reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5329 - Routine Antepartum Care [Formerly Section 5355.A]

Current through Register Vol. 50, No. 6, June 20, 2024
A. At each prenatal visit, the midwife will
					 check the client's weight, blood pressure, fundal height, urinalysis (protein
					 and glucose), and general health, including checking for pain, bleeding,
					 headaches, edema, dizziness, and other symptoms of preeclampsia. The midwife
					 shall monitor uterine measurements, fetal heart tones, and fetal activity and
					 shall obtain a medical and nutritional history since the last visit. The
					 midwife shall provide or arrange for the administration of prenatal Rh
					 immunoglobulin (Rhlg) for Rh negative clients in compliance with current
					 practice standards and for additional laboratory tests as indicated, including
					 but not limited to serum antibody screening, blood sugar screening, genital
					 cultures, and periodic hematocrit or hemoglobin screening. Additionally, the
					 midwife shall assure that:
1. a quad screen
					 test or maternal serum alpha fetal protein ("MSAFP") shall be offered at the
					 appropriate gestational age between 15-20 weeks gestation;
2. at 28 weeks gestation hematocrit or
					 hemoglobin shall be rechecked and a glucose tolerance test and a repeat
					 antibody screen shall be performed;
3. at 36 weeks gestation a group B beta
					 hemolytic streptococci ("GBBS") culture and repeat hemoglobin or hematocrit
					 shall be performed, along with HIV and RPR testing.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5331 - Prenatal Visits [Formerly Section 5317 and Section 5323.B]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Prenatal visits
					 should be every four weeks until 28 weeks gestation, every two weeks from 28
					 until 35 weeks gestation, and weekly from 36 weeks until delivery.
B. For home birth, the licensed midwife
					 practitioner will make a home visit three to five weeks prior to the estimated
					 date of confinement (EDC) to assess the physical environment, including the
					 availability of telephone and transportation, and to ascertain whether the
					 client has all the necessary supplies.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5333 - Examination and Labor [Formerly Section 5329 and Section 5355.B - C]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The licensed
					 midwife practitioner will not perform any vaginal examinations on a woman with
					 ruptured membranes and no labor, other than an initial examination to be
					 certain that there is no prolapsed cord. Once active labor is assured and in
					 progress, exams may be made as necessary.
B. A record of maternal vital signs shall be
					 recorded at the initial evaluation of labor. Maternal vital signs shall be
					 recorded every 3-4 hours unless otherwise indicated by maternal instability or
					 increased maternal risk factors. Maternal stability is defined as a firmly
					 contracted uterus without excessive vaginal bleeding and stable blood pressure.
					 Risk factors are identified in
					 §5315 of this Chapter.
C. A record of fetal heart rate tones shall
					 be made and recorded at least every 30 minutes in the first stage and every 15
					 minutes in the second stage of labor. Fetal heart tones shall also be recorded
					 immediately after rupture of membranes.
D. During labor and delivery, the licensed
					 midwife practitioner is responsible for monitoring the condition of mother and
					 fetus; assisting with the delivery; coaching labor; repairing minor tears as
					 necessary, however, any third degree tear or greater should be referred to a
					 physician; examining and assessing the newborn; inspecting the placenta,
					 membranes, and cord vessels; inspecting the cervix and upper vaginal vault, if
					 indicated; and managing any third-stage maternal bleeding.
E. Water Births. A licensed midwife
					 practitioner shall adhere to the then-current recommendations of ACOG for
					 emersion in water during labor and delivery.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5335 - Correction of Presentation

