Health (Drugs and Poisons) Amendment Regulation (No. 1) 1997 (Qld)

Queensland Subordinate Legislation 1997 No. 64 Health Act 1937 HEALTH (DRUGS AND POISONS) AMENDMENT REGULATION (No. 1) 1997 TABLE OF PROVISIONS Section Page PART 1—PRELIMINARY 1 Short title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 2 Commencement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 3 Regulation amended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 PART 2—PROVISIONS COMMENCING ON NOTIFICATION 4 Amendment of s 45 (Offence to manufacture controlled drugs without licence) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5 Insertion of new s 49A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 49A Licensee to give invoice when selling controlled drug . . . . . . . . . . 5 6 Amendment of s 52 (Anaesthetic assistants and enrolled nurses) . . . . . . . . 6 7 Amendment of s 56 (Dentists) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 8 Amendment of s 62 (Midwives) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 9 Amendment of s 63 (Nursing homes) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 10 Amendment of s 64 (Pharmacists) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 11 Amendment of s 66 (Queensland Ambulance Service) . . . . . . . . . . . . . . . . 7 12 Amendment of s 67 (Registered nurses) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 13 Replacement of s 68 (Registered nurses more than 25 km from pharmacy) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 68 Registered nurses at rural hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . 8 14 Amendment of s 73 (Other authorities may be given) . . . . . . . . . . . . . . . . . 8

2 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 15 Amendment of s 78 (Specified condition drugs—amphetamine, dexamphetamine, methylamphetamine, methylamphenidate, phenmetrazine) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 16 Amendment of s 83 (Dispensing generic drugs) . . . . . . . . . . . . . . . . . . . . . . 9 17 Amendment of s 88 (Stock to be checked) . . . . . . . . . . . . . . . . . . . . . . . . . . 9 18 Amendment of s 92 (Sending controlled drugs by carrier etc.) . . . . . . . . . . 10 19 Amendment of s 95 (Possession by user) . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 20 Replacement of s 97 (Dentist or doctor may instruct someone to administer or supply a controlled drug) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 97 Oral instruction given by dentist or doctor later to be put in writing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 21 Amendment of s 106 (Single storer to keep single storage book for controlled drugs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 22 Amendment of s 109 (Records of controlled drugs supplied to be kept) . . 12 23 Amendment of s 112 (Records—ambulance officers and isolated practice endorsed registered nurses) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 24 Amendment of s 121 (Controlled drugs not to be obtained unless information disclosed to dentist or doctor) . . . . . . . . . . . . . . . . . . . . . . . . . . 12 25 Amendment of s 137 (Restricted drug manufacturer licence) . . . . . . . . . . . 13 26 Amendment of s 139 (Offence to manufacture restricted drug without licence) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 27 Amendment of s 155 (Anaesthetic assistants and enrolled nurses) . . . . . . . 13 28 Amendment of s 159 (Dentists) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 29 Amendment of s 164 (Hospitals) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 30 Amendment of s 167 (Midwives) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 31 Amendment of s 171 (Pharmacists) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 32 Amendment of s 174 (Queensland Ambulance Service) . . . . . . . . . . . . . . . 14 33 Amendment of s 175 (Registered nurses) . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 34 Replacement of s 176 (Registered nurses more than 25 km from pharmacy) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 176 Registered nurses at rural hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . 15 35 Amendment of s 182 (Other authorities may be given) . . . . . . . . . . . . . . . . 16 36 Amendment of s 187 (Clomiphene, cyclofenil, luteinising hormone and urofollitrophin) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 37 Amendment of s 194 (Emergency sale of restricted drugs by pharmacist) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

