, , २०७० ( २०७०/९/२१) नेपाल सरकार पौष, २०७०
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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"g adf]lhd ;/sf/L, lghL, ;fd'bflos, u}/;/sf/L jf ;xsf/L :t/df :yfkgf x'g] :jf:Yo ;+:yfsf] ;]jf lj:tf/, :t/a[l4, :jf:Yo ;]jf ;~rfng ubf{ kfng ug'{ kg]{ dfkb08 tyf :jf:Yo ;]jf ;~rfng cg'dlt k|bfg ug]{ k|s[ofnfO{ ;/n, ;xh, Jojl:yt tyf k|efjsf/L agfO{ :jf:Yo ;]jf ;~rfng ug{ jf~5gLo ePsf]n], ;'zf;g P]g, @)^$ sf] bkmf $% n] lbPsf] clwsf/ k|of]u u/L g]kfn ;/sf/n] b]xfosf] lgb]{lzsf agfPsf]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]Gglt dfkb08 ;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] lzIf0f c:ktfn ;d]tnfO{ hgfpF5 . -3_ æcfo'j]{b c:ktfnÆ eGgfn] cfo'j]{b lrlsT;f k4ltdf cfwfl/t eO{ :jf:Yo ;]jf k|bfg ug]{ :jf:Yo ;+:yf ;Demg' k5{ / ;f] zAbn] cfo'j]{b lrlsT;f k4ltaf6 pkrf/ 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|fKt u/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 ;~rfng ug{] ;+:yfnfO{ ;Demg' k5{ .
4 -h_ ælghL c:ktfn jf gl;{Ëxf]dÆ eGgfn] :jf:Yo ;]jf k|bfg ug]{ p2]Zon] k|rlnt sDkgL 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 slDtdf kfFr 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]lhd g]kfn ;/sf/af6 :JfLs[t /fli6«o ejg ;+lxtf ;Demg' k5{ . -6_ æejg lgdf{0f dfkb08Æ eGgfn] sf7df08f} pkTosfsf] xsdf sf7df08f} pkTosf leqsf gu/kflnsf / gu/f]Gd'v ufpF ljsf; ;ldltx?df nfu" ul/Psf] ejg lgdf{0f ;DaGwL dfkb08, @)^$ ;Demg' k5{ / ;f] zAbn] cGo If]qsf] nflu ;DalGwt gu/kflnsf jf ufpF ljsf; ;ldtaf6 hf/L ePsf] ejg lgdf{0f ;DaGwL dfkb08 tyf :jf:Yo ;DaGwL ejgsf] nflu 5'§} dfkb08 gePsf] :yfgsf] xsdf cg';"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] nflu cg''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 lnO cg'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 kfFr j6f 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'dlt lnO{ 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]t kfngf 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 ;+qmd0f lgoGq0f (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 .
6 -ª_ :jf:Yo ;+:yfn]] pknAw u/fpg] elgPsf] ljz]if1 ;]jf ;DalGwt laz]if1 lrlsT;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/] :ki6 hfgsf/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 ;xfotf sIfsf] Joj:yf u/L ;]jfu|fxLnfO{ cfjZos hfgsf/L lbg]] Joj:yf u/]sf] x'g' kg{]5 tyf 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]u la?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 ;]jf lbg] 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'n z}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]if lsl;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 / ;DalGwt If]qsf] ejg lgdf{0f ;DaGwL dfkb08 cg'?k x''g kg{]5 .
7 -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 tyf cGt/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 ;Ddsf c: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:Yo k|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:Yo lgb]{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] nflu dGqfnoaf6 . -@_ 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] nflu lgj]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/0fLo k|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|fKt ePsf] 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 . -$_ pkbkmf -#_ adf]lhdsf] k|ltj]bg k|fKt ePkl5 ;f] k|ltj]bgsf] cfwf/df k'jf{wf/ lgdf{0fsf nflu cg'dlt lbg pko'Qm x'g] b]lvPdf k|ltj]bg k|fKt ePsf] ldltn] kGw| sfo{ lbgleq cg'dlt k|bfg ug]{ lgsfon] a9Ldf tLg jif{;Ddsf] ;dofalw lbO{ k"jf{wf/ lgdf{0fsf] nflu lgj]bsnfO{ dg;fokq (Letter of Intent) k|bfgug{ ;Sg]5 . -%_ pkbkmf -$_ 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|bfg ug]{ lgsfon] To:tf] c:ktfnnfO{ a9Ldf b'O{ jif{df ga9\g] u/L k"jf{wf/ lgdf{0fsf] nflu ;dofjlw yk ug{ ;Sg]5 . -^_ lzIf0f c:ktfnsf] xsdf g]kfn d]l8sn sfplG;nn] tf]s] adf]lhdsf] dfkb08 k'/f u/]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{ cfjZos sfuhftx? ;+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 ;~rfng cg'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]bg k|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 :ynut lg/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 . -$_ pkbkmf -#_ adf]lhd cg'udg ;ldltsf] k|ltj]bgsf] cfwf/ / o; lgb]{lzsfdf plNnlvt cGo dfkb08 k"/f u/]sf] :jf:Yo ;+:yfnfO{ cg'dlt k|bfg ug]{ lgsfon] kfFr jif{sf] nflu :jf:Yo ;]jf ;~rfng ug{ dGqfnon] tf]s]sf] 9fFrfdf cg'dlt lbg ;Sg]5 . -%_ o; bkmf adf]lhd :jf:Yo ;+:yfnfO{ :jf:Yo ;]jf ;~rfng ug{ cg'dlt lbg] glbg] ;DaGwdf pkbkmf -$_ adf]lhd cg'udg ;ldltsf] k|ltj]bg k|fKt ePsf] ldltn] !% sfo{lbg leq lg0f{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/L cg'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[lt lnPsf] :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'dlt k|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{ / dfkb08 sfod 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|ult k|ltj]bg ;DalGwt cg'dlt k|bfg ug]{ lgsfo ;dIf k]z ug{' kg]{5 . -$_ k|alns/0f x'g] c:ktfn jf gofF lgdf{0f ug{ cg'dlt lnO{ ;fljss} ejgaf6 ;]jf lbO{/x]sf] :jf:Yo ;+:yfn] lgdf{0f cjlwe/sf nflu ejgsf sf/0f jf c:ktfnsf cf}hf/ pks/0fn] x'g ;Sg] b'3{6gfsf nflu z}of Ifdtf a/fa/sf] ;+Vofdf k|lt JolQm krf; xhf/ ?k}+of a/fa/sf] ;fd'lxs b'3{6gf aLdfsf] Joj:yf ug{' kg{]5 . -%_ o; bkmf adf]lhdsf] k|s[of k'/f u/]sf] :jf:Yo ;+:yfnfO{ bkmf * adf]lhd :jf:Yo ;+:yf ;~rfng ug{ cg'dlt k|bfg ul/g]5 . -^_ o; bkmf adf]lhd cg'dltsf] nflu lgj]bg glbg], lgj]bg lbP klg cg'dlt gkfpg] jf lgwf{l/t calw leq k"jf{wf/ jf dfkb08 sfod gug{] :jf:Yo ;+:yfsf] cg'dlt To:tf] cg'dlt lbg] lgsfon] /b\b ug{]5 . !!= cg'dlt b:t'/ a'emfpg' kg ]{ M:jf:Yo ;+:yfsf :yfkgf, ;]jf lj:tf/ jf :t/f]Gglt ug{ cg'dlt k|fKt ePdf ;DalGwt :jf:Yo ;+:yfn]] cg';"rL ^ df pNn]v eP adf]lhdsf] cg'dlt b:t'/ cg'dlt k|bfg ug]{ lgsfonfO{ a'emfpg' kg]{5 . !@= gjLs/0f u/fpg' kg] { M -!_ o; lgb]{lzsf adf]lhd :jf:Yo ;]jf ;~rfng ug{ cg'dlt k|fKt :jf:Yo ;+:yfn] ;]jf ;~rfng cg'dltsf] cjlw ;dfKt ePsf] ldltn] tLg dlxgfleq cg'dlt k|bfg ug]{ lgsfo ;dIf gjLs/0fsf nflu lgjb]g lbg' kg]{5 . -@_ pkbkmf -!_ adf]lhd lgj]bg k|fKt ePdf cg'dlt k|bfg ug]{ lgsfon] cg';"rL ^ df pNn]v eP adf]lhdsf] b:t'/ lnO{ tLg jif{sf] nflu :jf:Yo ;+:yfnfO{ ;]jf ;~rfng cg'dltsf] gjLs/0f ul/ lbg ;Sg]5 . t/ of] lgb{]lzsf k|f/De x''g' cl3 :jf:Yo ;+:yf ;~rfng ug{ c:yfoL ?kn] cg'dlt kfPsf :jf:Yo ;+:yfsf] xsdf To:tf] :Jff:Yo ;+:yfn] o; lgb{]lzsf adf]lhd tf]lsPsf] dfkb08 tyf k"jf{wf/ sfod gu/];Dd tLg aif{df ga9fO{ k|To]s Ps aif{sf] nflu cg'dlt gljs/0f ul/ lbg' kg{]5 . -#_ pkbkmf -!_ adf]lhdsf] cjlw leq dgfl;a sf/0f k/L lgj]bg k]z ug{ g;s]sf] egL sf/0f v'nfO{ yk 5 dlxgfleq lgj]bg k]z u/]df bf]Aa/ gjLs/0f b:t'/ lnO{ ;DalGwt lgsfon] ;]jf ;~rfng cg'dlt gjLs/0f ul/ lbg ;Sg]5 . -$_ 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 dlxgfleq cg'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 . -$_ o; bkmfdf cGoqdf h'g;'s} s'/f n]lvPsf] eP tfklg ;DalGwt lgsfo jf :jf:Yo ;+:yf /x]sf] lhNnf :jf:Yo÷hg:jf:Yo sfof{non] j:t'ut cfwf/df h'g;'s} avt cg'udg 6f]nL v6fO{ cfsl:ds cg'udg ug{ ;Sg]5 . -%_ o; lgb]{lzsfdf cGoq h'g;'s} s'/f n]lvPsf] eP tfklg dGqfnon] h'g;'s} lgsfoaf6 ;]jf ;~rfng cg'dlt k|fKt u/]sf] c:ktfn jf :jf:Yo ;+:yf / cg'dlt k|bfg ug{] lgsfosf] ;d]t cg'udg ug{ ;Sg]5 . -^_ pkbkmf -$_ jf -%_ adf]lhd lgoldt jf cfsl:ds cg'udg ubf{ tf]lsPsf] u'0f:t/ jf k"jf{wf/ k"/f gu/L ;]jf ;~rfng u/]sf] kfO{Pdf To:tf] ;+:yfnfO{ tTsfn ;'wf/sf nflu a9Ldf tLg dlxgfsf] 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]bg k]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]lhd ul/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]bg k]z ePsf] ldltn] !% lbg leq lrQ ga'‰g'sf] :ki6 cfwf/ / sf/0f ;lxt k'g/fanf]sgsf nflu dGqfnosf ;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 clGtd x'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:yf ePsf] . -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'?k juL{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 ePsf juL{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 ;]jf sIfdf 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 tyf la/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)/Primary Trauma Care (PTC)/Advance Cardiac Life Support (ACLS)/ Advance Trauma Life Support (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:yf ldnfPsf] . -v_ c:ktfnsf nflu ;fdfGotof ;fdfGo lrlsT;f, jfn/f]u, ;fdfGo zNolqmof, :qL tyf k|;'tL ;]jf x'g'kg]{ tyf k"jf{wf/ k"/f u/L xf8 hf]gL{, gfs sfg 3fF6L, 5fnf tyf 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:yf u/]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 pQm zNolqmof 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 tTsfn pknAw 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 eGbf a9L z}of /fVg gkfOg] . -%_ PnfO{8 x]Ny tyf lgbfgfTds ;]jfsf nlfu b]xfo adf]lhdsf] k"jf{wf/ ;DaGwL dfkb08 k'/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;ª nufotsf 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]t Joj: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] bIf hgzlQmsf] 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:yf ldnfpg' 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/ dfq ljt/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{ gi6 ug'{ 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{0f ePsf] x'g' kg]{ . -!)_ /Qm ;~rf/ ;]jf (Blood Bank) sf nflu b]xfo adf]lhdsf] k"jf{wf/ ;DaGwL dfkb08 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] nflu cfjZos 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:yf ePsf] x'g' kg]{ . -!!_ krf; z}of eGbf dfly Ifdtfsf] c:ktfndf lkmlhof]y]/flk ;]jf clgjfo{?kdf pknAw x'g' kg]{5 . -!@_ c:ktfndf /x]sf la/fdL tyf cGo ;]jfu|fxLnfO{ c;xh gx'g] u/L cnUu} lr:ofg sIf 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]{ plrt k|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'lrt k|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]g gDa/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]bgzLn sIfx¿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 cnu cnu _ -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'Qm SoflG6gsf] 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:yf ePsf] x'g' kg]{ . -v_ c:ktfn egf{ ePsf la/fdLsf] n'uf w'g] ;'ljwfsf] Joj:yf ePsf] 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] nflu cTofjZos ;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/C cflb)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] ! j6f PDa'n]G; clgjfo{ x''g'kg]{ / c:ktfnn] To:tf d]l8sn P6]08]06nfO{ Basic Emergency 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}6 ubf{ 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] slDtdf Ps sLnf]dL6/ 6f9f x'g' kg{]5 . ljlzi6 k|s[ltsf] ax';]jf pknAw u/fpg] c:ktfn, cfo"j{]b, xf]dLof]Koflys h:tf km/s k|s[ltsf c:ktfnsf] xsdf / hg3gTjsf] cfwf/df c:ktfnsf] z}of cfjZos 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 nflu hUuf ef8fdf lnO{ ;f] hUufdf k"jf{wf/ lgdf{0f u/L ;~rfngdf Nofpg ;Sg]5 . klRr; z}of eGbf dfly Ifdtf la:tf/ ubf{ jf krf; z}of eGbf dflysf] c:ktfn ;~rfng ug{'kg{] cj:yfdf cfkm\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 dfkb08 cg'?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 ejg P]g, @)%% sf] bkmf !! df ePsf] Joj:Yff cg'?k :jLs[t ePsf] x'g' kg]{5 . g]kfn ;/sf/n] c:ktfnsf ;DaGwdf 5'§} dfkb08 tf]s]sf] ePdf ;f]xL adf]lhd / pkTosfsf] xsdf sf7df08f} pkTosf ljsf; k|flws/0faf6 c:ktfn ejg lgdf{0f ;DaGwL of]hgf :jLs[t ePsf] x'g' kg]{5 . ejg ;+lxtf tyf ;DalGwt gu/kflnsf jf gu/ ljsf; ;ldltn] hf/L u/]sf] dfkb08 adf]lhd ;f] ejg lgdf{0f ePsf] ;x/L ljsf; tyf ejg lgdf{0f ljefu, l8lehg sfof{noaf6 l;kmfl/; k|fKt u/]sf] x'g' kg]{5 . -v_ ejgdf;j{;fwf/0fsf] hfgsf/Lsf nflu Disaster Management 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:yfsf nflu 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 ;"rgf k|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;f 3/, 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/ hUuf ef8fdf lnO{ ;]jf ;~rfng ubf{ ;f] 3/ e"sDkLo hf]lvd k|lt/f]w Ifdtf ePsf] elg ;x/L ljsf; tyf ejg ljefu÷l8lehg sfof{noaf6 k|dfl0ft ePsf] x'g' kg{]5 . klRr; z}of eGbf dfly Ifdtf 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]hgdf c: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]l8sn sfpG;Lnn] tf]s] adf]lhd / gtf]s]sf] ePdf Go"gtd k|lt z}of gJj]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] sIfsf nflu kof{Kt :yfg x'g' kg{]5 . -6_ la/fdLsf] rfksf] cg'kftdf kof{Kt / ;'ljwfhgs x'g] u/L kmlg{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:yf x'g'kg{]5 . Go"gtd kfls{ª s"n hUUffsf] kRrL; k|ltzt jf k|lt tLg z}ofsf nflu Pp6f sf/ kfls{ª ug{ ldNg] :yn dWo] h'g a9L 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 ;+/If0f P]g, @)%# tyf jftfj/0f ;+/If0f lgodfjnL, @)%$ adf]lhd ;DalGwt lgsfoaf6 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 eP adf]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:yf ldnfpg' kg]{ . -u_ c:ktfnaf6 ;[lht ;+qmd0fhGo kmf]x/nfO{ lgM;+qmd0f u/]/ clGtd Joj:yfkg ug{'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 Ifdtfsf c: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;lgs sfof{no h:tf ;]jfu|fxL / la/fdLn] lxF88'n ug'{kg]{ If]qx¿df ;xh cfjfudg 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 ejg lgdf{0f ePsf] x'g'kg{], kof{Kt ;+Vofdf clUg ;dgoGq (Fire Extinguisher) 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}rfno cflbsf] Joj:yf ePsf] x'g' kg]{5 .
19 -v_ z}+of jLrsf] b"/Lsf] ;DaGwdf ;fwf/0f z}of (General) aLrsf] b'/L slDtdf $ 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:yf ePsf] 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 / Minor OT/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:yf u/]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'lg6df k|lt z}ofsf] cg'kftdf Ps hgf :6fkm g;{sf] Joj:yf x'g'kg]{ . ;DalGwt If]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; 306fdf slDtdf b'O{ k6s la/fdLsf cfkmGtnfO{ la/fdLsf] cj:yfsf] hfgsf/L lbg] 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:yf ePsf] 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 lead Thickness dWo] s'g} Ps x'g' kg]{5 . ;fy} em\ofn, 9f]sf tyf leQfaf6 ljls/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] lead Aprone 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 ;]jf s'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] nflu cfjZos z'Ns ;DaGwL hfgsf/L ;d]t lbg] Joj:yfsf nflu gful/s j8fkq ;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| ;"rgf lbg] 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 ?d cflbsf] Joj:yf ePsf] x'g'kg]{ . -u_ ckf+ux¿sf] JolQmut ;/;kmfO{ / n'uf km]g]{ k|of]hgsf nflu cfjZos Joj: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/L z}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? ;~rfng ePsf] 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'a k|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 monitor ug]{Monitor (Thermo Luminescent Dosimeters- TLD badges)pknAw u/fpg'kg]{ / ;do ;dodfRadiation survey Monitoringug'{kg]{Eye, Gonadal, Thyroid gland cflbsf]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} ;"rgfdf ue{jtL dlxnf tyf afnjflnsfnfO{ cgfjZos ljls/0faf6 aRg cg'/f]w ug]{ .
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] klg cfjZostf 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:yfkg P]g, @)^* / kmf]x/d}nf Joj:yfkg lgodfjnL, @)&) n] tf]s] adf]lhd x'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:yf x'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 tflnd slDtdf jif{sf] b"O{ k6s / gd"gf cEof; (Drill practice) slDtdf Ps k6s u/fpg' kg]{{ . -*_ alx/+u ljefu / cGt/+u ljefu M jlx/+u ljefu / cGt/+u ljefudf cfjZos ljz]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_ df plNnlvt ;]jfsf cltl/St cyf]{k]l8S;, 8]G6n, gfs, sfg tyf 3f+6L, of}g tyf 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]z e} 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 (Super Speciality Service) x'g'kg]{ . -r_ kfFr ;o z}ofeGbf dflysf Ifdtfsf c:ktfnx?df v08 -ª_ df pNn]v ePsf ;]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} Ps 8fof]nfOl;; ;]jf x'g'kg]{ . -h_ v08 -s_ b]lv -5_ df h'g ;'s} s'/f n]lvPsf] eP tfklg Ps dfq laz]if1 ;]jf lbg] u/L vf]lng] c:ktfnsf] xsdf of] Joj:yf afWosf/L x'g] 5}g . -u_ o; lgb]{lzsfdf plNnlvt cGo dfkb08sf cltl/Qm c:ktfnn] b]xfo adf]lhdsf] dfkb08x? tyf k"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 ;fdfGo laz]if1 ;]jf !)!—@)) z}of ;fdfGo laz]if1 ;]jf @)!— #)) z}of ;fdfGo laz]if1 ;]jf #)) z}of eGbf dfyL ;]jf ! hUuf s_ %% au{ ld6/ k|ltz}of v_ 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] a9L x'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}of ljz]if1 ;]jf %) z}of ljz]if1 ;]jf &% z}of ljz]if1 ;]jf !)) z}of ljz]if1 ;]jf !))– @)) @))– #)) #))– %)) %)) eGbf dfly ! ;jf/L ;fwg hfg ;Sg] / ;8s ;+u af6f] hf]l8Psf]         @ ;jf/L ;fwg cfjt hfjt ug{ ;Sg] kof{Kt 7fpF         # k|j]z dfUf{ / aflx/ lg:sg] dfu{ cnu cnu :j]lR5s :j]lR5s clgjfo{ clgjfo{ clgjfo{ clgjfo{ clgjfo{ clgjfo{ $ k|ltIffno         % ;f]wk'5 ;Dks{ ug{] sIf         ^ JxLn r]o/,6«nL, :6«]r/ /fVg] 7fpF / sfd ug{] JoQmL !,!,!,! @,@,@,@ #,#,#,# $,$,$, $ %,%,%,% ^,^,^,^ &,&,&,& *,*,*, * & la/fdL 5gf}6 ug{] 7fpF (TRIAGE)         * k/LIf0f ug{] sIf * @* #* %* %* cfjZostfcg';f/ cfjZostf cg';f/ cfjZos tf cg';f/ cfjZos tf cg';f/ ( pkrf/ z}of * #* %* &* !! * ,, ,, ,, ,, !) cjnf]sg sIf z}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:Yo lzIff, >Job[:o vf]k, dft[lzz';]jf, :jf:Yo lzIff, >Job[:o, k/fdz{ ;]jf vf]k, dft[lzz';]jf, :jf:Yo lzIff, >Job[:o, kf]if0f, k/fdz{ ;]jf vf]k, dft[lzz';]jf, :jf:Yo lzIff, >Job[:o, kf]if0f, k/fdz{ ;]jf vf]k, dft[lzz';]jf, :jf:Yo lzIff, >Job[:o, kf]if0f, k/fdz{ ;]jf vf]k, dft[lzz';]jf, :jf:Yo lzIff, >Job[:o, kf]if0f, k/fdz{ ;]jf vf]k, dft[lzz';]jf, :jf:Yo lzIff, >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 ljj/0f @% z}of ljz]if1 ;]jf %) z}of ljz]if1 ;]jf &% z}of ljz]if1 ;]jf !)) z}of ljz]if1 ;]jf !))– @)) @))– #)) #))– %)) %)) eGbf dfly zNos[of sIf !@ ;~rf/ ;'ljwf- 6]nLkmf]g, O{G6/g]6, cflb_         !# z'4 vfg]kfgLsf] Joj:yf         !$ zf}rfno / zf}rfnodf kof{Kt kfgLsf] Joj:yf lgb]{lzsfdf pNn]v eP adf]lhd !% ;fj{hlgs 6]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 ! @ # % cfjZostf cg';f/ cfjZostf cg';f/ cfjZos tf cg';f/ cfjZos tf cg';f/ @ ;'r/ ;]6 – k|To]s pkrf/ sIfdf_ ! @ # % ,, ,, ,, ,, # PDj' Jofu (Resuciation bag with Laryngoscope) @ # $ % ,, ,, ,, ,, $ clS;hg – k|To]s pkrf/ sIfdf_ @ $ % & ,, ,, ,, ,, O{ ;L hL d]lzg ! ! ! @ ,, ,, ,, ,, Cardic Monitor ! ! ! @ ,, ,, ,, ,, 8LkmLj|Ln]6/ (Automatic Electric Defribillator) ! ! ! ! ,, ,, ,, ,, e]G6Ln6/ (Portable) ! ! ! @ ,, ,, ,, ,, jL kL ;]6–k|To]s pkrf/ sIfdf_         cfO eL :6]08- pkrf/ z}ofsf] cg'kftdf_         Knfi6/ ug{] ! ! ! @ cfjZostfcg';f/ cfjZostfcg';f/ cfjZostf cfjZostf
