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Raipur・ thc 20th August2013

NOTIFICAT10N

l. Short title,extent alld cOmmencement.‐(1)Thcse rules may be callcd the Chha■ isgarh

Statc UPcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Niyam,2013.

(2)They Shall cxtend tO thc wholc state ofchhattisgarh

O)They shali comc into forcc from thc date Of is pubHcaJOn in thc offlcial Gazettc

2. Derlnitions.― (1)In thcsc rulcs,unlcss the contcxt Othcrwisc rcquirc,一

o)“Act"mcans the Statc of chhattisgarh Upchavagriha Tatha Rogopchar Sambandhi

Sthapanayc Anugyapan Adhiniyam,2010;

(b)``Appellate Authori″ ''means thc authOr■y deflned in rulc 9 0fthcsc rtlles;

(c)“AYUSⅡ"mcans AyuⅣ cda, Yoga, Unant Siddha and HomcOpathy systcms of

mcdicine;

(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, shallhave the same meaning respectively assigned to them in the Act.

3. ^ supervisory. Authority.- (l) The District collector of the concemed dishict shall bethe Supervisory Authority under these rules and shall be assisted by a District committee indischarge ofthe functions assigned to it under the Act.

(2) The Supervisory Authority shall consider the recommendations made by the Districtcommittee in all matters and sha make decisions relating to registration ani /or grant oflicenses 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 Clinical Establishments in the State ofChhattisgarh,

which are as follows:-

(a) To grant/renew, suspend or cancel registration/license of a Clinical Establishment as

per the provisions under Section 3, 6, 8 and 9 ofthe Act;

(b) To enforce imposition ofpenalties as provided for under Section 4 and l2 ofthe Act;

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

(d) To enforce standards as required under Section 7 and l8(2) ofthe Act;

(e) To inspect and investigate as required under Section I I ofthe Act;

(0 To investigate complaints related to shallful negligence with the provisions ofthe Act,

as reouired under Section l3 and l4 ofthe Act:

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

to be designated as "Office of (....district name) Clinical Establishment Registration and

l.icensing Authority". The office shall work as the Secretariat of the District Committee.

The office shall be served by appropriate staff who shall report to the Chairperson of the

District Cornmittee.

6. Income of the office of Supervisory Authority.- The fees / penalties payable by the

Clinical Establishments sy'all become the income of the office of the Supervisory Authority'-iof the concerned district and shall be used for the purposes of carrying the activities

assigned to it.

7. Initial corpus of the Supervisory Authority.- The State Gov€rnment may provide grant-

in-aid to the Supervisory Authority to supplement its resources, provided that, the quantum

of such grant-in-aid shall be determined on the basis of an assessment of their income and

expend iture.

8. District Committee.- (1) The constitution oithe District Commiftee shall be as follows:-

I . Chief Medical and Health Officer (CMHO)

I Dist rict Collector's norninee

[Not belorv the rank of Deputy Collector]

- Chairperson

Member

Page 2 of 57

…

劇ЧЧ",飾

20-2013 738 ( ss)

3. Commissioner/CMO of the Urban Local Body - Member

of the Headquarter Town of the District

4. CEO, Zilla Panchavat - Member

5. Representative of Chhattisgarh Environment - Member

Conservation Board

6. District Ayurveda Officer - Member

7. Civil surgeon, District Hospital - Member-Secretary

(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.

(3) The District Comrnittee may form one or more teams for the purpose of inspection ofClinical Establishments. Such team(s) shall comprise of minimum 4 members, from

various disciplines including a representative from AYUSH and the representative of

Urban Local Body shall compulsorily be present.

(4) The reports of Inspection Team(S) shall be placed before the District Committee for

making recommendations to the Supervisory Authority in respect to Clinical

Establishments, inspected by the team(s).

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) Director of Health Services- In respect of all Allopathic Clinical Establishments,

other than hospitals attached to Medical Colleges;

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

c) Director, 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) gfr€.|6 {FTt, ftci6 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.

Prescribed standards.- (l) Every clinical Establishment liable to obtain a license under

the Act must fulfill the standards prescribed in Schedule I appended to these rules in this

regard which may be amended from time to time.

(2) No Clinical Establishment shall be allowed to operate without a valid license after the

expiry of9 months from the date 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 nursing staffonly, provided that:

(a) Such relaxation shall be given against a rvritten request from the owner/proprietor

of the Clinical Establishment;

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

registration; {(c) The maxim-rfifi'perrn issible time for rectification of gaps shall not be more than 3

years from the date ofgrant ofregistration;

(d) During this period the unskilled and untrained staff working in the establishment

shall have to undergo a course of nursing/midwifery/paramedical of 6 months

duration and obtain a certificate under Chhattisgarh State Skill Development

Mission;

(e) After the relaxation period of 3 years all the

rules shall be applicable for the establishment

allowed to work in the Clinical Establishment.

standards as described herein the

and only qualified staff shall be

10.

Page 4 of 57

dfrsrrd {Ficr, kqiq zo :+rre zor: 738 (s7 )

ll. Procedure for issue of license.- (l) procedure for Registration and licensins ofexisting establishments shall be as follows:_

a) All clinical Estabrishments arready in existence on the date of notification ofthese 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 theformat given in Schedule 2;

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

c) The Supervisory Authority shalr issue a Registration certificate upon receipt ofsuch application with the prescribed fee. The Registration certificate shall beissued in the format given in Schedure 4. The Registration certificate shall bevalid for a period of6 months from the date ofissuance:

d) The Supervisory Authority shall order the District Committee to inspect theclinical Estabrishment of the applicant within the validiry period of theRegistration certificate to confirm (or otherwise) eligibility for issue ofricense:

e) where the Estabrishment is certified to be operating as per the prescribed

standards, the Supervisory Authority sha issue a ricense under Section 3 and 6 ofthe Act, which shall be valid for a period of5 years, as prescribed under Section g

ofthe Act. The license shall be issued in the format given in Schedule 5;

f) where it is found on inspection, that the establishment does not fulfill theprescribei*i#ndards, Supervisory Authority may refuse to issue a license;

g) where the Establishment fairs to obtain a Iicense under these rules, theestablishment shall have to apply afresh for license. The fee for application sha

be same as prescribed for a new Clinical Establishment. Establishments applyingfor the second time under these rures sha not be issued Registration certificateand the establishments shall not be deemed to be resistered.

(2) Procedure for Licensing ofnew establishments:_

a) Any new clinical Estabrishment sha only be allowed to operate after obtaininga valid license, after the Rules have been notified.

Page 5 of 57

738 ( 58 .)

……

,前 20輌 2∝ 3

An applicant intending to set up a Clinical Establishment, after the notiiication of

these Rules, shall apply to the concerned Supervisory Authority as per the format

prescribed in Schedule 2 along with the fees prescribed in Schedule 3.

The Application form must indicate the date of commencement of Clinical

Establishment which shall not be less than 30 days from the date ofapplication.

The Supervisory Authority shall indicate a tentative date for inspection in its

acknowledgment letter / receipt.

Where it is found on inspection that the Establishment does not fulfill the

prescribed standards, Supervisory Authority may refuse to issue a license.

Where the establishment fails to obtain a license under these rules. the

establishment shall have to apply afresh for license. The fee for application shall

be same as prescribed for a new Clinical Establishment. Establishments

applying for the second time under these Rules shall not be issued registration

certificate and the establishments shall not be deemed to be resistered.