3 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 38 Amendment of s 195 (Dispensing generic drugs) . . . . . . . . . . . . . . . . . . . . . 16 39 Amendment of s 196 (Interstate prescriptions) . . . . . . . . . . . . . . . . . . . . . . . 17 40 Amendment of s 197 (Dealing with prescriptions) . . . . . . . . . . . . . . . . . . . . 17 41 Omission of s 206 (Dentist or doctor may instruct someone to administer or supply a restricted drug) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 42 Amendment of s 207 (Records of restricted drugs supplied to be kept) . . . 18 43 Amendment of s 210 (Records not to be changed but may be corrected) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 44 Amendment of s 217 (Improper use of prescriptions for restricted drugs) . . 18 45 Amendment of s 227 (Offence to manufacture S2, S3 or S7 poisons without licence) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 46 Amendment of s 229 (Poison wholesaler licence) . . . . . . . . . . . . . . . . . . . . 19 47 Amendment of s 235 (Wholesale and retail sales by manufacturers and wholesalers) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 48 Amendment of s 244 (Aboriginal and Torres Strait Islander health programs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 49 Amendment of s 257 (Pharmacists) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 50 Replacement of s 263 (Registered nurses) . . . . . . . . . . . . . . . . . . . . . . . . . . 20 263 Registered nurses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 263A Registered nurses at rural hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . 20 51 Amendment of s 269 (Other authorities for an S2 or S3 poison may be given) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 52 Amendment of s 271 (Prohibition on dispensing etc. regulated poisons) . . 21 53 Amendment of s 275 (Dispensing generic poisons) . . . . . . . . . . . . . . . . . . . 21 54 Amendment of s 285 (Records of sales of poisons) . . . . . . . . . . . . . . . . . . . 22 55 Insertion of new s 303A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 303A General powers after entering places . . . . . . . . . . . . . . . . . . . . . . . . . 23 56 Insertion of new appendix 2A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 APPENDIX 2A DRUGS AN AMBULANCE OFFICER WHO HAS COMPLETED AN APPROVED COURSE IN ADVANCED CLINICAL TRAINING MAY OBTAIN, POSSESS AND ADMINISTER

4 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 57 Replacement of appendix 5 (Areas of local governments forming isolated practice areas) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 APPENDIX 5 AREAS OF LOCAL GOVERNMENTS FORMING ISOLATED PRACTICE AREAS 58 Amendment of appendix 6 (Minimum requirements for controlled drug receptacles) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 59 Amendment of appendix 7 (Regulated poisons) . . . . . . . . . . . . . . . . . . . . . . 25 60 Insertion of new appendix 8A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 APPENDIX 8A RURAL HOSPITALS 61 Amendment of appendix 9 (Dictionary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 PART 3—PROVISIONS COMMENCING ON 1 OCTOBER 1998 62 Amendment of s 67 (Registered nurses) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 63 Amendment of s 175 (Registered nurses) . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 64 Amendment of s 263 (Registered nurses) . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

s1 5 s5 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 PART 1—PRELIMINARY ˙ Short title 1. This regulation may be cited as the Health (Drugs and Poisons) Amendment Regulation (No. 1) 1997 . ˙ Commencement 2. Part 3 commences on 1 October 1998. ˙ Regulation amended 3. This regulation amends the Health(DrugsandPoisons)Regulation1996 . PART 2—PROVISIONS COMMENCING ON NOTIFICATION ˙ Amendment of s 45 (Offence to manufacture controlled drugs without licence) 4. Section 45— insert— ‘(d) holds an authority under section 73 to manufacture the controlled drug.’. ˙ Insertion of new s 49A 5. Chapter 2, part 1, division 4— insert— ˙ ‘ Licensee to give invoice when selling controlled drug ‘ 49A.(1) A licensee must, when selling a controlled drug to a person,

s6 6 s9 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 give the person an invoice for the sale of the drug. Maximum penalty—40 penalty units. ‘ (2) The licensee must ensure the invoice— (a) has a unique number; and (b) states— (i) the date of the sale; and (ii) the name and address of the person to whom the controlled drug is sold; and (c) describes the controlled drug and the quantity or volume of the drug sold. Maximum penalty—40 penalty units.’. ˙ Amendment of s 52 (Anaesthetic assistants and enrolled nurses) 6. Section 52(1)(b)— omit, insert— ‘(b) an enrolled nurse.’. ˙ Amendment of s 56 (Dentists) 7. Section 56(e), ‘or supply’— omit. ˙ Amendment of s 62 (Midwives) 8. Section 62(2)— omit. ˙ Amendment of s 63 (Nursing homes) 9. Section 63(2)(c), ‘restricted’—

