CERTIFIED NURSE MIDWIFE

NAVAJO HEALTH FOUNDATION - SAGE MEMORIAL HOSPITAL, INC.•Ganado, AZ

12d•Onsite

About The Position

This position is in the Obstetrics and Women’s Health Department of Sage Memorial Hospital (SMH) in Ganado, Arizona. The Certified Registered Nurse Midwife serves as an independent licensed practitioner specializing in gynecologic, reproductive and sexual health; family planning; primary care; preconception counseling; and maternity care from the first prenatal visit through the postpartum period. The position also provides consultation to practitioners in the same or other specialties. Work may include night, weekend, and holiday shifts in addition to normal daytime hours. The role provides independent diagnostic, preventive, and therapeutic care for patients with a range of needs and complexity, including assessment, diagnosis, prescribing, labor and childbirth management, and emergency care. The midwife collaborates with physicians and multidisciplinary teams, supports evidence-based practice and quality improvement, educates and advocates for patients and families, and may precept graduate students and new practitioners. Administrative duties include patient documentation, peer review, reports, meetings, and participation in quality initiatives. The listed duties are illustrative and not all-inclusive; other duties may be assigned.

Requirements

Current, active, full, and unrestricted Arizona Registered Nurse license or registration.
Graduate degree in Nurse-Midwifery from an Accreditation Commission for Midwifery Education-accredited program, such as an accredited MSN, DNP, or post-master’s certificate program.
Active board certification from the American Midwifery Certification Board (AMCB).
Active, unrestricted Arizona Midwifery license to practice independently.
Current DEA registration.
Current BLS and NRP certifications.
Current valid driver’s license.
Successful completion of Employee Health Program requirements and background investigation.
Mastery of midwifery skills and advanced competency in assessment, diagnosis, and treatment or management of patients with diverse healthcare needs and complex high-risk factors.
Ability to manage low- and high-risk patients in outpatient clinics, antepartum testing, OB triage, and labor and delivery, and provide preventive screenings and primary care throughout the lifespan.
Ability to independently manage labor and delivery using the midwifery model of care and manage obstetrical complications and emergencies, consulting, collaborating, or referring to physicians as appropriate.
Knowledge and ability to apply evidence-based practice, evidence-based interventions, and population-based chronic care management.
Ability to collaborate with physicians on health assessment, continuity of care, and evaluation or revision of therapeutic plans.
Knowledge of current medical literature and national benchmarks to determine, implement, and evaluate patient care practices, patterns, and systems.
Ability to obtain and document complete health histories and physical examinations, and independently communicate and interpret the resulting data.
Knowledge of epidemiological and biological aspects of disease and illness, including natural history and prognosis.
Ability to design and deliver patient and family education programs that promote participation in care.
Ability to develop policies, standards of practice, best practices, or other methods to improve patient health.
Knowledge of physiology and/or psychopathology, diagnostic evaluation procedures, therapeutic modalities including pharmacokinetics, nursing management, and rehabilitation in the specialty areas.
Knowledge of scientific principles and foundations of theory-based nursing practice and advanced nursing practice.
Ability to manage and operate current medical technology used in direct patient care.
Ability to communicate orally with patients about nursing care and procedures, counsel them on physical and emotional health, and exchange information with tact and sensitivity.
Ability to communicate effectively in writing and prepare abstracts, manuscripts, major presentations, and other professional writing with minimal assistance.
Physical ability to stand for extended periods and repeatedly crouch, bend, stoop, stretch, and walk; frequently lift moderately heavy items weighing less than 50 pounds and assist with self-care transfers.
Ability to work irregular or extended tours of duty as patient care requires.
Ability to work in an environment with recurring exposure to contagious diseases, infectious or carcinogenic materials, noxious fumes, radiation, or potentially pathogenic bacteria, using special safety precautions and protective equipment as necessary.

Responsibilities

Provide independent diagnostic, preventive, and therapeutic nursing and medical services for patients with varying levels of complexity.
Assess acute and non-acute clinical problems; obtain and document histories; order and interpret tests; perform physical examinations; and formulate diagnoses and differential diagnoses.
Independently manage labor and childbirth within clinical privileges, including high-risk and complex cases, and collaborate with physicians on patient management and therapeutic plans.
Provide comprehensive patient management, including admission, transfer, and discharge orders; documentation; ordering tests, medications, and treatments; obtaining consultations; monitoring for adverse reactions; and managing unstable patients.
Initiate emergency care, including maternal and newborn resuscitation, intubation, oxygen administration, CPR, intravenous therapy, and treatment of hemorrhage and shock.
Develop, monitor, document, and revise patient care plans with patients and families, using evidence-based and cost-effective approaches.
Counsel and educate patients and families, advocate for patients, and develop care plans that respect cultural background, understanding, resources, and support systems.
Act as a preceptor to graduate students, residents, nurse-midwives, and nurse practitioners new to the organization.
Conduct clinical practice peer review and develop or participate in multidisciplinary quality improvement programs and projects.
Review charts and clinical data, analyze patient response trends, and independently develop charts, graphs, and statistical analyses.
Perform quality assurance and control activities relating to protocol adherence, monitoring, data collection, abstraction, and analysis.
Provide clinical consultation and evidence-based practice input to the healthcare team and support new program development.
Consult with the healthcare team on protocols, monitor and document responses to therapy, and communicate findings and recommendations to the Chief Medical Officer.
Conduct patient care rounds and conferences and present cases and topics to improve patient care and research processes and outcomes.
Provide specialty consultation to colleagues in nursing, medicine, and other disciplines.
Complete assigned administrative duties, including patient records, peer review, monthly reports, and required meetings.
Participate in Quality Improvement programs and initiatives and ensure compliance with Joint Commission and applicable standards.
Perform other duties as assigned.