KARNATAKA NURSES, MIDWIVES AND HEALTH VISITORS ACT, 1961

4 of 1962

January 25, 1962

An Act to provide for the registration of Nurses, Midwives and Health Visitors in the State of Karnataka. Whereas, it is expedient to provide for the registration of Nurses, Midwives arid Health Visitors in the State of Karnataka; Be it enacted by the Karnataka State Legislature in the Twelfth Year of the Republic of India as follows.

PART 1 Preliminary

Section 1 Short title, extent, commencement and application

(1) This Act may be called the Karnataka Nurses, Midwives and Health Visitors Act, 1961.

(2) It shall extend to the whole of the State of Karnataka.

(3)

(a)

(i) Part I and Section 29 of Part VII of this Act shall come into force at once in the whole of the State of Karnataka.

(ii) Parts II, III, V and VI and the remaining sections of Part VII of this Act shall come into force in the whole of the State of Karnataka on such date as the State Government may by notification appoint.

(b) Part IV shall come into force on such date and shall apply to such class of persons only in such areas as the State Government may by notification specify.

Section 2 Definitions

In this Act, unless the context otherwise requires.

(a) "Affiliated institution" means an institution for the nursing of the sick, maternity or child welfare, which may be affiliated to the Council in accordance with the bye-laws;

(b) "Auxiliary nurse-midwife" means a person who has passed the examination prescribed in this behalf;

(c) "Bye-law" means a bye-law made by the Council under Section 30;

(d) "Council" means the Karnataka Nursing Council constituted under Section 3;

(e) "Health visitor" means a person who has obtained the Health Visitors' Certificate from any Health School, institution and examining body recognised in this behalf by the Council;

(f) "Institution" includes any association, which maintains or controls a nurses establishment;

(g) "Licensing authority" in the case of a municipal area means the municipal corporation or the municipal council or other municipal authority established for such area and in the case of any other area, taluk development board established for such area:

Provided that the State Government may by notification in respect of any area specify any other authority as the licensing authority for such area;

(h) "List" means a list of nurses, midwives, auxiliary nurse-midwives and health visitors prepared and kept under Section 17;

(i) "Midwife" means a person who holds a certificate in midwifery from any institution recognised in this behalf by the Council;

(j) "Notification" means a notification published in the Official Gazette;

(k) "Nurse" means a person who holds a certificate in nursing from any institution recognised in this behalf by the Council;

(l) "Nurses establishment" means any establishment, whether carried on for gain or not, which provides for or is intended to provide the services of persons to act as nurses, midwives, auxiliary nurse-midwives or health visitors to those requiring such services;

(m) "Prescribed" means prescribed by rules;

(n) "Register" means a register maintained under Section 12 and the expressions "registered" and "registration" shall be construed accordingly;

(o) "Registered medical practitioner" means a person registered under any law in force in the State regulating the registration of practitioners in the ayurvedic, unani, homeopathic or modern system of medicine;

(p) "Rule" means a rule made by State Government under Section 29.

PART 2 Karnataka Nursing Council

Section 3 Establishment, incorporation and constitution of Council

(1) The State Government may, by notification, establish a Council to be called "the Karnataka Nursing Council" for the purpose of carrying out the provisions of this Act. Such Council shall be a body corporate having perpetual succession and a common seal with power, subject to the provisions of this Act, to acquire, hold and dispose of property and to contract and may, by the same name, sue and be sued.

(2) The Council shall consist of the following members.

(a) as ex officio members.

(i) the Director of Medical Services in Karnataka or such other officer as the State Government may nominate;

(ii) the Director of Public Health in Karnataka or such other officer as the State Government may nominate;

(iii) the Superintendent of Nursing Services, Government of Karnataka;

(b) as elected members.

(i) eight persons to be elected from amongst themselves by

(aa) nurses,

(bb) midwives,

(cc) auxiliary nurse-midwives and

(dd) health visitors registered in the register, the number of persons to be elected from each category being so divided as to be in the proportion of the number of their members in the register:

Provided that in determining the said proportion, a fraction of one-half or less shall be neglected and a fraction of more than one-half shall be counted as one:

Provided further that the number of members to be elected representing any particular category shall be at least one;

(ii) two persons to be elected from amongst themselves by the heads of the affiliated institutions;

(iii) two persons to be elected from amongst themselves by the matrons and Nursing Superintendents of the affiliated institutions in the State of Karnataka;

(iv) one person to be elected from amongst themselves by the sister tutors of the affiliated institutions;

(v) one person to be elected by the Karnataka Medical Council;

(vi) one person to be elected by the Karnataka State Branch (by whatever name called) of the Indian Medical Association;

(vii) one person to be elected by the Karnataka State Branch of the Trained Nurses' Association of India.

(c) as nominated members, three persons to be nominated by the State Government of whom at least one person shall be a woman:

Provided that the members to be elected under clause (b) shall in respect of the first Council, be nominated by the State Government from persons who in the opinion of the State Government are entitled to be included in the electorate or body concerned and shall hold office for a period of two years.

(3) The President and Vice-President of the Council shall be elected from among the members of the Council.

(4) The election of the President and Vice-President shall, subject to the provisions of this Act, be held at such time and place and in such manner as may be prescribed.

Section 4 Appointment of members in default of election

If any of the electorates or bodies referred to in Section 3 does not, by such date as may be prescribed, elect a person to be a member of the Council, the State Government shall, by notification appoint to the vacancy a person qualified for election thereto; and the person so appointed shall be deemed to be a member of the Council as if he had been duly elected by the said electorate or body.

Section 5 Period of office of members

(1) The members of the Council, other than the ex officio members specified in clause (a) of sub-section (2) of Section 3, shall hold office for a term of five years from the date of their election or nomination or until their successors have been duly elected or nominated whichever is longer and shall be eligible for re-election or re-nomination, as the case may be.

(2) Any such member may at any time resign his appointment by letter addressed to the President of the Council.

Section 6 Vacancy

When a vacancy occurs in the office of a member of the Council through death, resignation, removal or disability of such member or otherwise, previous to the expiry of the period of his office, the vacancy shall be filled in the manner prescribed. Any person elected or nominated to fill a casual vacancy shall, notwithstanding anything contained in Section 5, hold office only so long as the member in whose place he is elected or nominated would have held office if the vacancy had not occurred.

Section 7 Vacancy not to affect proceedings

If a vacancy in the office of a member of the Council has occurred, the continuing members thereof shall act as if no vacancy had occurred, and no act or proceeding of the Council shall be deemed invalid merely by reason of a vacancy in the Council or the disqualification of, or of defect in the election or nomination of a person acting as a member of the Council.

Section 8 Disqualifications

A person shall be disqualified for being chosen as, and for being, a member of the Council.

(a) if he has been sentenced by a Criminal Court for an offence involving moral turpitude and punishable with imprisonment for a term exceeding three months, such sentence not having been subsequently reversed, quashed or remitted, unless he has by order, which the State Government is hereby empowered to make in this behalf, been relieved from the disqualification arising on account of such sentence; or

(b) if he is an undischarged insolvent; or

(c) if he is of unsound mind and stands so declared by a Competent Court; or

(d) if his name has been removed from the register; or

(e) if he is a whole time officer or servant of the Council.

Section 9 Disabilities from continuing as member

(1) If any member, during the period for which he has been elected or nominated.

(a) absents himself without excuse, sufficient in the opinion of the Council, from three consecutive ordinary meetings of the Council; or

(b) is absent out of India for a period exceeding eight consecutive months; or

(c) ceases to be a member of the electorate or body by which he was elected; or

(d) becomes subject to any of the disqualifications specified in Section 8; or

(e) having been elected by the Karnataka Medical Council, ceases to be a registered medical practitioner; the President of the Council shall forthwith report the fact to the State Government, which shall thereupon, by an order in writing, declare his seat to be vacant.

(2) If any question arises whether a vacancy has occurred under sub-section (1), the orders of the State Government shall be final for the decision of such question.

Section 10 Leave of absence of members

The Council may permit any member to absent himself from the meetings of the Council for any period not exceeding six months.

Section 11 Elections to be held by distributive system of voting

All elections under this Act shall be held according to the distributive system of voting.

Explanation Distributive system of voting means a system of voting in which every voter shall be entitled to give as many votes as there are seats to be filled:

Provided that no voter shall give more than one vote to any one candidate:

Provided further that no voting paper shall be deemed to be valid unless the voter has recorded all the votes which he is entitled to give.

PART 3 Registration

Section 12 Maintenance of register

The Council shall maintain a register of

(a) nurses,

(b) midwives,

(c) auxiliary nurses and

(d) health visitors, consisting of four sections, in such form, containing such particulars and divided into such parts as may be prescribed.

Section 13 Persons entitled to registration.

Persons who have undergone such courses of training, have passed such examinations and who fulfil such other conditions as may be prescribed shall, on payment of the prescribed fee and on making an application in the prescribed form, be entitled to registration.

Section 14 Refusal of registration and removal and re-entry of names

(1) Subject to such conditions as may be prescribed, the Council may, after giving an opportunity to the person concerned to be heard in his defence and after holding an inquiry in the prescribed manner, refuse to enter in the register the name of any person or may order the removal of the name of such person from the register.

(2) The order passed under sub-section (1) shall be in writing and shall be served on the person concerned in the prescribed manner.

(3) The Council may direct that the name of any person against whom an order under sub-section (1) has been passed shall be entered or re-entered in the register, as the case may be.

Section 15 Appeal from order under Section 14

(1) Any person aggrieved by any order of the Council made under Section 14 may, within ninety days from the date on which such order is served, appeal against such order to the State Government.

(2) The order of the State Government on any such appeal shall be final.

Section 16 Renewal fee

(1) Notwithstanding anything contained in Section 13, the Council may, with the previous sanction of the State Government, direct that for every three years a renewal fee of 11. Substituted for the words "one rupee" by Act No. 27 of 1981, w.e.f. 9-4-1981 [five rupees] shall be paid by each person registered under this Act for the continuance of his name on the register.

(2) If the renewal fee is not paid before the date fixed by the Council, the Council may after giving notice to the defaulter concerned remove the name of the defaulter from the register:

Provided that the name so removed may be re-entered in the register on payment of the renewal fee in such manner and subject to such conditions as the Council may, after giving notice to the defaulter concerned by bye-laws direct.

Section 17 Maintenance of list of persons practising as nurses, midwives, auxiliary nurse-midwives and health visitors.

(1) The Council shall prepare and keep a list of persons whose names are not entered in the register maintained under Section 12 and who are practising as nurses, midwives, auxiliary nurse-midwives and health visitors. The list shall be divided into such parts as may be determined by the Council.

(2) Every person not being qualified for registration under this Act, who, within the period of two years from the date on which this Part comes into force, proves to the satisfaction of the Council that he has been in regular practice as a nurse, midwife, auxiliary nurse-midwife, or health visitor and fulfils such other conditions as may be determined by the Council shall on payment of the prescribed fee, be entitled to have his name entered in the list:

Provided that any person whose name has been removed from the register maintained under this Act or under any other law for the time being in force in any other part of India or from the register of any other country for infamous conduct in any professional respect shall not be entitled to have his name entered in the list.

(3) The provisions of Section 14 and Section 15 shall mutatis mutandis apply to the list.

