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 Functions:
- ANTEPARTUM: Evaluates patient's general and obstetrical health status.
- Determines pregnancy status, duration of gestation, presentation, and position of fetus, fetal heart rate, and determines 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 appropriate to CNM care needed, including the pap smear, breast examination, and pelvic examination.
- Records all findings of examinations, histories and significant observations on patient's chart.
- 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 individual 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. Includes requesting epidural for women in labor.
- POSTPARTUM: Provides health supervision, care, teaches family planning, and prescribes contraception to women during the postpartum period.
Secondary Functions:
- L&D managing normal labor and delivery, including preventive measures and the detection of abnormal conditions; Post partum rounding; management of prenatal and postpartum outpatient care.
- Obtaining consultation and assistance from a physician when indicated.
- Providing emergency care until the assistance of a physician can be obtained.
- Management of the normal newborn, including resuscitation and immediate care when indicated.
- Perform local infiltration anesthesia; episiotomy and repair.
- Assist with Cesarean Section.
- Must treat external and internal customers in a respectful, friendly, helpful and professional manner at all times. Must adhere to service expectations of the department and facility.
Qualifications:
Basic Qualifications:
- Three (3) years of recent experience as a C.N.M. preferred.
- Graduate of an accredited School of Nursing.
- Current and valid California R.N. license, California Nurse Midwife certificate, A.C.N.M. certification and BLS certification required.
- 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 at midwife's expense within one year of hire.
- Current and valid DEA registration number specific to our practice at Kaiser to be obtained within one year of hire at midwife's expense.
- Must have a Nat'l Provider Identifier (NPI, or obtain an NPI, prior to employment start date.
Preferred Qualifications:
- 3 years experience as a CNM within the last five years preferred
- Experience as a CNM (full scope nurse-midwifery practice experience preferred).
- Experience in an inpatient OB unit preferred.
- Willing to work with residents and participate in resident education.
- Spanish speaking preferred.
- Acceptance for authority to practice by the Department of Obstetrics and Gynecology, The Committee on Interdisciplinary Practice (CIDP), and by the Executive Committee of The Medical Staff of Kaiser Permanente Hospital.
- Appropriate proctoring by the obstetrical physicians and midwives.
- Ability to work flexible hours; scheduled hours, starting and ending times may be changed to meet department's and patient's needs.
- Has consistently demonstrated service oriented performance.
-Clinical training and experience in first and third trimester limited obstetric ultrasound preferred or to be obtained within 6 months.
- Ability to communicate effectively with all members of the Health Care Team.
Schedule:
On-Call, 0hrs; Variable shifts;12hr shifts;includes days, nights, weekends and holidays. Will work in Labor & Delivery, Women & Children's, Roseville.
External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.