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§ 1462. Standards for Nurse-Midwifery Programs.


Barclays Official California Code of Regulations Currentness
Title 16. Professional and Vocational Regulations
Division 14. Board of Registered Nursing
Article 6. Nurse-Midwives
16 CCR § 1462
§ 1462. Standards for Nurse-Midwifery Programs.
(a) Program of study. The program of study preparing a nurse-midwife shall:
(1) Have as its primary purpose the preparation of nurse-midwives;
(2) Have its philosophy clearly defined and available in written form;
(3) Have its objectives, reflective of the philosophy, stated in behavioral terms, which describe the theoretical knowledge base and clinical competencies expected of the graduates.
(b) Curriculum.
(1) The curriculum shall be no less than twelve(12) months in length, and shall be specifically designed to provide a knowledge and skills base necessary for nurse-midwifery management of women and neonates. Such content shall include, but not be limited to, the following:
(A) Anatomy; physiology; genetics; obstetrics and gynecology; embryology and fetal development; neonatology; child growth and development; pharmacology; nutrition; laboratory and diagnostic tests and procedures; and physical assessment.
(B) Concepts in psycho-social, emotional, and cultural aspects of maternal/child care; human sexuality; counseling and teaching; maternal/infant/family bonding process; breast feeding; family planning; principles of preventive health; and community health.
(C) All aspects of the management of normal pregnancy, labor and delivery, postpartum period, newborn care, family planning and/or routine gynecological care in alternative birth centers, homes and hospitals.
(2) The program shall provide concurrent theory and clinical practice in a setting in the United States.
(3) The program shall include the nurse-midwifery management process which includes the following steps:
(A) Obtains or updates a defined and relevant data base for assessment of the health status of the client.
(B) Identifies problems/diagnosis based upon correct interpretation of the data base.
(C) Prepares a defined needs/problem list with corroboration from the client.
(D) Consults and collaborates with and refers to, appropriate members of the health care team.
(E) Provides information to enable clients to make appropriate decisions and to assume appropriate responsibility for their own health.
(F) Assumes direct responsibility for the development of comprehensive, supportive care for the client and with the client.
(G) Assumes direct responsibility for implementing the plan of care.
(H) Initiates appropriate measures for obstetrical and neonatal emergencies.
(I) Evaluates, with corroboration from the client, the achievement of health care goals and modifies plan of care appropriately.
(4) The program shall prepare the nurse-midwife to practice as follows:
(A) Management of the normal pregnancy.
(B) Management of normal labor and delivery in all birth settings, including the following when indicated:
1. Administration of intravenous fluids, analgesics, and postpartum oxytocics.
2. Amniotome during labor.
3. Application of external or internal monitoring devices.
4. Administration of local anesthesia: paracervical blocks, pudendal blocks, and local infiltration.
5. Episiotomy.
6. Repair of episiotomies and lacerations.
7. Resuscitation of the newborn.
(C) Management of the normal postpartum period.
(D) Management of the normal newborn care.
(E) Management of family planning and/or routine gynecological care including: fitting vaginal diaphragms, insertion of intrauterine devices, selection of contraceptive agents from approved formulary.
(c) Faculty. Faculty of the nurse-midwifery educational program shall comply with the following requirements:
(1) Faculty shall include one or more nurse-midwives and one or more physicians with current training and practice in obstetrics.
(2) Faculty teaching in the program shall be current in knowledge and practice in the specialty being taught.
(3) Nurse-midwives, clinical instructors, and physicians who participate in teaching, supervising and evaluating students shall show evidence of current practice.
Note: Authority cited: Section 2715, Business and Professions Code. Reference: Sections 2746, 2746.2 and 2746.5, Business and Professions Code.
1. New section filed 4-6-79; effective thirtieth day thereafter (Register 79, No. 14).
2. Amendment filed 12-4-85; effective thirtieth day thereafter (Register 85, No. 49).
This database is current through 6/17/22 Register 2022, No. 24
16 CCR § 1462, 16 CA ADC § 1462
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