Yale New Haven Hospital CERTIFIED NURSE MID WIFE in New Haven, Connecticut
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values—integrity, patient-centered, respect, accountability, and compassion—must guide what we do, as individuals and professionals, every day.
The nurse midwife is an integral part of the women?s health clinical team and provides leadership in health care on behalf of the woman and families in both the inpatient and outpatient settings in the Center for Women?s Health and Midwifery, Women?s Center at YNHH, and labor and birth at the Vidone Birth Center at YNHH-St. Raphael?s campus. The CNM provides full scope midwifery services to women in the nurse midwifery model of care. The CNM evaluates, treats, and manages the care of the patients. The CNM also provides care to gyn patients including gynecological and breast health, medical management of acute/chronic issues, education and provision of psychosocial support. Antenatal care is provided in the traditional model of care, as well as in group sessions. As the attending CNM on the labor and birth unit, the CNM also evaluates patients and manages labors and birth in collaboration with the qualified obstetrician/gynecologist. The education of nurse midwifery students and residents is an integral part of the role of the CNM in all clinical settings. Community activities are required in addition to collaborating with advocacy groups and local agencies.
Evaluates, treats, and makes disposition of their patients who present to CWHM and L&B.Takes appropriate history and performs physical exam relative to patient complaints and assessespatient record if available as per periodic chart review.1 .1 Obtains appropriate ancillary radiographic laboratory studies according to department standardsas determined by periodic chart review.1 .2 Advises patient of evaluation and arranges for appropriate treatment of problem according todepartment standards as determined by periodic chart review.1 .3 Advises patient specifically when follow-up is indicated as determined by chart review.1 .4 Performs all activities in patient assessment in a caring and professional manner as determined bycolleagues, patient feedback, and by supervisory observation.
Prepares appropriate patient records as mandated by JCAHO.Prepares medical record prior to patient discharge which contains appropriate history and physicalfunctions relative to complaint as determined by periodic chart review.2 .1Prepares medical record which contains results of tests when available as determined by periodicchart review.2 .2Prepares a medical which summarizes assessment, diagnosis, and outlines treatment program anddisposition as determined by chart review.
Participates in active continuous medical education.3 .1 Acquires at least 50 hours of CME per year.3.2 Participates in departmental education activities, journal club, and grand rounds as observed byattending physician.
Participates in hospital medical education program.4 .1 Effectively teaches by discussion and example medical students, physician assistants, and physiciansassigned to OB/GYN department for educational purposes.4 .2 Presents cases of special teaching value as observed by supervisor.4 .3 Assists in evaluations of trainers as requested.
Evaluates patients and conducts normal labors in Labor and Delivery under supervision of attendingphysician and/or senior resident physician.5.1Takes appropriate history and performs physical exam relevant to patient complaint in L & D as perchart review and direct observation by supervisor.5 .2Conducts normal labor and performs normal vaginal deliveries under supervision of attendingphysician and/or senior resident.5 .3Page, Coordinates and oversees laboratory result reviewEngages a system to enable review of laboratory results that are not resolved at the completion of the patient's encounter.Communicates to outpatient providers and facilities on the results
Writes admission, intrapartum and discharge orders (including IV, meds., labs, and nursing orders) on allassigned patients.6. 1Writes appropriate orders in a timely fashion as determined by nursing feedback and random reviewof charts.
Research:a. The practitioner may participate, collaborate, or initiate research activities within the Department of Women and Infant's Services.b. Applies research-based data to clinical practice in the care of Obstetrical patients.c. Educates staff in regards to research based initiatives.
Professional Development:a. Participates in at least one (1) professional organization.b. Attends at least one (1) major national conference each year. Brings knowledge back to staff for education.c. Maintains current nationally recognized certificates.d. Maintains certification in Neonatal Resuscitation.e. Maintains current Electronic Fetal Monitoring certificationf. Participates in at least one (1) appropriate hospital quality assurance or quality improvement committee.
Conducts and participates in research, and scholarly activities designed to improve the health care of women and infants.
Manages floor problems, emergency cases, ER admission, etc. when taking in-house call at night.Manages on-call problems without exception as determined by feedback from physician and nursingstaff.
Devise and implement a plan of care:1. Order pharmacologic agents/Nebulizer treatments2. Perform therapeutic procedures in the area of clinical specialization:a. Transcervical Foley catheter placement (for induction of labor)b. Laminaria placementc. Misoprostol and or Prostaglandin Gel administration (for induction)3. Discharge patient to home or admit to Labor & Birth or Maternal Special Care Unit.4. Communicate delayed results (cultures, FFN) to patients after dischargevia telephone contact.
Perform vaginal deliveries1.In collaboration with the healthcare team, the midwife will manage women with non- omplications of health, labor or fetus if vaginal birth in the cephalic presentation appears likely.
Registered nurse licensure; Certified Nurse Midwife license; requires both undergraduate and master's degree.
Three (3) to five (5) years midwifery experience in culturally diverse setting.
State of CT Registered nurse license; State of CT Licensed Nurse Midwife license; Certification as a Certified Nurse Midwife through the American Midwifery Certification Board,
Excellent interpersonal and communication skills. Knowledge of research methods, computer skills required.
Possesses physical and mental heath necessary to care for patients and families. Possesses a full range of body motion, including lifting and handling of adult patients.
Job ID 61139
Job Locations US-CT-New Haven
Department AF MIDW CO
Category RN - OBSTETRICS & MATERNITY
Position Type Full Time Benefits Eligible
Scheduled Hours 40
Work Schedule DAY/NIGHT
Work Days MON THROUGH SUNDAY
Work Hours 7A-7:30PM AND 7:30PM - 7:30AM FOR L&B COVERAGE; 8:30 - 5P FOR OFFICE HOURS
Work Shift COVERING MIDWIFERY OFFICE AND L&B UNIT
Requisition ID 2017-15006