Northern Territory Government Gazette No. S77, 29 July 2016

Northern Territory of Australia

Government Gazette

ISSN-0157-833X

No. S7729 July 2016

Northern Territory of Australia

Medicines, Poisons and Therapeutic Goods Act

Community Health Centres and Clinics

Revocations, Declarations and Approvals

I, Dinesh Kumar Arya, Chief Health Officer:

(a)under sections252, 254(1) and 250(1) of the Medicines, Poisons and Therapeutic GoodsAct and with reference to section43 of the InterpretationAct, revoke:

(i)the notice entitled "Community Health Clinics - Non-Government Organisations: Revocation of Notice and Declaration of Places, Approval of Scheduled Substance Treatment Protocols and Approval for Nurses and Midwives to Deal with Schedule4 or 8 Substances" dated 17November2014 and published in Gazette No.S114 of 19November2014; and

(ii)the notice entitled "Community Health Clinics - Non-Government Organisations: Revocation of Notice and Declaration of Places, Approval of Scheduled Substance Treatment Protocols and Approval for Aboriginal and Torres Strait Islander Health Practitioners to Deal with Schedule4 or 8 Substances" dated 17November2014 and published in Gazette No.S114 of 19November2014; and

(b)under section252 of the Medicines, Poisons and Therapeutic GoodsAct, declare each health centre or clinic specified in the Schedule, PartA, to be a place to which Part2.6 of the Act applies; and

(c)under section254(1) of the Act, approve each Scheduled substance treatment protocol specified in the Schedule, PartB, for each health centre or clinic specified in the Schedule, PartA; and

(d)under section250(1)(a) of the Act, declare each nurse or midwife practising at a health centre or clinic specified in the Schedule, PartA, to be an approved nurse or approved midwife (as appropriate) to supply, administer to another person and possess the Schedule4 and8 substances specified in the Schedule, PartC, in accordance with each Scheduled substance treatment protocol specified in the Schedule, PartB; and

(e)under section250(1)(b) of the Act, declare each Aboriginal and Torres Strait Islander health practitioner practising at a health centre or clinic specified in the Schedule, PartA, to be an approved ATSI health practitioner to supply, administer to another person and possess the Schedule4 and 8 substances specified in the Schedule, PartC, in accordance with each Scheduled substance treatment protocol specified in the Schedule, PartB.

