An LDM may administer the following legend drugs as approved by the Board for maternal use:

1. (1) Anti-Hemorrhagics for use by intramuscular injection includes:

   1. (a) Synthetic Oxytocin (Pitocin, Syntocin and generic);
   2. (b) Methylergonovine (Methergine); or
   3. (c) Ergonovine (Ergotrate);

2. (2) Anti-Hemorrhagics by intravenous infusion is limited to:

   1. (a) Synthetic Oxytocin (Pitocin, Syntocin, and generic); or
   2. (b) Tranexamic acid.

3. (3) Anti-Hemorrhagics for oral administration is limited to:

   1. (a) Methylergonovine (Methergine);
   2. (b) Misoprostol (Cytotec).
4. (4) Anti-Hemorrhagics for rectal administration is limited to Misoprostol (Cytotec).
5. (5) Resuscitation is limited to medical oxygen and intravenous fluid replacement.

6. (6) Intravenous fluid replacement includes:

   1. (a) Lactated Ringers Solution;
   2. (b) 0.9% Saline Solution;
   3. (c) D5LR (5% Dextrose in Lactated Ringers); or
   4. (d) D5W (5% Dextrose in water).
7. (7) Anaphylactic treatment by subcutaneous injection is limited to Epinephrine.

8. (8) Local anesthetic includes:

   1. (a) Lidocaine HCl (1% and 2%) (Xylocaine and generic);
   2. (b) Topical anesthetic;
   3. (c) Procaine HCl (Novocain, benzocaine, cetacane and generic); and
   4. (d) Sterile water papules.
9. (9) Rhesus Sensitivity Prophylaxis is limited to Rho(d) Immune Globulin (RhoGAM, Gamulin Rh, Bay Rho-D and others).
10. (10) Tissue adhesive (Dermabond or generic).

11. (11) Intravenous antibiotics for Group B Streptococcal prophylaxis is limited to the following and is only to be used solely for the purpose of Group B Streptococcal prophylaxis:

    1. (a) Penicillin;
    2. (b) Ampicillin;
    3. (c) Cefazolin; or
    4. (d) Clindamycin.

Statutory/Other Authority

ORS 676.615 & ORS 687.493

Statutes/Other Implemented

ORS 687.493

History

DEM 1-2023, amend filed 04/28/2023, effective 05/01/2023
DEM 3-2019, amend filed 12/19/2019, effective 01/01/2020
DEM 2-2015, f. & cert. ef. 7-1-15
Renumbered from 332-025-0040 by DEM 5-2011, f. & cert. ef. 9-26-11
DEM 1-2011(Temp), f. & cert. ef. 4-4-11 thru 9-27-11
DEM 6-2010, f. 12-30-10, cert. ef. 1-1-11
DEM 1-2004, f. 6-29-04, cert. ef. 7-1-04
DEM 1-2002, f. 2-25-02 cert. ef. 3-1-02
DEM 1-2001(Temp), f. & cert. ef. 10-1-01 thru 3-29-02