s 10 7 s 12 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 omit, insert— ‘controlled’. ˙ Amendment of s 64 (Pharmacists) 10. Section 64(1)— insert— ‘(e) for a pharmacist practising pharmacy at a public sector hospital—supply a controlled drug, on a doctor’s oral or written instruction, to a person being discharged from the hospital or an outpatient of the hospital; or (f) supply methadone on the oral or written instruction of a doctor who holds an approval under section 122(5).’. ˙ Amendment of s 66 (Queensland Ambulance Service) 11. Section 66(1)(a)— omit, insert— ‘(a) obtain a controlled drug as stated in appendix 2A, part 1; or’. ˙ Amendment of s 67 (Registered nurses) 12. Section 67(2)— omit, insert— ‘ (2) To the extent necessary to practise nursing in an isolated practice area, a registered nurse is authorised to— (a) obtain a controlled drug; or (b) possess a controlled drug obtained under paragraph (a) at a place where the registered nurse practises nursing; or (c) supply a controlled drug, on a doctor’s oral or written instruction, to a person being discharged from a hospital, or an outpatient of a hospital, in the isolated practice area. ‘ (3) Subsection (2) expires on 30 September 1998.’.

s 13 8 s 15 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ˙ Replacement of s 68 (Registered nurses more than 25 km from pharmacy) 13. Section 68— omit, insert— ˙ ‘ Registered nurses at rural hospitals ‘ 68.(1) To the extent necessary to practise nursing at a rural hospital, the following persons are authorised to supply a controlled drug, on a doctor’s oral or written instruction, to a person being discharged from the hospital or an outpatient of the hospital— (a) the hospital’s director of nursing; (b) a registered nurse nominated by the hospital’s director of nursing. ‘ (2) However, subsection (1) applies only if— (a) the hospital does not employ a pharmacist; or (b) if the hospital employs a pharmacist—the pharmacist is absent from the hospital at the time the controlled drug is supplied.’. ˙ Amendment of s 73 (Other authorities may be given) 14. Section 73(1), after ‘issue,’— insert— ‘manufacture,’. ˙ Amendment of s 78 (Specified condition drugs—amphetamine, dexamphetamine, methylamphetamine, methylamphenidate, phenmetrazine) 15. Section 78(1)(e), ‘a person’— omit, insert— ‘is a person’.

s 16 9 s 17 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ˙ Amendment of s 83 (Dispensing generic drugs) 16. Section 83(2)— omit, insert— ‘ (2) A dispenser may dispense the generic drug in place of the specified drug if— (a) the drug is dispensed at a public sector hospital; or (b) for a drug dispensed at a place other than a public sector hospital— (i) the specified drug and the generic drug are both drugs to which a pharmaceutical benefit applies under the National Health Act; and (ii) the prescriber did not indicate on the prescription that only the specified drug was to be dispensed; and (iii) the schedule of pharmaceutical benefits, issued by the Commonwealth department within which the National Health Act is administered, states the specified drug and the generic drug are equivalent; and (iv) a determination is in force for the generic drug under section 85(6) of the National Health Act; 1 and (v) it is lawful to dispense the generic drug on prescription; and (vi) the person to whom it is dispensed asks for, or agrees to, the dispensing of the generic drug in place of the specified drug.’. ˙ Amendment of s 88 (Stock to be checked) 17. Section 88(1)(b), after ‘sign’— insert— ‘and date’. 1 Section 85 (Pharmaceutical benefits) of the National Health Act.

s 18 10 s 19 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ˙ Amendment of s 92 (Sending controlled drugs by carrier etc.) 18.(1) Section 92(1) and (2)— omit, insert— ‘ 92.(1) A person who sells a controlled drug (the “seller” ) must not send the drug to an authorised person (the “buyer” ) unless— (a) the drug is in a securely closed package that complies with this section and is addressed to the buyer; and (b) the seller sends the package to the buyer by security post or a carrier or transport service under this section. Maximum penalty—40 penalty units. ‘ (2) The seller may send the package by security post or a carrier or transport service only if Australia Post or the carrier or transport service gives the seller a signed or officially receipted document acknowledging receipt of the package for delivery to the buyer. ‘ (2A) Australia Post or the carrier or transport service may deliver the package to the buyer only if Australia Post or the carrier or transport service receives a signed or officially receipted document from the buyer acknowledging the buyer’s receipt of the package.’. (2) Section 92(5)— omit. ˙ Amendment of s 95 (Possession by user) 19. Section 95(1)— omit, insert— ‘ 95.(1) A person who is lawfully supplied with a controlled drug by a person authorised to supply the drug may possess the drug for the time reasonably necessary for the person to use the drug for the purpose and in the way the authorised person directs.’.

