Midwife - Nurse Midwifery MSH - Mount Sinai Hospital - Full Time Days - Mount Sinai Health System : Job Details

DescriptionThis role is responsible for:Primary care and management of womens health, including obstetric and gynecological care. Both low risk and high-risk pregnancies are managed as outlined within practice guidelines.Developing and supporting excellence in the clinical practice and patient care.Maintaining the Maternal Child Health Services mission, philosophy, and policies as well as the standards and practices of the Mount Sinai Health System.ResponsibilitiesThe midwife performs functions as an integrated member of the Department of OB/GYN and Nursing. The midwife will:

• Coordinate prenatal care to the caseload of patients in the ambulatory care setting.
• Take pertinent history.
• Perform physical and pelvic examination.
• Obtain laboratory and diagnostic tests.
• Provide counseling and teaching as needed.
• Identify risk factors and develop appropriate plan of management.
• Manage the care of selected patients admitted to the inpatient unit-based on unit protocols and with the collaboration of the attending physician.
• Obtain physician consultation for plan of management for any medical or obstetrical complications not addressed in departmental protocols.
• Review prenatal chart with attending and/or clinical director of midwifery at first visit and at approximately 28 weeks.
• Have the ability to schedule appointments for own gynecological patients.
• Performs functions as identified in the Midwife Scope of Practice.

Provide Intrapartum Care as follows:

• Evaluate the status of labor and admits patient to the labor floor.
• Perform admission physical examination.
• Perform venipuncture and starts intravenous infusions if nursing staff is unavailable.
• Obtain laboratory and diagnostic tests and evaluates results.
• Evaluate the progress of labor by vaginal examination.
• Make decisions regarding ambulation of the patient during labor.
• Request conduction anesthesia.
• Perform amniotomy as indicated.
• Apply external fetal monitor & tocodynamometer.
• Apply internal fetal scalp electrode and pressure catheter.
• Evaluate fetal monitor tracing & consults with physician if abnormalities are present.
• Make decisions regarding the position(s) of the patient during second stage of labor.
• Make decisions regarding performance of delivery in the birthing room or transfer to the delivery room.
• Utilize local infiltration or pudendal block.
• Perform and repairs episiotomies.
• Conduct spontaneous deliveries of cephalic presentations.
• Obtain specimen of cord blood for cord gases when appropriate.
• Manage the third stage of labor.
• Perform cervical and vaginal inspection.
• Repair first- and second-degree vaginal, perineal, and labial lacerations.
• Take responsibility for the management of the uncomplicated patient in recovery room.
• Decide when the normal infant should be transferred to the nursery.
• Request attendance of pediatrician at delivery when neonatal problems are anticipated.
• Order intermittent fetal monitoring based on patients risk status.
• Perform immediate appraisal of the newborn.
• Perform newborn physical examination.
• Sign birth certificate of delivery (operative delivery requires physician signature).
• Coordinate patient care in triage room on L&D.
• Attend and participate in L&D board rounds.

Participate in the care of women during labor & delivery in consultation with attending physician:

• Perform prostaglandin and misoprostol (Cytotec) insertions for cervical ripening or insert a Foley catheter bulb for induction of labor.
• Manage OCT after evaluation of the patient by the physician.
• Insert intrauterine pressure catheters and internal scalp electrodes.
• Perform & monitor amnioinfusion.
• Initiate and monitor oxytocin infusion for induction or stimulation of labor in collaboration with the attending physician.
• Conduct spontaneous deliveries of these patients.
• Manage the labor & conduct the deliveries of women who have been approved by the physician for vaginal birth after cesarean section (VBAC).
• Repair cervical or extended vaginal lacerations in collaboration with the attending.
• Repair third- and fourth-degree extensions under the direct supervision of the attending.
• Participate as first assist on C-Sections and/or BTL.
• Order appropriate drugs to treat hemorrhage during third stage of labor per department policy for Post-Partum Hemorrhage.
• Manually remove placenta.
• Perform exploration of uterus.
• Perform selected patient high risk delivery in collaboration with the physician.

Provide Postpartum Care as follows:

• Make daily rounds, examine patients, orders and interpret laboratory results, diagnostic tests and monitor the postpartum course.
• Provide postpartum teaching and counseling.
• Prepare patients for postpartum bilateral tubal ligations.
• Manage patients who have had cesarean sections or postpartum bilateral tubal ligations based on unit protocols and under the supervision of the attending physician.
• Write medication and non-medication orders
• Remove surgical sutures and staples
• Perform fever work-ups for patients with postpartum febrile morbidity, as per unit protocols and consults the physician for management assistance.
• Make appropriate discharge plans.
• Obtain physician consultation for plan of management for any medical or obstetrical complication.

Professional Activities include:

• Attend daily teaching rounds and sign out rounds on the labor floor.
• Attend departmental grand rounds and teaching sessions as labor floor activity permits.
• Is open and responsive to the diverse backgrounds and experience of other people and promotes an environment that is sensitive to cultural diversity.
• Teach and supervise residents, medical students, and midwifery students on the labor floor.

Education Requirements See Attached for Additional Detail:Master's degree required.QualificationsEducation Requirements See Attached for Additional Detail:Master's degree required.Experience RequirementsEvidence of completion of a Pharmacology course, passing the examination and receiving authorization to issue prescriptions pursuant to Section 6951 (2) of the NYS Education Law.Demonstrate clinical experience related to obstetrics and the care of women and children.Licensing and Certification Requirements (if applicable)License: CNMIssuing Agency: DOH/Office of ProfessionsName: Basic Life Saver (BCLS) Issuing Agency: AHACertification: NRP (Labor and Delivery, NICU dept)Certification: ACLS (in ED; PACU/ASU; ICUs; Telemetry Units; SDU; IR, Interventional Cardiology (CCL/EP/Echo); L&D; Endoscopy, and APN Adult OncologyCollective bargaining unit: NYSNA-MSHNYSNA at Mount Sinai Hospital , 766 - Nurse Midwifery Prog - MSH, Mount Sinai HospitalEmployer DescriptionStrength Through DiversityThe Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.Explore more about this opportunity and how you can help us write a new chapter in our history!“About the Mount Sinai Health System:Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high Honor Roll status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's “Best Children's Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's “The World's Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.”EOE Minorities/Women/Disabled/VeteransCompensationThe Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $77.4629 - $77.4629 Hourly. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.