Certified Nurse Midwife

Cape Cod Healthcare•New Sharon, ME

About The Position

The Certified Nurse Midwife participates in the examination, evaluation, and treatment of obstetrical patients throughout pregnancy, labor, delivery, and the postpartum period. The role includes assessing maternal and fetal progress using physical findings, laboratory results, and patient statements; providing prenatal health instruction; remaining with patients during labor; delivering infants; and performing postpartum examinations and treatment. The Certified Nurse Midwife also provides postpartum hospital visits, patient and infant care instruction, and discharge care, including discharge orders. The position collaborates with obstetricians and staff to support established practices, assists obstetricians as first assistant during C-sections, and responds to deviations from normal pregnancy or delivery by administering stipulated emergency measures and arranging immediate contact with an obstetrician. Additional duties include maintaining case records, conducting educational classes for patients and families, participating in departmental performance-improvement activities, and potentially directing other workers or instructing trainees in midwifery.

Requirements

  • Master of Science in Nursing (MSN).
  • Current licensure as a Certified Nurse Midwife in the Commonwealth of Massachusetts.
  • Current Basic Life Support (BLS) certification.
  • Pediatric Advanced Life Support (PALS) certification, to be obtained within six months; offered within.
  • Advanced Cardiac Life Support (ACLS) certification, to be obtained within six months; offered within.
  • Fetal Monitor Course every two years.
  • At least two years of experience as a certified nurse midwife.
  • Knowledge of professional nursing theory, clinical practice standards, normal maternal and fetal growth and development, and the requirements of nurse midwifery practice.
  • Ability to independently seek out resources and solve complex problems.
  • U.S. Department of Justice DEA registration if prescribing.
  • Massachusetts Controlled Substance Registration (MCSR) if prescribing.

Responsibilities

  • Participate in the initial examination of obstetrical patients and assume responsibility for their care, treatment, and delivery.
  • Participate in antenatal evaluation and treatment.
  • Examine patients during pregnancy and use physical findings, laboratory results, and patient statements to evaluate their condition and progress.
  • Instruct patients in prenatal health practices.
  • Discuss cases with obstetricians and staff to support observation of specified practices.
  • Stay with patients during labor to provide reassurance and administer medication.
  • Deliver infants and perform postpartum examinations and treatments to assess whether patients and infants are responding normally.
  • Administer stipulated emergency measures when deviations from standard occur during pregnancy or delivery, and arrange immediate contact with an obstetrician.
  • Visit patients during the postpartum hospital period to examine them and provide instruction on care of themselves and their infants.
  • Participate in discharge care, including discharge orders.
  • Assist obstetricians as first assistant for C-sections.
  • Maintain case records for inclusion in the establishment file.
  • Conduct classes for patients and families about pregnancy, childbirth, and family orientation.
  • May direct the activities of other workers.
  • May instruct in midwifery at an establishment providing such training.
  • Participate in departmental performance-improvement activities.
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