30+ days ago

Job Description

City/State:

Bronx, New York

Grant Funded:

No

Department:

OBGYN - Department Admin

Bargaining Unit:

1199 RN

Work Shift:

Day

Work Days:

ROTATING SCHEDULE

Scheduled Hours:

Hours Vary

Scheduled Daily Hours:

12 HOURS

Hourly Rate:

$90.00

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.  

The Nurse Midwife maintains standards of the practice for nursing as defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice and Nursing's Social Policy Statement.
The Nurse Midwife actualizes the vision, mission, values, and balanced scorecard performance measures for Montefiore Medical Center.
The Nurse Midwife participates in performance improvement/research activities; maintains professional practice standards and clinical expertise; and demonstrates leadership skills. The Nurse Midwife demonstrates core and unit specific competencies based on the patient population served.
The nurse midwife assumes complete responsibility for the care and management of essentially healthy women in accordance with the midwifery practice agreement and with institutional practice privileges.
The nurse midwife participates in educational activities for healthcare students and assists with research studies.
Schedule:
12 hour shifts; Rotating days and nights in 2 week blocks
Day shift start time: 8am
Night shift start time: 8pm

Essential Functions
  • Under the supervision of the attending physician and using departmental protocols, manages antepartum, intrapartum, & postpartum patients presenting to our Labor & Delivery Unit. Obtains physician consultation for the management of medical or obstetrical complications not addressed in departmental protocols.
    *Takes pertinent history.
    *Performs physical and pelvic examinations.
    *Orders laboratory and diagnostic tests including non-stress tests and evaluates results.
    *Provides counseling and teaching as needed.
    *Identifies risk factors and develops appropriate plans of management to address the same.
    *Documents patient care, assessment plan, intervention, and response.
  • Takes complete responsibility for patients during labor and delivery as long as their progress remains within the bounds of the midwifery collaborative agreement. Manages emergency situations such as postpartum hemorrhage, shoulder dystocia, or infant resuscitation in a conventionally approved manner until physician assistance arrives. Obtains physician consultation for plan of management for any medical or obstetrical complications.
    * Evaluates the status of labor and makes decisions on admitting patients to the labor area.
    * Performs admission physical examinations within 24 hours.
    *Orders laboratory and diagnostic tests and evaluates results.
    * Evaluates progress of labor by vaginal exam.
    * Makes decision regarding ambulation of patient during labor.
    * Inserts and manages cervical ripening according to departmental protocols.
    * Provides analgesia.
    * Requests conduction anesthesia.
    * Performs amniotomy.
    * Applies the external fetal monitor and tocodynamometer.
    * Applies internal fetal scalp electrode and intrauterine pressure catheter.
    * Evaluates fetal monitor tracings and consults with physician if abnormalities are present.
    *Monitors patients on I.V. oxytocin and regulates oxytocin infusion for induction or stimulation of labor.
    *Makes decision regarding the position(s) of the patients during second stage labor.
    *Makes decisions regarding performance of delivery in the labor room or transfer to the delivery room.
    *Utilizes local infiltration or pudendal block.
    * Performs and repairs episiotomies.
    * Conducts spontaneous deliveries of vertex presentation.
    *Conducts spontaneous deliveries of cephalic presentations in multiples pregnancies with physician in attendance.
    *Manages the labors and conducts the deliveries of vaginal birth after cesarean section (VBAC).
    *Obtains a section of cord for cord gases.
    * Manages the third stage of labor.
    * Performs cervical and vaginal inspection.
    * Repairs minor vaginal and perineal lacerations. Seeks physician consultation for repair of cervical or extended vaginal lacerations.
    *Takes responsibility for management of uncomplicated patients in the recovery room.
    *Decides when the normal infant should be transferred to the nursery.
    *Requests attendance of pediatrician at delivery when neonatal problems are anticipated.
  • Takes complete responsibility for postpartum patients who are essentially healthy.  Shares responsibility for post-op cesarean patients, in collaboration with attending physicians and in accordance with departmental protocols. Obtains physician consultation for plan of management for any medical or obstetrical complication.
    *Makes daily nurse midwifery assessment rounds, examines the patient, orders and interprets laboratory results, diagnostic tests, monitors the postpartum course, and documents findings and care.
    * Provides and documents postpartum teaching and counseling.
    *Writes medication and non-medication orders.
    * Removes dressings, surgical sutures and staples.
    *Makes appropriate discharge plans and obtain consults from other specialties as needed.
    *Prepares patients for postpartum tubal ligation. Provides teaching and counseling for the patient and her newborn.
  • Takes complete responsibility for family planning in post-partum patients who are essentially healthy.