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 licensed midwife practitioner will not attempt to correct fetal presentations
					 by external or internal version nor will the midwife use any artificial,
					 forcible, or mechanical means to assist the birth, e.g. no forceps or vacuum
					 extractors.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5337 - Operative Procedures [Formerly Section 5331]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The licensed midwife practitioner will not
					 perform, routinely, an operative procedure other than artificial rupture of
					 membranes when the head is well engaged or at zero station, clamping and
					 cutting the umbilical cord, repair of first or second degree perineal
					 lacerations, or repair of episiotomy, if done.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5339 - Required Physician Consultation, Antepartum and Intrapartum Periods [Formerly Section 5363.A - B]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 midwife shall obtain medical consultation or refer for medical care any woman
					 who during the antepartum period:
1. develops
					 edema of the face and hands;
2.
					 develops severe, persistent headaches, epigastric pain, or visual
					 disturbances;
3. develops a blood
					 pressure of 140/90 or greater;
4.
					 does not gain 14 pounds by 30 weeks gestation or at least 4 pounds a month in
					 the last trimester or gains more than 6 pounds in two weeks in any
					 trimester;
5. develops greater than
					 trace glucosuria or greater than trace proteinuria on two consecutive separate
					 visits;
6. has abnormal vaginal
					 discharge with no signs of improvement with medication;
7. has symptoms of urinary tract
					 infection;
8. has vaginal bleeding
					 before onset of labor;
9. has
					 rupture of membranes prior to 37 weeks gestation;
10. has marked decrease in or cessation of
					 fetal movement;
11. has
					 inappropriate gestational size;
12.
					 has demonstrated anemia by blood test (hematocrit less than 30
					 percent);
13. has a fever of equal
					 or greater than 100.4°F or 38°C for 24 hours;
14. has polyhydramnios or
					 oligohydramnios;
15. has excessive
					 vomiting or continued vomiting after 24 weeks gestation;
16. has severe, protruding varicose veins of
					 extremities or vulva;
17. has known
					 structural abnormalities of the reproductive tract;
18. has a history of stillbirth from any
					 cause;
19. has an abnormal Pap
					 smear;
20. reaches a gestation of
					 41 weeks, 3 days by dates and examination.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5341 - Emergency Measures [Formerly Section 5337]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The following measures are permissible in
					 an emergency situation:
1.
					 cardiopulmonary-resuscitation;
2.
					 episiotomy;
3. intramuscular or
					 intravenous administration of pitocin or intramuscular administration of
					 methergine for the control of postpartum hemorrhage;
4. intravenous (IV) fluids and
					 medications
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5343 - Transfer of Care [Formerly Section 5323.A]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The licensed midwife practitioner shall
					 accompany to the hospital any mother or infant requiring hospitalization,
					 giving any pertinent written records and verbal report to the physician
					 assuming care. If possible, she should remain with the mother and/or infant to
					 ascertain outcome. In those instances where it is necessary to continue
					 providing necessary care to the party remaining in the home, the midwife may
					 turn over the care of the transport of mother or child to qualified emergency
					 or hospital personnel. All necessary written records shall be forwarded with
					 such personnel and a verbal report must be given.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5347 - Required Newborn Care [Formerly Section 5359]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The licensed midwife practitioner shall be
					 responsible for care immediately following the delivery only. Subsequent infant
					 care should be managed by a pediatrician or primary care physician. This does
					 not preclude the midwife from providing counseling regarding routine newborn
					 care and breastfeeding and arranging for the neonatal tests required by state
					 law. If any abnormality is suspected, the newborn must be sent for medical
					 evaluation as soon as possible.
B.
					 Immediately following delivery the midwife shall:
1. wipe face, then suction (with bulb
					 syringe) mouth and nose if necessary;
