reglab/statecodes huggingface dataset:
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Medicine › Board of Medicine › Part 3 - CONTINUING EDUCATION › Section R. 338.2441 - License renewals

Current through Vol. 24-12, July 15, 2024
Rule 141.
(1) An
					 applicant for renewal shall satisfy the requirements of the code and the rules
					 promulgated under the code.
(2) An
					 applicant for license renewal who has been licensed in the 3-year period
					 immediately preceding the application for renewal shall accumulate a minimum of
					 150 hours of continuing education in activities approved under R 338.2443
					 during the 3 years immediately preceding the application for renewal.
(3) Submission of an application for renewal
					 constitutes the applicant's certification of compliance with the requirements
					 of this rule. The licensee shall maintain documentation of satisfying the
					 requirements of this rule for 4 years after the date of applying for license
					 renewal. Failure to satisfy this rule is a violation of section 16221(h) of the
					 code, MCL
					 333.16221.
(4) The department may select and audit a
					 sample of licensees who have renewed their license and request proof of
					 compliance with subrule (2) of this rule. If audited, the licensee shall
					 provide documentation as specified in R 338.2443.
(5) An applicant must submit a request for a
					 waiver of continuing education requirements to the department for the board's
					 consideration not less than 30 days before the last regularly scheduled board
					 meeting before the expiration date of the license.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Medicine › Board of Medicine › Part 3 - CONTINUING EDUCATION › Section R. 338.2443 - Acceptable continuing education; requirements; limitations

Current through Vol. 24-12, July 15, 2024
Rule 143.
(1)
					 The 150 hours of continuing education required under R 338.2441 must satisfy
					 the following requirements, as applicable:
(a)
					 Credit for a continuing education program or activity that is identical or
					 substantially equivalent to a program or activity for which the licensee has
					 already earned credit during the renewal period cannot be granted.
(b) A minimum of 1 hour of continuing
					 education must be earned in medical ethics.
(c) A minimum of 3 hours of continuing
					 education must be earned in pain and symptom management under section 17033(2)
					 of the code, MCL
					 333.17033. At least 1 of the 3
					 hours must include controlled substances prescribing. Continuing education
					 hours in pain and symptom management may include, but are not limited to, any
					 of the following areas:
(i) Public health
					 burden of pain.
(ii) Ethics and
					 health policy related to pain.
(iii) Michigan pain and controlled substance
					 laws.
(iv) Pain
					 definitions.
(v) Basic sciences
					 related to pain including pharmacology.
(vi) Clinical sciences related to
					 pain.
(vii) Specific pain
					 conditions.
(viii) Clinical
					 physician communication related to pain.
(ix) Management of pain, including evaluation
					 and treatment and non-pharmacological and pharmacological management.
(x) Ensuring quality pain care and controlled
					 substances prescribing.
(xi)
					 Michigan programs and resources relevant to pain.
(d) A minimum of 75 continuing education
					 credits must be obtained through category 1 programs listed in subrule (2) of
					 this rule.
(e) Completion of
					 implicit bias training under R 338.7004 during the 3 years immediately
					 preceding the application for renewal may be used toward satisfaction of the
					 requirements of R 338.2441(2) and subrule (1) of this rule.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Genetic Counseling - General Rules › Genetic Counseling - General Rules › Part 1 - GENERAL PROVISIONS › Section R. 338.2451 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 151.
(1) As
					 used in these rules:
(a) "ABGC" means the
					 American Board of Genetic Counseling, Inc., or its successor.
(b) "ABMGG" means the American Board of
					 Medical Genetics and Genomics or its successor.
(c) "Board" means the Michigan board of
					 medicine created under section 17021 of the code, MCL 333.17021.
(d) "Code" means the public health code, 1978
					 PA 368, MCL 333.1101 to 333.25211.
(e) "Department" means the department of
					 licensing and regulatory affairs.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Genetic Counseling - General Rules › Genetic Counseling - General Rules › Part 1 - GENERAL PROVISIONS › Section R. 338.2455 - Telehealth

Current through Vol. 24-12, July 15, 2024
Rule 155.
(1) A
					 licensee shall obtain consent for treatment before providing a telehealth
					 service under section 16284 of the code, MCL
					 333.16284.
(2) A licensee shall maintain proof of
					 consent for telehealth treatment in the patient's up-to-date medical record and
					 satisfy section 16213 of the code, MCL
					 333.16213.
(3) A licensee providing a telehealth service
					 may prescribe a drug if the licensee is a prescriber acting within the scope of
					 the licensee's practice and in compliance with section 16285 of the code, MCL
					 333.16285, and if the licensee
					 does both of the following:
(a) Refers the
					 patient to a provider that is geographically accessible to the patient, if
					 medically necessary.
(b) Makes the
					 licensee available to provide follow-up care services to the patient, or to
					 refer the patient to another provider, for follow-up care.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Genetic Counseling - General Rules › Genetic Counseling - General Rules › Part 1 - GENERAL PROVISIONS › Section R. 338.2457 - Training standards for identifying victims of human trafficking; requirements

