Nurses Amendment (Nurse Practitioners) Act 1998 (NSW)

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New South Wales

Nurses Amendment (Nurse

Practitioners) Act 1998 No 102

Contents

Page

1

Name of Act

2

2

Commencement

2 2

3

Amendment of Nurses Act 1991 No 9

4

Amendment of Poisons and Therapeutic Goods Act

1966 No 31

2

5

Consequential amendment of other Acts

2

Schedules

3

1 Amendment of Nurses Act 1991

2 Amendment of Poisons and Therapeutic Goods Act

1966

11

3

Consequential amendment of other Acts

14

New South Wales

Nurses Amendment (Nurse

Practitioners) Act 1998 No 102

Act No 102, 1998

An Act to amend the Nurses Act 1991 to provide for the authorisation of nurses to practise as nurse practitioners; to amend the Poisons and Therapeutic Goods Act 1966 to enable nurse practitioners to be authorised to possess, use, supply and prescribe certain substances: to amend other Acts consequentially; and for other purposes. [Assented to 2 November 1998]

Section 1

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

The Legislature of New South Wales enacts:

1 Name of Act

This Act is the Nurses Amendment (Nurse Practitioners) Act

1998.

2 Commencement

This Act commences on a day or days to be appointed by proclamation.

3 Amendment of Nurses Act 1991 No 9

The Nurses Act 1991 is amended as set out in Schedule 1.

4 Amendment of Poisons and Therapeutic Goods Act 1966 No 31

The Poisons and Therapeutic Goods Act 1966 is amended as set out in Schedule 2.

5      Consequential amendment of other Acts

The Acts specified in Schedule 3 are amended as set out in that

Schedule.

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Amendment of Nurses Act 1991

Schedule 1

Schedule 1

Amendment of Nurses Act 1991

(Section 3)

Section 3 Definitions

Insert "practise as a nurse practitioner or to” after “ authorisation to” in the definition of accreditation in section 3 (1).

Section 3 (1)

Insert in alphabetical order:

nurse practitioner means a person authorised by the Board under this Act to practise as a nurse practitioner.

Section 3A

Insert after section 3:

3A Notes

Notes included in this Act do not form part of this Act.

Section 4 “Professional

misconduct” and “unsatisfactory

professional conduct”

Insert at the end of the section:

Note. In the case of nurse practitioners, a contravention of any guidelines approved by the Director-General relating to the functions of registered nurses as nurse practitioners may constitute professional misconduct or unsatisfactory professional conduct (see section 78A).

Section 5A

Insert after section 5:

5A Unauthorised persons not to hold themselves out as

nurse practitioners

A person must not:

(a)

claim to be or hold himself or herself out as being a nurse practitioner or entitled to practise as a nurse practitioner, or

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Schedule 1

Amendment of Nurses Act 1991

(b)

take or use any name, initials, word, title. addition, symbol or description which, having regard to the circumstances in which it is taken or used:

(i)

indicates, or

(ii)

is capable of being understood to indicate, or

(iii)

is likely to lead persons to infer,

that the person is a nurse practitioner or entitled to

practise as a nurse practitioner,

unless the person is a registered nurse who is authorised

by the Board to practise as a nurse practitioner.

Maximum penalty: 50 penalty units or imprisonment for

12 months, or both.

Section 10 Functions of Board

Insert “ the authorisation of registered nurses to practise as nurse practitioners." after "registration of nurses," in section 10 (1) (h).

Section 10 (1) (h) (i)

Insert "nurse practitioners." after "training of nurses,".

Section 1 0 (1) (h1)

Insert after section 10 (1) (h):

(h1)

to recognise, if the Board considers it appropriate.

areas of practice as a nurse practitioner.

Section 10 (1) (i) and (j) and (2) (c)

Insert "authorisation to practise as a nurse practitioner." after

"registration as a nurse." wherever occurring.

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Amendment of Nurses Act 1991

Schedule 1

Section 1 0 (1) (k1)

Insert after section 10 (1) (k):

(k1) to cause the relevant particulars of the qualifications and experience of registered nurses who are authorised by the Board to practise as nurse practitioners to be entered in the Register.

Section 10 (1) (m)

Insert "fo r authorisation to practise as a nurse practitioner," after

"registration as a nurse,".

Section 10 (1) (n)

Omit “ certificates of authorisation to practise midwifery to registered nurses who are authorised by the Board to practise midwifery".

