(a) The CPM-TN may provide care for the low-risk client who is expected to have a normal pregnancy, labor, birth and postpartal phase in the setting of the mother’s choice. The CPM-TN shall form a collaborative care plan with a physician for all clients.
Consultation: means exchange of information and advice regarding the client condition and indicated treatment with a physician. See Tennessee Code 63-29-102
Physician: means a person who is duly licensed in the state of Tennessee to practice medicine by the state board of medical examiners or to practice osteopathy by the board. See Tennessee Code 63-29-102
signed: includes a mark, the name being written near the mark and witnessed, or any other symbol or methodology executed or adopted by a party with intention to authenticate a writing or record, regardless of being witnessed. See Tennessee Code 1-3-105
(b) The CPM-TN shall ensure that the client has signed an informed consent form. This form shall include information to inform the client of the qualifications of the CPM-TN.(c) For screening purposes only, the CPM-TN may order routine antepartal and postpartal laboratory analysis to be performed by a licensed laboratory. Abnormal findings would require a consultation with a physician.(d) The CPM-TN shall develop an emergency plan that shall be signed by the client and placed in the client chart at the initial visit. The emergency plan shall include documentation of the initial consultation with the physician previously referenced in subsection (a). The documentation shall also include referral and transfer plans for the patient in the event of an emergency. A copy of the plan shall be sent to the named physicians.(e) The CPM-TN shall determine the progress of labor and, when birth is imminent, shall be available until delivery is accomplished.(f) The CPM-TN shall remain with the postpartal mother during the postpartal period until the conditions of the mother and newborn are stabilized.(g) The CPM-TN shall instruct the parents regarding the requirements of § 68-5-202.(h) The CPM-TN shall instruct the parents regarding the requirement of § 68-5-401.(i) The CPM-TN shall maintain a birth certificate for each birth in accordance with the requirements of title 68. A copy of the birth certificate shall be filed with the department.(j) The CPM-TN shall practice in compliance with the rules and regulations promulgated pursuant to this chapter.
