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Nursing Home Rules 2013
Nursing Home Rules 2013
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2013
38(53)
Tq$, k{is'20
3rrrRr 2ot3
Raipur
NOTIFICAT10N
l.
isgarh
2.
(d) "Schedule" means a Schedule appended to these rules; (e) "State Government,' means the Government ofChhattisgarh;
(f)
"unethical Act" means any unethicar act defined in chapter 6 or any misconduct defined in chapter 7 of the Indian Medical councir (professional conduct, Etiquette,
and Ethics) Regulations 2002.
(2) words and expressions used and not defined in these rules, but defined in the Act, shall have the same meaning respectively assigned to them in the Act.
3.
Authority.- (l) The District collector of the concemed dishict shall be ^ the Supervisory Authority under these rules and shall be assisted
discharge
supervisory.
by a District committee in
(2) The Supervisory Authority shall consider the recommendations made by the District committee in all matters and sha make decisions relating to registration ani /or grant of licenses to a Clinical Establishment.
738
(s4)
E'iIRTII6 TFiq;I,
I({Ifr
20 3F[RI 2013
4.
Functions of Supervisory Authority.- The Supervisory Authority shall perform all functions
necessary to regulate the functioning of
as
To enforce imposition ofpenalties as provided for under Section 4 and l2 ofthe Act; To obtain fees for registration / issue of license as required under Section 5 ofthe Act; To enforce standards as required under Section 7 and l8(2) ofthe Act;
(0
To investigate complaints related to shallful negligence with the provisions ofthe Act,
as reouired under Section
Provided that, the above functions of the Supervisory Authority are not
exlraustive in nature.
5.
Oflice of the Supervisory Authority.- The Supervisory Authority shall maintain an office
6.
Clinical Establishments sy'all become the income of the office of the Supervisory Authority
of the concerned district and shall be used for the purposes of carrying the activities
assigned to it.
'-i
7.
in-aid to the Supervisory Authority to supplement its resources, provided that, the quantum
and
8.
District Committee.- (1) The constitution oithe District Commiftee shall be as follows:I
Chairperson
Member
",
20-2013
738 ( ss)
3.
Body
Member
4.
5.
Environment -
Member
Member
Conservation Board
6.
Member
Member-Secretary
7. Civil surgeon,
District
Hospital
(2)
At least 50 % of the members must be present in order to form quorum in any meeting of the District Committee. The representation from the Urban Local
Body/Municipal Corporation shall be compulsory.
The District Comrnittee may form one or more teams for the purpose of inspection
(3)
of of
(4)
The reports of Inspection Team(S) shall be placed before the District Committee for
in
respect
to
Clinical
9.
Appellate Authority-1p) Following authorities are delegated the powers to perform the
functions of the Appellate Authority, to consider appeals against the orders issued by the
Supervisory Authority, as provided under Section l0 ofthe Act:-
a)
b) Director of Medical Education- In respect of Medical College Hospitals; c) Director, AYUSH- In respect of Clinical Establishments belonging to Ayurveda,
Yoga, Unani, Siddha and Homeopathy systems.
(2) The Appellate Authority shall issue a written receipt for every appeal letter / application
received by it and shall dispose ofthe appeal within 90 calendar days from the date of issue
Page 3 of 57
738
(s6)
zo sI'TR
zol:
(3) The Appellate Authority may confirm, modifl or set aside the Supervisory Authority's
order or pass any sueh an order as it may deem justified.
10.
(l)
fulfill the
standards prescribed
in Schedule
(2) No Clinical Establishment shall be allowed to operate without a valid license after the
expiry of9 months from the date ofnotification ofthese rules. The time period includes the
initial 3 months for applicatiof,. followed by 6 months for inspection and rectification of
gaps, found during the inspection by the District commiftee./-any delay in the inspection by
the District committee beyond 9 months irom the date of notification of these rules, shall
entitle the Clinical Establishment to continue its operations until the inspection is done by
the committee.
(3)
The establishments who fail to comply with the prescribed standards after the above
mentioned additional period shall not be issued license under Section 6 ofthe Act'
(4) Notwithstanding, anfhing contained in sub-rule (2) of this rule, the Supervisory
Authority may grant an existing clinical Establishment further time for rectif,ing the gaps
in respect of shortage
of
(a)
Such relaxation shall be given against a rvritten request from the owner/proprietor
(b) The application for relaxation must be made along with the application for
registration;
(c)
The maxim-rfifi'perrn issible time for rectification of gaps shall not be more than
years from the date ofgrant ofregistration;
shall have to undergo a course of nursing/midwifery/paramedical of 6 months duration and obtain a certificate under Chhattisgarh State Skill Development
Mission;
rules shall be applicable for the establishment and only qualified staff shall be
allowed to work in the Clinical Establishment.
Page 4 of 57
zo :+rre
zor:
738 (s7 )
ll.
(l)
of
a) All clinical
Estabrishments arready
in
of notification of
these rules shall apply for registration to the office of the concerned SuperVisory
Authority within 90 days from the date of notification of these rules, as per the format given in Schedule 2;
prescribed in Schedule 3 and in the form of a bank draft or postal order in the name of the Supervisory Authority. The fees prescribed in Schedule 3 may be revised from time to time;
c)
The Supervisory Authority shalr issue a Registration certificate upon receipt of such application with the prescribed fee. The Registration certificate shall be issued in the format given in Schedure 4. The Registration certificate shall be
valid for a period of6 months from the date ofissuance:
d) The Supervisory Authority shall order the District Committee to inspect the clinical Estabrishment of the applicant within the validiry period of the
Registration certificate to confirm (or otherwise) eligibility for issue ofricense:
sha
of
of5
f)
g)
ofthe Act. The license shall be issued in the format given in Schedule 5; where it is found on inspection, that the establishment does not fulfill
prescribei*i#ndards, Supervisory Authority may refuse to issue a license; where the Establishment fairs to obtain a Iicense under these rules,
the
the
establishment shall have to apply afresh for license. The fee for application sha be same as prescribed for a new Clinical Establishment. Establishments applying for the second time under these rures sha not be issued Registration
certificate
a)
Any new clinical Estabrishment sha only be allowed to operate after obtaining
a valid license, after the Rules have been notified.
