NORTHERN TERRITORY OF AUSTRALIA Government … · NORTHERN TERRITORY OF AUSTRALIA ... Dick Ward Drive, Dick Ward Drive, Coconut Grove Specialist Clinic Palmerston Health Precinct,

ISSN-1038-233X

DARWINNo. S24 1May2014

Government GazetteNORTHERN TERRITORY OF AUSTRALIA

Medicines, Poisons and Therapeutic Goods ActFAMILY PLANNING WELFARE

NORTHERN TERRITORY (FPWNT):DECLARATION OF PLACES, APPROVAL OF

SCHEDULED SUBSTANCE TREATMENT PROTOCOLS AND APPROVAL FOR NURSES

AND MIDWIVES TO DEAL WITH SCHEDULE 4 SUBSTANCES

(a) I, STEVEN JAYE SkOV, Chief Health Officer: (i) under section 252 of the Medicines, Poisons

andTherapeuticGoodsAct, and with reference to section 42 of the InterpretationAct, declare each health centre or clinic specified in Schedule A to be a place to which Part 2.6 of the Actapplies; and

(ii) under section 254(1) of the Medicines,PoisonsandTherapeuticGoodsAct, and with reference to section 42 of the InterpretationAct, approve each protocol specified in Schedule B for possessing, supplying or administering a Scheduled substance for each declared place specified in Schedule A (Scheduled substance treatment protocol); and

(iii) under section 250(1)(a) of the Medicines,PoisonsandTherapeuticGoodsAct, and with reference to section 42 of the InterpretationAct, declare each nurse or midwife to be an approved nurse or approved midwife (approved practitioner) to deal with the Schedule 4 substances specified in Schedule C in accordance with the Scheduled substance treatment protocol specified in Schedule B subject to the following conditions:

(A) the approved practitioner must only deal with the Schedule 4 substances at the places specified in Schedule A or at places identified in each Scheduled substance treatment protocol specified in Schedule B;

(B) the approved practitioner must only deal with the Schedule 4 substances in the course of the approved practitioner's duties.

(b) In this instrument: Schedule 4 substance, see section 7(2) of the Act. Scheduled substance, see section 5 of the Act. Scheduled substance treatment protocol, see section 5

of the Act.Dated 30th April, 2014.

S. J. SkOVChief Health Officer

SCHEDULE AFamily Planning and Welfare Northern Territory

Unit 2, Clock Tower, Dick Ward Drive, Dick Ward Drive, Coconut Grove

Specialist ClinicPalmerston Health Precinct,

Cnr Roylston and Temple Tce, Palmerston

SCHEDULE BSexual Health and Blood Borne Virus Unit Scheduled

Substance Treatment protocol, Version 1, 23 April 2014CARPA Standard Treatment Manual 5th edition (2009)

Australian Immunization Handbook Edition10th Edition (2013)

Adult and Special Groups Vaccination ScheduleSeptember 2013

Vaccination Schedule July 2013

SCHEDULE CSchedule 4 Substances

AdrenalineAmoxicillin

AzithromycinBenzathine Penicillin

CeftriaxoneCephalexin

ClotrimazoleDoxycycline

LevonorgestrelLevonorgestrel 1.5Mg

Lignocaine 1%MetronidazoleParacetamol

PodophyllotoxinProbenecidSalbutamol

TrimethoprimVaccine Hepatitis B

Vaccine Human PapillomavirusValaciclovir

1/24

Medicines, Poisons and Therapeutic Goods ActCOMMUNITY HEALTH CLINICS,

DEPARTMENT OF HEALTH:DECLARATION OF PLACES, APPROVAL OF

SCHEDULED SUBSTANCE TREATMENT PROTOCOLS AND APPROVAL FOR ABORIGINAL

AND TORRES STRAIT ISLANDER HEALTH PRACTITIONERS TO DEAL WITH SCHEDULE 4 OR 8 SUBSTANCES

(a) I, STEVEN JAYE SkOV, Chief Health Officer: (i) under section 252 of the Medicines,Poisonsand

TherapeuticGoodsAct, and with reference to section 42 of the InterpretationAct, declare each health centre or clinic specified in Schedule A to be a place to which Part 2.6 of the Act applies; and

Page 2 TheNorthernTerritoryGovernmentGazetteNo.S24,1May2014


(iii) under section 250(1)(b) of the Medicines,PoisonsandTherapeuticGoodsAct, and with reference to section 42 of the InterpretationAct, declare each Aboriginal and Torres Strait Islander health practitioner to be an approved ATSI health practitioner to deal with the Schedule 4 or 8 substances specified in Schedule C in accordance with the Scheduled substance treatment protocol specified in Schedule B subject to the following conditions:

(A) the approved ATSI health practitioner must only deal with the Schedule 4 or 8 substances at the places specified in Schedule A or at places identified in each Scheduled substance treatment protocol specified in Schedule B;

(B) the approved ATSI health practitioner must only deal with the Schedule 4 or 8 substances in the course of the approved practitioner's duties.

