Tenn. Comp. R. & Regs. 1050-05-.12 - RESPONSIBILITIES OF CERTIFIED PROFESSIONAL MIDWIFE
(1) To be
eligible for renewal of certification the continuing education requirements
imposed by NARM must be complied with and attestation of compliance submitted
at renewal time.
(2) Anyone who
falsely attests to completion of the required hours of continuing education may
be subject to disciplinary action pursuant to Rule 1050-05-.15.
(3) Anyone who fails to obtain the required
continuing education hours may be subject to disciplinary action pursuant to
Rule 1050-05-.15 and may not be allowed to renew certification.
(4) Education hours obtained as a result of
compliance with the terms of Council and/or Board Orders in any disciplinary
action shall not be credited toward the continuing education hours required to
be obtained in any renewal period.
(5) The CPM-TN may provide care for the
low-risk client who is expected to have a normal pregnancy, labor, birth and
postpartum phase in the setting of the mother's choice. The CPM-TN shall
establish a collaborative care plan with a physician for all clients. The name
and contact information of the physician shall be placed in each client's
chart.
(6) The CPM-TN shall ensure
that the client has signed an informed consent form. This form shall include
information to inform the client of the qualifications of the CPM-TN. The
signed informed consent form shall be placed in each client's chart.
(7) For screening purposes only, the CPM-TN
may order routine antepartum and postpartum laboratory analysis to be performed
by a licensed laboratory. Abnormal ultrasound findings as specified in the
"Practice Guidelines" issued by the Tennessee Midwives Association on January
22, 2001 and amended on February 8, 2010 require a consultation with a
physician. The "Practice Guidelines" are located at
https://www.tn.gov/health/health-program-areas/health-professional-boards/midwifery-board/midwifery-board/policies-and-practice-guidelines.html.
Written verification of such consultation, including the physician's
recommendation, shall be placed in each client's chart.
(8) The CPM-TN shall develop an emergency
plan that shall be signed by the client and placed in the client chart at the
initial visit. The CPM-TN shall consult with the physician previously
referenced in paragraph (5) of this rule as specified in the "Practice
Guidelines" issued by the Tennessee Midwives Association on January 22, 2001
and amended on February 8, 2010. The "Practice Guidelines" are located at
https://www.tn.gov/health/health-program-areas/health-professional-boards/midwifery-board/midwifery-board/policies-and-practice-guidelines.html.
The emergency plan shall also include referral and transfer plans for the
client in the event of an emergency. A copy of the emergency plan shall be sent
to the physician with whom the CPM-TN has a collaborative plan in
place.
(9) The CPM-TN shall
determine the progress of labor and, when birth is imminent, shall be available
until delivery is accomplished.
(10) The CPM-TN shall remain with the
postpartum mother during the postpartum period until the conditions of the
mother and the newborn are stabilized. Should an emergency transfer become
necessary, the CPM-TN shall notify the hospital named in the emergency plan and
provide hospital staff with relevant health information including, but not
limited to, labs and ultra sounds and may accompany the mother to the
hospital.
(11) The CPM-TN shall
instruct the client regarding the treatment of a newborn's eyes with a
prophylaxis to prevent ophthalmia neonatorum or infections leading to
blindness, as this is a requirement of Tennessee Code Annotated sect; 68-5-202.
The CPM-TN shall document in the client's chart that such instructions were
given.
(12) The CPM-TN shall
instruct the client regarding newborn infant testing for phenylketonuria,
hypothyroidism, galactosemia and other metabolic/genetic defects that would
result in intellectual disability or physical dysfunction as determined by the
department, which is a requirement of Tennessee Code Annotated sect; 68-5-401.
The CPM-TN shall document in the client's chart that such instructions were
given.
(13) The CPM-TN shall
maintain a birth certificate for each client's live birth, by submitting
certificate information with the Office of Vital Records. Each midwife shall
complete the certificate of birth within ten (10) calendar days after the
birth. The certificate of birth shall be created in accordance with the
provisions of Tenn. Code Annotated Sections 68-3-301 et. seq. The CPM-TN shall
enroll in the Tennessee Vital Records Information System Management (VRISM),
within the Office of Vital Records, for purposes of registering a certificate
of birth. If the CPM-TN is unable to enroll in VRISM, the certificate
information may be submitted by completing the certificate process through the
Office of Vital Records. The Office of Vital Records retains authority to
preserve, issue, modify, and prescribe other means for filing certificates of
birth.
Notes
Authority: T.C.A. ยงยง 63-9-101, 63-29-114, 63-29-115, and 63-29-116.
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