Hi mary: This is one of the reasons I haven't started to practice independently here: I don't know the drug laws. Coming from a state that had a Midwives Act which was written by and directed towards independent midwives this is a huge boulder of a stumbling block for me. In Washington we had this authority, infact we would have been breaking the law if we had attended a birth without emergency oxytocics and if we didn't have the knowledge about when to administer them emergently then we would never have been licensed. Certainly we threw out more than we ever used but that was just a basic practice cost and there is no point in carry drugs that have expired.
Vent done. So if you need a doctors order can't this be covered by a standing order from the doc you consult or refer to? Would it have to be reissued for each woman you care for? Is there any university here that offers a Pharmaceutical Course and Legal issues for independant midwives? marilyn ----- Original Message ----- From: "Mary Murphy" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Friday, July 16, 2004 5:13 AM Subject: Re: [ozmidwifery] Anti D problems.. > There is a legal problem with the Poison's Act about administering certain > drugs (Schedule 4) without a doctors order. Often it is not the obtaining > of the drug, but the authority to use it that can cause problems. Check > your state's Poison's Act. MM > > > > there is a company called Livingstone international > > toll free phone 1300 780 078 > > www.livingstone.com.au > > > > (that has on office in sydney who have the most amazing catelogue on > > line. Its worth a look for anyone wanting to buy supplies. They set you > > up with an account, you can order by phone or on line, the stuff arrives > > within a day or so and you can pay by all the usual methods. the > > catelogue includes an amazing array of drugs. I haven't tried to by the > > narcotics even though they are all listed there but Syntocinon is on > > their list. I rang and asked whether one needed a script to order it > > and was told no they were quite happy to ship it, packed with > > coolers!!!!!! Ive never needed to use it but have it on hand > > > > Unfortunately Anti D has to come from Bloodbank so they dont have that > > > > Andrea Q > > > > On Friday, July 16, 2004, at 07:34 AM, Lynne Staff wrote: > > > > > Hi Sue > > > Even thought you posted mistakenly, can I just say in response to your > > > final > > > comment 'is this worth it?' Yes, it is. > > > I had problems with some docs re anti D but found a supportive ob who > > > said > > > if ever I needed anti D orders, or supplies and was having trouble, he > > > would > > > organize it for me without any fuss. I didn't ever require his > > > assistance > > > again, as I liased with the local blood bank, where the hospitals obtain > > > their supplies, and have never had a problem since - occasionally with > > > an > > > order for its administration (from GPs etc), but have always managed to > > > talk > > > them around. The synto is the one I had the most trouble with - GPs > > > telling > > > me their medical advisory committee told them not to write the > > > prescription > > > for a medication they were not going to personally administer!!! Have > > > you > > > ever heard such a load.....der - they do that all day every day! > > > Every time I came up against a brick wall about something, I always come > > > away with more knowledge and strategies for the future! > > > Warm regards, Lynne > > > ----- Original Message ----- > > > From: "Sue Cookson" <[EMAIL PROTECTED]> > > > To: <[EMAIL PROTECTED]> > > > Sent: Thursday, July 15, 2004 7:07 PM > > > Subject: [ozmidwifery] Anti D problems.. > > > > > > > > >> Hi Jan, > > >> Seem to be hitting a few problems here, and am forever aware of my > > >> (il)legal status. > > >> Had a lovely slow primip birth on Sunday(46 hours - mostly prelabour > > >> but > > >> still needing support), Rh pos baby, so went to Mullum hospital armed > > >> with the baby's blood results (which I'd got from the receptioinsts at > > >> my back-up doctor's surgery). My back-up doctor had just left for a 2 > > >> week break, so I contacted his back-up doctor. This guy was off for the > > >> day, so I spoke with his boss who happened to be a personal friend(?). > > >> Well, all shit let loose cos this guy decided it was completely wrong > > >> for me to have access to the anti-Don the woman's behalf. He phoned > > >> Mullum hospital and told the nurse administrator (Jane Ackerman) I > > >> was a > > >> lay midwife and then all these people in the hospital came up to me > > >> telling me I was a lay midwife. Nightmare!! > > >> To cut the story short, I ended up having to take the women in to the > > >> hospital for her jab. I had called the mum and she had given me the > > >> name > > >> of a reg nurse friend who was happy to do injection but that seemed to > > >> become irrelevant. The hospital maintained they couldn't send out a > > >> midwife cos she wasn't under their care, and that they didn't have the > > >> right paperwork to make changes to any of that. > > >> I then dropped in and spoke with Jane Ackerman again today, and she > > >> seems very supportive saying that she was supporting women's right to > > >> choose whoever and that wasn't an issue, but that we just needed to > > >> sort > > >> out the systems so that the women's needs can be met. > > >> Do you happen to know Jane Ackerman? > > >> What do you do about anti-d? > > >> Yuk!! > > >> And my next two women are also rhesus neg... > > >> > > >> Boy Jan, is all this worth it?? > > >> Sue > > >> > > >>> > > >>> > > >>> > > >>> > > >>> > > >>> > > >> > > >> -- > > >> This mailing list is sponsored by ACE Graphics. > > >> Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > > > > -- > > > This mailing list is sponsored by ACE Graphics. > > > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > > > > > -- > > This mailing list is sponsored by ACE Graphics. > > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > -- This mailing list is sponsored by ACE Graphics. 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