ACM A—discuss | ACM B—consult | ACM C—refer |
---|---|---|
The woman's condition or situation requires discussion with another midwife or member of the healthcare team to plan for optimal care. Responsibility of care stays with the midwife | The woman's condition or situation requires consultation with the medical practitioner, ideally in a ‘face to face’ consultation. Responsibility of care will either stay with the midwife or transfer to a medical practitioner | The woman's condition or situation requires temporary or ongoing medical care at a tertiary or secondary level. Responsibility of care is transferred to a medical practitioner |
*ACM occasionally uses levels interchangeably by categorising some conditions as A/B or B/C. Level of referral is left to the discretion of the midwife, in consultation with the woman, and a medical practitioner if required.