Under the supervision of a Physician, manages the medical care of patients throughout the maternity cycle, including the ante partum, intrapartum, postpartum and gynecological periods.
Qualifications: Graduate of an accredited School of Nursing Graduate of a nurse midwifery program accredited by the A.C.N.M. Current California RN licensure and A.C.N.M. certification required Under the supervision of a Physician, manages the medical care of patients throughout the maternity cycle, including the ante partum, intrapartum, postpartum and gynecological periods. Provides standard maternity care and counseling to expectant women following protocol, procedures and instructions regulated by the State Nurse Practice Act and Southern California Permanente Group. National Provider Identifier (NPI) required as of May 23, 2007. Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors. Preferred Qualifications: Bilingual (English/Spanish), Graduate of an approved CNM Course with cert of completion, Two (2) years experience as a practicing certified nurse midwife in an ambulatory and Labor and Delivery setting, knowledge of Word, OPAS, KPDS and Health Connect. Duties: 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 member�s 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 on patient�s 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 referrals to or from 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 patient�s 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 member�s 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 resuscitation of the newborn. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente�s Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente�s policies and procedures. Notes: Schedule varies, may work up to two hours before and after.