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. GENERAL RULES GOVERNING CERTIFIED PROFESSIONAL CHAPTER 1050-05 MIDWIVES (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 ultrasounds 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 § 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 § 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.