FL H1391

Certified nurse midwives providing out-of-hospital intrapartum care must maintain a written policy for transferring patients requiring higher acuity care or emergency services, using a signed emergency plan of care form before patient admission.

Emergency plan of care form must include the name and address of the nearest hospital with maternity services, conditions requiring transfer per board regulations, and ambulance or emergency medical services available for transport.

When transfer becomes necessary, the certified nurse midwife must document patient information on the emergency plan of care form, provide a verbal summary to the receiving provider before transfer, and deliver the completed form and full prenatal records upon arrival at the receiving facility.

The Board of Nursing shall establish transfer-of-care conditions, monitor for excessive transfers, conduct reviews of adverse maternal and neonatal outcomes, and monitor the licensure of certified nurse midwives engaged in autonomous practice.

The act takes effect July 1, 2023.