Page 5 of 57
738 ( 58
.)
20
2 3
b)
d)
The Supervisory Authority shall indicate a tentative date for inspection in its
acknowledgment letter / receipt.
e)
Where
it is found on inspection
to
obtain
establishment shall have to apply afresh for license. The fee for application shall
Establishments
applying for the second time under these Rules shall not be issued registration certificate and the establishments shall not be deemed to be resistered.
a)
the
of
fees as prescribed
in
Schedule
3.
certiilcate
iza
bf
resistration
ofany such change and shall have to apply again for registration or.issuance ofa
fresh license,
d)
as the case
may be;
In the event ofchange of ownership / change in the category of license / change in location or closure of the establishment, the license shall be surrendered to the
Supervisory Authority;
e)
All
inspection reports
rage b o1 5/
,m20
738(59)
Multi-specialty /Super-specialty hospitals having Diagnostic Facilities or Physiotherapy Units separate application should be filed for
In
case
of
licensing
of
Procedure for Renerval of License.- (1) Every Establishment must apply for renewal of its
license atleast 3 months before the date of expiry of its license.
(2) The procedure for renewal shall be the same as for licensing ofnew Establishments.
13.
The Supervisory Authority shall maintain a register indicating category wise list of Clinical Establishments licensed to operate in its
demand to General Public.
(1)
jurisdiction. The information shall be in the public domain and shall be easily available on
(2) The Register shall be prepared and updated in the format prescribed in Schedule
(Table 1) which may be amended from time to time.
14.
15.
notifiable diseases.-
(l)
Every Clinical
Establishment shall submit the report data and statistics on contagious or communicable
notifiable diseases to the Chief Medical and Health Officer ofthe concerned district:-
a)
Immediate written report through e-mail or Fax (within 24 hours or on next rvorking day
in
case
of
following notifiable
/ admiued / treated by
Clinical Establishment
Scarlet
like: Dengue, Swine Flu, Bird flu, Tuberculosis, Small Pox, Cholera, Plague,
b) Monthly report
as per
format in Schedule 9.
Pa?e 7 of 57
Wiz--"' ,t-
738 ( 60)
o-d-g'ra rrqqt,
f-{i+.
20 3FrRI 2013
16'
National /state p'bric l{earth programrnes.- Every crinical Establishment sha participate in a Nationar / state pubric Hearth programmes subject ro Participation
in
such guidelines which the Directorate of Hearth Services may issue in this regard, from time
schemes
of
caesarean Section operation, Immunization, Sterirization operation under Famiry welfare, cataract, Sickre celr erc. shalr be produced before the chief Medicai and Health officer of the concerned District when demanded.
17.
(r)
shalr
ensure that the patient and / or a person authorized by him/ her receives the
a)
The relevant information about the nature, cause, likery outcome of the present
illnesV treatment/ operation;
b) The relevant information about expected costs and complications; c) An access to his / her crinical records, at afi times during admission
and alier
d
and treatment
ischarge
d)
Photocopy
photocopy, if necessary);
time of discharge, which slrould contain date of treatment given, operations, investigations, and
(2)Every Clinical Establishmcnt shall cnsurc fO Owing rights Of thc paticnt and his/hcr
attcndant:
b) Right to get informcd cOnscnt bcforc ancsthcsia, b100d and b100d prOduct
transftlsiOns and invasivc/ high risk prOccdurcs/ treatment, risks, bcncflts,
Page 8 of 57
e-d-g'ra rreq;,
foiio
20 3rrrm 20
13
738 (61 )
d) e)
Right of a person suffering from HIV to receive care without any discrimination.
Not having a Voluntary Testing and Counseling Centre cannot be a ground to refuse
care. For management
f) g) h)
Right to referral/transfer to any other facility that the palient or hiVher attendant may
wanVwish:
Right to be asked for a prior consent before being examined by studentVinterns for training.
(3) The indoor patients shall be considered to be under the custody of treating physician
who shall be solely responsible lor the safety ofsuch patients.
18.
Procedure of Receipt and Registration of complaints (Grievance Redressal) at the level of Supervisory Authority.- (l) All communications / complaints in writing (by
whatsoever mode they are received) addressed to the supervisory Authority, either by name or designation, shall be received by the office ofthe Supervisory Authority.
(2)
All
in a
register
to
be
maintained by the office ofthe Supervisory Authority indicating sender's name and address
ofthe complainant as presgribed in Table 2 of Schedule 6. ---(J) Complaints receivefby hand shall be immediately registered and an acknowledgement
receipt shall be issued across the counter. Complaints received through other modes shall be
registered
within I working day lrom the date ofthe receipt ofthe complaint.
(4) For complaints received through mail / email /fax, an acknowledgement shall be senr ro
the complainant within 3 working days of the receipt of the complaint.
placed
(6) The complaints received in respect to the chhaftisgarh State Upcharyagriha Tatha
Rogopchar Sambandhi Sthapanaye Anugyapan Niyam, 20t3, shall be examined through a Committee formed by the Supervisory Authority of the concerned District. The Chairperson
of such committee shall be of a rank higher or equivalent to a Deputy Collector and shall include a specialist doctor ofthe concerned discipline.
Page 9 of 57
738
\62)
o m20
2043
19,
Miscellaneous.-
(l)
to be pubiic
servants- The
staffof the office of the Supervisory Authority shall be deemed to be public servants within
the meaning of Section 21 of Indian Penal Code, 1860.
(2) The Supervisory Authority shall have the power to cancel the license of any Clinical
Establishment found to be in any unethical practices.
