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<section article="gho" article_name="Health Occupations" number="8-6C-08" title_number="8" title_name="Nurses" subtitle_number="6C" subtitle_name="Licensed Direct-Entry Midwives">
  <level label="a">
    <text>A licensed direct–entry midwife shall develop a general written plan for their practice for:</text>
    <level label="1">
      <text>Emergency transfer of a patient, newborn, or both;</text>
    </level>
    <level label="2">
      <text>Transport of a newborn to a newborn nursery or neonatal intensive care nursery; and</text>
    </level>
    <level label="3">
      <text>Transport of a patient to an appropriate hospital with a labor and delivery unit.</text>
    </level>
  </level>
  <level label="b">
    <text>The Committee shall review and recommend approval to the Board of the plan required under subsection (a) of this section.</text>
  </level>
  <level label="c">
    <level label="1">
      <text>In addition to the general written plan required under subsection (a) of this section, a licensed direct–entry midwife shall prepare a plan that is specific to each patient and share the plan with the patient.</text>
    </level>
    <level label="2">
      <text>The plan required under paragraph (1) of this subsection shall:</text>
      <level label="i">
        <text>Include procedures and processes to be undertaken in the event of an emergency for the mother, the newborn, or both;</text>
      </level>
      <level label="ii">
        <text>Identify the hospital closest to the address of the planned home birth that has a labor and delivery unit;</text>
      </level>
      <level label="iii">
        <text>Include a care plan for the newborn; and</text>
      </level>
      <level label="iv">
        <text>Identify the pediatric health care practitioner who will be notified after delivery in accordance with § 8–6C–02(b)(15) of this subtitle to receive the transfer of care of the newborn.</text>
      </level>
    </level>
  </level>
  <level label="d">
    <level label="1">
      <text>The Board, in consultation with stakeholders, shall develop a standard form for use in all cases in which a transfer occurs during prenatal care, labor, or postpartum.</text>
    </level>
    <level label="2">
      <text>The form shall include the medical information needed by the health care practitioner receiving the patient.</text>
    </level>
  </level>
  <level label="e">
    <text>After a decision to transport a patient has been made, the licensed direct–entry midwife shall:</text>
    <level label="1">
      <text>Call the receiving health care provider;</text>
    </level>
    <level label="2">
      <text>Inform the health care provider of the incoming patient;</text>
    </level>
    <level label="3">
      <text>Accompany the patient to the hospital if determined to be appropriate by the licensed direct–entry midwife and the receiving health care provider; and</text>
    </level>
    <level label="4">
      <text>Provide:</text>
      <level label="i">
        <text>To the staff of the hospital:</text>
        <level label="1">
          <text>The standard form developed under subsection (d) of this section; and</text>
        </level>
        <level label="2">
          <text>The medical records of the patient or newborn, as determined by the Board in regulations and as requested by the receiving health care provider; and</text>
        </level>
      </level>
      <level label="ii">
        <text>To the accepting health care practitioner, a verbal summary of the care provided to the patient by the licensed direct–entry midwife.</text>
      </level>
    </level>
  </level>
</section>