(3) General conditions applicable to all Clinical Establishments are as follows:-

a) The license shall be kept affixed in a conspicuous place in the Clinical

Establishment in such a manner so as to be visible to everyone visiting the

establishment;

In case the license is lost, destroyed, mutilated or damaged, the Supervisory

Authority may issue a duplicate license against the application of the Clinical

Establish_ment and after the payment of fees as prescribed in Schedule 3. Aiza

certiilcate bf resistration / license issued under this rule shall be marked

'Duplicate' in frana lseat;

The license shall be non-transferable. In case of change of ownership or

management, the Clinical Establishment shall inform the Supervisory Authority

ofany such change and shall have to apply again for registration or.issuance ofa

fresh license, 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;

All inspection reports ofthe Supervisory Authority shall be placed in the public

domain and shall be available on demand to the General Public;

b)

C)

d)

e)

り

C)

d)

e)

rage b o1 5/

…

…,m20輌 姻 3 738(59)

License shall be issued/granted in the name of Establishment and the Proplietor

and not in the name ofthe Owner;

In case of Multi-specialty /Super-specialty hospitals having Diagnostic

Facilities or Physiotherapy Units separate application should be filed for

licensing of such Diagnostic and Physiotherapy Units. Small Clinical

Establishments where routine/small pathological procedures are canied out shall

not require separate license under these rules.

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.

Register of Clinical Establishments'- (1) The Supervisory Authority shall maintain a

register indicating category wise list of Clinical Establishments licensed to operate in its

jurisdiction. The information shall be in the public domain and shall be easily available on

demand to General Public.

(2) The Register shall be prepared and updated in the format prescribed in Schedule 6

(Table 1) which may be amended from time to time.

14. Records to be maintained by Clinical Establishments.- Every Clinical Establishment shall

maintain such records ofpatient treated and / or admitted by it for treatment as prescribed in

Schcdulc 7 and may bc a"cnded from time to timc.

15. Reporting of contagious or communicable / 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 holidays) as per format in Schedule 8 in case a person with any of the

following notifiable diseases is received / admiued / treated by a Clinical Establishment

like: Dengue, Swine Flu, Bird flu, Tuberculosis, Small Pox, Cholera, Plague, Scarlet

fever, Yellow fever, Diphtheria, Typhus, Relapsing Fever, Cerebrospinal Fever,

Poliomyelitis, Viral Encephalitis, AIDS, Meningococcal Meningitis or any other disease

notified by the Government of lndia, from time to time;

b) Monthly report as per format in Schedule 9.

Wiz--"',t- Pa?e 7 of 57

D

13.

17.

738 ( 60) o-d-g'ra rrqqt, f-{i+. 20 3FrRI 2013

16' Participation in National /state p'bric l{earth programrnes.- Every crinicalEstablishment sha participate in a Nationar / state pubric Hearth programmes subject rosuch guidelines which the Directorate of Hearth Services may issue in this regard, from timeto time. Participation under various schemes of Nationar/ state Government shall bevoluntary' Statisticar repo(s of National or state programmes / schemes like- Derivery,caesarean Section operation, Immunization, Sterirization operation under Famiry welfare,cataract, Sickre celr erc. shalr be produced before the chief Medicai and Health officer ofthe concerned District when demanded.

obligation to secure patient's Convenience.- (r) Every clinicar Estabrishment shalrensure that the patient and / or a person authorized by him/ her receives the folowing:-

a) The relevant information about the nature, cause, likery outcome of the presentillnesV 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 treatment

and alier d ischarge I

d) Photocopy of medical records after discharge or death (a{ler paying fees forphotocopy, if necessary);

time of discharge, which slrould contain date oftreatment given, operations, investigations, and

(2)Every Clinical Establishmcnt shall cnsurc fO‖ Owing rights Of thc paticnt and his/hcr

attcndant:―

a) RighttO dignity and privacy during cxaminatiOn,proccdurcs and trcatmcnt;

b) Right to get informcd cOnscnt bcforc ancsthcsia, b100d and b100d prOduct

transftlsiOns and invasivc/ high risk prOccdurcs/ treatment, risks, bcncflts,

altcrnativcs if any and as tO whO sha‖ pcrform thc rcquisitc proccdurc. Infonllcd

conscnt includcs informatiOn in a languagc and in a manncr that patient can

undcrstand; can takc risks and bencflts; has altcmatives availablc and rcquisitc

pr9CCdurcs tO bc pcrfOrmcd accOrdingly; =

c) Right Of a fcmalc paicnt tO havc propcr p● vacy du`ng cxaminatiOn ln case of

cxaminatiOn by a lmalc dOctOr,a fcrnale a■cndant 122ust bc prcscnt;

c)A dischargc summaッ at thc

柑7史ツ…騨蒟ξ

Page 8 of 57

e-d-g'ra rreq;, foiio 20 3rrrm 20 13 738 (61 )

d) Rights to confidentiality of reports. Such reports and information should not to be

disclosed to anyone other than the patient or person authorized by the patient;

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

Not having a Voluntary Testing and Counseling Centre cannot be a ground to refuse

care. For management of patients who are HIV positive, the nursing home should

follow guidelines circulated by NACO (National AIDS Control Organization) from

time to time:

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

g) Right to referral/transfer to any other facility that the palient or hiVher attendant may

wanVwish:

h) 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 complaints shall be duly recorded and serially numbered 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.---- t(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.

(5) complaints and other communications requiring urgent attention shall be placed

expeditiously before Supervisory Authority.

(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ヽ Ч ′m20… 2043

19, Miscellaneous.- (l) Employees of the Supervisory Authority 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.

By order and in the narne ofthe Governor ofChhattisgarh.M. M. MINJ, Deputy Secretary.

e-*e.rd {|qTd, ffiifr 20 3T'TR 2013 738 (63)

SCHEDULE-1

(See Rule 10)

A. STANDARD FOR CLINICS

1. Minimum InfrastructureRequirernent:

1.1 Location and Surroundings-

1.1.1 The clinic shall be located in an open place, having clean

parking space.

1.1.2 The clinic shall not be adjacent to on open sewer, drain

factory/establishment emitting smoke or obnoxious odour.

surroundings with adequate

or public lavatory or to a

1.2 Building-

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

from time to time.

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

1.2.3 The rooms of the clinig shall be well ventilated, lighted and shall be kept in clean and"' ?;;Y

hygienic conditions.

1.2.4 The flooring shall be washable with disinfectants such as not to permit relention of

accumulation of dust.

1.2.5 Arrangement for taking anti infective/disinfection measures in all clinical procedures shall

be available.

1.2.6 Each clinic shall have clean and hvsienic toilet.

つ Space Requirements:

Individual Allopathic clinics- It shall liave the

Consultation/Treatment room and rvaiting area

follor.r ing miltirttuur standatds -

200 sq.ft

Individual AYUSI{ Clinic- lt sliall have L}re Ibilou'ins mir.iir.nurn slandards.

，

一

Page ll ofS?

フ38(64) す計口t劇 .Чメ,R蒲 20」円● 2013

o Consultatior/Treatment room and waiting area

Emergency First Aid:

200 sq ft

つ

つＪ Every doctor has a professional obligation to extel.rd services to

must provide immediate medical aid in all cases of medical

providing medical care and are registered under these rules

functional life saving equipments:-

protcct life All thc clinics

cinergcncy All clinics

must have the fO110、 ving

′^４

つつ

つつ

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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 .4 There should be staff trained in cardio pulmonarv resuscitation

3.1.5 ErnergencyMedicines

4

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).

"-JIt 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 as to rerrain aware ofthe

patient's condition.

Entrance zone:

1,1 Signage-

4.1.1 Prominent display boards in local language and Pictorial depiction

4.1 .2 Boards/Charts providing information regarding the services available and the timings of the

institute.

4.1.3 Boards or chat'ts meutioning Proplietor's Name. Nar.ne of tl.re doctor- his qualification-

Stream of rledicine plactised. Address. Telepl.ror.re nurlber. email Id (if any).

4.2 Outpatienfflepartment-

Page 12 of 57

フ38(65)

―。●Чらm20型 三

一 ―一―一――― than onc Clinic in an

421 Clinics fOr Valious mcdiCal disCiplincS ― If thCrc arC morc

Establishment then there shall be separate cabins for valious disciplines available in the

clinicwithsepalateprovisronforexaminationwlriclrerrsuresprivacytotlrepatient.The

cabinsshailbeprovidedwithDoctor,sChairTable,PatientsChair,Attendants,Seat,Wash

Basin, X Ray Film View Box and other set of tools as may be required for different

disciplines.