26 l;= g ljj/0f @% z}of ljz]if1 ;]jf %) z}of ljz]if1 ;]jf &% z}of ljz]if1 ;]jf !)) z}of ljz]if1 ;]jf !))– @)) @))– #)) #))– %)) %)) eGbf dfly ;fdu|L cg';f/ cg';f/ 8fO{Ugf]l6s ;]6 ! @ @ $ ,, ,, ,, ,, cfsl:ds sfo{sf] nflu cf}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't Joj:yf         Uofl:6«s 6\o'j÷ N/G tube Aspirationset         8'; ;]6 (Enema)         v'§fn] rnfpg] ;S;g d]l;g (Non Electric)         Area Room(Beds) R1,Y+G =2 OB1,Bo R1,Y+G =3 OB2,Bo R1,Y1,G3 ,OB3,B1 R2,Y2,G 3 OB4, tn lbPsf] cg'kftdf tn lbPsf] cg'kftdf tn lbPsf] cg'kft df tn lbPsf] 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 = ! Ü Yellow (Y) = l;ls:t la/fdLsf] ;]jf lbg] z}of = @ Ü Green (G) = ;fdfGola/fdLsf] ;]jf lbg] z}of = # Ü Black(B) = d[To' eO{;s]sf la/fdLnfO{ /fVg]] z}of = ! Ü Observation 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– S N Description 25 beds 50 beds 75 beds 100 beds 100- 200 beds 200- 300 beds >300 beds A General Areas 1 Inquiry counter/ Cash 1(28) 1(28) 1(56) 1(75) * * *
27 S N Description 25 beds 50 beds 75 beds 100 beds 100- 200 beds 200- 300 beds >300 beds 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) * * * 5 Public Telephone (Self Operating ) 1 1 1 1 * * * 6 Toilets (Male and Female) 2(17.5) 1+1 2(28) 2+1 3(35) 2+2 4(42) 2+2 * * * B Medical Clinic 1 Consultation room (each 14 sq.m)       2 Sub Waiting room 1(14.0) 1(21.0) 1(28) 1(35.0) * * * C Surgical Clicin 1 Consultation room (each 14 sq.m)       * 2 Treatment nd Dressing room       * 3 Sub Waiting room 1(14.0) 1(21.0) 1(28) 1(35.0) * * * D Obs/Gyne.Clinic 1 Consultation room (each 14 sq.m)       * 2 Treatment room 1(17.5) 1(17.5) 1(17.5) 1(17.5) * * * 3 Toilet com cleaning room (attached to treatment room)       * 4 Waiting room 1(14) 1(14) 1(14) 1(14) * * * E Pediatric Clinic 1 Consultation room (each 14 sq.m)        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       * 1 Consultation room (each 14 sq.m)       * 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) * * * 4 Recovery & Plaster Cutting room 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 1 Consultation room (each 81sq.m)       * 2 Treatment room       3 Audiometry room Speech 1(14) 1(14) 1(14) 1(14) * * * 4 Waiting room       * H Dental Clinic 1 X-ray room       * 2 Consultation room (each 8 sq.m)       * 3 Workshop/Lab       * 4 Recovery room       * I Skin & STD clinic 1 Consultation room (each 8 sq.m)       * 2 Treatment room       *
28 S N Description 25 beds 50 beds 75 beds 100 beds 100- 200 beds 200- 300 beds >300 beds 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 beds 50beds 75 beds 100 beds 200 beds 300 beds >300 beds 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       * A water closets/tilet 1 to every 8 beds (male)       * B Urinal /toilet 1 to every 6 beds (female)       * C Wash bashins: 1 for every 12 beds       * D sinks : 1 for each ward       * E Kitchen sinks & dishwasher: 1 for each ward       * 11 Administrative Block A 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 Laundary A Dirty Receive       * B Clean Store Room * C Staffs Room with Toilet * D Cleaning area * E Kitchen       * 13 CSSD A Dirty Receiving       * B Cleaning Room       * C Sterilization Room       * D Clean Storage Room       * E Common Storage       * F Drying & Packing       *
29 SN Inpatient (General Ward) 25 beds 50beds 75 beds 100 beds 200 beds 300 beds >300 beds 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:ktfndf cJ; 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 hgf Pg]: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]s ljefudf ;DalGwt ljifosf] 8L Pd (DM)cyjf Pd ;LPr (M.Ch.) of]Uotf xfl;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}ofdf Ps 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 Ps hgf :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 Birth Attendants)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:yf ug'{ kg{] . -em_ Ps ;o z}of eGbf a9L Ifdtfsf] c:ktfnsf] xsdf u'0f:t/Lo ;]jf ;+rfngdf k|efjsfl/tf cfpg] u/L sDtLdf Ps hgf c:ktfn Joj:Yffks, afof]d]l8sn k|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 nflu c: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 ;]jf pknAw 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[lt kq ;+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 ;DalGwt sfplG;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 hgzlQm eGbf 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 need gf]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]xfodf plNnlvt hgzlQm eGbf sd gx'g] u/L hgzlQmsf] Joj:yf ug'{ kg]{5 M– ;]jf÷;d"x kb÷gfd %)—&% z}of !)) z}of 1 lkmlhl;og 2 3 2 ;h{g 2 3 3 jfn/f]u ljz]if1 2 3 5 :qL/f]u ljz]if1 2 3 7 Kofyf]nf]lhi6÷afof]s]ldi6÷dfOqmf]afof]nf]lhi6 1 1 8 d]l8sn 6]Sgf]nf]lhi6 1 1 9 Nofj 6]lSgl;og 2 2 10 Nofj cl;:6]G6 2 2 11 /]l8of]nf]lhi6 1 1 12 /]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}of 23 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 need gf]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 eGbf sd 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]l8sn 8fS6/ 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 kb÷gfd !)! b]lv @)) @)! b]lv #)) #)! b]lv %)) %)! b]lv &%) &%) b]lv !)))± cGo ljifout ljz]if1 1 2 3 4 5 O{dh{]G;L lkmhLl;og 2+1# 2+2# 3+2# 4+2# 5+2# 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# k|zf;g tyf dfgj ;+:ffwg Joj:yfkg 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 @)) @)! b]lv #)) #)! b]lv %)) %)! b]lv &%) &%) b]lv !)))± ;'/Iff uf8{ ~ ~ ~ ~ ~ ;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] dfkb08 adf]lhd / c:ktfndf /xg] k|of]uzfnf tyf pks/0fsf] xsdf b]xfodf pNn]v eP adf]lhd Joj: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 instruments 25 bed 50 bed 75- 100 bed 101- 200 201- 300 301- 500 501- 750 751- 1000+ 1. Microscope pcs 1-3 3 3 4 5 6 7 8 2. Microtome pcs - 1 1 2 2 2 2 3 3. Tissue processor pcs - 1 1 1 1 1 1 2 4. Slide Stainer (Histo) pcs - - - - 1 1 1 1 5. Tissue Floating water bath set - 1 1 1 1 1 1 1 6. Immuno histo-chemistry set set - - - - - - 1 1 7. Auto Analyzer (Bio Chemistry) set - - - - - 1 1 2 8. Semi Auto Alalyzer (Bio Chemistry) set 1 1 1 1 2 3 3 4 9. Elisa reader with Washer set - - - 1 1 2 2 2 10. Incubator set 1 1-2 2 5 5 5 5 6 11. Chemical Balance set 1 1 1 1 1 2 2 2 12. Electrolyte Analyzer set 1 1 1 2 2 2 2 3 13. Colorimeter Set 1-3 1-3 1-3 2-3 2-3 2-3 2-3 2-3 14. Hot air Oven Set 1 2 2 3 3 3 5 5 15. Autoclave Set 1 2 2 3 3 3 3 3 16. Refrigerator Set 1-2 2-4 2-4 4 4 6 6 8 17. Coagulometer for coagulation profile set - 1 1 1 2 2 2 18. Blood cell counter(18 parameters or above) pcs 1* 1 1 2 2 2 2 2 19. Blood gas analyzer Set - - 1 1 1 1 1 1 20. Generator set 1 1 1 1 1 1 1 1 21. Centrifuge pcs 2 4 4 6 6 6 8 8 22. Laminar hood - - 1 1 1 1 1 1 23. Counting Chamber pcs 1-2 1-2 1-2 1-2 1-2 1-2 1-2 1-2 24. DLC counter pcs 1-2 2 2 2 2 2 2 2 25. Pipettes, Glassware/kits /Consumables pcs As per need 26. Biosafety Cabinet (Class II) - - - - - - 2 2 27. Incinerator set 1 1 1 1 1 1 1 1 28. Glassware/kits/ reagent consumables as per need 29. Computer with printer set 1 1 1 2-4 2-4 4 4 6 30. Adequate number of Furniture should be available. -v_ Imaging Equipments:
36 SN Name of the Equipment No. of Beds 25 50 75 100 201-300 301-500 501-750 751- 1000+ 1 500 ma X-ray with image intensifier - 1* 1* 1* 1* 1+1* 1+2* 2+1* 2 300 ma X-ray machine 1 1 1 1 1 2* 3 4 3 100 ma X-ray machine 1 1 1 1 1 2* 2* 3* 4 100 ma X-ray machine (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-ray machine :j}lR5s :j}lR5s :j}lR5s 1 1 1 1 1 7 Ultra-sound machine with color droppler and guided biopsy 1 1 1 1 2 2 3 4 8 Spiral C.T. Scan - :j}lR5s :j}lR5s * 1 1 1 1 9 MRI machine - :j}lR5s :j}lR5s * * 1 1 1 10 Mammography Unit - - - 1 1 1 1 1 11 Echocardiogram :j}lR5s 1 1 1 1 2 2 3 * As per need. -u_ Cardiac EquipmentsM SN Name of the Equipment No. 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 3 12 Channel stress ECG test equipments 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 Equipment No. 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: SN Name of the Equipment No. of Beds101-200 201-300 301-500 501-750 751-1000+ 1 Incubator 1 1 2 3 3 2 Hot Air Oven 1 1 2 2 2 3 Microscope 2 2 2 3 3 4 Centrifuge 2 2 2 2 2 5 CO2 Incubator 1 1 1 1 1 6 Anaerobic Incubator 1 1 1 1 1 7 Biosafety Cabinet - - - 1 1 8 Refrigerator 2 2 2 3 3 9 Auto pipette As per need 10 Glassware/kits/ reagent consumables as per need (@) Biochemistry: SN Name of the Equipment No. of beds101-200 201-300 301-500 501-750 751-1000+ 1 Auto Analyzer - - 1 1 2 2 Semi Auto Analyzer 1 1 2 2 3 3 Chemical Balance 1 1 2 2 3 4 Electrolyte Analyzer 2 2 2 2 3 5 Centrifuge 1 1 2 2 3 6 Colorimeter 1 1 1 1 2
38 7 Hot air oven 1 1 1 1 2 8 Refrigerator 1 1 2 2 3 9 Micro pipettes (as per needs) 10 pH meter 1 1 2 2 3 11 Blood Gas Analyzer 1 1 1 1 1 12 Glassware/kits/ reagent consumables as per need (#) Hematology: SN Name of the equipment No. of beds101-200 201-300 301-500 501-750 751-1000+ 1 Microscope (Binoculor) 1 2 2 3 3 2 Blood cell counter (18 parameters or above) 1 1 2 2 3 3 Centrifuge 1 1 2 2 3 4 Colorimeter 1 1 2 2 3 5 Hot air oven 1 1 2 2 2 6 Refrigerator 1 1 2 2 3 7 Counting Chamber 2 3 4 5 6 8 Computer with Printer 1 1 2 3 3 9 Micro pippette (As per nned) 10 Coagulometer for coagulation Profile 1 1 2 3 4 11 Hb Electrophoresis set 1 1 12 Distilation Plant 1 1 1 1 2 13 CT coagulometer 1 1 2 2 3 14 Glassware/kits/ reagent consumables as per need 15 Water bath 1 1 2 2 3 ($) Histopathology: SN Name of the Equipment No. of Beds 101-200 201-300 301-500 501-750 751-1000+ 1 Microscope 1 2 2 5 5 2 Microtome (Sliding/Rotatory) 1 1 1 1 2 3 Tissue processor 1 1 1 1 2 4 Stainer (Histo/Cyto) 1 1 1 2 2 5 Incubator 1 1 1 2 2 6 Chemical Balance 1 1 1 1 2 7 Centrifuge 1 1 1 1 1 8 Hot air Oven 1 1 1 1 2 9 Autoclave 1 1 1 1 1 10 Refrigerator 1 1 1 1 1 11 Counting Chamber 1 1 1 1 1 12 Generator 1 1 1 1 1 13 Computer with Printer 1 2 3 3 4 14 Micro pipettes As per need 15 Cytocentrifuge 1 1 1 1 1 16 Slide Cabinet 1 2 4 5 5 17 Block Cabinet 2 3 5 6 6 18 Tissue Tek-II Embedding centre 1 1 1 1 1 19 Immunohisto chemistry 1 1 20 Glassware/kits/ reagent consumables as per need
39 (%) Microbiology, Virology, Serology: SN Name of the Equipment No. 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 3 3 Water Bath 1 1 2 3 3 4 Hot air oven 1 1 2 2 3 5 Refrigerator 2 3 5 6 6 6 Refrigerated Centrifuge 1 1 1 1 2 7 Multi channle micro pipette 2 2 3 4 4 8 Variable Micro pipette ( As per need) 9 Micro Mixer 1 1 2 2 3 10 Incubator 1 1 2 2 3 11 Centrifuge 1 1 3 3 4 12 Weighting balance 1 1 1 1 1 13 Autoclave vertical 1 1 2 2 2 14 Deep freezer -20°C 1 1 1 1 1 15 Deep freezer -80°C - - - 1 1 16 Laminar hood 1 1 1 1 1 17 Biosafety Cabinet Class-2 - - - 1 1 18 Vortex mixture 1 1 2 3 3 19 Stop watch 2 2 4 5 6 20 Clean bench hood 1 1 1 1 1 21 Computer with printer 1 1 3 3 4 22 Glassware/kits/ reagent consumables as per need 23 Adequate furniture shood be available -r_ Anaesthesia EquipmentsM SN Name of the Equipment No. of Beds101-200 201-300 301-500 501-750 751-1000+ 1 Anaesthetic-laryngoscope magills with four blades a) Adult b) Paediatric 25 25 30 30 40 40 50 50 60 60 2 Endo Tracheal tube sets 25 30 as per needed 50 (each size) 60 3 Magills forceps ( two sizes) 25 30 40 50 (each size) 60 4 Connector set of six for E.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 100 120 7 Air way (Male) 40 60 as per needed 100 120 8 Mouth Prop 40 60 80 100 120 9 Tongue Depressors 40 60 80 100 120 10 O2 cylinder for boyles 40 40 60 80 100 11 N2O Cylinder for Boyls 20 25 30 40 45 12 PFT machine 2 3 4 5 7 13 Boyles Apparatus with Fluotec and circle absorber 20 25 20 20 25 14 Ventilators 15 20 25 30 35 15 Monitors ECG, NIBP, SPO2 with IBP 25 40 50 60 80 16 Monitors ETCO2 / Gas Analyzer IBP 10 15 20 25 30
40 SN Name of the Equipment No. of Beds101-200 201-300 301-500 501-750 751-1000+ 17 Transport Monitor ECG, SPO2, NIBP 10 10 12 15 20 18 Transport Ventilator 1 3 4 5 7 19 Fibreoptic Bronchoscope a) Adult b) Paediatric 1 1 2 2 1 1 2 2 4 4 20 Portable USG for Regional Anesthesia 1 2 1 2 4 21 Portable Echocardiography for ICU/CCU/OT 1 2 2 2 4 22 Mac Coy Laryngoscope 4 5 8 10 15 23 Intubating LMA 3,4 4 5 8 10 12 24 Video Laryngoscope 4 5 8 10 12 25 Double Lumen Tube 10 15 20 25 (each size) 28 26 AMBU bag / Mask 25 50 80 100 sets 110 27 GAS analyser 1 2 2 2 3 28 Defebrilator 5 8 8 10 10 -5_ Teaching EquipmentsM SN Name of the Equipment No. of Beds101-200 201-300 301-500 501-750 751-1000+ 1 Slide Projector x x X x x 2 O.H.P. 1 1 2 2 2 3 Screen 1 1 2 4 4 4 White / colour boards 1 1 2 2 3 5 Telivision colour 1 1 2 2 3 6 Tape recorder (2 in 1) 1 1 2 2 3 7 VCD Player 1 1 2 2 3 8 Radio * * * * * 9 LCD Projectors 1 2 3 3 4 10 Computer 1 2 3 3 4 Note: * To be available as per need X 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 1 3 (1 for labour room & 2 for neonatal room) 2 2 Phototherapy Unit 2 3 4 3 Emergency Resuscitation Kit-Baby 2 4 4 4 Standard weighing scale 1 each for the labor room & OT 1 each for the labor room & OT 1 each for the labor room & OT 5 newborn Care equipment 1 set each forlabor room & OT 1 set each for labor room & OT 1 set each for labor room & OT 6 Double–outlet Oxygen Concentrator 1 each for thelabor Concentrator 1 each for the labor Concentrator 1 each for the labor Concentrator 7 Radiant Warmer 2 3 (1 for labour room & 2 for neonatal room) 5 8 Room Warmer 2 2 2 9 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 Bedded 12 Episiotomy kit 2 10 10 13 Forceps Delivery Kit 2 2 3 14 Crainotomy 1 2 1 15 Vacuum extractor metal 2 2 2 16 Silastic vacuum extractor 2 2 3 17 Pulse Oxymeter baby & adult 1 each 2 each 2 each 18 Cardiac monitor baby & adult 1 2 2 each 19 Nebulizer baby 2 4 (for ICU & wards) 2 20 Weighing machine adult 3 6 4 21 Weighing machine infant 3 4 4 22 CPAP Machine - - 1 23 Head box for oxygen 4 6 8 24 Haemoglobinometer 1 1 2 25 Glucometer 1 1 2 26 Public Address System 1 1 1 27 Wall Clock 1 1 2 28 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 2 2 Emergency Resuscitation Tray (Adult) including intubation equipment 3 3 BP Apparatus 3 4 Cardiac Monitor 2 5 Pulse oximeter 2 6 Airway (Female) 2 7 nebuliser 1 8 Oxygen Supply (Central) 2 9 Suction Apparatus (Electrical) 2 10 Suction Apparatus (Foot) 1 11 Wall Clock 1 12 Torch 1 13 Emergency Call Bell 2 14 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) 9 Basic surgical instruments e.g. fine scissors, scalpel with blades, fine arteryforceps, suture material & needles, towel, clips etc. 1 set per bed (essential)
42 10 Nebulizer 1 for the unit 11 Multi-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 & mothers Adequate number of each size(essential) 6 Washable slippers Adequate 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 Equipment No of Beds 101-200 201-300 301-500 501-750 751-1000+ 1 Computer with Modem with UPS, Printer with Internet Connection** 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 SN Name of the Equipment No. of Beds101-200 201-300 301-500 501-750 751-1000+ 1 Refrigerator 165 liters 10 12 20 22 25
43 2 Blood Bank Refrigerator 1 1 3 4 6 3 ILR 1 2 3 3 5 4 Deep Freezer * * * * * 5 Coolers * * * * * 6 Air Conditioners 9 10 12 14 16 7 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 SN Name of the Equipment No. of Beds101-200 201-300 301-500 501-750 751-1000 1 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 Drugs 1 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 Drugs 11 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, gel 50 Ibuprofun (Tab) 51 Codeine Phosphate (Tab) 52 Prednisolone (Tab) 53 Antidiotics Oral (Tab/Cap) 54 Povidinelodine (Sol) 55 Antidiotics Ointments 56 Others as per necessary -@_ List of essential instruments for Emergency: SN Equipment 1 Ambu bag with mask 2 Artery Forceps 3 Salbutamol Inhaler
45 4 Povidone Iodine 5 Blood Transfusion Set 6 BP Instrument 7 Clinwax ear drop 8 Crepe Bandage 4" 9 Crepe Bandage 6" 10 Dissection Forceps non tooth 11 Dissection forceps tooth 12 Disposable Syringe 3cc, 5cc, 10cc, 20cc 13 Endo tracheal tube( Pediatric and Adult ) 3.0-8.5 14 Laryngeal Mask airway 3.0-8.5 15 Foley's catheter 6f-20f, 3way 16 Gloves No.6, 6.5, 7, 7.5 17 I.V. Cannula 14G-24G 18 I.V. Set + Pediatric Burret 19 I.V. Infusion Set 20 C.V.P. line Set 21 Chest Tube (Different Sizes) 22 Ipratropium bromide inhaler + Solution 23 Knee hammer 24 Laryngoscope with blade (Adult, Pediatric sizes) 25 Leucoplast 26 Oxymetazoline Nasal drop 27 Needle holder 28 Ryle's tube (N/G Tubes) 29 Scissors (different types) 30 Silver sulphadiazine cream 31 Stethoscope 32 Suction Machine with tubes 33 Thermometer 34 Sphygmomanometer 35 Tongue depressor 36 Torch Light 37 Uro bag 38 Wooden Splint Different sizes 39 Spinal Board-1 40 Cervical Collor 1-5 41 Antibiotic Injection (Different) 42 Pulse Oxymeter -1 43 Otoscope-1 44 Ophthalmoscope-1 45 Glucometer -1 46 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 plNnlvt s'/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) 10 10 30 30 - 3 12 12 40 40 - 5 14 14 50 50 - 4 #=sfo{ut ljefux¿(Functional Departments s= sfl8{of]nf]hL ljefu M  Non-Invasive  Invasive / Interventional Cardiology  Electro-physiology  Preventive Rehablitation √ √ Optional Optional √ √ √ √ √ √ √ √ 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. √ √ √ Optional Optional √ √ √ √ √ √ √ √ √ √ √ √ √ 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 √ √ √ 1 o; 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 cflbsf xsdf ef}lts k"jf{wf/ / cfsl:ds ;]jf slDtdf hg/n c:ktfn ;/x / cGo ljz]if :jf:Yo ;]jf;'ljwfsf xsdf k|rlnt WHO dfkb08 cg';f/ x'g' kg{]5 .
