The scope of professional practice and the accident and emergency nurse.
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Biomedical subjects
Publications and source records attributed to B Dimond.
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The UKCC recognises that midwives may become qualified in non-traditional therapies. One of the major difficulties for a practitioner advancing into a new field of practice is determining her/his competence. As new therapies develop, there is not initially the expertise to determine the accepted standards of care and practice. Vicarious liability depends on whether the midwife is acting in the course of her employment when she is carrying out the therapy. The midwife has a legal duty to respect the mother's wishes and choices. It is essential for the midwife to keep comprehensive, clear records on any agreement with the mother over the use of complementary therapies.
Midwives cannot ignore the growing interest from clients who wish to use complementary therapies. However, midwives have a duty to ensure that their clients are aware of the advantages and the dangers of particular therapies. Co-operation with complementary therapists is to be encouraged, but the midwife must never delegate responsibility for her client. Managers should arrange for midwives to receive training in particularly complementary therapies, so that midwives may widen the scope of their professional practice. Midwives whose clients request complementary therapies may find themselves asked to provide hypnotism, aromatherapy or another therapy that may conflict with the accepted standards of midwifery practice. A mother might also wish to use homeopathic remedies for an underlying condition.
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