reglab/statecodes huggingface dataset:
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-2 - REQUIREMENTS FOR LICENSURE › Section 64B24-2.001 - Licensure to Practice Midwifery

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Applications for a midwife license by examination shall be submitted to the
				department on Form DH-MQA 1051, (07/2020), Application for Midwifery License by
				Examination, incorporated by reference and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-14373
.
				Applications for a midwife license by endorsement shall be submitted to the
				department on Form DH-MQA 5058 (08/2020), Application for Midwifery License by
				Endorsement, incorporated by reference and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-14374
.
(2) Applicants must demonstrate that they:
(a) Are 21 years of age or older;
(b) Meet the requirements for licensure by
				examination or endorsement;
(c)
				Have completed a one-hour educational course on HIV/AIDS that meets the
				substantive specifications set forth in section
				 381.0034, F.S., as it pertains
				to the practice of midwifery, unless an affidavit showing good cause has been
				submitted allowing the applicant 6 months to complete the course;
(d) Have completed a two-hour course relating
				to the prevention of medical errors; and,
(e) Have successfully completed an approved
				four-month prelicensure course, if required.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-2 - REQUIREMENTS FOR LICENSURE › Section 64B24-2.002 - Examination

Current through Reg. 50, No. 138; July 16, 2024
The department hereby designates the North American Registry
				  of Midwives' (NARM) written examination as the midwifery licensure examination.
				  Any person desiring to be licensed as a midwife shall apply and pay the
				  examination fee to the NARM.
Rulemaking Authority
					 456.004,
					 467.005,
					 456.017 FS. Law Implemented
					 467.011,
					 456.017
					 FS.
New 1-26-94, Formerly 61E8-2.002, Amended 9-3-95, Formerly
					 59DD-2.002, Amended 9-26-02, 4-26-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-2 - REQUIREMENTS FOR LICENSURE › Section 64B24-2.003 - Licensure by Examination

Current through Reg. 50, No. 138; July 16, 2024
In addition to the application, persons seeking licensure as
				  a midwife by examination shall submit the following:
(1) An official transcript from an approved
				midwifery training program specifically setting forth all courses successfully
				completed, the date of the applicant's graduation and the degree, certificate,
				or diploma awarded;
(2) A general
				emergency care plan which meets the requirements of Section
				 467.017(1),
				F.S.; and,
(3) Documentation of a
				passing score on the licensure examination sent directly to the department from
				the NARM.
Rulemaking Authority
					 456.004(5),
					 467.005 FS. Law Implemented
					 456.017,
					 467.011,
					 467.017
					 FS.
New 1-26-94, Formerly 61E8-2.003, 59DD-2.003, Amended
					 10-24-02, 2-2-06, 4-26-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-2 - REQUIREMENTS FOR LICENSURE › Section 64B24-2.004 - Licensure by Endorsement

Current through Reg. 50, No. 138; July 16, 2024
(1)
(a) In addition to the application,
				foreign-trained applicants for licensure as a midwife by endorsement shall
				submit the following:
1. A valid certificate
				or diploma from either a foreign institution of medicine or a foreign school of
				midwifery,
2. A certified
				translation of the certificate or diploma earned from a foreign institution of
				medicine or foreign school of midwifery,
3. The document which renders the foreign
				trained applicant eligible to practice medicine or midwifery in the country in
				which that document was issued,
4.
				A certified translation of the certificate, diploma or license which renders
				the foreign trained applicant eligible to practice medicine or midwifery in the
				country from which the diploma or certificate was awarded,
5. Explanation of different names on
				documents submitted with the application,
6. Evidence of successful completion of an
				approved four-month prelicensure course,
7. Evidence of a passing score on the
				licensure examination; and,
8. A
				general emergency care plan which meets the requirements described in section
				 467.017,
				F.S.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.001 - Collection and Payment of Fees (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 467.005 FS. Law Implemented
					 467.0135(1)
					 FS.
New 1-26-94, Formerly 61E8-3.001, Amended 8-15-95, Formerly
					 59DD-3.001, Repealed 2-24-08.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.002 - Fees

