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Checklist
for Expansion of New Mexico Nurse-Midwifery Practice to Include Ultrasound
Nurse-Midwife_______________________
Date_______________________
There are thirty-one hospitals in
New Mexico, of those, eight are located within the cities of Santa Fe,
Albuquerque and Las Cruces (New Mexico Hospital Association, 2009). Many
nurse-midwives practice in association with urban and rural hospitals where
there may be a limited number of health care providers educated to perform a
needed ultrasound, twenty-four hours a day, seven days a week.
“Midwives provide care in
hospital settings, out of hospital and outpatient clinic settings. In all
settings, midwives may encounter the need to perform an ultrasound exam. Such
circumstances include identification of fetal heart tones, fetal position,
placental position, fetal well-being, cervical length and others”
(Afriat-Menihan, 2012).
The following are suggested steps
to creating a practice expansion portfolio based on Standard VIII of the standards for practice of
midwifery.
Midwifery practice may be expanded
beyond the ACNM core competencies to incorporate new procedures that improve
care for women and their families (ACNM, 2011).
Identifies
Need for ultrasound in your practice
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Have
you identified consumer demand or need in your practice or community?
Yes / No
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Are
other qualified personnel readily available when needed Yes / No ?
24 hour availability Yes / No?
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Ensures
that there is no institutional, state, or federal statutes, regulations or
Bylaws That would constrain the midwife from incorporating ultrasound into
her practice.
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New
Mexico Nurses Exempt from Sonography Licensure Requirements New
Mexico Law 61-14E-1 NMSA 1978
ACNM Position
Statement: Midwives Performance of Ultrasound in Clinical Practice
Date reviewed______________
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Institutional
credentialing available? Yes / No Application date:______________
Have you given adequate information to your practice
colleagues regarding your plan to expand you practice to include ultrasound?
Yes / No
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New
Mexico Public Health Department Nurse-Midwifery Rules and Regulations
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Demonstrates
knowledge and competency
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Have
you obtained further education to determine risks and benefits associated
with ultrasound during pregnancy? Yes / No
Have
you designed a portfolio to document education and practice? Yes / No
Suggested
article to guide portfolio development: Portfolio
article (Lathrop, A. & Blackburn, M.,
2011).
Sample rubric to document hands-on
learning experiences on pages 3-4 of this document.
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Didactic
class attended? Date_______________
Certificate/documentation
obtained? Yes / No
Possible
sources of didactic education:
Perinatal Productions: On-Line course
Professional Education Center: PEC courses (held in
Albuquerque once per year)
ACNM
workshops offered at the annual conference
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Clinical
guideline created to address indications for ultrasound, identification and
management of complications? Date
created____________ Dates for review__________, __________,
______________,________________
What is your plan for ensuring ongoing competency?
Re-take course
Continuing education
Other_______________________________________________________________
SUGGESTIONS FOR
QUALITY IMPROVEMENT PRACTICES:
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Clinical
guideline addresses evaluation of outcomes? Yes / No
QA
& QI activities: Gregory (2008) article describes how to do a chart audit and peer
review.
Initial
chart audit/peer review date:__________
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Obstetric
Ultrasound Examinations (American
Institute of Ultrasound in Medicine) on-line clinical guideline.
Dates reviewed_______,______,_________,________
AIUM Medical Ultrasound Safety CME
| References
Afriat-Menihan, C. (2012). Ultrasound for Nurses in Women’s Health
Care: Obstetrics,
Gynecology, and Reproductive Technologies. Wakefield, RI: Perinatal Productions.
American College of Nurse-Midwives.
(2012). Midwives Performance of
Ultrasound in
Clinical Practice.
American College of Nurse-Midwives.
(2011) ACNM Standards for the Practice of
Midwifery.
Gregory, B. H., Van Horn, C., &
Kaprielian, V. S. (2008). 8 steps to a chart audit for
quality. Family practice management, 15(7), A3.
Lathrop, A. & Blackburn, M. (2011).
Learner portfolios and hands-on workshop to
facilitate and evaluate nurses’ learning in obstetric ultrasound. JOGNN. 40, 654-661
Lathrop, A., Winningham, B., &
VandeVusse, L. (2007). Simulation‐Based Learning for
Midwives: Background and Pilot Implementation. Journal of Midwifery
& Women’s
Health, 52(5), 492-498.
New Mexico Hospital Association.
(2009). New Mexico Hospital Map.
Retrieved at:
http://www.nmhanet.org/nm-hospitals/nm-hospital-map
Educational
Resources
Afriat-Menihan, C. (2012). Ultrasound
for Nurses in Women’s Health Care: Obstetrics, Gynecology, and Reproductive
Technologies. Wakefield, RI: Perinatal Productions. Book includes home study.
www.perinatalproductions.com/HomestudyPrograms.html
American College of Nurse-Midwives
Active Learning Center:
http://acnm.sclivelearningcenter.com/index.aspx?PID=4897
AIUM
CME Calendar: http://www.aium.org/cme/events.aspx
Professional Education Center: https://proedcenter.com/Courses__OBU.htm
4/11/2014 KO & EB
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