4.2'2SeparatetoiletsformaleandfenraleinthepremisesincaseofPolyclinicsandcomnrot1

toilet in case of a single clinic'

4.2.3 If there is a pharmacy in the premises it should be located in an area conveniently

accessible to the Patients.

4.2.4 Emergency Room: The emergency room should have an easy access to the incolning

Patients'

4.2.5 Treatment Room:

o Minor OT

o Dressing Room/lnjection Roorn

5. Human Resource: Clinical services shall only be provided by a qualified nedical

practitioner as described in the Act'

Support Services: *'- :,y'

Electricity- Provision for continuous

there.

supply of electricity and porver back up should be

Water Supply- Provision for safe drinking water and hand washing arrangements

shall be there.

All Clinics have to maintain firefighting equipnlents like extinguishers as plescribed by

municipal authorities.

7. Vヽaste Disposal: The Disposal ofヽvastcs in the hoSpital shan bc in accordanccヽVith Bio―

Mcdical Wastc(Managcment and Handling)Rule,1998 Provislons shall bC nnadc for

scgregation and safc disposal of bionlcdical、VastcS,Sharps and Syringcs cithCr by thcir o、in

rcsourccs or through tic― tlp、、ith Comn10n Bionlcdical｀ⅣastC Trcatinncnt Facilitics

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Page 13 of 57

738 (66) BitsTd {|qrl{, ffiis 20 srriRT 2oj3

11

Pathological laboratory:

a. Small Lab: Routine clinical procedures like HB, TLC, DLC, Uri'e Sugar (Bloodand Urine)

b. Large Lab : Above Procedures plus Blood - Urea , Cholestrol, RFT, LFT, LipidProfile, Bio Chemistry, Microbiology, Histopathology, Common Homone Assay :

T3, T4, TSH, Prolactin, Urine and Blood Culture, Elisa Test, elcThe minimurn area ofthe laboratory should be: 120 + 40 Sq. ftThe clinical laboratory shourd be provided with 600mm wide and 900mm highbench of length about 2 metres per technician and enough room for pathorogist i.charge of the laboratory. Each laboratory bench should have a raboratory sink withswan neck fittings, reagent shelving, gas and power point and counter cabinet. Top ofthe laboratory bench should be acid alkali proof.

All clinical laboratories should keep records properly with the name of the patients, theiraddress and the name ofthe referral doctor along with the details of investigation results.

All Pathology labs have to maintain firefighting equipments like extinguishers as prescribed

by municipal authorities.

All labs should have Personal protective Equipmerx (ppE) for the staffClean toilet facility for sample collection with due privacv.

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161 4ヽinilnunl qualiflcatiOn tO run a small LaboratOry is an MBBS degrcc

1 6 2 Minimum qualiflcatiOn tO run a largc LaboratOry shall bc MD/DCP in Path01ogy

17 Technical Personnel‐ The tcchnical pcrsOn pcrforming tcsts undcr thc supcrvision Ofthc

supervisOry dOctOr shOuld havc thc f0110wing q、lalincations:_

1 7 1 Diploma in Mcdical LaboratOry Tccl■lo10gy(with a Course of atleast of One ycar

duratiOn)aWardcd by a University, State Govcrnlllcllt, CCntral Tcchnical Board

1 7 2 Any such cOulsc apprOvcd by thc Govclnmcnt of Chhattisgarh,flolll tinlC to tinlc

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1 8 C011eCtiOn Centre‐ C011cction Centrc can be run by a Dヽ4LT or a traincd nursc ThC

collection centre should have a room of atleast 80 sq ft area, where facilities of collectton

and storage of samples and proper transportation ol samples from centre to medical lab

should be p'rovided. The transportation should be done carefully with proper marntenallce

of cold chain.

Radiotogy And Imaging:

The role of Radiology Centre is to provide Radio Diagnostic Services and tl.rerefore' it

shall be run by appropriately qualifred specialist in Radiology and Imaging'

Tl-re Radio Diagnosis Units generally deal with Radiography' Ultrasonography (USG)'

Nuclear medicine and Computed Axial Tomography Scaruler (CT Scan)' Magnetic

Resonance Imaging (MRI) etc.

SuchUnitsshallhaveX-RayandnormalUltrasonographyfacilities.ApartfromthisitShall

have facilities like colour Doppler, Echocardiography, computed Axial Tomography Scan

(CT scan), Magnetic Resonance Imaging (MRI) and other Nuclear Medicine related tests'

All Establishments having Radiology and Imaging facilities must fulfill the clattses

laid down in the SAFETY MANUAL plepared by ATOMIC ENERGY

REGULATORY BOARD. Some of the points include:-

o Availability of lead screen near the control panel and lead aprons for technicians'

oAvailabilityofTLDbadgeswitlrroutineevalrtationofteclrniciarrsforexposureto

radioactive'tay#

.Prominentdisplayoflogoandcautionsigrrageespecially|ortheplegnantladiesilr

local language.

rThewallsofroomwlrereprimarybeamfallsshallnotbelesstlran35mmthickand

rvalls on r.vhich the scattered beam falls shall not be less than 23 mrn thick'

. Windows shall be lead painted or shielded rvith i'7 rnm lead' if there'

The Center should have beer-r approved by the Atomic Energy Regulatory Body'

3. Ultrasonography:

3.1 All Establishn-rents performing Ultrasonography should have a license under the PC-PNDT

Act.

i.l In case the Llltrasol'ttc facilit"v maintains a potable machine' the r:se of such urachine shall

be limited to rl.re l.rospiial prerlises as prescribc-d undcr the PND',f guidelines.

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738(68) e-frere wqa, Rli* 20 3TrrR 2013

4. Qualifications:

4.1 Supervisory Doctor-

4.1.1 Minimum qualification for X-Ray and Sonography shall be MBBS with Training/Diploma

in a relevant discipline, approved by the Government of Chhattisgarh'

4.1.2 Minimum qualification for higher levels of services (cT Scan, MRI etc.) shall be MD

Radiology/ Radio Diagnosis / Diploma in Medical Radiology and Electrology / 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 the following qualifications :-

4.2.1 Diplorna in X-ray and Imaging awarded by a University, state Government oI central

Technical Board.

4.2.2 Any such course approved by Goverrunent of Chhattisgarh' from time to time'

Support Services:

Elcctricity― Provision for continuous supply of elcctricity and poM′ er back up shall bc thcrc

V/atcr Supply‐ Provision for safe drinking、 vater and hand washing arrangcmcnts shall bc

there

All Radiology Labsレ 活vc to maintain ircighting cquipmcllts like cxtinguishers as

prcscribcd by N4unicipal Authoritics.

Equipment:

Thc Ccntcrs must bc providcdヽvith all instrumcnts/cquipmcnts rcquircd fOr cmcrgcncy&

basic lifc support

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 Bio-

N,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 \\ asre flcalrrrcrit Fecilirics

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Page 16 of 57

ir{fe.ra rrqqf,, iiri6 20 r{rrm 2013 738 (69)

1.

C.ざ 1lAN DARDS F(〕 R ⅣIATERNITY HOMES

(Definition as per 2(e) of the Ae t)

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:

Maternity Facilities-

a. All Matemity Homes should be able to caruy out procedures like Suction and

Evacuation, Dilatation And Curettage, Caesarean Section and Caesarean

Hysterectomy on an emergency basis;

b. Blood transfusion facilities shall be available rvithin the premises or a dedicated

blood bank facility o' the panel of the institution. The names, addresses a'dtelephone numbers of such licensed blood banks have to be orominentlv

clisplayed;

c. Maternity Homes should have Gynecologists, Surgeons, Anesthetists. ar.rJ

Pediatricians on roles.

d. Provision for hot waler shall be there.

