a small r ,aboratory is an MBRS degree.

I .6.2 ~-tinimurn qualification to run a large Laboratory shall be MD/DCP in Pathology.

l.7 Technical Personnel- The technical person performing tests under the supervision of the supervisory doctor should have the foJlowing qualifications:-

1. 7.1 Diploma in Medical Laboratory Technology (with a course of atleast of one year duration) awarded by a Unjversity, State Government, Central Technical Board.

1. 7.2 Any such course approved by the Government of Chhattisgarh. from time to time.

Page 14. of S 7 736 (67)

1.8 Collection Centre- Collection Centre can be run by a DML T or a trained nurse. The collection centre should have a· room of atleast 80 sq n area, where facilities of collection and storage of samples and proper transportation of samples from centre to medical lab should be provided. The transportation should be done carefully with proper maintenance of cold chain.

2. RadioJogy And Imaging:

2.1 The role of Radiology Centre is to provide Radio Diagnostic Services and therefore, it shall be run by appropriately qualified specialist in Radiology and Imaging.

2.2 The Radio Diagnosis Units generally deal with Radiography, Ultrasonography (USG).

Nuclear medicine and Computed Axial Tomography Scam1er (CT Scan), Magnetic Resonance Imaging (MRI) etc.

2.3 Such Units shall have X-Ray and normal Ultrasonography facilities. Apart from this it shall have facilities like Cl)lour Doppler, Echocardiography, Computed Axial Tomography Scan (CT scan), Magnetic Resonance Jrnaging (MRI) and other Nuclear Medicine related tests.

2.4 All Establishments having Radiology and Imaging facilities must fulfill the clauses laid down m the SAFETY MANUAL prepared by A TO MIC ENERGY REGULATORY RO/\RD. Some of the points include:- • Availability of tead screen near the control panel and lead aprons for technicians.

• Availability of TLD badges with routine evaluation of technicians for exposure to rndioactive'h~ • Prominent display of logo and caution signage especially for the pregnant ladies in local language.

• The walls of room \:vherc primary beam falls shaJl not be less than 3 5 mm thick and walls on which the scattered beam falls shall not be less than 23 mm thick.

• Windows shall be !cad painted or shielded with l. 7 mm lead, if therL-.

2.5 The Center should have been approved by the Atomic Energy Regulatory Rody.

3. Ultrasonography:

3.1 All Establishments performing Ultrasonography should have a license umkr the PC-PNDT !\ct.

:l.2 In case the Ultrasonic facility maintains a portable machine. the use or such machine slmli he limited to the ho,:;pila! premises as presi:ribcd und.::r the P\'DT guicle!irn~s.

738(68) @-alfll1~ -rnr:r31, ~ 20 m 2073 ..... - .--- ~ -------····--····-----------~

4. Qualifications:

4.1 Supervisory Doctor-

4.1.1 Minimum qualification for X-Ray and Sonography shall be MBBS with Training/Diploma in a relevant discipline, approved by the Government of Chhattisgarh.

4.1.2 Minimum qualification for higher levels of services (CT Scan, MRI etc.) shall be MD Radiology/ Radio Diagnosis/ Diploma in Medical Radiology and Electrology / Diploma in Medical Radio Diagnosis/Diploma in Medical Radiology or any other Qualification/ Degree or Diploma recognized by MCL

4.2 Technical Personnel- The technical person performing the tests under supervision ofthe supervisory doctor should have one of the following qualifications;-

4.2.1 Diploma in X-ray and Imaging awarded by a University. State Government or Central Technical Board.

4.2.2 Any such course approved by Government of Chhattisgarh, from time to time.

5. Support Services:

5.1 Electricity- Provision for continuous supply of electricity and power back up shall be there.

5.2 Water Supply- Provision for safe drinking water and hand washing arrangements shall be there.

5.3 All Radiology Laosdave lo maintain firefighting equipments like extinguishers as prescribed by Municipal Authorities.

6. Equipment:

6.1 The Centers must be provided with all instruments/equipments required for emergency & basic life support.

6.2 The clinic providing interventional /contrast studies must have instruments/ equipments/medicines to deal with any allergic and/or anaphylactic complications that may ansc.

7. Waste Disposal: The Disposal of "vastes in the hoi;;pital shall be in accurdarn:~ with Bio Medic.al Waste (Managem~nt and Handling) Ruic. 1998. Provisions shall bt: made for segregation and !'iafe dispnsal of biomedical wastes, ;-;harps and syringi.?.s either by their own resources or through tic-up with Comnwn Biumc-dic:tl \\'ask Tn.:arrncnl Fa1.:ili1i~-~ rage 16 of 57 .

c. srANDARDS FOR l\ilATERNITY HOi\1Efi · (Definition as per 2(e) of the Act) l. Minimum Infrastructure and Space Re1.1uirements for OPD of the maternitv home: Must fulfill the standards prescribed for the clinics in Part A of this Schcdtile.

2. Apart :From the above: The basic minimum facilities to be provided by the Maternity Homes are as follows:

2-.1 Maternity Faciliticsa. All Maternity Homes should be able to carry out procedures Jike Suction and Evacuation, Dilatation And Curettage, Caesarean Section and Caesarean Hysterectomy on an emergency basis;

b. Blood transfusion facilities shall be available within the premises or a dedicated blood bank facility on the panel of the institution. The names, addresses and telephone numbers of such licensed blood banks have to be prominently displayed;

c. ~akmity Homes should have Oynccologists, Surgeons, Anesthetists. anJ Pediatricians on roles.

d. Provision for hot water shall be there.

··- f -~ All Maternity Homes must have:

2.2 OPD Arca- The minimum standards for all individual OPDs shall have to be as mentioned in the standards for Clinics in Pa11 A of this Schedule.

') "t -·-' IPD Block- ] l!em ---------------·--·-- ..

Minimum Area Required j --·-· ··-··---·-·-·•-----1 11 Floor space per bed in ward . .,.. ..... _________ _ : Distance behveen t\-VO beds I ;

jl.:.'le~i·ancc bet,-1.•Cl'.'11 bed ~1ml wail ' 100 sq. ft. for one bed and additional 60 sq. I ft. for every additional bed in the ronm 1 !

6. ft. --7 I ··- -- -- .. ______ _J 6 inches l ' ! .. ··- --··••,-- ·---- -------···------·· -·-·· --·· . -·- ·-- ................ ---·.

738 (69} 738 ( 70) ~=======~ oulw1~ ~. ~ 20 Wffi'I 2013 Width of doors in the wall I 3 ft.

Bath & toilet 36 sq. ft.

Number of urinals I per 6 bed Number of toilets and baths I per 6 bed Number of wash basins 1 per IO bed Operation Theatre (sterile zone) 300 sq feet Instrument Sterlization 50 sq. ft.

Scrubbing up (there should be proper zoning into 25 sq. ft.

protective1 clean zone and sterile zone Labor Room with Toilets 140 sq. ft.+ 20 sq. ft.

-------- I Doctor's Duty Room Nurses Station Ward Store Trolley Bay -----t/ Consulting Room and Examination Room

2.4 Labour Room- ) -__ ) a. Labour Table b. New Born Resuscitation Unit c. Emergency Medicines d. Shadow Less Lamp e. Instruments for Assisted Deliveries f. Minor Surgical Instruments cw Born care area- I 00 sq. ft.(with toilet) 100 sq. ft.(witb toilet) 100 sq. ft.

