Nurse Midwife 0.50 FTE (DH3662)

Navajo Preference Employment Act

In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act.  Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.
Overview

POSITION SUMMARY

Full scope group nurse-midwifery practice – gynecology (including contraception and menopause), antepartum, intrapartum, post-partum, initial newborn.  Rotating schedule between clinic and the hospital.  Collaborates with obstetrician/gynecologists and other providers, co-manages and/or refers as appropriate.  Admits patients.  Performs complete history and physical examinations on adults, teens, and newborns.  Determines dosage and timing of medications, orders and/or administers medications.  Utilizes fetal monitoring equipment including application of fetal scalp electrodes, IUPCs, and/or amnioinfusion, and interprets the meaning of the information recorded.  Determines the content, orders and/or administers intravenous solutions and medications and performs other specialized procedures.  First-Assistant in Cesarean Sections.  Performs limited ultrasound.  Represents midwives and/or the OB Department on various hospital committees.  Accepts responsibility for departmental administrative projects.  Performs other functions generally accepted as typical of a Certified Nurse-Midwife, as requested.  Night-shift rotation on the Labor & Delivery Unit is an essential part of this position.

Qualifications

NECESSARY QUALIFICATIONS

Education:

A Bachelor of Science degree from an accredited school of nursing

      License/Certification:

• Certified Nurse-Midwives must be Registered Nurses, hold current certification by the American Midwifery Certification Board (AMCB) and must have graduated from a nurse-midwifery education program accredited by the ACNM Accreditation for Midwifery Education (ACME).
• Must possess and maintain a valid, current, full and unrestricted license to practice as a nurse in any state within the United States, District of Columbia or the Commonwealth of Puerto Rico.
• Certified Nurse-Midwives must be certificated by the American College of Nurse-Midwives (ACNM) or the American Midwifery Certification Board (AMCB) (formerly known as ACNM Certification Council, Inc.) and have graduated from a post-baccalaureate midwifery education program which is accredited by the ACNM Division of Accreditation.  A Master's degree with a major in Midwifery or Public Health is strongly recommended.

Experience:

Will accept new graduates with a minimum of 5 years of experience in Labor and Delivery as a Registered Nurse

Credentialing:

Must be credentialed and privileged to serve on the TCRHCC Medical Staff

Other Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers.  All employment references must address and indicate success in each one of the following areas:

• Must be proficient with basic computer skills, including word-processing and e-mail.
• Positive working relationships with others
• Possession of high ethical standards and no history of complaints
• Reliable and dependable; reports to work as scheduled without excessive absences.
• Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
• Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
• Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
• Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC.

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an   employee to successfully perform the essential functions of this job.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical:

The work requires prolonged standing, walking, maintaining balance, frequent sitting, bending, climbing, kneeling, crouching, twisting, and reaching. Must have ability of prolonged lifting, pushing, and pulling of patients up to 50lbs. Sensory requirements for position include prolonged ability of color vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages, and telephone use. Must have ability of both hand manipulation in prolonged simple and firm grasping, fine manipulation, and use of keyboards. Round-the-clock coverage of patient care may cause physical and emotional stress unique to the role.

Mental:

Must be able to perform well in crisis situations. Must be able to work well within a group. Must have prolonged ability of coping with high levels of stress, making decisions under high pressure, coping with anger/fear/hostility of others in a calm way, concentrating, handling high degree of flexibility, handling multiple priorities in stressful situation, working alone, demonstrating high degree of patience, adapting to shift work, and working in areas that are close and crowded.

Environmental:

May be exposed to infection diseases and loud noises for a prolonged period of time, and occasional exposure to chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, and unprotected heights.

Responsibilities

Essential Functions

1. Conducts spontaneous vaginal delivery without the use of forceps or vacuum.
2. Determines methods and administers anesthesia such as local blocks, and arranges intrathecal analgesia and epidural anesthesia as indicated.
3. Performs episiotomy and does repair of episiotomy and/or lacerations, records the delivery in permanent record book or computer, and signs the completed birth certificate.
4. Determines the need for ultrasound, non-stress tests, oxytocin challenge tests, interprets the results of the tests, and uses the results to plan and carry out a course of treatment.
5. Manages the care of patients during the postpartum period.
6. Provides family planning education/services, and gynecological services, to women (including teens).
7. Assumes responsibility for the triage of common health problems presented by women (including teens) and for management, collaboration, co-management and/or referral to appropriate levels of health care services.
8. Prescribes the full range of contraception including, but not limited to, birth control pills, emergency contraception/ “morning-after pills,” inserts intrauterine contraceptive devices and contraceptive implants, fits diaphragms, does pelvic examinations and Pap tests.
9. Treats hemorrhage and shock.
10. Collaborates in planning, and participates in, educational programs for patients, family, staff and community.
11. Must be able to work a rotating full-time schedule, including nights and weekends.
12. Must be able to perform well in crisis situation.
13. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
14. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
15. Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction.
16. Completes all patient care documentation in the electronic health record entries accurately and in real-time.
17. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives
18. Performs other duties as assigned.