NATIONAL ACCREDITATION BOARD FOR HOSPITALS AND HEALTHCARE PROVIDERS

Structural Standards for Ayurveda Hospitals

Edition 1

August 2009

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1.

Introduction

About 65 % population of India is reported to use Ayurveda and Medicinal Plants for Primary Health care. In Ayurveda, other traditional systems and Homoeopathy hospitals in India are about 3200 in number. Ayurveda hospitals are generally less in number in comparison to allopathic hospitals. As in allopathic system there are systematic setups at District/ Sub-division/ Block/ Taluka level, in many of the states there is no such pattern in Ayurveda systems. In Ayurveda system mostly the hospitals are attached with teaching institutions while some are located at different selected places in different states. Most of the Ayurveda hospitals do cater services to the patients suffering from common and chronic illness while few have emergency treatment system. At some places Ayurveda hospitals function as wing of allopathic hospital or in an integrative manner. Some Ayurveda hospitals are having speciality treatment like eye diseases, Panchakarma etc. The Research Councils in AYUSH are having own hospitals focused on diseases related to clinical trial. Further, apart from Government Sector, some Ayurveda hospitals are run by private pharmacies, trusts or other agencies. In Government set ups the services are provided either free of cost or with nominal charges. In Non-Govt. sector few are charitable while majority are commercial. Ayurveda as a whole is becoming popular in most of the countries of the world who look forward to technical and regulatory inputs from India. Further, with the rapid evolution of the medical insurance sector in India over the last decade, it is imperative that Ayurveda hospitals offer professional, rigorous, quality systems driven medical care. Govt. of India has already set up Department of AYUSH (Formerly Dept. of ISM&H) and is strongly committed to strengthen the AYUSH sector for improving the availability, accessibility and affordable quality health services to the people. This is expected from health care organizations working independently, as also those attached with teaching institutions/ research organizations. For allopathic hospital, standards set up by Bureau of Indian Standards (BIS) and DGHS as Indian Public Health Standards (IPHS) are available and NABH has the provision of granting accreditation to allopathic hospitals. In case of Ayurveda hospitals, Central Council of Indian Medicine (CCIM) has fixed certain norms depicting minimum requirement pertaining to infrastructure, manpower, equipments etc. which are needed to open or run a teaching institution imparting teaching on degree and post graduate degree courses of Ayurveda. The main criteria are based on number of seats available for admission and number of beds to be attached there on which is usually 100. In such case the teaching staff also to some extent fills the gap of services of doctors meant for health care required by a hospital. The research Councils have set up of 10 50 bedded hospitals. So instead of classifying according to district/ subdivision level it would be convenient to classify according to the number of beds only.

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2.

Categories of Ayurveda Hospitals:

Category I Ayurveda hospital norms for 201 and above beds.

Category II Ayurveda hospital norms for 100 200 beds. Category III Ayurveda hospital norms for 50 to 99 beds. Category IV Ayurveda hospital norms for 10 to 49 beds.

3.

Functions of Ayurveda Hospitals:

(1) These shall provide curative, preventive, and promotive health services to both urban and rural population. (2) These shall function as referral centers for public health institutions including dispensaries and practitioners of Ayurveda as well as other systems of medicines. (3) These may provide education and training for Ayurveda paramedics. (4) These may produce classical Ayurveda medicines for external and internal use.

4.

Essential services (Minimum Assured Services)

a) Ayurveda hospital should have components like OPD, IPD, Panchakarma, pharmacy/dispensary, medicine preparation area, diet preparation and appropriate level of emergency services. b) Mature administrative services at the following departments to be offeredreception, billing, accounting, medical records, patient/bystander counseling. c) Diagnostic and other para-clinical services should be offered comprising of all routine and specific investigations required for the type of patients served. These may be outsourced to qualified service providers. d) Support services like diet service, laundry service, security service, house keeping/ sanitation, waste management, for the smooth functioning of the hospital should be present. These services may be rendered directly or outsourced. e) The hospital attached to Ayurveda colleges should concurrently fulfill all the required norms set by CCIM, from time to time, to run an Ayurveda college

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General Structural Standards for Ayurveda Hospitals

1.

No. of treatment rooms

Maximum 15 Treatments/Day/Treatment Room (No of treatments depends on type & nature of treatments e.g. Basti will take less time however vaman will take long time) Maximum 25 consultations/consultation room/ day

2.

