Medical Act

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Ad L. I. 3 of 1937 Amended by 190f1939 3 of 1945
12 of 1946 10f 1949 70f1952 9 of 1979
34 of 1982 5 of 1984
36 of 1986 12 of 1990
CU~DtAu~orl.dPag5 Pages Authorised
(inclusive) byL.R.O. 147 111991
Index of
Subsidiary Legislation
Examination of Chemists and Druggists Rules Sale of Poisons Regulations
Page 46 47
Note on
Omission
The Medical Registration Districts Proclamation (L. I. S.R.O. 13/1938) has been omitted. (Spent by virtue of amendments to sections 3, 4 and 5 of the Medical Ordinance (Cap. 149 - 1961 Ed.) by the Law Revision (Miscellaneous) Amendments Act 1990, (Act No. 12 of 1990).
1. Short title. 2. Interpretation.
PART I MEDICAL BOARDS
3. Medical Board. 4. Establishment of boards by Minister. 5. Application of Act to boards. 6. Tenn of service of members. 7. Meetings. 8. Reference of questions by Minister to Board.
PART II REGISTRAnON
9. Appointment of registrar. to. Medical register. 11. Registration of persons already qualified. 12. Application for registration. 13. Appeal to Minister. 14. Additional qualifications. 15. Alteration in medical register. 16. Removal of name from medical register on request. 17. Removal of name on death. 18. Removal of name from register and appeal from order of
removal. 19. Name may be restored to register. 20. Publication of copy of register and evidence of registration. 21. Penalty for obtaining registration by false representation. 22. Penalty for registrar making false entry.
PART III
MEDICAL PRACTIDONERS
23. Persons entitled to be registered. 24. Medical officers of military force. 25. Rights of registered practitioners. 26. Offences by unregistered persons. 27. Power of medical board to issue licences in certain cases. 28. Patient to be prescribed for by a registered medical practitio-
ner. 29. Validity of certificate.
PART IV DENTISTS
30. Registration of dentists. 31. Offences by unregistered persons. 32. Qualifications necessary for registration. 33. No recovery of fees by unregistered person.
PART V OPTICIANS
34. No person to practise sight-testing unless registered. 35. Persons entitled to be registered. 36. Evidence of practice of sight-testing. 37. Registered optician entitled to recover charges. 38. Offences. 39. Exemptions.
PART VI CHEMISTS AND DRUGGISTS
40. No person to practise as druggist unless registered. 41. Qualifications for registration.
42. Procedure to be followed by applicants for certificates of competency.
43. Exemption.
PART VII SALE OF DRUGS AND POISONS
44. Prohibition of sale of drugs by unregistered person. 45. Sign on shop for sale of drugs. 46. Refusal to dispense.
Improper or negligent conduct. 47. Prescriptions to be numbered and filed. 48. Substances to be deemed poisons. 49. Prohibition of sale of poison to person under sixteen. 50. Restriction on sale of poison. 51. Penalty for false infonnation. 52. Prohibition of sale or delivery of poison by uncertified shop
assistant. 53. Duty of druggist where excessive dose of poison prescribed. 54. Label on container of patent or proprietary medicine. 55. Prohibition of sale of unfit drugs. 56. Inspection of drugs and books. 57. Regulations. 58. Penalties.
PART VIII FAMILY NURSE PRACfITIONERS
59. Family Nurse Practitioners. 60. Nurse Practitioners prescriptions.
PART IX DENTAL AUXILIARIES
PART X
PAEDIATRIC NURSE PRACTITIONERS
62. Paediatric Nurse Practitioners.
SCHEDULEA. SCHEDULEB. SCHEDULEC. SCHEDULED. SCHEDULEE. SCHEDULEF. SCHEDULEG. SCHEDULEH. SCHEDULE I. SCHEDULE J.
AN ACT to make provision for the registration of medical practi- 1961 Ed. tioners, dentists, opticians, and druggists, and to regulate the ~i'i:~f1937. practice of medicine, surgery, dentistry, sight-testing, and the sale of drugs.
2. In this Act - Intetpretation. [34 of 1982
"Dominica Nurse Practitioners' Drug Fonnulary" means alistof drugs 5 of 1984]. issued by the Medical Board from which the Nurse Practitioner is pennitted to prescribe in the treaunent of common com- plaints, these common complaints and their course of medica- tion being detailed within the Dominica Nurse Practitioners' Protocol;
"Dominica Nurse Practitioners' Protocol" means a written presenta- tion in booklet or manual fonn issued by the Medical Board that defines the standard by which the quality of care can be measured and includes plans of clinical management of the common conditions that the Nurse Practitioner is allowed to diagnose and treat. It specifies the problem, gives guidelines for care and the expected outcome and indicates at what stage the case should be referred to a medical practitioner;
"medical board" means a medical board constituted under this Act;
"medical register" means the register of medical practitioners, dentists, opticians and druggists required to be kept in pursuance of this Act;
"optician" means a sight-testing optician;
"prescribed fee" means a fee prescribed by the Schedule of Fees;
"registrar" means such person as may from time to time be appointed by the Minister to be registrar under this Act.
Medical Board. [12 of 1990].
Establishment of boards by Minister. [12 of 1990].
Application of Act to boards. [12 of 1990].
Term of service of members.
PART I
MEDICAL BOARDS
3. (l) A Medical Board is hereby established for Dominica.
(2) The Board shall consist of five members to be appointed by the Minister from among persons who are registered under the Act or qualified to be so registered.
(3) The Minister may from time to time remove any member and appoint another in his place and may fill vacancies arising from any cause.
4. The Minister may by Order establish a medical board for any area of the State if he considers this to be in the interest of efficient administration of the medical services of the State.
S. In the event of any boards being established under section 4, the provisions of this Act relating in so far as they apply to the Medical Board established for the State by section 3 shall be deemed to apply to each of such medical boards in its relation to the district for which it is established.
6. (1) A person appointed to be a member of a medical board shall vacate his seat at the expiration of two years from the date of his appointment, but may be re-appointed.
(2) A member who without permission from the chairman of the board leaves the State or fails to attend three consecutive meetings of a medical board to which he has been duly summoned shall vacate his seat.
7. (1) Every medical board shall assemble whenever required by the Minster or convened by its chairman, who shall be appointed by the Minister.
(2) Three of the members of the board shall constitute a quorum.
(3) A medical board may act notwithstanding any vacancy on the board.
(4) All acts of a medical board shall be decided by the votes of the majority of members present and if the votes are equal the chairman
or member presiding, in addition to his vote as a member, shall have a casting vote.
8. (l) The Minister may refer to a medical board any question Reference of relating to the public health for its consideration or for investigation and =~:St~Y report. Board.
(2) When the Minister refers any such question to a medical board, the members, if not unanimous, shall each give his opinion in writing.
PART II
REGISTRA nON
9. The Minister shall by notice in the Gazette appoint a fit and Appointmentof proper person to be registrar under this Act, and it shall be the duty of registrar. the registrar to keep the medical register.
10. The medical register shall contain separate lists, made out Medical register. alphabetically according to the surnames, of all the names and ad- dresses with descriptions and dates of the qualifications in respect of which they are registered, and the dates of registration of all persons qualified to practise in the State as medical practitioners, dentists, opticians or druggists.
