848 IAC 3 — ARTICLE 3. NURSE-MIDWIVES

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TITLE 848 INDIANA STATE BOARD OF NURSING

ARTICLE 3. NURSE-MIDWIVES

Rule 1

848 IAC 3-1-0.5 848 IAC 3-1-0.5 Applicability

Rule 1. Definitions

848 IAC 3-1-0.5 Applicability

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1; IC 25-23-1-13.1

Sec. 0.5. The definitions in this rule apply throughout this article.

(Indiana State Board of Nursing; 848 IAC 3-1-0.5; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2871; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 939; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA)

848 IAC 3-1-0.6 848 IAC 3-1-0.6 "Board" defined

848 IAC 3-1-0.6 "Board" defined

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1; IC 25-23-1-13.1

Sec. 0.6. "Board" means the Indiana state board of nursing.

(Indiana State Board of Nursing; 848 IAC 3-1-0.6; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2871; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 939; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA)

848 IAC 3-1-1 848 IAC 3-1-1 "Certified nurse-midwife" defined; use of initials

848 IAC 3-1-1 "Certified nurse-midwife" defined; use of initials

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1

Sec. 1. (a) "Certified nurse-midwife" means a registered nurse who has graduated from a nationally accredited school of midwifery, has passed the National Certifying Examination given by the American College of Nurse-Midwives, and is licensed by the board to practice as a nurse-midwife.

(b) "CNM" means certified nurse-midwife and are the designated authorized initials to be used by the certified nurse-midwife.

(Indiana State Board of Nursing; Nurse-Midwifery Rule 1, Art 1; filed Jun 15, 1979, 4:41 p.m.: 2 IR 1131; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2871; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 939; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA) NOTE: Transferred from the Medical Licensing Board of Indiana (844 IAC 3-1-1) to the Indiana State Board of Nursing (848 IAC 3-1-1) by P.L.185-1993, SECTION 16, effective July 1, 1993.

848 IAC 3-1-2 848 IAC 3-1-2 "Practice of nurse-midwifery" defined

848 IAC 3-1-2 "Practice of nurse-midwifery" defined

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1; IC 25-23-1-13.1

Sec. 2. "Practice of nurse-midwifery" means the practice of nursing and the extension of that practice, including well-woman gynecological healthcare, family planning, and care to the normal and expanding family throughout pregnancy, labor, delivery, and post-delivery.

(Indiana State Board of Nursing; Nurse-Midwifery Rule 1, Art 2; filed Jun 15, 1979, 4:41 p.m.: 2 IR 1131; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2872; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 939; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA) NOTE: Transferred from the Medical Licensing Board of Indiana (844 IAC 3-1-2) to the Indiana State Board of Nursing (848 IAC 3-1-2) by P.L.185-1993, SECTION 16, effective July 1, 1993.

848 IAC 3-1-3 848 IAC 3-1-3 Association with licensed physician; jurisdiction of board (Repealed)

848 IAC 3-1-3 Association with licensed physician; jurisdiction of board (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-4 848 IAC 3-1-4 Registration requirement (Repealed)

848 IAC 3-1-4 Registration requirement (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-5 848 IAC 3-1-5 Application for registration; qualifications (Repealed)

848 IAC 3-1-5 Application for registration; qualifications (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-6 848 IAC 3-1-6 Fees for registration (Repealed)

848 IAC 3-1-6 Fees for registration (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-7 848 IAC 3-1-7 Photograph submitted with application (Repealed)

848 IAC 3-1-7 Photograph submitted with application (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-8 848 IAC 3-1-8 Screening applicant; approval (Repealed)

848 IAC 3-1-8 Screening applicant; approval (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-9 848 IAC 3-1-9 Temporary registration not offered (Repealed)

848 IAC 3-1-9 Temporary registration not offered (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-10 848 IAC 3-1-10 Biennial re-registration (Repealed)

848 IAC 3-1-10 Biennial re-registration (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-11 848 IAC 3-1-11 Notice of re-registration (Repealed)

848 IAC 3-1-11 Notice of re-registration (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-12 848 IAC 3-1-12 Fee for re-registration (Repealed)

848 IAC 3-1-12 Fee for re-registration (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-13 848 IAC 3-1-13 Delinquency fee (Repealed)

848 IAC 3-1-13 Delinquency fee (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-14 848 IAC 3-1-14 Suspension of registration for delinquency (Repealed)