Current through Vol. 24-12, July 15, 2024
Rule 157.
(1)
					 Under section 16148 of the code, MCL
					 333.16148, an individual seeking
					 licensure or who is licensed shall have completed training in identifying
					 victims of human trafficking that satisfies all the following standards:
(a) Training content must cover all the
					 following:
(i) Understanding the types and
					 venues of human trafficking in the United States.
(ii) Identifying victims of human trafficking
					 in health care settings.
(iii)
					 Identifying the warning signs of human trafficking in health care settings for
					 adults and minors.
(iv) Providing
					 resources for reporting the suspected victims of human trafficking.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Genetic Counseling - General Rules › Genetic Counseling - General Rules › Part 2 - LICENSURE › Section R. 338.2461 - Application for license; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 161.
(1) An
					 applicant for a genetic counselor license shall satisfy the requirements of the
					 code and the rules promulgated under the code, as well as both of the following
					 requirements:
(a) Provide the required fee and
					 a completed application on a form provided by the department.
(b) Provide proof, as directed by the
					 department, verifying current certification in good standing from the ABGC or
					 the ABMGG.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Genetic Counseling - General Rules › Genetic Counseling - General Rules › Part 2 - LICENSURE › Section R. 338.2462 - Application for license by endorsement; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 162.
(1) An
					 applicant for a genetic counselor license by endorsement shall satisfy the
					 requirements of the code and the rules promulgated under the code, as well as
					 all the following requirements:
(a) Provide
					 the required fee and a completed application on a form provided by the
					 department.
(b) Provide proof, as
					 directed by the department, verifying a current and full genetic counselor
					 license in another state or in a province of Canada.
(c) Provide proof, as directed by the
					 department, verifying current certification in good standing from the ABGC or
					 the ABMGG.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Genetic Counseling - General Rules › Genetic Counseling - General Rules › Part 2 - LICENSURE › Section R. 338.2463 - Application for relicensure; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 163.
(1) An
					 applicant may be relicensed within 3 years after the expiration date of the
					 license under section 16201(3) of the code, MCL
					 333.16201, if the applicant
					 satisfies the requirements of the code and the rules promulgated under the
					 code, as well as all the following requirements:
(a) Provides the required fee and a completed
					 application on a form provided by the department.
(b) Provides proof, as directed by the
					 department, verifying 1 of the following, as applicable:
(i) If applying for relicensure as a genetic
					 counselor, current certification in good standing from the ABGC or the
					 ABMGG.
(ii) If applying for
					 relicensure as a temporary-licensed genetic counselor, active candidate status
					 from the ABGC or the ABMGG.
(c) Establishes good moral character as that
					 term is defined in, and determined under, 1974 PA 381, MCL
					 338.41 to
					 338.47.
(d) If applying for relicensure as a
					 temporary-licensed genetic counselor, provides proof, as directed by the
					 department, verifying that the applicant will be supervised by a qualified
					 supervisor in this state.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Genetic Counseling - General Rules › Genetic Counseling - General Rules › Part 2 - LICENSURE › Section R. 338.2465 - Application for renewal of license; qualifications

Current through Vol. 24-12, July 15, 2024
Rule 165.
(1) An
					 applicant for renewal of a genetic counselor license shall satisfy the
					 requirements of the code and the rules promulgated under the code, as well as
					 all the following requirements:
(a) Provide
					 the required fee and a completed application on a form provided by the
					 department.
(b) Provide proof, as
					 directed by the department, verifying current certification in good standing
					 from the ABGC or the ABMGG.
(c)
					 Satisfy the requirements under
					 R 338.2471, as applicable.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Genetic Counseling - General Rules › Genetic Counseling - General Rules › Part 3 - CONTINUING EDUCATION › Section R. 338.2471 - License renewals

