Rule 4,5, The Fundamental Rules of Tamilnadu Government.

3. Unless in any case it be otherwise distinctly provided by or under the rules, these rules do not apply to Government servants whose conditions of service are governed by Army or Marine Regulations. 4. Deleted. 5. Deleted. 5-A. The Government may relax the provisions of rules or orders in such manner as may appear to them to be just and equitable provided that where any such rule or order is applicable to the case of any person or class of persons, the case shall not be dealt with in any manner less favourable to him or them than that provided by that rule or order. RULING: Fundamental Rule 5-A applies only to relaxations in individual cases. General exemptions from the natural operation of rules can be made only by amendment of the rules by competent authority.

Rule 2 The Fundamental Rules Of Tamilnadu Government

The Fundamental Rules apply, subject to the provisions of Rule 3, to all Government servants paid from the Consolidated Fund of the State and to any other class of Government servants to which Government may by general or special order declare them to be applicable. The Government may, in relation to service, under their administrative control, other than All-India Services, make rules modifying or replacing any of the Fundamental Rules Proviso deleted (G.O.Ms.No.90 P&AR (FR.IV) dt. 5.7.2003 - w.e.f. 19.3.2003). Note 1.—A Government servant who is paid from the Consolidated Fund of the State and who is temporarily transferred to any of the Defence Services shall remain subject to these Fundamental Rules. Note-2.—The Service Rules shall be taken to embody and indicate fully all the provisions governing the services concerned. As laid down in the Service Rules the Fundamental Rules shall govern a service, only in the matter of leave, leave salary, pension and other such conditions of service, as have not been provided for in the Service Rules. If any provision of the Fundamental Rules is repugnant to any provisions of the Service Rules, then the provisions of the Service Rules shall prevail and the provisions of the Fundamental Rules shall, to the extent of the repugnancy, be void. RULINGS. (1) In cases where the Tamil Nadu Government merely record the orders of Government of India regarding Fundamental Rules, it may be assumed theat the instructions issued by the Government of India will apply to Government servants under the rule-making control of Tamil Nadu Government. (2) The personnel allotted from the former Travancore-Cochin State to the Tamil Nadu State shall be governed by the Fundamental Rules of the Tamil Nadu Government subject to the protection given by the proviso to Section 115 of the State Reorganisation Act, 1956 (Central Act 37 of 1956) in supersession of the corresponding rules, if any applicable to them. (G.O.Ms. No.1157, Finance, dated 22nd October 1960.) REFERENCE: (5-A) Consolidated Fund means the Consolidated Fund of the State of Tamil Nadu  Definitions: Article 266 (i) of the Constitution of India Consolidated Funds and public accounts of India and of the States (1) Subject to the provisions of Article 267 and to the provisions of this Chapter with respect to the assignment of the whole or part of the net proceeds of certain taxes and duties to States, all revenues received by the Government of India, all loans raised by that Government by the issue of treasury bills, loans or ways and means advances and all moneys received by that Government in repayment of loans shall form one consolidated fund to be entitled the Consolidated Fund of India, and all revenues received by the Government of a State, all loans raised by that Government by the issue of treasury bills, loans or ways and means advances and all moneys received by that Government in repayment of loans shall form one consolidated fund to be entitled the Consolidated Fund of the State (2) All other public moneys received by or on behalf of the Government of India or the Government of a State shall be entitled to the public account of India or the public account of the State, as the case may be (3) No moneys out of the Consolidated Fund of India or the Consolidated Fund of a State shall be appropriated except in accordance with law and for the purposes and in the manner provided in this Constitution

Rule 1The Fundamental Rules Of Tamilnadu Government

RULE:1 These rules may be called the Fundamental Rules. They shall come into force with effect from the 1st January 1922. RULING: The President of the Republic of India and the State Government may, by general or special orders, permit deviations from any provisions of a purely procedural nature contained in any rules made or confirmed under Article 309 of the Constitution of India provided that such deviations shall not affect the conditions of service, the pay and allowances or the pensions of officers subject to the rule-making control of the President of the Republic of India. REFERENCE: Article 309  The Constitution Of India 1949 Recruitment and conditions of service of persons serving the Union or a State Subject to the provisions of this Constitution, Acts of the appropriate Legislature may regulate the recruitment, and conditions of service of persons appointed, to public services and posts in connection with the affairs of the Union or of any State: Provided that it shall be competent for the President or such person as he may direct in the case of services and posts in connection with the affairs of the Union, and for the Governor of a State or such person as he may direct in the case of services and posts in connection with the affairs of the State, to make rules regulating the recruitment, and the conditions of service of persons appointed, to such services and posts until provision in that behalf is made by or under an Act of the appropriate Legislature under this article, and any rules so made shall have effect subject to the provisions of any such Act

DUTIES AND RESPONSIBILITIES OF NURSING STAFF

General Care of the Patient
1. Admission of patient.
2. Personal care – including bathing, mouth care, hair combing and shampoo.
3. Treatment of pediculosis.
4. Care of hands, feet, nails.
5. Care of pressure points.
6. Giving and removal of bed pans and urinals.
7. Application of hot water bottles and ice caps.
8. Feeding of patients.

Technical Nursing Care
1. Taking and recording of temperature, pulse and respiration.
2. Administration of medicines and injections.
3. Elevate
4. Catheterisation
5. Dressing
6. Irrigations
7. Oxygen Therapy
8. Pre and post-operative care
9. Preparation of patient care for discharge
10. Last offices of the dead

Ancillary and Clerical
1. Assistance and instructions to patients and relatives.
2. Care of patients clothing and valuables.
3. Bed making with or without patient.
4. Maintenance of nominal register.
5. Preparation of invalid diets.
6. Distribution of diets.
7. Recording of drugs administered.
8. Indenting and accounting for drugs, maintenance of sub store, indent for
surgical supplies, stores, diet, urine collection, treatment testing, reporting,
collecting, labelling and dispatching of specimen.
9. Preparation for and assistance in chemical tests, medical procedures and
intravenous infusions, assisting the medical officer with various examinations
of patients and treatment.

Administrative and Supervisory
1. Handling and taking over charge of shift.
2. Linen furniture and equipment up keep, repairs and replacement.
3. Maintenance of stock registers and inventories.
4. Custody of dangerous drugs.
5. Guidance and supervision of nursing students and domestic staff.
6. Assistance in orientation of new nurses.
7. Maintenance of bed side report.
8. Maintaining a 12 hourly report on patients.
9. Escorting patients to and fro departments .
10. Writing the prescriptions and Medical Officer's instructions in the instruction
book writing of.
11. Writing of diets in the diet book.

Cleanliness
1. Maintaining  a Clean unit.
2. Setting up of  clean dressing trolley.
3. Maintaining Clean cupboards, rubber articles, metal, glass and other types of apparatus and equipment.
4. Cleaning up of unit and equipment after a procedure.
5. Arranging for the washing of soiled linen.
6. Disinfection.

As per
RULES FRAMED BY THE GOVERNOR-IN-COUNCIL
UNDER SECTION 11 OF THE MADRAS NURSES AND MIDWIVES ACT
(MADRAS ACT III OF 1926)

NOTIFICATION
G.O.No.324 P.H., dated 11 February 1926, as amended by
(1) G.O. No. 348, P.H.nd dated 2nd March 1931,
(3) G.O. No. 732, P.H. dated 31st