Certified Nurse Midwife, Holtz Children's and Women's Hospital, Per Diem, Days

Miami, FL On Call/Pool Nurse Midwifery Service

Summary

The Nurse Midwife is responsible for performing continuous care and management of mothers and babies throughout the maternity cycle in the Nurse Midwife Service of a county medical facility. Responsibilities include various clinical administrative, educational and some research duties which require licensure as a Registered Nurse Practitioner, as well as registration with the State Department of Health as a Certified Nurse Midwife. Incumbents perform care and management of patients as long as progress meets the criteria of normal as defined in the standing orders, policies and procedures of the facility. Employees exercise a considerable degree of professional knowledge and judgment in maintaining high standards of therapeutic care and in requesting medical assistance or early consultation when patients require complex nursing and obstetric procedures.

Responsibilities

Provides professional care for delivery related services. Performs prenatal history, and physical examinations. Completes prenatal care of normal obstetric patients. Diagnose the onset of labor and performs the admission history and physical examinations of patients in labor. Educates patient and family to facilitate and support health adjustments to new or changing health patterns. Provides consultation and proper hand off about the patient's therapeutic regimen to other members of the health care team. Facilitates the continuity of care across the continuum of services, e.g. home care, community referrals, other facilities, appointments with other providers or specialists, etc. Ensures complete and thorough documentation for all services rendered. Plans and organizes care to meet individual patient needs and to ensure appropriate clinical resource utilization per protocols, pathways, and other means. Works collaboratively with the interdisciplinary team to maintain timely and appropriate communication with patient, family, other disciplines, and ancillary services. Incorporate best practices to continuously improve quality of care and clinical judgement. Maintains current expertise in Midwifery Practice and Advanced Practice Nursing. Serves as a clinical expert and resource for the education of peers and other health professionals including Residents, especially as it relates to the management of low risk pregnancy and other aspects care. Integrates appropriate technologies for knowledge management to improve health care delivery. Follows and performs all related unit specific policies and procedures, as detailed on the unit specific competency check-list. Utilizes job and unit specific equipment as required. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned.

Experience

Generally requires 5 to 7 years of related experience.

Education

Master's degree in Nursing is required.

Skill

General Competencies: Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Management Competencies: Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources. Skill in monitoring/assessing the performance to make improvements or take corrective action. Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. Ability to plan, implement, and evaluate programs. Ability to establish goals and objectives. Ability to recognize, analyze, and solve a variety of problems. Nursing Competencies: Ability to understand, respects and accommodates patients preferences and needs with regards to their individual beliefs, customs and practices. Must have ability to clearly, accurately and effectively provide information to doctors, other nurses, patients, and family members. Must have ability to show compassion, patience and maintain non-judgmental approach to patients, their families as well as other employees and customers. Unit Specific: Must have clinical knowledge, skill and ability to fully and accurately complete all required unit competencies, as indicated in the unit competency check-list. Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources. Skill in monitoring/assessing the performance to make improvements or take corrective action. Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. Ability to plan, implement, and evaluate programs. Ability to establish goals and objectives. Ability to recognize, analyze, and solve a variety of problems.

Credentials

Valid Florida licensed RN/ARNP or eligibility for licensure as Nurse Midwife/Advanced Registered Nurse Practitioner. National Board Certification in related field required (i.e. National Board Certification Nurse Midwife or Nurse Practitioner). American Heart Association and any additional applicable life support certification for Healthcare Providers may be required at the unit level upon hire with at least 6 months validity and maintenance at JHS for the duration of employment. Must meet and maintain valid and current all unit specific and organizational skills/competencies, certifications/licensures, as required by regulatory and/or nursing standard of practice for the specialty.

Unit Specific Credential

AHA Basic Life Support (BLS) with 6 months validity
AHA Adv Cardiovascular Life Support (ACLS)
AHA Neonatal Resuscitation Program (NRP)

Working Conditions

Physical Requirements - Job function requires extended standing or walking. Must be able to carry objects weighing 21 to 50 pounds. Able to lift or move objects weighing 51 to 100 pounds with the use of appropriate devices. Jobs in this group require frequent visual acuity to perform activities related to extended use of computers. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).

Environmental Conditions - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May also be exposed to needle sticks, airborne infections, medical gases, X-Ray, chemical exposures and other potential hazards. Must wear Personal Protective Equipment (PPE) when exposed to infectious/clinical hospital environment. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).