s 20 11 s 20 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ˙ Replacement of s 97 (Dentist or doctor may instruct someone to administer or supply a controlled drug) 20. Section 97— omit, insert— ˙ ‘ Oral instruction given by dentist or doctor later to be put in writing ‘ 97.(1) If, under this chapter, a dentist or doctor gives an authorised person an oral instruction to administer or supply a controlled drug, the dentist or doctor must put the instruction into writing within 24 hours after giving the instruction. Maximum penalty—40 penalty units. ‘ (2) If a registered nurse or midwife acts on the oral instruction of a dentist or doctor and the dentist or doctor does not put the instruction in writing within 24 hours after giving the instruction, the nurse or midwife must report the instruction to— (a) for an instruction given at a hospital—the hospital’s director of nursing; or (b) for an instruction given at a detention centre, nursing home or prison—the director of nursing or person in charge of the detention centre, nursing home or prison; or (c) in any other case—the person in charge of the place. Maximum penalty—40 penalty units. ‘ (3) If a dentist or doctor contravenes subsection (1)— (a) for an instruction given at a hospital—the hospital’s director of nursing must report the circumstances to the hospital’s medical superintendent or the chief health officer; or (b) for an instruction given at a detention centre, nursing home or prison—the director of nursing or person in charge of the detention centre, nursing home or prison must report the circumstances to the chief health officer; or (c) for another case—the person given the instruction must report the circumstances to the chief health officer. Maximum penalty—40 penalty units.’.

s 21 12 s 24 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ˙ Amendment of s 106 (Single storer to keep single storage book for controlled drugs) 21.(1) Section 106(2)— omit, insert— ‘ (2) The single storer must ensure— (a) the single storage book is bound; and (b) each page of the single storage book relates only to 1 class of controlled drug.’. (2) Section 106(3), ‘However’— omit, insert— ‘Despite subsection (2)(b)’. ˙ Amendment of s 109 (Records of controlled drugs supplied to be kept) 22. Section 109(1)— omit, insert— ‘ 109.(1) The director of nursing of a hospital, or the registered nurse in charge of the hospital, must keep a record, as required by this section, of all controlled drugs supplied by a nurse at the hospital under section 67(2) or 68’. ˙ Amendment of s 112 (Records—ambulance officers and isolated practice endorsed registered nurses) 23. Section 112(2)(c), ‘dispensed,’— omit. ˙ Amendment of s 121 (Controlled drugs not to be obtained unless information disclosed to dentist or doctor) 24. Section 121(2), ‘before the day’—

s 25 13 s 28 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 omit, insert— ‘before’. ˙ Amendment of s 137 (Restricted drug manufacturer licence) 25.(1) Section 137(b), ‘manufacturer’— omit, insert— ‘wholesaler’. (2) Section 137— insert— ‘(c) is taken to hold a poison manufacturer licence.’. ˙ Amendment of s 139 (Offence to manufacture restricted drug without licence) 26. Section 139— insert— ‘(c) holds an authority under section 182 to manufacture the restricted drug.’. ˙ Amendment of s 155 (Anaesthetic assistants and enrolled nurses) 27. Section 155(1)(b)— omit, insert— ‘(b) an enrolled nurse.’. ˙ Amendment of s 159 (Dentists) 28. Section 159— insert— ‘(e) give someone who may administer a restricted drug an instruction to administer the drug.’.

s 29 14 s 33 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ˙ Amendment of s 164 (Hospitals) 29. Section 164(3)— omit. ˙ Amendment of s 167 (Midwives) 30. Section 167(2)— omit. ˙ Amendment of s 171 (Pharmacists) 31. Section 171(1)— insert— ‘(e) for a pharmacist practising pharmacy at a public sector hospital—supply a restricted drug, on a doctor’s instruction, to a person being discharged from the hospital or an outpatient of the hospital.’. ˙ Amendment of s 174 (Queensland Ambulance Service) 32. Section 174(3)(a)— omit, insert— ‘(a) obtain a restricted drug as stated in appendix 2A, part 2; or’. ˙ Amendment of s 175 (Registered nurses) 33.(1) Section 175(2)— omit, insert— ‘ (2) To the extent necessary to practise nursing in an isolated practice area, a registered nurse is authorised to— (a) obtain a restricted drug; or (b) possess a restricted drug at a place in the isolated practice area where the nurse practises nursing; or