11. (l) The registrar shall forthwith place on the medical register, Registration of without payment of any fee, the names, qualifications and addresses of peralifis~sdalreadYqu Ie. all persons who are entitled to be registered by virtue of sections 23(a), 32(a), and 4 I (b), and every such person shall thereupon be subjected to all provisions of this Act.
(2) Upon entering in the medical register the name of any such person who is entitled to be registered as aforesaid, the registrar shall also issue to him a certificate of registration in the fonn set out in Schedule A. Schedule A.
12. (l) Where any person desires to be registered under this Act he Application for shall make application to the registrar, specifying the medical registra- registration. tion district in which he desires to practise, and shall submit such evidence as may be required to establish that he is eligible to be registered and is a fit and proper person to be so registered.
(2) The evidence shall include a declaration on oath in proof of the applicant's identity and good moral character and of the authentic- ity of any diploma or certificate submitted in support of the application.
Appeal to Minis- ter.
Additional quali- fications.
Alteration in medical register.
Removal of name from medical register on requesL
RemovaIof name on death.
Removal of name from register and appeal from order of removal.
(3) The registrar shall forthwith refer the application to the medical board of the medical registration district in which the applicant desires to practise, and the board, if satisfied that the applicant is eligible and is a fit and proper person to be so registered, shall direct the registrar to register him upon payment of the prescribed fee.
(4) The registrar shall thereupon make the necessary entry in the medical register and publish notice thereof in the Gazette, and shall also issue to the person so registered a certificate of registration in the fonn set out in Schedule A.
13. (1) If a medical board declines to direct the registrarto register anyone who applies to be registered under this Act, he may appeal to the Minister within three months after the refusal has been communicated to him, and if it is made to appear to the Minister that he is entitled to be registered under this Act, the Minister may direct that he shall be so registered on payment of the prescribed fee.
(2) The appeal shall be by way of petition, which shall be lodged with the registrar, who shall bring the same to the notice of the Minister forthwith.
14. Any person registered under this Act who may have any higher degree, or any qualification other than the qualification in respect of which he may have been registered, shall be entitled to have the higher degree or additional qualification inserted in the medical register in substitution for, or in addition to, the qualification previously regis- tered, on payment of the prescribed fee.
15. The registrar may from time to time correct any errors or omissions in the medical register and insert therein any alteration which may come to his knowledge in the name or address of any person registered.
16. The registrar shall upon the application of any person registered under this Act remove the name of such person from the medical register.
17. The registrar shall on the death of any person registered under this Act remove the name of such deceased person from the medical register.
(b) after due inquiry by amedical board is adjudged to have been guilty of disgraceful conduct in a professional capacity,
the Minister may on the recommendation of such board order the registrar to erase the name of such person from the medical register.
(2) Upon any such inquiry the person against whom the of- fence or conduct is alleged shall be entitled to appear and be heard by counsel, and the medical board shall be afforded such legal assistance as the Minister considers desirable in the circumstances of each case.
(3) All such orders of the Minister shall be served on the person against whom they are made.
(4) Any person whose name may have been erased from the register may appeal to the High Court which shall have power to annul the order.
(5) Every appeal under this section shall be made within eight days from the date of the service of the order on the person whose name has been ordered to be erased and the registrar shall not erase any name as aforesaid before such period has expired and he has ascertained that no such appeal has been lodged.
(6) Where the name of any person registered under this Act is removed or erased from the medical register, any certificate of registra- tion issued to such person shall be deemed to be cancelled.
19. The Minister may, if he thinks fit, in any case direct any name Name may be re- removed or erased from the medical register to be restored thereon on stored to register. the payment of such fee, not exceeding the registration fee, as the Minister may fix.
20. (l) The registrar, in the month of February in each year shall Publicatioo. of ~ause to be published in the Gazette a copy of the medical register. COPdYo~dregisterf
an eVl ence 0
(2) The registrar shall also cause to be published in the Gazette registration. l notice of each cancellation of registration.
(3) A copy of the medical register for the time being published (l the Gazette shall be evidence in all cases (until the contrary is made ) appear) that the persons therein specified are registered under this ~ct,and the absence of the name of any person from such copy or the roduction of a notice of cancellation of registration published in the ~azette shall be evidence (until the contrary is made to appear) that
L.R.O.1I1991
Penalty for ob- taining registra- tion by false rep- resentation.
Penalty for regis- trar making false entry.
Persons entided to be registered. [36 of 1986].
Cap. 113 (l927Ed.)
such person is not registered under this Act; but in the case of a person whose name does not appear in the copy of the medical register, a certified copy under the hand of the registrar of the entry of the name of the person in the register shall be evidence that the person is registered under this Act.
(4) A certificate of registration under the hand of the registrar shall also be evidence in all cases (until the contrary is made to appear) that the person to whom the certificate has been issued is duly registered under this Act.
21. Any person who fraudulently procures or attempts to procure himself or any other person to be registered under this Act, or who aids or abets in such fraudulent procurement or attempt, is guilty of an offence and liable to imprisonment for two years.
22. Any registrar or other person who fraudulently makes or causes or penuits to be made any false or incorrect entry in the medical register or any copy thereof is guilty of an offence and liable to imprisonment for two years.
PART III
MEDICAL PRACTITIONERS
23. (1) The following persons are entitled to be registered as medical practitioners under this Act:
(a) any person who at the commencement of this Act is in actual practice in the State and is, in the opinion of the Minister, duly qualified to practise medicine or surgery under the Medical Consolidation Act;
(b) any person who establishes to the satisfaction of the medical board that he holds a diploma approved by the Board and that he is of good character and a fit and proper person to practise medicine.
(2) Notwithstanding subsection (1), the Board may issue or authorise to be issued, a temporary licence to engage in the practice of medicine during the currency thereof, and subject to the tenus and con- ditions contained therein to any person who establishes to the satisfac- tion of the Board that he is the holder of a diploma comparable or equivalent to a diploma approved by the Board and that he is of good character and a fit and proper person to practise medicine.
(3) The Board may, upon the expiration of the period fixed for the temporary licence and upon amajority of the members of the Board being satisfied that the conditions have been duly met by the person named and that the person is in all respects a fit and proper person to practise medicine, grant registration to that person.
24. Medical officers of any military force of the State shall be Medical officers ., of milita!}' force.deemed to be regIstered under this Act. [12 of 1990].
25. (1) Every person registered as amedical practitioner is entitled Rights of regis- to practise medicine, surgery, and midwifery in any part of the State, tered practitio-
ners. and to demand and recover in any court of competent jurisdiction his reasonable charges for professional aid, advice and visit, and the cost of any medicine or other medical or surgical appliances rendered or supplied by him to his patients.
(2) No person is entitled to recover any charge in a court for any medical or surgical advice or attendance or for the perfonnance of any operation, or for any medicine which he has both prescribed and supplied, unless he is registered as a medical practitioner under this Act.
26. Any person who, not being registered as a medical practitioner Off~ces by 00- under this Act _ regIStered
persons.
