Health Legislation Amendment Regulation (No. 7) 2006 (Qld)

Queensland Health Legislation Amendment Regulation (No. 7) 2006 Subordinate Legislation 2006 No. 308 made under the Health Act 1937 Health Services Act 1991 Pest Management Act 2001 Pharmacists Registration Act 2001 Public Health Act 2005 Contents Part 1 1 Part 2 2 3 4 5 6 7 8 9 10 11 Page Preliminary Short title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Amendment of Health (Drugs and Poisons) Regulation 1996 Regulation amended in pt 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Amendment of s 58A (Enrolled nurses) . . . . . . . . . . . . . . . . . . . . 4 Insertion of new s 64A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 64A Surgical Podiatrists. . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Amendment of s 67 (Registered nurses) . . . . . . . . . . . . . . . . . . . 5 Amendment of s 79 (Prescribing controlled drugs) . . . . . . . . . . . 5 Amendment of s 120 (Notice required if lengthy treatment with controlled drug) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Amendment of s 121 (Controlled drugs not to be obtained unless information disclosed to dentist or doctor) . . . . . . . . . . . . 5 Amendment of s 122 (Approval needed for treating drug dependent person with controlled drugs) . . . . . . . . . . . . . . . . . . . 6 Amendment of s 162 (Enrolled nurses) . . . . . . . . . . . . . . . . . . . . 6 Amendment of s 172 (Podiatrists) . . . . . . . . . . . . . . . . . . . . . . . . 6

12 13 14 15 16 17 18 19 20 21 22 Part 3 23 24 Part 4 25 26 27 Part 5 28 29 Part 6 30 31 32 2 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 Insertion of new s 172A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172A Surgical podiatrists . . . . . . . . . . . . . . . . . . . . . . . . . . . Amendment of s 175 (Registered nurses) . . . . . . . . . . . . . . . . . . Amendment of s 190 (Prescribing restricted drugs) . . . . . . . . . . . Amendment of s 200 (Authorised persons to obtain restricted drugs on purchase order) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amendment of s 212 (Restricted drugs of dependency not to be obtained unless information disclosed to dentist or doctor) . . . . . Amendment of s 213 (Approval needed for treatment by doctor of drug dependent person with restricted drugs of dependency) . Amendment of s 260 (Podiatrists) . . . . . . . . . . . . . . . . . . . . . . . . Insertion of new s 260A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260A Surgical podiatrists . . . . . . . . . . . . . . . . . . . . . . . . . . . Amendment of s 290 (Unsafe disposal of poisons) . . . . . . . . . . . Insertion of new appendix 2B . . . . . . . . . . . . . . . . . . . . . . . . . . . . Appendix 2B Restricted drugs and poisons for surgical podiatrists Amendment of appendix 9 (Dictionary) . . . . . . . . . . . . . . . . . . . . Amendment of Health Regulation 1996 Regulation amended in pt 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Omission of pt 15 (Skin penetration) . . . . . . . . . . . . . . . . . . . . . . Amendment of Health Services Regulation 2002 Regulation amended in pt 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Insertion of new ss 34A, 34B and 34C . . . . . . . . . . . . . . . . . . . . . 34A Administrative units—Act, s 24(1) . . . . . . . . . . . . . . . 34B Criteria for prescribed public hospitals—Act, s 38A . . 34C Disclosure for purposes relating to health services— Act, s 62H(b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amendment of sch 2 (Agreements) . . . . . . . . . . . . . . . . . . . . . . . Amendment of Public Health Regulation 2005 Regulation amended in pt 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Insertion of new pt 2A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12A Prescribed facilities—Act, s 149(3)(b) . . . . . . . . . . . . Amendment of Pest Management Regulation 2003 Regulation amended in pt 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Omission of pt 1A, div 2, hdg (Dengue mosquito prevention, control or eradication). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Insertion of new s 3A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 7 7 7 8 8 8 9 9 9 10 10 12 13 13 13 13 13 14 14 15 15 15 15 16 16 16

