Montana Code 37-27-302. Administration of prescription drugs — when prohibited — when allowed — protocols — rulemaking
37-27-302. Administration of prescription drugs — when prohibited — when allowed — protocols — rulemaking. (1) Except as provided in subsections (2) and (3), a licensed direct-entry midwife may not dispense or administer prescription drugs.
Terms Used In Montana Code 37-27-302
- Board: means the alternative health care board established in 2-15-1730. See Montana Code 37-27-103
- Direct-entry midwife: means a person who advises, attends, or assists a woman during pregnancy, labor, natural childbirth, or the postpartum period. See Montana Code 37-27-103
- United States: includes the District of Columbia and the territories. See Montana Code 1-1-201
(2)A licensed direct-entry midwife who has successfully completed accredited courses in pharmacology and intravenous therapy approved by the board and has obtained a license endorsement from the board may, during the practice of midwifery, directly obtain and administer the following:
(a)oxygen;
(b)postpartum antihemorrhagic agents, including:
(i)pitocin (intramuscular);
(ii)methylergonovine;
(iii)misoprostol;
(iv)tranexamic acid; and
(v)other postpartum antihemorrhagic drugs allowed by board rule;
(c)injectable local anesthetics for the repair of up to second-degree lacerations;
(d)antibiotics for group b streptococcus prophylaxis consistent with guidelines of the United States centers for disease control and prevention;
(e)epinephrine administered for anaphylactic shock;
(f)intravenous fluids for fluid replacement and administration of approved medications;
(g)rho(d) immune globulin to prevent maternal immune sensitization to certain fetal blood types;
(h)newborn vitamin K or phytonadione (oral or intramuscular preparations);
(i)in accordance with administrative rules adopted by the department of public health and human services, prophylactic eye agents to newborn infants; and
(j)other medications as prescribed by a medical practitioner or naturopathic physician, including the use of devices as defined in 37-2-101.
(3)A licensed direct-entry midwife who has successfully completed accredited courses in pharmacology pursuant to subsection (2) may, during the practice of midwifery:
(a)directly obtain terbutaline; and
(b)administer terbutaline to a patient when given a direct order to do so from a licensed physician.
(4)A licensed direct-entry midwife who administers drugs under this section must establish written protocol, including but not limited to:
(a)procurement of prescription drugs, which must be procured from a wholesale drug distributor or pharmacy supplier licensed by the board of pharmacy provided for in 2-15-1733;
(b)storage, inventory control, and disposal of prescription drugs; and
(c)use and care of prescription drugs.
(5)The board may adopt rules to implement this section.