Montefiore Einstein

Hospital and health care provider

Nurse Midwife

Advanced Practice ProvidersConfirmed live in the last 24 hours

Full-timeBronx, NY, USA$90 /hr

About the Job

Requirements

A Bachelor of Science in Nursing is required.
A master's degree is required, although 4–6 years of satisfactory clinical nurse-midwifery experience may be substituted for the master's degree.
An occupational health and safety fit test is required.
An occupational health and safety annual assessment is required.
A current New York State Registered Nurse license is required.
A current New York Midwifery license is required.
Certification for prescriptive rights from the New York State Department of Education is required.
Current Drug Enforcement Administration registration is required.

Responsibilities

Maintain nursing practice standards as defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice, and Nursing's Social Policy Statement.
Actualize the medical center's vision, mission, values, and balanced scorecard performance measures.
Participate in performance improvement and research activities; maintain professional practice standards and clinical expertise; demonstrate leadership skills; and meet core and unit-specific competencies for the patient population served.
Assume responsibility for care and management of essentially healthy women in accordance with the midwifery practice agreement and institutional practice privileges.
Manage antepartum, intrapartum, and postpartum patients presenting to the Labor & Delivery Unit under attending physician supervision and departmental protocols; obtain physician consultation for complications outside those protocols.
Take pertinent patient histories; perform physical and pelvic examinations; order and evaluate laboratory and diagnostic tests, including non-stress tests; provide counseling and teaching; identify risk factors and develop management plans; and document care, assessments, interventions, and responses.
Take responsibility for patients during labor and delivery while progress remains within the collaborative agreement, and manage emergencies such as postpartum hemorrhage, shoulder dystocia, or infant resuscitation until physician assistance arrives; obtain physician consultation for complications.
Evaluate labor status and decide on admission to the labor area; perform admission physical examinations within 24 hours; order and evaluate tests; assess labor progress by vaginal examination; and decide on ambulation during labor.
Insert and manage cervical ripening according to protocols; provide analgesia; request conduction anesthesia; perform amniotomy; apply external fetal monitors and tocodynamometers, as well as internal fetal scalp electrodes and intrauterine pressure catheters; evaluate fetal monitor tracings and consult physicians about abnormalities.
Monitor patients receiving intravenous oxytocin and regulate infusions for labor induction or stimulation; determine patient positions during second-stage labor and whether delivery should occur in the labor room or delivery room.
Use local infiltration or pudendal block; perform and repair episiotomies; conduct spontaneous vertex deliveries and spontaneous cephalic deliveries in multiple pregnancies with a physician in attendance; and manage labor and deliveries for vaginal birth after cesarean section.
Obtain cord sections for cord gases; manage the third stage of labor; inspect the cervix and vagina; repair minor vaginal and perineal lacerations; and seek physician consultation for cervical or extended vaginal lacerations.
Manage uncomplicated patients in the recovery room; decide when a normal infant should transfer to the nursery; and request pediatrician attendance when neonatal problems are anticipated.
Take responsibility for essentially healthy postpartum patients and share responsibility for post-operative cesarean patients with attending physicians under departmental protocols; consult physicians regarding complications.
Perform daily postpartum assessment rounds, examine patients, order and interpret laboratory and diagnostic tests, monitor postpartum progress, and document findings and care.
Provide and document postpartum teaching and counseling; write medication and non-medication orders; remove dressings, surgical sutures, and staples; make discharge plans and obtain specialty consultations as needed; and prepare patients for postpartum tubal ligation.
Provide teaching and counseling for patients and newborns, and take responsibility for family planning for essentially healthy postpartum patients.
Provide contraceptive counseling and care, including oral contraceptives, Depo-Provera, and contraceptive rings; insert and remove intrauterine devices and hormonal implants; counsel on spermicides, contraceptive sponges, films, condoms, natural family planning, sterilization, and abortion.
Prescribe medications and educate patients and families about medication regimens, interactions, and side effects, with zero-error tolerance.
Participate in educational activities for healthcare learners, including medical, nursing, physician assistant, midwifery students, residents, and other visiting learners; conduct didactic sessions, supervise clinical activities, and participate in student evaluations.
Maintain competency by attending Department of Obstetrics and Gynecology Grand Rounds and specialty conferences, meeting American College of Nurse-Midwives continuing competency requirements, and maintaining Basic Life Support, Neonatal Resuscitation Program, and annual mandatory in-service requirements.
Participate in departmental quality-improvement activities, refer cases for management review as appropriate, attend departmental quality-improvement meetings, and participate in performance-improvement initiatives.

City/State:

Bronx, New York

Grant Funded:

Department:

OBGYN - Department Admin

Bargaining Unit:

1199 RN

Work Shift:

Day

Work Days:

ROTATING SCHEDULE

Scheduled Hours:

Hours Vary

Scheduled Daily Hours:

12 HOURS

Hourly Rate:

$90.00

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.

The Nurse Midwife maintains standards of the practice for nursing as defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice and Nursing's Social Policy Statement.
The Nurse Midwife actualizes the vision, mission, values, and balanced scorecard performance measures for Montefiore Medical Center.
The Nurse Midwife participates in performance improvement/research activities; maintains professional practice standards and clinical expertise; and demonstrates leadership skills. The Nurse Midwife demonstrates core and unit specific competencies based on the patient population served.
The nurse midwife assumes complete responsibility for the care and management of essentially healthy women in accordance with the midwifery practice agreement and with institutional practice privileges.
The nurse midwife participates in educational activities for healthcare students and assists with research studies.

