Nurse Midwife Per diem - BWH

About the role

The Nurse Midwife is a professional authorized by the Board of Registration in Nursing to practice Nurse Midwifery. Advanced education has prepared him/her to assume management responsibility of a caseload of obstetrical and gynecological patients. The Nurse Midwife provides obstetrical care to patients, which includes physical assessment, patient education, nursing care and management of problems in accordance with approved nurse midwifery guidelines.

Responsibilities

• Absorbs management responsibility for assessment, planning, implementation and evaluation for a plan of care for obstetrical and gynecological patients selected according to approved nurse midwifery guidelines.
• Collaborates with the health care team in planning and implementing patient care for obstetrical and gynecological health needs.
• Demonstrates appropriate knowledge of the principals of growth and development with newborn, adolescent and adult patient population.
• Aids in the development, implementation and revision of nurse midwifery guidelines and standards of care.
• Evaluates individual health care status of patients, formulates a management plan and revises the plan as indicated.
• Participates in continuous case review and appropriately communicates current data regarding all patients cared for by the nurse midwifery practice.
• Issues prescriptions and medication orders in accordance with BWH nurse Midwifery practice protocols, and the rules set forth by the Board of Nursing.
• Documents in a clear, complete, concise and organized manner demonstrating skill in the nursing process.
• Sets up consultation according to nurse midwifery protocols from all members of the health care team involved in patient's care and makes appropriate referrals.
• Provides consultation services as required by the health care team.
• Completes history and physical examinations and laboratory tests as appropriate.
• Continues assessment and teaching throughout pregnancy as indicated by documentation.
• Manages normal labor and conducts delivery, including assessment of maternal and fetal status, identification of deviations from normal, management of third stage, management of episiotomy and perennial repairs.
• Manages maternal postpartum course including teaching, referrals, and follow-up.
• Provides 24-hour on-call coverage to a caseload of obstetrical patients, including telephone triage.
• Identifies, manages and consults for obstetrical emergencies as indicated.
• Participates in ongoing review of nurse midwifery prescriptive practice.
• Participates in Quality Management Program on a regular and continuing basis.
• Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.
• Demonstrates awareness of community resources and assists staff, patients and families to use them effectively.
• Serves on nursing and hospital committees and assumes responsibility for disseminating and communicating information to staff.
• Participates in cost effective management of personnel, time, supplies and equipment in their area.
• Participates in selection process of new employees.
• Participates in peer evaluation of other team members.
• Acts as a preceptor for members of the staff and students.
• Presents divisional and organizational continuing education programs.
• Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.
• Develops annual objectives and reviews them with the Nurse Manager and/or Nursing Director at time of the performance review and at appropriate intervals.
• Completes the annual credentialing process through the Nursing Department's Credentialing program.
• Educates lay and/or professional groups through lectures, papers, publications, and educational materials.
• Develops annual objectives and reviews these with Nursing Director at time of performance review and at appropriate intervals.
• Aids in determining, evaluating, and/or implementing nurse midwifery practice goals and objectives.
• Maintains interdisciplinary approach for planning and communicating information for appropriate patient care.
• Maintains awareness of legislation that may affect the health care delivery systems and nurse midwifery practice.
• Initiates or participates in nursing research at a level consistent with educational background and experience.
• Maintains understanding of current research in related clinical areas through relevant publications.
• Contributes by either group or individual authorship to writing for publication.
• Recommends innovative approaches to nurse midwifery practice based on selected research findings.

Qualifications

• Certificate/Diploma Midwifery required and Master's Degree in Nursing or Public Health required, PhD or DNP appreciated.
• Licenses and Credentials: Midwife, Certified Nurse Midwife Massachusetts.
• Experience: Minimum 3 years full scope nurse midwifery experience required.
• Knowledge, Skills And Abilities: Demonstrates clinical expertise to function in an independent role. Excellent interpersonal relationships and communication skills in order to collaborate with patients, families and staff. Ability to work with frequent stress resulting from an active caseload, busy clinical settings and 24 hour on-call coverage. Ability to be self-directive and demonstrate initiative in addressing responsibilities of position.