(b) In this instrument: Schedule 4 or 8 substance, see section 7(2) of the Act. Scheduled substance, see section 5 of the Act. Scheduled substance treatment protocol, see section 5

of the Act.Dated 30th April 2014.


SCHEDULE AADELAIDE RIVER HEALTH CENTRELot 88, 21 Becker Street, Adelaide River

ALEkARENGE HEALTH CENTRELot 159, 15 Jangala Street, Ali Curung (Warrabi)

ALYANGULA HEALTH CENTRELot 1541, 2 Poinciana Street, Alyangula

ANGURUGU HEALTH CENTRELot 369, Angurugu

ANGURUGU RENAL UNITLot 534, Angurugu

BATCHELOR HEALTH CENTRELot 339, Pinaroo Crescent, Batchelor

BELYUEN HEALTH CENTRELot 252, Belyuen

BICkERTON IS HEALTH CENTRELot 6, Milyakburra (Bickerton Island)

BONYA HEALTH CENTRELot 30, Orrtipa-Thurra (Bonya)

BORROLOOLA HEALTH CENTRELot 621, 9 Garawa Street, Borroloola

CANTEEN CREEk HEALTH CENTRELot 3, 9 Mick Street, Canteen Creek

DAGURAGU HEALTH CENTRELot 56, Daguragu

DOCkER RIVER HEALTH CENTRELot 112, kaltukatjara (Docker River)

ELLIOTT HEALTH CENTRELot 94, 16 Bray Street, Elliott

ENGAWALA HEALTH CENTRELot 22, 20 Turner Street, Engawala (Alcoota Station)

EPENARRA HEALTH CENTRELot 26, 5 Blackman Court, Wutunugurra (Epenarra)

FINkE (APATULA) HEALTH CLINICLot 34, Finke

GAPUWIYAk HEALTH CENTRELot 96, 1 Babawuynagumi Street, Gapuwiyak

HAASTS BLUFF HEALTH CENTRELot 78, 14 Multa Road, Haasts Bluff (Ikuntji)

HARTS RANGE HEALTH CENTRELot 60, 1 Sphene Street, Atitjere (Harts Range)

IMANPA HEALTH CENTRELot 15, 109 Waterhole Road, Imanpa

JABIRU COMMUNITY HEALTH CENTRELot 2019, 14 Flinders Street, Jabiru

JULANIMAWU HEALTH CENTRELot 737, Wurrumiyanga (Nguiu)

LAkE NASH HEALTH CENTRELot 21, 17 Antyiper Street, Alpurrurulam (Lake Nash)

LARAMBA HEALTH CENTRELot 74, 8 Ayerrer Street, Laramba (Napperby)

MANINGRIDA HEALTH CENTRELot 659, Maningrida

MANINGRIDA RENAL UNITLot 480, Maningrida

MILIkAPITI HEALTH CENTRELot 249, Milikapiti (Snake Bay)

MILINGIMBI HEALTH CENTRELot 37, Milingimbi

MILINGIMBI RENAL UNITLot 45, Milingimbi

MINJILANG HEALTH CENTRELot 224, Minjilang (Croker Island)MT ALLAN HEALTH CENTRE

Lot 67, 14 Neymatey Street, YuelamuMT LIEBIG HEALTH CENTRE

Lot 20, 19 Peterson Crescent, Mt LiebigNAUIYU HEALTH CENTRE

Lot 126, NauiyuNEW kALkARINDJI HEALTH CENTRE

Lot 125, 39 Libanangu Road, kalkarindji (Wave Hill)NGUIU RENAL CENTRE

Lot 693, Puti Drive, Wurrumiyanga (Nguiu)NGUIU WELL BEING CENTRE

Lot 739-740, Wurrumiyanga (Nguiu)NTARIA HEALTH CENTRE

Lot 95, 42 Raberaba Circuit, Hermannsburg (Ntaria)NTARIA REMOTE DIALYSIS UNIT

Lot 106, 31 Raberaba Circuit, Hermannsburg (Ntaria)NTURIYA TI TREE STATION HEALTH CENTRE

