| (a) A midwife shall consult with, refer to, collaborate
with, or transfer to an appropriate healthcare provider or facility
in accordance with the Act and this chapter.
(b) If a client who is at a low risk of developing
complications elects not to accept a referral or a physician or associate's
advice, the midwife shall:
(1) continue to care for the client after discussing
and documenting the risks in the midwifery record, which shall include
informing the client that her condition may worsen and require transfer;
(2) seek a consultation;
(3) manage the client in collaboration with an appropriate
health care professional; or
(4) terminate care.
(c) If a midwife administers any prescription medication
to a client or her newborn other than oxygen and eye prophylaxis,
the midwife must do so in accordance with standing delegation orders
from and under the supervision of a physician. The midwife shall ensure
that the orders are current (renewed annually) and comply with state
law and the rules of the Texas Medical Board.
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