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Legislation

Nurses and midwives are required to behave lawfully and there is some legislation that is applicable to everyone and some that may be applicable, depending on one’s area of practice.

New South Wales legislation may be accessed directly by going to
www.legislation.nsw.gov.au and selecting the legislation “in force”.
Earlier versions of legislation, since 1990, are also archived on this site.

State and Commonwealth legislation may be accessed at the website of the Australasian Legal Information Institute, www.austlii.edu.au

Nurses and Midwives Act and Regulations establish processes for professional regulation, including establishment of the Nurses and Midwives Board, the Registers, the Roll, professional disciplinary processes etc.  
Nurses and Midwives Act 1991
Nurses and Midwives Regulation 2003

The NSW Health Department advises Parliament in regard to the regulation of health professionals. A major review of the former Nurses Act was foreshadowed and a discussion paper, seeking public comment, was released in July 1999. Subsequently, in October 2001, the NSW Health Department published the Report of the Review of the Nurses Act 1991. This provided the basis for the drafting of amendments which were subsequently considered by Parliament and commenced from August 2004.  The report provides substantial background about the issues considered when the legislation was developed.  The Hansard records of the respective second readings of the amendment bill in the two houses of Parliament can be accessed by following the links: Legislative Assembly and Legislative Council.

Infection Control Standards are legislated within the Nurses and Midwives Regulation 2003.  Clause 33 of the Regulation requires adherence to the standards while schedule 1 to the Regulation provides the substantive details.  In their professional practice, nurses and midwives must comply with the standards as set out in Schedule 1 to the Regulation except where they can demonstrate a reasonable excuse. Reasonable excuses are described in clause 33 of the regulation as being whether care was provided in an emergency or if the employer failed to provide the necessary equipment and access and the nurse or midwife has reported the employer to the Director-General of Health.


Other New South Wales legislation includes:


Poisons and Therapeutic Goods Act 1966
Poisons and Therapeutic Goods Regulation 2002
This legislation establishes the legal framework within which nurses and midwives are able to administer medications.


Health Care Complaints Act 1993
This legislation applies, in conjunction with the Nurses and Midwives Act, in regard to dealing with complaints concerning nurses and midwives.


Health Records and Information Privacy Act 2002
Health Records and Information Privacy Code of Practice 2005
Health Records and Information Privacy Regulation 2006
This legislation protects, with certain exceptions, the privacy of an individual’s health information that is held in the public and private sectors.


Human Tissue Act 1983
Human Tissue Regulation 2005
This legislation establishes parameters relating, among other things, to donations of body fluids, the use of surgically removed tissue for therapeutic or research purposes, organ donation and transplantation.


Public Health Act 1991
This legislation imposes many restrictions. In particular see:
section 10AB restricts advertising that may be misleading or creates unjustified expectation of beneficial treatment

section 10AG  restricts "Certain Birthing Practices" relating to the care of a pregnant woman involving the management of the 3 stages of labour and child birth

section 10AH which precludes the provision of certain footcare services by nurses and midwives

section 42F and following sections relate to establishment of the NSW Pap Smear Register and the information including the registered nurse or registered midwife involved in the procedure
section 52 establishes certain nursing requirements for "nursing homes" which are defined in section 3 of the Act.

Public Health (General) Regulation 2002
In particular, clause 20B provides the minimum qualifications for the director of nursing of a "nursing home" as defined in the Public Health Act.


Births, Deaths and Marriages Registration Act 1995
In particular, section 12 requires a midwife to notify a birth in certain circumstances.


Mental Health Act 2007
Particularly relevant for nurses working in mental health. The legislation seeks to ensure that persons who are mentally ill or who are mentally disordered receive the best possible care and treatment in the least restrictive environment enabling the care and treatment to be effectively given. Further, the legislation requires that, in providing for the care and treatment of persons who are mentally ill or who are mentally disordered, any restriction on the liberty of mentally ill or mentally disordered persons and any interference with their rights, dignity and self-respect are kept to the minimum necessary in the circumstances.


Guardianship Act 1987
Guardianship Regulation 2005
This legislation relates to persons who are restricted in one or more major life activities to such an extent that they require supervision or social habilitation. In particular the legislation identifies that it applies in relation to persons who are intellectually, physically, psychologically or sensorily disabled; persons who are of advanced age, persons who are mentally ill and persons who are otherwise disabled.


Children and Young Persons (Care and Protection) Act 1998
In particular, section 27 requires the mandatory reporting by nurses and midwives if, arising from their professional practice, they have reasonable grounds to suspect that a child is at risk of harm.


Mutual Recognition Act 1992 (Commonwealth) provides, subject to certain matters being satisfied, for a person who is registered or licensed for an occupation in one state or territory of Australia to be eligible for registration or licensure to undertake the equivalent occupation in any other state or territory. Trans Tasman Mutual Recognition Act 1997 (Commonwealth) extends the mutual recognition principle to include New Zealand.


Copies of New South Wales legislation
can be ordered by phone, fax, email or in person at the
Salmat Print on Demand Centre
Level 3, McKell Building
2-24 Rawson Place
Sydney NSW 2000
(very close to the Nurses and Midwives Board’s office location)

Telephone: 1300 656 986
Fax: 02 9324 1901
Email: bookshop@salmat.com.au
www.bookshop.nsw.gov.au
     
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