"- -,-tAll Maternity Homes must haye:

oPD Area- The minirnum standards for all individual opDs shall have to be as

mentioned in the standards lor Clinics in pafi A of this Schedule.

IPD Block-

100 sq. ft. for one bed and additional 60 sq.

ft. for every additional bed ir-r the roorlr

Distance betr,een tn'o beds 6■

Clearance betu,ecr.i bed aricl rvail

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Nlinimum Area Required

Floor space pcr bcd in、 vard

738 ( 70)

…

劇ヽ Ч ,前 20釧 蒻 2013

Width Of dOOrs in thc、vall 3■

Bath&toilet

Numbcr ofurinals

36sq i

I per 6 bed

Number of toilets and baths 1 per 6 bed

Number ofwash basins I per l0 bed

Operation Theatre (sterile zone)

Instrument Sterlization

300 sq feet

50 sq. ft.

Scrubbing up←hcre ShOuld be prOper zoning iii5

protcctivc,clean zOnc and sterile zOnc

25 sq食

Labor Room with Toilets

Doctor's Duty Room

Nurses Station

140 sq. ft. + 20 sq. ft.

100 sq■ (with tOilct)

100 sq. ft.(with toiler)

Ward StOre 100 sq. ft.

Trolley Bay *_rl^-( onsu ttlng Kootn and Examination Room

30 sq. ft.

120 sq. ft.

2.4 Labour Room-

a. Labour. Table

b. New Born Resuscitation Unit

c. Emergency Medicines

d. Shadow Less Lamp

e. Instruments for Assisted Deliveries

1-. Minor Surgical Instrunents

1.5 lJcrr Born care at.ea-

a, TItis unit sliall be located w,ithiu or in close prorinrit\ to lirbor roonl

b. Radiant Wanner.s must be kcpt in this are a.

Page 18 of57

―o● Ч、 前 20… 2m3 フ38(71)

3.

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Emergency Medicines

Suction Machines

Minimum equirrments required for Maternitv home:

a. Labor Table

b. Foetal Monitor (Doppler or Cardiotocograph)

Neonatal Resuscitation Kit

One suction machine with power back up & one standby foot sttction machine

Minimum one oxygen cylinder for 8 beds or part, with one standby cylinder

Arnbu bag, Oxygen mask catheter, and nebulizers

g. Minimum one Infant Wanner

h. All instruments equipments required for emergency & basic life support

; F-^.--..,, T,"-

j. Dressing Trolley

k. Instruments & equipments required for Emergency Obstetric Care (LSCS.

Obstetric Hysterectomy, Forceps)

l. Defibrillator.

Diasnostic Services: Diagnostics Services like Pathological Lab, USG, 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. ".";tSupport Services:

a. Electricity- Provision for continuous supply of electlicity and porver back up shall

be there.

b. Water Supply- Provision for safe drinking water and hand u'ashing anangemellts

shall be there.

c. F-ire safety- All Maternity Homes have to rnaintain firefighting equipr-nents like

fire extingu ishers.

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 be

made for segregation and sale disposal of biorredical uastes. sharps artd sltinges

eithel b-v their or.vn rcsources or througli tie-rp i.r,irh Comnron Biornedicai \\'aste

'i r e atr.ner.it Facilities.

4.

5.

6.

Page 19 of57

738 (72)―

oЧ Ч ,前 20… 2“ 3

D。

It is an establishment where massaging, electrotherapy, hydrotherapy, medicalgymnastics or any other similar processes are usualry carried on for the purpose of treatmentofdisease or deformity. Folrowing standards shall be maintained for the physiotherapy Unit:-t'

Same as prescribed for a clinicin Part A of this Schedule.

2.

21

22

3. Equirrments:

I . Short Wave Diathermy

3. Magnetic Therapy

5. Interferentialtherapy

7. Paraffin wax bath

9. Ultra Sound Therapy' *- -'f

Microwave Diathernty

Laser Therapy

Lumbar Traction and Cervical Tractiou

Hot Packs

Hりman ResOurce:

Such Establishments shall be under direct supervision of Bacheror of physiotherapyfrom a recognized univerlity or institute.

Male or female employees providing such therapy shall be under direct supervision ofa qualified Physiotherapist as mentioned above and shall possess a minimumqualificatio' ofhigher secondary and minimum practical experience as prescribed bvthe MCI in Physiotherapy department of any hosoital.

4. SuppOrt serviccs:

C

b

Electricity- Provision for continuous supply of electricity a'd power.back,p shall bethere.

water Supply- Provision ror safe drinking rvater and hand washing arr.angerrentsshall be there.

Fire saflety- All Physiotherapy units have to n.raintain firefighting equipments rike tireexringuishers.

waste Disrrosar: The Disposal of rvastes in the hospital shall be i' accoraance withBio-N4edical waste (Managemenr and Handling) Rule. 1998. pro'isions sha bemade lbr segregation and sale disposal of bio'.redical wastes. sharps a'd s1..r.inceseither bl their orvir resources or th'ough tie,up *,ith comrron lrio'redical \\,asteTreatr.r)en1 Facilities.

5.

2

4

6

8

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ddR{ttd {"iqd. k+iq zo errrs zors 738(73)

E. HOSPITALS AND NURSING HOMES

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

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

1.2 Indoor Admission facilities- The HospitalAJursing Home shall provide indoor

facilities for various disciolines.

1.3 Other Services-

1.3.1 The facility shall have ear-marked space for OPD block as per standards as prescribed

for clinics in Part A ofthis Schedule.

1.3.2 Services of one Medical Practitioner on duty shall be available 24hrs for attending

emergency calls of indoor patients. 24hrs duty of Medical Practitioner shall not be

compulsory if Day Care Centres are available. But availability of Doctor is

compulsory till a patient is there in the Hospital.

1.3.3 Diagnostic Services if available shall be as per standards prescribed for Medical

Laboratories in part B of this Schedule.

1.3.4 Services of Physiotherapist if available shatl be as per standards prescribed for

Physiotherapy Units in Part D of this Schedule.

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

■ mm… mα Aξ嘉 出dおmぬ」。

4, Inpatient Derrartment:

4.1 Wards-

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

c. Separate room for infectious patients

d. Fire fighting equipments/evacuation plan/exit plan and firc alarm

e. Emelgency Tray

f. Suction Machine

g. Oxygen cylinder wirh Mask & Anibr-r Bag

h. Dressing Trolley

i. Separate s,ards for males and females

y=― ―Page 21 of 57

738 \74 ) dfis'rd {srct, R{s 20 qrrR 2013

4.2 Intensive Care Unit (If available)-

Intensive Care Unit shall be well supported by medical and paramedical staff ir.r order

to provide Resuscitation and Shoit Tenl Cardio Respiratory Support including

Defibrillation. Following standards shall be maintained for Intensive Care Units:-

a. Entrance door- 4 ft wide

b. Space per ICU bed- 100 sq. ft.

c. Distance between two adjacent beds- 3.5ft

d. Curtain/partition between beds

e. Bedside Supply- centralised oxygen supply facilities must be available.

f. Suction Machine beside each bed

g. Non Invasive Electronic Monitoring- SPO2, HR, R.hythrn, NIBP, ECG,

Temperature.

h. Ventilator And Defibrillator

i. Crash Carl Trolley/ Resuscitation Tray

j. In- House Basic Clinical Lab

k. Imaging Facilities- X-Ray, USG, ECG

l. Qualified R.esident Medical Officer

m. Nurse and support staff

n. Separate hand washing facility

o. WheelchairsiStretchers

p. Separate Mediciiie a*fl Consumable Storage.

