reglab/statecodes huggingface dataset:
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 5 - Midwife Practice › Section 310:395-5-7 - Assessments and care antepartum and intrapartum

Current through Vol. 41, No. 20, July 1, 2024
(a)
Antepartum.
The
				responsibilities of the Licensed Midwife shall include, but are not limited to:
(1) Initial Prenatal Visit:
(A) A Licensed Midwife shall perform a
				history, physical exam, and laboratory studies for risk evaluation including:
(i) Complete history (medical, surgical,
				family, psychosocial, obstetrical, gynecological);
(ii) Evaluation of medications: including
				prescriptions, over the counter, including homeopathic treatments or
				supplements, and illegal drugs;
(iii) Evaluation of allergies including
				medications, foods, or environmental factors; and
(iv) A physical exam:
(I) Height;
(II) Weight;
(III) Blood pressure;
(IV) Pulse;
(V) Temperature;
(VI) Breasts, including teaching on
				self-exam;
(VII) Abdomen, including
				fundal height, fetal heart tones;
(VIII) Estimation of gestational age by
				physical findings; and
(IX)
				Assessment of varicosities, edema, and reflexes;
(v) Laboratory tests and screenings: The
				following laboratory tests/screens shall be required:
(I) Blood group type, Rhesus (Rh) type,
				Antibody Screen;
(II) Complete
				Blood Count (CBC);
(III) Rubella
				Titer;
(IV) Hepatitis B Surface
				Antigen;
(V) Syphilis serology;
(VI) Human Immunodeficiency
				Screening; and
(VII) Urinalysis
				(culture if indicated);
(vi) Recommended laboratory tests and
				screenings: The following laboratory tests/screens shall be recommended:
(I) Genetic Screening;
(II) Chlamydia Trachomatis;
(III) Neisseria gonorrhoeae;
(IV) Trichomonas; and
(V) Drug screen with testing if
				indicated.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 5 - Midwife Practice › Section 310:395-5-8 - Required medical consultation or referral, antepartum and intrapartum periods

Current through Vol. 41, No. 20, July 1, 2024
(a) The Licensed
				Midwife shall make an immediate Referral for any woman who during the
				antepartum period:
(1) Develops edema of the
				face and hands, severe, persistent headaches, epigastric pain, or visual
				disturbances concerning for preeclampsia;
(2) Develops eclampsia;
(3) Develops a systolic blood pressure of 140
				or greater or diastolic blood pressure of 90 or greater on two separate
				occasions 4 hours apart, or develops a systolic blood pressure over 150 or
				greater or a diastolic blood pressure of 100 or greater on a single
				reading;
(4) Has persistent, frank
				vaginal bleeding before onset of labor;
(5) Has rupture of membranes prior to 37
				weeks gestation;
(6) Has marked
				decrease in or cessation of fetal movement;
(7) Has polyhydramnios or
				oligohydramnios;
(8) Develops
				gestational diabetes by history or testing, unresponsive to dietary and
				exercise changes per American Diabetes Association (ADA) guidelines within two
				(2) weeks of implementing dietary and lifestyle changes;
(9) Has sexually transmitted infection
				including but not limited to, HIV, Syphilis, and HSV-1 or HSV-2 with an active
				infection or prodromal symptoms in the last trimester or at time of delivery;
				or
(10) Identifies twins other than
				di/di.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 5 - Midwife Practice › Section 310:395-5-9 - Required Newborn care

