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(3) modification of policies and procedures;

(4) revision of the risk assessment standards developed under 7 AAC 12.403(f); and

(5) revision of any standard forms used for client and newborn records or other purposes. (i) The birth center may provide an alternative intervention appropriate for use in birth centers, including water birth, use of homeopathic or herbal medicines, or another alternative intervention intended for use in the perinatal period. In this subsection, “alternative intervention” means a low-technology intervention that is not generally used in a medical or hospital setting. Before using an alternative intervention, the birth center must ensure that

(1) documented science-based evidence exists that the alternative intervention can be used safely in a birth center setting for pregnant or laboring women; and

(2) the alternative intervention is supported by the American College of Nurse Midwives, the American Association of Birth Centers, the Midwives Association of North America, or another nationally-recognized professional organization. (Eff. 9/30/2007, Register 183) Statutory Authority: Authority: AS 47.32.010 AS 47.32.030 7 AAC 12.420. Drugs and biologicals. (a) A birth center must have and observe written policies and procedures for

(1) receiving, transcribing, and implementing orders for the administration of drugs;

(2) labeling of every drug, medication, and chemical in the center with its name, strength, and expiration date; and

(3) ensuring that a midwife who administers medications and intravenous solutions does so only as authorized under

(A) AS 08.68 and 12 AAC 44, if the midwife is a certified nurse midwife; and

(B) AS 08.65 and 12 AAC 14, if the midwife is a direct-entry midwife. (b) Anesthetic agents other than local anesthetics may not be present at a birth center.