Current through Register Vol. 35, No. 18, September 24, 2024
New Mexico retains a state apprentice process to become a
midwife; the division will provide a division-approved student workbook as a
tool in determining the acceptability of an applicant's educational experience.
The main purpose of the education program is to establish entry-level
knowledge, skills, and abilities necessary to practice competently; this is
established through training, education and supervised clinical experience,
followed by successful completion of a division-approved written examination.
The midwifery instructor will use the student workbook to conduct the course of
education for the apprentice as set out below.
A. Theoretical instruction: Theoretical
instruction must include, but is not limited to, these areas of study:
(1) Human life science: Anatomy and
physiology, pathophysiology, fetal development, genetic screening, applied
microbiology;
(2) Psycho/social
issues: Communication and counseling, cultural concerns, human sexuality,
perinatal education;
(3) Antepartum
management: History taking, physical assessment, risk screening, provision of
care, normal course, complications, pharmacology, nutrition, diagnostic
laboratory tests and procedures, and consultation and transfer;
(4) Intrapartum management: History taking,
physical assessment, risk screening, provision of care, normal course,
complications, pharmacology, diagnostic laboratory tests and procedures,
consultation and transfer, and adult cardiopulmonary resuscitation;
(5) Postpartum management: History taking,
physical assessment, risk screening, provision of care, normal course,
complications, pharmacology, consultation and transfer, diagnostic laboratory
tests and procedures, and family planning;
(6) Newborn management: History taking,
physical assessment, risk screening, provision of care, normal course,
complications, diagnostic laboratory tests and procedures, consultation and
transfer, and neonatal resuscitation;
(7) Reproductive health care: History taking,
physical assessment, risk screening, provision of care, diagnostic laboratory
tests and procedures, non-pharmalogical treatment, consultation or transfer for
treament, and family planning;
(8)
Professional issues: History of midwifery, division regulations regarding
prevention of infant blindness; newborn screening for certain congenital
diseases and other inborn metabolic errors; registration of births, neonatal
and maternal deaths, including stillbirths, and control of diseases and
conditions of public health significance; ethics, laws and regulations,
starting a small business.
(9)
Pharmacological management: Safely procure, carry, and administer medications,
per the Drug and Cosmetic Act (Definition K), listed on the department
formulary.
B. Clinical
experience: Permitted apprentice midwives should refer to the division's
student workbook for details on clinical experiences and skills required to
complete training including but not limited to:
(1) Skills and knowledge:
(a) professional issues, knowledge, and
skills;
(b) general healthcare
skills;
(c) maternal health
assessment;
(d) prenatal
care;
(e) labor, birth, and
immediate postpartum;
(f)
postpartum;
(g) well-baby
care.
(2) Clinical
experiences:
(a) births as an
observer;
(b) births as an
assistant under supervision;
(c)
prenatal exams as an assistant under supervision;
(d) newborn exams as an assistant under
supervision;
(e) postpartum exams
as an assistant under supervision;
(f) birth as a primary under
supervision;
(g) initial prenatal
exams as a primary under supervision;
(h) prenatal exams as a primary under
supervision;
(i) newborn exams as a
primary under supervision;
(j)
postpartum exams as a primary under supervision;
(k) continuity of care.
