N.J. Admin. Code § 13:35-2A.6

Current through Register Vol. 56, No. 24, December 18, 2024

Section 13:35-2A.6 - Consulting physicians; clinical guidelines

(a) Prior to beginning practice as a midwife, a licensee shall enter into a consulting agreement with a physician who is licensed in New Jersey and who:

1. Holds hospital privileges in operative obstetrics/gynecology;

2. Has a binding agreement with a physician who holds operative privileges in operative obstetrics/gynecology; or

3. Holds hospital privileges in gynecology, if a licensee limits his or her practice to non-obstetrical.

(b) The licensee shall establish written clinical guidelines with the consulting physician that outlines the licensee's scope of practice.

(c) The clinical guidelines shall set forth:

1. An outline of routine care;

2. Procedures the licensee will perform or provide;

3. Procedures to follow if one of the risk factors from N.J.A.C. 13:35-2A.9 and 2A.11 is encountered;

4. The circumstances under which consultation, collaborative management, referral, and transfer of care of women between the licensee and the consulting physician are to take place, and the manner by which each is to occur;

5. If the licensee is a certified nurse midwife with prescriptive authority pursuant to N.J.A.C. 13:35-2A.12, a formulary listing the categories of drugs, which may include controlled dangerous substances, the certified nurse midwife may order, prescribe, administer or dispense;

6. If the licensee does not hold prescriptive authority pursuant to N.J.A.C. 13:35-2A.14, a list of all medications the licensee may dispense or administer pursuant to the directions of the consulting physician;

7. A mechanism for determining the availability of the consulting physician, or a substitute physician, for consultation and emergency assistance or medical management when needed; and

8. The manner by which emergency care for newborns will be provided.

(d) A licensee shall provide clinical guidelines and the identity of his or her consulting physician(s) to the Board upon request.

(e) The clinical guidelines shall include provisions for periodic conferences with the consulting physician for review of patient records and for quality improvements.

(f) A licensee who practices without establishing clinical guidelines with a consulting physician commits professional misconduct as proscribed by N.J.S.A. 45:1-21.e.

N.J. Admin. Code § 13:35-2A.6

Amended by 51 N.J.R. 878(a), effective 6/3/2019