Current through Register Vol. 35, No. 18, September 24, 2024
A.
Definitions beginning with "A":
(1)
"ACNM" means the American
college of nurse-midwives.
(2)
"AMCB" means American midwifery certification board.
(3)
"Addiction" is a
neurobehavioral syndrome with genetic and environmental influences that results
in psychological dependence on the use of substances for their psychic effects.
It is characterized by behaviors that include one or more of the following:
impaired control over drug use; compulsive use; continued use despite harm; and
craving. Physical dependence and tolerance are normal physiological
consequences of extended opiate or opioid therapy for pain and should not by
themselves be considered addiction.
(4)
"Audit" means an examination
and verification of continuing education and practice documents.
B.
Definitions beginning
with "B": "Board" means the certified nurse-midwifery advisory board
established under these rules.
C.
Definitions beginning with "C":
(1)
"Certified nurse-midwife
(CNM)" means an individual educated in the two disciplines of nursing
and midwifery, who is certified by the AMCB or its designee and who is licensed
under this rule.
(2)
"Chronic
pain" means pain that persists after reasonable efforts have been made
to relieve the pain or its cause and that continues, either continuously or
episodically, for longer than three consecutive months. For purposes of this
rule, chronic pain does not include pain associated with a terminal condition
or with a progressive disease that, in the normal course of progression, may
reasonably be expected to result in a terminal condition.
(3)
"Client" means any person
domiciled, residing, or receiving care, service or treatment from a New Mexico
licensed CNM. This includes but is not limited to patients, residents, or
consumers.
(4)
"CNM
license" means the legal privilege to practice within the scope of this
rule as authorized by the department.
(5)
"Contact hour" means 50-60
minutes of an organized learning experience relevant to CNM practice.
(6)
"Continuance" means the
adjournment or postponement of a trial or other proceeding to a future
date.
(7)
"Continuing
education" means planned learning experiences occurring after initial
licensure. These experiences are designed to promote the development of
knowledge, skills and attitudes for the enhancement of midwifery practice, thus
improving health care to the public.
(8)
"Continuing education unit"
means 10 contact hours of participation in an organized continuing education
experience.
(9)
"Controlled
substance" means any drug or therapeutic agent listed in Schedules I
through V of Sections 30-31-6 to 30-3-10 NMSA 1978, Controlled Substances Act,
or rules adopted thereto, which is commonly understood to include
narcotics.
D.
Definitions beginning with "D":
(1)
"Dangerous drug" means a
prescription drug other than a controlled substance that has been determined by
law to be unsafe for self-administration and is included in Sections 26-1-1 to
26-1-26 NMSA 1978, New Mexico Drug, Device and Cosmetic Act, and in Section
30-31-6 NMSA, Controlled Substances Act.
(2)
"Department" means the New
Mexico department of health.
(3)
"Division" means the public health division.
E.
Definitions beginning with "E":
"Electronic professional licensing management system" means the system
by which licensees apply and submit an application for midwifery license and
keep up to date their online profile.
F.
Definitions beginning with "F":
[RESERVED]
G.
Definitions beginning with "G": [RESERVED]
H.
Definitions beginning with "H":
[RESERVED]
I.
Definitions beginning with "I": [RESERVED]
J.
Definitions beginning with "J":
[RESERVED]
K.
Definitions beginning with "K": [RESERVED]
L.
Definitions beginning with "L":
"Lapsed license" means a license that a person has voluntarily lapsed,
has failed to renew as required, or the license of a person who failed to meet
stated obligations for renewal within a stated time.
M.
Definitions beginning with "M":
[RESERVED]
N.
Definitions beginning with "N": "National practitioner data bank
(NPDB)" means the web-based repository of reports containing information
on medical malpractice payments and certain adverse actions related to health
care practitioners, providers, and suppliers.
O.
Definitions beginning with "O":
"Opioid antagonist" means a drug approved by the federal food and drug
administration that when administered negates or neutralizes in whole or in
part the pharmacological effects of an opioid analgesic in the body; this
includes naloxone and such other medications approved by the board of pharmacy
for the reversal of opioid analgesic overdoses.
P.
Definitions beginning with
"P":
(1)
"Pain" means an
unpleasant sensory and emotional experience associated with inflammation or
with actual or potential tissue damage or described in terms of such
inflammation and damage, which could include acute, persistent, or chronic
pain.
(2)
"Peer
review" means the assessment and evaluation of CNM practice by other
CNMs and other health care providers to measure compliance with established
institutional or legal standards. In the peer review process, a CNM's practice
undergoes scrutiny for the purpose of professional self-regulation.
(3)
"Physical dependence" means
a state of adaptation that is manifested by a drug-specific withdrawal syndrome
that can be produced by abrupt cessation, rapid dose reduction, decreasing
blood level of the drug, administration of an antagonist, or a combination of
these.
(4)
"Prescription
monitoring program (PMP)" means a centralized electronic system within
the New Mexico board of pharmacy that collects, monitors, and analyzes data
submitted by dispensing practitioners and pharmacies related to the prescribing
and dispensing of controlled substances. The data are used to support efforts
in education, research, enforcement, and misuse prevention.
(5)
"Primary care" means the
provision of integrated, accessible health care services by clinicians who are
accountable for addressing the large majority of presenting health care needs,
developing sustained partnerships with clients, and practicing within the
context of family and community.
Q.
Definitions beginning with
"Q":
(1)
"Quality assurance"
means monitoring structural, procedural, and outcome indicators as they
relate to accepted standards.
(2)
"Quality improvement" means modifying the process for providing
care in order to improve outcomes. Modifications are based upon the measurement
of parameters such as evidence-based best practices, client satisfaction,
clinical outcomes, population specific care, culturally appropriate care,
appropriate use of technology and resources, and access to care.
R.
Definitions beginning
with "R":
(1)
"Reactivation" means the process of making current a license which
has been in abeyance as a result of failure to comply with the necessary
renewal requirements; this process does not involve disciplinary action at any
juncture.
(2)
"Reinstatement" means the process whereby a license which has been
subject to revocation or suspension, is returned to active status; this process
always involves disciplinary action.
S.
Definitions beginning with "S":
"Substance use disorder" means a treatable mental disorder that affects
a person's brain and behavior, leading to their inability to control their use
of substances like legal or illegal drugs, alcohol or medications.
T
Definitions beginning with
"T":
(1)
"Therapeutic
purpose" means the use of pharmaceutical and non-pharmaceutical
treatments and the spectrum of available modalities that conforms substantially
to accepted guidelines.
(2)
"Tolerance" means a state of adaptation in which exposure to a
drug induces changes that result in a diminution of one or more of the drug's
effects over time.
U.
Definitions beginning with "U": [RESERVED]
V.
Definitions beginning with "V":
"Valid CNM-client relationship" means a professional relationship
between the CNM and the client for the purpose of maintaining the client's
well-being. At minimum, this relationship is an interactive encounter between
the CNM and client involving an appropriate history and physical or mental
examination; ordering labs or diagnostic tests sufficient to make a diagnosis;
and providing, prescribing, or recommending treatment, or referring to other
health care providers. A client record must be generated by the
encounter.
W.
Definitions
beginning with "W": [RESERVED]
X.
Definitions beginning with "X":
[RESERVED]
Y.
Definitions beginning with "Y": [RESERVED]
Z.
Definitions beginning with "Z":
[RESERVED]