Current through Reg. 50, No. 138; July 16, 2024
(1) The application fee shall be
				$200.00.
(2) The 4-month
				prelicensure course application fee shall be $100.00.
(3) The examination fee shall be paid to the
				examination vendor and refunded if the applicant is ineligible to sit for the
				examination.
(4) The endorsement
				fee shall be $250.00.
(5) The
				initial licensure fee shall be $500.00, whether by examination or
				endorsement.
(6) The temporary
				certificate fee shall be $50.00 in addition to the fee required for
				licensure.
(7) The active biennial
				renewal fee shall be $500.00.
(8)
				The delinquent fee shall be $75.00.
(9) The reactivation fee shall be
				$500.00.
(10) The duplicate license
				fee shall be $25.00.
(11) The
				continuing education provider application fee shall be $250.00.
(12) The change of status fee shall be
				$75.00.
(13) The inactive status
				renewal fee shall be $500.00.
(14)
				The retired status fee shall be $50.00.
(15) The unlicensed activity fee shall be
				$5.00.
Rulemaking Authority
					  456.025,
					  456.036,
					 467.005,
					 467.0125,
					 467.013,
					 467.0135 FS. Law Implemented
					 456.025,
					 456.036,
					  456.065,
					  467.0125,
					  456.0135,
					  467.013,
					  467.0135(4) 
					 FS.
New 1-26-94, Formerly 61E8-3.002, Amended 8-15-95, Formerly
					 59DD-3.002, Amended 12-23-97, 11-9-05, 5-4-06, 11-8-07,
					 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.003 - Examination Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 467.005 FS. Law Implemented
					 467.0135(1)
					 FS.
New 1-26-94, Formerly 61E8-3.003, Amended 8-15-95, 8-20-97,
					 Formerly 59DD-3.003, Repealed 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.004 - Endorsement Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 467.005,
					 467.0135 FS. Law Implemented
					 467.0135(6)
					 FS.
New 1-26-94, Formerly 61E8-3.004, Amended 8-15-95, Formerly
					 59DD-3.004, Amended 12-23-97, 11-10-99, 5-2-10, Repealed
					 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.005 - Initial License Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 467.005 FS. Law Implemented
					 467.0135(2)
					 FS.
New 1-26-94, Formerly 61E8-3.005, Amended 8-15-95, Formerly
					 59DD-3.005, Amended 11-10-99, Repealed
					 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.006 - Temporary Certificate Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 467.005 FS. Law Implemented
					 467.0125(2)(f)
					 FS.
New 1-26-94, Formerly 61E8-3.006, Amended 8-15-95, Formerly
					 59DD-3.006, Repealed 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.007 - Active Biennial Renewal Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 467.005,
					 467.0135 FS. Law Implemented
					 467.0135(3)
					 FS.
New 1-26-94, Formerly 61E8-3.007, Amended 8-15-95, Formerly
					 59DD-3.007, Amended 12-23-97, 11-10-99, Repealed
					 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.008 - Delinquent Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.036 FS. Law Implemented
					 456.036
					 FS.
New 1-26-94, Formerly 61E8-3.008, Amended 8-15-95, Formerly
					 59DD-3.008, Repealed 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.009 - Reactivation Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 467.005,
					 467.0135(3) FS.
					 Law Implemented 467.0135
					 FS.
New 1-26-94, Formerly 61E8-3.009, Amended 8-15-95, Formerly
					 59DD-3.009, Amended 12-23-97, Repealed
					 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.010 - Inactive Status Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.036(3) FS.
					 Law Implemented 456.036
					 FS.
New 1-26-94, Formerly 61E8-3.010, Amended 8-15-95, Formerly
					 59DD-3.010, Amended 12-23-97, Repealed
					 10-24-07.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.011 - Duplicate License Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.025,
					 467.005 FS. Law Implemented
					 456.025(10)
					 FS.
New 1-26-94, Formerly 61E8-3.011, Amended 8-15-95, Formerly
					 59DD-3.011, Repealed 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.012 - Certification of Public Record Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.004(5) FS.
					 Law Implemented 456.025(8)
					 FS.
New 1-26-94, Formerly 61E8-3.012, Amended 8-15-95, Formerly
					 59DD-3.012, Repealed 2-24-08.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.013 - Continuing Education Provider Application Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.004(5) FS.
					 Law Implemented 456.025(4)
					 FS.
New 8-15-95, Formerly 59DD-3.013, Repealed
					 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.014 - Unlicensed Activity Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.065(3) FS.
					 Law Implemented 456.065(3)
					 FS.
New 8-15-95, Formerly 59DD-3.014, Repealed
					 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.015 - Change of Status Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.036 FS. Law Implemented
					 456.036
					 FS.
New 8-15-95, Formerly 59DD-3.015, Amended 9-10-02, Repealed
					 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.016 - Inactive Renewal Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.036(3) FS.
					 Law Implemented 456.036
					 FS.
New 8-15-95, Formerly 59DD-3.016, Amended 12-23-97,
					 11-10-99, Repealed 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.017 - Retired Status Fee (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.036(15),
					 467.005 FS. Law Implemented
					 456.036(4)
					 FS.
New 5-4-06, Repealed
					 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-3 - FEES › Section 64B24-3.018 - One Time Fee Assessment (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.025(5),
					 467.005,
					 467.0135 FS. Law Implemented
					 456.025(5)
					 FS.
New 6-23-08, Repealed
					 3-26-12.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-4 - TRAINING PROGRAMS › Section 64B24-4.001 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
(1) "Clinical expertise" means demonstrated
				proficiency in a specialized area of direct patient care.
(2) "Clinical learning experience" means
				faculty planned and supervised instruction of students during which students
				function in a midwifery capacity with patients.
(3) "Credit hour" means one hour of credit
				representing 15 hours of classroom teaching or 30 hours of clinical learned
				experience.
(4) "Facility" means
				any establishment or institution in which students in an approved program
				obtain clinical learning or observational experiences.
(5) "Faculty" means the teaching staff in an
				educational institution who are qualified by education and experience in the
				areas which they teach.
(6)
				"Observational experience" means learning experience planned and directed by
				program faculty during which students do not function in a midwife
				capacity.
(7) "Supervision" means
				the physical presence within the patient care unit of a preceptor as defined in
				Section  467.003(12),
				F.S., or faculty member, who assumes clinical responsibility for the practice
				of the student midwife being supervised, and who provides direction and
				consultation for the actions of such student midwife in the preceptor's or
				faculty member's area of clinical expertise.
(8) "Three year training program" means not
				less than 90 credit hours.
(9) "Two
				year reduced training program" means not less than 60 credit hours.
(10) "Four month pre-licensure course" means
				an approved program of not less than 15 credit hours which meets the
				requirements of these rules.
(11)
				"Approved program" means a midwifery school or a midwifery training program
				which is approved by the department pursuant to Section
				 467.205,
				F.S.
Rulemaking Authority
					 467.205(2) FS.
					 Law Implemented 467.205
					 FS.
New 1-26-94, Formerly 61E8-4.001, Amended 7-25-96, Formerly
					 59DD-4.001, Amended 10-11-04, 4-26-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-4 - TRAINING PROGRAMS › Section 64B24-4.002 - Approval of Training Program

