Purpose of Position: Provides medical care and treatment to obstetrical patients under supervision of Obstetrician, delivers babies, and instructs patients in prenatal and postnatal health practices Description Participates in initial examination of obstetrical patient, and is assigned responsibility for care, treatment, and delivery of patient. Participates in antenatal evaluation and treatment of the obstetrical patient. Examines patient during pregnancy, utilizing physical findings, laboratory test results, and patient's statements to evaluate condition and ensure that patient's progress is normal. Instructs patient in prenatal health practices. Discusses case with Obstetrician and staff to assure observation of specified practices. Stays with patient during labor to reassure patient and to administer medication. Delivers infant and performs postpartum examinations and treatments to ensure that patient and infant are responding normally. When deviations from standard are encountered during pregnancy or delivery, administers stipulated emergency measures, and arranges for immediate contact of Obstetrician. Visits patient during postpartum period in hospital to examine patient and instruct patient in care of self and infant. Participate in discharge care including discharge orders. Assist Obstetrician as First Assist for C-sections Maintains records of cases for inclusion in establishment file. Conducts classes for groups of patients and families to provide information concerning pregnancy, childbirth, and family orientation. May direct activities of other workers. May instruct in midwifery in establishment providing such training. Participate in the performance improvement activities of the department. Qualifications Masters Degree in Nursing (MSN) (CNM) - Currently licensed as a Certified Nurse Midwife in the Commonwealth of Massachusetts (DEA) – US Department of Justice DEA Registration (required if prescribing) (MCSR) - Massachusetts Controlled Substance Registration (required if prescribing) (BLS) - Current Basic Life Support certification (PALS) – Pediatric Advanced Life Support certification (obtain within 6 months, offered within) (ACLS) – Current Advanced Cardiac Life Support certification (obtain within 6 months, offered within) (FHM) - Fetal Monitor Course every 2 years Minimum two years experience as a certified nurse midwife Knowledge of professional nursing theory, clinical practice standards, normal maternal / fetal growth and development, and requirements of nurse midwifery practice. Able to independently seek out resources and solve complex problems. Schedule Details: 3 Day Work Week, 12-hr. Shifts, Rotating Days/Nights (i.e., 7a-7p or 7p-7a), Rotating Weekends & Holidays Organization : Cape Cod Hospital Primary Location : Massachusetts-Hyannis Department : CCH-PH Birthing Center Annual/Hourly: Annual - Based on Full Time Employment Hiring Pay Range: 161589 - 178740
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-23492 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Laborist APC PB Status: Part time Budgeted Hours: 0 Shift: Varied Shifts (United States of America) Provides perinatal care to patients which includes physical assessment, patient education, evaluation and management of problems in accordance with approved nurse midwifery guidelines. Provides inpatient evaluation and management of prenatal patients in OB ED, for management of women in labor, during birth and postpartum. First assist at cesarean births. Compensation Pay Range: $90.00 - $110.00 ESSENTIAL FUNCTIONS 1 - Patient Care Organization a - Assumes management responsibility for assessment, planning, implementation and evaluation for a plan of care for obstetrical and gynecological patients selected according to approved nurse midwifery b - Collaborates with the health care team in planning and implementing care for obstetrical and gynecological patients. c - Participates in ongoing review of nurse midwifery prescriptive practice. d - Participates in Quality Management Program on a regular and continuing basis. 2 - Quality of Care a - Assists in the development, implementation and revision of nurse midwifery guidelines and standards of care. b - Evaluates individual health care status of patients, formulates a management plan and revises the plan as indicated. c - Participates in continuous case review and appropriately communicates current data regarding all patients cared for by the obstetrical team. d - Issues prescriptions and medication orders in accordance with SSH Nurse Midwifery practice protocols, and the rules set forth by the Board of Nursing. e - Prior to leaving each shift, ensures documents are clear, complete, concise and organized manner demonstrating skill in the nursing process. f - Seeks consultation according to nurse midwifery protocols from all members of the health care team involved in patient's care and makes appropriate referrals. g - Provides consultation services as required by the health care team. Completes history and physical examinations and laboratory tests as appropriate. Continues assessment and teaching throughout pregnancy as indicated by documentation. h - Manages normal labor and conducts delivery, including assessment of maternal and fetal status, identification of deviations from normal, management of third stage, management of episiotomy and perennial repairs. Identifies, manages and consults for obstetrical emergencies as indicated. i - Manages maternal postpartum course including teaching, referrals, and follow-up. j - Provides 12-hour on-call coverage to a caseload of obstetrical patients, including telephone triage. (Full time (6)12 hr days plus 8 hrs per pay period for full-time CNM's and half that for the part-time.) 3 - Coordination a - Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community. b - Demonstrates awareness of community resources and assists staff, patients and families to use them effective. c - Serves on nursing and hospital committees and assumes responsibility for disseminating and communicating information to staff. 4 - Planning a - Develops annual objectives and reviews these with the Medical Director of the Laborist and Midwifery Program at time of performance review and at appropriate intervals. b - Assists in determining, evaluating, and/or implementing nurse midwifery practice goals and objectives. c - Maintains interdisciplinary approach for planning and communicating information for appropriate patient care. d - Maintains awareness of legislation that may affect the health care delivery systems and nurse midwifery practice. 5 - Research a - Initiates and participates in nursing research at a level consistent with educational background which shall include data collection to measure CNM/Laborist effectiveness as a program. b - Maintains understanding of current research in related clinical areas through relevant publications. c - Contributes by either group or individual authorship to writing for publication. d - Recommends innovative approaches to nurse midwifery practice based on selected research findings. Technology and Learning a - Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization. b - Embraces technological advances that allow us to communicate information effectively and efficiently based on role. JOB REQUIREMENTS Minimum Education - Preferred Graduate of an approved program o Midwifery. Masters Degree preferred. Minimum Work Experience Previous nurse midwifery experience preferred. Required Licenses / Registrations CNM - Certified Nurse Midwife This position is a licensed independent practitioner credentialed through the Medical Staff Services Office Required additional Knowledge and Abilities Demonstrates clinical expertise to function in an independent role. Excellent interpersonal relationships and communication skills in order to collaborate with patients, families and staff. Ability to work with frequent stress resulting from an active caseload, busy clinical settings and 24 hour on-call coverage. Ability to be self-directive and demonstrate initiative in addressing responsibilities of position. 12 hour laborist call shifts, daytime and nighttime (7a - 7p and 7p - 7a) Responsibilities if Required: Education if Required: License/Registration/Certification Requirements: Certified Nurse Midwife - Board of Registration in Nursing (Massachusetts) - Board of Registration in Nursing (Massachusetts)
