Alaska Administrative Code
Title 12 - Professional Regulations
Part 1 - Boards and Commissions Subject to Centralized Licensing
Chapter 14 - Board of Certified Direct-Entry Midwives
Article 5 - Duties and Responsibilities
12 AAC 14.520 - Transfer
Universal Citation: 12 AK Admin Code 14.520
Current through February 24, 2025
(a) Transport of a client by means of a private vehicle is an acceptable method of transport if it is the most expedient and safest method for accessing medical services. When transferring a client, the certified direct-entry midwife shall
(1) initiate immediate transport according to the certified
direct-entry midwife's emergency plan;
(2) provide emergency stabilization until emergency medical
services arrive or transfer is completed;
(3) accompany the client or follow the client to a hospital in a
timely fashion; and
(4) provide
pertinent information to the receiving facility.
(b) A certified direct-entry midwife shall immediately notify a physician and provide emergency transport to a hospital of a client exhibiting
(1) seizures or
unconsciousness;
(2) respiratory
distress or arrest;
(3) evidence of
shock;
(4) psychosis;
(5) symptomatic chest pain or cardiac
arrhythmias;
(6) prolapsed
umbilical cord;
(7) unresolved
shoulder dystocia;
(8) symptoms of
uterine rupture;
(9) preeclampsia
or eclampsia;
(10) severe abdominal
pain inconsistent with normal labor;
(11) chorioamnionitis;
(12) clinically significant fetal heart rate patterns or other
manifestation of fetal distress;
(13) presentation not compatible with spontaneous vaginal
delivery;
(14) laceration greater
than second degree perineal or any cervical;
(15) hemorrhage non-responsive to therapy;
(16) uterine prolapse or
inversion;
(17) persistent uterine
atony;
(18) anaphylaxis;
(19) sustained instability or persistent
abnormal vital signs; or
(20) an
other condition or symptom that could threaten the life of the mother, fetus,
or neonate.
(c) A certified direct-entry midwife may deliver a client with any of the complications or conditions set out in (b) of this section if
(1) no physician or other equivalent medical
services are available and the situation presents immediate harm to the health
and safety of the client;
(2) the
complication or condition entails extraordinary and unnecessary human
suffering; or
(3) delivery occurs
during transport.
Authority:AS 08.65.030
AS 08.65.140
AS 08.65.190
Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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