30 sq. ft.

1 120 sq. ft.

a. This unit shall be located within or in close proxirnit~ to labor room b. Radiant \.\'armers must be kc-pt in this area.

P2ge 18 of 57 -- 3, 738(71) c. Emergency :t\1cdicincs d. Suction Machines Minimum equipments required for Maternity home:

a. Labor Table b. Foetal Monitor (Doppler or Cardiotocograph) c. Neonatal Resuscitation Kit d. One suction machine with power back up & one standby foot suction machine e. Minimum one oxygen cylinder for 8 beds or part, with one standby cylinder f. Amhu bag, Oxygen mask catheter, and nebulizers g. Minimum one Infant Wanner h. All instruments equipments required for emergency & basic life support L Emergency Tray J- Dressing Trolley k. Instruments & equipments required for Emergency Obstetric Care {LSC:S, Obstetric Hysterectomy, Forceps) l. Defibrillator.

4. Diagnostic Services: Diagnostics Services like Pathological Lab, USG, Foetal Monitor and empanelled blood bank tie up, portabk X-ray, ECG machine, if available shall be as per the standards prescribed in Standards of Diagnostics in Parl B of this

Schedule. --.. v::f Support Services:

a. Electricity- Provision for continuous supply of electricity and power back up shall be there.

b. Water Supply- Provision for safe drinking \Vater and hand washing arrangements shall be there.

c. fire safety- All fv1aternity Homes have to maintain firefighting equipments !ike fire extinguishers.

6. ,vaste Disposal: The Disposal or vvastcs in the hospital slrn.11 be in accordance with Bio-fvkdical Waste (Management and Handling) Ruk. 1998. Provisions shall be made for segregation and safe disposal of biomedical wJ.stes. sharps and syringes either by their ~rnn n.:soun.:cs or lhrough tie-lip \\ith Comnwn Biomedical Waste l"n:atment Facilities.

Pcigt 19 uf 57 733 (72) wcih-P1~ ~. ITTf<F 20 wwr 2013 D. STANDARDS FOR PHYSIOTHERAPY UNIT It is an establishment where massaging, dcctrotherapy, hydrotherapy. medical gymnastics or any other similar processes are usually carried on for the purpose of treatment of disease or deformity. Following standards shal1 be maintained for the Physiotherapy Unit:~ I. Minimum Infrastructure and Space Requirements: Same as prescribed for a clinic in Part A of this Schedule.

2. Human Resource:

2 .l Such Establishments shall be under direct supervision of Bachelor of Physiotherapy from a recognized university or institute.

2.2 Male or female employees providing such therapy shall be under direct supervision of a qualified Physiotherapist as mentioned above and shall possess a minimum qualification of higher secondary and minimum practicaJ experience as prescribed by the MCI in Physiotherapy department of any hospitaJ.

3. F:quiprnents:

I. Short Wave Diathermy .1. Magnetic Therapy

5. I nterferential therapy

7. Paraffin wax bath 9, Ultra Sound Therc:tPX ... ~··'-' ..,- 2 .

Microwave Diathermy Laser Therapy Lumbar Traction and Cervical Traction Hot Packs

4. Su1>port Se-n•ices:

a. Electricity- Provision for continuous supply of electricity and power back up shall be there.

b. Water Supply- Provision for safe drinking water and hand washing arrangements shall be there.

c. Fire safety- All Physiotherapy Units have to maintain firefighting equipments Iike fire extinguishers.

\Vaste Disposal: The Disposal of wastes in the hospital shall be in accordance with Bio-lvf edi cal Waste (Management and Hand! ing) Rule, I 998. Provisions shaH be made for segregation and safe disposal of biomedical wastes. sharps and syringes either by their own resources or through tic-up \,ith Common Hiomedical Waste Treatn1ent Fncilitics.

;;•c-ge 20 ot 5i {h\1.:-1•1~ m. ~ 20 ~ 2013 738 (73) E. lfOSPITALS AND NURSING HOMES

1. The Basic Minimum Facilities Provided bv a Nursing Home/Hospitals includes:

1.1 Emergency First Aid- As prescribed for a clinic in part A of this Schedule.

1.2 Indoor Admission facilities- The Hospital/Nursing Home shall provide indoor facilities for various disciplines.

1.3 Other Servicesl .3.1 The facility shall have ear-marked space for OPD block as per standards as prescribed for clinics in Part A of this Schedule.

1.3.2 Services of one Medical Practitioner on duty shall be available 24hrs for attending emergency caUs of indoor patients. 24hrs duty of Medical Practitioner shall not be compulsory if Day Care Centres are available. But availability of Doctor is compulsory till a patient is there in the Hospital.

1.3.3 Diagnostic Services if available shall be as per standards prescribed for Medical Laboratories in part B of this Schedule.

1.3.4 Services of Physiotherapist if available shall be as per standards prescribed for Physiotherapy Units in Part D of this Schedule.

4.1 OPD Block: Minimum Infrastructure requirement: As prescribed for a clinic.

··- _., Entrance zone: As ptescribed for a clinic.

Inpatient Department:

Wardsa. The ward Should have Enough space between beds (as prescribed in clause 8 of Pa11 E of this Schedule) b. Separate toilets for males and females c. Separate room for infectious patients d. Fire fighting equipments/evacuation plan/exit plan and fire alarm e. Emergency Tray f. Suction Machine g. Oxygen L:yiinder with Mask & Ambu Bag h. Dressing Trolley

1. Separate \Vnrds for males and females ;,,..,;_;_,--•;/ . -·' ,-7---·-. - P.;ige 21 of 57 - _,,..~ 738 ( 74) ;_!,t1)fl'I~ ~. ~ 20 ,m 2013 ~---=--=~=:..:..:..._ _ _:_====~

4.2 Intensive Care Unit (If availabJe)- Intcnsivc Care Unit shall be well supported by medical and paramedical staff in order to provide Resuscitation and Short Term Cardio Respiratory Support including Dcfibrillation. Following standards shall be maintained for Intensive Care Units:- a. Entrance door- 4 ft wide b. Space per ICU bed- 100 sq. ft.

c. Distance between two adjacent beds- 3.5ft d. Curtain/partition between beds e. Bedside Supply- centralised oxygen supply facilities must be available.

f. Suction Machine beside each bed g. Non Invasive Electronic Monitoring- SP02, HR, Rhythm, NlBP, ECG, Temperature.

h. Ventilator And Defibrillator L Crash Cart Trolley/ Resuscitation Tray J. ln- House Basic Clinical I.ah k. Imaging Facilities- X-Ray, USG, ECG I. Qualified Resident Medical Officer rn. Nurse and support staff n. Separate hand washing facility o. Wheel chairs/Stretchers p. Separate Mediciiie-arf8 Consumable Storage.

