24.111.609 ADDITIONAL RECOMMENDED SCREENING PROCEDURES
(1) Consistent with generally accepted standards of practice and conduct, direct-entry midwives and direct-entry midwife apprentices shall recommend to their clients that the following tests, in addition to those in 37-27-312 , MCA, be secured from an appropriate health care provider:
(a) a recommendation that mothers:
(i) be screened prenatally for Hepatitis C;
(ii) be screened prenatally for group "B" Beta Strep; and
(iii) obtain a prenatal Pap smear; and
(b) a recommendation that infants:
(i) be screened for bilirubin within 72 hours after birth;
(ii) have expanded newborn metabolic tests within 72 hours after birth; and
(iii) have a newborn hearing screening within one month after birth.
(2) When the above recommendations are required to be made to clients of Level I, II, or III-A apprentices or to clients of Level III-B apprentices who are not approved by the board for indirect supervision, such recommendations shall be made by the apprentice's supervisor. If the supervisor is a physician or nurse-midwife who is not subject to the board's jurisdiction, the recommendation shall be made by the apprentice.
(3) Level III-B apprentices approved by the board for indirect supervision shall always make the recommendations required by this rule to clients of the Level III-B apprentice.
(4) Documentation of compliance with this rule shall be maintained in the client record.
History: 37-1-131, 37-27-105, MCA; IMP, 37-27-102, 37-27-105, 37-27-312, MCA; NEW, 2007 MAR p. 263, Eff. 2/23/07.