Mich. Admin. Code R. 338.17132 - Informed disclosure and consent
Rule 132.
(1) At
the inception of care for a patient, a licensed midwife shall provide an
informed disclosure in writing to the patient that includes all the following:
(a) A description of the licensed midwifes
training, philosophy of practice, information regarding the care team, transfer
of care plan, credentials and legal status, services to be provided,
availability of a complaint process both with NARM and the state, and relevant
Health Insurance Portability and Accountability Act (HIPAA)
disclosures.
(b) Access to the
midwifes practice guidelines.
(c)
Whether the licensed midwife is permitted to administer drugs and medications
pursuant to R 338.17137, which medications the licensed midwife carries for
potential use, if a medication is required by law, and if certain standard
medications are not available from the midwife, how and where the medications
can be obtained.
(d) Access to the
board of licensed midwifery rules.
(e) Whether the licensed midwife has
malpractice liability insurance coverage, and if so, the policy limitations of
the coverage. The patient must be informed of the coverage and policy
limitations both verbally and in writing.
(2) If during care and shared decision
making, a patient chooses to deviate from a licensed midwifes recommendation,
the licensed midwife shall provide the patient with an informed consent process
which must include all the following:
(a)
Explanation of the available treatments and procedures.
(b) Explanation of both the risks and
expected benefits of the available treatments and procedures.
(c) Discussion of alternative procedures,
including delaying or declining of testing or treatment, and the risks and
benefits associated with each choice.
(d) Documentation of any initial refusal by
the patient of any action, procedure, test, or screening that is recommended by
the licensed midwife.
(3)
A licensed midwife shall obtain the patients signature acknowledging that the
patient has been informed, verbally and in writing, of the
disclosures.
(4) A licensed midwife
shall provide an abbreviated informed consent appropriate to the emergent
situation with documentation to follow once the situation has
stabilized.
Notes
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