Lot 37, 1 Mbitjana Street, Anmatjere

TheNorthernTerritoryGovernmentGazetteNo.S24,1May2014 Page 3

NUMBULWAR HEALTH CENTRELot 177, Numbulwar

NYIRRIPI HEALTH CENTRELot 139, Wattie Creek

OENPELLI HEALTH CENTRELot 503, Gunbalunya (Oenpelli)PALUMPA HEALTH CENTRE

Lot 77, Nganmarriyanga (Palumpa)PAPUNYA HEALTH CENTRE

Lot 224, 10 Possum Crescent, PapunyaPINE CREEk HEALTH CENTRE

Lot 110, 32 Baxter Terrace, Pine CreekPIRLANGIMPI HEALTH CENTRE

Lot 238, PirlangimpiPMARA JUTUNTA CENTRE

Lot 78, 3 Panangka Crescent, AnmatjerePORT kEATS HEALTH CENTRE

Lot 490, 84 Perdjert Street, Wadeye (Port keats)RAMINGINING HEALTH CENTRE

Lot 119, 17 Milbrim Road, RaminginingROBINSON RIVER HEALTH CENTRE

Lot 44, Robinson RiverTARA HEALTH CENTRE

Lot 30, 31 Errtyarte Crescent, Tara (Neutral Junction)TI TREE HEALTH CENTRE

Lot 1534, 14 Palmer Street, Ti-TreeTITJIkALA HEALTH CENTRE

Lot 53, Titjikala (Maryvale)UMBAkUMBA HEALTH CENTRE

Lot 177, UmbakumbaWARRUWI HEALTH CENTRE

Lot 50, Warruwi (Goulburn Island)WATARRkA HEALTH CENTRELot 1, Watarrka (kings Canyon)

WILLOWRA HEALTH CENTRELot 40, 19 Ngatijirri Crescent, Willowra

WILORA HEALTH CENTRELot 25, 2 Anmatjere Street, Wilora (Stirling Station)

WOODYkUPILDIYA HEALTH CENTRELot 26, Woodyjupildiya

YUENDUMU HEALTH CENTRELot 612, Park Street, Yuendumu

TEMPE DOWNS HEALTH CENTRELot 8, Ukaka

YULARA HEALTH CENTREYulara Drive, Yulara

SCHEDULE BCARPA Standard Treatment Manual 5th edition (2009)

as amended at June 2013Minymaku kutju Tjukurpa Women's Business Manual

4th edition (2008) as amended at January 2012Australian Immunization Handbook Edition

10th Edition (2013)Adult and Special Groups Vaccination Schedule

September 2013

Childhood Vaccination Schedule 1 July 2013Northern Territory Pneumococcal Vaccination and

Revaccination Guideline September 2013Vaccination Schedule July 2013

Declared Places Outreach Services Schedule Substance Treatment Protocol 28 April 2014


AdrenalineAlbendazoleAmethocaineAmoxycillin

Amoxycillin/Clavulanic acidAspirin


BenztropineBenzylpenicillin

Betamethasone ValerateBox Jelly Fish antivenom


ChloramphenicolCiprofloxacinClindamycinClotrimazole

Dexamethasone/Framycetin/GramicidinDicloxacillinDoxycyclineFlucloxacillin

Fluoride varnishFolic acidGlucagon

Glyceryl trinitrateHydrocortisone 1%

IbuprofenIpratropium

IronIron/Folic Acid

Isosorbide dinitrateketoconazole

Levonorgestrel 750mcgLevonorgestrel 1.5mg

Lignocaine 1%Lignocaine 2%

Lignocaine with adrenaline (1:100,000)Lignocaine/Prilocaine

LoperamideLoratadine

Metoclopramide


MetronidazoleMiconazoleMidazolamNaloxone

NitrofurantoinOxybuprocaineOxymetazoline

OxytocinParacetamol

Paracetamol 500mg/Codeine 30mgPhenoxymethylpenicillin (Penicillin V)

PodophyllotoxinPrednisoloneProbenecid

Procaine Penicillin (Penicillin G)Prochlorperazine

PromethazinePyrantel embonate

RoxithromycinSalbutamol

Silver sulphadiazine creamSulfamethoxazole/Trimethoprim

TerbutalineTinidazole

Triamcinolone compound creamTrimethoprim

Tuberculin PPD (Mantoux)Vaccine Diphtheria/HaemophiluslnfluenzaB/HepatitisB/

Pertussis/Poliomyelitis/TetanusVaccine Diphtheria/Pertussis/Poliomyelitis/Tetanus