2. prevent heat loss by the
					 neonate;
3. determine Apgar scores
					 at one and five minutes after delivery;
4. observe and record: skin color and tone,
					 heart rate and rhythm, respiration rate and character, estimated gestational
					 age (premature, term, or post-mature), weight, length, and head
					 circumference.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5349 - Prevention of Infant Blindness [Formerly Section 5339]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Within one hour of birth, the licensed
					 midwife practitioner shall administer two drops of 1.0 percent solution of
					 silver nitrate or other agent of equal effectiveness and harmlessness into the
					 eyes of the infant in accordance with applicable state laws and regulations
					 governing the prevention of infant blindness.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter B - Phases of Maternity Care › Section XLV-5351 - Physician Evaluation of Newborn [Formerly Section 5343]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The licensed midwife practitioner shall
					 recommend that any infant delivered by the midwife be evaluated by a
					 pediatrician or primary care physician within three days of age or sooner if it
					 becomes apparent that the newborn needs medical attention for problems
					 associated with, but not limited to, congenital or other anomalies.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter B - Phases of Maternity Care › Section XLV-5353 - Required Physician Consultation, Postpartum Period [Formerly Section 5363.C-D]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 midwife shall obtain medical consultation or refer for medical care any woman
					 who, during the postpartum period:
1. has a
					 third or fourth degree laceration;
2. has uterine atony;
3. bleeds in an amount greater than normal
					 lochial flow;
4. does not void
					 within 2 hours of birth;
5.
					 develops a fever greater than 100.4nF or 38nC on any two of the first 10 days
					 postpartum excluding the first 24 hours;
6. develops foul smelling lochia;
7. develops blood pressure below 100/50 if
					 pulse exceeds 100, pallor, cold clammy skin, and/or weak pulse.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter B - Phases of Maternity Care › Section XLV-5355 - Record Keeping [Formerly Section 5347]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All midwives shall keep accurate and
					 complete records of all care provided and data gathered for each
					 client.
B. The midwife shall
					 maintain an individual client chart for each woman under her care. The chart
					 shall include results of laboratory tests, observations from each prenatal
					 visit, records of consultations with physicians or other health care providers,
					 and a postpartum report concerning labor, delivery, and condition of the
					 newborn child. The chart shall be made available to the client upon request,
					 and with the client's consent, to any physician or health care provider who is
					 called in as a consultant or to assist in the clients care. This chart shall be
					 kept on standard obstetric forms, or other forms approved by the board.
					 Inactive records shall be maintained no less than 6 years. All records are
					 subject to review by the board.
C.
					 Evidence of the required physician evaluation and examination shall be
					 maintained in the client's records.
D. The attending midwife shall prepare a
					 summary of labor, delivery, and assessment of the newborn, using the Hollister
					 form, or an alternate form containing substantially similar information. One
					 copy of each summary shall be retained with the client's chart and one copy
					 transmitted to the pediatrician or primary care physician.
E. Copies of the disclosure and consent forms
					 required by this Chapter shall be maintained in the clients record.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter B - Phases of Maternity Care › Section XLV-5357 - Birth Registration [Formerly Section 5341]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All licensed midwife practitioners shall
					 request copies of printed instructions relating to completion of birth
					 certificates from the Louisiana State Registrar of Vital Records. The licensed
					 midwife practitioner must complete a birth certificate in accordance with these
					 instructions and file it with the registrar within five days of the
					 birth.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter B - Phases of Maternity Care › Section XLV-5359 - Notification of Maternal or Fetal Demise [Formerly Section 5347.G]

