POSITION SUMMARY
Full scope group nurse-midwifery practice – gynecology (including contraception and menopause), antepartum, intrapartum, post-partum, initial newborn. Rotating schedule between clinic and the hospital. Collaborates with obstetrician/gynecologists and other providers, co-manages and/or refers as appropriate. Admits patients. Performs complete history and physical examinations on adults, teens, and newborns. Determines dosage and timing of medications, orders and/or administers medications. Utilizes fetal monitoring equipment including application of fetal scalp electrodes, IUPCs, and/or amnioinfusion, and interprets the meaning of the information recorded. Determines the content, orders and/or administers intravenous solutions and medications and performs other specialized procedures. First-Assistant in Cesarean Sections. Performs limited ultrasound. Represents midwives and/or the OB Department on various hospital committees. Accepts responsibility for departmental administrative projects. Performs other functions generally accepted as typical of a Certified Nurse-Midwife, as requested. Nightshift, Holiday, and weekend rotation on the Labor & Delivery Unit are essential.
Essential Functions
- Conducts spontaneous vaginal delivery without the use of forceps or vacuum.
- Determines methods and administers anesthesia such as local blocks and arranges intrathecal analgesia and epidural anesthesia as indicated.
- Performs episiotomy and does repair of episiotomy and/or lacerations, records the delivery in permanent record book or computer, and signs the completed birth certificate.
- Determines the need for ultrasound, non-stress tests, oxytocin challenge tests, interprets the results of the tests, and uses the results to plan and carry out a course of treatment.
- Manages the care of patients during the postpartum period.
- Provides family planning education/services, and gynecological services, to women (including teens).
- Assumes responsibility for the triage of common health problems presented by women (including teens) and for management, collaboration, co-management and/or referral to appropriate levels of health care services.
- Prescribes the full range of contraception including, but not limited to, birth control pills, emergency contraception/ “morning-after pills,” inserts intrauterine contraceptive devices and contraceptive implants, fits diaphragms, does pelvic examinations and Pap tests.
- Treats hemorrhage and shock.
- Collaborates in planning, and participates in, educational programs for patients, family, staff and community.
- Must be able to work a rotating full-time schedule, including nights, weekends and Holidays.
- Must be able to perform well in crisis situations.
MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Physical: The work requires prolonged standing, walking, lifting of patients, irregular shifts, and overtime hours. Round-the-clock coverage of patient care may cause physical and emotional stress unique to the role. The Incumbent must be able to frequently stand, walk, bend, kneel, crouch, twist, and maintain balance. Must be able to occasionally sit, drive, climb and reach. Incumbent will need to be able to push, pull, and lift up to 50 pounds. Must have the ability for prolonged color, seeing fine details, and hearing normal speech. Must also have ability to frequently have near vision, far vision, depth perception, telephone use, and hearing overhead pages over a loudspeaker. Hand manipulation ability with simple/firm grasping, fine manipulation, and use of keyboards. May be exposed frequently to infectious disease and loud noises; occasionally to chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, and unprotected heights. Noted other requirements prolonged times of need to accepts flexible schedule to meet unit needs.
Mental: Must be able to perform well in crisis situations. Must be able to work well within a group. Incumbent must have the prolonged ability to cope with high level of stress, make decisions under high pressure, concentrate, handle high degree of flexibility, handle multiple priorities in a stressful situation, work alone, demonstrate high degree of patience, adapt to shift work. Frequently be able to cope with anger/fear/hostility of others in a calm way and working areas that are close and crowded.
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