Current through Vol. 41, No. 20, July 1, 2024
(a) The Licensed
				Midwife shall be responsible for Newborn care immediately following the
				delivery and care of the healthy Newborn for the first six (6) weeks unless
				care is transferred to a physician or APRN specializing in the care of infants
				and children before that. The midwife should provide a recommendation to a
				physician or APRN specializing in the care of infants and children and
				encourage the Client to schedule a Newborn appointment within fourteen (14)
				days. This does not preclude the Licensed Midwife from providing counseling
				regarding routine Newborn care and breastfeeding.
(b) The following services may be provided by
				the Licensed Midwife as part of immediate Newborn care:
(1) Prevent heat loss by the Newborn;
(2) Assess presence of meconium;
(3) Assess Newborn's status at
				birth as vigorous or non-vigorous;
(4) Immediately after delivering the entire
				body, suction mouth, then nose, if needed;
(5) Clamp and cut the cord;
(6) Determine Apgar scores at one (1) and
				five (5) minutes after delivery;
(7) The Licensed Midwife shall ensure that
				Vitamin K is available at the time of delivery. If refused, the Licensed
				Midwife shall document the refusal;
(8) The Licensed Midwife shall ensure that
				erythromycin is available at the time of delivery. If refused, the Licensed
				Midwife shall document the refusal;
(9) The Licensed Midwife shall observe and
				record:
(A) Skin color and tone;
(B) Heart rate;
(C) Respiration rate and character;
(D) Estimated gestational age;
				indicate average, small, or large for gestational age;
(E) Axillary temperature; and
(F) Weight, length, and head circumference.
(10) Obtain cord blood
				for Rh and antibody screen if mother is Rh negative; and
(11) Administer a pediatric Hepatitis B
				vaccine within 12 hours of birth unless refused in accordance with OAC
				310:395-5-14 of this Chapter.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 5 - Midwife Practice › Section 310:395-5-10 - Required medical consultation or referral during newborn care

Current through Vol. 41, No. 20, July 1, 2024
(a) The Licensed Midwife will make an
				immediate Referral to a physician of an infant with:
(1) Apgar score of less than seven (7) at
				five (5) minutes or less than seven (7) at ten (10) minutes;
(2) Abnormal cry;
(3) Medically significant anomaly;
(4) Respiratory distress;
(5) Cardiac irregularities;
(6) Cardio Pulmonary Resuscitation efforts
				initiated;
(7) Signs of
				hypoglycemia such as but not limited to tremors, apnea, lethargy, poor feeding,
				poor muscle tone, weak or high-pitched cry, hypothermia, cyanosis, seizures;
(8) Persistent Newborn temperature
				below 97 or above 100.4 degrees;
(9) Heart rate > 160 bpm or < 100 bpm;
(10) Birth weight less than 2500
				grams and with any of the following;
(A)
				Lethargy;
(B) Low temperature;
(C) Poor suck; or
(D) Jitteriness.
(11) SpO2 (pulse oxygenation) outside of NRP
				(Neonatal Resuscitation Program) guidelines or failed CCHD (critical congenital
				heart disease) pulse oximetry screening; or
(12) Cyanosis, pallor or abnormal color that
				does not resolve within the expected time frame.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 5 - Midwife Practice › Section 310:395-5-11 - Postpartum care

Current through Vol. 41, No. 20, July 1, 2024
(a) Licensed Midwife
				responsibilities shall include, but are not limited to:
(1) The Licensed Midwife shall remain with
				the mother and infant for a minimum of two (2) hours postpartum, or until the
				mother's fundus is firm, lochia normal, mother has voided, mother and infant
				vitals are within Normal range and the Newborn has fed, whichever is longest;
(2) The Licensed Midwife shall
				conduct a thorough genital exam for laceration and make necessary repairs
				unless it is outside his or her training or skill level;
(3) In case of an unsensitized Rh negative
				mother, the Licensed Midwife shall obtain a sample of cord blood from the
				placenta and arrange for testing within twenty-four (24) hours of the birth and
				recommend the mother receive Rh immunoglobulin (Rhlg) as indicated within
				seventy-two (72) hours of delivery; and
(4) Recommended post-partum schedule:
(A) At least one (1) postpartum visit within
				twenty-four (24) to forty-eight (48) hours after the birth;
(B) A second visit at day five (5) or six (6)
				from birth;
(C) Provide a
				subsequent visit by two (2) and six (6) weeks postpartum to evaluate the
				condition of the mother and Newborn; and
(D) Major deviations from this schedule
				should be documented in the Client's file.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 5 - Midwife Practice › Section 310:395-5-12 - Emergency measures

Current through Vol. 41, No. 20, July 1, 2024
(a) When an
				emergency transfer is required, the Licensed Midwife shall:
(1) Alert Emergency Medical Service (EMS) to
				arrange for immediate transport or arrange transport by private vehicle as the
				situation indicates;
(2) Make a
				reasonable effort to contact the health care professional or institution to
				whom the Client will be transferred; and
(3) Continue to provide emergency care, as
				indicated by the situation, before and during transport to the appropriate
				facility.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 5 - Midwife Practice › Section 310:395-5-13 - Formulary