PART 4 Nurses, Midwives, Auxiliary Nurse-Midwives and Health Visitors entitled to practise and control of Licensing Authorities

Section 18 Persons not registered or included in the list not to practise as nurse, etc.

(1) No person other than a person registered under this Act or a person whose name is entered in the list, shall practise or hold himself out, whether directly or by implication, as practising habitually or for personal gain as a nurse, midwife, auxiliary nurse-midwife or health visitor.

(2) Any person who acts in contravention of the provisions of sub-section (1) shall, on conviction, be punished with fine which may extend to one hundred rupees for the first offence, to two hundred rupees for the second offence, and to three hundred rupees for any subsequent offence.

Section 19 Conditions on practise in certain areas

(1) Notwithstanding anything contained in Section 18, a person whose name has been entered in the list shall not practise as a nurse, midwife, auxiliary nurse- midwife or health visitor in an area within the limits of a municipal corporation or other municipal body or an area notified under sub-section (2), unless he.

(a) has been in regular practice as a nurse, midwife, auxiliary nurse-midwife or health visitor for a continuous period of five years prior to the date on which this section has come into force;or

(b) has been in regular practice as a nurse, midwife, auxiliary nurse-midwife or health visitor for a continuous period of two years prior to the date on which this section has come into force and produces a certificate from an institution signed by the Matron, Medical Superintendent or other responsible officer of such institution that such person has received the training as a nurse midwife, auxiliary nurse-midwife or health visitor in a prescribed manner.

(2) The State Government may, after consultation with the Taluk Development Board of a Taluk by a notification, direct that the provisions of sub-section (1) shall apply on such date as may be specified therein to any other area in the Taluk, subject to such adaptations and modifications as it may consider suitable having regard to the local conditions of the area.

Section 20 Licensing authority to exercise general supervision.

(1) Subject to the provisions of this Act and the rules and by-laws made in this behalf, every Licensing Authority shall exercise general supervision and control over the nurses, midwives, auxiliary nurse-midwives, and health visitors practising within the area under its jurisdiction.

(2) The Licensing Authority may authorise any of its officers to perform any of the duties and to exercise any of the powers conferred on it by this section and Section 21.

Section 21 Notice to Licensing Authority before commencement of practice.

(1) Every person registered under this Act and every person whose name has been entered in the list, if he intends to continue to practise after the date on which this Part comes into force in any area or if either of such persons intends to practise in such area as a nurse, midwife, auxiliary nurse-midwife, or health visitor, he shall give notice in writing to the licensing authority and shall give a like notice to the said authority in the month of January every three years thereafter during the period he continues to practise within the said area.

(2) Every such notice shall contain such particulars and shall be in such form as may be determined by the Council.

(3) Any person who fails to comply with the provisions of sub-sections (1) and (2) shall, on conviction, be punished with fine which may extend to twenty-five rupees for the first offence, to fifty rupees for the second offence and to one hundred rupees for any subsequent offence.

(4) Any person who knowingly or wilfully makes or causes or procures any other person to make any false statement in any notice under this section shall, on conviction, be punished with fine which may extend to one hundred rupees for the first offence, to two hundred rupees for the second offence and to three hundred rupees for any subsequent offence.

PART 5 Nurses Establishments

Section 22 Regulation of nurses establishments.

(1) No person shall carry on any nurses establishment, except under a licence granted by the Licensing Authority and in accordance with the terms and conditions approved by the Council and specified in such licence.

(2) Any person who desires to carry on any nurses establishment shall apply to the Licensing Authority for a licence before such date, in such manner and in such form as may be prescribed. He shall along with the application pay to the licensing authority the prescribed fee, half of which shall be refunded to him if the licence is not granted.

(3) The Licensing Authority may before granting such licence impose such additional conditions as it may think fit for securing the proper conduct of the establishment.

(4) The Licensing Authority may, after giving an opportunity to the person concerned of being heard, refuse to grant any licence or revoke any licence already granted, if.

(i) the applicant or the holder of the licence is below twenty-one years or is in its opinion not a suitable person to hold such licence; or

(ii) the premises of the establishment are not suitable; or

(iii) any offence under this section has been committed in respect of the establishment.

(5) Any person aggrieved by any of the conditions imposed by the licensing authority or by the refusal or revocation of any licence may appeal within ninety days of such imposition, refusal or revocation to the State Government. The memorandum of appeal shall be accompanied by such fee as may be prescribed. The decision of the State Government on such appeal shall be final.

(6) The Licensing Authority may authorise any of its officers to perform any of the duties conferred on it by this section.

(7) Any officer duly authorised by the Licensing Authority in this behalf may at all reasonable times enter the premises specified in any licence or application for licence or any premises which are used, or which the officer has reasonable cause to believe are used, for the purpose of, or in connection with, the nurses establishment and inspect the premises and any records relating to such establishment as may be kept thereon.

(8) The Council may also exercise the powers of entry and inspection conferred by sub-section (7) through any of its officers authorised by it in this behalf. If the Council is of opinion that in any case the licence should be refused or revoked it shall report the matter to the State Government. On receipt of such report/the State Government may after consultation with the licensing authority or after making such inquiry as it deems fit, and after giving an opportunity to the person concerned of being heard pass orders refusing or revoking the licence. Such orders shall be final.

(9) Any person who contravenes the provisions of sub-section (1) shall, on conviction, be punished with fine which may extend to two hundred and fifty rupees for the first offence and for any subsequent offence with fine which may extend to five hundred rupees or with simple imprisonment for a term which may extend to six months or with both.

(10) Any person who refuses any duly authorised officer of the licensing authority or any such officer of the Council to enter or inspect any premises or to inspect any records under sub-section (7) or (8), as the case may be, or obstructs such officer in the exercise of his aforesaid powers shall, on con- viction, be punished with fine which may extend to fifty rupees for the first offence and for any subsequent offence with fine which may extend to one hundred rupees or with simple imprisonment for a term which may extend, to three months or with both.

(11) Any person who makes or causes to be made or knowingly allows to be made any entry in a record to be kept under this section, which he knows to be false in any material particular for any of the purposes of this Act or who makes, produces, furnishes or knowingly allows to be made, produced or furnished any statement, record or information which he knows to be false in any material particular for the purpose of obtaining a licence under this section or for any other purposes of this Act shall, on conviction, be punished with fine which may extend to two hundred and fifty rupees for the first offence and for any subsequent offence with fine which may extend to one thousand rupees or with imprisonment for a term which may extend to six months or with both.

(12)

(i) If the person committing an offence under this section is a company, the company as well as every person in charge of, and responsible to, the company for the conduct of its business at the time of the commission of the offence shall be deemed to be guilty of the offence and shall be liable to be proceeded against and punished accordingly:

Provided that, nothing contained in this sub-section shall render any such person liable to any punishment if he proves that the offence was committed without his knowledge or that he exercised all due diligence to prevent the commission of such offence.

(ii) Notwithstanding anything contained in clause (i), where an offence under this section has been committed by a company and it is proved that the offence has been committed with the consent or connivance of, or that the commission of the offence is attributable to any neglect on the part of, any director, manager, secretary or other officer of the company, such director, manager, secretary or other officer shall also be deemed to be guilty of that offence and shall be liable to be proceeded against and punished accordingly.

Explanation For the purposes of this sub-section.

(a) "Company" means any body corporate and includes a firm or other association of individuals; and

(b) "Director" in relation to a firm means a partner in the firm.

PART 6 Training Institutions

Section 23 Training Institutions

(1) The institutions which are approved and recognised by the Council after inspection by its representative shall be competent to train nurses, midwives, auxiliary nurse-midwives, or health visitors and to send them for examination for the qualifying certificates of the Council.

(2) The Council may withdraw recognition from any such institution after its inspection by a representative of the Council. The order of such withdrawal shall be in writing and shall be served in the prescribed manner.

(3) No school, hospital or other institution which is not approved and recognised under this section shall issue to any person a certificate or enter the name of any person in any document purporting to show that such person is qualified by reason of his having passed any examination or undergone any course of training to practise as a nurse, midwife, auxiliary nurse-midwife, or health visitor, unless his name is registered or entered in the list under this Act.

(4) Any person who contravenes the provisions of sub-section (3) shall, on conviction, be punished with fine which may extend to three hundred rupees.

(5)

(i) If the person committing an offence under this section is a company, the company as well as every person in charge of, and responsible to, the company for the conduct of its business at the time of the commission of the offence shall be deemed to be guilty of the offence and shall be liable to be proceeded against and punished accordingly:

Provided that, nothing contained in this sub-section shall render any such person liable to any punishment if he proves that the offence was committed without his knowledge or that he exercised all due diligence to prevent the commission of such offence.

(ii) Notwithstanding anything contained in clause (i) where an offence under this section has been committed by a company and it is proved that the offence has been committed with the consent or connivance of, or that the commission of the offence is attributable to any neglect on the part of, any director, manager, secretary or other officer of the Company such director, manager, secretary or other officer shall also be deemed to be guilty of that offence and shall be liable to be proceeded against and punished accordingly.

Explanation. For the purposes of this sub-section.

(a) "Company" means any body corporate and includes a firm or other association of individuals; and

(b) "Director" in relation to a firm means a partner in the firm.

Section 24 Appeal against refusal to recognise institutions.

Any person aggrieved by the refusal of the Council to approve and recognise any institution as competent to train nurses, midwives, auxiliary nurse- midwives, or health visitors may appeal, within ninety days from the date of such refusal, to the State Government against such order of refusal. The decision of the State Government on any such appeal shall be final.

PART 7 Miscellaneous

Section 25 Removal of names from register on notice of death

Every Registrar of Births and Deaths who receives notice of the death of any person whose name he knows to be or has reason to believe is entered in any register, shall forthwith transmit by post to the Council a certificate of registration of such death signed by him and stating the time and place of death; and thereupon the name of such person shall be removed from the register.

Section 26 Penalty for dishonest use of certificate.

Any person who.

(a) dishonestly makes use of any certificate of registration issued under the provisions of this Act to him or to any other person;

(b) procures or attempts to procure registration under the provisions of this Act by making or producing, or causing to be made or produced any false or fraudulent declaration, certificate or representation, whether in writing or otherwise; or

(c) wilfully makes or causes to be made any false representation in any matter relating to the register or certificate issued under the provisions of this Act, shall, on conviction, be punished with fine which may extend to two hundred and fifty rupees for the first offence and for any subsequent offence with fine which may extend to five hundred rupees or with simple imprisonment for a term which may extend to six months or with both.

Section 27 Penalty for unlawful assumption of title of registered nurse, midwife, auxiliary nurse-midwife, or health visitor.

Any person who, not being a registered nurse, midwife, auxiliary nurse-midwife, or health visitor, takes or uses the name or title of registered nurse, midwife, auxiliary nurse-midwife or health visitor or uses any name, title, description, prescribed uniform, object or sign-board, with the intention that it may be believed, or with the knowledge that it is likely to be believed that such person is a registered nurse, midwife, auxiliary nurse-midwife or health visitor shall, on conviction, be punished with fine which may extend to one hundred rupees for the first offence and for any subsequent offence with fine which may extend to two hundred rupees or with simple imprisonment for a term which may extend to three months or with both.

Section 28 Court competent to try offences under Act

No Court other than a Magistrate of the First Class shall take cognizance of or try any offence under this Act.

Section 29 Power of State Government to make rules.