s 34 15 s 34 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 (c) supply a restricted drug, on a doctor’s instruction, to a person being discharged from a hospital, or an outpatient of a hospital, in the isolated practice area.’. (2) Section 175(3), ‘practice’— omit, insert— ‘practise’. (3) Section 175(4), ‘practice’— omit, insert— ‘practise’. (4) Section 175— insert— ‘ (5) Subsection (2) expires on 30 September 1998.’. ˙ Replacement of s 176 (Registered nurses more than 25 km from pharmacy) 34. Section 176— omit, insert— ˙ ‘ Registered nurses at rural hospitals ‘ 176.(1) To the extent necessary to practise nursing at a rural hospital, the following persons are authorised to supply a restricted drug, on a doctor’s instruction, to a person being discharged from the hospital or an outpatient of the hospital— (a) the hospital’s director of nursing; (b) a registered nurse nominated by the hospital’s director of nursing. ‘ (2) However, subsection (1) applies only if— (a) the hospital does not employ a pharmacist; or (b) if the hospital employs a pharmacist—the pharmacist is absent from the hospital at the time the restricted drug is supplied.’.

s 35 16 s 38 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ˙ Amendment of s 182 (Other authorities may be given) 35. Section 182(1), after ‘issue,’— insert— ‘manufacture,’. ˙ Amendment of s 187 (Clomiphene, cyclofenil, luteinising hormone and urofollitrophin) 36. Section 187(1)(a)— omit, insert— ‘(a) dispenses, prescribes, sells or uses the regulated restricted drug under an approval; or’. ˙ Amendment of s 194 (Emergency sale of restricted drugs by pharmacist) 37. Section 194(3)— omit, insert— ‘ (3) The pharmacist in charge of a dispensary at which restricted drugs are sold under this section must keep a record book (the “emergency supply book” ) about the sale of the drugs at the dispensary. Maximum penalty—40 penalty units.’. ˙ Amendment of s 195 (Dispensing generic drugs) 38. Section 195(2)— omit, insert— ‘ (2) A dispenser may dispense the generic drug in place of the specified drug if— (a) the drug is dispensed at a public sector hospital; or (b) for a drug dispensed at a place other than a public sector hospital— (i) the specified drug and the generic drug are both drugs to

s 39 17 s 40 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 which a pharmaceutical benefit applies under the National Health Act; and (ii) the prescriber did not indicate on the prescription that only the specified drug was to be dispensed; and (iii) the schedule of pharmaceutical benefits, issued by the Commonwealth department within which the National Health Act is administered, states the specified drug and the generic drug are equivalent; and (iv) a determination is in force for the generic drug under section 85(6) of the National Health Act; 2 and (v) it is lawful to dispense the generic drug on prescription; and (vi) the person to whom it is dispensed asks for, or agrees to, the dispensing of the generic drug in place of the specified drug.’. ˙ Amendment of s 196 (Interstate prescriptions) 39. Section 196(2)(e)— omit, insert— ‘(e) flunitrazepam;’. ˙ Amendment of s 197 (Dealing with prescriptions) 40.(1) Section 197(4), ‘a restricted drug’— omit, insert— ‘a restricted drug of dependency’. (2) Section 197(4)(b), ‘drug’— omit, insert— ‘restricted drug’. 2 Section 85 (Pharmaceutical benefits) of the National Health Act.

s 41 18 s 44 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ˙ Omission of s 206 (Dentist or doctor may instruct someone to administer or supply a restricted drug) 41. Section 206— omit. ˙ Amendment of s 207 (Records of restricted drugs supplied to be kept) 42. Section 207(1)— omit, insert— ‘ 207.(1) The director of nursing of a hospital, or the registered nurse in charge of a hospital, must keep records, as required by this section, of all restricted drugs supplied by a nurse at the hospital under section 175(2) or 176. Maximum penalty—40 penalty units. ‘ (1A) A registered nurse practising nursing under a sexual health program must keep records, as required by this section, of all restricted drugs supplied by the nurse under section 175(4). Maximum penalty—40 penalty units.’. ˙ Amendment of s 210 (Records not to be changed but may be corrected) 43. Section 210(1), ‘this section’— omit, insert— ‘section 208’. ˙ Amendment of s 217 (Improper use of prescriptions for restricted drugs) 44. Section 217(1)(b), ‘in ink’— omit.

