21 NCAC 33 .0101. ADMINISTRATIVE BODY AND DEFINITIONS

(a)  The responsibility for administering the provisions of G.S. 90, Article 10A shall be assumed by an administrative body, the Midwifery Joint Committee, hereinafter referred to as the "Committee."  The certified nurse midwife shall hereinafter be referred to as "midwife."

(b)  Definitions:

(1)           "Primary Supervising Physician" means the licensed physician, who by signing the certified nurse-midwife application, is held accountable for the on-going supervision, consultation, collaboration and evaluation of the medical acts performed by the certified nurse-midwife as defined in the site specific written clinical practice guidelines.  A physician in a graduate medical education program, whether fully licensed or holding only a resident’s training license, shall not be named as a primary supervising physician.  A physician in a graduate medical education program who is also practicing in a non-training situation may supervise a certified nurse-midwife in the non-training situation if fully licensed.

(2)           "Back-up Primary Supervising Physician" means the licensed physician who, by signing an agreement with the certified nurse-midwife and the primary supervising physician(s) shall be held accountable for the supervision, consultation, collaboration and evaluation of medical acts by the certified-nurse midwife in accordance with the site specific written clinical practice guidelines when the Primary Supervising Physician is not available.  The signed and dated agreements for each back-up primary supervising physician(s) shall be maintained at each practice site.  A physician in a graduate medical education program, whether fully licensed or holding only a resident’s training license, shall not be named as a back-up primary supervising physician.  A physician in a graduate medical education program who is also practicing in a non-training situation may be a back-up primary supervising physician to a certified nurse-midwife in the non-training situation if fully licensed and has signed an agreement with the certified nurse-midwife and the primary supervising physician.

(3)           "Obstetrics" means a branch of medical science that deals with birth and with its antecedents and sequels including but not limited to prenatal, intrapartum, postpartum, newborn, gynecology and otherwise unspecified primary health services for women.

 

History Note:        Authority G.S. 90‑178.4;

Eff. February 1, 1984;

Amended Eff. July 1, 2000; October 1, 1988.