NURSE-MIDWIFE

What does a Nurse-Midwife do? Under medical direction, provides care to mothers and babies through the maternity cycle of antepartum, intrapartum, post‑partum, and neonatal for the medically uncomplicated patient and provides gynecological care, including family planning. Requirements to qualify A current and active license to practice as a Registered Nurse issued by the California Board of Registered Nursing. A current and active certificate to practice as a Nurse‑Midwife issued by the California Board of Registered Nursing. Current Basic Life Support (BLS) for Healthcare Providers (CPR & AED) program certification issued by the American Heart Association. Required license(s) and certificate(s) must be active and unrestricted at the time of filing. The original license to practice as a Registered Nurse issued by the California Board of Registered Nursing, a certificate to practice as a Nurse‑Midwife issued by the California Board of Registered Nursing, and evidence of BLS certification must be presented during the selection process and/or prior to appointment/start date. What You’ll Be Doing Reviews the patient's chart and searches for abnormalities that would indicate anything other than a normal birth. Obtains patient's medical history and performs an evaluative obstetrical examination, including taking vital signs, checking neurological reflexes, listening to fetal heartbeat, taking external measurements of the uterus, locating the position of the fetus and estimating its size and weight, and examining breasts and nipples. Performs internal pelvic examination to determine the extent of dilation, station, and position of the fetus and general condition of the membranes. Interprets the results of each element of the obstetrical examination with normal ranges and determines whether consultation with a physician is indicated. Draws blood and completes routine laboratory request forms. Performs hematocrit analysis by centrifuging a blood sample, examining it with a microscope, and recording the results for review by a physician. Functions under standing orders by a physician when a patient is admitted for delivery and manages the patient during labor, starting IVs, administering medications, prepping the patient, instructing the patient in labor procedures, giving supportive counseling to the patient, maintaining surveillance of progress in labor, and keeping the physician informed of progress or impending problems. With indications of impending delivery, notifies a physician and transfers the patient to the delivery room. Assists the patient in the delivery room by giving emotional support to the patient and performs delivery procedures, including pudendal block, episiotomy, and repairs and resuscitation of the newborn. Makes periodic postpartum visits to the mother and baby to evaluate condition and progress and to instruct the mother in recuperative procedures and baby care. Participates in the informal training of nurses and students and the refresher program for nurse‑midwives. Provides gynecological care to healthy women under medical direction, including performing pelvic examinations to screen for cancer and other abnormalities and referring cases to physicians. Provides direct family planning services such as fitting diaphragms and intrauterine devices and dispenses oral contraceptives. Counsels and provides referrals regarding family planning. Physical Class III (Moderate) This class requires that the incumbent stand or walk most of the time, with bending, stooping, squatting, twisting, reaching, working on irregular surfaces, occasional lifting of objects weighing over 25 pounds, and frequent lifting of 10–25 pounds. Desirable qualification Experience as a Certified Nurse‑Midwife. #J-18808-Ljbffr