2006 Utah Code - 58-77-601 — Standards of practice.

     58-77-601.   Standards of practice.
     (1) (a) Prior to providing any services, a licensed Direct-entry midwife must obtain an informed consent from a client.
     (b) The consent must include:
     (i) the name and license number of the Direct-entry midwife;
     (ii) the client's name, address, telephone number, and primary care provider, if the client has one;
     (iii) the fact, if true, that the licensed Direct-entry midwife is not a certified nurse midwife or a physician;
     (iv) all sections required by the North American Registry of Midwives in its informed consent guidelines, including:
     (A) a description of the licensed Direct-entry midwife's education, training, continuing education, and experience in midwifery;
     (B) a description of the licensed Direct-entry midwife's peer review process;
     (C) the licensed Direct-entry midwife's philosophy of practice;
     (D) a promise to provide the client, upon request, separate documents describing the rules governing licensed Direct-entry midwifery practice, including a list of conditions indicating the need for consultation, collaboration, referral, transfer or mandatory transfer, and the licensed Direct-entry midwife's personal written practice guidelines;
     (E) a medical back-up or transfer plan;
     (F) a description of the services provided to the client by the licensed Direct-entry midwife;
     (G) the licensed Direct-entry midwife's current legal status;
     (H) the availability of a grievance process; and
     (I) client and licensed Direct-entry midwife signatures and the date of signing; and
     (v) whether the licensed Direct-entry midwife is covered by a professional liability insurance policy.
     (2) A licensed Direct-entry midwife shall appropriately recommend and facilitate consultation with, collaboration with, referral to, or transfer or mandatory transfer of care to a licensed health care professional when the circumstances require that action in accordance with standards established by division rule.
     (3) If after a client has been informed that she has or may have a condition indicating the need for medical consultation, collaboration, referral, or transfer and the client chooses to decline, then the licensed Direct-entry midwife shall:
     (a) terminate care in accordance with procedures established by division rule; or
     (b) continue to provide care for the client if the client signs a waiver of medical consultation, collaboration, referral, or transfer.
     (4) If after a client has been informed that she has or may have a condition indicating the need for mandatory transfer, the licensed Direct-entry midwife shall, in accordance with procedures established by division rule, terminate the care or initiate transfer by:
     (a) calling 911 and reporting the need for immediate transfer;
     (b) immediately transporting the client by private vehicle to the receiving provider; or
     (c) contacting the physician to whom the client will be transferred and following that physician's orders.
     (5) For the period from 2006 through 2011, a licensed Direct-entry midwife must submit

outcome data to the Midwives' Alliance of North America's Division of Research on the form and in the manner prescribed by rule.
     (6) This chapter does not mandate health insurance coverage for midwifery services.

Enacted by Chapter 299, 2005 General Session