Chapter XLV

A. An LAc shall: 1. report directly to the board, in writing, of the retirement or withdrawal from active practice by the LAc; 2. comply with reasonable requests by the board for personal appearances, information and documentation required by this Part relative to the functions, …

A. The board may suspend, revoke, or impose probationary conditions and restrictions on any certification or license issued under this Part, upon a finding, following hearing, that such individual is culpable of: 1. conviction of a crime or entry of a plea of guilty or nolo conte…

A. Licensed midwife practitioners may provide care only to low risk clients determined by physician evaluation and examination to be normal for pregnancy and childbirth, and at low risk for the development of medical complications. Such care includes prenatal supervision and coun…

A. The definitions set forth in Chapter 23 of these rules shall equally apply to this Chapter, unless the context clearly states otherwise. Notes La. Admin. Code tit. 46 , § XLV-5303 Promulgated by the Department of Health and Human Resources, Board of Medical Examiners, LR 12:51…

A. All licensed midwives shall have the skills necessary for safe practice, including the ability to assess, monitor, and manage on an ongoing basis, normal antepartum, intrapartum, and postpartum situations; perform newborn evaluations; identify and assess maternal, fetal, and i…

A. All midwives will use risk factor assessments of their clients as identified in § 5315 in order to establish their initial and continuing eligibility for midwifery services. Clients will be informed of their risk status. All midwives have the right and responsibility to refuse…

A. Prior to the acceptance of a client for care, a licensed midwife practitioner shall inform the client orally and in writing of the following disclosures: 1. certain risks and benefits exist for home birth and certain risks and benefits exist for other childbirth alternatives, …

A. The licensed midwife shall, prior to the onset of labor, prepare a written plan or protocol for the transport of mother and infant to a hospital and know the client's contingency arrangements for hospitalization should these needs arise. Notes La. Admin. Code tit. 46 , § XLV-5…

A. Prior to providing any services, a licensed midwife shall obtain the written informed consent, in writing, of the client, which shall include but not be limited to the following: 1. the name and license number of the licensed midwife; 2. the clients name, address, telephone nu…

A. The licensed midwife practitioner shall provide care only to clients determined by physician evaluation and examination to be at low or normal risk of developing complications during pregnancy and child birth. B. The midwife shall not knowingly accept or thereafter maintain re…

A. The licensed midwife practitioner must require that the client have a physician evaluation and examination and be found to be essentially normal or at low risk of developing complications during pregnancy and childbirth before her care can be assumed. The initial physician eva…

A. Laboratory and diagnostic testing and screening obtained in connection with the physician evaluation and examination shall include clinical pelvimetry, and any other laboratory and diagnostic testing and screening which the physician considers appropriate. Due consideration sh…

A. The licensed midwife practitioner must be familiar with community resources for pregnant women such as prenatal classes, the parish health unit and supplemental food programs. The client shall be referred to such resources as appropriate and encouraged to take a prepared child…

A. All licensed midwife practitioners shall have available, for their immediate use, appropriate birthing equipment, including equipment to assess maternal, fetal, and newborn well-being, maintain aseptic technique and to perform emergency adult and new born resuscitation, and ac…

A. A licensed midwife may administer the following medications under the conditions indicated: 1. oxygen for fetal or maternal distress and infant resuscitation; 2. local anesthetic, by infiltration, only for the purpose of postpartum repair of tears, lacerations, or episiotomy (…

A. At the visit when physical care of the client is initiated, the licensed midwife practitioner shall review the results of the physician evaluation and examination to ensure that the client has received a general physical examination which included the taking of a comprehensive…

A. At each prenatal visit, the midwife will check the client's weight, blood pressure, fundal height, urinalysis (protein and glucose), and general health, including checking for pain, bleeding, headaches, edema, dizziness, and other symptoms of preeclampsia. The midwife shall mo…

A. Prenatal visits should be every four weeks until 28 weeks gestation, every two weeks from 28 until 35 weeks gestation, and weekly from 36 weeks until delivery. B. For home birth, the licensed midwife practitioner will make a home visit three to five weeks prior to the estimate…

A. The licensed midwife practitioner will not perform any vaginal examinations on a woman with ruptured membranes and no labor, other than an initial examination to be certain that there is no prolapsed cord. Once active labor is assured and in progress, exams may be made as nece…

A. The licensed midwife practitioner will not attempt to correct fetal presentations by external or internal version nor will the midwife use any artificial, forcible, or mechanical means to assist the birth, e.g. no forceps or vacuum extractors. Notes La. Admin. Code tit. 46 , §…

A. The licensed midwife practitioner will not perform, routinely, an operative procedure other than artificial rupture of membranes when the head is well engaged or at zero station, clamping and cutting the umbilical cord, repair of first or second degree perineal lacerations, or…

A. The midwife shall obtain medical consultation or refer for medical care any woman who during the antepartum period: 1. develops edema of the face and hands; 2. develops severe, persistent headaches, epigastric pain, or visual disturbances; 3. develops a blood pressure of 140/9…

A. The following measures are permissible in an emergency situation: 1. cardiopulmonary-resuscitation; 2. episiotomy; 3. intramuscular or intravenous administration of pitocin or intramuscular administration of methergine for the control of postpartum hemorrhage; 4. intravenous (…

A. The licensed midwife practitioner shall accompany to the hospital any mother or infant requiring hospitalization, giving any pertinent written records and verbal report to the physician assuming care. If possible, she should remain with the mother and/or infant to ascertain ou…

A. The licensed midwife practitioner shall remain with the mother and infant for at least two hours postpartum, or until the mother's condition is stable and the infant's condition is stable, whichever is longer. Maternal stability is evidenced by normal blood pressure, normal pu…

