| I I Deeembcr 2012 | CTOVERNITENT CTAZETTE. W '1 | fi 1 99 |
4. Clause 4A amended
| (1) | Before clause 4A(1) insert: |
(IA) A person is exempt from the Electricity Industry
Act 2004 section 7(1) i F the eneratin works concerned
| (a) | are located or to be located on commercial premises; and |
| (h) are used or to he used solely for the generation | of electi ,icity for consumption by another |
| person on those pi,emises. |
| (2) | Delete clause 41(2)(b). |
By Command of the Governor.
(1. MOORE. Clerk of the Executive Council.
HEALTH
HH301'^
Health Act 1911
Health (Notifications by Midwives) Amendment
Regulations 2012
Made by the Governoi , in Executive Council.
1. Citation
These regulations ai ,e the Health {Nalificatians by Midwives)
4rnen linen! Regulations 2012. |
2. Commencement
These regulations come into operation as follows
| (a) | regulations 1 and 2 | on the day on which these |
regulations are published in the Gazette;
| (b) | the rest of the regulations — on I January 2013. |
| 6200 | GOVERNMENT GAZETTE. WA | 14 Dcc:Ermbc'r 2012 |
3. Regulations amended
These regulations amend the Health (Notifications by Mi(hrives)
Regultuion.s 1994.
4. Regulation 4 amended
In regulation 4(a) delete "full-time Birth. or still birth."" and insert:
full term birth, or stillbirth,
5. Schedule amended
(1) In the Schedule delete Fowl I and insert:
FORM 1
[r.3]
HEALTHACT 1911
HEALTH (NOTIFICATIONS BY MID WIVES) REGULATIONS 1994
NOTIFICATION OF INTENTION TO ENTER INTO PRIVATE
PRACTICE AS A MIDWIFE
EXECUTIVE DIRECTOR
PUBLIC HEALTH
| I intend to enter into private practice as a midwife on | / _1• |
PERSONAL PARTICULARS
Full Name:
| Date of Birth: | _/_______ |
| Telephone Numbers (*Business or *Private): |
| (Tel) | ( Mob) |
Address (*Business or *Private):
Australian health Practitioner Regulation Agency Midwifcry
Registration Number: NMW
| Professional Indcmnit y | Insurance Provider: |
Signature:
Delete if not applicable
| I I Dec:emb 'r 2012 | CTOVERNITENT CTAZETTE. W '1 | 0201 |
(2) In the Schedule delete Form 2 and insert:
FORM 2
[r. 4]
| Booth (Nrnricabons by Midwvesl Regulations 1994 Fan 2 NOTIFICATION OF CASE ATTENDED | MR15 |
| Last name | Ifni[ | I | I | I | I | I | I | I | I | I | I | Establishment |
| Firer name |
| Record No " | Want |
| 1=ne'oer | nrridorred | 3d | edivorced |
wd G
| Address of usual residence | _________ |
d=seceratd Sananied {.iirl. dfacYOJ
| Numher and ctrcet | Sate | Plod, | oc c | 6-uranam |
weigh ® 1 Caucasian 1of Ab idrer l
| Town or su Wi6 | .eght | 1Mde Sl"a'am' | rct | TS! | m |
| 11-TSI n.? | ,,in s -?-A borgiratl and TSI |
| Maiden name | Toleptronel | I | I | I | I | I | I | I | I | O |
| PREGNANCY DETAILS | LABOU RDETAILS | BABY DETAILS |
q f"usea seFaae ^xm rx eacn,^enyl
| PREVIOUS PREGNANCIES | nncet of lahnur |
| Tom I nunher;axcwsrg!S.a regreo:y:: | m 1=spm[anecus 2=irducad 3=nolahcur | Adoption: | lges 2=no |
| Pr5we . pregwnc7 outcwnea: | ri Au O dean [.: o.tO0 eog:: | Horn befo re armal: | 1=yes | 2=no |
| - frvehom. rww INing | 2 q | r'ontein | Hirth date: |
| - frvehore . ton dead | 3 | q | osfagla | nture |
| _ q amfil no[uie d 0 en0 ar05, | &rtn nee .300005595: |
| - Bulbs., | oer dDa0lea uas 000 |
| Num6er | a caesareans | I t d l | Plur | ality | envn |
| I1 | ucti | e 'e.9on'roeranl: | a | _ |
| Caesarean Iasi deli e1, | 1^es | 2=no | lore | =¢^v tt•n. r-rnari |
| Fbevious mulmk births | 1 ^es | 2=no | 2 0 ^.y | n | welly n.. box i | q |
| 3 q orostegland,s | 0o | -e0J: |
THIS PREGNANCY:
| ln4[uw ofinenhra nes | p | rc | q |
| ESama[ed gest 1 | wk m s[ amenalal v | I m | m | 4 0 a | = |
| : | M d d | 2b irth- h Yface d | hrow 8=dhe• |