Current through Vol. 24-12, July 15, 2024
Rule 171.
(1)
					 This part applies to an application for renewal of a genetic counselor license
					 under R 338.2465 and sections 16201 and
					 17091 of the code, MCL
					 333.16201 and
					 333.17091.
(2) An applicant for license renewal who has
					 been licensed in the 3-year period immediately preceding the application for
					 renewal shall accumulate a minimum of 75 contact hours of continuing education
					 in activities approved under
					 R 338.2473 during the 3 years
					 immediately preceding the application for renewal.
(3) Submission of an application for renewal
					 constitutes the applicant's certification of compliance with the requirements
					 of this rule. The licensee shall retain documentation of satisfying the
					 requirements of this rule for 4 years after the date of applying for license
					 renewal. Failure to satisfy this rule is a violation of section 16221(h) of the
					 code, MCL
					 333.16221.
(4) The department may select and audit a
					 sample of licensees who have renewed their license and request proof of
					 compliance with subrule (2) of this rule. If audited, a licensee shall provide
					 documentation as specified in
					 R 338.2473.
(5) An applicant shall submit a request for a
					 waiver of continuing education requirements to the department for the board's
					 consideration not less than 30 days before the last regularly scheduled board
					 meeting before the expiration date of the license.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Genetic Counseling - General Rules › Genetic Counseling - General Rules › Part 3 - CONTINUING EDUCATION › Section R. 338.2473 - Acceptable continuing education; requirements; limitations

Current through Vol. 24-12, July 15, 2024
Rule 173.
(1)
					 The 75 contact hours of continuing education required under
					 R 338.2471 must satisfy the
					 following requirements, as applicable:
(a)
					 Credit for a continuing education program or activity that is identical or
					 substantially equivalent to a program or activity for which the licensee has
					 already earned credit during the renewal period cannot be granted.
(b) A minimum of 1 contact hour of continuing
					 education must be earned in medical ethics.
(c) A minimum of 1 contact hour of continuing
					 education must be earned in pain and symptom management under section 16204 of
					 the code, MCL
					 333.16204. Continuing education
					 contact hours in pain and symptom management may include, but are not limited
					 to, any of the following areas:
(i) Public
					 health burden of pain.
(ii) Ethics
					 and health policy related to pain.
(iii) Michigan pain and controlled substance
					 laws.
(iv) Pain
					 definitions.
(v) Basic sciences
					 related to pain including pharmacology.
(vi) Clinical sciences related to
					 pain.
(vii) Specific pain
					 conditions.
(viii) Clinical
					 physician communication related to pain.
(ix) Management of pain, including evaluation
					 and treatment and non-pharmacological and pharmacological management.
(x) Ensuring quality pain care.
(xi) Michigan programs and resources relevant
					 to pain.
(d) Completion
					 of implicit bias training under
					 R 338.7004 during the 3 years
					 immediately preceding the application for renewal may be used toward
					 satisfaction of the requirements of
					 R 338.2471(2) and
					 this subrule.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Genetic Counseling - General Rules › Genetic Counseling - General Rules › Part 4 - STANDARDS OF PRACTICE › Section R. 338.2481 - Certification; active candidate status; requirement

Current through Vol. 24-12, July 15, 2024
Rule 171.
(1) A
					 genetic counselor licensee shall maintain certification with the ABGC or the
					 ABMGG.
(2) A temporary-licensed
					 genetic counselor shall report to the department a change in qualified
					 supervisor not later than 30 days after the change occurs.
(3) A temporary-licensed genetic counselor
					 license automatically expires on issuance of a genetic counselor license or on
					 loss of active candidate status with the ABGC or the ABMGG. A
					 temporary-licensed genetic counselor shall report to the department a change in
					 active candidate status not later than 30 days after the change
					 occurs.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 1 - GENERAL PROVISIONS › Section R. 338.17101 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 101.
(1) As
					 used in these rules:
(a) "Appropriate health
					 professional" means any individual licensed, registered
,
or
					 otherwise authorized to engage in a health profession under article 15 of the
					 code, MCL
					 333.16101 to
					 333.18838, who is referred to,
					 consulted with, or collaborates with a licensed midwife.
(b) "Board" means the Michigan board of
					 licensed midwifery.
(c) "Code"
					 means the public health code, 1978 PA 368, MCL
					 333.1101 to
					 333.25211.
(d) "CPM" means a certified professional
					 midwife who has met the standards for certification set by the North American
					 Registry of Midwives (NARM). The CPM credential is accredited by the National
					 Commission for Certifying Agencies (NCCA). The CPM credential with NARM
					 requires a midwife to:
(i) Validate
					 education.
(ii) Pass an
					 examination.
(iii) Complete a
					 workshop, module
,
or course on cultural awareness.
(iv) Meet general education
					 requirements.
(v) Maintain current
					 adult CPR and current neonatal resuscitation program certification (NRP) with a
					 hands-on component.
(vi) Complete
					 obstetric emergency skills training.
(e) "Department" means the department of
					 licensing and regulatory affairs.
(f) "Peer review" means the process utilized
					 by midwives to confidentially discuss patient cases in a professional forum,
					 which includes support, feedback, follow-up, and learning objectives.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 2 - PRELICENSURE LICENSED MIDWIFERY EDUCATION › Section R. 338.17111 - Training standards for identifying victims of human trafficking: requirements

