Montana Code Annotated 2023

TITLE 37. PROFESSIONS AND OCCUPATIONS

CHAPTER 27. DIRECT-ENTRY MIDWIFERY

Part 3. Regulation of Practice

Administration Of Prescription Drugs -- When Prohibited -- When Allowed -- Protocols -- Rulemaking

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.

History: En. Sec. 11, Ch. 550, L. 1991; amd. Sec. 42, Ch. 44, L. 2007; amd. Sec. 1, Ch. 262, L. 2023.