(a) practises medicine or surgery or perfonns any surgical operation or gives any medical opinion or advice, or prescribes any medical or surgical treaunent within the State, in respect of which he demands or receives any fee or gratuity, or any remuneration, profit or compensation under pretext of services rendered, loss of time, travelling or other expenses, or under any other pretext whatsoever; or
(b) holds himself out or pretends to be or takes or uses the name or title of physician, surgeon, doctor of medicine, licentiate in medicine and surgery, bachelor of medicine or practitio- ner in medicine, or takes or assumes any other step, title, addition, designation or description implying that he is qualified to practise medicine, surgery, or midwifery under this Act, or that he is recognised by law as a physician or surgeon or licentiate in medicine or surgery, or practitioner in medicine,
Power of medical board to issue li- cences in certain cases. [90fl979]. ScheduleG.
Patient to be pre- scribed for by a registered medi- cal practitioner.
Validity of cer- tificates.
Registration of dentists.
is liable to a fine of three thousand dollars for the first offence and five thousand dollars for the second or any subsequent offence.
27. (1) Notwithstanding the provisions of section 26(a), the medi- cal board may issue to any person a licence, in the fonn set out in Schedule G, authorising that person to administer by injection under the skin or otherwise drugs for the treatment of such diseases as may be specified by the board, or for anaesthetic purposes, on the prescribed fonn, upon proof to the satisfaction of the board that that person -
(a) is adequately trained and otherwise competent to ad- minister by injection or otherwise, the drugs in respect of the administration of which licence is sought;
(b) is in the public service of the State or a nurse in private practice; and
(c) is working under the orders and general supervision of a medical officer in the public service of the State.
(2) A licence issued under subsection (1)-
(a) shall expire on 31st December in each year;
(b) may be cancelled by the medical board for any reason as the board considers necessary.
(3) The provisions of this section shall not apply to any person working under the immediate personal supervision of a registered medical practitioner.
28. No such licence to inject shall authorise the holder thereof except with the approval of the Minister to administer any drug specified in the licence otherwise than in the quantity prescribed by a registered medical practitioner who has previously examined the pa- tient to be treated.
29. No certificate required by any Act now in force or that may hereafter be passed, from any physician or other medical practitioner shall be valid unless the person signing the same is registered under this Act.
PART IV
DENTISTS
30. No person, unless duly registered as a dentist under this Act, shall take or use the name or title of dentist (either alone or in
combination with any other word or words), of dental practitioner, or any name, title, addition or description implying that he is registered under this Act or that he is a person specially qualified to practise dentistry.

31. (1) Any person not being registered as a dentist under this Act Offences by 00- who _ registered
(i) takes or uses any such name, title, addition or descrip- persons. tion as aforesaid, or any addition to a name, designation or description, whether expressed in words or by letters or partly in words and partly in letters; or
(ii) practises or holds himself out whether directly or by implication as practising or entitled to practise den- tistry or dental surgery, or performs any dental opera- tion in respect of which he demands or receives any fee or gratuity,
is liable to a fine of three thousand dollars for the first offence and five thousand dollars for the second or any subsequent offence.
(2) Nothing in this section shall operate to prevent-
(a) the practice of dentistry by a registered medical practi- tioner; or
(b) the extraction of teeth by a duly registered chemist and druggist when no registered medical practitioner or registered dentist is available and the operation is performed without the application of any general or local anaesthetic other than novocaine; or
(c) the performance of any minor dental worlc.by anyone under the direct personal supervision of a registered dentist.
32. (1) Subject to subsection (2), the following persons are entitled Qualifications to be registered as dentists under this Act· ~ece~saryfor reg-• Istratlon.
[12 of 1990]. (a) any person who at the commencement of this Act is in
actual practice in the State and is the holder of a certificate from the Minister under section 4 of the Medical Consolidation Act; and no delay in applying Cap. 113 for such registration shall deprive a person so entitled (1927 Ed.). of his right to such registration;
No recovery of fees by Wlregis- tered person.
No person to practise sight- testing unless registered.
(b) any person who shows to the satisfaction of a medical board that he is of good moral character, and otherwise fulfils the conditions prescribed by this Act, and who-
(i) holds any diploma or licence from any univer- sity, college or incorporated society in Great Britain or Northern Ireland having authority to grant the same, and is by law entitled to practise dental surgery or dentistry in Great Britain or Northern Ireland; or
(ii) holds a certificate from a British possession or a foreign country recognised for the time being as furnishing a sufficient guarantee of the pos- session of the requisite knowledge and skill for the efficient practice of dental surgery or den- tistry.
(2) The Minister, after consultation with a medical board may, by authority in writing, pennit the perfonnance of any dental work of a kind specified in the authority, in any part of the State, by any person whom he considers to be competent to perfonn such work, subject to such conditions as he thinks fit; and any conditions imposed on the granting of any such authority shall be endorsed thereon, and any person contravening the same is guilty of an offence.
33. No person shall be entitled to recover any fees or charge in any court for the perfonnance of dental attendance or advice unless he is duly registered as dentist under this Act or is a registered medical practitioner, or is empowered to charge fees for his services under any authority granted by the Minster under section 32.
PART V
OPTICIANS
34. No person, unless duly registered as an optician under this Act, shall practise sight-testing in the State either for or without reward or carry on business as an optician or take or use the title of optician (either alone or in combination with any other word or words) or name, title, addition or description implying that he is registered under this Act or that he is a person specially qualified to practise sight-testing.
35. (1) The following persons, upon satisfying a medical board by Pers~s entitledto documentary or other evidence that they are of good moral character be registered. and of their right to be registered, shall be entitled to be registered as opticians under this act upon payment of the prescribed fee:
(a) any person qualified or entitled to practise sight-testing in the United Kingdom under any Act for the time being in force or who holds the sight-testing diploma of the Worshipful Company of Spectacle Makers or the British Optical Association, both of London, England;
(b) any person who holds a diploma, licence or certificate granted to him by any university, college or institution in a British possession or foreign country recognised by a medical board as furnishing a sufficient guarantee of the possession of requisite knowledge and skill for the efficient practice of sight-testing.
(2) Notwithstanding subsection (1) the Minister may, after consultation with a medical board, direct the registrar to enter in the medical register without payment of any fee, the name of any person who at the commencement of this act has been resident in the State for not less than five years, and also is or has been for not less than five years bonafuJe engaged in the practice of sight-testing in the State.
36. The use of test lenses, spectacles, trial frames, ophthalmoscope, ~videncefof prac- . th be d fra . tlce aretinoscope or any apparatus at may use to measure re ction, or sight-testing.
visual acuity or muscular equilibrium, shall be deemed conclusive evidence of the practice of sight-testing.
37. Any person registered as an optician under this Act is entitled ~egiste~ opti- to practise sight-testing in the State and to demand and recover in any ::ve:rtl~::';s. court of competent jurisdiction reasonable charges for professional services or optical aid rendered by him, and the cost of merchandise supplied by him. And no person, unless he is so registered, is entitled to recover any charge or fee in any court for performing any act or giving any advice as an optician.