(3) Amendments to the rules and /or its schedules- The Government may amend these Rules
and /or the Schedules, there of, from time to time.
e-*e.rd {|qTd,
ffiifr
20 3T'TR 2013
738 (63)
SCHEDULE-1
(See Rule 10)
A.
1.
1.1
Minimum InfrastructureRequirernent:
Location and Surroundingsclean surroundings
with
adequate
1.1.2 The clinic shall not be adjacent to on open sewer, drain or public lavatory or to
factory/establishment emitting smoke or obnoxious odour.
1.2
1.2.1
Building-
The building used for the clinic shall comply with the relevant municipal bye-laws enforced
1.2.2 The access to the clinic building shall be friendly for the persons with disability.
1.2.3 The rooms of the clinig shall be well ventilated, lighted and shall be kept in clean and
"'
?;;Y
hygienic conditions.
washable
1.2.6
Space Requirements:
200 sq.ft
mir.iir.nurn slandards.
38(64)
t . ,R 20 2013 200 sq ft
3.1.1 Ambu Bag 3.1.2 Oxygen cylinder with flow meter, catheter and mask 3'1.3 IV infusion set and lv fluids like Normal saline, dextrose and ringer lactate
3.1
3.1.5
Every doctor has a professional obligation to extel.rd services to protcct life All thc clinics
must provide immediate medical
aid
in all
cases
of
medical
cinergcncy
All clinics
providing medical care and are registered under these rules must have the fO110 ving functional life saving equipments:-
.4
ErnergencyMedicines
In case a patient is brought in a critical condition to a clinic and it is decided to refer tlre
patient to a hospital, the patient shall be treated and stabilized before being referred / slrifteil
to the hospital, provided also that tlie patient shall be transferred to a higher cerltre or
Nursing Home/Hospital, accompanied by a medical attendant along w'ith all rnedical records (including X-rays, investigation reports, clinical notes).
"-J
It is also expected that the doctor who had treated the patient initially shall keep in touch
with the institution to which the patient has been transfened to, so
patient's condition.
as
Entrance zone:
SignageProminent display boards in local language and Pictorial depiction Boards/Charts providing information regarding the services available and the timings of the
1,1
4.1.1
4.1
.2
institute.
4.1.3
Boards or chat'ts meutioning Proplietor's Name. Nar.ne of tl.re doctor- his qualificationStream of rledicine plactised. Address. Telepl.ror.re nurlber. email Id
(if any).
4.2
OutpatienfflepartmentPage 12 of 57
m20
38(65)
valious disciplines available in the Establishment then there shall be separate cabins for
clinicwithsepalateprovisronforexaminationwlriclrerrsuresprivacytotlrepatient.The
cabinsshailbeprovidedwithDoctor,sChairTable,PatientsChair,Attendants,Seat,Wash as may be required for different Basin, X Ray Film View Box and other set of tools
disciplines.
4.2'2SeparatetoiletsformaleandfenraleinthepremisesincaseofPolyclinicsandcomnrot1
toilet in case of
a single
clinic'
pharmacy
in the premises it
should be located
in an area conveniently
to the incolning
o o 5.
Minor OT
Dressing Room/lnjection Roorn
Support Services:
:,y'
be
porver back up should Electricity- Provision for continuous supply of electricity and
there.
washing arrangements Water Supply- Provision for safe drinking water and hand shall be there.
as
7.
plescribed
by
Vith Bio
ith Comn10n Bionlcdical astC Trcatinncnt Facilitics rcsourccs or through tic tlp
Page 13 of 57
738
(66)
BitsTd {|qrl{,
ffiis
20 srriRT 2oj3
Pathological laboratory:
a. b.
Small Lab: Routine clinical procedures like HB, TLC, DLC, and Urine)
Uri'e
Sugar (Blood
Large Lab : Above Procedures plus Blood - Urea Cholestrol, RFT, LFT, Lipid , Profile, Bio Chemistry, Microbiology, Histopathology, Common Homone Assay : T3, T4, TSH, Prolactin, Urine and Blood Culture, Elisa Test, elc
11
The clinical laboratory shourd be provided with 600mm wide and 900mm high
bench
of
length about
for
pathorogist
i.
charge of the laboratory. Each laboratory bench should have a raboratory sink with swan neck fittings, reagent shelving, gas and power point and counter cabinet. Top of
the laboratory bench should be acid alkali proof.
All clinical
All
16 SupewisOw Docto
161
laboratories should keep records properly with the name of the patients, their address and the name ofthe referral doctor along with the details of investigation results.
Pathology labs have to maintain firefighting equipments like extinguishers as prescribed by municipal authorities.
All labs should have Personal protective Equipmerx (ppE) for the staff
Clean toilet facility for sample collection with due privacv.
17
Technical Personnel The tcchnical pcrsOn pcrforming tcsts undcr thc supcrvision Ofthc
supervisOry dOctOr shOuld havc thc f0110wing q lalincations:_
Page 14 0f57
01 `
,t 20 aT 2013
73S
(67)
1 8
4LT or a traincd nursc ThC C011eCtiOn Centre C011cction Centrc can be run by a D sq ft area, where facilities of collectton collection centre should have a room of atleast 80 ol samples from centre to medical lab and storage of samples and proper transportation done carefully with proper marntenallce should be p'rovided. The transportation should be of cold chain.
Services and tl.rerefore' it The role of Radiology Centre is to provide Radio Diagnostic in Radiology and Imaging' shall be run by appropriately qualifred specialist Ultrasonography (USG)' Tl-re Radio Diagnosis Units generally deal with Radiography' (CT Scan)' Magnetic Nuclear medicine and Computed Axial Tomography Scaruler
Resonance Imaging (MRI) etc.