(1) The State Government may, after previous publication, by notification make rules to carry out all or any of the purposes of this Act.

(2) In particular and without prejudice to the generality of the foregoing power, rules may be made.

(a) prescribing the manner in which elections and nominations of members of the Council and the elections of the President and Vice-President shall be made, and casual vacancies shall be filled under Section 6;

(b) prescribing the form in which a register shall be kept, the particulars to be entered in such register, and the parts into which such register shall be divided under Section 12;

(c) prescribing the courses of training and examinations including those for auxiliary nurse-midwives entitling a person to registration, the fee payable on application for registration, the form in which such applications shall be made, and the conditionsubject to which names shall be entered in the register under Section 13;

(d) prescribing the causes for which, the conditions under which, and the manner in which the names of nurses, midwives, auxiliary nurse-midwives, and health visitors may be removed or re-entered in the register under Section 14 and the manner in which the order of removal or refusal shall be served on such persons;

(e) the course of instruction for and the manner in which training is required to be received by a person as a nurse, midwife, auxiliary nurse-midwife or health visitor for the purpose of Section 19;

(f) prescribing the matters and the manner in which and the conditions under which a licensing authority shall exercise supervision and control over the nurses, midwives, auxiliary nurse-midwives and health visitors practising within the area under its jurisdiction under Section 20;

(g) the date before which and the manner and form in which application for a licence for any nurses establishment shall be made under Section 22;

(h) the manner in which an order of withdrawal of recognition of an institution shall be served under Section 23;

(i) prescribing the fees payable for entering the name of any person in the list under sub-section (2) of Section 17 and in respect of an appeal under Section 15 or Section 24; and

(j) any matter which is to be or may be prescribed.

(3) Every rule made under this section shall be laid as soon as may be after it is made, before each House of the State Legislature while it is in session for a total period of thirty days which may be comprised in one session or in two successive sessions, and if before the expiry of the session in which it is so laid or the session immediately following, both House agree in making any modification in the rule or both House agree that the rule should not be made, the rule shall thereafter have effect only in such modified form or be of no effect, as the case may be; so however that any such modification or annulment shall be without prejudice to the validity of anything done under that rule.

Section 30 Power of Council to make by-laws

(1) The Council may make by-laws not inconsistent with this Act or the rules.

(a) for regulating the compilation, maintenance and publication of the register or list and the conditions of admission to the register or list;

(b) for regulating the conduct of any examinations which may be prescribed as a condition of admission to the register and any matter ancillary to or connected with such examinations, including the courses of training which the candidates appearing for the examinations shall undergo;

(c) for determining the manner in which the list shall be maintained, the conditions which shall be fulfilled by persons whose names are to be entered in the list, the qualifying examination to be passed by persons whose names are entered in the list and for regulating the conduct of such examinations;

(d) for the approval of any institution for the purpose of such training and the granting of diplomas to candidates passing the examinations;

(e) for regulating the conditions under which institutions for nursing the sick, maternity or child welfare may be affiliated to the Council.

(f) for appointing a Registrar and such other servants as may be necessary;

(g) for regulating the pay, pension, conduct and other conditions of service of persons appointed under clause (f);

(h) for establishing a provident fund for the benefit of the employees of the Council and of affiliated institutions and regulating its administration;

(i) for regulating and supervising the practice of their profession by registered nurses, midwives, auxiliary nurse-midwives and health visitors and by persons whose names are entered in the list;

(j) for regulating the publication of the names of registered nurses, midwives, auxiliary nurse-midwives and health visitors and of persons whose names are entered in the list and their residence;

(k) for regulating the conditions under which such nurses, midwives, auxiliary nurse-midwives and health visitors registered in other States may be admitted to the register, on such other States granting reciprocal registration to persons registered on the register of the Council;

(l) for determining the form and the manner in which notices under Section 21 shall be given;

(m) for determining the manner of inspection of the nurses establishments by the Council, the statements to be furnished and records to be maintained by such establishments;

(n) for regulating the summoning of meetings of the Council and its proceedings;

(o) for determining the manner in which all fees levied under this Act and all moneys received by the Council shall be accounted for, audited and applied for the purposes of this Act, and for regulating the expenditure of the Council generally;

(p) for prescribing the travelling and other expenses payable to the members of the Council or of committees;

(q) generally for the provision of any matter in respect of which the Council considers provision should be made for the purposes of this Act.

(2) No by-law made by the Council shall come into force until it has been approved by the State Government, with or without modification or amendment.

(3) All by-laws made under this section shall be published in the Official Gazette.

(4) It shall be lawful for the State Government by notification, to cancel or amend any by-law made under this Act.

Section 31 Protection of persons acting in good faith under the Act, rules, or by-laws.

No suit, prosecution or other legal proceeding shall be instituted against any person for anything which is in good faith done or intended to be done under this Act, rules or by-laws.

Section 32 Jurisdiction of Civil Courts.

No act done in the exercise of any power conferred by or under this Act on the State Government or the Council or the Registrar shall be questioned in any Civil Court.

Section 33 Control.

(1) If at any time it shall appear to the State Government that the Council has failed to exercise, or has exceeded or abused any of the powers conferred upon it by or under this Act, or has failed to perform any of the duties imposed upon it by or under this Act, the State Government may, if it considers such failure, excess or abuse to be of a serious character, notify the particulars thereof to the Council, and if the Council fails to remedy such default, excess or abuse, within such time as the State Government may fix in this behalf, the State Government may dissolve the Council and cause all or any of the powers and duties of the Council to be exercised and performed by such person and for such period as it may think fit and thereupon the funds and property of the Council shall vest in the State Government for the purpose of this Act until a new Council shall have been constituted under Section 3.

(2) When the State Government has dissolved the Council under sub-section (1), it shall take steps as soon as may be convenient to constitute a new Council under Section 3 and thereupon the property and funds referred to in sub-section (1) shall revest in the Council so constituted.

(3) Notwithstanding anything contained in this Act, rules or bye-laws, if, at any time, it shall appear to the State Government that the Council or any other aothority empowered to exercise any of the powers or to perform any of the functions under this Act, has not been validly constituted or appointed, the State Government may cause any of such powers or functions to be exercised or performed by such person in such manner and for such period not exceeding six months and subject to such conditions as it thinks fit.

Section 34 Repeal

The Madras Nurses and Midwives Act, 1926 (Madras Act III of 1926), the Hyderabad Nurses, Midwives and Health Visitors Registration Act, 1951 (Hyderabad Act XIX of 1951) and the Bombay Nurses, Midwives and Health Visitors Act, 1954 (Bombay Act XIV of 1954), are hereby repealed:

Provided that S.6 of the MYSORE GENERAL CLAUSES ACT, 1899 (Karnataka Act III of 1899), shall be applicable in respect of such repeal and S.8 OF THE MYSORE GENERAL CLAUSES ACT, 1899S.6 of the MYSORE GENERAL CLAUSES ACT, 1899 and S.24 OF THE Karnataka General Clauses Act, 1899 said THE Act shall be applicable as if the said enactments had been repealed and re-enacted by this Act.

Section 35 Power to remove difficulties.

If any difficulty arises in giving effect to the provisions of this Act in consequence of the transition to the said provisions from the provisions of the Acts in force immediately before the commencement of this Act, the State Government, may by notification make such provisions as appear to it to be necessary or expedient for removing the difficulty.

RULE:

KARNATAKA NURSES, MIDWIVES AND HEALTH VISITORS RULES, 1964

In exercise of the powers conferred by Section 29 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 (Mysore Act No. 4 of 1962), the Government of Karnataka hereby makes the following rules, the draft of the same having been published in Notification No. PLM 22 MDA 62, dated 22nd November, 1968, in Part IV, Section 2-C(i) of the Karnataka Gazette, dated 5th December, 1963 as required by sub-section (1) of Section 29 of the said Act, namely.

PART 1 General

Rule 1 Title

These rules may be called the Karnataka Nurses, Midwives and Health Visitors Rules, 1964

Rule 2 Definitions

In these rules, unless the context otherwise requires.

(a) "Act" means the Karnataka Nurses, Midwives and Health Visitors Act, 1961;

(b) "Form" means the form appended to these rules;

(c) "Government" means the Government of Karnataka;

(d) "Registrar" means the Registrar appointed by the Council under the Bye-laws;

(e) "Schedule" means the Schedule appended to these rules;

(f) "Section" means a section of the Act.

PART 2 Appointment to Council

Rule 3 Election of the President and the Vice-President to the Council

(1)The election of the President or the Vice-President shall be held at a meeting specially convened for that purpose for which due notice has been given in accordance with these rules.

(2) The meeting for the election of the President shall be presided over by the Vice-President:

Provided that, if the Vice-President is himself standing for election, or if there is no Vice-President, or if he is absent, the members present shall choose amongst themselves a person other than a candidate for election to preside over the meeting.

(3) The meeting for the election of the Vice-President shall be presided over by the President or if he is absent, the members present shall choose amongst themselves a person other than the candidate for election to preside over the meeting.

(4) Every candidate for election to the President or the Vice-President, as the case may be, shall be duly proposed and seconded.

(5) The names of candidates who are duly proposed and seconded shall be read out to the members by the person presiding and the wishes of the candidates shall be ascertained whether any of them would withdraw from the contest. The person presiding shall thereafter put the names of candidates who have not withdrawn to vote. The names shall be put one by one in the order in which they have been proposed and seconded and the voting shall be decided, if necessary by division. If any name is approved, the person presiding shall without putting the later names to vote declare that the member so proposed and seconded has been elected as the President.

Rule 4 Election of members of the Karnataka Medical Council and the Karnataka State Branches of the Indian Medical Association and the Trained Nurses' Association of India and nominations of members by the State Government.

At least three months before the date of expiry of the term of office of members under sub-section (1) of S.5 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 (hereinafter called the date of expiry) the Registrar shall give a notice in writing.

(a) to the Karnataka Medical Council to elect one person under sub-clause (v) of sub-section (2) of S.3 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 by a date not less than one month before the date of expiry;

(b) to the Karnataka State Branch of the Indian Medical Association to elect one person under sub-clause (vi) of clause (b) of sub-section (2) of S.3 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, by a date not less than one month before the date of expiry;

(c) to the Karnataka State Branch of the Trained Nurses' Association of India to elect one person under sub-clause (vii) of clause (b) of sub-section (2) of S.3 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, by a date not less than one month before the date of expiry; and

(d) to the State Government, requesting nomination of three persons under clause (c) of sub-section (2) of S.3 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, by a date not less than one month before the date of expiry.

Rule 5 The manner in which the elections of members by other constituencies shall be held.

(1) In the case of elections by the constituencies referred to in sub-clause (i) of clause (b) of sub-section (2) of S.3 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, the Registrar shall prepare a roll of those persons whose names are entered in the register maintained under the Act, up to 31st December of the year preceding the year in which the election is to be held.

(2) In the case of elections to the Council by the constituencies referred to in sub-clauses (ii), (iii) and (iv) of clause (b) of sub-section (2) of S.3 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, the Registrar shall have a roll prepared for each such constituency at least four months before the date of expiry, of all those entitled to vote thereat.

