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Archive of Practice
Guidelines |
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Generally-Accepted
Practices / characteristics of
clinical competency for professionals |
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Instructions for Review and Feedback
Background
Information & On-line Resources for the
"Generally-Accepted Practice / Characteristics of Clinical Competencies",
included in the hard-copy "Blue Book"
Coalition for Improving Maternity Services "Consensus Statement"
CIMS Mother-Friendly Childbirth Initiative
Alison Osborn Standards,
duties and guidelines of Practice for community-based midwifery
-- acknowledged by Administrative Law Judge in precedent-setting
California case
Maternity Center Association "Maternity-Wise" resources
The Rights of Childbearing Women"
Generally Accepted Practice / characteristics of clinical competency
Part One ~ Standard of Care Guidelines ~ 1a to 3d
for review by professionals, childbearing women and consumer advocates2nd Draft, including samples of informed consent for
home-based birth services & informed
decline of standardized maternity care (3a thru 3d)A - Letter of explanation for Expert Reviewers
B - Specific Instructions
If you are licensed in California, Please read the Expert Reviewer letter and instructions
before reading and commenting on the Characteristics of Competencies belowBoxed Subdirectories for1a -e, 2a, & 3a - d
1a Overview of Foundational Principles, pertinent background material from the Maternity Center Association on the Rights of Childbearing Women and Evidenced-Based Maternity Care 1b College of Midwives' British Columbia Guidelines Continued 9. Criteria for Client Selection and preliminary Consultation; Indications for Discussion, Consultation and Transfer of Care during the antepartal, intrapartum / neonatal & postpartum
10a. Criteria for LMs Attending Special Circumstances Birth/ Moderate Risk Labor at Home: 10b. Parental Waiver for VBAC1c Outline of Principles of Mother-Friendly Maternity Care
-- outline contains Legal and Ethical Principles of informed consent/refusal -- a background document for the "Criteria for Client Selection" (1b /part 9)1b Guidelines adapted from the College of Midwives of British Columbia, Canada (10-part)
1. Midwifery Model of Care
2. Philosophy of Care
3. Standards of Practice
4. Code of Ethics
5. Informed Choice Policy
6. Competencies for
Licensed Midwives
7. Statement on Home Birth
with Supportive Citations
8. Medical Interface & Emergency Transport from
Home to Hospital
1d Laboratory and other Screening and Diagnostic Testing, pre-June 2002 GBS protocol -- (needs to be updated); also former ACOG & Stanford protocols
1e Guideline for Postnatal Management following mild to moderate difficulties during birth at home
Legal issues 2a Midwife Incident Report forms for the CCM membership
Informed Consent / Special Circumstance Decline
3a Informed Consent for Home Labor and Birth
3b Informed Refusal of Standardized Care &/or Mfry/Mx protocols - Home-based Birth Services
3c Group B Streptococcal Infections ~ Client Information and Consent Form
(to be replaced on Feb 03)
Please Note: These are only SAMPLES of consent forms used by others and not meant to be used in their current form. Midwives are encouraged to utilize those aspects of the legal theory
and specific language appropriate to the individual circumstances of the pregnancy,
parents and modified to be consistent with any pertinent state laws.
Part Two -- Technical Bulletins,
Risk
Reduction
And Clinical Practice Recommendations, Peer-Reviewed journal Articles of
Note