OAR 332-025-0020: General Practice Standards

(1) An LDM must include the designation LDM after their name when completing birth certificates. (2) In accordance with ORS 687.480 and 687.493, an LDM must maintain equipment and appropriate legend drugs and devices consistent with the information the LDM provides to the client in the patient disclosure form. (3) An LDM must adhere to all applicable Centers for Disease Control and Prevention standards. (4) An LDM must dispose of pathological waste resulting from the birth process in accordance with the Oregon Health Authority, Public Health Division under OAR 333 Division 56 including incineration of pathological waste. (5) An LDM must comply with local government requirements relating to burial on private property. (6) Pursuant to ORS 687.480, an LDM must maintain a “patient disclosure form” that provides current and accurate information to prospective clients. An LDM must provide the client with the patient disclosure form. The patient disclosure form must include, but is not limited to: (a) Services provided to birthing person and newborn (b) Types of legend drugs and devices the LDM uses in their practice. (c) Responsibilities of the birthing person and their family. (d) Fees for services including financial arrangements. (e) If the LDM has malpractice coverage or does not have malpractice coverage. (f) A copy of risk assessment criteria as listed in OAR 332-025-0021. Risk criteria may be provided electronically or hard copy. (g) If the LDM has obtained legend drugs and devices training or has not obtained the training. (h) Signature of birthing person and date of signature documenting discussion and receipt of patient disclosure form. (7) An LDM must maintain a written plan for emergency transport and must discuss the plan with the birthing person pursuant to ORS 687.480. (8) The LDMs records must include the dated signature of the birthing person documenting discussion of emergency transport plan. (9) An LDM must maintain complete and accurate records documenting the course of midwifery care as listed under OAR 332-025-0110. (10) An LDM must register all births with the Oregon Health Authority, Public Health Division, Center for Health Statistics as provided in ORS Chapter 432 and OAR Chapter 333, Division 011.