HomeMy WebLinkAboutMINUTES - 03232010 - C.133RECOMMENDATION(S):
The Medical Executive Committee (MEC) recommends that the Board approve granting the
privileges on the attached form to Licensed Midwives. This has been approved by the Joint
Conference Committee.
FISCAL IMPACT:
None
BACKGROUND:
Our Bylaws states that the Board must designate which Allied Health Professionals be
granted privileges. We currently grant privileges to Certified Nurse Midwives, Nurse
Practitioners, and other “mid level” providers. Licensed Midwives have much less training
and have a much narrower scope of practice than nurse midwives. Essentially, they can
provide low risk prenatal care and provide women’s health care maintenance.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 03/23/2010 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Susan A. Bonilla, District IV
Supervisor
Federal D. Glover, District V
Supervisor
ABSENT:Mary N. Piepho, District III
Supervisor
Contact: Anna Roth, 370-5101
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the
Board of Supervisors on the date shown.
ATTESTED: March 23, 2010
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, Barbara Borbon, Juanna Fon
C.133
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:March 23, 2010
Contra
Costa
County
Subject:Privileges for Licensed Midwives
ATTACHMENTS
G:\C&G DIRECTORY\NON CONTRACTS\LM Privileges
Form.doc
Contra Costa Regional Medical Center
LM Privileges Request Form
Practitioner: _____________________________________
LM Page 1 of 1
02/2010 * Separate proctoring required. Department(s)NumberPr i v i l eg e Des c r i p t i o n
D=With Direct Supervision
C=With Consultation
U=Unrestricted
D/C/UTraining/EducationExperienceCurrentCompetence Requested Granted D=DeniedP=PendingCNM=CriteriaNot Meet
OB STETRICS & GYNECOL OGY
C CA lic. or NP
PA, CNM or LM N/A N/A
FAM OBG
1
Outpatient management of low risk prenatal
patient
U CA lic. or NP
PA, CNM or LM 30 10 cases in
last 4yrs.
FAM OBG
2
Outpatient management of high risk prenatal
patient C
CA lic. or NP
PA, CNM or LM
OBG 1
N/A N/A
FAM OBG
35
Basic first and second trimester ultrasound for
dating, viability, and location of pregnancy.U
CA Lic. FNP
or CNM
4 hours of training
in residency, or
Ultrasound course
15 10 in last
2 yrs.
D CA lic. or NP
PA, CNM or LM N/A N/A
FAM OBG
6
B as i c 3rd t r i m es t er Obs t et r i c al u l t ras o u n d
in c l ud i n g v i ab i l it y , p l ac en t a l o c at i o n , f et al
n u m b er , an d am n i o ti c f l u i d i n d ex *U CA lic. or NP
PA, CNM or LM 10 4 cases in
last 2 yrs.
C CA lic. or NP
PA, CNM or LM N/A N/A
FAM OBG
3a
Women’s Health Care Maintenance
Health Care maintenance of women including
physical exams and contraception, vaginitis, and
STD’s (for FNPs or CNMs without adult medicine
privileges).
U CA lic. or NP
PA, CNM or LM N/A 1 yr. in
last 4 yrs.
FAM OBG
18 Implanon insertion and removal U
CA lic. or NP
PA, CNM or LM
and training
N/A N/A
D CA lic. or NP
PA, CNM or LM N/A N/A
FAM
OBG
19 IUD insertion and removal
U CA lic. or NP
PA, CNM or LM 5 N/A
I certify that I have reviewed the Contra Costa Regional Medical Center Privilege Criteria, and that I meet the specified criteria for
education/training, experience, and current competence for the privileges, which I have indicated above.
_____________________________________________________ _____________________________________________________
Signature of Requesting Practitioner Date Signature of Department Chairperson Date