Insert instead “certificates of authorisation to registered nurses who are authorised by the Board to practise as nurse practitioners or to practise midwifery, or both,".

Section 16 Register of Nurses

Insert after section 16 (3) (c):

(c 1) particulars of any authorisation authorising the nurse to practise as a nurse practitioner and particulars of the qualifications and experience by virtue of which the authorisation was granted.

Section 17 Issue of certificate of registration

Insert after section 17 (a):

(a1) on entering in the Register in relation to that person the particulars referred to in section 16 (3) (c1), issue to the person a certificate. in a form approved by the Board, that the person is authorised to practise as a nurse practitioner. and

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Schedule 1

Amendment of Nurses Act 1991

Section 19A

Insert after section 19:

19A Nurse practitioners

( 1)

Any person who is registered or entitled to be registered as a nurse may apply to the Board for authorisation to practise as a nurse practitioner.

The Board may authorise a person to practise as a nurse practitioner only if the Board is satisfied that the person has sufficient qualifications and experience to be entitled to be authorised to practise as a nurse practitioner.

An authorisation to practise as a nurse practitioner has effect for the period specified in the authorisation (not exceeding 3 years), unless sooner cancelled or suspended under this Act.

An application for authorisation to practise as a nurse practitioner is to be in writing and is to be accompanied by the fee prescribed by the regulations.

Note. Section 78A provides that the Director-General may approve guidelines relating to the functions of registered nurses as nurse practitioners. The guidelines may include provision for the possession, use, supply or prescription of certain substances by nurse practitioners.

21 Consideration and determination of application

Insert “ , 19A” after “ 19” wherever occurring in section 21 ( l) , (2) and (4).

Section 21 (1)

Insert "to practise as a nurse practitioner o r" after "authorise the applicant".

Section 24 Temporary registration

Insert “ as a nurse practitioner or to practise" after “practise” in section 24 (2) (b).

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Amendment of Nurses Act 1991

Schedule 1

Section 24 (3)

Omit "sections 6 and 7 to be a registered nurse who is authorised authorised to practise as a nurse practitioner, or to practise midwifery, as the case requires".

under section 21 to practise midwifery".

Section 30 Effect of discontinuation or other change in registered courses

Insert "authorisation to practise as a nurse practitioner," after

"registration,".

Section 31 Adequacy of language

Insert "authorised to practise as a nurse practitioner." after

"registered.".

Section 31

Omit “ or, as the case requires,".

Insert instead “ or as a nurse practitioner or".

Section 32 Appeals

Insert “19A.” after "19," in section 32 (1).

Section 34 Cancellation of registration

Insert "authorised to practise as a nurse practitioner o r" after "who is" in section 34 (2).

Section 36 Effect of cancellation or, suspension in registration

Insert "to practise as a nurse practitioner o r" after "by that person" wherever occurring.

Section 41 False or misleading entries and statements

Insert "authorisation to practise as a nurse practitioner." after

"registration as a nurse." in section 41 (b).

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Schedule l

Amendment of Nurses Act 1991

[27]     Section 73 Document under hand of Registrar to be prima facie evidence

Insert after section 73 (a) (i):

(ia) was entered in the Register as being a person authorised to practise as a nurse practitioner,

Section 73 (b) (ia)

Insert after section 73 (b) (i):

(ia) was not authorised to practise as a nurse

practitioner,

Section 73 (c) (ia)

Insert after section 73 (c) (i):

(ia) the authorisation of a particular person to

practise as a nurse practitioner.

Section 73 (d) (ia)

Insert after section 73 (d) (i):

(ia) the authorisation of a particular person to practise as a nurse practitioner was suspended for a specified period.

Section 78 Regulations

Insert “authorisation to practise as a nurse practitioner." after “ a nurse.'' wherever occurring in section 78 (2) (d) and ( 9 ) .

Section 78 (2) (g)

Insert "authorisation to practise as nurse practitioners," after "as nurses.” .

Page8

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Amendment of Nurses Act 1991

Schedule 1

[33]      Section 78 (2) (i1)

Insert after section 78 (2) (i):

(i1)

the regulation and supervision of the practice of

nurse practitioners,

[34]      Section 78 (2) (k)

Insert “ to practise as a nurse practitioner or” after “ Board” .

[35]      Section 78A

Insert after section 78:

78A Guidelines relating to functions of nurse practitioners

( l )

The Director-General may from time to time approve guidelines relating to the functions of nurse practitioners.

