Certified Nurse Midwife, Full time (Hesperia)

• Under the supervision of an Ob-Gyn physician, manages the care of women during labor and delivery.
• Obtains an accurate medical, obstetrical, gynecological and psycho-social history of the present pregnancy.
• Observes signs of the members general and obstetrical health status.
• Performs complete physical examinations including the pap smear, breast examination, abdominal examination, pelvic examination and clinical pelvimetry.
• Records all findings of examinations, histories and significant observations in the patients chart.
• Determines pregnancy status during gestation, presentation and position of fetus and fetal heart rate.
• Determines whether all findings are within normal limits.
• Orders appropriate laboratory examinations such as chest X-ray, ultrasound, CBC, urinalysis, blood type and Rh factor, serology tests.
• Consults with and obtains orders from an obstetrician for any special care or diagnostic procedure and refers to other services as necessary.
• Institutes preventative measures and detects abnormal conditions, obtains consultation and assistance from physicians as needed.
• Teaches, counsels and guides individual members regarding their individual health care.
• Determines the need for social services, genetics or mental health services and refers as appropriate.
• Evaluates patients general and obstetrical health status.
• Provides health supervision, care and family planning advice to women during antepartum and postpartum periods.
• Evaluates fetal status by performing such procedures as abdominal palpation and ultrasound examinations to estimate fetal weight, presentation and position, approximate station and fetal heart rate.
• Able to perform internal and external fetal monitoring and interpretation.
• Consults with obstetrician regarding questionable findings.
• Determines members degree of labor and whether member is to be admitted to labor and delivery.
• Independently conducts normal spontaneous vaginal deliveries.
• First assists at Cesarean Sections and gynecological surgeries.
• Performs immediate care of the newborn.

• N/A.

• Graduate of an accredited RN program.
• Graduate of a nurse midwifery program accredited by the A.C.N.M. BS or BSN or BA required, MS Degree required in 2010.

• Certified Nurse Midwife (California)
   

• Registered Nurse License (California)
   

• National Provider Identifier
   

• Nurse Midwife National Certification from American Midwifery Certification Board
   

• Neonatal Resuscitation Program
   

• If the department elects to hire a new grad CNM, the California Furnishing Number and, if applicable, DEA Registration Number must be obtained within twelve (12) months of hire.
• BCLS (ACLS, PALS, if applicable)

• Three (3) years recent experience as a CNM preferred.

Notes:

• Will work 8, 12, or 24hr calls at FMC or OMC (Mon-Sun including Holidays) paired with 8-hour clinic shifts in Hesperia to meet FTEs.