A. The licensed midwife practitioner shall be responsible for care immediately following the delivery only. Subsequent infant care should be managed by a pediatrician or primary care physician. This does not preclude the midwife from providing counseling regarding routine newborn…

A. Within one hour of birth, the licensed midwife practitioner shall administer two drops of 1.0 percent solution of silver nitrate or other agent of equal effectiveness and harmlessness into the eyes of the infant in accordance with applicable state laws and regulations governin…

A. The licensed midwife practitioner shall recommend that any infant delivered by the midwife be evaluated by a pediatrician or primary care physician within three days of age or sooner if it becomes apparent that the newborn needs medical attention for problems associated with, …

A. The midwife shall obtain medical consultation or refer for medical care any woman who, during the postpartum period: 1. has a third or fourth degree laceration; 2. has uterine atony; 3. bleeds in an amount greater than normal lochial flow; 4. does not void within 2 hours of bi…

A. All midwives shall keep accurate and complete records of all care provided and data gathered for each client. B. The midwife shall maintain an individual client chart for each woman under her care. The chart shall include results of laboratory tests, observations from each pre…

A. All licensed midwife practitioners shall request copies of printed instructions relating to completion of birth certificates from the Louisiana State Registrar of Vital Records. The licensed midwife practitioner must complete a birth certificate in accordance with these instru…

A. A licensed midwife shall immediately report to the parish coroner any maternal mortality or morbidity or the demise of a fetus in excess of 350 grams or as applicable with state law, in clients for whom care has been given. B. A licensed midwife shall report within 48 hours to…

A. Every licensed midwife shall report to the board annually in a manner and form prescribed by the board. The report shall be submitted by January thirty-first of each year and shall include all of the following: 1. the licensed midwife's name and license number; 2. the calendar…

A. The board shall review all reports from licensed midwife practitioners, complete annual midwifery statistics, and make them available to all interested groups or persons. Notes La. Admin. Code tit. 46 , § XLV-5363 Promulgated by the Department of Health and Human Resources, Bo…

A. No individual shall engage or attempt to engage in the practice of midwifery in this state, unless he or she holds a current license or a permit to practice as a licensed midwife or apprentice midwife issued by the board under Chapter 23 of these rules. B. No person shall use …

A. Any person authorized by the Louisiana State Board of Nursing to practice as a certified nurse-midwife in the state shall not be affected by the provisions of these regulations. B. Any student pursuing a course of study in an accredited midwifery education program that is appr…

A. The board may refuse to issue, suspend for a definite period, revoke or impose probationary terms, conditions and restrictions on a license or permit for any of the following causes: 1. dereliction of any duty imposed by law; 2. incompetence as determined by standards of care …

A. Any person who is disciplined or denied a license or permit or has a license or permit suspended or revoked or is otherwise penalized under these regulations will be notified in writing and afforded the opportunity of a hearing conducted pursuant to the Louisiana Administrativ…

A. If a person licensed to practice midwifery under the provisions of these regulations is found guilty of violating any provisions of the Act or these regulations, the board may fine the midwife a sum of not more than $1,000 and may suspend or revoke the license of the licensed …

A. Physician evaluation and examination as provided in R.S. 37:3244 shall be deemed to constitute a risk assessment. A physician performing a risk assessment is responsible only for determining that at the time of the risk assessment the individual is at low or normal risk of dev…

A. The rules of this Chapter govern the practice of respiratory care in the state of Louisiana. Notes La. Admin. Code tit. 46 , § XLV-5501 Promulgated by the Department of Health and Human Resources, Board of Medical Examiners, LR 12:767 (November 1986), amended by the Department…

A. The definitions set forth in Chapter 25 of these rules shall equally apply to this Chapter, unless the context clearly states otherwise. Notes La. Admin. Code tit. 46 , § XLV-5503 Promulgated by the Department of Health and Human Resources, Board of Medical Examiners, LR 12:76…

A. No person shall engage in the practice of respiratory care in the state of Louisiana unless he has in his possession a current license, a temporary license (examination permit), or a temporary work permit duly issued by the board under Subpart 2 of these rules. B. No person sh…

A. The prohibitions of §5505A of this Chapter shall not apply to a person: 1. employed exclusively by, or at an institution operated by the United States Government when acting within the course and scope of such employment; 2. acting under and within the scope of a license issue…

A. A licensed respiratory therapist shall not: 1. undertake to perform or actually perform any activities described in § 2503 of these rules, definition of "Respiratory therapy," except upon a prescription or other order of a physician, advanced registered nurse or physician assi…

A. The board may deny, refuse to issue, renew, or reinstate, or may suspend, revoke or impose probationary conditions and restrictions on the license, temporary license (examination permit), or temporary work permit of any respiratory therapist if the licensee or applicant for li…

A. As used herein, the term unprofessional conduct by a respiratory therapist or applicant shall mean any of the causes set forth in R.S. 37:3358 of the Act. Notes La. Admin. Code tit. 46 , § XLV-5519 Promulgated by the Department of Health and Human Resources, Board of Medical E…

A. The rules of this Chapter govern the employment and practice of licensed athletic trainers in the state of Louisiana. Notes La. Admin. Code tit. 46 , § XLV-5701 Promulgated by the Department of Health and Human Resources, LR 12:526 (August 1986), Amended by the Department of H…

A. The definitions set forth in Chapter 31 of these rules shall equally apply to this Chapter, unless the context clearly states otherwise. Notes La. Admin. Code tit. 46 , § XLV-5703 Promulgated by the Department of Health and Human Resources, LR 12:526 (August 1986), Amended by …

A. The Activities of an Athletic Trainer -the practice of prevention, emergency management, and physical rehabilitation of injuries and sports-related conditions incurred by athletes. In carrying out these functions, the athletic trainer shall use whatever physical modalities are…