(2)

The guidelines may make provision for the possession. use. supply or prescription by a nurse practitioner of any poison or restricted substance, including by specifying:

(a)

the poisons or restricted substances (if any) that may be possessed, used, supplied or prescribed by a nurse practitioner. and

(b)

the circumstances (if any) in which a poison or restricted substance may be so possessed, used. supplied or prescribed.

(3)

The guidelines may include such other matters relating to the functions of nurse practitioners as the Director-General considers appropriate.

(4)

The guidelines may apply differently to different nurse practitioners according to the factors specified in the guidelines.

(5 )

A contravention by a nurse practitioner of the approved guidelines does not give rise to an offence but may constitute professional misconduct or unsatisfactory professional conduct.

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Schedule 1

Amendment of Nurses Act 1991

(6 )

In this section:

poison has the same meaning as in the Poisons and

Therapeutic Goods Act 1966.

restricted substance has the same meaning as in the

Poisons and Therapeutic Goods Act 1966.

Note. This provision allows the Director-General to approve guidelines for the possession, use, supply and prescription by nurse practitioners of any substance specified in the Poisons List (as proclaimed under the Poisons and Therapeutic Goods Act 1966), other than a drug of addiction. Under section 17A of that Act, the Director-General may authorise a nurse practitioner or class of nurse practitioners to possess, use, supply or prescribe any such substance in accordance with the approved guidelines.

[36]      Schedule 3 Savings and transitional provisions

Insert at the end of clause 2 (1):

Nurses Amendment (Nurse Practitioners) Act 1998

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Amendment of Poisons and Therapeutic Goods Act 1966

Schedule 2

Schedule 2

Amendment of Poisons and Therapeutic Goods Act 1966

(Section 4)

Section 4 Definitions

Insert in alphabetical order in section 4 (1):

nurse practitioner means a person authorised under the

Nurses Act 1991 to practise as a nurse practitioner.

Section 8 Poisons List

Insert "nurse practitioners authorised under section 17A,” after "medical practitioners." in the matter relating to Schedule One in section 8 (2).

Section 8 (2)

Insert "nurse practitioner authorised to prescribe the substance under section 17A,” after "medical practitioner.'' in the matter relating to Schedule Four.

Section 10 Prohibition on supply of certain substances otherwise than by wholesale

Insert after section 10 (2 ) (a) and (4) (a):

(a1) by a nurse practitioner. who is authorised under section 17A to supply the substance. in the lawful practice of his or her profession as such, or

Section 10 (4) (b)

Insert "nurse practitioner." after "medical practitioner.".

Section 10 (4) (c) and (c l)

Insert “ , nurse practitioner" after "medical practitioner" wherever occurring.

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Schedule 2

Amendment of Poisons and Therapeutic Goods Act 1966

Section 11 Restriction on wholesale supply of certain substances

Insert after section 11 (2) (a):

(a1)

a nurse practitioner authorised under section 17A to supply or use, or have possession of, the substance concerned, or

Section 12 Obtaining substances by false representation

Insert after section 12 (2) (a)

(a1) a nurse practitioner authorised under section 17A to supply or use, or have possession of. the substance concerned, or

Section 16 Offences relating to prescribed restricted substances

Insert after section 16 (1) (a):

(a1)

the person is a nurse practitioner who is authorised under section 17A to possess the substance and the person obtains possession or attempts to obtain possession of it in the lawful practice of his or her profession,

Section 16 (1) (b), (2), (3) (a) (i) and (5)

Insert "nurse practitioner." after "medical practitioner.'' wherever occurring.

Section 16 (1) (d1)

Insert “ , nurse practitioner" after "medical practitioner".

Section 17 Regulations under Part 3

Insert “ , nurse practitioner" after “medical practitioner" in section

17 (1) (j1).

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Amendment of Poisons and Therapeutic Goods Act 1966

Schedule 2

Section 17A

Insert after section 17:

17A Director-General may authorise nurse practitioners to

possess, use, prescribe or supply substances

The Director-General may, by means of a written authorisation, authorise a nurse practitioner, or class of nurse practitioners, to possess, use, supply or prescribe any poison or restricted substance for the purposes of the practice of a nurse practitioner's profession.

Such an authority is to be given only if the Director-General approves guidelines, under section 78A of the Nurses Act 1991, that provide for the possession, use. supply or prescription of poisons or restricted substances by nurse practitioners and is to be given in accordance with those guidelines.

The Director-General may amend or revoke any authorisation given under this section.

