31.0445 Nurse-midwifery.

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(a) in addition to the general functions specified in 31.0443 the nurse-midwife may perform any of the acts in subsection (b) of this section, provided that:

(1) the nurse-midwife and the obstetrician-gynecologist have set forth in a protocol procedures for:

(A) consultation with each other about patient conditions during the antepartum, intrapartum, and postpartum phases of maternity care, and during gynecological care, including consultations for the purpose of ensuring that the medical care provided by the nurse-midwife is for the normal obstetrical or ecological patient as required by paragraph (B)(2) of this section;

(B) emergency care to protect the health of the mother and infant.

(2) the patient has been advised and informed of the responsibilities of the obstetrician-gynecologist and the nurse-midwife; and

(3) the act is done in accordance with sub-. section (b) of this section.

(b) the nurse-midwife may:

(1) manage the medical care of the normal obstetrical patient;

(2) perform superficial minor surgical procedures;

(3) manage the normal obstretrical patient during labor and delivery to include amniotomy, episiotorny, and repair;

(4) initiate and perform local anesthetic procedures and order the necessary anesthetic agents to perform the procedures;

(5) perform postpartum examination;

(6) provide gynecological cares for the essentially normal woman;

(7) prescribe appropriate medications; and

(8) provide family planning services.

History: Rule 2-88, eff 27 Mar 88, § 1.