Register February 2012 No. 674
Chapter N 4
LICENSURE OF NURSE-MIDWIVES
N 4.01   Authority and intent.
N 4.02   Definitions.
N 4.03   Qualifications for licensure.
N 4.04   Application procedures for licensure.
N 4.05   Temporary permits.
N 4.06   Scope of practice.
N 4.07   Limitations on the scope of practice.
N 4.08   Licensure and exception.
N 4.09   Health care facilities where practice shall occur.
N 4.10   Malpractice insurance coverage.
Ch. N 4 Note Note: Chapter N 6 as it existed on September 30, 1985 was renumbered Chapter N 4, effective October 1, 1985.
N 4.01 N 4.01 Authority and intent.
N 4.01(1) (1) The rules in this chapter are adopted pursuant to authority of ss. 15.08 (5), 227.11 and 441.15, Stats.
N 4.01(2) (2) The intent of the board of nursing in adopting rules in this chapter, interpreting s. 441.15, Stats., is to specify the requirements for obtaining licensure as a nurse-midwife; the scope of practice of nurse-midwifery; the types of facilities in which such practice may occur; and malpractice insurance requirements for nurse-midwives.
N 4.01 History History: Cr. Register, December, 1981, No. 312, eff. 1-1-82; am. (2), Register, May, 1990, No. 413, eff. 6-1-90; correction in (1) made under s. 13.93 (2m) (b) 7., Stats., Register, May, 1990, No. 413; CR 03-009: am (2), Register November 2003 No. 575, eff 12-1-03.
N 4.02 N 4.02 Definitions. As used in this chapter:
N 4.02(1) (1) “Board" means board of nursing.
N 4.02(2) (2) “Bureau" means bureau of health service professions within the department of safety and professional services, located at 1400 East Washington Avenue, Madison, Wisconsin.
N 4.02(2m) (2m) “Collaboration" has the meaning specified in s. 441.15 (1) (a), Stats.
N 4.02(4) (4) “Complications" means those conditions which jeopardized the health or life of the patient and which deviate from normal as defined in the written agreement consistent with the standards of practice of the American College of Nurse-Midwives.
N 4.02(5) (5) “Direct supervision" means immediate availability to continually coordinate, direct and inspect at first hand the practice of another.
N 4.02(5m) (5m) “Nurse-midwife" means a nurse-midwife licensed by the board.
N 4.02(6) (6) “Written agreement" means an agreement between the collaborating physician and the nurse-midwife which is permanently recorded, dated and signed by both parties, is available for inspection upon reasonable request, and consists of at least the following: framework of mutually approved guidelines including conditions of collaboration and referral.
N 4.02 History History: Cr. Register, December, 1981, No. 312, eff. 1-1-82; cr. (8), Register, September, 1985, No. 357, eff. 10-1-85; am. (2), (6) and (8), Register, May, 1990, No. 413, eff. 6-1-90; CR 03-009: renum. (3), (4) and (8) to be (4), (6) and (5) and am. (4) and (6), cr. (2m), r. (5) and (7), correction made under s. 13.93 (2m) (b) 1., Stats., Register November 2003 No. 575; correction in (2) made under s. 13.92 (4) (b) 6., Stats., Register February 2012 No. 674.
N 4.03 N 4.03 Qualifications for licensure. An applicant for licensure as a nurse-midwife shall be granted licensure by the board, provided that the applicant meets all of the following:
N 4.03(1) (1) Has completed an educational program in nurse-midwifery accredited by the American College of Nurse-Midwives.
N 4.03(2) (2) Holds a certificate issued by the American College of Nurse-Midwives or the American College of Nurse-Midwives Certification Council.
N 4.03(3) (3) Is currently licensed to practice as a professional nurse in Wisconsin, or is currently licensed to practice professional nursing in another state which has adopted the nurse licensure compact.
N 4.03 History History: Cr. Register, December, 1981, No. 312, eff, 1-1-82; am. (intro.) and (3), Register, May, 1990, No. 413, eff. 6-1-90; CR 01-046: am. (3), Register October 2001 No. 550, eff. 11-1-01; CR 03-009: am. (intro.), (1) and (2) Register November 2003 No. 575, eff. 12-1-2003.
N 4.04 N 4.04 Application procedures for licensure.
