Certified Nurse Midwife, Employed Group Practice Merrimack Valley

(Only

QUALIFIED

Healthcare Professionals accepted) Midwife - Under medical direction provides care to mothers and babies through the maternity cycle of antepartum, intrapartum, post-partum and neonatal for the medically uncomplicated patient and provides gynecological care including family planning. Review patient's chart and searches for abnormalities which would indicate other than prediction of a normal birth. Obtain patient's medical history and performs an evaluative obstetrical examination including taking vital signs, checking neurological reflexes, listening to fetal heartbeat, taking external measurements of the uterus, locating the position of the fetus and estimating its size and weight, and examining breasts and nipples. Perform internal pelvic examination to determine extent of dilation, station and position of the fetus and general condition of the membranes. Interpret the results of each element of the obstetrical examination with normal ranges and determines whether consultation with a physician is indicated. Draw blood and completes routine laboratory request forms. Perform hematocrit analysis by centrifuging blood sample, examining with a microscope and recording the results for review by a physician. Function under standing orders by a physician when patient is admitted for delivery and manages the patient during labor, starting IV's, administering medications, prepping the patient, instructing the patient in labor procedures, giving supportive counseling to the patient, maintaining surveillance of progress in labor and keeping the physician informed of progress or impending problems. With indications of impending delivery, notifies a physician and transfers the patient to the delivery room. Assist the patient in the delivery room by giving emotional support to the patient and performs delivery procedures including pudendal block, episiotomy and repairs, and resuscitation of the newborn. Makes periodic postpartum visits to the mother and baby to evaluate condition and progress and to instruct the mother in recuperative procedures and baby care. The ideal candidate will be certified through AMCB and will work 5 days|week (32 patient contact hours and 8 admin. hours). Mix of outpatient and inpatient with OB patients only. On-call consists of 1 weeknight|month and 1 weekend|month. Experienced candidate only.