    *Provides contraceptive counseling and care.
    a. Provides oral contraceptives Depo-Provera and the contraceptive ring.
    b. Inserts and removes IUDs.
    d. Inserts and removes hormonal implants.
    e. Provides counseling concerning spermicide, contraceptive sponges, films, condoms and natural family planning methods.
    f. Provides counseling concerning sterilization and abortion.
  • Prescribes medications and educates the patient and families about the drug regimen, interactions and side effects.
    *Zero error tolerance.
  • Participates in educational activities for healthcare learners, including Medical, Nursing, PA, Midwifery, students, residents and other visiting leraners..
    * Conducts didactic sessions.
    *Provides supervision of clinical activities.
    * Participates in evaluation of students.
  • Maintains competency.
    * Attends Grand Rounds of Department of Ob/Gyn.
    * Attends conferences related to specialty area.
    *Meets ACNM Continuing Competency Requirement.
    *Maintains BLS, NRP and annual mandatory inservices.
  • Participates in departmental QI activities.
    * Refers cases for review of management, as appropriate.
    *Participates in departmental QI meetings.
    *Participates in performance improvement initiatives.

Qualifications
  • BSN Required
  • Masters degree Required
  • 4-6 years satisfactory clinical nurse-midwifery experience may be substituted for a Masters Degree
  • OHS Fit Test Required
  • OHS Annual Assessment Required
  • Current New York State license as a Registered Nurse Required
  • Current New York Midwifery License Required
  • Certification for prescriptive rights by NYS Department of Education Required
  • Current DEA registration Required

Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

Numbers & Facts

Location
IndustryHealthcare Services
Company Size10,000 employees or more
Websitehttp://www.montefiore.org/

About Company

About Montefiore Medical Center

Commitment to Excellence

As the academic medical center and University Hospital for Albert Einstein College of Medicine, Montefiore Medical Center is nationally recognized for clinical excellence—breaking new ground in research, training the next generation of healthcare leaders, and delivering science-driven, patient-centered care.

Montefiore is ranked among the top hospitals nationally and regionally by U.S. News & World Report. For more than 100 years we have been innovating new treatments, new procedures and new approaches to patient care, producing stellar outcomes and raising the bar for medical centers in the region and around the world. As we build on this momentum, we continue to advance the practice of medicine and set the standard for excellence.

Enduring Mission and Distinguished History

The mission of Montefiore is to heal, to teach, to discover and to advance the health of the communities we serve.

From its beginning in 1884, as a facility for the care of patients with tuberculosis and other chronic illnesses, to the new millennium, Montefiore has been at the forefront of patient care, research and education and steadfast commitment to its community.

Our Services

We provide coordinated, compassionate and leading-edge care designed to reach people when and where they need it most. Through highly integrated teams of physicians, nurses, social workers, mental health professionals and other caregivers, we have created an innovative, seamless system of care focused around the patient.

Notable Centers of Excellence

At the intersection of Einstein science and Montefiore medicine is our commitment to scientific inquiry. This commitment has resulted in the creation of the Montefiore-Einstein Centers of Excellence in cancer care, cardiovascular services, transplantation and children’s health, where nationally recognized investigators and multidisciplinary clinical teams collaborate to develop and deliver advanced, innovative care.

Advanced Specialty and Surgical Care

We offer advanced, multidisciplinary care across specialties, delivering one standard of excellence for all. Our interventions are designed to help patients understand and manage their illness, advocate for their health, access the right treatments and receive the vital social support they need to flourish. On multiple fronts, Montefiore is developing more effective and less invasive approaches to complex problems from procedures to repair diseased hearts, protocols to treat complex cancers and medical devices designed to meet the needs of growing children.

