1. (a) Midwifery care supports individual rights and self-determination within the boundaries of safety. Using reasonable skill and knowledge, the midwife shall:

   1. (1) provide clients with a description of the scope of midwifery services and information regarding the client's rights and responsibilities in accordance with the Act;
   2. (2) assess the client on an ongoing basis for any factors which might preclude a client from admission into or continuing in midwifery care;
   3. (3) provide clients with information about other providers and services when requested or when the care required is not within the scope of practice of midwifery; and
   4. (4) practice in accordance with the knowledge, clinical skills, and judgments described in the Midwives Alliance of North America (MANA) Core Competencies for Basic Midwifery Practice, adopted August 4, 2011, within the bounds of the midwifery scope of practice as defined by the Act and Rules;

2. (b) The midwife shall provide care in a safe and clean environment. The midwife shall:

   1. (1) carry and use when needed, resuscitation equipment; and
   2. (2) use universal precautions for infection control.

3. (c) Midwifery care is documented in legible, complete health records. The midwife shall:

   1. (1) maintain records that completely and accurately document the client's history, physical exam, laboratory test results, antepartum visits, consultation reports, referrals, labor, delivery, postpartum visits, and neonatal evaluations at the time midwifery services are delivered and when reports are received;
   2. (2) grant clients access to their records within 30 days of the date the request is received;
   3. (3) provide a mechanism for sending a copy of the health record upon referral or transfer to other levels of care;
   4. (4) maintain the confidentiality of client records; and

   5. (5) maintain records:

      1. (A) for the mother, for a minimum of five years; and
      2. (B) for the infant, until the age of majority.

4. (d) Midwifery care includes documentation of a periodic process of evaluation and quality assurance of midwifery practice. The midwife shall:

   1. (1) collect client care data systematically and be involved in analysis of that data for the evaluation of the process and outcome of care;
   2. (2) review problems identified by the midwife or by other professionals or consumers in the community; and
   3. (3) act to resolve problems that are identified.

Source Note:The provisions of this §115.100 adopted to be effective October 1, 2016, 41 TexReg 4477.