# COMAR Title 10 — Maryland Department of Health

## Subtitle 64 — Board of Nursing — Licensed Direct-Entry Midwives

### Chapter 01 — Practice of Licensed Direct-Entry Midwives

#### Regulation .07 Licensed Direct-Entry Midwifery Formulary, Equipment, and Medical Devices.

*COMAR 10.64.01.07*

A. As approved by the Board, in accordance with Health Occupations Article §8-6C-02(b)(8), Annotated Code of Maryland, a licensed direct-entry midwife may:

  (1) Obtain and administer medications; and

  (2) Obtain and use equipment and devices for the practice of midwifery.

B. The following medications are approved by the Board:

  (1) Vitamin K1 (phylloquinone, phytonadione);

  (2) Rho D immune globulin;

  (3) Oxytocin (Pitocin);

  (4) Methylergonovine (Methergine);

  (5) Misoprostol (Cytotec);

  (6) Erythromycin ophthalmic ointment USP (0.5%);

  (7) Oxygen;

  (8) Local anesthetics (lidocaine HCI, cetacaine, novacaine (procaine));

  (9) Epinephrine;

  (10) Penicillin;

  (11) Cefazolin;

  (12) Sterile H2O Papules; and

  (13) Intravenous Fluids including Lactated Ringer’s and normal saline.

C. The following devices are approved by the Board:

  (1) Fetal heart rate dopplers;

  (2) Syringes;

  (3) Needles;

  (4) Phlebotomy equipment;

  (5) Suture and suturing equipment or supplies;

  (6) Urinary catheters;

  (7) Intravenous equipment;

  (8) Amnihooks;

  (9) Airway suction devices;

  (10) Electronic fetal monitoring equipment;

  (11) Toco monitoring equipment;

  (12) Neonatal and adult resuscitation equipment;

  (13) Glucose monitoring equipment;

  (14) Centrifuge;

  (15) Hemoglobin/hematocrit monitoring equipment;

  (16) Pulse oximeters, adult and neonatal;

  (17) Birth supplies including medical grade birthing tubs and birthing stools;

  (18) Blood pressure equipment;

  (19) Urinalysis supplies;

  (20) Stethoscopes, adult and neonatal;

  (21) Sterile surgical instruments;

  (22) Speculums;

  (23) Eldon Cards;

  (24) Nitrazine paper, amniswabs and other amniotic fluid detection equipment;

  (25) Thermometers;

  (26) Laboratory specimen collection equipment;

  (27) Sterilization supplies and equipment;

  (28) Equipment and devices for critical congenital heart screening;

  (29) Equipment and devices for hearing screening;

  (30) Supplies to collect newborn metabolic screening;

  (31) Other equipment and devices as approved by the Board;

  (32) Breast pumps;

  (33) Compression stockings and belts;

  (34) Maternity belts; and

  (35) Diaphragms and cervical caps.