Midwife - OBGYN - Mount Sinai Hospital - Full Time Days

Mount Sinai Health Systems•New York, NY

2d•$85 - $85

About The Position

The Midwife provides primary care and manages patients’ health, including obstetric and gynecological care. The role manages both low-risk and high-risk pregnancies in accordance with practice guidelines, supports excellence in clinical practice and patient care, and maintains Maternal Child Health Services’ mission, philosophy, policies, and Mount Sinai Health System standards and practices. The Midwife works as an integrated member of the Department of OB/GYN and Nursing. Duties span ambulatory prenatal and gynecological care, intrapartum and delivery care, postpartum care, and professional teaching activities. The role coordinates care and consults with attending physicians as required by protocols and patient needs.

Requirements

Demonstrated clinical experience related to obstetrics and the care of women and children.
Evidence of completion of a Pharmacology course, passing the examination, and receiving authorization to issue prescriptions pursuant to Section 6951 (2) of the NYS Education Law.
CNM license issued by the DOH/Office of Professions.
Basic Life Saver (BCLS) certification issued by AHA.
NRP certification for Labor and Delivery and NICU department.
ACLS certification in the listed applicable settings, including L&D.

Nice To Haves

Master’s degree in nursing preferred.

Responsibilities

Coordinate prenatal care for a caseload of patients in the ambulatory care setting; take relevant histories, perform physical and pelvic examinations, obtain tests, counsel and teach patients, identify risks, and develop management plans.
Manage selected inpatient patients under unit protocols and in collaboration with attending physicians; obtain physician consultation for complications not addressed by departmental protocols.
Review prenatal charts with an attending physician and/or the clinical director of midwifery at the first visit and at approximately 28 weeks, and schedule appointments for the midwife’s gynecological patients.
Perform functions within the Midwife Scope of Practice.
Evaluate labor, admit patients to the labor floor, perform admission examinations, monitor labor progress, obtain and evaluate tests, and make decisions about ambulation, positioning, delivery location, and transfer.
Perform venipuncture and start intravenous infusions if nursing staff are unavailable; request conduction anesthesia; perform amniotomy as indicated; and apply external and internal fetal monitoring devices.
Evaluate fetal monitor tracings and consult physicians when abnormalities are present; order intermittent fetal monitoring based on patient risk status.
Conduct spontaneous deliveries of cephalic presentations; manage the third stage of labor; obtain cord blood specimens when appropriate; inspect the cervix and vagina; perform and repair episiotomies and first- and second-degree lacerations; and manage uncomplicated recovery-room care.
Appraise and examine newborns, determine when normal infants should be transferred to the nursery, request pediatrician attendance when neonatal problems are anticipated, and sign birth certificates when applicable.
Coordinate patient care in the L&D triage room and attend and participate in L&D board rounds.
Participate in labor and delivery care in consultation with the attending physician, including cervical ripening and induction procedures, management of OCT after physician evaluation, insertion of intrauterine pressure catheters and internal scalp electrodes, and performance and monitoring of amnioinfusion.
Initiate and monitor oxytocin infusion for induction or labor stimulation in collaboration with the attending physician; conduct deliveries, including approved VBACs; and perform selected high-risk deliveries in collaboration with a physician.
Repair cervical or extended vaginal lacerations in collaboration with the attending, and repair third- and fourth-degree extensions under the attending’s direct supervision.
Participate as first assist on C-sections and/or BTL; order appropriate medications for third-stage hemorrhage according to department policy; manually remove placentas; and explore the uterus.
Provide postpartum care by making daily rounds, examining patients, ordering and interpreting tests, and monitoring postpartum progress.
Provide postpartum teaching and counseling; prepare patients for postpartum bilateral tubal ligations; and manage patients after cesarean sections or postpartum bilateral tubal ligations under unit protocols and attending supervision.
Write medication and non-medication orders, remove surgical sutures and staples, perform fever work-ups according to unit protocols, consult physicians for management assistance, and prepare appropriate discharge plans.
Attend daily labor-floor teaching and sign-out rounds, and attend departmental grand rounds and teaching sessions as labor-floor activity permits.
Teach and supervise residents, medical students, and midwifery students on the labor floor.