Vaccine Diphtheria/Pertussis/TetanusVaccine Diphtheria/Tetanus

Vaccine Haemophilus Influenza B (HIB)Vaccine Haemophilus Influenza B/Meningococcal

Conjugate C (HibMenC)Vaccine Hepatitis AVaccine Hepatitis B

Vaccine Human PapillomavirusVaccine Influenza

Vaccine Meningococcal Conjugate CVaccine MMR (Measles, Mumps, Rubella)

Vaccine MMRV (Measles, Mumps, Rubella and Varicella)Vaccine Pneumococcal

Vaccine RotavirusVaccine Varicella

ValaciclovirXylometazolineZinc Sulphate

Schedule 8 SubstancesMorphine

2/24

Medicines, Poisons and Therapeutic Goods ActCOMMUNITY HEALTH CLINICS -

DEPARTMENT OF HEALTH:DECLARATION OF PLACES, APPROVAL OF


AND MIDWIVES TO DEAL WITH SCHEDULE 4 OR 8 SUBSTANCES



(ii) under section 254(1) of the Medicines,PoisonsandTherapeuticGoodsAct, and with reference to section 42 of theInterpretationAct, approve each protocol specified in Schedule B for possessing, supplying or administering a Scheduled substance for each declared place specified in Schedule A (Scheduled substance treatment protocol); and

(iii) under section 250(1)(a) of the Medicines,PoisonsandTherapeuticGoodsAct, and with reference to section 42 of the InterpretationAct, declare each nurse or midwife to be an approved nurse or approved midwife (approved practitioner) to deal with the Schedule 4 or 8 substances specified in Schedule C in accordance with the Scheduled substance treatment protocol specified in Schedule B subject to the following conditions:

(A) the approved practitioner must only deal with the Schedule 4 or 8 substances at the places specified in Schedule A or at places identified in each Scheduled substance treatment protocol specified in Schedule B;

(B) the approved practitioner must only deal with the Schedule 4 or 8 substances in the course of the approved practitioner's duties.




SCHEDULE AADELAIDE RIVER HEALTH CENTRELot 88, 21 Becker Street, Adelaide River

ALEkARENGE HEALTH CENTRELot 159, 15 Jangala Street, Ali Curung (Warrabi)

ALYANGULA HEALTH CENTRELot 1541, 2 Poinciana Street, Alyangula

ANGURUGU HEALTH CENTRELot 369, Angurugu

ANGURUGU RENAL UNITLot 534, Angurugu


BATCHELOR HEALTH CENTRELot 339, Pinaroo Crescent, Batchelor

BELYUEN HEALTH CENTRELot 252, Belyuen

BICkERTON IS HEALTH CENTRELot 6, Milyakburra (Bickerton Island)

BONYA HEALTH CENTRELot 30, Orrtipa-Thurra (Bonya)

BORROLOOLA HEALTH CENTRELot 621, 9 Garawa Street, Borroloola

CANTEEN CREEk HEALTH CENTRELot 3, 9 Mick Street, Canteen CreekDAGURAGU HEALTH CENTRE

Lot 56, DaguraguDOCkER RIVER HEALTH CENTRELot 112, kaltukatjara (Docker River)

ELLIOTT HEALTH CENTRELot 94, 16 Bray Street, Elliott

ENGAWALA HEALTH CENTRELot 22, 20 Turner Street, Engawala (Alcoota Station)

EPENARRA HEALTH CENTRELot 26, 5 Blackman Court, Wutunugurra (Epenarra)

FINkE (APATULA) HEALTH CLINICLot 34, Finke

GAPUWIYAk HEALTH CENTRELot 96, 1 Babawuynagumi Street, Gapuwiyak

HAASTS BLUFF HEALTH CENTRELot 78, 14 Multa Road, Haasts Bluff (Ikuntji)

HARTS RANGE HEALTH CENTRELot 60, 1 Sphene Street, Atitjere (Harts Range)

IMANPA HEALTH CENTRELot 15,109 Waterhole Road, Imanpa

JABIRU COMMUNITY HEALTH CENTRELot 2019, 14 Flinders Street, Jabiru

JULANIMAWU HEALTH CENTRELot 737, Wurrumiyanga (Nguiu)

