RELATES TO:
KRS
314.400 - 314.414
authorizes the Board of Nursing to promulgate administrative
regulations as may be necessary to enable it to carry into effect the
provisions of KRS Chapter 314.
KRS
314.404(3) requires the
board to promulgate an administrative regulation to establish statewide
requirements for licensed certified professional midwives and hospitals
regarding the transfer of care from a licensed certified professional midwife
to a hospital.
KRS
314.414 authorizes the board to promulgate
administrative regulations to implement the requirements developed by the
transfer guidelines work group. This administrative regulation establishes
requirements for licensed certified professional mid-wives regarding the
transfer of care.
Section 1.
(1) In the prenatal period, the LCPM shall
provide information to the client about hospital care and procedures that may
be necessary. The LCPM shall document that an emergency transfer plan has been
developed with the client for hospital transfer should the need
arise.
(2) The LCPM shall assess
the status of the client, fetus, and newborn throughout the maternity care
cycle and shall determine when a transfer is necessary pursuant to
201
KAR 20:670.
(3) The emergency transfer plan shall
contain:
(a) The names and addresses of
appropriate hospitals offering care for the birthing person or the
newborn;
(b) Contact information
for either:
1.
a. A facility's preferred method of
initiating communication to access care; or
b. If that communication is not obtainable,
the publicly available information for the facility; or
2. A healthcare provider or practice group
that will accept a client in a transfer;
(c) Approximate distance or estimated travel
time to indicated hospitals; and
(d) EMS activation process or a description
of a private transportation plan.
(4) The LCPM shall notify the receiving
provider or hospital of:
(a) The incoming
transfer;
(b) The reason for the
transfer;
(c) A brief relevant
clinical history;
(d) The planned
mode of transport; and
(e) The
expected time of arrival.
(5) The LCPM shall continue to provide
routine or urgent care en route in coordination with any emergency services
personnel and shall address the psychosocial needs of the client during the
change of birth setting.
(6) Upon
arrival at the hospital, the LCPM shall provide a verbal report, including
details on the client's current health status and the need for urgent care. The
LCPM shall also provide a legible copy of relevant prenatal and labor medical
records.
(7) The LCPM shall
transfer clinical responsibility to the hospital provider.
(8) If the client chooses, the LCPM may
remain to provide continuous support.
