|(a) In an emergency situation, the midwife shall initiate
emergency care as indicated by the situation and immediate transfer
of care by making a reasonable effort to contact the health care professional
or institution to whom the client will be transferred and to follow
the health care professional's instructions; and continue emergency
care as needed while:
(1) transporting the client by private vehicle; or
(2) calling 911 and reporting the need for immediate
(b) It is an emergency if, during labor, delivery,
or six hours immediately following placental delivery, the midwife
determines that transfer is necessary and the client refuses transfer.
The midwife shall call 911 and provide further care as indicated by
the situation. The midwife shall not provide any further care after
the arrival of emergency medical service (EMS) personnel but may do
so if requested by EMS personnel.