| T oral nurreerof an[enalalrae+nsb | m Anal | 9esia -'^5 | Netllod of 6kth: |
55=0050=000
| Dane of LMP: | I | I | I | I | 121C1 | = | I | I L | q | nmais cuorp | 2 q | ful |
| This data ceBe in | 1 yes | 2 | no q 4 q esidooBradal | 3 | q y |
spinl
| Expected duedate: | 2 a | s Q | d q fomaps sur^.^oessfu |
| e000d | 5 q rorcaps rnsetal |
| bot d on 1d0 | =al signs | 7 | El mbined spinalwpi oeol | 7 | q | brr^ech lvagmarJ |
| 2 | owcnd t27 wks | u | 8 | q otr | he |
| 3 | rasound 027 wks | Duration of Whorr. | be | ton | B | q ei—r | ncy caesarean |
| ^ | 1` saga f'.— a waif: | m m Axw I ur(Ey |
NumhereF 1=6.00. cigarettes usually
| 2^ st.3e ;.'ear 3 rrx;: | m m 1 q chs[emnan |
| — led | h day drirg 5rs177 weeks | 2 q other medical oFGcer |
| |
| Nunhr d toheocaogamtps usualy ® | DELIVERY DETAILS | d | q | snderrt |
| ode | each day after 2[} weeks cl pregnancy. | s q serino attendant |
| role. use 000-55080arse cr -n | 5f. 050 090. | Anaesthesia ;m=ap rw _.ii: |
| Oerd550r,5000. 0,055901 | |
| Cotnple000tw of pregnancy: | | 2 q Iscai anaenthes;a te peetesrt | Gender: | |
| 1 | u.ea0wd anrrtion le20. of | 3 | pudendal | 1=male r-kmala 3=indj. rinap |
| 2 q womnon emn„ lm.. [t3T,.lfa | A | o opid. | VLQ |
| 3 q | 'nary | tract desbon | Y | S q spira | al | sran^c a baby | . | 2=sullham ^unspec . dl | q |
| - |
| 1=1. |
| 4 q Ano prelu | rnpsia | 6 El s.neral | 3=er2Fartum sdten | d=itrapartumslillbon- |
| c q Ar par m haemmhege (APH1- | 7 El | mbined spirakepidural |
| ^lat^r.a praerie | s El aner | Nrarxwei rt rare part): |
| Cornpecati | or labor. and deli wy |
| 7 q APN-dh- | Length .M-ve.--r | m |
| 2 q m bb- r rupture of -Mrar>es | f | ns<me nasm r7 cQ<r w osPVS1!: |
| 1 | |
| 5 q gassaoonaI diabetes | 2 q aald5 | Head cirwmferencer. lav eml: | m |
| TO q 59009 l50 | , e5;n: | q xaapned a | Tone to swish unassisted regular |
| ® | I I I I I | - q - rd ngi-raround neck | rnin, | 1.a | boo-, |
| Medical cwl^anis, | ] q cephabpeMcd6p1040500 n | PPFI( | Real | 6Tadun: ,e!meetly-Y 50o 01 r10,505e 00 |
| q esser^al hyperte. | 6 | q | x50Seoer |
| 7 q ref | a | udl | pace=bo- manual remora) |
| 2 | q | xc[ing diabetes me Ws | 1 | noiw |
| 2 q asth a | m | S El | . | = | saran[ —Two posterior | 2 q sudicn ony |
| 4 | q gen ital harp s | 9 | q shorlder dysloo | 3 q 000900 therapy only |
| P | q | oTher sneer l | 1 0 q failue to pngress s3cn | d | q bag and mask 9PPR4 |
| ® | 1i o r. il . e te po o | s 0c, | 5 | q ernrnrarr^aeal nruoar:on |
| 12 q 0100005 corsawan section | TY | 6 | q eA caidiac massage and rendlauon |
| Procedureeltreeonentt: | 13 El other fN = | 6 q other |
| f | q krtili | 9005=0050 [nGude dngs j | Agla xorc: |
| 2 q cervka su=re | I I I I I I ® | 1 minis |
| 3 | q | = | mcecen[al | hiopny | Perineal status: | 3 55.00,050 | 55.00,05 |
| S q uResoc"d | 1 q inras, | • degree Ear: vaginal Ea | Estimated gestation moos neorx |
| 6 q ETC arr6partum | 2 q 1 | = | Birth defects:----ryJ" |
| 7 | q CTG itrapartum | 3 q 2' |
| 4 q 3° degr== 0, | degree tear | Birth trauma 1--ry': | |
| tw..md Pl°`° °f b.tf.'°e`°t °f l°h°° r: | q | 5 |
| f=hogA312=pith oen[m attached [o hospital | BABY SEPARATION DETAILS |
| 3=hith centre free standing d=hme 8= 01her | 8 | q | cthef | Separation date: |
| A^OMIIFE | ABOR4GINAL STATUS OF BABY | R | q |
| N— | 1=] nsie—d 8=1ed 9=cischa-3ed h_ |
| 7k:rr wt—Y1 | x- | Trarntotred tn: | =o' x ) |
| ay.r- | 1 | q Abwigind bot rwt T91 | iO4090 |
| qaF | I | I | I | 121 CI | I | I | 2 | q TOO but rotAhuginal | Special sate bobber of days: | .- | het 00 | x1 1: 0.A00 tOys |
| , | q A6aiginal and TSI | i- | - | |
| Reg. No | - q :boor | Coder lo- |
By Command of the Governor,
G. MOORE, Clerk of the Executive Council.