Title 201 | Chapter 020 | Regulation 640
201 KAR 20:640.Requirements for informed consent for licensed certified professional midwives.
Section 1.
(1)
An LCPM shall obtain written informed consent from the individual receiving services.(2)
The LCPM shall maintain a copy of the informed consent document in the individual's records.(3)
The informed consent document shall include:(a)
A description of the LCPM's education and credentials;(b)
A description of the LCPM's statutory scope of practice, including a summary of the LCPM's limitations of skills and practices;(c)
Instructions for obtaining a copy of 201 KAR 20:600 to 201 KAR 20:690;(d)
Instructions for filing a complaint with the board of nursing;(e)
A summary of a written protocol for emergencies, including transfer to a higher level of care;(f)
A description of the procedures, benefits, and risks of birth in the client's chosen environment, primarily those conditions that may arise during delivery;(g)
Disclosure of professional liability insurance held by the LCPM;(h)
The financial responsibility of the client;(i)
A summary of the requirements for consultation, referral, or transfer of care established by 201 KAR 20:670 and 201 KAR 20:690; and(j)
Procedures established by the LCPM for consultation, collaboration, referral, or transfer of care to a physician or other appropriate healthcare provider.HISTORY: (46 Ky.R. 2170, 2900; eff. 7-29-2020)
201 KAR 20:640.Requirements for informed consent for licensed certified professional midwives.
Section 1.
(1)
An LCPM shall obtain written informed consent from the individual receiving services.(2)
The LCPM shall maintain a copy of the informed consent document in the individual's records.(3)
The informed consent document shall include:(a)
A description of the LCPM's education and credentials;(b)
A description of the LCPM's statutory scope of practice, including a summary of the LCPM's limitations of skills and practices;(c)
Instructions for obtaining a copy of 201 KAR 20:600 to 201 KAR 20:690;(d)
Instructions for filing a complaint with the board of nursing;(e)
A summary of a written protocol for emergencies, including transfer to a higher level of care;(f)
A description of the procedures, benefits, and risks of birth in the client's chosen environment, primarily those conditions that may arise during delivery;(g)
Disclosure of professional liability insurance held by the LCPM;(h)
The financial responsibility of the client;(i)
A summary of the requirements for consultation, referral, or transfer of care established by 201 KAR 20:670 and 201 KAR 20:690; and(j)
Procedures established by the LCPM for consultation, collaboration, referral, or transfer of care to a physician or other appropriate healthcare provider.HISTORY: (46 Ky.R. 2170, 2900; eff. 7-29-2020)