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Certified Nurse Midwife

2 months ago

Madison, United States Norton Healthcare Full time

Responsibilities

Midwifery as practiced by certified nurse-midwives (CNMs) and certified midwives (CMs) encompasses a full range of primary health care services for women from adolescence beyond menopuase.

  • Assess, diagnose, monitor, promote health and protection from disease, and manage care to adolescent and adult females focusing on family planning services, preconception care, pregnancy, childbirth, the post-partum period, gynecological needs and the care of the well newborn (during the first two days of life).
  • CNMs may not admit patients to the hospital but may write admission orders after consultation with the physician.
  • Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment.
  • They conduct physical examination, prescribe medications including controlled substances and contraceptive methods, order and interpret laboratory and diagnostic test and order the use of medical devices.
  • Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling.
  • Completes patient appropriate history and physical exam and douments accoring to regulatory requirements and NHC/NKDH Policy.
  • Makes rounds on hospitalized patients and sees patients in the office setting.
  • Evaulation of complaint of labor at term with an uncomplicated pregnancy.
  • Completes ongoing phyiscal assessments/appropriate to patient status.
  • Completes reassessments appropriate to patient status.
  • Identifies patient care needs based on assessment data.
  • Develops differential diagnoses based on assessment data and identifed needs.
  • Reformulates diagnoses based on new or additional assessment data and the dynamic nature of complex accute, critical and chronic illness.
  • Orders medications according to law and regulations (controlled substances require DEA & CAPA-CS).
  • Evaluates and documents patient responses to medications and treatments as appropriate.
  • Synthesizes data from a variety of sources to make clinical decision regarding appropriate management, consultation of referral.
  • Provides for patient and family education.
  • Provides consultation based on knowledge and expertises and within scope of practice.
  • Requests consults and makes referrals as appropriate.
  • Provides thorough and timely documentation of care and treatment in the patient record.
  • Facilitates a cooperative team atmosphere through professional communication.
  • Provides indivdualized patient and family education by applying principles of learning, actievly involving the learner, and providing an environment conducive to teaching/learning.
  • Recognizes teaching opportunities and provides age-specific and culturally sensative teaching in a manner that promotes safe patient care regarding the role of the CNM.
  • In collaboration with the patient, evaluates patient outcomes identified in the CNM plan of care, by comparing patient responses to nursing inteventions, current practice standards, and anticipated coutcomes.
Qualifications

Required:

  • Current Indiana RN license
  • Current Indiana CNM License/Certification
  • Completion of formal graduate-level edcation program
  • Current ACLS and NRP or NALS Ceritification
  • DEA & CSR Certification
  • Collaborative practice agreement - controlled substances (CAPA-CS)