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Provisional approval for a term not to exceed five years shall be granted by
				the department to an organization to initiate a midwifery training program when
				it has presented documentation satisfactory to the department that it meets the
				accreditation requirements of Chapter 467, F.S., and the requirements for
				faculty, curriculum, clinical training and administration as set forth in these
				rules.
(2) Training programs which
				have been granted provisional approval may be granted full approval upon
				demonstration to the department they are in compliance with established
				standards of the department, and at least 80 percent of the first graduating
				class who took the licensing examination achieved a passing score.
(3) A training program may be placed on
				probationary status if at any time the department determines that the program
				falls below established standards, or fewer than 80 percent of the midwifery
				students in the most recent graduating class who took the licensing examination
				achieved a passing score. Probationary status shall be on an individual basis
				for a specified period of time not to exceed 12 months.
(4) The department shall rescind approval of
				any training program which fails to meet standards established in Chapter 467,
				F.S., or these rules, or fails to make satisfactory progress for corrections of
				deficiencies within the probationary period.
(5) The department shall, at least once every
				three (3) years, audit the program to determine compliance with Chapter 467,
				F.S., and these rules.
Rulemaking Authority
					 456.004(5),
					 467.205(2) FS.
					 Law Implemented 467.205
					 FS.
New 1-26-94, Formerly 61E8-4.002, 59DD-4.002, Amended
					 10-11-04, 4-26-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-4 - TRAINING PROGRAMS › Section 64B24-4.003 - Acceptance into Training Program

Current through Reg. 50, No. 138; July 16, 2024
To be accepted into a department approved midwifery training
				  program, the program shall evidence that the applicant has taken and received a
				  passing grade in three college level credits each of math and English, or can
				  demonstrate competencies in communication and computation by passing the
				  College Level Equivalent Proficiency (CLEP) test in communication and
				  computation.
Rulemaking Authority
					 456.004(5),
					 467.205(2) FS.
					 Law Implemented 467.009(3),
					 467.205
					 FS.
New 1-26-94, Formerly 61E8-4.003, 59DD-4.003, Amended
					 4-26-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-4 - TRAINING PROGRAMS › Section 64B24-4.005 - Faculty

Current through Reg. 50, No. 138; July 16, 2024
The faculty of each approved midwifery training program shall
				  be comprised of, at a minimum, a licensed midwife who is actively teaching, and
				  either a certified nurse midwife, or a board certified physician licensed under
				  Chapter 458 or 459, F.S., who has actively practiced obstetrics within the last
				  4 years.
Rulemaking Authority
					 456.004(5),
					 467.205(2) FS.
					 Law Implemented 467.205
					 FS.
New 1-26-94, Formerly 61E8-4.005, 59DD-4.005, Amended
					 4-26-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-4 - TRAINING PROGRAMS › Section 64B24-4.006 - Curriculum Guidelines and Educational Objectives