(a) not being registered as an optician under this Act uses or takes the name or title or holds himself out or pretends to be an optometrist, optician or doctor or professor of optometry or uses or takes any name, title, description or addition
L.R.O.1I1991
whether expressed in words or letters or both, implying such qualifications or that he is a person specially qualified to practise sight-testing; or
(b) whether registered under this Act or not, and not being a registered medical practitioner, assumes the title of oculist or eyesight specialist, or uses or causes to be used in connection with his business, trade, calling or profession, any written words, titles, initials, additions or abbreviations which are intended to represent or may reasonably cause any person to believe that he is qualified to practise medical or surgical treatment of the eye; or
(c) whether registered under this Act or not, and not being a registered medical practitioner or acting under the instruc- tions of a registered medical practitioner, administers any drug for the purpose of paralysing the accommodation of the eye or otherwise for facilitating the measurement of the powers of vision, or treats any disease of the eye by the use of drugs; or
(d) contravenes the provisions of section 34,
is guilty of an offence, and liable on summary conviction to a fine of three thousand dollars for the first offence and five thousand dollars for the second or any subsequent offence.
39. (1) Nothing in this Part shall extend to prejudice or in any way affect registered medical practitioners.
(2) Nothing in this Act shall operate so as to prohibit -
(a) any registered chemis~ and druggist from dispensing, selling or supplying any drugs; or
(b) any wholesale dealer from supplying frames, ophthal- mic lenses, or spectacles in the ordinary course of wholesale business; or
(c) any person from selling from a permanent place of business, and otherwise than in compliance with a prescription given by a registered medical practitioner, or a registered optician, spectacles kept in stock in a state ready for use.
PART VI
CHEMISTS AND DRUGGISTS
40. (1) No person, unless duly registered as a chemist and druggist Nopersonto under this Act, shall practise as a chemist or take or use the title of Pdracti~eaunls
rogglSt ess chemist or druggist or phannaceutical chemist or phannaceutist or registered. phannacist or dispensing chemist or dispensing druggist or any name, title or sign implying that he is registered under this Act or that he is a person qualified to practise as a chemist and druggist
(2) Any person who contravenes the provisions of this section is guilty of an offence and liable on summary conviction to a fine of three thousand dollars for the first offence, and five thousand dollars for the second or any subsequent offence.

41. The following persons are entitled to be registered as chemists Qualifications for and druggists under this Act: registration.
(a) any person possessing a diploma or certificate entitling him to practise as a phannaceutical chemist or as a chemist and druggist or as an apothecary in any part of the United Kingdom;
(b) any person who at the commencement of this act is the holder of a licence from the Minister under the Druggists Cap. 109. Act; (1927 Ed.).
(c) any person possessing a diploma or certificate entitling him to practise as a phannaceutical chemist and druggist or as an apothecary in any British Colony, if a medical board reports to the registrar under this Act that the documents evidencing the qualifications of any such person and pro- duced by him furnish sufficient guarantee of his knowledge and skill;
(d) any person producing to the registrar a certificate of com- petency issued by a medical board under this Act.
42. (1) Any person intending to attempt to qualify as a chemist and Procedure to be druggist shall _ fo~owed by ap-
plicants for cer-
(a) register his name with the medical board before com- tificates of com- mencing his studies, and is entitled to receive a certifi- petency. cate of registration;
Chap. 39:02
(b) produce to the medical board either a school leaving certificate or a junior Cambridge certificate or evidence of having reached an equivalent standard of education to the satisfaction of the medical board;
(c) produce to the medical board evidence of having taken a course and passed a test in elementary chemistry; but, with the approval of the medical board, students may be registered provisionally without having qualified in elementary chemistry, on condition that they will take a course approved by the medical board during their first year as pharmacy students;
(d) submit to training in pharmacy at a specified place approved by the medical board and under the direction and control of a qualified physician or a licensed chemist and druggist.
(2) Any person desiring to obtain a certificate of competency under this Act may apply in writing for that purpose to the medical board submitting with his application certificates of his -
(a) having attained the age of eighteen years;
(b) registration as a pharmacy student for at least three years;
(c) having completed three years' study in pharmacy and that his work and conduct have been satisfactory.
(3) If certificates are found satisfactory the medical board shall, upon payment of the prescribed examination fee, examine the applicant and the examination shall be conducted by the board who shall examine the applicant as to his fitness to be entrusted with the sale of drugs and poisons, as to his special knowledge of the same, and as to his ability to prepare and make up medicines and prescriptions.
(4) The examination shall be conducted in accordance with the rules to be made from time to time by the medical board subject to the approval of the Minister. The rules may provide for the mode of conducting the examination and for the subjects of examination and for the number of qualifying marks in each subject to be gained by any candidate in order to entitle him to a certificate of competency.
(5) After the completion of the examination the medical board shall, in case the applicant has passed the examination and has satisfied the board that he is a fit and proper person to practise as a chemist and
druggist, issue to the applicant a certificate of competency in the form set out in Schedule B and forward to the registrar under this Act a Schedule B. duplicate of the certificate, and direct the registrar to register him upon payment of the prescribed fee.
43. Nothing in this Part shall operate to prevent any registered Exemption. medical practitioner from compounding, dispensing or selling medi- cines by retail.
PART VII
SALE OF DRUGS AND POISONS
44. (1) No person shall keep open any shop for selling, retailing, Prohibition of sale dispensing or compounding, or shall sell, retail, dispense or compound, ~f drudgs by unreg-
lStere person. medicines, drugs or poisons, unless those medicines, drugs or poisons are sold, retailed, dispensed or compounded in a shop which is under the immediate personal control, management and supervision of a duly registered chemist and druggist employed therein for the purpose, who is not acting in a similar capacity for any other person or in any other shop and, unless the medicines, drugs or poisons aforesaid are sold, retailed, dispensed or compounded by or under the direct charge and supervision of a registered chemist and druggist.
Nothing in this section shall be deemed to restrict the right of any person to sell any patent or proprietary medicines in the same package, bottle, box or other container, and under wrapper or cover, as imported into the State, properly secured and bearing the seal, name or trade mark of the proprietor, inventor or manufacturer thereof and directions for their use, and any household or domestic medicines of a non-poisonous nature, and medicines known as quinine, senna, epsom salts, and castor oil; but the sale of any class of patent or proprietary medicines by unregistered persons may at any time be prohibited by the Minister by Order.
(2) The registered person by or under whose supervision any drugs or poisons are dispensed or compounded shall write on a label on the bottle or other package containing the drugs or poison his name or initials; and any label attached to the bottle or package and having the name or initials of any registered person written thereon shall be prima facie evidence in any case that the drugs or poison were or was dispensed or compounded by him or under his supervision.
Sign on shop for sale of dmgs.
Refusal to dis- pense. Improper or negligent conduct.
Prescriptions to be numbered and filed.
(3) The person by or in whose name any open shop aforesaid is kept shall see that the provisions of subsection (l) are complied with in respect of all drugs or poisons sent from his shop.
45. (1) Any person having or keeping open any shop for the sale of drugs and poisons shall have over the principal entrance of the shop, printed in legible characters at least one inch each in length, the name of the registered chemist and druggist employed therein, with the addition of the words "Registered Chemist and Druggist".
(2) Any person contravening this section is liable on summary conviction to a fme of five hundred dollars.
