Certified Nurse Midwife

Roles and responsibilities

Daily with patients and their families for assessing, planning, implementing and evaluating the nursing plan of care; with new hire and newly assigned nursing staff for orientation and integration into the nursing unit; routinely with physicians for carrying out physician orders, assisting with medical procedures, and reporting changes in the patient's condition; ongoing with Charge Nurse for reporting changes in patients condition and progress related to plan of care; with technical and other support services within medical for direct patient care, patient flow, and unit maintenance.

Occasional public and community contact through communicating policy changes, revisions, and/or introduction of new work rules.

Occasional with other JHAH and outside services.

Principal Duties

1) ASSESSMENT:

• Performs a systematic initial and on-going assessment of the patient's physical and psychosocial status, specific to the age of the patient.
• Assesses patient/family educational needs and readiness to learn utilizing appropriate resources.
• Assesses patient/family discharge planning needs utilizing appropriate resources.

2) PLANNING:

• Collaborates with the patient/family and other members of the health care team to develop and update a plan of care that is consistent with the medical diagnosis and based on the patient's changing physical, psychosocial and age related requirements.
• Establishes realistic and measurable goals that are culturally sensitive, and identifies nursing interventions to achieve the goals.
• Plans and organizes patient care activities on a daily basis.

3) IMPLEMENTATION/INTERVENTIONS:

• Provides total, direct nursing care consistent with the plan of care and needs of the patients with respect for the patient's privacy, dignity, personal preference and culture.
• Completes specific midwifery competencies and credentialing as identified by supervisor and performs normal full term and preterm deliveries and gives immediate newborn care.
• Responds to life-saving situations based upon nursing standards and initiates Neonatal Resuscitation Program or Massive Blood Transfusion protocols as appropriate.
• Monitors patients for changes in status and indications of conditions such as shock or fetal distress and institute appropriate interventions
• Performs the following as appropriate:

1. Antenatal assessment
2. Amniotomy
3. Application of fetal scalp electrode
4. Performance of episiotomy and competent technique of perineal repair
5. Cardiotocograph monitoring and interpretation
6. Resuscitation of the newborn
7. Use of magnesium sulfate
8. Epidural management
9. Prolapsed cord
10. Antepartum Hemorrhage
11. Postpartum Hemorrhage
12. Abnormal presentation
13. Shoulder dystocia
14. Use of oxytocin

Desired candidate profile

• Presents a positive image of JHAH through professional appearance and behavior.
• Maintains confidentiality by choosing the appropriate persons, time and place for patient related discussions.
• Immediately brings abnormal findings to the attention of the Charge Nurse.
• Assures patient comfort and dignity measures during transport, without exception.
• Frequently checks for and reads all communication/minutes.
• Acts as a patient advocate and develop supportive relationships with patient/family maintaining a professional role.
• Uses verbal and nonverbal communication that conveys respect for the patient/family/visitor/staff.
• Communicates verbal information in an accurate concise and timely manner.
• Communicates written information in a legible accurate, concise and timely manner.
• Documents in a manner that is consistent with the nursing documentation guidelines.
• Establishes and maintains effective working relationships with other members of the health care team.
• Complies with department dress code.
• Maintains an acceptable standard of attendance and reports to work on time.
• Demonstrates support for Nursing Department Philosophy and Objectives.

Education

3 years International Diploma or Bachelor Degree.

Experience

2 years minimum clinical midwifery experience following licensure/registration in the country of origin, to include one (1) year experience in Labor & Delivery Care unit is required.

Certifications/Other requirements as applicable

• Current licensure as a professional registered nurse.
• Must be a registered Midwife in home country.

• Fluent spoken and written English. Spoken Arabic desirable.