COLLEGE OF MIDWIVES OF BRITISH COLUMBIA
Date filed with CMBC: March 9, 2015
Transport Plan
Name of Hospital:
Address:
Phone:
Fax:
(to be called in initiating a transport)
Name of Midwife (midwives): CMBC Registration Number(s):
Date of Meeting:
Hospital and Midwifery Staff Present at Meeting (name and title):
Midwife agrees to:
forward a copy of the antenatal record to the hospital at 20 and 36 weeks
1
notify the hospital staff that labour is established and a planned home birth is underway
notify the hospital staff when the birth has been completed as planned
inform the hospital staff of the circumstances and come to the hospital if there is a need to transport
Hospital agrees to:
Professional (staff position) responsible for receiving
an emergency transport telephone call:
Professional responsible for initiating emergency
measures (e.g. calling necessary medical and nursing
staff, arranging for equipment, etc.)
Any additional arrangements for special circumstances:
1
If a client lives remotely and is planning on birthing in another community, the Antenatal Record Part 1 & 2 at 20 and 36 weeks gestation must be
received at the closest remote hospital and
the hospital of the community where the birth is planned.