47 ljj/0f !)!–@))z}of @)!–#)) z}of #)!–%)) z}of em= 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 Optional Optional √ √ √ √ √ √ √ √ √ √ √ √ √ $= 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 Biochemist Micro Biologist Hematologist - 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 relevant personnel (at least the ratio as per general hospitals)  24 hours coverage by other specialists : - Pediatrician - Infectious diseases Specialist - Nephrologists - Neurologist - General Surgeon - General Medicine / Physician 5 Optional F/P 5 2 5 4 1 1 1 1 Optional Full Time Preferable but part time 24 hrs on call mandatory 5 √ 5 4 5 5 2 2 2 2 Optional 5 √ 7 6 7 6 3 3 3 3 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 10 1 2 2 3 15-25 1 4 2 2 2 2 3 2 1 2 13 15 2 3 2 5 25-35 2 6 3 4 5 3 5 2 2 3 15 20 3 4 3 8 35-55 3 10 4 6 8 5 8 2 3 4 17
48 ljj/0f !)!–@))z}of @)!–#)) z}of #)!–%)) 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 10 50 50 2 2 1 Optional Optional As per Guideline 1 1 1 Optional Optional Optional 20 75 75 4 4 1 1 Optional As perGuideline 2 2 2 Optional Optional Optional 30 100 100 6 6 2 1 1 As perGuideline 3 3 3 1 Optional Optional cGo pks/0fx¿ hg/n c:ktfndf eP ;/x x'g'kg{] -@_ d'6' /f]usf] ljz]if1 ;]jf k|bfg ug]{ c:ktfndf g;{ / la/fdLsf] cg'kft SICUdf !M! / CCU df !=%—@M! x'g' kg{]5 . -#_ o; lgb]{lzsfdf cGoq h'g;'s} s'/f n]lvPsf] eP tfklg d'6'/f]u c:ktfn kfFr ;o z}of eGbf a9Lsf] x'g] 5}g . -v_ o'/f]nf]hL÷g]k|mf]nf]hL M l;=g+ ljj/0f !)) z}ofeGbf sd !)!–@)) z}of @)!–#)) z}of ! ef}lts ;'ljwfx¿ -hg/n c:ktfnsf] k"jf{wf/ ;/x_ @ cfsl:ds ;]jf -hg/n c:ktfnsf] k"jf{wf/ ;/x_ # alx/+u ;]jf  o'/f]nf]hL -g]k|mf]nf]hL clgjfo{_ ! @ @  g]k|mf]nf]hL -o'/f]nf]hL clgjfo _ ! @ @  ufOgf]sf]nf]hL –clgjfo{ _ ! @ @  hg/n ;lh{sn -:j}lR5s{_ ! @ #  lkl8ofl6«s -:j}lR5s_ ! @ #  hg/n d]l8l;g -:j}lR5s_ ! @ #  sfl8{ofs -clgjfo{ _ ! @ # $ cGt/+u ;]jf  Go'/f]nf]hL -g]k|mf]nf]hL clgjfo{_ ! @ #  g]k|mf]nf]hL -o'/f]nf]hL clgjfo{_ ! @ #  ufOgf]sf]nf]hL -clgjfo{_ ! @ #  hg/n ;lh{sn -:j}lR5s_ ! @ #  lkl8ofl6«s -:j}lR5s_ ! @ #  hg/n d]l8l;g -:j}lR5s_ ! @ #  sfl8{ofs -:j}lR5s_ ! @ #
49 l;=g+ ljj/0f !)) z}ofeGbf sd !)!–@)) z}of @)!–#)) z}of  ck/]zg lyP6/ d]h/ ! @ #  ck/]zg lyP6/ OG6/ldl8P6 ! @ #  ck/]zg lyP6/ dfOg; ! @ #  ;lh{sn jf8{ !  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 ! !  MRI :j]lR5s ! !  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/ ! # #  o'/f] ;h{/L ;]6 ! # #  sfl8{ofs dlg6/ ! @ #  AjfON; Pk/]6\; ! @ #  Pg]:y]l6s dlg6/ ! @ #  dfOqmf] ;lh{sn OG:6«d]G6 ! @ #  l/;l:;6]zg ;]6 @ # $  ck|]l6e OG;'d]G6 dfOqmf]:sf]k :j]lR5s @ @  *URS Set, PCNL Set** (Urology) :j]lR5s @ @  ck/]l6e 6]a'n -Aofs–/]i6 ePsf]_ ! @ #  Endo Urology Set :j]lR5s @ @  c6f]Sn]e d]lzg ! @ @  8foyld{s d]lzg Under water cutting (Urology) ! @ #
50 l;=g+ ljj/0f !)) z}ofeGbf sd !)!–@)) z}of @)!–#)) z}of  Lithotrypsy(ESWL)(Urology) :j]lR5s @ @  clS;hg sG;g6«]6/ ! $ ^  xfOkf]yld{of ! @ $ & cGo ;]jfx?M ;DalGwt ;]jf cg';f/sf cfjZos pks/0fx¿sf] Joj:yfM  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  lx:6f]Kofyf]nf]hL, Renal Function Test, PSA ! @ @ * hgzlQmM  o'/f]nf]hL ljz]if1 M c:ktfndf o'/f]nf]lhi6 @ $ %  g]k|mf]nf]hL ljz]if1 M c:ktfndf g]k|mf]nf]lhi6 @ $ ^  /lhi6«f/ @ $ %  d]l8sn clkm;/ !) !@ !^  ;DalGwt ljz]if1x¿ kf6{–6fOdsf] k|fjwfg @ $ ^  k|zf;lgs sd{rf/LM hg/n c:ktfnsf] cg';f/  gl;{ª :6fkm M hg/n c:ktfnsf] cg';f/  Pg]:y]l;:6 $ ^ *  sfl8{of]nf]lhi6 @ @ # x]df]8fO{nfO{l;; g;{ gf]6 M  **PCNL = Per Cutaneous Nephrolithotomy  URS = Urethro Renoscopy Set  ;DalGwt ljz]if1 cfˆg} jf kf6{–6fOdsf] Joj:yf ldnfpg] .  Uro Surgery sf] nflu cfjZos pks/0fx¿ tyf Endourological surgerysf] ;'ljwf klg x'g'k5{ . -h:t} TURP, TURBT, IOU, CystoscopyOToflb .  Renal Transplantatioin: P]gn] Joj:yf u/] adf]lhd x'g] .  ESWL = Extra Corporeal Shockwave Lithotripsy  PSA = Blood test for Prostate Specific Antigen
51 -u_ ;fdfGo cf“vf c:ktfn McfVffF ;]jf ;~rfngsf] nflu dGqfnon] agfPsf] dfkb08sf cltl/Qm b]xfosf dfkb08x?sf] ;d]t kfngf ug'{ kg]{5 M l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of ! ef}lts ;+/rgfx¿ Mhg/n c:ktfnsf] k"jf{wf/ ;/x @ pks/0fx¿ M  lehg 8«d ^ &  l/k|m]Szg ;]6 ^ &  8fO/]S6 cˆyndf]:sf]k ÷ Og8fO/]S6 cˆyndf]:sf]k % &  Slit lamp & &  6f]gf]ld6/(Schiotz)Appalanation Tonometer & &  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/_ !% !* -3_ cf“vf ljz]if1 ;]jf c:ktfnM cfVffF ;]jf ;~rfngsf] nflu dGqfnon] agfPsf] dfkb08sf cltl/Qm b]xfosf dfkb08x?sf] ;d]t kfngf ug'{ kg]{5 M– l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of %)!–&%) z}of ! ef}lts ;'ljwfx¿ M hg/n c:ktfnsf] k"jf{wf/ h:t} @ pks/0fx¿ M  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 coherence Tomograph ! @ # $  Prisms, GDX,
52 l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of %)!–&%) z}of Goldmann perimatry, Humphrey Visual Field, Indirect Ophthalmoscope, Vitrectomy Machine, Fundus Camera, synaptophore, Steropsis set, Hertel set, Auto Refractor* # hgzlQm  cfO{ ;h{g(Fachro surgeon, vitriol - ratinal surgeon, Occuloplastic surgeon) !@ @) #) %)  Pg]:y]l6s ! @ @ #  cˆylNds kf/fd]l8s !% @% #* ^)  gl;{Ë :6fkm -hg/n c:ktfnsf] cg';f/_ !! @) #% %) * as per need. -ª_ dfgl;s c:ktfnM -!_ b'O{ ;o z}of ;Ddsf] dfgl;s c:ktfnnfO{ dfq} cg'dlt k|bfg ul/g]5 . -@_ Ps ;o z}ofsf] Ifdtf eGbf dflysf] c:ktfn jf ljz]if1 ;]jf k|bfg ug]{ c:ktfnx¿df dfgl;s /f]u ljefu x'g' kg]{5 . -#_ dfgl;s c:ktfndf Half way hometyf k'g:yf{kg ;]jf k|bfg ug]{ s]Gb|x¿sf] k|fjwfg x''g' kg]{5 . -$_ dfgl;s c:ktfnsf] nflu b]xfosf] dfkb08 k'/f u/]]sf] x'g' kg]{5 M– l;=g+ ljj/0f !)!–@)) z}of ;fdfGo ;]jf ! ef}lts ;'ljwfx¿ M hg/n c:ktfn ;/x ljz]if k|fjwfg x'g' kg{] @ jlx/+u ;]jf  k/LIf0f  pkrf/  lbjf :ofxf/ s]Gb| k|fjwfg x'g'kg{]  afn jf8{ k|fjwfg x'g'kg{] # cGt/+u ;]jfM  dlxnf jf8{ k|fjwfg x'g'kg{]  k'?if jf8{ k|fjwfg x'g'kg{]  afn jf8{ k|fjwfg x'g'kg{]  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 @  lSnlgsn ;fOsf]nf]lhi6 -km"n6fOd_ @+@#  ;fOSofl6«s ;f];n js{/ -k|lt !)) z}of @ sf b/n]_ $  8\o'6L d]l8sn clkm;/ !@  cSo'k]zgn y]/flki6 ! + ! #  Pg]:y]l6s kf6{6fOd @  Go'/f]nf]lhi6 kf6{6fOd @  d]6«f]g -dfgl;sdf tflnd k|fKt_ @  ;'k/efOh/ / gl;{ª l;:t/ ^  :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 l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of ! ef}lts ;'ljwfx¿ – hg/n c:ktfnsf] k"jf{wf/ ;/x @ cfsl:ds ;]jf M hg/n c:ktfnsf] k"jf{wf/ ;/x # l8hf:6/ Joj:yfkg+ df;Sofh'cN6L Joj:yfkg + kf]nL6«df Joj:yfkg !) @) #) $ alx/+u ;]jfM  sfl8{of]]y]/fl;s @ @ #  o'/f]nf]hL @ @ #  ufOg] cA; @ @ #  cfO;h{g @ @ #  hg/n ;lh{sn @ @ #  cyf{]k]l8s ;h{/L @ @ #  8]G6n / k]ml;of] DoflS;n/L @ @ #  O=Pg=6L= ;h{/L @ @ #  lkmlhof]y]/fkL M ;DalGwt ;fdu|L ;lxt @ @ # % cGt/+u ;]jfM  ck/]zg lyP6/ d]h/ $ $ %  ck/]zg lyP5/ dfOg/ $ $ %  lkmlhof]y]/fkL # # $  cfO=;L=o'= dlg6/ ;lxt cfjZostf cg';f/  ;S;g o'lg6, An8 Uof; PgfnfOh/, ;f]l8od P08 kf]6fl;od PgfnfOh/, clS;hg sG;G6«]zg cfjZostf cg';f/ ^ lgbfgfTds pks/0fx?M  PS; /] M hg/n c:ktfn ;/x cfjZostf cg';f/  ;L=6L= :Sofg cfjZostf cg';f/
54 l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of  Pd=cf/=cfO= cfjZostf cg';f/  cN6«f;fpG8 d]lzg @ @ #  C. Arm @ @ # & zNolqmofsf nflu pks/0f  e]lG6n]6/ * !) !@  sfl8{ofs dlg6/ !^ !* @@  AjfOn ck/]6; @ @ @  Pg]:y]l6s dlg6/ @ @ @  dfOqmf] ;lh{sn OG:6«d]G6 @ @ @  l/;l:;6]zg ;]6 @ @ @  ck/]l6e OG:6«d]G6 dfOqmf]:sf]k # # $  :kfOgn ;]6 @ @ #  Po/kfj/ l8«n ;]6 @ @ #  ck/]l6e 6]jn / j]8 /]:6 @ @ #  c6f]Sn]e d]lzg @ @ #  8foyld{s d]lzg @ @ #  ;S;g o'lg6 @ @ #  clS;hg sG;G6«]6/ @ @ #  Isotope Scan :j}lR5s :j}lR5s :j}lR5s * cGo ;]jfx¿ M ;DalGwt ;]jf cg';f/sf cfjZos pks/0fx¿sf] Joj:yf ug{]  cyf{]k]l8s     k]ml;of]DofUh]n/L     lkmlhof]y]/fkL     l/Xofljln6]zg     Nofaf]/]6/LM hg/n c:ktfn ;/x     lx:6f]Kofyf]nf]hL    ( hgzlQmM  sG;N6\ofG6 -!M@% z}of_ * !@ @)  /lhi6«f/ % % ^  d]l8sn clkm;/ !) !@ !$  ;DalGwt ljz]if1x¿ -kf6{6fOdsf] k|fjwfg_ @ @ @  k|zf;lgs sd{rf/L hg/n c:ktfn cg';f/  gl;{Ë :6fkm hg/n c:ktfn cg';f/  Pg]:y]l;:6 % ^ ^  cyf{]k]l8s @ @ #  lkmlhof]y]/flki6    -5_ Go"/f]nf]hL c:ktfn M b'O{ ;o z}of ;Ddsf] Go"/f]nf]hL c:ktfnnfO{ dfq} cg'dlt k|bfg ul/g]5 . Go"/f]nf]hL c:ktfnn] b]xfosf dfkb08x?sf] kfngf ug'{ kg]{5 M– l;=g+= ljj/0f !)!–@)) z}of ;fdfGo ;]jf ! ef}lts ;'ljwfx¿ c:ktfnsf] dfkb08df pNn]v eP 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 nflu cfjZos pks/0fx? $ alx/+u ;]jf M (OPD)  d]l8sn Go"/f]nf]hL   ;lh{sn Go"/f]nf]hL   cyf{]k]l8s ;h{/L   8]G6n / k]ml;of] DoflS;n/L ;h{/L   O=Pg=6L=;h{/L   lkmlhof]y]/fkLM ;DalGwt ;fdu|L ;lxt  % cGt/+u ;]jf M  cfO=;L=o'= dlg6/ ;lxt !)  ;S;g o'lg6 !)  An8 Uof; PgfnfOh/ !  ;f]l8od P08 kf]6fl;od PgfnfOh/ !  clS;g sG;G6«]6/ !  ;lh{sn jf8{ %)  d]l8sn jf8{ %%  ck/]zg lyP6/ d]h/ #  ck/]zg lyP6/ OG6/ldl8o6 cfjZostf cg';f/  ck/]zg lyP6/ dfOg/ $ ^ lgbfgfTds pks/0fx¿M PS; /] M hg/n c:ktfnsf] k"jf{wf/ h:t}  ;L=6L= :Sofg !  O=;L=hL= d]lzg !  O=Pd=hL= !  Pd=cf/=cfO= !  PlGhof]u|fd !  cN6«f;fpG8 d]lzg !  C. Arm Portable X-Ray !  zNolqmofsf nflu pks/0f  e]lG6n]6/ *  sfl8{os dlg6/ !%  AjfON; ck/]6; %  Pg]:y]l6s dlg6/ #  On]lS6«s 8«Ln l;:6d (Air Powered) @  dfOqmf] ;lh{sn OG:6«d]G6 @  l/;l:;6]zg ;]6 @  ck|]l6e OG;'d]G6 dfOqmf]:sf]k #  q\moflgof]6f]dL ;]6 @~  :kfOgn ;]6 @~  Go"/f]ck/]l6e 6]jn / x]8/]:6 @  cˆylNds OG:6«d]G6 @  c6f]Sn]e d]lzg @  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  lkmlhof]y]/fkL cfjZos  l/Xofljln6]zg :j}lR5s  Nofaf]/]6/L M hg/n c:ktfn ;/x cfjZos  lx:6f]Kofyf]nf]hL M hg/n c:ktfn ;/x :j}lR5s * hgzlQm  Go"/f] sG;N6\ofG6 -!M@% z}of_ $  /lhi6«f/ #  d]l8sn clkm;/ *–!)  ;DalGwt ljz]if1x¿ kf6{6fOdsf] k|fjwfg @  k|zf;lgs sd{rf/L M hg/n c:ktfnsf] cg';f/  gl;{Ë :6fkm M  d]6«f]g !  l;:6/ !)  :6fkm g;{ !))  Pg]:y]l;:6 !~  cyf{]k]l8s ! ~ = as per need -h_ :qL/f]u tyf k|z"lt ljz]if1 c:ktfn M l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of ! ef}lts ;+/rgf hg/n c:ktfn ;/x @ alx/+u ;]jfM  cGo k"jf{wf/x¿ hg/n c:ktfn h:t}  k"j{ k|;"lt ;]jf     ;'Ts]/L ;]jf     vf]k ;]jf     kl/jf/ lgof]hg     ufOgf]sf]nf]hL ;fwf/0f pkrf/ ;]jf    # ljz]if lSnlgs ;]jf -s'g} @ clgjfo{_  SofG;/ l:qmlgË     ;akml6{ln6L     c8f]n];G6 x]Ny(Adolescent Health)    $ STD/STI    % Post Abortion Care & CAC    ^ Family Planning  & Od]h]{G;L  * cGt/+u ;]jf  k|;"lt ;]jf sIf -;Dk"0f{ z}ofsf] &Ü_ % Ü ^ Ü & Ü  hg/n jf8{ % Ü ^ Ü * Ü  zNolqmof ;]jf z}of $ % &  Pd=cfO=;L=o'= -;Dk"0f{ z}ofsf] # % & *
57 l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of k|ltzt_  Pg=cfO=;L=o'= -;Dk"0f{ z}ofsf] !) k|ltzt_ % & *  CTG Rooms (4% of the total beds)  lgof]g]6n o'lg6     lkmlhof]y]/fkL o'lg6 :j}lR5s :j}lR5s :j}lR5s ( lgbfgfTds ;]jf  k|of]uzfnf ! ! !  PS;- /] -cN6«f;fp08 clgjfo{_ @ @ #  Colposcopy     Hysterocopy     Laparescopy    !) o'lg6     uxg dft[ ;]jf (MICU)     gjhft lzz' :ofxf/ o'lg6 (NICU)     l6lrË / tflnd o'lg6     l/;r{ o'lg6     c+sf]nf]hL o'lg6     /]l8of]nf]hL o'lg6 (Imaging Unit)     X-Ray     U.S.G.     CT/MRI :j}lR5s  Nofaf]/]6f]/L (with Blood Transfusion)     lkmlhof]y]/fkL :j}lR5s  gl;{Ë     xfp; lslkË     ufOgf] cA; o'lg6     hg/n ufOgf] cA;     ufOgf] c+sf]nf]hL     ;j - kml6{ln6L     o'/f]ufOgf]sf]nf]hL     ;f];n ;le{;    !! hgzlQm ufOgf] cA; sG;N6\ofG6 -!M@% z}of_ * !@ !^ l;lgo/ M -/]lhi6«f/ n]en_ !M@% ld8 n]en -d]l8sn clkm;/ n]en_ %M@% % !@ @) & !$ @$ * !* #) Pg]:y]l6S; ^ * * lkl8ol6«l;og -lgoldt_ # # $ Kofyf]nf]lhi6 # # # lkmlhl;og -lgoldt_ cfjZostf cg';f/ lgoldt pknAw x'g' kg{] hg/n ;h{g -lgoldt_ cfjZostf cg';f/ lgoldt pknAw x'g' kg{] Nofj 6]lSgl;og !) !@ !@ Nofj cl;i6]G6 !) !@ !@ d]6«f]g @ # #
58 l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of ;'e/efOh/ gl;{Ë ^ * !) l;:6/ !@ !^ @@ :6fkm g;{ ^) !)) !%) !@ pks/0f  zNolqmofM hg/n c:ktfn ;/x cfjZostf cg';f/  cGsf]nf]hL o'lg6 (Coloposcpope, Hysteroscope, Cryotherapi Unit)  lx:6]/f]:sf]k  OG8f]:sf]kL  n]k|f]:sf]kL  Labor room df rflxg] ;Dk"0f{ ;fdfgx¿ -em_ afn/f]u c:ktfn M l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%))z}of ! hUuf -s_ %) ju{ld6/ se8{ Pl/of k|ltz}of    -v_ e'OFtNnf hUufdf slDtdf M !_ !÷# hUuf vfnL x'g'kg{] @_ # z}ofsf] cg'kftdf Ps sf/ kfs{    @ cfsl:ds ;]jf / ;fdu|L pks/0f # cf}iflw ;DaGwL ljj/0f @$;} 306f ;]jf @$;} 306f ;]jf @$;} 306f ;]jf $ alx/+u ;]jf ;DaGwL ljj/0f -d]l8sn, ;lh{sn, cyf]{k]l8s, OPg\6L, 8]G6n, 5fnf, cfvf_ yk % ljz]if1tf ;]jf yk & ljz]if1tf ;]jf yk !) ljz]if1tf ;]jf % cGt/+u ;]jf -d]l8sn, ;lh{sn, cyf]{k]l8s, OPg\6L, 8]G6n, 5fnf, cfFvf_ !)) z}ofdf yk ;]jf @)) z}ofdf yk ;]jf #)) z}ofdf yk ;]jf ^ zNolqmof sIf -!_ d]h/ @ -@_ dfOg/ @ -!_ d]h/ @ -@_ dfOg/ # -!_ d]h/ # -@_ dfOg/ # & cfO=;L=o'= clgjfo{ clgjfo{ clgjfo{ * /f]u lgbfgM /]l8of]nf]hL lj:t[t ljj/0f c:ktfn ;DalGwt dfkb08df pNn]v eP adf]lhd( hgzlQm !) k|of]uzfnf ljj/0f !! PDa'n]G; M gLlt cg';f/ @ # # !@ k|ltsf/fTds tyf k|j4{gfTds ;]jf clgjfo{ clgjfo{ clgjfo{ !# zju[x clgjfo{ clgjfo{ clgjfo{ !$ SoflG6g ;]jf clgjfo{ - cfjZostf cg';f/ 7]Ssfdf lbg ;lsg]_ clgjfo{ clgjfo{ !% dd{t ;]jf clgjfo{ -cfjZostfg';f/ 7]Ssdf lbg ;lsg_ clgjfo{ clgjfo{ -`_ /]l8of]nf]hL ;]jf M /]l8of]nf]hL ;]jf ;~rfng ubf{ bkmf @# sf] pkbkmf -@_ sf] v08 -r_ df plNnlvt dfkb08x?sf] kfngf ug'{ kg]{5 . -6_ bGt/f]u MDental Hospital, Specialized Dental Service Center, Dental Clinic and Dental Department 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 registered specialist. I. Ora and Maxillofacial Center II. Orthodontic Center III. Prosthodontic Center IV. Periodontic Center V. pedodontic Center VI. Restorative Center VII. 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 and regulation in four types as I. Private Limited Company II. Public Limited Company III. NGO IV. INGO General Dental Hospital - 15 Dental Chair The 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:  Infrastructure Administrative Reception, Waiting Room, Account Room, Maintenance Room, Store, Doctor's Meeting Room, Changing Room, Ambulance, Director's Room, Library Room Clinical Capacity 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 services Other facilities Sterilization 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 5000 sqft. Hospital complex may be rented, leased or own house, One should have minimum of five years of agreement 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 services under one roof. Infrastructure: Administrative Reception, Waiting Room, Account Room, Maintenance Room, Store, Drs. Meeting Room, Changing Room, Ambulance, Director's Room, Library Room Clinical Capacity 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 12,000 sq.ft. Hospital Complex may be in rented, leased or own house; should have minimum of five years of agreement with the house owner. The building must have sufficient open space to catter the need of parking, emergency escape, 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 chairs the basic aim of the general dental hospital should be to provide all basic general dental services under one roof. Infrastructure  Administrative 1. Reception 2. Waiting Room 3. Account room 4. Administration Room 5. Maintenance Room 6. Store 7. Doctor's Meeting Room 8. Changing Room 9. Seminar Hall 10. Ambulance Garage 11. CEO Room 12. Library Room
62 Clinical Capacity of Minimum 50 dental chairs, should have at least 7 separate departments namely 1. Oral and Maxillofacial Surgery Unit/ Oral Medicine Radiology Minor and Major OT with ICU-10 general beds 2 ICU, 7 Dental chairs 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 ) 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 Center Any hospital or clinic can concert its department or unit to a specialized center once it fullfill the following criteria 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 ) Infrastructure 1. Reception 2. Waiting Room 3. radiology-OPG,IOPA-X-ray and CEPH 4. Pathology Lab. 5. Toilet 6. Ward 7. Patient Record Keeping System 8. Infection control and waste disposal system/Protocol 9. 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 Equipments Dental 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  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  Prosthodontic laboratory Equipments
65 Dental Chair with Halogen light spittoon and water supply  High Vacuum Suction  Micromotor or Air motor  Airotor Handpiece  Light cure unit  Ultrsonic Scaler Unit/ Peizo scaler  Oil free Medical Grade Compressor  IOPA-X-Ray  Separate Lab MIcromotor  X-Ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  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  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 Equipments Dental Chair with Halogen light spittoon and water supply  High Vacuum Suction  Micromotor or Air motor  Airotor Handpiece  Light cure unit  Ultrsonic Scaler Unit/ Peizo scaler  Oil free Medical Grade Compressor  Electrocuatry  IOPA-X-Ray  Separate Lab MIcromotor  X-Ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  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  Sterilization Room/Area  Nitrous oxide System  Consultation room  Waiting room  Reception  Toilet  patient Record Keeping System  Infection Control and waste disposal system/ Protocol  Library Room Equipments Dental Chair with Halogen light spittoon and water supply  High Vacuum Suction  Micromotor or Air motor  Airotor Handpiece  Light cure unit  Ultrsonic Scaler Unit/ Peizo scaler  Oil free Medical Grade Compressor  IOPA-X-Ray  Separate Lab Micromotor  Orthodontic Pliers/Materials  Spot welder  X-Ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  Generator  Dental Lab  Intra Oral Camera+ Computer Staff  Pedo Specialist service everyday  Receptionist  Trained assistant  cleaner  Waste disposable System expert Sterilization Room /Area and Protocol Recovery Room + One bed 6. Restorative & Endodontic Service Center-  Minimum 3 dental chair (1 complete set, dedicates for Restorative and Endodontics)
67  separate clinic,  Sterilization Room/Area  Consultation room  Waiting room  Reception  Toilet  patient Record Keeping System  Infection Control and waste disposal system/ Protocol  Library Room Equipments Dental Chair with Halogen light spittoon and water supply  High Vacuum Suction  Micromotor or Air motor  Airotor Handpiece  Light cure unit  Ultrsonic Scaler Unit/ PisoScaler  Endodontic Microscope  Oil free Medical Grade Compressor  IOPA-X-Ray  Separate Lab Micromotor  X-Ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  Generator  Intra Oral Camera+ Computer Staff  Endo Specialist service everyday  two graduates dental surgeons  Receptionist  Trained assistant  cleaner  Waste disposable System expert 7. Implant Service Center- Implant and general  Minimum 3 dental chair (1 complete set, dedicates for Implant)  separate clinic ,  Sterilization Room/Area  Consultation room  Waiting room  Reception  Toilet  patient Record Keeping System  Infection Control and waste disposal system/ Protocol  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  Oil free Medical Grade Compressor  IOPA-X-Ray  Separate Lab Micromotor  X-Ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  Ultrasonic cleaner  Intra Oral Camera+ Computer  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 Oral implantology from University or the Original Implant Manufacture about the system  Receptionist  Trained assistant  cleaner  Waste disposable System expert  Sterilization Room/ Area and Protocol Dental Clinic The aim of the clinic is to provide general dental service in a clean and hygienic environment. Any graduate dental surgeons having permanent reg. from NMC can open dental clinic. The dental clinic should have minimum 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  Micromotor or Air motor  Airotor Handpiece  Light cure unit  Ultrsonic Scaler Unit/ PisoScaler  Oil free Medical Grade Compressor  IOPA-X-Ray  X-ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  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 and hygienic environment. The dental department should have minimum following facilities. Infrastructure- Reception , Waiting ,Clinic ,Toilet ,Cleaning and Sterilization area Equipment Three dental chairs (two for Drs and one for Hygienist) with Halogen light Halogen light spittoon and water supply  High Vacuum Suction  Micromotor or Air motor  Airotor Handpiece  Light cure unit  Ultrasonic Scaler Unit/ PisoScaler  Oil free Medical Grade Compressor ,electrocautry  IOPA-X-Ray ,X-ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  Generator Dental Hospital SN 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) Clinical Oral and maxillofacial Surgery (Oral surgeon visit on call and twice a week regular visit) Minor OT-2 Beds-2 DC-2 Minor OT-2 Major OT-1 General Beds-5 DC- 5 ICU beds-2 Minor OT-2 Major OT-1 General Beds-10 DC-7 ICU beds-2 Orthodontic Department ( specialist's visit at least twice a month) DC-1 ( specialist's visit at least twice a month) DC-2 ( specialist's visit at least twice a month) DC-4 Prosthodontic Department ( specialist's visit at least once a week) DC-1 ( specialist's visit at least once a week) DC-2 ( specialist's visit everyday) DC-5 General ( Integrated System) DC-10 ( Integrated System) DC-12 ( Integrated System) DC-22 Periodontic Department Specialist visit at least once a week ( specialist's visit at least once a week) DC-2 ( specialist's visit everyday) DC-5 Restorative/Pedo Dept. Specialist visit at least once a week ( specialist's visit at least once a week) DC-2 ( specialist's visit everyday) DC-5 24 hrs Emergency Dental services
70 Staff Graduate dental surgeon 10 15 25 Staff Nurses 2 5 7 Anesthetist on call on call on call Dental Hygienist 3 3 5 Dental Assistant 8 10 20 Radiographer 1 2 2 Lab Technician 1 2 2 Maintenance Technician 1 1 1 Receptionist 1 2 2 Store Keeper 1 1 1 Security Guard 1 1 2 Sweeper 3 4 4 Accountant 1 2 2 Manager 1 1 1 Other Facilities Sterilization room 1(14 Sq. m.) 1(14 Sq. m.) 1(14 Sq. m.) radiology-OPG,IOPA and CEPHDental laboratory dental Laboratory 1(14 Sq. m.) 1(14 Sq. m.) 1(16 Sq. m.) Pharmacy-24hrs Pathology-oral pathology General Pathology Waste Disposal System Water storage Toilets (male/female) 2 2 4 Canteen 24hr ambulance service Parking 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. @@= :jf:Yo lSnlgs÷kf]lnlSnlgs ;DaGwL dfkb08 tyf k"jf{wf/x? M-!_ :jf:YolSnlgs÷kf]nL lSnlgsdf :jf:Yo hfFr ug]{ lrlsT;s s'g} klg dfGotf k|fKt lzIf0f ;+:yfaf6 slDtdf klg MBBSjf ;f] ;/xsf] lrlsT;f ;DaGwL pkflw k|fKt u/L ;Dalwt sfpG;Lndf btf{ ePsf] x'g'kg]{5 . -@_ k/fdz{ ;]jf lbg] JolQm :jf:Yo lj1fgdf k|df0fkqtx plQ0f{ u/L k/fdz{ ;]jf tfnLd k|fKt x'g'kg]{5 . -#_ kf]lnlSnlgsdf /]l8of]nf]hL Od]lh· ;]jf,k|of]uzfnf tyf cf}iflw pkrf/ ;]jf ;+rfng ug'{ k/]df 5'§f5'§} ;]jf ;DaGwL lgwf{l/t k"jf{wf/ k'/f ug'{ kg]{5 . -$_ :jf:YolSnlgs÷kf]nL lSnlgsdf :jf:Yo ;]jf ;+rfngsf nflu b]xfo adf]lhdsf] cfjZos Go"gQd ef}lts ;'ljwfx? x'g'kg]{5 M– -s_ la/fdLsf] hfFr ug]{ Ventilated jf AC sf]7f ;]jf cg';f/sf] 5'§f5'§}x'g'kg]{ -slDtdf !$ ju{ ld6/sf]_ ! -v_ la/fdL a:g] 7fpF -s'g]{ 7fpF_ ! -u_ la/fdL hfFRg] 6]a'n ! -3_ lrlsT;ssf] nflu 6]a'n ! -ª_ lrlsT;ssf] nflu s';L{ !