Schedule:

12 hour shifts; Rotating days and nights in 2 week blocks

Day shift start time: 8am

Night shift start time: 8pm

Essential Functions

Under the supervision of the attending physician and using departmental protocols, manages antepartum, intrapartum, & postpartum patients presenting to our Labor & Delivery Unit. Obtains physician consultation for the management of medical or obstetrical complications not addressed in departmental protocols.
*Takes pertinent history.
*Performs physical and pelvic examinations.
*Orders laboratory and diagnostic tests including non-stress tests and evaluates results.
*Provides counseling and teaching as needed.
*Identifies risk factors and develops appropriate plans of management to address the same.
*Documents patient care, assessment plan, intervention, and response.
Takes complete responsibility for patients during labor and delivery as long as their progress remains within the bounds of the midwifery collaborative agreement. Manages emergency situations such as postpartum hemorrhage, shoulder dystocia, or infant resuscitation in a conventionally approved manner until physician assistance arrives. Obtains physician consultation for plan of management for any medical or obstetrical complications.
* Evaluates the status of labor and makes decisions on admitting patients to the labor area.
* Performs admission physical examinations within 24 hours.
*Orders laboratory and diagnostic tests and evaluates results.
* Evaluates progress of labor by vaginal exam.
* Makes decision regarding ambulation of patient during labor.
* Inserts and manages cervical ripening according to departmental protocols.
* Provides analgesia.
* Requests conduction anesthesia.
* Performs amniotomy.
* Applies the external fetal monitor and tocodynamometer.
* Applies internal fetal scalp electrode and intrauterine pressure catheter.
* Evaluates fetal monitor tracings and consults with physician if abnormalities are present.
*Monitors patients on I.V. oxytocin and regulates oxytocin infusion for induction or stimulation of labor.
*Makes decision regarding the position(s) of the patients during second stage labor.
*Makes decisions regarding performance of delivery in the labor room or transfer to the delivery room.
*Utilizes local infiltration or pudendal block.
* Performs and repairs episiotomies.
* Conducts spontaneous deliveries of vertex presentation.
*Conducts spontaneous deliveries of cephalic presentations in multiples pregnancies with physician in attendance.
*Manages the labors and conducts the deliveries of vaginal birth after cesarean section (VBAC).
*Obtains a section of cord for cord gases.
* Manages the third stage of labor.
* Performs cervical and vaginal inspection.
* Repairs minor vaginal and perineal lacerations. Seeks physician consultation for repair of cervical or extended vaginal lacerations.
*Takes responsibility for management of uncomplicated patients in the recovery room.
*Decides when the normal infant should be transferred to the nursery.
*Requests attendance of pediatrician at delivery when neonatal problems are anticipated.
Takes complete responsibility for postpartum patients who are essentially healthy. Shares responsibility for post-op cesarean patients, in collaboration with attending physicians and in accordance with departmental protocols. Obtains physician consultation for plan of management for any medical or obstetrical complication.
*Makes daily nurse midwifery assessment rounds, examines the patient, orders and interprets laboratory results, diagnostic tests, monitors the postpartum course, and documents findings and care.
* Provides and documents postpartum teaching and counseling.
*Writes medication and non-medication orders.
* Removes dressings, surgical sutures and staples.
*Makes appropriate discharge plans and obtain consults from other specialties as needed.
*Prepares patients for postpartum tubal ligation. Provides teaching and counseling for the patient and her newborn.
Takes complete responsibility for family planning in post-partum patients who are essentially healthy.

*Provides contraceptive counseling and care.
a. Provides oral contraceptives Depo-Provera and the contraceptive ring.
b. Inserts and removes IUDs.
d. Inserts and removes hormonal implants.
e. Provides counseling concerning spermicide, contraceptive sponges, films, condoms and natural family planning methods.
f. Provides counseling concerning sterilization and abortion.
Prescribes medications and educates the patient and families about the drug regimen, interactions and side effects.
*Zero error tolerance.
Participates in educational activities for healthcare learners, including Medical, Nursing, PA, Midwifery, students, residents and other visiting leraners..
* Conducts didactic sessions.
*Provides supervision of clinical activities.
* Participates in evaluation of students.
Maintains competency.
* Attends Grand Rounds of Department of Ob/Gyn.
* Attends conferences related to specialty area.
*Meets ACNM Continuing Competency Requirement.
*Maintains BLS, NRP and annual mandatory inservices.
Participates in departmental QI activities.
* Refers cases for review of management, as appropriate.
*Participates in departmental QI meetings.
*Participates in performance improvement initiatives.

Qualifications

BSN Required
Masters degree Required
4-6 years satisfactory clinical nurse-midwifery experience may be substituted for a Masters Degree
OHS Fit Test Required
OHS Annual Assessment Required
Current New York State license as a Registered Nurse Required
Current New York Midwifery License Required
Certification for prescriptive rights by NYS Department of Education Required
Current DEA registration Required

Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

About the Company

Montefiore Einstein

Hospital and health care provider

Montefiore Einstein is a major hospital-and-healthcare network in the Bronx that provides medical care through its hospital and outpatient facilities. It combines clinical services with education and research through its affiliation with the Albert Einstein College of Medicine, offering inpatient and outpatient care, diagnostics, specialty treatments, and community health programs. Its care model centers on teams of doctors, nurses, and other clinicians using integrated systems to diagnose, treat, and manage patients. The partnership with Einstein differentiates it by linking patient care with medical teaching and research, enabling clinical trials and innovations to flow from the lab to the bedside. The goal is to deliver comprehensive, high-quality health care, advance medical knowledge through research and education, and improve health outcomes for the communities it serves.

Company size: 1,001-5,000
Company stage: Not listed
Total funding: $4.9M
Headquarters: New York City, New York
Founded: Not listed

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