46. (l) Any person who is a registered chemist and druggist and who at any time -
(a) wilfully refuses to mix, compound or prepare, or to sell, put to sale or dispense to any person any drug or any appliance or thing whatsoever used in medical treat- ment and contained in his shop or premises or in the shop or premises of his employer (as the case may be); or
(b) deliberately or negligently, falsely, fraudulently or unduly makes, mixes, compounds, prepares or gives or sells, puts to sale or dispenses any drug, appliance or thing whatsoever directed by any prescription, order or receipt signed with the name or with the initials in his own handwriting of any duly qualified medical practi- tioner,
47. (1) Every person who is a registered chemist and druggist shall-
(a) number each medical prescription which is brought to his establishment or to the establishment of his em- ployer (as the case may be) to be made up;
(b) file such medical prescription or, in the event of the person for whom the prescription was given desiring to retain the original prescription and the prescription does not contain any dangerous substances or quanti- ties of any substance which would make it inadvisable
for the qualified druggist to part with the same, a true copy thereof;
(c) register in a book the number and date of each medical prescription made up on his establishment, or on the establishment of his employer (as the case may be), the name of the person for whom and the name of the medical practitioner by whom the same was given, the particulars of every such prescription, and the direc- tions which accompanied the medicine.
(2) Any person who fails to comply with the requirements of this section is guilty of an offence.
48. (1) The several articles named and described in Schedule H Substances to be shall be deemed to be poisons within the meaning of this Act. deemed poisons.
Schedule H.
(2) The Minister may at any time hereafter declare by Order that any other article not mentioned or included in Schedule H shall be deemed to be a poison within the meaning of this Act; and such article shall be accordingly added to the said Schedule and classified in such Part thereof as the Minister may by such Order direct.
(3) The Minister may by Order amend Schedule H by declaring that any articles included in the said Schedule shall be excluded therefrom or, by altering or modifying the description of any article included in the said Schedule.
49. No person shall sell any poison to anyone under sixteen years Prohi~itionofsale of age unless prescribed by a legally qualified medical practitioner, and ;:m,:~:s:'=:~ any person offending against this section is liable to a fine of two hundred and fifty dollars.
50. (I) No person shall sell any poison either by wholesale or retail Res~ction on sale unless the box, bottle, vessel, wrapper or cover in which the poison is of polson. contained is distinctly marked by a label stating the name of the article and the word "poison" and the name and address of the seller of the poison, and in the case of a preparation containing a poison as one of its ingredients stating in addition thereto the quantity of that poison in each dose of the preparation; and no person shall sell any poison named in Part I of Schedule H to any person unknown to the seller unless Schedule H. introduced by someone known to both parties; and on every sale of the article the seller shall, before delivery, enter or cause to be entered in a book to be kept for that purpose in the foODset out in the Schedule C, Schedule C.
L.R.O.1I1991
the date of sale, name and address of purchaser, name and quantity of the article sold and the purpose for which it is stated by the purchaser to be required, and the signature of the purchaser and of the introducer, if any, shall be affixed to the entry, but-
(a) where the purchaser is a registered medical practitio- ner, veterinary surgeon or dentist, an order signed by the purchaser may be accepted in place of the signature in the book aforesaid, and the seller shall enter therein the words "signed order" and retain the order for a period of two years; and
(b) in cases of emergency, any poison named in Part I of Schedule H or hereafter added to it may, on the written undertaking of a registered medical practitioner, veteri- nary surgeon or dentist to furnish a signed order there- for within twenty-four hours, be sold without the immediate requirement of the signed order or of the purchaser's signature in the book.
(2) Any person selling poisons otherwise than as provided under this Act is liable to a fine of two hundred and fifty dollars for the first offence and five hundred dollars for the second or any subsequent offence.
(3) For the purposes of this section the person on whose behalf any sale is made by an apprentice or selVant shall be deemed to be the seller.
(4) This section shall not apply to sales by wholesale to retail dealers in the ordinary course of wholesale dealing, or to any article when forming part of the ingredients of any medicine dispensed by or under the supelVision of any person registered under this Act, but the medicine shall be labelled in the manner aforesaid with the name and address of the seller and the ingredients thereof shall be entered with the name and address of the person to or for whom it is sold or delivered in a book to be kept for that purpose.
(5) No person shall sell any arsenic unmixed with other drugs unless before the sale thereof it is mixed with soot or indigo in the proportion of one ounce of soot or half an ounce of indigo at the least, to one pound of the arsenic, and so in proportion for any greater or less quantity; but where arsenic is stated by the purchaser to be required for some purpose for which that admixture would, according to the repre- sentation of the purchaser, render it unfit, the arsenic may be sold
without the admixture in a quantity of not less than ten pounds at any time.
51. Any person who purchases any poison by giving false informa- ~enalty ~orfalse tion to the seller in relation to the particulars which the seller is hereby infonnabon. authorised to inquire into of the purchaser, or any person who signs his name as a witness to a sale of poison to a person unknown to him is for every such offence liable on summary conviction to a [me of one thousand dollars.
52. (1) No poison shall be sold, dispensed or delivered by any shop Prohibition of assistant or apprentice or other person except under the immediate s~e or delivery of supervision of a registered chemist and druggist or medical practitio- :C:::~d shop nero assistanL
(2) Any shop assistant or apprentice or other person contraven- ing this section, and any person who keeps open any shop for the sale of drugs and poisons, and the registered chemist and druggist by or under whose supervision any drugs or poisons are dispensed or com- pounded at the shop, who permits or suffers any shop assistant, apprentice or other person to contravene this section is liable to a fine of two hundred and fifty dollars.
53. Any chemist and druggist who receives a prescription in which Duty of dru~ist th . d f ' d 1 'd d . th B" h where exceSSIvee maxImum ose 0 any poIsonous rug as al own menUs dose of poison pharmacopoeia has been exceeded shall not dispense the prescription prescribed. unless that dose is specially initialled by the prescriber, but may reduce the dose or without delay refer the prescription to the prescriber to be initialled if correct before proceeding to dispense it
54. No patent or proprietary medicine shall be sold unless the box, Label.on bottle, vessel, wrapper or cover in which that medicine is contained is ;::: ;~rie- distinctly labelled with the proportion of alcohol (if any) and of any of the substances or any of the preparations, derivatives or salts of those substances (if any) mentioned in Schedule H, contained in the medi- Schedule H. cine.
55. (l) No person having or keeping open any shop for the sale of Prohibition of drugs or medicines shall sell or offer for sale any c;1rugor medicine ~aleof unfit which is unfit for use. rugs.
(2) Any person offending against this section is liable to a [me of five hundred dollars, in addition to and irrespective of any penalty to which he may be liable in case he is not registered under this Act,
Inspection of drugs and books.
56. (1) Any police officer or member of a medical board may enter the shop or store of any person registered as a chemist and druggist, or employing a person registered as a chemist and druggist under this Act, for the purpose of inspecting the medicines, drugs and poisons therein, and the sale of poisons book and such other books or records as may be necessary to ascertain whether the provisions of this Act are being complied with, and may seize any medicines, drugs or poisons appear- ing to be stale, unwholesome, adulterated or unfit for use.
(2) The medicines, drugs or poisons so seized shall be submit- ted as soon as practicable to two registered medical practitioners for examination and, if in their opinion the same are stale, unwholesome, adulterated or unfit for use they shall be destroyed, without compensa- tion to the owner.
