Western Australian Consolidated Regulations Western Australian Consolidated Regulations (1) In this
regulation —
approved name has the meaning given in
regulation 35C;
Community Emergency Response Team means a service,
provided by a public hospital, that —
(a) is
provided in the metropolitan region; and
(b)
responds to psychiatric emergencies in the community; and
(c) is
designated by the CEO for the purposes of this definition;
metropolitan region has the meaning given in
section 4 of the Planning and Development Act 2005 ;
psychiatric emergency pack means a pack, approved
by the CEO for the purposes of this regulation and prepared by a
pharmaceutical chemist, containing a quantity of a poison included in
Schedule 4 that —
(a) if
the poison is supplied in prepacked individual packs — is one
individual standard pack; or
(b) if
the poison is a liquid — is the smallest pack of the poison
available from the manufacturer; or
(c)
otherwise — does not exceed 3 days worth of medication of the
poison;
Rural Community Mental Health Team means a
service, provided by a public hospital, that —
(a) is
provided outside the metropolitan region; and
(b)
responds to psychiatric emergencies in the community; and
(c) is
approved by the CEO for the purposes of this definition;
team medical practitioner means a medical
practitioner who is a member of a Community Emergency Response Team or a Rural
Community Mental Health Team;
team psychiatrist means a psychiatrist who is a
member of a Community Emergency Response Team or a Rural Community Mental
Health Team;
team registered nurse means a registered nurse who
is a member of a Community Emergency Response Team or a Rural Community Mental
Health Team.
(2) A team registered
nurse may give a psychiatric emergency pack to a patient, other than an
in-patient, if instructed to do so by a team psychiatrist or a team medical
practitioner, who need not be present with the nurse at the time of giving the
instruction.
(3) The instruction
may be given orally.
(4) The psychiatrist
or medical practitioner must not give the instruction unless satisfied that
the patient is in need of urgent psychiatric intervention and it is not
practical for the patient to obtain the medication contained in the pack in
any other way.
(5) For the purposes
of subregulation (4), the psychiatrist or medical practitioner may rely
on the information given by the nurse about the patient’s condition.
(6) Before giving the
psychiatric emergency pack to the patient the nurse must —
(a)
ensure that the pack has been labelled in accordance with
subregulation (9); and
(b)
record in the Emergency Pack Supply Book the information required by
subregulation (11).
(7) Within
72 hours of giving the instruction the psychiatrist or medical
practitioner must give the nurse, or another team member, signed, written
confirmation of the instruction including —
(a) the
name of the psychiatrist or medical practitioner; and
(b) the
name of the nurse to whom the instruction was given; and
(c) the
name of the patient; and
(d) the
date and time when the instruction was given; and
(e)
details of the psychiatric emergency pack; and
(f) any
directions for use that were to be given to the patient; and
(g) any
other information that the psychiatrist or medical practitioner considers
relevant.
(8) A person in charge
of a Community Emergency Response Team or a Rural Community Mental Health Team
must —
(a) keep
all written confirmations given under subregulation (7) for at least
2 years; and
(b)
produce them on demand to any person authorised under the Act to demand
production of such records.
(9) A psychiatric
emergency pack must be labelled in English with —
(a) the
words “keep out of reach of children”; and
(b) the
name of the patient; and
(c) the
name and address of the Community Emergency Response Team or the Rural
Community Mental Health Team; and
(d) in
relation to the poison in the psychiatric emergency 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;
and
(e) the
total quantity of each medication contained in the psychiatric emergency pack;
and
(f) the
date on which the psychiatric emergency pack was given to the patient; and
(g) any
directions for use given by the psychiatrist or medical practitioner; and
(h) the
number referred to in subregulation (11)(f) identifying the relevant
entry in the Emergency Pack Supply Book; and
(i)
any relevant cautionary or advisory statements set out in
Appendix K to the SUSDP.
(10) A person in
charge of a Community Emergency Response Team or a Rural Community Mental
Health Team must —
(a)
maintain an Emergency Pack Supply Book for that Team consisting of handwritten
records in a book with sequentially numbered pages; and
(b) keep
the Emergency Pack Supply Book for at least 2 years after the last entry
is made in it; and
(c)
produce the Emergency Pack Supply Book on demand to any person authorised
under the Act to demand production of such records.
(11) The information
to be recorded in the Emergency Pack Supply Book is —
(a) the
name and address of the patient; and
(b) in
relation to the poison in the psychiatric emergency 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;
and
(c) the
date and time at which the psychiatric emergency pack is to be given to the
patient; and
(d) the
name of the psychiatrist or medical practitioner who gave the instruction; and
(e) any
directions for use given by the psychiatrist or medical practitioner; and
(f) a
unique number identifying the entry in the Book; and
(g) the
nurse’s name and signature.
[Regulation 36AAB inserted in Gazette
2 Oct 2007 p. 4965-8.]