Current through Vol. 41, No. 20, July 1, 2024
(a) A Licensed Midwife shall not administer a
				prescription drug to a Client other than as provided in this section or as
				ordered by a licensed prescriber for the benefit of the mother or Newborn:
(1) Oxygen for fetal or maternal distress and
				infant resuscitation;
(2) Local
				anesthetic (topical, intramuscular, or subcutaneous) for the purpose of
				postpartum repair of tears, lacerations, or episiotomy (no controlled
				substances);
(3) Rh
				immunoglobulin;
(4) Antibiotics for
				GBS prophylaxis per CDC guidelines;
(5) Vitamin K, for control of bleeding in the
				Newborn;
(6) Ophthalmic
				preparations for Newborn eye care;
(7) Epipen (0.3 mg) or generic equivalent for
				allergic reactions;
(8)
				Antihemorrhagic medications only permitted for postpartum control of maternal
				hemorrhage limited to oxytocin, hemabate, misoprostol, and methergine;
(9) Resuscitation supplies and
				equipment (this does not include the use of intubation equipment);
(10) Any supplies or equipment necessary to
				administer the above;
(11)
				Pediatric dose of the Hepatitis B vaccine; and
(12) IV fluids for medication administration,
				dehydration, or treatment of hypovolemia while awaiting EMS.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 5 - Midwife Practice › Section 310:395-5-14 - Universal birth dose hepatitis B vaccination

Current through Vol. 41, No. 20, July 1, 2024
(a) Licensed Midwives shall implement a
				procedure to ensure that the hepatitis B vaccination is administered to all
				live infants within twelve (12) hours of birth and recorded in the Oklahoma
				State Immunization Information System. A parent or legal guardian may refuse
				hepatitis B vaccination of their Newborn on the grounds of medical reasons or
				that such vaccination conflicts with their religious tenets or personal
				beliefs. A refusal based on the parent's or legal guardian's religious tenets
				or personal beliefs shall be documented in the Newborn's medical record and
				provided to the parent or legal guardian.
(b) Prior to the administration of the
				hepatitis B vaccine, the Licensed Midwife shall provide a copy to keep of the
				current Vaccine Information Statement (VIS) produced by the CDC to the parent
				or legal guardian of the Newborn as required under the National Childhood
				Vaccine Injury Act (42 U.S.C. §
										300aa-26) .
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 5 - Midwife Practice › Section 310:395-5-15 - Record keeping

Current through Vol. 41, No. 20, July 1, 2024
(a) All Licensed
				Midwives shall keep accurate and complete physical or electronic records of all
				care provided and data gathered for each Client.
(b) The Licensed Midwife shall maintain an
				individual Client chart for each woman under his or 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 Client's care. Inactive records shall be
				maintained no less than twenty-five (25) years (age of majority +7). All
				records are subject to review by the Department and shall be provided to the
				Department upon request.
(c)
				Licensed Midwives shall be responsible for complying with the applicable state
				and federal regulations in regard to the security, safety and confidentiality
				of any medical record they create, maintain, transfer, or destroy whether the
				record is written, taped, computerized, or stored in any other medium.
(d) Licensed Midwives shall
				provide the Client with a copy of the Client's record in accordance with state
				law. In situations involving multiple Clients, access to records is limited to
				those parts of records that do not include confidential information related to
				another Client.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 5 - Midwife Practice › Section 310:395-5-16 - Reporting to the Department

