Overview The Certified Nurse Midwife (CNM) will work with a collaborating OB/GYN physician to provide office care including: antenatal, postpartum, well women exams and full scope genealogical care. The CNM will provide medical and treatment to low risk obstetrical patients (intrapartum care), perform deliveries and instruct patients in prenatal and postnatal health practices. The CNM will utilize physical findings, laboratory test results and patient assessments to evaluate patient condition and ensure normal labor progress. The CNM will adhere to hospital policy and procedure guidelines when delivering patient care Responsibilities ESSENTIAL DUTIES AND RESPONSIBILITIES Participates in initial examination of obstetrical and gynecological patient, and is assigned responsibility for care, treatment, and delivery of patient. Provides antenatal, postpartum, well women exams and full scope genealogical care including customary and credentialed office procedures. Examines patient during pregnancy, utilizing physical findings, laboratory test results, and patient's statements to evaluate condition and ensure that patient's progress is normal. Discusses case with Obstetrician to assure observation of specified practices. Instructs patient in diet and prenatal health practices. Stays with patient during labor to reassure patient and to administer medication. Delivers infant and performs postpartum examinations and treatments to ensure that patient and infant are responding normally. When deviations from standard are encountered during pregnancy or delivery, administers stipulated emergency measures, and arranges for immediate contact of Obstetrician. Visits patient during postpartum period in hospital and at home to instruct patient in care of self and infant and examine patient. Maintains records of cases for inclusion in establishment file. Conducts classes for groups of patients and families to provide information concerning pregnancy, childbirth, and family orientation. May instruct in midwifery in establishment providing such training. May direct activities of other workers. AGE OF PATIENT POPULATION Infant, Adolescent, Adult, Geriatric COMPETENCIES To perform the job successfully, an individual should demonstrate the following competencies: Quality - Follows policies and procedures; Adapts to changes in the environment; Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance. Service - Responds promptly to requests for service and assistance; Meets commitments; Abides by MHS confidentiality and security agreement; Shows respect and sensitivity for cultural differences. Partnering - Supports organization's goal and values; Exhibits objectivity and openness to other's views; Gives and welcomes feedback; Contributes to building a positive team spirit; Generates suggestions for improving work. Cost - Conserves organization resources. Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics. Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others. Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things. Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. Written Communication - Writes clearly and informatively; edits work for spelling and grammar; able to read and interpret written information. Change Management - Develops workable implementation plans; Communicates changes effectively; Builds commitment and overcomes resistance; Prepares and supports those affected by change; Monitors transition and evaluates results. Delegation - Delegates work assignments; Matches the responsibility to the person; Gives authority to work independently; Sets expectations and monitors delegated activities; Provides recognition for results. Leadership - Exhibits confidence in self and others; Inspires and motivates others to perform well; effectively influences actions and opinions of others; Accepts feedback from others; Gives appropriate recognition to others. Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness. Ethics - Treats people with respect; Keeps commitments; inspires the trust of others; Works with integrity and ethically; Upholds organizational values. Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity. Judgment - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions. Motivation - Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles; Measures self against standard of excellence; Takes calculated risks to accomplish goals. Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks; Develops realistic action plans. Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. Safety and Security - Observes safety and security procedures; Determines appropriate action beyond guidelines; Reports potentially unsafe conditions; Uses equipment and materials properly. Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events. Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time. Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan. Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed. Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others' attention. EDUCATION, TRAINING, & EXPERIENCE Masters of Science in Nursing (MS) CERTIFICATION/LICENSURE Licensed as an RN in the state of practice Licensed and Certified with experience in obstetrics CPR (other certifications based on unit requirements ACLS, NALS, PALS, etc) OTHER SKILLS AND ABILITIES Excellent interpersonal/communication skills. Good organizational skills. WORK ENVIRONMENT Occupational exposure is a Category A, which states all employees in the specified job classification have occupational exposure. The noise level in the work environment is usually moderate. INFORMATION ACCESS Partner may access patient care information needed to perform job duties. WORK CONTACT GROUP Patients, Families, Physicians, Health Care Team Members, Community SPECIAL PHYSICAL DEMANDS While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit; climb or balance; stoop, kneel, crouch, or crawl and taste or smell. The employee must frequently lift and/or move up to 50 pounds and occasionally lift and/or move up to 100 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. LEVEL OF SUPV/SUPERVISES Supervises nursing support staff as appropriate. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include training employees; planning, assigning, and directing work; appraising performance; addressing complaints and resolving problems. Computer Skills To perform this job successfully, basic computer knowledge is beneficial.