JOB DESCRIPTION
Summary
The Certified Nurse Midwife is an Advanced Practice Registered Nurse who specializes in primary and reproductive care for women and their babies. The candidate will provide health for women through routine exams and are able to initiate all types of contraception. The candidate will also prescribe medications, treatments as needed by the patient(s). Their work will entails developing a comprehensive history of physical exam in an accurate and timely manner, as well as developing and implementing a plan of care with the patient.
Essential Functions
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 patients 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 patients 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 preventive measures and detect abnormal conditions.
Provides teaching, counseling, and guidance to individual patients 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 patients 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 palpitation and ultrasound examinations to evaluate fetal status; estimate fetal weight, presentation and position, approximate situation and fetal heart rate.
Performs internal and external fetal monitoring an interpretation.
Determines patients degree of labor and whether they are to be hospitalized to labor and delivery unit.
Provides pre-natal care as well as gynecological care to women.
Other duties as assigned.
General Information: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands, and to seek assistance as appropriate.
Physical Demands
This is a physical position that will require standing on your feet, and walking. This would require the ability sit, walk, bend or stand as necessary, and ability to lift up to 25lbs.
Other physical demands of the position include but are not limited to:
1. Use of hands to handle, control, or feel objects, tools, or controls
2. Repetitious movements
3. Sit for long periods of time
4. Bend and twist the body
5. See details of objects nearby
Education
Skills / Experience
1. Minimum 3 years of clinical experience (full time)
2. A keen interest in helping the underserved population (e.g. the homeless population).
3. FQHC Experience a plus
4. Familiarity with Quality Measures a plus
5. Able to be successfully credentialed by BACHC.
6. Strong communication and interpersonal skills
7. Bilingual (English and Spanish) a plus
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