Hospital approval (s. 17(2))

Hospitals other than Indian-system or homeopathic (sub-rule 1). The Principal Chief Commissioner or Chief Commissioner must be satisfied that the hospital is registered with the local authority and meets all of these requirements: building complies with municipal bye-laws; rooms are well ventilated, lighted and clean; at least ten iron spring beds; at least one properly equipped operation theatre with minimum floor space of 180 square feet and a separate sterilisation room; a labour room of the same minimum floor space if it provides maternity services; aseptic conditions in the theatre and labour room; a duty room for nursing staff; adequate storage space; drinkable water; arrangements to isolate septic and infectious patients; specified equipment (high-pressure and instrument sterilisers, oxygen cylinders and attachments, adequate surgical equipment and intravenous apparatus, a pathological laboratory for blood, urine and stool, electro-cardiogram monitoring, and a stand-by generator); at least one qualified doctor on duty round the clock for every twenty beds or fraction; at least two qualified doctors round the clock exclusively for an intensive care unit where there is one; one nurse on duty round the clock for every five beds or fraction; at least four nurses exclusively for every four ICU beds or fraction; and a record of each patient's health with name, address, occupation, sex, age, dates of admission and discharge, diagnosis and treatment.

Indian-system and homeopathic hospitals (sub-rule 2). The Chief Commissioner must be satisfied that the hospital meets the conditions in the Office Memorandum of 6 June 2002 of the Department of Indian Systems of Medicine and Homeopathy, Ministry of Health and Family Welfare, for approval of private hospitals for Central Government Health Scheme beneficiaries and Central Government employees.

Prescribed diseases and ailments (sub-rule 3). Cancer; tuberculosis; acquired immunity deficiency syndrome; disease or ailment of the heart, blood, lymph glands, bone marrow, respiratory system, central nervous system, urinary system, liver, gall bladder, digestive system, endocrine glands or the skin, requiring surgical operation; ailment of the eye, ear, nose or throat requiring surgical operation; fracture or dislocation of vertebrae requiring surgical operation or orthopaedic treatment; gynaecological or obstetric conditions requiring surgery, caesarean or laparoscopic intervention; the organ ailments above requiring hospital treatment for at least three continuous days; gynaecological or obstetric conditions requiring hospital treatment for at least three continuous days; burn injuries (three days); mental disorder, neurotic or psychotic (three days); drug addiction (at least seven continuous days); and anaphylactic shocks including insulin shocks, drug reactions and other allergic manifestations (three days).

Definitions (sub-rule 4). "Nurse" holds a certificate of a recognised Nursing Council and is registered under a law for registration of nurses; "qualified doctor" holds a degree recognised by the Medical Council of India and is registered by a State Medical Council; "surgical operation" includes angioplasty, dialysis, lithotripsy, laser and cryo-surgery.