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Checklist for Expansion of New Mexico Nurse-Midwifery Practice to Include Ultrasound



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

Have you identified consumer demand or need in your practice or community?

Yes / No

Are other qualified personnel readily available when needed Yes / No ?

24 hour availability Yes / No?

Ensures that there is no institutional, state, or federal statutes, regulations or Bylaws That would constrain the midwife from incorporating ultrasound into her practice.

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______________

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

New Mexico Public Health Department Nurse-Midwifery Rules and Regulations

Demonstrates knowledge and competency

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.

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

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



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:__________

Obstetric Ultrasound Examinations (American Institute of Ultrasound in Medicine) on-line clinical guideline. Dates reviewed_______,______,_________,________

AIUM Medical Ultrasound Safety CME


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


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:

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.

American College of Nurse-Midwives Active Learning Center:

AIUM CME Calendar:

Professional Education Center:

4/11/2014 KO & EB