Current through Vol. 41, No. 20, July 1, 2024
(a)
				Licensed Midwives shall follow the reporting provisions set forth in Title 63
				O.S. §
									1-311
				Birth Certificates-filing-contents, 63 O.S. § 1-317 Death
				Certificate-Filing-Contents, 63 O.S. § 1-318 Fetal Death
				Certificate-Filing-contents, 63 O.S. § 324.1 Birth, Death or Stillbirth
				Certificates-Unlawful Acts-Penalties, and the rules and regulations set forth
				in OAC 310:105.
(b) Licensed
				Midwives shall file a certificate of birth with the State Registrar for each
				live birth they have facilitated in the State of Oklahoma within seven (7) days
				after the birth. When a birth occurs outside an institution, the certificate
				shall be prepared and filed by the Licensed Midwife via the electronic system
				used by the Department.
(c)
				Licensed Midwives shall report to the Department any criminal convictions that
				happen while holding an active license. The Department will provide this
				information to the Advisory Committee on Midwifery.
(d) Licensed Midwives shall file a report of
				any maternal or fetal death within seven (7) days to the OSDH division that
				licenses midwives which can be found at
http://chs.health.
ok.gov.
(e) Licensed Midwives shall file a report of
				any severe maternal or neonatal morbidity events per CDC guidelines within 30
				days to the OSDH division that licenses midwives from their initial license
				until their first renewal. After their first renewal these items may be
				reported on the yearly report referenced in section (f).
(f) Licensed Midwives shall file a report
				with the Department by the last day of January for the previous calendar year
				that states:
(1) The number of women for whom
				care was provided;
(2) The number
				deliveries performed;
(3) The
				number of prenatal transfers;
(4)
				The number of transfers during labor, delivery and immediately following birth;
(5) The number of perinatal
				deaths, including cause of death, and description of circumstance;
(6) The number and outcome of VBAC, multiple,
				and breech births; and
(7) The
				number of fetal loss after 20 weeks gestation.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 5 - Midwife Practice › Section 310:395-5-18 - Newborn screening

Current through Vol. 41, No. 20, July 1, 2024
(a) The Licensed
				Midwife shall ensure screening and testing of Newborns in accordance with 63
				O.S. §§ 1-543 to 1-545; OAC 310:550; and these Rules.
(1) Blood Spot Screening:
(A) For all Newborns who are not born in a
				hospital, the Licensed Midwife shall collect and submit a satisfactory Newborn
				screening blood specimen as early as possible after twenty-four (24) hours of
				age;
(B) If the initial specimen is
				collected at or less than twenty-four (24) hours of age, the Licensed Midwife
				is responsible for ensuring a repeat screen is collected as soon as possible
				after twenty-four (24) hours of age. If a sample is not collected, the Licensed
				Midwife shall immediately notify the infant's physician, if available, parents,
				and the Newborn Screening Program at the Department;
(C) Specimens shall be obtained with a
				Newborn Screening Form Kit and be collected in accordance with the standard for
				Blood Collection on Filter Paper for Newborn Screening Programs, NBS01-A6,
				Sixth Edition, as adopted and published by the Clinical and Laboratory
				Standards Institute on July 31, 2013. Failure to follow these methods of blood
				collection may cause inaccurate results, or unsatisfactory specimen results,
				that require repeat collection;
(D)
				The Licensed Midwife shall implement a procedure to ensure that the Newborn
				screening blood specimen has been collected on every Newborn and transported to
				the Oklahoma State Department of Health Newborn Screening Laboratory within
				twenty-four (24) to forty-eight (48) hours of collection. Specimens should be
				transported in the manner designated by the Department and Newborn Screening
				Laboratory;
(E) The Licensed
				Midwife is responsible for ensuring that employees who collect, and/or handle
				Newborn screening blood specimens are informed of their responsibilities with
				respect to screening procedures; and
(F) Unless the Licensed Midwife has indicated
				another health care provider is providing follow up care for the Newborn on the
				Newborn Screening Form Kit, upon written notification by the Newborn Screening
				Program of follow up requirements for a Newborn screen result of abnormal,
				unsatisfactory, or for specimens collected from a Newborn at or less than
				twenty-four (24) hours of age, the Licensed Midwife or designee will ensure
				that required repeat screening, confirmatory testing, or diagnostic studies are
				performed in the timeframe specified so that therapy, when indicated, can be
				initiated expediently.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 5 - Midwife Practice › Section 310:395-5-19 - Completion and filing of forms and records