N 4.04(1) (1) An applicant for licensure to practice as a nurse-midwife shall file a completed, notarized application on a form provided by the bureau. The application shall include all of the following:
N 4.04(1)(a) (a) Signature of the applicant.
N 4.04(1)(b) (b) Fee specified under s. 440.05 (1), Stats.
N 4.04(1)(c) (c) Evidence of completion of an educational program in nurse-midwifery approved by the American College of Nurse-Midwives and evidence of certification as a nurse-midwife from the American College of Nurse-Midwives or the American College of Nurse-Midwives Certification Council.
N 4.04(1)(d) (d) Identification of current licensure as a professional nurse in Wisconsin or of current licensure in another state which has adopted the nurse licensure compact, including the license number and renewal information.
N 4.04(2) (2) A separate license shall be issued by the board for the practice of nurse-midwifery.
N 4.04(3) (3) Renewal of a license to practice nurse-midwifery shall be conducted as a separate procedure from the renewal of the nurse's license as a professional nurse.
N 4.04(4) (4) The applicant for renewal shall inform the board whether the certificate issued to him or her by the American College of Nurse-Midwives or the American College of Nurse-Midwives Certification Council has been revoked or suspended.
N 4.04 History History: Cr. Register, December, 1981, No. 312, eff. 1-1-82; am. (1) (intro.), (c) and (d) and (3), Register, May, 1990, No. 413, eff. 6-1-90; CR 01-046: am. (1) (d) and (3), cr. (4), Register October 2001 No. 550, eff. 11-1-01; CR 03-009: am. (1) (intro.), (a) to (c) and (4) Register November 2003 No. 575, eff. 12-1-2003.
N 4.05 N 4.05 Temporary permits.
N 4.05(1) (1)Eligibility. An applicant for licensure as a nurse-midwife who has completed an educational program in nurse-midwifery approved by the American college of nurse-midwives, who is currently licensed to practice as a professional nurse in Wisconsin and who has paid the fee specified in s. 440.05 (6), Stats., may be eligible for a temporary permit to practice nurse-midwifery.
N 4.05(2) (2)Issuing a temporary permit. The bureau of health service professions shall issue a temporary permit to an eligible applicant within one week of the determination of eligibility.
N 4.05(3) (3)Supervision required. The holder of a temporary permit shall practice under the direct supervision of a nurse-midwife certified under s. 441.15, Stats., or a physician. The holder may not practice beyond the scope of practice of a nurse-midwife as set forth in s. N 4.06.
N 4.05(4) (4)Title. The holder of a valid temporary permit under this section may use the title “graduate nurse-midwife" or the letters “G.N.M.".
N 4.05(5) (5)Duration.
N 4.05(5)(a)(a) Except as provided in pars. (b) to (e), the duration of a temporary permit granted by the board is:
N 4.05(5)(a)1. 1. For applicants who have been granted a temporary permit to practice as a registered nurse, the period which coincides with the registered nurse temporary permit.
N 4.05(5)(a)2. 2. For other applicants, 6 months.
N 4.05(5)(b) (b) The temporary permit of a candidate who is unsuccessful on the examination administered by the American College of Nurse-Midwives Certification Council is void upon receipt of the examination results by the holder and shall be returned by the holder to the board immediately. Failure to return the permit promptly shall, without further notice or process, result in a board order to revoke the permit.
N 4.05(5)(c) (c) A temporary permit may be renewed once for a period of 3 months.
N 4.05(5)(d) (d) A second renewal for a 3-month period may be granted in hardship cases if an affidavit is filed with the board identifying the hardship. “Hardship cases", as used in this paragraph, includes the inability to take or complete a scheduled examination because of illness, family illness or death, accident or natural disaster or because the person is awaiting examination results.
N 4.05(5)(e) (e) Practice under temporary permits, including renewals under pars. (c) and (d), may not exceed 12 months total duration.
N 4.05(6) (6)Denial. A temporary permit may be denied an applicant for any of the reasons in sub. (7) for which the board may revoke a temporary permit or for the misrepresentation of being a nurse-midwife or a graduate nurse-midwife before the granting of a permit under this section.
N 4.05(7) (7)Revocation. A temporary permit may, after notice and hearing, be revoked by the board for any of the following reasons:
N 4.05(7)(a) (a) Violation of any of the rules of conduct for registered nurses in ch. N 7 or for violation of the rules governing nurse-midwives under ch. N 4.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.