Dated26 July 2016

D. K. Arya

Chief Health Officer

Schedule

Part A

Page 1

Northern Territory Government Gazette No. S77, 29 July 2016

Alice Springs After Hours General Practice

Alice Springs Hospital

6 Gap Road

Alice Springs NT 0870

Amoonguna Health Service

60 Whitegum Drive

Amoonguna NT 0872

Ampilatwatja Health Centre

15 South Street

Ampilatwatja NT 0872

Anyinginyi Health Centre

71 Schmidt Street

Tennant Creek NT 0860

Bagot Community Health Clinic

Bagot Road

Ludmilla NT 0820

Barunga Health Centre

322/20 Derrkolo Road

Barunga NT 0852

Binjari Health Service

Lot 71

Binjari NT 0852

Bulla Health Centre

Lot 17

Baines NT 0852

Bulman Health Centre

Lot 68

BulmanWeemol NT 0852

Central Australian Aboriginal

Congress – Alukura

4 Percy Court

Alice Springs NT 0870

Central Australian Aboriginal

Congress – Ingkintja

19 Gap Road

Alice Springs NT 0870

Central Australian Aboriginal

Congress – Larapinta Clinic

5/26 Diarama Close

Araluen NT 0870

Central Australian Aboriginal

Congress – Main Clinic

25 Gap Road

Alice Springs NT 0870

Central Australian Aboriginal

Congress – Public Health Division

32 Priest Street

Alice Springs NT 0870

Central Australian Aboriginal

Congress – Sadadeen Clinic

2-4/70 Spearwood Road

Alice Springs NT 0870

Central Australian Aboriginal Congress – Social and Emotional Wellbeing Service

14 Leichardt Terrace

Alice Springs NT 0870

Danila Dilba Health Service –

Darwin Clinic

32-34 Knuckey Street

Darwin NT 0800

Danila Dilba Health Service – Malak Clinic

3/1 Malak Place

Malak NT 0812

Danila Dilba Health Service –

Men's Clinic

42 McLachlan Street

Darwin NT 0800

Danila Dilba Health Services –

Palmerston Dental Clinic

4/7 Rolyat Street

Palmerston NT 0830

Danila Dilba Health Service –

Palmerston Family Centre

1/7 Rolyat Street

Palmerston NT 0830

Danila Dilba Health Service –

Palmerston Health Clinic

7 Rolyat Street

Palmerston NT 0830

Gunyangara Health Centre

90 Yunupingu Drive

Gunyangara NT 0880

Headspace Alice Springs

5/5 Hartley Street

Alice Springs NT 0870

Iluwurru Health Centre

Lot 6

Alexandria NT 0862

Jilkminggan Health Centre

Lot 30

Jilkminggan (Duck Creek) NT 0852

Kalkaringi Health Centre

125 Libanangu Road

Kalkaringi NT 0852

Lajamanu Health Centre

446 Lajamanu Street

Lajamanu NT 0852

Laynahpuy Homelands Health

Service

86 Galpu Road

Yirrkala NT 0880

Manyallaluk Health Centre

Lot 21

Manyallaluk (Eva Valley) NT 0852

Marthakal Homelands Health

Service

80 Riyalanura Road

Galiwin’ku (Elcho Island) NT 0822

Mataranka Health Centre

25 Gunn Street

Mataranka NT 0852

Mialuni (Kildurk) Health Centre

25 Baines Street

Timber Creek NT 0852

Minyerri Health Centre

Lot 3

Minyerri NT 0852

Miwatj Health – Ngalkanbuy Health Centre

105 Gakuda Street

Galiwin'ku (Elcho Island) NT 0882

Miwatj Health – Nhulunbuy Clinic

1424 Arnhem Road

Nhulunbuy NT 0880

Mitwatj Health – Yirrkala Health

Centre

144 Rankine Road

Yirrkala NT 0880

Mutitjulu Clinic

36 Petermann Road

Mutitjulu NT 0872

Ngukurr Health Centre

Lot 316

Ngukurr NT 0852

Ntaria Health Service

293 Raberaba Circuit

Hermannsburg (Ntaria) NT 0872

Peppimenarti Health Centre

Lot 73

Peppimenarti NT 0822

Pigeon Hole Health Centre

Lot 3

Pigeon Hole NT 0852

Pintupi Homelands Health Service

194 Yuntju Street

Walungurru NT 0872

Santa Teresa Health Centre

315 Church Street

Santa Teresa (LtyentyeApurte) NT 0872

Timber Creek Health Centre

93 Wilson Street

Timber Creek NT 0852

Urapunga Health Centre

20 Blyth Street

Limmen NT 0852

Urapuntja Health Service

1 Sandover Highway

Amengernternenh Community

Utopia NT 0872

Utju Health Service

75 Kalleski Road

Areyonga (Utju) NT 0872

Wugularr Health Centre

50 Ngalagan Street

Beswick NT 0852

WurliWurlinjang Health Service

25 Third Street

Katherine NT 0850

Yarralin Health Centre

Lot 53

Yarralin NT 0852

Page 1

Northern Territory Government Gazette No. S77, 29 July 2016

Part B

Title / Publication Date / Author
Adult and Special Groups Vaccination Schedule / March 2016 / Centre for Disease Control (Northern Territory Government Department of Health)
The Australian Immunisation Handbook, 10th Edition / 2015 / Australian Technical Advisory Group on Immunisation (Australian Government Department of Health)
CARPA Standard Treatment Manual, 6th Edition / 2014 / Central Australian Aboriginal Congress, Central Australian Rural Practitioners Association Inc, CRANAplusInc, Flinders University through the Centre for Remote Health
Childhood Vaccination Schedule / March 2016 / Centre for Disease Control (Northern Territory Government Department of Health)
Declared Places Outreach Services Scheduled Substance Treatment Protocol / July 2016 / Northern Territory Government Department of Health
MinymakuKutjuTjukurpa Women’s Business Manual, 5th Edition / 2014 / Central Australian Aboriginal Congress, Central Australian Rural Practitioners Association Inc, CRANAplusInc, Flinders University through the Centre for Remote Health
Northern Territory Refugee Vaccination Policy / September 2015 / Centre for Disease Control (Northern Territory Government Department of Health)
NT Pneumococcal Vaccination and Revaccination Guideline / March 2016 / Centre for Disease Control (Northern Territory Government Department of Health)
Scheduled Substance Treatment Protocol Mango Dermatitis / July 2016 / Northern Territory Government Department of Health
Vaccination Schedule for Standard Treatment Protocol / April 2015 / Northern Territory Government Department of Health
Vaccines to Adults in the Northern Territory Scheduled Substance Treatment Protocol / March 2016 / Northern Territory Government Department of Health

Part C

Schedule 4 Substances

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Northern Territory Government Gazette No. S77, 29 July 2016

