(a) Using reasonable skill and knowledge, the midwife
must:
(1) provide clients with a description of the scope
of midwifery services and information regarding the client's rights
and responsibilities in accordance with the Act;
(2) assess the client on an ongoing basis for any factors
which might preclude a client from admission into or continuing in
midwifery care and document that assessment in the midwifery record;
(3) provide clients with information about other providers
and services when requested or when the care required is not within
the scope of practice of midwifery; and
(4) practice in accordance with the knowledge, clinical
skills, and judgments described in the current adopted version of
the MANA Core Competencies for Basic Midwifery Practice, within the
bounds of the midwifery scope of practice as defined by the Act and
this chapter;
(b) The midwife shall provide care in a safe and clean
environment. The midwife shall:
(1) carry and use when needed, resuscitation equipment;
and
(2) use universal precautions for infection control.
(c) The midwife shall document midwifery care in legible,
complete health records. The midwife shall:
(1) maintain records that completely and accurately
document the client's history, physical exam, laboratory test results,
antepartum visits, consultations, referrals, labor, delivery, postpartum
visits, and neonatal evaluations at the time midwifery services are
delivered and when reports are received;
(2) review problems identified by the midwife or by
other professionals or consumers in the community;
(3) act to resolve problems that are identified;
(4) maintain the confidentiality of midwifery records;
and
(5) maintain records:
(A) for the mother, for a minimum of five years; and
(B) for the infant, until the age of majority.
(d) The midwife shall engage in a periodic process
of evaluation and quality assurance. The midwife shall:
(1) collect client care data systematically and be
involved in analysis of that data for the evaluation of the process
and outcome of care;
(2) review problems identified by the midwife or by
other professionals or consumers in the community; and
(3) act to resolve problems that are identified.
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Source Note: The provisions of this §115.100 adopted to be effective October 1, 2016, 41 TexReg 4477; amended to be effective May 1, 2019, 44 TexReg 1849; amended to be effective September 1, 2023, 48 TexReg 4660 |