Structured Administration and Supply Arrangements

A SASA is a written direction that authorises a health practitioner to administer or supply a medicine to any patient meeting the specified circumstances. A SASA means that a separate prescription or written direction to use the medicine is not required for each individual patient.

A SASA may be issued by:

1. The Chief Executive Officer of Health that can apply to any practitioner working in WA.
2. A hospital or health service that may apply to health practitioners employed by that organisation.
3. A medical practitioner for a health practitioner employed by the medical practitioner.

The CEO of Health may authorise any practitioner or person in WA to use medicine through a SASA. These SASA provide authority to supply or administer medicines to health practitioners outside of any standard medicines authority linked to national registration.

The current SASA that have been issued by the CEO are listed below. Each contains a number of important and mandatory conditions that must be observed by any person utilising the SASA. The SASA only applies to the persons and circumstances named within, and are only valid when all the conditions are met, including any additional training required of the health practitioner.

Note: Health Service Providers, individual hospitals and clinics may also issue SASAs applicable to their staff. Those SASAs are not published on this webpage.

Aboriginal Health Practitioners

• Aboriginal Health Practitioners – STI including syphilis (PDF 66KB)
  The Guidance on administering treatment: Treatment of Syphilis Infection by Registered Nurses, Midwives and Aboriginal Health Practitioners (PDF 84KB)
• Aboriginal Health Practitioners – vaccination (PDF 150KB) 
• Aboriginal Health Practitioners – COVID-19 vaccination (Word 90KB)
• Aboriginal Health Practitioners – RSV immunisation (Word 92KB)

• Aboriginal Health Practitioners – Naloxone (PDF 77KB)

Aboriginal Health Workers

• Aboriginal Health Workers – Naloxone (PDF 77KB)

Enrolled nurses

• Enrolled nurses – COVID-19 vaccination (Word 95KB)
• Enrolled nurses – vaccination (PDF 190KB)
• Enrolled Nurses – RSV immunisation (Word 92KB)

• Enrolled nurses – Naloxone (PDF 79KB)

Laboratory technicians and medical scientists

• Laboratory technicians and medical scientists - Subcutaneous immunoglobulin (Word 73KB)

MHC trained AOD Harm Reduction worker

• MHC trained AOD Harm Reduction Worker – Naloxone (Word 70KB)

Midwives

• Midwives – COVID-19 vaccination (Word 95KB)
• Midwives – medicines for midwifery use (Word 89KB)
• Midwives - syphilis (PDF 96KB)
  The Guidance on administering treatment: Treatment of Syphilis Infection by Registered Nurses, Midwives and Aboriginal Health Practitioners (PDF 84KB)
• Midwives – vaccination (PDF 105KB)
• Midwives – RSV immunisation (Word 92KB)

Pharmacists

• Pharmacists – COVID-19 vaccination (Word 90KB)
• Pharmacists – administration of vaccines by pharmacists (PDF 115KB)
• Pharmacists – continued dispensing (Word 85KB)
• Pharmacists (WA Health) – COVID-19 vaccination (Word 81KB)
• Pharmacists – urinary tract infection (Word 76KB)
  The Pharmacists initiated treatment of urinary tract infections program – supplementary information (PDF 350KB)
• Pharmacists – buprenorphine depot injection within CPOP (PDF 245KB)
• Pharmacists – resupply of oral contracteptive pills (PDF 76KB)
  The The Pharmacist resupply of oral contraceptive pills – WA protocol (PDF 350KB)

Podiatrists

• Podiatrists – local anaesthetics for podiatric use (Word 83KB)

Registered nurses

• Registered nurses – COVID-19 Vaccination (Word 95KB)
• Registered nurses - immunisation against monkeypox (Word 102KB)
• Registered nurses – meningococcal outbreak response (Word 90KB)
• Registered nurses – remote area nursing services (Word 97KB)
• Registered nurses – STI including syphilis (PDF 66KB)
  The Guidance on administering treatment: Treatment of Syphilis Infection by Registered Nurses, Midwives and Aboriginal Health Practitioners (PDF 84KB)
• Registered nurses – vaccination (PDF 190KB)
• Registered nurses – Japanese Encephalitis vaccination (Word 86KB)
• Registered nurses – RSV immunisation (Word 92KB)
• Registered nurses – Naloxone (PDF 78KB)

WA Country Health Service nurses

• WA Country Health Service nurses – starter packs (Word 88KB)
• WA Country Health Service nurses – trachoma (Word 85KB)

A hospital or health service permit holder may issue a SASA that can be used by certain health practitioners employed by that organisation. A health service permit is a type of permit issued under the Medicines and Poisons Regulations to first aid and medical treatment businesses, such as ambulance services.

Each SASA must be approved by an appropriate clinical governance committee that includes a minimum of a medical practitioner, pharmacist, and registered nurse.

The Guidance Note: Structured Administration and Supply Arrangements for Hospitals and Health Services (Word 397KB) includes:

• what can be authorised and the restrictions of this type of SASA
• information on how to write a SASA.

Suggested fillable document templates:

• Hospital and health service SASA template (Word 24KB)
• Hospital and health service SASA template fillable PDF (PDF 128KB)

A copy of the Hospital or Health Service SASA needs to be sent to Email: MPRB@health.wa.gov.au

An individual medical practitioner may issue a SASA that can be used by certain health practitioners, who are directly employed by that medical practitioner.

The Guidance Note: Structured Administration and Supply Arrangements for Medical Practitioners (Word 397KB) includes:

• information on what can be authorised and the restrictions of this type of SASA
• information on how to write a SASA
• a suggested document template.