Current through Reg. 50, No. 138; July 16, 2024
(1) The curriculum shall
				be an organized pattern of classroom instruction and clinical training
				consistent with principles of learning and educational practices which reflects
				the stated philosophy and objectives of the training program.
(2) Standards for midwifery programs shall
				include: the core competencies established by the American College of Nurse
				Midwives, "Core Competencies for Basic Midwifery Practice" (effective 12/2012),
				and the Midwives Alliance of North America, "The Midwives Alliance Core
				Competencies" (effective 12/2014), incorporated herein by reference and
				available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-06686
,
				and
http://www.flrules.org/Gateway/reference.asp?No=Ref-06687
,
				respectively; and a component on the law and rules which govern the practice of
				midwifery in Florida.
(3) The
				administration and faculty of the training program shall formulate and adopt
				educational objectives that ensure curriculum guideline requirements will be
				met.
(4) Training program
				objectives shall identify competencies expected of graduates from the program
				and serve as the basis of program development. Course objectives shall state
				expected behavioral outcomes of the student, serve as the basis for course
				development and student evaluation, and evidence direct relationship to
				training program objectives.
(5)
				All training program objectives shall be reviewed annually by the
				administration, faculty and students and revised if
				necessary.
Rulemaking Authority
					 467.005,
					 467.205(2) FS.
					 Law Implemented 467.009,
					 467.205
					 FS.
New 1-26-94, Formerly 61E8-4.006, 59DD-4.006, Amended
					 9-10-02, 10-11-04, 4-26-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-4 - TRAINING PROGRAMS › Section 64B24-4.007 - Clinical Training

Current through Reg. 50, No. 138; July 16, 2024
(1) Clinical
				learning experiences shall be planned and assigned to be sequential to, or
				simultaneous with classroom instruction.
(2) Clinical learning experiences shall
				include a variety of clinical settings and facilities within the State of
				Florida such as homes, birth centers, clinics, offices and hospitals.
(3) Clinical experiences shall be conducted
				under the direct supervision of a preceptor. No preceptor shall be assigned
				more than two students during any clinical experience.
(4) It shall be the responsibility of the
				program to obtain and maintain current contractual agreements with each
				facility utilized for clinical training to insure provision of the appropriate
				clinical experience necessary to fulfill the requirements of this
				chapter.
(5) The student midwife
				shall undertake the care of 50 women in each of the antepartal, intrapartal and
				postpartal periods, but the same women need not be seen through all 3 periods.
				The intrapartum period includes labor, birth, and the immediate postpartum. No
				more than five percent (5%) of the required intrapartal managements shall
				include transfers in active labor.
(6) The student midwife shall undertake the
				neonatal examination of 50 newborns.
(7) The student midwife shall observe an
				additional 25 women in the intrapartal period.
(8) Each student midwife shall have a
				designated program faculty member available for periodic consultation during
				preceptorship.
(9) The student
				shall perform 5 vaginal sutures.
Rulemaking Authority
					 467.005,
					 467.205(2) FS.
					 Law Implemented 467.205
					 FS.
New 1-26-94, Formerly 61E8-4.007, 59DD-4.007, Amended
					 9-10-02, 10-11-04, 4-26-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-4 - TRAINING PROGRAMS › Section 64B24-4.008 - Administrative Procedures

Current through Reg. 50, No. 138; July 16, 2024
(1) The midwifery
				school shall specify the lines of authority in the organizational structure
				governing the program, define its placement within the institution where the
				training program is conducted, and demonstrate:
(a) Duties and responsibilities of the
				director of the program;
(b)
				Admission, promotion, and retention policies for students;
(c) Fiscal accountability for the effective
				operation of the training program;
(d) Provisions for classroom space,
				laboratories, equipment, library, office space for instructors and
				administrators;
(e) Library
				holdings which shall consist of current professional journals and other
				appropriate holdings as determined by the midwifery school;
(f) Education materials which shall include a
				variety of current teaching aids for both group and self instructional use;
				and,
(g) An organized system of
				record making and record keeping which includes, but is not limited to,
				information on students, faculty, preceptors, and facilities relative to
				classroom instruction and clinical training.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-4 - TRAINING PROGRAMS › Section 64B24-4.010 - Four-month Pre-licensure Course

Current through Reg. 50, No. 138; July 16, 2024
(1) Four
				month pre-licensure programs must be approved by the department and shall
				include, at a minimum:
(a) Content review and
				demonstration of proficiency in the core competencies established by the
				American College of Nurse Midwives and the Midwives Alliance of North
				America;
(b) A Florida Laws and
				Rules Component;
(c) Provisions for
				five supervised labor and deliveries and ten supervised prenatal visits by each
				course participant.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-5 - RENEWAL, INACTIVE STATUS, REACTIVATION › Section 64B24-5.001 - Renewal of Midwifery License (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.004(5) FS.
					 Law Implemented 456.004(1),
					 467.013(3)
					 FS.
New 1-26-94, Formerly 61E8-5.001, 59DD-5.001, Amended
					 10-16-02, Repealed 3-26-12.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-5 - RENEWAL, INACTIVE STATUS, REACTIVATION › Section 64B24-5.003 - Reactivation of Inactive License

