Midwife - Obstetrics And Gynecology Administration - St Luke's-Roosevelt Hospital Center - Full Time Days

Primary care & management of womens health including obstetric & gynecological care. Both low risk and high-risk pregnancies are managed as outlined within practice guidelines.
Developing and supporting excellence in the clinical practice and patient care.
Maintaining the Maternal Child Health Services mission philosophy and policies as well as the standards and practices of the Medical Center.

The midwife performs functions as an integrated member of the Department of OB/GYN and Nursing. The midwife will:
prenatal care to the caseload of patients in the ambulatory care setting.
pertinent history.
physical & pelvic examination.
laboratory & diagnostic tests.
counseling & teaching as needed.
risk factors & develop appropriate plan of management.
the care of selected patients admitted to the inpatient unit-based on unit protocols & with the collaboration of the attending physician.
physician consultation for plan of management for any medical or obstetrical complications not addressed in departmental protocols.
functions as identified in the Midwife Scope of Practice.
Provide Intrapartum Care as follows:
the status of labor & admits patient to the labor floor.
admission physical examination.
venipuncture & starts intravenous infusions if nursing staff is unavailable.
laboratory & diagnostic tests & evaluates results.
the progress of labor by vaginal examination.
decisions regarding ambulation of the patient during labor.
conduction anesthesia.
amniotomy as indicated.
external fetal monitor & tocodynamometer.
internal fetal scalp electrode & pressure catheter.
fetal monitor tracing & consults with physician if abnormalities are present.
decisions regarding the position(s) of the patient during second stage of labor.
decisions regarding performance of delivery in the birthing room or transfer to the delivery room.
local infiltration or pudendal block.
& repairs episiotomies.
spontaneous deliveries of cephalic presentations.
specimen of cord blood for cord gases when appropriate.
the third stage of labor.
cervical & vaginal inspection.
minor vaginal & perineal lacerations.
responsibility for the management of the uncomplicated patient in recovery room.
when the normal infant should be transferred to the nursery.
attendance of pediatrician at delivery when neonatal problems are anticipated.
intermittent fetal monitoring based on patients risk status.
immediate appraisal of the newborn.
newborn physical examination.
birth certificate of delivery (operative delivery requires physician signature).
patient care in triage room on L&D.
and participate in L&D board rounds.
Participate in the care of women during labor & delivery in consultation with attending physician:
prostaglandin insertions for cervical ripening.
Oct(s) after evaluation of the patient by the physician.
intrauterine pressure catheters.
& monitor amnio infusion.
patient on IV oxytocin & regulates oxytocin infusion for induction or stimulation of labor following the initial stabilization & monitoring of the patient by the physician.
spontaneous deliveries of these patients under supervision of the attending.
the labor & conduct the deliveries of women who have been approved by the physician for vaginal birth after cesarean section (VBAC).
cervical or extended vaginal lacerations under the supervision of the attending.
third & fourth degree extensions under the direct supervision of the attending.
as first assist on C-Secions and/or BTL.
Foley catheter bulb for induction of labor.
misoprostal (Cytotec) insertions for labor induction.
appropriate drugs to treat hemorrhage during third stage of labor per department policy for Post Partum Hemorrhage.
remove placenta.
exploration of uterus.
selected patient high risk delivery at discretion and under the supervision of the physician.
Provide Postpartum Care as follows:
daily rounds examine patients orders & interpret laboratory results diagnostic tests & monitor the postpartum course.
postpartum teaching & counseling.
patients for postpartum bilateral tubal ligations.
patients who have had cesarean sections or postpartum bilateral tubal ligations based on unit protocols & under the supervision of the attending physician.
1)Write medication & non-medication orders
2)Remove surgical sutures & staples
fever work-ups for patients with postpartum febrile morbidity as per unit protocols & consults the physician for management assistance.
appropriate discharge plans.
physician consultation for plan of management for any medical or obstetrical complication.
informed consent for circumcision of male infant.
Professional Activities include:
daily teaching rounds & sign out rounds on the labor floor.
departmental grand rounds & teaching sessions as labor floor activity permits.
open and responsive to the diverse backgrounds and experience of other people and promotes an environment that is sensitive to cultural diversity.
& supervise medical students on the labor floor.

• Masters 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.
  Eligible to practice Professional Midwifery under Article 140 of the Education Act.
  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