<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.27.05.04" title_num="10" subtitle_num="27" chapter_num="05" heading="Required Documentation.">
  <paragraph num="A.">
    <text>A certified nurse midwife who provides clinical midwifery services across the reproductive lifespan shall:</text>
    <paragraph num="(1)">
      <text>Maintain a medical record for each client; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>In the case of a transfer of care to another provider or a facility, transfer the client’s medical records with the client.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A certified nurse midwife who provides clinical midwifery services shall have available at all times for examination by the Board, written clinical practice guidelines that cover all aspects of care, practice, and quality assurance, including but not limited to:</text>
    <paragraph num="(1)">
      <text>A plan for emergency consultation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A plan for transfer of care; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If needed, a plan for admission of the client or newborn to a hospital within the client’s geographic area.</text>
    </paragraph>
  </paragraph>
</regulation>