21 NCAC 33 .0104. PHYSICIAN SUPERVISION

The applicant shall furnish the committee evidence, satisfactory to the committee, that the applicant will perform the acts authorized by the Midwifery Practice Act under the supervision of a physician who is actively engaged in the practice of obstetrics in North Carolina.  Such evidence required by the committee shall include a description of the nature and extent of such supervision and a delineation of the procedures to be adopted and followed by each applicant and the supervising physician responsible for the acts of said applicant for the rendering of health care services at the sites at which such services will be provided.  Evidence to be provided to the committee shall include:

(1)           mutually agreed upon written clinical practice guidelines which define the individual and shared responsibilities of the midwife and the supervising physician(s) in the delivery of health care services;

(2)           mutually agreed upon written clinical practice guidelines for ongoing communication which provide for and define appropriate consultation between the supervising physician(s) and the midwife;

(3)           periodic and joint evaluation of services rendered, e.g. chart review, case review, patient evaluation, and review of outcome statistics; and

(4)           periodic and joint review and updating of the written medical clinical practice guidelines.

 

History Note:        Authority G.S. 90‑178.4(b);

Eff. February 1, 1984;

Amended Eff. July 1, 2000; October 1, 1988; April 1, 1985.