Acts and Regulations

2010-113 - General

Full text
Current to 1 January 2024
NEW BRUNSWICK
REGULATION 2010-113
under the
Midwifery Act
(O.C. 2010-416)
Filed August 23, 2010
Under section 99 of the Midwifery Act, with the approval of the Lieutenant-Governor in Council, the Council makes the following Regulation:
Citation
1This Regulation may be cited as the General Regulation - Midwifery Act.
Definition of “Act”
2In this Regulation “Act” means the Midwifery Act.
Application for registration
3(1)Subject to subsection (3), the holder of a baccalaureate degree under paragraph 21(a) of the Act must meet the following requirements in order to be entered on the active practice register for midwives:
(a) have successfully passed the Canadian Midwifery Registration Exam;
(b) hold a certification approved by the Council in neonatal resuscitation issued during the previous year;
(c) hold a certification approved by the Council in obstetrical emergency skills issued during the previous 2 years;
(d) hold a certification approved by the Council in cardiopulmonary resuscitation issued during the previous 2 years;
(e) be proficient in English or French;
(f) hold a Certified Criminal Record Verification issued during the previous 3 months;
(g) pay the registration fee;
(h) be legally entitled to work in Canada; and
(i) meet any other requirements established by the Council.
3(2)Subject to subsection (3), a person possessing the educational qualifications under paragraph 21(b) of the Act must meet the following requirements in order to be entered on the active practice register for midwives:
(a) have successfully completed a competency assessment program or a bridging program approved by the Council during the previous 2 years;
(b) have successfully passed the Canadian Midwifery Registration Exam;
(c) be proficient in English or French;
(d) hold a Certified Criminal Record Verification issued during the previous 3 months;
(e) pay the registration fee;
(f) be legally entitled to work in Canada; and
(g) meet any other requirements established by the Council.
3(3)A person practising midwifery in another jurisdiction must meet the following requirements in order to be entered on the active practice register for midwives:
(a) be registered as a midwife on the register of another province or territory in Canada during the previous 5 years;
(b) be proficient in English or French;
(c) hold a Certified Criminal Record Verification issued during the previous 3 months;
(d) provide a certificate of standing issued during the previous month;
(e) pay the registration fee;
(f) be without restrictions imposed on their certificate of registration from any other jurisdiction;
(g) be legally entitled to work in Canada; and
(h) meet any other requirements established by the Council.
Information to be recorded on the register
4(1)The Registrar shall record the following information on the register for every midwife:
(a) the name of a midwife, the midwife’s home and workplace address as well as the midwife’s home and workplace telephone number;
(b) the name and address of the academic institution the midwife attended;
(c) the date on which the midwife was first registered;
(d) the restrictions imposed on a midwife’s certificate of registration and the date the restrictions were imposed or withdrawn;
(e) the date of suspension or revocation of a midwife’s registration; and
(f) the expiration date of a midwife’s certificate of registration.
4(2)A midwife shall inform the Registrar of any changes to the information required under paragraph (a) within 14 days of the change.
Temporary register
5A person can be entered on the temporary register for a maximum of 2 years.
Practice of midwifery
6(1)A midwife may provide the health care services listed in Schedule A.
6(2)A midwife who has additional training as approved by the Council, may provide the health care services listed in Schedule B.
Notes
7A midwife shall note on the clinical record of each patient all instances of the following:
(a) any consultations;
(b) any referrals; and
(c) any transfers.
Professional liability insurance
8A midwife shall carry professional liability insurance   with   a   discovery   clause   of   not   less   than $5,000,000 per occurrence or $10,000,000 per year issued by a company licensed to carry on business in the province.
Therapeutics committee
9(1)A therapeutics committee is established consisting of the following 5 members appointed by the Council:
(a) two persons who are registered as midwives in a province or territory of Canada;
(b) one person who is a member of the College of Physicians and Surgeons of New Brunswick who practises family medicine;
(c) one person who is a member of the College of Physicians and Surgeons of New Brunswick who practises obstetrical medicine; and
(d) one person who is a member of the New Brunswick College of Pharmacists.
9(2)The therapeutics committee makes recommendations on the following subjects:
(a) the classification of drugs, blood products and vaccines a midwife may prescribe and administer; and
(b) the screening and diagnostic tests a midwife may order and interpret.
9(3)Each member of the therapeutics committee shall serve a term not exceeding 3 years.
9(4)A member of the therapeutics committee is eligible for reappointment but no person may serve more than 3 consecutive terms on the therapeutics committee.
9(5)After 3 consecutive terms, a member of the therapeutics committee is eligible for reappointment only after a break of one year.
9(6)The therapeutics committee shall meet at least once per year.
9(7)The majority of the members of the therapeutics committee, including a midwife, a member of the College of Physicians and Surgeons of New Brunswick and a member of the New Brunswick College of Pharmacists, constitutes a quorum.
9(8)The recommendations of the therapeutics committee are made by consensus.
9(9)The recommendations of the therapeutics committee can only be implemented after the approval of the Council and the Minister.
2016-32; 2021, c.16, s.4
SCHEDULE A
Health care services
1Vaginal examinations
2Speculum examinations
3Vaginal swabs
4Rectal swabs
5Cervical swabs
6Cervical smears
7Venipunctures
8Capillary punctures
9Cord blood collection
10Amniotomies
11Bladder catheterizations
12Intravenous cannulations
13Subcutaneous injections
14Intramuscular injections
15Intravenous injections
16Administering inhalants
17Episiotomies
18Repairs of episiotomies
19Repairs of first-degree and second-degree tears not including periurethal area
20Insertion of rectal thermometers
21Rectal examination postsuturing
22Bi-manual compression
23Neonatal resuscitation
24Insertion of neonatal laryngeal airway masks
25Manual extraction of the placenta
26Nasopharyngeal suction
27Insertion of orogastric tubes
28Replacement of a uterus in case of inversion
SCHEDULE B
Health care services - Advanced competencies
1Epidural monitoring
2Pharmacological augmentation of labour
3Inducement of labour for postdates
4First assist for Caesarean sections
5Suturing of third degree tears
6Fitting of cervical caps
7Insertion of intrauterine devices
8Insertion of diaphragms
9Application of foetal scalp electrodes
10Vacuum extraction
11Provide well-baby care after 6 weeks postpartum for up to one year
12Provide well-woman care after 6 weeks postpartum for up to one year
N.B. This Regulation is consolidated to June 11, 2021.