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensed
					 midwife shall immediately report to the parish coroner any maternal mortality
					 or morbidity or the demise of a fetus in excess of 350 grams or as applicable
					 with state law, in clients for whom care has been given.
B. A licensed midwife shall report within 48
					 hours to the board any maternal, fetal, or neonatal mortality or morbidity in
					 clients for who care has been given. The report shall include the sex, weight,
					 date and place of delivery, method of delivery, congenital anomalies of the
					 fetus, and if maternal, fetal, or neonatal death occurred, cause of
					 death.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter B - Phases of Maternity Care › Section XLV-5361 - Annual Reporting

Current through Register Vol. 50, No. 6, June 20, 2024
A. Every
					 licensed midwife shall report to the board annually in a manner and form
					 prescribed by the board. The report shall be submitted by January thirty-first
					 of each year and shall include all of the following:
1. the licensed midwife's name and license
					 number;
2. the calendar year being
					 reported;
3. the total number of
					 clients served;
4. the total number
					 and parish of live births attended as a primary caregiver;
5. the total number and parish of stillbirths
					 attended as a primary caregiver;
6.
					 the number of patients whose primary care was transferred to another health
					 care provider during the antepartum period and the reason for each
					 transfer;
7. the number, reason,
					 and outcome for each elective hospital transfer;
8. the number, reason, and outcome for each
					 emergency transport of an expectant mother prior to labor;
9. a brief description of any complications
					 resulting in the mortality of a mother or an infant;
10. any other information prescribed by the
					 board through rule or regulation.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter B - Phases of Maternity Care › Section XLV-5363 - Statistics [Formerly Section 5349]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The board shall review all reports from
					 licensed midwife practitioners, complete annual midwifery statistics, and make
					 them available to all interested groups or persons.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter B - Phases of Maternity Care › Section XLV-5365 - Unlawful Practice [Formerly Section 2365]

Current through Register Vol. 50, No. 6, June 20, 2024
A. No individual shall engage or attempt to
					 engage in the practice of midwifery in this state, unless he or she holds a
					 current license or a permit to practice as a licensed midwife or apprentice
					 midwife issued by the board under Chapter 23 of these rules.
B. No person shall use in connection with his
					 or her name or place of business the words "licensed midwife," "licensed
					 midwife practitioner," the initials "LM," "LMP" or any other words, letters, or
					 insignia indicating or implying that he or she is a licensed midwife
					 practitioner or represent himself or herself as such in any way orally, in
					 writing, in print, or by sign directly or by implication unless he or she has
					 been licensed as such under the provisions of these regulations.
C. A licensed midwife who is currently
					 certified by and in good standing with NARM may identify such credentials with
					 the licensees name or title "Licensed Midwife-Certified" or "Licensed Certified
					 Professional Midwife" or the letters "LM-C" or "LCPM," respectively.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter B - Phases of Maternity Care › Section XLV-5367 - Persons Not Affected [Formerly Section 2373]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any person authorized by the Louisiana
					 State Board of Nursing to practice as a certified nurse-midwife in the state
					 shall not be affected by the provisions of these regulations.
B. Any student pursuing a course of study in
					 an accredited midwifery education program that is approved by NARM or by the
					 board who provides midwifery services, provided that such services are an
					 integral part of the student's course of study and are performed under the
					 direct supervision of a physician, certified nurse midwife, or a licensed
					 midwife, and the student is designated by a title which clearly indicates the
					 status as a student or trainee, shall not be affected by the provisions of this
					 Chapter.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter C - Grounds for Administrative Action › Section XLV-5369 - Causes for Administrative Action [Formerly Section 2367]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The board may refuse to issue, suspend for
					 a definite period, revoke or impose probationary terms, conditions and
					 restrictions on a license or permit for any of the following causes:
1. dereliction of any duty imposed by
					 law;
2. incompetence as determined
					 by standards of care for obstetrical providers;
3. conviction of a felony;
4. inability to practice with reasonable
					 skill or safety to clients because of mental illness or deficiency; physical
					 illness, including but not limited to deterioration through the aging process
					 or loss of motor skills; and/or, excessive use or abuse of drugs, including
					 alcohol;
5. practicing under a
					 false name or alias;
6. violation
					 of any of the standards of practice set forth herein;
7. obtaining any fee by fraud or
					 misrepresentation;
8. knowingly
					 employing, supervising, or permitting, directly or indirectly, any person or
					 persons not an apprentice or licensed midwife to perform any work covered by
					 these regulations;
9. using or
					 causing or promoting the use of any advertising matter, promotional literature,
					 testimonial, or any other representation, however disseminated or published,
					 which is misleading or untruthful;
10. representing that the service or advice
					 of a person licensed to practice medicine will be used or made available when
					 that is not true or using the words "doctor," or similar words, abbreviations,
					 or symbols so as to connote the medical profession, when such is not the
					 case;
11. permitting another to use
					 the license;
12. delinquency in
					 submission of application and supporting documents for license renewal of 30
					 days or more;
13. obtaining
					 licensure by means of fraud, misrepresentation, or concealment of material
					 facts;
14. fraud or deceit in
					 connection with services rendered;
15. violating any lawful order, rule, or
					 regulation rendered or adopted by the board; or
16. unprofessional conduct, which has
					 endangered or is likely to endanger the health, welfare or safety of the
					 public.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter C - Grounds for Administrative Action › Section XLV-5371 - Hearing [Formerly Section 2371]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any person who is disciplined or denied a
					 license or permit or has a license or permit suspended or revoked or is
					 otherwise penalized under these regulations will be notified in writing and
					 afforded the opportunity of a hearing conducted pursuant to the Louisiana
					 Administrative Procedure Act.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter C - Grounds for Administrative Action › Section XLV-5373 - Penalties [Formerly Section 2369]