Primary Care

With nearly 50 primary care locations throughout the New York metropolitan area, we are focusing on accessible, patient-centered primary and preventive care provided by leading physicians in the areas of family and internal medicine, pediatrics, obstetrics and gynecology, and a team of experts in nursing, health education, nutrition and pharmacy.

Providing Care Without Walls

Montefiore combines its deep commitment to the community with nationally-renowned expertise to reach people in locations easiest for them. Through Montefiore’s School Health Program (MSHP), Primary Care at Home programs, mobile medical and dental health vans and health education initiatives, Montefiore provides primary care services in non-traditional settings.

Through the formation of highly integrated teams of physicians, nurses, social workers, mental health professionals, care managers and other caregivers, we provide care around the patient, when and where they need it.

Research and Education

Montefiore's partnership with Einstein advances clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies that benefit patients. Together, the two institutions are among 38 academic medical centers nationwide to be awarded a prestigious Clinical and Translational Science Award (CTSA) by the National Institutes of Health.

The second-largest medical residency program in the country, with 1,251 residents and fellows across 89 programs, Montefiore provides the doctors of tomorrow a unique opportunity for education and training in one of the most diverse urban areas in the country — one where the population is global, the disease burden is high, and the need for quality care is great.

The partnership is further strengthened by the dual appointments of faculty and physicians across both organizations—enhancing synergies and collaborations for research, teaching and patient care.

Comprehensive Care Management

Since 1996, Montefiore has developed advanced models of care management to help patients, especially those with chronic diseases such as diabetes, heart failure and mental illness, achieve better health and improved wellbeing in a cost effective way. Montefiore goes beyond fragmented fee-for-service payments, assuming total responsibility for the quality and costs of care for some of our sickest patients.

Through CMO, Montefiore Care Management, we use a global prepayment or similar strategies to manage care for 200,000 individuals over the continuum, including hospital care, rehabilitation, outpatient care, professional services, home care, mental health counseling, community-based services, remote patient monitoring and many other programs.

Our leadership in coordinating care across multiple settings has earned us federal recognition from the Centers for Medicare and Medicaid Services as a Pioneer Accountable Care Organization. Montefiore's ACO is one of only 32 organizations in the nation, as well as the only one in New York State, to operate under this new model of providing Medicare beneficiaries with higher quality care, while reducing expenditures through enhanced care coordination.

Learn More

  • Mission, Vision and Values – Montefiore’s unique path of growth into the future and the clinical excellence and outstanding customer care that will get us there.
  • History and Milestones – Proud traditions guiding our mission and the moments that helped shape Montefiore into a premier academic medical center.
  • Commitment to the Community – Community health, education and neighborhood development.
  • Leadership – Executives and clinical chairs leading Montefiore’s advancements.
  • Physicians – Widely acclaimed medical professionals and specialists who provide our patients with the highest standards of care.
  • Nursing Staff – Highly competent and compassionate professionals committed to improving the health of their patients.
  • Ways to Give – Philanthropic opportunities and other ways to support Montefiore Medical Center.

Skills

  • Address Managementunmatched
  • Anesthesiologyunmatched
  • Balanced Scorecardunmatched
  • Certified Midwife (CM)unmatched
  • Clinical Nursingunmatched
  • Clinical Practices/Protocolsunmatched
  • Conferencesunmatched
  • Consultingunmatched
  • Discharge Plansunmatched
  • Drug Interactionsunmatched
  • Emergency Managementunmatched
  • Family Planningunmatched
  • Geneticsunmatched
  • Health Educationunmatched
  • Laboratory Testingunmatched
  • Maternal-Fetal Medicineunmatched
  • Medicationsunmatched
  • Midwiferyunmatched
  • Militaryunmatched
  • Neonatologyunmatched
  • Nursingunmatched
  • OBGYN Examinationsunmatched
  • Patient Admissionsunmatched
  • Patient Assessmentunmatched
  • Patient Careunmatched
  • Patient Educationunmatched
  • Pediatricsunmatched
  • People Managementunmatched
  • Performance Managementunmatched
  • Performance Metricsunmatched
  • Project Trackingunmatched
  • Registered Nurse (RN)unmatched
  • Risk Analysisunmatched
  • Side Effectsunmatched
  • Sterilizationunmatched
  • Stress Testingunmatched
  • Team Playerunmatched
  • Training/Teachingunmatched

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