24
3. 3.1
i.l
SuchUnitsshallhaveX-RayandnormalUltrasonographyfacilities.ApartfromthisitShall Axial Tomography Scan have facilities like colour Doppler, Echocardiography, computed related tests' (CT scan), Magnetic Resonance Imaging (MRI) and other Nuclear Medicine
All
clattses
ENERGY
technicians' Availability of lead screen near the control panel and lead aprons for
oAvailabilityofTLDbadgeswitlrroutineevalrtationofteclrniciarrsforexposureto
radioactive'tay#
.Prominentdisplayoflogoandcautionsigrrageespecially|ortheplegnantladiesilr
local language.
rThewallsofroomwlrereprimarybeamfallsshallnotbelesstlran35mmthickand
thick' rvalls on r.vhich the scattered beam falls shall not be less than 23 mrn
i'7
Body' The Center should have beer-r approved by the Atomic Energy Regulatory
Ultrasonography:
All
Act.
urachine shall In case the Llltrasol'ttc facilit"v maintains a potable machine' the r:se of such be limited to rl.re l.rospiial prerlises as prescribc-d undcr the PND',f guidelines.
Page 15 cf 57
738(68)
e-frere wqa,
Rli*
20 3TrrR 2013
4. 4.1
services
(cT
Radiology/ Radio Diagnosis / Diploma in Medical Radiology and Electrology / Diplon-ra in Medical Radio Diagnosis/Diploma in Medical Radiology or any other Qualification/ Degree
or Diploma recognized by MCI.
4.2
Technical Personnel- The technical person performing the tests under supervision ofthe
supervisory doctor should have one
of
4.2.1 Diplorna in X-ray and Imaging awarded by a University, state Government oI central
Technical Board.
4.2.2
Support Services:
Elcctricity Provision for continuous supply of elcctricity and poM
V/atcr Supply Provision for safe drinking vater and hand washing arrangcmcnts shall
bc
there
Equipment:
Thc Ccntcrs must bc providcd vith all instrumcnts/cquipmcnts rcquircd fOr cmcrgcncy&
basic lifc support
62
Thc
clinic
providing
intcrventiona1
/contrast
studics
nlust
havc
instrtlnlcnts/
equiplllcnts/mcdicines to dcal vith any allcrgic and/or anaphylactic cornplications that rnay
arisc
7.
Waste Disposat: The Disposal of wastes in the hospital shall be in accordatlce u'ith BioN,ledical Waste (iv{anagement and Handling) Rule. 1998. Provisions shall be nrade tor
segfegation and safe disposal of biomedicai rvastes. -sharps and slringes eithcr"bl lhcit orrtl lesources or throu-qli tie-Lrp ivirh (lor.nmon Bromeclical
Page 16 of 57
ir{fe.ra rrqqf,,
iiri6
20 r{rrm 2013
738
(69)
C. 1lAN DARDS F( R
(Definition
IATERNITY
HOMES
t)
1.
home: Must fulfill the standards prescribed for the clinics in part A of this Schedrile.
Arrart From the above: The basic minimum facilities to be provided bv lhe
Matemity Homes are as follows:
21
Maternity Facilities-
And
and
Caesarean
b.
o' the panel of the institution. The names, addresses a'd telephone numbers of such licensed blood banks have to be orominentlv
blood bank facility
clisplayed;
c. d.
ar.rJ
oPD Area- The minirnum standards for all individual opDs shall have to be
mentioned in the standards lor Clinics in pafi A of this Schedule.
as
IPD Block-
ir-r
the roorlr
illc hcs
738 ( 70)
20 3
2013
Bath&toilet
Numbcr ofurinals Number of toilets and baths
36sq i
I per 6 bed
1
per 6 bed
bed
I per l0
Instrument Sterlization
Scrubbing up hcre ShOuld be prOper zoning iii5
protcctivc,clean zOnc and sterile zOnc
25 sq
ft.
ft.(with toiler)
Trolley
Bay
*_rl
30 sq. ft.
120 sq. ft.
2.4
1.5
a, b.
TItis unit sliall be located w,ithiu or in close prorinrit\ to lirbor roonl Radiant Wanner.s must be kcpt in this are a.
Page 18 of57
20
2m3
38(71)
3.
a. b.
Labor Table
Foetal Monitor (Doppler or Cardiotocograph) Neonatal Resuscitation
Kit
&
one standby foot sttction machine
8 beds or part,
j. k. l.
4.
Dressing Trolley
Instruments
&
equipments required
for
Defibrillator.
Foetal
Monitor and empanelled blood bank tie up, portable X-ray, ECG machine, if available
shall be as per the standards prescribed in Standards of Diagnostics in Part B of this
Schedule.
5.
".";t
Support Services:
a.
Electricity- Provision for continuous supply of electlicity and porver back up shall
be there.
b. c.
Water Supply- Provision for safe drinking water and hand u'ashing anangemellts
shall be there.
F-ire safety-
All Maternity
6.
Waste Disnosal: The Disposal of nastes in the hospital shall be in accordance rvith
Bio-Medical Waste (Managernent and I-landling) Rule. 1998. Ptovisions shall eithel
'i
re
be
made for segregation and sale disposal of biorredical uastes. sharps artd sltinges
b-v
atr.ner.it
738
(72)
o ,
20
2 3
It is an establishment
gymnastics or any other similar processes are usualry carried on for the purpose of treatment ofdisease or deformity. Folrowing standards shall be maintained for the physiotherapy Unit:-
t'
2.
21
Such Establishments shall be under direct supervision of Bacheror of physiotherapy from a recognized univerlity or institute.
22
Male or female employees providing such therapy shall be under direct supervision of a qualified Physiotherapist as mentioned above and shall possess a minimum qualificatio' ofhigher secondary and minimum practical experience as prescribed bv the MCI in Physiotherapy department of any hosoital.
3. I. 3. 5. 7. 9.
4.
