Kaiser Permanente
Certified Nurse Midwife- Fresno Sequoia Hospital - Obstetrics/Gynecology (36 hrs
Kaiser Permanente, Fresno, California, United States, 93650
Job Summary:
Independently manages the care of low‑risk women during antepartum, intrapartum and postpartum periods. Co‑manages higher risk patients when determined appropriate by CNM and MD. Provides standard maternity care and counseling to women, adhering to the standards of the American College of Nurse Midwives, procedures and instructions regulated by the State Nurse Practice Act and The Permanente Medical Group.
Essential Responsibilities
ANTEPARTUM Evaluates patients' general and obstetrical health status. Determines pregnancy status, duration of gestation, presentation and position of fetus, fetal heart rate, and verifies whether all statistics are within normal limits. Obtains an accurate medical, obstetrical, gynecological and social history, as well as an account of the course of the present pregnancy. Observes signs of the patient's general and obstetrical health. Performs all appropriate physical examinations required for CNM care, including pap smear, breast examination, and pelvic examination. Records all findings, histories, and significant observations on the patient chart. Consults with an appropriate MD regarding any abnormal findings. Orders appropriate lab and medical imaging studies as needed. Institutes preventative measures and detects abnormal conditions. Obtains consultation and assistance from ancillary services as needed. Teaches, counsels, and guides individuals regarding their health care. Teaches antepartum classes as required in individual facilities. Evaluates maternal general health status and well‑being.
INTRAPARTUM Performs medical screening exam to diagnose labor. Independently manages care of low‑risk women during labor and delivery, under the supervision of a physician. Co‑manages higher risk patients when determined appropriate by CNM and MD. Performs facility‑specific standardized procedures. Evaluates patient for appropriate pain management, including requesting epidural for women in labor.
POSTPARTUM Provides health supervision and care, teaches family planning, and prescribes contraception to women during the postpartum period.
Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Secondary Functions
Schedule varies
Basic Qualifications
Experience: N/A
Education: Graduate of an accredited school of nursing.
License, Certification, Registration:
Certified Nurse Midwife (California) required at hire
Registered Nurse License (California) required at hire
National Provider Identifier required at hire
Basic Life Support required at hire
Drug Enforcement Administration Registration within 12 months of hire
Nurse Midwife National Certification required at hire from American Midwifery Certification Board
Additional Requirements: Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications
Three (3) years of experience as a C.N.M. within the last three (3) years preferred.
Current and valid California Nurse-Midwife furnishing certification (including any needed education in pharmacy) and didactic education and supervised clinical experience in third trimester limited obstetric ultrasound preferred OR to be obtained at midwives' expense within one year of hire.
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Independently manages the care of low‑risk women during antepartum, intrapartum and postpartum periods. Co‑manages higher risk patients when determined appropriate by CNM and MD. Provides standard maternity care and counseling to women, adhering to the standards of the American College of Nurse Midwives, procedures and instructions regulated by the State Nurse Practice Act and The Permanente Medical Group.
Essential Responsibilities
ANTEPARTUM Evaluates patients' general and obstetrical health status. Determines pregnancy status, duration of gestation, presentation and position of fetus, fetal heart rate, and verifies whether all statistics are within normal limits. Obtains an accurate medical, obstetrical, gynecological and social history, as well as an account of the course of the present pregnancy. Observes signs of the patient's general and obstetrical health. Performs all appropriate physical examinations required for CNM care, including pap smear, breast examination, and pelvic examination. Records all findings, histories, and significant observations on the patient chart. Consults with an appropriate MD regarding any abnormal findings. Orders appropriate lab and medical imaging studies as needed. Institutes preventative measures and detects abnormal conditions. Obtains consultation and assistance from ancillary services as needed. Teaches, counsels, and guides individuals regarding their health care. Teaches antepartum classes as required in individual facilities. Evaluates maternal general health status and well‑being.
INTRAPARTUM Performs medical screening exam to diagnose labor. Independently manages care of low‑risk women during labor and delivery, under the supervision of a physician. Co‑manages higher risk patients when determined appropriate by CNM and MD. Performs facility‑specific standardized procedures. Evaluates patient for appropriate pain management, including requesting epidural for women in labor.
POSTPARTUM Provides health supervision and care, teaches family planning, and prescribes contraception to women during the postpartum period.
Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Secondary Functions
Schedule varies
Basic Qualifications
Experience: N/A
Education: Graduate of an accredited school of nursing.
License, Certification, Registration:
Certified Nurse Midwife (California) required at hire
Registered Nurse License (California) required at hire
National Provider Identifier required at hire
Basic Life Support required at hire
Drug Enforcement Administration Registration within 12 months of hire
Nurse Midwife National Certification required at hire from American Midwifery Certification Board
Additional Requirements: Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications
Three (3) years of experience as a C.N.M. within the last three (3) years preferred.
Current and valid California Nurse-Midwife furnishing certification (including any needed education in pharmacy) and didactic education and supervised clinical experience in third trimester limited obstetric ultrasound preferred OR to be obtained at midwives' expense within one year of hire.
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