About This Role
The Nurse Midwife provides high-quality, patient-centered care to active-duty military members, veterans, and their families at Naval Medical Center Portsmouth. This role involves managing a range of pregnancies, performing physical assessments, and providing health promotion and maintenance plans.
Responsibilities
- Perform physical assessment and exam with special emphasis on the reproductive health, sexual health, psychosocial and OBGYN history of the patient
- Manage the care of normal antepartum women to include teaching, counseling and support
- Manage uncomplicated pregnancies independently (inclusive of teaching, counseling and support)
- Manage complicated pregnancies through consultation and/or collaboration with OBGYN medical staff
- Consult with other specialists, clinics, or health resources as indicated
- Write prescriptions for needed medications including but not limited to contraceptive, diabetic, psychiatric, thyroid, sexually transmitted diseases (STDs) and pain management
- Order laboratory tests and radiographic procedures as needed for diagnosis
- Assess and treat the acute OBGYN patient with episodic illnesses and consults when needed
- Assess and treat minor gynecological problems and sexually transmitted diseases (STDs)
- Treat partners of OBGYN patients with STDs
- Develop health promotion and maintenance plans including disease prevention and health education counseling
- Provide periodic health screening
- Admit and discharge patients to and from OBGYN inpatient services
- Facilitate transfer of care to another facility
- Manage patients in labor, including inpatient orders, amniotomy, external and internal monitoring, initiation of induction/augmentation agents and analgesia using intramuscular and intravenous narcotics and potentiators, and local anesthesia administration
- Manage cephalic deliveries, including repair of laceration or episiotomy
- Assess and manage uncomplicated postpartum patients
- Manage newborns, including airway management, resuscitation, endotracheal intubation, assignment of Apgar scores and initial examination
- Identify and manage medical emergencies including but not limited to shoulder dystocia, postpartum hemorrhage, uterine inversion, cord prolapse, and eclampsia
- Provide clinical guidance for residents, trainees, students, rotators, new or temporary department members and other hospital staff
- Maintain communications with professional organizations as necessary for career development, licensure and clinical continuing education
- 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
