FT Midwife - MHMG OBGYN

Status:                  Full-time; 10 shifts per biweekly pay period

Weekends:           Call Rotation

Holidays:              Call Rotation

A Certified Nurse Midwife (CNM) is an advanced practice registered nurse (APRN) who specializes in primary and reproductive care for women and their babies.

Skill/Ability:

• Provides assistance with births, promoting reproductive and primary care education, offering counseling, and ensuring the health of women and their babies.
• Also involved in providing sexual health care to women for routine exams and initiates all types of contraception.
• Prescribe medications, treatments, and apply therapeutic and diagnostic measures.
• Responsible for providing medical care to women from puberty through menopause, including care for their newborn (neonatology), antepartum, intrapartum, postpartum, and nonsurgical gynecological care.
• Provide primary women’s health care with a focus on pregnancy, childbirth, the postpartum period, care of the newborn and the family planning and gynecological needs of women.
• Also involves applying obstetrical and gynecological theoretical knowledge and hand skills; while following clinical guidelines, policies, and procedures.
• Responsible for providing primary care to women, including timely ordering and accurate evaluation of diagnostic tests and management of minor complications.
• Identifies factors that indicate deviations from normalcy and provide follow-up services in accordance with the standards delineated in the Nurse-Midwifery Scope of Practice.
• Provides a comprehensive history and physical exam in an accurate and timely manner, and develops and implements a plan of care with the patient, which is consistent with the clinical objectives of the multi-disciplinary obstetrical team.
• Provides in-patient obstetrical care for essentially healthy woman, including OB triage, labor management, delivery of the infant; repair of lacerations/episiotomies, management of the immediate postpartum period, and management of minor complications; as well as initiation of emergency care as needed.
• Responsible for prescribing appropriate treatments and medications from an approved formulary for the management of a client’s contraceptive needs and/or for specific medical problems.
• Applies initiative in identifying deviations from normal tendency and consult, co-manage, or refer patient as appropriate.
• Follows established clinical guidelines in providing limited obstetric ultrasound as indicated.
• Serve as an expert, providing individualized client teaching and counseling, utilizing the nurse-midwifery philosophy as appropriate.
• Instructs and supervises nurses as assigned.
• Participates in a continuous, collaborative peer review process and in audits to conform to regulatory standards.
• Exercises a high level of independent judgment in managing patient care and assessing risk status.
• Practices within a health care system that provides for physician consultation, collaborative management, and referral as indicated by the health status of the patient
•       Must be able to work effectively in a team oriented and interdisciplinary environment
• Required to have a compassionate and caring attitude to deal with women who are in pain, and enjoy working with women from diverse backgrounds from teenage to menopause

Responsibilities:

§ Responsible for providing and managing the care of women during labor and delivery

§ Ensures to obtain accurate medical, obstetrical, gynecological, and psycho-social history of the present pregnancy and observes signs of the member’s general and obstetrical health status

§ Responsible for carrying out complete physical examinations, including the pap smear, breast examination, abdominal examination, pelvic examination, and clinical pelvimetry

§ Responsible for documenting all findings of examinations, histories, and significant observations in the patient’s chart

§ Responsible for determining pregnancy status during gestation, fetal heart rate, and presentation and position of fetus

§ Applies knowledge to determine whether all findings are within normal limits

§ Orders appropriate laboratory examinations, including ultrasound, blood type, chest X-ray, CBC, urinalysis, Rh factor, and serology tests

§ Provides advance patient care by consulting with and obtaining orders from an obstetrician for any special care or diagnostic procedure and refers to other services as necessary

§ Obtains consultation and assistance from physicians as needed to institute preventative measures and detect abnormal conditions

§ Provides teaching, counseling, and guidance to individual members regarding their health care

§ Applies judgment to determine the need for social services, genetics or mental health services, and refers as appropriate

§ Provides assessment on patient’s general and obstetrical health status

§ Responsible for the provision of health supervisory services, care and family planning advice to women during antepartum and postpartum periods

§ Performs procedures such as abdominal palpation and ultrasound examinations to evaluate fetal status; estimate fetal weight, presentation and position, approximate station and fetal heart rate

§ Performs internal and external fetal monitoring and interpretation

§ Consults with obstetrician regarding abnormal findings

§ Determines patients’ degree of labor and whether they are to be hospitalized to labor and delivery unit

§ Conducts normal spontaneous vaginal deliveries independently

§ Provides assistance prior to cesarean sections and gynecological surgeries

§ Undertakes immediate care of the newborn

§ Provides prenatal care as well as gynecological care to women.

Education:

§ Required to have a minimum of a Master’s degree and must be a graduate of an accredited school/university of nurse-midwifery with clinical experience

§ Must possess a current Registered Nurse license (RN) in the state of Ohio and must possess certification by the American College of Nurse-Midwives (ACNM) or the ACNM Certification Council. Required to have a current CPR certification, and current certification in Neonatal Resuscitation

§ Required to have advance knowledge in obstetrics, gynecology, and women’s health

§ Must be credentialed at CHMC as an Allied Health member of the Department of OB/GYN,

§ Required to have great active listening and communications skills: Required to have great oral and written communication skills to work effectively with people and relate with patients. Must also be able to listen to patients with empathy and genuine care

§ Required to provide counsel and health education to patients, new moms, staff,hence must be able to pass educative and informative messages in a clear and concise manner to all