s 45 19 s 48 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ˙ Amendment of s 227 (Offence to manufacture S2, S3 or S7 poisons without licence) 45. Section 227— insert— ‘(c) holds an authority under section 269. 3 ’. ˙ Amendment of s 229 (Poison wholesaler licence) 46. Section 229(1), ‘A’— omit, insert— ‘Subject to section 235, a’. ˙ Amendment of s 235 (Wholesale and retail sales by manufacturers and wholesalers) 47.(1) Section 235(2)(a)(iii) to (v)— omit. (2) Section 235(2)(b)— insert— ‘(iv) a person who uses the poison in a technical process connected with the person’s business, industry or trade.’. ˙ Amendment of s 244 (Aboriginal and Torres Strait Islander health programs) 48. Section 244(a), ‘restricted drug’— omit, insert— ‘poison’. 3 Section 269 (Other authorities for an S2 or S3 poison may be given)

s 49 20 s 50 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ˙ Amendment of s 257 (Pharmacists) 49. Section 257(1), after ‘sell’— insert— ‘(other than by wholesale)’. ˙ Replacement of s 263 (Registered nurses) 50. Section 263— omit, insert— ˙ ‘ Registered nurses ‘ 263.(1) To the extent necessary to practise nursing, a registered nurse is authorised to administer an S2 or S3 poison. ‘ (2) To the extent necessary to practise nursing in an isolated practice area, a registered nurse is authorised to supply an S2 or S3 poison, on a doctor’s instruction, to a person being discharged from a hospital, or an outpatient of a hospital, in the isolated practice area. ‘ (3) Subsection (2) expires on 30 September 1998. ˙ ‘ Registered nurses at rural hospitals ‘ 263A.(1) To the extent necessary to practise nursing at a rural hospital, the following persons are authorised to supply an S2 or S3 poison, on a doctor’s instruction, to a person being discharged from the hospital or an outpatient of the hospital— (a) the hospital’s director of nursing; (b) a registered nurse nominated by the hospital’s director of nursing. ‘ (2) However, subsection (1) applies only if— (a) the hospital does not employ a pharmacist; or (b) if the hospital employs a pharmacist—the pharmacist is absent from the hospital at the time the poison is supplied.’.

s 51 21 s 53 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ˙ Amendment of s 269 (Other authorities for an S2 or S3 poison may be given) 51. Section 269(1), after ‘administer,’— insert— ‘manufacture,’. ˙ Amendment of s 271 (Prohibition on dispensing etc. regulated poisons) 52.(1) Section 271, after ‘dispense,’— insert— ‘manufacture,’. (2) Section 271(1)(a), after ‘dispenses,’— insert— ‘manufactures,’. (3) Section 271— insert— ‘(aa) is a poison manufacturer who manufactures the regulated poison under a poison manufacturer licence; or’. ˙ Amendment of s 275 (Dispensing generic poisons) 53. Section 275(2)— omit, insert— ‘ (2) A dispenser may dispense the generic poison in place of the specified poison if— (a) the poison is dispensed at a public sector hospital; or (b) for a poison dispensed at a place other than a public sector hospital— (i) the specified poison and the generic poison are both poisons to which a pharmaceutical benefit applies under the National Health Act; and

s 54 22 s 54 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 (ii) the prescriber did not indicate on the prescription that only the specified poison was to be dispensed; and (iii) the schedule of pharmaceutical benefits, issued by the Commonwealth department within which the National Health Act is administered, states the specified poison and the generic poison are equivalent; and (iv) a determination is in force for the generic poison under section 85(6) of the National Health Act; 4 and (v) it is lawful to dispense the generic poison on prescription; and (vi) the person to whom it is dispensed asks for, or agrees to, the dispensing of the generic poison in place of the specified poison.’. ˙ Amendment of s 285 (Records of sales of poisons) 54.(1) Section 285(1)(b), ‘the person’— omit, insert— ‘the person buying the poison (the “purchaser” )’. (2) Section 285(2)— omit, insert— ‘ (2) The person selling the S7 poison must— (a) include the following in the poisons sale book or invoice— (i) the date of the sale; (ii) the name and quantity or volume of the poison sold; (iii) the purpose for which the poison is required; (iv) the purchaser’s name and address; (v) the purchaser’s signature; (vi) if the order for the poison was a telephone or written order—a note about the way the order was placed; and 4 Section 85 (Pharmaceutical benefits) of the National Health Act.