Current through Vol. 24-12, July 15, 2024
Rule 111.
(1)
					 Pursuant to section
					 16148 of the code, MCL
					 333.16148, an individual seeking
					 licensure or who is licensed shall complete training in identifying victims of
					 human trafficking that meets all the following standards:
(a) Training content shall cover all of the
					 following:
(i) Understanding the types and
					 venues of human trafficking in the United States.
(ii) Identifying victims of human trafficking
					 in health care settings.
(iii)
					 Identifying the warning signs of human trafficking in health care settings for
					 adults and minors.
(iv) Resources
					 for reporting suspected victims of human trafficking.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 2 - PRELICENSURE LICENSED MIDWIFERY EDUCATION › Section R. 338.17113 - Licensed midwifery accrediting organizations

Current through Vol. 24-12, July 15, 2024
Rule 113.
(1)
					 The board approves the Midwifery Education Accreditation Council (MEAC), or its
					 successor entity, as an accrediting organization for an educational program or
					 pathway.
(2) A petition may be
					 filed with the board for approval of a midwifery accrediting organization for
					 an educational program or pathway, which will be evaluated to determine the
					 organizations equivalence to the standards of other board approved accrediting
					 organizations. The board may approve a petition only if the standards and
					 evaluative criteria of the organization are determined to be equivalent to the
					 standards of MEAC, or its successor entity.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 2 - PRELICENSURE LICENSED MIDWIFERY EDUCATION › Section R. 338.17115 - Licensed midwifery credentialing program

Current through Vol. 24-12, July 15, 2024
Rule 115. The board may approve a licensed midwifery
						credentialing program only if the program meets all of the following:
(a) The standards and evaluative criteria are
					 equivalent to the credential of a CPM from the NARM, or its successor
					 entity.
(b) It satisfies the
					 criteria of section
					 16148 of the code, MCL
					 333.16148.
(c) It is accredited by the National
					 Commission for Certifying Agencies (NCCA), or its successor entity, or another
					 accrediting organization approved by the board if the standards and evaluative
					 criteria of the accrediting organization are determined to be equivalent to the
					 standards of NCCA, or its successor entity.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 3 - LICENSURE › Section R. 338.17121 - Licensure

Current through Vol. 24-12, July 15, 2024
Rule 121.
(1) In
					 addition to meeting the requirements of sections
					 16174 of the code, MCL
					 333.16174, and
					 R 338.7001 to
					 R 338.7005, an applicant for
					 licensure shall submit a completed application on a form provided by the
					 department, together with the requisite fee, and meet all of the following
					 requirements:
(a) Meet 1 of the following:
(i) Submit proof to the department of
					 completion of an educational program or pathway accredited by MEAC, or its
					 successor entity, or by another accrediting organization approved by the board
					 under R 333.17113.
(ii) If before January 1, 2020, the applicant
					 holds a current credential of CPM from NARM, its successor entity, or an
					 equivalent credential from another midwifery credentialing program that is
					 approved by the board under
					 R 383.17115, and satisfies both of
					 the following:
(A) Submits proof to the
					 department that the applicant holds a midwifery bridge certificate awarded by
					 NARM, its successor entity, or an equivalent credential from another midwifery
					 credentialing program that meets the criteria of section
					 16148 of the code, MCL
					 333.16148.
(B) The midwifery credentialing program is
					 accredited by the NCCA, its successor entity, or another accrediting
					 organization approved by the board if the standards and evaluative criteria of
					 the accrediting organization are determined to be equivalent to the standards
					 of NCCA, or its successor entity.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 3 - LICENSURE › Section R. 338.17122 - Nonrenewable temporary license

Current through Vol. 24-12, July 15, 2024
Rule 122.
(1) If
					 an applicant holds a current CPM credential from a midwifery education program
					 that is not MEAC accredited or accredited by an accrediting organization
					 approved by the board under R 338.17113, he or she may apply for a nonrenewable
					 temporary license if he or she satisfies both of the following:
(a) Meets the requirements of sections 16174
					 of the code, MCL 333.16174.
(b)
					 Submits to the department a completed application, on a form provided by the
					 department, together with the requisite fee.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 3 - LICENSURE › Section R. 338.17123 - Licensure by endorsement from another state