848 IAC 3-1-14 Suspension of registration for delinquency (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-15 848 IAC 3-1-15 Retirement and surrender of registration (Repealed)

848 IAC 3-1-15 Retirement and surrender of registration (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

848 IAC 3-1-16 848 IAC 3-1-16 Hearings regarding registration or disciplinary proceedings (Repealed)

848 IAC 3-1-16 Hearings regarding registration or disciplinary proceedings (Repealed)

(Repealed by Indiana State Board of Nursing; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2879)

Rule 2

848 IAC 3-2-1 848 IAC 3-2-1 Application for limited license; qualifications

Rule 2. General Provisions

848 IAC 3-2-1 Application for limited license; qualifications

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1; IC 25-23-1-13.1

Sec. 1. Every applicant for limited license shall file an application on a form supplied by the board.

(Indiana State Board of Nursing; 848 IAC 3-2-1; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2872; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 939; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA)

848 IAC 3-2-2 848 IAC 3-2-2 Fees for limited license

848 IAC 3-2-2 Fees for limited license

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1; IC 25-23-1-13.1

Sec. 2. (a) Each applicant for a limited license in nurse-midwifery shall pay a fee as provided in 848 IAC 1-1-14 in the form of a personal check, certified check, cashier's check, or money order payable to the health professions bureau. This fee is not refundable, but may be used up to and including one (1) year from the original submission of the application.

(b) The fee for any reapplication shall be the same as determined by the board for the original application and is payable in the form of a personal check, certified check, cashier's check, or money order payable to the health professions bureau.

(Indiana State Board of Nursing; 848 IAC 3-2-2; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2872; readopted filed Nov 21, 2001, 10:23 a.m.: 25 IR 1328; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA)

848 IAC 3-2-3 848 IAC 3-2-3 Photograph submitted with application

848 IAC 3-2-3 Photograph submitted with application

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1; IC 25-23-1-13.1

Sec. 3. A recent passport type photograph of the applicant taken within six (6) weeks prior to filing shall be submitted with each application. The photograph shall be in color on semigloss paper, not less than three (3) inches wide and four (4) inches high.

(Indiana State Board of Nursing; 848 IAC 3-2-3; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2872; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 940; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA)

848 IAC 3-2-4 848 IAC 3-2-4 Temporary permit not issued

848 IAC 3-2-4 Temporary permit not issued

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1; IC 25-23-1-13.1

Sec. 4. No temporary permit will be issued under any circumstances.

(Indiana State Board of Nursing; 848 IAC 3-2-4; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2872; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 940; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA)

848 IAC 3-2-5 848 IAC 3-2-5 Biennial renewal of limited license

848 IAC 3-2-5 Biennial renewal of limited license

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1; IC 25-23-1-13.1

Sec. 5. Every person with a limited license to practice nurse-midwifery shall renew such limited license with the board on or before October 31 of odd-numbered years.

(Indiana State Board of Nursing; 848 IAC 3-2-5; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2872; readopted filed Nov 21, 2001, 10:23 a.m.: 25 IR 1329; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA)

848 IAC 3-2-6 848 IAC 3-2-6 Notice of renewal

848 IAC 3-2-6 Notice of renewal

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1; IC 25-23-1-13.1

Sec. 6. On or before August 31 of odd-numbered years, the health professions bureau shall notify each nurse-midwife that he or she is required to renew their limited license to practice nurse-midwifery. At the time of such notice, the health professions bureau shall mail a form to each nurse-midwife to the last known address of record.

(Indiana State Board of Nursing; 848 IAC 3-2-6; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2872; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 940; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA)

848 IAC 3-2-7 848 IAC 3-2-7 Fee for renewal

848 IAC 3-2-7 Fee for renewal

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1; IC 25-23-1-13.1

Sec. 7. At the time of submitting his or her limited license renewal form to the board, each nurse-midwife shall submit a fee as provided in 848 IAC 1-1-14 and proof of current licensure as a registered nurse. A personal check, certified check, cashier's check, or money order shall be submitted to the health professions bureau with the renewal form and shall be made payable to the health professions bureau.

(Indiana State Board of Nursing; 848 IAC 3-2-7; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2872; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 940; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA)

848 IAC 3-2-8 848 IAC 3-2-8 Delinquent fee

848 IAC 3-2-8 Delinquent fee

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1; IC 25-23-1-13.1

Sec. 8. In the event any nurse-midwife fails to complete the renewal process on or before October 31 of odd-numbered years, he or she shall be required to pay a delinquent fee to be determined by the board in addition to the fees prescribed in section 7 of this rule for each year that the limited license is delinquent.