4.3 Operation Theatre Complex/ Zone-

a. Pre-operative room / area

b. Changing room for stalf

c. Scrub Area

d. Sterilization Roorl

e. Store

f. Provision for hot water

g. Operation Table

h. Shadow Less Larnps

i. Post- Operative (Recovery) Roorn

Page 22 ot 57

…

くヽ Чメ,鰤 市 20朝粛 2013

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

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

5. Support Services and Necessary Requirements For Staff:

5.1 Support Services-

a. Diet- Diet may either be outsourced or adequate separate space for cooking shall be

provided. Hygienic food as advised by the physician shall be available to the patients.

b. 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. A practical protocol for quality asslrrance of CSSD shall be

developed.

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

infected/soiled and non-infected /non soiled linen.

d. Electricity- Provision for continuous supply of electricity and power back up 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 staff-

a. The stalf employet-sh:Xll be fi'ee from any contagious disease and shall be provided

with clean uniforms suitable to the nature oftheir duties.

b. The workers shall be medically examined at the time of employment and periodical

checks ofthe staff should be done.

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. EnTergency Tlay

d. One Suction Machine & one Standby Foot Sr"rction Machrne

e- N,{ir.rir.nunr olle ox) gen cylinder for 8 beds u.itli one Standbl, Cylinder

I Defibrillator

738(75)

Page 23 of 57

738 (76) dn|qrrc rl-rH, fu+iq zo errr*e zors

61

g. Infusion Pump

h. Dressing Trolley

i. Facility for power back up

j. Fire Fighting Equipments/ Evacuarion plan

Minimum requirements of Operation Theatre-

a. Operation Table

b. Boyles Machine

Laryngoscope with 5 blades ofdifferent sizes

Endo Tracheal Tubes of all sizes with connections

Pulse Oxymeter/ Multi - parameter Monitor

Electric Suction Machine with generator connection

g. Foot Suction Machine

h. Emergency Tray with Medicines

i. Autoclave

j. Shadow Less Lamp

k. Electric Cautery

l. Defibrillator

m. Oxygen cylinders in sufficient number

Minimum Instruments and Equipments required for Nursing Home /Hospital-

Minimum required instruments & equipments shall vary as per parlicular

specialty/super spetidi{, however, a list has been provided as per Indian public

Health Standards (ArLnexure -A).

Hosnitals as per availabilifv: Hospitals / Nursing Homes offering multi-specialty isuper-specialty services must l.rave specialists in the relevant discipline either on their

pay roll or as a panelist in their list of consultants. The minimum qualification

required for such specialists shall be as indicated in the table below:-

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62

7.

Specialty / Discipline Desirable QualificationsSuper Specialist DNB/MCH/DM/ Post PG Diploma/ Fello*'ship

General Surgeor.r

;-; - -----rn) srcl ait

MS/DNB, (General Surgery)

,\l D/l )N l J. (Ur.ucral Merlicine)

Obstehic jan & Gynaecologist DCjO (OBG)i\4SiDNB/N{D

Page 24 of 57

…

劇呵Ч■ 飾 20… 2013 フ38(77)

Pacdiatrics DCH/MD(Paediatrics)/DNB

Orthopaedics MS/DNB/D ORTH

ENT Specialist 4ヽS/DLO

Anaesthetist MD(Anaesthesia)/DNB/DA

Eye surgeon MD/MS/DOMS/DNB/(Ophthalm010gy)

Dental Surgeon BDS

Pathologist MD/DNB/DCP

Radiologist MD/DNB/DMRE/DMRD/DMRPsychiatrist MD/DP〕 ,4ノDNBDermatologist MD/DNB/Diploma

General Practitioner lallqpathg MBBS/ or any other degree in allopathic

medicine

General practitioner (ayush) BAMS/BHMS/ BUMS/Siddha/Yosa

Specialist ofAYUSH Post Graduate in AYUSH

７

′

72

Resident Medical Officers / General Duty Medical Officers-

Nulsing Home must have at least one Resident Medical Officer

Medical Officer for every 20 beds.

Nursing staff and other supportive staff - Minimum nursing and other support stalfshall be in the ratio indicated below:,_- {?-:/'

Every Hospital /

/ General Duty

S.No Category of Staff rvhich

should be available in any

nursing

home/hospital/maternity

home

For holv many

Patients

Number to be

provided

1 Nursc/Midwifc 20 beds ol its part 1

2 General Duty Attendant 20 beds or its part 1

つ Sr.veeper l0 beds or its part 1

*This is On 8 bourly basis(per SIift)~~~~ ~~ ~~~― ――――

Page 25 of,7

738 (78) 'sfrgrra trqcr, ifib, 20 3TrtR 2013

8. Phvsical Standards:

Specification of areas for Clinical Establishment

Item Minimum Area Required

Minimum floor space per bed in ward 100 sq. ft. for one bed and additional 60 sq ft

for every additional bed in the room

Minimum distance between two beds 6 ft.

Minimum clearance between bed and wall 60 mm

Minimum width of doors in the wall 3ft.

Brath&Toilct 36 sq. ft.

Number of Toilets and Baths 1 per 6 bed

Number of Wash Basins I per 10 bed

Minimum area of Operation Theatre (sterile

zone) up to 10 beds

140 sq. ft.

>10 andく 30 beds *J 200 sq. ft.

>30 bcds 300 sq. ft.

Area fol Instrument Sterilization 50 sq. ft.

Area for scrubbing up

Ar'ea for pantry (NH more than 20 beds) 80 sq. ft.

Labor room with Toilets l4O cn ft + ?O qn fi

Doctor's dr"rty room 100 sq. ft.(with toileo

Nurses Station 100 sq. ft.(with toile0

Arca ior USG As pel PNDT Gr-ridelines

PaEe 26 .l 5t

赫 劇ヽ Ч ,前 20朝 `I"2013 738 (79)

Area for laboratory 120 sq. ft. + 40 sq. ft.

Physiotherapy unit wirh equiprnenrs 160 sq. ft.

Ward Store 100 sq. ft.

Trolly Bay 30 sq. ft.

Consulting Room and Examination Room 120 sq. ft.

9. Emergencv Medたal Sewices:

91 All Nursing Homes wherevcr registercd mcdical practitioncノ s arc cngagcd,must

primarily attcnd the emcrgcncy patients and provide basic life support without

considering thc flnancial ability of thc paticnt, and thcn rcfcr, if ncccssary、 tO thc

ncarest privatcゎ ubliC hOspital With Suitablc mcdical rcport about thC ailmcnts,as

carly as possiblc Goldcn HOur Trcatmcnt Protocols shall bc f01lo、 vcd

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 Wastc(Managcmcnt and Halldling)Rule,1998 Provisions shall bc madc

for scgrcgation and safc disposal of biOmcdical、 vastcs,sharps and syringcs cithcr by

thcir own rcsources or through tic― up 、vith Conlmon Blomcdical Wastc Trcatnlcnt

Facilitics

Page 27 of 5?

ア38(80) Ernfgrrd {trqqt, l({is 20 3Trrkt 2013

SCHEDULE 2

(See Rule ll)

FORII CE l:APPLICATION FOR RECISTRAT10N/1SSUANCE OF LICENSE/

RENEWAL OF LICENSE

ICLINIC(ALLOPATHIc/AYUSH)AND PHYSIOTHERAPY UNIT〕

Application for Registration / Renewal ofregistration u'der The chhattisgarh State

Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Adhiniy am,20l0

I . Name of the establishment:

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

District: .... ... State ....pincode

Email id lヽobic No~｀

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4

)

D Year of starting:

Location:

Orvnership:

l-l Municipal Corporation l-l Others

I I lndividual Proprierorship[-l Regisrered Pafrr]ership

fl Registered Company l-l Co-operative Society

f-l Trust / Charitable Irsu f--l Corpolation

6 Name of orvner of clinic:.

7. Name of perscn incharge of clinic:

Page 28 of57

dfrs?rd {.rcr. ktio zo eTrf€ zot: 738(81)

Designation Education eualification

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

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

Email id… ………….… ……・ ―・ … …・ ・…………・Mobile No… …_… …………………・…… …

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

I Allopathy

[-l Ye'

I J Yes

Ayurveda f-l Unani tr Siddha

l lomeopathy L__j Yoga and Naturoparhy I Physiotherapy

9. InfrastructureDetails:

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

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

lα Whdher ЫOmぶ/ waste disposal license obtained frolll Panchayat/

Municipality/ Municipal Corporation?