Current through Vol. 24-12, July 15, 2024
Rule 123.
(1) An
					 applicant who currently holds an active midwifery license in good standing in
					 another state and who has never been licensed as a midwife in this state may
					 apply for a license by endorsement and is presumed to meet the requirements of
					 section
					 16186 of the code, MCL
					 333.16186, if the applicant meets
					 the requirements of section
					 16174 of the code, MCL
					 333.16174, and
					 R 338.7001 to
					 R 338.7005; submits a completed
					 application, on a form provided by the department, together with the requisite
					 fee; and complies with all of the following:
(a) Submits proof to the department of
					 completion of an educational program or pathway accredited by MEAC, or its
					 successor entity, or by another accrediting organization approved by the board
					 under R 333.17113.
(b) Submits proof to the department of
					 holding a current credential of CPM from NARM or another midwifery
					 credentialing program approved by the board under
					 R 333.17115.
(c) Submits proof of successfully passing the
					 examination developed and scored by NARM or another exam approved by the board
					 under R
					 338.17121(3).
(d) Discloses each license, registration, or
					 certification in a health profession or specialty issued by another state, the
					 United States military, the federal government, or another country on the
					 application form.
(e) Satisfies the
					 requirements of section
					 16174(2) of
					 the code, MCL
					 333.16174, which includes
					 verification from the issuing entity showing that disciplinary proceedings are
					 not pending against the applicant and sanctions are not in force at the time of
					 application.
(f) Submits proof to
					 the department of meeting the human trafficking training required in
					 R 338.17111.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 4 - PRACTICE, CONDUCT, AND CLASSIFICATION OF CONDITIONS › Section R. 338.17131 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 131. As used in this part:
(a) "Appropriate pharmacology training" means
					 8 hours of training related to pharmacology applicable to midwifery practice,
					 approved by MEAC or the board.
(b)
					 "Consultation" means the process by which a licensed midwife, who maintains
					 primary management responsibility for the patients care, seeks the advice of
					 another appropriate health professional or member of the health care
					 team.
(c) "Emergency medical
					 services personnel" means a medical first responder, emergency medical
					 technician, emergency medical technician specialist, or paramedic.
(d) "Futility" means care offered that would
					 not mitigate a patients lethal diagnosis or prognosis of imminent
					 death.
(e) "Refer" means to suggest
					 a patient seek discussion, information, aid, or treatment from a particular
					 appropriate health professional.
(f) "Transfer" means to convey the
					 responsibility for the care of a patient to a hospital, emergency medical
					 services personnel, or another appropriate health professional. Transfer may
					 occur at any point during care, during the prenatal, intrapartum, postpartum,
					 or neonatal period, and may be either of an emergent or non-emergent
					 nature.
(g) "Transport" means the
					 physical movement of a patient from 1 location to another.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 4 - PRACTICE, CONDUCT, AND CLASSIFICATION OF CONDITIONS › Section R. 338.17132 - Informed disclosure and consent

Current through Vol. 24-12, July 15, 2024
Rule 132.
(1) At
					 the inception of care for a patient, a licensed midwife shall provide an
					 informed disclosure in writing to the patient that includes all the following:
(a) A description of the licensed midwifes
					 training, philosophy of practice, information regarding the care team, transfer
					 of care plan, credentials and legal status, services to be provided,
					 availability of a complaint process both with NARM and the state, and relevant
					 Health Insurance Portability and Accountability Act (HIPAA)
					 disclosures.
(b) Access to the
					 midwifes practice guidelines.
(c)
					 Whether the licensed midwife is permitted to administer drugs and medications
					 pursuant to R 338.17137, which medications the licensed midwife carries for
					 potential use, if a medication is required by law, and if certain standard
					 medications are not available from the midwife, how and where the medications
					 can be obtained.
(d) Access to the
					 board of licensed midwifery rules.
(e) Whether the licensed midwife has
					 malpractice liability insurance coverage, and if so, the policy limitations of
					 the coverage. The patient must be informed of the coverage and policy
					 limitations both verbally and in writing.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 4 - PRACTICE, CONDUCT, AND CLASSIFICATION OF CONDITIONS › Section R. 338.17133 - Additional informed consent requirements

Current through Vol. 24-12, July 15, 2024
Rule 133.
(1)
					 Additional informed consent processes are required when a patient presents to a
					 licensed midwife under any of the following circumstances:
(a) Previous cesarean birth at the inception
					 of care.
(b) Fetus in a breech
					 presentation when it is likely in the midwifes judgment the fetus will present
					 in breech presentation at the onset of labor.
(c) Twin or multiple gestation at the time of
					 discovery by the midwife.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 4 - PRACTICE, CONDUCT, AND CLASSIFICATION OF CONDITIONS › Section R. 338.17135 - Emergent transfer of care