Section 18A Evidentiary provisions

Insert "nurse practitioner." after "medical practitioner." in section

18A (1) (b).

Section 34 Hawking of poisons and therapeutic goods

Insert "nurse practitioner authorised under section 17A." after “medical practitioner." in the definition of public place in section 33 (4).

Schedule 3 Savings and transitional provisions

Insert at the end of clause 1 (1):

Nurses Amendment (Nurse Practitioners) Act 1998

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Schedule 3

Consequential amendment of other Acts

Schedule 3

Consequential amendment of other

Acts

(Section 5)

3.1

Correctional Centres Act 1952 No 9

[1]

Section 25 Governor of correctional centre may impose penalties for certain correctional centre offences

Insert “ ,nurse practitioner'' after "medical practitioner" in section

25 (4B) (a).

[2]

Section 25 (7)

Insert after the definition of drug:

nurse practitioner means a person authorised under the

Nurses Act 1991 to practise as a nurse practitioner.

3.2

Crimes Act 1900 No 40

Section 428A Definitions

Insert “ , a person authorised under the Nurses Act 1991 to practise as a nurse practitioner..' after "medical practitioner" in paragraph (c) of the definition of self-induced intoxication.

3.3

Drug Misuse and Trafficking Act 1985 No 226

[1]      Section 3 Definitions

Insert in alphabetical order in section 3 (1):

nurse practitioner means a person authorised under the

Nurses Act 1991 to practise as a nurse practitioner-

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Consequential amendment of other Acts

Schedule 3

Sections 15 and 16 (a) (i)

Insert “ , nurse practitioner'' after "medical practitioner" wherever occurring.

Section 17 Obtaining prohibited drug by false representation

Insert "nurse practitioner." after "medical practitioner,".

Section 18 Obtaining prohibited drugs from medical practitioners or nurse practitioners

Omit "a medical practitioner".

Insert instead "an authorised person".

Section 18

Omit "the medical practitioner" wherever occurring.

Insert instead "the authorised person".

Section 18

Omit "medical practitioners". Insert instead "authorised persons".

Section 18 (2)

Insert at the end of section 18:

(2)

In this section:

authorised person means a medical practitioner or nurse

practitioner.

Section 29 Traffickable quantity-possession taken to be for supply

insert "nurse practitioner." after “medical practitioner." in section

29 (b).

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Schedule 3

Consequential amendment of other Acts

3.4

Factories, Shops and Industries Act 1962 No 43

Section 89A Sale of medicinal or surgical goods

Insert “ , the prescription of a nurse practitioner'' after “ medical practitioner'' in section 89A (a).

3.5

Liquor Act 1982 No 147

Section 6 Application of Act

Insert “ , a registered nurse authorised under the Nurses Act 1991 to practise as a nurse practitioner'' after “ 1938” in section 6 (d).

Pharmacy Act 1964 No 48

Section 3 Definitions

Insert in alphabetical order in section 3 (1):

nurse practitioner means a person authorised under the

Nurses Act 1991 to practise as a nurse practitioner.

Section 3A

Insert after section 3:

3A Notes

Notes included in this Act do not form part of the Act.

Section 27 Pharmacist to be in charge of every pharmacy and dispensary

Insert “ or nurse practitioner“ after “ medical practitioner” in section

27 (1).

Nurses Amendment (Nurse Practitioners) Act 1998 No 102

Consequential amendment of other Acts

Schedule 3

[4]        Section 28 Medicines to be dispensed by pharmacists

Insert “ or nurse practitioner” after “ medical practitioner” in section

28 (1).

[5]        Section 28 (2)

Omit “ a medical practitioner from dispensing medicine in the ordinary course of his or her profession” .

ordinary course of medical practice” .

[6]        Section 28 (3 ) and note

Insert after section 28 (2):

(3)

In this .section:

authorised person means a medical practitioner, or a nurse practitioner who is authorised to dispense the medicine concerned under section 17A of the Poisons and Therapeutic Goods Act 1966.

Note. Under the Poisons and Therapeutic Goods Act 1966 the Director-General of the Department of Health may authorise a nurse practitioner to possess, use, supply or prescribe certain substances specified in the Poisons List.

[7]        Section 38 Regulations

Insert ” or nurse practitioner” after “medical practitioner“ in section

38 (g) and (h) wherever occurring.

[Minister's second reading speech made in—

Legislative Assembly on 24 September 1998

Legislative Council on 21 October 1998]

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