(3) Any person who obstructs or hinders any police officer or other person charged with the execution of any duty under this section is guilty of an offence.
57. (1) The Minister may make Regulations for controlling and regulating the possession and sale of poisons and for the purposes of carrying out the provisions of this Act.
(2) The Regulations made under this section may provide amongstotherthings-
(a) for regulating the possession of poisons;
(b) for regulating the sale of poisons;
(c) for fixing the quantities of poison which wholesale or retail dealers or other persons may respectively keep;
(d) for prohibiting or subjecting to conditions, the posses- sion and sale of poison in any shop or place where articles of food are sold or exposed for sale;
(e) for prescribing the marks which wholesale or retail dealers shall place on vessels or cases containing poi- son in the ordinary course of wholesale or retail deal- ing;
if) for prescribing the books to be kept and entries to be made therein by wholesale or retail dealers when deal- ing wholesale or retail with poisons;
(g) for every other purpose which may be deemed neces- sary for controlling and regulating the possession and sale of poisons.
(3) All Regulations when so made shall be published in the Gazette.
58. Any person who fails to comply with any of the requirements Penalties. of this Actor of any Order or Regulations made thereunder, or who does anything contrary to this Act, is guilty of an offence, and in cases where a fine or penalty is not specifically imposed by this Act is liable on summary conviction to a fine of one thousand dollars; but nothing in this Act shall prevent any person from being liable to any other penalty, damages or punishment to which he would have been subject if this Act had not been passed.
PART VIII
FAMILY NURSE PRACIITIONERS
59. (1) Notwithstanding section 26(a) , the medical board may Family nurse prac- issue a licence, in the form set out in Schedule D, to any person who is ~~a:;7982 a qualified family nurse practitioner and who has applied in writing to 5 of 1984]. the medical board for such a licence. Schedule D.
(2) Any application under this section shall be accompanied by evidence satisfactory to the medical board of the applicant's qualifica- tion as a family nurse practitioner.
(3) For the purposes of this section, a person is qualified to be licensed as a family nurse practitioner, who -
(a) is a registered nurse; and
(b) has completed a course of training approved by the medical board; and
(c) has passed the prescribed examinations.
(4) Licences under this section may only be issued to those qualified persons for the purpose of working in the employment of the Government and shall be of a year's duration renewable annually on application thereafter.
(5) Any family nurse practitioner licensed under this section shall be allowed to treat those diseases listed in Schedule J and in the Schedule I. manner specified in the Dominica Nurse Practitioner's Protocol.
(6) In performing their duties under subsection (5) all family nurse practitioners shall perform such duties under the general super- vision of a registered medical practitioner who is employed by the Government.
(7) Every family nurse practitioner licensed under this section shall be allowed to prescribe only those drugs included in the Dominica Nurse Practitioners' Drug Formulary.
(8) All prescriptions from any family nurse practitioner shall be dispensed or made up only at Government institutions by chemists, druggists or pharmacists employed by the Government.
Nurse pr~c~tio- 60. (l) Any registered chemist, druggist or pharmacist who is[;:~~:rons.employed in that capacity by the Government may make up or dispense 5 of 1984]. amedical prescription signed with the name of or with the initials of any
duly licensed nurse practitioner under this Act and such prescription shall include only those drugs that appear in the Dominica Nurse Practitioners' Drug Formulary.
(2) An alphabetical list of all licensed nurse practitioners shall be sent to all Government employed chemists, druggists and pharma- cists by the first day of February of each year, so as to facilitate the proper implementation of this section.
PART IX
DENTAL AUXILIARIES
Dental auxiliary. [34 of 1982]. Schedule E.

61. (1) The medical board may issue a licence in the form set out in Schedule E to any person who is a qualified dental auxiliary.
(2) Any application under this section shall be accompanied by evidence satisfactory to the medical board of the applicant's qualifica- tion or training as a dental auxiliary.
(3) For the purpose of this section, a person is qualified to be licensed as a dental auxiliary who -
(a) has completed a course of training approved by the medical board; and
(b) has passed the prescribed examinations.
(4) A licence under this section shall be of a year's duration renewable annually on application thereafter and may only be issued to a person qualified to be a dental auxiliary and who is desirous of working in the employment of the Government.
(5) Any person who has been granted a licence by the medical board to practise as a dental auxiliary shall perfonn such dental duties under the general supervision of a dental surgeon.
(6) For the purposes of subsection (5), dental duties shall involve such duties connected with dental treatment of commonly encountered diseases or dental health problems relative to caries and gingivitis requiring standard corrective, restorative and preventive measures and limited only to child patients.
PART X
PAEDIATRIC NURSE PRACTmONERS
62. (1) Notwithstanding section 26(a) the medical board may Paediatric nurse issue a licence, in the fonn set out in Schedule F, to any person who is r;:~;:~· a qualified paediatric nurse practitioner and who has applied in writing Schedule F. to the medical board for such a licence.
(2) Any application under this section shall be accompanied by evidence satisfactory to the medical board of the applicant's qualifica- tion or training as a paediatric nurse practitioner.
(3) For the purposes of this section, a person is qualified to be licensed as a paediatric nurse practitioner, who -
(a) is a registered nurse;
(b) has completed a course of training approved by the medical board; and
(c) has passed the prescribed examinations.
(4) A licence under this section may only be issued to a qualified paediatric nurse practitioner for the purpose of worldng in the employment of the Government and shall be of a year's duration renewable annually on application thereafter.
(5) Any paediatric nurse practitioner licensed under this sec- tion shall be allowed to treat those conditions listed in Schedule I and Schedule I. in the manner specified in the Dominica Nurse Practitioners' Protocol.
(6) In perfonning their duties under subsection (5), all paedi- atric nurse practitioners shall perfonn such duties under the general supervision of a registered medical practitioner who is employed by the Government.
Sections 11 and 12.
(7) Every paediatric nurse practitioner licensed under this section shall be allowed to prescribe only those drugs included in the Dominica Nurse Practitioners' Drug Fonnulary.
(8) All prescriptions from any paediatric nurse practitioner shall only be dispensed or made up at Government institutions by chemists, druggists or phannacists employed by the Government
DOMINICA.
No.
ITISHEREBY certified that of has been duly registered asentitled topractiseasa in theState of Dominica under the provisions of the Medical Act, Ch. 39:02.
DOMINICA.
No.
IT ISHEREBY certified that of . has been duly examined and is duly qualified to be registered as a chemist and druggist under the provisions of the Medical Act, Ch. 39:02.
Narneand Narneand Pwposefor Signature Date address of quantity of for which
purchaser poison sold it is required of purchaser of person introduc- ing purchaser
Commonwealth of Dominica.
No.
IT ISHEREBY certified that of has been duly registered as being qualified and entitled to practise as a Family Nurse Practitioner in the Commonwealth of Dominica under the provisions of the Medical Act, Ch. 39:02 from to .
Dated .
Section 59(1). [34 of 1982].
Section 61(1). [34 of 1982].
Section 62(1). Schedule 1. [5 of 1984].
DENTAL AUXILIARIES
CERTIFICATE OF COMPETENCY
Commonwealth of Dominica.
