La. Admin. Code tit. 46 § XLV-2357

Current through Register Vol. 50, No. 11, November 20, 2024

Section XLV-2357 - Clinical Experience

A. Clinical experience in midwifery is required of every applicant for licensure and may be obtained in a variety of settings, including medical offices, clinics, hospitals, maternity centers, and in the home. Clinical experience must include instruction in basic nursing skills, including vital signs, perineal preparation, enema, urethral catheterization, aseptic techniques, administration of medication orally and by injection, local infiltration for anesthesia, administration of intravenous fluids, venipuncture, infant and adult resuscitation, fetal heart tones, edema, routine urinalysis, and curetting and repair of episiotomy.

B. The clinical experience requisite to licensure shall include care of women in the antepartum, intrapartum, and postpartum periods. Clinical practice must include at least the following types of numbers of experiences (with out-of-hospital births making up at least one-half of the clinical experience):

1. 75 prenatal visits on at least 25 different women, including 20 initial examinations;

2. attendance at the labor and delivery of at least 10 live births as an observer and 20 births as an assistant attendant;

3. management of the labor and delivery of newborn and placenta for at least 25 births as the primary birth attendant;

4. 25 newborn examinations;

5. 40 postpartum evaluations of mother and baby in home or hospital within 72 hours of delivery;

6. a minimum of five repairs of lacerations or such greater number as necessary to be deemed competent by the clinical supervisor, in addition to any practice on non-human subjects;

7. five observations of in-house hospitalized births involving high-risk obstetric care, provided, however, that this requirement may be waived by the board upon demonstration and documentation by the applicant that opportunity for such observations was not reasonably available to the applicant notwithstanding the applicant's diligent, good faith efforts to obtain opportunity for such observations;

8. observation of one complete series of at least 6 prepared childbirth classes offered by an approved provider; and

9. five continuity of care births, all as primary under supervision, which are to include:

a. five prenatal visits spanning at least two trimesters;

b. the birth (assumed delivery of placenta and immediate postpartum);

c. one newborn examination; and

d. two postpartum examinations (after 24 hours).

C. Satisfaction of the clinical experience requirements perquisite to CPM certification by NARM will be deemed to satisfy the requirements of §2357 B

La. Admin. Code tit. 46, § XLV-2357

Promulgated by the Department of Health and Hospitals, Board of Medical Examiners, LR 12:517 (August 1986), amended LR 17:779 (August 1991), Amended by the Department of Health, Board of Medical Examiners, LR 421287 (8/1/2016).

AUTHORITY NOTE: Promulgated in accordance with R.S. 37:1270 and 37:3241-3259.