Nurse Midwife (JR229486)

ViziRecruiter,LLC.; New York (NY); On-site; USD 110,000 - 160,000; Full time

Job summary

Montefiore Medical Center is seeking a Nurse-Midwife to provide comprehensive intrapartum and postpartum care in its Labor & Delivery unit. The role requires leadership, adherence to midwifery protocols, and collaboration with attending physicians. Shifts are 12 hours with rotating days and nights.

The candidate will perform exams, order and review tests, manage emergencies, and contribute to education and research initiatives while ensuring patient-centered care and safety.

Qualifications

• BSN required.
• Masters degree required.
• Current New York State RN license required.
• Current New York Midwifery license required.
• Certification for prescriptive rights by NYS Department of Education required.
• Current DEA registration required.
• OHS Fit Test and Annual Assessment required.

Responsibilities

• Manage antepartum, intrapartum and postpartum patients in Labor & Delivery under physician supervision.
• Perform history-taking, physical and pelvic exams; order labs and tests; interpret results.
• Provide counseling and teaching; document care and plans; identify risks and develop management plans.
• Handle emergencies within midwifery protocols; coordinate physician consultations as needed.
• Conduct postpartum rounds, patient teaching, discharge planning, and family planning.

Skills

Leadership

Education support

Education

BSN

Master's degree in Nurse-Midwifery

Job description

Introduction

To heal, to teach, to discover and to advance the health of the communities we serve.

Overview

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

The NurseMidwife maintains standards of the practice for nursing as defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice and Nursing's Social Policy Statement. The NurseMidwife actualizes the vision, mission, values, and balanced scorecard performance measures for Montefiore Medical Center. The NurseMidwife participates in performance improvement/research activities; maintains professional practice standards and clinical expertise; and demonstrates leadership skills. The NurseMidwife demonstrates core and unit specific competencies based on the patient population served. The nursemidwife assumes complete responsibility for the care and management of essentially healthy women in accordance with the midwifery practice agreement and with institutional practice privileges. The nursemidwife participates in educational activities for healthcare students and assists with research studies.

Schedule:

12 hour shifts; Rotating days and nights in 2 week blocks

Day shift start time: 8am

Night shift start time: 8pm

Responsibilities

• Under the supervision of theattending physician and using departmental protocols, manages antepartum,intrapartum, & postpartum patients presenting to our Labor & Delivery Unit.Obtains physician consultation for the management of medical or obstetrical complications not addressed in departmental protocols.
  • Takes pertinent history.
  • Performs physical and pelvic examinations.
  • Orders laboratory and diagnostic tests including non-stress tests and evaluates results.
  • Provides counseling and teaching as needed.
  • Identifies risk factors and develops appropriate plans of management to address the same.
  • Documents patient care, assessment plan, intervention, and response.
• Takes complete responsibility for patients during labor and delivery as long as their progress remains within the bounds of the midwifery collaborative agreement. Manages emergency situations such as postpartum hemorrhage, shoulder dystocia, or infant resuscitation in a conventionally approved manner until physician assistance arrives. Obtains physician consultation for plan of management for any medical or obstetrical complications.
  • Evaluates the status of labor and makes decisions on admitting patients to the labor area.
  • Performs admission physical examinations within 24 hours.
  • Orders laboratory and diagnostic tests and evaluates results.
  • Evaluates progress of labor by vaginal exam.
  • Makes decision regarding ambulation of patient during labor.
  • Inserts and manages cervical ripening according to departmental protocols.
  • Provides analgesia.
  • Requests conduction anesthesia.
  • Performs amniotomy.
  • Applies the external fetal monitor and tocodynamometer.
  • Applies internal fetal scalp electrode and intrauterine pressure catheter.
  • Evaluates fetal monitor tracings and consults with physician if abnormalities are present.
  • Monitors patients on IV oxytocin and regulates oxytocin infusion for induction or stimulation of labor.
  • Makes decision regarding the position(s) of the patients during second stage labor.
  • Makes decisions regarding performance of delivery in the labor room or transfer to the delivery room.
  • Utilizes local infiltration or pudendal block.
  • Performs and repairs episiotomies.
  • Conducts spontaneous deliveries of vertex presentation.
  • Conducts spontaneous deliveries of cephalic presentations in multiples pregnancies with physician in attendance.
  • Manages the labors and conducts the deliveries of vaginal birth after cesarean section (VBAC).
  • Obtains a section of cord for cord gases.
  • Manages the third stage of labor.
  • Performs cervical and vaginal inspection.

• Repairs minor vaginal and perineal lacerations. Seeks physician consultation for repair of cervical or extended vaginal lacerations.
• Takes responsibility for management of uncomplicated patients in the recovery room.
• Decides when the normal infant should be transferred to the nursery.
• Requests attendance of pediatrician at delivery when neonatal problems are anticipated.
• Takes complete responsibility for postpartum patients who are essentially healthy. Shares responsibility for post-op cesarean patients, in collaboration with attending physicians and in accordance with departmental protocols. Obtains physician consultation for plan of management for any medical or obstetrical complication.
• Makes daily nursemidwifery assessment rounds, examines the patient, orders and interprets laboratory results, diagnostic tests, monitors the postpartum course, and documents findings and care.
• Provides and documents postpartum teaching and counseling.
• Writes medication and non-medication orders.
• Removes dressings, surgical sutures and staples.
• Makes appropriate discharge plans and obtain consults from other specialties as needed.
• Prepares patients for postpartum tubal ligation. Provides teaching and counseling for the patient and her newborn.
• Takes complete responsibility for family planning in post-partum patients who are essentially healthy.

Requirements

• BSN Required
• Masters degree Required
• 4-6 years satisfactory clinical nurse-midwifery experience may be substituted for a Masters Degree
• OHS Fit Test Required
• OHS Annual Assessment Required
• Current New York State license as a Registered Nurse Required
• Current New YorkMidwifery License Required
• Certification for prescriptive rights by NYS Department of Education Required
• Current DEA registration Required