4.3 Operation Theatre Complex/ Zonea. Pre-operative room I area b. Changing room for staff e. Scrub Area d. Sterilization Room e. Store f. Provision for hot water g. Operation Table h. Shadov.· Les~ Lamps

1. Post-Operative (RecoYery) Room ~d----~ ~--->----· . Pagr: 22 of 57 738 ( 75)

4.4 Labour Room - As prescribed for Maternity Homes in Part C of this Schedule.

4.5 New Born Care Unit- As prescribed for Maternity Homes in Part C of this Schedule.

5. Support Services and Neccssarv Requirements For Staff:

5.1 Support Servicesa. Diet- Diet may either be outsourced or adequate separate space for cooking shall be provided. Hygienic food as advised by the physician shall be available lo the patients.

b. CSSD (Central Sterile Supply Department) (Compulsory for hospitals with 100 beds or more)- Adequate space and standard procedures for sterili7.ation and sterile storage shall be available. A practical protocol for quality assurance of CSSD shall be deve]oped.

c. Laundry- There shall be separate storage facility for dirty and clean linen and also for infected/soiled and non-infected /non soiled linen.

d. Electricity- Provision for continuous supply of electricity and power back up shatl be there.

e. Water Supply. Provision for safe drinking water and hand washing arrangements shall be there.

f. Fire Fighting equipments- All hospitals to have fire fighting equipments like Fire Extinguishers.

5.2 Necessary requirements for staff-

a. The staff cmployecl··sha'u be free from any contagious disease and shall be provided with clean uniforms suitable to the nature of their duties.

b. The workers shall be medically examined at the time of employment and periodical checks of the staff should be done.

c. Staff shall be ensured for medical hazards and statuary rules of employment shall be followed.

Equipment: The Nursing Homes shall provide and maintain the following:~ a. All instruments/equipments required for emergency and basic life support b. ECG Machine c. Emergency Tray d. One Suction Machine & one Standby foot Suction Machine e. l'vlinimum one oxyge11 cylinder for 8 beds with one Standby Cylinckr f. Defibrillawr P?-ge 23 of S7 738 (76) -------- - -- g. Infusion Pump h. Dressing Trolley .

L Facility for power back up J- Fire Fighting Equipments/ Evacuation Plan

6. I Minimum requirements of Operation Theatrea. Operation Table b. Boyles Machine c. Laryngoscope with 5 blades of different sizes d. Endo Tracheal Tubes of all sizes with connections e. Pulse Oxymetcr/ Multi - Parameter Monitor f. Electric Suction Machine with generator connection g. Foot Suction Machine h. Emergency Tray with Medicines t. Autoclave J. Shadow Less Lamp k. Electric Cautery I. Defibrillator m.Oxygen cylinders in sufficient number

6.2 Minimum Instruments and Equipments required for Nursing Home /Hospital Minimum required instruments & equipments shall vary as per particular specialty/super spetiati~, however, a list has been provided as per Indian Public Health Standards (Anncxurc -A).

7. Requirement of Human Resource in case of Super-Spccialitv /Multi-Specialifv Hospitals as per availabilitv: Hospitals I Nursing Homes offering multi-specialty !

super-specialty services must have specialists in the relevant discipline either on their pay roll or as a panelist in their list of consultants. The minimum qualification required for such specialists shall be as indicated in the table below:- Specialty / Discipline Super Specialist Desirable Qualifications I . -··-· . ---· . ----·-·-········--- ... .j DNB/MCI 1/DM/ Post PG Diploma/ Fellowship --·····------------1------------- - -·-····· ····-·· General Surgeon Physi..::ian Obstetrician & Ciynaccologi.st MS/1.>NB, (General Surgery) ------ -.. - .__.. .. --- MD/DN B, (General Medicine) ---··· ---················· .. ···---· DGO ( 0 BG )/;\-lS/l "> N H/~d I) ~·-· Page 24 of 57 .. -~ . , .

738 (77) I Paediatrics i ----- --- -- I DC~lD(Pa~diatrics)/DNB - -------- ------ Orthopaedics MS/DNB/D. ORTH ------ -- --- --- -- ----- · ENT Specialist MS/DLO ~ Anaesthetist MD(Anaesthesia)/DNB/DA -----~---------- Eye surgeon MD/M S/DOMS/DNB/( Ophthalmology ) --- --·------- Dental Surgeon BDS - .

~~thologist MD/DNB/DCP ----· --- , Radiologist MD/DNB/DMRE/DMRD/DMR ----------- ------------- Psychiatrist MD/DPM/DNR -- . ·-·-- -- Dermatologist MD/DNB/Diploma ~ ------ General Practitioner (allopathy) MBBS/ or any other degree m allopathic medicine ' ------ ~- ■ • ------- LGencral practitioner (ayu:,h) ___ BAMS/BHMS/ BUMS/Siddha/Yoga --------- - - l Specialist of A YUSH - Post Graduate in A YUSH l --- ------

7.1 Resident Medical Officers / General Duty Medical Officers- Every Hospital I Nursing Home must have at least one Resident Medical Officer I General Duty Medical Officer for every 20 beds.

7.2 Nursing staff and other supportive staff- Minimum nursing and other support staff sha11 be in the ratio indicated below:

--- -;.f many f Number t~ ~--~----- --~-- ·-- ------- S.No Category of Staff which For how be should be available in any Patients 1· provided nursing I j homc/hos11ital/maternity , j I home I 1· l r · l. I Nurse/ Midwife I 20 beds or its part ,-1--·------~ r··· 2.·-~- Genera1_r_)t-1t_y_A_1_1e_·n_d_a_nt_ - ~o beds;,-[ it; pa_r_t -- . 1-·- -- -= I 1-.T-h-:~--i-s~os-~-:-~-:-~-:.-,; -1-,H-sis(P•·· shift).. i 10 beds or i_ts-pa~: ___ I - I L____ I ~;;.;L-- .--- .

•<.····---- Page 25 ot _c:;7 738 ( 78) -~ ~- f~ 20 WT@ 2013 ~--------J ... -----.

. . . . . . . .. -· -.-···

8. Phvsical Standards:

Specification of areas for Clinical Establishment -----------~---~-----------··----- Minimum Area Required Item \.........-M_i_n-im_u_m_tl_o_o_r_s_p_ac_e_p_e_r_b_e_d_i_n_w_·a_r;_d---·-.. ·-- ... -1---l-OO-sq ___ ft ___ fi_o; one bea"~nd additional 60 sq. ft.

for every additional bed in the room f-------------------+-------·----------- 6 ft. Minimum distance between two beds --------·····-----------------1---·---·- --·-------- Minimum clearance between bed and wall 60mm Minimum width of doors in the wall 3 ft.

-~~ --~~·-·---------------+---------- I3ath & Toilet 36 sq. ft.

... --- ..... , .. -·--~~----~~ --~-----+----------. ------- --- .. '---,-,--.---- Number of Toilets and Baths 1 per 6 bed_ Number of Wash Basins l per 10 bed Minimum area of Operation Theatre (sterile · 140 sq. ft.

zone) up to 10 beds > 10 and <30 beds 200 sq. ft .

... . . -····------------··-··------- >30 beds 300 sq. 11.

·--------------···-·····--·····---------- Arca for Instrument Sterilization 50 sq. ft.

~------=-------------------1------~---·-· ... --- .

Area for scrubbing up 25 sq. ft.

