Western Australian Consolidated Regulations Western Australian Consolidated Regulations (1) In this
regulation —
approved health service means a health service (as
defined in section 3(1) of the Health Services (Conciliation and Review)
Act 1995 , other than a health service provided by way of medical or
epidemiological research) that —
(a)
operates outside the metropolitan region (as defined in section 6 of the
Metropolitan Region Town Planning Scheme Act 1959 ); and
(b) has
been approved by the CEO for the purposes of this regulation;
approved name has the same meaning as in
regulation 35C;
approved starter pack means a starter pack
approved by the CEO for the purposes of this regulation;
brand name has the same meaning as in
regulation 35C;
starter pack means a quantity of a poison included
in Schedule 4, prepared by a pharmaceutical chemist and consisting of
—
(a) if
the poison is supplied in prepacked individual packs, one individual standard
pack;
(b) if
the poison is a liquid, the smallest pack of the poison available from the
manufacturer; or
(c)
otherwise, not more than 3 days medication of the poison;
starter pack instruction means an instruction of
the kind described in subregulation (2).
(2) A registered nurse
at an approved health service may give an approved starter pack to a patient,
other than an in-patient, at the health service if orally instructed to do so
by a medical practitioner, who need not be present at the health service.
(3) Before giving an
approved starter pack to a patient a registered nurse must —
(a)
ensure that the approved starter pack is labelled in accordance with
subregulation (8); and
(b)
record the details of the provision of the approved starter pack in accordance
with subregulation (10).
(4) A medical
practitioner must not give a starter pack instruction unless satisfied
that —
(a) the
patient has an acute medical condition;
(b)
there is no other medical practitioner at the health service who could
reasonably attend to the patient in person; and
(c) the
distance from the health service to the nearest pharmacy registered under the
Pharmacy Act 1964 that is open is more than 25 km.
(5) For the purposes
of subregulation (4), a medical practitioner may rely on information
provided by the registered nurse as to the patient’s condition, the
availability of other medical practitioners and the location of the nearest
open pharmacy.
(6) Within
72 hours of giving a starter pack instruction a medical practitioner must
give to the registered nurse, or another registered nurse at the health
service, signed, written confirmation of the instruction including —
(a) the
name of the medical practitioner;
(b) the
name of the registered nurse to whom the starter pack instruction was given;
(c) the
name of the patient;
(d) the
date and time when the instruction was given;
(e)
details of the approved starter pack;
(f) any
relevant directions for use that were to be given to the patient; and
(g) any
other information that the medical practitioner considers relevant.
(7) The person in
charge of an approved health service must —
(a) keep
all written confirmations given under subregulation (6) to registered
nurses at the health service for at least 2 years; and
(b)
produce them on demand to any person authorised under the Act to demand
production of such records.
(8) An approved
starter pack must be labelled in English with —
(a) the
words “Keep out of reach of children”;
(b) the
name of the patient;
(c) the
name and address of the health service;
(d) in
relation to each poison in the approved starter pack —
(i)
the approved name and strength or amount of the poison;
or
(ii)
if the brand name uniquely identifies the strength of the
poison, that brand name;
(e) the
total quantity of medication contained in the approved starter pack;
(f) the
date on which the approved starter pack was given to the patient;
(g) any
directions for use given by the medical practitioner;
(h) the
number referred to in subregulation (10)(f) identifying the relevant
entry in the health service’s Starter Pack Supply Book; and
(i)
any relevant cautionary or advisory statements set out in
Appendix K to the SUSDP.
(9) The person in
charge of an approved health service must —
(a)
maintain a Starter Pack Supply Book for the health service consisting
of —
(i)
handwritten records in a bound book with sequentially
numbered pages; or
(ii)
records kept in another manner which has been
specifically and individually approved in writing by the CEO for the purposes
of this paragraph;
(b) keep
the Starter Pack Supply Book for at least 2 years after the last entry is
made in it; and
(c)
produce the Starter Pack Supply Book on demand to any person authorised under
the Act to demand production of such records.
(10) Before giving an
approved starter pack to a patient a registered nurse must record the
following information in the health service’s Starter Pack Supply
Book —
(a) the
name and address of the patient;
(b) in
relation to each poison in the approved starter pack —
(i)
the approved name and strength or amount of the poison;
or
(ii)
if the brand name uniquely identifies the strength of the
poison, that brand name;
(c) the
date and time at which the approved starter pack is to be given to the
patient;
(d) the
name of the medical practitioner;
(e) any
directions for use given by the medical practitioner;
(f) a
unique number identifying the entry in the Book; and
(g) the
registered nurse’s name and signature.
[Regulation 36AA inserted in Gazette
29 Jun 2001 p. 3115-18; amended in Gazette
15 Dec 2006 p. 5630; 2 Oct 2007 p. 4965.]