No.
rr IS HEREBY certified that of . has been registered as a duly qualified dental auxiliary under the provisions of the Medical Act, Ch. 39:02 from to .
PAEDIATRIC NURSE PRACTITIONERS
CERTIFICATE OF COMPETENCY
Commonwealth of Dominica.
No.
rrIS HEREBYcertified that of has been duly registered as being qualified and entitled to practise as a Paediatric Nurse Practitioner in Dominica under the provisions of the Medical Act, Ch. 39:02.
For registration as a Medical Practitioner For registration as a Dentist For registration as an Optician For registrastion as a Chemist and Druggist Examination by a Medical Board for a Certifi- cate of Competency
For registration of any additional qualification
$252.00 151.20 151.20 100.80
50.40 12.00
IT IS HEREBY certified that of has been duly approved and registered as competent to administer INTRA VE- NOUS. INTRAMUSCULAR and SUBCUTANEOUS INJECITONS and anaes- thetic preparations. under the provisions'of the Medical Act, Ch. 39:02.
The holder of this licence is restricted to the adminstration of the following drugs-
Section 27. [9 of 1979J.
SCHEDULEH PART I
ARSENIC, and its preparations, except preparations for use exclu- sively in agriculture or horticulture for the destruction of insects, fungi, or bacteria, or as a sheep wash or sheep dip, if the preparations are: (1) contained in a closed package or vessel distinctly labelled with a notice of the special purpose for which the preparation is intended; and (2) sold upon an order in writing given by or on behalf of a person, fmn or body corporate known to the vendor; and (3) purchased for the purpose of the trade or profession of such person, fmn or body corporate.
ACONITE, aconitine and their preparations.
ALKALOIDS, all poisonous alkaloids not specifically named in this Schedule, and their salts, and all poisonous derivatives and alkaloids.
ATROPINE, and its salts, and their preparations.
BELLADONNA, and all preparations or admixtures (except belladonna plasters) containing 0.1 or more per cent of belladonna alkaloids.
CANNABIS (the dried flowering or fruiting tops of the pistillate place of cannabis sativa) and the resins prepared therefrom.
CANTHARIDES and its poisonous derivatives.
COCA, any preparation or admixture of, containing 0.1 or more percent of coca alkaloids.
CORROSIVE sublimate.
CYANIDE of potassium, and all poisonous cyanides and their prepara-
DIAMORPHINE (also known as heroin) and all preparations or admix- tures containing 0.1 per cent of diamorphine.
DIETHYL-BARBITURIC ACID, and other alkyl, acryl or metallic derivatives of barbituric acid whether described as veronal, proponal, medinal or by any other trade name, mark or designation and all poisonous urethanes and ureides.
DIGITALIN and all other poisonous constituents of digitalis.
ECGONINE and all preparations or admixtures containing 0.1 per cent of ecgonine.
EMETIC TARTAR and all preparations or admixtures containing 1 or more per cent emetic tartar.
LEAD in combination with oleic acid, or other higher fatty acids, whether sold as diachylon or under any other designation (except machine spread plasters).
NUX VOMICA and all preparations and admixtures containing 0.2 or more per cent of strychnine.
OPIUM and all preparations or admixtures containing 0.2 or more per cent of morphine.
PARA-AMINO-BENZENE-SULPHONAMIDE, its salts, the derivatives of para-amino-benzene-sulphonamide having any of the hydrogen atoms of the para-amino group or of the sulphamido group substituted by anotherradical and their salts.
PRUSSIC ACID and all preparations or admixtures containing 0.1 or more per cent of prussic acid.
SAVIN and its oil, and all preparations or admixtures containing savin or its oil.
SULPHONAL and its homologues, whether described as trional, tet- ronal or by any other trade mark or designation.
STROPHANTHIN, and all other poisonous constituents of strophan-
TOBACCO, any preparations or admixtures containing the poisonous alkaloids of tobacco other than -
(a) tobacco prepared for smoking and snuff; and
(b) preparations or admixtures of tobacco for use in agriculture or horticulture for the destruction of insects, fungi, and bacteria, if the preparations are -
(i) contained in a closed package or vessel distinctly labelled with a notice of the special purpose for which the preparation is intended; and
(ii) sold upon an order in writing given by or on behalf of a person, ftrm or body corporate known to the vendor; and
(iii) purchased for the purpose of the trade or profession of such person, fmn or body corporate.
ALMONDS, essential oil of, unless deprived of prussic acid.
ANTIMONAL wine.
BARIUM, salts of, except barium sulphate.
CANTHARIDES, tincture and all vesicating liquid preparations or admixtures of.
CARBOLIC ACID, and liquid preparations of carbolic acid, and its homologues containing more than 3 per cent of those substances, except preparations for use as sheep wash or for any other purpose in connection with agriculture or horticulture, contained in a closed vessel distinctly labelled with the word "Poisonous", the name and address of the seller, and a notice of the special purposes for which the preparations are intended.
CHLORAL hydrate.
CHLOROFORM, and all preparations or admixtures containing more than 20 per cent of chloroform.
DIGITALIS.
POPPIES, all preparations of, excepting red poppy petals and syrup of red poppies (papaver rhoeas).
PRECIPITATE, red, and all oxides of mercury.
PRECIPITATE, white.
ZINC CHLORIDE, and liquid preparations of zinc chloride, except preparations intended to be used for soldering or other purely industrial purpose, provided that they are contained in closed vessels labelled with the word "Poisonous" and bearing the name and address of the seller and a notice of the special purpose for which the preparations are intended.
EMERGENCY PROBLEMS
AnaphylaXis Animal Bites and Rabies Bums Cardiac or Respiratory Arrest Drowning Fever Fractures Frostbites Head Trauma Pain Poisons and Overdoses Rape Shock Snakebite
INFECI'IOUS DISEASES
Gonorrhoea Herpes Simplex Infectious Mononucleosis Mumps Rocky Mountain Spotted Fever Roseola (Exanthem Subitum) Rubella (German Measles) Rubeola (Measles) Scalatina (Scarlet Fever) Syphilis Varicella (Chicken Pox)
SKIN
Acne Vulgaris Alopecia (Baldness) Candidiasis (Monilia) Eczenatos Dermatitis Fungal Diseases (Dermatophytoses) Herpes Zoster (Shingles) Impetigo Insect Bites Meurodermatitis
Section 62(5). [5 of 1984].
Pediculosis (Lice) Poison Ivy and Poison Oak Psoriasis Pyodermas Scabies Seborrheic Dermatitis Tinea Versicolor Urticaria Verrucae (Warts)
EYE, EAR, NOSE AND THROAT
Acute Epiglottitis Allergic Phinitis Blepharitis Blunt Trauma to the eye Chalazion Common Cold Conjunctivitis Croup Epistaxis Foreign body in the eye Foreign body in the nose Hoarseness Inclusion Blenorrhea Influenza Otitis Externa Otitis Media Serous Otitis Media Sinusitis Sore throat Stomatitis and Common Oral Lesions Sty or herdeolum Thrush (Candidiasis) Toothache (Dental Abscess) Tympanic Membrane Perforation Uveitis Wax in the ear canal
Acute Asthma Acute Bronchitis Bronchiolitis Hemoptysis Hyperventilation
Pneumonia Tuberculosis
Anaemia Chest pain Congestive Heart Failure (CHF) Hypertension in patients younger than 18 Rheumatic Fever
Acute Abdominal Pain Acute Gastroenteritis Colic Constipation/Diarrhoea Sysphagia Hepatomegaly Intestinal Parasites Jaundice Nausea and Vomiting Nutrition Obesity Splenomegaly Viral Hepatitis Weight loss and Anorexia
Inguinal Hernia Oliguria Urinary Tract Infection (UTI)
Abnormal Vaginal Bleeding Menilial Vaginitis Trichomonas Vaginitis
MUSCULOSKELETAL PROBLEMS
Ostemyelitis Rheumatoid Arthritis (RA) Scoliosis Septic Arthritis Sprains
Section 59(5). [34 of 1982].