Equirrments:
Short Wave Diathermy
2
Microwave Diathernty
Laser Therapy
Magnetic Therapy Interferentialtherapy Paraffin wax bath Ultra Sound Therapy ' *SuppOrt serviccs:
4
6
8
Hot Packs
-'f
water Supply- Provision ror safe drinking rvater and hand washing
shall be there.
arr.angerrents
Fire saflety- All Physiotherapy units have to n.raintain firefighting equipments rike tire exringuishers.
5.
made
waste Disrrosar: The Disposal of rvastes in the hospital shall be i' accoraance with Bio-N4edical waste (Managemenr and Handling) Rule. 1998. pro'isions sha be
lbr
either
bl
of bio'.redical wastes. sharps a'd s1..r.inces their orvir resources or th'ough tie,up *,ith comrron lrio'redical \\,aste
J-ge
Treatr.r)en1 Facilities.
2i-)
af
ddR{ttd {"iqd.
k+iq
zo errrs zors
738(73)
E.
1. 1.1 1.2 1.3
The Basic Minimum Facilities Provided trv a Nursing Home/Hospitals includes: Emergency First Aid- As prescribed for
a
Other Serviceshave ear-marked space for OPD block as per standards as prescribed
1.3.2 Services of one Medical Practitioner on duty shall be available 24hrs for
compulsory
attending
emergency calls of indoor patients. 24hrs duty of Medical Practitioner shall not be
if
of
Doctor
is
standards prescribed
for Medical
if
2.
mm
4, 4.1
Wards-
d m
Inpatient Derrartment:
a. The ward Should have Enough space between beds (as prescribed in clause 8 of
Part E ofthis Schedule)
b.
Separate toilets for nrales and lenrales Separate room for infectious patients
c.
d. Fire fighting equipments/evacuation plan/exit plan and firc alarm e. Emelgency Tray
f.
h.
Suction Machine
Anibr-r Bag
i.
y=
Page 21 of 57
738 \74 )
20
qrrR
2013
4.2
Intensive Care Unit shall be well supported by medical and paramedical staff
ir.r
order
b.
Space per ICU bed- 100 sq. ft. between two adjacent beds- 3.5ft
beds
c. Distance
d. Curtain/partition between
f.
g.
ECG,
i.
j.
l.
n. p.
facility
o. WheelchairsiStretchers
Separate Mediciiie
4.3
c. Scrub Area
d. Sterilization Roorl e.
Store
f.
g. Operation Table
h. Shadow
Less Larnps
i.
Page 22 ot 57
20
2013
738(75)
. '
Support Services and Necessary Requirements For Staff: Support ServicesDiet- Diet may either be outsourced or adequate separate space for cooking shall be
provided. Hygienic food as advised by the physician shall be available to the patients. CSSD (Central Sterile Supply Deparlment) (Compulsory for hospitals with 100 beds
or more)- Adequate space and standard procedures for sterilization and sterile stolage
shall be available.
developed.
of CSSD shall
be
c.
d.
Laundry- There shall be separate storage facility for dirty and clean linen and also for infected/soiled and non-infected /non soiled linen.
Electricity- Provision for continuous supply of electricity and power back up shall be
there.
e.
Water Supply. Provision for safe drinking water and hand washing arrangements shall
be there.
f.
Fire Fighting equipments- AII hospitals to have fire fighting equiprnents like Fire
Extinguishers.
5.2 Necessary requirements for staffa. The stalf employet-sh:Xll be fi'ee from any contagious
b. c.
Staff shall be ensured for rnedical hazards and statuary rules of emplovment shall be followed.
6,
Equipment: The Nursing Homes shall provide and maintain the following:a. All instruments/equipments required for emergency and basic life support b. ECG Machine
c.
e-
EnTergency
Tlay
Sr"rction Machrne
olle ox) gen cylinder for 8 beds u.itli one Standbl, Cylinder
Defibrillator
Page 23 of 57
738
(76)
i.
j.
61
Laryngoscope with 5 blades ofdifferent sizes Endo Tracheal Tubes of all sizes with connections Pulse Oxymeter/ Multi - parameter Monitor
i.
Autoclave
Shadow Less Lamp
j.
l.
62
k. Electric Cautery
Defibrillator
Minimum Instruments and Equipments required for Nursing Home /HospitalMinimum required instruments & equipments shall vary as per parlicular
specialty/super
super-specialty services must l.rave specialists in the relevant discipline either on their
Desirable Qualifications
rn)
- ----srcl ait
Obstehic jan
& Gynaecologist
DCjO (OBG)i\4SiDNB/N{D
Page 24 of 57
20
2013
38(77)
Pacdiatrics
DCH/MD(Paediatrics)/DNB
Orthopaedics
MS/DNB/D ORTH
4S/DLO
ENT Specialist
Anaesthetist Eye surgeon
MD(Anaesthesia)/DNB/DA
MD/MS/DOMS/DNB/(Ophthalm010gy)
Dental Surgeon
Pathologist
Radiologist
Psychiatrist
Dermatologist
General Practitioner lallqpathg
MD/DNB/Diploma
MBBS/
medicine
allopathic
BAMS/BHMS/ BUMS/Siddha/Yosa
Post Graduate in
Specialist ofAYUSH
AYUSH
72
S.No
Nulsing Home must have at least one Resident Medical Officer Medical Officer for every 20 beds.
Nursing staff and other supportive staff
shall be in the ratio indicated below:
General Duty
,_{ ?-:/'
many
Number to
provided
be
Nursc/Midwifc
General Duty Attendant
Sr.veeper
20 20
beds
ol its part
l0
Page 25 of,7
738 (78)
'sfrgrra trqcr,
ifib,
20 3TrtR 2013
8.
Phvsical Standards:
Item
Minimum floor space per bed in ward
Minimum distance between two beds Minimum clearance between bed and wall Minimum width of doors in the wall
Brath&Toilct Number of Toilets and Baths Number of Wash Basins
ft.
