Provides midwifery care and treatment to obstetrical patients as a member of a collaborative care team inclusive of OBGYN physicians, certified nurse-midwives, registered nurses, and women's health nurse-practitioners. Delivers babies, educates patients in prenatal and postnatal health practices, and advocates for the midwifery model of care.
Per Diem nurse midwives work varied shifts, totaling 2-4 in-house call days per month.
Participates in initial examination of obstetrical patient, and assumes responsibility for care, treatment, and delivery of patient.
Participates in antenatal evaluation and treatment of the obstetrical patient.
Examines patient during pregnancy, utilizing physical findings, laboratory test results, and patient's statements to provide individualized, evidence-based care within midwifery and Dartmouth Hitchcock Health practice standards.
Discusses case with Obstetrician and staff to assure observation of specified practices.
Stays with patient during labor for support and care management.
Delivers infant and performs postpartum examinations and treatments.
Consults and collaborates with OBGYN physicians when necessary. Manages obstetrical emergencies as they arise.
Cares for patients during postpartum period in the hospital and educates patient in care of self and infant. Participates in discharge care including discharge orders.
Assists Obstetrician as First Assist for C-sections
Maintains timely and complete documentation of all care provided to patients.
Responds to work-related electronic communication (EHR InBasket and email) within 3 business days, and maintains a collegial and professional tone in all written communication.
May direct activities of other workers.
May supervise and teach CNM, NP and medical students.
Participates in the performance improvement activities of the department.
Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Dartmouth Hitchcock Health's Standards of Performance and Just Culture Principles.
Requires a Masters Degree in Nursing and current RN licensure in the state of NH
NH Certified Nurse Midwife License. Current AMCB certification.
Minimum two years experience as a certified nurse midwife
Knowledge of professional nursing theory, clinical practice standards, normal maternal / fetal growth and development, and requirements of nurse midwifery practice. Able to independently seek out resources and solve complex problems.
US Department of Justice and NH' Controlled Substance DEA Registrations are required for prescribing practitioners
Documented proof of attendance at Fetal Monitor Course every 2 years
Current certification in American Academy of Pediatric Neonatal Resuscitation within 6 months of position and must maintain certification