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Emergency Care Plans

844 IAC 17-1-11 requires a certified direct entry midwife to develope a written emergency care plan for each client.  

The emergency care plan must:

  • Be signed by the client and midwife;
  • Be maintained in the client's record;
  • Specify the planned location of delivery;
  • Designate a hospital(s), including directions from the planned location of deliver, where the client can receive emergency care;
  • Include the name, address, and telephone number of the collaborating physician, midwife, infant's physician, and other designated providers;
  • Include the name, address, and telephone number of an emergency contact for the client;
  • Include a signed release of the client's records in accordance with IC 25-23.4-4-1(a)(5); and,
  • Be filed with the designated hospital(s).

Sample Emergency Care Plan - This is provided for illustrative purposes only.