✨ Nurses and Midwives Registration Forms
JULY 10.] THE NEW ZEALAND GAZETTE. 2161
Form No. 5.] [Reg. 13 (4).
The Nurses and Midwives Registration Act, 1925.
FORM OF REQUEST TO BE USED BY NURSES, MIDWIVES, AND MATERNITY NURSES THAT THEIR NAMES SHALL BE PUBLISHED IN THE GAZETTE.
I, [Full name], a [State if nurse, midwife, or maternity nurse] registered under the Nurses and Midwives Registration Act, 1925, desire to have my name published in the Gazette.
My place of abode is [Give address at which you propose to live while practising.]
I was registered on the day of , 19 .
[In case of woman married after registration] My maiden name was .
Dated at this day of , 19 .
Signature : . . . . . . . . . . . .
Form No. 6.] [Reg. 13 (5).
The Nurses and Midwives Registration Act, 1925.
PARTICULARS OF REGISTRATION TO BE PUBLISHED IN THE GAZETTE.
Registered number : Qualifications :
Name : Hospital at which trained :
Date of registration : Residence :
Form No. 7.] [Reg. 16 (3).
The Nurses and Midwives Registration Act, 1925.
NOTICE OF APPEAL.
To the Registrar of Nurses and Midwives,
Health Department, Wellington.
TAKE notice that I, , of , do hereby appeal, under section 22 of the Nurses and Midwives Registration Act, 1925, against the decision of the Registration Board, conveyed to me by letter dated the day of , 19 .
The following are the grounds upon which I make my appeal :
And I do hereby appoint , of , as one of the assessors for the purposes of this appeal.
Dated at this day of , 19 .
Signature of appellant : . . . . . . . . . . . .
I hereby consent to act as an assessor for the purposes of this appeal.
Signature of assessor of appellant : . . . . . . . . . . . .
Form No. 8.] [Reg. 21 (2).
The Nurses and Midwives Registration Act, 1925.
NOTICE TO BE SENT BY MIDWIFE REQUIRING ASSISTANCE OF REGISTERED MEDICAL PRACTITIONER.
To Dr. , , 19 .
Your help is immediately required at , owing to .
The patient’s condition is
Time : [Signed] M.,
Registered Midwife.
Form No. 9.] [Reg. 22 (1).
The Nurses and Midwives Registration Act, 1925.
RECORD TO BE KEPT BY EVERY MIDWIFE OR MATERNITY NURSE OF EACH PATIENT SHE HAS ATTENDED IN PRIVATE PRACTICE.
No.
Date of engagement to attend :
Name and address :
Number of previous labours and miscarriages :
Age :
Date and hour of nurse’s or midwife’s arrival :
Number of vaginal examinations made by nurse or midwife :
Presentation :
Duration of first, second, and third stage of labour :
Complications (if any) during or after labour :
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VUW Te Waharoa —
NZ Gazette 1930, No 51
NZLII —
NZ Gazette 1930, No 51
✨ LLM interpretation of page content
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Extract from the Nurses and Midwives Registration Act, 1925
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🏥 Health & Social WelfareNurses, Midwives, Registration, Act, Forms, Request, Publication, Appeal, Assistance, Record