60 mm
3ft.
36 sq. ft.
1 per 6 bed
I per 10 bed
140 sq. ft.
*J
PaEe 26
.l 5t
20 `I"2013
738
(79)
120 sq. ft. + 40 sq. ft. 160 sq. ft. 100 sq. ft.
Ward Store
Trolly Bay
Consulting Room and Examination Room
30 sq. ft.
120 sq. ft.
9.
91
Emergencv Med al
Sewices:
92
Evcry Nursing Homc shall havc al1 logistics for cmcrgcncy basic lifc support with
traincd medical and paramedical personnel
93
Evcry nursing hOmc shall cnsurc that they must prescribc rational drugs to thcir
patients and follow the provisions Ofthe Dnlgs and Cosmctics Act,1940
9.4
Every Nursing HOme has a prOfessiona1 0bligation tO cxtend its scrviccs vith duc
expertisc for protcctin fc in cmcrgcncy or in disastcr
10.
Waste Dis,osal: The Disposa1 0f astcs in tllc hOspital shall bc in accordancc with
Bio Mcdical
for scgrcgation and safc disposal of biOmcdical vastcs,sharps and syringcs cithcr by thcir own rcsources or through tic
Facilitics
Page 27 of 5?
38(80)
Ernfgrrd {trqqt,
l({is
20 3Trrkt 2013
SCHEDULE 2
(See Rule ll)
RENEWAL OF LICENSE
ICLINIC(ALLOPATHIc/AYUSH)AND PHYSIOTHERAPY UNIT
Taluka
District:
.... ...
State
....pincode
Email id
lobic No
/
l-l
Municipal Corporation
l-l
Others
Orvnership:
Regisrered Pafrr]ership
l-l
Co-operative Society
Trust / Charitable
Irsu
f--l
Corpolation
7.
dfrs?rd
{.rcr. ktio
zo eTrf
zot:
738(81)
Designation
Address: Village/
Education eualification
Town:
State
.......Taluka
District
........................Pin
code
Email id . Mobile No _
8.
I
9.
Allopathy
l
Ayurveda f-l
Yoga and Naturoparhy
Unani
tr
I
Siddha
lomeopathy L__j
Physiotherapy
InfrastructureDetails:
Area of Establishment (in sq.
ft).............
Total
l
Area
Whdher
Om / waste
.....,,Constructed Area............
disposal license obtained frolll Panchayat/
[-l
II
Ye'
No
I J Yes
No
Page 29 of57
738 (s2 )
12.
Human resource:
Total no. ofstaffas on date ofapplication
Please furnish the following table:_
S.
Category of staff
Name
No
Qualification
Registration
No.
Nature
serwice
of
temporery/
(where applicable )
permanent /
visiting I
consultation
13.
l.
Online payment
2.
Demand
draft
3. postal order
Page 30 of 57
Bfrstrd {rqqd,
ffiis
20
:{qkl
2013
738 (83)
I,
...................'..
my company/ society/ association/ body, hereby, declare that the statements made above ae
correct and true to the best of my knowledge and I shall abide by all the rules and regulations
I,
Place:
Date:
"J
38(84)
,,m20 (
2Cl1 3
1.
................
.:
..............
Address: Villase/
Town: .......State
District:
id.........
MobileNo.......
3.
4
Year of starting:
Location:
Ownership:
l-l fl fl
Oth"rt
Regislered Partnership
l---l Registered
Company
Co-operatii,e Society
fl
6.
7.
Trust / Charitable
f]
PSU
fl
Corporation
Designation
Address
V
Educatior.r
Qualification
illage, Tour:
aluka
Page 32 of 57
Br*grf6 {lrlq:{.
k{is
20 3T.fR 2013
/J6 l d),
District:
......'State
....Pin code
Email id.
Mobilc No.
8.
Laboratory:
fl
Pathology Lab
[-l
Collection Center
fl
fl 9.
x-Ray
I
(MRI)
Sonography
t] cr
f-l
Scan
Isotope Scans
Any other
InfrastructureDetails:
Area of Establistunea{n sq. ft)......
.......
.
'Total
Area
10.
Panchayat/
I
I
Yes
No.
l.
No.
12.
Vheth
13.
[_l v.'
738(86)
o ,m20
2013
14.
Human resource:
Total no. of staff as on the date of application
Please furnish the following table:-
Category of
staff
Name
Qualification
Registration
No.
Nature of
service
(where applicable )
15.
draft
3. Postal order
:::.*{
Page 34 of 57
zo errrw
zor:
738 ( 87)
r,
......................
company/ society/ association/ body, hereby, declare that the statements made above are correct and true to the best ofmy knowledge and I shalr abide by all the rures and regulations
under the chhattisgarh state upcharyagriha Tatha Rogopchar Sambandhi Sthaparraye Anugyapan Niyam,2013.
Place:
Date:
1r"
PaBe 35
of 57
738
(88)
zo
sllw zot:
FORM
Home registration under The Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambardhi
Sthapanaye Anugyapan Adhiniyam, 201 0
l.
2.
Address:
Village/ Town:. ..
Taluka
Email id MObilc No
3.
Year of starting:
..
..::.:.j.;j
4.
Location
lMunicipal Corporation
f-l I !
Others
5.
Registered Partnership
I
n
6.
Registered Company
Co-Operative Society
Trust / Charitable
f] Psu I
Corporation
Page 7E or
zo ,:r.rg
zot:
738
(89)
1,
Designation
Address: Villase/
Education Qualification
Town:
District:
.......State
......FaxNo.
Mobile No
8.
Ll
Atlopathy
I Ayurveda tr Unani
!
Yoga and Naturopathy
f]
siaana
L-l Homeopathy
9.
f] I 10.
Hospital
Nursing Home
f]
Maternity Home
'-J "
ProvidingDiagnosticServices:
Laboratory:
Pathology Lab
LJ Lolleclron
L enter
-, rav I t.\
tr--i
CT Scan
I
11.
