Approvals under the Drugs, Poisons and Controlled Substances Regulations 2006

This section has been prepared to assist those who are regulated by theDrugs, Poisons and Controlled Substances Act 1981(the Act) and the Drugs, Poisons and Controlled Substances Regulations 2006 (the Regulations).

Approvals granted by the Secretary of the Department of Health

Some regulations allow for the Secretary to approve details that are not contained within the regulations. Approvals are as follows:

  • Schedule 4 poisons approved for use byoptometrists(1 July 2010)
  • Schedule 4 poisons approved for use bypodiatrists(1 July 2010)
  • Schedule 4 poisons approved for use by aqualified ski patroller(30 July 2010)
  • Schedule 4 poisons approved for use bydental hygienists, dental therapists or oral health therapist(1 July 2010)
  • Approval for amidwife(1 July 2010)
  • Schedule 4 poisons approved for use in theVictorian Tuberculosis Program (16 June 2014)
  • Schedule 4 poisons approved for use bynurse immunisers(28 March 2012)
  • Schedule 4 poison approved for use inforensic nurse examinations(1 July 2010)
  • Schedule 4 poisons approved for use in Advanced Life Support in the event of cardiac arrest (13 July 2015)
  • Criteria forcomputer-generated prescriptions(20 August 2009)
  • Criteria for e-Prescriptions (27 September 2013)

Notes:

  • Administrative changes have been made where needed in accordance with national practitioner registration.
  • Details of matters 'Approved by the Secretary' may change from time to time, so care should be taken to refer to the current version.
  • See alsofurther information

Regulations 5 and 6

Regulation 5 authorises persons (other than those authorised by the Act) to be in possession of Schedule 4, Schedule 8 or Schedule 9 poisons. In some cases, the extent of the authorisation is clear. In others, the extent of the authorisation is set by the approval of the Secretary.

Pursuant to regulation 6, the Secretary has approved the following:

Schedule 4 poisons approved for use by any optometrist

The Secretary has given approval in general for an optometrist registered under the Health Practitioner Regulation National Law and carrying on the lawful practice of his or her profession to be in possession of, and administer, the following Schedule 4 poisons for use in the eyes of patients in the practice of his or her profession:

  • Anaesthetics Local- being synthetic cocaine substitutes - when prepared and packed in the form of eye drops containing 0.5 per cent or less of such anaesthetics local
  • Tropicamidewhen prepared and packed in the form of eye drops containing 1 per cent or less of tropicamide
  • Cyclopentolatehydrochloridewhen prepared and packed in the form of eye drops containing 1 per cent or less of cyclopentolate hydrochloride
  • Pilocarpinenitratewhen prepared and packed in the form of eye drops containing 2 per cent or less of pilocarpine nitrate and
  • Physostigminesalicylatewhen prepared and packed in the form of eye drops containing 0.5 per cent or less of physostigmine salicylate.

Note: Pursuant to section 13(1)(c) of theDrugs, Poisons and Controlled Substances Act 1981, the Minister for Health has approved a registered optometrist, whose registration is endorsed under section 94 of theHealth Practitioner Regulation National Law (Victoria) Act 2009, to obtain and have in his or her possession and to use, sell or supply any Schedule 2, 3 or 4 poison that is in the form of a preparation for the topical use in the eye (Victoria Government Gazette G26 1 July 2010 p 1384).

Schedule 4 poisons approved for use by any podiatrist

The Secretary has given approval in general for a podiatrist registered under the Health Practitioner Regulation National Law and carrying on the lawful practice of his or her profession to be in possession of, and administer, the following Schedule 4 poisons in the practice of his or her profession for the treatment of conditions of the human foot:

  • Anaesthetics Local- the following only - lignocaine hydrochloride in preparations containing 2 per cent or less of lignocaine hydrochloride
  • Prilocaine hydrochloridein preparations containing 2 per cent or less of prilocaine hydrochloride.

Note: Pursuant to section 13(1)(ca) of theDrugs, Poisons and Controlled Substances Act 1981, the Minister for Health has approved a registered podiatrist, whose registration is endorsed under section 94 of theHealth Practitioner Regulation National Law (Victoria) Act 2009, to obtain and have in his or her possession and to use, sell or supply any Schedule 2, 3 or 4 poison listed in the tables as published in the Victoria Government Gazette G26 1 July 2010 pp 1381-1383.