Current through Vol. 24-12, July 15, 2024
Rule 135.
(1) In
					 the following emergent circumstances, a licensed midwife shall immediately
					 arrange for transport of the patient to a hospital and notify hospital staff of
					 the transfer of care of the patient:
(a)
					 Mother:
(i) Seizures.
(ii) Unconsciousness.
(iii) Respiratory distress or
					 arrest.
(iv) Maternal shock
					 unresponsive to treatment.
(v)
					 Symptoms of maternal stroke.
(vi)
					 Symptoms of suspected psychosis.
(vii) Symptomatic cardiac arrhythmias or
					 chest pain.
(viii) Prolapsed
					 umbilical cord.
(ix) Symptoms of
					 uterine rupture.
(x) Symptoms of
					 placental abruption.
(xi) Symptoms
					 of preeclampsia or eclampsia.
(xii)
					 Severe abdominal pain inconsistent with normal labor.
(xiii) Symptoms of pulmonary or amniotic
					 fluid embolism.
(xiv) Symptoms of
					 chorioamnionitis that include the presence of a fever greater than 100.4
					 degrees Fahrenheit or 38.0 degrees Celsius and 2 of the following 3 signs:
					 uterine tenderness, maternal or fetal tachycardia, or foul/purulent amniotic
					 fluid.
(xv) Unresolved fetal
					 malpresentation not compatible with spontaneous vaginal delivery.
(xvi) Hemorrhage non-responsive to
					 therapy.
(xvii) Uterine
					 inversion.
(xviii) Persistent
					 uterine atony.
(xix) Symptoms of
					 anaphylaxis.
(xx) Failure to
					 deliver placenta within 2 hours in the third stage.
(xxi) Persistent abnormal vital
					 signs.
(xxii) Significant abnormal
					 bleeding prior to delivery, with or without abdominal pain.
(xxiii) Fetal distress evidenced by abnormal
					 fetal heart tones when birth is not imminent.
(xxiv) A single blood pressure reading of
					 greater than or equal to 160/110.
(xxv) Genital herpes lesions at the time of
					 delivery if the lesions cannot be covered by an occlusive dressing.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 4 - PRACTICE, CONDUCT, AND CLASSIFICATION OF CONDITIONS › Section R. 338.17136 - Prohibited conduct

Current through Vol. 24-12, July 15, 2024
Rule 136. An individual covered by these rules shall not
						perform the following acts:
(a) Except
					 as provided in R 338.17137, administer prescription drugs or
					 medications.
(b) Use vacuum
					 extractors or forceps.
(c)
					 Prescribe medications.
(d) Perform
					 surgical procedures other than episiotomies, repairs of perineal lacerations,
					 and clamping and cutting the umbilical cord.
(e) Knowingly accept sole responsibility for
					 prenatal or intrapartum care of a patient with any of the following risk
					 factors:
(i) Chronic significant maternal
					 cardiac, pulmonary, renal, or hepatic disease.
(ii) Malignant disease in an active
					 phase.
(iii) Insulin dependent
					 diabetes mellitus.
(iv) Active
					 tuberculosis.
(v) Active
					 syphilis.
(vi) Confirmed AIDS
					 status.
(vii) Current seizure
					 disorder requiring medication.
(viii) History of previous uterine
					 rupture.
(ix) Monoamniotic
					 twins.
(x) Opioid use
					 disorder.
(xi) Known uncontrolled
					 hypothyroidism.
(xii) Cushings
					 disease.
(xiii) Systemic lupus
					 erythematosus.
(xiv)
					 Antiphospholipid syndrome.
(xv)
					 Polyarteritis nodosa.
(xvi) Primary
					 genital herpes infection in pregnancy.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 4 - PRACTICE, CONDUCT, AND CLASSIFICATION OF CONDITIONS › Section R. 338.17137 - Administration of prescription drugs or medications

Current through Vol. 24-12, July 15, 2024
Rule 137.
(1)
					 Pursuant to section
					 17111 of the code, MCL
					 333.17111, a licensed midwife who
					 has appropriate pharmacology training and holds a standing prescription from an
					 appropriate health professional with prescriptive authority, is permitted to
					 administer the following prescription drugs and medications:
(a) Prophylactic vitamin K to an infant,
					 either orally or through intramuscular injection.
(b) Antihemorrhagic agents to a postpartum
					 mother after the birth of the infant.
(c) Local anesthetic for the repair of
					 lacerations to a mother.
(d) Oxygen
					 to a mother or infant.
(e)
					 Prophylactic eye agent to an infant.
(f) Prophylactic Rho(D) immunoglobulin to a
					 mother.
(g) Agents for group B
					 streptococcus prophylaxis, recommended by the federal Centers for Disease
					 Control and Prevention, to a mother.
(h) Intravenous fluids, excluding blood
					 products, to a mother.
(i)
					 Antiemetics to the mother.
(j)
					 Epinephrine.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 4 - PRACTICE, CONDUCT, AND CLASSIFICATION OF CONDITIONS › Section R. 338.17138 - Report patients data

