Health Legislation Amendment Regulation (No. 2) 2014 (Qld)

Queensland Health Legislation Amendment Regulation (No. 2) 2014 Subordinate Legislation 2014 No. 81 made under the HealthAct1937 RadiationSafetyAct1999 Contents Part 1 1 Part 2 2 3 4 5 6 7 8 9 10 Page Preliminary Short title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Amendment of Health (Drugs and Poisons) Regulation 1996 Regulation amended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Amendment of s 78 (Specified condition drugs—amphetamine, dexamphetamine, methylamphetamine, methylphenidate, phenmetrazine) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Amendment of s 79 (Prescribing controlled drugs) . . . . . . . . . . . 4 Amendment of s 82 (Conditions of dispensing) . . . . . . . . . . . . . . 4 Insertion of new ss 172B and 172C . . . . . . . . . . . . . . . . . . . . . . . 4 172B Endorsed podiatrists. . . . . . . . . . . . . . . . . . . . . . . . . . 4 172C Trainee endorsed podiatrists . . . . . . . . . . . . . . . . . . . 5 Amendment of s 200 (Authorised persons to obtain restricted drugs on purchase order) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Amendment of s 235 (Wholesale and retail sales by manufacturers and wholesalers) . . . . . . . . . . . . . . . . . . . . . . . . . 5 Insertion of new ss 260B and 260C . . . . . . . . . . . . . . . . . . . . . . . 6 260B Endorsed podiatrists. . . . . . . . . . . . . . . . . . . . . . . . . . 6 260C Trainee endorsed podiatrists . . . . . . . . . . . . . . . . . . . 6 Insertion of new appendix 2C. . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Health Legislation Amendment Regulation (No. 2) 2014 Contents 11 12 Part 3 13 14 15 Appendix 2C Restricted drugs and poisons for endorsed podiatrists and trainee endorsed podiatrists Amendment of appendix 8 (Restricted drugs of dependency) . . . Amendment of appendix 9 (Dictionary) . . . . . . . . . . . . . . . . . . . . Amendment of Radiation Safety Regulation 2010 Regulation amended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amendment of sch 6 (Authorised persons) . . . . . . . . . . . . . . . . . Amendment of sch 9 (Dictionary) . . . . . . . . . . . . . . . . . . . . . . . . . 13 13 14 14 14 Page 2 2014 SL No. 81

Part 1 Health Legislation Amendment Regulation (No. 2) 2014 Part 1 Preliminary [s 1] Preliminary 1 Short title This regulation may be cited as the Health Legislation Amendment Regulation (No. 2) 2014 . Part 2 Amendment of Health (Drugs and Poisons) Regulation 1996 2 Regulation amended This part amends the Health(DrugsandPoisons)Regulation 1996. 3 Amendment of s 78 (Specified condition drugs—amphetamine, dexamphetamine, methylamphetamine, methylphenidate, phenmetrazine) (1) Section 78, heading, from ‘methylamphetamine’— omit, insert— lisdexamfetamine, methylamphetamine, methylphenidate (2) Section 78(3), definition specified condition drug , paragraphs (c) to (e)— omit, insert— (c) lisdexamfetamine; (d) methylamphetamine; (e) methylphenidate. 2014 SL No. 81 Page 3

Health Legislation Amendment Regulation (No. 2) 2014 Part 2 Amendment of Health (Drugs and Poisons) Regulation 1996 [s 4] 4 Amendment of s 79 (Prescribing controlled drugs) Section 79(4)(k), from ‘methylamphetamine’ to ‘phenmetrazine’— omit, insert— lisdexamfetamine, methylamphetamine or methylphenidate 5 Amendment of s 82 (Conditions of dispensing) Section 82(2)(h), from ‘methylamphetamine’ to ‘phenmetrazine’— omit, insert— lisdexamfetamine, methylamphetamine or methylphenidate 6 Insertion of new ss 172B and 172C After section 172A— insert— 172B Endorsed podiatrists To the extent necessary to practise podiatry, an endorsed podiatrist is authorised to— (a) obtain a restricted drug mentioned in appendix 2C, part 1, column 1, on a condition mentioned opposite the drug in column 2; or (b) administer, at the place where the endorsed podiatrist practises podiatry, a restricted drug mentioned in appendix 2C, part 1, column 1 on the conditions mentioned opposite the drug in columns 2 and 3; or (c) prescribe a restricted drug mentioned in appendix 2C, part 1, column 1 on the conditions mentioned opposite the drug in columns 2 and 4; or Page 4 2014 SL No. 81