Current through Register Vol. 50, No. 6, June 20, 2024
A. If a person licensed to practice midwifery
					 under the provisions of these regulations is found guilty of violating any
					 provisions of the Act or these regulations, the board may fine the midwife a
					 sum of not more than $1,000 and may suspend or revoke the license of the
					 licensed midwife practitioner.
B.
					 The board may cause an injunction to be issued in any court of competent
					 jurisdiction enjoining any person from violating the provisions of the Act or
					 of these regulations. In a suit for injunction, the court may issue a fine of
					 not less than $100 against any person found in violation of the provisions of
					 these regulations plus court costs and attorney's fees.
C. A licensed midwife who fails to timely
					 file the annual report required by
					 §5361 of this Chapter shall be subject
					 to a fine not to exceed $100 each day the report is filed late. In no case
					 shall the fine exceed $500.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter D - Professional Liability › Section XLV-5375 - Professional Liability

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Physician evaluation and examination as provided in
					 R.S.
					 37:3244 shall be deemed to constitute a risk
					 assessment. A physician performing a risk assessment is responsible only for
					 determining that at the time of the risk assessment the individual is at low or
					 normal risk of developing complications during pregnancy and childbirth. For
					 any physician performing a physician risk assessment, the physician-patient
					 relationship shall only exist for the purposes of the risk assessment and shall
					 not continue after the conclusion of the physician risk assessment.
B. Physician risk assessment as defined in
					 this Section shall not create either of the following:
1. any legal duty, responsibility, or
					 obligation by the physician to provide continuing care after the conclusion of
					 the physician risk assessment; or
2. a legal relationship between the physician
					 and the licensed midwife or any duty, responsibility, or obligation by the
					 physician to supervise, collaborate, back-up, or oversee the licensed midwife's
					 care of the patient.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 55 - Respiratory Therapists › Subchapter A - General Provisions › Section XLV-5501 - Scope of Chapter

Current through Register Vol. 50, No. 6, June 20, 2024
A. The rules of
					 this Chapter govern the practice of respiratory care in the state of
					 Louisiana.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270(B)(6) and
						37:3351-3361.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 55 - Respiratory Therapists › Subchapter A - General Provisions › Section XLV-5503 - General Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 definitions set forth in Chapter 25 of these rules shall equally apply to this
					 Chapter, unless the context clearly states otherwise.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270(B)(6) and
						37:3351-3361.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 55 - Respiratory Therapists › Subchapter B - Unauthorized Practice, Exemptions, and Prohibitions › Section XLV-5505 - Unauthorized Practice

