Certified Nurse Midwife, On Call
DEPARTMENT: OBGYN/ MIDWIVES SCHEDULE: On-Call. ***Schedule will vary per department needs*** EDUCATION/ LICENSE/CERTIFICATION: Graduate of an accredited School of Nursing. Current and valid California R.N. license, California Nurse Midwife certificate, A.C.N.M. certification and CPR 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. POSITION SUMMARY: 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. QUALIFICATIONS: Three years of recent experience as a C.N.M. preferred. PREFERRED QUALICATIONS: Lactation educator or consultant, or the commitment to complete this training within the first year of employment at the employee's expense. DUTIES: 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. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures. For consideration, please visit our career website at www.kaiserpermanentejobs.org to apply to job code SR.0800243, SR.0800244, or SR.00245.This position supports Kaiser Permanente's code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer. Additional Information Reference Code: SR.0800243 Position Type: Per Diem, Employee
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