---------------------------------1~--- Area for pantry (NH more than 20 beds) 80 sq. ft.

---'------------· ,,, _____ _ Labor room with Toilets 140 sq. ft.+ 20 sq. ft.

l )octor's duty room 100 sq. ft.(with toilet) ,,,.,._.,., __________________ -+-----------··-·---· Nurses Station J 00 sq. ft.(_ with toilet) ------- ........ -.. ""'""" "' ·-···-·· ... '·--- '""" "'""" "' ".,.. ---·-----·--· '""' Arca for USG As per Pt\DT Guidelines ''' ___ ,,,_ ,, ____________________ ,,_ --- ·------------·- .. ·--·---- f ~ , ------ C----_.,-- Page 26 of 57 738 (79) Arca for laboratory 120 sq. ft.+ 40 sq. ft.

-------------,,-------------·-·-·--·-·-·-···· Physiotherapy unit with equipments ..... ·- ~ ...............

160 sq. ft.

!------~---~--- --------------'---------------------------;

Ward Store 100 sq. ft.

.~--------~~----•----+-----------r■•••••••--••----••~--~-••-~ Trolly Bay 30 sq. ft.

Consulting Room and Examination Room ·-+--------~----~---·---- ---- ----------------- -· ~ . -~~-~ 120 sq. ft.

9. Emergency Medical Services;

9. 1 All Nursing Homes wherever registered medical practitioncr/s arc engaged, must primarily attend the emergency patients and provide basic life support without considering the financial ability of the patient. and then refer, if necessary. to the nearest private/public hospit3:l with suitable medical report about the ailments, as early as possible. Golden Hour Treatment Protocols shall be followed.

9.2 Every Nursing Home shall have all logistics for emergency basic life support with trained medical and paramedical personnel.

9.3 Every nursing home shall ensure that they must prescribe rational drugs to their patients and follow the provisions of the Drugs and Cosmetics Act, 1940.

9.4 Every Nursing Home has a professional obligation to extend its services with due expertise for protcctTiig-fife in emergency or in disaster

10. \\/astc Disposal: The Disposal of wa<,tes in the hospital shall be in accordance with Bio-Medical Waste (Management and Handling) Rule, 1998. Provisions shall be made for segregation and sate disposal of biomedical wastes, sharps and syringes either by their own resources or through tic-up with Common Biomedical Waste Treatment Facilities.

M"'d-' ---r_!:::::7 -- Page 27 nf !,1 738 (80) SCHEDULE2 (See Rule 11) FORM CE 1: APPLICATION FOR REGISTRA TJON I ISSUANCE OF LICENSE I RENEWAL OF LICENSE (CLINIC (ALLOPA THIC/A YUSH) AND PHYSIOTHERAPY UNIT} Application for Registration / Renewal of registration under The Chhattisgarh State U pcharyagriha Tatha Rogopehar Sambandhi Sthapanaye Anugyapan Adhiniyam, 20 J 0 I. Name of the establishment: ................................................................. .

2. Address: Village/ Town: ......................... Taluka .................................. ..

District: ........................... State ........................ Pin code ..................... .

Tel. No. (With STD code) ....................................... Fax No .................... .

Email id ............................................. Mobile No .............................. .

~--~ .. ,f s:.,: ....

3. Year of starting: ...... ·-· .. -~- ... r••. ~---- r. ~-~ _. ~ ~r• .. ·~--. r•• ...................... r•• ................ a ................. ..

4. Location: D Municipal Corporation D Others

5. Ownership: D Individual ProprietorshipO Registered Partnership O Registered Company D Co-operative Society O ·rmst / Charitable 0PSU D Corporation

6. Nam~ of own~r of clinic: ... .................................................................... .

7 ,, Name of pcrsnn indrnq;e of dinic: .......................................... .

("-~~_:_.:..; .. ,!:.."- --·· !-'age 28 of 57 738 (81) Designation .................................... Education Qualification ....................... .

Address: ViJlage/ Town: ........................... Taluka .................................... .

District : ........................... State ........................ Pin code ....................... .

Tel. No. (With STD code) ....................................... Fax No ...................... ..

Email id ............................................. Mobile No .................................. .

8. System of Medicine offers (please tick whichever is applicable):

0 Allopathy 0 Ayurvcda D Unani □ Siddha 0 Homeopathy 0 Yoga and Naturopathy D Physiotherapy

9. Jnfrastructure Details:

Area of Establishment (in sq. ft) ...................................................... ..

Total Area ........................... Constructed Area .................................. .

IO.

·---~"F- Whether biomedical waste disposal license obtained from Panchayat/ Municipality/ Municipal Corporation?

0 Yes 0 No.

l l. Whether clearance obtained from CG Environment Conservation Hoard'!

D Yes 0 No.

738(82) f.HflM~ m, ~ 20 3llT«i 2013 -===================~

12. Human resource:

Total no. of staff as on date of application .... ' ......................................... .

Please furnish the following table:- s. Category of staff Name Qualification Registration Nature of No service No.

temporary/ (where applicable) permanent I visiting I consultation 1- {Separate sheet to be attached variou ·atcgories of su1 --v

13. Payment option for registration fees:

I . Online payment 2. Demand draft 3. Postal order Amount (in words) ......... .. .. . ... . ...... ....... . .. ......... ... . ..................... .

Details Rec i L ........ ... . ... .. ...... .. ~ ............................................................ .

Page 30 of 57 -3,Jlw1~ ~. ~ 20 3Pr«r 2013 738 (83) ... ------~- ·-· ·------·--· ... ·--. ·--~----- DECLARATION I, ........................................................................... on my behalf and on behalf of my company/ society/ association/ body, hereby, declare that the statements made above are com~ct and true to the best of my knowledge and I shall abide by all the rules and regulations under the Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanayc Anugyapan Niyam, 2013.

I, further undertake to intimate to the appropriate Registering Authority any change in particulars given above.

Place: Name of Signatory Authority with Date: Official Seal •-.. ?/'/' Page 31 of 57 738 (84) -- -· ... --~·-------· ------ FORM - CE-2: APPLICATION FOR REGISTRATIO~ / ISSUANCE OF LICENSE/ RENEWAL OF LICENSE [MEDICAL LABORATORY AND DIAGNOSTIC SERVICES!

Application for Registration / Renewal of registration under The Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Adhiniyam, 2010

1. Name of the establishment: ................. : ............................................... .

2. Address: Village/Town: ......................... Taluka ................................... .

District: ........................... State ........................ Pin code .................... .

Tel. No. (\Vith STD code) ....................................... Fax No .................... .

Email id ............................................. Ivfobile No .............................. .

3. Year of starting: ................................................................................. .

4. Location:

5. Ownership:

0 ~unicipal Corporation D Others •.?'" ..........

D Individual Proprietorship D Registered Partnership 0 Registered Company 0 Co-operative Society D Trust/ Charitable D PSU D Corporation

6. Name of mYner uf Medical Laboratory: .................................................... .

7. Name of person incharge of Medical La boratolj: ................................................ ..

Designation .................................... Education Qualification ....................... .

Addn .. -~~· Vil!agc 1·own: .. _ Page 32 o! ~7 (h1lfllli\\ {r;;r~, ~ 20 m 20n 738 ( 85) - -·. - District : ........................... State ........................ Pin code ...................... .