Schedule 4 poisons approved for use by an Australian Ski Patrol Association Inc. qualified ski patroller

The Secretary has given approval in general for an Australian Ski Patrol Association Inc. qualified ski patroller to be in possession of the following Schedule 4 Poisons and administer them to persons in the performance of his or her duties for the treatment of emergencies

  • Methoxyflurane
  • Nitrous oxide.

Schedule 4 poisons approved for use by dental hygienists, dental therapists or oral health therapists (1 July 2010)

The Secretary has given approval in general for a dental hygienist, dental therapist or oral health therapist registered under Health Practitioner Regulation National Law to have in his or her possession the Schedule 4 poisons listed in Appendix 1 that are required for the provision of dental care by the registered dental hygienist, dental therapist or oral health therapist.

Appendix 1:dental hygienists, dental therapists or oral health therapists

  • Adrenaline
  • Articaine
  • Demeclocycline and triamcinolone in combination for topical endodontic use
  • Felypressin
  • Lignocaine
  • Mepivacaine
  • Mercury (metallic) for human therapeutic use
  • Prilocaine.

Regulation 5(3)

The Secretary may approve the possession and administration of a Schedule 4, Schedule 8 or Schedule 9 poison by a nurse or class of nurses if the Secretary considers that the possession and administration —

  • is necessary for the provision of health services and
  • is within the competence of a nurse to do so without the direct supervision of a medical practitioner, dentist, nurse practitioner or authorised optometrist (as the case requires).

Pursuant to regulation 5(3), the Secretary has approved the following:

A midwife

The Secretary has given approval in general for a midwife registered under Health Practitioner Regulation National Law employed at a hospital to possess and administer to a pregnant woman in labour, in an emergency if unable to contact a medical practitioner, a single dose of morphine or pethidine if such practice is in accordance with the written instructions of the medical practitioner under whose care the patient is, provided that the practice has been approved by the governing body of the hospital concerned or a committee to which the responsibility has been delegated by the governing body.

Victorian Tuberculosis Control Program

Approval under regulation 5(3) Drugs, Poisons and Controlled Substances Regulations 2006

This approval applies to:

A nurse who is registered in Division 1 of the Nursing and Midwifery Board of Australia register and who is approved by the medical director of the Victorian Tuberculosis Program at Melbourne Health in vaccine and skin testing administration and technique and as having satisfactorily completed a course in the management of acute reactions associated with vaccination.

The nurse may possess and administer the Schedule 4 poisons:

  1. Bacillus Calmette-Guerin (BCG) vaccine for administration as recommended in the Australian Immunisation Handbook published by the Commonwealth Department of Health.
  2. Purified Protein Derivative (PPD) Human, for Tuberculin Skin Testing.
  3. Adrenaline for the treatment of anaphylactic reactions to the BCG vaccine and PPD.

The following circumstances apply:

a)the nurse is employed by Melbourne Health to work in the Victorian Tuberculosis Program.

b)the Victorian Tuberculosis Program medical director or designated Melbourne Health medical officer is available to provide advice to the nurse on the use of the Schedule 4 poisons, and

c)the nurse administers the Schedule 4 poisons in:

  1. the performance of his or her duties with the Victorian Tuberculosis Program at Melbourne Health,
  2. accordance with the edition of the Australian Immunisation Handbook that is current at the time of the administration, and
  3. accordance with any guidelines issued by the Department of Health or the medical director of the Victorian Tuberculosis Program at Melbourne Health.

This approval supersedes any previous approval for Tuberculosis program nurses.

Nurse Immunisers – Approval from 28 March 2012

Approval under regulation 5(3) Drugs, Poisons and Controlled Substances Regulations 2006

The approval applies to:

A nurse who is registered in Division 1 of the Nursing and Midwifery Board of Australia register who provides evidence to the employer of currency of competence and ongoing professional development in immunisation and who:

  • On 30 June 2010 was registered in division 1 of the register of nurses endorsed under section 27A of theHealth Professions Registration Act2005 by the Nurses Board of Victoria in the approved area of practice – Immunisation

Or

  • Has satisfactorily completed the assessment of a nurse immuniser program recognised by the Chief Health Officer (see Note 1)

Or

  • Has satisfactorily completed a nurse immuniser program not recognised by the Chief Health Officer and has written confirmation from the program provider that at the time the program was completed, it was of equivalent standard to a program currently recognised by the Chief Health Officer.