Any other
Infrastructure details
fotal
Area
.. . .. .. ..
....Ccnstructed Area.....
Page 37 of 57
738
(90)
a.
OutpatientDepartment:
Specialty wise distribution of OPD clinic:
S. No
Specialty
No. of rooms
Remarks
b.
In Patient Department:
Total No. ol beds
..................
Specialty wise distribution ofbeds (in case the hospital is more than 100 beds):S. No
Specialfy
No. of rooms
Remarks
t/-
Whether Biomedical Waste Disposal License obtained from Panchayat/ Municipality/ Municipal Corporation?
LJ
Yes
l--l
No.
d.
fl
e.
Y"'
n
I
No.
n Y"t
f.
l- I
YCS
No.
[]xo
Page 38 cf 57
,m20
38(91)
12.
uman
resource:
Registration
Category of staff
Qualification
Nature of
tempera/
service
No.
(where
Permanent
applicable )
/visitirrg / consultation
"tt^"hed
l\I^ I \u.
738
(92)
sdl{r|d
T|qTd,
ftrifr
20 3TrfK 2013
DECLARAT10N
I,
......................
company/ society/ association/ body, hereby, declare that the statements made above are
correct and true to the best of my knowledge and I shall abide by all the rules and regulations
Place:
Date:
"J
Page 40
of 57
20 errf 2013
38(93)
SCHEDULE 3
(See Rule ll)
Municipal
Corporation
Registration Fee
Other Areas
Registration Fee
(in Rs.)
(in Rs.)
(a)
(b)
700
1500
700/doctor
350 750
350/doctor
(a) Up to
(b) I l-20
10 beds beds
1000 1500
2000 2500
Pathological Laboratory
1000
1000
500 500
IMAGING,X RAY&OTHERS
(a)USG/ECHO/Color Dopplcr/X Ray/
1000
800
ECT,EEG,EMG,Endoscopy
(b) MRI/
CT Scan/ Angiography
3000
800 500
1500
500 250
Page 41 of 57
738 \94 )
SCHEDULE 4
(See Rule ll)
Registration No
It
Address..........
the ownership of Mr./Mrs
...... under
Rupees
(in words) and is
.(in figure)
registered under the
Niyarn,2013.
This registration, however, does not guarantee the above mentioned establishment,
the license under the Act. The registration Certificate will be valid till
"- -_/
Signature
Page 42 of 57
20 3TrrRI 2013
738(95)
SCHEDULE 5
(See Rule ll)
FORRIAT OF LICENSE
FORMAT FOR THE LICENSE UNDER SECT10N 4 0F THE CHHATTISGARH STATE UPCHARYAGRIHA TATHA ROGOPCHAR SA lBANDHISTHAPANAYE ANI GYAPAN ADHINIYAM,2010
License No........ Subiect to terms and conditions specified in Schedule 1 of the these rules, license is' hereby,
granted to Clinical Establishment (Name)..
Address.............
Plonriet nr's , , uy, r! ru,
Name
Registration No....................
to
establish /rrur
tl.re
viz:
From.............
...
...To..............
Scal
Snpervisory Aulhorit)
Date: Place:
Fage 43 ct 57
38(96)
20a 2013
SCHEDULE 6
(See Rule 13,Clause 8.2)
ESTABLISHMENTS
District.
Sl.
Status as on
Remarks (*)
No.
Name address
Clinical
Establishment
and
Category
Date
on
of
of of Clinical registrati
Establish
ment
Date issue
license
of I
Validi
of
registration
renewal of
/1icense
Action
Taken
Remarks
Complainant
Clinical
Establishment
against whom the complaint is made
(*)
complainant
: '
Page 44 of 57
dd-'r|d 1rqrr.
Rli*
zo
erts zor:
738 (97 )
SCHEDULE 7
(Rule 14)
Every Nursing Home/ Clinical Establishment shall maintain and preserve medical records
hospital.
OPD Records: The "OPD paper" ofa patient attending the OPD should contain the Doctor's name and detailed clinical notes including patient's name, age, occupation,
chief complaints, onset/duration/progress of illness, past history, personal history, family history, detailed examination findings, provisional diagnosis and treatment
advised.
2.
IPD Records: The Nursing Home shall keep the following details of the patients
admitted in the Nursing Home as an in-door patient, narnely:-
(i) (iD
(iii) (iv)
Records of admission
Discharge / DOR/LAMA/ Absconding/Dearh of the patient; Records of Treatment These registers..lf to be duly maintained and updated chronologically , copies
of which have to be kept in the record room of the nursing hone for at least 5 years. The information
Supervisory
3.
i.
ii. iii.
iv.
MTP register (if registered under the Medical Ten.nination of Pregnancy Act.
1971) It4edico Legal Register
v. t'i.
vii.
Laboratorl Rcgister
Radiolog),andInterging Register liltr-asorrograplil Register.
Page 4.c of 57
11_
738 (e8)
zo
:r're zor:
X
Xl
Xll
Xlll.
TB
Control
Page 46 of57
B-algrrd tl;IrFt.
l(lFF
20 sTrt 2013
738
(99)
INTIDIIAT10N OF BIRTH OF A CHILD OCCURRING IN NURSING HO IE AS PER BIRTH AND DEATH REGISTRAT10N
FORDI A
BIRT REGISTER
Follolving entries are to be made in the birth register:-
2. 3.
Gender:
4.
5. 6. 7.
Father's Name:
Permanent address:
Mother's Name:
"--/
Place of
1.
2. if
Page 47 of57
738 ( 100 )
20
2 3
BIRTH REPORT
STATISTICAL INFORIVIIAT10N
(ThiS part to bc dctachcd and scnt for statistical processing)
l 2
a. Hindu
b Musliln
c Sikh
d Cl isuala
3. 4. 5. 6. . 8. 9.