(Indiana State Board of Nursing; 848 IAC 3-2-8; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2873; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 940; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA)

Rule 3

848 IAC 3-3-1 848 IAC 3-3-1 Competent practice of nurse-midwives

Rule 3. Competent Practice of Nurse-Midwifery

848 IAC 3-3-1 Competent practice of nurse-midwives

Authority: IC 25-23-1-7

Affected: IC 16-21; IC 25-23-1-1; IC 25-23-1-13.1

Sec. 1. A nurse-midwife shall perform as an independent and interdependent member of the health care team as defined in 848 IAC 2-1-3. The following are standards for each nurse-midwife:

(1) Assess clients by using advanced knowledge and skills to:

(A) identify abnormal conditions;

(B) diagnose health problems;

(C) develop and implement nursing treatment plans; and

(D) evaluate patient outcomes.

(2) Use advanced knowledge and skills in teaching and guiding clients and other health care team members.

(3) Use appropriate critical thinking skills to make independent decisions, commensurate with the autonomy, authority, and responsibility of the practice of nurse-midwifery.

(4) Function within the legal boundaries of the practice of nurse-midwifery and shall have and utilize knowledge of the statutes and rules governing the practice of nurse-midwifery, including the following:

(A) State and federal drug laws and regulations.

(B) State and federal confidentiality laws and regulations.

(C) State and federal medical records access laws.

(5) Consult and collaborate with other members of the health care team as appropriate to provide reasonable client care.

(6) Recognize the limits of individual knowledge and experience, and consult with or refer clients to other health care providers as appropriate.

(7) Retain professional accountability for any delegated intervention, and delegate interventions only as authorized by IC 25-23-1 and this title.

(8) Maintain current knowledge and skills in the practice of nurse-midwifery.

(9) Manage and provide health care services in the practice of nurse-midwifery.

(10) Provide individual and group counseling and teaching throughout the life cycle.

(11) Participate in periodic and joint evaluation of services rendered, including, but not limited to, the following:

(A) Chart reviews.

(B) Case reviews.

(C) Client evaluations.

(D) Outcome statistics.

(12) Conduct and apply research findings appropriate to the area of practice.

(13) Participate, when appropriate, in the joint review and revision of written guidelines involving the plan of care.

(Indiana State Board of Nursing; 848 IAC 3-3-1; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2873; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 940; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA)

Rule 4

848 IAC 3-4-1 848 IAC 3-4-1 Limitations of rules (Repealed)

Rule 4. Limitations of Rules

848 IAC 3-4-1 Limitations of rules (Repealed)

(Repealed by Indiana State Board of Nursing; filed Nov 21, 2001, 10:23 a.m.: 25 IR 1329)

Rule 5

848 IAC 3-5-1 848 IAC 3-5-1 Fees for nurse-midwives

Rule 5. Fees for Nurse-Midwives

848 IAC 3-5-1 Fees for nurse-midwives

Authority: IC 25-23-1-7

Affected: IC 25-23-1-1; IC 25-23-1-13.1

Sec. 1. (a) The application fee for limited licensure as a nurse-midwife shall be fifty dollars ($50).

(b) The fee for renewal of a nurse-midwife limited license shall be fifty dollars ($50).

(c) The penalty fee for late renewals is as established by the health professions bureau.

(d) The fee for a duplicate nurse-midwife wall certificate shall be ten dollars ($10).

(e) The fee for endorsement out of Indiana for a nurse-midwife shall be ten dollars ($10).

(Indiana State Board of Nursing; 848 IAC 3-5-1; filed Jul 29, 1994, 5:00 p.m.: 17 IR 2873; filed Dec 19, 1996, 10:00 a.m.: 20 IR 1123; readopted filed Jul 30, 2001, 2:07 p.m.: 24 IR 4237; readopted filed Jul 19, 2007, 12:54 p.m.: 20070808-IR-848070058RFA; readopted filed Nov 25, 2013, 9:22 a.m.: 20131225-IR-848130284RFA; readopted filed Nov 25, 2019, 12:21 p.m.: 20191225-IR-848190187RFA; readopted filed Jul 31, 2024, 1:06 p.m.: 20240828-IR-848230831RFA)

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