Nurse Midwife (JR229501)

<strong>To heal, to teach, to discover and to advance the health of the communities we serve.<br /></strong><br /> <p>To learn more about the &ldquo;Montefiore Difference&rdquo; &ndash; who we are at Montefiore and all that we have to offer our associates, please click <strong><a href="https://healthymebenefits.com/" target="_blank" title="Montefiore Difference" rel="noopener noreferrer">here</a></strong>.&nbsp;</p>

Bronx, New York

Montefiore

<h4 class=""><strong>WHY TOP TALENT PICKS MONTEFIORE EINSTEIN&nbsp;<br /><br /></strong>Since its inception in 1884, Montefiore Einstein&rsquo;s mission has been to heal, to teach, to discover and advance the health of the communities we serve.<br /><br />Montefiore Einstein&rsquo;s state-of-the-art facilities include the&nbsp;<span class="">internationally-recognized</span>&nbsp;Children&rsquo;s Hospital at Montefiore Einstein and our Notable Centers of Excellence - Montefiore Einstein Center for Cancer Care, Montefiore Einstein Center for Heart and Vascular Care, Montefiore Einstein Center for Transplantation. Combined with a growing number of locations throughout the Bronx and Westchester County, Montefiore Einstein is the ideal organization to apply and hone your expertise.<br /><br /><span style="text-decoration: underline;"><a href="https://montefiore.wd12.myworkdayjobs.com/en-US/MMC/login" target="_blank" title="Candidate Home" rel="noopener noreferrer">Sign In</a></span>&nbsp;- Candidate Home<br /><span style="text-decoration: underline;"><a href="https://montefiore.wd12.myworkdayjobs.com/en-US/MMC/introduceYourself" target="_blank" title="Introduce Yourself " rel="noopener noreferrer">Introduce Yourself&nbsp;</a></span>-&nbsp;Please let us know about yourself so we can keep in touch about future job openings!<br /><br /><strong><span class="">NURSE&nbsp;RECRUITMENT&nbsp;HOTLINE:</span>&nbsp;<span class="">718-920-6697 (</span><span class="">Monday-Friday: 9am-4pm)&nbsp;&nbsp;</span></strong><br /><br /><strong>Check Out Our Employee&nbsp;<span style="text-decoration: underline;"><a href="https://healthymebenefits.com/" target="_blank" title="Benefits" rel="noopener noreferrer">Benefits</a></span></strong></h4> <h4 class="p1"><span style="text-decoration: underline;"><strong><a href="https://s3.us-east-1.amazonaws.com/vizi.vizirecruiter.com/MontefioreHealthSystem+RecruitingPractices.pdf" target="_blank" title="Safe Online Recruiting" rel="noopener noreferrer">Our Commitment to Safe Online Recruiting</a></strong></span></h4> https://www.montefiore.org/

keywords: position summary,pay rate,patient care,analysis,consulting,management,orders,planning,healthcare,nurse,education,experience,license,assessment,certification