Note 1- For the nurse immuniser programs recognised by the Chief Health Officer seeNurse Immuniser information

The nurse may possess and administer the following Schedule 4 poisons:

1.vaccines listed in Appendix 1 and

2.such other Schedule 4 poisons as are necessary for the treatment of anaphylactic reactions to the vaccines.

The following circumstances apply:

  1. the nurse is employed or contracted by:
  2. a medical practitioner
  3. municipal council which employs, contracts or ensures access to a medical practitioner or
  4. health services permit holder who employs, contracts or ensures access to a medical practitioner.
  1. The medical practitioner referred in paragraph (a) is available to provide advice to the nurse on the use of the Schedule 4 poisons when needed.
  2. The nurse possesses and administers only the Schedule 4 poisons obtained by the medical practitioner, municipal council or health services permit holder by whom he or she is employed or contracted.
  3. The nurse administers the Schedule 4 poisons in:
  4. the performance of his or her duties with the medical practitioner, municipal council or health services permit holder (as the case requires)
  5. accordance with the edition of the Australian Immunisation Handbook that is current at the time of the administration and
  6. accordance with any guidelines issued by Department of Health such as the 'Approved client groups for immunisation by nurse immunisers'.

Appendix 1: Vaccines

Diphtheria / Measles / Rubella
Haemophilusinfluenzae type b / Meningococcus / Streptococcus pneumoniae
Hepatitis A / Mumps / Tetanus
Hepatitis B / Pertussis / Varicella
Human papillomavirus / Polio
Influenza / Rotavirus

Victorian Institute of Forensic Medicine - Forensic Nurse Examiner (1 July 2010)

A nurse registered in Division 1 of the Nursing and Midwifery Board of Australia register may possess and administer a single oral dose of the Schedule 4 drug azithromycin under the following circumstances:

  1. the nurse is employed or contracted by Victorian Institute of Forensic Medicine (VIFM) to undertake forensic medical examinations
  2. a medical practitioner employed or contracted by VIFM is available to provide advice to the nurse on the use of the Schedule 4 drug and
  3. the nurse administers the Schedule 4 drug in:
  4. the performance of his or her duties as a forensic nurse examiner
  5. a designated Centre Against Sexual Assault(Note 2)Crisis Care Unit providing services to adults
  6. accordance with a treatment protocol approved by VIFM, and
  7. accordance with any guideline issued by the Department of Health or Department of Human Service.

Note 2
Designated Centres Against Sexual Assault are DHS funded services. SeeVictorian Centres Against Sexual Assault

Secretary Approval Cardiac Arrest 13 July 2015

Approval under regulation 5(3) Drugs, Poisons and Controlled Substances Regulations 2006

This approval applies to:

A nurse(1) or midwife(2) who is registered by the Nursing and Midwifery Board of Australia and is employed (engaged or contracted) at a health service organisation(3) in Victoria.

The approval allows the nurse or midwife to possess and administer the following Schedule 4 poisons:

•adrenaline

•amiodarone.

The approval is granted under the following circumstances:

The nurse or midwife is providing Advanced Life Support(4) in the event of cardiac arrest.

The nurse or midwife has satisfactorily completed a course that conforms to the Australian Resuscitation Council Guidelines(5) and is either:

  • delivered by the Australian Resuscitation Council(6);
  • credentialed by a relevant professional group or college and delivered by a registered training organisation;
  • delivered by a higher education provider as part of a postgraduate qualification; or
  • delivered by health service staff who have Basic Life Support, Advanced Life Support and adult learning qualifications.

The nurse or midwife administers the Schedule 4 poisons in accordance with the current Australian Resuscitation Council Guidelines for cardiac arrest, in particular, the ARC Basic Life Support, ARC Adult Cardiorespiratory Arrest and ARC Paediatric Cardiorespiratory Arrest flow charts.

The nurse or midwife administers the Schedule 4 poisons in the course of his/her employment (engaged or contracted) at a Victorian health service organisation.

The nurse or midwife possesses and administers only those Schedule 4 poisons obtained from the Victorian health service organisation at which he/she is employed (including being engaged or contracted).

The nurse or midwife has been assessed, through annual refresher training, to be competent to administer the Schedule 4 poisons for the purpose of providing Advanced Life Support and keeps a record of that assessment.