TcL No. (With STD code) ....................................... Fax No ..................... .

Email id ......................................... , ... Mobile No ................................. .

8. Providing testing and Uia~nosis:

Laboratory:

0 Pathology Lab D Collection Center Diagnostic and imaging centre:

0 X-Ray D Sonography O CT Scan O Magnetic Resonance Imaging (MRI) O Isotope Scans D Anyother

9. Infrastructure Details:

Area of Establishment-{'in sq. ft) ........................... , ........................... .

· To !al Area ........................... Constructed Area .................................. .

10. \Vhethcr biomedical ,Yastc disposal license obtained from Panchayat/ Municipality/ Municipal Corporation?

D Yes □ No.

11. \Vhether clearance obtained from CG Environment Conservation Board'!

D Yes 0 No.

12. \Vhcther clearance obtained from BARCIA.ERB'?

D Yes 0 No.

13. \Vhcthcr registered under l'C-PNDT Acl?

r__·J Yes □ No.

Page 33 of 57 73S (86) w,1rw1~ m, ~ 20 m 2013

14. Human resource:

Total no. of staff as on the date of application ............................................. • Please furnish the follov,ring table:- s. Category of I Name Qualification Registration No. Nature of l No staff (where applicable ) service :

~ -- ' ' -- - - ........ - - -~ ., ~ . -· (Separate sheet to be attached for various categories of staff)

15. Payment option for registration fees:

l. Online Payment 2. Demand draft 3. Po:ital ord~r Amount (in words) ................................................................................... .

Detail. ..................................................................................................... .

R . N -~- .-:, ece1pt.:. o ........ . :·.% .................................................................................. .

~~ ~~~ Page 34 of 57 i.Hih-1•1~ -{[~, ~ 20 3ll"f@2013 738 (87) ----------------- DECLARATION I, ........................................................................... on my behalf and on behalf of my company/ society/ association/ body, hereby, declare that the statements made above are correct and true to the best of my knowledge and I shall abide by all lhe rules and regulations under the Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanayc Anugyapan Niyam, 2013.

I, further undertake to intimate to the appropriate Registering Authority any change in particulars given above.

Place: Name of Signatory Authority with Date: Official Seal Page 35 nf S7 738 (88) ~ ~, ~ 20 3-lTJ"@ 2013 _-··_-·=--.-.. ---~---_-____ _ ··--------- ~--=-=---:-:-=::-:-... -:-.. ::-:::. ::::::~=~-::::::. ;::::::_:...:=:::;:_:_= FORM - CE-3: APPLICATION FOR REGISTRATION I ISSUANCE OF LICENSE/ RENE\VAL OF LICENSE (HOSPITAL/MATERNITY HOMES/NURSING HOMESI Application for Registration / Renewal of Hospital/Maternity Homes/Nursing Home registration under The Chhattisgarh State Upcharyagriha Tatha Rogopchar Samhandhi Sthapanaye Anugyapan Adhiniyam, 2010

1. Name of the Establishment: ................... ___ ........................................... .

2. Address:

Village/ ·rown: ......................... Taluka ............................................. .

District : ......................... _ .State _ ....... _ ............... Pin code .................. .

Tel. No. (With STD code) ....................................... Fax No ................. .

Email id ............................................. Mobile No ........................... .

3. Year of starting: ................................ _ ................................................ .

,. __ t.-;:;Y

4. Location : D Municipal Corporation O Others

5. Ownership: □Individual Proprietorship D Registered Partnership D Registered Company D Cu-Operative Society D Trust I Charitable D PSU D Corporation

6. N:une of owner of Hospital/Maternity Homes/Nursing Homes):

P.,gc 36 of 57 738 (89)

7. Name of person in-charge: .................................................................... .

Designation .................................... Education Qualification ............... ..

Address: Village/ Town: ........................... Taluka ................................... .

District : ........................... State ........................ Pin code ............. .

Tel. No. (With STD code) ....................................... Fax No .................... .

Email id ............................................. Mobile No ........................... .

8. System of Medicines offered (please tick whichever is applicable):

0Allopathy D Ayurveda D Unani 0 Siddha 0 Homeopathy D Yoga and Naturopathy

9. Providing inpatient care:

O Hospital O Nursing Home D Maternity Home D Any other (please specify) ................................................................................... .. ,...__ . . ,(' '::;/

10. Providing Diagnostic Services:

Laboratory:

0 Pathology Lab D Collection Center Diagnostic and imaging centre:

0 Xray D Sonography □Magnetic Resonance Imaging (MRI) 0 Isotope Scans

11. lnrrastructure details= 0 CT Scan [.J Any other Arca of Establisluncnt (in square meters) .......................................... ..

Total Arca .. . .. , , ........ Constructed Ar1.:ri ........ , .............. ..

Page 37 Gf 57 738 (90) ih11+-111~ m, ~ 20 m 2013 a. Outpatient Department;

Specialty wise distribution of OPD clinic:- -···-· .... ·-···- S.No Specialty No. of rooms I Remarks ' ..........

-····· I h. In Patient Department:

Total No. of beds .................................... ..

Specialty wise distribution of beds (in case the hospital is more than 100 beds):- -·- ··-·· .... --- .,_. -- S.No Specialty No. of rooms Remarks c. \Vhether Biomedical Waste Disposal License obtained from Panchayat/ Municipality/ Municipal Corporation?

D Yes 0 No.

d. Whether clearance obtained from Chhattisgarh En"ironmcnt Con"ersation Board?

D Yes 0 No.

e. \Vhether clearance obtained from BARC/AERB?

D Yes 0 No.

f. \Vhcther registered under PC-PNDT Act?

[l Yes ti No.

-;,' r-,. .. , , /·· .... -- ~ ('._ .. '._;,;·:::- P;,,ge 38 of 57 uffitlll~ ~ , ~ 20 ~ 2013 738 (91) -===----=====--::::==============::::===

12. Human resource:

Total no. of staff as on date of application .. .. .. .. ...... .. . ..... . .... .. ............. -· Please furnish the following t1:1,ble:- .. Category of staff am Qualification Registration Nature of service 0 No. (where tempera/ permanent applicable) /visiting/ consultation

1. Doctor ur ing ta.ff

3. Para medical l ff

4. Pharmaci i - upp rt ta ff 6 Other please specify ,_ (Separate sheet to be attached for various categories of staff)

13. Payment option fo!:.!~tration fees:

1. Online payment 2. Demand draft 3. Postal order Amount (in words) ................ .......... . .. .................................. .. ... . ............. .

Details ............. . ............ ........ . ..... .......... . ............. ....... . ........................ .

Receipt o . ... .. .................. .... .......... ... .. .. .................... .. . ....................... .

p g g 738 ( 92) mih-1•1~ (~, ~, 20 m 2013 DECLARATION I, ..... ., .................................................................... on my behalf and on behalf of my company/ society/ association/ body, hereby, declare that the statements made above are correct and true to the best of my knowledge and I shall abide by all the rules and regulations under the Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Ni yam, 20 l 3.

I, further undertake to intimate to the appropriate Registering Authority any change in particulars given above.

