Indian Railway Establishment Code Chapter 6
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Questions and Answers

Who is considered the authorised medical officer for a railway employee?

  • The Railway Medical Officer or a specifically nominated officer (correct)
  • Any doctor of the employee's choice
  • Any local medical practitioner
  • The employee's family doctor
  • What does 'medical attendance' NOT include?

  • Attendance at a railway employee's residence
  • Pathological tests conducted in railway hospitals
  • Attendance in any railway hospital/health unit
  • Consultation at a non-railway hospital (correct)
  • What is the radius within which a Railway Medical Officer’s jurisdiction is applicable for railway employees?

  • 5 km
  • 10 km
  • 2.5 km (correct)
  • 1 km
  • In what situation can the authorised medical officer refer a case to another medical officer?

    <p>For further specialized treatment as required</p> Signup and view all the answers

    Which of the following is NOT considered as 'medical attendance' under the Railway Medical Attendance rules?

    <p>Tests conducted in a government hospital not recognized by railway</p> Signup and view all the answers

    If a railway employee requires specialized medical tests that are not available at a Railway hospital, what is the procedure?

    <p>The authorised medical officer may refer them to any recognized government hospital</p> Signup and view all the answers

    What types of examinations are included in the term 'medical attendance'?

    <p>Pathological and bacteriological tests deemed necessary</p> Signup and view all the answers

    What is required to accompany the salary claim for payment?

    <p>Application form and necessary bills and vouchers</p> Signup and view all the answers

    In the case of medical claims for Railway employees serving abroad, who is the Controlling Officer?

    <p>The Head of the Mission/Post</p> Signup and view all the answers

    Which of the following is true regarding medical treatment for Railway employees?

    <p>Treatment is provided free of charge at designated facilities</p> Signup and view all the answers

    Where can Railway employees receive medical treatment if there is no railway hospital available?

    <p>Nearby government hospitals or health centers</p> Signup and view all the answers

    What dictates the allotment of hospital accommodation in railway hospitals?

    <p>The seriousness of the disease</p> Signup and view all the answers

    Who is entitled to free medical attendance and treatment according to the provisions for officers and staff of the Commissioner of Railway Safety?

    <p>Staff and officers, including family members</p> Signup and view all the answers

    What option can Railway Audit staff choose regarding their medical treatment?

    <p>Either Railway medical facilities or Central Health Services</p> Signup and view all the answers

    How should RITES/IRCON pay for the medical facilities availed by Railway employees on deputation?

    <p>On the basis of per capita expenditure multiplied by the number of employees</p> Signup and view all the answers

    What medical treatment are whole-time employees of Zonal recognized Union Federations entitled to?

    <p>Free treatment for themselves only</p> Signup and view all the answers

    Can the family members of whole-time employees of recognized federations avail free medical treatment?

    <p>Yes, but only for outdoor treatment</p> Signup and view all the answers

    What is the medical facility condition for Railway employees on deputation?

    <p>They may continue to use Railway medical facilities</p> Signup and view all the answers

    What instructions are given regarding the audit staff's medical treatment under Railway facilities?

    <p>They must choose one type of medical treatment</p> Signup and view all the answers

    Which of the following is not a requirement for Railway employees on deputation concerning medical facilities?

    <p>Use of services without opting out</p> Signup and view all the answers

    What type of medical benefits do Railway Audit staff receive?

    <p>Same as corresponding Railway employees</p> Signup and view all the answers

    How is medical treatment for Officers and staff of the Commissioner of Railway Safety outlined?

    <p>It is available for both directly recruited and transferred employees</p> Signup and view all the answers

    What kind of cases may allow free transportation of patients to their residence in an ambulance?

    <p>Convalescent cases with written approval from a medical officer</p> Signup and view all the answers

    What is a requirement for reimbursement of blood purchases from private donors?

    <p>It should be certified by an authorized medical officer as unavailable in recognized institutions.</p> Signup and view all the answers

    Which of the following is explicitly excluded from being covered for medical reimbursement?

