Certified Nurse Midwife

Intrapartum

Parameters and methods for assessing progress of labor and birth. Parameters and methods for assessing maternal and fetal status. Parameters for medications and solutions prescribed/used during labor and birth. Management of birth and the immediate postpartum period. Methods to facilitate the newborn’s adaptation to extrauterine life. Significant deviations from normal and appropriate interventions. Parameters and methods for assessing the immediate well being of the newborn.

Duties & Responsibilities

Postpartum/Newborn Parameters and methods for assessing the postpartum status of the mother. Parameters and methods for assessing the well being of the newborn. Parameters for medications prescribed/used in the puerperium. Significant deviations from normal and appropriate interventions. Family Planning/Gynecology Parameters and methods for assessing general physical and emotional status of the patient. Parameters for medications and devices prescribed/used. Significant deviations from normal and appropriate interventions. Care is provided in a safe environment. Demonstrates knowledge of and utilizes federal and state regulations that apply to practice Environment and infection control. Promotes adequate staffing in the clinical setting where the CNM practices. Demonstrates appropriate techniques for emergency management including arrangements for emergency transportation. Care utilizes appropriate resources for referrals to meet the medical, psychosocial, economic and cultural or family needs of the patient. Demonstrates a safe mechanism for obtaining medical consultation, collaboration and referral. Uses community resources. Demonstrates knowledge of medical, psychosocial, economic, cultural and family factors that may effect care. Care is documented in legible, complete health records. Uses records that facilitate communication of information to consultants and institutions. Facilitates patient’s access to their records. Provides written documentation of risk assessment, course of management, and outcome of care. Provides for prompt entry on the health record of laboratory tests, treatments, and consultations. Provides a mechanism for sending a copy of the health record on referral or transfer to other levels of care. Treats records as confidential documents. Care is evaluated according to an established program for quality assessment that includes a plan to identify and resolve problems. Participates in a program of quality assurance/improvement for the evaluation of the nurse mid-wifery practice within the practice setting in which it occurs within legal requirements. Collects patient care data systematically and is involved in the analysis of that data for the evaluation of the process and outcome of care. Seeks consultation to review problems identified by the quality assurance/improvement program. Acts to resolve problems that are identified. Participates in peer review. Documents all situations, both internally and externally, that may arise out of the ordinary or are necessary to maintain accurate patient charts/records. Helps maintain the work area in a neat and orderly fashion. Responsible for keeping supplies necessary to perform the job duties.

We are committed to offering quality, cost-effective benefits choices for our employees and their families:

Day ONE medical, dental and life insurance benefits Health care and dependent care flexible spending accounts (FSAs) Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%. Employer paid life insurance – equal to 1x salary Employee may elect supplemental life insurance with low cost premiums up to 3x salary Adoption assistance LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment Tuition reimbursement Student loan forgiveness

Equal Opportunity EmployerIt is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.