N.J. Admin. Code § 13:35-2A.10

Current through Register Vol. 56, No. 21, November 4, 2024

Section 13:35-2A.10 - Intrapartum management

(a) A licensee's scope of practice during intrapartum stages includes:

1. Managing labor and birth for women not classified as being at increased risk pursuant to 13:35-2A.11, in accordance with clinical guidelines;

2. Performing immediate screening of the newborn and resuscitation of the newborn when necessary. The licensee shall refer newborns with acute medical conditions to a physician trained in the care of a newborn;

3. Performing an episiotomy;

4. Repairing first- and second-degree episiotomies and lacerations;

5. Using local anesthesia; and

6. In a health care facility licensed by the Department of Health, administering or facilitating the administration of nitrous oxide for pain relief.

(b) Every licensee shall ensure that at the birth site:

1. There is a person who is certified in Basic Life Support (BLS) and in Neonatal Resuscitation Program (NRP) by the American Academy of Pediatrics; and

2. The following equipment is present:

i. Oxygen;

ii. A neonatal bag and mask;

iii. An adult oxygen mask;

iv. Suction equipment;

v. IV fluids; and

vi. Oxytoxics.

(c) In addition to the tasks outlined in (a) above, a Certified Nurse Midwife (CNM) or Certified Midwife (CM) may:

1. Repair third degree lacerations upon the direction of the consulting physician;

2. Repair fourth degree lacerations under the direct supervision of a physician who has hospital obstetrical privileges; and

3. Administer pudendal anesthesia in a licensed healthcare facility, which includes birthing centers. No licensee shall administer pudendal anesthesia in any other setting.

N.J. Admin. Code § 13:35-2A.10

Amended by 51 N.J.R. 878(a), effective 6/3/2019

Amended by 53 N.J.R. 366(a), effective 3/1/2021