71 -r_ la/fdL a:g] 6'n ! -5_ zf}rfnosf] Joj:yf ! -h_ 6]lnkmf]g -:j}lr5s_ -em_ :jf:Yo lzIff ;DaGwL ;"rgfd"ns kf]i6/ tyf cGo ;fdfu|L -`_ kfgLsf] cfk"lt{ ePsf] x'g'kg]{ . -%_;]jf / laifo cg'';f/sf] cfjZos cf}hf/ pks/0fx?sf] Joj:yf x'g'kg]{5. -^_ la/fdLsf] ;Dk"0f{ ljj/0f /fVgsf] nflu sDKo"6/ jf /lhi6/ x'g'kg]{5 . -&_ lSnlgsdf k|of]u ul/g] ;Dk"0f{ cf}hf/x? clgjfo{?kdf lgd{nLs[t ug]{ Joj:yf x'g' kg]{5 . -%_ lSnlgsdf sfd ug]{ cGo JolQmsf] of]Uotfsf] k|df0fk|q / ;DalGwt kl/ifb\df clgjfo{ ?kdf btf{ ePsf] x'g'kg]{5 . -^_ ;]jf z'Ns / cfos/ k|df0fkq ;j}n] b]Vg] 7fpFdf /fVg'kg]{5. -&_ dfl;s k|ltj]bg lhNnfsf] lhNnf hg :jf:Yo sfo{nodflgsfodf k7fpg] Joj:yf ug'{kg]{5 . @#= /]l8of]nf]hL jf 8fO{Ugf]li6s P08 Od]lhª ;]jf ;~rfngsf nflu cfjZos k"jf{wf/ tyf zt{x? M - !_/]l8of]nf]hL jf 8fO{Ugf]li6s ;]jf cGt/ut b]xfosf k|lalwx? kb{5g M–  X –Ray  Computed Tomographic Scan(CT Scan)  Magnetic Resonance Imaging (MRI)  Ultra Sonogram(USG)  Nuclear Medicine  PET Scan -@_ /]l8of]nf]hL 8foUgf]li6s tyf O{d]lhË ;]jfaf6 kg{] ljls/0fsf] b"ik|efjnfO{ sd ug{sf] nflupQm ;]jf ;~rfng ug{ cg'dlt lb+bf jf l;kmfl/;ubf{ lgDg dfkb08nfO{ cfwf/ dflgg]5 M– -s_ PS;/]sf] nflu M -!_ Pp6f PS;/] d]l;gInstallug{sf] nflu sDtLdf @@% :Sjfo/ lkm6sf] sf]7f pknAw x'g' kg{] . -@_ PS;/] ug{] sf]7fsf] Wall Thickness -s_ ( O{~r With Plaster of Paris jf --v_ ^ Inch with with .20 mm lead barrier jf -u_ @=) Pd Pd lead thickness x'g' kg{] . ;fy} emofn, 9f]sf tyf leQfaf6 x'g] ljsLs/0fsf] r'xfj6 x'g g;Sg] u/L cfjZos Joj:yf ePsf] x''g'kg{] . -#_ Xray ;]jf k|bfg ug{] JolQmsf]nflu PS;/] sf]7f leq )=% mm sf] Pk|f]g tyfradiation protective measures sf] Joj:yf x'g'kg{] . -$_ Radaiology df sfo{/t sd{rf/Lx?sf] nflu radiation dose monitorpknAw x'g' kb{5 / ;do ;dodfRadiation Survey Monotoring ug{'kg{] . -%_ Eye Gonadal, Thyroid Gland cflbsf] Protection sf] nflu Lead glass/gloves/lead apronsf] Joj:yf x'g'kg{] . -^_ X-ray PS:kf]h ug{] sf]7f 8fs{?d / k|tLIff ug{] sIf 5'§f5'§} x'g'kg{] . -&_ Radiology ljefudf hg;fwf/0ffn] b]Vg] 7fpFdf Xrayljls/0fn] :jf:Yodf v/fj c;/ kg{ ;S5 eGg]af/] ;"rfgf ug{] . ;fy} ;"rgfdf
72 ue{jtL dlxnf tyf afnaflnnfO{ cgfjZos lals/0faf6 aRg cg'/f]w ug{] -*_ :jf:Yo dGqfnosf] :jLs[lt j]u/ Radiology;DaGwL d]lzg g]kfn leq Nofpg / ;~rfng ug{ gkfOg] . -v_ ;L 6L :Sofg (CT Scan) Pd cf/ cfO{(MRI): o:tf pks/0f h8fg ubf{ pTkfbg ug{] sDkgLn] tf]s]sf] lgb{]lzsfsf] k"0f{?k]0f kfngf ug{' kg{] / Go"gtd k"jf{wf/x? b]xfo adf]lhdsf] x'g' kg{]5 M– -!_ Pd cf/ cfO{ ÷;L 6L :Sofg /fVg] sf7fsf] ;fO{h slDtdf !^×@) kmL6sf] x'g' kg{]5 . -@_ ;L 6L :Sofgsf] nflu ljls/0f lns]h x'g glbgsf nflu dfyL PS;/]sf] nflu pNn]v eP adf]lh Joj:yf ldnfpg' kg{]5 . -@_ Pd cf/ cfO{ sf] sf]7fsf] nflu jfXo r'DasLo c;/ gkg{] Joj:yf ldnfpg' kg{]5 . -$_ 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/ ;L cf/ 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]lhd x'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|fKt lzIf0f ;+: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/af6 dfGotf 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 Radiation ProtectionJojl: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 20 Milisievert per year (WHO) sf] ;g @))@ sf] dfkb08 cg';f/ b]lvPdf pko'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 dfGotf k|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{] lgDg adf]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 JolQm x'g' kg{] . -!)_ A/C Machine sf] Joj:yf / Ps hgf slDtdfPCL u/]sf] JolQm Joj:yf x'g'kg]{ .lals/0f If]qdf sfdug]{nfO{ clgjfo{ ?kdf /]l8o];g eQfsf] 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|flkms 6]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]hL df 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 pkfwL k|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 Study afx]ssf ;j} k/LIf0fx? . -v_ laz]if1d]l8sn 6]Sgf]nf]lhi6M dfGotf k|fKt lzIf0f ;+:yfaf6d]l8sn Nofj 6]Sgf]nf]hL laifodf :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|fkt u/]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=c tflnd 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 lghL k|of]uzfnf vf]nL ;~rfng ug{ kfpg] 5g\ / Nofj cl;i6]06sf] xsdf cfk"m eGbf dflyNnf] pkflw k|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;fo ug{ 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]qLo c:ktfn, If]qLo c:ktfnsf] ;fy} s]Gb|Lo c:ktfnx?df x'g] ljif]z k|sf/sf k/LIf0fx? (Highly Specelized 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? dfq ug{ 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 gas Analyzer clgjfo{ ?kdf x'g'kg{]5 . cGosf] xsdf National Helath Laboratory Policy 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{]zg adf]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{Kt dfqfdf 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]xL c'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 tyf j}slNks lrlsT;f k|0ffnL cGtu{t lghL :t/df :jf:Yo ;+:yfsf] :yfkgf, ;~rfng tyf :t/f]Gglt ubf{ 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:ffo ubf{ ;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 pkflw k|fKt JolQmaf6 jdg, lj/]rg, lz/f]lj/]rg, cf:yfkg, cg'jf;g jl:t / /Stdf]If0f k|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 tflnd lbg'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 jf pko'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 cGo cfjZos ;]jfx? ;+rfng ug'{k/]df ;DalGwt laifosf] hgzlQm / ;f] ;DaGwL ef}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'g s'g laifo / ;]jf lbg] p2]Zo /flvPsf] xf] < ;f] k|i6 pNn]v ul/ ;f]xL adf]lhdsf hgzlQm, 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{j tTjsf] 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 ;lxt cg'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]{b lrlsT;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]lvt ljefu÷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 tyf dfkb08sf] 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 tyf vfg]kfgLsf] Joj:yf x'g'kg]{ .   x'g'kg]{ @= ;]jf jlx/Ë    cGt/Ë    #= hgzlQm cfo'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 ;Dd c=g=ld= # hgf $ hgf ^ hgf Nofj 6]Sgf]nf]lhi6 :j}lR5s :j}lR5s Nofj 6]lSgl;og :j}lR5s ! hgf ! hgf Nofj 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;g k|zf;g clws[t cfjZostf cg';f/ cfjZostf cg';f/f gfoj ;'Aaf cfjZostf cg';f/ ! hgf ! hgf vl/bf/ -n]vf_ + k|zf;g ! hgf ! hgf ! hgf sDKo"6/ k|fljlws vl/bf/ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/ lkog + kfn] # hgf # hgf # hgf efG5]÷6xn'jf @ hgf @ hgf @ hgf dfnL 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 ! @ @ Lancet Scalpel & kitle holder etc. @ # # Dressing set Kidney 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 ;Dd Gauge, bandage/teucoplest/xylocain etc. & !) !@ Catherer set Plain, folley's & matlicot cather !) @) @) Diagnostic set @ # # General Tongue Spatula @ # # Torch light/emergency light @ # $ Specific ENT set @ @ @ Gynecological Examination Set, D & C Set, Cucus, Sim's Speculum, emema set ! @ # Neonatal care set ! ! @ Macintos sheet, Kally's pad % ^ * Other Proctoscope/Laryngoscope/ Ophthalmoscope @ $ $ Tonometer/Rhinoscope ! ! ! Sterilizer/Autoclave drum set ! @ @ Equipments & Materials for emergency case management @ @ # Nebulizer ! ! ! Ryle's Tube Gastric 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 ;Dd la/fdL btf{ sIf la/fdL hfFFGg] sf]7f n]vf k|zf;fg sIf ! j6f ! j6f @ j6f ! j6f @ j6f @ j6f ! j6f $ j6f @ j6f *= cfsl:sd ;]jf ;'ljwf clS;hg ;]6 cfsl:sf ;]jfdf cfjZos cGo pks/0f laz]if1 ;]jfsf] xsdf ;f]lx cg';f/sf hgzlQ sIf / cfjZos pks/0f x'g'kg]{ . @ ;]6 x/]ssf @/@ ;]6 cfjZostf cg';f/ # ;]6 x/]ssf #/# ;]6 cfjZostf cg';f/ $ ;]6 x/]ssf $/$ ;]6 cfjZostf 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] cnu cnu 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 cnu sIf  cEoË 6]a'n  ;jf{Ë :j]bg o+q  gfl8 :j]bg o+q nufot ljljw !# k|sf/sd :j]bgsfnfuL cnu cnu cfjZos 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 tTj cflbsf] 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/ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/ ! ! ! @ ! ! cfjZostfcg';f/ cfjZostf cg';f/ ! cfjZostf cg';f/ ! ! cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/ ! ! ! @ !#= k~rsd{ ;]jf -% j6} ;]jfsf nfuL cnu cnu sIf x'g'kg]{ _ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/ !$= k'g{:yfkg sIf cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/ !% km'n kmn ;lxt :jR5 jftfj/0f / cf}iflw o'Q x{j]{l/od ;d]t x'g'kg]{ . cfjZostf cg';f/ cfjZostf cg';f/ ! -3_ cfo'j]{b :jf:Yo lSnlgs÷kf]lnlSnlgs ;DaGwL dfkb08 tyf k"jf{wf/x?Mcfo'j]{b kf]lnlSnlgs ;]jf ;~rfngubf{ Pp6} Joj:yfkg cGtu{t /xL tLg jf ;f] eGbf a9L ;]jf k|bfg ug'{ kg]{/ cf}iflw ;]jfsf] Joj:yf ;d]t x'g'kg]{5 .:jf:Yo hfFr ug]{ tyf k/fdz{ lbg] JolQm s'g} klg dfGotf k|fKt lzIf0f ;+:yfaf6 slDtdf klg BAMSjf ;f] ;/xsf] lrlsT;f ;DaGwL pkflw k|fKt u/L cfo'j]{b lrlsT;f kl/ifb\df btf{ ePsf] x'g'kg]{5 . -!_ Ps ;]jf ;~rfngsf nflu cfjZos Go"gtd ef}lts ;'ljwfx? lgDg cg';f/sf] x'g'kg]{5M–
82 -s_ la/fdLsf] hfFr ug]{ e]lG6n]6]8 sf]7f ;]jf cg';f/sf] 5'§f5'§} x'g'kg]{5 . -slDtdf !$!) 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:t cflb 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?sf nflu 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?af6 lbOg] ;]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_ . -$_ kZrft\ sd{ . -v_ cGo sd{ -!_ cEoË, :j]bg, @# k|sf/ :j]b jfXo jl:t, g]q tk{0f, lz/f]wf/f, lz/f] jl:t, t]n, :gfg, n]k, sl6:gfg, kfb:gfg cflb sd{x? . -@_ ;Tjfjho sd{M ;Tjfjho, of]u, Wofg, gfb lrlsT;f cflb sd{x? . -#_ cfjZos hgzlQmx?Mcfo'j]{b lrlsT;f cGtu{t k~rsd{ / ;DalGwt s'g} klg sd{x? bIf cg'ejL cfo'j]{b lrlsT;sx?sf] dftxtdf /x]/ dfq lbOg' kg]{5 .lgDgfg';f/ of]Uotf ePsf hgzlQmx?af6 pk/f]Qm ;]jfx? ;~rfng ug'{ kg]{5M– -s_ cfo'j]{b lrlsT;s M cfo'j]{b lrlsT;f k|0ffnLdf :gfts jf :gftsf]Q/ pkflw k|fKt . -v_ k~rsd{ lrlsT;f ;xfos M cfo'j]{b lrlsT;f k|0ffnLdf k|df0fkq tx jf cfo'j]{b :jf:Yo ;xfos tx pQL0f{ u/L Go"gtd # dlxgfsf] k~rsd{ tflnd k|fKt u/]sf] x'g'kg]{5 . -u_ k~rsd{ ;x–;xfos M slDtdf P;=Pn=;L=kf; u/L cfo'j]{b lrlsT;ssf] dftxtdf /xL ;f] ;DaGwL cfjZos sd{x?sf] tflnd ;lxtsf] @ jif{sf] cg'ej k|fKt u/]sf] .
84 -3_ cEoËstf{ -dlxnf / k'?if b'j}_ M slDtdf cf7 sIff k9L @ jif{;Dd cfo'j]{b lrlsT;ssf] dftxtdf j;L cEoËstf{sf] ?kdf cg'ej k|fKt u/]sf] . -$_ 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}rfno cfjZos :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|df0fkq tx jf ;f] ;/x_ -u_ xf]ldof]Doflys ;xfos –! -dfGotf k|fKt ;+:yfaf6 xf]ldof]Koflydf tflnd k|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}iflwM xf]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/ M l;=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/ pknAw ePsf] @ ;]jf s_ alx/Ë ;]jf v_ cGt/Ë ;]jf # hgzlQm lrlsT;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 Æ X-ray view box Æ Æ Æ Æ Æ Æ Æ Æ Thermometer Æ Æ Æ Æ Æ Æ Æ Æ
87 Weighing Machine Æ Æ Æ Æ Æ Æ Æ Æ prfO{ gfKg] ;fwg Æ Æ Æ Æ Æ Æ Æ Æ Apron Æ Æ Æ Æ Æ Æ Æ Æ Gloves Æ Æ Æ Æ Æ Æ Æ Æ Oxygen set Æ Æ Æ Æ Æ Æ Æ Æ Catheterization set Æ Æ Æ Æ Æ Æ Æ Æ Torch Æ Æ Æ Æ Æ Æ Æ Æ Cotton, gauze, bandage Æ Æ Æ Æ Æ Æ Æ Æ / cGo cfjZos ;fdfu|Lx? Æ Æ Æ Æ Æ Æ Æ Æ % cGt/Ë ;]jf k'?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 kfgL k¥ofKt @ @ # # Wheel Chair÷ :6«]r/÷6«nL @ @ # # rf6{÷ns/÷kmfOn % !) !% @% a]8 Kofg -z}of ;+Vofsf] cfwf/df_ % !) !% @% s'?jf a:g] 6'n % !) !% @% lrlsT;s cf/fd ug]{ a]8 ! ! ! ! g;{ 8\o'6L ?d !$ ×!) ! ! ! ! la/fdL cf;fg]{ PDa'n]G; ! ! ! ! sDKo'6/ tyf lk|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]7f alx/Ë ;]afsf] nflu la/fdL hfFRg] 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[lts lrlsT;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 -$_ PSo"k|];/ y]/flki6x?sf] nflu d]r / 6]a'n -%_ bIf PSo"k|];/ y]/flki6 -pkrf/s_ -^_ cw{bIf PSo"k|];/ y]/flki6 -pkrf/s_ –! hgf -&_ sfof{no ;xfos –! hgf -*_ :jLk/ –! hgf -(_ cfjZos pks/0fx?M -s_ PSo"k|]z/ hfFr ug]{ d]lzg -v_ tf}n lng] d]lzg -u_ PSo"k|]z/ ug]{ lhdsf d]lzgx? -3_ zlQm ;~rf/ ug]{ pks/0fx? -ª_ On]S6«f]lgs PSo"k|]z/ d]lzg -r_ :kfOgn /f]n/ -5_ k]ml;on /f]n/ / cGo Jofofdsf pks/0fx? . -!)_ ;+:yfut ?kdf vf]lng] lSnlgsM -s_ g]kfn ;/sf/af6 :jLs[t k|fKt lgsfosf] cg'dlt lnP/ dfq :jf:Yo lSnlgs ;~rfng ug'{k5{ .
89 -v_ :jf:Yo lSnlgs ;~rfng ug{ dfly pNn]lvt Joj:yf x'g' clgjfo{ 5 . -u_ lrlsT;s pkrf/s nufot sfd ug]{ hgzlQmn] g]kfnL gful/stfsf] k|df0fkq k|fKt u/]sf] x'g'kb{5 . -!!_ la/fdL egf{ u/]/ klg pkrf/ ug{ ;lsg]5 . -!@_ la/fdL egf{ ug{ :jf:Yo lSnlgsdf lgDglnlvt yk Joj:yf x'g'kb{5M– -s_ la/fdL /fVg] sf]7f -v_ la/fdL ;'Tg] a]8, cfjzos cf]8\g] cf]5\ofpg] ;fdfg -u_ ;kmf / k|b"if0fd'Qm sf]7f -3_ :gfg 3/ -ª_ ;kmf kfgL -r_ ;Gt'lng ef]hg cflb -5_ la/fdL ;'Tg] j]8 Psn] csf{nfO{ g5'g] u/L slDtdf @–# lkm6sf] b"/Ldf /fVg] -h_ zf}rfno . -!#_ g]kfn ;/sf/af6 cg'dlt lnP/ ;~rflnt ;a} PSo"k|]z/ :jf:Yo lSnlgsn] cfo'j]{b ljefudf j}slNks lrlsT;fdf ;+:yf btf{ u/]sf] x'g'kg]{5 . -!$_ 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 jf j}slNks lrlsT;faf6 k|dfl0ft u/]/ dfq o; ;DaGwL laqmL lat/0fdf jhf/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;qmd cg';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] nflu b]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/ ) ! @ hgf v_ :gfts ! @ # hgf u_ PSo"k~r/ ;xfos @ # ^ hgf 3_ gl;{Ë :6fkm ) @ # hgf ª_ k|zf;lgs sd{rf/L hg/n c:ktfn ;/x r_ sfof{no ;xof]uL ! @ $ hgf $ pks/0f s_ PSo"k~r/ lgl8n v_ df]S;f l:6s u_ slkË 3_ c6f]Sn]e ª_ :6]yf]:sf]k r_ 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'Nnf hUuf -%% 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] 7fpF kof{Kt kfgLsf] Joj:yf ePsf] zf}rfno dlxnf / 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]7f Joj:yfkg sIf ! j6f ! j6f @ j6f ! j6f # j6f ! j6f % j6f @ j6f ;]jf k|bfg ug]{ sf]7f cg';f/ %= cfsl:ds ;]jf ;'ljwf clS;hg ;]6 IV Set cfsl:ds ;]jfdf cfjZos cGo pks/0f cfjZostfg';f/ ^= k|of]uzfnf sf]7f    
91 pkrf/sf ;fdu|L -df6f], kfgL cflbsf] u'0f:t/ hfFr ug]{ sf]7f_ &= dgf]k/fdz{ Pj+ hLjgz}nL / :jf:Yo k|lzIf0f sf]7f ! j6f ! j6f @ j6f # j6f *= of]uf;g, k|f0ffofd, Wofg cflbsf nflu cfjZos xn @) hgf $) hgf ^) hgf !)) hgf cfjZos tfg';f/s f] sf]7f (= Physiotherapy Unit ! j6f ! j6f ! j6f ! j6f cfjZos tfg';f/s f] sf]7f !)= pkrf/ ;]jfsf sf]7f -hn lrlsT;f, df6f] lrlsT;f, ;"o{ ls/0f lrlsT;f, r'Das lrlsT;f, dfln; Pj+ cGo k|fs[lts lrlsT;f ;]jfsf nflu_ !) j6f !% j6f @) j6f @) j6f pkrf/sf] k|s[lt cg';f/ ;fgf 7"nf !!= ef]hgfno -lrlsT;sn] lbPsf] ef]hg tflndsf cg';f/sf] ef]hg lbg ;Sg] ef]hgfno, ef]hg Pj+ kf]if0f ljz]if1sf nflu cfjZos sf]7f_ # j6f # j6f # j6f # j6f ;+:yf cg';f/ agfO{Psf sf]7fx? !@= k'gtf{huL sIf – lrlsT;s, ;xfos lrlsT;s cflbsf] nflu     dlxnf÷k' ?if 5'§f5'§} !#= z}of÷sf]7f ljz]if ;3g pkrf/ sf]7f -! hgf la/fdL dfq /fVg]_ @÷@ hgf la/fdL /fVg] ;'ljwf ePsf] sf]7f $÷$ hgf la/fdL /fVg] ;'ljwf ePsf] sf]7f ^÷^ hgf la/fdL /fVg] ;'ljwf ePsf] 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 oGq sl6:gfg 6j /L9:gfg 6j PgLdf (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/0f ifb\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] oGq ydf]{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 laleGg cfsf/ Pj+ lsl;dsf x'g] x'gfn] 5'§} lgwf{/0f ug'{ kg]{ .
92 /Qmrfk gfKg] oGq (BP Set) gfs,sfg, 3fF6L hfRg] oGq (ENT Set) tf}n gfKg] oGq (Weighing Machine) j6f % j6f @ j6f j6f % j6f # j6f $ j6f ^ j6f !&= hgzlQm lrlsT;s ;xfos lrlsT;s pkrf/s ;xfos pkrf/s n]vf clws[t n]vfkfn k|zf;sLo k|d'v k|zf;sLo ;xfos ;'k/efO{h/ Receptionist sfof{no ;xof]uL -lkog_ dfnL rf}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 #±$*hgf ^ hgf @% hgf % hgf ! hgf ! hgf ! hgf @ hgf @ hgf # hgf ^ hgf # hgf % hgf k|fljlws k|fljlws k|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws * as per need.
93 kl/R5]b !) cg';Gwfg, clen]v tyf k|ltj]bg ;DaGwL Joj:yf @&= cg';Gwfg,clen]v tyf k|lbj]bgM-!_cg';Gwfg s]Gb| /fvL cg'dlt lnPsf ;DjlGwt c:ktfnn] /fli6«o :jf:Yo cg';Gwfg kl/ifbsf] dfkb08 cg';f/ slDtdf jif{df @ j6f cg';Gwfg u/L ;f] sf] k|ltj]bg dGqfno tyf cg';Gwfg kl/ifb / cfo'j{]b cg';Gwfgsf xsdf /fli6«o cfo'j{]b cg';Gwfg tyf tfnLd s]Gb|nfO{ ;d]t a'emfpg' kg]{5 . cg'';Gwfg s]Gb|n] To:tf] cg';Gwfg gu/]df;DjlGwt lgsfon] vf/]h ug{ ;Sg]5 . -@_cg';Gwfg s]Gb|sf] cg['dlt glnPsf cGo c:ktfnn]o; lgb{]lzsf adf]lhd :jLs[t k|fKt :jf:Yo ;+:yfn] :jf:Yo Joj:Yffkg ;"rgf k|0ffnLn] tf]s]sf] 9fFrfdf cfkm'n] k|bfg u/]sf] ;]jfsf] dfl;s k|ltj]bg ;DalGwt lhNnf :jf:Yo ÷hg :jf:Yo sfo{nodf clgjfo{ ?kdf k]z ug'{ kg{]5 . o;/L tf]lsP adf]lhd k|ltj]bg k]z gug{] :jf:Yo ;+:yfnfO{ ;r]t u/fpg;Sg]5 . -#_;"rgf Joj:yfkg ug{] sd{rf/LnfO{ ;DalGwt lhNnf :jf:Yo÷hg:jf:Yo sfof{noaf6 tflnd lng] Joj:yf u/fpg] kg]{5 . -$_:jf:Yo ;+:yfn] k|bfg u/]sf] ;]jfsf] ljj/0f ICD 10 cg';f/ coding u/L ;f]xL cg';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"g adf]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 tfklg b]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:Yo sfof{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]v eP adf]lhdsf] ;]jf z'Ns lgwf{/0f ;ldlt /xg]5 . -@_ pkbkmf -!_ sf] k|of]hgsf] nflu ;]jf z'Ns lgwf{/0f ;ldltsf] a}7s cfjZostf cg';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 tyf cg';"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;Fu aflemPdf 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]{lzsf adf]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 gf]6M ;ldltn] cfjZostf cg';f/ ;DalGwt ljifosf ljz]if1nfO{ ;ldltsf ;b:osf ?kdf yk ug{ ;Sg]5. 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 gf]6M ;ldltn] cfjZostf cg';f/ ;DalGwt ljifosf ljz]if1nfO{ ;ldltsf ;b:osf ?kdf yk ug{ ;Sg]5. 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 gf]6M ;ldltn] cfjZostf cg';f/ ;DalGwt ljifosf ljz]if1nfO{ ;ldltsf ;b:osf ?kdf yk ug{ ;Sg]5.