No. of consultation rooms

3. 4. 5.

Consultation & examination room Pharmacy/Dispensary specs Medical Stores specs

minimum 10ft. x 10 ft. minimum 10 ft. x 10 ft. A room that is minimum 100 sq. ft is required

6.

Medicine preparation area

A room that is minimum 100 sq. ft is required

7.

Kitchen

Sufficient size to prepare food for inpatients as per diet advised by the doctor or /Ayurvedic dietician Minimum 100 sq. ft per 10 beds Minimum 100 sq. ft per 10 beds corridors/ stairs/ lifts/ramps etc.- Minimum 200 sq. ft per 25 beds Approximately 300 sq. ft per bed (strength) Round the clock availability for patients. Minimum 200 litres per bed per day at least 3 hours backup or generator for critical areas

8. 9. 10.

Waiting area Office area with enquiry counter, cash counter and record area Circulation areas

11. 12. 13.

Total area Water supply Electricity

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14. 15. 16. 17.

RMO RMO Quarters Nursing Station/Duty room(Nurses) For out-patient department No. of Wash basins No. of Water closets

to be present Minimum 1 room with attached bathroom, approximately 200 sq. ft One nursing station/room per 10 beds of approximately 200 sq. ft

1 for every 50 persons or part thereof 1 for every 40 beds or part thereof

18.

For in-patient department No. of Wash basins No. of Water closets No. of bathrooms 1 for every 12 persons or part thereof 1 for every 6 beds or part thereof Minimum 1 bathroom per 6 beds/ one for each therapy rooms 3.5 sq.m. minimum 5 ft. minimum 3.5 ft. minimum 6 x 3 Minimum 50 sq. ft./ bed (provide for 50% capacity utilization scenario)1 for every 10 beds Minimum 2 per treatment room; male and female separate; i.e. minimum 2 male panchakarma technicians or 2 female panchakarma technicians for a treatment room. The technician/Assistant/Therapist should have passed minimum 3 months certificate training course in Panchkarma. Minimum 1 per treatment room; male and female separate.

19. 20. 21. 22. 23. 24.

Average size of toilet Space between 2 rows of beds in a ward Distance between 2 beds Size of hospital bed Area per bed Nurses to beds ratio

25.

Panchakarma Technican/Assistant/Therapist

26.

Panchakarma Attendant

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27.

As a general guideline, in the case of Ayurveda specialty hospitals the facilities available should be commensurate and appropriate with the nature of services provided The services provided at the hospital shall be consistent with the principles of classical Ayurveda. In particular, diet lifestyle and basic treatment of diseases. Options offered to the patients shall be consistent with that expected from an Ayurvedic medical care facility. Hospital provides health education/hygiene related literature in regional/national languages.

28.

29.

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Specifications of the Panchakarma Theatre:

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. Room Size: Minimum 10 ft. X 10 ft. Attached toilet and bathroom Droni: Minimum 7ft. X 2.5ft. (Wood or Fibre) Appropriate stand to fix droni: 2.5ft.height Swedana chamber and nadi swedan yantra Footstool-1 Stool-1 Arm chair-1 Heating facilities Shirodhara stand and shirodhara table Basti Yantra Uttara Basti Yantra for males and females bedpan (male and female ) vamana patra kidney trays raktamokshana kit including leeches,syringes and needles Gokarnas-2 Stethoscope-1 Sphygmomanometer-1 Thermometer-1 Hot water-bath Pressure cooker (5litres)-1 Small pillows covered with rexin sheet-2 Small almairah-1 Plastic aprons, gloves and masks Knife and scissor- 1 each Clock-1 Hot water facility Exhaust fans- Minimum 1 Sufficient light and ventilation Autoclave equipment for sterilization

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Specifications of the specialized Panchkarma Uttarbasti (for Male & Female)