Place: Name of Signatory Authority with Date: Official Seal ~---- ,.__,.......----- "··--.. ,·~ v-' Page 40 of 57 walw1~ ~. ~ 20 3~ 2013 738 ( 93) -----:--:=:::==------.....:==..-......::..:::==-::=---:-----::::-::-=======--=======-=--=-=-=---=----==== SCHEDULE3 (See Rule 11)

SCHEDULE OF FEE FOR REGISTRATION/ ISSUANCE OF LICENSE / RENEWAL OF LICENSE Municipal Other Areas Corporation Registration Fee Registration Fee (in Rs.) (in Rs.)

---·-- .. --- Individual Clinic ( All Pathies) . ·-···---·· --- --

(a) Graduates 700 350 --·-·-...... -- ·---

(b) Post- Graduate diploma and degree holder 1500 750 ····- ( c) Poly clini_cs & other Clinic ! 700/doctor 350/doctor ! . - __ ,, -- Nursing Home and/or Maternity Homes or Hospitals .... --

(a) Up to 10 beds 2000 1000 ---- .. ·-· .. ···- ------·

(b) 11-20 beds 3000 1500 -·--···. - ---------- - --

(d) more than 30 beds 5000 2500 ····-- .. ,,f -Pathological Laboratory

(a) Pathological I .aboratory ' 1000 500 !

-·--· --- --- ' (b)Collection Centre for Pathological I.abs i 1000 500 i -- ... -- --- ···- IMAGING, X-RAY & OTHERS ·- . - . -- ------· --· ..... . ··- - ----

(a) USG/ ECHO/ Color Doppler/ X-Ray/ 1000 800 ECT, EEG, FMG, Endoscopy ... ·-

(b) MRI/ CT Scan/ Angiography 3000 1500 -- -- -- - .. - - - ·----· Amendment fees (In addition to original fee) ' 800 500 ' !

I - -- ·-------- ' - -- ·- --· --- Du1>licatc Copy of License 500 250 Page 41 of 57 738 ( 94) ===:-:---:-:======-=============-.:............

SCHEDULE 4 (See Rule 11) FORMAT FOR RECEIPT FOR REGISTRATION UNDER CHHATTISGARH ST ATE UPCHARY AGRIHA T ATHA ROGOPCHAR SAMBANDHI STHAP ANA YE ANUG YAP AN NIY AM, 2013 Registration No ........................................ .

It is, hereby, certified that the Establishment ................... ., ..................................... .

Address ................................................................................. : .............. under the ownership of Mr./Mrs ................................................................................ .

has paid a total sum of Rupees ............................................................................... (in figure) ............................... .,.................................. (in words) and is registered under the Chhattisgarh State lJpcharyagriha Tatha Rogopchar Samhandhi Sthapanaye Anugyapan Niyam, 2013.

This registration, however, does not guarantee the above mentioned establishment, the license under the Act. The registration Certificate will be valid till ..................... ..

. . . . . . . . . . .. . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . ::.:: ·:.;;:1· N amc of the Supervisory Au tho ri ty ............................................ .

Signature Issuance Date ...................................... .

Page 42 of 57 738 ( 95) ,§nl+-111~ ~. ~ 20 m 2cl3 ==:-===~==--==

SCHEDULE 5 (Sec Rule 11) FORMAT OF LICENSE FORMAT FOR THE LICENSE UNDER SECTION 4 OF THE CHHATTISGARH ST ATE UPCHARY AGRIHA T ATHA ROGOPCHAR SAMBANDHI STHAPANA YE ANUGYAPAN ADHINIYAM, 2010 License No ............................ .

Subject to tenns and conditions specified in Schedule 1 of the these rules, license is, hereby, granted to Clinical Establishment (Name) .................................................................. .

Address ........................................................................................................................................ .

Proprietor's Name .................................................................................................. .

Address ............................................................................................................................... ..

Regislration No ..................... dated .............................. under the State Upcharyagriha Tatha " Rogopchar Sambandhi St-h~:,naye Anugyapan Adhiniyam, 2010 to establish /run the (.' linic al Es tab Ii shinent. ............................................ _ .................................. .

(Individual Clinic/Polyclinic/ Physiotherapy Clinic/Pathology Lah/ Radiology and Imaging centre/ Maternity Home/ Hospital/ Nursing Home under the system of Medicine viz:

Alloparhy/Ayurvedic/Homoeopathy/ Unani/ Siddha' Naturupathy) for a period of 5 years i.e.

Fro1n ........................................................... To ..... ,. ...................................... .

Seal ................................ . Date; --- Supervi5,orv Authority , , Place:

~;?------ ....

·-- Page 43 of 57 • 738 ( 96) SCHEDULE6 (See Rule 13, Clause 8.2) TABLE 1: FORMAT FOR THE REGISTER OF CLINICAL ESTABLISHMENTS ---- --- District .....•.................• Status as on ........•...•..•..•..... .. .................... Remarks(*) --~-- - ---- -- ·-----··- - SI. Name and Category Date of D No. address of of Clinical rcgistrati is -- ate -~f I Validity of sue / ! registration Clinical Establish on r C newal of / license Establishment ment Ii C ense ---~ --- - - - -·----·-- ------- ··- --- . -- (*)Indicate entry/ page number of the applications folder TABLE 2: FORMAT FOR MATNTAINANCE OF COl\-1PLAINTS OF CLINICAL ESTABLISHMENTS -~-. ">. -: ...... - - ~,,_ ___ -- ----- ·--·· -~-~-- -·-- -· S. 1 Name of i Address of Name of lnvestigat Action Remarks No. I Complainant ··----- ---- the Clinical complainant Establishment against whom the complaint is made .. ---·. --------+----- i -------1--·-··· ---- ("')Enter cases registered \Vi tb A ppcl late A lll hori ty ~ ' ,_. ' ,..,.:.:, __ ,, - ____ ..

Pi:lge 44 of 57 ion done Taken (1') ' 0tih-111~ m. ~ 20 3~ 2c13 SCHEDULE7 (Rule 14) MEDICAL RECORDS 738 ( 97) Every Nursing Home/ Clinical Establishment shall maintain and preserve medical records for a period of five years from the date of the patient attending the hospital.

Following records shall be maintained:-

1. OPD Records: The "OPD paper" of a patient attending the OPD should contain the Doctor's name and detailed clinical notes including patient's name, age, occupation, chief complaints, onset/duration/progress of illness; past history. personal history, family history, detailed examination findings, provisional diagnosis and treatment advised.

2. IPD Records: The Nursing Home shall keep the follo,ving details of the patients admitted in the Nursing Home as an in-door patient, namely:-

(i) Records of admission

(ii) Discharge/ DOR/LAMA/ Absconding/Death of the patient;

(iii) Records of Treatment

(iv) These registers.~ to be duly maintained and updated chronologically , coµics of which have to be kept in the record room of the nursing home for at least 5 years. The information in this regard shall be supplied to the Supervisory Authority, as and when required.

3. Other Registers to be maintained: Other Registers to he maintained me:-

1. Labor Room Register

11. Operation Theater Register

111. MTP register (if registered under Lhe Medical Termination of Pregnancy Act 1971)

1v. tvkdico Legal Register v Laboratory Register v1. Radiology and Imaging Register \. ll. UI trasonngr:1 phy Rl'~ ister ¥ft.,., ... / - - ----,.:1....- .. ----- Page 4S of 57 • ..