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/ tyf gePsf] 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 ;lxt lgj]bg kmf/fd k]z u/]sf] 5'÷5f} . lgj]bg kmf/fdM sfo{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]hg cN6«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– gfd kb of]Uotf kf6{6fO{d k'mn6fO{d -u_ k|zf;lgs M– gfd kb of]Uotf kf6{6fO{d k'mn6fO{d 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 ;]jf PS;–/] vf]k k|;"lt tyf :qL/f]u cN6«f;fp08 Pd=l;=Pr= hg/n d]l8l;g O08f]: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{Toflb cGo ;]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{/0f OsfO{ :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;f z}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] nflu klRr;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 established upgrade standard

by asian-college

on Jul 15, 2015

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, , 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"g adf]lhd ;/sf/L, lghL, ;fd'bflos, u}/;/sf/L jf ;xsf/L :t/df :yfkgf x'g] :jf:Yo ;+:yfsf] ;]jf lj:tf/, :t/a[l4, :jf:Yo ;]jf ;~rfng ubf{ kfng ug'{ kg]{ dfkb08 tyf :jf:Yo ;]jf ;~rfng cg'dlt k|bfg ug]{ k|s[ofnfO{ ;/n, ;xh, Jojl:yt tyf k|efjsf/L agfO{ :jf:Yo ;]jf ;~rfng ug{ jf~5gLo ePsf]n], ;'zf;g P]g, @)^$ sf] bkmf $% n] lbPsf] clwsf/ k|of]u u/L g]kfn ;/sf/n] b]xfosf] lgb]{lzsf agfPsf]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]Gglt dfkb08 ;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] lzIf0f c:ktfn ;d]tnfO{ hgfpF5 . -3_ æcfo'j]{b c:ktfnÆ eGgfn] cfo'j]{b lrlsT;f k4ltdf cfwfl/t eO{ :jf:Yo ;]jf k|bfg ug]{ :jf:Yo ;+:yf ;Demg' k5{ / ;f] zAbn] cfo'j]{b lrlsT;f k4ltaf6 pkrf/ 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|fKt u/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 ;~rfng ug{] ;+:yfnfO{ ;Demg' k5{ .
4 -h_ ælghL c:ktfn jf gl;{Ëxf]dÆ eGgfn] :jf:Yo ;]jf k|bfg ug]{ p2]Zon] k|rlnt sDkgL 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 slDtdf kfFr 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]lhd g]kfn ;/sf/af6 :JfLs[t /fli6«o ejg ;+lxtf ;Demg' k5{ . -6_ æejg lgdf{0f dfkb08Æ eGgfn] sf7df08f} pkTosfsf] xsdf sf7df08f} pkTosf leqsf gu/kflnsf / gu/f]Gd'v ufpF ljsf; ;ldltx?df nfu" ul/Psf] ejg lgdf{0f ;DaGwL dfkb08, @)^$ ;Demg' k5{ / ;f] zAbn] cGo If]qsf] nflu ;DalGwt gu/kflnsf jf ufpF ljsf; ;ldtaf6 hf/L ePsf] ejg lgdf{0f ;DaGwL dfkb08 tyf :jf:Yo ;DaGwL ejgsf] nflu 5'§} dfkb08 gePsf] :yfgsf] xsdf cg';"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] nflu cg''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 lnO cg'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 kfFr j6f 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'dlt lnO{ 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]t kfngf 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 ;+qmd0f lgoGq0f (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 .
6 -ª_ :jf:Yo ;+:yfn]] pknAw u/fpg] elgPsf] ljz]if1 ;]jf ;DalGwt laz]if1 lrlsT;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/] :ki6 hfgsf/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 ;xfotf sIfsf] Joj:yf u/L ;]jfu|fxLnfO{ cfjZos hfgsf/L lbg]] Joj:yf u/]sf] x'g' kg{]5 tyf 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]u la?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 ;]jf lbg] 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'n z}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]if lsl;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 / ;DalGwt If]qsf] ejg lgdf{0f ;DaGwL dfkb08 cg'?k x''g kg{]5 .
7 -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 tyf cGt/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 ;Ddsf c: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:Yo k|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:Yo lgb]{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] nflu dGqfnoaf6 . -@_ 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] nflu lgj]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/0fLo k|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|fKt ePsf] 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 . -$_ pkbkmf -#_ adf]lhdsf] k|ltj]bg k|fKt ePkl5 ;f] k|ltj]bgsf] cfwf/df k'jf{wf/ lgdf{0fsf nflu cg'dlt lbg pko'Qm x'g] b]lvPdf k|ltj]bg k|fKt ePsf] ldltn] kGw| sfo{ lbgleq cg'dlt k|bfg ug]{ lgsfon] a9Ldf tLg jif{;Ddsf] ;dofalw lbO{ k"jf{wf/ lgdf{0fsf] nflu lgj]bsnfO{ dg;fokq (Letter of Intent) k|bfgug{ ;Sg]5 . -%_ pkbkmf -$_ 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|bfg ug]{ lgsfon] To:tf] c:ktfnnfO{ a9Ldf b'O{ jif{df ga9\g] u/L k"jf{wf/ lgdf{0fsf] nflu ;dofjlw yk ug{ ;Sg]5 . -^_ lzIf0f c:ktfnsf] xsdf g]kfn d]l8sn sfplG;nn] tf]s] adf]lhdsf] dfkb08 k'/f u/]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{ cfjZos sfuhftx? ;+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 ;~rfng cg'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]bg k|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 :ynut lg/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 . -$_ pkbkmf -#_ adf]lhd cg'udg ;ldltsf] k|ltj]bgsf] cfwf/ / o; lgb]{lzsfdf plNnlvt cGo dfkb08 k"/f u/]sf] :jf:Yo ;+:yfnfO{ cg'dlt k|bfg ug]{ lgsfon] kfFr jif{sf] nflu :jf:Yo ;]jf ;~rfng ug{ dGqfnon] tf]s]sf] 9fFrfdf cg'dlt lbg ;Sg]5 . -%_ o; bkmf adf]lhd :jf:Yo ;+:yfnfO{ :jf:Yo ;]jf ;~rfng ug{ cg'dlt lbg] glbg] ;DaGwdf pkbkmf -$_ adf]lhd cg'udg ;ldltsf] k|ltj]bg k|fKt ePsf] ldltn] !% sfo{lbg leq lg0f{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/L cg'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[lt lnPsf] :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'dlt k|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{ / dfkb08 sfod 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|ult k|ltj]bg ;DalGwt cg'dlt k|bfg ug]{ lgsfo ;dIf k]z ug{' kg]{5 . -$_ k|alns/0f x'g] c:ktfn jf gofF lgdf{0f ug{ cg'dlt lnO{ ;fljss} ejgaf6 ;]jf lbO{/x]sf] :jf:Yo ;+:yfn] lgdf{0f cjlwe/sf nflu ejgsf sf/0f jf c:ktfnsf cf}hf/ pks/0fn] x'g ;Sg] b'3{6gfsf nflu z}of Ifdtf a/fa/sf] ;+Vofdf k|lt JolQm krf; xhf/ ?k}+of a/fa/sf] ;fd'lxs b'3{6gf aLdfsf] Joj:yf ug{' kg{]5 . -%_ o; bkmf adf]lhdsf] k|s[of k'/f u/]sf] :jf:Yo ;+:yfnfO{ bkmf * adf]lhd :jf:Yo ;+:yf ;~rfng ug{ cg'dlt k|bfg ul/g]5 . -^_ o; bkmf adf]lhd cg'dltsf] nflu lgj]bg glbg], lgj]bg lbP klg cg'dlt gkfpg] jf lgwf{l/t calw leq k"jf{wf/ jf dfkb08 sfod gug{] :jf:Yo ;+:yfsf] cg'dlt To:tf] cg'dlt lbg] lgsfon] /b\b ug{]5 . !!= cg'dlt b:t'/ a'emfpg' kg ]{ M:jf:Yo ;+:yfsf :yfkgf, ;]jf lj:tf/ jf :t/f]Gglt ug{ cg'dlt k|fKt ePdf ;DalGwt :jf:Yo ;+:yfn]] cg';"rL ^ df pNn]v eP adf]lhdsf] cg'dlt b:t'/ cg'dlt k|bfg ug]{ lgsfonfO{ a'emfpg' kg]{5 . !@= gjLs/0f u/fpg' kg] { M -!_ o; lgb]{lzsf adf]lhd :jf:Yo ;]jf ;~rfng ug{ cg'dlt k|fKt :jf:Yo ;+:yfn] ;]jf ;~rfng cg'dltsf] cjlw ;dfKt ePsf] ldltn] tLg dlxgfleq cg'dlt k|bfg ug]{ lgsfo ;dIf gjLs/0fsf nflu lgjb]g lbg' kg]{5 . -@_ pkbkmf -!_ adf]lhd lgj]bg k|fKt ePdf cg'dlt k|bfg ug]{ lgsfon] cg';"rL ^ df pNn]v eP adf]lhdsf] b:t'/ lnO{ tLg jif{sf] nflu :jf:Yo ;+:yfnfO{ ;]jf ;~rfng cg'dltsf] gjLs/0f ul/ lbg ;Sg]5 . t/ of] lgb{]lzsf k|f/De x''g' cl3 :jf:Yo ;+:yf ;~rfng ug{ c:yfoL ?kn] cg'dlt kfPsf :jf:Yo ;+:yfsf] xsdf To:tf] :Jff:Yo ;+:yfn] o; lgb{]lzsf adf]lhd tf]lsPsf] dfkb08 tyf k"jf{wf/ sfod gu/];Dd tLg aif{df ga9fO{ k|To]s Ps aif{sf] nflu cg'dlt gljs/0f ul/ lbg' kg{]5 . -#_ pkbkmf -!_ adf]lhdsf] cjlw leq dgfl;a sf/0f k/L lgj]bg k]z ug{ g;s]sf] egL sf/0f v'nfO{ yk 5 dlxgfleq lgj]bg k]z u/]df bf]Aa/ gjLs/0f b:t'/ lnO{ ;DalGwt lgsfon] ;]jf ;~rfng cg'dlt gjLs/0f ul/ lbg ;Sg]5 . -$_ 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 dlxgfleq cg'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 . -$_ o; bkmfdf cGoqdf h'g;'s} s'/f n]lvPsf] eP tfklg ;DalGwt lgsfo jf :jf:Yo ;+:yf /x]sf] lhNnf :jf:Yo÷hg:jf:Yo sfof{non] j:t'ut cfwf/df h'g;'s} avt cg'udg 6f]nL v6fO{ cfsl:ds cg'udg ug{ ;Sg]5 . -%_ o; lgb]{lzsfdf cGoq h'g;'s} s'/f n]lvPsf] eP tfklg dGqfnon] h'g;'s} lgsfoaf6 ;]jf ;~rfng cg'dlt k|fKt u/]sf] c:ktfn jf :jf:Yo ;+:yf / cg'dlt k|bfg ug{] lgsfosf] ;d]t cg'udg ug{ ;Sg]5 . -^_ pkbkmf -$_ jf -%_ adf]lhd lgoldt jf cfsl:ds cg'udg ubf{ tf]lsPsf] u'0f:t/ jf k"jf{wf/ k"/f gu/L ;]jf ;~rfng u/]sf] kfO{Pdf To:tf] ;+:yfnfO{ tTsfn ;'wf/sf nflu a9Ldf tLg dlxgfsf] 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]bg k]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]lhd ul/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]bg k]z ePsf] ldltn] !% lbg leq lrQ ga'‰g'sf] :ki6 cfwf/ / sf/0f ;lxt k'g/fanf]sgsf nflu dGqfnosf ;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 clGtd x'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:yf ePsf] . -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'?k juL{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 ePsf juL{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 ;]jf sIfdf 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 tyf la/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)/Primary Trauma Care (PTC)/Advance Cardiac Life Support (ACLS)/ Advance Trauma Life Support (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:yf ldnfPsf] . -v_ c:ktfnsf nflu ;fdfGotof ;fdfGo lrlsT;f, jfn/f]u, ;fdfGo zNolqmof, :qL tyf k|;'tL ;]jf x'g'kg]{ tyf k"jf{wf/ k"/f u/L xf8 hf]gL{, gfs sfg 3fF6L, 5fnf tyf 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:yf u/]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 pQm zNolqmof 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 tTsfn pknAw 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 eGbf a9L z}of /fVg gkfOg] . -%_ PnfO{8 x]Ny tyf lgbfgfTds ;]jfsf nlfu b]xfo adf]lhdsf] k"jf{wf/ ;DaGwL dfkb08 k'/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;ª nufotsf 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]t Joj: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] bIf hgzlQmsf] 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:yf ldnfpg' 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/ dfq ljt/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{ gi6 ug'{ 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{0f ePsf] x'g' kg]{ . -!)_ /Qm ;~rf/ ;]jf (Blood Bank) sf nflu b]xfo adf]lhdsf] k"jf{wf/ ;DaGwL dfkb08 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] nflu cfjZos 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:yf ePsf] x'g' kg]{ . -!!_ krf; z}of eGbf dfly Ifdtfsf] c:ktfndf lkmlhof]y]/flk ;]jf clgjfo{?kdf pknAw x'g' kg]{5 . -!@_ c:ktfndf /x]sf la/fdL tyf cGo ;]jfu|fxLnfO{ c;xh gx'g] u/L cnUu} lr:ofg sIf 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]{ plrt k|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'lrt k|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]g gDa/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]bgzLn sIfx¿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 cnu cnu _ -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'Qm SoflG6gsf] 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:yf ePsf] x'g' kg]{ . -v_ c:ktfn egf{ ePsf la/fdLsf] n'uf w'g] ;'ljwfsf] Joj:yf ePsf] 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] nflu cTofjZos ;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/C cflb)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] ! j6f PDa'n]G; clgjfo{ x''g'kg]{ / c:ktfnn] To:tf d]l8sn P6]08]06nfO{ Basic Emergency 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}6 ubf{ 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] slDtdf Ps sLnf]dL6/ 6f9f x'g' kg{]5 . ljlzi6 k|s[ltsf] ax';]jf pknAw u/fpg] c:ktfn, cfo"j{]b, xf]dLof]Koflys h:tf km/s k|s[ltsf c:ktfnsf] xsdf / hg3gTjsf] cfwf/df c:ktfnsf] z}of cfjZos 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 nflu hUuf ef8fdf lnO{ ;f] hUufdf k"jf{wf/ lgdf{0f u/L ;~rfngdf Nofpg ;Sg]5 . klRr; z}of eGbf dfly Ifdtf la:tf/ ubf{ jf krf; z}of eGbf dflysf] c:ktfn ;~rfng ug{'kg{] cj:yfdf cfkm\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 dfkb08 cg'?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 ejg P]g, @)%% sf] bkmf !! df ePsf] Joj:Yff cg'?k :jLs[t ePsf] x'g' kg]{5 . g]kfn ;/sf/n] c:ktfnsf ;DaGwdf 5'§} dfkb08 tf]s]sf] ePdf ;f]xL adf]lhd / pkTosfsf] xsdf sf7df08f} pkTosf ljsf; k|flws/0faf6 c:ktfn ejg lgdf{0f ;DaGwL of]hgf :jLs[t ePsf] x'g' kg]{5 . ejg ;+lxtf tyf ;DalGwt gu/kflnsf jf gu/ ljsf; ;ldltn] hf/L u/]sf] dfkb08 adf]lhd ;f] ejg lgdf{0f ePsf] ;x/L ljsf; tyf ejg lgdf{0f ljefu, l8lehg sfof{noaf6 l;kmfl/; k|fKt u/]sf] x'g' kg]{5 . -v_ ejgdf;j{;fwf/0fsf] hfgsf/Lsf nflu Disaster Management 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:yfsf nflu 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 ;"rgf k|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;f 3/, 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/ hUuf ef8fdf lnO{ ;]jf ;~rfng ubf{ ;f] 3/ e"sDkLo hf]lvd k|lt/f]w Ifdtf ePsf] elg ;x/L ljsf; tyf ejg ljefu÷l8lehg sfof{noaf6 k|dfl0ft ePsf] x'g' kg{]5 . klRr; z}of eGbf dfly Ifdtf 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]hgdf c: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]l8sn sfpG;Lnn] tf]s] adf]lhd / gtf]s]sf] ePdf Go"gtd k|lt z}of gJj]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] sIfsf nflu kof{Kt :yfg x'g' kg{]5 . -6_ la/fdLsf] rfksf] cg'kftdf kof{Kt / ;'ljwfhgs x'g] u/L kmlg{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:yf x'g'kg{]5 . Go"gtd kfls{ª s"n hUUffsf] kRrL; k|ltzt jf k|lt tLg z}ofsf nflu Pp6f sf/ kfls{ª ug{ ldNg] :yn dWo] h'g a9L 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 ;+/If0f P]g, @)%# tyf jftfj/0f ;+/If0f lgodfjnL, @)%$ adf]lhd ;DalGwt lgsfoaf6 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 eP adf]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:yf ldnfpg' kg]{ . -u_ c:ktfnaf6 ;[lht ;+qmd0fhGo kmf]x/nfO{ lgM;+qmd0f u/]/ clGtd Joj:yfkg ug{'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 Ifdtfsf c: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;lgs sfof{no h:tf ;]jfu|fxL / la/fdLn] lxF88'n ug'{kg]{ If]qx¿df ;xh cfjfudg 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 ejg lgdf{0f ePsf] x'g'kg{], kof{Kt ;+Vofdf clUg ;dgoGq (Fire Extinguisher) 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}rfno cflbsf] Joj:yf ePsf] x'g' kg]{5 .
19 -v_ z}+of jLrsf] b"/Lsf] ;DaGwdf ;fwf/0f z}of (General) aLrsf] b'/L slDtdf $ 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:yf ePsf] 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 / Minor OT/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:yf u/]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'lg6df k|lt z}ofsf] cg'kftdf Ps hgf :6fkm g;{sf] Joj:yf x'g'kg]{ . ;DalGwt If]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; 306fdf slDtdf b'O{ k6s la/fdLsf cfkmGtnfO{ la/fdLsf] cj:yfsf] hfgsf/L lbg] 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:yf ePsf] 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 lead Thickness dWo] s'g} Ps x'g' kg]{5 . ;fy} em\ofn, 9f]sf tyf leQfaf6 ljls/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] lead Aprone 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 ;]jf s'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] nflu cfjZos z'Ns ;DaGwL hfgsf/L ;d]t lbg] Joj:yfsf nflu gful/s j8fkq ;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| ;"rgf lbg] 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 ?d cflbsf] Joj:yf ePsf] x'g'kg]{ . -u_ ckf+ux¿sf] JolQmut ;/;kmfO{ / n'uf km]g]{ k|of]hgsf nflu cfjZos Joj: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/L z}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? ;~rfng ePsf] 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'a k|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 monitor ug]{Monitor (Thermo Luminescent Dosimeters- TLD badges)pknAw u/fpg'kg]{ / ;do ;dodfRadiation survey Monitoringug'{kg]{Eye, Gonadal, Thyroid gland cflbsf]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} ;"rgfdf ue{jtL dlxnf tyf afnjflnsfnfO{ cgfjZos ljls/0faf6 aRg cg'/f]w ug]{ .
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] klg cfjZostf 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:yfkg P]g, @)^* / kmf]x/d}nf Joj:yfkg lgodfjnL, @)&) n] tf]s] adf]lhd x'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:yf x'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 tflnd slDtdf jif{sf] b"O{ k6s / gd"gf cEof; (Drill practice) slDtdf Ps k6s u/fpg' kg]{{ . -*_ alx/+u ljefu / cGt/+u ljefu M jlx/+u ljefu / cGt/+u ljefudf cfjZos ljz]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_ df plNnlvt ;]jfsf cltl/St cyf]{k]l8S;, 8]G6n, gfs, sfg tyf 3f+6L, of}g tyf 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]z e} 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 (Super Speciality Service) x'g'kg]{ . -r_ kfFr ;o z}ofeGbf dflysf Ifdtfsf c:ktfnx?df v08 -ª_ df pNn]v ePsf ;]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} Ps 8fof]nfOl;; ;]jf x'g'kg]{ . -h_ v08 -s_ b]lv -5_ df h'g ;'s} s'/f n]lvPsf] eP tfklg Ps dfq laz]if1 ;]jf lbg] u/L vf]lng] c:ktfnsf] xsdf of] Joj:yf afWosf/L x'g] 5}g . -u_ o; lgb]{lzsfdf plNnlvt cGo dfkb08sf cltl/Qm c:ktfnn] b]xfo adf]lhdsf] dfkb08x? tyf k"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 ;fdfGo laz]if1 ;]jf !)!—@)) z}of ;fdfGo laz]if1 ;]jf @)!— #)) z}of ;fdfGo laz]if1 ;]jf #)) z}of eGbf dfyL ;]jf ! hUuf s_ %% au{ ld6/ k|ltz}of v_ 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] a9L x'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}of ljz]if1 ;]jf %) z}of ljz]if1 ;]jf &% z}of ljz]if1 ;]jf !)) z}of ljz]if1 ;]jf !))– @)) @))– #)) #))– %)) %)) eGbf dfly ! ;jf/L ;fwg hfg ;Sg] / ;8s ;+u af6f] hf]l8Psf]         @ ;jf/L ;fwg cfjt hfjt ug{ ;Sg] kof{Kt 7fpF         # k|j]z dfUf{ / aflx/ lg:sg] dfu{ cnu cnu :j]lR5s :j]lR5s clgjfo{ clgjfo{ clgjfo{ clgjfo{ clgjfo{ clgjfo{ $ k|ltIffno         % ;f]wk'5 ;Dks{ ug{] sIf         ^ JxLn r]o/,6«nL, :6«]r/ /fVg] 7fpF / sfd ug{] JoQmL !,!,!,! @,@,@,@ #,#,#,# $,$,$, $ %,%,%,% ^,^,^,^ &,&,&,& *,*,*, * & la/fdL 5gf}6 ug{] 7fpF (TRIAGE)         * k/LIf0f ug{] sIf * @* #* %* %* cfjZostfcg';f/ cfjZostf cg';f/ cfjZos tf cg';f/ cfjZos tf cg';f/ ( pkrf/ z}of * #* %* &* !! * ,, ,, ,, ,, !) cjnf]sg sIf z}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:Yo lzIff, >Job[:o vf]k, dft[lzz';]jf, :jf:Yo lzIff, >Job[:o, k/fdz{ ;]jf vf]k, dft[lzz';]jf, :jf:Yo lzIff, >Job[:o, kf]if0f, k/fdz{ ;]jf vf]k, dft[lzz';]jf, :jf:Yo lzIff, >Job[:o, kf]if0f, k/fdz{ ;]jf vf]k, dft[lzz';]jf, :jf:Yo lzIff, >Job[:o, kf]if0f, k/fdz{ ;]jf vf]k, dft[lzz';]jf, :jf:Yo lzIff, >Job[:o, kf]if0f, k/fdz{ ;]jf vf]k, dft[lzz';]jf, :jf:Yo lzIff, >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 ljj/0f @% z}of ljz]if1 ;]jf %) z}of ljz]if1 ;]jf &% z}of ljz]if1 ;]jf !)) z}of ljz]if1 ;]jf !))– @)) @))– #)) #))– %)) %)) eGbf dfly zNos[of sIf !@ ;~rf/ ;'ljwf- 6]nLkmf]g, O{G6/g]6, cflb_         !# z'4 vfg]kfgLsf] Joj:yf         !$ zf}rfno / zf}rfnodf kof{Kt kfgLsf] Joj:yf lgb]{lzsfdf pNn]v eP adf]lhd !% ;fj{hlgs 6]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 ! @ # % cfjZostf cg';f/ cfjZostf cg';f/ cfjZos tf cg';f/ cfjZos tf cg';f/ @ ;'r/ ;]6 – k|To]s pkrf/ sIfdf_ ! @ # % ,, ,, ,, ,, # PDj' Jofu (Resuciation bag with Laryngoscope) @ # $ % ,, ,, ,, ,, $ clS;hg – k|To]s pkrf/ sIfdf_ @ $ % & ,, ,, ,, ,, O{ ;L hL d]lzg ! ! ! @ ,, ,, ,, ,, Cardic Monitor ! ! ! @ ,, ,, ,, ,, 8LkmLj|Ln]6/ (Automatic Electric Defribillator) ! ! ! ! ,, ,, ,, ,, e]G6Ln6/ (Portable) ! ! ! @ ,, ,, ,, ,, jL kL ;]6–k|To]s pkrf/ sIfdf_         cfO eL :6]08- pkrf/ z}ofsf] cg'kftdf_         Knfi6/ ug{] ! ! ! @ cfjZostfcg';f/ cfjZostfcg';f/ cfjZostf cfjZostf