The refresher training will conform to the Australian Resuscitation Council Guidelines and be either:

  • delivered by the Australian Resuscitation Council;
  • credentialed by a relevant professional group or college and delivered by a registered training organisation;
  • delivered by a higher education provider as part of a postgraduate qualification; or
  • delivered by health service staff who have Basic Life Support, Advanced Life Support and adult learning qualifications.

Definitions

1.For the purpose of this approval a nurse means a person registered under the Health Practitioner Regulation National Law—

  1. to practise in the nursing and midwifery profession as a nurse (other than as a midwife or as a student); and
  2. in the registered nurses division of that profession.

2.For the purpose of this approval a midwife means a person registered under the Health Practitioner Regulation National Law—

  1. to practise in the nursing and midwifery profession as a midwife (other than as a nurse or student); and
  2. in the register of midwives kept for that profession.

3.Health service organisation: A separately constituted health service that is responsible for the clinical governance, administration and financial management of a service unit(s) providing health care. A service unit involves a grouping of clinicians and others working in a systematic way to deliver health care to patients and can be in any location or setting, including pharmacies, clinics, outpatient facilities, hospitals, patients’ homes, community settings, practices and clinicians’ rooms (National Safety and Quality Health Service Standards 2012).

4.Advanced Life Support - the provision of effective airway management, ventilation of the lungs and production of a circulation by means of techniques additional to those of Basic Life Support. These techniques may include, but not be limited to, advanced airway management, tracheal intubation, intravenous access/drug therapy and defibrillation.

Basic Life Support – the preservation of life by the initial establishment of, and/or maintenance of, airway, breathing, circulation and related emergency care, including use of an automated external defibrillator (Australian Resuscitation Council, accessed May 2015).

5.Australian Resuscitation Council Guidelines – guidelines produced by the Australian Resuscitation Council to meet its objectives in fostering uniformity and simplicity in resuscitation techniques and terminology. Guidelines are produced after consideration of all available scientific and published material and are only issued after acceptance by all member organisations.

6.Australian Resuscitation Council – a voluntary co-ordinating body which represents all major groups involved in the teaching and practice of resuscitation. The Australian Resuscitation Council is sponsored by the Royal Australasian College of Surgeons and the Australian and New Zealand College of Anaesthetists.

Regulation 26

  • As of 20 August 2009for drugs of dependenceit is no longer a criterion that only one item appears on a prescription.
Criteria for computer-generated prescriptions

The Secretary has given approval in general for a person referred to in regulation 25 to issue computer-generated prescriptions under circumstances which satisfy the criteria set out below.

  1. The computer program will restrict access to the prescription-printing module to authorised persons.
  2. Prescriptions will be generated only by authorised persons.
  3. The prescription will be either printed with the prescriber's name, address and contact telephone numberorwith the address and contact telephone number of the practice.
  4. The prescription will be personalised to the prescriber by the addition at the time of printing of the name of the prescriber below the last prescribed item when the prescription is being generated.
  5. The prescriber will sign, in his or her own handwriting, the prescription form beneath and as near as practicable to the last item prescribed on the form.
  6. The prescription will not be pre-signed.
  7. The total number of items prescribed on the prescription will be either stated on the prescription or the area on the prescription below the prescriber's signature will be scored, hatched or otherwise marked in some way to prevent any other item being printed in that area.
  8. The particulars of any prescription issued will be included in the clinical or medication record of the person or animal for whom the prescription was generated.
  9. The clinical or medication record of the person or animal for whom the prescription was issued will be preserved for at least one year from the date on which the prescription was generated and will be capable of being accessed when required.
  10. Alterations willnotbe made to printed prescriptions. Where alteration is required a new printed prescription will be generated and the other prescription will be immediately destroyed.

Drugs of dependence
In addition, in the case of drugs of dependence (which includes all Schedule 8 poisons and some Schedule 4 poisons):

  1. In addition to the printed particulars on the prescription, the prescriber will in his/her own handwriting write all of the particulars required under the Regulations (other thanthe date and the patient's or animal owner's name and address), namely:
  2. the name of the substance or the proprietary product containing it
  3. the strength where more than one strength is available
  4. the quantity being prescribed (in both wordsandfigures)
  5. adequate directions for use
  6. the number of repeats authorised (in both wordsandfigures).

The software program will automatically indicate that such handwriting is required.