Health Legislation Amendment Regulation (No. 2) 2014 Part 2 Amendment of Health (Drugs and Poisons) Regulation 1996 [s 7] (d) possess a restricted drug mentioned in paragraph (a) at the place where the endorsed podiatrist practises podiatry. 172C Trainee endorsed podiatrists (1) To the extent necessary for a trainee endorsed podiatrist to complete an approved program of study, the trainee endorsed podiatrist is authorised to administer a restricted drug mentioned in appendix 2C, part 1, column 1 under the personal supervision of a doctor or endorsed podiatrist. (2) However, the trainee endorsed podiatrist is only authorised to administer the restricted drug on the conditions mentioned opposite the drug in columns 2 and 3. 7 Amendment of s 200 (Authorised persons to obtain restricted drugs on purchase order) (1) Section 200(3), ‘doctor, optometrist’— omit, insert— doctor, endorsed podiatrist, optometrist (2) Section 200(3)(b)— insert — (ia) by an endorsed podiatrist—must have ‘Section 172B’ written on it; or (3) Section 200(3)(b)(ia) to (iii)— renumber as section 200(3)(b)(ii) to (iv). 8 Amendment of s 235 (Wholesale and retail sales by manufacturers and wholesalers) Section 235(2)(b)(i), ‘pharmacist’— 2014 SL No. 81 Page 5

Health Legislation Amendment Regulation (No. 2) 2014 Part 2 Amendment of Health (Drugs and Poisons) Regulation 1996 [s 9] omit, insert— endorsed podiatrist, pharmacist 9 Insertion of new ss 260B and 260C After section 260A— insert— 260B Endorsed podiatrists To the extent necessary to practise podiatry, an endorsed podiatrist is authorised to— (a) obtain a poison mentioned in appendix 2C, part 2, column 1, on a condition mentioned opposite the poison in column 2; or (b) administer a poison mentioned in appendix 2C, part 2, column 1 on the conditions mentioned opposite the poison in columns 2 and 3; or (c) prescribe or supply a poison mentioned in appendix 2C, part 2, column 1 on the conditions mentioned opposite the poison in columns 2 and 4. 260C Trainee endorsed podiatrists (1) To the extent necessary for a trainee endorsed podiatrist to complete an approved program of study, the trainee endorsed podiatrist is authorised to administer a poison mentioned in appendix 2C, part 2, column 1 under the personal supervision of a doctor or endorsed podiatrist. (2) However, the trainee endorsed podiatrist is only authorised to administer the poison on the conditions mentioned opposite the poison in columns 2 and 3. Page 6 2014 SL No. 81

Health Legislation Amendment Regulation (No. 2) 2014 Part 2 Amendment of Health (Drugs and Poisons) Regulation 1996 [s 10] 10 Insertion of new appendix 2C After appendix 2B— insert— Appendix 2C Restricted drugs and poisons for endorsed podiatrists and trainee endorsed podiatrists sections 172B, 172C, 260B and 260C Part 1 Restricted drugs Column 1 Restricted drug adrenaline amethocaine amoxycillin or amoxycillin with clavulanic acid aspirin betamethasone bupivacaine or bupivacaine with adrenaline celecoxib cephalexin Column 2 Column 3 Column 4 Preparation Condition for type administering Condition for prescribing intramuscular — injection — topical for dermal use as for dermal use as a local a local anaesthetic only anaesthetic only oral — — oral injection or topical injection — — — — for use as a local for use as a local anaesthetic only anaesthetic only oral — oral — — — 2014 SL No. 81 Page 7

Health Legislation Amendment Regulation (No. 2) 2014 Part 2 Amendment of Health (Drugs and Poisons) Regulation 1996 [s 10] Column 1 Column 2 Column 3 Column 4 Restricted drug clindamycin codeine colchicine desloratidine desonide dexamethasone diclofenac dicloxacillin felypressin flucloxacillin griseofulvin hydrocortisone ibuprofen indomethacin levobupivacaine or levobupivacaine with adrenaline Preparation type oral oral oral oral topical injection or topical oral or topical oral injection oral oral topical oral or topical oral injection Condition for administering — — — for use in the treatment of urticaria only — — Condition for prescribing — — total dosage must not exceed the dosage usually required for a 24-hour course of treatment of a person’s condition for use in the treatment of urticaria only — — — — — — for use in for use in combination with combination with a local a local anaesthetic agent anaesthetic agent only only — — — — — — — — — — for use as a local for use as a local anaesthetic only anaesthetic only Page 8 2014 SL No. 81

Health Legislation Amendment Regulation (No. 2) 2014 Part 2 Amendment of Health (Drugs and Poisons) Regulation 1996 [s 10] Column 1 Column 2 Column 3 Column 4 Restricted drug lignocaine or lignocaine with adrenaline lorazepam Preparation type injection or topical oral meloxicam oral mepivacaine or mepivacaine with adrenaline injection or topical methoxyflurane inhalation methylprednisolone injection or topical metronidazole oral or topical mometasone furoate topical mupirocin topical naproxen oral prilocaine or prilocaine with felypressin injection or topical procaine injection Condition for administering for use as a local anaesthetic only Condition for prescribing for use as a local anaesthetic only for use in the sedation of a person before a podiatric procedure is carried out only — for use as a local anaesthetic only (a) 1 dose only; (b) for use in the sedation of a person before a podiatric procedure is carried out only — for use as a local anaesthetic only — 1 dose only — — — — — — — for use as a local anaesthetic only — — — for use as a local anaesthetic only for use as a local for use as a local anaesthetic only anaesthetic only 2014 SL No. 81 Page 9