26 l;= g ljj/0f @% z}of ljz]if1 ;]jf %) z}of ljz]if1 ;]jf &% z}of ljz]if1 ;]jf !)) z}of ljz]if1 ;]jf !))– @)) @))– #)) #))– %)) %)) eGbf dfly ;fdu|L cg';f/ cg';f/ 8fO{Ugf]l6s ;]6 ! @ @ $ ,, ,, ,, ,, cfsl:ds sfo{sf] nflu cf}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't Joj:yf         Uofl:6«s 6\o'j÷ N/G tube Aspirationset         8'; ;]6 (Enema)         v'§fn] rnfpg] ;S;g d]l;g (Non Electric)         Area Room(Beds) R1,Y+G =2 OB1,Bo R1,Y+G =3 OB2,Bo R1,Y1,G3 ,OB3,B1 R2,Y2,G 3 OB4, tn lbPsf] cg'kftdf tn lbPsf] cg'kftdf tn lbPsf] cg'kft df tn lbPsf] 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 = ! Ü Yellow (Y) = l;ls:t la/fdLsf] ;]jf lbg] z}of = @ Ü Green (G) = ;fdfGola/fdLsf] ;]jf lbg] z}of = # Ü Black(B) = d[To' eO{;s]sf la/fdLnfO{ /fVg]] z}of = ! Ü Observation 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– S N Description 25 beds 50 beds 75 beds 100 beds 100- 200 beds 200- 300 beds >300 beds A General Areas 1 Inquiry counter/ Cash 1(28) 1(28) 1(56) 1(75) * * *
27 S N Description 25 beds 50 beds 75 beds 100 beds 100- 200 beds 200- 300 beds >300 beds 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) * * * 5 Public Telephone (Self Operating ) 1 1 1 1 * * * 6 Toilets (Male and Female) 2(17.5) 1+1 2(28) 2+1 3(35) 2+2 4(42) 2+2 * * * B Medical Clinic 1 Consultation room (each 14 sq.m)       2 Sub Waiting room 1(14.0) 1(21.0) 1(28) 1(35.0) * * * C Surgical Clicin 1 Consultation room (each 14 sq.m)       * 2 Treatment nd Dressing room       * 3 Sub Waiting room 1(14.0) 1(21.0) 1(28) 1(35.0) * * * D Obs/Gyne.Clinic 1 Consultation room (each 14 sq.m)       * 2 Treatment room 1(17.5) 1(17.5) 1(17.5) 1(17.5) * * * 3 Toilet com cleaning room (attached to treatment room)       * 4 Waiting room 1(14) 1(14) 1(14) 1(14) * * * E Pediatric Clinic 1 Consultation room (each 14 sq.m)        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       * 1 Consultation room (each 14 sq.m)       * 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) * * * 4 Recovery & Plaster Cutting room 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 1 Consultation room (each 81sq.m)       * 2 Treatment room       3 Audiometry room Speech 1(14) 1(14) 1(14) 1(14) * * * 4 Waiting room       * H Dental Clinic 1 X-ray room       * 2 Consultation room (each 8 sq.m)       * 3 Workshop/Lab       * 4 Recovery room       * I Skin & STD clinic 1 Consultation room (each 8 sq.m)       * 2 Treatment room       *
28 S N Description 25 beds 50 beds 75 beds 100 beds 100- 200 beds 200- 300 beds >300 beds 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 beds 50beds 75 beds 100 beds 200 beds 300 beds >300 beds 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       * A water closets/tilet 1 to every 8 beds (male)       * B Urinal /toilet 1 to every 6 beds (female)       * C Wash bashins: 1 for every 12 beds       * D sinks : 1 for each ward       * E Kitchen sinks & dishwasher: 1 for each ward       * 11 Administrative Block A 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 Laundary A Dirty Receive       * B Clean Store Room * C Staffs Room with Toilet * D Cleaning area * E Kitchen       * 13 CSSD A Dirty Receiving       * B Cleaning Room       * C Sterilization Room       * D Clean Storage Room       * E Common Storage       * F Drying & Packing       *
29 SN Inpatient (General Ward) 25 beds 50beds 75 beds 100 beds 200 beds 300 beds >300 beds 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:ktfndf cJ; 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 hgf Pg]: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]s ljefudf ;DalGwt ljifosf] 8L Pd (DM)cyjf Pd ;LPr (M.Ch.) of]Uotf xfl;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}ofdf Ps 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 Ps hgf :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 Birth Attendants)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:yf ug'{ kg{] . -em_ Ps ;o z}of eGbf a9L Ifdtfsf] c:ktfnsf] xsdf u'0f:t/Lo ;]jf ;+rfngdf k|efjsfl/tf cfpg] u/L sDtLdf Ps hgf c:ktfn Joj:Yffks, afof]d]l8sn k|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 nflu c: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 ;]jf pknAw 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[lt kq ;+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 ;DalGwt sfplG;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 hgzlQm eGbf 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 need gf]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]xfodf plNnlvt hgzlQm eGbf sd gx'g] u/L hgzlQmsf] Joj:yf ug'{ kg]{5 M– ;]jf÷;d"x kb÷gfd %)—&% z}of !)) z}of 1 lkmlhl;og 2 3 2 ;h{g 2 3 3 jfn/f]u ljz]if1 2 3 5 :qL/f]u ljz]if1 2 3 7 Kofyf]nf]lhi6÷afof]s]ldi6÷dfOqmf]afof]nf]lhi6 1 1 8 d]l8sn 6]Sgf]nf]lhi6 1 1 9 Nofj 6]lSgl;og 2 2 10 Nofj cl;:6]G6 2 2 11 /]l8of]nf]lhi6 1 1 12 /]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}of 23 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 need gf]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 eGbf sd 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]l8sn 8fS6/ 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 kb÷gfd !)! b]lv @)) @)! b]lv #)) #)! b]lv %)) %)! b]lv &%) &%) b]lv !)))± cGo ljifout ljz]if1 1 2 3 4 5 O{dh{]G;L lkmhLl;og 2+1# 2+2# 3+2# 4+2# 5+2# 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# k|zf;g tyf dfgj ;+:ffwg Joj:yfkg 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 @)) @)! b]lv #)) #)! b]lv %)) %)! b]lv &%) &%) b]lv !)))± ;'/Iff uf8{ ~ ~ ~ ~ ~ ;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] dfkb08 adf]lhd / c:ktfndf /xg] k|of]uzfnf tyf pks/0fsf] xsdf b]xfodf pNn]v eP adf]lhd Joj: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 instruments 25 bed 50 bed 75- 100 bed 101- 200 201- 300 301- 500 501- 750 751- 1000+ 1. Microscope pcs 1-3 3 3 4 5 6 7 8 2. Microtome pcs - 1 1 2 2 2 2 3 3. Tissue processor pcs - 1 1 1 1 1 1 2 4. Slide Stainer (Histo) pcs - - - - 1 1 1 1 5. Tissue Floating water bath set - 1 1 1 1 1 1 1 6. Immuno histo-chemistry set set - - - - - - 1 1 7. Auto Analyzer (Bio Chemistry) set - - - - - 1 1 2 8. Semi Auto Alalyzer (Bio Chemistry) set 1 1 1 1 2 3 3 4 9. Elisa reader with Washer set - - - 1 1 2 2 2 10. Incubator set 1 1-2 2 5 5 5 5 6 11. Chemical Balance set 1 1 1 1 1 2 2 2 12. Electrolyte Analyzer set 1 1 1 2 2 2 2 3 13. Colorimeter Set 1-3 1-3 1-3 2-3 2-3 2-3 2-3 2-3 14. Hot air Oven Set 1 2 2 3 3 3 5 5 15. Autoclave Set 1 2 2 3 3 3 3 3 16. Refrigerator Set 1-2 2-4 2-4 4 4 6 6 8 17. Coagulometer for coagulation profile set - 1 1 1 2 2 2 18. Blood cell counter(18 parameters or above) pcs 1* 1 1 2 2 2 2 2 19. Blood gas analyzer Set - - 1 1 1 1 1 1 20. Generator set 1 1 1 1 1 1 1 1 21. Centrifuge pcs 2 4 4 6 6 6 8 8 22. Laminar hood - - 1 1 1 1 1 1 23. Counting Chamber pcs 1-2 1-2 1-2 1-2 1-2 1-2 1-2 1-2 24. DLC counter pcs 1-2 2 2 2 2 2 2 2 25. Pipettes, Glassware/kits /Consumables pcs As per need 26. Biosafety Cabinet (Class II) - - - - - - 2 2 27. Incinerator set 1 1 1 1 1 1 1 1 28. Glassware/kits/ reagent consumables as per need 29. Computer with printer set 1 1 1 2-4 2-4 4 4 6 30. Adequate number of Furniture should be available. -v_ Imaging Equipments:
36 SN Name of the Equipment No. of Beds 25 50 75 100 201-300 301-500 501-750 751- 1000+ 1 500 ma X-ray with image intensifier - 1* 1* 1* 1* 1+1* 1+2* 2+1* 2 300 ma X-ray machine 1 1 1 1 1 2* 3 4 3 100 ma X-ray machine 1 1 1 1 1 2* 2* 3* 4 100 ma X-ray machine (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-ray machine :j}lR5s :j}lR5s :j}lR5s 1 1 1 1 1 7 Ultra-sound machine with color droppler and guided biopsy 1 1 1 1 2 2 3 4 8 Spiral C.T. Scan - :j}lR5s :j}lR5s * 1 1 1 1 9 MRI machine - :j}lR5s :j}lR5s * * 1 1 1 10 Mammography Unit - - - 1 1 1 1 1 11 Echocardiogram :j}lR5s 1 1 1 1 2 2 3 * As per need. -u_ Cardiac EquipmentsM SN Name of the Equipment No. 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 3 12 Channel stress ECG test equipments 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 Equipment No. 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: SN Name of the Equipment No. of Beds101-200 201-300 301-500 501-750 751-1000+ 1 Incubator 1 1 2 3 3 2 Hot Air Oven 1 1 2 2 2 3 Microscope 2 2 2 3 3 4 Centrifuge 2 2 2 2 2 5 CO2 Incubator 1 1 1 1 1 6 Anaerobic Incubator 1 1 1 1 1 7 Biosafety Cabinet - - - 1 1 8 Refrigerator 2 2 2 3 3 9 Auto pipette As per need 10 Glassware/kits/ reagent consumables as per need (@) Biochemistry: SN Name of the Equipment No. of beds101-200 201-300 301-500 501-750 751-1000+ 1 Auto Analyzer - - 1 1 2 2 Semi Auto Analyzer 1 1 2 2 3 3 Chemical Balance 1 1 2 2 3 4 Electrolyte Analyzer 2 2 2 2 3 5 Centrifuge 1 1 2 2 3 6 Colorimeter 1 1 1 1 2
38 7 Hot air oven 1 1 1 1 2 8 Refrigerator 1 1 2 2 3 9 Micro pipettes (as per needs) 10 pH meter 1 1 2 2 3 11 Blood Gas Analyzer 1 1 1 1 1 12 Glassware/kits/ reagent consumables as per need (#) Hematology: SN Name of the equipment No. of beds101-200 201-300 301-500 501-750 751-1000+ 1 Microscope (Binoculor) 1 2 2 3 3 2 Blood cell counter (18 parameters or above) 1 1 2 2 3 3 Centrifuge 1 1 2 2 3 4 Colorimeter 1 1 2 2 3 5 Hot air oven 1 1 2 2 2 6 Refrigerator 1 1 2 2 3 7 Counting Chamber 2 3 4 5 6 8 Computer with Printer 1 1 2 3 3 9 Micro pippette (As per nned) 10 Coagulometer for coagulation Profile 1 1 2 3 4 11 Hb Electrophoresis set 1 1 12 Distilation Plant 1 1 1 1 2 13 CT coagulometer 1 1 2 2 3 14 Glassware/kits/ reagent consumables as per need 15 Water bath 1 1 2 2 3 ($) Histopathology: SN Name of the Equipment No. of Beds 101-200 201-300 301-500 501-750 751-1000+ 1 Microscope 1 2 2 5 5 2 Microtome (Sliding/Rotatory) 1 1 1 1 2 3 Tissue processor 1 1 1 1 2 4 Stainer (Histo/Cyto) 1 1 1 2 2 5 Incubator 1 1 1 2 2 6 Chemical Balance 1 1 1 1 2 7 Centrifuge 1 1 1 1 1 8 Hot air Oven 1 1 1 1 2 9 Autoclave 1 1 1 1 1 10 Refrigerator 1 1 1 1 1 11 Counting Chamber 1 1 1 1 1 12 Generator 1 1 1 1 1 13 Computer with Printer 1 2 3 3 4 14 Micro pipettes As per need 15 Cytocentrifuge 1 1 1 1 1 16 Slide Cabinet 1 2 4 5 5 17 Block Cabinet 2 3 5 6 6 18 Tissue Tek-II Embedding centre 1 1 1 1 1 19 Immunohisto chemistry 1 1 20 Glassware/kits/ reagent consumables as per need
39 (%) Microbiology, Virology, Serology: SN Name of the Equipment No. 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 3 3 Water Bath 1 1 2 3 3 4 Hot air oven 1 1 2 2 3 5 Refrigerator 2 3 5 6 6 6 Refrigerated Centrifuge 1 1 1 1 2 7 Multi channle micro pipette 2 2 3 4 4 8 Variable Micro pipette ( As per need) 9 Micro Mixer 1 1 2 2 3 10 Incubator 1 1 2 2 3 11 Centrifuge 1 1 3 3 4 12 Weighting balance 1 1 1 1 1 13 Autoclave vertical 1 1 2 2 2 14 Deep freezer -20°C 1 1 1 1 1 15 Deep freezer -80°C - - - 1 1 16 Laminar hood 1 1 1 1 1 17 Biosafety Cabinet Class-2 - - - 1 1 18 Vortex mixture 1 1 2 3 3 19 Stop watch 2 2 4 5 6 20 Clean bench hood 1 1 1 1 1 21 Computer with printer 1 1 3 3 4 22 Glassware/kits/ reagent consumables as per need 23 Adequate furniture shood be available -r_ Anaesthesia EquipmentsM SN Name of the Equipment No. of Beds101-200 201-300 301-500 501-750 751-1000+ 1 Anaesthetic-laryngoscope magills with four blades a) Adult b) Paediatric 25 25 30 30 40 40 50 50 60 60 2 Endo Tracheal tube sets 25 30 as per needed 50 (each size) 60 3 Magills forceps ( two sizes) 25 30 40 50 (each size) 60 4 Connector set of six for E.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 100 120 7 Air way (Male) 40 60 as per needed 100 120 8 Mouth Prop 40 60 80 100 120 9 Tongue Depressors 40 60 80 100 120 10 O2 cylinder for boyles 40 40 60 80 100 11 N2O Cylinder for Boyls 20 25 30 40 45 12 PFT machine 2 3 4 5 7 13 Boyles Apparatus with Fluotec and circle absorber 20 25 20 20 25 14 Ventilators 15 20 25 30 35 15 Monitors ECG, NIBP, SPO2 with IBP 25 40 50 60 80 16 Monitors ETCO2 / Gas Analyzer IBP 10 15 20 25 30
40 SN Name of the Equipment No. of Beds101-200 201-300 301-500 501-750 751-1000+ 17 Transport Monitor ECG, SPO2, NIBP 10 10 12 15 20 18 Transport Ventilator 1 3 4 5 7 19 Fibreoptic Bronchoscope a) Adult b) Paediatric 1 1 2 2 1 1 2 2 4 4 20 Portable USG for Regional Anesthesia 1 2 1 2 4 21 Portable Echocardiography for ICU/CCU/OT 1 2 2 2 4 22 Mac Coy Laryngoscope 4 5 8 10 15 23 Intubating LMA 3,4 4 5 8 10 12 24 Video Laryngoscope 4 5 8 10 12 25 Double Lumen Tube 10 15 20 25 (each size) 28 26 AMBU bag / Mask 25 50 80 100 sets 110 27 GAS analyser 1 2 2 2 3 28 Defebrilator 5 8 8 10 10 -5_ Teaching EquipmentsM SN Name of the Equipment No. of Beds101-200 201-300 301-500 501-750 751-1000+ 1 Slide Projector x x X x x 2 O.H.P. 1 1 2 2 2 3 Screen 1 1 2 4 4 4 White / colour boards 1 1 2 2 3 5 Telivision colour 1 1 2 2 3 6 Tape recorder (2 in 1) 1 1 2 2 3 7 VCD Player 1 1 2 2 3 8 Radio * * * * * 9 LCD Projectors 1 2 3 3 4 10 Computer 1 2 3 3 4 Note: * To be available as per need X 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 1 3 (1 for labour room & 2 for neonatal room) 2 2 Phototherapy Unit 2 3 4 3 Emergency Resuscitation Kit-Baby 2 4 4 4 Standard weighing scale 1 each for the labor room & OT 1 each for the labor room & OT 1 each for the labor room & OT 5 newborn Care equipment 1 set each forlabor room & OT 1 set each for labor room & OT 1 set each for labor room & OT 6 Double–outlet Oxygen Concentrator 1 each for thelabor Concentrator 1 each for the labor Concentrator 1 each for the labor Concentrator 7 Radiant Warmer 2 3 (1 for labour room & 2 for neonatal room) 5 8 Room Warmer 2 2 2 9 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 Bedded 12 Episiotomy kit 2 10 10 13 Forceps Delivery Kit 2 2 3 14 Crainotomy 1 2 1 15 Vacuum extractor metal 2 2 2 16 Silastic vacuum extractor 2 2 3 17 Pulse Oxymeter baby & adult 1 each 2 each 2 each 18 Cardiac monitor baby & adult 1 2 2 each 19 Nebulizer baby 2 4 (for ICU & wards) 2 20 Weighing machine adult 3 6 4 21 Weighing machine infant 3 4 4 22 CPAP Machine - - 1 23 Head box for oxygen 4 6 8 24 Haemoglobinometer 1 1 2 25 Glucometer 1 1 2 26 Public Address System 1 1 1 27 Wall Clock 1 1 2 28 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 2 2 Emergency Resuscitation Tray (Adult) including intubation equipment 3 3 BP Apparatus 3 4 Cardiac Monitor 2 5 Pulse oximeter 2 6 Airway (Female) 2 7 nebuliser 1 8 Oxygen Supply (Central) 2 9 Suction Apparatus (Electrical) 2 10 Suction Apparatus (Foot) 1 11 Wall Clock 1 12 Torch 1 13 Emergency Call Bell 2 14 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) 9 Basic surgical instruments e.g. fine scissors, scalpel with blades, fine arteryforceps, suture material & needles, towel, clips etc. 1 set per bed (essential)
42 10 Nebulizer 1 for the unit 11 Multi-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 & mothers Adequate number of each size(essential) 6 Washable slippers Adequate 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 Equipment No of Beds 101-200 201-300 301-500 501-750 751-1000+ 1 Computer with Modem with UPS, Printer with Internet Connection** 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 SN Name of the Equipment No. of Beds101-200 201-300 301-500 501-750 751-1000+ 1 Refrigerator 165 liters 10 12 20 22 25
43 2 Blood Bank Refrigerator 1 1 3 4 6 3 ILR 1 2 3 3 5 4 Deep Freezer * * * * * 5 Coolers * * * * * 6 Air Conditioners 9 10 12 14 16 7 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 SN Name of the Equipment No. of Beds101-200 201-300 301-500 501-750 751-1000 1 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 Drugs 1 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 Drugs 11 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, gel 50 Ibuprofun (Tab) 51 Codeine Phosphate (Tab) 52 Prednisolone (Tab) 53 Antidiotics Oral (Tab/Cap) 54 Povidinelodine (Sol) 55 Antidiotics Ointments 56 Others as per necessary -@_ List of essential instruments for Emergency: SN Equipment 1 Ambu bag with mask 2 Artery Forceps 3 Salbutamol Inhaler
45 4 Povidone Iodine 5 Blood Transfusion Set 6 BP Instrument 7 Clinwax ear drop 8 Crepe Bandage 4" 9 Crepe Bandage 6" 10 Dissection Forceps non tooth 11 Dissection forceps tooth 12 Disposable Syringe 3cc, 5cc, 10cc, 20cc 13 Endo tracheal tube( Pediatric and Adult ) 3.0-8.5 14 Laryngeal Mask airway 3.0-8.5 15 Foley's catheter 6f-20f, 3way 16 Gloves No.6, 6.5, 7, 7.5 17 I.V. Cannula 14G-24G 18 I.V. Set + Pediatric Burret 19 I.V. Infusion Set 20 C.V.P. line Set 21 Chest Tube (Different Sizes) 22 Ipratropium bromide inhaler + Solution 23 Knee hammer 24 Laryngoscope with blade (Adult, Pediatric sizes) 25 Leucoplast 26 Oxymetazoline Nasal drop 27 Needle holder 28 Ryle's tube (N/G Tubes) 29 Scissors (different types) 30 Silver sulphadiazine cream 31 Stethoscope 32 Suction Machine with tubes 33 Thermometer 34 Sphygmomanometer 35 Tongue depressor 36 Torch Light 37 Uro bag 38 Wooden Splint Different sizes 39 Spinal Board-1 40 Cervical Collor 1-5 41 Antibiotic Injection (Different) 42 Pulse Oxymeter -1 43 Otoscope-1 44 Ophthalmoscope-1 45 Glucometer -1 46 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 plNnlvt s'/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) 10 10 30 30 - 3 12 12 40 40 - 5 14 14 50 50 - 4 #=sfo{ut ljefux¿(Functional Departments s= sfl8{of]nf]hL ljefu M  Non-Invasive  Invasive / Interventional Cardiology  Electro-physiology  Preventive Rehablitation √ √ Optional Optional √ √ √ √ √ √ √ √ 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. √ √ √ Optional Optional √ √ √ √ √ √ √ √ √ √ √ √ √ 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 √ √ √ 1 o; 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 cflbsf xsdf ef}lts k"jf{wf/ / cfsl:ds ;]jf slDtdf hg/n c:ktfn ;/x / cGo ljz]if :jf:Yo ;]jf;'ljwfsf xsdf k|rlnt WHO dfkb08 cg';f/ x'g' kg{]5 .
