Certified Nurse Midwife - Per Diem

The Certified Nurse-Midwife independent provider will provide medical care and treatment to obstetrical patients during pregnancy and normal delivery. The Midwife will also care for women throughout the lifespan in outpatient and inpatient settings. Position:
Certified Nurse Midwife Department: BMC-Brighton, Womens Health

Schedule:

Part Time, Per Diem

• Outpatient:
  Provides annual gynecologic exams, including but not limited to pap smears; manages abnormal pap results per ASCCP guidelines. Sees patients for problem visits - discharge, pelvic pain, breast lumps, STI screening, etc. Evaluates irregular/unscheduled bleeding Provides contraception education and advice on family planning - OCPs, patch, ring, shot, LARCs; inserts and removes all types of IUDs and Nexplanon. Conduct classes for patients and family members concerning pregnancy and delivery.
  
  Performs endometrial biopsy, removal of cervical polyps, destruction of vulvar lesions/warts, colposcopy with ECC and biopsy; conducts vulvar biopsies. Management of pelvic organ prolapse, pessary fitting and care;
  Bartholin cysts/abscesses Provide care for pregnant patients - routine care, low risk care, co-management of high-risk OB population [including PEC and DM, IUGR, other conditions].
• Inpatient:
  Takes part in initial examination of patient, monitors course of pregnancy, advising on proper health practices, taking tests as appropriate, and reporting any complications to the obstetrician. Provides care for laboring patients – spontaneous labor, IOL and labor augmentation – and postpartum patients Prepares patients and their partners for delivery; trains mothers-to-be in exercise, breathing, and relaxation techniques. Provides instructions in breast-feeding if requested.
  
  Attends and reassures patient throughout the course of labor, monitors the fetus condition, administers medications, notifies physician of prolonged labor or complications indicating need for possible surgical intervention. Delivers infant and checks mother and child to ensure that they are responding normally. Uses electronic fetal monitoring, including placement of FSE and IUPC. Responsible for the initiation and management of amnioinfusion.
  
  Co-manages patients with co-morbidities. Provides normal spontaneous delivery provider and VBAC provider. First assist in primary and repeat Cesarean deliveries [transverse and classical], in cerclage placement, and D&C/ D&E Repairs 1stand 2nddegree lacerations. Provide consultation for gyn problems in ED, med-surg, ICU, and in the psychiatric unit.
• Inpatient and Outpatient Setting:
  Teaches/precept medical and physician assistant students as well as nursing and nurse practitioner students. Participate in QA committee by presenting reviewed cases. Other duties and responsibilities as assigned (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

Required

Education and Experience:

Bachelor's degree in Nurse Midwifery. No prior experience required.

Preferred

Education and Experience:

Master’s degree in Nurse Midwifery.

• Required:
  
  Licensed to practice professional nursing as a registered nurse in the Commonwealth of Massachusetts. Active Massachusetts midwifery license. Post-baccalaureate certificate in Nurse Midwifery.
• Preferred: N/A

• Ability to remain calm during labor and delivery to reassure patient
• Ability to exercise good professional judgment.
• Good verbal and written skills for communication with…