Note: Consent verbal or written consent is necessary before male or female uttarbasti. Patient need to made well aware of Uttarbasti procedure For Female Uttarbasti 1. Consultant requirements Ayurvedic doctor with Post Graduate degree in Striroga and Prasuti or Panchkarma or Shalya 2. Room requirements Minimum 100 sq feet having good ventilation and light 3. Articles requirements a. Sterilizer or Autoclove b. Pillow c. Hot water bag d. Kidney tray e. Good light source f. Table having bars for giving lithotomy position g. Disposable syringes (5 10 cc) h. Sterilized Gloves i. Sterilized cotton j. Sterilized tampoons k. Sterilized medicine (Medicated Ghee or oil or decoction used for treatment of Uttarbasti) 4. Instrument requirements All instruments should be sterilized or autoclaved a. Sims speculam b. Anterior vaginal wall retractor c. Vulsellum d. Uterine sound e. Swab holder f. Artery forceps g. Toothed forceps h. Metallic or disposable insemination canula For Male Uttarbasti 1. Consultant requirements Ayurvedic doctor with Post Graduate degree in Striroga and Prasuti or Panchkarma or Shalya 2. Room requirements Minimum 100 sq feet having good ventilation and light 3. Articles requirements a. Sterilizer or Autoclove b. Pillow c. Hot water bag d. Kidney tray e. Good light source f. Disposable syringes (20 50 cc) g. Sterilized Gloves h. Sterilized cotton i. Sterilized gauze j. Foleys catheter (various sizes as per requirement) k. Sterilized medicine (Medicated Ghee or oil or decoction used for treatment of Uttarbasti) 4. Instrument requirements All instruments should be sterilized or autoclaved
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a. Swab holder b. Artery forceps

Specifications of Ksharasutra Section

Space requirements 1. 2. 3. 4. 5. Consultation room: 400 Sq. ft. OT Room Sterilization Room Recovery Room 200 Sq. ft. 200 Sq. ft. 200 Sq. ft.

Multipurpose Room 200 Sq. ft.

The OT and sterilization room should be provided with AC. Complete aseptic precaution should be taken

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Specifications of Leech therapy: I.

a) b) c) d) II. Staff required:

Ayurvedic surgeon/physician Technician Attendant Safaiwala Space Requirement :

: 01 : 02 : 02 : 01

(Male = Female) (Male = Female)

a) Room for Minor O.T. III.

: 500 Sq. ft.

Equipments / Miscellaneous items: : 50-75 litres capacity (may be with partitions)

a) Storage Aquarium for fresh leeches

b) Glass containers (1 litre capacity) for storing used leeches:

25 - 50 (For each patient requires separate container and the number may vary according to the number of patients) (As per the requirement, usually 3-5 leeches per patient / treatment period) 02 04 05 Different types of Forceps, Scissors, Needles, Suturing material etc. (As per the requirement) (As per the requirement)

c) Leeches d) Surgical table e) Surgical trolley f) Surgical tray

: : : : :

g) Instruments

h) Dressing tray with gloves, Bandage cloth, Bandages etc. i) Materials :

Turmeric, Saindhavalavana, Jatyadi ghrita, honey. (As per the requirement)

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Specific Structural Standards for Hospitals that are 100 bedded and above
The hospital should be a fully functional with requisite space, furniture, equipment, diagnostic facilities, technical and supporting manpower and all other essentially required facilities as under:(a) Space requirement: The hospital shall be suitably spacious to accommodate Out-Patient Department(OPD) and In-Patient Department(IPD) wards in addition to reception, patients waiting area, dispensing room, dressing room, clinical laboratory, radiology section, pharmacy, kitchen, service rooms, medical record-room, Pancharkarma therapy section, Store Rooms, separate male and female wards., specialised therapy theatre, shall be available appropriate with the scope of services offered by the hospital. Duty rooms for Doctors, Nurses and other staff, incineration unit and bio-medical waste management system and other requirements. (b) Out-Patient Department (OPD): The hospital shall have a provision for attending outdoor patients in a room that well-lighted and ventilated and equipped with a chair and a table for doctor, like X-ray viewer, two chairs for patients attendants, an examination table with screen, a Blood Pressure apparatus, a stethoscope, a torch, a thermometer and a weighing machine. Essential diagnostic tools required for examination of patients in Shalya, Shalakya, Kaumarbhritya and Striroga evum Prasuti Tantra OPDs shall be available in accordance with the scope of services offered by the hospital.

(c)

In-Patient Department (IPD). - The indoor department of the hospital shall have separate male and female wards and distribution of beds at the rate of 50 sq. feet area per bed. Rog Nidan avum Prayogshaliya Parikshan Prayogshala (Clinical Laboratory for clinical diagnosis and investigations). There shall be a central laboratory in the hospital complex with proper infrastructure and manpower for carrying out routine, pathological, biochemical and hematological investigations and Ayurveda diagnostic techniques on the patients referred from outdoor and indoor departments of the hospital.

