Idaho Administrative Code
Title IDAPA 24 - Occupational and Professional Licenses, Division of
Rule 24.26.01 - RULES OF THE IDAHO BOARD OF MIDWIFERY
Section 24.26.01.204 - NEWBORN TRANSFER OF CARE OR CONSULTATION
Universal Citation: ID Admin Code 24.26.01.204
Current through August 31, 2023
01. Newborn Transfer of Care. Conditions for which a licensed midwife must facilitate the immediate transfer of a newborn to a hospital for emergency care: (3-28-23)
a. Respiratory distress
defined as respiratory rate greater than eighty (80) or grunting, flaring, or
retracting for more than one (1) hour. (3-28-23)
b. Any respiratory distress following
delivery with moderate to thick meconium stained fluid. (3-28-23)
c. Central cyanosis or pallor for more than
ten (10) minutes. (3-28-23)
d.
Apgar score of six (6) or less at five (5) minutes of age. (3-28-23)
e. Abnormal bleeding. (3-28-23)
f. Any condition requiring more than six (6)
hours of continuous, immediate postpartum evaluation. (3-28-23)
g. Any vesicular skin lesions.
(3-28-23)
h. Seizure-like activity.
(3-28-23)
i. Any bright green
emesis. (3-28-23)
j. Poor feeding
effort due to lethargy or disinterest in nursing for more than two (2) hours
immediately following birth. (3-28-23)
02. Newborn Consultation Required. Conditions for which a licensed midwife must consult a Pediatric Provider (Neonatologist, Pediatrician, Family Practice Physician, Advanced Practice Registered Nurse, or Physician Assistant): (3-28-23)
a. Temperature instability, defined as a
rectal temperature less than ninety-six point eight (96.8) degrees Fahrenheit
or greater than one hundred point four (100.4) degrees Fahrenheit documented
two (2) times more than fifteen (15) minutes apart. (3-28-23)
b. Murmur lasting more than twenty-four (24)
hours immediately following birth. (3-28-23)
c. Cardiac arrhythmia. (3-28-23)
d. Congenital anomalies. (3-28-23)
e. Birth injury. (3-28-23)
f. Clinical evidence of prematurity,
including but not limited to, low birth weight of less than two thousand five
hundred (2,500) grams, smooth soles of feet, or immature genitalia.
(3-28-23)
g. Any jaundice in the
first twenty-four (24) hours after birth or significant jaundice at any time.
(3-28-23)
h. No stool for more than
twenty-four (24) hours immediately following birth. (3-28-23)
i. No urine output for more than twenty-four
(24) hours. (3-28-23)
j.
Development of persistent poor feeding effort at any time.
(3-28-23)
Disclaimer: These regulations may not be the most recent version. Idaho 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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