Mont. Code § 37-27-302

Current through the 2023 Regular Session
Section 37-27-302 - Administration of prescription drugs - when prohibited - when allowed - protocols - rulemaking
(1) Except as provided in subsections (2) and (3), a licensed direct-entry midwife may not dispense or administer prescription drugs.
(2) A licensed direct-entry midwife who has successfully completed accredited courses in pharmacology and intravenous therapy approved by the board and has obtained a license endorsement from the board may, during the practice of midwifery, directly obtain and administer the following:
(a) oxygen;
(b) postpartum antihemorrhagic agents, including:
(i) pitocin (intramuscular);
(ii) methylergonovine;
(iii) misoprostol;
(iv) tranexamic acid; and
(v) other postpartum antihemorrhagic drugs allowed by board rule;
(c) injectable local anesthetics for the repair of up to second-degree lacerations;
(d) antibiotics for group b streptococcus prophylaxis consistent with guidelines of the United States centers for disease control and prevention;
(e) epinephrine administered for anaphylactic shock;
(f) intravenous fluids for fluid replacement and administration of approved medications;
(g) rho(d) immune globulin to prevent maternal immune sensitization to certain fetal blood types;
(h) newborn vitamin K or phytonadione (oral or intramuscular preparations);
(i) in accordance with administrative rules adopted by the department of public health and human services, prophylactic eye agents to newborn infants; and
(j) other medications as prescribed by a medical practitioner or naturopathic physician, including the use of devices as defined in 37-2-101.
(3) A licensed direct-entry midwife who has successfully completed accredited courses in pharmacology pursuant to subsection (2) may, during the practice of midwifery:
(a) directly obtain terbutaline; and
(b) administer terbutaline to a patient when given a direct order to do so from a licensed physician.
(4) A licensed direct-entry midwife who administers drugs under this section must establish written protocol, including but not limited to:
(a) procurement of prescription drugs, which must be procured from a wholesale drug distributor or pharmacy supplier licensed by the board of pharmacy provided for in 2-15-1733;
(b) storage, inventory control, and disposal of prescription drugs; and
(c) use and care of prescription drugs.
(5) The board may adopt rules to implement this section.

§ 37-27-302, MCA

Amended by Laws 2023, Ch. 262,Sec. 1, eff. 10/1/2023.
En. Sec. 11, Ch. 550, L. 1991; amd. Sec. 42, Ch. 44, L. 2007.