Job Summary:
Independently manages the care of low-risk women during antepartum, intrapartum and postpartum periods. Co-manages higher risk patients when determined appropriate by CNM and MD. Provides standard maternity care and counseling to women, adhering to the standards of the American College of Nurse Midwives, procedures and instructions regulated by the State Nurse Practice Act and The Permanente Medical Group.
Essential Responsibilities:
- ANTEPARTUM: Evaluates patients' general and obstetrical health status, determines pregnancy status, duration of gestation, presentation, and position of fetus, fetal heart rate, and whether all statistics are within normal limits. Obtains an accurate medical, obstetrical, gynecological, and social history and an account of the course of the present pregnancy. Observes signs of the member's general and obstetrical health status. Performs all appropriate physical examinations needed for CNM care, including pap smear, breast examination, and pelvic examination. Records all findings of examinations, histories, and significant observations on patients' charts. Consults with appropriate MD regarding any abnormal findings. Orders appropriate lab and medical imaging studies as needed. Institutes preventative measures and detects abnormal conditions. Obtains consultation and assistance from ancillary services as needed. Teaches, counsels, and guides individual members regarding their health care. Teaches antepartum classes as needed in individual facilities. Evaluates maternal general health status and well-being.
- INTRAPARTUM: Performs medical screening exam to diagnose labor. Independently manages the care of low-risk women during labor and delivery, under the supervision of a physician. Co-manages higher risk patients when determined appropriate by CNM and MD. Performs facility-specific standardized procedures. Evaluates patient for appropriate pain management, including requesting epidural for women in labor.
- POSTPARTUM: Provides health supervision, care, teaches family planning, and prescribes contraception to women during the postpartum period.
Basic Qualifications:
Experience
Education
- Graduate of an accredited school of nursing.
License, Certification, Registration
- Certified Nurse Midwife (California)
- Registered Nurse License (California)
- Nurse Midwife National Certification from American Midwifery Certification Board
- Drug Enforcement Administration Registration within 12 months of hire
- National Provider Identifier required at hire
- Basic Life Support required at hire
Additional Requirements:
- Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
- Three (3) years of experience as a C.N.M. within the last three (3) years preferred.
- Current and valid California Nurse-Midwife furnishing certification (including any needed education in pharmacy) and didactic education and supervised clinical experience in third trimester limited obstetric ultrasound preferred OR to be obtained within one year of hire.
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