1+ months
2018-05-032018-08-05

Certified Nurse Midwife

Cedars-Sinai
The CSMG Certified Nurse Midwife (CNM) will be part of a collaborative practice with general OBGYN physicians in the Cedars-Sinai Medical Care Foundation. In that role, the CNM will provide the management of womens health care, focusing on pregnancy, childbirth, the post-partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM will practice within our health system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). ESSENTIAL DUTIES AND RESPONSIBILITIES: A. ADMINISTRATIVE ROLE Assist with developing written program policy and procedures Help to establish the CNMs role within the CSMG OBGYN care team B. DIAGNOSIS The CNM makes a diagnosis by: Utilizing critical thinking in the diagnostic process Discussing relevant findings with members of the health care team Synthesizing and analyzing the collected data Formulating a differential diagnosis based on the history, physical examination, and diagnostic test results C. DEVELOPMENT OF A TREATMENT PLAN The CNM, together with the patient, family, and OBGYN physicians will establish a mutually acceptable plan of care that maximizes health potential. Formulation of the treatment plan includes: Medication reconciliation Ordering additional diagnostic tests, as indicated Setting treatment goals for patients in both the inpatient and ambulatory care settings Monitoring progress towards goals Selecting appropriate pharmacologic and non-pharmacologic interventions Developing a patient education plan Appropriate consultation/referral. Communication with all members of the care team E. IMPLEMENTATION OF THE PLAN Actions by the CNM are: Individualized Consistent with the appropriate plan of care Based on scientific principles, theoretical knowledge, and clinical expertise Consistent with teaching and learning opportunities for patient and caregiver Optimizing the patients health care benefit coverage Actions include: Ensuring that patients have appropriate follow-up visits per established protocols Documentation of assessment and findings in the Medical Record. Accurately conducting and interpreting diagnostic tests Regular communication with patients primary treating physician Prescribing pharmacologic agents and non-pharmacologic therapies Providing relevant patient education and teaching Making appropriate referrals to other health professionals and community agencies Facilitates collaboration among interdisciplinary team members in the plan of care Assessing patient readiness for changes in visit frequency and/or discontinuation of treatments or services F. FOLLOW-UP AND EVALUATION OF PATIENT STATUS The CNM maintains a process for systematic follow-up by: Determining the effectiveness of the treatment plan with documentation of patient care outcomes Reassessing and modifying the plan as necessary to achieve health and medical goals. Educational interventions should include: an initial assessment of health history, resource use, risk factors, cultural influence, health beliefs and behaviors, support systems, socioeconomic factors and learning barriers Utilizes patient data, current research and goal setting to meet educational needs of patients and their significant others Assesses existing knowledge and/or recent teaching G. THE CNMs PRACTICE MODEL EMPHASIZES: Patient and family education Facilitation of patient participation in self care Promotion of optimal health Facilitation of entry into the health care system The promotion of a safe environment The CNM participates as a team member in the provision of health and medical care, interacting with professional colleagues to provide comprehensive care. The CNM maintains accurate, legible and confidential records. The CNM participates in continuous quality review, including systematic review of medical and other records and treatment plans on a periodic basis, maintains current knowledge by attending continuing education programs. COLLABORATING PHYSICIAN(S) It is the responsibility of the CNM to keep the collaborating physician(s) informed of his/her practice and to seek assistance, refer the patient to the physician or obtain further instructions from the physician whenever doubt exists or prudent medical practice dictates. PRESCRIBING MEDICATIONS The CNM must maintain a current Furnishing Number and a DEA. All prescriptions not included in the CNM Furnishing Formulary shall be authorized by the collaborative physician. ORGANIZATIONAL EXPECTATIONS Demonstrates behavior which supports the Cedars-Sinai Health System mission. Attends required orientation and training seminars. Meets production standards within established time requirements. Work product and performance meet community standards. Demonstrates respect and positive interpersonal skills with patients, clients, the public, managers and co-workers. Maintains confidentiality of patient care and business matters. Observes time, attendance and dress code standards. Protects the safety of others and of the physical plant and equipment, following institution policies for fire, safety and infection control regulations. The above statements are intended to describe the general nature and level of work being performed: They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required in the performance of this position.QUALIFICATIONS: Certified Nurse Midwives (CNMs) are registered nurses with specialized advanced education and clinical competency to provide perinatal care for diverse population in a variety of primary and acute settings. The CNM must have the following education and training: Master of Science Degree in Nursing Graduation from an accredited Nurse Midwifery Program approved by the Board of Registered Nursing. Nursing as defined in Section 1482, Nurse Practice Act, Business and Professional Code. Current unrestricted Registered Nurse and Certified Nurse Midwife license issued by the State of California. Minimum three years clinical nursing experience in Labor and Delivery. Current Drug Enforcement Agency (DEA) Certificate. Furnishing number issued by the Board of Registered Nursing (BRN) completed within one year from the date privileges are approved) Certification of ACLS, BLS, and NRP National Certification as a Nurse Midwife Experience working in a collaborative OBGYN practice strongly preferred. Full command (verbal and written) of the English language.

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Certified Nurse Midwife

Cedars-Sinai

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