(3) In the preparation of the roll of (i) the heads, (ii) matrons and Nursing Superintendents and (iii) sister tutors, of affiliated institutions, the names of only such heads, matrons and Nursing Superintendents and sister tutors shall be included in the roll as are, on the date of its preparation, heads, matrons and Nursing Superintendents and sister tutors of the affiliated institutions and shall include the names of permanent heads, matrons and Nursing Superintendents and sister tutors only of such institutions and not more than one name shall appear as that of the head of any affiliated institution.

(4) Before preparing the rolls of such of the constituencies referred to in sub-clauses (ii), (iii) and (iv) of clause (b) of sub-section (2) of S.3 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, the Registrar may require the secretary or the corresponding authority of the affiliated institution to forward to him within a fortnight from the date of issue of such requisition, the following information.

(a) the full name and address of the head of the affiliated institution;

(b) the full name and address of the matrons and Nursing Superintendents of the affiliated institution; and

(c) the full name and address of the sister tutor or tutors of the affiliated institution;

(5) On receipt of the above information the Registrar shall prepare electoral rolls for the aforesaid constituencies and shall publish them in the office of the Council on the dates specified in that behalf by the Council. The electoral rolls of the matrons shall be prepared separately in respect of affiliated institutions.

(6) The President shall have the authority to correct the roll by adding, altering or omitting names if it is brought to his notice by proper evidence that such addition or omission of names is necessary in the rolls already made or that the names so published require any alteration in the manner specified in the application:

Provided that no name shall be omitted unless the person concerned has been heard in that behalf. If any electoral roll is amended the roll with amendments shall form the electoral roll for the purpose of the election under the Act. Copies of the electoral roll be available for sale from the office of the Council at a price to be fixed by the Council.

(7) The Registrar, or any other person authorised by the President in this behalf, shall be the Returning Officer for every election held under the Act.

(8) The Returning Officer shall notify in the Karnataka Gazette and on the notice board at the office of the Council, the dates for each of the following stages of election, namely.

(a) the last date for making nominations, which shall be the date not later than sixty days before the date fixed for the counting of votes;

(b) the date for the scrutiny of nomination which shall be the date falling on the third or fourth day from the date of making nominations counting the last date for making the nominations as the first day for the purpose;

(c) the last date for the withdrawal of the candidatures, which shall be the third or fourth day after the date for the scrutiny of nominations;

(d) the last date for the receipt of the voting papers;

(e) the date for the counting of votes.

(9) Every person whose name is entered in the Electoral roll prepared and published under sub-rules (1) and (2) shall, unless disqualified under S.3 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, be qualified to be elected as a member under clause (b) of sub-section (2) of S.3 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 from the constituency to which the electoral roll relates.

(10) Every candidate to be elected under clause (b) of sub-section (2) of S.3 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 shall be proposed and seconded by the persons whose names are entered in the electoral roll prepared and published under sub-rules (1) and (2) for the constituency concerned.

(11) The nomination paper shall be in Form A in Schedule I. No elector shall propose or second the nomination of more candidates than are required to fill up the vacancy or vacancies.

(12) If more nominations, than are required to fill up a seat or seats, be subscribed by the same elector, all nominations subscribed by him shall be invalid.

(13) The candidate shall sign the nomination paper declaring that he is willing to serve on the Council if elected. In the absence of such declaration the nomination shall be treated as invalid.

(14) The candidate shall send to the Returning Officer by post or otherwise the nomination paper duly signed and completed so as to reach the Returning Officer before or on the last date fixed for nomination up to 12 O' Clock in the noon. On receipt of the nomination paper the Returning Officer shall forthwith endorse thereon the date and hour of its receipt. Any nomination paper which is not received by the Returning Officer on or before the aforesaid date and time shall be rejected.

(15)

(i) Every candidate shall, along with the proposal for nomination, deposit with the Returning Officer a sum of rupees fifty in cash. A nomination paper not accompanied by such deposit shall not be accepted by the Returning Officer. The deposit shall be returned if.

(a) the candidate is declared or is deemed to be duly elected; or

(b) the nomination of the candidate is declared invalid; or

(c) the candidate dies after the scrutiny of nomination papers and before the election is completed; or

(d) the candidate fails to be elected but secures valid votes in excess of the numbers specified in clause (ii).

(ii) If a candidate is not elected and if the number of valid votes recorded in his favour is less than 1/8 th of the total number of votes recorded, or where the total number of members to be elected is two or more, 1/8 th of the total number of votes recorded divided by the total number of members to be elected, the deposit shall be forfeited to the Council.

(iii) The deposit shall, if it is not forfeited, be returned as soon as may be after the declaration of the result of the election.

(16) On the day fixed for the scrutiny of nomination papers the Returning Officer shall scrutinise the nomination papers received by him at a place appointed by him in this behalf at 12 noon. Any candidate may be present either in person or by an accredited representative at the time of such scrutiny. On completion of the scrutiny of nominations and after the expiry of the period within which the candidate may withdraw his candidature under sub-rule (17); the Returning Officer shall forthwith declare the names of the candidates whose nomination papers are held valid by him.

(17) Any candidate may withdraw his candidature by sending a notice in writing signed by him to the Returning Officer not later than 12 noon on the day fixed for the withdrawal.

(18) If on the scrutiny of the nomination papers received, the Returning Officer finds that the number of valid nominations is equal to the number of members to be elected, he shall forthwith declare all such candidates to be elected to fill those seats.

(19) If the number of valid nominations is more than the number of the members to be elected, the Returning Officer shall forthwith publish their names and addresses in such manner as the Council may deem fit and shall further cause their names to be entered in the voting papers in Form-B in Schedule I.

(20) After the candidates have been validly nominated the Returning Officer shall send by post to each elector.(i) a voting paper; (ii) a small blank cover with the words "Voting Papers" printed thereon; and (iii) a bigger cover on which are printed, on the left cop corner, the serial alphabetical number, and on the left lower corner, the name and signature columns and, in the centre, the address of the Returning Officer printed as under: "To The Returning Officer, C/o. Mysore Nursing Council, BANGALORE".

(21) An elector, who has not received his voting paper and other connected papers as provided in sub-rule (2) or whose papers, before they are returned back to the Returning Officer have been inadvertently spoilt in such a manner that they cannot be conveniently used, or who has lost his papers, may on his transmitting to the Returning Officer a declaration to that effect signed by himself require the Returning Officer to send him duplicate papers in place of those not received, spoilt or lost, and if the papers have been spoilt, the same shall be returned to the Returning Officer who shall cancel them. In every case, when duplicate papers are issued, a record thereof shall be kept by the Returning Officer and a mark 'Duplicate' shall be placed on the bigger cover which shall bear the same serial alphabetical number as was originally given on the bigger cover sent to the elector. The voting papers issued in such cases shall also be marked 'Duplicate'.

(22) Every Elector, desirous of voting, shall send his voting paper to the Returning Officer before the time fixed for the receipt of voting papers. The votes shall be given according to the distributive system of voting as defined in S.11 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961. The Returning Officer shall keep the voting papers collected in sealed boxes: Provided that any voting paper is not received by the Returning Officer before the time so fixed shall be rejected.

(23) The Returning Officer shall nominate as scrutinisers such number of members of the office of the Council not exceeding four as he thinks fit.

(24) Any candidate may be present either in person or by his accredited representative at the counting of votes.

(25) When the counting of votes has been completed, the Returning Officer shall forthwith declare the candidate or candidates, as the case may be, to whom the largest number of votes has been given, to have been elected and shall forthwith inform the successful candidate by letter of his having been elected to the Council.

(26) When an equality of votes is found to exist between any two or more candidates, and the addition of a vote will entitle any one or more of the candidates to be declared elected, the determination of the candidate or candidates to whom such additional vote shall be deemed to have been given shall be made by lot to be drawn by the Returning Officer in such manner as he shall determine.

(27) After the result of the election has been declared by him, the Returning Officer shall seal the voting papers and all other documents relating to the election and retain the same with himself in safe custody for a period of six months; and thereafter shall cause them to be destroyed.

(28) After the declaration of the result of the election and after the receipt of the result of such election from the Returning Officer, the President shall forward such result to the State Government for publication in the Karnataka Gazette.

(29)

(i) An election petition challenging the validity of any election shall be presented to the Returning Officer by any candidate at such election within fifteen days from the date of publication of the results under sub-rule (28) in the Karnataka Gazette. An election petition.

(a) shall be accompanied by as many copies as there are respondents mentioned in the petition and every such copy shall be attested by the petitioner under his own signature to be a true copy of the petition;

(b) shall contain concise statement of material facts on which the petitioner relies;

(c) shall be signed by the petitioner and verified in the manner laid down in the Code of Civil Procedure, 1908 (Central Act 5 of 1908) for the verification of pleadings.

(ii) Any Schedule or annexure to the petition shall also be signed by the petitioner and verified in the same manner as the petition.

(iii) The petitioner shall join as respondents to his petition where the petitioner in addition to claiming a declaration that the election of the returned candidate is void claims a further declaration that he himself or any other candidate has been duly elected all the contesting candidates other than the petitioner, and where any such further declaration is claimed the returned candidate.

(iv) The petitioner may claim any of the following declarations.

(a) that the election of the returned candidate is void;

(b) that the election of the returned candidate is void and that he himself or any other candidate has been duly elected.

(30) An election petition shall be presented to the Returning Officer in person by the person making the petition or by a person authorised by him in writing in this behalf or sent by Registered post with acknowledgement due. The Returning Officer shall give a written acknowledgement for every petition presented in person.

(31) The Returning Officer shall forward the election petition to the Government together with his remarks thereon within a week of its receipt by him.

(32) On receipt of election petition from the Returning Officer, the Government may after such enquiry as it deems fit and after giving an opportunity to the parties to the proceedings of being heard make an order.

(a) dismissing the petition; or

(b) declaring the election of the returned candidate to be void; or

(c) declaring the election of the returned candidate to be void and petitioner or any other candidate duly elected.

(33) The provisions of sub-rules (8) to (32) (both inclusive) shall apply to a by-election under this Act, from the constituency referred to in this rule subject to the modification that the electoral roll current at the date of the notification calling upon the constituency to elect a member at such by-elec tion shall be deemed to be the electoral roll for the purpose of the by-election.

Rule 6 Casual Vacancies

When any vacancy occurs in the office of a member of the Council from any of the constituencies referred to in sub-clauses (v), (vi) or (vii) to clause (b) or in clause (c) of sub-section (2) of S.3 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, it shall be filled up as soon as conveniently may be by the election or nomination of a member, as the case may be.

PART 3 Registration

Rule 7 Classification and division of register into sections and parts

(1) The Council shall maintain a register which shall be divided into four sections as follows.

A. Nurses.

B. Midwives.

C. Auxiliary Nurse-Midwives.

D. Health Visitors.

(2) Entry of Nurses in the Register of list shall be made on making application in the prescribed Form-C in Schedule-I.

(3) After entry in the Register, Registration Certificate shall be given as in forms.D, E, F, G and H.

(4) Nurses Register will be maintained under the following parts and sections.

Section I Nurses

Part A General Nurses.

Part B Midwives

Part C Psychiatric Nurses.

Section II Nurses The person not being a citizen of India, who is employed or wished to be employed as Nurse, Teacher or administrator anywhere in the State with the approval of the Council may be enrolled temporarily in the State Register for such period as may be specified in this behalf in the order issued by the said President:

Provided that the practice by such person shall be limited to the State to which she/he is attached.

Section III Nurses Nurses holding qualification that are not in accordance with the courses prescribed by the Karnataka Nursing Council.

