Section 4.07. Limitations on the scope of practice.  


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  • (1)  The nurse-midwife shall not independently manage those complications that require referral pursuant to the written agreement.
    (2)  The nurse-midwife may not perform deliveries by forceps or Caesarean section. The nurse-midwife may use vacuum extractors only in emergency delivery situations.
    (3)  The nurse-midwife may not assume responsibilities, either by physician-delegation or otherwise, which he or she is not competent to perform by education, training or experience.
    (4)  Following notification of a physician as required by s. 441.15 (4) , Stats., a nurse-midwife may continue to manage the delivery when complications occur if emergency measures are required and the physician has not yet arrived.
History: Cr. Register, December, 1981, No. 312 , eff. 1-1-82; renum. from N. 6.06, Register, September, 1985, No. 357 , eff. 10-1-85; CR 03-009 : am. (1) and (2) Register November 2003 No. 575 , eff. 12-1-2003.