(d)

(e)

Hospital Staff. - The minimum staff required in a 100-bed non-teaching hospital, liable to be increased proportionately in accordance with bed strength, shall be as given below. 1. 2. 3. 4. 5. Medical Superintendent Dy. Medical Superintendent Consultant Physicians- depending on scope of services offered by the hospital Resident Medical Officer Nursing staff, Panchakarma technicians as per General Structural standards, above

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6. 7. 8.

Consultant Dietician (Ayurvedic ) Canteen staff- Cook and minimum 1 helper for every 50 patients & bystanders served All other staff- commensurate in number and availability, for scope of services offered by hospital, and to fulfill the quality of service standards stated in the quality management system of the hospital.

Note:(1) The hospital shall be equipped with adequate provisioning of security, civil and electrical, sanitation, dietary and canteen, laundry and waste incineration and disposal services. Essential duty staff and services should be available round the clock. Services of non-teaching and non-technical staff like Peon/ Attendant/ Sweeper/ Gardener/ Cook etc. can be obtained by outsourcing.

(2) (3)

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ANNEXURE: II
Structural Standards For Hospitals Attached To Colleges 1. Attached hospital.- There shall be a fully functional hospital attached to the college with requisite space, furniture, equipment, diagnostic facilities, technical and supporting manpower and all other essentially required facilities as under: (a) Space requirement:The hospital shall be suitably spacious to accommodate OutPatient Department(OPD) and In-Patient Department(IPD) wards in addition to reception, patients waiting area, dispensing room, dressing room, clinical laboratory, radiology section, side pharmacy, kitchen, service rooms, medical record-room, Pancharkarma therapy section, Ksharsutra therapy section, Operation Theatre, Labour Room, Store Rooms, separate male and female wards, Duty rooms for Doctors, Nurses and other staff, Incineration unit and bio-medical waste management system and all other requirements. Total built up area for one hundred bed hospital should be 3000 sq. mt., for one hundred fifty bed hospital 4000 sq. mt. and for two hundred bed hospital 5000 sq. mt. The distribution of built up area in the one hundred bed hospital shall be as given in the Table below: Particulars Hospital Administration Block: Superintendent room Dy. Superintendent room Medical officers room ( for 2 Resident Medical Officer/ Resident Surgical Officer) Matron room Assistant Matron room (for 2) Reception and Registration OutPatient Departments(OPD) Kayachikitsa OPD with toilet and wash basin Shalya OPD with toilet and wash basin ShalakyaTantra OPD with toilet and wash basin Stri Roga evum Prasooti Tantra OPD with toilet and wash basin 500 sq. mt. Built up area 100sq. mt.

Sl. I. 1. 2. 3. 4. 5. 6. II. 1. 2. 3. 4.

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5. 6. 7. 8. 9. 10. 11. 12. III. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

Kaumar Bhritya (Balarog) OPD with toilet and wash basin Swasthavritta evum Yoga OPD with demonstration area, toilet and wash basin Atyayika (Casuality) section with toilet and wash basin Dressing and First Aid Room Dispensary Waiting Space space for patients Store Male and Female Toilets InPatient Departments (IPD) Kayachikitsa Male Ward with attached toilet and bath room Kayachikitsa Female Ward with attached toilet and bath room Panchakarma Male Ward with attached toilet and bath room Panchakarma Female Ward with attached toilet and bath room Shalya Male Ward with attached toilet and bath room Shalya Female Ward with attached toilet and bath room Shalakya Tantra Ward with attached toilet and bath room Prasooti evum Stri Roga Ward with attached toilet and bath room Kaumar Bhritya (Balaroga) Ward with attached toilet and bath room Doctors duty room one for each department with with attached toilet and bath Nursing staff duty rooms, one in each ward with attached toilet-bath. Store room for linen, etc. 1400 sq. mt.

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IV. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. V. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13

Operation theaters, etc. OT (Major) with attached toilet and bath room OT (Minor) Shalakya OT Labour Room with attached toilet and bath room Neonatal care room Central sterlisation/autoclave unit Scrub room Two Recovery room Doctors duty room with attached toilet and bath room Interns/ house officer/ resident doctors room with attached toilet and bath room Nursing staff room with attached toilet and bath room Panchakarma Unit: Snehana Kaksha (Male) Snehana Kaksha (Female) Swedana Kaksha(Male) Swedana Kaksha(Female) Shirodhara Kaksha(Male) Shirodhara Kaksha(Female) Vamana Kaksha(Male) Vamana Kaksha(Female) Virechana Kaksha(Male) Virechana Kaksha(Female) Basti Kaksha(Male) Basti Kaksha(Female) Rakta Mokshana, Jalaukavacharana,

250 sq. mt.