LAkE NASH HEALTH CENTRELot 21, 17 Antyiper Street, Alpurrurulam (Lake Nash)

LARAMBA HEALTH CENTRELot 74, 8 Ayerrer Street, Laramba (Napperby)

MANINGRIDA HEALTH CENTRELot 659, Maningrida

MANINGRIDA RENAL UNITLot 480, Maningrida

MILIkAPITI HEALTH CENTRELot 249, Milikapiti (Snake Bay)

MILINGIMBI HEALTH CENTRELot 37, Milingimbi

MILINGIMBI RENAL UNITLot 45, Milingimbi

MINJILANG HEALTH CENTRELot 224, Minjilang (Croker Island)MT ALLAN HEALTH CENTRE

Lot 67, 14 Neymatey Street, YuelamuMT LIEBIG HEALTH CENTRE

Lot 20, 19 Peterson Crescent, Mt LiebigNAUIYU HEALTH CENTRE

Lot 126, Nauiyu

NEW kALkARINDJI HEALTH CENTRELot 125, 39 Libanangu Road, kalkarindji (Wave Hill)

NGUIU RENAL CENTRELot 693, Puti Drive, Wurrumiyanga (Nguiu)

NGUIU WELL BEING CENTRELot 739-740, Wurrumiyanga (Nguiu)

NTARIA HEALTH CENTRELot 95, 42 Raberaba Circuit, Hermannsburg (Ntaria)

NTARIA REMOTE DIALYSIS UNITLot 106,31 Raberaba Circuit, Hermannsburg (Ntaria)NTURIYA TI TREE STATION HEALTH CENTRE

Lot 37, 1 Mbiljana Street, AnmatjereNUMBULWAR HEALTH CENTRE

Lot 177, NumbulwarNYIRRIPI HEALTH CENTRE

Lot 139, Wattie CreekOENPELLI HEALTH CENTRELot 503, Gunbalunya (Oenpelli)PALUMPA HEALTH CENTRE

Lot 77, Nganmarriyanga (Palumpa)PAPUNYA HEALTH CENTRE

Lot 224, 10 Possum Crescent, PapunyaPINE CREEk HEALTH CENTRE

Lot 110, 32 Baxter Terrace, Pine CreekPIRLANGIMPI HEALTH CENTRE

Lot 238, PirlangimpiPMARA JUTUNTA CENTRE

Lot 78, 3 Panangka Crescent, AnmatjerePORT kEATS HEALTH CENTRE

Lot 490, 84 Perdjert Street, Wadeye (Port keats)RAMINGINING HEALTH CENTRE

Lot 11917 Milbrim Road, RaminginingROBINSON RIVER HEALTH CENTRE

Lot 44, Robinson RiverTARA HEALTH CENTRE

Lot 30, 31 Errtyarte Crescent, Tara (Neutral Junction)TI TREE HEALTH CENTRE

Lot 1534, 14 Palmer Street, Ti-TreeTITJIkALA HEALTH CENTRE

Lot 53, Titjikala (Maryvale)UMBAkUMBA HEALTH CENTRE

Lot 177, UmbakumbaWARRUWI HEALTH CENTRE

Lot 50, Warruwi (Goulburn Island)WATARRkA HEALTH CENTRELot 1, Watarrka (kings Canyon)

WILLOWRA HEALTH CENTRELot 40, 19 Ngatijirri Crescent, Willowra

WI LORA HEALTH CENTRELot 25, 2 Anmatjere Street, Wilora (Stirling Station)

WOODYkUPILDIYA HEALTH CENTRELot 26, Woodyjupildiya

YUENDUMU HEALTH CENTRELot 612, Park Street, Yuendumu

TEMPE DOWNS HEALTH CENTRELot 8, Ukaka

YULARA HEALTH CENTREYulara Drive, Yulara


SCHEDULE BCARPA Standard Treatment Manual 5th edition (2009)

as amended at June 2013Minymaku kutju Tjukurpa Women's Business Manual

4th edition (2008) as amended at January 2012Australian Immunization Handbook Edition


September 2013Childhood Vaccination Schedule 1 July 2013

Northern Territory Pneumococcal Vaccination and Revaccination Guideline September 2013

Vaccination Schedule July 2013Declared Places Outreach Services Schedule Substance