□ No

I I . whether clearance obtained from cG Environment conservation Board?

Eコ No

Page 29 of57

- 738 (s2 ) Ertrsq€ TFrFt, fccis zo srrrm zot:

12. Human resource:

Total no. ofstaffas on date ofapplication

Please furnish the following table:_

(Scparatc sheet tO be attac

13. Payment option for registration fees:

l. Online payment 2. Demand draft 3. postal order

Amount (in words),............

[)ctails

S.

No

Category of staff Name Qualification Registration

No.

(where applicable )

Nature of

serwice

temporery/

permanent /

visiting Iconsultation

Page 30 of 57

Bfrstrd {rqqd, ffiis 20 :{qkl 2013 738 (83)

I, ...................'.. .on my behalf and on behalf of

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

under the chhattisgarh State upcharyagriha Tatha Rogopchar Sarnbandhi Sthapanaye

Anugyapan Niyam, 2013.

I, further underlake to intimate to the appropriate Registering Authority any

change in particulars given above.

Place:

Date:

Name of Signatory AuthoritY with

01Lcial Seal

"J

フ38(84)―

(・ Ч,,m20躙 2Cl1 3

FORpvI_cE‐2:APPLICAT10N FOR REGISTRAT10N/1SSUANCE OF LICENSE/

RENEヽVAL OF LICENSE

[ⅣlEDICAL LABORATORY AND DIAGNOSTIC SERVICES]

Application for Registration / Renerval ofregistration under The Chhattisgarh State

Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Adhiniyam' 2010

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

Address: Villase/ Town: ..... Taluka

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

Tel No(ヽVith STD codc)… … .… ………………………………………Fax No.

Email id......... MobileNo.......

3. Year of starting:

4 Location:

Ownership:

fl NJunicipal Corpolation l-l Oth"rt*_;

5 f-l lndividual Proprietorship fl Regislered Partnership

l---l Registered Company fl Co-operatii,e Society

fl Trust / Charitable f] PSU fl Corporation

6. Name of olvner of Medical Laboratorv:

7. Name of person incharge of Medical Laboratorv: … … ……… …… … …………

Designation Educatior.r Qualification

… … 一― … …「 aluka

Page 32 of 57

Address V illage, Tour:

Br*grf6 {lrlq:{. k{is 20 3T.fR 2013 /J6 l d),

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

Email id.¨ ……………… Mobilc No.… ………………………………… …

8. Providing testing and Diagnosis:

Laboratory:

fl Pathology Lab [-l Collection Center

Diagnostic and imaging centre:

fl x-Ray I Sonography t] cr Scan

fl Magnetic Resonance Imaging (MRI) E Isotope Scans f-l Any other

9. InfrastructureDetails:

Area of Establistunea{n sq. ft)...... .......

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

10. Whether biomedical waste disposal license obtained from Panchayat/

Municipality/ Municipal Corporation?

I Yes f No.

I l. Whether clearance obtained from CG Environment Conscrvation Board?

n No.

12. Vヽheth

13. Whether registered under PC-PNDT Act?

ｅＣ

Ｙｃｓ　

　

ａｒａｎ　

Ｙｃｓ

ｅ

□　ｅｒｃ‐□

，

・ＢＲＡＥ

　

Ｎ。

ＡＲＣ□

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ｂ０

Ｎ

　７５

□挽

ｅｇＰ

[_l v.'

738(86)―

o・ Ч ,m20… 2013

・ 14. Human resource:

Total no. of staff as on the date of application

Please furnish the following table:-

Ｓ．　

Ｎ。

Category of

staff

Name Qualification Registration No.

(where applicable )

Nature of

service

(Separate sheet to be attached for various categories of staff)

15. Payment option for registration fees:

I . Online Payment 2. Demand draft 3. Postal order

Amount (in words)

Receipt No. ...... :::.*{

Page 34 of 57

dfr{rrg Tr-rrr, Ftiq zo errrw zor: 738 ( 87)

r, ...................... .on my behalf and on behalf of mycompany/ society/ association/ body, hereby, declare that the statements made above arecorrect and true to the best ofmy knowledge and I shalr abide by all the rures and regulationsunder the chhattisgarh state upcharyagriha Tatha Rogopchar Sambandhi Sthaparraye

Anugyapan Niyam,2013.

I. further undertake to intimate to the appropriate Registering Authority any changein particulars given above.

Place:

Date:

Name of Signatory Authorify with

Offlcial Seal

1r"

PaBe 35 of 57

738 (88) d*grrd {Ftttt, kqt+ zo sllw zot:

FORM - CE-3: APPLICATION FOR REGISTRATION / ISSUANCE OF LICENSE /

RENEWAL OF LICENSE

[HOSPITALIMATERNITY HOMES/NURSING HOMES]

Application for Registration / Renewal of HospitaUMaternity Homes/Nursing

Home registration under The Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambardhi

Sthapanaye Anugyapan Adhiniyam, 201 0

l. Nameof the Establishment: ... ... ......

2. Address:

Village/ Town:. .. Taluka

Email id… ………………………………………………………MObilc No

Year of starting: . . ..::.:.j.;j

4. Location : lMunicipal Corporation f-l Others

5. Orvnership: !lndividual Proprietorship I Registered Partnership

3.

I Registered Company

n Trust / Charitable

! Co-Operative Society

f] Psu I Corporation

6. Name of orvner of Hospital/Maternify Homes/Nursing Homes):

Page 7E or 5 t

d*grrc {FTt, fu-* zo ,:r.rg zot: 738 (89)

1, Name of person in-charge:...... .

Designation Education Qualification

Address: Villase/ Town: .......Taluka .........

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

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

Emallid Mobile No… … …………………… …

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

! Yoga and Naturopathy

9. Providing inpatient care:

f] Hospital I Nursing Home f] Maternity Home

I Atry otlier (please spesify)...................'-J "10. ProvidingDiagnosticServices:

Laboratory:

Ll Atlopathy

L-l Homeopathy

! Pathology Lab

Diagnostic and imaging centre:

tr--i -,I t.\ rav

I Magrretic Resonance Imaging (MRI)

Infrastructure details :

I Ayurveda tr Unani f] siaana

LJ Lolleclron L enter

□

　□

□　□

Sonography

Isotope Scans

CT Scan

Any other

Alea of Establislmrent (in square meters). .

fotal Area . .. . .. .. .. ....Ccnstructed Area.....

11.

Page 37 of 57

738 (90) e-fr$rd {"rct. fuliq zo errg zo'1:

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

gt/-

Whether Biomedical Waste Disposal License obtained from Panchayat/

Municipality/ Municipal Corporation?

LJ Yes l--l No.

d. Whether clearance obtained from Chhattisgarh Environment Conversation

Board?

fl Y"' n No.

e. Whether clearance obtained from BARC/AERB?

n Y"t I No.

f. Whether registered under PC-PNDT Act?

[]xoPage 38 cf 57

l- I YCS

―。

・Чメ,m20…

フ38(91)

12. Ⅱuman resource:

Total no of staffas on date of appliCation … … … … … …

Plcase furnish thc fo10wing t■ lα―

Nature of service

tempera/ Permanent

/visitirrg / consultation

Registration

No. (where

applicable )

QualificationCategory of staff

Other please

specify

(S"p*"t" ttt""t to b" "tt^"hed

for various categories of staffl

13.Payment op6on folleジ tra■。nたes:

1 0nlinc paymcnt 2 Dcmand draft 3- Postal order

Amount (in words)... .. . .

