Legislation Flashcards
How many PN visits does a MW do? How many at home
Minimum 7
Min 5 at home
When does a MW visit at home
At home, before end of day after dx (or 24hrs after discharge)
When do claims need to be submitted by
6mths
(Then start paying fine 6-12mths)
No claim paid >12mth
What needs to be on a prescription
Prescriber - full name, reg #, full address, ph, designation, sign and date
Woman- title, full name (incl middle name), residential address, dob (if <13yrs), funding code
Medication
Generic name and strength
Dose
Freq
Route
Instructions
Amount dispensed
# repeats
What are rules around urgent px
Mw can communicate px orally to pharmacist
Must provide written px within 7 days
(Except tramadol, must be supplied within 4 days writing)
MW can use PSO supply (write ‘for practitioners supply only)
How long can MW prescribe for?
3mth supply - pregnancy
6wk- PN
1mth- tramadol
what is definition of miscarriage
what legal requirements exist?
<20 wks
<400g
no legal requirements
what is definition of stillbirth
what are the legal requirements
> 20wks / <400g
-born with no signs of life
legally requires ‘Notice of birth’ + ‘Registration of birth’
don’t routinely report to coroner, but may be reported if cause of death unknown + coroner can decide whether to investigate
hospital issues a ‘certificate of stillbirth’
what is definition of ‘infant death’
BDM requirements
death up to 1 year old
birth Notification / registration of birth/ registration of death /coroner report
what is definition of ‘neonatal death’
what are BDM requirements?
death between birth- 28 days
requires birth notification (MW), registration of birth (parents), notice of death, report to coroner
what is perinatal death
death between 20 wks gestation - 7 days post partum
what is perinatal related death
death between 20 wks - 28 days post partum
what is a fetal death
any baby that dies before birth (stillborn /miscarriage)
what is early + late neonatal death
early- baby that shows signs of life at birth, then dies before 7 days post birth
late- baby that shows signs of life at birth, then dies before 28days post birth
what is requirement for notice of birth
required for stillbirth +live birth
completed by hospital / MW (homebirths)
must complete <5 working days of birth
includes- mum’s contact details, gestation length, weight + ethnicity
what is requirement for birth registration
completed by parents <2mths post birth
required for live + stillbirth
include- mum’s name, address, live / stillborn / gender
what is requirement for death registration
required for live birth only (NOT stillborn)
completed by funeral director / parents
<3 days after burial / cremation
what is definition of maternal death
maternal death during pregnancy / 42 days post partum
must report to coroner
what is included in ‘parity’
# of births (multiples = 1, includes stillbirth)
what access must maternity provider give to MoH
<24hrs:
access to all records, premises where care is provided, premises where documentation is kept
how much notice must LMC give, when wihtdrawing providing primary maternity services
at least 4wks written notification
what are reporting requirements as part of maternity notice?
woman-
height / weight
smoking status at booking + 2wks post natal
BF status (2 wks post natal)
when can you claim additional PN visits?
> 12 visits
when will HealthPac return improperly completed claims?
within 5 working days
what must be covered in the care plan
respective responsibilities of LMC and any other delegated practitioners
inform woman of AN education + availability of paid parental leave
when will healthPAC pay claims
within 22 working days from receipt
what are LMC responsibilities with well child
written referral <4wks
transfer (from LMC to wellchild provier) <6wks
how many AN visits are required
12-15visits
what is the principal purpose of HPCAA act
to protect health and safety of the public by providing mechanisms to ensure health professionals are competent and fit
what is MCNZ’s role with cultural competence
- cultural competence is integrated into competencies for entry
- competencies require MW to apply principles of cultural safety to mw partnership
- integrate turanga kaupapa within partnership and practice
how does MCNZ discuss tiriti
founding document
basis of the ‘bicultural relationship btwn Maori + other NZer’s
what is cultural competence
ability to interact respectfully and effectively with people with background different from yours
more than awareness / sensitivity to others culture
1) recognising impact of your culture and beliefs on MW practice
2) being able to acknowledge / incorporate each woman’s culture into provision of individualised care
having knowledge, skills, attitude to understand effects of power within healthcare relationship
applies frameworks of partnership, cultural safety and turanga kaupapa
what is cultural safety
effective MW care of woman by MW’s who have undertaken process of self reflection
unsafe cultural practice- any action that demeans or disempowers the cultural identity and wellbeing of an individual
who are nga maia
national organisation of MW’s and whanau
formed 1993
to promote and support maori birthing
charitable trust
what is turanga kaupapa
guidelines on cultural values of maori
provide cultural guidelines for MW practice to ensure cultural requirements are met for maori during pregnancy + childbirth
what is meaning of whakapapa
geneology
whanau + wahine are acknowledged
helps to place maori in among their ancestors / lands / tribes
what is principle of karakia
whanau + wahine may use karakia
for many maori- karakia is an essential element in protectign wairua (spirit), hinengarao (pscyological, tinana (physical) + wellbeing
offer patient+whanau/ allow time for karakia
what is principle of whanauungatanga
relationship / sense of connection
wahine and whanau can involve others in her brithing program
what is principle of te reo maori
wahine and her whanau may speak te reo maori
mana
what is the principle of mana
the digntiy of the wahine, her whanau, the MW and others involved is maintained
what is the principle of tikanga whenua
maintains the continuous relationship to land life and nourishment
and the knowledge and support of kauatua (elderly) and whanau is available
what is the principle of te whare tangata
“the house of humanity” (womans womb)
the wahine is acknowledged, protected, nurtured and respected as te whare tangata
what is the principle of mokopuna
“grandchild / great neice or nephew”
symbolizes the continuation of whakapapa (geneology)
the mokopuna is unique, cared for, and inherits teh future, a healthy environment, wai u and whanau
what is the principle of manaakitanga
the MW is a key person with a clear role and share with the wahine and whanua the goal of a healthy safe birthing outcome
what is the principle of hau ora
the physical, spiritual, emotional and mental wellbeing of teh wahine and her whanau is promoted and maintaiend
What is the period of supply for prescriptions
3mths except 6mth supply allowed for oral contraceptives
what name of drug do you use when prescribing
generic only (except for oral contraceptives)
what are MW responsibilities re. alcohol in pregnancy
MW’s required to
* ask all pregnant women about alcohol consumption
* advise women of potential risks
* recommend women stop drinking alcohol
* offer primary referral + early referral for baby PN if FASD is concern
What are MW’s responsibilities re. child safety act
MW’s are ‘core children workers’ under the children’s act
need to complete safety check 3yearly (legal prequirement + requirement to make claims from MoH)
what are MW responsibilities under family violence act
- MW can, but is not required legally to provide info.
- can only provide info to “social services practitioner” / government agency
- Always verify identity in writing
- try to first gain consent (if they don’t consent, you need to notify them the info was shared)
- only share relevant ifnormation
- check the info is accurate
- document decision to share info
what are MW responsibilities under OT act
MW must provide info if request is made by CE of OT/ constable
(unless info is protected by legal professional privileges)
what are legal requirements to bury stillborn
> 20wks / 400g
legally required to register birth, bury or cremate them in a registered place
death must be registerd within 3days of burial/cremation
if baby is <20wks /400g, you are not legally required to bury baby, you may bury in a place of your own choice - ensure it’s at least 1m deep