Treatment Protocol 28 April 2014













IronIron/Folic Acid






MetoclopramideMetronidazole

MiconazoleMidazolamNaloxone


OxytocinParacetamol





















3/24


NON GOVERNMENT ORGANISATIONS:DECLARATION OF PLACES, APPROVAL OF

SCHEDULED SUBSTANCE TREATMENT PROTOCOLS AND APPROVAL FOR ABORIGINAL

AND TORRES STRAIT ISLANDER HEALTH PRACTITIONERS TO DEAL WITH SCHEDULE 4 OR 8 SUBSTANCES




(iii) under section 250(1)(b) of the Medicines,PoisonsandTherapeuticGoodsAct, and with reference to section 42 of the InterpretationAct, declare each Aboriginal and Torres Strait Islander health practitioner to be an approved ATSI health practitioner to deal with the Schedule 4 or 8 substances specified in Schedule C in accordance with the Scheduled substance treatment protocol specified in Schedule B subject to the following conditions:

(A) the approved ATSI health practitioner must only deal with the Schedule 4 or 8 substances at the places specified in Schedule A or at places identified in each Scheduled substance treatment protocol specified in Schedule B;

(B) the approved ATSI health practitioner must only deal with the Schedule 4 or 8 substances in the course of the approved practitioner's duties.




SCHEDULE AAHERRENGE HEALTH CENTRE

Lot 9, AmpilatwatjaAMANBIDJI HEALTH CENTRE

Lot 25, BainesAMOONGUNA HEALTH CENTRELot 60, Whitegum Drive, Amoonguna

ANYINGINYI HEALTH ABORIGINAL CONGRESSLot 1, Irvine Street, Tennant CreekAREYONGA HEALTH CENTRE

Lot 75, 17 kalleske Street, AreyongaBAGOT COMMUNITY HEALTH SERVICES

Bagot Road, LudmillaBARUNGA HEALTH CENTRE

Lot 322, 20 Derrkolo Road, BarungaBESWICk HEALTH CENTRE

Lot 50, Ngalagan Street, BeswickBINJARI HEALTH CENTRE

Lot 43, BinjariBULLA HEALTH CENTRE

Lot 43, BainesBULMAN HEALTH CENTRE

Lot 68, Bulman WeemolCENTRAL AUSTRALIAN ABORIGINAL CONGRESS

Lot 25, Gap Road, Alice SpringsCORELLA CREEk HEALTH CENTRELot 14, Corella Creek (Barkly Mobile)

DANILA DIBLA HEALTH SERVICE PALMERSTONLot 1, 7 Rolyat Street, Gunn

DANILA DILBA HEALTH SERVICE DARWINLot 32-34, knuckey Street, Darwin

DANILA DILBA HEALTH SERVICE FAMILY CENTRE

Lot 1, 7 Rolyat Street, GunnDANILA DILBA MENS CLINICLot 42, McLachlan Street, DarwinEVA VALLEY HEALTH CENTRELot 21, Manyallaluk (Eva Valley)

GUNYANGARA HEALTH CENTRELot 91, Marngarr

ILUWURRU HEALTH CENTRELot 6, 904 Alexandria

JILkMINGGAN HEALTH CENTRELot 30, Jilkminggan (Duck Creek)

kALkARINDJI HEALTH CENTRELot 59,74 Buntine Highway, kalkarindji (Wave Hill)

LAJAMANU HEALTH CENTRELot 281, Lajamanu (Hooker Creek)LAYNAHPUY HEALTH CENTRE

Lot 86, Galpu Road, YirrkalaLTYENTYE APURTE HEALTH CENTRELot 315, keringke Crescent, Santa Teresa

MARTHAkAL HOMELANDS HEALTH SERVICELot 80, Riyalanura Road, Elcho IslandMATARANkA HEALTH CENTRELot 137, 13 Gunn Street, Mataranka

MINYERRI HEALTH CENTRELot 3, Minyerri


MIWATJ HEALTH ABORIGINAL CORPORATION GOVE

Lot 1424, Arnhem Road, NhulunbuyMUTITJULU HEALTH CENTRE

Lot 15, Ayers RockNALkANBUY HEALTH CENTRELot 106, Gakuda Street, GaliwinkuNGUkURR HEALTH CENTRE

Lot 316, NgukurrPEPPIMENARTI HEALTH CENTRE

Lot 73, PeppimenartiPIGEON HOLE HEALTH CENTRE

Lot 3, Pigeon HoleRITTARANGU URAPUNTJA HEALTH CENTRE

Lot 20, Blyth Street, LimmenTIMBER CREEk HEALTH CENTRELot 93, 59 Wilson Street, Timber Creek