47 ljj/0f !)!–@))z}of @)!–#)) z}of #)!–%)) z}of em= 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 Optional Optional √ √ √ √ √ √ √ √ √ √ √ √ √ $= 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 Biochemist Micro Biologist Hematologist - 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 relevant personnel (at least the ratio as per general hospitals)  24 hours coverage by other specialists : - Pediatrician - Infectious diseases Specialist - Nephrologists - Neurologist - General Surgeon - General Medicine / Physician 5 Optional F/P 5 2 5 4 1 1 1 1 Optional Full Time Preferable but part time 24 hrs on call mandatory 5 √ 5 4 5 5 2 2 2 2 Optional 5 √ 7 6 7 6 3 3 3 3 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 10 1 2 2 3 15-25 1 4 2 2 2 2 3 2 1 2 13 15 2 3 2 5 25-35 2 6 3 4 5 3 5 2 2 3 15 20 3 4 3 8 35-55 3 10 4 6 8 5 8 2 3 4 17
48 ljj/0f !)!–@))z}of @)!–#)) z}of #)!–%)) 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 10 50 50 2 2 1 Optional Optional As per Guideline 1 1 1 Optional Optional Optional 20 75 75 4 4 1 1 Optional As perGuideline 2 2 2 Optional Optional Optional 30 100 100 6 6 2 1 1 As perGuideline 3 3 3 1 Optional Optional cGo pks/0fx¿ hg/n c:ktfndf eP ;/x x'g'kg{] -@_ d'6' /f]usf] ljz]if1 ;]jf k|bfg ug]{ c:ktfndf g;{ / la/fdLsf] cg'kft SICUdf !M! / CCU df !=%—@M! x'g' kg{]5 . -#_ o; lgb]{lzsfdf cGoq h'g;'s} s'/f n]lvPsf] eP tfklg d'6'/f]u c:ktfn kfFr ;o z}of eGbf a9Lsf] x'g] 5}g . -v_ o'/f]nf]hL÷g]k|mf]nf]hL M l;=g+ ljj/0f !)) z}ofeGbf sd !)!–@)) z}of @)!–#)) z}of ! ef}lts ;'ljwfx¿ -hg/n c:ktfnsf] k"jf{wf/ ;/x_ @ cfsl:ds ;]jf -hg/n c:ktfnsf] k"jf{wf/ ;/x_ # alx/+u ;]jf  o'/f]nf]hL -g]k|mf]nf]hL clgjfo{_ ! @ @  g]k|mf]nf]hL -o'/f]nf]hL clgjfo _ ! @ @  ufOgf]sf]nf]hL –clgjfo{ _ ! @ @  hg/n ;lh{sn -:j}lR5s{_ ! @ #  lkl8ofl6«s -:j}lR5s_ ! @ #  hg/n d]l8l;g -:j}lR5s_ ! @ #  sfl8{ofs -clgjfo{ _ ! @ # $ cGt/+u ;]jf  Go'/f]nf]hL -g]k|mf]nf]hL clgjfo{_ ! @ #  g]k|mf]nf]hL -o'/f]nf]hL clgjfo{_ ! @ #  ufOgf]sf]nf]hL -clgjfo{_ ! @ #  hg/n ;lh{sn -:j}lR5s_ ! @ #  lkl8ofl6«s -:j}lR5s_ ! @ #  hg/n d]l8l;g -:j}lR5s_ ! @ #  sfl8{ofs -:j}lR5s_ ! @ #
49 l;=g+ ljj/0f !)) z}ofeGbf sd !)!–@)) z}of @)!–#)) z}of  ck/]zg lyP6/ d]h/ ! @ #  ck/]zg lyP6/ OG6/ldl8P6 ! @ #  ck/]zg lyP6/ dfOg; ! @ #  ;lh{sn jf8{ !  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 ! !  MRI :j]lR5s ! !  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/ ! # #  o'/f] ;h{/L ;]6 ! # #  sfl8{ofs dlg6/ ! @ #  AjfON; Pk/]6\; ! @ #  Pg]:y]l6s dlg6/ ! @ #  dfOqmf] ;lh{sn OG:6«d]G6 ! @ #  l/;l:;6]zg ;]6 @ # $  ck|]l6e OG;'d]G6 dfOqmf]:sf]k :j]lR5s @ @  *URS Set, PCNL Set** (Urology) :j]lR5s @ @  ck/]l6e 6]a'n -Aofs–/]i6 ePsf]_ ! @ #  Endo Urology Set :j]lR5s @ @  c6f]Sn]e d]lzg ! @ @  8foyld{s d]lzg Under water cutting (Urology) ! @ #
50 l;=g+ ljj/0f !)) z}ofeGbf sd !)!–@)) z}of @)!–#)) z}of  Lithotrypsy(ESWL)(Urology) :j]lR5s @ @  clS;hg sG;g6«]6/ ! $ ^  xfOkf]yld{of ! @ $ & cGo ;]jfx?M ;DalGwt ;]jf cg';f/sf cfjZos pks/0fx¿sf] Joj:yfM  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  lx:6f]Kofyf]nf]hL, Renal Function Test, PSA ! @ @ * hgzlQmM  o'/f]nf]hL ljz]if1 M c:ktfndf o'/f]nf]lhi6 @ $ %  g]k|mf]nf]hL ljz]if1 M c:ktfndf g]k|mf]nf]lhi6 @ $ ^  /lhi6«f/ @ $ %  d]l8sn clkm;/ !) !@ !^  ;DalGwt ljz]if1x¿ kf6{–6fOdsf] k|fjwfg @ $ ^  k|zf;lgs sd{rf/LM hg/n c:ktfnsf] cg';f/  gl;{ª :6fkm M hg/n c:ktfnsf] cg';f/  Pg]:y]l;:6 $ ^ *  sfl8{of]nf]lhi6 @ @ # x]df]8fO{nfO{l;; g;{ gf]6 M  **PCNL = Per Cutaneous Nephrolithotomy  URS = Urethro Renoscopy Set  ;DalGwt ljz]if1 cfˆg} jf kf6{–6fOdsf] Joj:yf ldnfpg] .  Uro Surgery sf] nflu cfjZos pks/0fx¿ tyf Endourological surgerysf] ;'ljwf klg x'g'k5{ . -h:t} TURP, TURBT, IOU, CystoscopyOToflb .  Renal Transplantatioin: P]gn] Joj:yf u/] adf]lhd x'g] .  ESWL = Extra Corporeal Shockwave Lithotripsy  PSA = Blood test for Prostate Specific Antigen
51 -u_ ;fdfGo cf“vf c:ktfn McfVffF ;]jf ;~rfngsf] nflu dGqfnon] agfPsf] dfkb08sf cltl/Qm b]xfosf dfkb08x?sf] ;d]t kfngf ug'{ kg]{5 M l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of ! ef}lts ;+/rgfx¿ Mhg/n c:ktfnsf] k"jf{wf/ ;/x @ pks/0fx¿ M  lehg 8«d ^ &  l/k|m]Szg ;]6 ^ &  8fO/]S6 cˆyndf]:sf]k ÷ Og8fO/]S6 cˆyndf]:sf]k % &  Slit lamp & &  6f]gf]ld6/(Schiotz)Appalanation Tonometer & &  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/_ !% !* -3_ cf“vf ljz]if1 ;]jf c:ktfnM cfVffF ;]jf ;~rfngsf] nflu dGqfnon] agfPsf] dfkb08sf cltl/Qm b]xfosf dfkb08x?sf] ;d]t kfngf ug'{ kg]{5 M– l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of %)!–&%) z}of ! ef}lts ;'ljwfx¿ M hg/n c:ktfnsf] k"jf{wf/ h:t} @ pks/0fx¿ M  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 coherence Tomograph ! @ # $  Prisms, GDX,
52 l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of %)!–&%) z}of Goldmann perimatry, Humphrey Visual Field, Indirect Ophthalmoscope, Vitrectomy Machine, Fundus Camera, synaptophore, Steropsis set, Hertel set, Auto Refractor* # hgzlQm  cfO{ ;h{g(Fachro surgeon, vitriol - ratinal surgeon, Occuloplastic surgeon) !@ @) #) %)  Pg]:y]l6s ! @ @ #  cˆylNds kf/fd]l8s !% @% #* ^)  gl;{Ë :6fkm -hg/n c:ktfnsf] cg';f/_ !! @) #% %) * as per need. -ª_ dfgl;s c:ktfnM -!_ b'O{ ;o z}of ;Ddsf] dfgl;s c:ktfnnfO{ dfq} cg'dlt k|bfg ul/g]5 . -@_ Ps ;o z}ofsf] Ifdtf eGbf dflysf] c:ktfn jf ljz]if1 ;]jf k|bfg ug]{ c:ktfnx¿df dfgl;s /f]u ljefu x'g' kg]{5 . -#_ dfgl;s c:ktfndf Half way hometyf k'g:yf{kg ;]jf k|bfg ug]{ s]Gb|x¿sf] k|fjwfg x''g' kg]{5 . -$_ dfgl;s c:ktfnsf] nflu b]xfosf] dfkb08 k'/f u/]]sf] x'g' kg]{5 M– l;=g+ ljj/0f !)!–@)) z}of ;fdfGo ;]jf ! ef}lts ;'ljwfx¿ M hg/n c:ktfn ;/x ljz]if k|fjwfg x'g' kg{] @ jlx/+u ;]jf  k/LIf0f  pkrf/  lbjf :ofxf/ s]Gb| k|fjwfg x'g'kg{]  afn jf8{ k|fjwfg x'g'kg{] # cGt/+u ;]jfM  dlxnf jf8{ k|fjwfg x'g'kg{]  k'?if jf8{ k|fjwfg x'g'kg{]  afn jf8{ k|fjwfg x'g'kg{]  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 @  lSnlgsn ;fOsf]nf]lhi6 -km"n6fOd_ @+@#  ;fOSofl6«s ;f];n js{/ -k|lt !)) z}of @ sf b/n]_ $  8\o'6L d]l8sn clkm;/ !@  cSo'k]zgn y]/flki6 ! + ! #  Pg]:y]l6s kf6{6fOd @  Go'/f]nf]lhi6 kf6{6fOd @  d]6«f]g -dfgl;sdf tflnd k|fKt_ @  ;'k/efOh/ / gl;{ª l;:t/ ^  :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 l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of ! ef}lts ;'ljwfx¿ – hg/n c:ktfnsf] k"jf{wf/ ;/x @ cfsl:ds ;]jf M hg/n c:ktfnsf] k"jf{wf/ ;/x # l8hf:6/ Joj:yfkg+ df;Sofh'cN6L Joj:yfkg + kf]nL6«df Joj:yfkg !) @) #) $ alx/+u ;]jfM  sfl8{of]]y]/fl;s @ @ #  o'/f]nf]hL @ @ #  ufOg] cA; @ @ #  cfO;h{g @ @ #  hg/n ;lh{sn @ @ #  cyf{]k]l8s ;h{/L @ @ #  8]G6n / k]ml;of] DoflS;n/L @ @ #  O=Pg=6L= ;h{/L @ @ #  lkmlhof]y]/fkL M ;DalGwt ;fdu|L ;lxt @ @ # % cGt/+u ;]jfM  ck/]zg lyP6/ d]h/ $ $ %  ck/]zg lyP5/ dfOg/ $ $ %  lkmlhof]y]/fkL # # $  cfO=;L=o'= dlg6/ ;lxt cfjZostf cg';f/  ;S;g o'lg6, An8 Uof; PgfnfOh/, ;f]l8od P08 kf]6fl;od PgfnfOh/, clS;hg sG;G6«]zg cfjZostf cg';f/ ^ lgbfgfTds pks/0fx?M  PS; /] M hg/n c:ktfn ;/x cfjZostf cg';f/  ;L=6L= :Sofg cfjZostf cg';f/
54 l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of  Pd=cf/=cfO= cfjZostf cg';f/  cN6«f;fpG8 d]lzg @ @ #  C. Arm @ @ # & zNolqmofsf nflu pks/0f  e]lG6n]6/ * !) !@  sfl8{ofs dlg6/ !^ !* @@  AjfOn ck/]6; @ @ @  Pg]:y]l6s dlg6/ @ @ @  dfOqmf] ;lh{sn OG:6«d]G6 @ @ @  l/;l:;6]zg ;]6 @ @ @  ck/]l6e OG:6«d]G6 dfOqmf]:sf]k # # $  :kfOgn ;]6 @ @ #  Po/kfj/ l8«n ;]6 @ @ #  ck/]l6e 6]jn / j]8 /]:6 @ @ #  c6f]Sn]e d]lzg @ @ #  8foyld{s d]lzg @ @ #  ;S;g o'lg6 @ @ #  clS;hg sG;G6«]6/ @ @ #  Isotope Scan :j}lR5s :j}lR5s :j}lR5s * cGo ;]jfx¿ M ;DalGwt ;]jf cg';f/sf cfjZos pks/0fx¿sf] Joj:yf ug{]  cyf{]k]l8s     k]ml;of]DofUh]n/L     lkmlhof]y]/fkL     l/Xofljln6]zg     Nofaf]/]6/LM hg/n c:ktfn ;/x     lx:6f]Kofyf]nf]hL    ( hgzlQmM  sG;N6\ofG6 -!M@% z}of_ * !@ @)  /lhi6«f/ % % ^  d]l8sn clkm;/ !) !@ !$  ;DalGwt ljz]if1x¿ -kf6{6fOdsf] k|fjwfg_ @ @ @  k|zf;lgs sd{rf/L hg/n c:ktfn cg';f/  gl;{Ë :6fkm hg/n c:ktfn cg';f/  Pg]:y]l;:6 % ^ ^  cyf{]k]l8s @ @ #  lkmlhof]y]/flki6    -5_ Go"/f]nf]hL c:ktfn M b'O{ ;o z}of ;Ddsf] Go"/f]nf]hL c:ktfnnfO{ dfq} cg'dlt k|bfg ul/g]5 . Go"/f]nf]hL c:ktfnn] b]xfosf dfkb08x?sf] kfngf ug'{ kg]{5 M– l;=g+= ljj/0f !)!–@)) z}of ;fdfGo ;]jf ! ef}lts ;'ljwfx¿ c:ktfnsf] dfkb08df pNn]v eP 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 nflu cfjZos pks/0fx? $ alx/+u ;]jf M (OPD)  d]l8sn Go"/f]nf]hL   ;lh{sn Go"/f]nf]hL   cyf{]k]l8s ;h{/L   8]G6n / k]ml;of] DoflS;n/L ;h{/L   O=Pg=6L=;h{/L   lkmlhof]y]/fkLM ;DalGwt ;fdu|L ;lxt  % cGt/+u ;]jf M  cfO=;L=o'= dlg6/ ;lxt !)  ;S;g o'lg6 !)  An8 Uof; PgfnfOh/ !  ;f]l8od P08 kf]6fl;od PgfnfOh/ !  clS;g sG;G6«]6/ !  ;lh{sn jf8{ %)  d]l8sn jf8{ %%  ck/]zg lyP6/ d]h/ #  ck/]zg lyP6/ OG6/ldl8o6 cfjZostf cg';f/  ck/]zg lyP6/ dfOg/ $ ^ lgbfgfTds pks/0fx¿M PS; /] M hg/n c:ktfnsf] k"jf{wf/ h:t}  ;L=6L= :Sofg !  O=;L=hL= d]lzg !  O=Pd=hL= !  Pd=cf/=cfO= !  PlGhof]u|fd !  cN6«f;fpG8 d]lzg !  C. Arm Portable X-Ray !  zNolqmofsf nflu pks/0f  e]lG6n]6/ *  sfl8{os dlg6/ !%  AjfON; ck/]6; %  Pg]:y]l6s dlg6/ #  On]lS6«s 8«Ln l;:6d (Air Powered) @  dfOqmf] ;lh{sn OG:6«d]G6 @  l/;l:;6]zg ;]6 @  ck|]l6e OG;'d]G6 dfOqmf]:sf]k #  q\moflgof]6f]dL ;]6 @~  :kfOgn ;]6 @~  Go"/f]ck/]l6e 6]jn / x]8/]:6 @  cˆylNds OG:6«d]G6 @  c6f]Sn]e d]lzg @  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  lkmlhof]y]/fkL cfjZos  l/Xofljln6]zg :j}lR5s  Nofaf]/]6/L M hg/n c:ktfn ;/x cfjZos  lx:6f]Kofyf]nf]hL M hg/n c:ktfn ;/x :j}lR5s * hgzlQm  Go"/f] sG;N6\ofG6 -!M@% z}of_ $  /lhi6«f/ #  d]l8sn clkm;/ *–!)  ;DalGwt ljz]if1x¿ kf6{6fOdsf] k|fjwfg @  k|zf;lgs sd{rf/L M hg/n c:ktfnsf] cg';f/  gl;{Ë :6fkm M  d]6«f]g !  l;:6/ !)  :6fkm g;{ !))  Pg]:y]l;:6 !~  cyf{]k]l8s ! ~ = as per need -h_ :qL/f]u tyf k|z"lt ljz]if1 c:ktfn M l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of ! ef}lts ;+/rgf hg/n c:ktfn ;/x @ alx/+u ;]jfM  cGo k"jf{wf/x¿ hg/n c:ktfn h:t}  k"j{ k|;"lt ;]jf     ;'Ts]/L ;]jf     vf]k ;]jf     kl/jf/ lgof]hg     ufOgf]sf]nf]hL ;fwf/0f pkrf/ ;]jf    # ljz]if lSnlgs ;]jf -s'g} @ clgjfo{_  SofG;/ l:qmlgË     ;akml6{ln6L     c8f]n];G6 x]Ny(Adolescent Health)    $ STD/STI    % Post Abortion Care & CAC    ^ Family Planning  & Od]h]{G;L  * cGt/+u ;]jf  k|;"lt ;]jf sIf -;Dk"0f{ z}ofsf] &Ü_ % Ü ^ Ü & Ü  hg/n jf8{ % Ü ^ Ü * Ü  zNolqmof ;]jf z}of $ % &  Pd=cfO=;L=o'= -;Dk"0f{ z}ofsf] # % & *
57 l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of k|ltzt_  Pg=cfO=;L=o'= -;Dk"0f{ z}ofsf] !) k|ltzt_ % & *  CTG Rooms (4% of the total beds)  lgof]g]6n o'lg6     lkmlhof]y]/fkL o'lg6 :j}lR5s :j}lR5s :j}lR5s ( lgbfgfTds ;]jf  k|of]uzfnf ! ! !  PS;- /] -cN6«f;fp08 clgjfo{_ @ @ #  Colposcopy     Hysterocopy     Laparescopy    !) o'lg6     uxg dft[ ;]jf (MICU)     gjhft lzz' :ofxf/ o'lg6 (NICU)     l6lrË / tflnd o'lg6     l/;r{ o'lg6     c+sf]nf]hL o'lg6     /]l8of]nf]hL o'lg6 (Imaging Unit)     X-Ray     U.S.G.     CT/MRI :j}lR5s  Nofaf]/]6f]/L (with Blood Transfusion)     lkmlhof]y]/fkL :j}lR5s  gl;{Ë     xfp; lslkË     ufOgf] cA; o'lg6     hg/n ufOgf] cA;     ufOgf] c+sf]nf]hL     ;j - kml6{ln6L     o'/f]ufOgf]sf]nf]hL     ;f];n ;le{;    !! hgzlQm ufOgf] cA; sG;N6\ofG6 -!M@% z}of_ * !@ !^ l;lgo/ M -/]lhi6«f/ n]en_ !M@% ld8 n]en -d]l8sn clkm;/ n]en_ %M@% % !@ @) & !$ @$ * !* #) Pg]:y]l6S; ^ * * lkl8ol6«l;og -lgoldt_ # # $ Kofyf]nf]lhi6 # # # lkmlhl;og -lgoldt_ cfjZostf cg';f/ lgoldt pknAw x'g' kg{] hg/n ;h{g -lgoldt_ cfjZostf cg';f/ lgoldt pknAw x'g' kg{] Nofj 6]lSgl;og !) !@ !@ Nofj cl;i6]G6 !) !@ !@ d]6«f]g @ # #
58 l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%)) z}of ;'e/efOh/ gl;{Ë ^ * !) l;:6/ !@ !^ @@ :6fkm g;{ ^) !)) !%) !@ pks/0f  zNolqmofM hg/n c:ktfn ;/x cfjZostf cg';f/  cGsf]nf]hL o'lg6 (Coloposcpope, Hysteroscope, Cryotherapi Unit)  lx:6]/f]:sf]k  OG8f]:sf]kL  n]k|f]:sf]kL  Labor room df rflxg] ;Dk"0f{ ;fdfgx¿ -em_ afn/f]u c:ktfn M l;=g+ ljj/0f !)!–@)) z}of @)!–#)) z}of #)!–%))z}of ! hUuf -s_ %) ju{ld6/ se8{ Pl/of k|ltz}of    -v_ e'OFtNnf hUufdf slDtdf M !_ !÷# hUuf vfnL x'g'kg{] @_ # z}ofsf] cg'kftdf Ps sf/ kfs{    @ cfsl:ds ;]jf / ;fdu|L pks/0f # cf}iflw ;DaGwL ljj/0f @$;} 306f ;]jf @$;} 306f ;]jf @$;} 306f ;]jf $ alx/+u ;]jf ;DaGwL ljj/0f -d]l8sn, ;lh{sn, cyf]{k]l8s, OPg\6L, 8]G6n, 5fnf, cfvf_ yk % ljz]if1tf ;]jf yk & ljz]if1tf ;]jf yk !) ljz]if1tf ;]jf % cGt/+u ;]jf -d]l8sn, ;lh{sn, cyf]{k]l8s, OPg\6L, 8]G6n, 5fnf, cfFvf_ !)) z}ofdf yk ;]jf @)) z}ofdf yk ;]jf #)) z}ofdf yk ;]jf ^ zNolqmof sIf -!_ d]h/ @ -@_ dfOg/ @ -!_ d]h/ @ -@_ dfOg/ # -!_ d]h/ # -@_ dfOg/ # & cfO=;L=o'= clgjfo{ clgjfo{ clgjfo{ * /f]u lgbfgM /]l8of]nf]hL lj:t[t ljj/0f c:ktfn ;DalGwt dfkb08df pNn]v eP adf]lhd( hgzlQm !) k|of]uzfnf ljj/0f !! PDa'n]G; M gLlt cg';f/ @ # # !@ k|ltsf/fTds tyf k|j4{gfTds ;]jf clgjfo{ clgjfo{ clgjfo{ !# zju[x clgjfo{ clgjfo{ clgjfo{ !$ SoflG6g ;]jf clgjfo{ - cfjZostf cg';f/ 7]Ssfdf lbg ;lsg]_ clgjfo{ clgjfo{ !% dd{t ;]jf clgjfo{ -cfjZostfg';f/ 7]Ssdf lbg ;lsg_ clgjfo{ clgjfo{ -`_ /]l8of]nf]hL ;]jf M /]l8of]nf]hL ;]jf ;~rfng ubf{ bkmf @# sf] pkbkmf -@_ sf] v08 -r_ df plNnlvt dfkb08x?sf] kfngf ug'{ kg]{5 . -6_ bGt/f]u MDental Hospital, Specialized Dental Service Center, Dental Clinic and Dental Department 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 registered specialist. I. Ora and Maxillofacial Center II. Orthodontic Center III. Prosthodontic Center IV. Periodontic Center V. pedodontic Center VI. Restorative Center VII. 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 and regulation in four types as I. Private Limited Company II. Public Limited Company III. NGO IV. INGO General Dental Hospital - 15 Dental Chair The 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:  Infrastructure Administrative Reception, Waiting Room, Account Room, Maintenance Room, Store, Doctor's Meeting Room, Changing Room, Ambulance, Director's Room, Library Room Clinical Capacity 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 services Other facilities Sterilization 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 5000 sqft. Hospital complex may be rented, leased or own house, One should have minimum of five years of agreement 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 services under one roof. Infrastructure: Administrative Reception, Waiting Room, Account Room, Maintenance Room, Store, Drs. Meeting Room, Changing Room, Ambulance, Director's Room, Library Room Clinical Capacity 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 12,000 sq.ft. Hospital Complex may be in rented, leased or own house; should have minimum of five years of agreement with the house owner. The building must have sufficient open space to catter the need of parking, emergency escape, 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 chairs the basic aim of the general dental hospital should be to provide all basic general dental services under one roof. Infrastructure  Administrative 1. Reception 2. Waiting Room 3. Account room 4. Administration Room 5. Maintenance Room 6. Store 7. Doctor's Meeting Room 8. Changing Room 9. Seminar Hall 10. Ambulance Garage 11. CEO Room 12. Library Room
62 Clinical Capacity of Minimum 50 dental chairs, should have at least 7 separate departments namely 1. Oral and Maxillofacial Surgery Unit/ Oral Medicine Radiology Minor and Major OT with ICU-10 general beds 2 ICU, 7 Dental chairs 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 ) 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 Center Any hospital or clinic can concert its department or unit to a specialized center once it fullfill the following criteria 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 ) Infrastructure 1. Reception 2. Waiting Room 3. radiology-OPG,IOPA-X-ray and CEPH 4. Pathology Lab. 5. Toilet 6. Ward 7. Patient Record Keeping System 8. Infection control and waste disposal system/Protocol 9. 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 Equipments Dental 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  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  Prosthodontic laboratory Equipments
65 Dental Chair with Halogen light spittoon and water supply  High Vacuum Suction  Micromotor or Air motor  Airotor Handpiece  Light cure unit  Ultrsonic Scaler Unit/ Peizo scaler  Oil free Medical Grade Compressor  IOPA-X-Ray  Separate Lab MIcromotor  X-Ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  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  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 Equipments Dental Chair with Halogen light spittoon and water supply  High Vacuum Suction  Micromotor or Air motor  Airotor Handpiece  Light cure unit  Ultrsonic Scaler Unit/ Peizo scaler  Oil free Medical Grade Compressor  Electrocuatry  IOPA-X-Ray  Separate Lab MIcromotor  X-Ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  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  Sterilization Room/Area  Nitrous oxide System  Consultation room  Waiting room  Reception  Toilet  patient Record Keeping System  Infection Control and waste disposal system/ Protocol  Library Room Equipments Dental Chair with Halogen light spittoon and water supply  High Vacuum Suction  Micromotor or Air motor  Airotor Handpiece  Light cure unit  Ultrsonic Scaler Unit/ Peizo scaler  Oil free Medical Grade Compressor  IOPA-X-Ray  Separate Lab Micromotor  Orthodontic Pliers/Materials  Spot welder  X-Ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  Generator  Dental Lab  Intra Oral Camera+ Computer Staff  Pedo Specialist service everyday  Receptionist  Trained assistant  cleaner  Waste disposable System expert Sterilization Room /Area and Protocol Recovery Room + One bed 6. Restorative & Endodontic Service Center-  Minimum 3 dental chair (1 complete set, dedicates for Restorative and Endodontics)
67  separate clinic,  Sterilization Room/Area  Consultation room  Waiting room  Reception  Toilet  patient Record Keeping System  Infection Control and waste disposal system/ Protocol  Library Room Equipments Dental Chair with Halogen light spittoon and water supply  High Vacuum Suction  Micromotor or Air motor  Airotor Handpiece  Light cure unit  Ultrsonic Scaler Unit/ PisoScaler  Endodontic Microscope  Oil free Medical Grade Compressor  IOPA-X-Ray  Separate Lab Micromotor  X-Ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  Generator  Intra Oral Camera+ Computer Staff  Endo Specialist service everyday  two graduates dental surgeons  Receptionist  Trained assistant  cleaner  Waste disposable System expert 7. Implant Service Center- Implant and general  Minimum 3 dental chair (1 complete set, dedicates for Implant)  separate clinic ,  Sterilization Room/Area  Consultation room  Waiting room  Reception  Toilet  patient Record Keeping System  Infection Control and waste disposal system/ Protocol  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  Oil free Medical Grade Compressor  IOPA-X-Ray  Separate Lab Micromotor  X-Ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  Ultrasonic cleaner  Intra Oral Camera+ Computer  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 Oral implantology from University or the Original Implant Manufacture about the system  Receptionist  Trained assistant  cleaner  Waste disposable System expert  Sterilization Room/ Area and Protocol Dental Clinic The aim of the clinic is to provide general dental service in a clean and hygienic environment. Any graduate dental surgeons having permanent reg. from NMC can open dental clinic. The dental clinic should have minimum 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  Micromotor or Air motor  Airotor Handpiece  Light cure unit  Ultrsonic Scaler Unit/ PisoScaler  Oil free Medical Grade Compressor  IOPA-X-Ray  X-ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  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 and hygienic environment. The dental department should have minimum following facilities. Infrastructure- Reception , Waiting ,Clinic ,Toilet ,Cleaning and Sterilization area Equipment Three dental chairs (two for Drs and one for Hygienist) with Halogen light Halogen light spittoon and water supply  High Vacuum Suction  Micromotor or Air motor  Airotor Handpiece  Light cure unit  Ultrasonic Scaler Unit/ PisoScaler  Oil free Medical Grade Compressor ,electrocautry  IOPA-X-Ray ,X-ray viewer  Autoclave/Hot air oven  Needle destroyer with cutter  Generator Dental Hospital SN 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) Clinical Oral and maxillofacial Surgery (Oral surgeon visit on call and twice a week regular visit) Minor OT-2 Beds-2 DC-2 Minor OT-2 Major OT-1 General Beds-5 DC- 5 ICU beds-2 Minor OT-2 Major OT-1 General Beds-10 DC-7 ICU beds-2 Orthodontic Department ( specialist's visit at least twice a month) DC-1 ( specialist's visit at least twice a month) DC-2 ( specialist's visit at least twice a month) DC-4 Prosthodontic Department ( specialist's visit at least once a week) DC-1 ( specialist's visit at least once a week) DC-2 ( specialist's visit everyday) DC-5 General ( Integrated System) DC-10 ( Integrated System) DC-12 ( Integrated System) DC-22 Periodontic Department Specialist visit at least once a week ( specialist's visit at least once a week) DC-2 ( specialist's visit everyday) DC-5 Restorative/Pedo Dept. Specialist visit at least once a week ( specialist's visit at least once a week) DC-2 ( specialist's visit everyday) DC-5 24 hrs Emergency Dental services
70 Staff Graduate dental surgeon 10 15 25 Staff Nurses 2 5 7 Anesthetist on call on call on call Dental Hygienist 3 3 5 Dental Assistant 8 10 20 Radiographer 1 2 2 Lab Technician 1 2 2 Maintenance Technician 1 1 1 Receptionist 1 2 2 Store Keeper 1 1 1 Security Guard 1 1 2 Sweeper 3 4 4 Accountant 1 2 2 Manager 1 1 1 Other Facilities Sterilization room 1(14 Sq. m.) 1(14 Sq. m.) 1(14 Sq. m.) radiology-OPG,IOPA and CEPHDental laboratory dental Laboratory 1(14 Sq. m.) 1(14 Sq. m.) 1(16 Sq. m.) Pharmacy-24hrs Pathology-oral pathology General Pathology Waste Disposal System Water storage Toilets (male/female) 2 2 4 Canteen 24hr ambulance service Parking 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. @@= :jf:Yo lSnlgs÷kf]lnlSnlgs ;DaGwL dfkb08 tyf k"jf{wf/x? M-!_ :jf:YolSnlgs÷kf]nL lSnlgsdf :jf:Yo hfFr ug]{ lrlsT;s s'g} klg dfGotf k|fKt lzIf0f ;+:yfaf6 slDtdf klg MBBSjf ;f] ;/xsf] lrlsT;f ;DaGwL pkflw k|fKt u/L ;Dalwt sfpG;Lndf btf{ ePsf] x'g'kg]{5 . -@_ k/fdz{ ;]jf lbg] JolQm :jf:Yo lj1fgdf k|df0fkqtx plQ0f{ u/L k/fdz{ ;]jf tfnLd k|fKt x'g'kg]{5 . -#_ kf]lnlSnlgsdf /]l8of]nf]hL Od]lh· ;]jf,k|of]uzfnf tyf cf}iflw pkrf/ ;]jf ;+rfng ug'{ k/]df 5'§f5'§} ;]jf ;DaGwL lgwf{l/t k"jf{wf/ k'/f ug'{ kg]{5 . -$_ :jf:YolSnlgs÷kf]nL lSnlgsdf :jf:Yo ;]jf ;+rfngsf nflu b]xfo adf]lhdsf] cfjZos Go"gQd ef}lts ;'ljwfx? x'g'kg]{5 M– -s_ la/fdLsf] hfFr ug]{ Ventilated jf AC sf]7f ;]jf cg';f/sf] 5'§f5'§}x'g'kg]{ -slDtdf !$ ju{ ld6/sf]_ ! -v_ la/fdL a:g] 7fpF -s'g]{ 7fpF_ ! -u_ la/fdL hfFRg] 6]a'n ! -3_ lrlsT;ssf] nflu 6]a'n ! -ª_ lrlsT;ssf] nflu s';L{ !
