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Advanced Practice Nurse Midwife

Naval Medical Center Portsmouth, VA

Services shall be provided Sunday through Saturday between 0600 and 0600 for one hundred thirty-five (135) hours per week.

Vest vacation, sick leave, holiday leave, Life, Accidental Death and Dismemberment, Short Term Disability

Medical, Dental, Vision, 401(K) matching with employee participation in 401(K) plan

The HCW shall provide services as an advanced practice nurse with specialty education and clinical skills. Providing independent management of women's health care, focusing particularly on pregnancy, childbirth, the postpartum period, care of the newborn, family planning, postmenopausal and gynecological needs of women. The HCW shall utilize professional knowledge and skill in physical assessment, clinical management of gynecological and obstetrical problems, health maintenance, disease prevention and management of total health care needs of women and newborns. The primary work settings are the Obstetrics and Gynecology (OBGYN) and Labor and Delivery Departments, although the HCW may provide services in other areas of the hospital. The HCW shall provide technical guidance of patient care and work with other members of the healthcare team as consultant, clinical guide, mentor, teacher, and/or team member. Services shall be provided in accordance with the Standards for the Practice of Midwifery, as defined by the American College of Nurse Midwives (ACNM).

The HCW may be upright in motion and without rest for more than twenty-four (24) hours straight. Clinic and call time rotates and may include weekends and holidays as specified in the position-specific statement of work. Provide a full range of nurse midwife services in accordance with privileges granted by the MTF Director. Perform physical assessment and exam with special emphasis on the reproductive health, sexual health, psychosocial and OBGYN history of the patient. Manage the care of normal antepartum women to include teaching, counseling and support. Manage uncomplicated pregnancies independently (inclusive of teaching, counseling and support). Manage complicated pregnancies through consultation and/or collaboration with OBGYN medical staff. Consult with other specialists, clinics, or health resources as indicated. Write prescriptions for needed medications including but not limited to contraceptive, diabetic, psychiatric, thyroid, sexually transmitted diseases (STDs) and pain management. Order laboratory tests and radiographic procedures as needed for diagnosis. Assess and treat the acute OBGYN patient with episodic illnesses and consults when needed. Assess and treat minor gynecological problems and sexually transmitted diseases (STDs). Treat partners of OBGYN patients with STDs. Develop health promotion and maintenance plans including disease prevention and health education counseling. Provide periodic health screening. Admit and discharge patients to and from OBGYN inpatient services. Facilitate transfer of care to another facility. Manage patients in labor, including inpatient orders, amniotomy, external and internal monitoring, initiation of induction/augmentation agents and analgesia using intramuscular and intravenous narcotics and potentiators, and local anesthesia administration. Manage cephalic deliveries, including repair of laceration or episiotomy. Assess and manage uncomplicated postpartum patients. Manage newborns, including airway management, resuscitation, endotracheal intubation, assignment of Apgar scores and initial examination. Identify and manage medical emergencies including but not limited to shoulder dystocia, postpartum hemorrhage, uterine inversion, cord prolapse, and eclampsia. Provide clinical guidance for residents, trainees, students, rotators, new or temporary department members and other hospital staff. Maintain communications with professional organizations as necessary for career development, licensure and clinical continuing education. Provide comprehensive primary care to a select population of essentially healthy women and their babies in a variety of settings to include prenatal care, intrapartum management, postpartum care, immediate newborn care, and well-woman visits.

Degree/Education: Master's degree in nursing. Graduate from a certified nurse midwife education program accredited by the American College of Nurse Midwives.

Experience: Have a minimum of two (2) years of full-time experience working as a CNM within the past three (3) years. As required to meet clinical competency requirements specified in the Service-specific credentialing instructions.

Licensure: Possess and maintain a current unrestricted license to practice as a registered nurse in anyone (1) of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

Certifications: Certified by the American Midwifery Certification Board. Current Neonatal Resuscitation Program (NRP) certification.

Provide two (2) letters of recommendation written within the last two (2) years attesting to the HCW's clinical skills. A minimum of one (1) of the letters must be from a supervisor. The other letter must be from either clinic or hospital administrators or practicing physicians. Reference letters shall attest to the quality and quantity of experience including, but not limited to, the communication skills between practitioner and patient and among peers, and must include name, title, phone number, date of reference, address and signature of the individual providing reference.