Page 1

Northern Territory Government Gazette No. S77, 29 July 2016

Aciclovir

Adrenaline

Albendazole

Amethocaine

Amoxicillin

Antisera – Box jellyfish

Aspirin

Azithromycin

Benzathine penicillin

Betamethasone

Cefalexin

Ceftriaxone

Chloramphenicol

Ciprofloxacin

Clavulanic acid

Clindamycin

Clotrimazole

Codeine/Paracetamol

Dexamethasone

Diazepam

Dicloxacillin

Doxycycline

Famciclovir

Flucloxacillin

Fluorides – Varnish

Framycetin

Glyceryl trinitrate

Gramicidin

Haemophilus influenzae vaccine

Hepatitis A vaccine

Hepatitis B vaccine

Human papillomavirus vaccine

Hydrocortisone

Imiquimod

Ipratropium

Iron compounds

Isosorbidedinitrate

Ketoconazole

Levonorgestrel

Lidocaine

Metoclopramide

Metronidazole

Miconazole

Midazolam

Naloxone

Neomycin

Nitrofurantoin

Nystatin

Olanzapine

Omeprazole

Ondansetron

Oxybuprocaine

Oxytocin

Phenoxymethylpenicillin

Pneumococcal vaccine

Podophyllotoxin

Praziquantel

Prednisolone

Probenecid

Procaine benzylpenicillin

Prochlorperazine

Promethazine

Roxithromycin

Salbutamol

Silver sulfadiazine

Sulfamethoxazole

Terbinafine

Terbutaline

Tinidazole

Triamcinolone

Trimethoprim

Tuberculin

Vaccine – Diphtheria/Haemophilus
influenza B/Hepatitis B/
Pertussis/Poliomyelitis/Tetanus

Vaccine – Diphtheria/Pertussis/
Poliomyelitis/Tetanus

Vaccine – Diphtheria/Pertussis/
Tetanus

Vaccine – Diphtheria/Tetanus

Vaccine – Haemophilus influenza B/
Meningococcal conjugate C

Vaccine – Herpes zoster

Vaccine – Influenza

Vaccine – Measles/Mumps/Rubella

Vaccine – Measles/Mumps/Rubella/
Varicella

Vaccine – Meningococcal conjugate
C

Vaccine – Rotavirus

Valaciclovir

Varicella vaccine

Zinc compounds – Zinc sulfate

Page 1

Northern Territory Government Gazette No. S77, 29 July 2016

Schedule 8 Substances

Morphine

Northern Territory of Australia

Medicines, Poisons and Therapeutic Goods Act

Darwin Occupational Services
Declarations and Approval

I, Dinesh Kumar Arya, Chief Health Officer:

(a)under section 252 of the Medicines, Poisons and Therapeutic GoodsAct, declare the health centre specified in the Schedule, Part A, to be a place to which Part 2.6 of the Act applies; and

(b)under section 254(1) of the Act, approve each Scheduled substance treatment protocol specified in the Schedule, Part B, for the health centre specified in the Schedule, Part A; and

(c)under section 250(1)(a) of the Act, declare each nursepractising at the health centre specified in the Schedule, Part A, who has the qualifications specified in the Schedule, Part C, to be an approved nurse to supply, administer to another person and possess the Schedule4 substances specified in the Schedule, Part D, in accordance with each Scheduled substance treatment protocol specified in the Schedule,PartB.

Dated 26 July 2016

D. K. Arya

Chief Health Officer

Schedule

Part A

Darwin Occupational Services

35a/12 Charlton Court

Woolner NT 0820

Part B

Title / Date / Author
Model Standing Drug Order (SDO), Combined Hepatitis A and B Vaccine / endorsed on 30 May 2016 / Darwin Occupational Services (DOS)
Model Standing Drug Order (SDO), Diphtheria-Tetanus-Pertussis-Polio (dTpaIPV) Vaccine / endorsed on 30 May 2016 / DOS
Model Standing Drug Order,Hepatitis A Vaccine / endorsed on 30 May 2016 / DOS
Model Standing Drug Order (SDO), Hepatitis B Vaccine / endorsed on 30 May 2016 / DOS
Model Standing Drug Order,Influenza Vaccine / endorsed on 2June 2016 / DOS
Standing Drug Order, Adsorbed Diphtheria-Tetanus Vaccine / endorsed on 30 May 2016 / DOS
Standing Drug Order,Lyssavirus Vaccine / endorsed on 31 May 2016 / DOS
Vaccine Management Procedure,ProcedureNo:DOS 02 / 22 June 2016 / DOS
Vaccination Procedure, ProcedureNo:DOS03 / 22 June 2016 / DOS
Workplace Vaccination Procedure,ProcedureNo:DOS04 / 22 June 2016 / DOS

Part C

1The qualifications prescribed under section 65(1A) of the Act.

2Successful completion of the unit of competency HLTAID001 Provide cardiopulmonary resuscitation.

Part D

Hepatitis A Vaccine

Hepatitis B Vaccine

Rabies Vaccine

Vaccine Diphtheria/Tetanus

Vaccine Diphtheria/Tetanus/Pertussis/Polio

Vaccine Hepatitis A/Hepatitis B

Vaccine Influenza

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