Certified Nurse Midwife - OBGYN, Full-time, Rotating

Company Description

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

Job Description

Northwestern Medicine has an exciting opportunity for Certified RN Midwife to join our inpatient OB Triage / Postpartum / Labor and Delivery departments. We are looking to hire a CNM to join the NMH APP hospitalist team. The team currently consists of CNMs and one APRN who rotate through the OB Triage, Labor and Delivery and Postpartum floors.

Northwestern Memorial Hospital and Prentice Women’s Hospital are a tertiary care facility and the academic medical center associated with the Northwestern University Feinberg School of Medicine and the McGaw Medical Center (GME). We work directly with medical students, PA students, OBGYN residents and fellows and our mission focuses on the importance of clinical care, education and research.

Schedule: 12-hour shifts, rotating days/nights/weekends/holidays; no on-call

OB Triage

OB Triage is currently staffed by physicians (MDs and DOs) and advanced practice providers (CNM/APPs). Clinicians care for patients in all trimesters of pregnancy. OB Triage clinician works independently, in-house, at Prentice Women’s Hospital in a dedicated 12-bed Triage space. Rarely, we may need to evaluate a patient in the Northwestern Memorial Hospital Emergency Department. The OB Triage clinician works closely with a three to five nurse team (all of whom have a minimum of 2 years of L&D experience) to care for patients.

In OB Triage, the clinician evaluates patients in all trimesters and is responsible for facilitating care, calling appropriate consultations and evaluating and writing H&Ps and admission orders for patients being admitted to the antepartum service. We see any patient with a confirmed intrauterine pregnancy along with the gamut of pathology that these patients may present with. The range of pathology includes obstetrical problems such as preterm labor and preeclampsia, to non-obstetric complaints such as atypical migraines, asthma exacerbation, etc. The nurses evaluate patients who are 34 weeks and beyond and staff those patients directly with the patient’s on-call provider; the OB Triage clinician is available to assist with care needs as requested.  For patients presenting at <34 weeks gestation, the OB Triage clinician will evaluate the patient, document an H&P in the EMR, perform necessary ultrasounds or other procedures.

There is a steep learning curve while working in OB Triage. The care clinician, while being exposed to a range of pathology that comes with working at a busy academic center, is never without support. All specialty services are available to consult and curbside 24-7. The chief OB resident and OB Unit attending on labor and delivery are also in- house at all times to assist and consult when needed.

Postpartum

The PP APP is first- line to respond to conditions arising in postpartum patients requiring evaluation such as preeclampsia, fever, and hemorrhage. Duties also include postpartum random, Nexplanon insertion and answering pages related to medication clarification. The PP APP functions to back up the L&D residents and APPs on L&D and OBT.

Labor and Delivery

The Labor and Delivery APP is an integral member of the Labor and Delivery team which consists of 1-2 OB Unit Attendings, an OB Chief resident and OB junior residents. The L&D clinician in partnership with the residents is responsible for starting labor inductions and ensuring that labor curves are actively managed. The APP also monitors fetal heart rate tracings and responds to fetal and maternal assessments, which include hemorrhages and prolonged fetal heart rate decelerations. Labor and delivery involves direct collaboration with faculty and private attendings. Once trust is built and relationships are developed, there is abundant opportunity to perform deliveries and guided laceration repairs should the APP choose to participate in these procedures.

It is expected that the APP works closely with the OB nurses, the L&D team (residents, CNMs, nurses), the L&D Unit Attending, and private practice attendings and midwives. We serve as educators for OBGYN residents (12 per class- current total 47), medical students and PA students. Currently, medical students and PA students ro