s 55 23 s 55 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 (b) for a record of the sale made by giving the purchaser an invoice—keep a copy of the invoice. Maximum penalty—20 penalty units.’. ˙ Insertion of new s 303A 55. After section 303— insert— ˙ ‘ General powers after entering places ‘ 303A.(1) This section applies if an inspector, under section 132(1)(a) of the Act, enters a place on a reasonable ground mentioned in the section in relation to a controlled drug, restricted drug or poison. ‘ (2) The inspector may— (a) inspect, copy or take an extract from a document at the place if the document relates to a controlled drug, restricted drug or poison; or (b) take to the place any persons, equipment or materials the inspector reasonably needs to exercise a power under paragraph (a); or (c) require the occupier of the place, or another person at the place, to give the inspector reasonable help to exercise a power under paragraph (a). ‘ (3) A person required to help an inspector under subsection (2)(c) must comply with the requirement unless the person has a reasonable excuse for not complying with it. Maximum penalty—40 penalty units. ‘ (4) A person does not commit an offence against subsection (2) unless the inspector has first warned the person it is an offence to fail to comply with the requirement without a reasonable excuse. ‘ (5) If the requirement is to be complied with by the person giving information, or producing a document (other than a document required to be kept by the person under this regulation), it is a reasonable excuse for the person to fail to comply with the requirement, if complying with the

s 56 24 s 56 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 requirement might tend to incriminate the person. ‘ (6) This section expires on 30 June 1998.’. ˙ Insertion of new appendix 2A 56. After appendix 2— insert— ‘ APPENDIX 2A ‘ DRUGS AN AMBULANCE OFFICER WHO HAS COMPLETED AN APPROVED COURSE IN ADVANCED CLINICAL TRAINING MAY OBTAIN, POSSESS AND ADMINISTER sections 66 and 174 ‘ PART 1—CONTROLLED DRUGS Morphine Sulfate 10mg/1ml ampoule to a maximum quantity of 50 mg ‘ PART 2—RESTRICTED DRUGS Adrenaline 1mg/1 ml ampoule Atrophine sulfate 600 mcg/1ml ampoule Benztrophine mesylate 2 mg/2 ml ampoule Frusemide 20 mg/2 ml ampoule Lignocaine Hydrochloride 100 mg/5 ml ampoule Metoclopramide hydrochloride 5 mg/1 ml 2ml ampoule

s 57 25 s 59 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 Midazolam hydrochloride 5 mg/1 ml ampoule Naloxone hydrochloride 400 mcg/1 ml ampoule’. ˙ Replacement of appendix 5 (Areas of local governments forming isolated practice areas) 57. Appendix 5— omit, insert— ‘ APPENDIX 5 ‘ AREAS OF LOCAL GOVERNMENTS FORMING ISOLATED PRACTICE AREAS appendix 9, definition “isolated practice area” Aramac, Aurukun, Balonne, Bamaga, Barcaldine, Barcoo, Bauhinia, Belyando, Bendemere, Blackall, Booringa, Boulia, Bulloo, Bungil, Burke, Carpentaria, Cloncurry, Cook, Croydon, Dalrymple, Diamantina, Doomadgee, Duaringa, Eidsvold, Etheridge, Flinders, Herberton, Hopevale, Ilfracombe, Injinoo, Isisford, Jericho, Kowanyama, Lockhart River, Longreach, Mareeba, McKinlay, Mornington Island, Mount Isa, Murweh, Napranum, New Mapoon, Palm Island, Paroo, Peak Downs, Pormpuraaw, Quilpie, Richmond, Seisia, Tambo, Tara, Taroom, Torres, Umagico, Warroo, Winton, Woorabinda, Wujalwujal, Yarrabah.’. ˙ Amendment of appendix 6 (Minimum requirements for controlled drug receptacles) 58. Appendix 6, part 1, section 3(1)(a), ‘key’— omit. ˙ Amendment of appendix 7 (Regulated poisons) 59.(1) Appendix 7, item 1, ‘phospides’—