7
Private /Government
Delivery at Home 10. Method of delivery: (Tick the appropriate entry below)
1.
Normal
2. F orceps/Varu{m
3.
I
Caesarean
Page 48 of 57
o'fr{trr6 TEq1.
R{iq
20 srtrkt 2oi3
738 ( 101)
DEATH REGISTER
LEGAL INFORMATION
Following entries are to be made in the Death register:-
1.
Date of Death:
Name of the deceased:
Sex of the deceased:
2.
3.
4.
5.
a. b.
then
Hospital/lnstitution Name:
c.
Other (Specify)................
y/---
'-"'':f
Page 49 of 57
738 ( 102 )
,,
20 2013
DEATH REPORT
STATISTICAL INFORMATION
(This part to be detached and sent for statistical processing)
1.
2.
a.
Hindu
b. Muslim
c Sikll
d Christian
3.
4.
5. 6.
7
certified?
Yes
No
.J
In
of the Delivery
Yes
Page 50 of 57
R-frsAA
rrqt. Rfq
20 3Trtfn 20.13
738 (103)
SCHEDULE 9
(See Rule 15)
NOTIFIABLE DISEASES
S No
Month
Name of the disease Category of disease
/
PaBe 52
ci
57
38(104)
BRftsr|d {rqtn.
F{is
20 3TrrRI 2013
ANNEXURE A
LIST OF EOUIPMENTS STANDARD SURCICAL SET I(INSTRUMENTS)
S.No.
Instrument
Tray, instrumenVdressing with cover, mm-ss
3 10
Minimum
requirement x 200 x 600
1
4
5
9
10
11
13
14 15 16 17
19
20
21
Gloves surgeon, latex sterilizable, 6-112 Gloves surgeon, latex sterilizable, size 7 Gloves surgeon, latex sterilizable, 7-l i2 Gloves surgeon, latex sterilizable, 8
Forceps, backhaus towel, 130 mm
12
7
8
4
6
Forceps, sponge holding, 228 ntnt Forceps, afiery, pean straight, 160 mm, stainless steel
Forceps hysterectomy, curved, 22.5 mm
m :
4
4
6
ttM
Sm_ Q d , 5
Forceps, tissue, all/is 6x7 teeth, straiglrt, 200 mm-ss Forceps, uterine, tenaculum, 280 mrn, stainless steel Needle holder, mayo, straight, nanow jarv, 175 mm, ss
4
D
of6
Page 53 of 57
,m20
2013
738 ( 10s )
S.No.
22
23
Instrument
Rctractor,abdOminal,Deavers,sizc 3,2 5 cnlx 22 5 cm Retactor, double-ended abdominal. Beltouis. set
Minimum requirement
1
of2
24
26
IUD INSERT10N I T
9 10
14
15 16 17 18
2
3
Gloves Surgeon, latex, size 6-112Ref.4148 Gloves surgeon latex, size 7-1/2Ref.4148
6 6
1
4
5
Scmkcn 200
Sound uterine simpson, 300 mm graduated UB 20 mm Forceps tltcrinatclla"lum duplay DBL Forceps tissue
CVD,280 mm
160 mm
6
1 1 l
1
Page 54 of 57
738 ( 106 )
2013
Instrument
Trolley, dressing caniage size 76C, long x 46 cm wide and 84 cm high. Ref. lS 476911968
Towel, trolley 84 cm x 54 cm Gown, operation, cotton
Cap. operation, surgeon's 36 x 46 cm
Minimum requirement
1
4
5.
9.
2.
J.
Jt
5. 6. 7. 8.
9
10
1
1
x 6 m as oer
IS:
7.
2
2
Mask, face, surgeon's cap of rear ties: B) Beret type with elastic hem Towel, glove
Instrument
Facemask, plastic w/rubber cushion and headstrap, set
Minimum requirement
of4
4
2
J
J
1
Cuffs for endotracheal catheters Breathing tubes, hoses, corurectors Vaporiser, halothane
Needle. spir.ral
4 4
l l
Page 55 of 57
tt
m 20
2"3
738 \107 )
Instrument
Diathermy machine
Dressing drum all sizes Lamps shadowless:Ceiling larnp Lamps shadowless: Portable type
Minimum requirement
1
2.
4
5
6 7
8
Trolley for patients Trolley for instruments Boyle's Apparatus with accessories
Instrument
Rod, flint-glass, 1000 x 10 mm dia, set of two g Cylinder, measuring, graduated Wpouring lip, glass, 50ml
Minimum requirement
2
,
1
2
0
Bottle, wash, polyethylene Wangled delivery tube, 250 ml Timer, clock, interval, spring wound, 60 mimrtes x minute Rack, slide drying nickel/silver, 30 slide capacity Tray. staining. stainless steel 450 x 350 x 25 nm
Chamber, counting, glass. double neubauer ruling Pipette, serological glass,0.05 ml x 0.0125 ml Pipette, serological glass, 1.0 ml x 0.10 ml Counter. differential, blood cells. 6 unit
Ccntlifllgc,lnicro
1
4
5
6 7
8
6 6
1
9 10
ll
hcmatocrit,6 tubcs,240v
12
738 ( 108 )
20
2013
10
1
14
Lancet, blood (Hadgedorn needle) 75 mm pack of 10 ss Benedict's reagent qualitative dry components for soln Pipette measuring glass, set of two sizes 10 mI,20 ml Test tube, w/o rim, heat resistant glass, 100 x 13 mm Clamp, test{ube, nickel plated spring wire, standard type Beaker, HRG glass, low form, set of two sizes,50 ml, 150
10
1
16 17
24
3
19
20
ml
Rack, test-tube wooden with 12x22 mm dia holes
1
riq|d{,
aln
6Rr
qidd dqr
96rRra
2013.
illr,i-irr?i14 9 ri