Current through Vol. 41, No. 20, July 1, 2024
(a) All certificates and records filed with
				the Department under the Act and this Chapter shall be submitted electronically
				or in legible non-fading black ink.
(b) All blanks and forms shall be prepared in
				accordance with instructions of the Commissioner. No form or blank shall be
				considered complete and correct or acceptable for filing that:
(1) Does not supply all of the items of
				information called for thereon, or satisfactorily account for their omission;
(2) Contains alterations or
				erasures;
(3) Does not contain
				genuine signatures;
(4) Is marked
				"copy" or "duplicate";
(5) Is a
				carbon copy;
(6) Is prepared on an
				improper form; or
(7) Contains any
				data relative to the putative father of a child born out of wedlock without his
				written consent, or unless determined by a court of competent jurisdiction.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
(a) This Subchapter ensures that all
				applicants meet the requirements specified in the Act.
(b) Unless otherwise indicated, an applicant
				shall submit all required information and documentation of credentials on
				official Department forms and in the manner prescribed by the Department.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-2 - Qualifications of licensure

Current through Vol. 41, No. 20, July 1, 2024
To be eligible for licensure as a Licensed Midwife, an
				  applicant shall:
(1) Be at least 18
				years of age and have graduated from high school or possess a graduate
				education diploma (GED);
(2) Be a
				citizen or lawfully authorized to reside and be employed in the United States;
(3) Be currently certified in
				cardiopulmonary resuscitation (CPR) for health care providers by the American
				Heart Association or equivalent;
(4) Be currently certified in neonatal
				resuscitation by the American Academy of Pediatrics or equivalent;
(5) Be currently certified from the North
				American Registry of Midwives, American Midwife Certification Board, or
				successor organization approved by the Commissioner;
(6) Be currently certified in blood borne
				pathogen training from the American Red Cross or equivalent;
(7) Have a successful completion of a
				background check; and
(8) Provide
				proof of completion of coursework or a training certificate within the last
				three (3) years in administration of medicine that includes injections and IV
				administration.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-3 - Application materials and forms

Current through Vol. 41, No. 20, July 1, 2024
(a) Each
				application shall include the following documents:
(1) Application form;
(2) Official documentation showing the
				applicant meets the requirements listed in OAC 310:395-7-2; and
(3) Fee(s).
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-4 - Issuance of license

Current through Vol. 41, No. 20, July 1, 2024
(a) If the
				qualifications and requirements are complete, and they have been reviewed and
				approved by the Committee, the Department will notify the applicant and issue a
				license to engage in the practice of Midwifery.
(b) The Commissioner will issue a license
				certificate, which contains the licensee's name, license number, and expiration
				date.
(c) All licenses issued by
				the Commissioner shall remain the property of the Department and be surrendered
				on demand.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-5 - Denial of license

Current through Vol. 41, No. 20, July 1, 2024
If the Commissioner denies any application or request for
				  licensure, the applicant or requestor shall be notified of the Commissioner's
				  decision within thirty (30) days.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-6 - Responsibility

Current through Vol. 41, No. 20, July 1, 2024
Each Licensed Midwife is responsible for renewing the license
				  before the expiration date.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-7 - Licensing period

Current through Vol. 41, No. 20, July 1, 2024
The initial license and any renewal will expire three (3)
				  years from the date of issuance unless renewed.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-8 - Requirements for renewal

Current through Vol. 41, No. 20, July 1, 2024
Requirements for renewal include the following:
(1) Compliance with the Act and this Chapter;
(2) Documentation of current
				certifications listed in OAC 310:395-7-2 of this Chapter with the exceptions of
				(1) and (7); and
(3) Payment of the
				renewal fee(s).
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-9 - Renewal notification

Current through Vol. 41, No. 20, July 1, 2024
The Department shall provide a notice of expiration to the
				  licensee at least forty-five (45) days prior to the expiration date of the
				  Licensed Midwife's license.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-10 - Failure to renew

Current through Vol. 41, No. 20, July 1, 2024
(a) If the licensee
				fails to renew the license by the expiration date, the Department shall send a
				notification that shall include the following:
(1) Suspension of the license and forfeiture
				of rights and any privilege granted pursuant to the license; and
(2) The Licensed Midwife has the right to
				reinstate the license by payment of the renewal fee and the late renewal fee
				and fulfillment of all other renewal requirements for up to one (1) year
				following the suspension of the license.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-11 - Return of license

Current through Vol. 41, No. 20, July 1, 2024
(a) Licenses not
				renewed within the one (1) year re-instatement period must reapply as an
				initial applicant.
(b) A licensee
				may voluntarily surrender his or her license to the Department. Once
				voluntarily surrendered, a midwife must reapply as an initial
				applicant.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-12 - Misrepresentation