URAPUNTJA HEALTH CENTRELot 1, Utopia

WALLACE ROCkHOLE HEALTH CENTRELot 68, 2 Armstrong Road, Wallace Rockhole

WALUNGURRU (kINTORE/PINTUPI HOMELANDS)Lot 194, Yuntju Street, Walungurru

WURLI WURLINJANG HEALTH CENTRELot 25, Third Street, katherine

YARRALIN HEALTH CENTRELot 53, Yarralin

YIRRkALA HEALTH CENTRELot 144, Rankine Road, Yirrkala

SCHEDULE BCARPA Standard Treatment Manual 5th edition (2009)Minymaku kutju Tjukurpa Women's Business Manual

4th edition (2008)Australian Immunization Handbook Edition 10th

Edition (2013)Adult and Special Groups Vaccination Schedule

















IronIron/Folic Acid




Lignocaine with adrenaline (1: 1 00,000)Lignocaine/Prilocaine





OxytocinParacetamol





















4/24


NON GOVERNMENT ORGANISATIONS:DECLARATION OF PLACES, APPROVAL OF


AND MIDWIVES TO DEAL WITH SCHEDULE 4 OR 8 SUBSTANCES



(ii) under section 254(1) of the Medicines,PoisonsandTherapeuticGoodsAct, and with reference to section 42 of the InterpretationAct, approve each

protocol specified in Schedule B for possessing, supplying or administering a Scheduled substance for each declared place specified in Schedule A (Scheduled substance treatment protocol); and

(iii) under section 250(1)(a) of the Medicines,PoisonsandTherapeuticGoodsAct, and with reference to section 42 of the InterpretationAct, declare each nurse or midwife to be an approved nurse or approved midwife (approved practitioner) to deal with the Schedule 4 or 8 substances specified in Schedule C in accordance with the Scheduled substance treatment protocol specified in Schedule B subject to the following conditions:

(A) the approved practitioner must only deal with the Schedule 4 or 8 substances at the places specified in Schedule A or at places identified in each Scheduled substance treatment protocol specified in Schedule B;

(B) the approved practitioner must only deal with the Schedule 4 or 8 substances in the course of the approved practitioner's duties.




SCHEDULE AAHERRENGE HEALTH CENTRE

Lot 9, AmpilatwatjaAMANBIDJI HEALTH CENTRE

Lot 25, BainesAMOONGUNA HEALTH CENTRELot 60, Whitegum Drive, Amoonguna

ANYINGINYI HEALTH ABORIGINAL CONGRESSLot 1, Irvine Street, Tennant CreekAREYONGA HEALTH CENTRE

Lot 75, 17 kalleske Street, AreyongaBAGOT COMMUNITY HEALTH SERVICES

Bagot Road, LudmillaBARUNGA HEALTH CENTRE

Lot 322, 20 Derrkolo Road, BarungaBESWICk HEALTH CENTRE

Lot 50, Ngalagan Street, BeswickBINJARI HEALTH CENTRE

Lot 43, BinjariBULLA HEALTH CENTRE

Lot 43, BainesBULMAN HEALTH CENTRE

Lot 68, Bulman WeemolCENTRAL AUSTRALIAN ABORIGINAL CONGRESS

Lot 25, Gap Road, Alice SpringsCORELLA CREEk HEALTH CENTRELot 14, Corella Creek (Barkly Mobile)

DANILA DIBLA HEALTH SERVICE PALMERSTONLot 1, 7 Rolyat Street, Gunn


DANILA DILBA HEALTH SERVICE DARWINLot 32-34, knuckey Street, Darwin

DANILA DILBA HEALTH SERVICE FAMILY CENTRE

Lot 1, 7 Rolyat Street, GunnDANILA DlLBA MENS CLINICLot 42, McLachlan Street, DarwinEVA VALLEY HEALTH CENTRELot 21, Manyallaluk (Eva Valley)

GUNYANGARA HEALTH CENTRELot 91, Marngarr

ILUWURRU HEALTH CENTRELot 6, 904 Alexandria

JILkMINGGAN HEALTH CENTRELot 30, Jilkminggan (Duck Creek)

kALkARINDJI HEALTH CENTRELot 59,74 Buntine Highway, kalkarindji (Wave Hill)