33 Part 7 34 35 3 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 3A Exemption for electric or fire ant prevention, control or eradication—Act, s 10 . . . . . . . . . . . . . . . . . . . . . . Omission of pt 6 (Transitional provisions). . . . . . . . . . . . . . . . . . . Amendment of Pharmacists Registration Regulation 2001 Regulation amended in pt 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amendment of sch 1 (Qualifications for general registration). . . . 16 17 17 17

s1 4 s4 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 Part 1 Preliminary 1 Short title This regulation may be cited as the Health Legislation Amendment Regulation (No. 7) 2006 . Part 2 Amendment of Health (Drugs and Poisons) Regulation 1996 2 Regulation amended in pt 2 This part amends the Health (Drugs and Poisons) Regulation1996. 3 Amendment of s 58A (Enrolled nurses) Section 58A(1)(b)(i), ‘doctor or nurse practitioner’— omit, insert— ‘doctor, nurse practitioner or surgical podiatrist’. 4 Insertion of new s 64A After section 64— insert— ‘64A Surgical Podiatrists ‘(1) To the extent necessary to practise podiatry, a surgical podiatrist is authorised to— (a) prescribe oxycodone (in short-acting form) as an oral preparation; or (b) give someone, who may administer oxycodone (in short-acting form), a written instruction to administer the drug as an oral preparation.

s5 5 s8 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 ‘(2) A surgical podiatrist must not prescribe or give a written instruction to administer more than 10 doses of 5mg each to a person for a relevant condition.’. 5 Amendment of s 67 (Registered nurses) Section 67(1)(b)(ii)— omit, insert— ‘(ii) on the written instruction of a surgical podiatrist; or (iii) to the person for whom it has been dispensed under the instructions stated by the dispenser.’. 6 Amendment of s 79 (Prescribing controlled drugs) Section 79(4)— insert— ‘(n) if the prescriber is a surgical podiatrist—‘For treatment of foot conditions only’.’. 7 Amendment of s 120 (Notice required if lengthy treatment with controlled drug) Section 120, ‘doctor’— omit, insert— ‘doctor or nurse practitioner’. 8 Amendment of s 121 (Controlled drugs not to be obtained unless information disclosed to dentist or doctor) Section 121, ‘dentist or doctor’— omit, insert— ‘dentist, doctor, nurse practitioner or surgical podiatrist’.

s 9 6 s 11 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 9 Amendment of s 122 (Approval needed for treating drug dependent person with controlled drugs) (1) Section 122, ‘doctor’— omit, insert— ‘relevant practitioner’. (2) Section 122— insert— ‘(10) In this section— relevant practitioner means a doctor, nurse practitioner or surgical podiatrist.’. 10 Amendment of s 162 (Enrolled nurses) Section 162(1)— insert— ‘(d) administer a restricted drug on the written instruction of a surgical podiatrist.’. 11 Amendment of s 172 (Podiatrists) Section 172(a) and (b)— omit, insert— ‘(a) obtain the following restricted drugs, other than when combined with adrenalin or another vasoconstrictor drug— (i) bupivacaine of a strength of 0.5% or less; (ii) levobupivacaine of a strength of 0.5% or less; (iii) lignocaine of a strength of 2% or less; (iv) prilocaine of a strength of 2% or less; or (b) administer a restricted drug mentioned in paragraph (a), other than when used together with adrenalin or another vasoconstrictor drug; or’.

s 12 7 s 14 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 12 Insertion of new s 172A After section 172— insert— ‘172A Surgical podiatrists ‘To the extent necessary to practise podiatry, a surgical podiatrist is authorised to— (a) obtain— (i) dexamethasone, for local injection only; or (ii) ropivacaine of a strength of 1% or less; or (b) administer a restricted drug mentioned in paragraph (a); or (c) possess a restricted drug mentioned in paragraph (a) at the place where the podiatrist practises podiatry; or (d) prescribe a restricted drug mentioned in appendix 2B, part 1, column 1, on the conditions mentioned opposite the drug in columns 2 and 3; or (e) give someone who may administer a restricted drug mentioned in appendix 2B, part 1, column 1, a written instruction to administer the drug on the conditions mentioned opposite the drug in columns 2 and 3.’. 13 Amendment of s 175 (Registered nurses) Section 175(1)(b)(ii)— omit, insert— ‘(ii) on the written instruction of a surgical podiatrist; or (iii) to the person for whom it has been dispensed under the instructions stated by the dispenser.’. 14 Amendment of s 190 (Prescribing restricted drugs) Section 190(2)— insert—

s 15 8 s 17 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 ‘(n) if the prescriber is a surgical podiatrist—‘For treatment of foot conditions only’.’. 15 Amendment of s 200 (Authorised persons to obtain restricted drugs on purchase order) Section 200(3)(b)— insert— ‘(iii) by a surgical podiatrist—have ‘section 172A’ written on it.’. 16 Amendment of s 212 (Restricted drugs of dependency not to be obtained unless information disclosed to dentist or doctor) Section 212, ‘dentist or doctor’— omit, insert— ‘dentist, doctor, nurse practitioner or surgical podiatrist’. 17 Amendment of s 213 (Approval needed for treatment by doctor of drug dependent person with restricted drugs of dependency) (1) Section 213, heading ‘treatment by doctor of’— omit, insert— ‘ treating ’. (2) Section 213, ‘doctor’— omit, insert— ‘relevant practitioner’. (3) Section 213— insert— ‘(9) In this section— relevant practitioner means a doctor, nurse practitioner or surgical podiatrist.’.