Current through Vol. 24-12, July 15, 2024
Rule 138.
(1)
					 Unless the patient refuses, a licensed midwife shall report patient data to the
					 statistics registry maintained by midwives alliance of North Americas (MANA)
					 division of research (DOR), pursuant to MANAs policies and procedures, or a
					 similar registry maintained by a successor organization approved by the
					 board.
(2) A licensee shall
					 register with MANAs DOR.
(3)
					 Annually, by the date determined by MANA, a licensee shall submit patient data
					 on all completed courses of care in the licensees practice during the previous
					 12 months.
(4) During the first
					 year of licensure, a licensee shall submit data from the date of licensure to
					 the date determined by MANA.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Midwifery › Board of Midwifery › Part 5 - LICENSE RENEWAL AND CONTINUING EDUCATION › Section R. 338.17141 - License renewals; requirements; applicability

Current through Vol. 24-12, July 15, 2024
Rule 141.
(1) In
					 addition to meeting the requirements of section
					 16201 of the code, MCL
					 333.16201, an applicant for
					 renewal shall submit a completed application on a form provided by the
					 department, together with the requisite fee and, before renewal, shall hold the
					 credential of CPM from NARM, or equivalent credential approved by the
					 board.
(2) Pursuant to section
					 16201 of the code, MCL
					 333.16201, an applicant for
					 license renewal who has been licensed for the 2-year period immediately before
					 renewal shall accumulate all of the following, during the prior 2 years by the
					 end of the license cycle:
(a) Not less than 30
					 hours of continuing education that is met by obtaining or maintaining, the
					 credential of CPM from NARM, or an equivalent credential approved by the
					 board.
(b) One hour of continuing
					 education in pain and symptom management pursuant to section
					 16204(2) of
					 the code, MCL
					 333.16204. Acceptable methods of
					 continuing education in pain and symptom management includes online and
					 in-person presentations, courses or programs and may include, but is not
					 limited to, the following subject areas:
(i)
					 Behavior management.
(ii)
					 Psychology of pain.
(iii) Behavior
					 modification.
(iv) Stress
					 management.
(v) Clinical
					 applications as they relate to professional practice.
(c) Two hours of continuing education on
					 cultural awareness that include examination of disparate maternal infant
					 mortality and morbidity experienced by the African American and indigenous
					 populations. Acceptable methods of continuing education in cultural awareness
					 include online and in-person presentations, courses, programs, or reading an
					 article that is published in a peer-reviewed journal, health care journal, or
					 professional or scientific journal.
(d) Two hours of implicit bias training
					 required in R 338.7004. The implicit bias
					 training required in R 338.7004 may
					 also be used for credit for the cultural awareness training in subdivision (c)
					 of this subrule if the training meets all of the requirements in subdivision
					 (c) of this subrule.
(e) One hour
					 of continuing education in pharmacology applicable to the practice of
					 midwifery.
(f) Submit proof to the
					 department of meeting the human trafficking training required in
					 R 338.17111.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Nursing › Board of Nursing - General Rules › Part 1 - GENERAL PROVISIONS › Section R. 338.10101 - Definitions

Current through Vol. 24-12, July 15, 2024
Rule 101.
(1) As
					 used in these rules:
(a) "Board" means the
					 Michigan board of nursing.
(b)
					 "CASN" means the Canadian Association of Schools of Nursing.
(c) "CES" means the Credential Evaluation
					 Service.
(d) "CGFNS" means the
					 Commission on Graduates of Foreign Nursing Schools.
(e) "Code" means the public health code, 1978
					 PA 368, MCL
					 333.1101 to
					 333.25211.
(f) "CP" means the CGFNS Certification
					 Program.
(g) "Department" means the
					 department of licensing and regulatory affairs.
(h) "FBI" means the Federal Bureau of
					 Investigation.
(i) "JS&A" means
					 the Josef Silny & Associates, Inc. International Education
					 Consultants.
(j) "NACES" means the
					 National Association of Credential Evaluation Services.
(k) "NCSBN" means the National Council of
					 State Boards of Nursing.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Nursing › Board of Nursing - General Rules › Part 1 - GENERAL PROVISIONS › Section R. 338.10104 - Delegation

Current through Vol. 24-12, July 15, 2024
Rule 104.
(1)
					 Only a registered nurse may delegate nursing acts, functions, or tasks. A
					 registered nurse who delegates nursing acts, functions, or tasks shall do all
					 of the following:
(a) Determine whether the
					 act, function, or task delegated is within the registered nurse's scope of
					 practice.
(b) Determine the
					 qualifications of the delegatee before the delegation.
(c) Determine whether the delegatee has the
					 necessary knowledge and skills for the acts, functions, or tasks to be carried
					 out safely and competently.
(d)
					 Supervise and evaluate the performance of the delegatee.
(e) Provide or recommend remediation of the
					 performance when indicated.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Nursing › Board of Nursing - General Rules › Part 1 - GENERAL PROVISIONS › Section R. 338.10105 - Training standards for identifying victims of human trafficking; requirements

