GENERAL SUMMARY:
The Certified Nurse Midwife (CNM)-II is an advanced practice nurse who provides full scope midwifery care. The CNM provides care to the patient which is delivered during the antepartum, intrapartum and postpartum periods. The CNM also provides care to the gynecologic patient in the clinic/office setting. High risk patients are cared for in consultation and collaboration with the medical team. The practice setting for the CNM-II will be in the Outpatient Clinic, contractually with Obstetrician's offices, the Natural Birth Center, the Family Birth Center Triage and LDRs and the Post Partum unit with the focus on enhancement of clinical care, patient satisfaction, and safety. Clinical care may include first assisting in OB surgical cases. A Physician Assistant will also be considered for this role.
ESSENTIAL DUTIES:
1. Clinical Practice: The CNM provides clinical services and management of mothers and babies as defined in the standing orders, policies, procedures and protocols for the CNM. Performs physical exams, collects and documents data, manages labor and spontaneous delivery, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, and prescribes appropriate interventions and medications. Formulates and implements prenatal, intrapartum, postpartum, newborn and inter-conceptional care as defined by midwifery scope of practice. Communication/Consultation: Role models advanced practice professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking and problem-solving skills. Communicates effectively with patients, families, visitors, healthcare team, physicians, administrators and others and promotes patient and family centered care. Provides continuity, compassionate, culturally sensitive care to patients, and models this for students and colleagues.
2. Limited obstetrical ultrasound to include: Completes fetal imaging testing as indicated and appropriate which may include 1. evaluation of fetal well-being: biophysical profile, assessment of amniotic fluid volume, 2. determination of placental location, 3. confirmation of cardiac activity, 4. determination of fetal lie or presentation, 5. estimation of fetal weight Education/Professional Development
3. Leadership/Quality/Research: Serves on appropriate unit and hospital wide committees related to woman and infant services. Utilizes current research and evidence-based decision -making in all clinical practice. Incorporates clinical research findings in the development and implementation of standards of care. Supports HIC approved clinical research/trials.
4. Education/Professional development: Assess educational needs, plan, provide and evaluate educational programs for nursing staff, interdisciplinary healthcare team, and community. Precept nurse midwifery students and provide education and support to Residents and Medical Students. Provide patient and family education related to prenatal, intrapartum, postpartum, newborn and interconceptional care. Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education. Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education. Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education.
5. Quality control testing of amnioswab and urine dip stick testing on FBC unit
STANDARD QUALIFICATIONS
A. Education / Training: Graduate of master's degree in Nurse Midwifery Program, accredited by the American College of Nurse Midwives or College of Nurse Midwifery. Obstetric nursing experience strongly preferred. Advance practice-CNM experience preferred. If a Physician Assistant, a graduate from an accredited PA program.
B. Certification, Licensure, Registration: State of Michigan licensure, Certification: Certified Nurse Midwife- American Midwifery Certification Board. AHA BLS required. Neonatal Resuscitation certification within 6 months of hire. Electronic Fetal Monitoring certification through the NCC within 6 months of hire. Certification in Obstetrical Ultrasound preferred. If a PA, State of MI PA license required also.
C. Other Qualifications: Written and verbal communication as well as computer skills required.