738 ( 98) -------~--~ ,_ ____ ... a.---•• ----~--. . .. ~~~- -- . ~-----· ·----~------------- viii. PC-PNDT Register ix. Medical Certificate Register with certificates in duplicate x. Complaint Register x1. Birth Register (Notified to such medical officer as authorized) xu. Death Register (in such format as prescribed by Government/State Level Authority) xiii. Information in terms of Government Programmes I areas of work (e.g. maternal health, child health, immunization, family planning, vector borne disease, National Leprosy Eradication Programme, Revised National TR Control Programme, Integrated Disease Surveillance Project, NRHM initiatives, Janani Suraksha Yojana) .,,,, ____ ~# 1-'age 46 of 57 • 0-dh-111~ ~, f~ 20 m 20n 738 ( 99) INTIMATION OF BIRTH OF A CHILD OCCURRING IN NURSING HOl'vlE AS PER BIRTH AND DEATH REGISTRATION FORM A BIRTH REGISTER Following entries are to be made in the birth register:•

1. Date of birth:

2. Gender:

3. Name of the child, if any:

4. Father's Name:

5. Permanent address:

6. Mother's Name:

7. Place of birth:

1. If institutional -- then -- Hospital/Institution Name:

2. If Home Delivery -· then -- Address:

Page 4, of 57 ..

738 ( 100) ----------- BIRTH REPORT STATISTICAL INFORMATION (This part to be detached and sent for statistical processing) I. Address of the mother:

2. Religion of the family:

a. Hindu b. Muslim

3. Father's education:

4. Mother's education:

5. Fathcr's/1\llother's occupation:

6. Age of the mother at the time of marriage:

7. Age of the mother at the time of this birth :

8. Total number of the children born alive:

C. Sikh

9. Type of attention at delivery: (Tick the appropriate entry below) Institutional - Private /Government Delivery at Home l 0. Method of delivery: (Tick. the appropriate entry below) I. Normal

2. F orceps/Vaait'im

3. Caesarean 1 L Birth weight (in Kgs.) (If available):

Page 48 of 57 d. Christian ..

@tih-ii1~ m. fc::li<Fi 20 ~ 20n 738 ( 101) ====::-----========= FORMB DEATH REGISTER LEGAL INFORMATION Following entries are to be made in the Death register:- I. Date of Death:

2. Name of the deceased:

3. Sex of the deceased:

4. Age of the deceased:

5. Place of Death:

a. If institutional -- then -- Hospital/Institution Name:

b. If Death at home -- then -- Address:

c. Other (Specify) ........................................................................ .

--.,.. ., .,.., Page 49 of 57 ( 738 ( 102) W,;!~ ~, ~ 20 -311Rf 2013 --- DEATH REPORT STATISTICAL INFORMATION (This part to be detached and sent for statistical processing) I. Address of the deceased:

2. RcJigion of the deceased:

a. Hindu b. Muslim C. Sikh

3. Occupation of the deceased:

4. Type of medical attention received before death:

a. Institutional b. Medical attention other than institutional c. No medical attention

5. Was the cause of death medically certified?

6. Name of Disease or Actual Cause of Death:

~--._-:-;;.:,"f d. Christian Yes No.

7. In case of death of a female, whether the death occurred during pregnancy or at the time of delivery or within 6 ,\'·eeks of the Delivery : Y cs No P:-,ge 50 uf 57 ..

t 738 (103)

SCHEDULE 9 (See Rule 15) MONTHLY REPORT OF CONTAGIOUS OR COMMUNICABLE/ NOTIFIABLE DISEASES [ S.No.

r l ' Month Name of the disease Category of disease Total no. of patients admitted - ··-··· Date of first patient admitted .- .

Total no. of deaths Arca from \Vhich maximum:f' no.

patients are adrnilt~d Full Signature ...... , .. " ............ .

--~ - - ---- ·-;

• Nan1e of authorist:d Doctor Of tl1c Hospital~ ... n ... ~ H •• L ~. H ••• ~ •• + ••••• ~~_.~.Hr,~ ••• ~.~ •• ~. ~. ~ •• H ...

Name and address of the Hospital ............................................................................... .

P::igc 52 of 57 738 ( 104) dffiflllc; ~. ~ 2J m 2013 ...... -- --, ... -- ..... ----~-~-----_--_-_-_-_-_----_-_-_--_-__:::---___ -___ - ___ -__ - ___ _ • ANNEXURE-A " LIST OF EQUIPMENTS ..

STANDARD SURGICAL SET - I (INSTRUMENTS) S. No. Instrument Minimum requirement ---~.

1. Tray, instrument/dressing with cover, 310 x 200 x 600 1 mm-ss .. ------ -- ----·----. ---- ..... --- .

2. Gloves surgeon, latex sterili~blc, size 6 12 --•,.~~·~

3. Gloves surgeon, latex sterilizablc, 6-1/2 12 ---

4. Gloves surgeon, latex sterilizable, size 7 12 -~~-- "J •• ~ . ··-

5. GI oves surgeon, J atex steri lizab le, 7-1 /2 12 ·····-·--·--- --~- -·-·- . ----- ---

6. Gloves surgeon, latex sterilizable, 8 12 ·--····-·---- --- ----~ ---- -- --~------,

7. Forceps, backhaus towel, 130 mm 4 - --------- ------- --~~ ·- ·--~-· ~. -- --- --- . . . -·- ,- -~--~ -·--~.-~-~-~-· ~- '

8. Forceps, sponge holding, 228 mm 6 - ·······--·-·----··

9. Forceps, artery, pcan straight, 160 mm, stainless steel 4

10. Forceps hysterectomy, curved, 22.5 mm 4 --,-. r T" .... -,-,.-.-- ll. Forceps, hcmostatic, halsteads mosquito, straight, 125 6 mm-ss ··- ?:;--i' ··--·---··-- ~- ,._. ----

12. Forceps, tissue, all/is 6x7 teeth, straight, 200 mm-ss 6 ·- -- ... ·-~- ---~. --~ - ........ ···-·.

13. Forceps, uterine, tenaculum, 280 mm, stainless steel l ~--~ ·····. . . - .. - -· -- --.J J - • . .. -------

14. Needle holder, mayo, straight, narrow jaw. 175 mm, ss 1 ....... --- ......... _, .. ----- --

15. Knife-handle surgical for minor surgery# 3 1 t--,------,---,-~---·· ... - ····-·· -------- ...... ------

16. Knife-handle surgical for major surgery# 4 l ...

17. Knife-blade surgical, size 11, for minor surgery, pkt of 5 ....

I _, ' -~ ' J

18. Knife-blade surgical, size 15 for minor surgery, 1:ikt of 5 4 y• ••••• --- ••• ··--- .. ---------- - . - . ----- . --- ______ .. __ . ........... - -- l 9. i Knife blade surgical, siz~ 22, for major surgery, pkl of 5 ...

_) I I ; ............ -............. ---- -·-----· -·-· -·· .. . . . . . . . . . . . . . . . ~ . . . . . . . . .......