s 18 9 s 19 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 18 Amendment of s 260 (Podiatrists) (1) Section 260(1), ‘administer an S2 poison’— omit, insert— ‘administer— (a) an S2 poison; or (b) adrenalin of a strength of 0.1% or less, if administered by a pre-loaded device for the management of anaphylaxis. Example for paragraph (b) — an EpiPen’. (2) Section 260(3), from ‘administer’— omit, insert — ‘administer the following under the personal supervision of a podiatrist— (a) an S2 poison; (b) adrenalin of a strength of 0.1% or less, if administered by a pre-loaded device for the management of anaphylaxis.’. 19 Insertion of new s 260A After section 260— insert— ‘260A Surgical podiatrists ‘To the extent necessary to practise podiatry, a surgical podiatrist is authorised to— (a) administer— (i) adrenalin when combined with lignocaine, bupivacaine or prilocaine; or (ii) felypressin when combined with prilocaine; or (b) prescribe a poison mentioned in appendix 2B, part 2, column 1, on the conditions mentioned opposite the poison in columns 2 and 3; or

s 20 10 s 21 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 (c) give someone who may administer a poison mentioned in appendix 2B, part 2, column 1, a written instruction to administer the poison on the conditions mentioned opposite the poison in columns 2 and 3.’. 20 Amendment of s 290 (Unsafe disposal of poisons) Section 290(3)(c)— omit. 21 Insertion of new appendix 2B After appendix 2A— insert— ‘Appendix 2B Restricted drugs and poisons for surgical podiatrists sections 172A and 260A ‘Part 1 Restricted drugs Column 1 Column 2 Column 3 Restricted Drugs Preparation type Total dosage for a person’s condition amoxycillin or amoxycillin with clavulanic acid cephalexin oral oral codeine oral not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding 20 doses for the relevant condition with each dose being not more than 30mg in combination with each 500mg of paracetamol

s 21 11 s 21 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 Column 1 Column 2 Column 3 Restricted Drugs Preparation type Total dosage for a person’s condition diazepam diclofenac oral oral dicloxacillin oral doxycycline oral erythromycin oral ibuprofen oral metronidazole oral mupirocin topical naproxen oral roxithromycin oral temazepam oral not exceeding 10 doses of 5mg each for the relevant condition not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding 2 doses of 10mg each for the relevant condition

s 22 12 s 22 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 ‘Part 2 Poisons Column 1 Poisons fexofenadine hydrocortisone loratadine promethazine Column 2 Column 3 Preparation type Total dosage for a person’s condition oral topical oral oral not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding that usually required for a 10 day course of treatment for the relevant condition with each dose being of a strength of 1% or less not exceeding that usually required for a 10 day course of treatment for the relevant condition not exceeding that usually required for a 10 day course of treatment for the relevant condition’. 22 Amendment of appendix 9 (Dictionary) (1) Appendix 9— insert— ‘ relevant condition , for giving a prescription or written instruction, means the condition for which the prescription or instruction is given. surgical podiatrist means a podiatrist who is shown on the register kept under the PodiatristsRegistrationAct2001 , section 193, as holding a qualification in podiatric surgery.’. (2) Appendix 9, definition written instruction, paragraph (a), ‘doctor or nurse practitioner’— omit, insert— ‘doctor, nurse practitioner or surgical podiatrist’.

s 23 13 s 26 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 Part 3 Amendment of Health Regulation 1996 23 Regulation amended in pt 3 This part amends the Health Regulation 1996. 24 Omission of pt 15 (Skin penetration) Part 15— omit. Part 4 Amendment of Health Services Regulation 2002 25 Regulation amended in pt 4 This part amends the Health Services Regulation 2002. 26 ‘34A Insertion of new ss 34A, 34B and 34C After section 34— insert— Administrative units—Act, s 24(1) ‘Each of the following is an administrative unit of the department prescribed for section 24(1) of the Act— • central, southern and northern area health services; • clinical and statewide services division; • information division; • Queensland health shared service provider; • reform and development division; • corporate services division;

