Frequently Asked Questions

FAQ | Certified Nurse Midwife (CNM)

Can Certified Nurse Midwives prescribe medication including Scheduled Controlled Substances?

Yes, prescriptive authority is part of the Certified Nurse Midwife approval to practice. Controlled substances may be prescribed and refilled consistent with controlled substance laws and rules which include mandatory registration with the Controlled Substance Reporting System (CSRS)  NC Controlled Substances Reporting System | NCDHHS

Other helpful information can be found at https://www.ncbop.org/faqs/general-pharmacy-faqs.html 

What information must be on a Certified Nurse Midwife’s name badge?

The North Carolina Badge Law (GS 90-640) requires every health care professional to wear or display a readily visible form of identification to include the individual’s name and type of license or listing title when providing patient care. 

3. Can collaborative provider agreements and quality improvement meetings be electronically signed by the CNM and primary collaborating provider (either CNM or physician)? 

Yes, using documentation signature software.

Does the North Carolina Board of Nursing approve graduate programs?

No, the Board only has authority over pre-licensure nursing programs, and not graduate level programs. 

What are the requirements to be approved to practice as a CNM in North Carolina?

To be approved to practice as a CNM in North Carolina, you need to:   

  • successfully complete a graduate level CNM program that is nationally accredited by CCNE (Commission on Collegiate Nursing Education) or ACEN (Accreditation Commission for Education in Nursing) (formerly NLNAC),
  • pass the CNM national certification examination through the national credentialing body AMCB (American Midwifery Certification Board) accepted by the Board of Nursing.
How should I introduce myself as an Advanced Practice Registered Nurse?

You are expected to introduce yourself, so the patient understands your role and title within their healthcare team. There are no APRN rules that restrict the use of an academic title; for example, if a CNM has earned their DNP or PhD, they can state, “Hello, I am Dr. Smith, a certified nurse midwife.”   North Carolina Badge Law G.S. 90-640

What is the scope of practice for a Certified Nurse Midwife?

Certified Nurse Midwives practice in accordance with the Core Competencies for Basic Midwifery Practice, the Standards for the Practice of Midwifery, the Philosophy of the American College of Nurse-Midwives (ACNM), and the Code of Ethics promulgated by the ACNM. For more specific language and definitions, please use the following link: G.S. 90-178.2

Last Changed: 22-May-2025