s 60 26 s 60 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 omit, insert— ‘phosphides’. (2) Appendix 7, item 3, ‘orthe-tolidine’— omit, insert— ‘ortho-tolidine’. (3) Appendix 7, item 4, ‘approved’— omit. ˙ Insertion of new appendix 8A 60. After appendix 8— insert— ‘ APPENDIX 8A ‘ RURAL HOSPITALS appendix 9, definition “rural hospital” Atherton, Ayr, Babinda, Baralaba, Barcaldine, Beaudesert, Biggenden, Biloela, Blackall, Blackwater, Boonah, Bowen, Capella, Charleville, Charters Towers, Cherbourg, Childers, Chinchilla, Clermont, Collinsville, Cooktown, Cracow, Cunnamulla, Dalby, Dingo, Dunwich, Dysart, Eidsvold, Emerald, Emu Park, Esk, Gatton, Gayndah, Gin Gin, Goondiwindi, Gordonvale, Gympie, Home Hill, Hughenden, Ingham, Inglewood, Injune, Innisfail, Jandowae, Kilcoy, Kingaroy, Laidley, Longreach, Magnetic Island, Malanda, Many Peaks, Mareeba, Miles, Millmerran, Mitchell, Monto, Moranbah, Mossman, Mount Perry, Moura, Mt Morgan, Mundubbera, Murgon, Nanango, Oakey, Proserpine, Proston, Quilpie, Ravenshoe, Richmond, Roma, Sapphire, Sarina, Springsure, St George, Stanthorpe, Tara, Taroom, Texas, Theodore, Thursday Island, Tully, Wandoan, Weipa, Winton, Wondai, Yeppoon.’.

s 61 27 s 62 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ˙ Amendment of appendix 9 (Dictionary) 61.(1) Appendix 9, definition “isolated practice endorsed” — omit. (2) Appendix 9, definition “isolated practice area” — insert— ‘(aa)a place that is at Marpuna or Weipa; or’. (3) Appendix 9— insert— ‘ “isolated practice endorsed” , for a registered nurse or midwife, means a nurse or midwife who is authorised under the NursingAct1992 to practise nursing or midwifery in an isolated practice area under a drug therapy protocol. “issue” , a controlled drug, restricted drug or poison, means give the drug or poison to a person who is authorised under this regulation to administer the drug or poison to another person. “public sector hospital” has the meaning given in the Health Services Act1991 . “rural hospital” means— (a) a public sector hospital at a place stated in appendix 8A; or (b) the Capricorn Sector Outpatients’ Clinic.’. PART 3—PROVISIONS COMMENCING ON 1 OCTOBER 1998 ˙ Amendment of s 67 (Registered nurses) 62. Section 67(2) and (3)— omit, insert— ‘ (2) To the extent necessary to practise nursing in an isolated practice

s 63 28 s 64 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 area, an isolated practice endorsed nurse is authorised to— (a) obtain a controlled drug; or (b) possess a controlled drug at a place in the isolated practice area where the person practises nursing; or (c) administer or supply a controlled drug, on a doctor’s instruction or under an approved drug therapy protocol, to a person.’. ˙ Amendment of s 175 (Registered nurses) 63.(1) Section 175(2)— omit, insert— ‘ (2) To the extent necessary to practise nursing in an isolated practice area, an isolated practice endorsed nurse is authorised to— (a) obtain a restricted drug; or (b) possess a restricted drug at a place in the isolated practice area where the person practices nursing; or (c) administer or supply a restricted drug, on a doctor’s instruction or under an approved drug therapy protocol, to a person.’. (2) Section 175(5)— omit. ˙ Amendment of s 263 (Registered nurses) 64. Section 263(2) and (3)— omit, insert— ‘ (2) To the extent necessary to practise nursing in an isolated practice area, an isolated practice endorsed nurse is authorised to supply an S2 or S3 poison to or for a person requiring treatment in the isolated practice area.’.

29 Health (Drugs and Poisons) Amendment (No. 1) No. 64, 1997 ENDNOTES 1. Made by the Governor in Council on 20 March 1997. 2. Notified in the gazette on 21 March 1997. 3. Laid before the Legislative Assembly on . . . 4. The administering agency is the Department of Health. © State of Queensland 1997