Part A: Nurses trained in General Nursing and undergone training in Women and Children (Higher Grade).

Part B: Nurses who have undergone training in lower grade in General Nursing.

Part C: Nurses who have undergone training in Hospitals for women and children in regional language (Lower Grade). Health Visitors Candidates who have undergone such training and pass such examination and hold a recognised certificate approved by the Council.

Section I Midwives. Candidates who have undergone such courses of training and pass such examination and hold a recognised certificates approved by the Council as midwives.

Section II Candidates who have undergone training and hold qualification that are not in accordance with the courses prescribed by the Karnataka Nursing Council. Auxiliary Nurse-Midwives.

Section I.Candidates who have undergone such courses of training and pass such examination and hold a recognised certificates approved by the Council as Auxiliary Nurse-Midwives.

Section II. Candidates who have undergone training and hold qualification that are not in accordance with the courses prescribed by the Karnataka Nursing Council. Maintenance of list of persons practising as Nurses, Midwives, Health Visitors and Auxiliary Nurses, referred to in S.17 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 Part III of the Act.

(i) The Council shall prepare and keep a list of persons whose names are not entered in the Register maintained under S.12 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 of Part III of the Act who are practising as Nurses, Midwives, Health Visitors and Auxiliary Nurses-Midwives.

(ii) The list shall be divided into 4 parts as

Part 'A' for listed Nurses.

Part 'B' for listed Midwives.

Part 'C for listed Health Visitors.

Part 'D' for listed Auxiliary Nurses.

1. Serial Number.

2. Name (Surname to be given last). In case of married women Nurses the maiden name will be given first.

3. Father's name.

4. Date of Birth according to Christian era.

5. Permanent address.

6. Name of the training institutions with dates.

7. Number of Registration with date.

8. me of Registration Council and Number with date if already registered with other Council

9. Post-certificate qualification, if any, with dates and institutions attended.

10 Date of renewal of registration.

Rule 8 Admission to the Register

(1) Every person who makes an application to the Register in the Form C Schedule I for admission to the part of the Register and who complies with the training rules framed in this behalf and procedures before the Registrar a Certificate in the form laid down under bye-laws from an approved training institution, signed by the Nursing Superintendent /Principal or other responsible officers that such person has satisfactorily completed and passed the prescribed course of training may be admitted to such part of the Register. The applications shall be accompanied by a fee as follows.

(a) For Registration as a Nurse or a Health Visitor -- Rs. 10

(b) For Registration as a Midwife or Psychiatric Nurse -- Rs.5

(c) For recording additional or higher qualification -- Rs.5

(d) For Registration as a Auxiliary Nurse-Midwife -- Rs.5

(e) Listed Nurses or Health Visitors -- Rs. 10

(f) Listed Midwives or Auxiliary Nurse Midwives -- Rs.5

(2) A Nurse whose name is registered in S.3 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 Part "A" of Nurses and who has passed the examination of the Council in General Nursing by undergoing 6 months training in adult men Medical and Surgical wards may be registered under Section I Part "A" of Nurses Register.

(3) Persons have been trained and registered in any State of India or in any country with which the Council has entered into an agreement for reciprocal registration may be admitted to an appropriate part of the Register on their fulfilling such conditions as may be laid down in bye-laws, on payment of fees payable under clause sub-rule (1) of Rule 8.

(4) Notwithstanding anything contained in this rule, persons who have been trained, prior to the establishment of a statutory Council in any of the States in India or in any Council with which the Council has entered into an agreement for reciprocal registration may be admitted by the Council to any part of the register on their fulfilling such conditions as may be considered appropriate by the Council and merits of each individual case.

(5) A person desirous of being admitted as a student for being trained as a Nurse or Health Visitor into any training institution shall.

(a) Produce documentary evidence that.

(i) he/she passed S.S.L.C. or an equivalent examination. Candidates who have completed, appeared and failed S.S.L.C. course also shall be considered subject to the condition of passing an entrance test that will be conducted by the Board of Examiners for Nurses before they are considered for selection. This concession is applicable to those who have put in a regular attendance in the last three classes of High School and appear for S.S.L.C. through High School.

(ii) His/Her age is not less than 17 or more than 30 in the case of men candidates and 17-35 years in respect of women candi- dates.

(iii) He/She is physically fitcertified by a doctor holding at least MBBS qualification.

(iv) He/She is vaccinated or revaccinated within last three years.

(v) He/She is inoculated against typhoid.

(B)

(i) He/She should also produce conduct and character certificate from Head Master or Principal of the concerned Institution last attended.

(ii) and another from a respectable person not being related to him/her.

(iii) he/she should also produce school leaving certificate showing general education qualification and date of birth.

(iv) he/she should produce a certificate of Indian Nationality.

(v) He/She should produce a certificate to the effect that he/she is a Mysorean by birth or by domicile issued by a Gazetted Officer of a Revenue Department.

(C) A person desirous of being admitted as a student for being trained as a auxiliary Nurse-midwife shall produce documentary evidence to prove that.

(i) She is not less than 17 years of age.

(ii) She has passed first seven classes of schooling.

(iii) She is physically fit.

(iv) She should also produce conduct and character certificate from the Head of the School last attended and another from a respectable person; and

(v) Certificate of vaccination or revaccination.

(6) Curriculum (Nurses).

(1) The curriculum for the student Nurses shall cover a period of three years. During this period a student shall be entitled to an ordinary leave of one month in a year which cannot be accumulated and Sick leave of 15 days per year. If a student is absent for more than the above mentioned period of leave, the shortage in attendance will have to be made up before he/she is permitted to appear for examination: Provided a Health Visitor who wishes to qualify as a Nurse with basic Public Health training will be required to undergo training in General Nursing for a period of two years in a School of Nursing:

Provided a registered Auxiliary Nurse-Midwife, who wishes to take the course in general Nursing an exemption of six months may be given if she meets the minimum requirements.

(2)

(a) During the training instructions and practical work shall be given in the four main services Medical, Surgical, Gynaecological, and children's diseases and in the out-patient, operation theatre work, primary Health Centres with at least six months experience in the Nursing of men, provided that for men students the students the training shall include the Nursing of men and children under 12 years of age and of Nursing in two special fields for 3 months each as may be laid down in bye-laws.

(b) A record of the students' practical work attested by the Nursing Tutor and the Nursing Superintendent shall be produced by the student before the examiners at the time of examination.

(3) No student shall at any time during the course of the training be permitted to do private practice.

(4) The course of training shall be in accordance with syllabus, sent out in Appendix II-1.

(7) Curriculum (Auxiliary Nurse-Midwife).The curriculum for a student Auxiliary Nurse-Midwife shall be as follows.

(1) 9 months training in Nursing and 12 months training in Midwifery. The remaining 3 months may be utilised in Domiciliary Midwifery. The syllabus set out at Appendix II-5 shall be followed.

(2) During the first 9 months training a student shall be entitled to an Ordinary leave for two weeks and sick leave not exceeding seven days. During the second period of 5 months training a student shall be entitled to an ordinary leave of 5 weeks and sick leave of seven days.

(8) Curriculum for Midwives.The curriculum for a student who has passed General Nursing shall be as follows. (1) Minimum period of training shall be 9 months. During this period of training a student may be granted ordinary leave of 15 days and sick leave of 7 days. The syllabus as set out at Appendix II-2 shall be followed.

(9) Curriculum for Psychiatric Nursing.The duration of the course is 9 months, for the candidates who have passed General Nursing. During the period of training, they shall be granted an ordinary leave of 15 days and sick leave of 7 days. The syllabus as set out at Appendix II-3 shall be followed.

(10) Curriculum for Health Visitors.The duration of the course shall be 2 years. The first 9 months shall be spent in General Nursing Training. Second nine months shall be devoted for midwifery course and the last one year shall be spent in a well organised field centre for practical instructions in Home Visiting and in Health work. The Centre may be under the administration of the School or a Centre utilised with additional staff, if necessary, for teaching. During the first 9 months a student shall be allowed an ordinary leave of 15 days and sick leave of 7 days. During the next months students may be allowed 15 days ordinary leave and 7 days sick leave and the last one year, one month ordinary leave and 7 days sick leave. The syllabus as set out at Appendix II-4 shall be followed.

Rule 9 Change of address

Every registered person shall immediately give notice to the Registrar of any change of name or change of permanent address and the Registrar shall amend the Register accordingly. Along with the notice of change of name shall be forwarded documentary evidence in support of the change for recording the change of name in the Register.

Rule 10 Inspection.

The Register shall be open for inspection of any person during office hours, at the office of the Council.

Rule 11 Renewal fees.

Renewal fee payable under S.16 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 shall be one rupee for every three years.

Rule 12 Refusal of registration and renewal and re-entry of names.

(1) The Council may direct that the name of any registered person who has been convicted of a cognizable offence as defined in the Code of Criminal Procedure, 1898 which discloses such defects of moral character as is, in the opinion of the Council, sufficient to make him unfit to practice his profession or who after due enquiry has been found guilty of conduct, which is in the opinion of the Council in famous in any professional respect shall be removed from the register.

(2) The Council may, in the case of any person refuse to register his name.

Rule 13 Manner of enquiry

(1) Before the order refusing to register or of removal of the name from the register is passed in pursuance of Rule 12 the Council shall make or cause an enquiry to be made and shall call upon the person for explanation or defence. If the Council is of opinion that the name of such person should not be registered or should be removed, as the case may be it may pass such an order.

(2) An enquiry under the foregoing sub-rule shall be instituted by the issue of a notice in writing on behalf of the Council by the Registrar addressed to the person. Such notice shall specify the nature and particulars and inform him of the day on which the Council intends to deal with the case and shall call upon the person to answer in writing and to attend before the Council on such day. The notice shall be sent at least three weeks before the date of an enquiry.

(3) Any notice or order under the aforesaid provision shall be sent by registered post to the person at his permanent address appearing in the register, or given in his application.

Rule 14 Registration and re-entry of names

The Council may, on sufficient cause being shown, direct that the name of the person shall be registered or re-entered in the register.

Rule 15 Application of Rules 12,13 and 14 to list

The provisions of Rule 12, Rule 13 and Rule 14 shall mutatis mutandis apply to the list.

PART 4 Persons Entitled to Practice and Control of Licensing Authorities

Rule 16 Manner of training as a nurse, midwife, auxiliary nurse-midwife or health visitor for the purposes of Section 19(1)(b)

A person whose name has been entered in the list and who desires to practice as a nurse, midwife, auxiliary nurse-midwife or health visitor in the area referred to in S.19 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 shall not be permitted to practice under clause (b) of sub-section (1) of S.19 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, as a nurse, midwife, auxiliary nurse-midwife or health visitor unless she produces a certificate from an institution signed by the Matron, Medical Superintendent or other responsible officer of such institution that she has received the training as a nurse, midwife, auxiliary nurse-midwife or health visitor, as the case may be, in the manner specified in Schedule IX.

Rule 17 Supervision of registered persons and persons on the list

(1) A Licensing Authority shall exercise general supervision over all persons whose names are registered in the Register or are included in the list, and who practice within the area of its jurisdiction in accordance with the byelaws made by the Council.

(2) Every licensing authority shall.