Current through Register Vol. 50, No. 6, June 20, 2024
A. No
					 person shall engage in the practice of respiratory care in the state of
					 Louisiana unless he has in his possession a current license, a temporary
					 license (examination permit), or a temporary work permit duly issued by the
					 board under Subpart 2 of these rules.
B. No person shall hold himself out to the
					 public, an individual patient, a physician, dentist or podiatrist, or to any
					 insurer or indemnity company or association or governmental authority, nor
					 shall he directly or indirectly identify or designate himself as a licensed
					 respiratory therapist, nor use in connection with his name the letters "LRT" or
					 any other words, letters, abbreviations, insignia, or signs tending to indicate
					 or imply that the person is licensed to practice respiratory therapy in this
					 state, or that the services provided by such person constitute respiratory
					 care, unless such person possesses a current license, a temporary license
					 (examination permit), or a temporary work permit duly issued by the board under
					 Subpart 2 of these rules.
C. A
					 licensed respiratory therapist who is currently certified or registered by and
					 in good standing with the NBRC may identify such credentials with his name or
					 title "Licensed Respiratory Therapist-Certified" or "Licensed Respiratory
					 Therapist-Registered" or the letters "LRT-C" or "LRT-R,"
					 respectively.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270(B)(6) and
						37:3351-3361.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 55 - Respiratory Therapists › Subchapter B - Unauthorized Practice, Exemptions, and Prohibitions › Section XLV-5507 - Exemptions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The prohibitions
					 of §5505A of this Chapter shall not apply to a person:
1. employed exclusively by, or at an
					 institution operated by the United States Government when acting within the
					 course and scope of such employment;
2. acting under and within the scope of a
					 license issued by another licensing agency of the state of Louisiana;
3. enrolled in a respiratory care education
					 program and who is designated by a title which clearly indicates his status as
					 a student; or
4. not licensed as a
					 respiratory therapist in accordance with the provisions of these rules but who
					 is employed in a pulmonary laboratory or physician's office to administer
					 treatment confined to that laboratory or office under the direction and
					 immediate supervision of a licensed physician.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 55 - Respiratory Therapists › Subchapter B - Unauthorized Practice, Exemptions, and Prohibitions › Section XLV-5509 - Prohibitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensed
					 respiratory therapist shall not:
1. undertake
					 to perform or actually perform any activities described in
					 §2503 of these rules, definition of
					 "Respiratory therapy," except upon a prescription or other order of a
					 physician, advanced registered nurse or physician assistant;
2. administer any drugs or medications except
					 as dispensed by a pharmacist and prescribed by a physician, advanced practice
					 registered nurse or physician assistant; or
3. perform any surgical incisions.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 55 - Respiratory Therapists › Subchapter C - Grounds for Administrative Action › Section XLV-5517 - Causes for Administrative Action

Current through Register Vol. 50, No. 6, June 20, 2024
A. The board may deny, refuse to issue,
					 renew, or reinstate, or may suspend, revoke or impose probationary conditions
					 and restrictions on the license, temporary license (examination permit), or
					 temporary work permit of any respiratory therapist if the licensee or applicant
					 for license has been guilty of unprofessional conduct which has endangered or
					 is likely to endanger the health, welfare, or safety of the public.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270(B)(6) and
						37:3351-3361.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 55 - Respiratory Therapists › Subchapter C - Grounds for Administrative Action › Section XLV-5519 - Causes for Action; Definitions; Unprofessional Conduct

Current through Register Vol. 50, No. 6, June 20, 2024
A. As used herein, the term
unprofessional conduct
by a respiratory therapist or applicant
					 shall mean any of the causes set forth in
					 R.S.
					 37:3358 of the Act.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270(B)(6) and
						37:3351-3361.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 57 - Athletic Trainers › Subchapter A - General Provisions › Section XLV-5701 - Scope of Chapter

Current through Register Vol. 50, No. 6, June 20, 2024
A. The rules of
					 this Chapter govern the employment and practice of licensed athletic trainers
					 in the state of Louisiana.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						37:3301-3313.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 57 - Athletic Trainers › Subchapter A - General Provisions › Section XLV-5703 - General Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 definitions set forth in Chapter 31 of these rules shall equally apply to this
					 Chapter, unless the context clearly states otherwise.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						37:3301-3313.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 57 - Athletic Trainers › Subchapter A - General Provisions › Section XLV-5705 - Special Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A.
The Activities of an Athletic Trainer
-the practice of
					 prevention, emergency management, and physical rehabilitation of injuries and
					 sports-related conditions incurred by athletes. In carrying out these
					 functions, the athletic trainer shall use whatever physical modalities are
					 prescribed by a team physician or consulting physician, or both. The results of
					 these activities should be recorded.
B.
Practice of
					 Prevention
-shall include, but is not limited to the following:
1. working cooperatively with supervisors and
					 coaches in establishing and implementing a program of physical conditioning for
					 athletes;
2. applying protective or
					 injury-preventive devices such as taping, padding, bandaging, strapping,
					 wrapping, or bracing;
3. working
					 cooperatively with supervisors, coaches, and a team physician or consulting
					 physician in the selection and fitting of protective athletic equipment for
					 each athlete and constantly monitoring that equipment for safety; and
4. counseling and advising supervisors,
					 coaches, and athletes on physical conditioning and training, such as diet,
					 flexibility, rest, and reconditioning.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 57 - Athletic Trainers › Subchapter B - Prohibitions › Section XLV-5709 - Unauthorized Practices