Dctails … … …

D o^6;nr l\I^f\ccglpt I \u.

738 (92) sdl{r|d T|qTd, ftrifr 20 3TrfK 2013

DECLARAT10N

I, ...................... .on my behalf and on behalf of rny

company/ society/ association/ body, hereby, declare that the statements made above are

correct and true to the best of my knowledge and I shall abide by all the rules and regulations

under the Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye

Anugyapan Niyam,2013.

I, further undertake to intimate to the appropriate Registering Authority any change

ir, particulars given above.

Place:

Date:

Name of Signatory Authority rvith

Official Seal

"J

Page 40 of 57

Ed€r€ {rsq-t. ffii6 20 errf€ 2013 フ38(93)

SCHEDULE 3

(See Rule ll)

Municipal

Corporation

Other Areas

Registration Fee

(in Rs.)

Registration Fee

(in Rs.)

Individual Clinic ( All Pathies)

(a) Graduates 700 350

(b) Post- Graduate diploma and degree holder 1500 750

(c) Poly clinics & other Clinic 700/doctor 350/doctor

Nursing Home and/or Maternity Homes or Hospitals

(a) Up to 10 beds 2000 1000

(b) I l-20 beds 3000 1500

(c) 21-30 beds 4000 2000

(d) more than 30 bedsダ

5000 2500

Pathological Laboratory

(a) Pathological Laboratory 1000 500

(b)Collection Centre for Pathological Labs 1000 500

IMAGING,X― RAY&OTHERS

(a)USG/ECHO/Color Dopplcr/X― Ray/

ECT,EEG,EMG,Endoscopy

1000 800

(b) MRI/ CT Scan/ Angiography 3000 1500

Amendment fees (In addition to original fee) 800 500

Duplicate Copy of License 500 250

レイ

Page 41 of 57

738 \94 ) saRFrd {EFDI. Id;Itrf 20 3lrfRt 2013

SCHEDULE 4

(See Rule ll)

FO劇ⅣIAT FOR RECEIPT FOR REGISTRAT10N UNDER

Registration No

It is, hereby, certified that the Establishment

Address.......... ...... under

the ownership of Mr./Mrs

has paid a total sum of Rupees .(in figure)

(in words) and is registered under the

Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan

Niyarn,2013.

This registration, however, does not guarantee the above mentioned

the license under the Act. The registration Certificate will be valid till

"- -_/

Nanie ofthe Snpervisory Authority..... . ..

Signature

establishment,

Page 42 of 57

adeqs {rqq{, f<ris 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 SAⅣ 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 Name -, , uy, r! ru,

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

Registration No.................... ... under the State Upcharyagriha Tatha

e Anugyapan Adhiniyam, 2010 to establish /rrur tl.reRogopchar Sambandhi StS

Clinical Establishment......... ...

(lndividual CliniciPolyclinic/ Physiotherapy Clinic/Pathology Labl Radiology and Imaging

centre/ Maternity Home/ Hospital/ Nursing Home under the system of Medicine viz:

Allopathy/Ayurvedic/Homoeopathy/ Unanii Siddha/ Naturopathy) for a period of 5 years r.e.

From............. . . . ...To..............

ｍ、岬

` Scal Date:

Snpervisory Aulhorit)

Fage 43 ct 57

Place:

フ38(96)―

。ヽ Ч ,師 市 20a鴫 2013

SCHEDULE 6

(See Rule 13,Clause 8.2)

ESTABLISHMENTS

District.…………………¨ Status as on Remarks (*)

Sl.

No.

Name and

address of

Clinical

Establishment

Category

of Clinical

Establish

ment

Date of

registrati

on

Date of

issue I

renewal of

license

Validiけ of

registration

/1icense

(*)lndicate entry / page number ofthe applications folder

LE 2:FOmIAT FOR IIIAINTAIN

Action

Taken

Remarks

(*)

Name of

Complainant the

complainant

Name of

Clinical

Establishment

against whom

the complaint

is made

Investigat

ion done

(")Enter cases registered u'ith .{ppeliate Authority

_ ′:■ '

Page 44 of 57

dd-€'r|d 1rqrr. Rli* zo erts zor: 738 (97 )

2.

SCHEDULE 7

(Rule 14)

Every Nursing Home/ Clinical Establishment shall maintain and preserve medical

records for a period of five years from the date of the patient attending the hospital.

Following records shall be maintained:-

1 OPD Records: The "OPD paper" 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.

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) Records of admission

(iD Discharge / DOR/LAMA/ Absconding/Dearh of the patient;

(iii) Records of Treatment

(iv) 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 in this regard shall be supplied to the Supervisory

Authority, as and when required.

3. Other Registers to be maintained: Other Registers to be maintained are:-

i. Labor Room Register

ii. Operation Theater Register

iii. MTP register (if registered under the Medical Ten.nination of Pregnancy Act.

1971)

iv. It4edico Legal Register

v. Laboratorl Rcgister

t'i. Radiolog),andInterging Register

vii. liltr-asorrograplil Register.

章 ニノ11_ ´ Page 4.c of 57

738 (e8) s#grrd {nrq:r, kli* zo :r're zor:

ｎ　　ｘ

Ｖ PC-PNDT Register

Medical Certificate Register with certificates in duplicate

Complaint Register

Birth Register fNotified to such medical officer as authorized)

Death Register (in such format as prescribed by GovemmenVstate LevelAuthority)

Information in terms of Govemment programmes / areas of work (e.g. materr.ral

health, child health, immuni zation, family planning, vector borne disease,

National Leprosy Eradication Programme, Revised National TB Control

Programme, Integrated Disease Surveillance project, NRHM initiatives, Janani

Suraksha Yojana)

｀`~ンダ

X

Xl

Xll

Xlll.

Page 46 of57

B-algrrd tl;IrFt. l(lFF 20 sTrt€ 2013 738 (99)

l INTIDIIAT10N OF BIRTH OF A CHILD OCCURRING IN NURSING

HO～IE AS PER BIRTH AND DEATH REGISTRAT10N

FORDI A

BIRTⅡ REGISTER

Follolving entries are to be made in the birth register:-

I . Date o'f birth:

2. Gender:

3. Name of the child, if any:

4. Father's Name:

5. Permanent address:

6. Mother's Name:

"--/7. Place of birth:

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

2. if Home Delivery -- then -- Address:

Page 47 of57

738 ( 100 )― ・

“

Ч ,前 20… 2∽ 3

BIRTH REPORT

STATISTICAL INFORIVIIAT10N

(ThiS part to bc dctachcd and scnt for statistical processing)

l Address ofthe l■ other:

2 Religion of the family:

a. Hindu b Musliln c Sikh

3. Father's education:

4. Mother's education:

5. Father's/Mother'soccupation:

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

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

8. Total number ofthe children born alive:

9. Type of attention at delivery: (Tick the appropriate entry below)

Institutional - Private /Government

Delivery at Home

10. Method of delivery: (Tick the appropriate entry below)

1. Normal

2. F orceps/Varu{m

3. Caesarean

I L Birth rveight (in Kgs.) (lf available):

d Cl■isuala

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:

2. Name of the deceased:

3. Sex of the deceased:

4. Age of the deceased:

5. Place of Death:

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

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

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

y/--- '-"'':f

Page 49 of 57

738 ( 102 ) 赫 く|ヽ Ч,,前 20凛下国 2013

DEATH REPORT

STATISTICAL INFORMATION

(This part to be detached and sent for statistical processing)

