12 AAC 14.570. Medications

A certified direct-entry midwife may not administer restricted drugs or medications except for the following, and only if the certified direct-entry midwife has documented the training and skills demonstrating competence to administer them as required in 12 AAC 14.560:

(1) xylocaine hydrochloride, one or two percent, administered by infiltration, for the postpartum repair of tears, lacerations, and episiotomy;

(2) cetacaine, applied topically, for the postpartum repair of tears, lacerations, and episiotomy;

(3) vitamin K, administered by intramuscular injection, for the prevention of acute and late onset hemorrhagic disease of the infant;

(4) rhogam, administered by intramuscular injection, for an unsensitized client with Rh negative type blood to prevent Rh disease;

(5) eye prophylaxis as required by 7 AAC 27.111;

(6) pitocin, administered by intramuscular injection or intravenous drip, in an emergency situation for the control of postpartum hemorrhage;

(7) methergine, administered orally or by intramuscular injection, in an emergency situation for the control of postpartum hemorrhage that was not controlled by the administration of pitocin;

(8) lactated ringers, plain or with dextrose five percent, or normal saline administered intravenously to a postpartum client, in an emergency situation to prevent or treat shock and stabilize her condition while arranging transport to a hospital;

(9) antibiotic intravenous therapy treatment for Group B Streptococci in accordance with the United States Department of Health and Human Services, Centers for Disease Control and Prevention's Prevention of Perinatal Group B Streptococcal Disease: Revised Guidelines from CDC, revised as of August 16, 2002 and adopted by reference, except that vancomycin may not be administered;

(10) epinephrine for allergic reaction or anaphylactic shock;

(11) diphenhydramine administered by intramuscular injection or intravenously for allergic reaction or anaphylactic shock.

History: Eff. 5/11/94, Register 130; am 5/2/2004, Register 170

Authority: AS 08.65.030

AS 08.65.190

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