Current through Reg. 50, No. 138; July 16, 2024
(1) Any
				person desiring to reactivate an inactive license shall apply to the department
				on Form DH-MQA 5006, Application for Reactivation (08/2015), incorporated by
				reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-06628
.
(2) The active status renewal fee,
				reactivation fee, change of status fee, and delinquency fee, if applicable, and
				documentation of 10 clock hours of approved clinically related continuing
				education for each year after the first year the license was inactive should be
				submitted with the application. A general emergency care plan and completion of
				the continuing education requirement for the last biennium the license was
				active is also required.
Rulemaking Authority
					 456.004(5),
					 456.036,
					 467.005 FS. Law Implemented
					 456.004(1),
					 456.017,
					 456.036,
					 467.013
					 FS.
New 1-26-94, Formerly 61E8-5.003, 59DD-5.003, Amended
					 9-26-02, 4-4-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-5 - RENEWAL, INACTIVE STATUS, REACTIVATION › Section 64B24-5.004 - Retired Status License

Current through Reg. 50, No. 138; July 16, 2024
(1) A licensee
				may place an active or inactive license in retired status at any time. If the
				license is placed in retired status at the time of renewal, the licensee shall
				pay the retired status fee. If the license is placed in retired status at any
				other time the licensee shall also pay the change of status processing
				fee.
(2) A licensee may request to
				reactivate a retired status license. Such request shall be in writing and must
				demonstrate compliance with Section
				 456.036(12),
				F.S.
(3) For a license in retired
				status over five years, the licensee also must successfully complete an
				approved four-month pre-licensure course and submit a general emergency care
				plan.
Rulemaking Authority
					 456.036(16),
					 467.005 FS. Law Implemented
					 456.036(2), (4), (9),
					 (12)
					 FS.
New 5-4-06, Amended 9-28-06,
					 4-4-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-6 - CONTINUING EDUCATION › Section 64B24-6.001 - Continuing Education for Biennial Renewal

Current through Reg. 50, No. 138; July 16, 2024
(1) Each midwife
				licensed pursuant to Chapter 467, F.S., shall complete 20 clock hours of
				department approved, clinically related continuing education during the
				biennium preceding renewal. A clock hour is defined as not less than 50
				minutes.
(2) A licensee shall not
				be required to complete continuing education hours, if the initial license is
				issued in the second year of the biennium.
(3) One hour in HIV/AIDS, one hour in laws
				and rules governing the Midwifery Practice Act and two hours in medical error
				prevention are required every biennium.
(4) Two hours in domestic violence is
				required every third biennium.
Rulemaking Authority
					 456.031,
					 467.005,
					 467.012 FS. Law Implemented
					 381.0034,
					 456.013,
					 456.031,
					 467.012(2)
					 FS.
New 1-26-94, Formerly 61E8-6.001, Amended 6-20-96, Formerly
					 59DD-6.001, Amended 9-10-02, 12-26-06,
					 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-6 - CONTINUING EDUCATION › Section 64B24-6.002 - Continuing Education Requirements for Reactivation (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 467.005 FS. Law Implemented
					 467.013
					 FS.
New 1-26-94, Formerly 61E8-6.002, 59DD-6.002, Amended
					 9-10-02, Repealed 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-6 - CONTINUING EDUCATION › Section 64B24-6.003 - Documentation of Continuing Education Hours (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.004(5),
					 467.005,
					 467.012 FS. Law Implemented
					 467.012
					 FS.
New 1-26-94, Formerly 61E8-6.003, 59DD-6.003, Repealed
					 3-2-14.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-6 - CONTINUING EDUCATION › Section 64B24-6.004 - Continuing Education Providers

Current through Reg. 50, No. 138; July 16, 2024
(1) Any
				institution, organization, agency or individual seeking to offer continuing
				education program for licensed midwives shall submit an electronic request for
				approval on the department's website at
http://www.floridahealth.gov/licensing-and-regulation/midwifery/index.html
.
				Submissions must include, at a minimum, a program outline of each of the
				courses offered, the number of clock hour credit to be awarded, the program
				learning objectives, the name(s) of the instructor(s), the qualifications of
				the instructor(s), a sample of the evaluation form that will be used, and a
				sample of the certificate of completion that will be awarded to participants
				completing the program.
(2) The
				department shall issue a provider number to all approved providers, which must
				be on all documents relating to each continuing education program conducted by
				the provider.
(3) Approved provider
				status shall be effective for the biennium in which such status was granted by
				the department and may be renewed biennially.
(4) The approved provider is responsible for
				issuing a certificate or comparable documentation to program participants after
				completion of the program.
Rulemaking Authority
					 467.005 FS. Law Implemented
					 467.012
					 FS.
New 1-26-94, Formerly 61E8-6.004, 59DD-6.004, Amended
					 9-10-02, 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-6 - CONTINUING EDUCATION › Section 64B24-6.005 - Criteria for Continuing Education Programs

