Certified Nurse Midwife
Jacksonville, NC US
DUTIES OF THE CERTIFIED NURSE MIDWIFE (CNM):
- Provide a full range of nurse midwife services in accordance with privileges granted by the Commanding officer. The CNM s scope of practice is based on the principles of a team approach. The CNM assumes an expanded role in the delivery of health care. As an interdependent member of the health care team, the CNM shall provide obstetrical and preventive health care through consultation, collaboration, referral and direct patient care.
- Adhere to BUMEDINST 6550.11, Utilization Guidelines for Nurse Midwives (available from the COR upon request). This instruction includes the following requirements: permits nurse practitioner ordering and administration of an approved list of drugs according to protocol and requires random review of records of patients seen by the nurse practitioner
- Provide comprehensive primary care to a select population of essentially healthy women and their babies in a variety of settings to include prenatal care, intrapartum management, postpartum care, immediate newborn care, and well-woman visits.
- Manage the care of normal antepartum women to include teaching, counseling and support.
- Collect, document, and evaluate patient data. Take health history and perform and record the obstetrical physical evaluation.
- Assess patient needs and formulate and implement a plan of care for each patient consistent with established guidelines.
- Operate support, consultation or collaborative management for those patients and families experiencing critical illness and/or potential death.
- Perform the following: start intravenous infusions; administer analgesia according to standing orders; manage and control normal spontaneous deliveries; record the labor and delivery.
- Perform and record physical evaluation of newborns.
- Manage the care of normal newborn including nutrition, elimination and activity.
- Maintain all required patient records and reports pertinent information.
- Prepare and submit all reports and statistics in a timely manner.
- Discriminate between normal and abnormal findings to recognize early stages of problems.
- Provide periodic health screening of normal, non-pregnant and asymptomatic patients, with a specific emphasis on the evaluation of the thyroid, breasts, abdomen, and pelvis, including a complete pelvic exam and PAP smear, along with appropriate cultures.
- Provide counseling and education on reproductive and related health issues to maintain or improve the patient s health status including the areas of: situational stress, childbearing, parenting, contraception, sterilization and sexually transmitted diseases.
- Provide education and consultation to GME-1 trainees, medical students and other trainees and personnel.
- Provide technical guidance and education to nursing and ancillary personnel.
- Provide health, psychosocial and obstetric/gynecologic history and physical examination.
- Provide complete prenatal care of the normal obstetric patient.
- Provide consultation to other specialists, clinics, or health resources as indicated.
- Provide collaborative management of complicated patients (as defined by the department) with the Maternal-Fetal Medicine Physician or the HCW s designated Staff Obstetrician/Gynecologist.
- Order routine screening laboratory tests and radiographic procedures.
- Prescribe and dispense medications as approved by Pharmacy and Therapeutics Committee.
- Prescribe and dispense all contraceptive agents exclusive of subcutaneous implanted progestin devices and cervical caps.
- Perform assessment and treatment of OB/GYN patients with acute episodic illness (consultation with appropriate medical officer when needed).
- Develop a health promotion and maintenance plan, including disease prevention and health screening
- Provide abortion counseling.
- Assess and treat patients with minor gynecological problems and sexually-transmitted diseases.
- Provide antenatal evaluation of fetal well-being by electronic fetal monitoring and interpretation of stress and nonstress tests
- Perform diagnosis of labor, perform admission history, and a physical examination with review by a staff Physician.
- Manage uncomplicated vertex labor inclusive of routine inpatient orders, amniotomy, external and internal monitoring, analgesia using intramuscular and intravenous narcotics and potentiators. Provide teaching andsupport.
- Manage uncomplicated vertex delivery inclusive of local, pudendal, and paracervical block anesthesia, episiotomy, and repair.
- Perform assessment and manage normal post-partum orders, and administration of oxytocics.
- Perform assessment of readiness for and discharge of patients from the hospital.
- Provide initial routine care of newborn inclusive of aspiration with DeLee and endotracheal tube (in case of emergency), assignment of APGAR scores, and initial newborn examination in the delivery room
- Provide resuscitation of newborn by mask and bag.
- Provide independent admission and discharge to the OB/GYN service in accordance with privileges granted.
- Participate in research studies relevant to providing continuity of patient care. (Approximately 10%)
- Certified Nurse Midwife Additional Procedures. Uterine exploration
- Basic ultrasound
- Insert and remove IUD s
- Operate and manipulate automated systems such as CHCS, AHLTA, ADS, Essentris, and Clinical Information System (CIS)
QUALIFICATIONS OF THE CERTIFIED NURSE MIDWIFE (CNM):
- Have a minimum of 2 years (full-time) experience working as a credentialed Nurse Midwife within the past 5 years.
- Possess and maintain certification for the Neonatal Resuscitation Program (NRP).
- Master' s degree in nursing.
- Graduate from a certified nurse midwife education program accredited by the American College of Nurse Midwives.
- Certified by the American Midwifery Certification Board.
- Current, full, active, and unrestricted license to practice as a registered nurse as required in the TO.
- Must be a U.S. Citizen (for access to Gov' t computer systems)
COMPENSATION & BENEFITS:
10 days paid time off per year plus 7 sick days per year
10 paid Federal holidays
Health & Welfare allowance covers the cost of health insurance, long and short-term disability, and life insurance
Dental and vision plans offered, 401(k)
ABOUT THE ARORA GROUP:
The Arora Group is an award-winning, Joint Commission-certified nationwide healthcare services company that, for almost 30 years, has provided medical care for the men and women who serve our country in the U.S. Armed Forces. Our mission is to provide world-class care and give our healthcare professionals opportunities to improve their skills, learn from the best, and serve the needs of active duty service members, their families, and veterans.
EOE AA M/F/Vet/Disability