Current through Register Vol. 50, No. 6, June 20, 2024
A. No
					 person shall hold himself out to the public, any public educational
					 institution, any athletic organization, or any individual student, amateur, or
					 professional athlete as an "athletic trainer" or licensed athletic trainer in
					 the state of Louisiana, nor identify or designate himself as such, nor use in
					 connection with his name the letters, "AT," "LAT" or "ATC," or any other words,
					 letters, abbreviations, insignia, or signs tending to indicate or imply that
					 the person is a licensed athletic trainer, unless he is currently licensed by
					 the board as a licensed athletic trainer.
B. No person shall undertake to perform or
					 actually perform, for compensation or other remuneration,
the
					 activities of an athletic trainer
, as defined in this Chapter (§5705)
					 unless he is currently licensed by the board as an athletic trainer.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						37:3301-3313.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 57 - Athletic Trainers › Subchapter B - Prohibitions › Section XLV-5711 - Exemptions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The prohibitions
					 of Subsection 5709. B of this Chapter shall not apply to:
1. an assigned athletic coach administering
					 and supervising his normal sports activities;
2. a person who undertakes to perform or
					 actually performs the activities of an athletic trainer in the employment of an
					 educational institution or athletic organization domiciled in another state,
					 while accompanying and attending athletes of an educational institution or
					 athletic organization domiciled in another state during or in connection with
					 an athletic contest conducted in Louisiana;
3. a person acting under and within the scope
					 of professional licensure issued by another licensing agency of the state of
					 Louisiana; or
4. any person
					 enrolled in a CAATE accredited athletic training education program and who is
					 designated by a title which clearly indicates his status as a
					 student.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 57 - Athletic Trainers › Subchapter B - Prohibitions › Section XLV-5713 - Prohibitions: Licensed Athletic Trainers

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensed athletic trainer shall not:
1. undertake to perform or actually perform
					 any activities, preventive measures, emergency management, physical
					 rehabilitation of injury, or any other functions, treatments, modalities,
					 procedures, or regimes, except under the direction and general supervision of a
					 physician, employed or engaged as a team or consulting physician by the
					 educational institution or athletic organization by which the licensed athletic
					 trainer is employed or engaged;
2.
					 prescribe, dispense, or administer any controlled substances; or
3. dispense or administer any medications for
					 ingestion, subcutaneous, transdermal, intramuscular, or intravenous injection
					 or topical application, except upon the prescription and direction, or pursuant
					 to the written protocol of a physician.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 57 - Athletic Trainers › Subchapter C - Ethical Guidelines and Standards of Practice › Section XLV-5715 - Ethical Guidelines

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
					 licensed athletic trainer shall, in performance of the activities of an
					 athletic trainer, observe and abide by the code of ethics of the Board of
					 Certification.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						37:3301-3313.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 57 - Athletic Trainers › Subchapter C - Ethical Guidelines and Standards of Practice › Section XLV-5717 - Standards of Practice