Current through Reg. 50, No. 138; July 16, 2024
(1) Any institution,
				organization, agency or individual approved by the department to provide
				continuing education programs to midwives for the purpose of licensure renewal
				shall demonstrate such programs comply with the following criteria:
(a) Programs shall have clinical relevance to
				the practice of midwifery;
(b)
				Programs shall be at least 1 clock-hour in duration;
(c) Programs shall have an organized
				structure with objectives and expected outcomes; and,
(d) Presenters, instructors and facilitators
				of programs shall be recognized professionals such as physicians, nurses,
				certified nurse midwives, psychologists, or licensed
				midwives.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-6 - CONTINUING EDUCATION › Section 64B24-6.006 - Performance of Pro Bono Services

Current through Reg. 50, No. 138; July 16, 2024
(1) Up to
				5 hours, per biennium, of continuing education credit may be awarded for
				providing pro bono services to the indigent or to under served populations or
				in areas of critical need within the state pursuant to Section
				 456.013(9),
				F.S.
(2) In order to receive credit
				under this rule, licensees must notify the department in writing and request
				approval prior to providing the services. Credit shall be given on an hour per
				hour basis. In the written request to the department, licensees must state with
				specificity the type, nature and extent of services to be rendered; the
				location where the services will be rendered; and the number of patients
				expected to be served. A statement evidencing that the patients to be served
				are indigent shall be included if applicable.
(3) If the services will be provided in
				under-served areas, the request for approval shall include evidence that the
				area contains a population with too few primary care providers, a high infant
				mortality rate, or a high poverty or elderly population. If the services will
				be provided in an area of critical need, the request shall include evidence
				that the geographic area, a particular population or a particular facility has
				a shortage of primary care and has been designated an area of critical
				need.
Rulemaking Authority
					 456.025(4) FS.
					 Law Implemented 456.013(9)
					 FS.
New 1-26-94, Formerly 61E8-6.006, 59DD-6.006, Amended
					 3-2-16.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-7 - MIDWIFERY PRACTICE › Section 64B24-7.001 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
As used in this rule chapter, the term:
(1) "Consultation" means communication
				between a licensed midwife and a health care provider for the purpose of
				assessing a potential or actual problem relevant to the patient.
(2) "Referral" means a request made by a
				licensed midwife to a physician, or ARNP for an assessment of a patient to
				determine management for or a resolution to a problem relating to the health of
				the patient.
(3) "Transfer" means a
				formal dissolution of care to the patient by a licensed midwife which results
				in such care being assumed by another health care
				provider.
Rulemaking Authority
					 467.005 FS. Law Implemented
					 467.005
					 FS.
New 7-14-94, Formerly 61E8-7.001, 59DD-7.001, Amended
					 9-11-02.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-7 - MIDWIFERY PRACTICE › Section 64B24-7.003 - Acceptance of Patients (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 456.004(5),
					 467.005 FS. Law Implemented
					 467.015
					 FS.
New 7-14-94, Formerly 61E8-7.003, 59DD-7.003, Repealed
					 2-6-08.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-7 - MIDWIFERY PRACTICE › Section 64B24-7.005 - Informed Consent

Current through Reg. 50, No. 138; July 16, 2024
(1) A licensed
				midwife shall obtain a patient's consent for the provision of midwifery
				services. Such consent shall be recorded on the Informed Consent for Licensed
				Midwifery Services, Form DH-MQA 1047, revised 3/01, which is hereby adopted and
				incorporated by reference, and can be obtained from the Council of Licensed
				Midwifery, 4052 Bald Cypress Way, BIN #C06, Tallahassee, Florida
				32399-3256.
(2) To complete the
				consent form, the licensed midwife shall inform the patient of:
(a) The licensee's qualifications to perform
				the services rendered.
(b) The
				nature and risks of the procedures to be used.
(c) The advantages of the procedures to be
				used.
(d) Professional liability
				insurance status.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-7 - MIDWIFERY PRACTICE › Section 64B24-7.006 - Preparation for Home Delivery

Current through Reg. 50, No. 138; July 16, 2024
(1) For
				home births, the licensed midwife shall:
(a)
				Encourage each patient to have medical care available by a health care
				practitioner experienced in obstetrics throughout the prenatal, intrapartal and
				postpartal periods; and,
(b) Make a
				home visit by 36 weeks of pregnancy. The licensed midwife shall ensure that the
				setting in which the infant is to be delivered is safe, clean and conducive to
				the establishment and maintenance of health.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-7 - MIDWIFERY PRACTICE › Section 64B24-7.007 - Responsibilities of Midwives During the Antepartum Period

