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WAC 246-834-255

Elements of care for the newborn.

The customary scope of care of a newborn up to two weeks of age by a licensed midwife includes, but is not limited to, clinical assessment, treatment, education, support and referral as described in this section. Newborn care shall not go beyond the scope of the midwife's education, training and experience.
(1) Immediate newborn care includes, but is not limited to:
(a) Appearance, pulse, grimace, activity and respiration (APGAR) assessment;
(b) Stabilization and monitoring of the newborn for a minimum of two hours postpartum;
(c) Early initiation and facilitation of breast or bottle feeding;
(d) Complete physical examination;
(e) Education for parents regarding care and monitoring of the normal newborn; and
(f) Physician consultation, referral and/or transfer of care in the event of significant deviations from normal.
(2) Other support may include:
(a) Neonatal resuscitation; and
(b) Legend drugs and devices allowed in RCW 18.50.115 and WAC 246-834-250.
(3) Subsequent care may include, but is not limited to:
(a) Evaluating the newborn for well-being such as jaundice, weight loss, and adequate feeding and elimination patterns;
(b) Newborn metabolic screening per RCW 70.83.020;
(c) Critical congenital heart disease screening per RCW 70.83.090;
(d) Lactation care and services; and
(e) Consultation and/or referral to pediatric care for any significant deviation from normal.
[Statutory Authority: RCW 18.50.010, 18.50.040, 18.50.050, 18.50.135, and 2014 c 187. WSR 17-15-024, ยง 246-834-255, filed 7/7/17, effective 8/7/17.]
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