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Code · Montana · Title 37 — Professions and Occupations · Chapter 27 · Part 3

37-27-302. Administration of prescription drugs -- when prohibited -- when allowed -- protocols -- rulemaking.

343 words·~2 min read·/mt/title-37/chapter-27/part-3/37-27-302·

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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.
(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.
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