(a) maintain a roll containing the names and addresses of registered persons and of the persons whose names are included in the list, who practice within the area of its jurisdiction corrected up to 31st December each year and keep a copy of the roll accessible at all reasonable times for public inspection;

(b) report at once to the Council the name of any registered person and of a person whose name is included in the List, practising within the area of its jurisdiction who has been convicted of any offence;

(c) bring to the notice of the Council any complaints of malpractice, negligence or misconduct on the part of any of such persons;

(d) afford the Council every assistance in the investigation of charges of malpractices, negligence or misconduct on the part of such person;

(e) report to the Council, in the first week of every month, the death or any changes in the name or address of any of such person, during the preceding month.

(3) Whenever the licensing authority receives a notice under S.21 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 from any person of his intention to practice, the licensing authority shall satisfy itself that the applicant is a registered person or a person whose name is included in the List and shall enter his name in the roll to be maintained under clause (a) of sub-rule (2).

PART 5 Nurses Establishments

Rule 18 Nurses Establishment.

(1) An application for a licence to carry on a Nurses Establishment for the supply of nurses shall be made in writing and shall be sent by registered post to the licensing authority of the area in the Form given in Schedule X. It shall be accompanied by a fee of rupees fifty.

(2) An application for a licence by a Nurse Establishment already in existence (in the area in which sub-section (1) of S.19 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 comes into force) shall be made within two months from the date on which these rules come into force.

(3) An application for the renewal of a licence shall be made not less than two months before the date on which the licence is due to expire.

(4) The application shall furnish to the licensing authority such further information in his possession as the licensing authority may require in respect of the Nurses Establishment.

PART 6 Training Institutions

Rule 19 Withdrawal of approval of or refusal to approve or recognise institution

(1) If, on the report of its professional member, the Council is of opinion that the training at an approved and recognised institution is not being properly carried on, the Council may after giving an opportunity to the institution to be heard in its defence, withdraw its approval and recognition and remove the institution from the list of approved and recognised training institution and such institution shall not be approved and recognized again unless and until the Council is satisfied that adequate arrangements have been made by the Institution for giving proper training at such institution.

(2) The order of withdrawal of recognition shall be served in the same manner in which the order or notice referred to in Rule 12 is to be served.

(3) Any person aggrieved by the refusal of the Council to approve and recognize any institution may follow the procedure specified in S.24 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961.

PART 7 Miscellaneous

Rule 20 Fees

The fees payable in respect of an appeal to the State Government under S.15 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, sub-section (5) of S.22 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, or S.24 of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 shall be rupees twenty-five.

SCHEDULE 1 SCHEDULE 1

Serial Number of the Candidate on the Electoral Roll).

3.

Address of the candidate.

4.

Name and serial number on the Electoral Roll of the Proposer.

5.

Name and serial number on the Electoral roll of the Seconder.

Signature or the Proposer.

Signature of the Seconder.

Declaration by the Candidate

I declare that I am willing to serve on the Council if elected.

Signature of the Candidate.

FORM 'B'

Voting Paper

[See sub-rule (19) of Rule 5 - Part II]

Register Number or Election by....................................................................

Name of the Constituency...........................................................................

Sl. No.

 Name of the Candidates

 Vote

1

2

3

4

Signature of the Returning Officer.

Instructions.

1. Number of vacancies to be filled are...............................................

2. Place X mark opposite the name of the candidates whom you wish to vote.

3. Every Elector shall send his individual voting paper directly to the Returning Officer.

4. Voting papers will be invalid if.

(a) Voting paper does not bear Returning Officer's signature or facsimile signature.

(b) The voter signs his name or writes a word or make marks on it by which it becomes recognizable as is voting paper.

(c) Number of votes recorded thereon exceeds the number of vacancies to be filled.

(d) Number of votes recorded thereon are less than the number of vacancies to be filled.

(e) The Returning Officer receives more than one voting paper from the same voter all such voting appears shall be treated as invalid.

5. The elector shall enclose the voting paper duly filled in, in the smaller cover and enclose that cover in bigger cover supplied by the Returning Officer and shall, write his full name (which may be typewritten) and signature in the left hand corner of the bigger envelopes in the printed columns thereof. If the Elector fails to write his full name and signature, the voting paper shall be invalid.

FORM 'C'

[See Rule 7(2) Part III]

Form of Application for Registration

Karnataka Nursing Council Application for Registration

To

The Registrar,

Karnataka Nursing Council,

Directorate of Medical Services,

Bangalore

Sir,

I, Sri/Kum/Smt./........................... submit my application duly filled in for Registration as........................in the Karnataka Nursing Council.

Yours faithfully,

(Signature of the candidate)

1.

 Name of the Candidate in hall (in Block letters)

2.

 Date of birth (according to Christian Era)

3.

 Marital Status (Single, married or widow)

4.

 Permanent address

5.

 Institution of training with dates

6.

 Trained in

7.

 Name and address of two references

1.

2.

8.

 Two marks of Identification

1.

2.

FORM 'D'

Register No.

The Karnataka Nursing Council Certificate of Registration Nurse

(Karnataka Nurses and Midwives Act, 1961)

(Karnataka Act 4 of 1962)

[Rule 7(3) Part III of the Rules of the Karnataka Nursing Council]

This is to certify that Shri/Smt........................having passed a prescribed examination in General Nursing was admitted on ......................Section I, Part 'A' of the Register of Nurses maintained under the provision of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 and that he/she is entitled to take and use the title of "Registered Nurse".

Registrar of the Council

(Seal of the Council)

Bangalore

President of the Council

Dated....................19.......

FORM 'E'

Register No.

The Karnataka Nursing Council Certificate of Registration MIDWIFE

(Karnataka Nurses and Midwives Act, 1961)

(Karnataka Act No. 4 of 1962)

[Rule 7(3) Part III of the Rules of the Karnataka Nursing Council]

This is to certify that Smt................................having passed a prescribed examination in Midwifery was admitted on..........................Section I, Part (B) of the Register of Nurses maintained under the provisions of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 and she is entitled to take and use the title of "Registered Midwife".

Registrar of the Council

(Seal of the Council)

Bangalore

President of the Council

Dated.....................19........

FORM 'F'

Register No.........................

The Karnataka Nursing Council Certificate of Registration PSYCHIATRIC NURSE

(Karnataka Nurses and Midwives Act, 1961)

(Karnataka Act No. 4 of 1962)

[Rule 7(3) Part III of the Rules of the Karnataka Nursing Council]

This is to certify that Sri.....................................having passed a prescribed examination Psychiatric Nursing was admitted on.......................... Section I, Part (c) of the Register of Nurses maintained under the provisions of the Karnataka Nurses, Midwives and Health Visitors Act, 1961 and that he is entitled to take and use the title of "Registered Psychiatric Nurse".

Registrar of the Council

(Seal of the Council)

Bangalore

President of the Council

Dated.........................19.......

FORM 'G'

Register No................

The Karnataka Nursing Council Certificate of Registration

HEALTH VISITORS (Karnataka Nurses and Midwives Act, 1961)

(Karnataka Act No. 4 of 1962) [Rule 7(3) Part III of the Rules of the Karnataka Nursing Council]

This is to certify that Smt..............................having passed a prescribed examination Health Visitor's Course was admitted on..........................you the register of Health Visitors maintained under the provisions of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, entitled to take and use the title of "Registered Health Visitor".

Registrar of the Council

(Seal of the Council)

Bangalore

President of the Council

Dated........................19..........

FORM 'H'

Register No.....................

The Karnataka Nursing Council Certificate of Registration

AUXILIARY NURSE-MIDWIFE

(Karnataka Nurses and Midwives Act, 1961)

(Karnataka Act No. 4 of 1962)

[Rule 7(3), Part III of the Rules of the Karnataka Nursing Council]

This is to certify that Smt...............................having passed a prescribed examination in Auxiliary Nurses-Midwives Course, was admitted on ...............................to the Register of Auxiliary Nurse-Midwives, maintained under the provisions of the Karnataka Nurses, Midwives and Health Visitors Act, 1961, and that she is entitled to take and use the title of "Registered Auxiliary Nurse-Midwife".

Registrar of the Council

(Seal of the Council)

Bangalore

President of the Council

Dated..............................19...........

APPENDIX 2(1) APPENDIX 2(1)

(b) Diagnostic measures.

(c) Treatment.

(d) Health teaching.

(e) Prevention and control.

(f) Home visiting.

(g) Rehabilitation. Clinical Experience.3 months.

In clinic and/or wards, in rehabilitation centre (if available).

In home visiting for case finding and contacts, follow-up of patients for health teaching and rehabilitation.

Tuberculosis Nursing Duration of course.Three months.

Course Outline

Introduction:

Historical outline. Incidence of tuberculosis by country, race, age, sex, occupation and social conditions.

Tubercle bacillus

Character, types, viability, mode of infection and transmission.

Pathology

Portal of entry, primary focus, secondary lesions, tubercles, caseation, cavity formation, fibrosis, childhood and adult types.

Allergy and immunity:

Tuberculin reaction, its significance and use.

Pulmonary tuberculosis:

(a) Mode of onset; symptoms and signs; character of sputum, its collection, examination and disposal.

(b) X-ray examination, blood tests.

(c) What the nurse should observe and report. General treatment:

(a) Principles of treatment. Diet. Symptomatic treatment. Nursing care. Emergencies. Antibiotic and anti-bacterial remedies.

(b) Occupational therapy.

(c) Physiotherapy, general outline. Special treatment:

Collapse therapy, artificial pneumothorax, thoracoscopy and cauterization,

extrapleural pneumothorax, thoracoplasty and other surgical methods.

Complications of pulmonary tuberculosis:

(a) Pleurisy, effusions, spontaneous pneumothorax; haemoptysis, enteritis, laryngitis; ischio-rectal abscess, meningitis.

(b) Symptoms and treatment. Non-pulmonary tuberculosis:

Its common lesions. Principles of nursing and treatment. Tuberculosis in children: Principles of nursing and treatment. Anti-tuberculosis measures:

(a) Tuberculosis dispensaries, sanatoria, hospitals, organised home treatment, aftercare, rehabilitation, ex-patients' colonies.

(b) Case finding, isolation, follow-up.

(c) B.C.G. vaccination. Mass radiography.

(d) Health education.

Ophthalmic Nursing Duration of course: Three months. Course Outline 36 class hours.

The practical experience should be in eye wards, operation room, and eye camps.

Lectures by doctor: (16 hours).

Anatomy and physiology of the eye.

Diseases of conjunctive and their treatments.

Diseases of the cornea and their treatment.

Cataracts: various types, their treatments, operations.

Glaucoma: various types, their treatments, operations.

Diseases of the uveal tract and their treatments.

Retinal detachments: treatments and operations.

Affections of the ocular muscles: treatments and operations.

Orthoptic training and rehabilitation.

Affections of the lacrimal apparatus: treatments and operations.

Ophthalmic drugs, their actions on eyes.

Refraction.

Visual fields.

Prevention of injuries to the eye; first-aid in accidents.

Nursing classes (lectures and demonstrations: 20 hours).

Introduction to ophthalmic nursing.

General principles in prevention of eye diseases.

Preparation of equipment and assisting in examination of eyes.

Eye irritations, instillation of drops and applications of ointments

(lecture and demonstration).

Nursing care of conjunctivitis with special reference to prevention and spread. Special care of gonorrheal ophthalmia (use of Oeal Buller's shield).

