This night-shift post on the cardiac ward pairs patient care with mentoring new nurses. The Nurse Midwife maintains practice standards for nursing, actualizes the vision, mission, values, and balanced scorecard performance measures for Montefiore Medical Center, and participates in performance improvement/research activities.
Responsibilities
Maintain professional practice standards and clinical expertise
Demonstrate leadership skills
Demonstrate core and unit specific competencies based on the patient population served
Assume complete responsibility for the care and management of essentially healthy women in accordance with the midwifery practice agreement and institutional practice privileges
Participate in educational activities for healthcare students and assist with research studies
Under the supervision of the attending physician and using departmental protocols, manage antepartum, intrapartum, & postpartum patients presenting to the Labor & Delivery Unit
Obtain physician consultation for the management of medical or obstetrical complications not addressed in departmental protocols
Take pertinent history
Perform physical and pelvic examinations
Order laboratory and diagnostic tests including non-stress tests and evaluate results
Provide counseling and teaching as needed
Identify risk factors and develop appropriate plans of management to address them
Document patient care, assessment plan, intervention, and response
Take complete responsibility for patients during labor and delivery as long as their progress remains within the bounds of the midwifery collaborative agreement
Manage emergency situations such as postpartum hemorrhage, shoulder dystocia, or infant resuscitation in a conventionally approved manner until physician assistance arrives
Obtain physician consultation for plan of management for any medical or obstetrical complications
Evaluate the status of labor and make decisions on admitting patients to the labor area
Perform admission physical examinations within 24 hours
Order laboratory and diagnostic tests and evaluate results
Evaluate progress of labor by vaginal exam
Make decision regarding ambulation of patient during labor
Insert and manage cervical ripening according to departmental protocols
Provide analgesia
Request conduction anesthesia
Perform amniotomy
Apply the external fetal monitor and tocodynamometer
Apply internal fetal scalp electrode and intrauterine pressure catheter
Evaluate fetal monitor tracings and consult with physician if abnormalities are present
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Monitor patients on I.V. oxytocin and regulate oxytocin infusion for induction or stimulation of labor
Make decision regarding the position(s) of the patients during second stage labor
Make decisions regarding performance of delivery in the labor room or transfer to the delivery room
Utilize local infiltration or pudendal block
Perform and repair episiotomies
Conduct spontaneous deliveries of vertex presentation
Conduct spontaneous deliveries of cephalic presentations in multiples pregnancies with physician in attendance
Manage the labors and conduct the deliveries of vaginal birth after cesarean section (VBAC)
Obtain a section of cord for cord gases
Manage the third stage of labor
Perform cervical and vaginal inspection
Repair minor vaginal and perineal lacerations
Seek physician consultation for repair of cervical or extended vaginal lacerations
Take responsibility for management of uncomplicated patients in the recovery room
Decide when the normal infant should be transferred to the nursery
Request attendance of pediatrician at delivery when neonatal problems are anticipated
Take complete responsibility for postpartum patients who are essentially healthy
Share responsibility for post-op cesarean patients, in collaboration with attending physicians and in accordance with departmental protocols
Obtain physician consultation for plan of management for any medical or obstetrical complication
Make daily nurse midwifery assessment rounds, examine the patient, order and interpret laboratory results, diagnostic tests, monitor the postpartum course, and document findings and care
Provide and document postpartum teaching and counseling
Write medication and non-medication orders
Remove dressings, surgical sutures and staples
Make appropriate discharge plans and obtain consults from other specialties as needed
Prepare patients for postpartum tubal ligation
Provide teaching and counseling for the patient and her newborn
Take complete responsibility for family planning in post-partum patients who are essentially healthy
Provide contraceptive counseling and care (oral contraceptives, Depo-Provera, contraceptive ring, IUDs, hormonal implants, spermicide, contraceptive sponges, films, condoms, natural family planning methods, sterilization, abortion)
Prescribe medications and educate the patient and families about the drug regimen, interactions and side effects
Participate in educational activities for healthcare learners, including Medical, Nursing, PA, Midwifery, students, residents and other visiting learners
Conduct didactic sessions
Provide supervision of clinical activities
Participate in evaluation of students
Maintain competency
Attend Grand Rounds of Department of Ob/Gyn
Attend conferences related to specialty area
Meet ACNM Continuing Competency Requirement
Maintain BLS, NRP and annual mandatory inservices
Participate in departmental QI activities
Refer cases for review of management, as appropriate
Participate in departmental QI meetings
Participate in performance improvement initiatives
Requirements
BSN Required
Master's degree Required
4-6 years satisfactory clinical nurse-midwifery experience may be substituted for a Master's Degree
OHS Fit Test Required
OHS Annual Assessment Required
Current New York State license as a Registered Nurse Required
Current New York Midwifery License Required
Certification for prescriptive rights by NYS Department of Education Required
Current DEA registration Required
Important Details
Schedule: 12-hour shifts; rotating days and nights in 2-week blocks
Day shift start time: 8am
Night shift start time: 8pm
About the Company
Montefiore Medical Center recruits, hires, trains, transfers, promotes, lays off and discharges associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
Montefiore is one of Australia’s leading aged care organisations serving Sydney’s Eastern Suburbs and North Shore.
