Midwife - OBGYN - Mount Sinai Hospital - Full Time Days

Mount Sinai Health System•New York, NY

1d•$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 and supports excellence in clinical practice and patient care. The Midwife follows the Maternal Child Health Services mission, philosophy, and policies, as well as Mount Sinai Health System standards and practices. Working as an integrated member of the Department of OB/GYN and Nursing, the Midwife coordinates prenatal care, provides intrapartum and postpartum care, and participates in labor and delivery care in consultation with attending physicians. The position also includes teaching and supervising residents, medical students, and midwifery students on the labor floor, and participating in departmental teaching activities as labor-floor activity permits.

Requirements

Evidence of completion of a pharmacology course, passing the examination, and receiving 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.
Certified Nurse-Midwife (CNM) license issued by the New York State Department of Health/Office of Professions.
Basic Life Support (BCLS) certification issued by the American Heart Association.
Neonatal Resuscitation Program (NRP) certification for Labor and Delivery and NICU departments.
Advanced Cardiovascular Life Support (ACLS) certification for applicable departments and units, as listed in the posting.

Nice To Haves

Master’s degree in nursing preferred.

Responsibilities

Coordinate prenatal care for a caseload of patients in the ambulatory care setting; take pertinent histories; perform physical and pelvic examinations; obtain laboratory and diagnostic tests; provide counseling and teaching; identify risk factors and develop appropriate management plans.
Manage selected patients admitted to the inpatient unit according to unit protocols and in collaboration with the attending physician; obtain physician consultation for complications not addressed by departmental protocols.
Review prenatal charts with the attending physician and/or clinical director of midwifery at the first visit and at approximately 28 weeks; schedule appointments for the Midwife’s gynecological patients; perform functions identified in 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, patient positioning, delivery location, and fetal monitoring.
Perform venipuncture and start intravenous infusions if nursing staff is unavailable; request conduction anesthesia; perform amniotomy when indicated; apply external fetal monitors and internal fetal scalp electrodes and pressure catheters; evaluate fetal monitor tracings and consult a physician when abnormalities are present.
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 vaginal, perineal, and labial lacerations.
Manage uncomplicated patients in the recovery room; determine when a normal infant should be transferred to the nursery; request pediatrician attendance when neonatal problems are anticipated; perform immediate newborn appraisal and physical examination; sign birth certificates when permitted; coordinate triage-room care and participate in labor-and-delivery board rounds.
In consultation with the attending physician, perform cervical-ripening and labor-induction procedures, manage an OCT after physician evaluation, insert intrauterine pressure catheters and internal scalp electrodes, perform and monitor amnioinfusion, and initiate and monitor oxytocin infusions.
Manage labor and conduct deliveries for physician-approved VBAC patients and selected high-risk deliveries in collaboration with a physician; repair cervical or extended vaginal lacerations with the attending, and repair third- and fourth-degree extensions under direct attending supervision.
Participate as first assist on cesarean sections and/or bilateral tubal ligations; order appropriate medications for third-stage hemorrhage according to department policy; manually remove the placenta and explore the uterus.
Make postpartum rounds, examine patients, order and interpret laboratory and diagnostic results, and monitor postpartum progress; provide postpartum teaching and counseling; prepare patients for postpartum bilateral tubal ligations.
Manage patients following cesarean sections or postpartum bilateral tubal ligations according to unit protocols and under attending supervision; write medication and non-medication orders; remove surgical sutures and staples; conduct fever work-ups according to unit protocols and consult physicians for assistance.
Make appropriate discharge plans and obtain physician consultation for medical or obstetrical complications.
Attend daily teaching and sign-out rounds on the labor floor, 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.