Nursing care of corneal ulcers, kerotamalacia, etc. Special reference to staining of the eyes, testing of naso-lacrimal duct and fever therapy.

Health teaching in relation to prevention of nutritional deficiency and other diseases of the eye.

Pre-operative nursing care of cataracts.

Instruments for cataract extraction, care of instruments and the patient in operation room. (lecture and demonstration)

Post-operative nursing care of cataract patient.

Pre-operative care of glaucoma. Instruments for glaucoma. (lecture and demonstration)

Post-operative nursing care of glaucoma patient.

Nursing care of iritis, irido-cyclitis and other inflammatory conditions of eyes.

Pre-operative care of retinal detachments.

Instruments and equipment for detachment operations. (lectures and demonstrations).

Post-operative nursing care of detachments.

Pre and post-operative nursing care of corneal transplants and the instruments

for operation. (lectures and demonstrations).

Pre and post-operative care of dacryocystitis. Instruments for probing; sac excisions, and dacryo-cystorhinostomies. (lectures and demonstrations).

Pre and post-operative nursing care of squint.

Pre and post-operative care of lid operations and other plastic surgery. Instruments for lid and plastic operations. (lectures and demonstrations).

Destructive operations of the eyes. Instruments and nursing care of the patient. (lecture and demonstration).

Psychiatric Nursing

This course is designed to give the student an elementary understanding of psychiatric disorders and the opportunity to develop right attitudes and approach to psychiatric patients and to develop skill in routine nursing care of such patients.

The relevant content of the Psychology and Mental Hygiene syllabi of the general nursing course should be reviewed as required in this course.

The basic psychology and mental hygiene, teaching may be given by either doctor or sister tutor, the psychiatry by the doctor and nursing care and procedures by nursing sister or sister tutor.

Duration of course Three months.

Course Outline

Introduction

(Doctor and/or Nurse)

a. Brief historical sketch.

b. Etiology.

c. Symptomatology.

d. Review of personality: Principles of development, types, disorders, etc.

e. Review of mental mechanisms. Psychiatric Disorders (Doctor)

a. Functional Reaction Types (i) Manic depressive insanity

(ii) Schizophrenia

(iii) Involution melancholia (iv) Psychoneuroses

b. Organic Reaction Types (i) Psychoses with syphilis

(ii) Alcoholic psychoses (iii) Psychoses with encephalitis (iv) Psychoses with convulsive disorders

(v) Psychoses with arteriosclerosis. Senility

Psychiatry and the community (Doctor)

a. Implications in the community

b. Community resources

c. Legal aspects

Orientation to psychiatric nursing (Nurse)

a. Introduction to psychiatric ward or hospital

b. Introduction to psychiatric nursing

c. Admission routines

Special nursing problem (Nurse)

a. Nurse-patient relationship; attitudes; approach

b. Prevention of accidents, escape, etc.

c. Feeding, problems and personal hygiene

d. Adaptation of nursing procedures Nursing care of different types (Nurse)

a. Functional reaction types

b. Organic reaction types

c. After special therapy

Recreational Therapy.......(Nurse and/or Occupational Therapeutist)

Clinical Experience...........Three Months

In the psychiatric wards and departments, especially occupational or recreational therapy. Planned ward teaching programme should be carried on and students sh6uld do nursing care plans and studies on a representative

group of patients.

Operation Theatre Technique Duration of course: Three months

Course Outline

An Introduction to the organization and administration of

an operation theatre.

(a) Desirable situation, construction, floors, walls, ceiling, equipment,

lighting, accessory rooms;

(b) Personnel: duties and qualifications of the nursing staff, ward boys, etc.

(c) Equipment needed for operations and the preparation of the same. Sterilization: moist heat, dry heat, chemical. Care and management of autoclave, sterilizers. Testing of sterility of supplies.

Care of furniture, tables, lights, etc.

(d) Inter-departmental relationships with other hospital divisions, including wards, out-patients, X-ray, pharmacy, laundry and stores.

Duties of the theatre nurse: (advanced experience)

(a) Pre and post-operative care of the patient, including mental and physical needs.

(b) Duties of the waiting (circulating) nurse including sponge counts, dealing with emergencies, responsibility for asepsis, setting up

the theatre for various types of operations.

(c) Instruments: use, kind and care.

(d) Sutures: classification, definitions of different kinds, sterilization,

uses, care in handling.

(e) Anaesthesia: different types, methods of administration, dangers,

nurse's responsibilities.

(f) Scrubbing for abdominal, bone and joint, and common major surgery operations.

Practical teaching and orientation:

Practical teaching should be constant throughout the period. Orientation should include.

(a) Tour of the department (one hour).

(b) Lessons and demonstrations on the preparation and sterilization

of supplies not included in basic course (2 hours).

(c) Lessons and demonstrations on the duties of the waiting (circulating)

nurse not included in the basic course (2 hours).

(d) Lessons and demonstration of scrubbing and technique in advanced

types of operations not included in the students' basic experience. Position and draping of the patient. 4 hours or more not necessarily all at the beginning of this period.

Guide for teachers and examiners for "Health Subjects" for the course in

General Nursing.

The Indian Nursing Council has prescribed for the first examination, one paper of three hours on Health subjects, i.e., Personal and Environmental Hygiene, Principles and Practice of Health Teaching and Nutrition. The courses for Hygiene and Nutrition have already been given in detail in the syllabus for General Nursing. The section in the first year syllabus for Nursing,

mainly concerned with the subject of Principles and Practice of Health Teaching, is given briefly only as follows.

"Recognising and providing for the need of health teaching to patients and relatives, answering patient's questions, giving explanations

of hygiene and requirements of healthy living, demonstration

of nursing care and medical treatment, the patient will need after discharge. Teaching the adaptation of the principles of

health to the patient's way of living".

While it is proper for the student nurse to learn to take responsibility for health teaching from an early stage of her training, the actual teaching she could do in her first year would be limited by the limits of her own experience.

It would ordinarily be in the field of personal and environmental hygiene on such subjects as care of the skin, teeth and hair, hand-washing, proper use of bathrooms and lavatories, care in such matters as coughing, sneezing and spitting, protection from flies and on proper ventilation, cleaning of floors and disposal of wastes as demonstrated by care of the patients environment. The teaching done by the student should be carefully supervised stressing the importance of teaching by example of personal

hygiene and by demonstration of ward hygiene. The teaching need not be formal; it should be carried out in the course of nursing duties.

To be able to "give explanations of hygiene and requirements of healthy living" as required in the syllabus, the student should herself develop good healthy habits and for that purpose there should be a properly organised Health Service for the students as prescribed in the regulations for general training. They should realise the importance of the course in Personal Hygiene

and it is recommended that the subject be integrated in the courses in Anatomy, Physiology and Nursing. The first physical examination of the student should constitute an essential part of the Personal Hygiene course. The examination should be preceded by an individual interview at which full information should be obtained of the students family history and personal

health record and health habits. The physical examination should be followed by another interview to discuss any recommendations made by the doctor and to help the student/to make her own plan for developing healthy habits.

It is recommended that ten hours be allotted to instruction in Personal Hygiene and twelve hours to instruction in Environmental Hygiene.

To give any instruction on "adaptation of the principles of health to the patient's way of living" the student must know how the people live in the area around the hospital. Home visiting must, therefore, be included in the preliminary course. It is recommended that two students at a time be sent out visiting with the health visitor in the area. The students should be informed beforehand about the purpose of the visit and about what the health visitor plans to teach and accomplish during the visit. The students should observe and report on the kind of houses they visit, on the need presented by the family and how the health visitor meets it. The visits should be followed by a discussion class, the student's observations being used as a basis for discussing the necessity and opportunities for health teaching to the hospital patient; also the need for demonstrating the care needed by the patient after discharge and of making sure that the instructions

are understood.

Health teaching in hospital will be a new subject to most of the members of the nursing staff. Therefore, it is necessary that a teaching programme in this subject be organised for the staff so that they may understand thoroughly

what the student is to be taught to teach.

The examination questions on this subject would be linked with the question on Hygiene and Nutrition, e.g., a question on protecting food from flies could also include a question on what advice would be given to protect and store food in the home. Similarly, questions on disposal or refuse or a safe water supply, on treatment of verminous hair, or on need for quiet or for suitable doming, etc., could include questions on the advice or instructions

to be given to the patient or his family on such matters.

Record of Practical Work

Suggestion Regarding the use of Record of Practical Work

The purpose of maintaining a record of practical work is to ensure that the student nurse has been instructed in the various types of nursing procedure

and to record whether or not she has performed the procedure to the satisfaction of the ward sister and sister tutor. This record provides useful information to Appointing Authorities regarding the practical experience during training of the individual nurse. This record is also necessary if registration is desired in another country.

The purpose of keeping the record is fulfilled only if entries are made regularly and with care. Every training school should recognise fully the important role of the ward sister in the practical training of the nurse and make it possible for the sister to devote some time weekly to planned teaching

in the ward. The student's record sheet should be marked every week after a discussion with her. A stroke (/) is marked against the procedure which has been demonstrated. This stroke is crossed (X) only when the procedure has been carried out to sister's satisfaction. The sister may initial each stroke or cross to keep a better check on the record.

It is very desirable that all procedures should be demonstrated, if not practiced, in the class room before they are carried out in the ward. It may not be possible to correlate class room teaching and ward practice always but a great deal of correlation is possible by close co-operation between the sister tutor and the ward sister. The sister tutor should keep the ward sister informed of what the student has been taught and of what particular practice

she needs. The ward sister should inform the sister tutor of any special treatment to be carried out in her words and of anything else of special interest so that it may be demonstrated if possible to the appropriate group of student nurses.

In the Record Sheet the procedures are placed in the different years of training. This has been done for guidance and adjustments will be necessary

in individual schools. Blank columns and blank spaces have been left for entry of work in special wards or of procedures not shown in the sheet.

The student nurse herself should be responsible for getting the sheet filled in and should realise that it is a part of her training to seek opportunities

for new experience and practice.

Scrutiny of the Record Sheet by the examiners in the state examinations and at least a question or two on the procedure for which the student is signed up, will emphasize the importance of a true record which can also be a teaching aid.

APPENDIX 2(2) APPENDIX 2(2)

APPENDIX II-2

Karnataka Nursing Council

Syllabus for Midwifery Course

Course in Midwifery

The minimum period of training shall be 9 months. The candidates should be general trained nurses. During the period of training each student midwife shall.

(1) conduct ante-natal examinations on not less than 50 women;

(2) receive clinical instruction in the conduct of labour, witnessing not less than ten deliveries before conducting one herself;

(3) conduct not less than 20 deliveries; at least five of these being in patients' own homes;

(4) nurse not less than 20 lying in women and their babies during the puerperium; at least five of these women being attended on

in their own homes;

(5) be required to make five vaginal examinations and be taught to take blood pressure;

(6) attend 75% of lectures and demonstrations given. A record of practical work should be maintained. Examination.To be held at the end of the course.

A candidate shall be eligible for admission to this examination if.

(i) she produces evidence to show that she is registered nurse;

(ii) the Nursing and Medical Superintendent certifies that she fulfills the above requirements;

(iii) she presents at the practical examination her "Case Book" duly completed and signed by the Nursing Superintendent.

There shall be one paper of three hours and an oral and practical examination.

