Certified Nurse-Midwife
Company: Alameda Health System
Location: Oakland
Posted on: June 18, 2022
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Job Description:
SUMMARY: Under direction, provides antepartum, intrapartum, and
postpartum care. Takes patients' medical histories and performs
physical examinations of antepartal and postpartum women and refers
to a physician whenever appropriate. Provides family-planning care,
immediate care for the newborn and well woman gynecology.
Collaborates with physicians and other health professionals in
providing nurse-midwifery care. Provides related duties as
required.
DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the
duties performed by employees in this classification. However,
employees may perform other related duties at an equivalent level.
Not all duties listed are necessarily performed by each individual
in the classification.
1. Takes patients' medical, social obstetric history; provides
prenatal care to patients in consultation with a physician; orders
medications per obstetric nurse-wife protocols; documents in
patients' medical records all care rendered; does chart review and
follow-up care.
2. Performs physical examinations including heart and lung, fundal
height, fetal heart rates and Leopold's maneuvers; performs vaginal
exams, self-breast exams, clinical pelvimetry and general health
status exams; determines presence or absence or abnormalities;
consults and/or refers complications to a physician.
3. Writes admission orders; orders and/or performs approved
laboratory examinations; supports patients during labor and teaches
relaxation and breathing techniques as needed; encourages and
teaches support persons to actively assist the laboring woman;
independently manages and delivers low-risk patients; assumes
co-management of high risk women when appropriate; delivers
patients followed by a physician when attending in surgery; informs
patient and their family of progress and involves them in any
treatment, decision or plan; acts as a consultant to house staff
and manages all patients in Labor and Delivery when attending MD is
in surgery or attending other duties; manages complications and
emergencies until physician arrives.
4. Determines status of labor; assesses, confirms and manages
premature rupture of membranes; determines the need for amniotomy,
IUPC insertion, fetal scalp electrode application, catherizationm
IV fluid administration, episiotomy, medication, etc.; determines
the need for the presence of attending physician and/or nurse
anesthetist; initiates and manages IV oxytocin induction or
stimulation of labor after consultation with attending physician;
orders appropriate vital signs and fetal heart rate monitoring;
assesses uterine contractions/bleeding; injects local anesthesia
for episiotomy and repair as indicated; performs episiotomy as
indicated; repairs episiotomy, 1st and 2nd degree lacerations, as
indicated; examines placental membranes and cord vessels and
reports abnormal findings.
5. Performs initial assessment of newborn status; assists in
promoting establishment of airway and maintenance of body
temperature; begins resuscitation efforts in the absence of
physician.
6. Determines appropriateness of discharge; writes postpartum
orders as indicated; manages postpartum care (physical/emotional
assessment, educational assessment); assesses need for referrals
(e.g. Breastfeeding Counselors); signs birth certificate.
7. Provides telephone consultation/referrals to any patient phoning
Labor and Delivery with concerns or questions; participates in
patient education programs and community education;
counsels/completes consent forms for tubal ligations and HIV
testing
MINIMUM QUALIFICATIONS: Education: Graduate of Board approved
program in Nurse-Midwifery or equivalency that is satisfactory to
the Board of Registered Nursing. Education: Graduate of an
accredited Nursing program required; Bachelor's degree in Nursing
preferred. Minimum Experience: The equivalent of one year full-time
recent nursing experience in an acute care hospital setting
(experience in Labor and Delivery is required); OR demonstrated
experience which would provide the knowledge and skill necessary
for successful performance as a Nurse-Midwife. Preferred
Licenses/Certifications: Possession of a current certificate as
Nurse-Midwife issued by the American College of Nurse-Midwives.
Required Licenses/Certifications: APS Perinatal Safety Modules must
be completed within 3 months of hire for positions in Labor and
Delivery/Maternal Child Health. Required Licenses/Certifications:
BLS - Basic Life Support Certification - issued by AHA-American
Heart Association. Required Licenses/Certifications: Must apply
for, be granted and maintain Allied Health Staff Privileges with
AHS. Required Licenses/Certifications: Possession of a current
Nurse-Midwife certificate issued by the Board of Registered Nursing
of the State of California. Required Licenses/Certifications: Valid
license to practice as a Registered Nurse in the State of
California.
Highland General Hospital
Physician-MCH
Services As Needed / Per Diem
Varies
Nursing
FTE: 0.01
Keywords: Alameda Health System, Oakland , Certified Nurse-Midwife, Healthcare , Oakland, California
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