20. · Needles, suture triangular point. 7.3 crn, pkt of 6 2 ..... ........... --- ... - --·· .............. -- -·-·······

21. Needles, suture, round bodied, l/8 circle N0. 12 pkt of (i .... -j ___ _ I .. ------' Page 53 nl 57 {h!lw1~ m, ~ 20 Wffil 2013 738 ( 105) S. No. Instrument Minimum requirement

22. Retractor, abdominal, Deavers, size 3, 2.5 cm x 22.5 cm 1

23. Retactor, double-ended abdominal, Beltouis, set of 2 2

24. Scissors, operating curved mayo-blunt pointed I 70mm 1

25. Retractor abdominal, Balfour 3 blade self-retaining 1

26. Scissors, operating, straight, blunt point, 170 mm l IUD INSERTION KIT I. tal s rilization lray with cover size a .' 220 . 70 mm. l I' Refl :39

2. Gloves Surgeon, latex, size 6-1 /2 Ref. 4148 6

3. Gloves surgeon latex, size 7-1/2 Ref. 4148 6

4. Bowl, metaJ sponge, 600 ml, Ref. IS: 5782 1

5. Speculum vaginal bi-valve cusco's graves small ss l - --6. Forceps sponge holding, straight 228 MMH Semken 200 L mm -

7. Sound uterine simpson, 300 mm graduated UB 20 mm 1

8. Forceps uterine..~_gyulum duplay DBL-CVD, 280 mm l -

9. F creeps tissue - 160 mm 1

10. Anterior vaginal wall retractor stainless 1 --·-

11. Torch without batteries 1 -

12. Gloves smgeon, latex, size 7 Ref: 4148 6 -

13. Gloves surgeon, latex size 6 Ref. IS: 4148 6 f-

14. Battery dry cell 1.5 V 'D' Type for Item 7G 1 -

15. Speculum vaginal bi-valve cusco's/Grea Ves Medium ss I -]; --i=-:· Forceps artery, straight, Pean, 160 mm I

7. _ Scissors ope:·ating. straight, 145 mm Blunt/Blunt 1

8. Forceps utenne vulse!lurn curved, Museux , 240 111111 I - - - - - -- -- -= Page 54 of 57 :.

ns ( 106 l @fl1+1<1~ ~. fc::,Tc!i 20 m 2013 ------------~= =======:-==-==: ____ ------,,,- NORMAL DELIVERY KIT - I ••~ S. No. Instrument

1. Trolley, dressing carriage size 76C, long x 46 cm wide and 84 cm high. Ref. IS 4769/1968

2. Towel, trolley 84 cm x 54 cm I ,..

: Gown, operation, cotton --'·

4. Cap. operation, surgeon1s 36 x 46 cm ~---- i 5. Gauze absorbent non-sterile 200 mm x 6 m as per IS:

171/1985

6. Tray instrument with cover 450 mm (L) x 300 mm (W) x 80mm (H) -- . '"

7. Tvlacintosh, operation, plastic -

8. Mask, face, surgeon's cap of rear ties: R) Beret type with elastic hem . --

9. Towel, glove EQUIPMENT/CONSUMABLES FOR ANAESTIIESIA ------------ . --------· ---- S. No. Instrument ... ··-·--- ' ' - --- - -·---·- --- 1\.1inimum requirement 1 2 I 2 2 I 2 2 3 Minimum requirement ;

;

-.-... ,~;;:t ,-------+-· - . ---- . ---------'-----------~f--------

1. facemask, plastic w/rubber cushion and hcadstrap, s~t of 4 4 -----1-----~--------------------- --

2. Airway Guedel or Rerman, autoclave rubber 2 -• ---··-· ...

J. : Laryngoscopc. set with infant, child ....

4. Catheter, cndotracheal w/euff, rubber set ....

---------------~--',---~~-------l

5. Forceps, catheter, _tv1agill, adult and child sizes - ----i'

6. Connectors, catheter. staright/curvcd 3

7. Cuffs for endotracheal catheters 4

8. Breathing tubes, hoses, cormectors 4 i 9. Vaporiser, ha!othanc 2 L---·· : 10 Needle, spinal 2 ~---~~~---- ~J:.__...''_ ~-- .,....-· Page 55 of 57 ,- ,_ 738(107) i ------- EQUIPMENT FOR OPERATION THEATRE I S. No.

I --- ---- Instrument Minimum I requirement - ..... ... ··- -

1. Diathermy machine 1

2. Dressing drum all sizes 1

3. Lamps shadowlcss:Ceiling lamp 1 -

4. Lamps shadowless: Portable type 1 -, ---

5. Steriliser 1 - -- -

6. Suction Apparatus 1 ·-·····

7. Trolley for patients I

8. Trol1ey for instruments 1 - .. ___ ......... ___ -------------- -

9. Boyle's Apparatus with accessories 1 --· --···· ·-· . ---- ESSENTIAL E UIPMENTS FOR LABORA TORJES & BLOOD STORAGE AND Q TRANSFUSIO~ CENTRES -- .

i S. No. Instrument Minimum I !

requirement ----

1. Rod, ilint-glass, IO00 x lO mm dia, set of two 2 ~·~~ .. ,

2. Cylinder, measuring, graduated W/pouring lip, glass, 50ml 2

3. Bottlt!, wash, polyethylene W/angled delivery tube, 250 ml l .......

4. Timer, clock, interval, spring wound, 60 minutes x 1 1 minute

5. Rack, slide drying nickel/silver, 30 s1ide capacity l

6. Tray, staining, stainkss steel 450 x 350 x 25 mm I I ' --- - ·-··

7. Chamber, counting, gla;;s, double neubauer ruling ' 2 :

·- - ! 8. Pipelte, serological glass, 0.05 ml x 0.0125 ml 6 --- - -

9. Pipette, serological glass, 1.0 ml x 0.10 ml 6

10. · Counter, differential, blood cells, 6 unit I

11.

I 12.

: ----·-·- I Centrifuge, micro-hematocrit, 6 tubes, 240, _ glass_ for C(HH:ting ~hamber (item 7), Box of 12 Page 56 of 57 ,------ -;38 ( 108) ...

--· ···--

13.

14.

15.

16.

17.

18.

19.

:,----

20.

21.

Tube, capillary, heparin-ized, 75 mm x 1.5 m m, vial of I 00 ·-· -·--···----. - Lamp, spirit W/screw cap. Metal 60 ml Lancet, blood (Hadgedorn needle) 75 mm p ack of 10 ss Benedict's reagent qualitative dry componcn ts for soln ·-- -----· ------ Pipette measuring glass, set of two sizes 10 . .. ----------·- ------,---- ml, 20 ml ·- . ···- ... ·- ~ Test tube, w/o rim, heat resistant glass, I 00 x 13mm Clamp, test-tube, nickel plated spring win;, standard type - - Beaker, HRG glass, low form, set of two siz es, 50 ml, 150 ml Rack, test-tube wooden with 12 x 22 mm di a holes ---.

-·-·- ···········----····----- ··--·· ·--- 10 IO 2 24 3 2 1

Chhattisgarh Rajya Upcharya Griha tatha Rogopchar Sambandhi sthapna evam Anugyapan niyam, 2013

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