CENTRAL NERVOUS SYSTEM Bell's Palsy Cerebrovascular Accident (CVA) Coma Headache Meningitis Numbness and Tingling Parkinson's Disease Seizures Tremor
ENDOCRINE
Diabetes Mellitus Thyroid Disease
PSCHIATRY
Child Abuse and Neglect Crisis Intervention Depression Grief
Acute Alcoholism Anaphylaxis Animal Bites and Rabies Bums Cardiac or Respiratory Arrest Drowning Fever Fractures Frostbite Gunshot and Stab Wounds Head Trauma Lacerations Major Trauma
Pain Poisons and Overdoses Puncture Wounds Rape Shock Snakebite
Gonorrhea Herpes Simplex Infectious Mononucleosis Mumps Rocky Mountain Spotted Fever Roseola (Exanthem Subitum) Rubella (German Measles) Rubeola (Measles) Scarlatina (Scarlet Fever) Syphilis Varicella (Chicken Pox)
SKIN
Acne Vulgaris Alopecia (Baldness) Cancer of the Skin Candidiasis (Monilia) Eczematous Dermatitis Factitial Ulcer (Self-Induced Lesions) Fungal Diseases (Dermatophytoses) Herpes Zoster (Shingles) Hyperhydrosis (Dyshydrosis) Impetigo Insect bites Keratoacanthoma Lichen Planus Meurodermatitis Pediculosis (Lice) Poison Ivy and Poison Oak Psoriasis Pyodermas Scabies Seborrheic Dermatitis Tinea Versicolor Urticaria Verrucae (Warts)
EYE, EAR, NOSE AND THROAT
Acute Epiglottitis Allergic Rhinitis Blepharitis Blunt Trauma to the eye Blurred Vision Chalazion Common Cold Conjunctivitis Croup Epistaxis Foreign body in the eye Foreign body in the nose Glaucoma Hoarseness Inclusion Blenorrhea Influenza Laceration of the Eye and Periorbital Areas Otitis Extema Otitis Media Serous Otitis Media Sinusitis Sore Throat Stomatitis and Common Oral Lesions Sty or Hordeolum Thrush (Candidiasis) Toothache (Dental Abscess) Tympanic Membrane Perforation Uveitis Wax in the Ear Canal
Acute Asthma Acute Bronchitis Bronchiolitis Chronic Obstructive Pulmonary Disease (COPD) Hemoptysis Hyperventilation Pleurisy Pneumonia Pneumothorax Pulmonary Embolus Smoke/Heat Inhalation Tuberculosis
CARDIOVASCULAR PROBLEMS
Abdominal Aortic Aneurysm Anaemia Angina Pectoris Chest Pain Congestive Heart Failure (CHF) Hypertension in Patients over 18 Hypertension in Patients younger than 18 Myocardial Infarction (MI) Rheumatic Fever
GASTROINTESTINAL PROBLEMS
Acute Abdominal Pain Acute Gastroenteritis Cholecytitis Colic Constipation Diarrhea Dysphagia Hemorrhoids Hepatomegaly Intestinal Parasites Jaundice Nausea and Vomiting Nutrition Obesity Pancreatitis Peptic Ulcer Disease Splenomegaly Viral Hepatitis Weight Loss and Anorexia
GENETOURINARY PROBLEMS
Benign Prostatic Hypertrophy (BPH) Carcinoma of the Prostate Dysuria with Urethral Discharge Dysuria without Urethral Discharge Epedidymitis Hydrocele Inguinal Hernia Oliguria Prostatitis Pyelonephritis
Testicular tumor Torsion of the testicle Urinary Tract Infection (UTI) Varicocele
GYNAECOLOGY
Abnormal vaginal bleeding Amenorrhea Breast Mass Cervical Polyps Chronic Cervicitis/Cervical Erosion Dysmenorrhea Hemophilus Vaginitis Infertility Menopause Monilial Vaginitis Pap smear for detection of uterine cancer Pelvic inflammatory disease Trichomonas vaginitis Urethral caruncles
MUSCULOSKELETAL PROBLEMS
Gouty arthritis Low back pain Osteoarthritis Osteomyelitis Rheumatoid arthritis (RA) Scoliosis Septic arthritis Sprains
CENTRAL NERVOUS SYSTEM
Bell's Palsy Cerebrovascular accident (CVA) Coma Headache Meningitis Numbness and tingling Parkinson's disease Seizures Synocope Transient ischemic attacks (TIA) Tremor Vertigo
ENDOCRINE Diabetes mellitus Thyroid disease
PSYCHIATRY Child abuse and neglect Chronic alcoholism Crisis intervention Depression Grief NeW'Osis and psychosis Schizophrenia Suicide ideation
22/1952. [33/1953].
Time of exami- nation.
Appointment of board of examin- ers.
Minimum pass percentage.
limit of exami- nations.
1. These Rules may be cited as the -
EXAMINATION OF CHEMISTS AND DRUGGISTS RULES.
2. The examination of the applicant shall be held within one month of the receipt by the Medical Board of the request of the senior medical officer.
3. The Medical Board may appoint any three of its members, at least two of whom shall be registered medical practitioners, to consti- tute an examining body to conduct an examination of the applicant on behalf of the Board.
4. (1) The examination shall be written, oral and practical and shall be held at such time and place as the Medical Board shall appoint.
(2) The subjects of the examination shall be Pharmacy and Materia Medica and shall include the law on the subject of the sale of drugs and poisons contained in Part VII of the Act, and of the applicant's knowledge of the poisons contained in Schedule C, Parts I and II, of the Act, the symptoms produced by each poison and the appropriate antidote in each case.
S. (1) In order to be entitled to a certificate of competency applicants must obtain at least sixty-six and two-thirds per cent quali- fying marlc.sin each subject.
(2) If an applicant fails to qualify the Medical Board may in its discretion allow the applicant to be further examined subject neverthe- less to the provisions of rule 6.
6. No applicant may sit on more than three occasions for the examination.
5/1948. [21/1957].
2. No person shall sell para-amino-benzene-sulphonamide, its ~a1eofprescrip- salts, the derivatives ofpara-amino-benzene-sulphonamide having any Ilon. of the hydrogen atoms of the para-amino group or of the sulphamido group substituted by another radical and their salts, or drugs of the amphetamine or related groups, otherwise than in an inhaler, except on the prescription of a registered medical practitioner, registered dentist, registered veterinary surgeon or registered veterinary practitioner.