s 26 14 s 26 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 • office of the chief health officer; • office of the director-general; • policy, planning and resourcing division. ‘34B Criteria for prescribed public hospitals—Act, s 38A ‘(1) For section 38A, definition prescribed public hospital , of the Act, the criterion is having provided acute care to relevant patients on more than 2000 occasions during the previous financial year. ‘(2) In this section— acute care means care of which the principal clinical intent or treatment goal is one or more of the following— (a) curing illness or providing definitive treatment of an injury; (b) managing labour or perinatal care; (c) protecting against exacerbation or complication of an illness or injury that could threaten life or normal function; (d) performing diagnostic or therapeutic procedures. relevant patient means a patient who has been admitted to a public sector hospital. ‘34C Disclosure for purposes relating to health services—Act, s 62H(b) ‘(1) For section 62H(b) of the Act, the University of Queensland is a prescribed entity for evaluating, managing, monitoring or planning health services by collecting data about a relevant trauma patient for use in the Queensland Trauma Registry. ‘(2) In this section— relevant trauma patient means a person who attends a public sector hospital for treatment of a physical injury and— (a) is admitted for 24 hours or more; or

s 27 15 s 29 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 (b) dies within 24 hours of receiving treatment in the hospital’s emergency department; or (c) dies within 24 hours of being admitted.’. 27 Amendment of sch 2 (Agreements) Schedule 2, item 5— omit, insert— ‘5 Hospital Services Arrangement between the Commonwealth of Australia and the Repatriation Commission and the Military Rehabilitation and Compensation Commission and the State of Queensland for the treatment and care in Queensland Public Hospitals of persons eligible for treatment under the Veterans’ Entitlements Act 1986 (Cwlth) and the Military Rehabilitation and Compensation Act 2004 (Cwlth), made on 28 February 2006.’. Part 5 Amendment of Public Health Regulation 2005 28 Regulation amended in pt 5 This part amends the Public Health Regulation 2005. 29 Insertion of new pt 2A After section 12— insert— ‘Part 2A Infection control ‘12A Prescribed facilities—Act, s 149(3)(b) ‘For section 149(3)(b) of the Act, a facility where a declared health service is provided by the Brisbane City Council immunisation service is a prescribed facility.’.

s 30 16 s 32 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 Part 6 Amendment of Pest Management Regulation 2003 30 Regulation amended in pt 6 This part amends the Pest Management Regulation 2003. 31 Omission of pt 1A, div 2, hdg (Dengue mosquito prevention, control or eradication) Part 1A, division 2, heading— omit. 32 Insertion of new s 3A Part 1A— insert— ‘3A Exemption for electric or fire ant prevention, control or eradication—Act, s 10 ‘(1) This section applies if an inspector or other person is authorised under the PlantProtectionAct1989 to treat electric or fire ants, or land or another thing infested with electric or fire ants. ‘(2) The use by the inspector or other person of an exempted pesticide for the treatment of electric or fire ants, or land or another thing infested with electric or fire ants, is a pest management activity exempted from section 11 and part 2, division 12 1 , of the Act. ‘(3) In this section— electric ant means Wasmannia auropunctata . exempted pesticide means either of the following— (a) ground corn baits containing either 0.5% of methoprene or 0.5% of pyriproxyfen as the only active ingredient, 1 Section 11 (Licence is required to carry out pest management activity) and part 2 (Licences), division 12 (Offences) of the Act

s 33 17 s 35 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 applied at a rate of not less than 1.6kg, and not more than 2.0kg, of baits a hectare; (b) ground corn baits containing 0.73% of hydramethylnon as the only active ingredient, applied at a rate of not more than 2.5kg of baits a hectare. fire ant means the tropical fire ant ( Solenopsis geminata ) or red imported fire ant ( Solenopsis invicta ). inspector means a person appointed under the PlantProtection Act 1989 as an inspector.’. 33 Omission of pt 6 (Transitional provisions) Part 6 — omit. Part 7 Amendment of Pharmacists Registration Regulation 2001 34 Regulation amended in pt 7 This part amends the PharmacistsRegistrationRegulation2001. 35 Amendment of sch 1 (Qualifications for general registration) Schedule 1, after second entry for Bachelor of Pharmacy— insert— ‘Master of Pharmacy University of Sydney’.

18 Health Legislation Amendment Regulation (No. 7) No. 308, 2006 2006 ENDNOTES 1 Made by the Governor in Council on 14 December 2006. 2 Notified in the gazette on 15 December 2006. 3 Laid before the Legislative Assembly on . . . 4 The administering agency is the Department of Health. © State of Queensland 2006