300 sq. mt.

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14. 15. 16.

Agnikarma, Pracchanna etc Kaksha Panchakarma therapist/ Physicians room Panchakarma store room Attached toilet-bath 4 for males and 4 for females with wash basin and geyser facility in each. These will be in addition to the toilets of wards. Physiotherapy Unit: 75 sq. mt. 1. Physiotherapy Room 2. Yoga Room Clinical laboratory 150 sq. mt.

VI. 1. 2. VII.

Well equipped and spacious area of 500 sq. mt. with separate sections for Pathology, Biochemistry and Micro-biology. Attached toilet shall be there for collection of urine samples. Other diagnostic tools for ECG/TMT etc. should be provided. VIII. Radiology/Sonography section: Radiologist chamber, X-ray room, Dark room, film drying room, store room, patients waiting and dressing room, reception/registration/report room.

75 sq. mt.

IX.

Hospital Kitchen and Canteen:

100 sq. mt.

(b)

Out-Patient Department (OPD). The hospital shall have a provision for attending outdoor patients with following seven sections, each of 150 sq. feet area, well-lighted and ventilated and equipped with a chair and a table for doctor, two chairs for patients attendants, an examination table with screen, a Blood Pressure apparatus, a stethoscope, a torch, a thermometer and a weighing machine. Essential diagnostic tools required for examination of patients in Shalya, Shalakya, Kaumarbhritya and Striroga evum Prasuti Tantra OPDs shall be available. (i) (iii) (iv) Kayachikitsa (including Panchakarma and Rasayana); Shalya Tantra ; Shalakya Tantra; (a) Netra Roga Vibhaga; (b) Karna-Nasa-Mukha evam Danta Roga Vibhaga; Prasooti evum Striroga; Kaumara Bhritya (Balaroga); Swasthavritta evum Yoga; Aatyayika (Casualty).

(v) (v) (vi) (vii)

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(c)

In-Patient Department (IPD). The indoor department of the hospital shall have separate male and female wards and distribution of beds at the rate of 50 sq. feet area per bed ward as under (i) Kayachikitsa ( Panchakarma and Manas Roga etc) (ii) Shalya Tantra (iii) Shalakya Tantra (iv) Prasooti evum Striroga (v) Kaumara Bhritya(Balaroga) 40% beds. 20% beds 10% beds 20% beds 10% beds

(d)

Rog Nidan avum Prayogshaliya Parikshan Prayogshala (Clinical Laboratory for clinical diagnosis and investigations). There shall be a central laboratory in the hospital complex with proper infrastructure and manpower for carrying out routing, pathological, biochemical and hematological investigations and Ayurveda diagnostic techniques on the patients referred from outdoor and indoor departments of the hospital. Hospital Staff. - The minimum staff required in a 100-bed hospital that is liable to be increased proportionately in accordance with the required bed strength shall be as per the table given below:-

(e)

Sl. No. 1. 2.

Post (2) Medical Superintendent Deputy Medical Superintendent

Requirement (3) Principal or Dean as ex-officio. Full time regular incumbent with postgraduate qualification in a clinical specialty. Teachers of clinical departments including Swasthavritta and Yoga Department. 4 (2 Ayurveda and 2 Allopathic on contract) 2 for Kayachikitsa department and 1 each for all other clinical departments. 1 RMO and I RSO for 100-bedded hospital and both 1 extra each for every 50 additional beds.

3. 4.

Consultants Casualty Medical Officers

5.

6.

House Officers or Clinical Registrars/Senior Residents (Ayurveda) Resident Medical Officers/Surgical Officers (RMO/RSO)

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7. 8. 9. 10.

Matron/Nursing Superintendent Assistant Matron Staff Nurses for IPD Nurses for OPD

1 1 for 100 beds and 1 extra each for every 50 additional beds. 1 for every 10 beds. 2 for OPD attendance up to 150 patients and 1 extra each for additional 100 patients. 1 for every 10 beds - (10). 4 (2 for OPD and 2 for IPD of 100 beds) and 6 above 100 beds (for OPD and IPD both). 2 3 plus teaching departmental attendants will also work in the hospital. 1 3 1 2 2 cum 4 (8 hrs. duty)

11. 12.

