CHAPTER 33 – MIDWIFERY JOINT COMMITTEE
SECTION .0100 – MIDWIFERY JOINT COMMITTE
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.