182.1
T.H. MIDWIFERY
This family represents positions which are both clinical and administrative. The 24 hour on-call Nurse Midwifery Service provides high quality, full—scope professional practice with medical supervision/consultation and primary care for adolescents, women, infants and related men as part of a maternity, newborn and/or family planning health prevention/maintenance service.
T.H. Midwifery Director: (SL—5)
Assume leadership for the total operation of the Midwifery Service. In conjunction with the Chairman of the Department of Obstetrics/Gynecology and the Director of Obstetrics, establish and maintain current standards/policy for the provision of Midwifery Services which are in compliance with University Hospital policies and procedures; local, state and federal regulations; mandatory JCAH Standards and the National Standards for the Practice of Nurse-Midwifery (1987) (as defined by the American College of Nurse Midwives). Maintain a full scope clinical practice in order to assess on-going needs of service, evaluate staff in clinical area and determine educational needs. Coordinate development of in-service programs and monitor staff completion of continuing education requirements. Function independently in the preparation and submission of the annual budget; plan and evaluate changes and current needs in Hospital design, equipment and supplies for the Midwifery Service.
Develop, implement and maintain a Quality Assurance Program. Coordinate patient and family life education programs in preparation for childbirth, contraception, parenthood and infant care. Serve on center-wide policy-making committees; represent Midwifery Service in incident investigations, determination of disciplinary actions, grievance responses and responses to external regulatory agencies. Promote and maintain effective working relationships among midwives and other discipline of the health care team, patient/clients and the general public.
Preferred Qualifications:
Master’s degree in health related field; New York State R.N. license; Certification by the American College of Nurse Midwives, or its equivalent; New York State Midwifery Permit; Five (5) to seven (7) years post licensure experience to include two (2) years progressive management/supervisory experience.
State Title Code: 3744335
SUNY Title Code: 0899
Revised: 05/25/89
182.2
T.H. Midwife I: (SL-5)
Incumbents of this position function as primary care specialists in the care of women throughout the childbearing cycle: pregnancy, labor and delivery, postpartum, infant care, family planning and routine gynecology.
Perform routine medical and family history and physical examinations for the prenatal, the laboring, and the postpartum/family planning patient and their related men and infants. Write orders for patient care including diet, physical activity and prescribed medications; admit and discharge maternity patients. Determine and conduct necessary laboratory procedures. Plan and provide continuing health supervision and education. Perform non-stress testing, stress testing (oxytoxin and breast stimulation); draws (routine) blood tests, start intravenous infusions; perform artificial rupture of membranes as indicated; apply the external and internal fetal monitor. Monitor the progress of labor through assessment of contraction patterns, patient response and periodic vaginal examination. Initiate referrals when complications are diagnosed, as appropriate.
Perform normal spontaneous vaginal deliveries, episiotomies and repairs, pudendal block and local infiltration anesthesia, resuscitation and evaluation of the newborn; make postpartum rounds, write necessary medical orders and consult with physician after assessment of medical problems. Does newborn screening examination. Evaluate health status and discuss with client and partner the options and preference of the methods of contraception or child spacing. Prescribe and initiate chosen method of contraceptives and supervise continued use and education.
Responsible for appropriate documentation, including progress notes and orders for all services provided, attend case conferences and rounds and provide instruction to midwifery, medical and nursing students.
Preferred Qualifications:
Bachelors or Masters Degree in health related field preferred; one (1) or more years in Nurse—Midwifery practice; New York State R.N. license; New York State Midwifery Permit; Certification by the American College of Nurse Midwives or its equivalent.
State Title Code: 3744331
SUNY Title Code: 0909
Revised: 05/25/88
182.3
T.H. Midwife II: (SL-4)
Works independently as a Midwife under the general supervision of the Midwifery Director, receiving practical assistance from the TH Midwife I.
Perform routine medical and family history and physical examinations for the prenatal, the laboring and the postpartum/family planning patient and their related men and infants. Write orders for patient care including diet, physical activity and prescribed medications, admit and discharge maternity patients. Determine need and conduct necessary laboratory procedures. Assist in the provision of continuing health supervision and education. Perform non—stress testing, stress testing (oxytoxin and breast stimulation); draws (routine) blood tests, start intravenous infusions; perform artificial rupture of membranes as indicated; apply the external and internal fetal monitor. Monitor the progress of labor through assessment of contraction patterns, patient response and periodic vaginal examination.
Perform normal deliveries and all related procedures as detailed for TH Midwife I, consulting with TH Midwife I as needed, and/or initiate physician referral when complications are diagnosed.
Responsible for postpartum rounds, write necessary medical orders and appropriate documentation including progress notes and orders for all services provided. Attend case conferences and rounds and assist in the instruction of midwifery, medical and nursing students.
Preferred Qualifications:
Bachelors or Masters degree in health related field preferred; New York State Midwifery Permit- eligible within one (1) year of employment; Certification by the American College of Midwives, or its equivalent, or recertification by the American College of Nurse Midwives as appropriate, within one (1) year of employment.
State Title Code: 3744332
SUNY Title Code: 0906
Revised: 05/25/89