    <p>Artificial dentures outside specific cases.</p> Signup and view all the answers

    Which type of treatment is permissible as part of the general treatment for poliomyelitis?

    <p>Massage treatment</p> Signup and view all the answers

    What is the maximum reimbursement coverage for Group 'D' staff regarding spectacles?

    <p>50% of the cost</p> Signup and view all the answers

    Under which condition are taxi or other conveyance charges reimbursed?

    <p>Except as specifically provided for certain patient transfers in applicable guidelines.</p> Signup and view all the answers

    What is the nature of arrangements local railways may have for supplying glasses?

    <p>On a no profit, no loss basis</p> Signup and view all the answers

    Which treatment is NOT included under the possible reimbursements?

    <p>Testing for eyesight at a private clinic</p> Signup and view all the answers

    What must be reviewed by competent higher authority when public transport is involved?

    <p>The costs associated with hiring public transport facilities</p> Signup and view all the answers

    What type of medical treatment is offered to apprentices who sustain personal injuries during their training?

    <p>Free medical treatment</p> Signup and view all the answers

    During the training period, what are railway employees commissioned in the territorial army entitled to?

    <p>Military medical services</p> Signup and view all the answers

    What is the charge for indoor treatment of private servants of railway employees in railway hospitals?

    <p>40% of the schedule of charges</p> Signup and view all the answers

    What is the limitation on outpatient treatment for private servants of railway employees?

    <p>Only short routine illnesses are covered</p> Signup and view all the answers

    Casual labor is eligible for which type of medical facilities?

    <p>Out-patient treatment only</p> Signup and view all the answers

    What should be used as identification for casual labor receiving medical facilities?

    <p>Employee service cards</p> Signup and view all the answers

    What happens if a casual laborer develops complications post-vasectomy?

    <p>They receive free diet and indoor treatment</p> Signup and view all the answers

    What is the requirement regarding the service of casual labourers?

    <p>There should be no artificial break in service</p> Signup and view all the answers

    What medical service is provided to family members of railway employees enrolled in the territorial army?

    <p>Railway medical attendance and treatment rules</p> Signup and view all the answers

    What does the sub-section regarding apprentices specify about injuries caused by accidents?

    <p>Injuries must arise out of and in the course of training</p> Signup and view all the answers

    What is the entitlement for casual laborers with more than three months of service?

    <p>Same rights and privileges as regular railway employees</p> Signup and view all the answers

    Which category of individuals does NOT have access to free medical attendance and treatment facilities?

    <p>Staff of contractors engaged by Railway administration</p> Signup and view all the answers

    What condition must be met for Central Government employees to receive medical attendance in railway hospitals?

    <p>They must pay the same charges as outsiders</p> Signup and view all the answers

    Under what circumstance can commissioned vendors receive inpatient medical treatment?

    <p>Only when they are hospitalized with injuries during duty</p> Signup and view all the answers

    What is the medical treatment provision for the families of railway employees on secondment abroad?

    <p>They are treated on par with retired railway employees' families</p> Signup and view all the answers

    What is the maximum reimbursement amount allowed per case for medical investigations at non-recognized institutions, as long as certain conditions are met?

    <p>Rs.1000/-</p> Signup and view all the answers

    In what circumstance can an authorized medical officer consult a specialist not in the service of Government?

    <p>There are no circumstances allowing this consultation.</p> Signup and view all the answers

    What needs to be obtained before sending a patient to a specialist if the authorized medical officer deems it necessary?

    <p>The approval of the Chief Medical Director.</p> Signup and view all the answers

    What does consultation with a specialist or other medical officer involve according to the rules?

    <p>Advice on treatment and management protocols.</p> Signup and view all the answers

    What action should the authorized medical officer take if the patient is too ill to be sent to a specialist?

    <p>Request the specialist to come to the patient.</p> Signup and view all the answers

    Which of the following is permitted under the railway medical attendance rules for claims over Rs.1000/-?