Current through Reg. 50, No. 138; July 16, 2024
(1) The licensed midwife
				shall:
(a) Require each patient to have a
				complete history and physical examination which includes:
1. Pap smear.
2. Serological screen for syphilis.
3. Gonorrhea and chlamydia
				screening.
4. Blood group including
				Rh factor and antibody screen.
5.
				Complete blood count (CBC).
6.
				Rubella titer.
7. Urinalysis with
				culture.
8. Sickle cell screening
				for at risk population.
9. Screen
				for hepatitis B surface antigen (HBsAG).
10. Screen for HIV/AIDS.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-7 - MIDWIFERY PRACTICE › Section 64B24-7.008 - Responsibilities of Midwives During Intrapartum

Current through Reg. 50, No. 138; July 16, 2024
(1) Upon initial
				assessment, the midwife shall:
(a) Determine
				onset of labor.
(b) Review
				patient's prenatal records.
(c)
				Assess condition of the mother and fetus.
(d) Assess delivery environment.
(e) Perform sterile vaginal examinations to
				initially assess cervical dilation and effacement, presentation, position and
				station of the fetus, and the status of the membranes.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-7 - MIDWIFERY PRACTICE › Section 64B24-7.009 - Responsibilities of the Midwife During Postpartum

Current through Reg. 50, No. 138; July 16, 2024
(1) Care of the newborn
				shall include:
(a) Clearing the airway of
				mucus.
(b) Clamping and cutting the
				umbilical cord.
(c) Obtaining a
				cord blood sample for laboratory testing for type, Rh Factor, and direct Coombs
				test when the mother is Rh negative.
(d) Assessing the newborn's condition
				according to Apgar scoring at one (1) minute and five (5) minutes and record
				the results of each assessment.
(e)
				Weighing the infant.
(f) Instilling
				prophylaxis into each eye or retain the written objection pursuant to Sections
				 383.04 and
				 383.06, F.S.
(g) Administering vitamin K
				prophylaxis.
(h) Examining the
				newborn and reporting any abnormalities or problems to the physician including
				low Apgar score.
(i) Providing for
				infant bonding with parent.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-7 - MIDWIFERY PRACTICE › Section 64B24-7.010 - Collaborative Management

Current through Reg. 50, No. 138; July 16, 2024
(1) A midwife may
				provide collaborative prenatal and postpartal care to women not expected to
				have a normal pregnancy, labor and delivery with a physician who holds hospital
				obstetrical privileges maintaining supervision for directing the specific
				course of medical treatment.
(2)
				Prior to engaging in collaborative management, the licensed midwife shall:
(a) Provide and document to the department
				that the midwife successfully completed a course on collaborative management
				within an approved training program.
(b) Enter into a written protocol with a
				physician licensed under Chapter 458 or 459, F.S., who is actively practicing
				obstetrics and has hospital obstetrical privileges. The protocol shall be made
				on the Collaborative Management Agreement form which is incorporated by
				reference herein, effective 7-14-94, and can be obtained from the Council of
				Licensed Midwifery, Department of Health, 4052 Bald Cypress Way, Bin #C06,
				Tallahassee, Florida 32399-3256, and shall at a minimum contain:
1. Name, address and telephone number of
				patient.
2. Name, address and
				telephone number of midwife.
3.
				Name, address and telephone number of physician who will maintain supervision
				for directing the specific plan of medical treatment as outlined in the
				protocol.
4. Identification of
				factors.
5. Rationale of the
				deviation from the low-risk criteria.
6. Specific course of management and expected
				outcome.
7. Criteria for the
				discontinuance of the collaborative agreement.
(c) The protocol shall be signed and dated by
				the patient, licensed midwife and physician. A copy of the collaborative
				agreement shall be placed and maintained in the patient's record.
(d) The midwife shall provide the physician
				with a complete copy of all patient records pertaining to this
				pregnancy.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-7 - MIDWIFERY PRACTICE › Section 64B24-7.011 - Administration of Medicinal Drugs

Current through Reg. 50, No. 138; July 16, 2024
(1) A
				midwife licensed prior to October 1, 1992, may administer certain medicinal
				drugs during intrapartal, postpartal and neonatal care, if prior to
				administering such drugs, the licensee has successfully completed a course in
				the practice of administering medicinal drugs within an approved training
				program.
(2) A midwife may
				administer only those drugs which have been prescribed by a physician licensed
				under Chapter 458 or 459, F.S., pursuant to Chapter 499, F.S., and dispensed at
				a pharmacy permitted by Chapter 465, F.S., and by a pharmacist licensed
				pursuant to Chapter 465, F.S.
(3)
				The midwife may administer the following:
(a)
				Postpartum oxytocics.
(b)
				Prophylactic ophthalmic medication.
(c) Oxygen.
(d) Vitamin K.
(e) RhO Immune Globulin.
(f) Local anesthetic.
(g) Other medications as prescribed by the
				physician.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-7 - MIDWIFERY PRACTICE › Section 64B24-7.013 - Requirement for Insurance

