N 4.05 (7) (d) Misrepresentation of being a nurse-midwife or a graduate nurse-midwife when applying for a temporary permit under this section.
Section 24. N 4.06 (1) to (4) are amended to read:
N 4.06 (1) The scope of practice of nurse-midwifery is the overall management of women's health care, pregnancy, childbirth, postpartum care for newborns, family planning, and gynecological services consistent with the standards of practice of the American College of Nurse-Midwives and the education, training, and experience of the nurse-midwife.
(2) The A nurse-midwife shall collaborate with a physician with postgraduate training in obstetrics pursuant to a written agreement with that physician.
(3) The A nurse-midwife shall consult with the consulting collaborating physician regarding any complications discovered by the nurse-midwife, or refer the patient pursuant to the written agreement under sub. (2).
(4) Upon referral under sub. (3), the a nurse-midwife may independently manage that part of the care of the for a patient which that is appropriate to consistent with the knowledge and skills education, training, and experience of the nurse-midwife.
Section 25. N 4.07 (1) and (2) are amended to read:
N 4.07 (1) The A nurse-midwife shall may not independently manage those complications that require referral pursuant to the written agreement under s. N 4.06 (2). (2) The A nurse-midwife may not perform deliveries by forceps or Caesarean section. The nurse-midwife may use vacuum extractors only in emergency delivery situations.
Section 26. N 4.07 (2m) is created to read:
N 4.07 (2m) A nurse-midwife may use vacuum extractors only in emergency delivery situations.
Section 27. N 4.07 (3) and (4) are amended to read:
N 4.07 (3) The A nurse-midwife may not assume any responsibilities, either by physician-delegation or otherwise, which he or she is not competent to perform by that are inconsistent with the education, training, or and experience of the nurse-midwife.
(4) Following notification of a physician as required by s. 441.15 (4), Stats., a nurse-midwife may continue to manage the a delivery when complications occur if emergency measures are required and the physician has not yet arrived.
Section 28. N 4.08 is renumbered N 4.025 and amended to read:
N 4.025 Licensure and exception exceptions.
(1) No Except as provided under subs. (2) and (3), unless licensed under this chapter, no person may practice or attempt to practice nurse-midwifery or use the title or letters “Certified Nurse-Midwife", or “C.N.M.", “Nurse-Midwife", or “N.M.", or anything else any other title or letters to indicate that he or she person is a nurse-midwife unless he or she is licensed under this chapter.
(2) Nothing in this chapter shall be construed either to prohibit or to require a license under this chapter for any Any person lawfully practicing professional nursing within the scope of a license granted under ch. 441, Stats., is not required to be licensed under this chapter.
Section 29. N 4.10 (1) (intro.) and (2) (a) and (b) are amended to read:
N 4.10 (1) (intro.) Nurse-midwives A nurse-midwife shall maintain have in effect malpractice insurance evidenced by one of the following:
(2) (a) A nurse-midwife who practices nurse-midwifery within the scope of employment as a federal, state, county, city, village, or town employee who practices nurse-midwifery within the scope of his or her employment.
(b) A nurse-midwife who practices nurse-midwifery as an employee of the federal public health service under 42 USC 233 (g). Section 30. N 4.10 (2) (d) and (e) are created to read:
N 4.10 (2) (d) A nurse-midwife whose employer has in effect malpractice liability insurance that provides coverage for the nurse-midwife in an amount equal to or greater than the amounts specified in sub. (1) (a) or (b).
(e) A nurse-midwife providing nurse-midwifery services under s. 257.03, Stats. Section 31. N 4.10 (3) and (3) (Note) are repealed.
Section 32. Effective date. The rules adopted in this order shall take effect on the first day of the month following publication in the Wisconsin Administrative Register, pursuant to s. 227.22 (2) (intro.), Stats. ---------------------------------------------------------------------------------------------------------------------
(END OF TEXT OF RULE)
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