Company: Alameda Health System
Posted on: June 6, 2021
Highland Hospital, located in Oakland, California, is the
largest facility of Alameda Health System which serves a diverse
patient population in California's East Bay Area. As part of
Alameda County's safety net, we provide quality, accessible care to
our community's most vulnerable patients. We are currently
recruiting for a part-time Certified Nurse-Midwife to join our
team. This full scope nurse-midwife position will be responsible
for providing outpatient care in our Newark Wellness Center
location as well as working inpatient shifts on Labor & Delivery at
Highland Hospital. Shifts are variable and include days, nights,
weekdays, weekends, and holidays. If you are interested in this
opportunity, we encourage you to apply!
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
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.
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
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.
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.
Determines status of labor; assesses, confirms and manages
premature rupture of membranes; determines the need for amniotomy,
IUPC insertion, fetal scalp electrode application, catherization 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.
Performs initial assessment of newborn status; assists in
promoting establishment of airway and maintenance of body
temperature; begins resuscitation efforts in the absence of
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.
- 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
- Graduate of an accredited Nursing program required; Bachelor's
degree in Nursing preferred.
- Graduate of Board approved program in Nurse-Midwifery or
equivalency that is satisfactory to the Board of Registered
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.
- Valid license to practice as a Registered Nurse in the State of
- Possession of a current Nurse-Midwife certificate issued by the
Board of Registered Nursing of the State of California.
- BLS - Basic Life Support Certification - issued by AHA-American
- APS Perinatal Safety Modules must be completed within 3 months
of hire for positions in Labor and Delivery/Maternal Child
- Must apply for, be granted and maintain Allied Health Staff
Privileges with AHS.
- Possession of a current certificate as Nurse-Midwife issued by
the American College of Nurse-Midwives.
Keywords: Alameda Health System, Oakland , Certified Nurse-Midwife, Other , Oakland, California
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