    <p>Claims for specialized surgeries at recognized private hospitals.</p> Signup and view all the answers

    Which of the following scenarios is NOT included in the authorized medical officer's responsibilities?

    <p>Referral to a medical officer stationed outside the railway-served area.</p> Signup and view all the answers

    What condition must be met in order for honorary specialists to be considered as Government specialists?

    <p>They must have prior approval from the CMD.</p> Signup and view all the answers

    Which of the following does NOT constitute treatment according to the provided criteria?

    <p>Pathological investigations deemed unnecessary by the authorized medical officer.</p> Signup and view all the answers

    Under what circumstances can honorary consultants bill for consultation at their private consulting rooms?

    <p>Only in emergency situations.</p> Signup and view all the answers

    What is required for reimbursement of medicines not ordinarily stocked in the hospital?

    <p>A written certification from the authorized medical officer.</p> Signup and view all the answers

    What is NOT included in the definition of treatment for railway employees?

    <p>Use of surgical facilities at non-railway hospitals.</p> Signup and view all the answers

    Which of the following statements accurately reflects the role of the authorized medical officer?

    <p>They decide the necessity for various medical investigations.</p> Signup and view all the answers

    Which of the following describes the travelling allowance for specialists summoned for consultations?

    <p>It is based on the rules applicable to the specialist.</p> Signup and view all the answers

    What medical provision is specifically mentioned for patients requiring urgent care?

    <p>Consultation with honorary specialists at their private rooms.</p> Signup and view all the answers

    For which of the following is the medical treatment provided likely to be limited?

    <p>Non-emergency situations accessed through honorary consultants.</p> Signup and view all the answers

    What is the main eligibility criterion for free medical attendance for the officers and staff of the Commissioner of Railway Safety?

    <p>No restrictions on previous employment</p> Signup and view all the answers

    What option do Railway Audit staff have regarding their medical treatment?

    <p>To opt for Railway medical facilities or continue under Central Health Services</p> Signup and view all the answers

    How must RITES/IRCON compensate for the medical facilities availed by Railway employees on deputation?

    <p>Based on annual contribution per capita multiplied by employees opting for the facility</p> Signup and view all the answers

    What is the extent of free medical treatment available to whole-time employees of Zonal recognized Unions Federations?

    <p>Limited to outpatient treatment for family members</p> Signup and view all the answers

    What is the contribution requirement for RITES/IRCON for availing medical facilities?

    <p>Per capita contribution multiplied by number of employees opting for medical benefits</p> Signup and view all the answers

    Which statement accurately describes the medical treatment provision for whole-time employees of recognized unions?

    <p>Only outdoor treatments are covered for their family members</p> Signup and view all the answers

    What medical facility conditions apply to Railway employees on deputation?

    <p>They can continue using Railway medical facilities with conditions</p> Signup and view all the answers

    What specific medical benefits exist for Railway Audit staff?

    <p>Equal medical treatment as per railway employees of corresponding status</p> Signup and view all the answers

    What type of medical treatment is indicated for the family members of whole-time employees of recognized unions?

    <p>Outpatient treatments are available while hospitalization is excluded</p> Signup and view all the answers

    Which of the following serves as a basis for Railway medical attendance eligibility?

    <p>Status and position held within the organization</p> Signup and view all the answers

    Under what condition can a patient be accommodated in a higher class than what is suitable for their status?

    <p>If the medical officer certifies unavailability of appropriate class accommodation at admission</p> Signup and view all the answers

    What is required for the reimbursement of pre-natal and post-natal treatment expenses?

    <p>The treatment must relate to physiological or other disability linked to childbirth</p> Signup and view all the answers

    Which type of medical treatment is permissible for cases of sterilization as per the guidelines?

    <p>Reimbursement of medical expenses specifically for sterilization</p> Signup and view all the answers

    In what circumstance can shifting a patient between hospitals be reimbursed?