The midwifery practical should be conducted, if possible, during the course of an ante-natal clinic. If that is not possible and women are specially called for the examination, a woman should not be palpated by more than three students.

After three failures in the final examination a student of the Midwifery Course should be required to undergo further training for three months before appearing in the subsequent examination.

Marks.The marks required for passing would be 50% for the written paper and 50% for the practical and oral examinations together. 70% of the total marks for distinction.

Syllabus

Anatomy and Physiology.The vertebral column and pelvis; the female generative organs; the pelvic floor; the breast. The foetal skull, diameters, fontanelles.

Maturation and fertilization of the ovum.Implantation; formation of foetal membranes and placenta; the foetus in normal pregnancy; foetal circulation.

The physiology of pregnancy.Signs and symptoms of pregnancy; diagnosis of pregnancy, biological tests, radiological diagnosis. General maternal changes during pregnancy. Influence of hormones.

Ante-natal Care.Objective; methods of taking history, calculation of expected date of delivery, estimation of blood pressure, urine examination, general examination of the patient, abdominal palpation, foetal heart rate, pelvic measurement, overlapping. Significance of the findings. Advice to the pregnant woman: care of the skin, teeth, breasts, clothing, exercise, bowels, sleep rest, diet.

Minor disorders in normal pregnancy. Alleviation of discomfort.

Preparation for delivery.Development of a healthy mental attitude in the mother to the process of labour. Preparation for delivery conducted in the home.

Preparation of cot and clothing for the baby. Preparation of the family to welcome the new baby and make the adjustments necessary.

The physiology of labour.Causation and stages of labour; mechanism of labour; signs and symptoms of each stage; moulding of the foetal skull.

The conduct of normal labour.Preparation of the patient and of the labour room, technique of rectal and vaginal examination; management of the first and second stage; technique of normal delivery; management of the third stage. Anaesthesia and analgesia in labour.

Physiology of the puerperium.Involution; lochial discharge; disturbances of micturition. Establishment of lactation. Exercise, Nursing care of mother and child during the lying-in period.

Care of new born baby.Examination for congenital defects; bathing; care of the cord, care of the eyes; breast feeding; clothing.

Post-natal care.Objectives. Post-natal examination. The function of the maternal and child health centre.

Multiple pregnancy.Diagnosis, presentations, ante-natal care; complications during and after delivery.

The pathology of pregnancy.

Toxaemias of pregnancy. Ectopic gestation. Abortion.

Abnormalities of the ovum; vesicular mole, chorion epithelioma, hydramnios, hydrocephalus, malformation of the foetus.

Diseases complicating pregnancy.cardio-vascular, urinary; respiratory; of the blood. Venereal diseases.

Gynaecological complications of pregnancy.fibroids, ovarian tumours, retroversion, prolapse of the uterus; vaginitis.

Haemorrhage in the third trimester of pregnancy and first two stages of labour. Placenta praevia.

The rhesus factor. Blood transfusion. The pathology of labour.

Malpresentations.abnormal cephalic presentation; pelvic presentations;

transverse or oblique lie. Presentation and prolapse of the cord.

Dystochia due to anomalies of the expulsive forces and to abnormalities or anomalies of the maternal soft parts. Contracted pelvis, special forms; management of labour in such cases.

Complications of the third stage of labour. Impurities to the birth canal. Obstetric operations.

Preparation of patient and of the operation theatre. Special preparation for application of forceps; Caesarian section; enlargement of the pelvic cavity; manual removal of placenta craniotomy; decapitation; embryotomy perineal repair.

Version.

Induction of abortion and labour.

Pathology of the puerperium.

Puerperal sepsis. Prevention; precautions to avoid spread nursing care.

Thrombo-phlebitis, white leg, embolism.

Cracked nipple.breast abscess.

Measures for suppression of lactation.

The infant.

Birth injuries. Asphyxia neonatorum.

Breast feeding; difficulties, test feeds, artificial feeding.

Digestive disturbances.

Infections of the new born.pemphigus, opthalmia neonatorum.

Congenital syphilis, Jaundice.

Management of a premature baby and of twins.

Drugs in midwifery practice.

Drugs in common use.

Indications for administration and dosage of drugs which may be administered

by a midwife. Statistics.

Maternal and neo-natal mortality. Still-births.

Measures to reduce such mortality.

Professional responsibilities.

Professional conduct.

Law regarding notification of births and vaccination.

Record keeping.

Responsibilities regarding health education, and to persuade women to seek medical advice early if there is a suspicion of venereal disease or of cancer of the breast or uterus.

APPENDIX 2(3) APPENDIX 2(3)

APPENDIX II-3

Karnataka Nursing Council

Regulations for the Course of Psychiatric Nursing

The minimum period of training shall be nine months. The candidate should be a qualified Nurse in General Nursing.

There shall be an examination in the ninth month of training. A candidate shall be eligible for admission to this Examination if.

(i) The Nursing and Medical Superintendents certify that.

(a) he has completed not less than 8 months of training and his work and conduct have been satisfactory during the period;

(b) he has attended not less than 75 per cent of the lectures and demonstrations given on each subject in the School.

2. The written examination shall consist of the following.

 Subjects Allotted Time

 Total Marks

(i)

 Anatomy and Physiology of the Nervous System

 2 hours

 75

(ii)

 Psychology

 2 hours

 75

(iii)

 Mental Health

 2 hours

 75

(iv)

 Nursing Care of Mental Patients

 3 hours

 100

Oral and Practical Examination:

Total Marks

 75

3. Minimum for Pass.No candidate shall be declared to have passed unless he obtains not less than 50 per cent in each written paper and 50 per cent in practical and oral.

Pass with distinction.Candidates who obtain 70 per cent or more of the aggregated marks shall be declared to have passed with distinction.

A certificate in Psychiatric Nursing will be awarded to successful candidates.

Plan for the Theoretical Course First Term

1. Anatomy and Physiology of the Nervous System 28 hours.

Anatomy and Physiology of the Central and peripheral nervous systems including the higher sensory organs.

A general survey is given of the anatomical and physiological features of the nervous system, including its coverings, blood supply and the functional influence of the nervous system on posture and movement.

2. Principles of Intellectual and Emotional Development in man 15 hours.

Both the intellectual and emotional aspects of development throughout human life are outlined. Various schools of thought in psychological development are discussed and practical applications of the concepts to education, mental hygiene and psychiatry are illustrated.

3. Child Psychology.

The importance of early childhood for development and of child-parent relationship; psychology of play, of social adjustment, relation of child psychology to psychiatry.

4. Social Psychology and Behaviour Patterns 10 hours.

The subject-matter basic concepts social life; groups. Personality and Culture. Individual and social aspects customs and traditions.

Family: Universal institution aspects and functions, parents and home Family disorganisation.

Social processes: Interaction, co-operation, conflict, social change;

its factors social disorganisation, medical social problems; concepts of health and sickness.

5. Systematic Psychiatry 30 hours.

Introduction to the etiology, classification, diagnosis and prognosis of mental disorders; psychoses, neuroses and personality deviations. Methods of treatment through the ages including modern development.

6. Psychiatric Nursing 40 hours.

History of Psychiatric Nursing Present scope of Psychiatric Nursing. Fundamentals of psychiatric nursing care Understanding the psychological and physical needs of the psychiatric patient Special nursing care required for different mental disorders Specific Nursing procedures Observation, interviewing, recording, occupational, recreational and physical methods of psychiatric nursing care and ward management.

7. Mental Hygiene 10 hours.

Personal and community health. General outline of the importance of mental and physical health to the individual family and community. General survey of health services. The role of sanitation and nutrition in mental health. Inheritance and physical factors in psychiatric illness; child-family relationships; public education; cease-finding and early treatment; prevalence of psychiatric illness.

8. Psychosomatic Disorders 4 hours.

Psychosomatic medicine as a new approach The relationship of psychology and general medicine and surgery. The role of psychological factors and disorders of gastro-intestinal, vascular, respiratory and other systems. Reactions to crisis and stress by persons, families and institutions.

9. Genetics.

A short introduction to Heredity. Laws of Mendel; Application of genetics to psychiatry.

Second Term

1. Anatomy and Physiology of the Nervous System 6 hours.

The lectures of the first term will be continued. Physiology of the autonomic nervous system including anatomy and physiology of emotions.

2. Anatomy, Physiology and Pathology of the Endocrine Glands 6 hours.

Mental disorders associated with endocrine diseases.

3. Elementary Abnormal Psychology and Mental Mechanisms 20 hours.

Various abnormalities in the intellectual, emotional and instinctual spheres are defined and discussed.

Mental mechanisms such as introjection, projection, displacements, identification, etc., are discussed.

4. Mental Testing 10 hours.

Principles of construction of Mental tests.

5. Systematic Psychiatry 25 hours.

Lectures of the first term are continued. The emphasis in the second term is on such disturbances as neurosis, character disorders and personality defects.

Individual and group psychotherapy; socio-therapy, re-socialization and rehabilitation are critically reviewed.

6. Mental Deficiency 6 hours.

Assessment and management of various degrees of mental deficiency Etiology and mental deficiency, training and social adjustment of the mental defective.

7. Legal aspects of Psychiatry 2 hours.

Laws in various countries in relation to mental illness and mental deficiency, Laws at present in force in India and tendencies of future developments.

Legal procedures in relation to admission and discharge of patients. The nurse's responsibilities. Administrative aspects.

8. Psychiatric Social Work 5 hours.

The place of the psychiatric social worker in relation to the In and Outpatients'

Departments. The importance of the social environment of the patient. Social Workers' task in collecting information and giving guidance to persons such as relatives, employers, teachers, etc.

9. Child Psychiatry 5 hours.

Disturbances of childhood disturbances of development. Juvenile delinquency.

The roll and organization of the Child. Guidance Clinic.

10. Psychiatric Nursing 40 hours.

The lectures of the first term are continued.

11. Ward Administration 5 hours.

Principles of nursing administration with special reference to Psychiatric Hospitals.

12. Care of Neurological and Neurosurgical patients 60 hours.

Elementary Nursing techniques, emergencies, bedside care.

13. Occupational Therapy: 2 hours per week during first and second terms.

Paper cutting spinning, mat-making, clay-modelling, fretwork, leatherwork, embroidery, sewing, music, cooking, etc.

APPENDIX 2(4) APPENDIX 2(4)

none;mso-layout-grid-align:none;text-autospace:none'>(iii) Environmental factorshousing, nutrition, poverty and working conditions.

(iv) Social habits and customsPurdah, early marriage, repeated pregnancies.

(v) Groups especially prone to tuberculosis. Reaction of the human body to the tubercle bacilli.

(a) Primary infection.

(i) Childhood type of disease.

(ii) Tuberculin teststheir value in diagnosis and epedemiological surveys.

(b) Reinfection.

(i) Adult type of disease. (ii) Methods of spread in the human body. (iii) Early symptoms of pulmonary tuberculosis.

B. Treatment.

General principles of treatment.

Rest, good food, fresh air, sanatorium treatment, modern surgical treatment,

antibiotics, advertised cures, importance of early diagnosis for treatment and prevention.

C. Preventive Measures. (a) Personal measures.

(i) Personal hygiene of the patien. (ii) Environment of the patient. (iii) Educating the patient.

(iv) Choosing and educating the attendant. (v) Problems of Poor Homes. (b) Public Health Measures