We are currently looking for a(n) Certified Nurse Midwife-CNOHC-OBGYN located at the CN Outpatient Health Center.
JOB SUMMARY
Provides primary medical care and treatment to obstetrical and gynecological patients under supervision of Obstetrician.
RESPONSIBILITIES
Routine duties shall include providing health care services to individuals eligible for services in accordance with the self-governance compact and funding agreement between the Cherokee Nation and United States executed under the authority of the Indian Self-Determination and Education Assistance Act. Provides routine obstetrical and gynecological care to women on an independent basis. Routine care would include obtaining a thorough history, performance of an appropriate examination, ordering laboratory tests, performing pap smears, sexually transmitted disease testing and any other accepted routine testing. Provides family planning education/services, prescribes birth control pills, inserts intrauterine contraceptive devices, fits diaphragms, etc. Provides independent care to women and babies that regularly involve high risk/problem cases on a co-management basis with the physician/obstetrician such as diabetes, pre-eclampsia, hypertension, anemia, infection, cardiac problems, arrested progress of labor, hemorrhaging, etc. Provides independent care within established guidelines of a medically directed health service. Collaborates in determining, and makes recommendations for broad program goals and objectives for maternal-child health care in Indian Health Service. Participates in designing and conducting research relevant to the health care needs of individuals, families and communities. Provides advice and serves as a health consultant to patients, other professionals, the community and others as requested. Maintains health records utilizing problem oriented format. Provides for comprehensive (total) care with the freedom to consult with and/or refer to other health care providers as necessary. Collaborates in planning and participates in teaching in educational programs for patients, families, para-professional, and professional health workers. Manages the medical and nursing care of patients in the antepartum period and during labor and delivery. Performs complete history and physical examination; determines dosage and timing of medications; orders and/or administers medication for relief of pain in labor; utilizes fetal monitoring equipment including application of scalp electrodes and interprets the meaning of the information recorded; determines the content, orders and/or administers intravenous solutions and medications and performs other specialized procedures. Conducts spontaneous vaginal delivery without the use of forceps; determines method and administers anesthesia such as paracervical, pudendal and local blocks; performs episiotomy and does repair of episiotomy and/or lacerations; records the delivery in permanent record book, and signs the completed birth certificate. Determines the need for ultrasound exams; fetal activity acceleration tests (FAAD); oxytocin challenge tests (OCT); interprets results of tests, and uses the results to plan and carry out a course of treatment. Manages the medical nursing care of patients during their postpartum period (clinic and inpatient), provides family planning education/services and gynecological services to women; prescribes birth control pills, inserts intrauterine contraceptive devices, fits diaphragms, does pelvic examinations and Pap smears. Collaborates in the care of newborn infants as needed. Initiates and provides emergency care measures in the event complications occur. Resuscitation of newborn infants includes intubation, administering oxygen, cardiopulmonary resuscitation (CPR), etc. Manages the treatment of hemorrhage an shock, starts intravenous therapy, prescribes and administers medications, conducts manual removal of placenta, uterine exploration and bi-manual compression. Admits patients, obtains and records medical histories, performs physical examinations, determines plans of care and writes orders to carry out the plans. Orders and interprets laboratory studies. Orders, administers and monitors medications within prescribed guidelines. Under the guidelines, orders for medications are honored by nursing and pharmacy staff without counter-signature of a physician. Provides well child care as determined by Service Unit policy. Evaluates and determines the need for consultation and obtains physician consultations as needed. implements consultant management plan. Determines the need for referral to other agencies an health care providers and makes referrals. Determines the need to involve health care providers, obtains consultations, and works cooperatively with them. Teaches and informs patients and family members to promote informed consent and knowledgeable participation in their own care and ways to maintain and/or improve their health status. This includes nutritional counseling, potential complications of birth control pills, I. U. D. 's, etc. Teaches, directs and/or supervises other health professionals and students (nursing, nurse midwifery, medical, pharmacy practitioners, community health medics) in providing maternal-child health care.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATIONAL REQUIREMENT Graduate of an accredited School of Midwifery.
EXPERIENCE REQUIREMENT No additional experience required.
Prefer a minimum of 12 months of active certified nurse-midwife practice, including attending deliveries.
LANGUAGE SKILLS Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or complaints. Ability to write speeches and articles using original or innovative techniques or style. Ability to make effective and persuasive speeches and presentations on controversial or complex topics to top management, public groups, and/or boards of directors.
MATHEMATICAL SKILLS Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
COMPUTER SKILLS None required.
REASONING ABILITY Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc. ,) in its most difficult phases. Ability to deal with a variety of abstract and concrete variables.
CERTIFICATES, LICENSES, REGISTRATIONS Must possess a valid driver's license with a driving history verified through a motor vehicle report that meets requirements for Cherokee Nation underwriting rating.
