You may designate RNs as QMPs. However, they
must be certified under policies approved by your
hospital board, with the approval of the medical executive committee.
They must also function under protocols allowed by
the state board of nursing and developed by the
interdisciplinary practice committee. The hospital
must also have programs for training and quality
assurance.
NPs, PAs, and midwives can also perform labor
exams on pregnant patients. However, they must
consult with a supervising physician. Midwives and
physician assistants can perform on-call functions for
the on-call physician.
However, if the ED physician believes that the oncall
physician’s presence is required, the on-call
physician must attend and cannot simply send an
employee.