71 -r_ la/fdL a:g] 6'n ! -5_ zf}rfnosf] Joj:yf ! -h_ 6]lnkmf]g -:j}lr5s_ -em_ :jf:Yo lzIff ;DaGwL ;"rgfd"ns kf]i6/ tyf cGo ;fdfu|L -`_ kfgLsf] cfk"lt{ ePsf] x'g'kg]{ . -%_;]jf / laifo cg'';f/sf] cfjZos cf}hf/ pks/0fx?sf] Joj:yf x'g'kg]{5. -^_ la/fdLsf] ;Dk"0f{ ljj/0f /fVgsf] nflu sDKo"6/ jf /lhi6/ x'g'kg]{5 . -&_ lSnlgsdf k|of]u ul/g] ;Dk"0f{ cf}hf/x? clgjfo{?kdf lgd{nLs[t ug]{ Joj:yf x'g' kg]{5 . -%_ lSnlgsdf sfd ug]{ cGo JolQmsf] of]Uotfsf] k|df0fk|q / ;DalGwt kl/ifb\df clgjfo{ ?kdf btf{ ePsf] x'g'kg]{5 . -^_ ;]jf z'Ns / cfos/ k|df0fkq ;j}n] b]Vg] 7fpFdf /fVg'kg]{5. -&_ dfl;s k|ltj]bg lhNnfsf] lhNnf hg :jf:Yo sfo{nodflgsfodf k7fpg] Joj:yf ug'{kg]{5 . @#= /]l8of]nf]hL jf 8fO{Ugf]li6s P08 Od]lhª ;]jf ;~rfngsf nflu cfjZos k"jf{wf/ tyf zt{x? M - !_/]l8of]nf]hL jf 8fO{Ugf]li6s ;]jf cGt/ut b]xfosf k|lalwx? kb{5g M–  X –Ray  Computed Tomographic Scan(CT Scan)  Magnetic Resonance Imaging (MRI)  Ultra Sonogram(USG)  Nuclear Medicine  PET Scan -@_ /]l8of]nf]hL 8foUgf]li6s tyf O{d]lhË ;]jfaf6 kg{] ljls/0fsf] b"ik|efjnfO{ sd ug{sf] nflupQm ;]jf ;~rfng ug{ cg'dlt lb+bf jf l;kmfl/;ubf{ lgDg dfkb08nfO{ cfwf/ dflgg]5 M– -s_ PS;/]sf] nflu M -!_ Pp6f PS;/] d]l;gInstallug{sf] nflu sDtLdf @@% :Sjfo/ lkm6sf] sf]7f pknAw x'g' kg{] . -@_ PS;/] ug{] sf]7fsf] Wall Thickness -s_ ( O{~r With Plaster of Paris jf --v_ ^ Inch with with .20 mm lead barrier jf -u_ @=) Pd Pd lead thickness x'g' kg{] . ;fy} emofn, 9f]sf tyf leQfaf6 x'g] ljsLs/0fsf] r'xfj6 x'g g;Sg] u/L cfjZos Joj:yf ePsf] x''g'kg{] . -#_ Xray ;]jf k|bfg ug{] JolQmsf]nflu PS;/] sf]7f leq )=% mm sf] Pk|f]g tyfradiation protective measures sf] Joj:yf x'g'kg{] . -$_ Radaiology df sfo{/t sd{rf/Lx?sf] nflu radiation dose monitorpknAw x'g' kb{5 / ;do ;dodfRadiation Survey Monotoring ug{'kg{] . -%_ Eye Gonadal, Thyroid Gland cflbsf] Protection sf] nflu Lead glass/gloves/lead apronsf] Joj:yf x'g'kg{] . -^_ X-ray PS:kf]h ug{] sf]7f 8fs{?d / k|tLIff ug{] sIf 5'§f5'§} x'g'kg{] . -&_ Radiology ljefudf hg;fwf/0ffn] b]Vg] 7fpFdf Xrayljls/0fn] :jf:Yodf v/fj c;/ kg{ ;S5 eGg]af/] ;"rfgf ug{] . ;fy} ;"rgfdf
72 ue{jtL dlxnf tyf afnaflnnfO{ cgfjZos lals/0faf6 aRg cg'/f]w ug{] -*_ :jf:Yo dGqfnosf] :jLs[lt j]u/ Radiology;DaGwL d]lzg g]kfn leq Nofpg / ;~rfng ug{ gkfOg] . -v_ ;L 6L :Sofg (CT Scan) Pd cf/ cfO{(MRI): o:tf pks/0f h8fg ubf{ pTkfbg ug{] sDkgLn] tf]s]sf] lgb{]lzsfsf] k"0f{?k]0f kfngf ug{' kg{] / Go"gtd k"jf{wf/x? b]xfo adf]lhdsf] x'g' kg{]5 M– -!_ Pd cf/ cfO{ ÷;L 6L :Sofg /fVg] sf7fsf] ;fO{h slDtdf !^×@) kmL6sf] x'g' kg{]5 . -@_ ;L 6L :Sofgsf] nflu ljls/0f lns]h x'g glbgsf nflu dfyL PS;/]sf] nflu pNn]v eP adf]lh Joj:yf ldnfpg' kg{]5 . -@_ Pd cf/ cfO{ sf] sf]7fsf] nflu jfXo r'DasLo c;/ gkg{] Joj:yf ldnfpg' kg{]5 . -$_ 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/ ;L cf/ 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]lhd x'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|fKt lzIf0f ;+: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/af6 dfGotf 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 Radiation ProtectionJojl: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 20 Milisievert per year (WHO) sf] ;g @))@ sf] dfkb08 cg';f/ b]lvPdf pko'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 dfGotf k|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{] lgDg adf]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 JolQm x'g' kg{] . -!)_ A/C Machine sf] Joj:yf / Ps hgf slDtdfPCL u/]sf] JolQm Joj:yf x'g'kg]{ .lals/0f If]qdf sfdug]{nfO{ clgjfo{ ?kdf /]l8o];g eQfsf] 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|flkms 6]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]hL df 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 pkfwL k|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 Study afx]ssf ;j} k/LIf0fx? . -v_ laz]if1d]l8sn 6]Sgf]nf]lhi6M dfGotf k|fKt lzIf0f ;+:yfaf6d]l8sn Nofj 6]Sgf]nf]hL laifodf :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|fkt u/]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=c tflnd 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 lghL k|of]uzfnf vf]nL ;~rfng ug{ kfpg] 5g\ / Nofj cl;i6]06sf] xsdf cfk"m eGbf dflyNnf] pkflw k|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;fo ug{ 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]qLo c:ktfn, If]qLo c:ktfnsf] ;fy} s]Gb|Lo c:ktfnx?df x'g] ljif]z k|sf/sf k/LIf0fx? (Highly Specelized 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? dfq ug{ 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 gas Analyzer clgjfo{ ?kdf x'g'kg{]5 . cGosf] xsdf National Helath Laboratory Policy 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{]zg adf]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{Kt dfqfdf 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]xL c'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 tyf j}slNks lrlsT;f k|0ffnL cGtu{t lghL :t/df :jf:Yo ;+:yfsf] :yfkgf, ;~rfng tyf :t/f]Gglt ubf{ 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:ffo ubf{ ;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 pkflw k|fKt JolQmaf6 jdg, lj/]rg, lz/f]lj/]rg, cf:yfkg, cg'jf;g jl:t / /Stdf]If0f k|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 tflnd lbg'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 jf pko'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 cGo cfjZos ;]jfx? ;+rfng ug'{k/]df ;DalGwt laifosf] hgzlQm / ;f] ;DaGwL ef}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'g s'g laifo / ;]jf lbg] p2]Zo /flvPsf] xf] < ;f] k|i6 pNn]v ul/ ;f]xL adf]lhdsf hgzlQm, 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{j tTjsf] 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 ;lxt cg'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]{b lrlsT;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]lvt ljefu÷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 tyf dfkb08sf] 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 tyf vfg]kfgLsf] Joj:yf x'g'kg]{ .   x'g'kg]{ @= ;]jf jlx/Ë    cGt/Ë    #= hgzlQm cfo'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 ;Dd c=g=ld= # hgf $ hgf ^ hgf Nofj 6]Sgf]nf]lhi6 :j}lR5s :j}lR5s Nofj 6]lSgl;og :j}lR5s ! hgf ! hgf Nofj 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;g k|zf;g clws[t cfjZostf cg';f/ cfjZostf cg';f/f gfoj ;'Aaf cfjZostf cg';f/ ! hgf ! hgf vl/bf/ -n]vf_ + k|zf;g ! hgf ! hgf ! hgf sDKo"6/ k|fljlws vl/bf/ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/ lkog + kfn] # hgf # hgf # hgf efG5]÷6xn'jf @ hgf @ hgf @ hgf dfnL 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 ! @ @ Lancet Scalpel & kitle holder etc. @ # # Dressing set Kidney 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 ;Dd Gauge, bandage/teucoplest/xylocain etc. & !) !@ Catherer set Plain, folley's & matlicot cather !) @) @) Diagnostic set @ # # General Tongue Spatula @ # # Torch light/emergency light @ # $ Specific ENT set @ @ @ Gynecological Examination Set, D & C Set, Cucus, Sim's Speculum, emema set ! @ # Neonatal care set ! ! @ Macintos sheet, Kally's pad % ^ * Other Proctoscope/Laryngoscope/ Ophthalmoscope @ $ $ Tonometer/Rhinoscope ! ! ! Sterilizer/Autoclave drum set ! @ @ Equipments & Materials for emergency case management @ @ # Nebulizer ! ! ! Ryle's Tube Gastric 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 ;Dd la/fdL btf{ sIf la/fdL hfFFGg] sf]7f n]vf k|zf;fg sIf ! j6f ! j6f @ j6f ! j6f @ j6f @ j6f ! j6f $ j6f @ j6f *= cfsl:sd ;]jf ;'ljwf clS;hg ;]6 cfsl:sf ;]jfdf cfjZos cGo pks/0f laz]if1 ;]jfsf] xsdf ;f]lx cg';f/sf hgzlQ sIf / cfjZos pks/0f x'g'kg]{ . @ ;]6 x/]ssf @/@ ;]6 cfjZostf cg';f/ # ;]6 x/]ssf #/# ;]6 cfjZostf cg';f/ $ ;]6 x/]ssf $/$ ;]6 cfjZostf 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] cnu cnu 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 cnu sIf  cEoË 6]a'n  ;jf{Ë :j]bg o+q  gfl8 :j]bg o+q nufot ljljw !# k|sf/sd :j]bgsfnfuL cnu cnu cfjZos 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 tTj cflbsf] 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/ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/ ! ! ! @ ! ! cfjZostfcg';f/ cfjZostf cg';f/ ! cfjZostf cg';f/ ! ! cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/ ! ! ! @ !#= k~rsd{ ;]jf -% j6} ;]jfsf nfuL cnu cnu sIf x'g'kg]{ _ cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/ !$= k'g{:yfkg sIf cfjZostf cg';f/ cfjZostf cg';f/ cfjZostf cg';f/ !% km'n kmn ;lxt :jR5 jftfj/0f / cf}iflw o'Q x{j]{l/od ;d]t x'g'kg]{ . cfjZostf cg';f/ cfjZostf cg';f/ ! -3_ cfo'j]{b :jf:Yo lSnlgs÷kf]lnlSnlgs ;DaGwL dfkb08 tyf k"jf{wf/x?Mcfo'j]{b kf]lnlSnlgs ;]jf ;~rfngubf{ Pp6} Joj:yfkg cGtu{t /xL tLg jf ;f] eGbf a9L ;]jf k|bfg ug'{ kg]{/ cf}iflw ;]jfsf] Joj:yf ;d]t x'g'kg]{5 .:jf:Yo hfFr ug]{ tyf k/fdz{ lbg] JolQm s'g} klg dfGotf k|fKt lzIf0f ;+:yfaf6 slDtdf klg BAMSjf ;f] ;/xsf] lrlsT;f ;DaGwL pkflw k|fKt u/L cfo'j]{b lrlsT;f kl/ifb\df btf{ ePsf] x'g'kg]{5 . -!_ Ps ;]jf ;~rfngsf nflu cfjZos Go"gtd ef}lts ;'ljwfx? lgDg cg';f/sf] x'g'kg]{5M–
82 -s_ la/fdLsf] hfFr ug]{ e]lG6n]6]8 sf]7f ;]jf cg';f/sf] 5'§f5'§} x'g'kg]{5 . -slDtdf !$!) 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:t cflb 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?sf nflu 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?af6 lbOg] ;]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_ . -$_ kZrft\ sd{ . -v_ cGo sd{ -!_ cEoË, :j]bg, @# k|sf/ :j]b jfXo jl:t, g]q tk{0f, lz/f]wf/f, lz/f] jl:t, t]n, :gfg, n]k, sl6:gfg, kfb:gfg cflb sd{x? . -@_ ;Tjfjho sd{M ;Tjfjho, of]u, Wofg, gfb lrlsT;f cflb sd{x? . -#_ cfjZos hgzlQmx?Mcfo'j]{b lrlsT;f cGtu{t k~rsd{ / ;DalGwt s'g} klg sd{x? bIf cg'ejL cfo'j]{b lrlsT;sx?sf] dftxtdf /x]/ dfq lbOg' kg]{5 .lgDgfg';f/ of]Uotf ePsf hgzlQmx?af6 pk/f]Qm ;]jfx? ;~rfng ug'{ kg]{5M– -s_ cfo'j]{b lrlsT;s M cfo'j]{b lrlsT;f k|0ffnLdf :gfts jf :gftsf]Q/ pkflw k|fKt . -v_ k~rsd{ lrlsT;f ;xfos M cfo'j]{b lrlsT;f k|0ffnLdf k|df0fkq tx jf cfo'j]{b :jf:Yo ;xfos tx pQL0f{ u/L Go"gtd # dlxgfsf] k~rsd{ tflnd k|fKt u/]sf] x'g'kg]{5 . -u_ k~rsd{ ;x–;xfos M slDtdf P;=Pn=;L=kf; u/L cfo'j]{b lrlsT;ssf] dftxtdf /xL ;f] ;DaGwL cfjZos sd{x?sf] tflnd ;lxtsf] @ jif{sf] cg'ej k|fKt u/]sf] .
84 -3_ cEoËstf{ -dlxnf / k'?if b'j}_ M slDtdf cf7 sIff k9L @ jif{;Dd cfo'j]{b lrlsT;ssf] dftxtdf j;L cEoËstf{sf] ?kdf cg'ej k|fKt u/]sf] . -$_ 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}rfno cfjZos :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|df0fkq tx jf ;f] ;/x_ -u_ xf]ldof]Doflys ;xfos –! -dfGotf k|fKt ;+:yfaf6 xf]ldof]Koflydf tflnd k|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}iflwM xf]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/ M l;=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/ pknAw ePsf] @ ;]jf s_ alx/Ë ;]jf v_ cGt/Ë ;]jf # hgzlQm lrlsT;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 Æ X-ray view box Æ Æ Æ Æ Æ Æ Æ Æ Thermometer Æ Æ Æ Æ Æ Æ Æ Æ
87 Weighing Machine Æ Æ Æ Æ Æ Æ Æ Æ prfO{ gfKg] ;fwg Æ Æ Æ Æ Æ Æ Æ Æ Apron Æ Æ Æ Æ Æ Æ Æ Æ Gloves Æ Æ Æ Æ Æ Æ Æ Æ Oxygen set Æ Æ Æ Æ Æ Æ Æ Æ Catheterization set Æ Æ Æ Æ Æ Æ Æ Æ Torch Æ Æ Æ Æ Æ Æ Æ Æ Cotton, gauze, bandage Æ Æ Æ Æ Æ Æ Æ Æ / cGo cfjZos ;fdfu|Lx? Æ Æ Æ Æ Æ Æ Æ Æ % cGt/Ë ;]jf k'?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 kfgL k¥ofKt @ @ # # Wheel Chair÷ :6«]r/÷6«nL @ @ # # rf6{÷ns/÷kmfOn % !) !% @% a]8 Kofg -z}of ;+Vofsf] cfwf/df_ % !) !% @% s'?jf a:g] 6'n % !) !% @% lrlsT;s cf/fd ug]{ a]8 ! ! ! ! g;{ 8\o'6L ?d !$ ×!) ! ! ! ! la/fdL cf;fg]{ PDa'n]G; ! ! ! ! sDKo'6/ tyf lk|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]7f alx/Ë ;]afsf] nflu la/fdL hfFRg] 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[lts lrlsT;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 -$_ PSo"k|];/ y]/flki6x?sf] nflu d]r / 6]a'n -%_ bIf PSo"k|];/ y]/flki6 -pkrf/s_ -^_ cw{bIf PSo"k|];/ y]/flki6 -pkrf/s_ –! hgf -&_ sfof{no ;xfos –! hgf -*_ :jLk/ –! hgf -(_ cfjZos pks/0fx?M -s_ PSo"k|]z/ hfFr ug]{ d]lzg -v_ tf}n lng] d]lzg -u_ PSo"k|]z/ ug]{ lhdsf d]lzgx? -3_ zlQm ;~rf/ ug]{ pks/0fx? -ª_ On]S6«f]lgs PSo"k|]z/ d]lzg -r_ :kfOgn /f]n/ -5_ k]ml;on /f]n/ / cGo Jofofdsf pks/0fx? . -!)_ ;+:yfut ?kdf vf]lng] lSnlgsM -s_ g]kfn ;/sf/af6 :jLs[t k|fKt lgsfosf] cg'dlt lnP/ dfq :jf:Yo lSnlgs ;~rfng ug'{k5{ .
89 -v_ :jf:Yo lSnlgs ;~rfng ug{ dfly pNn]lvt Joj:yf x'g' clgjfo{ 5 . -u_ lrlsT;s pkrf/s nufot sfd ug]{ hgzlQmn] g]kfnL gful/stfsf] k|df0fkq k|fKt u/]sf] x'g'kb{5 . -!!_ la/fdL egf{ u/]/ klg pkrf/ ug{ ;lsg]5 . -!@_ la/fdL egf{ ug{ :jf:Yo lSnlgsdf lgDglnlvt yk Joj:yf x'g'kb{5M– -s_ la/fdL /fVg] sf]7f -v_ la/fdL ;'Tg] a]8, cfjzos cf]8\g] cf]5\ofpg] ;fdfg -u_ ;kmf / k|b"if0fd'Qm sf]7f -3_ :gfg 3/ -ª_ ;kmf kfgL -r_ ;Gt'lng ef]hg cflb -5_ la/fdL ;'Tg] j]8 Psn] csf{nfO{ g5'g] u/L slDtdf @–# lkm6sf] b"/Ldf /fVg] -h_ zf}rfno . -!#_ g]kfn ;/sf/af6 cg'dlt lnP/ ;~rflnt ;a} PSo"k|]z/ :jf:Yo lSnlgsn] cfo'j]{b ljefudf j}slNks lrlsT;fdf ;+:yf btf{ u/]sf] x'g'kg]{5 . -!$_ 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 jf j}slNks lrlsT;faf6 k|dfl0ft u/]/ dfq o; ;DaGwL laqmL lat/0fdf jhf/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;qmd cg';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] nflu b]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/ ) ! @ hgf v_ :gfts ! @ # hgf u_ PSo"k~r/ ;xfos @ # ^ hgf 3_ gl;{Ë :6fkm ) @ # hgf ª_ k|zf;lgs sd{rf/L hg/n c:ktfn ;/x r_ sfof{no ;xof]uL ! @ $ hgf $ pks/0f s_ PSo"k~r/ lgl8n v_ df]S;f l:6s u_ slkË 3_ c6f]Sn]e ª_ :6]yf]:sf]k r_ 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'Nnf hUuf -%% 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] 7fpF kof{Kt kfgLsf] Joj:yf ePsf] zf}rfno dlxnf / 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]7f Joj:yfkg sIf ! j6f ! j6f @ j6f ! j6f # j6f ! j6f % j6f @ j6f ;]jf k|bfg ug]{ sf]7f cg';f/ %= cfsl:ds ;]jf ;'ljwf clS;hg ;]6 IV Set cfsl:ds ;]jfdf cfjZos cGo pks/0f cfjZostfg';f/ ^= k|of]uzfnf sf]7f    
91 pkrf/sf ;fdu|L -df6f], kfgL cflbsf] u'0f:t/ hfFr ug]{ sf]7f_ &= dgf]k/fdz{ Pj+ hLjgz}nL / :jf:Yo k|lzIf0f sf]7f ! j6f ! j6f @ j6f # j6f *= of]uf;g, k|f0ffofd, Wofg cflbsf nflu cfjZos xn @) hgf $) hgf ^) hgf !)) hgf cfjZos tfg';f/s f] sf]7f (= Physiotherapy Unit ! j6f ! j6f ! j6f ! j6f cfjZos tfg';f/s f] sf]7f !)= pkrf/ ;]jfsf sf]7f -hn lrlsT;f, df6f] lrlsT;f, ;"o{ ls/0f lrlsT;f, r'Das lrlsT;f, dfln; Pj+ cGo k|fs[lts lrlsT;f ;]jfsf nflu_ !) j6f !% j6f @) j6f @) j6f pkrf/sf] k|s[lt cg';f/ ;fgf 7"nf !!= ef]hgfno -lrlsT;sn] lbPsf] ef]hg tflndsf cg';f/sf] ef]hg lbg ;Sg] ef]hgfno, ef]hg Pj+ kf]if0f ljz]if1sf nflu cfjZos sf]7f_ # j6f # j6f # j6f # j6f ;+:yf cg';f/ agfO{Psf sf]7fx? !@= k'gtf{huL sIf – lrlsT;s, ;xfos lrlsT;s cflbsf] nflu     dlxnf÷k' ?if 5'§f5'§} !#= z}of÷sf]7f ljz]if ;3g pkrf/ sf]7f -! hgf la/fdL dfq /fVg]_ @÷@ hgf la/fdL /fVg] ;'ljwf ePsf] sf]7f $÷$ hgf la/fdL /fVg] ;'ljwf ePsf] sf]7f ^÷^ hgf la/fdL /fVg] ;'ljwf ePsf] 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 oGq sl6:gfg 6j /L9:gfg 6j PgLdf (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/0f ifb\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] oGq ydf]{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 laleGg cfsf/ Pj+ lsl;dsf x'g] x'gfn] 5'§} lgwf{/0f ug'{ kg]{ .
92 /Qmrfk gfKg] oGq (BP Set) gfs,sfg, 3fF6L hfRg] oGq (ENT Set) tf}n gfKg] oGq (Weighing Machine) j6f % j6f @ j6f j6f % j6f # j6f $ j6f ^ j6f !&= hgzlQm lrlsT;s ;xfos lrlsT;s pkrf/s ;xfos pkrf/s n]vf clws[t n]vfkfn k|zf;sLo k|d'v k|zf;sLo ;xfos ;'k/efO{h/ Receptionist sfof{no ;xof]uL -lkog_ dfnL rf}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 #±$*hgf ^ hgf @% hgf % hgf ! hgf ! hgf ! hgf @ hgf @ hgf # hgf ^ hgf # hgf % hgf k|fljlws k|fljlws k|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws ck|fljlws * as per need.
93 kl/R5]b !) cg';Gwfg, clen]v tyf k|ltj]bg ;DaGwL Joj:yf @&= cg';Gwfg,clen]v tyf k|lbj]bgM-!_cg';Gwfg s]Gb| /fvL cg'dlt lnPsf ;DjlGwt c:ktfnn] /fli6«o :jf:Yo cg';Gwfg kl/ifbsf] dfkb08 cg';f/ slDtdf jif{df @ j6f cg';Gwfg u/L ;f] sf] k|ltj]bg dGqfno tyf cg';Gwfg kl/ifb / cfo'j{]b cg';Gwfgsf xsdf /fli6«o cfo'j{]b cg';Gwfg tyf tfnLd s]Gb|nfO{ ;d]t a'emfpg' kg]{5 . cg'';Gwfg s]Gb|n] To:tf] cg';Gwfg gu/]df;DjlGwt lgsfon] vf/]h ug{ ;Sg]5 . -@_cg';Gwfg s]Gb|sf] cg['dlt glnPsf cGo c:ktfnn]o; lgb{]lzsf adf]lhd :jLs[t k|fKt :jf:Yo ;+:yfn] :jf:Yo Joj:Yffkg ;"rgf k|0ffnLn] tf]s]sf] 9fFrfdf cfkm'n] k|bfg u/]sf] ;]jfsf] dfl;s k|ltj]bg ;DalGwt lhNnf :jf:Yo ÷hg :jf:Yo sfo{nodf clgjfo{ ?kdf k]z ug'{ kg{]5 . o;/L tf]lsP adf]lhd k|ltj]bg k]z gug{] :jf:Yo ;+:yfnfO{ ;r]t u/fpg;Sg]5 . -#_;"rgf Joj:yfkg ug{] sd{rf/LnfO{ ;DalGwt lhNnf :jf:Yo÷hg:jf:Yo sfof{noaf6 tflnd lng] Joj:yf u/fpg] kg]{5 . -$_:jf:Yo ;+:yfn] k|bfg u/]sf] ;]jfsf] ljj/0f ICD 10 cg';f/ coding u/L ;f]xL cg';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"g adf]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 tfklg b]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:Yo sfof{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]v eP adf]lhdsf] ;]jf z'Ns lgwf{/0f ;ldlt /xg]5 . -@_ pkbkmf -!_ sf] k|of]hgsf] nflu ;]jf z'Ns lgwf{/0f ;ldltsf] a}7s cfjZostf cg';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 tyf cg';"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;Fu aflemPdf 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]{lzsf adf]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 gf]6M ;ldltn] cfjZostf cg';f/ ;DalGwt ljifosf ljz]if1nfO{ ;ldltsf ;b:osf ?kdf yk ug{ ;Sg]5. 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 gf]6M ;ldltn] cfjZostf cg';f/ ;DalGwt ljifosf ljz]if1nfO{ ;ldltsf ;b:osf ?kdf yk ug{ ;Sg]5. 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 gf]6M ;ldltn] cfjZostf cg';f/ ;DalGwt ljifosf ljz]if1nfO{ ;ldltsf ;b:osf ?kdf yk ug{ ;Sg]5.
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/ tyf gePsf] 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 ;lxt lgj]bg kmf/fd k]z u/]sf] 5'÷5f} . lgj]bg kmf/fdM sfo{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]hg cN6«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– gfd kb of]Uotf kf6{6fO{d k'mn6fO{d -u_ k|zf;lgs M– gfd kb of]Uotf kf6{6fO{d k'mn6fO{d 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 ;]jf PS;–/] vf]k k|;"lt tyf :qL/f]u cN6«f;fp08 Pd=l;=Pr= hg/n d]l8l;g O08f]: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{Toflb cGo ;]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{/0f OsfO{ :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;f z}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] nflu klRr;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