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
					 licensed athletic trainer shall, in performance of the activities of an
					 athletic trainer, observe and abide by the standards of practice announced and
					 promulgated from time to time by the board pursuant to rules and regulations,
					 advisory opinions, and interpretations and statements of position.
B. It shall be deemed a violation of minimum
					 standards of practice applicable to licensed athletic trainers for a licensed
					 athletic trainer to violate of the code of ethics of the Board of
					 Certification.
AUTHORITY NOTE:
						Promulgated in accordance with R.S.
						37:3301-3313.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 57 - Athletic Trainers › Subchapter D - Grounds for Administrative Action › Section XLV-5723 - Causes for Action; Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 As used in
					 R.S.
					 37:3308.1 of the law, a person who has
					 "secured a license by fraud or deceit" means and includes a person who:
1. makes any representation to the board,
					 knowingly or unknowingly, which is in fact false or misleading as to a material
					 fact or omits to state any fact or matter that is material to an application
					 for licensure under Chapter 31 of these rules; or
2. makes any representation, or fails to make
					 a representation, or engages in any act or omission which is false, deceptive,
					 fraudulent, or misleading in achieving or obtaining any of the questions for
					 licensure required by Chapter 31 of these rules.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 58 - Perfusionists › Subchapter A - General Provisions › Section XLV-5801 - Scope of Chapter

Current through Register Vol. 50, No. 6, June 20, 2024
A. The rules of
					 this Chapter govern the practice of perfusion in the state of
					 Louisiana.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:1331-1343 and
						37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 58 - Perfusionists › Subchapter A - General Provisions › Section XLV-5803 - General Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 definitions set forth in Chapter 27 of these rules shall equally apply to this
					 Chapter, unless the context clearly states otherwise.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:1331-1343 and
						37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 58 - Perfusionists › Subchapter B - Unauthorized Practice, Exemptions, and Designation of Licenses › Section XLV-5805 - Unauthorized Practice

Current through Register Vol. 50, No. 6, June 20, 2024
A. No
					 individual shall engage or attempt to engage in the practice of perfusion in
					 this state, unless he or she holds a current license or a provisional license
					 issued by the board under Chapter 27 of these rules.
B. An individual who does not hold a current
					 license issued by the board as a licensed perfusionist, or whose license has
					 been suspended, revoked or placed on inactive status, shall not use in
					 conjunction with his or her name the words "licensed perfusionist," "LP," or
					 any other similar words, letters, abbreviations or insignia indicating directly
					 or by implication, that he or she is a licensed perfusionist or that the
					 services provided by such individual constitute perfusion.
C. An individual who does not hold a current
					 provisional license issued by the board, or whose provisional license has been
					 suspended or revoked, shall not use in conjunction with his or her name the
					 words "provisional licensed perfusionist," or "PLP" or any other similar words,
					 letters, abbreviations, or insignia indicating directly or by implication, that
					 he or she is a provisional licensed perfusionist or that the services provided
					 by such individual constitute perfusion.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:1331-1343 and
						37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 58 - Perfusionists › Subchapter B - Unauthorized Practice, Exemptions, and Designation of Licenses › Section XLV-5807 - Exemptions from Licensure

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 prohibitions of §5805. A of this Chapter shall not prohibit an individual:
1. who is a qualified perfusionist employed
					 by the United States Government from engaging in the practice of perfusion
					 while acting in the discharge of his or her official duties;
2. who is an appropriately trained and
					 qualified health care provider from:
a.
					 monitoring an extracorporeal membrane
oxygenation (ECMO) circuit in
					 conjunction and with the
consultation of a licensed perfusionist;
					 or
b. performing autotransfusion
					 under the direct or indirect supervision of a licensed perfusionist.
3. currently licensed in this
					 state as a registered nurse from performing perfusion services;
4. acting under and within the scope of a
					 license issued by the board or another licensing agency of the state of
					 Louisiana;
5. pursuing a course of
					 study as a student in a CAAHEP accredited perfusion education program from
					 performing perfusion services, provided:
a.
					 the service is an integral part of the student's course of study;
b. the service is performed under the direct
					 supervision of licensed perfusionist who is assigned to supervise the student
					 and who is on duty and immediately available in the assigned patient care area;
					 and
c. the student is identified by
					 title, name tag or otherwise which clearly designates the individual's status
					 as a student or trainee.