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SUMMARY - Safe Medications Management project: Key issues and ...

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The Health Practitioner Regulation National Law (Tasmania) Act 2010 refers to terms used in thisAct <strong>and</strong> also in the Health Practitioner Regulation National Law set out in the Schedule to theHealth Practitioner Regulation National Law Act 2009 of Queensl<strong>and</strong> have the same meanings inthis Act as they have in that Law.2.1.2.7. VictoriaIn Victoria in the Drugs, Poisons <strong>and</strong> Controlled Substances Act 1981 effective (06/01/11), underPart II 10A reference is made to the administration of medication in aged care services <strong>and</strong> therole of the approved provider to ensure that the registered nurse manages the administration ofany drug of dependence to a resident receiving high level care. Part II S34F <strong>and</strong> S36E make specificreference regarding aged care <strong>and</strong> the permit <strong>and</strong> administration for Schedule 8 drugs. TheApproved provider under the Aged Care Act must ensure that the registered nurse manages theadministration of any drug of dependence Schedule 9.8.4 poisons to a high care resident – <strong>and</strong> inthis regard, must manage the administration in accordance with a Code or guidelines (if any)issued by the Nursing <strong>and</strong> Midwifery Board of Australia under the Health Practitioner RegulationNational Law. (At this stage they have not produced a guideline or code of guidance).There is also a clause in Part II s36F relating to registered nurses having a regard to the relevantcode or guideline (if any) issued by the Nursing <strong>and</strong> Midwifery Board of Australia under the HealthPractitioner Regulations National Law.Under the Act a registered medical practitioner <strong>and</strong> nurse practitioner can administer, supply,prescribe a Schedule 8 poison as well as poisons <strong>and</strong> controlled substances. In addition, apharmacist <strong>and</strong> a registered nurse can possess, use, sell or supply specific drugs.The Act also defines a nurse practitioner, registered medical practitioner, pharmacist, registerednurse as registered under the Health Practitioner Regulation National Law <strong>and</strong> further refers tothe aged care services <strong>and</strong> the Aged Care Act as well as the Commonwealth St<strong>and</strong>ard for uniformscheduling of drugs <strong>and</strong> poisons.Where a registered nurse whose registration is endorsed under the Health Practitioner RegulationNational Law, that person can obtain, use, sell, <strong>and</strong> supply a Schedule 2, 3, 4,<strong>and</strong> 8 approved bythe Minister.The Minister can also approve scope of prescribing rights or supply of poisons for a registerednurse in clinical circumstances.The Drugs, Poisons <strong>and</strong> Controlled Substances Regulations 2006 (effective 26/10/10) defines anaged care service in accordance with the Aged Care Act <strong>and</strong> refers to an authorised registerednurse, <strong>and</strong> an enrolled nurse in accordance with the Heath Practitioner Regulation National Law.Part 2 in the Regulations refers to what a nurse, an authorised registered nurse <strong>and</strong> a pharmacistcan do in the administration of schedule, 4, 8 <strong>and</strong> 9 <strong>and</strong> it also describes what a registered medicalpractitioner <strong>and</strong> a nurse practitioner must not do with regard to the areas relating to administer,prescribe, sell or supply schedules 4 <strong>and</strong> 8.Particular reference is made to an approved provider of an aged care service where there is aresident receiving high care <strong>and</strong> their responsibilities regarding schedule 4, 8 <strong>and</strong> 9 poisons.16

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