(1) The rules adopted by the board shall: (a) Allow a midwife to obtain and administer, during the practice of midwifery, the following: (i) Oxygen; (ii) Oxytocin and cytotec as postpartum antihemorrhagic agents; (iii) Injectable local anesthetic for the repair of lacerations that are no more extensive than second degree; (iv) Antibiotics to the mother for group b streptococcus prophylaxis consistent with guidelines of the United States centers for disease control and prevention; (v) Epinephrine to the mother administered via a metered dose auto-injector; (vi) Intravenous fluids for stabilization of the woman; (vii) Rho(d)immune globulin; (viii) Vitamin K; and (ix) Eye prophylactics to the baby. (b) Prohibit the use of other legend drugs, except those of a similar nature and character as determined by the board to be consistent with the practice of midwifery; provided that, at least one hundred twenty (120) days' advance notice of the proposal to allow the use of such drugs is given to the board of pharmacy and the board of medicine and neither board objects to the addition of such drugs to the midwifery formulary; (c) Define a protocol for use by licensed midwives of drugs approved in paragraphs (a) and (b) of this subsection that shall include methods of obtaining, storing and disposing of such drugs and an indication for use, dosage, route of administration and duration of treatment; (d) Define a protocol for medical waste disposal; and (e) Establish scope and practice standards for antepartum, intrapartum, postpartum and newborn care that shall, at a minimum: (i) Prohibit a licensed midwife from providing care for a client with a history of disorders, diagnoses, conditions or symptoms that include: (ii) Prohibit a licensed midwife from providing care for a client with a history of the following disorders, diagnoses, conditions or symptoms unless such disorders, diagnoses, conditions or symptoms are being treated, monitored or managed by a licensed health care provider: (iii) Require a licensed midwife to recommend that a client see a physician licensed under chapter 18, title 54 , Idaho Code, or under an equivalent provision of the law of a state bordering Idaho and to document and maintain a record as required by section 54-5511 , Idaho Code, if such client has a history of disorders, diagnoses, conditions or symptoms that include: (iv) Require that a licensed midwife shall facilitate the immediate transfer to a hospital for emergency care for disorders, diagnoses, conditions or symptoms that include: A transfer of care shall be accompanied by the client's medical record, the licensed midwife's assessment of the client's current condition and a description of the care provided by the licensed midwife prior to transfer; (v) Establish a written plan for the emergency transfer and transport required in subparagraph (iv) of this paragraph and for notifying the hospital to which a client will be transferred in the case of an emergency. If a client is transferred in an emergency, the licensed midwife shall notify the hospital when the transfer is initiated and accompany the client to the hospital if feasible, or communicate by telephone with the hospital if unable to be present personally, and shall provide the client's medical record. The record shall include the client's name, address, list of diagnosed medical conditions, list of prescription or over the counter medications regularly taken, history of previous allergic reactions to medications, if feasible the client's current medical condition and description of the care provided by the midwife and next of kin contact information. A midwife who deems it necessary to transfer or terminate care pursuant to this section and any rules promulgated under this section or for any other reason shall transfer or terminate care and shall not be regarded as having abandoned care or wrongfully terminated services. Before nonemergent discontinuing of services, the midwife shall notify the client in writing, provide the client with names of licensed physicians and contact information for the nearest hospital emergency room and offer to provide copies of medical records regardless of whether copying costs have been paid by the client. (f) Establish and operate a system of peer review for licensed midwives that shall include, but not be limited to, the appropriateness, quality, utilization and the ethical performance of midwifery care. (2) The rules adopted by the board may not: (a) Require a licensed midwife to have a nursing degree or diploma; (b) Except as a condition imposed by disciplinary proceedings by the board, require a licensed midwife to practice midwifery under the supervision of another health care provider; (c) Except as a condition imposed in disciplinary proceedings by the board, require a licensed midwife to enter into an agreement, written or otherwise, with another health care provider; (d) Limit the location where a licensed midwife may practice midwifery; (e) Allow a licensed midwife to use vacuum extraction or forceps as an aid in the delivery of a newborn; (f) Grant a licensed midwife prescriptive privilege; (g) Allow a licensed midwife to perform abortions.
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