LAJAMANU HEALTH CENTRELot 281, Lajamanu (Hooker Creek)LAYNAHPUY HEALTH CENTRE

Lot 86, Galpu Road, YirrkalaLTYENTYE APURTE HEALTH CENTRELot 315, keringke Crescent, Santa Teresa

MARTHAkAL HOMELANDS HEALTH SERVICELot 80, Riyalanura Road, Elcho IslandMATARANkA HEALTH CENTRELot 137, 13 Gunn Street, Mataranka

MINYERRI HEALTH CENTRELot 3, Minyerri

MIWATJ HEALTH ABORIGINAL CORPORATION GOVE

Lot 1424, Arnhem Road, NhulunbuyMUTITJULU HEALTH CENTRE

Lot 15, Ayers RockNALkANBUY HEALTH CENTRELot 106, Gakuda Street, GaliwinkuNGUkURR HEALTH CENTRE

Lot 316, NgukurrPEPPIMENARTI HEALTH CENTRE

Lot 73, PeppimenartiPIGEON HOLE HEALTH CENTRE

Lot 3, Pigeon HoleRITIARANGU URAPUNTJA HEALTH CENTRE

Lot 20, Blyth Street, LimmenTIMBER CREEk HEALTH CENTRELot 93, 59 Wilson Street, Timber Creek

URAPUNT A HEALTH CENTRELot 1, Utopia

WALLACE ROCkHOLE HEALTH CENTRELot 68,2 Armstrong Road, Wallace Rockhole

WALUNGURRU (kINTORE/PINTUPI HOMELANDS)Lot 194, Yuntju Street, Walungurru

WURLI WURLINJANG HEALTH CENTRELot 25, Third Street, katherine

YARRALIN HEALTH CENTRELot 53, Yarralin

YIRRkALA HEALTH CENTRELot 144, Rankine Road, Yirrkala

SCHEDULE BCARPA Standard Treatment Manual 5th edition (2009)Minymaku kutju Tjukurpa Women's Business Manual

4th edition (2008)Australian Immunization Handbook Edition


















IronIron/Folic Acid










OxytocinParacetamol

















Vaccine Rotavirus

Vaccine VaricellaValaciclovir

XylometazolineZinc Sulphate


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Medicines, Poisons and Therapeutic Goods ActHOME BIRTH SERVICES:

DECLARATION OF PLACES, APPROVAL OF SCHEDULED SUBSTANCE TREATMENT

PROTOCOLS AND APPROVAL FOR MIDWIVES TO DEAL WITH SCHEDULE 4 SUBSTANCES



(ii) under section 254(1) of the Medicines,PoisonsandTherapeuticGoodsAct, and with reference to section 42 of the InterpretationAct, approve, from the date of this instrument to 31 May 2014, each protocol specified in Schedule B for possessing, supplying or administering a Scheduled substance for each declared place specified in Schedule A (Scheduled substance treatment protocol); and

(iii) under section 250(1)(a) of the Medicines,Poisons andTherapeuticGoodsAct, and with reference to section 42 of the InterpretationAct, declare each midwife to be an approved midwife (approved practitioner) to deal with the Schedule 4 substances specified in Schedule C in accordance with the Scheduled substance treatment protocol specified in Schedule B subject to the following conditions:

(A) the approved practitioner must not deal with the Schedule 4 substances after 31 May 2014;

(B) the approved practitioner must only deal with the Schedule 4 substances at the places specified in Schedule A or at places identified in each Scheduled substance treatment protocol specified in Schedule B;

(C) the approved practitioner must only deal with the Schedule 4 substances in the course of the approved practitioner's duties.





SCHEDULE ADarwin Home Birth Service Rooms,

Ground Floor Casuarina House,Lot 7724 Trower Rd, Casuarina;

Darwin Birth Centre and Delivery SuitesRoyal Darwin Hospital Campus,Lot 9731 Rocklands Drive, Tiwi.

SCHEDULE BDarwin Home Birth Service

Scheduled Substance TreatmentProtocols 1- 9 dated 30 April 2014


AdrenalineBenzylpenicillin

ClindamycinErgometrine 500 mcg/mL

in combination with Oxytocin 5 IU/mLLignocaine 1%

MisoprostolOxytocin

Anti D Rh ImmunoglobulinVitamin k

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Documents

NORTHERN TERRITORY OF AUSTRALIA Government … · NORTHERN TERRITORY OF AUSTRALIA ... Dick Ward Drive, Dick Ward Drive, Coconut Grove Specialist Clinic Palmerston Health Precinct,