Current through Vol. 41, No. 20, July 1, 2024
A Licensed Midwife whose license has been inactivated,
				  suspended, or revoked and continues to represent themselves as a Licensed
				  Midwife, is in violation of the Act and shall be reported for prosecution.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-13 - Schedule of fees

Current through Vol. 41, No. 20, July 1, 2024
(a)
Application and renewal fee.
One thousand dollars ($1000.00) shall
				be submitted with the application form for the initial license or upon renewal
				of a license. Renewal payments shall be submitted before the license
				expires.
(b)
Late renewal
				fee.
An additional one hundred dollars ($100.00) shall be submitted to
				the Department if the license is 30 days past the expiration date. If the
				license is expired by ninety (90) days or more, the late fee will increase to
				two hundred and fifty dollars ($250.00).
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-14 - Method of payment

Current through Vol. 41, No. 20, July 1, 2024
All fees shall be paid to the Department. Payment of fees may
				  be made by credit card or other electronic means, if acceptable by the
				  Department. Any check returned to the Department for non-payment and any credit
				  card payment that is cancelled or retracted will void the
				  license.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 7 - Application for Licensure, Fees, and Continuing Education › Section 310:395-7-15 - Continuing education requirement

Current through Vol. 41, No. 20, July 1, 2024
A Licensed Midwife shall complete the required continuing
				  education to maintain continuous certification as a midwife by the North
				  American Registry of Midwives, the American Midwifery Certification Board or a
				  successor organization approved by the Commissioner.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 9 - Enforcement › Section 310:395-9-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
This Subchapter specifies the administration of complaints
				  and the filing of disciplinary actions against Licensed Midwives or against
				  persons who practice Midwifery without a license or
				  exemption.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 9 - Enforcement › Section 310:395-9-2 - Complaints

Current through Vol. 41, No. 20, July 1, 2024
(a) Any person may file a complaint against a
				midwife. A person wishing to report a complaint or alleged violation against a
				licensee or person practicing Midwifery may notify the Department. The
				Department will bring all complaints to the Committee for review.
(b) The complaint and the identity of the
				complainant shall be confidential and shall not be available for public
				inspection.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 9 - Enforcement › Section 310:395-9-3 - Investigation

Current through Vol. 41, No. 20, July 1, 2024
If the Department has reason to believe that a possible
				  violation of the Act or this Chapter has occurred, the Department may commence
				  an investigation.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 9 - Enforcement › Section 310:395-9-5 - Hearing

Current through Vol. 41, No. 20, July 1, 2024
Hearings shall be conducted by the Commissioner or the
				  Commissioner's designee as specified in OAC 310:2. The Advisory Committee on
				  Midwifery shall be consulted on all hearings and make recommendations. The
				  Department shall recommend the most appropriate penalty at the conclusion of
				  the evidence.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 9 - Enforcement › Section 310:395-9-6 - Final order

Current through Vol. 41, No. 20, July 1, 2024
The Department, either by order of the Commissioner or his
				  designee, shall issue a final order on all disciplinary matters. Final orders
				  are appealable under the Administrative Procedures Act, 75 O.S. §§
				  250
et seq
., to the district courts.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 9 - Enforcement › Section 310:395-9-7 - Unauthorized practice

Current through Vol. 41, No. 20, July 1, 2024
Any person claiming to be a CPM or CM found to be practicing
				  Midwifery without being either properly licensed or exempt shall be ordered to
				  cease practicing and may be subject to an administrative penalty. The
				  Department may seek the assistance of the courts if the unauthorized practice
				  of Midwifery continues.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 395 - Licensed Midwives › Subchapter 9 - Enforcement › Section 310:395-9-8 - Administrative penalties

Current through Vol. 41, No. 20, July 1, 2024
(a) The Department
				may assess an administrative penalty against an individual if the order
				includes a finding that the individual violated any of the following:
(1) Any provision of the Act, including
				practicing Midwifery without licensure or exemption;
(2) Any rule within this Chapter; or
(3) Any order issued pursuant to
				this Chapter.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 1 - General Provisions › Section 310:400-1-1 - Purpose

