Midwife - OBGYN - Mount Sinai Hospital - Full Time Days

Mount Sinai Health System•New York, NY

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 according to practice guidelines and supports excellence in clinical practice and patient care while upholding Maternal Child Health Services’ mission, philosophy, policies, and Mount Sinai Health System standards. Working as an integrated member of the Department of OB/GYN and Nursing, the midwife coordinates prenatal, intrapartum, and postpartum care. Responsibilities include assessment, examinations, diagnostic testing, counseling, identifying risk factors, care planning, deliveries, newborn assessment, postpartum management, and consultation with attending physicians when needed. The midwife also participates in teaching and supervision of residents, medical students, and midwifery students, and attends clinical rounds and teaching sessions.

Requirements

Completion of a pharmacology course, passing the examination, and authorization to issue prescriptions pursuant to Section 6951 (2) of the New York State Education Law.
Demonstrated clinical experience related to obstetrics and the care of women and children.
CNM license issued by the DOH/Office of Professions.
Basic Life Saver (BCLS) certification issued by the AHA.
NRP certification for Labor and Delivery and NICU departments.
ACLS certification for the listed applicable units, including L&D.

Nice To Haves

Master’s degree in nursing preferred.

Responsibilities

Coordinate prenatal care for an ambulatory patient caseload; take histories, perform physical and pelvic examinations, obtain and interpret tests, provide counseling and teaching, and identify risk factors to develop care plans.
Manage selected inpatient patients according to unit protocols in collaboration with attending physicians; seek physician consultation for complications not addressed by departmental protocols.
Review prenatal charts with an attending or the clinical director of midwifery at the first visit and at approximately 28 weeks; schedule appointments for the midwife’s gynecological patients and perform functions within the Midwife Scope of Practice.
Evaluate labor, admit patients to the labor floor, perform admission examinations, obtain and evaluate tests, assess labor progress, and make decisions about ambulation, positioning, delivery location, and fetal monitoring.
Perform venipuncture and start intravenous infusions if nursing staff is unavailable; request conduction anesthesia; perform amniotomy; apply external and internal fetal monitoring equipment; and consult physicians about abnormal fetal monitor tracings.
Conduct spontaneous deliveries of cephalic presentations; manage the third stage of labor; perform episiotomies and repairs of first- and second-degree lacerations; obtain cord blood specimens when appropriate; and manage uncomplicated patients in recovery.
Assess newborns, perform newborn examinations, determine transfer of normal newborns to the nursery, request pediatrician attendance when neonatal problems are anticipated, and sign birth certificates for deliveries as permitted.
Coordinate patient care in the L&D triage room and attend and participate in L&D board rounds.
In consultation with an attending physician, perform cervical-ripening and induction procedures, manage OCT after physician evaluation, insert intrauterine pressure catheters and internal scalp electrodes, perform and monitor amnioinfusion, and initiate and monitor oxytocin infusion.
Conduct deliveries, including for patients approved for VBAC; collaborate with the attending on cervical or extended vaginal laceration repairs; repair third- and fourth-degree extensions under direct attending supervision; and participate as first assist on C-sections and/or BTL.
Order drugs for third-stage hemorrhage according to department policy, manually remove placentas, explore the uterus, and participate in selected high-risk deliveries in collaboration with a physician.
Make postpartum rounds, examine patients, order and interpret tests, monitor postpartum progress, provide teaching and counseling, prepare patients for postpartum bilateral tubal ligations, and manage cesarean-section or postpartum bilateral-tubal-ligation patients under unit protocols and attending supervision.
Write medication and non-medication orders, remove sutures and staples, perform fever work-ups under unit protocols, consult physicians about complications, and make discharge plans.
Attend daily labor-floor teaching and sign-out rounds, attend departmental grand rounds and teaching sessions as labor-floor activity permits, and teach and supervise residents, medical students, and midwifery students.