Furnishing Controlled Substances. Drugs or devices furnished or ordered by a certified nurse-midwife may include Schedule II or III controlled substances under the California Uniform Controlled Substances Act (Division 10 (commencing with Section 11000) of the Health and Safety Code 2746.51 (a) & (c)). Every certified nurse-midwife who is authorized to furnish or issue a drug order for a controlled substance is required to register with the United States Drug Enforcement Administration (BP Code 2746.51(b)(1)). If furnishing or ordering Schedule II or III controlled substances, the certified nurse-midwife needs to do so in accordance with patient- specific protocols approved by the treating or supervising physician and surgeon. For Schedule II or III controlled substance protocols, the provision for furnishing the Schedule II controlled substance shall address the diagnosis of illness, injury, or condition for which the Schedule II controlled substance is to be furnished (BP Code 2746.51 (a)(3)). A copy of the standardized procedure of protocol relating to the furnishing or ordering of controlled substances by a certified nurse mid-wife shall be provided upon request to any licensed pharmacist who is uncertain of the authority of the certified nurse midwife to perform these functions (BP Code 27416.51 (b)(3)). No supervising physician will supervise more than four (4) advance level practitioners at one time for the purposes of furnishing. The physician in conjunction with the CNM determines the extent of the supervision in connection with furnishing or ordering of drugs and devices. A co-signature is not required. For the purposes of Medi-cal, no more than (3) CNM per supervising physician at one time. [Reference: Business and professional Code Nurse- Midwife Section 2746.51 (b) (3) and Certified nurse midwife Section 2836.1 (g) (2).])