Current through Reg. 50, No. 138; July 16, 2024
(1) Except as
				provided herein, applicants for licensure, applicants for licensure
				reactivation, and applicants for licensure renewal shall at the time of
				application submit proof of professional liability insurance coverage in an
				amount not less than $100, 000.00 per claim, with a minimum annual aggregate of
				not less than $300, 000.00 from an authorized insurer as defined under Section
				 624.09, F.S., from a surplus
				lines insurer as defined under Section
				 626.914, F.S., from a risk
				retention group as defined under Section
				 627.942, F.S., from the Joint
				Underwriting Association established under Section
				 627.351(4),
				F.S., or through a plan of self-insurance as provided in Section
				 627.357, F.S.
(2) A licensed midwife who practices
				exclusively as an officer, employee, or agent of the Federal Government or the
				state or its agencies or subdivisions shall submit proof to the department that
				coverage equivalent to or exceeding this section is maintained by her employer
				on her behalf. For purposes of this subsection, an agent of the state, its
				agencies, or its subdivisions is a person who is eligible for coverage under
				any self-insurance or insurance program authorized by the provisions of Section
				 768.28(15),
				F.S., or who is a volunteer under Section
				 110.501(1),
				F.S.
(3) A licensed midwife who
				practices only in conjunction with teaching duties at an approved midwifery
				school shall submit proof to the department that coverage equivalent to or
				exceeding this section is maintained by her employer on her behalf. A licensed
				midwife may engage in the practice of midwifery only to the extent that such
				practice is incidental to and a necessary part of duties in conjunction with
				the teaching position in the school unless the midwife provides proof of
				coverage as provided by subsection (1) or (2).
(4) A licensed midwife who does not practice
				midwifery in this state shall submit written proof to the department that the
				licensed midwife does not practice midwifery and shall be required to submit
				proof of professional liability coverage as required by this section to the
				department at least 15 days prior to practicing midwifery in this
				state.
Rulemaking Authority
					 409.908(12),
					 467.005 FS. Law Implemented
					 409.908(12),
					 467.014
					 FS.
New 7-14-94, Formerly 59DD-7.013, 61E8-7.013, Amended
					 5-4-98, 4-26-99, 9-11-02.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B24 - Council of Licensed Midwifery › Chapter 64B24-7 - MIDWIFERY PRACTICE › Section 64B24-7.014 - Records and Reports

Current through Reg. 50, No. 138; July 16, 2024
(1) The midwife
				shall keep a record of each patient served which shall contain the name,
				address and telephone number of patient; the informed consent form,
				documentation of all care given during the prenatal, intrapartum and postpartum
				period relevant to midwifery services; a copy of the Certificate of Live Birth;
				and an emergency care plan for delivery specific to each patient. The emergency
				care plan shall be completed by the midwife and the patient at initial
				consultation or before 36 weeks of pregnancy on Form DH-MQA 1077, Emergency
				Care Plan for Delivery (08/15), incorporated by reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-06544
.
(2) The patient's records shall be retained
				for a minimum of 5 years from date of last entry in records.
(3) Within 90 days of a midwife's death, the
				midwife's estate or agent shall place all patient records of the deceased
				midwife in the care of another Florida licensed midwife who shall notify the
				department and each patient in writing of the death, the transfer of records,
				and the name, address and telephone number of the person from whom copies of
				records may be obtained. The original patient records of the deceased midwife
				shall be maintained and copies made available to patients for a period of 5
				years from receipt.
(4) Medical
				records of a licensed midwife who is terminating or relocating their private
				practice shall be retained by the licensed midwife or authorized agent, which
				may be a successor-owner midwife, and copies made available to patients for 5
				years from the date of the last entry in the records.
(5) Within one month of a licensed midwife's
				termination of practice or relocation of practice outside the service area, the
				midwife shall advise patients in writing of the termination or relocation and
				the name, address and telephone number of the person from whom copies of
				records may be obtained.
(6) Each
				licensed midwife, temporary certificate holding midwife, and midwife
				supervising a student midwife in assisting in childbirth that occurs in an
				out-of-hospital setting, shall file an annual report no later than July 31 for
				the prior fiscal year on Form DH-MQA 5011, Annual Report of Midwifery Practice
				(06/2017), incorporated by reference and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-08601
.
(7) The Department shall send a notice of
				noncompliance to each licensee who fails to meet the reporting
				requirement.
Rulemaking Authority
					 467.005 FS. Law Implemented
					 467.004,
					 467.019
					 FS.
New 7-14-94, Formerly 61E8-7.014, Amended 3-20-96, Formerly
					 59DD-7.014, Amended 9-11-02, 3-22-16,
					 10-5-17.