Current through Vol. 24-12, July 15, 2024
Rule 105.
(1)
					 Under section 16148 of the code, MCL
					 333.16148, the individual who is
					 licensed or seeking licensure shall have completed training in identifying
					 victims of human trafficking that meets the following standards:
(a) Training content must cover all of the
					 following:
(i) Understanding the types and
					 venues of human trafficking in this state or the United States.
(ii) Identifying victims of human trafficking
					 in healthcare settings.
(iii)
					 Identifying the warning signs of human trafficking in healthcare settings for
					 adults and minors.
(iv) Identifying
					 resources for reporting the suspected victims of human trafficking.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Nursing › Board of Nursing - General Rules › Part 1 - GENERAL PROVISIONS › Section R. 338.10199 - Rescission

Current through Vol. 24-12, July 15, 2024
Rule 199. R 338.1201 of the Michigan Administrative Code,
						appearing on page 2479 of the 1979 Michigan Administrative Code, is
						rescinded.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Nursing › Board of Nursing - General Rules › Part 2 - LICENSURE › Section R. 338.10202 - Examination; adoption; passing scores

Current through Vol. 24-12, July 15, 2024
Rule 202. The board approves and adopts the examinations
						developed by the NCSBN, identified as the "NCLEX-RN" for the registered nurse
						and the "NCLEX-PN" for the practical nurse. Examinees shall achieve a passing
						score on the NCLEX computerized adaptive test. The passing score is determined
						by the NCSBN.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Nursing › Board of Nursing - General Rules › Part 2 - LICENSURE › Section R. 338.10203 - Licensure by examination; registered professional nurse; requirements

Current through Vol. 24-12, July 15, 2024
Rule 203.
(1) An
					 applicant for licensure by examination shall submit a completed application on
					 a form provided by the department, together with the requisite fee.
(2) In addition to meeting the requirements
					 of R 338.7001 to R 338.7005, and any rules promulgated under the code, an
					 applicant shall satisfy the requirements of this rule.
(3) An applicant shall establish that the
					 applicant meets the eligibility requirements to sit for the NCLEX-RN
					 examination set forth in R 338.10204 and pass the NCLEX-RN
					 examination.
(4) An applicant shall
					 comply with section 16174(3) of the code, MCL
					 333.16174, by providing their
					 fingerprints to the department of state police to have a criminal background
					 check conducted by the state police and the FBI.
(5) An applicant shall satisfy the
					 requirements of section 16174(2) of the code, MCL
					 333.16174, including verification
					 from the issuing entity showing that disciplinary proceedings are not pending
					 against the applicant and sanctions are not in force at the time of
					 application.
Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Nursing › Board of Nursing - General Rules › Part 2 - LICENSURE › Section R. 338.10204 - Examinations; registered professional nurse; eligibility; reexaminations

Current through Vol. 24-12, July 15, 2024
Rule 204.
(1) To
					 determine eligibility for the NCLEX-RN examination, an applicant shall submit a
					 completed application on forms provided by the department, together with the
					 requisite fee.
(2) To be eligible
					 to take the NCLEX-RN examination, an applicant must establish that the
					 applicant has successfully completed a registered nurse education program that
					 satisfies 1 of the following:
(a) The program
					 is in this state and approved by the board.
(b) The program is accredited by
					 CASN.
(c) The program is located in
					 another state, and complies with either of the following:
(i) The program is accredited by a nursing
					 education accrediting agency listed in R 338.10303d(2).
(ii) If the program is not accredited by a
					 nursing education accrediting agency listed in R 338.10303d(2), the applicant
					 shall provide both of the following:
(A) The
					 applicant's official transcripts from the academic institution where the
					 nursing education program was completed.
(B) Either of the following:
(1) A letter to the department from the
					 program, on official program letterhead, signed by the director of nursing,
					 attesting that the program curriculum complies with both of the following:
(a) The registered nurse education program
					 includes courses providing theory and clinical practice that comply with R
					 338.10306 to R 338.10308.
(b) The
					 registered nurse education program curriculum contains the core curriculum for
					 registered professional nurse students, as that term is defined in R
					 338.10301(l).
(2) If the
					 program is closed, a letter from the state board of nursing where the program
					 was located attesting that the nursing program was in good standing when the
					 applicant completed the program.
(d) The program is a registered professional
					 nurse education program or an equivalent education program outside the United
					 States and, the applicant submits 1 of the following to the department that
					 shows the applicant graduated from a program with substantially equivalent
					 education credentials as a program approved by the board:
(i) A CES professional report from the CGFNS
					 or its successor agency.
(ii) A
					 certification from the CGFNS CP or its successor agency.
(iii) An Evaluation of Foreign Educational
					 Credentials for Boards of Nursing from JS&A.