Current through Vol. 41, No. 20, July 1, 2024
The rules in this Chapter implement the Marital and Family
				  Therapist Licensure Act, 59 O.S. Section
				  1925.1 et
				  seq.
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Amended at 24 Ok
				  Reg 1957, eff 6-25-07
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 1 - General Provisions › Section 310:400-1-2 - Consumer information

Current through Vol. 41, No. 20, July 1, 2024
(a)
Roster.
Each year the Department shall publish a roster of
				Licensed Marital and Family Therapists (LMFTs). The roster of LMFT's shall
				include but not be limited to the name, academic degree under which the license
				is held, preferred mailing address, telephone number and license
				number.
(b)
Brochure.
The Department shall prepare information of consumer interest, which describes
				the regulatory functions of the Advisory Board and Department procedures to
				handle and resolve consumer complaints.
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Amended at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Amended at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 1 - General Provisions › Section 310:400-1-3 - Definitions

Current through Vol. 41, No. 20, July 1, 2024
When used in this Chapter, the following words or terms shall
				  have the following meaning unless the context of the sentence requires another
				  meaning:
"Approved LMFT supervisor"
means an individual
				  who meets the qualifications to become an approved supervisor and is approved
				  by the Department as set forth in Section
				  310:400-11-3
				  of this Chapter.
"Extra therapeutic relationship"
means a
				  familial, social, financial, business, professional, close personal, sexual or
				  other non-counseling relationship with a client, or engaging in any activity
				  with another person that interferes or conflicts with the LMFT's professional
				  obligation to a client.
"Forensic services"
means the application of
				  knowledge, training and experience from the mental health field to the
				  establishment of facts and/or the establishment of evidence in a court of law
				  or ordered by a court of law.
"Home-study or technology-assisted distance
				  learning"
refers to the delivery of graduate coursework or continuing
				  education through mailed correspondence or other distance learning
				  technologies, which focuses on synchronous or asynchronous instructional
				  delivery methods. Home-study or technology-assisted distance learning is
				  designed to deliver education to learners who are not in the direct physical
				  presence of the educator.
"OAC"
means the Oklahoma Administrative
				  Code.
"On-site supervisor"
means a person who may not
				  be an approved LMFT supervisor but is licensed in the State of Oklahoma as a
				  Licensed Marital and Family Therapist, Licensed Professional Counselor,
				  Licensed Behavioral Practitioner, Psychologist, Clinical Social Worker,
				  Psychiatrist, or Licensed Alcohol and Drug Counselor employed by the agency
				  employing the LMFT Candidate whose assigned job duties include acting as the
				  immediate supervisor to the LMFT Candidate.
"Technology-assisted supervision"
refers to
				  supervision that occurs through video teleconferencing, over secure internet
				  connections, wherein an Approved LMFT Supervisor and a Licensed Marital and
				  Family Therapist Candidate are in separate physical locations.
				  Technology-assisted supervision must be approved by the Department prior to the
				  accrual of hours. Factors to be considered by the Department include: distance
				  between approved supervisor and candidate; financial hardship on approved
				  supervisor or candidate; physical hardship on approved supervisor or candidate;
				  specialty credentials; and other pertinent factors.
Added at 24 Ok Reg 1957, eff 6-25-07; Amended
				  at 26 Ok Reg 2015, eff 6-25-09; Amended at 30 Ok Reg 1953, eff
				  7-25-13
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 1 - General Provisions › Section 310:400-1-4 - Applicability

Current through Vol. 41, No. 20, July 1, 2024
Every duty, obligation or requirement described in this
				  Chapter and imposed upon a LMFT shall be applicable to every licensed marital
				  and family therapist candidate, unless specifically provided
				  otherwise.
Added at 24 Ok Reg 1957,
				  eff 6-25-07
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-1 - Statutory requirements

Current through Vol. 41, No. 20, July 1, 2024
In addition to those operations described in Section 1925.5
				  of the LMFT Act, the Advisory Board operations in this Chapter are to be in
				  effect.
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Amended at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Amended at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-2 - Officers

