Certified Nurse Midwife

Responsibilities

Midwifery as practiced by certified nurse-midwives (CNMs) and certified midwives (CMs) encompasses a full range of primary health care services for women from adolescence beyond menopuase.

• Assess, diagnose, monitor, promote health and protection from disease, and manage care to adolescent and adult females focusing on family planning services, preconception care, pregnancy, childbirth, the post‑partum period, gynecological needs and the care of the well newborn (during the first two days of life).
• CNMs may not admit patients to the hospital but may write admission orders after consultation with the physician.
• Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment.
• They conduct physical examination, prescribe medications including controlled substances and contraceptive methods, order and interpret laboratory and diagnostic test and order the use of medical devices.
• Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling.
• Completes patient appropriate history and physical exam and douments accoring to regulatory requirements and NHC/NKDH Policy.
• Makes rounds on hospitalized patients and sees patients in the office setting.
• Evaulation of complaint of labor at term with an uncomplicated pregnancy.
• Completes ongoing phyiscal assessments/appropriate to patient status.
• Completes reassessments appropriate to patient status.
• Identifies patient care needs based on assessment data.
• Develops differential diagnoses based on assessment data and identifed needs.
• Reformulates diagnoses based on new or additional assessment data and the dynamic nature of complex accute, critical and chronic illness.
• Orders medications according to law and regulations (controlled substances require DEA & CAPA-CS).
• Evaluates and documents patient responses to medications and treatments as appropriate.
• Synthesizes data from a variety of sources to make clinical decision regarding appropriate management, consultation of referral.
• Provides for patient and family education.
• Provides consultation based on knowledge and expertises and within scope of practice.
• Requests consults and makes referrals as appropriate.
• Provides thorough and timely documentation of care and treatment in the patient record.
• Facilitates a cooperative team atmosphere through professional communication.
• Provides indivdualized patient and family education by applying principles of learning, actievly involving the learner, and providing an environment conducive to teaching/learning.
• Recognizes teaching opportunities and provides age-specific and culturally sensative teaching in a manner that promotes safe patient care regarding the role of the CNM.
• In collaboration with the patient, evaluates patient outcomes identified in the CNM plan of care, by comparing patient responses to nursing inteventions, current practice standards, and anticipated coutcomes.

Required:

• Current Indiana RN license
• Current Indiana CNM License/Certification
• Completion of formal graduate-level edcation program
• Current ACLS and NRP or NALS Ceritification
• DEA & CSR Certification
• Collaborative practice agreement - controlled substances (CAPA-CS)