Health Legislation Amendment Regulation (No. 2) 2014 Part 2 Amendment of Health (Drugs and Poisons) Regulation 1996 [s 10] Column 1 Column 2 Column 3 Column 4 Restricted drug promethazine ropivacaine roxithromycin silver sulfadiazine sulindac temazapam terbinafine triamcinolone Preparation type oral injection oral topical oral oral oral injection or topical Condition for administering for use in the treatment of urticaria or the sedation of a person before a podiatric procedure is carried out only for use as a local anaesthetic only — — — for use in the sedation of a person before a podiatric procedure is carried out only — — Condition for prescribing for use in the treatment of urticaria or the sedation of a person before a podiatric procedure is carried out only for use as a local anaesthetic only — — — (a) 1 dose only; (b) for use in the sedation of a person before a podiatric procedure is carried out only — — Page 10 2014 SL No. 81

Health Legislation Amendment Regulation (No. 2) 2014 Part 2 Amendment of Health (Drugs and Poisons) Regulation 1996 [s 10] Part 2 Poisons Column 1 Poison amorolfine aspirin bifonazole clotrimazole codeine desloratadine diclofenac econazole fexofenadine Column 2 Column 3 Preparation Condition for type administering topical — oral — topical cream — containing 1% or less of bifonazole topical cream — or lotion containing 1% or less of clotrimazole oral — oral — oral or topical — topical cream — containing 1% or less of econazole oral — hydrocortisone, or topical hydrocortisone with acetate ibuprofen oral or topical 2014 SL No. 81 for dermal use only — Column 4 Condition for prescribing or supplying — — — — — — — — total dosage must not exceed the dosage usually required for a 10-day course of treatment of a person’s condition for dermal use only — Page 11

Health Legislation Amendment Regulation (No. 2) 2014 Part 2 Amendment of Health (Drugs and Poisons) Regulation 1996 [s 10] Column 1 Poison ketoconazole lignocaine loratidine miconazole nystatin paracetamol prilocaine promethazine terbinafine Column 2 Column 3 Column 4 Preparation Condition for type administering Condition for prescribing or supplying topical cream — containing 1% or less of ketoconazole — topical for use as a local for use as a local anaesthetic only anaesthetic only oral — total dosage must not exceed the dosage usually required for a 10-day course of treatment of a person’s condition topical — preparation containing 2% or less of miconazole — topical — — oral — — topical preparation containing 10% or less of local anaesthetic substances for dermal use as a for dermal use as a local anaesthetic local anaesthetic only only oral — — topical — — Page 12 2014 SL No. 81

Health Legislation Amendment Regulation (No. 2) 2014 Part 2 Amendment of Health (Drugs and Poisons) Regulation 1996 [s 11] 11 Amendment of appendix 8 (Restricted drugs of dependency) Appendix 8, entry for alprazolam— omit . 12 Amendment of appendix 9 (Dictionary) Appendix 9— insert — approved program of study , for a trainee endorsed podiatrist, means an approved program of study for endorsement of registration in podiatry under the Health Practitioner RegulationNational Law. endorsed podiatrist means a podiatrist whose registration is endorsed under the HealthPractitioner Regulation National Law, section 94 as being qualified to administer, obtain, possess, prescribe, sell, supply or use a restricted drug or poison stated in Appendix B of the podiatry guideline. podiatric procedure means a diagnostic or therapeutic procedure relating to the foot, ankle or lower leg. podiatry guideline means the document called ‘Guidelines for endorsement for scheduled medicines’, dated 15 March 2011 and published by the Podiatry Board of Australia. Note — A copy of the document is available on the Podiatry Board of Australia’s website at < trainee endorsed podiatrist means a podiatrist undergoing an approved program of study. 2014 SL No. 81 Page 13

Health Legislation Amendment Regulation (No. 2) 2014 Part 3 Amendment of Radiation Safety Regulation 2010 [s 13] Part 3 Amendment of Radiation Safety Regulation 2010 13 Regulation amended This part amends the Radiation Safety Regulation 2010. 14 Amendment of sch 6 (Authorised persons) (1) Schedule 6, part 1, item 3, column 2— insert— (d) a physiotherapist (2) Schedule 6, part 1, item 5, column 1, ‘foot and ankle’— omit, insert — foot, ankle, lower leg, knee, thigh and hip 15 Amendment of sch 9 (Dictionary) Schedule 9— insert — physiotherapist means a person registered under the Health Practitioner Regulation National Law to practise in the physiotherapy profession, other than as a student. ENDNOTES 1 Made by the Governor in Council on 5 June 2014. 2 Notified on the Queensland legislation website on 6 June 2014. 3 The administering agency is Queensland Health. © State of Queensland 2014 Authorised by the Parliamentary Counsel Page 14 2014 SL No. 81