    <p>If the shifting is necessary for treatment or examination</p> Signup and view all the answers

    What actually constitutes 'ordinary nursing' covered for in-patients?

    <p>Only basic medical care provided by nursing staff</p> Signup and view all the answers

    Which statement accurately reflects the rules regarding termination of pregnancy?

    <p>It must conform to the Medical Termination of Pregnancy Act and rules to be reimbursed</p> Signup and view all the answers

    What provision is made regarding anti-rabic treatment under the guidelines?

    <p>It is fully covered without any restrictions</p> Signup and view all the answers

    What is a requirement for the use of ambulances for shifting patients?

    <p>Ambulances must be government or local authority-owned</p> Signup and view all the answers

    Which aspect of hospital accommodation is critical for justifying a higher class accommodation?

    <p>The patient's condition not allowing for shifting to appropriate class</p> Signup and view all the answers

    Study Notes

    Indian Railway Establishment Code (Chapter 6)

    • Medical Attendance and Treatment: Railway employees and beneficiaries have medical coverage.
    • Medical Officer: The authorized medical officer handles medical needs. Jurisdiction covers a 2.5 km radius around the hospital or health unit.
    • Medical Attendance Definitions: This includes attendance at consultation rooms, hospitals/health units, dispensaries, or at employee residences. It also covers diagnosis procedures and tests.
    • External Hospital Use: If railway facilities aren't available, employees can seek treatment at government or recognized hospitals. Reimbursement is possible with a limit on costs.
    • Specialist Consultation: Specialists in the government's service can be consulted with the authorized officer's approval. Consulting rooms or other hospitals in non-railway areas are allowed as necessary (under certain restrictions).
    • Medical Treatment: This covers a range of activities including all medical and surgical facilities, radiological, pathological, and bacteriological tests. Medication, vaccinations, and sera are also included.
    • Employee Accommodation: Railway hospitals provide accommodation suitable for the employee's status. Higher accommodation may be allowed when appropriate.
    • Treatment for Railway Employees and Family/Dependents: Treatment for illness, injury, or other reasons is covered. This includes injury or conditions related to child birth and child rearing, as well as treatment for sterility.
    • Termination of Pregnancy: The procedures in the Medical Termination of Pregnancy Act 1971 and Rules 1972 are mentioned.
    • Family Members: Family members are covered in certain circumstances.
    • Treatment at Residence: Medical officer visits are allowed in certain cases.
    • Emergency Cases/Transport: Arrangements, including ambulances, are made for necessary transport of individuals. Transport is permissible in ambulances of the government, or local authority.
    • Blood Transfusions: Blood from government or recognised institutions can be used, and reimbursements are allowed under specific circumstances.
    • Excluded Medical Services: Dental treatment, massages, eye/spectacle tests, or private transportation isn't usually covered, except under special circumstances.
    • Medical Attendance for Various Groups: Railway employees, officers, and staff, those on leave or deputation (within India or abroad), employees of certain organisations(e.g., research and development organisations, employees of the central ministries and departments), families/dependents, and casual workers are covered by different rules.
    • Free Medical Facilities: Many groups are eligible for free medical attendance in railway hospitals
    • Medical Officers and Staff on Duty: Employees who are on an official duty are covered for medical treatment.
    • Railway Employee and families living abroad. Families and dependents are covered.
    • Attendance at Residence: Medical visits to residences are allowed in certain cases.
    • Medical Fees: Various fees for medical services are detailed by employee paygrade.
    • Dental Treatment: Dental treatment is available up to a point, and may be part of other treatment, if necessary.
    • Blood Donation/Handling: Details regarding blood donation, eligibility, and possible payment are discussed.

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    Description

    Explore the medical attendance and treatment guidelines for railway employees as described in Chapter 6 of the Indian Railway Establishment Code. This chapter covers medical officer responsibilities, definitions of medical attendance, external hospital use, and specialist consultations. Perfect for understanding the healthcare provisions available to railway employees.

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