Midwife-Mount Sinai Doctors - Beth Israel Medical Group - Full Time - Day
About the role
The midwife performs functions as an integrated member of the Department of OB/GYN and Nursing. The midwife will coordinate prenatal care to the caseload of patients in the ambulatory care setting, take pertinent history, perform physical & pelvic examination, obtain laboratory & diagnostic tests, provide counseling & teaching as needed, identify risk factors & develop appropriate plan of management, manage the care of selected patients admitted to the inpatient unit based on unit protocols & with the collaboration of the attending physician, obtain physician consultation for plan of management for any medical or obstetrical complications not addressed in departmental protocols, and perform functions as identified in the Midwife Scope of Practice.
Responsibilities
- Evaluate the status of labor & admits patient to the labor floor.
- Perform admission physical examination.
- Perform venipuncture & starts intravenous infusions if nursing staff is unavailable.
- Obtain laboratory & diagnostic tests & evaluates results.
- Evaluate the progress of labor by vaginal examination.
- Make decisions regarding ambulation of the patient during labor.
- Request conduction anesthesia.
- Perform amniotomy as indicated.
- Apply external fetal monitor & tocodynamometer.
- Apply internal fetal scalp electrode & pressure catheter.
- Evaluate fetal monitor tracing & consults with physician if abnormalities are present.
- Make decisions regarding the position(s) of the patient during second stage of labor.
- Make decisions regarding performance of delivery in the birthing room or transfer to the delivery room.
- Utilize local infiltration or pudendal block.
- Perform & repairs episiotomies.
- Conduct spontaneous deliveries of cephalic presentations.
- Obtain specimen of cord blood for cord gases when appropriate.
- Manage the third stage of labor.
- Perform cervical & vaginal inspection.
- Repair minor vaginal & perineal lacerations.
- Take responsibility for the management of the uncomplicated patient in recovery room.
- Decide when the normal infant should be transferred to the nursery.
- Request attendance of pediatrician at delivery when neonatal problems are anticipated.
- Order intermittent fetal monitoring based on patients’ risk status.
- Perform immediate appraisal of the newborn.
- Perform newborn physical examination.
- Sign birth certificate of delivery (operative delivery requires physician signature).
- Cook up and participate in L&D board rounds.
- Attend and participate in L&D board rounds.
- Is open and responsive to the diverse backgrounds and experience of other people and promotes an environment that is sensitive to cultural diversity.
- Teach & supervise medical students on the labor floor.
Requirements
Master’s degree in nursing preferred. Demonstrate clinical experience related to obstetrics and the care of women & children. Evidence of being a midwife/certified nurse-midwife according to the requirements of the American College of Nurse-midwives & credentialed by the NYS Education Department. Evidence of completion of a Pharmacology course, passing the examination & receiving authorization to issue prescriptions pursuant to Section 6951 (2) of the NYS Education Law. Name: Neonatal Resuscitation Program Certificate (Required Depts.: L&D, NICU) Issuing Authority: American Heart Association. Name: ACLS (Required Depts.: ED; PACU/ASU; ICUs; Telemetry Units; SDU; IR, Interventional Cardiology (CCL/EP/Echo); L&D; Endoscopy, and APN Adult Oncology) Issuing Authority: American Heart Association. Name: BCLS Issuing Authority: American Heart Association. Name: PALS (Required Depts.: ED; PACU; IR; Peds ICU, and APNs Pediatric Oncology) Issuing Authority: American Heart Association.
Qualifications
- Master’s degree in nursing preferred.
- Demonstrate clinical experience related to obstetrics and the care of women & children.
- Evidence of being a midwife/certified nurse-midwife according to the requirements of the American College of Nurse-midwives & credentialed by the NYS Education Department.
- Evidence of completion of a Pharmacology course, passing the examination & receiving authorization to issue prescriptions pursuant to Section 6951 (2) of the NYS Education Law.
Skills
None specified.
Benefits
None specified.
Pay
$96461 - $144692 Annually.
Schedule
Full Time - Day.