Mid Wife/Ward Boy/Ayah Pharmacists

13. 14. 15. 16. 17. 18. 19. 20.

Dresser OPD attendants Store Keeper Office Staff ( for registration, record maintenance, data entry etc.) Dark-Room Attendant Operation Theater Attendant Labour Room Attendant Telephone Receptionist Operator

Modern Medical Staff (on contract) 21. 22. 23. 24. 25. 26. 27. Medical Specialist Surgical Specialist Obstetrician & Gynecologist Dentist Refractionist Audiometrist Radiologist 1 1 1 1 1 1 1 (Postgraduate in Allopathic Radiology or Vikiran Vigyan of Ayurveda discipline) from teaching department of Shalya. 1

28.

X-Ray Technician/Radiographer

30. 31.

Staff for Panchakarma Therapy Section for Out-Patient Department(OPD) and In-Patient Department(IPD) Panchakarma Specialists Teachers of Panchakarma teaching department. House Officer or Clinical 1
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Registrar/Senior (Ayurveda) 33. 34. Panchakarma Technician Panchakarma Assistant

Resident

4 (2 Male + 2 Female) 2 male and 2 female

36. 37.

Yoga teacher/expert 1 (from Swasthavritta & Yoga Department) Sweepers 2 Staff of Operation Theatre and Ksharsutra Therapy Section Shalya and Ksharsutra Therapy Specialists House Officer or Clinical Registrar/Senior Resident (Ayurveda) Operation Theatre Attendant Dresser Nurses Sweeper Labour Room Prasooti evum Stri Roga Specialists Teachers of Shalya department 1

38. 39.

40. 41. 42. 43.

2 1 2; these will be in addition to the nurses indicated at sl.no. 9. 1

44. 45.

46. 47. 48. 49.

Teachers of Prasooti evum Stri roga department Lady House Officer or Clinical 1 Registrar/Senior Resident (Ayurveda) Nurses 2 ; these will be in addition to the nurses indicated at sl.no. 9. Midwife 2 Attendant 1 Sweeper 1 Clinical Laboratory Pathologist/Microbiologist for 1 Hospital & College Bio-chemist for Hospital & teaching 1 work Laboratory Technicians 2 Laboratory Assistants Clerk/Typist/Computer Data Entry Operator Peon/Attendant Sweeper Teaching Pharmacy and Quality Testing Laboratory Pharmacy Manager/Superintendent (Teacher of Ras-Shastra, Bhaishajya Kalpana) Clerk cum Store Keeper 2 1 1 1

50. 51. 52. 53. 54. 55. 56.

57.

58.

1
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59. 60. 61. 62. 63. Note:(1)

Peon/Attendant Machine Man Workers Analytical Chemist Pharmacognosist

1 1 2 1 (For teaching as well as Q.C.) 1 (For teaching as well as Q.C.)

For hospital with more than one hundred beds, two incumbents each as Resident Medical Officers, Resident Surgical Officers, Assistant Matrons and Pharmacists shall be additionally required. The hospital shall be equipped with adequate provisioning of security, civil and electrical, sanitation, dietary and canteen, laundry and waste incineration and disposal services. Essential duty staff and services should be available round the clock. Services of non-teaching and non-technical staff like Gardener/ Cook etc. can be obtained by outsourcing. Peon/Attendant/Sweeper/

(2)

(3) (4)

(f)

Patients attendance in hospital: Average daily attendance of patients in the hospital Out-Patient Department(OPD) should be in the student-patient ratio of 1:3. The inpatient department should have sixty percent average bed occupancy for ensuring adequate clinical training of students. Qualifications of head of the institute, college, hospital and teaching department and teachers:Director, Principal, Dean, Medical Superintendent, Deputy Medical Superintendent, Chairman, Heads of the Teaching Departments, Professors, Readers and Lecturers of Ayurveda college shall have essential professional qualification prescribed for an Ayurveda teacher i.e. postgraduate qualification of concerned specialty of Ayurveda. Senior most teacher of a subject with corresponding postgraduate qualification shall be the head of the concerned department. Sanskrit lecturer shall not be entitled for the post of Reader/Professor/Head of the Department/Principal/ Dean. Similarly, experts of Modern Medicine and Science are supernumerary to the essential teaching staff.

12.

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