Certified Nurse Midwife

Description

Summary

This position exists to promote excellence in clinical practice in antepartum, intrapartum, postpartum and well woman care; and in education, consultant services and clinical research.

Essential Functions

Clinical practice:

   Provide full-scope midwifery care; obtain relevant health history and comprehensive physical exam, preventative screening, and identification of medical and obstetric risk factors. Formulates appropriate differential diagnoses and identification of individual, family and community needs. Develops treatment plan to maximize the health potential of the individual, family and/or community in the outpatient as well as in the inpatient setting. May initiate or participate in patient care conferences Orders and adjusts medications per collaborative written agreement and prescriptive authority in accordance with the Indiana Nurse Practice Act. Serves as clinical resource person for the nursing staff, physicians, hospital and other health care providers. Performs outpatient fetal surveillance, including non-stress tests. Hospital duties include: triage of obstetric patients, labor assessment and management, vaginal deliveries, repair of minor lacerations and episiotomies, immediate newborn assessment and stabilization, postpartum rounds and discharge of patient. May perform additional duties with appropriate training. Examples of exceeds expectations: Clinically practices at a high level of care noted by other providers and patient evaluations. Consistently goes beyond the expected standard of care to address special needs of the patients. May choose to add additional skills such as IUD insertion, colposcopy, and limited US assessments. Apply a minimum of one health literacy method when communicating with patients/clients.

Quality Assurance:

   Consults appropriately with physician sponsors. Manages low risk patients independently. Develops at least one procedure and/or clinical guideline related to OB/GYN based on current research each year. Identifies issues or processes, which may benefit from analysis with the overall goal for improvement. Acts to resolve problems that are identified. Participates in peer review. Those exceeding these expectations may do so by serving on clinical practice committees, PA&I CNM subcommittee, HealthNet Quality Council, EMR implementation, or other quality improvement committees.

Documentation:

   Maintains adequate, concise and legible medical records documenting findings, patient assessments and services in concert with HealthNet & the organization guideline. Meets HealthNet policy standards for use of problem list and medication sheet.

Education:

   Participates in the education of medical professionals, including midwifery, nurse practitioner and medical students, and resident physicians. Provides extensive antepartum, postpartum and well-woman education with an emphasis on empowering patients to assume the primary responsibility for their own health decisions. Exceeds: rated consistently on a high level by students; participates in learner conferences in a professional manner; displays knowledge as "expert" in some area of clinical practice. Shares new information with other members of the healthcare team.

Consultation:

   Functions as a clinical expert by providing consultative services to health team members and the community. Acts in consultation with physicians in providing care for high-risk patients. Exceeds: appears on public forum panels, presents information to groups, teaches classes outside of job expectations, may write articles or serve as a guest speaker to the mass media, may serve on boards or professional organizations.

Research:

   Compares clinical practices to national standards. Incorporates scientific evidence into clinical practice and may participate in and/or conduct research in women's health. Exceeds: may initiate and perform clinical research. Seeks grant funding for projects. May serve as a resource person to interpret research findings.

The preceding essential function statements are not intended to be an exhaustive list of tasks and functions for this position. Job descriptions provide a representative summary of the major duties and responsibilities performed by incumbents. Other tasks and functions may be assigned as needed to fulfill the mission of the organization.

Requirements

QUALIFICATIONS/KNOWLEDGE/SKILLS/ABILITIES:

Requires Certification in Nurse Midwifery by the American College of Nurse-Midwives.

Requires current Indiana RN licensure.

Requires current Indiana Nurse- Midwife/Certified Nurse-Midwife license.

Requires Basic Life Support certification through the AHA. Other