Md. Code Regs. 10.27.05.03

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.27.05.03 - Collaborative Plan

A. A certified nurse midwife may not practice in Maryland unless the Board has approved a collaborative plan submitted by the nurse midwife to the Board which includes:

(1) The name of the collaborating physician; and

(2) An attestation by the nurse midwife that the:

(a) Patient has agreed to the collaborating physician; and

(b) Physician has agreed to collaborate in the care of the patient.

B. A certified nurse midwife seeking authorization to practice shall submit a collaborative plan to the Board that has attached to it an affidavit that the certified nurse midwife has developed clinical practice guidelines for the practice of midwifery that:

(1) Is on the form required by the Board;

(2) Fully describes:

(a) Delegated medical functions, if any, to be performed by the nurse midwife;

(b) The parameters of service;

(c) A comprehensive plan for transfer of care when needed;

(d) Practice guidelines for every specialty area of practice including, but not limited to:

(i) Client selection criteria;

(ii) Parameters and methods for assessing client health status;

(iii) Parameters for risk management; and

(iv) Parameters for consultation, collaboration, and referral;

(e) Appropriate interventions including treatment, medication, and any devices; and

(f) The categories of substances selected from the approved formulary that may be prescribed and dispensed by the certified nurse midwife.

C. The Review Committee shall review the collaborative plan and make recommendations to the Board as to whether the agreement should be revised or approved as submitted.

D. The approved collaborative plan shall be maintained by the Board and shall be made available to the MBP upon request.

E. If a certified nurse midwife will perform deliveries, the nurse midwife shall submit to the Board a collaborative plan with a physician who has:

(1) An active unencumbered Maryland license; and

(2) Unrestricted privileges to practice obstetrics and gynecology in a hospital in the geographic area in which the certified nurse midwife will practice.

F. If a certified nurse midwife will not be performing deliveries, and the consulting physician does not have privileges to practice obstetrics in a hospital in the geographic area in which the nurse midwife will practice, the Review Committee shall obtain an opinion from the Maryland Board of Physicians as to whether the physician has sufficient training and expertise in obstetrics and gynecology to perform his responsibilities under the collaborative plan.

G. A certified nurse midwife who is otherwise in full compliance with this chapter and who joins a practice of certified nurse midwives who have an approved collaborative plan on file with the Board shall submit, on the required form, an affidavit to that effect.

Md. Code Regs. 10.27.05.03

Regulations .03 adopted as an emergency provision effective March 14, 1983 (10:11 Md. R. 970); emergency status expired July 13, 1983; adopted permanently effective October 10, 1983 (10:20 Md. R. 1787)
Regulation .03 repealed effective February 15, 1993 (20:3 Md. R. 259)