Full time

$90.00

Overview: <div>The&nbsp;<strong>Nurse&nbsp;Midwife&nbsp;</strong>maintains standards of the practice for nursing as defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice and Nursing's Social Policy Statement.<br />The Nurse&nbsp;Midwife&nbsp;actualizes the vision, mission, values, and balanced scorecard performance measures for Montefiore Medical Center.<br />The Nurse&nbsp;Midwife&nbsp;participates in performance improvement/research activities; maintains professional practice standards and clinical expertise; and demonstrates leadership skills. The Nurse&nbsp;Midwife&nbsp;demonstrates core and unit specific competencies based on the patient population served.<br />The nurse&nbsp;midwife&nbsp;assumes complete responsibility for the care and management of essentially healthy women in accordance with the&nbsp;midwifery practice agreement and with institutional practice privileges.<br />The nurse&nbsp;midwife&nbsp;participates in educational activities for healthcare students and assists with research studies.</div> <div>&nbsp;</div> <div><strong>Schedule:</strong></div> <div><strong>12 hour shifts; Rotating days and nights in 2 week blocks</strong></div> <div><strong>Day shift start time: 8am</strong></div> <div><strong>Night shift start time: 8pm</strong></div>
Responsibilities: <ul> <li> <div>Under the supervision of the&nbsp;attending physician and using departmental protocols, manages&nbsp;antepartum,&nbsp;intrapartum,&nbsp;&amp; postpartum patients presenting to our Labor &amp; Delivery Unit.&nbsp;Obtains physician consultation for the management of medical or obstetrical complications not addressed in departmental protocols.<br />*Takes pertinent history.<br />*Performs physical and pelvic examinations.<br />*Orders laboratory and diagnostic tests including non-stress tests and evaluates results.<br />*Provides counseling and teaching as needed.<br />*Identifies risk factors and develops appropriate plans of management to address the same.<br />*Documents patient care, assessment plan, intervention, and response.</div> </li> <li> <div>Takes complete responsibility for patients during labor and delivery as long as their progress remains within the bounds of the&nbsp;midwifery collaborative agreement. Manages emergency situations such as postpartum hemorrhage, shoulder dystocia, or infant resuscitation in a conventionally approved manner until physician assistance arrives. Obtains physician consultation for plan of management for any medical or obstetrical complications.<br />* Evaluates the status of labor and makes decisions on admitting patients to the labor area.<br />* Performs admission physical examinations within 24 hours.<br />*Orders&nbsp;laboratory&nbsp;and diagnostic tests and evaluates results.<br />* Evaluates progress of labor by vaginal exam.<br />* Makes decision regarding ambulation of patient during labor.<br />* Inserts and manages&nbsp;cervical ripening according to departmental protocols.<br />* Provides analgesia.<br />* Requests&nbsp;conduction&nbsp;anesthesia.<br />* Performs amniotomy.<br />* Applies the external fetal monitor and tocodynamometer.<br />* Applies internal fetal scalp electrode and intrauterine pressure catheter.<br />* Evaluates fetal monitor tracings and consults with physician if abnormalities are present.<br />*Monitors patients on I.V. oxytocin and regulates oxytocin infusion for induction or stimulation of labor.<br />*Makes&nbsp;decision regarding the position(s) of the patients during second stage labor.<br />*Makes decisions regarding performance of delivery in the labor room or transfer to the delivery room.<br />*Utilizes local infiltration or pudendal block.<br />* Performs and repairs episiotomies.<br />* Conducts spontaneous deliveries of vertex presentation.<br />*Conducts spontaneous deliveries of cephalic presentations in multiples pregnancies with physician in attendance.<br />*Manages the labors and conducts the deliveries of vaginal birth after cesarean section (VBAC).<br />*Obtains a section of cord for cord gases.<br />* Manages the third stage of labor.<br />* Performs cervical and vaginal inspection.<br />* Repairs minor vaginal and perineal lacerations. Seeks physician consultation for repair of cervical or extended vaginal lacerations.<br />*Takes responsibility for management of uncomplicated patients in the recovery room.<br />*Decides when the normal infant should be transferred to the nursery.<br />*Requests attendance of pediatrician at delivery when neonatal problems are anticipated.</div> </li> <li> <div>Takes complete responsibility for postpartum patients who are essentially healthy.&nbsp; Shares responsibility for post-op cesarean patients, in collaboration with attending physicians and in accordance with departmental protocols. Obtains physician consultation for plan of management for any medical or obstetrical complication.<br />*Makes daily nurse&nbsp;midwifery assessment rounds, examines the patient, orders and interprets laboratory results, diagnostic tests, monitors the postpartum course, and documents findings and care.<br />* Provides and documents postpartum teaching and counseling.<br />*Writes medication and&nbsp;non-medication orders.<br />* Removes dressings,&nbsp;surgical sutures and staples.<br />*Makes appropriate discharge plans&nbsp;and obtain consults from other specialties as needed.<br />*Prepares patients for postpartum tubal ligation. Provides teaching and counseling for the patient and her newborn.</div> </li> <li> <div>Takes complete responsibility for family planning&nbsp;in post-partum&nbsp;patients who are essentially healthy.<br /><br />*Provides contraceptive counseling and care.<br />a. Provides oral contraceptives Depo-Provera and the contraceptive ring.<br />b. Inserts and removes IUDs.<br />d. Inserts and removes hormonal implants.<br />e. Provides counseling concerning spermicide, contraceptive sponges, films, condoms and natural family planning methods.<br />f. Provides counseling concerning sterilization and abortion.</div> </li> <li> <div>Prescribes medications and educates the patient and families about the drug regimen, interactions and side effects.<br />*Zero error tolerance.</div> </li> <li> <div>Participates in educational activities for healthcare learners, including Medical, Nursing, PA,&nbsp;Midwifery, students, residents and other visiting leraners..<br />* Conducts didactic sessions.<br />*Provides supervision of clinical activities.<br />* Participates in evaluation of students.</div> </li> <li> <div>Maintains competency.<br />* Attends Grand Rounds of Department of Ob/Gyn.<br />* Attends conferences related to specialty area.<br />*Meets ACNM Continuing Competency Requirement.<br />*Maintains BLS, NRP and annual mandatory inservices.</div> </li> </ul>
Requirements: <ul> <li> <div>BSN Required</div> </li> <li> <div>Masters degree Required</div> </li> <li> <div>4-6 years satisfactory clinical nurse-midwifery experience may be substituted for a Masters Degree</div> </li> <li> <div>OHS Fit Test Required</div> </li> <li> <div>OHS Annual Assessment Required</div> </li> <li> <div>Current New York State license as a Registered Nurse Required</div> </li> <li> <div>Current New York&nbsp;Midwifery License Required</div> </li> <li> <div>Certification for prescriptive rights by NYS Department of Education Required</div> </li> <li> <div>Current DEA registration Required</div> </li> </ul>