Nursing Registration Forms




2106
THE NEW ZEALAND GAZETTE
[No. 53

[Initial in each Column
or leave blank.]

Instruction. Practice.

SURGICAL NURSING—continued.
Surgical emergencies—continued.
Preparation for—
Intravenous transfusion .. ..
Lumbar puncture .. ..
Blood cultures .. ..
Paracentesis .. ..
Hypodermoclysis .. ..
Artificial respiration .. ..
Anaesthesia: General, local, spinal .. ..

ELEMENTARY HYGIENE.
Air: Composition, ventilation .. ..
Food: Classification, dietaries .. ..

PERSONAL HYGIENE.

I certify the above statement to be correct.

Signature of Candidate : . . . . . . . . . . .

Signature : . . . . . . . . . . ., Medical Officer of Training-school.

Signature : . . . . . . . . . . ., Matron of the Training-school.

Form No. 3.] [Reg. 13 (2).

The Nurses and Midwives Registration Act, 1925.

APPLICATION FOR REGISTRATION BY PERSON TRAINED ELSEWHERE THAN IN NEW ZEALAND.

(a) Any certificates forwarded with this application should be sent by registered post. They will be returned after they have been submitted to the Nurses and Midwives Registration Board.

(b) This form should be completed as directed, and signed by the applicant and posted to the Registrar, Nurses and Midwives Registration Board, Health Department, Wellington.

Surname. Christian names.

  1. What is your full name ?
  2. What is your present address ?
  3. Give the day, month, and year of your birth :

Application.

I hereby apply for registration as a { (1) Nurse.
(2) Midwife.
(3) Maternity Nurse.

(Strike out the words not applicable.)

I underwent years months training in [Give hospital or training-school] from to , and passed an examination as a [nurse, midwife, or maternity nurse]. I attach copies of certificates, duly certified as correct copies by [Give name of medical practitioner, minister of religion, or Justice of the Peace certifying] in support of my claim for registration.

My place of abode is _____.

Dated at this day of , 19 .

Signature : . . . . . . . . . . .

[To be endorsed.]

EXTRACT FROM THE NURSES AND MIDWIVES REGISTRATION ACT, 1925.

  1. (1) Save as provided in Part IV hereof, every person shall, on payment of the prescribed fee, be entitled to be registered as a nurse under this Part of this Act who satisfies the Board,—

(a) In the case of an applicant trained in New Zealand—
(i) That she has had not less than three years’ approved training as a nurse; and
(ii) That she has received an approved course of instruction in theoretical and practical nursing; and
(iii) That she has passed an examination for nurses under this Part of this Act :



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✨ LLM interpretation of page content

🏥 Certificate of Training for a Nurse (continued from previous page)

🏥 Health & Social Welfare
Nurses, Training, Certification, Nursing Practices, Medical Nursing, Surgical Nursing

🏥 Application for Registration by Person Trained Elsewhere

🏥 Health & Social Welfare
Nurses, Midwives, Registration, Application, Training, Certification