Nurse Midwife (JR229501)

ViziRecruiter,LLC.; New York (NY); On-site; USD 110,000 - 140,000; Full time

Job summary

Montefiore Medical Center seeks a Nurse-Midwife to uphold nursing standards and lead care in Labor & Delivery. You will collaborate with attending physicians, manage antepartum through postpartum patients, perform examinations, order tests, and document care.

You will participate in education for healthcare students and contribute to research. Schedule includes 12-hour shifts with rotating days and nights in two-week blocks; day start 8am, night start 8pm.

Qualifications

• BSN required.
• Master's degree required.
• Current New York State RN license required.
• Current New York Midwifery license and prescriptive rights required.
• DEA registration required.

Responsibilities

• Manage antepartum, intrapartum, and postpartum patients per departmental protocols.
• Respond to emergencies and provide stabilization until physician arrival.
• Perform examinations, order tests, document care, and educate patients.
• Provide postpartum and newborn care, and participate in teaching and research activities.

Skills

Nurse-midwifery

OB/GYN care

Labor & Delivery

Clinical leadership

Education

Bachelor of Science in Nursing (BSN)

Master's degree in midwifery or related field

Job description

Introduction

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

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.

Overview

TheNurseMidwifemaintains 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 NurseMidwifeactualizes the vision, mission, values, and balanced scorecard performance measures for Montefiore Medical Center.

The NurseMidwifeparticipates in performance improvement/research activities; maintains professional practice standards and clinical expertise; and demonstrates leadership skills.

The NurseMidwifedemonstrates core and unit specific competencies based on the patient population served.

The nursemidwifeassumes complete responsibility for the care and management of essentially healthy women in accordance with themidwifery practice agreement and with institutional practice privileges.

The nursemidwifeparticipates 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, managesantepartum,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 themidwifery 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.
  • *Orderslaboratoryand diagnostic tests and evaluates results.
  • * Evaluates progress of labor by vaginal exam.
  • * Makes decision regarding ambulation of patient during labor.
  • * Inserts and managescervical ripening according to departmental protocols.
  • * Provides analgesia.
  • * Requestsconductionanesthesia.
  • * 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 I.V. oxytocin and regulates oxytocin infusion for induction or stimulation of labor.
  • *Makesdecision 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 andnon-medication orders.
  • * Removes dressings,surgical sutures and staples.
  • *Makes appropriate discharge plansand 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 planningin post-partumpatients who are essentially healthy.

  • *Provides contraceptive counseling and care.
  • a. Provides oral contraceptives Depo-Provera and the contraceptive ring.
  • b. Inserts and removes IUDs.
  • d. Inserts and removes hormonal implants.
  • e. Provides counseling concerning spermicide, contraceptive sponges, films, condoms and natural family planning methods.
  • f. Provides counseling concerning sterilization and abortion.

• Prescribes medications and educates the patient and families about the drug regimen, interactions and side effects.

  • *Zero error tolerance.

• Participates in educational activities for healthcare learners, including Medical, Nursing, PA,Midwifery, students, residents and other visiting leraners..

  • * Conducts didactic sessions.
  • *Provides supervision of clinical activities.
  • * Participates in evaluation of students.

• Maintains competency.

  • * Attends Grand Rounds of Department of Ob/Gyn.
  • * Attends conferences related to specialty area.
  • *Meets ACNM Continuing Competency Requirement.
  • *Maintains BLS, NRP and annual mandatory inservices.

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