Current through Vol. 41, No. 20, July 1, 2024
(a)
Chairman.
The Chairman shall
				preside at all meetings at which he or she is in attendance and perform all
				duties prescribed by law or Board. The Chairman is authorized by the Advisory
				Board to make day-to-day decisions regarding Advisory Board activities in order
				to facilitate the responsiveness and effectiveness of the Advisory
				Board.
(b)
Vice-chairman.
The Vice-Chairman shall perform the duties of the
				Chairman in case of the absence or disability of the Chairman. In case the
				office of the Chairman becomes vacant, the Vice-Chairman shall serve as
				Chairman until a successor is named.
(c)
Secretary.
In the absence of
				the Chairman and Vice-Chairman, the Secretary will preside until the Chairman
				or Vice-Chairman is present.
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Amended at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Amended at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-3 - Administrator [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Revoked at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Revoked at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-4 - Transactions of official business [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Revoked at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Revoked at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-5 - Agendas [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Revoked at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Revoked at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-6 - Minutes [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Revoked at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Revoked at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-7 - Rules of order

Current through Vol. 41, No. 20, July 1, 2024
Robert's Rules of Order Revised shall be the basis of
				  parliamentary decisions except as otherwise provided by Advisory Board
				  rules.
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Amended at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Amended at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-8 - Official records [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Revoked at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Revoked at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-9 - Sub-committees

Current through Vol. 41, No. 20, July 1, 2024
(a) The Chairman with the approval of the
				Advisory Board may establish sub-committees deemed necessary to carry out
				Advisory Board responsibilities.
(b) The Chairman shall appoint the members of
				the Advisory Board to serve on sub-committees.
(c) The Chairman may appoint non Advisory
				Board members to serve as sub-committee members on a consultant or voluntary
				basis subject to Advisory Board approval.
(d) Sub-committee Chairman shall make regular
				reports to the Advisory Board in interim written reports and/or at regular
				meetings.
(e) Sub-committees shall
				direct all reports or other materials to the Director for
				distribution.
(f) Sub-committees
				shall meet when called by the Chairman or when so directed by the Advisory
				Board.
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Amended at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Amended at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-10 - Impartiality [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Revoked at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Revoked at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-11 - Discrimination policy [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Revoked at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Revoked at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-12 - Policy on handicapped applicants [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Revoked at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Revoked at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 3 - Advisory Board Operations › Section 310:400-3-13 - Seal [REVOKED]

Current through Vol. 41, No. 20, July 1, 2024
Added at 8 Ok Reg 2983,
				  eff 6-12-91 (emergency); Added at 9 Ok Reg 1461, eff 5-1-92; Revoked at 17 Ok
				  Reg 3436, eff 8-29-00 (emergency); Revoked at 18 Ok Reg 1688, eff
				  5-25-01
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 5 - Rules of Professional Conduct › Section 310:400-5-2 - Confidentiality

Current through Vol. 41, No. 20, July 1, 2024
(a) LMFTs have unique confidentiality
				problems because the "client" in a therapeutic relationship may be more than
				one person. The overriding principle is that LMFTs respect the confidences of
				their client(s).
(b) LMFTs shall
				not disclose client records and confidences to anyone, except:
(1) as mandated by law;
(2) to prevent a clear and immediate danger
				to a person or persons;
(3) where
				the LMFT is a defendant in a civil, criminal, or disciplinary action rising
				from the therapy (in which case client confidences may be disclosed only in the
				course of that action);
(4) if
				there is a waiver previously obtained in writing, and then such information may
				be revealed only in accordance with the terms of the waiver.
Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 400 - Licensed Marital and Family Therapists › Subchapter 5 - Rules of Professional Conduct › Section 310:400-5-3 - Professional competence and integrity

Current through Vol. 41, No. 20, July 1, 2024
(a)
				LMFTs are dedicated to maintaining high standards of professional competence
				and integrity.
(b) LMFTs are
				presumed to have violated high standards of integrity or competence if they:
(1) are convicted of a felony;
(2) are convicted of a misdemeanor (related
				to their qualifications or functions);
(3) engage in conduct which could lead to
				conviction of felonies, or misdemeanors related to their qualifications or
				functions;
(4) have their licenses
				or certificates suspended or revoked; or
(5) are no longer competent to practice
				marital and family therapy because they are impaired due to physical or mental
				causes or the abuse of alcohol or other substances.