Certified Nurse Midwife

Under the supervision of an Ob-Gyn Physician, manages the medical care of patients throughout the maternity cycle, including the antepartum, intrapartum, postpartum and gynecological periods. Provides standard maternity care and counseling to expectant women following ambulatory care and inpatient standardized procedures, protocols, policy and procedures.

Responsibilities

• Manages the care of women during labor and delivery under the supervision of an Ob-Gyn physician.
• Obtains an accurate medical, obstetrical, gynecological, and psycho-social history of the present pregnancy.
• Observes signs of the patient's general and obstetrical health status.
• Performs complete physical examinations including pap smear, breast examination, abdominal examination, pelvic examination, and clinical pelvimetry.
• Records all findings of examinations, histories, and significant observations in the patient's chart.
• Determines pregnancy status during gestation, presentation and position of fetus, and fetal heart rate.
• Determines whether all findings are within normal limits.
• Orders appropriate laboratory examinations such as chest X-ray, ultrasound, CBC, urinalysis, blood type and Rh factor, serology tests.
• Consults with and obtains orders from an obstetrician for any special care or diagnostic procedure and refers to other services as necessary.
• Institutes preventative measures, detects abnormal conditions, and obtains consultation and assistance from physicians as needed.
• Teaches, counsels, and guides individual patients regarding their individual health care.
• Determines the need for social services, genetics, or mental health services and refers as appropriate.
• Evaluates patients' general and obstetrical health status.
• Provides health supervision, care, and family planning advice to women during antepartum and postpartum periods.
• Evaluates fetal status by performing procedures such as abdominal palpation and ultrasound examinations to estimate fetal weight, presentation, position, approximate station, and fetal heart rate.
• Able to perform internal and external fetal monitoring and interpretation.
• Consults with obstetrician regarding questionable findings.
• Determines patient's degree of labor and whether the patient is to be admitted to labor and delivery.
• Independently conducts normal spontaneous vaginal deliveries.
• First assists at Cesarean Sections and gynecological surgeries.
• Performs immediate care of the newborn.

Requirements

• If the department elects to hire a new grad CNM, the California Furnishing Number and, if applicable, DEA Registration Number must be obtained within twelve (12) months of hire.
• Graduate of an accredited RN program.
• Graduate of a nurse midwifery program accredited by the A.C.N.M.
• BS or BSN or BA required. MS Degree required in 2010.

Qualifications

• Registered Nurse License (California)
• Certified Nurse Midwife (California)
• Neonatal Resuscitation Program certification
• National Provider Identifier
• Nurse Midwife National Certification from American Midwifery Certification Board
• Three (3) years recent experience as a CNM preferred.

Schedule

• Variable shift: Sun, Mon, Tue, Wed, Thu, Fri, Sat
• Working hours: 12:00 AM – 11:59 PM
• Per Diem
• 100% travel required within Orange County, covering both hospitals and women's health clinics.

Pay

$100.74 - $123.73 / hour