1. Address of the deceased:

2. Religion of the deceased:

a. Hindu b. Muslim

3. Occupation of the deceased:

c Sikll

4. Type of medical attention received before death:

a. Institutional

b. Medical attention other than institutional

c. No medical attention

5. Was the cause of death medically certified? Yes

d Christian

No

6. Name of Disease or Actual Cause of Death:.J7 . In case of death of a female, whether the death occurred during pregnancy or at the

time of delivery or within 6 rveeks of the Delivery : Yes No

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

Total no. of patients admitted

Date of first patient admitted

Total no. of deaths

Arca flom、、1lich maxin凛ノ′nO

patients arc adlllittcd

ノ/~PaBe 52 ci 57

フ38(104) BRftsr|d {rqtn. F{is 20 3TrrRI 2013

ANNEXURE― A

LIST OF EOUIPMENTS

STANDARD SURCICAL SET‐ I(INSTRUMENTS)

S.No. Instrument Minimumrequirement

1 Tray, instrumenVdressing with cover, 3 10 x 200 x 600mm-ss

1

う

ん Glovcs surgcon,latcx stcrilizttlc,SiZC 6０乙

3 Gloves surgeon, latex sterilizable, 6-112うι

4 Gloves surgeon, latex sterilizable, size 7 う４

5 Gloves surgeon, latex sterilizable, 7-l i2 12

´０ Gloves surgeon, latex sterilizable, 8

うι

7 Forceps, backhaus towel, 130 mm 4

8 Forceps, sponge holding, 228 ntnt 6

9 Forceps, afiery, pean straight, 160 mm, stainless steel 4

10 Forceps hysterectomy, curved, 22.5 mm 4

11

朧 :ち

詭 m°

ttM山 “

Sm_Ⅲ Q壼 d山 ,ワ 5 6

う‘ Forceps, tissue, all/is 6x7 teeth, straiglrt, 200 mm-ss ′

０

13 Forceps, uterine, tenaculum, 280 mrn, stainless steel 1

14 Needle holder, mayo, straight, nanow jarv, 175 mm, ss 1

15 Krife-handle surgical for minor surgery # 3 1

16 Knife-haudle surgical for rnajor surger; # 4 1

17 Klife-blade surgical, size 11, for minor surgery, pkt of5 D

００ Knife-blade surgical, size 15 for minor surgery, pkt of 5 4

19 Klrife blade surgical. size 22. for major surgery. pkt of 5 D

20 Needles. sutrrre lrianuular point. 7.i crrr. pkr of tr つ

21 Needles, suture. rourd bodied. 3/8 circle No. l2 nkt of6 つ

Page 53 of 57

― ・qЧ メ,m20輌 2013 738 ( 10s )

S.No. Instrument Minimumrequirement

22 Rctractor,abdOminal,Deavers,sizc 3,2 5 cnlx 22 5 cm1

23 Retactor, double-ended abdominal. Beltouis. set of2 つ４

24 Scissors, operating curved mayo-blunt pointed l7Omm l

ξリ

，

一 Retractor abdominal, Balfour 3 blade self-retaininp l

26 Scissors, operating, straight, blunt point, i 70 mm 1

IUD INSERT10N Iα T

2 Gloves Surgeon, latex, size 6-112Ref.4148 6

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

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

5 Speculum vaginal bi-valve cusco's graves srnall ss 1

6 Forccps spongc h01ding,straigh1 228ヽ 4MH Scmkcn 200mm

l

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

００ Forceps tltcrinatclla"lum duplay DBL― CVD,280 mm 1

9 Forceps tissue - 160 mm 1

10 Anterior vaginal wall retractor stainless 1

Torch without batleries 1

，

一 Gloves surgeon, latex. size 7, Ref:4148 6

（， Gloves surgeon, latex size 6 Ref. IS: 4148 ′

０

14 Battery dry cell 1.5 V 'D' Type for Itern 7G 1

15 Speculum vaginal bi-valve cusco's/Grea Ves Medium ss 1

16 Forceps artery. straight, Pean, 160 mm l

17 Scissors operating. straight. I45 rnm, Blunt/Blur.tt

l-orceps ulel ine r ulscllurn cur.r cd. Museur, 2J0 rrrrrr

1

181

Page 54 of 57

738 ( 106 ) vdl{rrrd {Frqr, K{rd; 20 3TrrRr 2013

NORルIAL DELIVERY KIT

S. No. Instrument Minimumrequirement

1 Trolley, dressing caniage size 76C, long x 46 cm wideand 84 cm high. Ref. lS 476911968

1

うι Towel, trolley 84 cm x 54 cm 1

う０ Gown, operation, cotton 1

4 Cap. operation, surgeon's 36 x 46 cm 2

5. Gauze absorbent non-sterile 200 mm x 6 m as oer IS:171/1985

2

6 Tray instrument with cover 450 mm (L) x 300 mm (W) x80 mm (H)

1

7. Macintosh,opcration,plastic 2

００ Mask, face, surgeon's cap of rear ties: B) Beret type with

elastic hem2

9. Towel, glove 3

EQUIPMENT/CONSUMABLES FOR ANAESTHESIA

S. No. Instrument Minimumrequirement

1 Facemask, plastic w/rubber cushion and headstrap, set of4 4

2. Airway Cuedel or Berman, autoclave rubber 2

J. Laryngoscope. set with infant, child J

Jt Catheter, endotracheal w/cuff, rubber set J

5. Forceps, catheter, Magill, adult and child sizes 1

6. Connectors, catheter, staright/curved ♪

7. Cuffs for endotracheal catheters 4

8. Breathing tubes, hoses, corurectors 4

9 Vaporiser, halothane l10 Needle. spir.ral l

Page 55 of 57

…

・ЧЧtt m 20噸 2"3 738 \107 )

EQUIPMENT FOR OPERAT10N THEATRE

S.No. Instrument Minimumrequirement

1 Diathermy machine 1

2. Dressing drum all sizes 1

3 Lamps shadowless:Ceiling larnp 1

4 Lamps shadowless: Portable type 1

5 Steriliser 1

6 Suction Apparatus 1

7 Trolley for patients 1

8 Trolley for instruments 1

9 Boyle's Apparatus with accessories 1

ESSENTIAL EQUIPMENTS FOR LABORATORIES&BL00D STORAGE ANDTRANSFUS10N CENTRES

S,No. Instrument Minimumrequirement

1 Rod, flint-glass, 1000 x 10 mm dia, set of twog

2

2 Cylinder, measuring, graduated Wpouring lip, glass, 50ml ,

0 Bottle, wash, polyethylene Wangled delivery tube, 250 ml 1

4 Timer, clock, interval, spring wound, 60 mimrtes x 1

minute1

5 Rack, slide drying nickel/silver, 30 slide capacity 1

6 Tray. staining. stainless steel 450 x 350 x 25 nm 1

7 Chamber, counting, glass. double neubauer ruling 2

8 Pipette, serological glass,0.05 ml x 0.0125 ml 6

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

10 Counter. differential, blood cells. 6 unit 1

ll Ccntlifllgc,lnicro― hcmatocrit,6 tubcs,240v 1

12 f--ovel glass lor counting chamber (item 7), Bor of I2 1

Paee 56 of 57

|~

738 ( 108 )

…

劇ЧЧ礼 柿 20… 2013

う０ Tube, capillary, heparinized, 75 mm x 1.5 mm, vial of 100 10

14 1

ぐυ Lancet, blood (Hadgedorn needle) 75 mm pack of 10 ss 10

16 Benedict's reagent qualitative dry components for soln 1

17 Pipette measuring glass, set of two sizes 10 mI,20 ml 2

００ Test tube, w/o rim, heat resistant glass, 100 x 13 mm 24

19 Clamp, test{ube, nickel plated spring wire, standard type 3

20 Beaker, HRG glass, low form, set of two sizes,50 ml, 150ml

，

一

うι Rack, test-tube wooden with 12x22 mm dia holes 1

~`ンダ

illr,i-irr?i14 9 ri

riq|d{, { r aln d{fJ qrcql, -ntr.ja 6Rr ln{6tq ffiqEqnTrdq, {If{i<.riq i qidd dqr 96rRra 2013.